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Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
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Core Subject : Health,
Medicine & Pharmacology
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Articles 334 Documents
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Insidensi Infeksi Bayi Baru Lahir Berdasarkan Lama Ketuban Pecah Dini di RSUD Dr. Moewardi Surakarta Ernawati, Rika; Udiyanto, Hermawan; 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: The incidence of Premature Rupture of Membranes (PROM) approaches 10% of all delivered which one of the most pregnancy complications. During the latency period of PROM, the bacterias raise inflammation in the vagina, move up in the fetal membranes, umbilical cord, and placenta. Fetal infection caused by aspiration of infected amniotic fluid may lead neonatus stillbirth, preterm delivery, or neonatal sepsis. This study conducted to prove the differences of the incidence in neonatal infection based on the latent period of PROM at Dr. Moewardi Surakarta Hospital. Methods: An observational analytic study with cross sectional method conducted to mother criteria which were term gestation, aged around 20-35 years old, spontaneous vaginal delivery, give birth an infant with a birth weight ≥ 2500 grams. The independent variable was a latent period of PROM while the dependent variable was a neonatal infection. The subjects were divided into two groups: PROM < 24 hours and PROM ≥ 24 hours. Further, their neonatal were observed the results of blood culture, leukocyte, neutrophil, thrombocyte, and temperature through medical records. The variable was analyzed by Chi Square test. Results: The subjects were 64 samples in two groups, each consisted of 32 samples. The result of the test stated that the p -value was 0.040 (p < 0.05) with RR = 3.400, thus it could be conclude that there was a statistically significant difference in the incidence of neonatal infection based on the latent period of PROM, where the neonatal at PROM ≥ 24 hours had opportunity 3.4 times more than the risk of infection of the PROM  < 24 hours. Conclusion: There was a statistically significant difference in the incidence of neonatal infection based on the latent period of PROM at Dr. Moewardi Surakarta Hospital. Keywords: Premature Rupture of Membranes, Neonatal infection, Blood culture 
Hubungan Tekanan Darah dengan Skor Kualitas Hidup Terkait Kesehatan Pasien Pasca Stroke Iskemik di RSUD Dr. Moewardi Aziza, A Annisa Ashliyatul; Hartanto, O.S; Ghozali, Dhoni Akbar
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a major cause of disability and the fourth leading cause of death. The incidence and prevalence of stroke is directly proportional to the increase in blood pressure, any increase in systolic blood pressure of 10 mmHg and a diastolic blood pressure of 20 mm Hg will increase the incidence of stroke. High blood pressure in people with stroke adversely affect the quality of life of patients. This study was conducted to determine the relationship of blood pressure with quality of life score related to patient’s health after ischemic stroke in RSUD Dr. Moewardi. Methods: This study was an observational analytic study with cross sectional approach. This study was conducted in August-September 2014 in Neurology Outpatient Clinic of RSUD Dr. Moewardi. Sampling was done by exhaustive sampling, the selection was done by checking the inclusion and exclusion criteria of the sample. Measuring instrument used was a questionnaire Health Related Quality of Life (HR-QOL) SF-36. Data obtained were 36 research subjects and data analysis using multiple linear regression analysis test with SPSS 20.00 for Windows. Results: Seen from the patients blood pressure, the average systolic blood pressure 143 mmHg and the average diastolic blood pressure of 88 mmHg with an average quality of life of patients with ischemic stroke was 340.27. It was found that there was negative and significant correlation between systolic blood pressure with the quality of life of patients with ischemic stroke b = -3.86; p = 0.003 (p <0.05), there is negative correlation between diastolic blood pressure with the quality of life of patients with ischemic stroke b = -0.77; p = 0771 (p> 0.05), for confounding factors, there were negative and significant correlation between age and quality of life of patients with ischemic stroke b = -4.52; p = 0.008 (p <0.05). Adjusted R2 value = 0.59 showing 59% suitability model in population. Conclusions: Each 1 mmHg increase in systolic blood pressure will lower the quality of life score as much as 3.86 points and each 1 mm Hg increase in age would lower the quality of life score as much as 4.52 points.   Keywords: Blood Pressure, Quality of Life, Ischemic Stroke  
Hubungan Jenis Kelamin dengan Kualitas Hidup Terkait Kesehatan Pasien Pasca Stroke Iskemik di RSUD Dr. Moewardi Savitri, Martha Oktavia Dewi; Hartanto, Oemar Sri; Murti, Bhisma
