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Hubungan Metode Persalinan Vacuum Ekstraksi dengan Kejadian Baby Blues Syndrome Ledysta, Pupus; Soetrisno, .; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: extraction deliveries are significantly increases the risk of trauma and become a stressor for mothers. One of the risk factor is baby blues as if there are obstetric or deliveries complications, which are trauma factor plays an important role. This study aims to determine the relationship between the methods of vacuum extraction parturition with the baby blues syndrome incidence. Methods: the study was use observational analytic cross sectional approach. The observation was conducted at the inpatient clinic of the plant Obstetric and Gynecology Mawar 1 RSUD Dr. Moewardi Surakarta. The study sample involved 50 patients vaginal deliveries taken by purposive sampling fixed exposures method. Each sample was given an outline description of the study and asked to sign an informed consent sheet followed by charging sheets identity, L-MMPI questionnaire, and blues questionnaire. This study analyzed three independent variables, namely the method of delivery, age, and income. Data were analyzed by Chi Square test. Results: there was a statistically significant relationship between the methods of vacuum extraction delivery as a risk factor baby blues syndrome events. Maternal great risk with vacuum extraction deliveries to experience the baby blues syndrome incidence 6.08 times greater than women with spontaneous labor (0R = 6.08, IK 95% 1.72, 21.50, p = 0.004). Conclusion: based on research with vacuum extraction deliveries will have the risk of having a baby syndrome blues 6.08 times greater than spontaneous vaginal delivery. Keywords: vacuum extraction, baby blues syndromeÂ

Hubungan Ibu Hamil Perokok Pasif dengan Persalinan Preterm di RSUD Dr. Moewardi Surakarta Imanuddin, Iqbal; Soetrisno, .; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Exposure to secondhand smoke among passive smoking pregnant women was known to contain various toxic chemical substances such as Nicotine, Carbon Monoxide, Cadmium, and Polycyclic Aromatic Hydrocarbon. These substances are able to reduce the oxygen supply to the fetus and stimulate the myometrium contraction that could lead to preterm delivery. This study aims to prove the correlation between passive smoking pregnant women and preterm delivery cases. Methods: This study is an analytical observational study using case control approach. This study was conducted in Mawar I ward RSUD Dr. Moewardi, Surakarta. The subjects in this study are 60 who perform delivery in RSUD Dr. Moewardi. Subject preferences were performed using fixed disease-sampling method where subjects are divided into 2 groups, the group consisting of 20 pregnant women with preterm delivery cases and the control group consisting of 40 pregnant women with aterm delivery. Each group was given a questionnaire contains questions regarding passive smokers status as an independent variable, as well as antenatal care (ANC) status, age, and previous preterm delivery history as the confounding factors that will be controlled. Chi square tests and multiple logistic regression analysis were used to analyze the data. Results: The study revealed significant correlation between passive smoking pregnant women and preterm delivery. Pregnant women with secondhand smoke exposure have a preterm delivery risk 9.4 times greater when compared to pregnant woman with no exposure after controlling the confounding factors which is antenatal care and considering the history of previous delivery (p = 0.008; OR = 9.39). Conclusion: There is a significant correlation between passive smoking pregnant women and preterm delivery. Passive smoking pregnant women have a higher risk to experience preterm delivery compared to non-passive smoking pregnant women. Keywords: pregnant women, passive smoking, preterm delivery. Â

Perbedaan Fase Pendidikan Kedokteran terhadap Persepsi tentang Informed Consent Haniefa, Diena; Wujoso, Hari; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Medical Education Phases are divided into two phases, both are preclinical phase and clinical phase where in the clinical phase, students get clinical experiences. Experience is one factor that affects the formation of perceptions. From 2006 through 2012, Indonesian Medical Disciplinary Board (MKDKI), has received 183 complaints lodged with 5 problems related medical services in Indonesia, one of which is a communication problem. This study aims to determine the difference of medical education phases concerning perceptions of informed consent Methods: This study is an observational study with cross-sectional design which was held on December 2013 at the Faculty of Medicine, Sebelas Maret University and Dr. Moewardi Hospital, Surakarta. 60 subjects were taken by purposive sampling method continued with convenience sampling method. Subjects were asked to fill out a form of identity, informed consent sheet and questionnaire. Then the results of the questionnaire were tested by the Independent t-test through SPSS 20.0 for Windows. Results: Preclinical students were 30 respondents (50 %) , and clinical studentsÂ were 30 respondents (50 %) . The results of the analysis by the Independent t- test showed no difference medical education phases (p = 0.083) concerning perceptions of informed consent. Conclusion: There were no difference medical education phases concerning perceptions of informed consent. Keywords: Medical Education Phases, Perception, Informed ConsentÂ

