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Nexus Kedokteran Komunitas
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 306 Documents
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Train noise influence to insomnia level of residents living alongside railway in Gilingan Surakarta Hanif Nugra Pujiyanto; R. Aj. Sri Wulandari; Amandha Boy Timor Randita
Nexus Kedokteran Komunitas Vol 5, No 1 (2016): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background Noise is one of the most disturbing environmental hazards in the world. Exposure to noise can cause health problems such as insomnia. Train is one of the transportation which can cause noise in the surrounding area. At Gilingan Surakarta many people live in the area around the railway, which is certainly have potential negative impact from the train noise to health, such as insomnia.Methods: This study was observational analytic with cross sectional study approach. Respondents were selected by simple random sampling method. Measurement of train noise was using the Sound Level Meter. The sample was 90 Surakarta Gilingan residents that were divided into 3 areas of noise. Respondent data retrieval is done by filling preliminary questionnaire which consisted of identity and informed consent, a questionnaire Lie - scale Minnesota Multiphasic Personality Inventory ( LMMPI ) to determine the honesty of respondents, and the questionnaire Insomnia Rating Scale to measure the degree of insomnia respondents. Statistical analysis using the Kruskal - Wallis test. This study aims to determine train noise influence to insomnia level of residents living alongside railway in Gilingan Surakarta.Results: In all of the area was found that noise level exceeds the standard noise level for housing and residential areas that was determined by the Ministry of Environment. In the area I, was found that the average noise level was 82.6 dB , while for area II was 72.8 dB, and area III was 57.1 dB. The result of the Kruskall-Wallis test for insomnia level was 0.42 that means among the three groups did not have statistically significant differences. Conclusions: There was no significant influence of train noise to the insomnia level of residents living alongside railway in Gilingan Surakarta. Keywords: train noise, insomnia level
Hubungan Status Ekonomi dan Tingkat Pengetahuan TB Dengan Keterlambatan Pasien Dalam Diagnosis Kasus TB Paru Caesaria Sarah Selleca; Yusup Subagio Sutanto; . Reviono
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Lately, there are a lot of TB cases with late diagnosis. Economic status and knowledge are one of many factor that could lead to late diagnosis in patient with pulmonary tuberculosis. This study aims to know the risk factors of economic status and knowledge to the incidence of TB patient with late diagnosis. Subject and Methods:This study used an observational analytic cross-sectional study approach (cross-sectional). It was held on May to August 2012 in Balai Besar Kesehatan Paru Masyarakat (BBKPM) Surakarta. The research subjects are 60 patient with new cases of pulmonary TB sampled by consecutive sampling method. The subjects were asked to answer a questionnaire about the late diagnosis, economic status (income) and the knowledge of TB. Data were analyzed using multiple linear regression analysis method (multivariate). Results:From 60 samples, there are 31 people with low economic status and 29 people with high economic status. Samples with high TB knowledge are 34 people and samples with low TB knowledge are 26 people. There are 38 people with late diagnosis and 22 people do not experience the late diagnosis. Economic status (income) has an effect on patient late diagnosis. Patients with lower incomes, on average, visit for the first time to a health facility 165.68 days slower than those with higher incomes (b: 165.68; 95% CI -33.21 s / d 364.56, p = 0.101) .Patients knowledge about TB also has an effect on patient late diagnosis. Patients with a low level of TB knowledge, on average, visit for the first time to a health facility 128.84 days slower than patients with high levels of TB knowledge (b: 128.84; 95% CI -71.73 s / d 329.40, p = 0.204). Conclusions:There is a relationship between economic status and level of knowledge of TB with patients delay, but the results were not statistically significant. Keywords: economic status, level of knowledge of TB, the patient delays
