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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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Hubungan Cara Persalinan dengan Apgar Score pada Kasus Ketuban Pecah Dini di RSUD Dr. Moewardi Stephanie Indrawati Sugiarto; Affi Angelia; Novi Primadewi
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Premature rupture of membrane (PROM) occurs when amniotic membranes rupture without the signs of delivery. PROM occurs in 6 8% pregnancies and about 80% PROM occurs at term gestational age (>37 weeks). PROM is always terminated for preventing complication whether in mother and baby. Previews studies assumed that delivery process can affect the Apgar score of the newborn. This study aimed to know the relationship between delivery process with Apgar score in premature rupture of membrane case. Methods: This analytic study was observational using cohort retrospective approach. 151 study subjects were selected by fixed exposure sampling and simple random sampling from all PROM cases on January 2011 December 2012 period at RSUD Dr. Moewardi and fulfill the intrinsic and extrinsic criteria. The data was collected from medical record. The data was analyzed using Chi square test and binary logistic regression test with Odd Ratio (OR) which shows the score of the relationship on SPSS 20 for windows. Result: This study showed that Sectio cesaria increases the risk of worse Apgar score than labor induction, although there is no significant relationship between delivery process with Apgar score in Chi square test (p = 0.198; OR = 1.861). So do the analysis multivariate with binary logistic regression test shows p = 0.404 and OR = 1.607. Conclusion: Sectio cesaria increases the risk of worse Apgar score than labor induction in PROM case at RSUD Dr. Moewardi. Keyword: premature rupture of membrane, delivery process, Apgar score.
Hubungan antara Kejadian Abortus Spontan dengan Paritas dan Usia Ibu Hamil di RSUD Dr Moewardi Dwi Septiadi Badri; Eriana Melinawati; Dyah Ratna Budiani
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
Hubungan antara Rentang Waktu Terjadinya Serangan Hingga Tiba di RSUD Dr. Moewardi dengan Prognosis Stroke Iskemik Gia Noor Pratami; Suroto .; Diah Kurnia Mirawati
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is the third leading cause of death in the world. The awareness of early signs and symptoms of stroke and referral to hospital efforts should be made because the successful treatment of stroke is determined by the speed of action in the acute phase (therapeutic window). In ischemic stroke, restoration or improvement of perfusion to the ischemic area is a therapy key. This study is aimed to determine the relationship between time range from stroke attack until arrive at the Dr. Moewardi hospital with ischemic stroke prognosis. Methods: This study was observational cohort analytic approach. A total of 48 subjects were selected by purposive sampling, they were ischemic stroke patients in the room Orchid II Dr. Moewardi Hospital. Data was collected by direct interview and examination of the patient by using NIHSS score. Data was analyzed by using multiple logistic regression models and processed with Statistical Product and Service Solutions (SPSS) for Windows 17.00. Results: Multiple logistic regression showed the results OR = 1.89; CI 95% 0.395 9.035; and p=0.425. This result has controlled the confounding variables of age, blood pressure, blood sugar levels, and colesterol levels. Patient who arrived at the Dr. Moewardi hospital >24 hours after the stroke attack increases the risk of poor prognosis 1.890 times than that arrived at the hospital <6 hours and 6-24 hours. Conclusions: There is a moderate correlation between the time range from stroke attack until arrive at the Dr. Moewardi hospital with ischemic stroke prognosis, although in this study the relationship was not statistically significant. Keywords: time range, attack, Dr. Moewardi hospital, prognosis, ischemic stroke
Obesity relations with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta Erika Vinariyanti; Pradipto Subiyantoro; Lukman Aryoseto
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Indonesia is currently faced by dual nutrition problems , which prevalence of obesity had increased. Obesity is often associated with aspects of oral health. Oral hygiene is important to be maintained because it can affect the overall health of the body so as to be one indicator of a person's general health. Behavioral factors play an important role in influencing the status of oral hygiene habits such as eating sugary or high - carbohydrate food. This study aimed to determine the relationship between obesity and a score oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta by controlling confounding factors in brushing teeth habit, salivary pH and composition of dental students. Methods: This study was an observational analytical research using