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HUBUNGAN KARAKTERISTIK DAN DUKUNGAN KELUARGA LANSIA DENGAN KEJADIAN STROKE PADA LANSIA HIPERTENSI DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN Hanum, Parida; Lubis, Rahayu; Rasmaliah, Rasmaliah
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 3, No 1 (2018): Mei 2018
Publisher : UIN Sumatera Utara

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Abstract

ABSTRACT             The rate of stroke incidence is about 200 per 100,000 people throughout the world. In Indonesia, 500,000 people suffer from stroke each year and 125,000 people. Effective family support is expected to be able to help the elderly to be treated their hypertension optimally in order to reduce the incidence of stroke. The objective of the research was to find out the correlation of the characteristics and support from the elderly family with the incidence of stroke in the elderly who suffered from hypertension at RSUP Haji Adam Malik, Medan.            The research is done by using cross sectional approach of 147 samples taken by using consecutive sampling. Independent variables were the characteristics (age, sex, ethnicity, education, occupation, and marital status) and dependent variable was stroke in the elderly who suffer from hypertension. The data were gathered by using primary and secondary and analyzed by using univatriate, bivatriate (chi square test), and multivatriate with multiple logistic regression analysis at α = 0.05.            The result of the research showed the variables which were correlated with the incidence of stroke were age (p=0.025), sex (p=0.011), emotional support (p<0.001), reward (p=0.07), and informational support (p<0.001). The variables which had the most dominant correlation with the incidence of stroke were informational support (p=0,001).             It is recommended that the hospital management increase health service and family support for the elderly in order that the elderly with hypertension can be prevented from stroke. Keywords: Characteristics, Support from the Elderly Families, Stroke in the Elderly with Hypertension
KARAKTERISTIK PENDERITA OSTEOARTRITIS RAWAT JALAN DI RSUD DR. PIRNGADI MEDAN TAHUN 2015 M, Riska Juliana; Lubis, Rahayu; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Osteoarthritis (OA) is a disease caused by the wear of joints, demage of cartilage in the outer layers caused by repeated used of joints can lead to disability. According to WHO, 8,1% of total population in Indonesia suffering from OA. This study aims to research the characteristics of OA patients in outpatient in RSUD Dr. Pirngadi Medan in 2015, descriptive case series design. Data were analyzed by chi-square test, Fisher, and Kolomogorov-Smirnov. The population was 967 OA patient in outpatient and the sample was 96 patient. The research showed that the highest proportion of OA patients at age group 45 - 59 (39,6%), female (80.2%), Muslim (54.2%), senior secondary education (69.8%), from the city of Medan (74%), the location of the genus joint (53.1%), the largest other disease is hypertension (29.2%), with pharmacological (91.7%), OA patient the number of visit was ? 3 times (63,5%) and cost source from JKN (87.5%). There was no significant difference between age and the joint location. There was no significant difference between the gender and the joint location and there was no significant difference occupation and the joint location. To the risk population of OA in order to carry out examination of the bones to prevent damage to bones or joints are more severe. Patient with OA, particulary 45-65 years old and have obesity should not do more activity, especially in the genus joint and is recommended for reducing weight through proper diet. Patient with OA should receive treatment of physiotherapy rather than taking non-steroidal anti-inflammatory drug to prevent an increase in hypertension. To RSUD Dr. Pirngadi Medan, field the complements medical record OA patients by add BMI patients and history of injury patient. Key words: OA, Patient Characteristic
