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Nur Hafidha Hikmayani
Faculty of Medicine, University of Sebelas Maret
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health

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Hubungan antara Pemakaian Repellent Anti Nyamuk dan Kejadian Penyakit Demam Berdarah Dengue pada Anak di Kota Surakarta Sofia, Fika Khulma; Probandari, Ari Natalia; Hikmayani, Nur Hafidha
Jurnal Kedokteran Indonesia Vol 3, No 1 (2012)
Publisher : Jurnal Kedokteran Indonesia

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Abstract

Background: Dengue haemorrhagicfever (DHF) is a common mosquito-transmitted infectious disease in tropical and sub​​-tropical areas. In Indonesia, the incidence significantly increased from 58 cases in 1968 to 15,912 cases in 2009. Case fatality ratereached over 1% in most provinces. Repellent refers totopical antimosquito agent which can be used to prevent DHF. Repellent contains active substances that prevent mosquito bites such as DEET (N,N‑dietil‑m‑toluamid) and permethrine. This study aimed to examine the relationship between use of anti-mosquito repellent and risk of DHF among children in Surakarta. Method: This was an observational study using matched case-control design. It was carried out atfive public health centers in Surakarta with high prevalence of DHF in children during 2010-2012period. Forty cases were selected using cluster sampling method and were matched for age and residence with 40 DHF-free controls. Questionnaires were used to identify use of repellent. Other data collected included frequency, habit,timing and duration of repellent use. Data were analyzed by McNemar’s χ2test and conditional logistic regressionsusing OpenEpi 2.0 and Stata SE 12.0. Results: McNemar’s χ2 test showed a significant relationship between use of antimosquito repellent and DHF (p<0.001). Children usingantimosquito repellent had 0.04 times the risk for DHF than those not using repellent (OR=0.04, 95%CI= 0.01 to 0.23). Regression analysis showed that frequency and timing of repellent use were significantly associated with DHF. Compared to children who did not use repellent, children using repellent often (5-7 times a week) had0.12 times the risk for DHF (OR=0.12,95%CI=0.02 to 0.60; p=0.011).Children using repellent after 8 pm had0.22 times the risk for DHF (OR=0.22, 95% CI=0.01 to 0.70; p=0.022). Habit and duration of repellent use showed no statistically significant association with DHF (p>0.05). Conclusion: Use of repellentsignificantly reduces the risk for DHF among children in Surakarta. Frequent and nocturnal useofrepellentare protective factors for DHF.Keywords: Dengue haemorrhagic fever, antimosquito repellent, children
Perbedaan Tingkat Prestasi Belajar antara Siswa yang Mengalami dan Tidak Mengalami Adiksi Internet di SMA Negeri 1 Salatiga Nugraheni, Sayekti Asih; ., Machmuroch; Hikmayani, Nur Hafidha
Nexus Pendidikan Kedokteran dan Kesehatan Vol 1, No 1 (2012): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Internet addiction is potentially experienced by young people, including students. Students with internet addiction may suffer from lack of sleep, fatigue, decreased performance on social activity, anxiety, and apathy. Furthermore, internet addiction may cause negative effects on students’ achievement level. This study aims to examine the difference of learning achievement level between students of SMA Negeri 1 Salatiga who were addicted and not addicted to the internet. Methods: This was an analytical observational research using cross-sectional approach, conducted from May to July 2012 at SMA Negeri 1 Salatiga. Subjects were 11th grade students majoring science who were sampled using simple random sampling method. Eighty subjects were asked to fill out the Youngs Diagnostic Questionnaire (YDQ) and the Lie Scale of the Minnesota Multiphasic Personality Inventory (L-MMPI), both were Bahasa Indonesia versions. Status of having internet addiction was identified from the YDQ scores, while learning achievement level was determined from students’ average scores at the first and second semester. Data were analyzed using independent t test, χ2 test, and prevalence ratio (PR). Results: Seventeen students (21,25%) were found to be addicted to internet, 11 (64,7%) of which showed poor learning achievement. Statistical analysis showed a significant difference of students’ scores between those having and not having internet addiction (82,99 versus 84,72; t = -3,792; p < 0.001). The learning achievement levels also differed significantly between the two groups (χ2 = 6,128; p = 0,013), where poor achievement level was found two times higher in group of students having internet addiction (PR = 2,04). Conclusions: There was a significant difference of learning achievement level between students having and not having internet addiction at SMA Negeri 1 Salatiga. Keywords: Internet addiction, learning achievement level
