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Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Arjuna Subject : -
Articles 334 Documents
 12   13   14   15   16 
The Correlation between Platelet Count and Hematocrit concentration in Dengue Haemorrhagic Fever Patients at Moewardi Hospital SANTOSO, ARIFA MARTHA; Harioputro, Dhani Redhono; ., Hudiyono
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Dengue Haemorrhagic Fever (DHF) is the most common arbovirus on human, and causes hundreds of deaths every years. Two laboratory criteria used to diagnose this disease are thrombocytopenia and increased hematocrit concentration (hemoconcentration). The purpose of this study is to analyze the correlation between platelet count and hematocrit concentration in DHF patients. Methods: This research was observational analytic study with cross sectional approach at Moewardi Hospital. Sample was taken from adult DHF cases at Moewardi Hospital. The data was gathered from medical records of patients. Sample selection had been done by checking the inclusion and exclusion criteria of the study sample, and the amount of samples in this study was 142 subjects. Variables correlated were platelet count and hematocrit. The data was statistically analyzed using Kolomogorov-Sminov normality test and Pearson correlation test. Results: Patients’ age ranging between 18-71 years old, with the mean age was 28 years old. The mean platelet count was 69.000/µl. The mean hematocrit concentration was 43%. There was a significantly negative correlation between platelet count and hematocrit concentration in DHF patient, but this correlation was weak (p=0,008;      r= -0,222). Conclusion: There is a significantly negative weak correlation between Platelet Count and Hematocrit concentration in DHF Patients. The lower the platelet count, the hematocrit percentage would be higher. Keywords: Dengue Haemorrhagic Fever, Platelet Count, Hematocrit  
The Correlation between Serum Albumin Level with Ischemic Stroke Prognosis at Dr. Moewardi Hospital, Surakarta VALENTINE, VANNY SCARLETT; ., Suratno; Aryoseto, Lukman
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 can cause brain damage that ends up as a serious long-term disability. Some previous research mentioned that albumin as a neuroprotector in ischemic stroke. Albumin can improve ischemic stroke prognosis by anti-edema effects, hemodilution effects, and antioxidants effects. Methods: This study is an analytical observational research with a cross sectional approach. The amount of sample in this study is 32 ischemic stroke patients at Dr. Moewardi Hospital, Surakarta were selected by simple random sampling. The sample were selected according to both inclusive and exclusive criteria that determined by the researcher. The dependent variable in this study is ischemic stroke prognosis, the independent variable is serum albumin level, and confounding variable are age, stroke severity degree, premorbid conditions, and post-stroke complications. Researcher gives the explanation and helps the patients to fill (1) Biodata form and informed consent, (2) Serum albumin level, ages, stroke severity degree, premorbid conditions, and post-stroke complications, and (3) Barthel Index. The collective data were analyzed using the Spearman Test and then processed with odds ratio calculation. Then, confounding variable was calculated with binary logistic regression analysis. Result: Using Spearman Test obtained value (p) = 0,04 and a correlation coefficient of serum albumin level and ischemic stroke prognosis was 0.313. Based on the calculation, the value of odds ratio is 4.000 with Confidence of Interval is  0,828 – 19,325 (RO = 4,000, CI = 0,828 – 19,325). The result of binary logistic regression analysis was known that influential variable in ischemic stroke prognosis is stroke severity degree (RO = 36,000) and post-stroke complication (RO = 3.441.206.744). With constant at –23,463, obtained the equation: . Conclusion: There is a statistically significant relationship between serum albumin level with ischemic stroke prognosis at Dr. Moewardi Hospital, Surakarta. Patient with low level serum albumin has 4 times greater suffered worse ischemic stroke prognosis than patients with normal serum albumin level. Keywords: Albumin, stroke ischemic prognosis 
The Difference of Incidence of Pulp Necrosis with Chronic Apical Abscess among Hypertensive and Normotensive Patients in Dr. Moewardi Hospital Palayukan, Andrio; Cilmiaty, Risya; ., Marwoto