Hubungan Abnormalitas Persalinan Dengan Faktor Risiko Autistik Zakiyah, Bani; Sudiyanto, Aris; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Autism is a disorder affects communication, social, language, and behaviour impairments of children. The prevalence of autism tend to increase, but its etiology still unclear and multifactoral suspected. Based on some studies, the incidence of autism were increase if there are some problems in prenatal, natal, or postnatal. Abnormality labor is one of the problem in natal that suspected has a correlation with autism. This study aims to determine the correlation between abnormal labor and risk factors of autism. Â Methods: This study was an analytic observational study with case control design. The subject were taken by porposive random sampling in case group and control group. The interview done in 66 mothers of children. 33 children taken from SLB Autis Harmony, SLB Autis Agca Center, SLB Autis Alamanda, and SLB-B C dan Autis YBA Surakarta as case group and 33 children taken from SDN Ngoresan Surakarta as control group. Then the results were tested with Chi Square through SPSS 17.0 for Windows. Results: From the case group, 90.9% were born with abnormal labor and from the control group, 48.5% were born with abnormal labor. The result of Chi Square analysis, the value p < 0.01, it means the probability value is lower than 0.05. So, there is significal correlation between abnormal labor and risk factors of autism. Conclusions: The conclusion of this research is there is correlation between abnormal labor and risk factor of autism. Keywords: abnormal labor, risk factors, autismÂ

Estimasi Tinggi Badan Berdasarkan Panjang Telapak Tangan dan Panjang Telapak Kaki Santosa, Novian Anindito; Tamtomo, Didik Gunawan; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Body height measurement is one of forensic identification examinations. One of evidence that probably found in forensic cases is hand length or foot length. This research aimed to the know correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Methods: This research was descriptive analytic with cross-sectional study design. The research was held in Faculty of Medicine Universitas Sebelas Maret with 40 samples of students which consisted of 24 males and 16 females. Independent variable of this research werehand and foot length. Hand length was measured with caliper, foot length was measured with plan A4 paper and ruler. Dependent variable of this research was body height estimation which was measured with microtoise. Samples obtained were measured height, hand length and foot length. The result obtained was tested with double linear regression test. Results: The statistical analysis result for regression test partially obtained that right hand length had correlation score (r) 0,971 (p=0,000), left hand length had correlation score (r) 0,968 (p=0,000),right foot length had correlation score (r) 0,975 (p=0,000), left foot length had correlation score (r) 0,973 (p=0,000). While the result of double linear regression test had correlation score (r) 0,999 (p=0,000). Conclusions: There was correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Keywords: Body height,hand length Â foot length. Â

Hubungan Metode Persalinan Vacuum Ekstraksi dengan Kejadian Baby Blues Syndrome Ledysta, Pupus; Soetrisno, .; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: extraction deliveries are significantly increases the risk of trauma and become a stressor for mothers. One of the risk factor is baby blues as if there are obstetric or deliveries complications, which are trauma factor plays an important role. This study aims to determine the relationship between the methods of vacuum extraction parturition with the baby blues syndrome incidence. Methods: the study was use observational analytic cross sectional approach. The observation was conducted at the inpatient clinic of the plant Obstetric and Gynecology Mawar 1 RSUD Dr. Moewardi Surakarta. The study sample involved 50 patients vaginal deliveries taken by purposive sampling fixed exposures method. Each sample was given an outline description of the study and asked to sign an informed consent sheet followed by charging sheets identity, L-MMPI questionnaire, and blues questionnaire. This study analyzed three independent variables, namely the method of delivery, age, and income. Data were analyzed by Chi Square test. Results: there was a statistically significant relationship between the methods of vacuum extraction delivery as a risk factor baby blues syndrome events. Maternal great risk with vacuum extraction deliveries to experience the baby blues syndrome incidence 6.08 times greater than women with spontaneous labor (0R = 6.08, IK 95% 1.72, 21.50, p = 0.004). Conclusion: based on research with vacuum extraction deliveries will have the risk of having a baby syndrome blues 6.08 times greater than spontaneous vaginal delivery. Keywords: vacuum extraction, baby blues syndromeÂ

Perbedaan Fase Pendidikan Kedokteran terhadap Persepsi tentang Informed Consent Diena Haniefa; Hari Wujoso; Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Medical Education Phases are divided into two phases, both are preclinical phase and clinical phase where in the clinical phase, students get clinical experiences. Experience is one factor that affects the formation of perceptions. From 2006 through 2012, Indonesian Medical Disciplinary Board (MKDKI), has received 183 complaints lodged with 5 problems related medical services in Indonesia, one of which is a communication problem. This study aims to determine the difference of medical education phases concerning perceptions of informed consent Methods: This study is an observational study with cross-sectional design which was held on December 2013 at the Faculty of Medicine, Sebelas Maret University and Dr. Moewardi Hospital, Surakarta. 60 subjects were taken by purposive sampling method continued with convenience sampling method. Subjects were asked to fill out a form of identity, informed consent sheet and questionnaire. Then the results of the questionnaire were tested by the Independent t-test through SPSS 20.0 for Windows. Results: Preclinical students were 30 respondents (50 %) , and clinical students were 30 respondents (50 %) . The results of the analysis by the Independent t- test showed no difference medical education phases (p = 0.083) concerning perceptions of informed consent. Conclusion: There were no difference medical education phases concerning perceptions of informed consent. Keywords: Medical Education Phases, Perception, Informed Consent