Perbedaan Usia Menarche Siswa SMP Ditinjau dari Etnis Jawa, Tionghoa dan Arab di Surakarta Isna Noor Rakhmawati; Annang Giri Moelyo; Suci Murti Karini
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): 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. In many studies, race and ethnicity has been shown to contribute to the age of menarche. The objective of thisstudy is to identify the difference of menarches agein junior high school girls among Javanese, Chinese and Arabian ethnic in Surakarta. Method :This wasa cross sectional study. Two hundred and thirty healthy Javanese, Chinese and Arabian students from 8th grade of 3 junior high schools in Surakarta were fulfilledthe restriction criteria. Age of menarche and ethnicity of the students were collected through a questionnaire. The difference of menarches ageamong those three ethnics were analyzed by Kruskal Wallis in SPSS 17.0 for Windows. Result :Of 230 subjects, 151 (65.65%) students were Javanese, 42 (18.26%) students were Chinese and 37 (16.09%) students were Arabian. Two hundred and fourteen (93.04%) students had recently experienced menarche. The mean age of menarche was 11.9 (SD 0.85) years old and the youngest age of menarche was 9.9 years old. The mean age of menarche in Javanese was 12 years old, in Chinese was 11.8 years old and in Arabian was 11.9 years old. Kruskal Wallis test revealed no significant difference found in the age of menarche among Javanese, Chinese and Arabian (p = 0.567). Conclusion :There is no difference of menarches age in junior high school girls among Javanese, Chinese and Arabian ethnic in Surakarta. Keyword :Ethnic,Menarches Age
Correlation between Physical Activity and Erectile Dysfunction at Office Workers in Grogol Subdistrict, Sukoharjo Gabriella Diandra Nurbianto; Mujosemedi .; Bhisma Murti
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Erectile dysfunction is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Although it is a benign disorder, erectile dysfunction may affect physical and psychosocial health and may have a significant impact on the quality of life of sufferers and their partners. Physical activity is a protective factor for normal erectile function. Objection of this research is to know correlation between physical activity and erectile dysfunction at Office Workers in Grogol Subdistrict, Sukoharjo. Methods: This research was an observational analytic research in cross sectional study that has been done at Grogol Subdistrict, Sukoharjo on May-June 2014. The study was conducted on 40 men aged 30-50 years old, have been married for more than 2 years, have at least 1 child, in good income and economic condition, having graduated from junior high school, as permanent office worker, and passed the screening Lie-scale Minnesota Multiphasic Personality Inventory (LMMPI). In addition, they were not smokers, having no history of chronic disease, and or abnormalities of the genitals. Data collected by questionnaires and were analyzed with Chi Square test as well as Multiple Logistic Regression Analysis. Results: Twenty five out of forty subjects had high physical activity, 21 subjects out of them had no erectile dysfunction, in contrast, the other 4 subjects had. The rest of fifteen subjects of the others had low physical activity. Five subjects out of them had no erectile dysfunction, in contrast, 10 subjects out of the others had. It means that erectile dysfunction was more often presented in subject that had low physical activity than subjects that had high physical activity. Multiple Logistic Regression Analysis showed the value of p=0.049 and odds ratio=0.19. Conclusions: There is significant correlation between physical activity and erectile dysfunction at office workers in Grogol Subdistrict, Sukoharjo. High physical activity can reduce the risk of erectile dysfunction Keywords: Erectile dysfunction, physical activity, stress, office worker
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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Abstract

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.
