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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
 1   2   3   4   5 
The Difference of PEFR Value between Brick Making Workers and Farmers in Sitimulyo Piyungan Bantul Asmara, Gilda Ditya; Surjanto, Eddy; Subagyo, Yusup
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Workplace that processes release dust and smoke, can cause a reduction of working comfort, visual disturbances, impaired lung physiology, and even can cause general poisoning. Brick making industry is one of the industries that produce a lot of pollution. Pollution resulting from the burning of wood and rice husk as the main fuel. This study aimed to determine the differences in peak expiratory flow rate values among brick making workers by the farmers in the Sitimulyo that not exposed to pollution in the workplace Methods: This study is observational analytic with cross sectional design. This research located in Sitimulyo Piyungan Bantul. There are 33 brick making workers and 33 farmers in Sitimulyo for sampling subjects. The independent variables in this study are the brick making workers and farmers while the dependent variable is the value of peak expiratory flow rate. Peak expiratory flow rate values were measured directly using a peak flow meter and analyzed by Mann-Whitney test.. Results: The results on research with 33 samples of brick making workers and 33 farmers in the  Sitimulyo obtained average peak ekspiration flow rate value for brick making workers is 441 L / min or 75.30% of the predicted value of peak ekspiration flow rate and the farmers group was 483 L / min or 82.01% of the predicted value of peak ekspiration flow rate. Then through the mann-whitney test obtained p = 0.015 (p <0.05). From these data showed there is statistically significant difference between the peak ekspiration flow rate value of brick making workers and farmers in Sitimulyo Piyungan Bantul.. Conclusions: There is a statistically significant difference between the peak ekspiration flow rate value of brick making workers and farmers in Sitimulyo Piyungan Bantul. Keywords: PEFR, brick, workers, farmers, Sitimulyo. 
Perbedaan pH Saliva antara Remaja Wanita Pre Menarche dengan Remaja Wanita Post Menarche Syamsudduha, .; AR, Risya Cilmiati; Subiyantoro, Pradipto
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Riskesdas (riset kesehatan dasar) in 2007 result that women get more curative treatment of tooth healt. One factor that influence tooth healt is pH saliva. This research aims to know the difference of salivary pH between young women of pre menarche with young women of post menarche.. Methods: This research was an observational research using cross sectional approach and had been done in UNS Medical Faculty, TPA al-falah, and TPA al-ikhlas. Data was collected by using purposive random sampling method devide into 2 group (1.) pre menarche group, (2.) post menarche group. The subjek of first group is student of medical faculty of 2008, 2009, and midwifery 2011 UNS and second group is pupil of TPA al-Ikhlas and TPA al-Falah recidency of Surakarta. Two of group which a fullfil of inklusion and exclusion criteria compare of the pH. The data analysis used compare means independent-samples T-test  SPSS 20.0 for Windows. Results: this research shows (1) average salivary pH in pre menarche group is 6,867 dan post menarche group is 7,240. (2) results of compare means independent-samples T-test shows p = 0,00. Conclusions: This study found the difference of salivary pH between young women of pre menarche with young women of post menarche. Keywords: : salivary pH of pre menarche, salivary pH of post menarche, status of menstruation.
Hubungan Usia Primigravida dengan Kejadian Preeklampsia Berat di RSUD Dr. Moewardi Amalia, Fatkhurrohmah Leo; Wiryanto, Tri Budi; Hanim, Diffah
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Age factor holds crucial cause of health level and the wealth of pregnant mother and the baby. In young age, the development of reproduction organs and the physiological function is not optimal yet, also the emotional and psychological phase of the mother is not mature enough. Therefore in pregnancy, the mother is not yet able to respond her pregnancy completely and also there often occurs complication. Three pregnancy complications that become the main cause of mother’s death in obstetric section are bleeding, infection, and pregnancy hypertension (preeclampsia). Preeclampsia is a disorder of multi organ that is very distinct in pregnancy, which is noted as occurrence of hypertension and proteinuria in pregnancy age above 20 weeks. This research purpose for analyzing the relation between the age of primigravida with the occurrence of severe preeclampsia in RSUD Dr. Moewardi. Methods: This research is observational analytic with cross-sectional. Research is done in April-June 2012 in RSUD Dr. Moewardi section Obstetrics and Gynecology. The taking of sample is done with the way of purposive sampling. This research got 60 samples consisted of 30 samples age < 20 years old and 30 samples age 20-35 years old with the diagnosis of severe preeclampsia 42 samples. The data which is got then analyzed with the use of statistic test Spearman. Results: The risk factors of severe preeklampsia in RSUD Dr. Moewardi are the age and the graduation of primigravida. The statistic test shows there is a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ≤ 0.05) Conclusions: There was a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ­= 0.024) whereas the strength of the positive correlation is weak (r = 0.291) Keywords: primigravida’s age, severe preeclampsia. 