KARAKTERISTIK PENDERITA MIOMA UTERI RAWAT INAP DI RSUD DELI SERDANG LUBUK PAKAM TAHUN 2013-2015 sipayung, yuli anti; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Abstract Uterine myoma are also known as fibromioma, fibroids, or leiomyomas are benign neoplasm derived from uterine smooth muscle and connective tissue on it.  Most of them was found with an estimated incidence of 20% -40% in women during reproductive years. In Indonesia, uterine myoma was found 2.4% - 11.7% of all gynecological patients were treated. In Deli Serdang Hospital Lubuk Pakam there are 78 cases of uterine myoma during 2013-2015. The research is descriptive with case series design. Population and sample were 78 data (total sampling) by using secondary data obtained from medical records of patients with uterine myoma. The results showed the proportion of patients with uterine myoma highest age 35-44 years old 44.9%, Javanese 66.9%, senior high school 35.9%, housewives 75.6%, married status 88.5%. menarche age > 12 years was 37.2%, multiparous parity47.4%, type of submucosal fibroids 25.6%, having more than one complaint 42.3%, hemoglobin <12 g/dl (79.5%), hysterectomy 55, 1%, the average length of stay 8 days, discharged under medical treatment 93.6%, government funding source 92.3%. The proportion aged based on the type of uterine myoma highest age > 44 years old. The proportion of patients with uterine myoma with the type of submucous fibroids, abnormal bleeding 60%, hemoglobin <12 g/dl (85%) and hysterectomy55%, the type of intramural fibroids having more than one complaint 81.8%, hemoglobin <12 g/dl (72.7%) and  hysterectomy 54.5%, the type of subserosal fibroids having more than one complaint 50% and conservative treatment 50%, the type of multiple fibroids having more than one complaint 88.9%, hemoglobin <12 g/dl 88.9% and hysterectomy 77.8%. It was suggested that women who have risk factors for uterine myoma especially women in the reproductive age and multiparity to maintain in their health with a healthy diet and regular check-up for early detection of the possibility of the discovery of uterine myoma. For Deli Serdang Hospital Lubuk Pakam to complete data in the medical record including menarche age of patients, parity, and the type of myoma uteri. Keywords: uterine myomas, Characteristics of Patients
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN IMUNISASI DASAR PADA BATITA DI DESA HUTAIMBARU KECAMATAN HALONGONAN KABUPATEN PADANG LAWAS UTARA TAHUN 2016 Nainggolan, Zuriatina Chairani; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Immunization remains a public health problem in North Padang Lawas District, because the basic immunization coverage is low and has not achieved Universal Child Immunization (UCI) in most of these areas. One of them Hutaimbaru village with basic immunization coverage amounted to 30%  in 201. This research is an analytic observational (non-experimental) with cross sectional study design, aimed to analyze the factors related to the completeness of basic immunization by toddlers on Hutaimbaru subdistricts Halongonan in 2016. The study population was all mother who had a toddler in the village of the Hutaimbaru subdistrict Halongonan and sampling done by total sampling. Data were collected using a questionnaire and analyzed using Chi-square test and multiple logistic regression test. Immunization coverage complete of the result of this study was 48.6%.  The results evidence that the variables have a significant related (p<0,05) on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan 2016  is  the age variable (p= 0,008), education (p. = 0,0001), occupation (p= 0,0001), and parity (p= 0,001), when the unrelated variables (p<0,05) is a variable place of birth (p= 0,110) and the distance of a residence with health care (p= 0,364). The results of multiple logistic regression test, the variables have a significant  most related on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan in 2016  is education (Exp {B}= 7,280). Implementation of the integrated health system should apply first date alone each month, so that mothers more easily remember, or Implement s system of ?Jemput Bola? in providing basic immunization, given the extensive settlements Hutaimbaru village is not so wide, and they can be easy to reach. Keywords: Immunization, Hutaimbaru, Toddlers
ANALISIS PENGETAHUAN DAN SIKAP TENTANG HIV/AIDS DAN BAHAYA NARKOBA PADA SISWA LAKI-LAKI MAN 1 MEDAN TAHUN 2016 azizah, nur; Sarumpaet, Sori Muda; Lubis, Rahayu
