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Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 334 Documents
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Hubungan Endometriosis dengan Infertilitas pada Pasien Poliklinik Obstetri Ginekologi dan Klinik Fertilitas Sekar RSUD Dr. Moewardi Surakarta Shabrina, Irsalina Nur; Oepomo, Tedja Danudjo; ., Yulia Sari
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Women with endometriosis have a difficult pregnancy. Nowadays, infertility becoming a difficult problem towards married persons, especially for the wife,  from this research would known the fact is it true that endometriosis is a disease that is often found in infertil woman. This study aims is to determine the relationship between endometriosis and infertility among the patients at RSUD Dr. Moewardi Surakarta. Methods: This study was an observational analytic studies, with case-control approach. Data were taken from female patients who had been hospitalized on the Obstetrics Gynecology Clinic and Sekar Fertility Clinic of RSUD Dr. Moewardi from January 2012 to July 2013, interviews were conducted with a questionnaire to find out the history of parity. Data were analyzed by chi-square statistical test (α = 0.05). Results: Based on the research towards 44 sampels, consisted of 22 samples of cases and  22 samples of controls were identified that there were 16 infertile women with endometriosis, 2 fertile women who have endometriosis, 6 infertile women without endometriosis, and 20 fertile women without endometriosis. Chi Square statistical test results showed a significant relationship between endometriosis with infertility with p = 0.00 (p <0.05). Conclusions: There is a statistically significant relationship between endometriosis with infertility (p = 0.00) among the patients of RSUD Dr. Moewardi Surakarta. Keywords: endometriosis, infertility  
Hubungan Endometriosis dengan Dismenore pada Pasien Poliklinik Obstetri dan Ginekologi di RSUD Dr. Moewardi Rachmawan, Dian Fikri; Oepomo, Tedja Danudjo; Wiyono, Nanang
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Generally, reproductive-aged and unpregnant women experience menstruation which is able to be accompanied by dysmenorrhea. Dysmenorrhea prevalence ranged from 1.7% – 97% in 106 studies, which is involving 125.249 women. In 20 high-quality studies with representative samples, dysmenorrhea prevalence was reported between 16.8% – 81%. Approximately, there were 60% – 70% of Indonesian women who  experienced dysmenorrhea during menstruation with 15% of them complained that their activities were limited due to dysmenorrhea. One of the significant risk factors that cause dysmenorrhea is endometriosis. Nevertheless, there is no definitive data on dysmenorrhea caused by endometriosis in Indonesia. In fact, endometriosis would greatly impact the quality of life of a woman. The present study aims to determine the association between endometriosis and dysmenorrhea among patients admitted on the Obstetrics Gynecology Clinic of RSUD Dr. Moewardi. Methods: The present study was as an analytical observational study with cross sectional approach. A total of 45 subjects were selected from medical records of RSUD Dr. Moewardi by stratified random sampling technique, which subsequently were divided into 2 groups, namely; 15 patients of endometriosis group and 30 patients of gynecologic malignancies other than endometriosis group. Data was collected by interviewing patients and asking them to fill out the questionnaire. Data was analyzed by using Chi Square test and processed with Statistical Product and Service Solutions (SPSS) 19.00 for Windows. Results: Chi Square test showed OR = 24,182; CI 95% = 2,788 – 209,764; and p = 0,000. Patients diagnosed by endometriosis are at risk for dysmenorrhea 24,182 times greater than patients with gynecologic malignancies other than endometriosis. Conclusions: There is a significant association between endometriosis and dysmenorrhea among patients admitted on the Obstetrics Gynecology Clinic of RSUD Dr. Moewardi. Keywords: Endometriosis, dysmenorrhea, stratified randim sampling.  
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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Abstract