The Difference of Anxiety between Primigravida and Multigravida Patients in Third Trimester Pregnancy at Permata Bunda Hospital Purwodadi Himawan, Ichsanul Amy; Suwito, Djoko; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety can be experienced by humans, characterized by the fear, unpleasant, and often accompanied by autonomic symptoms. Pregnant woman may experience anxiety, especially in the third trimester, and there may be differences in anxiety in primigravida and multigravida. This study aims to determine the difference of anxiety level between primigravida and multigravida patient in the third trimester of pregnancy. Methods: The research was descriptive analytic study with cross sectional approach was conducted to patients in obstetry and gynecology clinic Permata Bunda Hospital Purwodadi on March 2012. Sixty samples were choosen by random purposive sampling. The samples were (1) thirty primigravida patients and thirty multigravida patients, (2) third trimester pregnancy. Samples were excluded if (1) LMMPI score more than 10, (2) Family death and suddenly incident like accident in last 3 month, (3) severe physical illness. This research was analized by Mann Whitney test by Statistical Product and Service Solution (SPSS) Program 17.00 for Windows. Results: Average score of primigravida 20,1000 ± 1,30811, and multigravida 24,2000 ± 1,02318. The result of Mann-Whitney test was p = 0,015. ( p < 0,05) Conclusions: This research found a significant difference of anxiety level between primigravida and multigravida patients in third trimester pregnancy at Permata Bunda Hospital Purwodadi. Keywords: anxiety, pregnancy, primigravida, multigravida, third trimester. 
Hubungan antara Rentang Waktu Terjadinya Serangan Hingga Tiba di RSUD Dr. Moewardi dengan Prognosis Stroke Iskemik Pratami, Gia Noor; ., Suroto; Mirawati, Diah Kurnia
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  
Hubungan Jenis Kelamin dengan Gangguan Kognitif Pasca Stroke Iskemik Serangan Pertama dengan Lesi Hemisfer Kiri Prasetyo, Bagus Dwi; Suroto, .; Mirawati, Diah Kurnia
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a cerebrovascular disease which until now the third leading cause of death in the world. Stroke can cause physical disability to psychosocial disfunction, such as cognitive impairment. This study aimed to analyze the relationship between gender and cognitive impairment after ischemic stroke first attack with left hemisphere lesions. Methods: This type of research is an observational analytic with cross-sectional approach. Sample of this study were post ischemic stroke  patients with a total sample of 60 people. Measuring instrument used was Mini Mental State Examination (MMSE), and performed data analysis with multiple logistic regression analysis. Results: After the study on a sample of 60 post-stroke patients with a first ischemic attack left hemisphere lesions found post-stroke cognitive impairment in male patients amounted to 46.7%, whereas in female patients by 30%. The results of calculations using Binary Logistic Regression Analysis obtained OR = 0.14; CI 95% 0025 to 0794 and p = 0026. From these data showed statistically significant relationship between the gender with cognitive impairment after ischemic stroke first attack with left hemisphere lesions. Conclusions: There is a statistically significant relationship between gender to cognitive impairment on post-ischemic stroke patients. This conclusion is drawn after controlling for the effects of confounding factors such as age, level of education and cardiovascular risk factors: diabetes mellitus, hypertension, dyslipidemia. Keywords: gender, cognitive impairment, ischemic stroke
Hubungan Kualitas Tidur dengan Ansietas pada Penderita Asma Bronkiale Hapsari, Dhiandra Dwi; ., Harsini; ., Hartono
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is chronic inflammatory disease. Anxiety is psychiatric condition that is often found in many aspect of health one of which is asthma. Sleep disorders commonly found in patients with known asthma nocturnal. This study aimed to determine the relationship between sleep quality and anxiety of asthma patient. Methods: This study was observational by using cross-sectional design. The sample was selected by fixed exposure sampling from out patients who visited Pulmonology Clinics, RSUD Dr. Moewardi Surakarta.  This research was held on April - May 2012. The data was collected by interview and some datas taken from the medical records. The data was analyzed using Chi-Square model, run on Statistical Product and Service Solution (SPSS) 18.00 for Windows. Results: Samples sizes were 30 asthma patients with anxiety and 30 asthma patient without anxiety. The results of this study showed that there is difference of sleep quality between asthma patient with anxiety and without anxiety. Asthma patient who were anxiety had 0.13 times higher risk for experiencing poor sleep quality than those who were without anxiety (OR = 0.13; p < 0.05). Conclusions: There is relationship between the sleep quality with anxiety of asthma patient. It is a strong association and statistically significant. The higher the level of anxiety, the higher the risk for poor quality sleep. Keywords: Asthma bronchiale, anxiety, sleep quality. 
