Rahayu Lubis | University of Sumatera Utara (original) (raw)

Papers by Rahayu Lubis

NVEO - NATURAL VOLATILES & ESSENTIAL OILS Journal | NVEO, Nov 12, 2021

13th IEA SEA Meeting and ICPH - SDev, Aug 15, 2018

Jukema (Jurnal Kesehatan Masyarakat Aceh), Feb 26, 2019

Pneumonia is an infectious disease that is a major cause of death in children under five in the w... more Pneumonia is an infectious disease that is a major cause of death in children under five in the world. In 2016 Indonesia was the 7 th highest in the world of mortality rate that caused by pneumonia.The case of pneumonia in West Sumatra on 2015 is 85% and Pariaman city is 39% which is the city with the third highest of pneumonia cases in the province of West Sumatra. The purpose of this study was to determine the characteristics of children under five hospitalized pneumonia patients in RSUD Pariaman West Sumatra. This research used case series design with the population is all ofchildren under five hospitalized pneumonia patients whose data was recorded in the medical records in RSUD Pariaman West Sumatra on 2016 - February 2017. The population were 108 patients and all were taken to be sampled. The data was collected from secondary data which is processed by univariate analyze by describing the variables and bivariate analyze using Chi-square test and Mann-Whittney test. Based on so...

International Journal of Public Health and Clinical Sciences, 2020

Background: Hemodialysis therapy performed in kidney failure patients can change the physical and... more Background: Hemodialysis therapy performed in kidney failure patients can change the physical and psychological conditions of these patients. This is one of the factors that affect the quality of life in hemodialysis patients. Even though they has been doing hemodialysis therapy for the rest of their life, it is highly expected to have a good quality of life so that it can still be productive. The aim of this study was to determine the relationship between body mass index and blood pressure with the quality of life of hemodialysis patients in Medan Rasyida Kidney Hospital in 2019. Materials and Methods : This study used a retrospective cohort method for the past 6 months (September 2018 to February 2019). The population was all outpatients who performed hemodialysis therapy in the hospital and sampling of 120 patients. The sample of this study was taken using purposive sampling technique. Quality of life data was obtained using the KDQOL TM -36 questionnaire. Results: The results of...

Low birth weight infant is a newborn baby whose weight at birth less than 2500 gram regardless of... more Low birth weight infant is a newborn baby whose weight at birth less than 2500 gram regardless of gestational age. Low birth weight infant contributes to neonatal mortality as an indicator of a nation's community health status. World Health Organization (WHO) in 2010 reported a prevalence of low birth weight infant in the world in the period 2005-2010 is 15%. In Indonesia, the prevalence of low birth weight infant in 2013 is 10.2%. To determine the sociodemographic factors and pregnancy associated with low birth weight infant in RSIA Sri Ratu Medan in 2014 conducted the study with a population of 874 people and the sample totaled 106 data of mothers who gave birth in RSIA Sri Ratu Medan. This research is an analytic survey with cross sectional design was followed by univariate and bivariate analyzes. The results showed there are three variables that relate in the incidence of low birth weight is the work of women (p = 0.003), history of maternal disease (p = 0.032) and gestation...

Overweight middle-aged at the age in addition to dealing with increased risk of cardiovascular an... more Overweight middle-aged at the age in addition to dealing with increased risk of cardiovascular and metabolic disease, also affects the quality of life and sexual function. Increase in weight the agency along with increasing age need to look out for, adepositas or obesity and disorders of carbohydrate metabolism. This can occur as a result of changes in hormone balance affects weight control. Empowerment of knowledge of eating patterns and intake in women pramenopause felt very necessary given the pattern of activity of the adult age group also food consumption behaviour that is not balanced. This type of research is quasi experiment with two design group pretest-posttest design with control group in two Sub involving women aged 40-45 years, 35 people on the intervention group and a control group of 35 people. Data analysis done to see the changes before and after the intervention and its effects on the patterns and intake of eating intervention group. Data on sports with univariate analysis, bivariate with Shapiro-Wilk, test t-test dependent. The results showed there is influence the granting of the intervention Pramenopause Empowerment-based Model of Health Belief Model before and after interventions against changes in eating patterns and intake (p = 0.006). Socialization pocket book and diary consumption patterns of eating in women's pramenopause empowerment is very to do so can improve healthier patterns of living in order to support the health and quality of life.

