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All Journal Nexus Pendidikan Kedokteran dan Kesehatan Nexus Kedokteran Klinik
Lukman Aryoseto
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Education Health Professions Medicine & Pharmacology

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The Influences of Tutorial Discussion on Achievement of The Learning Objectives Immunology Block at Faculty of Medicine Sebelas Maret University Abdullah Al-Hazmy; Ratna Kusumawati; Lukman Aryoseto
Nexus Pendidikan Kedokteran dan Kesehatan Vol 4, No 1 (2015): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Tutorial discussion is one method of Problem Based Learning (PBL), this method divided students into small groups and then given a mdical case as a trigger to search further information, and they discuss knowledge and information that accompanied by a tutor. The success of the tutorial discussion process may affect the achievement of learning objectives block. The aim of the research is to determine differences in the achievement of learning objectives Immunology block scenarios before and after tutorial discussion. Methods: This research was a longitudinal observational analytic. The data were collected by using simple random sampling with 47 sampels of students batch 2013 and had been assessed at Medical Faculty of Sebelas Maret University. The learning objectives of this comparation study measured by pretest and posttest questions that have been tested validation by experts. The study was conducted using quantitative method and the results were analyzed by using Paired t-test. Results: The average value of pretest-posttest before and after tutorial discussion is 28.51-60.85 for the first scenario, 22.34-62.55 for the second scenario, and 16.81-65.32 for the third scenario. Paired t-test results showed significant differences with p <0.05 (p=0.000) for the value of pretest-posttest three scenarios. Conclusions: The achievement of learning objectives scenario in immunology block before and after tutorial discussion is significant. Keywords: tutorial discussion, learning objectives, Immunology block
Obesity relations with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta Erika Vinariyanti; Pradipto Subiyantoro; Lukman Aryoseto
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Indonesia is currently faced by dual nutrition problems , which prevalence of obesity had increased. Obesity is often associated with aspects of oral health. Oral hygiene is important to be maintained because it can affect the overall health of the body so as to be one indicator of a person's general health. Behavioral factors play an important role in influencing the status of oral hygiene habits such as eating sugary or high - carbohydrate food. This study aimed to determine the relationship between obesity and a score oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta by controlling confounding factors in brushing teeth habit, salivary pH and composition of dental students. Methods: This study was an observational analytical research using cross sectional approach. Sampling technique was used purposive sampling which the sample size was 30 students age 16-18 years old in SMAN 1 Surakarta taken in November 2015. Data z-score was obtained through the measurement of height and weight, whereas oral hygiene status was measured by the score of oral hygiene index simplified. Data analysis technique was Kolmogorv-Smirnov test and test correlation using contingency coefficient test. Data were processed by SPSS 20.00 for Windows. Results: This results showed there was a significant relationship between obesity with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta (p = 0,003). The contingency coefficient test showed there was a strong uphill linear relationship between obesity with OHIS score (r = 0,619) Conclusion: This study concluded that there was a relationship between obesity with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta. Keywords: Obesity, Oral Hygiene
The Correlation between Serum Albumin Level with Ischemic Stroke Prognosis at Dr. Moewardi Hospital, Surakarta VANNY SCARLETT VALENTINE; Suratno .; Lukman Aryoseto
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke can cause brain damage that ends up as a serious long-term disability. Some previous research mentioned that albumin as a neuroprotector in ischemic stroke. Albumin can improve ischemic stroke prognosis by anti-edema effects, hemodilution effects, and antioxidants effects. Methods: This study is an analytical observational research with a cross sectional approach. The amount of sample in this study is 32 ischemic stroke patients at Dr. Moewardi Hospital, Surakarta were selected by simple random sampling. The sample were selected according to both inclusive and exclusive criteria that determined by the researcher. The dependent variable in this study is ischemic stroke prognosis, the independent variable is serum albumin level, and confounding variable are age, stroke severity degree, premorbid conditions, and post-stroke complications. Researcher gives the explanation and helps the patients to fill (1) Biodata form and informed consent, (2) Serum albumin level, ages, stroke severity degree, premorbid conditions, and post-stroke complications, and (3) Barthel Index. The collective data were analyzed using the Spearman Test and then processed with odds ratio calculation. Then, confounding variable was calculated with binary logistic regression analysis. Result: Using Spearman Test obtained value (p) = 0,04 and a correlation coefficient of serum albumin level and ischemic stroke prognosis was 0.313. Based on the calculation, the value of odds ratio is 4.000 with Confidence of Interval is 0,828 19,325 (RO = 4,000, CI = 0,828 19,325). The result of binary logistic regression analysis was known that influential variable in ischemic stroke prognosis is stroke severity degree (RO = 36,000) and post-stroke complication (RO = 3.441.206.744). With constant at 23,463, obtained the equation: . Conclusion: There is a statistically significant relationship between serum albumin level with ischemic stroke prognosis at Dr. Moewardi Hospital, Surakarta. Patient with low level serum albumin has 4 times greater suffered worse ischemic stroke prognosis than patients with normal serum albumin level. Keywords: Albumin, stroke ischemic prognosis
Co-Authors Abdullah Al-Hazmy Agus Sugeng Riyanto Ahmad Isnaini Shidqi Nurhani Annisa Aghnia Rahma Dhoni Akbar Ghozali Dwi rahayu Enrico Ananda Budiono Erika Vinariyanti Hastami, Yunia Muhammad Syauqi Ridhallah Muhana Fawwazy Ilyas Nanang Wiyono Pradipto Subiyantoro Ratna Kusumawati Selfi Handayani Siti Munawaroh Suratno . Syania Shabrina VANNY SCARLETT VALENTINE