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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
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Perbedaan Aldrete Score Akibat Penggunaan Halotan dan Sevofluran D. Purbo Rinanto; R.Th Supraptomo; Bagus Wicaksono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Inhaled Anesthesia is anesthesia drugs in the form of gas or volatile liquid that is given through the respiratory patient . This anesthesia has the advantage of high potency and concentration that can be controlled through the engine . Inhaled anesthetics commonly used in surgery are halothane and sevoflurane . The main concern is the safety of anesthesia and patient safety , and one of them includes the recovery of consciousness and regular use Aldrete score . This study aims to determine the effect of the difference Aldrete score inhaled anesthetics halothane and sevoflurane. Methods: This study was an observational analytic study using cross - sectional study with subjects surgery patients with inhalation anesthetics halothane and sevoflurane in the Instalasi Bedah Sentral ( IBS ) RSUD Dr. Moewardi Surakarta . With quota sampling technique, this study obtained 40 sampels, which consisted of 20 patients with halothane anesthesia , and 20 patients with sevoflurane anesthesia . Data were collected by observation in the post-operative and medical records room . Data were analyzed using independent t-test, the homogeneity test and comparison test average. The data were processed with the Statistical Product and Service Solutions ( SPSS )18.00 for Windows. Results : Data were tested by independent t-test , showed average values ??for halothane group was 9.2 , while the average value for the sevoflurane group was 9.0. However , the value obtained Sig ( 2 - tailed ) ( 0.151 ) > ? ( 0.05 ) so that Ho is accepted . Or it can be concluded that there was no significant difference between the average value Aldrete score halothane and sevoflurane groups . Value Std . Error Difference also showed the same value is 0.066 so that there was no significant difference in the two groups . Conclusions : Both groups had an average value of the same or there is no significant difference between the two groups either inhaled anesthetics halothane and sevoflurane Keywords : inhalation anesthetics , halothane , sevoflurane , level of consciousness, Aldrete score
Hubungan antara Status Gizi dan Infeksi Blastocystis hominis pada Pasien Bangsal Anak RSUD Dr. Moewardi Surakarta Nabila Adib Sungkar; Paramasari Dirgahayu; Annang Giri Moelyo
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background :Blastocystis hominis is one of the most common protozoans found in worldwide human intestinal tract. In Indonesia, its prevalence reached 60%, the highest prevalence found in children less than 6 years old (25%). Epidemiological and clinical researches show that a defect of nutritional status can inhibit immunity response and increase risk of infectional disease. This study aimed to analyze the correlation between nutritional status and Blastocystis hominis infection among children in RSUD Dr. Moewardi Surakarta. Methods :This study was an observational analytical research using cross-sectional approach. The subjects were every pediatric ward patient in RSUD Dr. Moewardi Surakarta period July-August 2013. A total of 50 subjects were selected using total sampling method. Fresh stool samples were examined using Ziehl-Neelsen staining method. Data were analyzed by multiple logistic regression analysis and processed with the Statistical Product and Service Solutions (SPSS) 17.0 for Windows. Results :Blastocystis hominis was found in 36/50 (72%) stool samples. Poor nutritional status patients in pediatric ward of RSUD Dr. Moewardi Surakarta have the same risk to be infected by Blastocystis hominis compared to good nutritional status patients (OR = 1.04 ; p < 0.97). But children aged under 2 years old have lower risk to get infected by Blastocystis hominis compared to children over 2 years old (OR = 29,333 ; p < 0,001) Conclusion :There is not any significant correlation between nutritional status and Blastocystis hominis infection among children in RSUD Dr. Moewardi Surakarta. Keywords :Blastocystis hominis, nutritional status
Hubungan Kecerdasan Emosi, Tingkat Pendidikan Orang Tua dengan Indeks Prestasi Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret Surakarta Ratu Siti Khadijah Sarah; Mardiatmi Susilohati; 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: One important issue in education is academic achievement. Academic achievement can lead to satisfaction and continuity for further education while academic failure can result in delay in learning or even drop out. Some factors that can affect academic result are emotional intelligence as internal factor and parents education level (family factor) as external factor. This study aims to prove the existence of relations among emotional intelligence, parents education level and academic achievement index of senior students of Faculty of Medicine, Sebelas Maret University Surakarta. Methods: This study was an observational analytic research with cross sectional approach, held in July August 2014 in Faculty of Medicine, Universitas Sebelas Maret Surakarta. The sampling method used was total sampling and selection was done by checking the inclusion and exclusion criteria of the study sample. The numbers of subjects in this study were 214 students. Hereafter, the data obtained were analyzed statistically by multiple linear regression test and F test. Results: The results of the F test analysis with the number of significance ? = 0.05 obtained value of p < 0.05 with a regression line equation Y = 2,660 + 0,004 X1 + 0,010 X2. Conclusions: There is a significant relationship simultaneously between emotional intelligence, level of parents education and index of student achievement. If there is no emotional intelligence and parents education level, the achievement index is equal to 2.660. Index of student achievement changed by 0.004 for each unit change in the variables of emotional intelligence and changed by 0.010 for every unit change in the level of parents' education variable. Keywords: Emotional Intelligence, Parents Education Level, Academic Achievement Index