Journal of Physics: Conference Series, 2020

Stroke is a clinical sign that develops from the Focal brain with symptoms that occur for a day o... more Stroke is a clinical sign that develops from the Focal brain with symptoms that occur for a day or more and can cause death for no apparent reason other than vascular. Stroke has become the leading cause of death in almost all hospitals in Indonesia and in Aceh is the number one death factor. The purpose of this study is to empower families to get a stroke prevention model and have the effect of that model for lowering blood pressure, cholesterol and blood sugar. Participants in this study were hypertension sufferers with a total of 32 participants at the Ulee Kareng Health Center in Banda Aceh. The study was conducted from February 2017 to December 2018, using the Participatory Action Research (PAR) and T-Test methods. The results of research through PAR studies found stroke prevention models and differences in blood pressure, cholesterol and blood sugar decreased after the study. It can be concluded that the effect of the stroke prevention model was found to reduce the risk of str...

Giornale Italiano di ostetricia e ginecologia, 2017

Background With increased age, every woman will experience a transition from a reproductive perio... more Background With increased age, every woman will experience a transition from a reproductive period to a non reproductive period known as menopause, which based on a study by Siregar M.F.G. (2016), alternatively, can be diagnosed by vaginal pH ≥ 5,5 (1, 3). This period is characterized by decreased hormone levels and cause various complaints, the degree of which vary between each individual. These complaints range from very mild symptoms to severe life disturbing symptoms (both physical and psychological), and is known as the climacteric syndrome. Symptoms include hot flushes and night sweats, insomnia, and vaginal dryness, osteoporosis, arteriosclerosis, dyslipidemia, decreased mood, irritability, and headaches. A study by Siregar M.F.G. et al. (2016) showed that based on the Menopause Rating Scale (MRS), 50-56-year-old women mostly complained these symptoms (2, 4). A study conducted in the town of Pematang Siantar at 2009 on 210 respondents aged 46-55 years who were experiencing perimenopause reported ten (out of 22 complaints in the climacteric syndrome) most frequent complaints: irritability (83.3%), leg tingling (68.1%), rheumatic pain (68.1%), headache (59.5%), anxiety (56.2%), missing sexual arousal (54.8%), difficulty reaching orgasm (52.8%), myalgia (51.4%), sleeplessness (49.5%) and no concentration (49.1). As much as 92.4% of 210 women examined experienced climacteric complaints, with 138 of them (67%) were workers (1,3). Memory problems during menopause are also frequently reported, which is supported by results from Siregar M.F.G. (2016) who reported states that the increased SUMMARY: The impact of premenopausal empowerment model based health belief model to changes in physical activity levels in controlling complaints of perimenopausal women in Pematangsiantar City, Indonesia, 2017.

Background: The incidence of tuberculosis in HIV patients (TB-HIV) w as estimated at 126 per 100,... more Background: The incidence of tuberculosis in HIV patients (TB-HIV) w as estimated at 126 per 100,000 in the world. The number of HIV infected patients in Indonesia around 190,000 to 400,00 0 and the prevalence of TB-HIV is 5%. Data TB-HIV still increase s and they are un aware of that until a late stage. Understanding the risk factors of people with TB-HIV co-infection is important to know. This study aims to know the predictors of TB-HIV patients in the clinic voluntary counseling and testing (VCT) in Medan city. Methods: This is a case-control study. The case is TB-HIV patients (aged > 20 years) seen at clinic VCT Medan in 2016. Control is HIV patients without TB (aged > 20 years) seen in the same clinic VCT. The number of cases was 120 and the number of control 120. Data were collected from the medical record. Data were analyzed using the chi-square test in SPSS software. Results: The t otal was 240 patients. The majority were in the age group 31-40 years old (52.9%), male ...

Syntax Literate ; Jurnal Ilmiah Indonesia, 2022

Pemanfaatan RSUD dr. Djasamen Saragih mengalami penurunan dari tahun ke tahaun terlebih lagi seja... more Pemanfaatan RSUD dr. Djasamen Saragih mengalami penurunan dari tahun ke tahaun terlebih lagi sejak diberlakukannya sistem rujuk berjenjang bagi pasien BPJS. Berdasarkan hasil survey pendahuluan yang telah dilakukan di RSUD dr. Djasamen Saragih Kota Pematangsiantar sampai saat ini banyak pasien yang tidak paham dan masih belum mengetahui sistem dan prosedur sehingga harus bolak balik ke rumah sakit. Penelitian ini dilakukan untuk mengeksplorasi pemanfaatan rumah sakit pasca penerapan sistem rujukan berjenjang di RSUD dr. Djasamen Saragih Pematangsiantar. Jenis penelitian menggunakan metode penelitian kualitatif. Lokasi yang dijadikan obyek penelitian adalah RSUD dr. Djasamen Saragih Pematangsiantar yang dilaksanakan pada September 2020 sampai dengan Desember 2020. Metode pengumpulan data yang digunakan adalah dengan wawancara mendalam dan teknik dokumentasi. Hasil penelitian menunjukkan bahwa dalam pemanfaatan RSUD dr. Djasmen Saragih Kota Pematangsiantar saat ini belum berjalan seca...