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Human Immunodeficiency Virus continues to be a global public health problem, there are 36,9 million people living with HIV by two millions new infections in 2014. The percentage of drug users living with HIV by 18,8%. The causes of AIDS 15,2% because of injecting drug, while HIV patients was 7,7% in Indonesia. Prevention of HIV/AIDS and the dangers of drugs can be done by improving knowledge and attitudes. This study aims to determine the level of knowledge and attitudes about HIV/AIDS and the dangers of drugs in MAN 1 Medan students. This type of research was analytic survey with cross sectional design. The population were all male students of XI MAN 1 Medan. The samples were 132 students. The sampling technique was using Simple Random Sampling. The collected data were primer data which analyzed with Fisher's Exact test. The results of the univariate analyzed were level of HIV/AIDS knowledge was enough (38.6%), the knowledge of the dangers of drugs was less (43.2%), the attitude of HIV/AIDS was less (71.2%) and the attitude of the dangers of drugs was good (96.2%) in MAN 1 Medan. The Fisher?s Exact test result showed that there was a significant relationship between knowledge and attitudes about HIV/AIDS (p=0,020), there was no significant relationship between knowledge and attitudes about dangers of drugs (p=1,000), there was no significant relationship between knowledge about HIV/AIDS and knowledge about dangers of drugs (p=0,735), there was no significant relationship between attitudes about HIV/AIDS and attitudes about dangers of drugs (p=0,764). Average knowledge of HIV/AIDS and the dangers of drugs students are enough. Expected to the head master to improve students? knowledge and attitudes about HIV/AIDS and the dangers of drugs in MAN 1 Medan through health education such as schools cooperate with the community health centre or BNN to do counseling about HIV/AIDS and the dangers of drugs at least once in a semester.   Keywords: HIV/AIDS, Drug, level of knowledge, attitude
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN UMUR MENARCHE PADA SISWI SMP NEGERI 1 SEI RAMPAH KAB. SERDANG BEDAGAI TAHUN 2016 fadillah, balqis; Lubis, Rahayu; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Menarche was the first menstruation cycle experienced by women. While early menarche first menstruation occured is under the age of 12 years. Based on the result oh Health Research Association (Riskesdas) in 2010, that 5,2 % of children in 17 provinces in Indonesia experienced menarch under the ages of 12 years. Early menarch is a risk factor for malignant disease. The purpose of  this research was to determine the factors-factors related with the ages of menarche in female students of  SMP Negeri 1 Sei Rampah  in 2016. This research is an observational study with cross sectional research design. Age of menarche is a dependent variable in this study, while the diet, nutritional status, physical activity, and age of menarche mother is an independent variable Sample was many 114 students were taken by purposive sampling. The research instrumen used was a questionnare as well as  the scale of measuring instruments and gauges. Univariat data were analyzed descriptive andbivariat data were analyzed using the chi square test with 95 % CI. The result showed prevalence of early menarche in SMP Negeri 1 Sei Rampah in 2016  the highest of the ages normal menarche is (67,5%), and early menarch is (32,5%). The average ages og menarch is 11,89 years with the highest ages of menarch is 13 years and lowest is 10 years. The highest of the responden is bad habit diet (65,8%), not obest nutritional status (87,7%), enough fisic activity (64,9%), and mother?s ages of menarch is normal (79,8%). The result of bivariate analysis, generally there is a significant relationship habit diet (p=0,017), nutritional status (p=0,007), physical activity (p=0,003), mother?s ages of menarche (p=0,0001). It is suggested to students of SMP Negeri 1 Sei Rampah who have early menarche to maintain healthy lifestyle so that risk factors for malignant disease such as ovarian cancer, breast cancer, utery myomas, menopause can be minimized.