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Pulp necrosis is a continuation of pulp inflammation that did not receive adequate treatment. Necrotic pulp along with bacteria growing in the vicinity can cause an inflammatory response in the periapical tissues. The aim of this study was to determine the difference of incidence of pulp necrosis with chronic apical abscess between hypertensive and normotensive patients at Dr.Moewardi Hospial. Methods: The design of this study was case control with cross sectional approach. Data were collected from medical record of patient at dental outpatient clinic Dr. Moewardi Hospital from September 2013 to September 2014. Samples were taken by purposive sampling method. Samples were classified into four groups: patient with hypertension and pulp necrosis with chronic apical abscess, hypertension and dental caries, normotensive and pulp necrosis with chronic apical abscess, normotensive and dental caries. Data were analyzed by Chi Square test (α = 0.05). Result: There were 70 Subjects who met inclusion and exclusion criteria. The percentage of hypertensive and pulp necrosis with chronic apical abscess was 24.28%, hypertensive and dental caries was 2.86%, normotensive and pulp necrosis with chronic apical abscess was 40%, and normotensive with dental caries was 32.86%. The result of Chi Square test demonstrated a significant difference between the four groups with p = 0.007 (p < 0.05). Conclusion: There is a significant difference of incidence of pulp necrosis with chronic apical abscess between hypertension and normotensive patients at Dr. Moewardi Hospital. Key words: pulp necrosis, chronic apical abscess, hypertensive, normotensive 
The Differences of Schizoid Personality Score on Medical Students of Sebelas Maret University Years 2013 with High and Low Emotional Quotient Zilmi, Ivonny Rembulan; Sudiyanto, Aris; Hanim, Diffah
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Emotional quotient is needed to control emotional changes during teenager. Teenager is also known with personality finding. Personality is a combination of emotional, attitudes, and behavior patterns of individuals. Some teenagers may have a personality disorder. Schizoid personality is one of the exsample of personality disorder. Someone with schizoid personality is tilted to be alone, over introspection, do not have best friend (only one friend) and do not want to have a relation like that and also not sensitive with rules or social habit. This research aims to see the differences of schizoid personality score on medical students of Sebelas Maret University years 2013 with emotional quotient high and low. Methods : This is an observational analytic research with case control studies approach. The research was done in Faculty of Medicine Sebelas Maret University Surakarta. Sample used are medical students years 2013 who are 18-21 years old. The sampling method used was purposive sampling after inclusive and exclusive selection based on research criteria. Dependent variable is schizoid personality, and independent variable is emotional quotient. Research subject completed (1) informed consent, (2) L-MMPI questionnaire, (3) emotional quotient questionnaire, (4) schizoid personality questionnaire. As much as 72 data were collected and analyzed using Mann Whitney. Result : There are 72 samples who 18 years old (30.6 %), 19 years old (53.8 %), 20 years old (11.1 %) and girls (68.1 %). Students with high emotional quotient have schizoid personality score lower, and vice verca. The averages of schizoid personality score on high emotional quotient is 62.19 and on low emotional quotient is 69.83 (p = 0.000). Conclusion : Statistically, there is a significant differences of schizoid personality score on medical students of Sebelas Maret University years 2013 with high and low emotional quotient. Keywords : schizoid personality, emotional quotient 
Effect of Indonesian elderly exercise to muscle’s flexibility in Posyandu Lansia RW XV Gendingan, Jebres, Surakarta Widigdo, Stefanus Bramantyo; Tandiyo, Desy Kurniawati; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Motion limitation usually found as a result of the decreased flexibility of muscles in elderly. The decreasing flexibility might be prevented by doing physical activities. For elderly, the recommended physical activity was Indonesian elderly exercise. This study’s aim was to understand the effect of Indonesian elderly exercise to increase muscles flexibility in elderly. Methods : This study was a quasi-experiment using pre and post-test without control design method, which held on September-October 2014 in Posyandu Lansia RW XV Gendingan, Jebres, Surakarta. Sampling method was using purposive sampling, with inclusion and exclusion criteria. Data measured with chair-sit and reach test. Thirty subjects analyzed with marginal homogeneity test. Result : This study showed significant effect of Indonesian elderly exercise in increasing muscle flexibility of elderly. The marginal homogeneity test was p = 0.000 (< 0.05). Conclusion : There was significant effect from Indonesian elderly exercise in increasing muscle flexibility of elderly. Key Words : Elderly, Muscle Flexibility, Indonesian Elderly Exercise. 