Reaching the Unreached: Improving Population Health in the Rural and Remote Areas, 2018

Background: According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia.... more Background: According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia. Birth asphyxia is an insult to the fetus or newborn due to failure to breath or breathing poorly, leads to decrease oxygen perfusion to various organs. This study aimed to exaimne the determinants of birth asphyxia at Pilgrimage hospital in Medan, North Sumatera. Subjects and Method: This was a case control study conducted at Pilgrimage Hospital, Medan, North Sumatera. A sample of 180 newborn infants was selected for this study. The dependent variable was birth asphyxia. The independent variables were maternal age, gestational age (prematurity), and infant birth weight. Data on asphyxia was obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of birth asphyxia increased with maternal age <20 years or ≥35 years (OR= 6.25; 95%CI= 1.33 to 29.03; p= 0.023), premature birth (OR= 7.90; 95%CI= 3.90 to 16.02; p= 0.007), and low birth weight (OR= 11.51; 95% CI= 4.89 to 19.82; p= 0.049). Conclusion:Birth asphyxia is associated with maternal age <20 years or ≥35 years, premature birth, and low birth weight.

Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease, 2019

KnE Life Sciences, 2018

The success of highly active antiretroviral therapy (HAART) for treating human immunodeficiency v... more The success of highly active antiretroviral therapy (HAART) for treating human immunodeficiency virus (HIV) disease depends on maintaining a high level of adherence. Non-adherence is associated with a poor short-term virological response and accelerates the development of drug-resistant HIV. The shift to combination therapies for treating HIV-infected individuals has increased the challenges of adherence for both patients and health-care providers. The cumulative number of people in April 2015 who were eligible for HAART but had not yet started the therapy at the Adam Malik Hospital in Medan City Indonesia was 1,669 out of 6,033 people (27.66%). The cumulative number of absentees and loss to follow-up at >3 months was 1,273 out of 4,364 people (29.17%) up to April 2015.This study was a cross-sectional investigation of the factors associated with adherence to antiretroviral consumption for HIV-infected individuals at the Adam Malik Hospital in 2015. The sample size was 65 people, using consecutive sampling. The data were collected from medical records, observations, and an interview with a questionnaire. The data analysis included descriptive study, the chi-square test, Fisher's exact test, and logistic regression, using STATA software. The results showed pill adherence in 28 patients (43.08%) and non-adherence in 37 patients (56.92%). The principal factors associated with non-adherence in the logistic regression were patient-related, including occupation (p = 0.062; OR = 0.22) and pill burden (p = 0.080; OR = 6.20). However, another factor that may have contributed was the system of health insurance (p = 0.015; OR = 5.00). The probability of the meaningful factors, based on the results of a multivariate analysis using the logistic function formula, is 0.7365 or 73.65%. The major reasons of HIV-infected individuals for not taking their medications were being employed, pill burden consideration, and without health insurance. Improving adherence probably requires the provision of the easy health insurance system with adequate patient preparation, innovative interventions and must fit into the socio cultural context of each setting.

ABSTRAC T Uterine myoma is a benign neoplasm on the myometrium layerconsists of cells of smooth m... more ABSTRAC T Uterine myoma is a benign neoplasm on the myometrium layerconsists of cells of smooth muscle tissue and connective tissue fibroids which the literature also known as leiomyomas or fibroids. It the most common occurrence in women of childbearing age. In Indonesia, the proportion of myoma uteri ne 2.3% - 11.7% of all gynecological patientstreated. This study is aimed t o determine the characteristics of patients with myoma uteri ne in the Tentara Tk-IV 01. 07 . 01 Hospital Pematangsiantar 2014. Kind of this study is descriptive with case series design . Population and sample were 82 data patients (total sampling). Data w as analyzed descriptively by using Chi-square and Fisher's Exact . The results showed the proportion of patients with uterine myoma highest in the age group 41-50 years 70.7%, Bataknese 55.4 % , Senior H igh S chool 47.6%, Housewi ves 32.9%, Marriage 97.6%, Abnormal Bleeding 48.8%, Multipar ities 46.3%, Not Pregnant 98.8%, Hemoglobin>12 g% (53.7%), ...