KARAKTERISTIK PENDERITA HIV/AIDS DI RSUD DR. DJASAMEN SARAGIH PEMATANGSIANTAR TAHUN 2013–2014 Butarbutar, Janny Togumaito; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

AIDS (Acquired Immune Deficiency Syndrome) is specific illness (syndrome) collecting caused by damaging immune system which is related to HIV (Human Immunodeficiency Virus). Prevalance rate of AIDS in Indonesia in 2014 was 23,48 with CFR of AIDS was 1,67. The main purpose of this research is to know characteristic of HIV/AIDS patients. This research is descriptive study with case series design. The population and sample was all HIV/AIDS patients as many as 145 cases. Type of data collected is secondary data which is analyced by chi square-test. The result of research showed the characteristic based on highest demograhy social with the age 30-39 years (49,0%), male (72,4%), Senior High School passed (55,2%), enterpreuner (53,1%), married (66,9%), Pematangsiantar Living (57,9%), highest infection transmission of heterosexual (65,5%), Clinic with no opportunity Infection (OI) (54,5%), Tuberculosis as OI type (48,5%), number of CD4<200 (60,0%), stop therapy phase (64,1%), alive living (76,6%). It is faound that no significant and different proportion between age and infection transmission (p=0,372), sex and last living (p=0,297), work status and infection transmission (p=0,172), marrige status and infection transmission (p=0,190). There is significant difference proportion between sex and infection transmission (p<0,001), and also clinic and last living (p<0,001). It is suggested for society to be faithful to one person as living mate to prevent transmission through heterosexual in promiscuity, to public figure especially to public religion to get involved in morality education for education for society. It is suggested for staff of HIV/AIDS Poly clinic to monitor patient obedience in consuming ARV and to record information more detail about type of opportunity infection of patients. It is suggested to local government to close prostitution place in Bukit Maraja.   Keywords: Characteristic, HIV/AIDS
Paparan toluen di udara ambien industri percetakan terhadap kadar hippuric acid urin pada pekerja industri percetakan di kota Medan tahun 2018 Nauli, Mutiara; Ashar, Taufik; Lubis, Rahayu
Berita Kedokteran Masyarakat (BKM) Vol 35, No 6 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.45210

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Purpose: The printing industry has been one of growing industries currently. The printing industry in Indonesia in 2011 is estimated to reach 4.7 percent or higher than the world average growth which is only 1.6 percent. This means that the production and printing services needs in Indonesia are greatly increased. Industrial processes that use labor, especially those related to using chemicals in the production process, will be at high risk of potential hazards. According to the Ministry of Industry and Trade, there are already 45 industries that use hazardous materials, one of which is the printing industry. The purpose of this study is to analyze exposure to toluene through hippuric acid levels in the urine of printing industry workers. Method: This research is a quantitative observational analytic study using a cross sectional design conducted from March to July 2018. The sample of this study is 50 respondents located in 6 printing industries in Medan City.Most of the respondents are males, which is 38 people (76%). Results: The amount of toluene exposure in ambient air at 6 printing averages of 6.97 ppm is much lower than the NAB value of 50 ppm, and the average hippuric acid level of printing employees is 143.5 mg / g creatinine which is far from normal NAB hippuric acid level (1600 mg / g creatinine). Statistical test results shows that there is a correlation between sex with levels of hippuric acid with p = 0.046 (p <0.05). Conslusion: is strongly suggested for the owner of every printing industry to monitor the health of their employees periodically. The Health Ministry also needs to specifically regulate the protection of labor from toluen. To reduce toluen exposure, it is recommended that the owners of printing industries equip their employees with PPE (Personal Protective Equipment) and to manage better office hour, day off, and furlough