Hubungan Penggunaan Obat Nyamuk dalam Rumah Tangga dengan Kejadian ISPA pada Balita di Puskesmas Sibela Surakarta Syahidah, Sumayyah; ., Sumardiyono; Hikmayani, Nur Hafidha
Nexus Kedokteran Komunitas Vol 1, No 1 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Morbidity and mortality due to acute respiratory infection (ARI) in children under five years old is high. Contributing factors include air pollution caused by domestic use of mosquito coils and spray. Hazardous chemicals in both mosquito coils and spray can iritate respiratory tracts, thereby putting children at higher risk for infection. This research aims to examine whether domestic use of mosquito coils and spray is associated with the prevalence of ARI among children under five years at Puskesmas Sibela Surakarta. Methods: This was an observational study using case control design conducted from March to April 2012 at Puskesmas Sibela Surakarta. Forty subjects were sampled using fixed-disease sampling method. Parents of case group (20 children with ARI) and control group (20 children without ARI) were interviewed and asked to fill out specific questionnaires. Data were analyzed using χ2 test and odds ratio. Results: Twelve children with ARI were exposed to mosquito coils and spray at home. History of mosquito coils and spray exposure at home were only found in two children without ARI. Statistical analyses showed a significant relationship between ARI in children and domestic use of mosquito coils and spray (OR = 13,5, 95% CI 2,4 to 74,9, p = 0,001). Conclusions: There was a significant relationship between domestic use of mosquito coils and spray with prevalence of ARI among children under five years at Puskesmas Sibela Surakarta. Compared to children who lived in a house not using mosquito coils and spray, those who were exposed to mosquito coils and spray at home had 13.5 times higher the risk to get ARI. Keywords: ARI, Children Under Five Years, Mosquito Coils and Spray. 
Hubungan Status Ekonomi dengan Jenis Persalinan di RSUD Dr. Moewardi Surakarta Dzulfikar, Muhammad; ., Soetrisno; Hikmayani, Nur Hafidha
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Economic status is one of the environmental factors that can indirectly affect labor and delivery. Economic status willinfluence maternal nutrition during pregnancy, and will subsequently impact on the pregnancy condition and mothers’strength during birth process. Pregnant women with low socioeconomic status are therefore prone to undergolabor with action. This study aims to analyze the relationship between economic status and types of labor, and to compare theprevalence of labor with action among pregnant women with low and high economic status while controlling parity, educational level, and mothers’ height. Methods: This wasan observational analytic study with cross-sectional approach. Sixty women werepurposively sampled frompatient population who gave birth at RSUD Dr. Moewardi Surakarta. Labor with action was defined as instrument-assisted delivery (i.e. forceps, vacuum, caesarian section). Pregnant women were classified as having low economic status if their family income were lower than median. Data were analyzed by Poisson regressions(robust variance method) using Stata SE version 12.0. Results: There were 29 (48.3%) labors with action at MawarI Wardduring April to July 2012, 19 (65.5%) of which occurred in pregnant women with low income. Results from bivariate analysis showed a significant relationship between economic status and type of labor (PR=1.9, p=0.030). After controllingparity andheight, prevalence of labor with actionamong mothers with low family income were 1.8 greater than that of mothers with high family income (PR=1.8; 95% CI=1.0 to 3,1, p=0.049). Conclusion: Low economic status in pregnant women was marginally significantly associated with higher prevalence of labor with action, after controlling parity and mothers’ height. Keywords: economic status, labor type  
Hubungan antara Penerimaan Diri dan Depresi pada Komunitas Gay di Surakarta Pratiwi, Niken Ayu; Suwito, Djoko; Hikmayani, Nur Hafidha