The implementation of the coronavirus disease (COVID-19) prevention health protocol is important ... more The implementation of the coronavirus disease (COVID-19) prevention health protocol is important to reduce the rate of spread of COVID-19 in the community. However, these efforts have not been fully successful due to a lack of knowledge and public awareness. The purpose of this study was to determine the effect of knowledge and attitudes toward community behavior in the coronavirus disease (COVID-19) prevention health protocol in Aceh Singkil District. This research uses quantitative research, with a correlative design and cross sectional approach. The research sample consisted of 110 people of productive age in one of the districts in Aceh Singkil who were selected by accident (accidental sampling). Data analysis used chi-square relationship test and ordinal logistic regression. The results showed that there was a significant effect between knowledge toward community behavior in carrying out the COVID-19 prevention health protocol (p-value=0.000), but there was no effect between at...

Fluor Albus (vaginal discharge) are often experienced by women if the vaginal discharge is physio... more Fluor Albus (vaginal discharge) are often experienced by women if the vaginal discharge is physiological, but it would be risky if the experience is pathologically characterized by yellowish to greenish liquid, the numbers are exaggerated, thick, foul-smelling, itchy or hot and cause injuries so we need prevention. Prevention of whiteness is a form of health behavior, and this study aims to determine the relationship of exposure with prevention information Fluor Albus in middle adolescence.This research is analytic survey with cross sectional study was conducted in Al-Ulum Private High School. The study population as many as 262 people and obtained a sample of 100 people. Sampling with purposive sampling technique and analysis data using univariate, bivariate analysis are usingchi-square test at 95% confidence level(α= 0.05).The results showed that most respondents are less exposed to information about the whiteness and its prevention (53.0%), respondents exposed to information (47....

Open Access Macedonian Journal of Medical Sciences, 2021

BACKGROUND: Nutritional problems in children under 5 in Indonesia are very large and need effecti... more BACKGROUND: Nutritional problems in children under 5 in Indonesia are very large and need effective intervention. Local ingredient is potential to create enrichment biscuits. AIM: This study aims to produce biscuits enriched with Andaliman (Zanthoxylum acanthopodium) and fermented buffalo milk and to perform organoleptic tests on the taste, color, aroma, and texture of the biscuits. METHODS: Three types of biscuits were made, namely, biscuits without Andaliman and fermented buffalo milk, biscuits with 2 g of Andaliman and 200 g of fermented buffalo milk, and biscuits with 3 g of Andaliman and 200 g of fermented buffalo milk. The all three biscuits were then tested organoleptically in the form of preferences by a panel of expert teachers to see choices for taste, color, aroma, and texture. The biscuits are then tested in a laboratory to assess their nutritional content. RESULTS: Biscuits with 2 g of Andaliman and 200 g of fermented buffalo milk had the greatest preference. Statistica...

International Journal of Public Health and Clinical Sciences, 2020

Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized... more Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized by the high rate of blood glucose exceeded from normal average caused by the damage of substances that produces insulin, and insulin production is greater than the normal value. Many factors affect the quality of life of the patients such as family support and dietary compliance. This study aimed to analyze the relationship of several characteristics (gender, education level) and family support with quality of life the outpatients with type 2 DM at Hospital Tk.IV.01.07.01 Pematangsiantar. Materials and Methods This research was an observational study with cross sectional design. The population was all patients with type-2 DM outpatients from January to May 2019. These samples were chosen as the patients with type 2 DM at internal Disease Policlinic by using accidental sampling technique of 212 respondents. The data were collected by interviewing method with the instruments taken from W...

International Journal of Public Health and Clinical Sciences, 2020

Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized... more Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized by the high rate of blood glucose exceeded from normal average caused by the damage of substances that produces insulin, and insulin production is greater than the normal value. Many factors affect the quality of life of the patients such as family support and dietary compliance. This study aimed to analyze the relationship of several characteristics (gender, education level) and family support with quality of life the outpatients with type 2 DM at Hospital Tk.IV.01.07.01 Pematangsiantar. Materials and Methods This research was an observational study with cross sectional design. The population was all patients with type-2 DM outpatients from January to May 2019. These samples were chosen as the patients with type 2 DM at internal Disease Policlinic by using accidental sampling technique of 212 respondents. The data were collected by interviewing method with the instruments taken from W...