PENGARUH OBESITAS TERHADAP KEJADIAN DIABETES MELLITUS PADA WANITA USIA SUBUR DI RSUD DR. DJOELHAM BINJAI TAHUN 2017 Pratiwi, Tika Ayu; Lubis, Rahayu; Mutiara, Erna
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v4i1.161

Abstract

Diabetes mellitus (DM) merupakan penyakit degeneratif yang paling umum ditemukan, peningkatan BMI (Body Mass Index)  1 angka akan mempunyai kecenderungan menjadi kencing manis sebesar 25%. Dengan bertambahnya ukuran lingkaran perut dan panggul, terutama pada obesitas tipe sentral atau androit, menimbulkan resistensi insulin, suatu keadaan dimana insulin tidak dapat bekerja dengan baik, maka terjadilah kencing manis. Tujuan penelitian untuk melihat pengaruh obesitas terhadap kejadian diabetes mellitus pada wanita usia subur di RSUD DR. Djoelham Binjai tahun 2017. Penelitian ini menggunakan studi analitik observasional dengan desain studi unmatched case control. sampel dalam penelitian ini 52 orang (kasus) dan 52 orang (kontrol). Analisis data dilakukan dengan tahapan analisis univariat, bivariat dengan uji chi-Square. Pada kelompok kasus terdapat sebanyak 27 orang (51,9%) wanita usia subur yang obesitas, dan 25 orang (48,1%) yang tidak obesitas. Sedangkan pada kelompok kontrol terdapat sebanyak 14 orang (26,9%) wanita usia subur yang obesitas, dan 38 orang (73,1%)wanita usia subur yang tidak obesitas. Hasil uji statistik menunjukkan bahwa terdapat pengaruh obesitas terhadap kejadian diabetes mellitus  (p= 0,009) pada taraf nyata ? = 0,05. Hasil penelitian juga menunjukkan  nilai OR= 2,931(95%CI 1,292-6,652), artinya wanita usia subur yang obesitas perkiraan risikonya 2,9 kali akan menderita diabetes mellitus dibanding dengan yang tidak obesitas. Kesimpulan dan saran penderita diabates mellitus diharapkan dapat menjaga gula darah agar tetap dalam keadaan normal, mengurangi berat badan bagi pasien obesitas, mengatur kebiasaan makan yang memiliki tinggi karbo, mengurangi makanan yang mengandung tinggi lemak, serta memperbanyak mengkonsumsi sayur dan buah, dan melakukan aktifitas olah raga untuk mengurangi risiko terjadinya diabates mellitus.Kata kunci: diabetes mellitus, obesitas
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE II DENGAN TUBERKULOSIS PARU DI RSUD DR. PIRNGADI MEDAN TAHUN 2016 Lumbanraja, Novelisa; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Prevalence of communicable diseases and non-communicable diseases is double burden diseases in Indonesia. Diabetes mellitus (DM) is one of the non-communicable diseases that continues to increase in number and tend to be more at risk of pulmonary tuberculosis (TB) infections. The prevalence of type II DM with pulmonary TB in Indonesia by 2013 is 400 / 100,000 inhabitants. The purpose of this research is to know the characteristics of DM type II with pulmonary TB in RSUD Dr. Pirngadi Medan in 2016. Research is descriptive with case series design. Population is all data of DM type II patients with pulmonary tuberculosis with many sample that is 112 patient. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-Square test.           The results showed the highest proportion of patients with type II DM and pulmonary tuberculosis were age group ? 40 years (92%), male (60,7%), Bataknese (63,4%), Islam (60,7%), SMA (equal to 76.8%), entrepreneur (38.4%), Medan City (58%), HbA1C (70.5%), HbA1C ? 7% (uncontrolled) %), Smear positive pulmonary TB (82.1%), new cases (37.5%) and relapse cases (37.5%), heart and blood vessel disorders (36.6%), Oral Hypoglycemic Drugs OHO) (64.3%), BPJS / ASKES / KIS (90.2%), becoming outpatient / PBJ (83%). There was no significant difference between the proportion of HbA1C levels based on the proportion of type II DM treatment (p = 1,000) and there was a significant difference between the proportion of HbA1C levels based on the proportion of sputum microscopic pulmonary examination results (0.0001).               The results showed a difference between the proportion of HbA1C levels based on the proportion of sputum microscopy pulmonary examination results. It is desirable for the hospital to check HbA1C levels for DM type II patients with pulmonary tuberculosis and to the patient to be treated immediately and prevent transmission to others and is expected to perform routine HbA1C examination.Keywords: Type 2 DM, Pulmonary TB, characteristic of the patient