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Andri Iryawan
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The Relationship between Andropause and Anxiety in males in Jebres Subdistrict, Surakarta Putriana, Raja Amelia; Iryawan, Andri; Riyadi, Slamet
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Andropause is a changes that occurs due to males because of  reduction of testosterone levels. These changes is not only in the physical aspect, but also the psychological aspect. This study aims to determine the relationship between andropause with anxiety in males.Method: This research is a analytical observational research with the approach of cross sectional.  The sample was taken using purposive random sampling after being selected based on the inclusion and exclusion criteria of research and the sample could not be selected when the result of L-MMPI ≥ 10. The subject filled in (1) curriculum vitae form and informed consent, (2) L-MMPI questionnaire to find out the respondent’s truthfulness in filling in questionnaire, (3) ADAM questionnaire as an early screening andropause and  (4) T-MAS questionnaire to find out the anxiety score. 60 subject of  research were obtained as the data and analyzed using with Chi Square and Coefisien Contingency (C).Result: The data analysis, with α = 0,05, shows p = 0,06 which means p > 0,05 and C = 0,324 or 32,4%.Conclusion: This study revealed that there is no significant correlation between andropause and anxiety in males (p > 0,05).Keywords: Andopause, Anxiety
Hubungan Antara Andropause Dengan Insomnia Pada Pria Di Kecamatan Jebres Surakarta Iryawan, Andri; Riyadi, Slamet; Putri, Wiharesi
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Andropause represents the symptoms and signs due to the lower rate of testosteron that happened slowly along with increasing the age. One of the symptoms is vasomotor disorder, that is called hot flashes. The presence of hot flashes can be result to insomnia in males with andropause. Number of  andropause’s prevalence which tend to high in some area in Indonesia can indicate the amount of adult men that suffer from insomnia. This research aim to prove that there is a correlation between andropause and insomnia, especially at Subdistrict Jebres Surakarta. Method: This analytic qualitative observational study uses cross-sectional method was held in Subdistrict Jebres Surakarta. Subjects in this study are males with inclusion and exclusion criterias. Sixty males (above 40 years old) were chosen to participate in this study by purposive random sampling (30 males with andropause and 30 males without andropause). Data were collected through self-administered questionnaire. Collected data were analyzed using Chi Square (X2) test and Contingency Coefficient (C) test. Result: The data analysis, with α = 0.05, shows p = 0.003 which means p < 0.05 and C = 0.36 or 36 %. Conclusion: There is a correlation between andropause and insomnia in males at Subdistrict Jebres Surakarta (p < 0.05, C = 0.36), where the number of insomnia’s prevalence is bigger at andropause’s group. Keywords: andropause, insomnia, hot flashes 
Stres Psikis Tidak Berkaitan dengan Timbulnya Sindrom Premenstruasi Winoto, Cherryl Martha Christina Anggreani; Riyadi, Slamet; Iryawan, Andri
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:High school students have a potential risk of stress that caused by the demands of their school life. Stressors increased when they were in grade XII in which they would do national exam. Stress condition have a negative impact on their health, one of which will cause occurenceof premenstrual syndrome. The aim of this research was to investigate the relationship between psychological stress before doing national exam and premenstrual syndrome. Methods:The research design of this study was analytical descriptive with cross sectional approach. The subjects were female students in grade XII who took a special course for preparing National Exam at Surakarta. Data was collectedby used purposive random sampling technique. There were 60 female students to fill the questionnaires, 30 students as stress group and the other were control group. Collected data was annalizedwithFisher’s Exact formula.   Results:In stress group, there were 28 students with premenstrual syndrome and 2 students without premenstrual syndrome. In control group, there were 26 students with premenstrual syndrome and 4 students without premenstrual syndrome. Result of the statistical test provided there was no relationship between stress and premenstrual syndrome (p = 0.671).Among the samples, there were 49 students with anxiety and the statistical test suggested there was relationship between anxiety and premenstrual syndrome (p = 0.008) Conclusions:This result provided there was no relationship between psychological stress before doing national exam and premenstrual syndrome for senior high school female students at special course in Surakarta. For further research, it is recommended to classified stress as mild, moderate, severe and extremely severe. Keywords:psychological stress; national exam; premenstrual syndrome. 
