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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 Overweight and Age at Menarche Students at Pangudi Luhur Bintang Laut Junior High School Surakarta Purnamasari, Rina Dwi; Dewi, Yulia Lanti Retno; Hidayanti, Rosalia Sri
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Age at menarche has declined in many countries. Decline in age at menarche is correlated with increase risk factor of many diseases. Overweight is known as one of many factors that affect menarche age. This research aim to determine the correlation between overweight and age at menarche in students at Pangudi Luhur Bintang Laut Junior High School Surakarta. Methods: This research used observational analytical study with the cross sectional approach. The subject of the research were female students of 7th grade at Pangudi Luhur Bintang Laut Junior High School in Surakarta that taken by purposive and simple random sampling techniques. 155 female students had to fill questionnaire about age at menarche. Weight and height of 155 female students were measured to calculate BMI. The final result of restricted samples were 30 female students classified as overweight. The collected data were analyzed with Spearman correlation test. Results: The result of Spearman correlation test was 0.277 as p value. So, there wasn’t a significant correlation between variables. Conclusions: This study shows no relationship between overweight and age at menarche students at Pangudi Luhur Bintang Laut Junior Hight School Surakarta. Keywords: overweight; age at menarche
The Correlation between Stress Level and Degree of Dysmenorrhea on Female Students at SMA Negeri 1 Surakarta Rahma, Mega Aini; Dewi, Yulia Lanti Ratna; Hidayati, Rosalia Sri
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds : Dysmenorrhea is a disorder or menstrual pain in the lower abdomen, buttocks, and spasmodic pain on the medial side of the thigh that may interfere their daily work. One of the risk factors that lead to the occurrence of dysmenorrhea is stress. This study aims to determine the correlation between stress level and degree of dysmenorrhea on female students at SMA Negeri 1 Surakarta. Methods: This study is an observational study with cross sectional approach. This study was conducted in SMA Negeri 1 Surakarta. The sample used was a student who had experienced menstruation, dysmenorrhea and stress, not smoking, not drinking alcohol, not having diseases associated with female reproductive organs, L-MMPI scores with the answer "No" ≤ 10, and willing to be respondent and approved informed consent. Sampling was done by purposive sampling after selected based on inclusion and exclusion criteria. The dependent variable in this study is the degree of dysmenorrhea, while the independent variable is the level of stress. Research subjects fill (1) the informed consent form and personal data, (2) L-MMPI questionnaire to determine the honesty of respondents in filling out the questionnaire, (3) DASS questionnaire to determine the level of stress, and (4) Questionnaires to determine the degree of dysmenorrhea. Data obtained by 92 research subjects and analyzed using Chi-square test followed by correlation Somersd. Results : From the analysis of data with numbers of significance α = 0.05 was obtained value of p = 0.022 (p <0.05) with correlation by 0.238. Conclusions : Statistically, there is a significant association with a weak correlation between stress levels with the degree of dysmenorrhea on female students at SMA Negeri 1 Surakarta. Keywords : Stress level, degree of dysmenorrhea 
Relationships between level of Knowledge and Perception with Motivation for Conducting HPV Cervical Cancer Vaccination in Female Senior High School Students with HPV Cervical Cancer Vaccination Program and Non Program in Badung Regency 2014 Swari, Ida Ayu Sinthia Pradnya; Hartanto, Rifai; Budiani, Dyah Ratna
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds : Cervical cancer is a cancer that occurred at cervical region of female reproduction organs and occupies the top level for causing women mortality in the world compared to other type of cancer. Cervical cancer is caused by Human Papilloma Virus (HPV) infection. HPV cervical cancer vaccination is one method to decrease cervical cancer occurrence. Good knowledge and perception are supposed to arise high motivation in conducting HPV cervical cancer vaccination. This research aims to know the relationships between level of knowledge and perception with motivation to conduct HPV cervical cancer vaccination in female senior high school students with HPV cervical cancer vaccination program and non program in Badung regency 2014. Methods : This research is an analytical observation. Sample of this research are 100 female Senior High School students in Badung regency which are chosen by simple random sampling. The data are collected by questionnaire related with knowledge, perception, and motivation, then analyzed with Double Logistic Regression. Results : This research results show that knowledge has significant positive relationship with motivation to conduct HPV cervical cancer vaccination (p = 0.001 CI 95% = 2.123-22.412). Perception also has significant positive relationship with motivation to conduct HPV cervical cancer vaccination (p = 0.011 CI 95% = 1.404-13.733). Knowledge and perception relationships with motivation to conduct HPV cervical cancer vaccination are 28.80% (Negelkerkel Rsquare = 0.288). Conclusions : There are positive relationships between level of knowledge and perception concerning motivation to conduct  HPV cervical cancer vaccination in female senior high school students with HPV cervical cancer vaccination program and  non program in Badung regency 2014, higher level of knowledge and better perception are related with higher motivation to conduct HPV cervical cancer vaccination in female senior high school students with HPV cervical cancer vaccination program and non program in Badung regency 2014. Keywords : Cervical Cancer, HPV Cervical Cancer Vaccination, Knowledge, Perception, Motivation. 
