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INDONESIA
Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Arjuna Subject : -
Articles 334 Documents
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Perbedaan Nilai Apgar antara Kelahiran Pervaginam dan Kelahiran Seksio Sesarea pada Partus Macet Wiryanto, Tri Budi; Sumardiyono, .
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Labour is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions. Obstructed labour can leading fetal asphyxia that indicate low APGAR score. In this case the delivery method can affect the state of the fetus. This study aimed to determine the difference APGAR score between vaginal delivery and caesarean section in obstructed labour. Methods: This analytic study was observational using cross sectional approach. The population of this study was all infants who was born by mother with  vaginal delivery and caesarean section deliveries in obstructed labor at RSUD Dr. Moewardi. A total of 30 subjects were selected by purposive sampling method in accordance with the inclusion criteria. The data of APGAR score was collected by viewing the medical records from the subject. The data was analyzed using Independent T Test on SPSS 16.0 for Windows program. Results: The analysis showed a difference between APGAR score (first and fifth minute) in each group was significant. The first minute APGAR score has p 0.021 obtained for delivery method. APGAR score at five minute has p 0.041 obtained for delivery method. APGAR score at ten-minute was not significant with the delivery method, with a p-value 0.059. Conclusions: There is statistically significant differences between APGAR score at first and fifth minute in vaginal delivery and caesarean section in obstructed labor. Keywords: apgar score,obstructed labour,delivery. 
Hubungan antara Anemia dan Kejadian Inersia Uteri di RSUD Dr.Moewardi Sari, Dhyani Rahma; Edwin, Eric; Damayanti, Kusmadewi Eka
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anemia is a condition of reduced levels of hemoglobin ( Hb ) which  leads to impaired maternal oxygen delivery to form energy in the uterine muscles to make contractions in labor. This research aims to investigate the relation between anemia and prevalence of uterine inertia. Methods: This was an analitic-observational cross sectional study using medical record data from 1 January 2012  – 30 May 2012 . A sample of 112 subjects was selected  from patiens who gave birth with anemia in Moewardi hospital. Sample was conducted in total sampling. Data were analyzed using Chi-Square test. The difference seen from the result by Risk Ratio ( RR ), while the significance of the result seen by the value of            p ( p < 0,05 ). Results: Analysis of Chi-Square test showed a statistically significant relationship between anemia and the prevalence  of  uterine inertia. The result obtained from the analysis was p = 0,001( p < 0,05 ). Conclusions: There is statistically significant relatonship between maternal anemia with prevalence of uterine inertia in Moewardi hospital during period the first of January 2012  – the thirtith of  May 2012  . Keywords: anemia, labour, uterine inertia.  
Perbedaan Kecemasan antara Kecerdasan Emosi Tinggi dan Kecerdasan Emosi Rendah pada Mahasiswa Angkatan 2010 yang Menghadapi Skripsi di Fakultas Kedokteran UNS Ferinawati, Adinda; Hadin, Yusvick M.; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety is a state of excessive tension or inappropriate tension which is characterized by feelings of worry, uncertainty, or fear. Anxiety can be overcome with good emotional intelligence. Of the five areas that exist in emotional intelligence, self recognizing and managing emotions are the aspects who have a big role to overcome anxiety.  This study aimed to determine  whether there is a difference of anxiety between high emotional quotient and low emotional quotient of  students year of 2010 doing mini thesis in Medical Faculty of UNS. Method: This research was an analytical descriptive research using cross sectional approach. The subjects were Medical Faculty students year of 2010 of Sebelas Maret University. Data were collected by using purposive sampling method within inclusion and exclusion criterias. Emotional quotient was measured by Emotional Quotient questionnaire, while anxiety was measured by Taylor Manifest Anxiety Scale. For assesing and finding honesty in answering questions given, was used L-MMPI scale questionnaire. Sixty samples were obtained and analyzed using Chi-Square test through SPSS 20.0 version for Windows program. Result: The result of research showed that 23 students (76.7 %) who have low emotional quotient were feeling anxious and 7 students (23.3 %) who have low emotional quotient were not feeling anxious. While 9 students (30 %)  who have high emotional quotient were feeling anxious and 21 students (70 %)  who have high emotional quotient were not feeling anxious. Chi-Square test showed the result of p = 0.000 and Odds Ratio = 7.667. Conclusion: There is a significant difference of anxiety between high emotional quotient and low emotional quotient of  students year of 2010 doing mini thesis in Medical Faculty of UNS. Keywords: Anxiety, emotional quotient, students doing mini thesis
Hubungan antara Kejadian Abortus Spontan dengan Paritas dan Usia Ibu Hamil di RSUD Dr Moewardi Badri, Dwi Septiadi; Melinawati, Eriana; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Abortion is one of the health problems that causing high morbidity and mortality. there are various factors suspected to be associated with the cause of abortion including the factor of age and parity. A very young or a very old maternal age can increase the risk of abortion. So does the parity, the more parity of the mothers, the higher the risk of abortion. The purpose of this study was to determine the incidence of spontaneous abortion associated with maternal age and parity status during pregnancy. Methods: This study was an observational analytic study using cross-sectional. A total of 40 study subjects were selected by purposive random sampling was the pregnant women who become inpatients at the Department of Obstetrics and Gynecology at Dr. Moewardi State Hospital Surakarta who met the inclusion criteria . Data were collected by direct interview to the patient . The data were analyzed using logistic regression analysis test. Results: Based on the research status of pregnant women with parity ≥ 4 are 8.53 times likely to experience spontaneous abortion ( p = 0.000 , OR = 8.53 ). While pregnant women with age of < 20 years and > 35 years are 14.77 times likely to experience spontaneous abortion ( p = 0.000 , OR = 14.77 ). Conclusions: There is a significant relationship between the incidence of spontaneous abortion with parity and maternal age. Pregnant women with parity status ≥ 4 are 8.53 times likely to experience a spontaneous abortion while pregnant women with age < 20 years and > 35 years are 14.77 times likely to experience spontaneous abortion. Keywords: spontaneous abortion , parity , age  
