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Nexus Kedokteran Komunitas
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Arjuna Subject : -
Articles 306 Documents
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The Correlation Between Indicators of Obesity with Age at Menarche at Elementary School Female Students Sri Retnowati; Budiyanti Wiboworini; Ratna Kusumawati
Nexus Kedokteran Komunitas Vol 4, No 1 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Menarche is the first menstrual period in woman reproduction cycle. Recent studies show that the age at menarche is declining. Decline in age at menarche is correlated with obesity. This study aimed to identify the correlation between indicators of obesity with the age at menarche in elementary school students. Method: This was an analytical observational study with cross sectional approach. The subjects of this study were 58 female students of 5th-6th grade at SD Muhammadiyah 1 Surakarta and SD Kristen Manahan (elementary school) that taken by purposive sampling. Indicators of obesity (BMI, waist circumference, waist hip ratio) were measured by anthropometric. Age at menarche was assessed by using questionnaire. The correlation between indicators of obesity with age at menarche had been analyzed by Spearman correlation test. Result: Spearman correlation test showed that there was no significant correlation between indicators of obesity (BMI, waist circumference, waist hip ratio) with age at menarche with result p=0.650; p=0.894; p=0.829. Spearman correlation test showed that there was no significant correlation between economic and mothers age at menarche with respondents age at menarche (p=0.056 and p=0.087). Conclusion: There is no significant correlation between indicators of obesity with age at menarche in elementary school students. Keywords: indicator of obesity, BMI, waist circumference, waist hip ratio, age at menarche
The Relationship between Exposure Level of in Passive Smoking with Maximum Oxygen Uptake (VO2max) among Adolescents Aged 19-24 Years Old Ines Aprilia Safitri; Arif Suryawan .; Bagus Wicaksono .
Nexus Kedokteran Komunitas Vol 5, No 1 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The prevalence of passive smokers tends to increase along with the prevalence of active smokers. Most of university students are passive smokers, who get the exposure in home and social environment. The exposure of cigarette smoking can harm human health, especially for cardiovascular and respiratory system. VO2max is the best parameter to measure human cardiorespiratory ability. This research aimed to analyze the relationship between exposure level in passive smokers with maximum oxygen uptake (VO2max) in adolescents aged 19-24 years old. Methods: This was an observational analytic study with cross-sectional design. The research was conducted in Mei 2015. Using the consecutive sampling, we selected 72 passive smokers aged 19-24 years old, Sebelas Maret University students, who classified into medium and high exposure level. The data were collected by using questionnaire and interview. VO2max was measure with Mc Ardle Step Test method. The data was analyzed with Chi Square test. Results: The results showed that passive smokers were mostly women. Most of sample had good VO2max, which were 37.5% in medium exposure level and 23.6% in high exposure level. The sample with average VO2max were 8.3% in medium exposure level and 15.3% in high exposure level. The sample with low VO2max were 11.1% in medium exposure level and 4.2 % in high exposure level. Chi Square test result showed p = 0.095. Conclusions: There is no statistically significant relationship between exposure level in passive smokers with maximum oxygen uptake (VO2max) on adolescents aged 19-24 years old. Keywords: Passive Smokers, VO2max.