Perbedaan Disfungsi Ereksi pada Pasien Diabetes Melitus Tipe 2 dengan Hipertensi dan Nonhipertensi di RSUD Dr. Moewardi Rusjaya, I Kadek; Sugiarto, .; Iryawan, Andri
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Type 2 Diabetes Mellitus is a global and Indonesian health problem which is estimated to increase in the future. One of the long-term complications of diabetes mellitus is the presence of neuropathy which will cause erectile dysfunction. Hypertension often accompanies the presence of diabetes mellitus. Untreated hypertension in diabetes mellitus will worsen the incidence of erectile dysfunction. This happened because in hypertension occurs a vascular endothelial damage and decreased production of NO which is a major mediator of erection. Methods: This study was an observational analytic study with cross sectional approach held in August – September 2014 in the Polyclinic of Internal Medicine RSUD Dr. Moewardi. Sampling was done by Purposive Random Sampling technique, selection was done by checking the inclusion and exclusion criteria of the study sample. The number of samples in this study were 30 patients. Hereafter, the data obtained were statistically analyzed by Chi-Square test (X2). Results: The results of the Chi-Square test’s analysis of the incidence of erectile dysfunction was obtained a significant differences between patients with type 2 diabetes mellitus with hypertension and non-hypertension (p<0,05). Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9 times compared to non-hypertension (OR=9,750,p=0,008). Conclusions: There was a statistically significant difference of erectile dysfunction between patients with type 2 diabetes mellitus with hypertension and non-hypertension. Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9,7 times compared to non-hypertension. Keywords: Diabetes Mellitus, Erectile Dysfunction, Hypertension  
Hubungan Kecerdasan Emosi, Tingkat Pendidikan Orang Tua dengan Indeks Prestasi Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret Surakarta Sarah, Ratu Siti Khadijah; Susilohati, Mardiatmi; Iryawan, Andri
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: One important issue in education is academic achievement. Academic achievement can lead to satisfaction and continuity for further education while academic failure can result in delay in learning or even drop out. Some factors that can affect academic result are emotional intelligence as internal factor and parent’s education level (family factor) as external factor. This study aims to prove the existence of relations among emotional intelligence, parents’ education level and academic achievement index of senior students of Faculty of Medicine, Sebelas Maret University Surakarta. Methods: This study was an observational analytic research with cross sectional approach, held in July – August 2014 in Faculty of Medicine, Universitas Sebelas Maret Surakarta. The sampling method used was total sampling and selection was done by checking the inclusion and exclusion criteria of the study sample. The numbers of subjects in this study were 214 students. Hereafter, the data obtained were analyzed statistically by multiple linear regression test and F test. Results: The results of the F test analysis with the number of significance α = 0.05 obtained value of p < 0.05 with a regression line equation Y = 2,660 + 0,004 X1 + 0,010 X2. Conclusions: There is a significant relationship simultaneously between emotional intelligence, level of parents’ education and index of student achievement. If there is no emotional intelligence and parents’ education level, the achievement index is equal to 2.660. Index of student achievement changed by 0.004 for each unit change in the variables of emotional intelligence and changed by 0.010 for every unit change in the level of parents education variable. Keywords: Emotional Intelligence, Parents’ Education Level, Academic Achievement Index 
Uji Banding Terjadinya Andropause antara Laki-Laki yang Lingkar Pinggangnya Besar dan Normal di Kecamatan Jebres Surakarta Kurniawan, Andreas Agung; Iryawan, Andri; Murti, Bhisma