cross sectional approach. Sampling technique was used purposive sampling which the sample size was 30 students age 16-18 years old in SMAN 1 Surakarta taken in November 2015. Data z-score was obtained through the measurement of height and weight, whereas oral hygiene status was measured by the score of oral hygiene index simplified. Data analysis technique was Kolmogorv-Smirnov test and test correlation using contingency coefficient test. Data were processed by SPSS 20.00 for Windows. Results: This results showed there was a significant relationship between obesity with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta (p = 0,003). The contingency coefficient test showed there was a strong uphill linear relationship between obesity with OHIS score (r = 0,619) Conclusion: This study concluded that there was a relationship between obesity with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta. Keywords: Obesity, Oral Hygiene
Hubungan Ibu Perokok Pasif Selama Kehamilan Dengan Kejadian Infeksi Respiratori Akut Bagian Bawah BRA I Ratu Windriya; Ismiranti Andarini; Endang Sahir
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Acute Respiratory Infection (ARI) has been the main cause of child morbidity and mortality, includes upper ARI and lower ARI. Lower respiratory infection is the infection under of larynx, includes epiglotitis, croup (laryngotracheobronchitis), bronchitis, bronchiolitis, and pneumonia. The one risk factor of lower ARI is air pollution (if in the house use firewood to cook and/or cohabit with active smoker). Prenatal exposure to cigarette smoke will affect the morphogenesis of fetus lung so it will increase respiratory infection risk after the fetus is born. This research aims to find out how big the relationship between maternal passive smoking during pregnancy with lower acute respiratory infection. Methods: The research was an analytical survey with case control approach implemented in March-April 2013 in RSUD Dr. Moewardi Surakarta. The samples was taken using purposive sampling and the number of samples based on rule of thumb. Dependent variable in this research was lower acute respiratory infection and independent variable was maternal passive smoking during pregnancy. The parents of the sample signed informed consent as the consent form and filled the questionnaire. Medical records was required for obtained the data about diagnose and nutrition status of the samples. This research were obtained 60 samples and analyzed use bivariate analysis continued multivariate analysis with logistic regression test. Results: The research with bivariate analysis showed that maternal passive smoking during pregnancy and low birth weight infant were significant with p < 0.05. Crude OR maternal passive smoking during pregnancy was 5.688. By multivariate analysis with logistic regression test obtained adjusted OR = 4.000, p = 0.043 (p < 0.05), and 95% CI = 1.043-15.343 for independent variable maternal passive smoking during pregnancy. Conclusions: There was significant relationship between maternal passive smoking during pregnancy with lower acute respiratory infection of child (p = 0.043), at the risk of 4.000 times more likely to suffer lower ARI. Keywords: Pregnant Maternal, Passive Smoking, Lower Acute Respiratory Infection
Hubungan antara Lamanya Aktivitas Melihat Dekat dengan Miopia pada Anak di SDN Cemara 2 Surakarta Eli Dwy Purbaningrum; Senyum Indrakila; Novi Primadewi
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The most common type of refractive error in school student was myopia. Some factors are predicted play a role in the onset of myopia, one of them is nearwork activity. Meanwhile, the globalization encourages children to do some nearwork activities, such as reading and using gadgets. The purpose of this study was to analyze the the relationship between duration of nearwork activity and children myopia. Methods: This study used observational analytic method with cross-sectional design research. The population was all students of SDN Cemara 2 Surakarta. Subjects were students of grade III to V who are either suffering myopia or not. The total subject were 200 children, which was 100 children with myopia picked by fixed disease sampling technique, and 100 children with no myopia picked by simple random sampling technique. The data were collected by measurement with autorefractometre and questionnaires. The data obtained were analyzed by using multiple logistic regression with SPSS 17.0 for Windows. Result: From 200 subjects found that total children myopia who do nearwork activities longer 54 (52%) and children with no myopia who do nearwork activities longer 50 (48%). The results of multiple logistic regression statistical test showed that duration of nearwork activity and children myopia have no significant relationship statistically (p = 0,59). Conclusion: There was no significant relationship between duration of nearwork activity and children myopia.