NVEO - NATURAL VOLATILES & ESSENTIAL OILS Journal | NVEO, Nov 12, 2021

13th IEA SEA Meeting and ICPH - SDev, Aug 15, 2018

Jukema (Jurnal Kesehatan Masyarakat Aceh), Feb 26, 2019

Pneumonia is an infectious disease that is a major cause of death in children under five in the w... more Pneumonia is an infectious disease that is a major cause of death in children under five in the world. In 2016 Indonesia was the 7 th highest in the world of mortality rate that caused by pneumonia.The case of pneumonia in West Sumatra on 2015 is 85% and Pariaman city is 39% which is the city with the third highest of pneumonia cases in the province of West Sumatra. The purpose of this study was to determine the characteristics of children under five hospitalized pneumonia patients in RSUD Pariaman West Sumatra. This research used case series design with the population is all ofchildren under five hospitalized pneumonia patients whose data was recorded in the medical records in RSUD Pariaman West Sumatra on 2016 - February 2017. The population were 108 patients and all were taken to be sampled. The data was collected from secondary data which is processed by univariate analyze by describing the variables and bivariate analyze using Chi-square test and Mann-Whittney test. Based on so...

International Journal of Public Health and Clinical Sciences, 2020

Background: Hemodialysis therapy performed in kidney failure patients can change the physical and... more Background: Hemodialysis therapy performed in kidney failure patients can change the physical and psychological conditions of these patients. This is one of the factors that affect the quality of life in hemodialysis patients. Even though they has been doing hemodialysis therapy for the rest of their life, it is highly expected to have a good quality of life so that it can still be productive. The aim of this study was to determine the relationship between body mass index and blood pressure with the quality of life of hemodialysis patients in Medan Rasyida Kidney Hospital in 2019. Materials and Methods : This study used a retrospective cohort method for the past 6 months (September 2018 to February 2019). The population was all outpatients who performed hemodialysis therapy in the hospital and sampling of 120 patients. The sample of this study was taken using purposive sampling technique. Quality of life data was obtained using the KDQOL TM -36 questionnaire. Results: The results of...

Low birth weight infant is a newborn baby whose weight at birth less than 2500 gram regardless of... more Low birth weight infant is a newborn baby whose weight at birth less than 2500 gram regardless of gestational age. Low birth weight infant contributes to neonatal mortality as an indicator of a nation's community health status. World Health Organization (WHO) in 2010 reported a prevalence of low birth weight infant in the world in the period 2005-2010 is 15%. In Indonesia, the prevalence of low birth weight infant in 2013 is 10.2%. To determine the sociodemographic factors and pregnancy associated with low birth weight infant in RSIA Sri Ratu Medan in 2014 conducted the study with a population of 874 people and the sample totaled 106 data of mothers who gave birth in RSIA Sri Ratu Medan. This research is an analytic survey with cross sectional design was followed by univariate and bivariate analyzes. The results showed there are three variables that relate in the incidence of low birth weight is the work of women (p = 0.003), history of maternal disease (p = 0.032) and gestation...

Overweight middle-aged at the age in addition to dealing with increased risk of cardiovascular an... more Overweight middle-aged at the age in addition to dealing with increased risk of cardiovascular and metabolic disease, also affects the quality of life and sexual function. Increase in weight the agency along with increasing age need to look out for, adepositas or obesity and disorders of carbohydrate metabolism. This can occur as a result of changes in hormone balance affects weight control. Empowerment of knowledge of eating patterns and intake in women pramenopause felt very necessary given the pattern of activity of the adult age group also food consumption behaviour that is not balanced. This type of research is quasi experiment with two design group pretest-posttest design with control group in two Sub involving women aged 40-45 years, 35 people on the intervention group and a control group of 35 people. Data analysis done to see the changes before and after the intervention and its effects on the patterns and intake of eating intervention group. Data on sports with univariate analysis, bivariate with Shapiro-Wilk, test t-test dependent. The results showed there is influence the granting of the intervention Pramenopause Empowerment-based Model of Health Belief Model before and after interventions against changes in eating patterns and intake (p = 0.006). Socialization pocket book and diary consumption patterns of eating in women's pramenopause empowerment is very to do so can improve healthier patterns of living in order to support the health and quality of life.