Hubungan antara Fatty Liver dengan Hipertensi Sistemik di RSUD Dr. Moewardi Surakarta Belawati, Yeny Ristaning; ., Widiastuti; ., Balgis
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Fatty liver is the accumulation of fat in the liver ranging from simple steatosis to nonalcoholic steatohepatitis (NASH) and cirrhosis. Patients fatty liver is often associated with metabolic disorders. It can be seen from the results of laboratory tests of blood, such as elevated levels of Alanin Amino Transferase (ALT), Gamma Glutamyl Transferase (GGT), alkaline phosphatase, ferritin, and another impaired liver function test. Hypertension is one of the conditions of metabolic disorders, and by an unknown mechanism there was an allegation of relationship between fatty liver and systemic hypertension Methods: This study was an analytical observational research with cross-sectional approach. The research was taken place in Radiology Installation of RSUD Dr. Moewardi Surakarta. The samples were consisted of 20 fatty liver patients and 20 non-fatty liver patients. Dependent variable of this research was fatty liver, and independent was systemic hypertension. The data was collected by viewing the result of USG abdomen-hepar examination and measuring patient’s blood pressure by researcher. The data of research was analyzed using Chi Square test and Odds Ratio. Results: There was a significant relationship between fatty liver and hypertension systemic in RSUD Dr. Moewardi Surakarta (p < 0,05); fatty liver patients had risk of hypertension systemic 7 times higher than the non-fatty liver patients (OR = 7) Conclusions: There was a significant relationship between fatty liver and hypertension systemic in RSUD Dr. Moewardi Surakarta, fatty liver patients have a risk of systemic hypertension 7 times greater than non-fatty liver patients Keywords: Fatty Liver, Hypertension Systemic, USG Abdomen  
Relationship between Knowledge of Risk Factor in Pregnancy and Methods of Delivery at RSUD Dr.Moewardi Permatasari, Ariesta; ., Soetrisno; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Maternal mortality in Indonesia is still high. Vaginal delivery with vacuum extraction or forceps may increase the risk of birth canal laseration and postpartum hemorrhage which is a factor of maternal mortality as many as 2.5% to 5%, while the act of caesarean section rate is 14%. Knowledge of pregnant women is hypothesized to affect the success of birth delivery. Less knowledge about risk factor in pregnancy can impact the quality of pregnancy that will determine the process of labor. This study aimed to analyze the relationship between knowledge of risk factor in pregnancy and types of delivery. Methods: This analytic study was observational with cross-sectional approach. A sample of 66 study subjects was selected by fixed-disease sampling from mothers who give birth at RSUD Dr. Moewardi Surakarta in Mei-July 2012. The data were collected by interview using a set of questionnaire and from medical records. The data was analyzed using multiple logistic regression method on Statistical Product and Service Solution (SPSS) version 16.00 for Windows. Results: The study showed that with controlling the counfounding factors such as parity and maternal height, known that lack of knowledge about risk factor in pregnancy is the risk of operative delivery 5.6 times as many level than a good knowledge (OR = 5.60; CI 95% 1.726 hingga 18.170; p = 0.004). Conclusions: There was a statistically significant relationship between knowledge of risk factor in pregnancy and types of delivery. This conclusion was drawn after controlling for the effects of confounding factors such as parity and maternal height. Keywords: Knowledge of Risk Factor in Pregnancy, Types of Delivery 
Hubungan antara Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) dan Kejadian Kanker Serviks di RSUD Dr. Moewardi Arta, Octava Prima; Sunaryo, Rustam; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One government program in an effort to deal with the increasing population is a national family planning program, in particular by the use of contraceptives. Intrauterine Device (IUD) is the one form of contraception is widely used in society but still not much information about the correct usage and side effects. Bacterial or viral infection is one of the side effects of IUD use, including Human Papilloma Virus (HPV) infection, the virus that causes cervical cancer. The purpose of this study to determine the incidence rate of cervical cancer associated with IUD use. Research Methods: This type of case-control study. Sample of this study were gynecologic cancer patients with a total sample of 60 people. Measuring instrument used was a validated questionnaire, and performed data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between IUD users with the incidence of cervical cancer. IUD users will experience cervical cancer 12 times compared to non-IUD users (p = 0,001, OR=12,70). Conclusion: Based on research IUD users will experience a risk for cervical cancer 12,7 times higher than those not using an IUD. Keyword: Intrauterine Device, cervical cancer 

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