Perbedaan Tingkat Kecemasan Antara Mahasiswa yang Merokok dan Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret Naili Nur Sa&#039;adah Nuhriawangsa; . Machmuroch; Diffah Hanim
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 disorder have been reported to be associate with increased rates of smoking, increased consumption of cigarettes per smoker, and lower rates of smoking cessation than non-anxiety disordered control groups. In addition, increased anxiety symptoms appear to be correlated with increased rates of smoking. This study aimed to analyze the differences of anxiety level between smoking student and non-smoking student of Faculty Letter and Fine Arts Sebelas Maret University. Method: This study was an observational analytic study with cross sectional approach. The study sample totaled 100 students, between 50 smoking students and 50 non-smoking students of Faculty Letter and Fine Arts Sebelas Maret University class of 2008-2013 which were randomly drawn by purposive sampling technique and continued with simple random sampling. Each respondent was given one standard questionnaire of TMAS (Taylor Manifest Anxiety Scale), L-MMPI (Lie-scale Minnesota Multiphasic Personality Inventory), and standard questionnaire of smokers. The TMAS questionnaire consisting of 50 yes or no option questions, L-MMPI questionnaire consisting of 10 yes or no option questions, and smokers questionnaire consisting of 3 multiple choice questions. The research data were tested with the Chi Square test, and would be continued with the Regression Linier test (?=0,1). Result: There were 13 smoker students had not have anxiety disorder, 10 smoker students had low anxiety disorder, 25 smoker students had moderate anxiety disorder, and 2 smoker students had high anxiety disorder. While 31 non-smoker students had not have anxiety disorder, 10 non-smoker students had low anxiety disorder, 9 non-smoker students who had moderate anxiety disorder, there were not found non-smoker student had high anxiety disorder. From the Chi Square test resulted p<0.1 (p=0.001) and would be continued with Regression Linier. From the test result showed correlation coefficients (r) in the amount of 0.411. Conclusion: There was a differences anxiety level between smoking students and non-smoking students of Faculty Letter and Fine Art Sebelas Maret University. Tobacco consumption had a moderate relationship with anxiety level. Heavier smoking on smoker student proved to be increasing anxiety level. Keywords: smoking student, non-smoking student, anxiety level
Hubungan Status Ekonomi dengan Jenis Persalinan di RSUD Dr. Moewardi Surakarta Muhammad Dzulfikar; Soetrisno .; Nur Hafidha Hikmayani
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Economic status is one of the environmental factors that can indirectly affect labor and delivery. Economic status willinfluence maternal nutrition during pregnancy, and will subsequently impact on the pregnancy condition and mothersstrength during birth process. Pregnant women with low socioeconomic status are therefore prone to undergolabor with action. This study aims to analyze the relationship between economic status and types of labor, and to compare theprevalence of labor with action among pregnant women with low and high economic status while controlling parity, educational level, and mothers height. Methods: This wasan observational analytic study with cross-sectional approach. Sixty women werepurposively sampled frompatient population who gave birth at RSUD Dr. Moewardi Surakarta. Labor with action was defined as instrument-assisted delivery (i.e. forceps, vacuum, caesarian section). Pregnant women were classified as having low economic status if their family income were lower than median. Data were analyzed by Poisson regressions(robust variance method) using Stata SE version 12.0. Results: There were 29 (48.3%) labors with action at MawarI Wardduring April to July 2012, 19 (65.5%) of which occurred in pregnant women with low income. Results from bivariate analysis showed a significant relationship between economic status and type of labor (PR=1.9, p=0.030). After controllingparity andheight, prevalence of labor with actionamong mothers with low family income were 1.8 greater than that of mothers with high family income (PR=1.8; 95% CI=1.0 to 3,1, p=0.049). Conclusion: Low economic status in pregnant women was marginally significantly associated with higher prevalence of labor with action, after controlling parity and mothers height. Keywords: economic status, labor type
The Correlation between Knowledge Level of Women in Reproductive Age Couples Concerning Pap Smear with Pap Smear Test Services Utilization Blandina Adrialisa Regina Roembiak; Heru Priyanto Samadi; Novi Primadewi
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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. (?2). 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 (?2) 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.
Hubungan Obesitas Dengan Kejadian Infark Serebral Pada Pasien Rawat Inap Bangsal Saraf RSUD Dr. Moewardi Stefanny C N; JB Prasodjo; . Hudiyono
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background :Obesity is closely associated with increased risk of atherosclerosis disease. Atherosclerosis occurs when a portion of the surface of the large arteries forming plaque. As a result, the plaque will cause blood vessel disorders, even cerebrovascular disease. Cerebral infarction is a cerebrovascular disease that can cause a drop in the supply of oxygen and glucose to a particular part of the brain that eventually lead to the onset of a stroke. The cerebral infarctions high occurrence rate were the reason that made the researcher wanted to find out if there is a relationship between obesity and cerebral infarction in patients hospitalized in the neurological ward RSUD Dr.Moewardi. Methods :This was an observational analytic research with cross sectional design. This research was done in RSUD Dr.Moewardi. The sampling was done in consecutive sampling. This researchs populations were patients hospitalized in the neurological ward RSUD Dr.Moewardi during November-December 2012. Results :Total sample are 42 patients. The result of this research shows there were 21 samples of cerebral infarction case, which consisted of 17 obesity patients and 4 non-obesity patients. The other 21 samples were the non-cerebral infarction patients which consisted of 3 obesity patients and 18 non-obesity patients. The obtained data were analyzed using Chi-Square test and resulted in a significant relationship ( p< 0,01). Conclusions :There was a relationship between obesity and cerebral infarction in patients hospitalized in the neurological ward RSUD Dr.Moewardi. Key words :relationship, obesity, cerebral infarction.

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