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INDONESIA
Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 334 Documents
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Profile of Patient with Staphylococcus haemolyticus and Escherichia coli Bacteria on Urine Specimen at Dr. Moewardi Hospital Kumala .; Leli Saptawati; R Satriyo Budhi Susilo
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Urinary Tract Infection (UTI) is the most common disease worldwide. Escherichia coli is a bacterial pathogen that causes most UTIs while Staphylococcus haemolyticus is an opportunistic bacterium that can cause a UTI which is actually a normal flora on human skin. This study aimed to determine the profile of patients who are exposed to the bacteria S. haemolyticus and E. coli in urine specimens. Methods: This study was a descriptive research using clinical epidemiology approach. The object of the research was patients medical records which have been identified by urine culture with positive result of S. haemolyticus and E. coli on 2014. Sampling was held during December 2015 at Dr. Moewardi Hospital. Sampling was done and 88 people taken from the population. The data was statically analyzed with frequency distributive technique and odds ratio. Results: Descriptive analysis using frequency distribution and odds ratio showed male patients are more than the female patients. These two bacteria show of most age category are adults. While the vital sign shows patients with S. haemolyticus body temperature is lower than E. coli. In the blood count result, white blood count of patients with E. coli has a higher mean than the variable numbers of leukocytes on patients with S. haemolyticus. Conclusions: There are differences between the profile of patients who are exposed to E. coli and S. haemolyticus. On vital signs and the white blood counts results, patients with E. coli was higher than patients with S. haemolyticus. Keywords: Urinary Tract Infection, Staphylococcus haemolyticus, Escherichia coli
Hubungan Faktor Sosial Ekonomi dengan Kejadian Prolapsus Uteri di RSUD Dr. Moewardi Ivan Aristo Suprapto Putra; . Darto; Jarot Subandono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Socioeconomic factors in Indonesian citizen was different on every person. Especially on work, many variants of works would cause on variants of workload. On the other side, work varied effect on different income. Earnings would affect on the food consumed. Low collagen contained food intake could affect the low level of collagen. Risk factors for uterine prolapse was higher workload, higher parity and lower collagen level. Methods: This research was an analytic obervational with case control design. Sampling technique was fixed disease sampling for the case group and random sampling for the control group. The research was conducted by interviewing a sample directly in the obstetric clinic Dr. Moewardi hospital The sample was 36 person, divided into 18 samples of group cases and 18 control group samples. Dependent variable was the incidence of uterine prolapse and independent variables were socioeconomic factor. Data were analyzed by chi-square test then followed by multivariate analyse logistic regression. Results: Distribution characteristics of uterine prolapse by age most results were in the age of 40-49 (16.67%). Based on the results, the highest number of children was 4 children (16.7%). The test results with regression analysis showed significance between socioeconomic factors to the incidence of uterine prolapse. Workload had p = 0.017 and OR = 0.186, p = 0.039 whereas income., and OR = 7.208, 95% confidence interval. Nagelke R square of 38.2%. Conclusions: Socio economic factor include workload and income significantly affected incidence of uterine prolapse. Keywords: Socio-economic factors, workload, income, uterine prolapse
Perbedaan Kemampuan Bahasa Menurut Jenis Kelamin pada Siswa SLB Autis di Surakarta Endang Susilowati Ningsih; Aris Sudiyanto; Nur Hafidha Hikmayani
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background:Knowledge about language in autism are lacking or else contradictive. Previous studies found that girls with autism spectrum disorder (ASD) had greater communication deficits than boys,while other studies mentioned that boys with ASD had less languagecapabilities than girls.This study aimed to examine the difference in language ability by genderamongstudents of autis schools in Surakarta. Methods:This was an observational analytic study using cross-sectional approach, conducted from April to May 2013 in SLB Autis Harmony and SLB Autis Alamanda Surakarta. Students of SLB Autis Harmony and SLB Autis Alamanda who met inclusion criteria were sampled. Subjects were categorized into verbal and nonverbal type. Data were analyzed using Fisher's exact test. Results:Of 33 subjects meeting the restriction criteria, 19 (57.6%) had language skills of nonverbal type, and 13 students (68.4%) of whom were boys. Statistical analysis showed no difference in language abilities of autistic boys and girls (p = 1.000). Conclusions:There was no language skill differenceaccording to gender of students with autism in SLB Autis Harmony and SLB Autis Alamanda Surakarta. Keywords:autism, language, gender.
Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Dwi Adhi Nugraha; Istar Yuliadi; Rifai Hartanto
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis
The Relationship between Coffee Consumption and Hypertension in the Elderly Erlimia Eka Noor Yuliana; Agung Susanto; Diffah Hanim
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Coffee contains many potentially active compounds such as caffeine, chlorogenic acids, trigonellin, magnesium, etc. that affect health. Effect of coffee consumption and hypertension is still not known with certainty because of differences in the results of existing research. Therefore, this study aimed to determine the relationship between coffee consumption and hypertension. Methods: This study was conducted with a cross-sectional study of the 103 elderly in Ngudi Sehat Elderly IHC, Surakarta. Samples obtained from the total sample with inclusion and exclusion criteria (n = 90). Independent variable data that is amount and type of coffee consumption obtained from interviews. While the variable dependet taken by measuring blood pressure and categorize by JNC VII. Data were tested with the non-parametric Spearman correlation test and ordinal regression test (? <0.05). Results: The results of the Spearman correlation test showed no significant correlation between the amount of coffee consumption and hypertension (p = 0.432) as well as the type of coffee and hypertension (p = 0.668) in the elderly. Meanwhile, the results of ordinal regression test showed variable that significant influences hypertension are age and body mass index. Conclusion: There is no relationship between coffee consumption and hypertension in the elderly. Elderly with hypertension is recommended to live a healthy lifestyle such as maintaining body weight with physical activity, stop smoking and maintaining intake of nutrient. Keywords: coffee, caffeine, hypertension, elderly, blood pressure
Hubungan Pernikahan Usia Dini dengan Kejadian Kanker Serviks di RSUD Dr. Moewardi Anindita Ratna Gayatri; 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:Every year the incidence of cervical cancer is increase and the risk of death from cervical cancer is also increased. One of the risk factor of cervical cancer is a history of early marriage. In Indonesia,there are many womenwho married in early age. The purpose of this study is to detemine whether early marriage may increase the risk of cervical cancer. Methods:This research is a case control based study. The sample consist of 30 cervical cancer patients and 30 normal women with total sample of 60 women. The data was collected from medical record and validated questionnaire. The data was analyzed with multiple logistic regression analysis. Results:There is a statistically significant relationship between early marriage and the incidence of cervical cancer. Women who had history of early marriage have risk to get cervical cancer 8,4 times bigger than women who didnt have history of early marriage (p = 0.002; OR = 8,442). Conclusions:Based on this research women who had history of early marriage have risk to get cervical cancer 8,4 times bigger than women who didnt have history of early marriage. Keywords:Early marriage, cervical cancer.
Miopia sebagai Faktor Risiko Terjadinya Penurunan Prestasi Belajar pada Anak SDN Cemara Dua Surakarta De&#039;yang Wangi Prawiro Pinundhi; 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: Academic achievement is result of learning, which can be obtained by test. It is influenced by many internal factors (including five senses condition) and external factors. When there was an abnormality in the eye (including myopia), it will influence the learning procces, so the children can't get their best academic achievement. This study has a purpose to know if myopia is a risk factor for decreased academic achievement in children at SDN Cemara Dua Surakarta. Methods: This study is a case control study, conducted at SDN Cemara Dua Surakarta. Sample is divided into 2 groups (case group and control group) based on progress of academic achievement by end-semester report in year 2012/2013 (decreased or still/increased). And then refraction test by noncycloplegic autorefractometer is done to know myopia state of children. Independent variable is myopia, dependent variable is decreased academic achievement, and confounding factors are sex and tutoring. This study uses Chi-Square and multiple logistic regression to analyse data. Results: Students with myopia have probability 0.714 less than students without myopia to have a decreased academic achievement, but this relationship is not significant. (OR = 0.714; Cl 95% 0.252 s.d. 2.025; p = 0.525). Multiple logistic regression is not done because based on result of Chi-Square, confounding factors have p > 0.25 (sex p = 0.701, tutoring p = 0.750). Conclusions: Relationship between myopia and decreased academic achievement is not significant, so myopia is not a risk factor of decreased academic achievement in children at SDN Cemara Dua Surakarta. Keywords: Myopia, decreased academic achievement, case control, noncycloplegic autorefractometer.
Perbedaan Disfungsi Ereksi pada Pasien Diabetes Melitus Tipe 2 dengan Hipertensi dan Nonhipertensi di RSUD Dr. Moewardi I Kadek Rusjaya; . Sugiarto; Andri Iryawan
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Type 2 Diabetes Mellitus is a global and Indonesian health problem which is estimated to increase in the future. One of the long-term complications of diabetes mellitus is the presence of neuropathy which will cause erectile dysfunction. Hypertension often accompanies the presence of diabetes mellitus. Untreated hypertension in diabetes mellitus will worsen the incidence of erectile dysfunction. This happened because in hypertension occurs a vascular endothelial damage and decreased production of NO which is a major mediator of erection. Methods: This study was an observational analytic study with cross sectional approach held in August September 2014 in the Polyclinic of Internal Medicine RSUD Dr. Moewardi. Sampling was done by Purposive Random Sampling technique, selection was done by checking the inclusion and exclusion criteria of the study sample. The number of samples in this study were 30 patients. Hereafter, the data obtained were statistically analyzed by Chi-Square test (X2). Results: The results of the Chi-Square tests analysis of the incidence of erectile dysfunction was obtained a significant differences between patients with type 2 diabetes mellitus with hypertension and non-hypertension (p<0,05). Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9 times compared to non-hypertension (OR=9,750,p=0,008). Conclusions: There was a statistically significant difference of erectile dysfunction between patients with type 2 diabetes mellitus with hypertension and non-hypertension. Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9,7 times compared to non-hypertension. Keywords: Diabetes Mellitus, Erectile Dysfunction, Hypertension
Relationship between Knowledge of Risk Factor in Pregnancy and Methods of Delivery at RSUD Dr.Moewardi Ariesta Permatasari; Soetrisno .; Bhisma Murti
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
Association between Glaucoma with Diabetes Mellitus and Hypertension Karla Kalua; Raharjo . Kuntoyo; Andri Iryawan
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 (?=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

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