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Hubungan Perokok Pasif dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi Syahmi Amar; Rustam Sunaryo; Bhisma Murti
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Incidence of cervical cancer each year has increased and the risk of death from cervical cancer is also increased. Cigarette smoke is one of the risk factors associated with cervical cancer which contains chemicals such as nicotine and benzopiren. The content of these chemicals may increase the risk of cervical cancer by various mechanisms. The purpose of this study was to determine the incidence rate of cervical cancer associated with exposure to passive smokers is connected. Methods: This type of research is an case-control. Sample of this study were gynecologic cancer patients with a total sample of 60 people. Measuring instrument used was a validated questionnaire, and performed data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between passive smoking with the incidence of cervical cancer. Passive smokers will have 11,5 ??times the cervical cancer than non-passive smokers (p=0,001, OR = 11,5). Conclusion: Based on studies of passive smoking women would run the risk of cervical cancer will have 11,5 times higher than non-passive smokers. Key words: passive smoker, cervical cancer

Hubungan antara Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) dan Kejadian Kanker Serviks di RSUD Dr. Moewardi Octava Prima Arta; Rustam Sunaryo; Bhisma Murti
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: One government program in an effort to deal with the increasing population is a national family planning program, in particular by the use of contraceptives. Intrauterine Device (IUD) is the one form of contraception is widely used in society but still not much information about the correct usage and side effects. Bacterial or viral infection is one of the side effects of IUD use, including Human Papilloma Virus (HPV) infection, the virus that causes cervical cancer. The purpose of this study to determine the incidence rate of cervical cancer associated with IUD use. Research Methods: This type of case-control study. Sample of this study were gynecologic cancer patients with a total sample of 60 people. Measuring instrument used was a validated questionnaire, and performed data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between IUD users with the incidence of cervical cancer. IUD users will experience cervical cancer 12 times compared to non-IUD users (p = 0,001, OR=12,70). Conclusion: Based on research IUD users will experience a risk for cervical cancer 12,7 times higher than those not using an IUD. Keyword: Intrauterine Device, cervical cancer

Hubungan antara Faktor Risiko Perdarahan dengan Kejadian Perdarahan Postpartum di RSUD Dr. Moewardi Surakarta Tahun 2012 Larissa Amanda; Rustam Sunaryo; . Widardo
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Maternal mortality rate in Indonesia is relatively high compared to the other Asian countries. Postpartum hemorrhage is one of the major cause of maternal mortality. The increase in risk factors for hemorrhage in pregnancy and labor is known to contribute to the increase in cases of postpartum hemorrhage. The objective of this research was to know the correlation between risk factors for hemorrhage and occurrence of postpartum hemorrhage in Dr. Moewardi Hospital Surakarta in 2012. Methods: This research used descriptive analytical study by the case control approach. Case group was patients with postpartum hemorrhage in Dr. Moewardi Hospital Surakarta in 2012. Sample of the case group was taken by purposive sampling. Control group was postpartum patients in Dr. Moewardi Hospital Surakarta in 2012 who didnt experience of postpartum hemorrhage. Sample of the control group was randomly selected by simple random sampling from 45 patients who had spontaneus labor and 45 patients who had sectio caesarean which met the criteria of purposive sampling. This research was conducted by collecting data from 55 medical records of patients in case and control groups. The collected data were analyzed with Chi Square and logistic regression formulas. Results: The result of statistical analysis revealed significant diferrences between case and control groups for methods of labour with p values = 0,001 and r = 0,405. The results of statistical analysis for age, parity, anemia, birthweight and severe preeclampsia revealed no significant differences between case and control groups with each p values = 0,566, 0,423, 0,401 and 0,161. There were no eclampsia and polihidramnios patient in case and control groups. Conclusions: The results of this research revealed that there were a correlation between spontaneous labor with episiotomy, elective caesarean section, emergency caesarean section, assisted vaginal delivery with episiotomy and occurence of postpartum hemorrhage in Dr. Moewardi Hospital in 2012. Keywords: postpartum hemorrhage, risk factors for hemorrhage.

The association between pregnancy spacing and iron deficiency anemia at RSUD Dr. Moewardi Puspa Damayanti; Rustam Sunaryo; Bhisma Murti
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Pregnant women to be one of those most vulnerable to malnutrition, especially iron deficiency anemia and iron deficiency anemia coping is currently focused on the tablet of iron (Fe) in pregnant women. While pregnancy distance of less than 2 years old are at greatest risk for iron deficiency anemia. Methods : This analytic study was observational using case-control approach. A sample of 60 study subjects was selected by purposive sampling and fixed disease sampling from outpatients who visited Obstetric Clinics, RSUD Dr. Moewardi Surakarta. The data was collected by interview and some datas taken from the medical records. The data was analyzed using multiple logistic regression model on SPSS 20.00 for windows. Result : The pregnant women with pregnancy spacing ? 24 months at RSUD Dr. Moewardi have a greater risk for iron deficiency anemia 0,8 times lower than <24 months pregnancy spacing (OR=0,8 ; Cl 95% 0,17 s.d. 3,80; p=0,778). This analysis have control gestational age as a confounding factor, but not control the intake of nutrient. Conclusions : There is a weak and negative association, and not statistically significant between the gestational age with iron deficiency anemia. Keywords: pregnancy spacing, iron deficiency anemia

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