Hubungan Ibu Hamil Perokok Pasif dengan Persalinan Preterm di RSUD Dr. Moewardi Surakarta Iqbal Imanuddin; . Soetrisno; Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Exposure to secondhand smoke among passive smoking pregnant women was known to contain various toxic chemical substances such as Nicotine, Carbon Monoxide, Cadmium, and Polycyclic Aromatic Hydrocarbon. These substances are able to reduce the oxygen supply to the fetus and stimulate the myometrium contraction that could lead to preterm delivery. This study aims to prove the correlation between passive smoking pregnant women and preterm delivery cases. Methods: This study is an analytical observational study using case control approach. This study was conducted in Mawar I ward RSUD Dr. Moewardi, Surakarta. The subjects in this study are 60 who perform delivery in RSUD Dr. Moewardi. Subject preferences were performed using fixed disease-sampling method where subjects are divided into 2 groups, the group consisting of 20 pregnant women with preterm delivery cases and the control group consisting of 40 pregnant women with aterm delivery. Each group was given a questionnaire contains questions regarding passive smokers status as an independent variable, as well as antenatal care (ANC) status, age, and previous preterm delivery history as the confounding factors that will be controlled. Chi square tests and multiple logistic regression analysis were used to analyze the data. Results: The study revealed significant correlation between passive smoking pregnant women and preterm delivery. Pregnant women with secondhand smoke exposure have a preterm delivery risk 9.4 times greater when compared to pregnant woman with no exposure after controlling the confounding factors which is antenatal care and considering the history of previous delivery (p = 0.008; OR = 9.39). Conclusion: There is a significant correlation between passive smoking pregnant women and preterm delivery. Passive smoking pregnant women have a higher risk to experience preterm delivery compared to non-passive smoking pregnant women. Keywords: pregnant women, passive smoking, preterm delivery.

Estimasi Tinggi Badan Berdasarkan Panjang Telapak Tangan dan Panjang Telapak Kaki Novian Anindito Santosa; Didik Gunawan Tamtomo; Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Body height measurement is one of forensic identification examinations. One of evidence that probably found in forensic cases is hand length or foot length. This research aimed to the know correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Methods: This research was descriptive analytic with cross-sectional study design. The research was held in Faculty of Medicine Universitas Sebelas Maret with 40 samples of students which consisted of 24 males and 16 females. Independent variable of this research werehand and foot length. Hand length was measured with caliper, foot length was measured with plan A4 paper and ruler. Dependent variable of this research was body height estimation which was measured with microtoise. Samples obtained were measured height, hand length and foot length. The result obtained was tested with double linear regression test. Results: The statistical analysis result for regression test partially obtained that right hand length had correlation score (r) 0,971 (p=0,000), left hand length had correlation score (r) 0,968 (p=0,000),right foot length had correlation score (r) 0,975 (p=0,000), left foot length had correlation score (r) 0,973 (p=0,000). While the result of double linear regression test had correlation score (r) 0,999 (p=0,000). Conclusions: There was correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Keywords: Body height,hand length foot length.

Hubungan Abnormalitas Persalinan Dengan Faktor Risiko Autistik Bani Zakiyah; Aris Sudiyanto; Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Background: Autism is a disorder affects communication, social, language, and behaviour impairments of children. The prevalence of autism tend to increase, but its etiology still unclear and multifactoral suspected. Based on some studies, the incidence of autism were increase if there are some problems in prenatal, natal, or postnatal. Abnormality labor is one of the problem in natal that suspected has a correlation with autism. This study aims to determine the correlation between abnormal labor and risk factors of autism. Methods: This study was an analytic observational study with case control design. The subject were taken by porposive random sampling in case group and control group. The interview done in 66 mothers of children. 33 children taken from SLB Autis Harmony, SLB Autis Agca Center, SLB Autis Alamanda, and SLB-B C dan Autis YBA Surakarta as case group and 33 children taken from SDN Ngoresan Surakarta as control group. Then the results were tested with Chi Square through SPSS 17.0 for Windows. Results: From the case group, 90.9% were born with abnormal labor and from the control group, 48.5% were born with abnormal labor. The result of Chi Square analysis, the value p < 0.01, it means the probability value is lower than 0.05. So, there is significal correlation between abnormal labor and risk factors of autism. Conclusions: The conclusion of this research is there is correlation between abnormal labor and risk factor of autism. Keywords: abnormal labor, risk factors, autism

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