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<![CDATA[Hubungan Ibu Hamil Perokok Pasif dengan Persalinan Preterm di RSUD Dr. Moewardi Surakarta ]]>
<![CDATA[Iqbal Imanuddin]]>;
<![CDATA[. Soetrisno]]>;
<![CDATA[Adji Suwandono]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Exposure to secondhand smoke among passive smoking pregnant women was known to contain various toxic chemical substances such as Nicotine, Carbon Monoxide, Cadmium, and Polycyclic Aromatic Hydrocarbon. These substances are able to reduce the oxygen supply to the fetus and stimulate the myometrium contraction that could lead to preterm delivery. This study aims to prove the correlation between passive smoking pregnant women and preterm delivery cases. Methods: This study is an analytical observational study using case control approach. This study was conducted in Mawar I ward RSUD Dr. Moewardi, Surakarta. The subjects in this study are 60 who perform delivery in RSUD Dr. Moewardi. Subject preferences were performed using fixed disease-sampling method where subjects are divided into 2 groups, the group consisting of 20 pregnant women with preterm delivery cases and the control group consisting of 40 pregnant women with aterm delivery. Each group was given a questionnaire contains questions regarding passive smokers status as an independent variable, as well as antenatal care (ANC) status, age, and previous preterm delivery history as the confounding factors that will be controlled. Chi square tests and multiple logistic regression analysis were used to analyze the data. Results: The study revealed significant correlation between passive smoking pregnant women and preterm delivery. Pregnant women with secondhand smoke exposure have a preterm delivery risk 9.4 times greater when compared to pregnant woman with no exposure after controlling the confounding factors which is antenatal care and considering the history of previous delivery (p = 0.008; OR = 9.39). Conclusion: There is a significant correlation between passive smoking pregnant women and preterm delivery. Passive smoking pregnant women have a higher risk to experience preterm delivery compared to non-passive smoking pregnant women. Keywords: pregnant women, passive smoking, preterm delivery.]]>
<![CDATA[Hubungan Status Ekonomi Orang Tua dengan Depresi pada Remaja di SMA N 8 Surakarta ]]>
<![CDATA[Noviana Rahmawati]]>;
<![CDATA[. Machmuroch]]>;
<![CDATA[. Suparman]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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]]>
<![CDATA[The Correlation between Platelet Count and Hematocrit concentration in Dengue Haemorrhagic Fever Patients at Moewardi Hospital ]]>
<![CDATA[ARIFA MARTHA SANTOSO]]>;
<![CDATA[Dhani Redhono Harioputro]]>;
<![CDATA[Hudiyono .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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/l. 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]]>
<![CDATA[Hubungan Kecemasan Dengan Gangguan Siklus Menstruasi Pada Siswi Kelas XII Sma Negeri 1 Surakarta ]]>
<![CDATA[Anisa Febrina Damastuti]]>;
<![CDATA[Rosalia Sri Hidayati]]>;
<![CDATA[Arif Suryawan]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background : The number of people who suffer anxiety was estimated to be 5% of population, with the ratio off women and men is 2:1. Emotional breakdown, tension, presure, and agitation could lead to disruption of menstrual cycle. The purpose of this study was to determine the correlation of anxiety and mestrual cycle disorder on grade XII female student of SMA Negeri 1 Surakarta. Methods : This study was an observational analytic with cross sectional study approach. The sampling technique used was purposive sampling. Sample was as many as 82 subjects, taken from the grade XII female students of SMA Negeri 1 Surakarta, and was hold on August 2012. Data were obtained by TMAS and menstrual cycle questionnaires. The statistical analysis used was chi-square. Results : Chi square calculation obtained X2 > X2 table = 7,142 > 3,841. The number showed a significant association. Conclusion : Based on this study it could be concluded that there was a positive relationship between anxiety and mestrual cycle disorder on grade XII female student of SMA Negeri 1 Surakarta. Keywords : anxiety, menstrual cycle, menstrual cycle disorder]]>
<![CDATA[The Difference of Anxietys Score and Depressions Score between Mother with Mild Intellectual Disability and Mother with Moderate Intellectual Disability in SLB Negeri Surakarta ]]>
<![CDATA[Alindina Izzani]]>;
<![CDATA[Aris Sudiyanto]]>;
<![CDATA[Dyah Ratna Budiani]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Children with Intellectual Disability (ID) have low Intelligence Quotient (IQ) and low social interaction so that they have difficulty in self-adaptation. Caring for child with disability will increase the risk of psychological morbidity in family such as anxiety and depression especially in mother. This study is aimed to discover the difference of anxietys score and depressions score between mother with mild intellectual disability and mother with moderate intellectual disability. Methods: This study was a cross-sectional observational analytic. 15 mothers of mild intellectual disability (C) and 15 mothers of moderate intellectual disability (C1) were recruited with consecutive sampling from SLB Negeri Surakarta on October 2015. Lie-Minnesota Multyphasic Personality Inventory (L-MMPI), Taylors Manifest Anxiety Scale (TMAS), and Becks Depression Inventory-II (BDI-II) questionnaires were used to assessed anxiety and depression. The test data was broken down and analyzed by independent t-test and the SPSS 20 for Windows software. Results: Mean and deviation TMAS score of mother with mild intellectual disability is 24,937,648 and mother with moderate intellectual disability is 23,009,736. There is no difference of anxietys score between two group of mothers (p = 0,55 ; p > 0,05). Mean and deviation BDI-II score of mother with mild intellectual disability is 11.279.08 and mother with moderate intellectual disability is 10.9310.39. There is no difference of depressions score between two group of mothers (p = 0,92; p > 0,05). Conclusions: There is no difference of anxietys score and depressions score between mother with mild intellectual disability and mother with moderate intellectual disability in SLB Negeri Surakarta. Keywords: Intellectual disability, Anxiety, Depression]]>