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke has remained the top major killers during this last decade, actually as second leading cause of death in the world. Men suffers more stroke than women, yet the severity is worse in women.  Based on some literatures, the outcome after stroke is estimated by sex, female patient has poor recovery with greater chance of depression and tends to have more disabilities, impairments and dependencies in functional activities, which these will deteriorate patient’s health related quality of life (HRQOL).  This study aims to investigate  whether there is any correlation between sex and health related quality of life of post ischemic stroke patients. Methods: This study was performed using analytic observational method with cross sectional approach. Subjects were post ischemic stroke patients at Public Hospital Dr. Moewardi. Forty five samples were taken by using fixed exposure sampling method. Instruments used in this study were Health Related Quality of Life (HR-QOL) SF-36 and Family Support Instrument. Statistic test used in this study was multiple linear regression analysis. Results: Twenty three samples (51.1 %) were men. The average age of patients is around 59 years, with an average score of HR-QOL= 353.35. It has been found that there is significant negative correlation between female patients and HR-QOL for b= -69.35, p=0.000 (p<0.05). It also has been found that the confounding factor of age is negatively and significantly correlated to the HR-QOL for b= -3.84, p= 0.000 (p<0.05) and the confounding factor of family support has significantly positive correlation to HR-QOL for b= 10.33, p=0.000 (p<0.05). Adjusted R2= 0.95 showing the suitability of the model by 95% in the population. Conclusion: Female patients averagely have lower HR-QOL score as much as 69.35 than male patients. One year increment in age will decrease HR-QOL score as much as 3.84  points. And each 1-score increase in family support will enhance HR-QOL score as much as 10.33 points. Keywords: sex, age, family support, health related quality of life, post ischemic stroke patients 
Perbedaan Penurunan Fungsi Kognitif pada Pasien Stroke Iskemik Lesi Hemisfer Kanan dan Kiri Di RSUD Dr. Moewardi Sitaresmi, Adya; Widjojo, FX Soetedjo; Ghozali, Dhoni Akbar
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a major health problem in many parts of the world and is increasing in prevalence in line with modernization. Damage to brain cells after stroke cause cognitive function disability that affect the quality of life and independence of the patient. Decline in cognitive function relates to size and location of the lesion. This research aims to find out the differences in cognitive function loss between right and left hemisphere ischemic stroke patients. Methods: This research is observational analytic study with retrospective cohort design performed in an Outpatient Neurology Clinic at RSUD Dr. Moewardi. There are 30 patients as subject consists of 14 right hemisphere and 16 left hemisphere ischemic stroke patients. Sampling techniques is exhaustive sampling. Cognitive function of patients with ischemic stroke was measured using Indonesian version of MoCA (Montreal Cognitive Assessment) questionnaires. The data collected are presented in tabular form and analyzed using the multiple linear regression analysis through SPSS 20.00 program for Windows. Results: The location of lesions influence cognitive function score significantly (p = 0,027) and there is a difference in which patients with left hemisphere lesion score lower cognitive function than patients with right hemisphere lesion with regression coefficient (β =-4.604). Age is a confounding variable on the relationship between lesion location with cognitive function. Age has negative effect on cognitive function, where the increase of age correlates with the declining cognitive function (p = 0.040; β = 0.228-). Conclusions: The decline of cognitive function in left hemisphere ischemic stroke patients is more severe than right hemisphere ischemic stroke patients. Keywords: Cognitive Function Decline, Right Hemisphere Ischemic Stroke, Left Hemisphere Ischemic Stroke  
Hubungan Kecenderungan Gangguan Kepribadian Antisosial dengan Adiksi Online Game pada Remaja Laki-laki Pengunjung Game Centre di Surakarta Pakha, Dyonisa Nasirochmi; Suwito, Djoko; Afifah, Zulaika Nur
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Online gaming addiction has become a health issue and brings a negative impact, especially in adolescents. One of the factors that predispose online gaming addiction is the tendency of antisocial personality disorder. The tendency of antisocial personality disorder has symptoms that can lead to addictive attitude. This study aims to determine the correlation between the tendency of antisocial personality disorder and online games addiction in adolescents game center visitor in Surakarta. Methods: This study used an observational analytic with cross sectional approach in ten game centers in Surakarta. Sampling was carried out in July and September 2014 using the inclusion and exclusion criteria that have been determined. The sampling technique used was the total sampling. The independent variable was the tendency of antisocial personality disorder that was measured by The Manson Evaluation Test questionnaire, while the dependent variable was online gaming addiction that was measured by Online Game Addiction Indonesia questionnaire. The data analysis used was Pearson correlation test which Kolmogorov-Smirnov data normality test was previously conducted. Results: This study got 53 samples with a mean age of 17 years, the average score of the tendency of antisocial personality disorder was 29.98±9.32, and the average score of online gaming addiction was 