Journal of Physics: Conference Series, 2020

Stroke is a clinical sign that develops from the Focal brain with symptoms that occur for a day o... more Stroke is a clinical sign that develops from the Focal brain with symptoms that occur for a day or more and can cause death for no apparent reason other than vascular. Stroke has become the leading cause of death in almost all hospitals in Indonesia and in Aceh is the number one death factor. The purpose of this study is to empower families to get a stroke prevention model and have the effect of that model for lowering blood pressure, cholesterol and blood sugar. Participants in this study were hypertension sufferers with a total of 32 participants at the Ulee Kareng Health Center in Banda Aceh. The study was conducted from February 2017 to December 2018, using the Participatory Action Research (PAR) and T-Test methods. The results of research through PAR studies found stroke prevention models and differences in blood pressure, cholesterol and blood sugar decreased after the study. It can be concluded that the effect of the stroke prevention model was found to reduce the risk of str...

Giornale Italiano di ostetricia e ginecologia, 2017

Background With increased age, every woman will experience a transition from a reproductive perio... more Background With increased age, every woman will experience a transition from a reproductive period to a non reproductive period known as menopause, which based on a study by Siregar M.F.G. (2016), alternatively, can be diagnosed by vaginal pH ≥ 5,5 (1, 3). This period is characterized by decreased hormone levels and cause various complaints, the degree of which vary between each individual. These complaints range from very mild symptoms to severe life disturbing symptoms (both physical and psychological), and is known as the climacteric syndrome. Symptoms include hot flushes and night sweats, insomnia, and vaginal dryness, osteoporosis, arteriosclerosis, dyslipidemia, decreased mood, irritability, and headaches. A study by Siregar M.F.G. et al. (2016) showed that based on the Menopause Rating Scale (MRS), 50-56-year-old women mostly complained these symptoms (2, 4). A study conducted in the town of Pematang Siantar at 2009 on 210 respondents aged 46-55 years who were experiencing perimenopause reported ten (out of 22 complaints in the climacteric syndrome) most frequent complaints: irritability (83.3%), leg tingling (68.1%), rheumatic pain (68.1%), headache (59.5%), anxiety (56.2%), missing sexual arousal (54.8%), difficulty reaching orgasm (52.8%), myalgia (51.4%), sleeplessness (49.5%) and no concentration (49.1). As much as 92.4% of 210 women examined experienced climacteric complaints, with 138 of them (67%) were workers (1,3). Memory problems during menopause are also frequently reported, which is supported by results from Siregar M.F.G. (2016) who reported states that the increased SUMMARY: The impact of premenopausal empowerment model based health belief model to changes in physical activity levels in controlling complaints of perimenopausal women in Pematangsiantar City, Indonesia, 2017.

Background: The incidence of tuberculosis in HIV patients (TB-HIV) w as estimated at 126 per 100,... more Background: The incidence of tuberculosis in HIV patients (TB-HIV) w as estimated at 126 per 100,000 in the world. The number of HIV infected patients in Indonesia around 190,000 to 400,00 0 and the prevalence of TB-HIV is 5%. Data TB-HIV still increase s and they are un aware of that until a late stage. Understanding the risk factors of people with TB-HIV co-infection is important to know. This study aims to know the predictors of TB-HIV patients in the clinic voluntary counseling and testing (VCT) in Medan city. Methods: This is a case-control study. The case is TB-HIV patients (aged > 20 years) seen at clinic VCT Medan in 2016. Control is HIV patients without TB (aged > 20 years) seen in the same clinic VCT. The number of cases was 120 and the number of control 120. Data were collected from the medical record. Data were analyzed using the chi-square test in SPSS software. Results: The t otal was 240 patients. The majority were in the age group 31-40 years old (52.9%), male ...

Syntax Literate ; Jurnal Ilmiah Indonesia, 2022

Pemanfaatan RSUD dr. Djasamen Saragih mengalami penurunan dari tahun ke tahaun terlebih lagi seja... more Pemanfaatan RSUD dr. Djasamen Saragih mengalami penurunan dari tahun ke tahaun terlebih lagi sejak diberlakukannya sistem rujuk berjenjang bagi pasien BPJS. Berdasarkan hasil survey pendahuluan yang telah dilakukan di RSUD dr. Djasamen Saragih Kota Pematangsiantar sampai saat ini banyak pasien yang tidak paham dan masih belum mengetahui sistem dan prosedur sehingga harus bolak balik ke rumah sakit. Penelitian ini dilakukan untuk mengeksplorasi pemanfaatan rumah sakit pasca penerapan sistem rujukan berjenjang di RSUD dr. Djasamen Saragih Pematangsiantar. Jenis penelitian menggunakan metode penelitian kualitatif. Lokasi yang dijadikan obyek penelitian adalah RSUD dr. Djasamen Saragih Pematangsiantar yang dilaksanakan pada September 2020 sampai dengan Desember 2020. Metode pengumpulan data yang digunakan adalah dengan wawancara mendalam dan teknik dokumentasi. Hasil penelitian menunjukkan bahwa dalam pemanfaatan RSUD dr. Djasmen Saragih Kota Pematangsiantar saat ini belum berjalan seca...