Perbedaan Populasi Nyamuk pada Kelembaban Udara di Taman Kota Surakarta BACHELS J. S. A.; Sumardiyono .; Endang Sulaeman
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Air humidity affects the age, the distance fly, and the speed multiplied, also the habits of biting and rest of mosquitoes. City parks give a habitat for breeding mosquitoes. The density of top vegetations and bottom vegetations of city parks affect the air humidity. In the good air humidity mosquitoes are more quickly multiplied and the period of life of mosquitoes are longer so that the population mosquitoes will increase. This research aimed to know whether there are population differences of mosquitoes between citiy parks with the good air humidity and not so good in the city of Surakarta. Methods : This research was observasional analytic. The objects of this research are 2 citiy parks in Surakarta who has been measured its air humidity, then were clasified in city parks with the good air humidity for the growth of mosquitoes and not so good for the growth of mosquitoes. The data were conducted at regular intervals every 9 days following the life cycle of mosquitos and lasted for 53 days in accordance with the term of the living of mosquitos. Independent t Test (sig. = 0.05) was used to find out the role of the variables. Results : The result of the Independent t Test was obtained significant (p) 0.034 (p < 0.05). It shows that the differences of significant average between air humidity good and not so good with the population of mosquitoes In the City Parks of Surakarta. Conclusion : Air humidity affect the population of mosquitoes in the City Parks of Surakarta. Keywords: Air humidity, mosquitoes, Citys parks
Correlation between Physical Activity with Sexual Libido of Male Office Workers in Grogol Subdistrict, Sukoharjo Lauraine Wijayaningtyas Sinuraya; Rosalia Sri Hidayati; Bhisma Murti
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Sexual libido or sexual desire has been referred to as desire, appetite, drive and the motivation to seek out sexual satisfaction. Reduced libido is widely considered the symptomatic reflection of low testosterone levels in man. Physical activity is one way to increase testosterone release into circulation from Leydig cell in testis that can affect the libido itself. Objection of this research is to find whether a physical activity related to sexual libido, especially in Grogol Subdistrict, Sukoharjo. Methods: This research was an observational analytic research in cross sectional approaching that had been done at Grogol Subdistrict, Sukoharjo on Mei-June 2014. The study is conducted on 40 samples according to the inclusion and exclusion criteria that have been set. Data were collected from questionnaires by respondents. The data were statistically tested with Chi Square test, which is followed by using Multiple Logistic Regression Analysis to determine the relationship between variables which has controlled the confounding variable. Results: The statistical analysis result for Multiple Logistic Regression Analysis shows the value of p = 0.816 and Odds Ratio = 1.23. Conclusions: Based on the test result of Multiple Logistic Regression Analysis, it can be concluded that physical activity and sexual libido of male office workers in Grogol Subdistrict, Sukoharjo, is related in a negative way, but the result was not statistically significant. Keywords: Sexual libido, physical activity, stress, male office worker.
Relation Between Hypertension and Cognitive Impairment in Elderly at Posyandu Lansia Developed by Puskesmas Ngoresan, Surakarta Matius Dimas Reza Dana Ismaya; Ratna Kusumawati; Bhisma Murti
Nexus Kedokteran Komunitas Vol 6, No 2 (2017): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Hypertension is a condition of increasing blood pressure and it causes certain symptoms which will further damage the body. Elderly or a person older than 60 years old will be more susceptible to hypertension because there were many changes in body function and structure. Hypertension will lead to changes in vascular structures, disruption of cerebral autoregulation, white matter lesion, lacunar infarction, and eventually result in cognitive impairment. This study aims to determine a relation of hypertension to cognitive impairment in elderly at Posyandu Lansia developed by Puskesmas Ngoresan, Surakarta and factors which affect cognitive impairment. Methods: This was an observational analytic research with a cross sectional study. This research was done in Posyandu Lansia and general clinic of Puskesmas Ngoresan, Surakarta. The subject of the research was the elderly with hypertension at Puskesmas Ngoresan, Surakarta, male, aged ? 60 years, and literate. The 60 samples were taken using purposive sampling technique, which consist of 30 with hypertension and 30 without hypertension. Blood pressure was measured by using mercury sphygmomanometer. The assesment of cognitive function was done by using the Indonesian version of Montreal Cognitive Assessment (MoCA-Ina). The data were analyzed using chi square and multiple logistic regression. Results: The result of analytic test between hypertension and cognitive impairment showed significant relation (OR = 7.59; CI 95% = 1.73 33.30; p = 0,007). There was significant relation between smoking activity and cognitive impairment (OR = 0.07; CI 95% = 0.01 0.40; p = 0.003). Level of education and hypertension duration showed non significant relation to cognitive impairment with each value is p = 0.059; p = 0.697. Conclusions: Hypertension is a factor that increases the risk of cognitive impairment and smoking is a factor that decreases the risk of cognitive impairment. Keywords: Cognitive Impairment, Hypertension