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Gay is one of high-risk groups to have depression. The prevalence of depression in gay is reportedly higher than that in heterosexual people. Gay is often faced to low self-acceptance or social-acceptance problems which potentially lead to depression. This study aimed to seek the correlation between self-acceptance and depression in gay community. Methods: This was an analytical study using cross sectional approach, conducted in May 2013 at Gessang Foundation in Surakarta. Samples were purposively selected based on inclusion and exclusion criteria. Subjects were asked to fill in: (1) biodata and informed consent forms, (2) the L-MMPI questionnaire to evaluate respondents’ truthfulness in answering questionnaires, (3) the Berger’s Self-Acceptance Scale questionnaire to measure self-acceptance scores, and (4) the Beck’s Depression Inventory Scale to measure depression scores. Samples were excluded when either declined at least 10 statements from the L-MMPI questionnaire, did not completely fill in the forms and questionnaires, had chronic diseases, or were on long-term medications. Data were analyzed by Pearson’s Product Moment correlation test using SPSS 20.0 for Windows. Results: The self-acceptance of 31 subjects eligible for this study was relatively low (mean score = 104.6). The overall mean of depression scores was 14.7 and only 6 subjects (19.4%) were not having depression as they scored less than 10. The analysis  showed a Pearson’s correlation coefficient (r) of -0.758 (p<0.001), suggesting that self-acceptance and depression were significantly negatively correlated. Conclusion: There was a strong and statistically significant negative correlation between self-acceptance and depression at a gay community in Surakarta. Keywords: Self-acceptance, Depression, Gay
Hubungan Usia Menarche dengan Depresi pada Remaja Pertiwi, Annisa; Hafidh, Yulidar; Hikmayani, Nur Hafidha
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Menarcheisone of the puberty signsin women.The timing of menarche had shifted towards earlier onset and the number ofyoung adolescent girlswho experiencedmenarcheearlier thantheir peers is increasing. Early menarche hadresulted in the acceleration of physical changes, but these are not always followed by emotional and psychological maturity, thereby causinga variety ofpsychologicalproblemssuch asdepression. This studyaimed to examinethe associationbetweenearlymenarcheand depression inadolescentgirls whileadjusting forother confounding variables(body massindex, economic status, andbirth order). Methods:This was ananalyticalobservationalstudy with cross-sectional approach. SubjectswereYear 8students atSMPNegeri 4 Surakarta. All subjects who met inclusion criteria were assessedfordepressionsymptoms using the Beck Depression Inventoryquestionnaire.Data on age at menarche, heightand weight,monthlyincome ofbothparents, andbirth order were collected.Data wereanalyzed by multivariatelogisticregression. Results: Of 111 participating subjects, 63,1% had experienced early menarche and 53,7% of whom had depression symptoms. In multivariate analysis, ageat menarchewas not statistically significantly associated with depression (OR=1.66;95% CI=0.716–3.863;p=0.237)after adjusting for body mass index and birth order. Conclusions:There was nosignificant associationbetweentiming ofmenarcheand depression inyoung adolescent girls after adjusting forbody mass index and birth order. Keywords:earlymenarche, depression, adolescent girls. 
Efek Hepatoprotektif Sari Belimbing Manis Terhadap Kadar SGPT: Studi Awal Terhadap Tikus yang Diinduksi Parasetamol Dosis Toksik Amatillah, Hana; Ediningsih, Endang; Hikmayani, Nur Hafidha
Nexus Biomedika Vol 2, No 3 (2013): Nexus Biomedika
Publisher : Nexus Biomedika

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Background: Star fruit is a good source of natural antioxidants which can prevent oxidative damages and modulate reactive free-radicals. However, no study had been carried out so far on the hepatoprotective effect of star fruit. This research aimed to study the hepatoprotective effect of star fruit juice on SGPT level in paracetamol- intoxicated rats. Methods: This was a laboratory experimental study with posttest only controlled group design. A total of 30 white male, Wistar rats (Rattus norvegicus), aged 2-3 months and weighed 160-200 grams was assigned into five groups. Normal group and negative control group were administered distilled water, while positive control group was administered Curcuma® (3.6 mg/200 g bw). The treatment group 1 and 2 were administered star fruit juice at concentration of 50% and 100%, successively. This study was performed for 14 days. In the last 3 days, all groups except normal group were induced by paracetamol at toxic dose (291.6 mg/200 g BW) an hour after the treatment of star fruit juice (for treatment group 1 and 2) was done. Blood samples were collected from retro-orbitalis