18.38±5.90. Data normality test showed a significance value of the tendency of antisocial personality disorder = 0.061 (p> 0.05) and for online gaming addiction = 0.200 (p> 0.05), which means that the data distribution of two variables were normal. Pearson correlation test results demonstrate the value of the Pearson correlation coefficient (r) 0562 with a significance value = 0.000 (p <0.05), which means that there was a moderate correlation between the tendency of antisocial personality disorder and online gaming addiction in adolescents game center visitor in Surakarta and the correlation was statistically significant. Conclusions: There is a correlation between the tendency of antisocial personality disorder and online gaming addiction in adolescents game center visitor in Surakarta. Keywords: The tendency of antisocial personality disorder, online gaming addiction, adolescents 
Pengaruh Krisis Hipertensi pada Fase Akut Stroke terhadap Activity of Daily Living Pasien Pasca Stroke di RSUD Dr. Moewardi Susilowati, Annisa; Danuaji, Rivan; Ghozali, Dhoni Akbar
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a problem for many countries in the world due to increase in line with the modernization and occurs most frequently in old age. Stroke incidence can cause functional acute brain disorder both focal and global which will end with disability or death. Crisis hypertensive is common in acute phase stroke patients who require proper treatment because it can aggravate brain damage and worsen outcome. Generally, post-stroke patients who can survive will be dependent on help of others in carrying out the activities of daily life. The decline in the independence of someone is one of functional outcome after stroke that needs more attention. Method: This study used observational analytic study design retrospective cohort approach in Outpatient Clinic of Neurology in RSUD Dr. Moewardi. Sampling was done by exhaustive sampling where all reasonable population is used as the study sample. Data collection techniques used questionnaires and interviews to respondents using the Barthel Index to measure Activity of Daily Living (ADL). This study analyzed the effect of crisis hypertensive on acute phase stroke to post-stroke ADL by controlling one of the confounding variable that is age. Data was analyzed using bivariate analysis that is chi square test and multivariate analysis with multiple logistic regression with SPSS 20.00. Result: Results of bivariate analysis showed that crisis hypertensive and age variables each significantly correlated to the post-stroke Activity of Daily Living. After controlling for confounding variables of age using multivariate analysis, found that the relationship of crisis hypertensive to post-stroke ADL remained significant (p = 0.006). The magnitude of the risk of poor ADL incident because of crisis hypertensive on acute phase stroke after considering age factor is 9.918 times (OR = 9,918). This means that post-stroke patients with crisis hypertensive in all age groups had 9.918 times greater risk for having poor ADL after stroke compared with patients without crisis hypertensive on acute phase stroke. Conclusion: Based on the results of this study concluded that crisis hypertensive on acute phase stroke has significant effect to post-stroke Activity of Daily Living in all age groups patients. Keyword: Stroke, Crisis hypertensive, Activity of Daily Living, post-stroke ADL 
The Relationship between Active Smokers Status and Spermatozoa Motility in Sekar Moewardi Fertility Clinic in Surakarta Jati, Bima Kusuma; Riyadi, Slamet; Widyaningsih, Vitri
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Bacground: Infertility problem occurs on 15% couples. Fifty percent (50%) of the problem is caused by male. Cigarette smoking can increase free radical and cause spermatozoa oxidative stress. The study aimed to investigate the relationship between active smokers and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. Methods: The cross-sectional analytic study was performed on 72 men aged 20-45 years who had semen analysis in Sekar Moewardi Fertility Clinic in Surakarta during 2014. Active smoker history was obtained by self reported questionnaire, and spermatozoa motility was obtained by medical record of the semen examination from the laboratory. Subjects were divided into active smokers and nonsmokers. The data was analyzed with SPSS 20.0 for Windows using Chi Square method. Results: The total number of active smokers was 39 (28%) and nonsmoker was 44 (61%). Subjects with motile spermatozoa were 47 (65%) and nonmotil spermatozoa were 25 (35%). It was found that there was no significant relationship (p = 0.247; RR = 1.45) between active smoker status and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. The study also showed that spermatozoa motility was related to neither BMI nor age in all subjects. Conclusion: There was no significant relationship between active smoker status and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. Further studies are needed to confirm and determine other risk factors which can decrease sperm parameter. Keywords: cigarrete, smoker, motility, spermatozoa, semen
The Effect of Ischemic Stroke to Cognitive Disorders in RSUD Dr. Moewardi Desvitarini, Arwindya Galih; ., Subandi; Ghozali, Dhoni Akbar