Perbedaan Tingkat Depresi Saat Menjalani Pembinaan Intra Mural dengan Saat Menjalani Pembimbingan pada Warga Binaan Pemasyarakatan Indanarta, Elga Putri; Fanani, Mohammad; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Correctional coached people, both in intra mural and in parole coaching are vulnerable to get depression. Depression is a syndrom of depressed mood with sympthoms and signs of pathologic sadness and suffering components. This study aimed to proof the difference of depression levels between inmates who are in intra mural coaching and correctional clients who are in parole coaching that inmates’ are higher than correctional clients’. Methods: This analytic study was observational with cross-sectional approach. 20 inmates who are in intra mural coaching at Class I Detention Center Surakarta (group 1) and 10 ex-inmates who had intra mural coached in Class I Detention Center Surakarta that now under parole coaching as correctional clients by Class II Correctional Center Surakarta (group 2) were taken as samples by total sampling from available population. The primary data were collected by questionnaire of Beck Depression Inventory that answered by the respondens after received some instructions. The data were analyzed using t test on Statistical Package for the Social Sciences (SPSS) version 16.0  for Windows. Results: Group 1 had depression score (mean±deviation standart) 23.85±7.13 and group 2  had 13.10±7.25. t test showed that depression levels of those groups were significantly different with p=0.002 (p<0.05). Conclusion: There is a statistically significant difference between depression level on inmates who are in intra mural coaching and on clients who are in parole coaching under the supervision of correctional system. Inmates who are in intra mural coaching had higher level of depression than ex-inmates who are in parole coaching as correctional clients. Keywords: depression, inmates, clients, correctional coached people  
Hubungan Antara Kejadian Abortus Spontan dengan Kadar Hemoglobin di RSUD Dr. Moewardi Sitorus, Andreas Peter; Melinawati, Eriana; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Many cases of abortions are caused by abnormal hemoglobin levels. World Health Organization (WHO) estimates that 35-75% of pregnant women in developing countries and 18% of pregnant women in developed countries undergo anemia while being pregnant. The purpose of this study is to determine the relationship between the incidence of spontaneous abortion with hemoglobin levels. Methods : This study is an analitic observational study with cross-sectional design. Its population are pregnant women who had been treated at the Obstetrics and Gynecology of Dr. Moewardi General Hospital. Subjects were taken with purposive random sampling technique. The data were collected using direct observation and subjects’ medical records. Data were analyzed using Chi Square. Results : The results of this study found 40 subjects due to the case of this study. Subjects with anemia who did not experience abortion counted only 2 people (5.0%) and subjects who experienced abortion counted as many as 17 people (42.5%). While subjects with normal hemoglobin levels who did not experienced abortion aggregates to 18 people (45%) and subjects who experienced abortion counted as many as 3 people (7.5%). The calculation obtained p-value = 0.000 <0.05, and OR = 0.020, which means there is a relationship between the incidence of spontaneous abortion with hemoglobin levels. Conclusions : There is a significant relationship between the incidence of spontaneous abortion with hemoglobin levels. Low hemoglobin levels will increase the risk of abortion.Keywords: abortion, hemoglobin levels, anemia 
Hubungan Kecerdasan Emosi dengan Insomnia pada Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Sebelas Maret Surakarta Nurharyani, Fitria Rahma; Fanani, Mohammad; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Insomnia was the most frequently sleep disorder; even for adolescents, and college students. Insomnia was caused by many factors including emotion. The low emotional intelligence could lead individuals to be vulnerable to stress and the manifestation of stress included anxiety and depression that caused insomnia. This research aimed to identify the correlation between emotional intelligence and insomnia among Medical Students in Faculty of Medicine, Sebelas Maret University. Method: This study was an analytical descriptive study with cross-sectional approach conducted from October to November 2013 in Faculty of Medicine, Sebelas Maret University. The sample was taken using total sampling technique after having been selected using inclusion and exclusion criteria of research. The sample could not be included if the questionnaire was incomplete. The subject filled in (1) informed consent and personal data form, (2) L-MMPI questionnaire, (3) Insomnia Rating Scale questionnaire to find out the insomnia score, (4) Emotional intelligence questionnaire to measure the emotional intelligence score of sample. Totally, there were 128 sample subjects. The data were analyzed using Spearman Correlation test with SPSS 17.00 for Windows program. Result: The statistical analysis showed the Spearman correlation score (r) = -0.094 and p = 0.146 or p > 0.05, it meant that the correlation between emotional intelligence and insomnia of Medical Students in Medical Faculty of Surakarta Sebelas Maret University was not significant. Conclusion: There is no correlation between emotional intelligence and insomnia of Medical Students in Medical Faculty of Sebelas Maret University. Keywords: emotional intelligence, insomnia, medical students. 