venous to measure SGPT levels. The data were analyzed statistically using one-way ANOVA followed by LSD test. Results: The analysis of SGPT with one-way ANOVA showed a significant difference across all groups. Further, the LSD tests of SGPT level showed significant differences between negative control group (182.5 U/L ± 14.0) and the two star fruit groups (p values <0.001). SGPT mean in treatment group 1 (87.0 U/L ± 14.1) and treatment group 2 (91.7 U/L ± 14.9) also differed from those of positive control (67.1 U/L ± 5.5, p=0.008) and normal group (53.8 U/L ± 8.6, p=0.002). There was no significant difference between two groups treated with star fruit juice (p=0.511). Conclusions: Star fruit juice at concentration of 50% and 100%  significantly inhibited the elevation of SGPT levels in paracetamol-intoxicated rats. Keywords: Star fruit juice, SGPT, paracetamol, rats 
Pemberian Suplemen Branched Chain Amino Acids (BCAA) untuk Mengurangi Tingkat Kelelahan pada Mahasiswa Pendidikan Dokter Universitas Sebelas Maret Abdulhamid, Muhammad; Kiyatno, .; Hikmayani, Nur Hafidha
Nexus Biomedika Vol 2, No 2 (2013): Nexus Biomedika
Publisher : Nexus Biomedika

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Background: Fatigue is a condition characterized by a decrease in work efficiency and endurance. BCAA capsule contains of three kinds of essential amino acids, those were leucine 2275 mg, isoleucine 1137.5 mg, and valine 1137.5 mg, each of which plays an important role in protein synthesis and energy system for activity. This study aimed to examine the effect of supplement administration of BCAA to reduce fatigue levels in medical students of Sebelas Maret University (UNS). Methods: This was an experimental research with pretest-posttest group design. It was conducted at Faculty of Medicine UNS on December 13th, 2012. Subjects (n=40) were randomly selected from list of current medical students at preclinical level. Subjects who had been fasting for eight hours, then, were randomly arranged into two groups: (1) control group whose fatigue levels were measured twice in resting condition at10-minute interval, and (2) treatment group whose fatigue levels were measured before and 10 minutes after BCAA administration. Fatigue referred to decreasing concentration determined by reaction time to light stimuli. Pretest-postest fatigue levels for each group were analyzed using paired sample t-tests, whereas posttest fatigue levels between the two groups were analyzed using independent sample t-test. Data analysis were performed using SPSS 17.0 for Windows. Results: Mean fatigue levels of control group at first and second measurement, each, were 270.1±15.3 and 255.5±10.9 millisecond. While mean fatigue levels of treatment group at pretest and after BCAA administration were 268.9 ± 14.8 and 211.7±38.8 millisecond, consecutively. Analysis of paired sample t test of  pretest-postest fatique levels in both groups, each,  showed significant difference (p = 0.001 for control group and p < 0.001 for treatment group), while analysis of independent t test of posttest fatigue levels between the two groups showed that the posttest fatigue levels between the two groups also differed significantly (p <0.001). Conclusions: BCAA administration significantly reduced fatigue levels in medical students of UNS. Fatigue levels were significantly shorter in subjects administered BCAA supplement than those of control group who did not take BCAA supplement. Keywords: BCAA suplement, fatigue
Pengaruh Pemberian Ekstrak Kulit Manggis (Garcinia Mangostana L.) Dalam Mencegah Peningkatan Kadar Proteinuria Tikus Putih (Rattus Norvegicus) Yang Diinduksi Gentamisin Anggraini, Asih; Febrinasari, Ratih Puspita; Hikmayani, Nur Hafidha
Nexus Biomedika Vol 3, No 1 (2014): Nexus Biomedika
Publisher : Nexus Biomedika

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Abstract

Background    : The increasing use of nephrotoxic drugs has increased the incidence of renal diseases. Research on herbs with potential nephroprotective effects is needed to offer adjuvant therapy for renal diseases. Mangosteen peel contains gamma-mangostin and antioxidant which can prevent renal damages. Methods          : This research was a laboratory experiment with pre and post-test control group design. Subjects were 30 white, male, Wistar-strain rats (Rattus norvegicus), aged 2-3 months and weighed 150-230 grams. Subjects were randomly divided into 5 groups. Negative control group was treated nothing, while normal control group was treated 0.5% NaCMC. Treatment group 1, 2 and 3 were treated with mangosteen peel extract at dose 62.5 mg/kg-BW, 125 mg/kg-BW and 250 mg/kg-BW, respectively. The