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is the fourth highest cause of death in the world after heart disease, cancer, and chronic lower respiratory tract disease. In Indonesia, stroke is the major cause of death, covering about 15.4% of deaths. Damage to brain cells due to stroke may cause cognitive dysfunction. Two-thirds of stroke patients may reveal cognitive degradation in various domains such as attention, language, memory, executive function, and visuospatial ability. This study aimed to analyze the effect of ischemic stroke to cognitive disorders. Method: This was an observational analytic study with cross-sectional approach which was conducted from July to September2014 at Neurology Outpatient Clinicof RSUD Dr. Moewardi Surakarta. A total of 50 subjects were obtained by fixed exposure sampling. The data were retrieved by using MoCA-Ina questionnaire and interviewing the respondents. The data were analyzed by Chi Square test and multiple logistic regression using SPSS 20.0 program for Windows. Result: Three independent variables were analyzed, which consisted of ischemic stroke, age, and level of education. Ischemic stroke was the only independent variable that associated with cognitive disorders significantly (p = 0.010). There were no association with cognitive disorders found in both age (p = 0.279 and level of education (p = 0.074). Conclusion: There is a significant association between ischemic stroke and cognitive disorders. Keywords: Ischemic stroke, cognitive disorder, MoCA-Ina 
Comparison of the Changing in Oxygen Saturation that is Induced Bupivacaine and Bupivacaine-Fentanyl in Spinal Anesthesia of Caesarian Section Patient Apriliawati, Fila; Sudjito, Mulyo Hadi; Sakiman, Bambang Sukilarso
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

ABSTRACT Background: Bupivacaine and Bupivacaine-Fentanyl mostly used in spinal anesthesia for prgenancy that need caesarian sections. Bupivacaine and Bupivacaine-Fentanyl influenced haemodynamic condition. One of the haemodynamic is respiration rate. When the respiration rate changed, it could change the oxygen saturation. Methods: Pregnant patients that need caesarean section with spinal anesthesia bupivacaine and bupivacaine-fentanyl were gathered. During the operation, oxygen saturation was observed with bed site monitor and it was noted. The data of oxygen saturation, data from medical record (age, weight, and height), and data of the previous research (bed site monitor) to be analyzed with Mann-Whitney test, Discriminant test, and Saphiro-Wilk test. Result: According to statistic analysis, there were no significant differences on the changing of oxygen saturation that is induced bupivacaine and bupivacaine-fentanyl in every phase (p >0.050 ). And, there were also no significant differences in the changing of oxygen saturation that was correlated with age (p=0.991), weight (p=0.986), and height (p=1.000). Conclusion: There were no diferrences on the changing of oxygen saturation that is induced bupivacaine and bupivacaine-fentanyl in the spinal anesthesia of caesarian section. There were no correlation also between age, weigth, and height because the homogenity of the sample.
The Correlation between Social Support and Depression in Female Student of 12th Class Al Islam 1 Senior High School Surakarta UTAMI, VICIANITA PUTRI; ., MOHAMMAD FANANI; ., SITI AISYAH
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The incidence of depression in adolescents can be very dangerous because it can affect learning in the school. To neutralize the incidence of depression in adolescents, we can apply good social support from family, friends, and the environment so the teenager can pass it well. The purpose of this study was to determine the correlation between social support and depression in female student of 12th class Al Islam 1 Senior High School Surakarta. Methods: This study is an observational study with cross sectional analytical conducted in July 2014 in Al Islam 1 Senior High School Surakarta. Sampling is conducted for all of the female students of 12th class, and then exclude sample that can’t be inclution and exclution criteria. Correspondent filling: (1) the contents of personal data; (2) L-MMPI questionnaire; (3) ISEL questionnaire to assess the social support scores; (4) BDI Questionnaire to assess depression scores. The data were obtained for 143 students and were analyzed using Spearman through 21.00 SPSS for Windows. Results: The analysis showed Spearman correlation coefficient -0.880; p = 0.000. The strength of the correlation values ​​included in the category of very strong (r = 0.8-1.00). p > 0.05 it can be concluded that H1 is accepted and Ho is rejected or suggest a correlation between social support and depression in female student of 12th Class Al Islam 1 Senior High School Surakarta. It also showed the negative direction of correlation. It means that the higher of social support, then lower the depression, and  the lower of social support, then higher the depression. Conclusions: There is correlation between social support and depression in female students of 12th class Al-Islam 1 Senior High School Surakarta. The correlation is very strong with the negative direction of correlation means that the higher of social support, then lower the depression, and the lower of social support, then higher the depression. Keywords: Adolescence, social support, depression 

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