The Relation between Nutritional Status and Acne in Female Teenagers Ages 15-17 years old in Surakarta Chithivema, Egtheastraqita; Widardo, .; Riyadi, Slamet
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Acne is one of the most common skin problems especially on teenagers. Acne is resulted from chronic inflammation on sebaceous gland. Acne can be caused by some factors, one of them is the increase of sebaceous gland production which can be caused by over nutrition / obesity. This research aims to see the relation between nutritional status and acne on female teenagers age 15 – 17 years old in Surakarta. Methods: This is an observational analytic research with cross sectional approach. The research was done in 5 high schools in Surakarta, which are SMA Negeri 1, SMA Negeri 7, SMA Muhammadiyah 3, SMA Batik 1, and SMA Islam Diponegoro. Sample used are 15 – 17 years old female student, not on menstruation / 1 week before menstruation period, have not use cosmetics for the past 1 week, not on acne treatment, and not on antibiotic or steroid. The sampling method used was purposive random sampling after inclusive and exclusive selection based on research criteria. Dependent variable is acne, and independent variable is nutritional status. Research subject completed (1) informed consent, (2) acne questionnaire, (3) bio data and food recall questionnaire, (4) height and weight measurement. As much as 196 data were collected and analyzed using Chi-Squared followed by Odds Ratio (OR) finding. Result: Result shown p = 0,001 (p < 0,05) from data analysis with significance number α = 0,05 and OR value = 6,923. Conclusion: Statistically, there is a significant relation between nutrition status and acne on female teenagers age 15 – 17 years old in Surakarta. Keywords: acne, nutritional status 
Hubungan antara Andropause dengan Disfungsi Ereksi pada Pria di Kecamatan Jebres, Surakarta Prastiti, Rr Vita Aprilina; Hidayati, Rosalia Sri; Riyadi, Slamet
Nexus Kedokteran Komunitas Vol 4, No 1 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Andropause is used to describe the decline of testosterone in males which is a part of aging in males and affects many health parameters. Erectile dysfunction is a consistent or recurrent inability in males to attain and/or maintain a penile erection sufficient for sexual activity. Decreased testosterone levels can lead to physical and sexual performance in males slowly degenerate. This research aims to know the association between andropause and erectile dysfunction in males at Jebres, Surakarta. Methods: This research used a non-experimental analytical study using cross sectional approach that was done at Jebres, Surakarta on June 2014. The subjects of the research were males at Jebres, Surakarta chosen with a purposive random sampling technique. The size of the samples was 60 males according to the inclusion and exclusion criteria that had been set previously. Independent variable in this research was andropause while the dependent variable was erectile dysfunction. Respondents collected data from questionnaires. The collected data were analyzed with Chi-Square test, which was followed by using Contingency coefficient test to determine how closely the relationship of these two variables. Results: There was a significant association in the proportion of andropause among males with and without erectile dysfunction in Jebres population, Surakarta (p = 0.000; Cc = 0.444). Conclusions: There is an association between andropause and erectile dysfunction in males at Jebres, Surakarta. Keywords: Andropause, Erectile Dysfunction, Males, Surakarta
Differences of Onset Menopause between Combined Oral Pills Acceptors with Non Hormonal Acceptors in Jebres District, Surakarta Rini, Sanda Puspa; Sahir, Endang; Riyadi, Slamet
Nexus Kedokteran Komunitas Vol 3, No 2 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: The aim of the present study was to determine the difference of onset menopause between combined oral pills acceptors and non-hormonal acceptors in Jebres District, Surakarta. Combined oral pills contraception causes increased body fat so it can increase the estrogen production by the conversion of androstenedione in peripheral adipose, while non-hormonal contraception (Intra Uterine Device/IUD) does not have such a mechanism, but it may lead to perforation and Pelvic Inflamatory Disease (PID) which can damage womens reproductive organs. Methods: A cross sectional, observational analytic was conducted, in which the sampling technique was two stage cluster random sampling. The sample was 60 postmenopausal women aged 48-59 years old, consisting of 30 women as combined oral pills acceptors and 30 women as non-hormonal acceptors (IUD). This study was conducted in June-July 2014 in Jebres Districts, Surakarta. Data was analyzed by independent t-test by comparing the mean value of onset menopause of the two groups. Results: The results of the independent t-test showed a significant differences between the two groups with p = 0.026, t = 2.290, and 95% CI. The mean value of onset menopause of the combined oral pills acceptors is higher than non-hormonal acceptors (IUD). Conclusions: There are differences of onset menopause were statistically significant between the combined oral pills acceptors and non-hormonal acceptors in Jebres District, Surakarta. Combined oral pills acceptors had a mean onset of menopause is higher than non-hormonal acceptors. Keywords: onset of menopause, contraception, combined oral pills, non hormonal, IUD
The Correlation between Sleep Pattern and Mentruation cycle for Interns in RSUD Dr. Moewardi Surakarta Deaneva, Almira Muthia; Hidayati, Rosalia Sri; Sumardiyono, .