Hubungan Tingkat Pendidikan dan Tingkat Pengetahuan tentang Merokok dengan Derajat Berat Merokok Arti Tyagita Kusumawardhani; . Reviono; Arsita Eka Prasetyawati
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Smoking behavior is one of the most widely spread health problem. Ones smoking behavior is very much determined by ones knowledge of smoking behavior, where as such knowledge is also very much affected by ones level of education. This research aims to determine the correlation between educational level and knowledge of smoking behavior to the severity of smoking habit. Methods: This research is an observational analysis using cross-sectional. The study was conducted in Faculty of Medicine, Sebelas Maret University. The sample was taken using Stratified Random Sampling and Quota Sampling. Approach with male smokers administration staffs, temporary employees, lecturers, and Faculty of Medicine of Sebelas Maret University class 2011, qualifying and disqualifying with inclusion criteria. Data retrieval is done by looking at the patients questionnaires. Data were analyzed using correlative non-parametric Spearman analysis method, with SPSS 17.00 for Windows. Results: There is a positive correlation between ones educational level and the severity of ones smoking habit, with correlation coefficientvalue as much as0.165and significance value(2-tailed)as much as0.208. This findings show that there is a weak and insignificant relation between both variables. Moreover, there is a weak negative correlation between ones educational level and ones knowledge on smoking habit, with significance value(2-tailed)as much as 0.522 and correlation coefficient value as much as 0.078. there is also a negative correlation between ones knowledge of smoking habit and the severity of ones smoking habit, with significance value(2-tailed)as much as 0.589 and correlation coefficient value as much as 0.071. Conclusions: There is not any significant relation between ones educational level and knowledge on smoking behavior to the severity of ones smoking habit. Keywords: Educational level, knowledge of smoking behavior, severity of smoking habit, smoking.
Hubungan Tingkat Pengetahuan Pengasuh dengan Pola Asuh Makan dan Status Gizi Balita di Puskesmas Sangkrah Surakarta Agil Wahyu Wicaksono; Arsita Eka Prasetyawati; Kusmadewi Eka Damayanti
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Recently the role of mothers in child parenting replace by caregivers because many mothers also act as workforces. The role of parenting especially during meal is very important in determining the nutritional status of children. This studyaim is to determine whetherlevel ofknowledgehas strong relationshipwithfeeding patternandnutritional status of children. Methods:This studyis anobservationalstudywith crosssectionalanalytic. The researchwas conducted inApril-June2013 in theworking area ofSangkrahHealth Center, Surakarta. Sample of121caregiversandtheir childrenwereselectedby multistage areasampling .Examined variables includingcaregiverslevelof knowledgeas independent variable, and feeding patternandnutritional status of childrenas dependent variable. ThisresearchusesCaregiversFeedingStyleQuestionnairetodeterminefeeding patternandQuestionnaire of Knowledge Leveltomeasure thelevel ofcaregiversknowledge. Bothquestionnaireshave beentestedfor validity and reliability. Nutritional status ismeasuredbystandard anthropometry method. Data wereanalyzedby SPSS 17 for Windows usingKendall's Taumodels. Results:This studyshows there is no significant correlation between the degree ofcaregivers knowledge andfeeding pattern(correlation coefficient = 0.132; degree of significance = 0.110) besides there is also no significant correlation between the degree ofcaregivers knowledgeand childrensnutritional status(correlation coefficient = 0.030; degree of significance = 0.716). Conclusions:There is nostatistically significantrelationshipbetween thedegree ofcaregiversknowledgewithfeeding patternandthe nutritional status ofchildren. Keywords:Degree of caregivers knowledge, feeding pattern, nutritional status of children.
Poor Sleep Quality Increases Prevalence of Primary Dysmenorrhea on Medical Students Melinda Didi Yudhanti; . Balgis; . Widardo
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Most of Medical Students have a poor sleep quality due to their academic tasks during their study. This poor sleep quality has a role in the pathogenesis of pain, including primary dysmenorrhea. This study aims to know the relationship between sleep quality and the prevalence of primary dysmenorrhea on Medical Students of Sebelas Maret University. Methods: This study was an analytical observational research with a cross sectional approach. Subjects were selected by purposive sampling and obtained 88 Medical Students of Sebelas Maret University as a sample. Each respondent filled in: (1) Informed consent and biodata form; (2) Questionnaire about dysmenorrhea and its degree; (3) Menstrual Symptom Questionnaire (MSQ); and (4) Pittsburgh Sleep Quality Index (PSQI). The collected data were analyzed using the Fishers Exact Test and then processed with prevalence ratio calculation to determine the relationship between sleep quality and prevalence of primary dysmenorrhea. To know the relationship between sleep quality and the degree of primary dysmenorrhea, the data were then analyzed using Kolmogorov-Smirnov test. Results: Among the 88 students, 76% had poor sleep quality, 77 % had primary dysmenorrhea with 52.3 % mild, 23.9 % moderate, and 1.1 % severe degree. Using Fishers Exact Test, the study found a significant relationship between sleep quality and prevalence of primary dysmenorrhea with (p) = 0.001. Based on the calculation, the prevalence ratio was 2.35 with Confidence of Interval 1.35 4.08. Using Kolmogorov Smirnov Test, there was significant relationship between sleep quality and the degree of primary dysmenorrhea, with the value of (p) = 0.001. Conclusions: Statistically, there is a significant relationship between sleep quality and primary dysmenorrhea problem including its prevalence and degree in the medical Students of Sebelas Maret University Surakarta. Students with poor sleep quality had a risk of 2.35 times more to had primary dysmenorrhea than the ones with good sleep quality. Keywords: primary dysmenorrhea, sleep quality, medical student
The Relationship between Health Service Quality and Satisfaction Level of JKN SJSN (Public Health Security) Patient in UPTD Puskesmas Nusukan of Surakarta City Hanni Wardhani; Bhisma Murti; Ruben Dharmawan
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

JKN SJSN (Public Health Security) patient as the customers who use health care service in Puskesmas need a high-quality health service to cure the diseases they suffer from. Furthermore, to generate satisfaction with the health service they receive from the personnel of Puskesmas. As we know, Puskesmas is one form of comprehensive health service organizations encompassing health promotion, prevention, curing and recovery aspects for all people so that the society will get a high-quality and affordable health service. This study aimed to analyze the relationship between health service quality and the satisfaction level of JKN SJSN patients in UPTD Puskesmas Nusukan of Surakarta City. This study was an analytical observational research with cross-sectional approach. Fourty subjects of research selected using simple random sampling technique were the participants of JKN SJSN who had had them examined in UPTD Puskesmas Nusukan of Surakarta City and met the inclusion criteria. The data collection was carried out through questionnaire with the direction of the researchers. The data of research was analyzed using Chi Square test and processed using Statistical Product and Service Solution (SPSS) 21.00 for Windows. This study showed that the Quality of Health Service was related significantly to the Satisfaction Level of JKN SJSN Patient. There was a statistically significant relationship between Health Service Quality and the Satisfaction Level of JKN SJSN patients with OR = 20,8; CI 95% = 2,35184,40; p<0,001.
Prevalensi Jenis Kelamin dan Penyebab Kematian Bayi pada Kasus Infanticide di RSUD Dr. Moewardi Januari 2006 Desember 2011 Rafika Iezza Setyarini
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Nowadays, babies murder right after born or we can call it infanticide, spontanously or well-planned, has increased. The purpose of this study was to find out the prevalence of sex-related infanticide and the causes on RSUD Dr. Moewardi. Methods: This was an observational retrospective study. Sample of this study was the victim of infanticide and was chosen by purposive sampling with total sample were 24 cases. Then all variables were analyzed using Chi Square Test. Results: This study found 24 cases of infanticide, 4 cases on 2006, 5 cases on 2007, 6 cases on 2008, 5 cases on 2009, 1 case on 2010, and 3 cases on 2011. There are 17 cases of male infanticide and 7 cases of female infanticide. The causes of babies death were asphyxia (13 cases), Caffy Syndrome (7 cases), blunt trauma (4 cases). Chi Square Tests result is statistically not significant (p: 0.104). Conclusions: The prevalence of male infanticide is higher than female infanticide. The most cause of babies death is asphyxia and there is no corelation between the sex and the death causes. Keywords: infanticide, sex-related, cause of death
Fruits and Vegetables Consumption Relationship with Hypertension in the Elderly Villager of Bolon, Colomadu Karanganyar Muhammad Ardianto Prakosa; Bagus Wicaksono .; Kusmadewi Eka Damayanti