<![CDATA[Hubungan Antara Stres Psikologis Dan Olahraga Terhadap Terjadinya Dismenore Primer Pada Mahasiswi Fakultas Kedokteran Universitas Sebelas Maret ]]>
<![CDATA[Mutiara Rizky Ananda]]>;
<![CDATA[Eric Edwin Y]]>;
<![CDATA[Lilik Wijayanti]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Prevalence of primary dysmenorrhea in the adolescent in Surakarta is 87,7% and 15% of women in Indonesia complained that their activity were interrupted due to dysmenorrhea. Psychological stress and irregular sports allegedly have connection in increase the incidence of primary dysmenorrhea. This research aims to know the relation between psychological stress and exercise against the occurrence of primary dysmenorrhea. Methods: This study is analytical observational with cross sectional approach, and using primary data. This study using medical student of 2010, 2011, 2012 at Sebelas Maret University as sample, taken by simple random sampling methods about 62 samples. Data analysis using Chi Square test and binary logistic regression. Results: Result of data analysis using Chi Square test shows p value for the relationship of psychological stress with primary dysmenorrhea is 0,013 whereas p value of relations sports with primary dysmenorrhea is 0,009. For the results of the analysis data using binary logistic regression found that psychological stress has OR = 0,352 whereas exercise has OR = 3,808. Conclusions: Based on result of the study can be concluded that there is a relationship between psychological stress and exercise against the occurrence of primary dysmenorrhea in the medical student of Sebelas Maret University Surakarta. Keywords: Psychological Stress, Exercise, Primary Dysmenorrhea.]]>
<![CDATA[Hubungan Keintiman Keluarga dengan Tingkat Kecemasan Pembalap Road Race di Surakarta ]]>
<![CDATA[Zulhilmi Bramantyo Mardiawan]]>;
<![CDATA[Yusviek Hadin]]>;
<![CDATA[Istar Yuliadi]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 (? = 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]]>
<![CDATA[Hubungan Jenis Kelamin dengan Kejadian Demensia Vaskuler pada Pasien Pasca Stroke di RSUD Dr Moewardi Surakarta ]]>
<![CDATA[Gloria Katrin Evasari]]>;
<![CDATA[Oemar Sri Hartanto]]>;
<![CDATA[Bhisma Murti]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 1, No 1 (2012): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Stroke is a cerebrovascular disease which until now is rated third causing death in the world. Stroke can cause physical disability to psychosocial disfunction, such as cognitive decline. One of cognitive decline that caused by stroke is dementia. This study aimed to analyze the relationship between gender and vascular dementia incident among post stroke patients. Methods: This analytic study was observational with cross-sectional approach. A sample of 40 study subjects was selected by fixed-exposure sampling from outpatients with post-stroke visiting the Neurology Clinics, RSUD Dr. Moewardi Surakarta. They were grouped into two, male and female. The data was analyszed using multiple logistic regression model on SPSS version 17 for Windows. Results: Female patients had 1/100 times as many level of adherence to post-stroke vascular dementia than male patients (OR = 0.01; 95%CI 0.001 to 0.25; p = 0.004). This estimate has controlled for the effects of confounding variables such as age and level of education. Conclusions: There is a statistically significant relationship between gender to vascular dementia on post-stroke patients. This conclusion is drawn after controlling for the effects of confounding factors such as age and level of education. Keywords: gender, vascular dementia, stroke]]>
<![CDATA[Hubungan Tekanan Darah dengan Skor Kualitas Hidup Terkait Kesehatan Pasien Pasca Stroke Iskemik di RSUD Dr. Moewardi ]]>
<![CDATA[A Annisa Ashliyatul Aziza]]>;
<![CDATA[O.S Hartanto]]>;
<![CDATA[Dhoni Akbar Ghozali]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 patients 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 patient's 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]]>
<![CDATA[Hubungan Paparan Asap Rokok dengan Otitis Media Supuratif Kronik di RSUD Dr. Moewardi ]]>
<![CDATA[Dian Nastiti Dwi Mahanani]]>;
<![CDATA[Hadi Sudrajad]]>;
<![CDATA[Hartono .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: The association between exposure to cigarette smoke with chronic suppurative otitis media is still debated. Cigarette smoke reduce the function of cilia, resulting blockage of mucus in the Eustachian tube. Besides of that, cigarette smoke is also a stressor that can lead to decreased immune system. This situasion make organism easier to develop and entry into the middle ear. This study aimed to determine the association between exposure to cigarette smoke with chronic suppurative otitis media in RSUD Dr. Moewardi. Methods: This study was observational by using case control design. Research subjects are grouped into case and control groups. The sample was selected by purposive sampling with inclusion and exclusion criteria have been determined. Data is collected by questionnaire of smoking history and medical record data of patients. Data were analyzed using Chi Square test with SPSS 17.0 for Windows. Results: There was a significant association between exposure to cigarette smoke with chronic suppurative otitis media in RSUD Dr. Moewardi. Samples with a history of smoking had a risk of chronic suppurative otitis media 4, 5 times higher than without a history of smoking (p = 0, 028; OR = 4, 5). Conclusions: There is a association between exposure to cigarette smoke with chronic suppurative otitis media in RSUD Dr. Moewardi. Smoking cigarette can increase the risk of chronic suppurative otitis media. Keywords: exposure to cigarette smoke, Chronic suppurative otitis media.]]>