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 
Perbandingan Sensitivitas dan Spesifisitas antara Pengukuran Lingkar Lengan Atas, Lingkar Pinggang dan Lingkar Leher untuk Identifikasi Anak dengan Obesitas Irawati, Cempaka; Nugroho, Hari Wahyu; 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: Childhood obesity is a global phenomenon. Oneoften childreninthe worldare over weight. Then in Indonesia, the prevalence of childhood obesityis relatively increasedyear to year. Screening forobese childrenneeds to be doneearly, given thatobesity inchildhoodis likely to leadtoadultobesitylater. Anthropometric measurements are easy and inexpensive way. Therefore, there was some studies using anthropometryas the tool for identify obesityin addition to body mass index(BMI), which is the gold standard. However, there is no studies have compared the validity of assorted anthropometricas a tool to identify obese children, so that there searcherintends to compare the sensitivity and specificity between mid-upper arm circumference (MUAC), waist circumference (WC), and neck circumference (NC) in identification obese children. Methods: This study is observational analytic cross sectional approach. A sample included 72 children who were aged 6 to 12 years from four elementary school in Surakarta. Sampling population was obesity and healthy children (controls) who selected by simple random sampling had been carried out previously by fixed disease samples. Then the child was measured height, weight, MUAC, WC, and NC. Height and weight will be converted into BMI to determine obesity or not. Data were analyzed with diagnostic tests are grouped in table 2x2. From diagnostic test, we can determine the sensitivity and specificity. Furthermore, data were analyzed by Chi Square test and analysis receiver operating characteristic curve (ROC) to determine accuracy. Results: Among 72 children, 51,4% are male. MUAC (≥ percentile 90th), WC (≥ percentile 90th) and NC (cut off point 27,0-31,5) are significantly correlated with BMI. The sensitivity of MUAC was 58,33% with specificity 100%. The sensitivity of waist circumference was 66,67% with specificity 97,22%. The sensitivity of the neck circumference was 80,56% with specificity 63,89%. Conclusions: MUA Cisthe best measuring tool to identification obesityin children because it hasthe highest specificity, that is 100%. Keywords: Mid-upper arm circumference, waist circumference, neck circumference, obesity, children 
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