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Fruits and vegetables intake was associated with lower risk of hypertension especially to elderly which have more complication disease. There was evidence that a diet rich in fruit and vegetables reduces blood pressure (sistolic and diastolic). This observation aimed to examine whether fruits and vegetables intake between elderly villagers was related to hypertension. Methods: This study was an observational study with a cross-sectional approach in the elderly villager of Bolon, Colomadu, Karanganyar. Subjek was 72 elderly aged ? 60 years. Baseline intake of fruits and vegetables was assessed by food frequency questionnaires. Fruits and vegetables group was divided into banana, apple, spinach, and tomato which was in journal can reduced blood pressure (sistolic and diastolic). Chi-square test was used to examine relationship fruit and vegetable consumption with hypertension. Results: Chi-square test frequency of consumption banana, apple, spinach and tomato with hypertension consecutive p-value = 0.681, 0.320, 0.122, 0.315. Conclusions: There was no relationship frequency of consumption of bananas, apples, spinach, and tomatoes with hypertension. Keywords: hypertension, fruit consumption, vegetable consumption, elderly
The Intensity of Playing Video Games Relates Positively to Working Memory Capacity: Cross-Sectional Study in Students of Faculty of Medicine at Sebelas Maret University Surakarta. Pratiwi Indah Palupi; Nanang Wiyono; Ari Probandari
Nexus Kedokteran Komunitas Vol 6, No 2 (2017): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The increase of video game popularity has captured researchers attention to conduct studies on effects of video games. Studies on video game playing indicate positive effects in improvement of cognitive function, namely working memory. Working memory capacity is a basic concept in modern cognitive psychology which plays significant role in daily activity performance, both academically and professionally. This research aimed to determine the probability of relationship between the Intensity of Playing Video Game and Working Memory Capacity in Students of Faculty of Medicine at Sebelas Maret University. Methods: This research was an analytical observational study with cross-sectional approach, conducted in Faculty of Medicine of Sebelas Maret University, Surakarta. The sample consisted of 109 students and was performed by utilizing total sampling technique with the restriction of inclusion and exclusion criteria. All respondents were asked to fill questionnaires of Lie Scale Minnesota Multiphasic Personality Inventory (L-MMPI) in order to measure their honesty scale, Scale for the Assessment of Pathological Computer-Gaming (in German language: Skala zum Computerspielverhalten/CSV-S) to measure their intensity of playing video game, and Reading Span Test to measure their working memory capacity. This research applied analytical methods of chi-square and logistic regression test. Results: This research pointed out that there were 20 students (18.3%) who intensely play video games and have a high rate of working memory capacity. The data analysis of chi-square test indicated that p=0,000 with Odds Ratio 16,364. The data analysis of logistic regression test established that the intensity of playing video games is the most significant risk factor and variable toward working memory capacity. Conclusion: The intensity of playing video games relates positively to working memory capacity in Students of Faculty of Medicine at Sebelas Maret University. Keywords: duration, frequency, intensity, video games, working memory capacity
Hubungan Tingkat Pengetahuan tentang PPOK dengan Ketaatan Pengobatan Pasien PPOK di RSUD Dr. Moewardi Maria Dewi Caetline; Yusup Subagio Sutanto; Bhisma Murti
Nexus Kedokteran Komunitas Vol 1, No 1 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a non-infectious chronic and progressive disease, that has become one of the major causes of morbidity and mortality in the world. The treatment management of COPD is complex. Factors that can optimize treatment include patient acceptance to disease process, knowledge, trust in the treatment, effective patient-doctor communication, and adherence to treatment. This study aimed to analyze the association between knowledge of COPD and adherence to treatment among patients with COPD. Methods: This analytic study was observational with cross-sectional approach. A sample of 40 study subjects was selected by exhaustive sampling from outpatients with COPD visiting the Pulmonary Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using a set of questionnaire. The data was analyszed using multiple logistic regression model on SPSS version 17 for Windows. Results: Patients with high level of knowledge had 20 times as many level of adherence to COPD treatment than those with low level of knowledge (OR=21.01; 95%CI 2.08 to 211.98; p = 0.001). This estimate has controlled for the effects of confounding variables such as payment method, age, and gender. Conclusion: There is a statistically significant association between knowledge of COPD and adherence to treatment among patients with COPD. This conclusion is drawn after controlling for the effects of confounding factors such as payment method, age, and gender. Keywords: COPD, knowledge, adherence to treatment

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