Association between Glaucoma with Diabetes Mellitus and Hypertension Kalua, Karla; Kuntoyo, Raharjo .; Iryawan, Andri
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The roles of diabetes mellitus and hypertension in optic neuropathy by mechanical pathway and vascular pathway have been estimated. They cause elevated intraocular pressure by mechanical pathway and reduced ocular perfusion pressure by vascular pathway. This study aimed to find out whether there is association between glaucoma with diabetes mellitus and hypertension. Methods: This research was an analytical observational study with cross sectional approach. It was carried out in Dr. Moewardi Hospital, Surakarta from July 5th to October 11th 2014. Samples were patients in Dr. Moewardi hospital whom fulfill all of the inclusion criteria and none of the exclusion criteria. Sample size was 86 in which is taken by consecutive sampling. Data was from medical record and analyzed using Chi-square test, contingency coefficient test, and odds ratio (α=0.05). Results: Among 54 (62.79%) patients with glaucoma, 13 (15.12%) patients within diabetes mellitus, 33 (38.37%) patients within hypertension, and 8 (9.3%) patients within diabetes mellitus and hypertension. Among 32 (37.21%)  patients without glaucoma, 4 (4.65%) patients within diabetes mellitus, 21 (24.42%)patients within hypertension, and 7 (8.14%) patients within diabetes mellitus and hypertension. The association between glaucoma and diabetes mellitus is not statistically significant (p=0.169) with OR= 2.844 (CI95%, 0.690-5.258). The association between glaucoma and hypertension is not statistically significant (p=0.587) with OR= 1.375 (CI95%, 0.434-4.353). The association between glaucoma and diabetes mellitus with hypertension is not statistically significant (p=0.404) with OR= 0.621 (CI95%, 0.202-1.914). The correlation between glaucoma and diabetes mellitus is weak (r=0.236); the correlation between glaucoma and hypertension is negligible (r=0.065); and the correlation between glaucoma and diabetes mellitus with hipertension is negligible (r=0.090). Conclusion: There is no association between glaucoma with diabetes mellitus and hypertension in Dr. Moewardi Hospital. Keywords: glaucoma, blindness, diabetes mellitus, hypertension 
Behavioral Problems in Children Patient with Epilepsy in RSUD Dr. Moewardi Surakarta Budiati, Rachmania; ., Mustarsid; ., Sumardiyono
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Epilepsy is a chronic neurological disorder impacting on the child development. Children with epilepsy are at considerable risk for behavioral problems such as hyperactivity disorder, emotionality, and conduct problems. Comprehensive care including assessment of behavioral problems is needed for epileptic children. This study aimed to determine the differences in behavioral problems in children patient with epilepsy compared with children patients without epilepsy. Methods: The cross sectional study was conducted by 36 patients which consist of 20 children with epilepsy and 16 children without epilepsy in the pediatric clinic of RSUD Dr. Moewardi who met the inclusion criteria. Behavioral problems were screened by using the Strength and Difficulty Questionnaire (SDQ) Indonesian version. Data were analyzed by Fisher’s test and binary logistic regression. Results: Groups of children with epilepsy were significantly higher experiencing behavioral problems (36,1% vs 2,8% in controls, p < 0.001). Significant differences were also found in the percentage of emotional disorders and hyperactivity (p = 0.018 dan p = 0.004). Based on the multivariate analysis using binary logistic regression we concluded that the factors associated with behavioral disorders in children with epilepsy were the presence of a focus on EEG (95% CI 1.68–238.63, p = 0.018) and AED’s polytherapy (95% CI 1.03-67.14, p = 0.046). We also found that the presence of a focus on EEG was a factor related to hyperactivity (95% CI 1.75-141.40, p = 0.014). Conclusions: Children patient with epilepsy have at greater risk behavioral problems than children without epilepsy. A focus on the result of EEG  and AED’s polytherapy are factors associated with increased risk of behavior problems in children with epilepsy. Keywords: epilepsy, children, behavioral problems, SDQ 
The Difference of Anxiety Level and Family Support Between Congenital and Non Congenital People with Physical Disabilities in BBRSBD Prof. Dr. Soeharso, Surakarta Nugraha, Desvian Adi; ., Makmuroch; Sahir, Endang
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety arises due to various factors, like a state of physical disabilities. Family support is very important to eliminate those anxiety. This study aimed to know the difference of anxiety level and family support between congenital and non congenital people with physical disabilities in BBRSBD Prof. Dr. Soeharso, Surakarta.Method: This study is an observational analytic with cross-sectional study design. The study was held in BBRSBD Prof. Dr. Soeharso, Surakarta. The samples are 60 people consist of 30 congenital and 30 non congenital disabilities. The independent variable is congenital and non congenital disabilities. The dependent variables are the level of anxiety and family support. Samples were measured about their L - MMPI, TMAS and family support score. The results were tested by t test.Results: Statistical analysis for the study of t test in TMAS score has p value = 0.984 (> 0.05 ) so there is no difference of TMAS score significantly between congenital and non congenital disablility groups.While p value of family support is 0.115 (> 0.05), so there is no significant differences of family support between congenital and non congenital disablility groups.Conclusion:There is no difference of anxiety level and family support significantly between congenital and non congenital people with physical disabilities in BBRSBD Prof. Dr. Soeharso, SurakartaKeywords: Disability, anxiety, family support 