Reaching the Unreached: Improving Population Health in the Rural and Remote Areas, 2018

Background: According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia.... more Background: According to WHO, 4 million neonatal deaths occurred each year due to birth asphyxia. Birth asphyxia is an insult to the fetus or newborn due to failure to breath or breathing poorly, leads to decrease oxygen perfusion to various organs. This study aimed to exaimne the determinants of birth asphyxia at Pilgrimage hospital in Medan, North Sumatera. Subjects and Method: This was a case control study conducted at Pilgrimage Hospital, Medan, North Sumatera. A sample of 180 newborn infants was selected for this study. The dependent variable was birth asphyxia. The independent variables were maternal age, gestational age (prematurity), and infant birth weight. Data on asphyxia was obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of birth asphyxia increased with maternal age <20 years or ≥35 years (OR= 6.25; 95%CI= 1.33 to 29.03; p= 0.023), premature birth (OR= 7.90; 95%CI= 3.90 to 16.02; p= 0.007), and low birth weight (OR= 11.51; 95% CI= 4.89 to 19.82; p= 0.049). Conclusion:Birth asphyxia is associated with maternal age <20 years or ≥35 years, premature birth, and low birth weight.

Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease, 2019

KnE Life Sciences, 2018

The success of highly active antiretroviral therapy (HAART) for treating human immunodeficiency v... more The success of highly active antiretroviral therapy (HAART) for treating human immunodeficiency virus (HIV) disease depends on maintaining a high level of adherence. Non-adherence is associated with a poor short-term virological response and accelerates the development of drug-resistant HIV. The shift to combination therapies for treating HIV-infected individuals has increased the challenges of adherence for both patients and health-care providers. The cumulative number of people in April 2015 who were eligible for HAART but had not yet started the therapy at the Adam Malik Hospital in Medan City Indonesia was 1,669 out of 6,033 people (27.66%). The cumulative number of absentees and loss to follow-up at >3 months was 1,273 out of 4,364 people (29.17%) up to April 2015.This study was a cross-sectional investigation of the factors associated with adherence to antiretroviral consumption for HIV-infected individuals at the Adam Malik Hospital in 2015. The sample size was 65 people, using consecutive sampling. The data were collected from medical records, observations, and an interview with a questionnaire. The data analysis included descriptive study, the chi-square test, Fisher's exact test, and logistic regression, using STATA software. The results showed pill adherence in 28 patients (43.08%) and non-adherence in 37 patients (56.92%). The principal factors associated with non-adherence in the logistic regression were patient-related, including occupation (p = 0.062; OR = 0.22) and pill burden (p = 0.080; OR = 6.20). However, another factor that may have contributed was the system of health insurance (p = 0.015; OR = 5.00). The probability of the meaningful factors, based on the results of a multivariate analysis using the logistic function formula, is 0.7365 or 73.65%. The major reasons of HIV-infected individuals for not taking their medications were being employed, pill burden consideration, and without health insurance. Improving adherence probably requires the provision of the easy health insurance system with adequate patient preparation, innovative interventions and must fit into the socio cultural context of each setting.

ABSTRAC T Uterine myoma is a benign neoplasm on the myometrium layerconsists of cells of smooth m... more ABSTRAC T Uterine myoma is a benign neoplasm on the myometrium layerconsists of cells of smooth muscle tissue and connective tissue fibroids which the literature also known as leiomyomas or fibroids. It the most common occurrence in women of childbearing age. In Indonesia, the proportion of myoma uteri ne 2.3% - 11.7% of all gynecological patientstreated. This study is aimed t o determine the characteristics of patients with myoma uteri ne in the Tentara Tk-IV 01. 07 . 01 Hospital Pematangsiantar 2014. Kind of this study is descriptive with case series design . Population and sample were 82 data patients (total sampling). Data w as analyzed descriptively by using Chi-square and Fisher's Exact . The results showed the proportion of patients with uterine myoma highest in the age group 41-50 years 70.7%, Bataknese 55.4 % , Senior H igh S chool 47.6%, Housewi ves 32.9%, Marriage 97.6%, Abnormal Bleeding 48.8%, Multipar ities 46.3%, Not Pregnant 98.8%, Hemoglobin>12 g% (53.7%), ...