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Abstract

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 
Hubungan antara Frekuensi Masturbasi dengan Indeks Prestasi Belajar pada Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret Rizaldi, Gerry Febrian; Makmuroch, .; 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: Masturbation is generally defined as the deliberate stimulation of the genital organs is performed on to obtain sexual pleasure and satisfaction. Masturbation can cause disruption of concentration on a particular teens. For a student or students, the important factor is the ability to support the achievement of learning memory and concentration as internal factors. The purpose of this study was to determine the relationship between the frequency of masturbation with the index student learning achievement in medical school, Sebelas Maret University. Methods: This research is a descriptive analytic cross with sectional study approach. Samples were taken using a total random sampling method. Researchers took a sample of 170 people. Data were obtained by questionnaire. Data were analyzed using the Statistical Product and Service Solutions (SPSS) 17 for Windows statistical test "Chi Square". Results: A total of 139 respondents consisted of 65 respondents to the frequency of masturbation > 2x a week and 74 respondents with masturbation frequency ≤ 2x a week. Chi Square test showed statistical calculation results of p < 0.05 is p = 0.000; OR = 1.23. Conclusions: The analysis showed there is a relationship between the frequency of masturbation and the index student learning achievement in this research Keywords: masturbation – index student learning achievement – students  
Perbedaan Tingkat Kecemasan Antara Siswa yang Mengikuti Dan tidak Mengikuti Bimbingan Belajar Dalam Menghadapi Ujian Nasional Di SMA Negeri 5 Surakarta Parendra, G. Harldy; Hadin, Yusvick; Sari, Yulia
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety is the signal awakening, warning the presence of treating hazard and enabling an individual to take some measures to deal with the threat. National exam is one factor that can result in anxiety in the students. Learning guiding is one of learning infrastructures out of school time functioning to help the student practice solving the problem quickly. This research aimed to find out whether or not there is a difference of anxiety level between students attending and those not attending Learning Guiding in Facing National Exam.   Method: This study was an analytical descriptive research using cross sectional approach. This research was conducted in SMA Negeri 5 Surakarta. The sample was taken using purposive sampling followed by random sampling. The sample was divided into 2 groups: the students attending and those not attending learning guiding. The students then filled in (1) personal data form, (2) L-MMPI questionnaire, (3) TMAS questionnaire, if the students did not meet inclusive and exclusive criteria and result of L-MMPI questionnaire ≥ 10, the sample cannot be chosen. The-60 samples obtained were analyzed using Chi Square using SPSS program 17.00 for Windows Program. Result: This research showed the c2 Chi-Square value of 1.684, while p = 0.194 or p > 0.05 meaning that there was no difference of anxiety level between the students attending and those not attending learning guiding in facing National Exam. Conclusion: There was no difference of anxiety level between the students attending and those not attending learning guiding in facing National Exam. Keywords: Learning Guiding, Anxiety. 
Hubungan Status Ekonomi Orang Tua dengan Depresi pada Remaja di SMA N 8 Surakarta Rahmawati, Noviana; Machmuroch, .; Suparman, .
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Depression in adolescents due to increased life that full of stress (pressure) and demands are not fulfilled when solving problems. It can be caused by various factors, such as self-pressure, outside pressure, problems with friends, and also economic of family issues. Socioeconomic status relate to physical and mental health of adolescents. This study aims to determine the relationship of the economic status of parents with depression in adolescents at SMA N 8 Surakarta.   Methods: This study is a correlational study with cross sectional approach held from October to November 2013 in the SMAN 8 Surakarta. A total of 94 studens were taken by simple random sampling method. Subject was asked to fill out the form identity, informed consent and questionnaires. Then the results of the questionnaire were tested by Contingency coefficient through SPSS 17.0 for Windows. Results: The samples used were 94 students. A total of 64 students (68.1%) have parents with high economic status. The rest as many as 30 students (31.9%) have parents with low economic status. Distribution of depression showed 39.4% of students have mild depression, 31.9% of students have middle depression, the remaining 28.7% of students have severe depression. The cross distribution of these two variables showed that students with a low economic status were more severely depressed, while students with high economic status were less severely depressed. Contingency coefficient (C) statistical test of 0.248 indicates that the degree of closeness of the relationship between the two variables is weak. Conclusions: There is a relationship of economic status with the incidence of depression in adolescents at SMAN 8 Surakarta with the level of relationship between the two variables is weak. Keywords: Economic Status, Adolescents, Depression 
Hubungan antara Optimisme dengan Kualitas Hidup pada Pasien Lupus Eritematosus Permitasari, Akrim; Nurudhin, Arief; Wicaksono, Bagus
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Systemic Lupus Erythematosus (SLE) is an auto-immune disease that is vary since its relapse period (flare) and remission period. The occurence of flare on SLE consist of many factors, one of them is depression that is caused by stress. While, the optimists are known as people who have good ability on dealing with stress. This research is aimed to find out the relation between optimism and living quality of patients who suffered from SLE. Research Method: This research was an analytic observational research with cross sectional approach. The sample was SLE patients who are fused in Griya Kupu Surakarta community. This research conducted by filling out the quetionnaires, optimism quetionnaire (Life Orientation Test-Revised) and quality of life quetionnaire (SF-36). From these two data, the researcher did the analysis using Pearson’s product moment correlation analysis. Then, the data were treated by using SPSS 14,0 for Windows application. Result: Based on the analysis, there were some result obtained: there was a strong unidirectional relation (r = 0,613) and significant (sig = 0,000) between optimism and quality of life. There was varied relationship between optimism and quality of life on each domain. Optimism had strong unidirectional relation on physical function domain (r = 0,515, sig = 0,003), pain domain (r = 0,570, sig = 0,001), social function domain (r = 0,602, sig = 0,000) and general health (r = 0,614, sig = 0,000). Optimism had quite strong unidirectional relation with physical role domain (r = 0,329, sig = 0,071), the role of emotion domain (r = 0,429, sig = 0,016) and energy domain (r = 0,498, sig = 0,004). But, on physical role domain (sig = 0,071) this result was not significant.  Optimism had inversely relation with mental health (r = -0,318, sig = 0,087), this result was not significant. Conclusion: Based on this research, it can be concluded that there is a strong relation (r = 0,613, sig = 0,000) between optimism and quality of life of Systemic Lupus Erythematosus  patients. Key Words: Systemic Lupus Erythematosus, Optimism, Quality of Life 
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

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Abstract

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.  

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