Platelet and Leukocyte Count Difference on Clinical Degrees of Dengue in Children in Dr Moewardi Hospital Surakarta. Putro, Jati Febriyanto Adi Listyono; Nugroho, Hari Wahyu; ., Hudiyono
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Dengue Hemmorhagic Fever is still one of the major public health problem in Indonesia. The classification of Dengue severity from mild to severe is very important because it can prevent the progression of Dengue. Unfortunately the WHO 2011 criteria for Dengue severity only contains the clinical symptoms of patients without including the exact value of complete blood count, like platelet and leukocyte, in each degree. This study was conducted to determine whether there was a difference between the value of platelet and leukocyte in each clinical degree of Dengue Methods: This research was an analytical observational study with cross sectional approach. It was carried out in Dr. Moewardi hospital, Surakarta from July to October 2014. Children who were hospitalized in Dr. Moewardi hospital from January 1st to December 31st 2013 whom fulfill all of the inclusion criteria and none of the exclusion criteria were eliglible. Data was taken from medical record an analyzed using Kruskal-Wallis test and Spearman test. Results: Among 203 patiens were diagnosed with Dengue hemorrhagic fever, 113 (55%) patients were in DHF 1, 52 (25%) patiens were in DHF 2, and 38 (20%) were DSS patients. The difference of platelet count in each degree was significant (p=0,01). The difference of leukocyte in each degree was significant (p=0,002). The association between platelet count and clinical Dengue degree was statistically significant (p=0,005) with very weak negative correlation (r=-0,198). The association between leukocyte count and clinical Dengue degree was statistically significant (p=0,001) with weak positive correlation (r=0,227) Conclusions:There are significant differences of platelet and leukocyte count in clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta. There are no correlation between platelet and leukocyte with clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta although statistically significant. Keywords: Dengue hemorrhagic fever, platelets, lekocytes 
The Correlation between Knowledge Level of Women in Reproductive Age Couples Concerning Pap Smear with Pap Smear Test Services Utilization Roembiak, Blandina Adrialisa Regina; Samadi, Heru Priyanto; Primadewi, Novi
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: In Indonesia, every year more than 15,000 cases of cervical cancer detected and approximately 8000 cases of which were fatal. The high prevalence of cervical cancer deaths in Indonesia may be caused by delays in diagnosis so that when detected, the disease has reached an advanced stage. Early detection of cervical cancer by Pap Smear is suitable method applied in developing countries because in addition to easy, cheap, effective, non-invasive. But in practice, these methods are still having problems such as doubt of the importance of examinations, lack of knowledge, and the fear of pain during the examination. The objective of this research is to know  the correlation between knowledge level of women in  Reproductive Age Couples (RAC) concerning Pap Smear with Pap Smear Test services utilization. Methods: The study design was analytic observational with cross sectional approach. The sample of this research was women in  Reproductive Age Couples (RAC) in Gajahan Health Center, Surakarta. The number of samples were 90 people and were teken by simple random sampling tehnique. The people who was chosen as the sample are given the questionnaire, then they answered the question in the questionnaire. After the data collected, then the data was analyzed using Chi-Square test. (χ2). Results: Percentage of women in Reproductive Age Couples who use VIA test services is 37.8%. Statistical tests using Chi-Square test performed on the variables which  were knowledge level concerning Pap Smear with Pap Smear Test services utilization. Statistical test result value of the test statistic (χ2) was 9.137 with a significance (p) of 0.003. P-value < 0.1 means that the confidence level of 90% or 10% significance level significant correlation both variables. Conclusions: There was a correlation between knowledge level of women in  Reproductive Age Couples (RAC) concerning Pap Smear with Pap Smear Test services utilization. Women with higher knowledge concerning Pap Smear, lean to utilize Pap Smear test  services. Keywords: knowledge level concerning Pap Smear, women in reproductive age couples, Pap Smear test services utilization.

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