Asosiasi Paparan Iklan Rokok dengan Pengetahuan, Sikap, dan Perilaku Merokok pada Remaja Nimfa Christina Rachmawati Wibowo; Ari Probandari; Arsita Eka Prasetyawati
Nexus Kedokteran Komunitas Vol 1, No 1 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Knowledge and attitude are factors influence smoking behavior among teenagers. Previous studies show that cigarette advertisements do not consistently affect on teenagers smoking behavior. This studyaimed to determine the association between cigarette advertisement exposure, knowledge, attitude, and smoking behavior among teenagers. Methods:A cross-sectional study was conducted during March 2012 among 98 students in SMP Negeri 01 Colomadu, Karanganyar. The sampling technique was a multistage cluster sampling. Cigarette advertisement exposure, knowledge, attitude, and smoking behavior data were collected using questionnaires, which were tested for its validity and reliability before. The data analyses used Spearman correlation and Chi-Square tests. Results:The study found a significant relationship between cigarette advertisement exposure and knowledge (r=-0.267; p=0.009). There was no significant relationship between cigarette advertisement exposure and teenagers attitude (r=-0.129; p=0.206). There were no significant relationships between cigarette advertisement exposure 1-10 times per week and past smoking(p=1,000; OR=0,917; CI95% 0,258-3,262),and with current smoking among teenagers (p=1,000; OR=0,971; CI95% 0,931-1,012). Cigarette advertisement exposure more than 11 per week increased a risk for past smoking 2.406 times (p=0,500; Cl95% 0,521-11,104), but not significantly. Conclusions:Cigarette advertisement exposure more than 11 per week associated with teenagers knowledge about cigarette and teenagers' attitude to cigarette and smoking. There is no significant relationship between cigarette advertisement exposure and smoking behavior among teenagers. Keywords:cigarette advertisement, knowledge, attitude, behavior, and smoking.
The Relation between Level of Knowledge and Attitude towards Practice of Rabies Disease in Residents in the Area of Puskesmas Kuta II Ni Kadek Ayu Septiani Sarjana; Arsita Eka Prasetyawati; Dyah Ratna Budiani
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Rabies is a disease of animals (usually vertebrate) which is zoonotic (transmissible to humans). Rabies occurs in 24 out of the 34 provinces of Indonesia. Rabies is caused by a virus in the Family: Rhabdivoridae, Genus: Lyssavirus. Control and vaccination strategies in dogs is deemed to be the most effective and economical method in preventing the incidences of rabies in humans. This study aims to determine whether there is a significant relationship between level of knowledge of and attitude practise employed for rabies in residents of the area covered by Puskesmas Kuta II. Methods: This is a cross-sectional study analysing observations in a sample of people. Sampling was carried out by simple random sampling of 96 residents in the area of Puskesmas Kuta II. In this study, the independent variables are knowledge of and attitudes towards rabies disease while the dependent variable is the practice for rabies. Data for these variables were collected via a questionnaire-based interview. Analyses were then carried out using the chi-square (x2) followed by multivariate analysis using multiple logistic regression, Results: This study showed that knowledge has a significant relationship with practice for rabies disease (p = 0.013; OR 4.240; 95% CI 1.352 up to 13.296). Attitude has a significant positive relationship with the value of practice for rabies disease (p = 0.015; OR 3.073; 95% CI 1.233 up to 7.627). The combined effect of knowledge and attitudes to practice for rabies were approximately 20.90% (Negerkerke R square = 0.209). Conclusions: There was a significant relationship between knowledge and attitudes to practice for rabies disease in residents in the area of Puskesmas Kuta II, the higher level of knowledge and improved attitudes will improve practice for rabies disease amongst residents in the area of Puskesmas Kuta II. Keywords: Rabies, Rabies Prevention, Knowledge, Attitude, Practice

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