Perbedaan Depresi Siswa Kelas XII SMA Al Islam 1 Surakarta yang Tinggal di Asrama Binaan dan Orang Tua Kandung Inayati MS, Annisa; Susilohati, Mardiatmi; Wicaksono, Bagus
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Depression is a mood state or mood decline, marked by distress, decreased functional activity, moodiness, and loss of interest in all or a range of activities . During its development, a teenager is vulnerable with an identity crisis and depression. Being neighborhoods far away from parents spur the onset of depression. This study aims to find out the depression rate between among high school students of class XII SMA Al Islam 1 Surakarta who live in dormitories and live with their biological parent. Methods: The study was an analytical observational research using cross sectional approach implemented in Agustus 2013 in SMA Al Islam 1 Surakarta. The sample was taken using total sampling for the entire class XII. Purposive random sampling conducted for the dormitory student that can represent the whole dormitory students and performed simple random sampling for students who live with their own biological parents according to the number of samples required (sample of dormitory students). The samples filled in ( 1 ) Curriculum vitae form, (2) L - MMPI questionnaire to find out the respondent’s truthfulness in completing the questionnaire, ( 3) BDI questionnaire to assess depression score, score ≤ 9 means no depression and score > 9 means depression. Data obtained 72 students as the subject of research and the data were foanalyzed using Chi Square test through SPSS 17.00 for Windows . Results: This research showed the Chi Square (X2) value is 0,084, while the price of X2 table on db = 1 at the 0.05 significance level is 3.481. This means that the X2 count < X2 table. In addition the p-value calculated is 0.772 or p > 0.05, then the null hypothesis is accepted. Chi-square test result’s showed that there was no significant difference of depression level between students living in dormitories and students living with their biological parents. Conclusion: There was no difference of depression level among class XII students who live in dormitories and who live with their biological parents in SMA Al Islam 1 Surakarta. Thus the residence does not affect a students pattern of depression. Key words : depression, housing, dormitories, boarding, biological parents.  
Hubungan Keintiman Keluarga dengan Tingkat Kecemasan Pembalap Road Race di Surakarta Mardiawan, Zulhilmi Bramantyo; Hadin, Yusviek; Yuliadi, Istar
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Racer is a dangerous profession or a high risk job that can cause a death. Family is a places for a child who wants some needs and get fulfillthe needs. Moral can influence on the quality of racing and anxiety level riders. This study aims to determine the relationship of family intimacy with the anxiety level rider road race in Surakarta. Methods:This study was an observational analytic cross-sectional approach. Subjects were  racer in Surakarta. Road race rider interviews were conducted with a questionnaire to determine the level of anxiety with T-MAS scale and intimacy of the family concerned with Instrument Family Intimacy. Data were analyzed with the Pearson product moment statistical test (α = 0.05). Results: Of the sample obtained 30 racers. The results of data analysis showed a correlation coefficient of 0, 740 and p-value = 0.000 <0.05, so there is a significant relationship between the level of intimacy with the family of the anxiety level rider road race in Surakarta. Conclusions:There is a statistically significant relationship between the level of intimacy with the family of the anxiety level racer in Surakarta. This suggests that the higher the level of family intimacy anxiety levels further down. Keywords:family intimacy, anxiety, racer 
Perbedaan Perubahan Tekanan Darah Arteri Rerata antara Penggunaan Diazepam dan Midazolam sebagai Premedikasi Anestesi Wicaksono, Bagus; Donda, Melissa; Sudjito, Hadi
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Diazepam and midazolam is used as premedication for anesthesia. Diazepam and midazolam as the benzodiazepine drugs can cause changes in mean arterial pressure. This study aimed to prove the difference in mean arterial pressure changes between diazepam and midazolam as premedication for general anesthesia. Methods: This was an observational analytic study with cross-sectional method. Using consecutive sampling, we selected patients who fulfill the inclusive and exclusive criterias. Thirty patients were selected and divided into group of diazepam and midazolam. The first group was given diazepam 0.07 mg/kg intravenously and the second group was given midazolam 0.07 mg/kg intravenously. The blood pressure is recorded before giving the premedication and in five minutes after giving the premedication. The differences in mean arterial blood pressure between the two groups were analyzed by independent t-test. Results: The result showed a non-significant difference in mean arterial pressure before the administration (p=0.198, p>0.05) and five minutes after the administration of diazepam and midazolam (p=0.335, p>0.05). Conclusions: There is no significant difference in mean arterial pressure when using premedication of Diazepam and Midazolam administration. Keywords: Diazepam, Midazolam, Mean Arterial Pressure 

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