treatment was done for 14 days. In the last 7 days, the negative control group and the treatment groups 1, 2, and 3 were induced by gentamicin 100 mg/kg-BW. Urine samples of the subjects were collected before and after treatment to measure proteinuria levels. Data were analyzed by Kruskal-Wallis test and Mann-Whitney tests (α = 0.05) using SPSS 16.0 for Windows. Results            : Result of Kruskal-Wallis test showed that proteinuria levels differed significantly across five groups (p = 0.008). The Mann-Whitney tests showed statistically significant differences between the negative control group and the other 4 groups (p < 0.05). No significant difference was found between the normal control group and the treatment groups 1, 2, and 3 (p > 0.05). Conclusion     : Mangosteen (Garcinia mangostana L.) peel extract could prevent the increase of proteinuria levels in white rats (Rattus norvegicus) induced gentamicin. Keywords        : Mangosteen Peel Extract, Proteinuria Level, Gentamicin  
Pengaruh Pemberian Ekstrak Kulit Manggis (Garcinia mangostana L.) dalam Mencegah Kerusakan Histopatologi Ginjal Tikus Putih (Rattus norvegicus) yang Diinduksi Gentamisin Pratama, Rio Nanda; Febrinasari, Ratih Puspita; Hikmayani, Nur Hafidha
Nexus Biomedika Vol 3, No 1 (2014): Nexus Biomedika
Publisher : Nexus Biomedika

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Background: The use of medicinal plants has been increasing in recent years following development of herbal industry and evidence on adverse effects of several chemical drugs, including nephrotoxic effect. Research on herbs with nephroprotective effect are needed to offer alternative therapy for drug-induced renal diseases. Mangosteen pericarp extract contains xanthone which has antiinflammation effect to prevent renal damages. This research aimed to examine the nephroprotective effect of mangosteen pericarp extract on renal structure. Methods: This research was a laboratory experiment with posttest only controlled group design. Subjects were white male Wistar-strain rats (Rattus norvegicus), aged 2-3 months and weighed 150-230 grams. Subjects were randomly divided into five treatment groups. Normal control group was treated 0.5% NaCMC, while negative control group was treated nothing. The treatment groups 1, 2 and 3 were treated with extract of mangosteen pericarp at doses of 62.5 mg/kg-BW, 125 mg/kg-BW, and 250 mg/kg-BW, respectively. The treatments were maintained for 2 weeks. In the second week, the negative control group and the treatment groups 1, 2, and 3 were induced by gentamicin 100 mg/kg-BW. The subjects were later terminated and their kidneys were stained with hematoxicylin eosin. Histopathological renal damages were semi-quantitatively assessed by identification of pyknotic, karyorrhexic and karyolytic areas in proximal tubulus cells and were compared using one-way ANOVA test and followed by LSD test. Result: Result of one-way ANOVA test showed that proximal tubulus cellular damage differed significantly across five groups (p < 0.001). LSD tests further showed a significant difference between negative control group and other groups (p < 0.001). Renal damage in normal control group also differed significantly from those of treatment group 1 and 3 (p < 0.001). No significant difference was found between normal control group and treatment group 2 (p = 0.972). Conclusion: Mangosteen (Garcinia mangostana L.) pericarp extract could prevent histopathological renal damage in white rats (Rattus norvegicus) induced gentamicin. Keywords: Mangosteen pericarp extract, Renal histopathology, Gentamicin.  
Co-Authors . Kiyatno Adhiputri, Artrien Aditya Nanda Priyatama Ana Rima Setijadi Ananda, Kiki Rizky Anik Lestari Annisa Pertiwi Ari Natalia Probandari Arini Tri Lestari Aris Sudiyanto Asih Anggraini Budiyanti Wiboworini Endang Ediningsih Endang Sri Hardjanti Endang Susilowati Ningsih Fika Khulma Sofia Gresmita Rindi Winarti Hana Amatillah Harahap, Afifa Naura Harsono Salimo I Gusti Bagus Wiksuana Ida Nurwati Jayawarsa, A.A. Ketut Khomisah, Nuril Alfiatul Kusnandar kusnandar kusnandar Machmuroch . Mahrorani, Siti Rizkina Mohammad Fanani Muhammad Abdulhamid Munir, Dien Abdul Muthmainah Niken Ayu Pratiwi Nusra, ST. Austa Panjaitan, Winda Sauci Pertiwi, Lintang Mega Putri Ayu Winiasih Ramadhani, Aisyah Intan Ratih Puspita Febrinasari Reviono Reviono Rio Nanda Pratama Rusfianti, Alfia Ruslan Ningrat, Jaya Pandu Satwika, Ariq Ratya Sayekti Asih Nugraheni Soetrisno . Sudikno Sudikno Sumardiyono Sumardiyono Sumayyah Syahidah Surya Adhi Prakoso Tri Rejeki Andayani Valensia, Yualeny Vitri Widyaningsih Yudhi Prasetyo, Yudhi yulia lanti retno dewi Yulidar Hafidh