Nexus Biomedika Vol 3, No 3 (2014): Nexus Biomedika
Publisher : Nexus Biomedika

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Background: Andropause in men can be caused by large waist circumference. The population of Asian countries, including Indonesia, tends to undergo an increase of waist circumference. This study is aimed to compare the occurrence of andropause  between men with large and normal waist circumference. Methods: This study was a non-experimental analytic observational study with cross-sectional approach conducted in Jebres in September-October 2014. The subjects were 40 men selected using simple random sampling technique. The data obtained from physical measurements and questionnaire-led interviews were analyzed using multivariate logistic regression test to control confounding factors. Results: Twelve out of 15 men with large waist circumference (> 90 cm) experienced andropause and 16 out of 25 men with normal waist circumference (≤ 90 cm) did not experience andropause. On the other hand, 5 out of 10 men aged < 50 years experienced andropause and 23 out of 30 men aged ≥ 50 years did not experience andropause. Conclusion: Men with large waist circumference have risk experiencing andropause 3.06 times higher than men with normal waist circumference, although in this study the result is not significant (OR = 3.06; CI = 95% 0.59 to 15.95; p = 0.184 ). Keywords: Andropause, Waist Circumference 
Comparison of Reproductive Health Knowledge and Attitude towards Premarital Sexual Intercourse between Natural Sciences and Social Sciences Students of SMAN 1 Temanggung Andri Iryawan; Endang Sahir
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: In the globalization of information era, a high number of adolescents with lack of reproductive health knowledge are predicted to cause raising issues of deviant sexual behaviour, HIV/AIDS, and other sexually transmitted diseases. Indonesian government establishes Generation Planning program where reproductive health knowledge is an important aspect that must be examined on a regular basis as part of efforts to build Tough Adolescent. The existence of formal high school education which consists of different scientific fields, naturals and social sciences, becomes the background of this study in order to determine the differences of reproductive health knowledge and attitude towards premarital sexual intercourse between natural sciences and social sciences students of SMAN 1 Temanggung. Methods: This study was an observational analytic study with cross sectional approach. The subjects were students of class XII SMAN 1 Temanggung aged 16-18 years majoring in natural or social sciences in 2014. The sample was 167 students who met inclusion criteria and did not meet exclusion criteria obtained using proportionate stratified random sampling technique. Data taken from the questionnaire were analyzed using Mann-Whitney and Spearman correlation test (? = 0.05) by SPSS 16.0 for Windows program. Results: Mann-Whitney test shows significant difference of reproductive health knowledge between natural and social sciences groups (p=0.000, p < 0.05), but the test shows no significant difference of attitudes toward premarital sexual intercourse between two groups (p= 0.128, p> 0.05). Spearman correlation test shows no correlation between the students reproductive health knowledge and their attitude toward premarital sexual intercourse (p value= 0.875, p>0.05). Conclusion: There is significant difference of reproductive health knowledge but there is no significant difference in attitudes toward premarital sexual intercourse between natural and social sciences students of SMAN 1 Temanggung.There is no correlation between the students reproductive health knowledge and their attitudes toward premarital sexual intercourse. Keywords: reproductive health knowledge, attitudes toward premarital sexual intercourse, natural science, social science, Generation Planning.