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Interns often have a poor sleep quality due to assignments, uncertain shift duty, and preparation for academical tasks. This poor sleep quality can impact organ system in our body, including metabolic system, endocrine, and immune system. One of the impact from poor sleep quality is menstruation cycle disorder. This study aimed to know the correlation between poor sleep quality and menstruation cycle for interns in RSUD Dr. Moewardi Surakarta. Methods: This study was observational analytic research with cross sectional approach. The subjects of this research were 40 female interns and conducted at RSUD Dr. Moewardi. The sampling method used was purposive sampling after selected based on inclusion and exclusion criteria of the study. The dependent variable in this study was menstruation cycle, while the independent variable was sleep quality. Research subjects completed (1) informed consent, (2) L-MMPI questionnaire to determine the honesty of respondents in filling out the questionnaire, (3) Pittsburgh Sleep Quality Index (PSQI), (4) menstruation cycle questionnaire. The data obtained was analyzed using SPSS 16 program with Chi-Square and Contingency Coefisien Results: The results using Chi square was X2= 4.912. Based on the data analysis with number of significance α = 0.05 obtained value of p = 0.027 (p <0.05), whereas Contingency Coefisien correlation was 0.331. Conclusion: There is significant relationship and weak correlation about sleep quality and menstruation cycle for interns in RSUD Dr. Moewardi Surakarta. Keywords: menstruation cycle, sleep quality 
The Difference of Increment of Length and Weight Gain Between Infants Aged 2-6 Months Who Received Exclusive Breastfeeding and Those Who Received Non Exclusive Breastfeeding in Regional Primary Health Center in Pajang Kusumawati, Evi; Widardo, .; Prasetyawati, Arsita Eka
Nexus Kedokteran Komunitas Vol 4, No 1 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Breastfeeding patterns can affect the growth of infant. Exclusive breastfeeding can provide enough nutritions for infant growth until the age of 6 months. The purpose of the research was to know the difference of increment of length and weight gain between infants aged 2-6 months who received exclusive breastfeeding and those who received non exclusive breastfeeding in regional primary health center in Pajang. Methods: This was an analytic observational study with cross sectional approach, using simple random sampling technique. The number of the samples was 60 infants aged 2-6 months from some Posyandu (integrated health service units) in the neighborhood of regional Primary Health Center in Pajang in May-July 2014. Increment of length and weight gain data obtained by measuring the difference between current length and weight and those at birth then divided by infants’ age. Breastfeeding pattern was derived from the questionnaire. Data were analyzed using statistical test Mann Whitney and Independent t-test. Results: The test result for increment of length among infant aged 2-6 months who received exclusive breastfeeding and those who received non exclusive breastfeeding using a statistical test Mann Whitney showed the value of p=0,025. The test result for increment of weight gain among infant aged 2-6 months who received exclusive breastfeeding and non exclusive breastfeeding using Independent t-test showed the value of p=0,002. Conclusions: There is significant difference of increment of length between infants aged 2-6 months who received exclusive breastfeeding and those who received non exclusive breastfeeding in Regional Primary Health Center in Pajang and there is significant difference of increment of weight gain between infants aged 2-6 months who received exclusive breastfeeding and those who received non exclusive breastfeeding in Regional Primary Health Center in Pajang. Keywords: Increment of infant length, Infant weight gain, Exclusive breastfeeding, Non exclusive breastfeeding
Poor Sleep Quality Increases Prevalence of Primary Dysmenorrhea on Medical Students Yudhanti, Melinda Didi; 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 Fisher’s 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 Fisher’s 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 Correlation between Working Memory Capacity and Grade Point Average of Medical Students Batch 2012 Faculty of Medicine Sebelas Maret University Ghazali, Itqan; Santoso, .; Hardjono, .
Nexus Kedokteran Komunitas Vol 4, No 1 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Learning achievement is an indicator of success in learning process. There are 3 – 17% of college students who have difficulty in learning that caused them to have low learning achievement. As one of cognitive ability, working memory is the major factor that affects learning achievement. Level of working memory affects someone’s ability to learn subjects, understand text book and solve problems in exam. Student with low working memory capacity mostly has poor learning achievement, hard to focus on teacher’s explanation and easily forget the instructions in learning process. Methods: This research is an observational analytic study with cross sectional approach. It was done in Faculty of Medicine Sebelas Maret University, Surakarta. Samples were students with age more than 16 years-old, Body Mass Index more than 17, never experiencing heavy head trauma, not having chronic disease, and were willing to be respondent and approved the informed consent. Sampling was done by purposive sampling method after selected based on inclusion and exclusion criteria. Result: Fifty five students were included in the study, 4 students (7.27%) with low working memory capacity and low GPA, 2 students (3.64%) with low working memory and high GPA, 21 students (38.18%) with high working memory capacity and low GPA, 28 students (50.91%) others were students with high working memory capacity and high GPA. Result shown p = 0.269 (p > 0.05) from data analysis with significance number α = 0.05 and Odds Ratio (OR) value = 2.67. Conclusion: There was no significant correlation between working memory capacity and GPA of medical student batch 2012 Faculty of Medicine Sebelas Maret University. Keyword: Working Memory Capacity, GPA, Learning Achievement, Medical Student. 

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