The implementation of the coronavirus disease (COVID-19) prevention health protocol is important ... more The implementation of the coronavirus disease (COVID-19) prevention health protocol is important to reduce the rate of spread of COVID-19 in the community. However, these efforts have not been fully successful due to a lack of knowledge and public awareness. The purpose of this study was to determine the effect of knowledge and attitudes toward community behavior in the coronavirus disease (COVID-19) prevention health protocol in Aceh Singkil District. This research uses quantitative research, with a correlative design and cross sectional approach. The research sample consisted of 110 people of productive age in one of the districts in Aceh Singkil who were selected by accident (accidental sampling). Data analysis used chi-square relationship test and ordinal logistic regression. The results showed that there was a significant effect between knowledge toward community behavior in carrying out the COVID-19 prevention health protocol (p-value=0.000), but there was no effect between at...

Fluor Albus (vaginal discharge) are often experienced by women if the vaginal discharge is physio... more Fluor Albus (vaginal discharge) are often experienced by women if the vaginal discharge is physiological, but it would be risky if the experience is pathologically characterized by yellowish to greenish liquid, the numbers are exaggerated, thick, foul-smelling, itchy or hot and cause injuries so we need prevention. Prevention of whiteness is a form of health behavior, and this study aims to determine the relationship of exposure with prevention information Fluor Albus in middle adolescence.This research is analytic survey with cross sectional study was conducted in Al-Ulum Private High School. The study population as many as 262 people and obtained a sample of 100 people. Sampling with purposive sampling technique and analysis data using univariate, bivariate analysis are usingchi-square test at 95% confidence level(α= 0.05).The results showed that most respondents are less exposed to information about the whiteness and its prevention (53.0%), respondents exposed to information (47....

Open Access Macedonian Journal of Medical Sciences, 2021

BACKGROUND: Nutritional problems in children under 5 in Indonesia are very large and need effecti... more BACKGROUND: Nutritional problems in children under 5 in Indonesia are very large and need effective intervention. Local ingredient is potential to create enrichment biscuits. AIM: This study aims to produce biscuits enriched with Andaliman (Zanthoxylum acanthopodium) and fermented buffalo milk and to perform organoleptic tests on the taste, color, aroma, and texture of the biscuits. METHODS: Three types of biscuits were made, namely, biscuits without Andaliman and fermented buffalo milk, biscuits with 2 g of Andaliman and 200 g of fermented buffalo milk, and biscuits with 3 g of Andaliman and 200 g of fermented buffalo milk. The all three biscuits were then tested organoleptically in the form of preferences by a panel of expert teachers to see choices for taste, color, aroma, and texture. The biscuits are then tested in a laboratory to assess their nutritional content. RESULTS: Biscuits with 2 g of Andaliman and 200 g of fermented buffalo milk had the greatest preference. Statistica...

International Journal of Public Health and Clinical Sciences, 2020

Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized... more Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized by the high rate of blood glucose exceeded from normal average caused by the damage of substances that produces insulin, and insulin production is greater than the normal value. Many factors affect the quality of life of the patients such as family support and dietary compliance. This study aimed to analyze the relationship of several characteristics (gender, education level) and family support with quality of life the outpatients with type 2 DM at Hospital Tk.IV.01.07.01 Pematangsiantar. Materials and Methods This research was an observational study with cross sectional design. The population was all patients with type-2 DM outpatients from January to May 2019. These samples were chosen as the patients with type 2 DM at internal Disease Policlinic by using accidental sampling technique of 212 respondents. The data were collected by interviewing method with the instruments taken from W...

International Journal of Public Health and Clinical Sciences, 2020

Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized... more Background: Diabetes mellitus (DM) is a disease caused by metabolic disorders, that characterized by the high rate of blood glucose exceeded from normal average caused by the damage of substances that produces insulin, and insulin production is greater than the normal value. Many factors affect the quality of life of the patients such as family support and dietary compliance. This study aimed to analyze the relationship of several characteristics (gender, education level) and family support with quality of life the outpatients with type 2 DM at Hospital Tk.IV.01.07.01 Pematangsiantar. Materials and Methods This research was an observational study with cross sectional design. The population was all patients with type-2 DM outpatients from January to May 2019. These samples were chosen as the patients with type 2 DM at internal Disease Policlinic by using accidental sampling technique of 212 respondents. The data were collected by interviewing method with the instruments taken from W...