The Relationship between Andropause and Anxiety in males in Jebres Subdistrict, Surakarta Raja Amelia Putriana; Andri Iryawan; Slamet Riyadi
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.111 KB)

Abstract

Background: Andropause is a changes that occurs due to males because of reduction of testosterone levels. These changes is not only in the physical aspect, but also the psychological aspect. This study aims to determine the relationship between andropause with anxiety in males.Method: This research is a analytical observational research with the approach of cross sectional. The sample was taken using purposive random sampling after being selected based on the inclusion and exclusion criteria of research and the sample could not be selected when the result of L-MMPI ? 10. The subject filled in (1) curriculum vitae form and informed consent, (2) L-MMPI questionnaire to find out the respondents truthfulness in filling in questionnaire, (3) ADAM questionnaire as an early screening andropause and (4) T-MAS questionnaire to find out the anxiety score. 60 subject of research were obtained as the data and analyzed using with Chi Square and Coefisien Contingency (C).Result: The data analysis, with ? = 0,05, shows p = 0,06 which means p > 0,05 and C = 0,324 or 32,4%.Conclusion: This study revealed that there is no significant correlation between andropause and anxiety in males (p > 0,05).Keywords: Andopause, Anxiety
The Influence of Andropause on Incidence of Depression in Males at Subdistrict Jebres, Surakarta Iriyanti Maya Sari Barutu; . Mujosemedi; Andri Iryawan
Nexus Kedokteran Komunitas Vol 4, No 1 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One of the symptoms in males with andropause is mood depression. Andropauses occurrence in a man may increase the incidence of depression. This research aimed to know the influence of andropause on incidence of depression in males at Subdistrict Jebres, Surakarta. Method: This observational analytic which used cross sectional method was held in June-July 2014. The subjects were males 45 years old or older who lived at Subdistrict Jebres, Surakarta. Sixty males who were chosen by purposive random sampling method as the subjects consisted of 30 males with andropause and 30 males without andropause. Data collected through questionarie were analyzed with Chi-Square and Odds Ratio. Result: The analysis showed that 20 out of 30 males with andropause had depression. But, only 7 out of 30 males without andropause had depression. The data analysis with ? = 0.05 showed p = 0.001 (p < 0.05); Odds Ratio = 6.571. There was a significant difference of depressions occurrence between males with andropause and males without andropause at Subdistrict Jebres, Surakarta. Conclusion: There is influence of andropause on incidence of depression in males at Subdistrict Jebres, Surakarta which the number of depression prevalence is bigger at andropauses group. Keywords: Andropause, depression, males
Correlation between Hypothyroidism and Incidence of Male Erectile Dysfunction in Ngargoyoso sub-distrct, Karanganyar regency Lely Amedia Ratri; Sinu Andhi Jusup; Andri Iryawan
Nexus Kedokteran Komunitas Vol 6, No 2 (2017): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Erectile dysfunction or known as impotency is an inability to reach and to maintain erectile function. There are many factors that can cause erectile dysfunction, one of them is hypothyroidism. Hypothyroidism in male may results to erectile dysfunction because of the reduction of testoreron total rate that plays an important role in regulating sexual function in male. This study was aimed to find out the correlation between hypothyroidism and incidence of male erectile dysfunction in Ngargoyoso sub-distrct, Karanganyar regency. Methods: This study was an analytic observational study with cross sectional method. This research performed in Ngargoyoso Sub-district, Karangayar Regency with 38 samples for each hypothyroidism state. Hypothyroidism was determined by using Zulewskis clinical score and/or WHO/ICCID diagnosis criteria to found out the enlargement of thyroid gland. Erectile dysfunction was collected with International Index of Erectile Function 5 Questionnare (IIEF-5). The data was analyzed statistically using Chi-Square. Result: Percentage of male erectile dysfunction with hypothyroidism (+) was 79% and erectile dysfunction in male with hypothyroidism (-) was 45%. Chi-square analysis test of both variables showed significant correlation with p = 0.002 (p < 0.05), the strength of correlation was low, and had positive correlation (C = 0.332). Results of Odd Ratio was OR = 4,63. Conclusions: There was an association between hypothyroidism and incidence of male erectile dysfunction. Keywords: erectile dysfunction, male, hypothyroidism
Co-Authors . Mujosemedi . Sugiarto Andreas Agung Kurniawan Andreas Agung Kurniawan, Andreas Agung Bhisma Murti Cherryl Martha Christina Anggreani Winoto Endang Sahir I Kadek Rusjaya Iriyanti Maya Sari Barutu Lely Amedia Ratri Mardiatmi Susilohati Mardiatmi Susilohati Nanang Wiyono Raja Amelia Putriana Ratu Siti Khadijah Sarah Reza Yunita Sari Rico Alfredo Rosalia Sri Hidayati Sinu Andhi Jusup Slamet Riyadi Slamet Riyadi Wiharesi Putri