Hubungan Perokok Pasif dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi Syahmi Amar; Rustam Sunaryo; 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: Incidence of cervical cancer each year has increased and the risk of death from cervical cancer is also increased. Cigarette smoke is one of the risk factors associated with cervical cancer which contains chemicals such as nicotine and benzopiren. The content of these chemicals may increase the risk of cervical cancer by various mechanisms. The purpose of this study was to determine the incidence rate of cervical cancer associated with exposure to passive smokers is connected. Methods: This type of research is an case-control. 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 passive smoking with the incidence of cervical cancer. Passive smokers will have 11,5 ??times the cervical cancer than non-passive smokers (p=0,001, OR = 11,5). Conclusion: Based on studies of passive smoking women would run the risk of cervical cancer will have 11,5 times higher than non-passive smokers. Key words: passive smoker, cervical cancer
The Difference of Anxiety between Primigravide Normal Pregnancy and Severe Preeclamsia at Dr. Moewardi Hospital Azizah Amalia Novia Sani; Nutria Widya Purna Anggraini; Bagus Wicaksono
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Women with first ongoing pregnancy (primigravide) came through physical and physicological adaptation which can lead into physicological problem. High-risk pregnancy like preeclamsia have some complication that increased women worries which causing anxiety in their pregnancy. Mental burden in high-risk pregnancy causing some problem toward both mothers and fetuss health quality and also complication in labor. This study aimed to know difference of anxiety between primigravide normal pregnancy and severe preeclamsia. Methods: This study was an analitycal observasional study with cross sectional approach taken at Obstetri and Gynecologi Policlinic of Dr. Moewardi Hospital, in Desember 2014 until January 2015. The sampling method was using purposive sampling. There were 40 respoden in total which devided into 20 responden of normal pregnancy and 20 responden of severe preeclamsia. Anxiety level was measured using HARS (Hamilton Anxiety Rating Scale) questionnaire. Data was analyzed using Chi square test to compare anxiety differences between the two group. Results: It was found 8 participant (40%) show no anxiety and 12 participant (60%) having mild anxiety in normal pregnancy. While in severe preeclamsia was found 5 participants (25%) having mild anxiety, 13 participants (65%) having moderate anxiety, and 2 participant (10%) having severe anxiety. The result of analysis by Fischer exact test showed p=0,002 (p<0,05). Conclusions: There was an anxiety difference between primigravide normal pregnancy and severe preeclamsia Keywords: anxiety, pregnancy, preeclamsia
Hubungan kecanduan online game dengan kecemasan pada remaja pengunjung game centre di Kelurahan Jebres Surakarta Asri Sukawati Putri; Djoko Suwito; Ruben Dharmawan
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Perfection graphics technologies in online gaming becomes allure for players, especially for adolescents. Some previous studies have claimed that online gaming addiction can affect the physical and psychological players, one of which may cause anxiety. This study aims to prove the relationship between addiction to online games with anxiety. Methods: This is a descriptive analysis research with a cross sectional approach. Subjects were adolescents game centre visitor in the Jebres Village . The samples are adolescents of the age 12-21 years old. Samples were taken purposively sampling. Data collection techniques using the TMAS anxiety scale, the scale of online gaming addiction questionnaires and Family Intimacy Instrument. Data scores online gaming addiction, anxiety and family intimacy were analyzed with multiple logistic regression analysis model. Result : This research obtained 35 young males. The results of multiple logistic regression analysis showed that there is a positive relationship between online game addiction and anxiety in adolescents in the Village Jebres. Adolescents with online gaming addiction have a risk 2.86 times greater for anxiety than adolescents without online gaming addiction p = 0.212. (OR: 2.86 CI 95% 0.55 s / d 14.91). The results of this analysis also showed an association between family intimacy and anxiety. Adolescents with low family intimacy had 0.51 times the risk for anxiety with p = 0.440 (OR = 0.51). However, online gaming addiction pose a greater risk of experience anxiety than the risks posed by families with low intimacy. Conclusion : There is relationship between online game addiction and anxiety. The higher the level of adolescent addiction to online games, the higher the risk for anxiety. Keywords : adolescent, online game addiction, anxiety, family intimacy
Hubungan Pemberian ASI Eksklusif dengan Kejadian Penyakit Alergi pada Anak Annisa Wardhani; Ganung Harsono; . Widardo
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Allergy defined as hipersensitivity reaction started by immunological mechanism through exposure of allergen to atopic individues. Atopy is genetical tendencies to produce IgE that has been exposed to allergen. Allergic disease that commonly found in children are atopic eczema, asthma bronchial and allergic rhinitis. Whereas food allergy and cows milk allergy are the first allergic disease that could occur for the first time in children. For the past few years, the incidence of allergic disease is increased rapidly, on domestic and global scale. As the result, the prevention of this disease become very important. There are many methods has been done, such as exclusive breatfeeding, avoidance of risk factor and tobacco smoke exposure, and probiotic administration, but the result is remain controversial. This study aims to find out the correlation between exclusive breastfeeding and occurence of allergic disease in children. Methods: This is an analytical survey study using case control approach which was conducted on May-July 2013 in Dr. Moewardi Hospital. The sample was taken using purposive sampling and used rule of thumb to take the amount of sample. Occurence of allergic disease is classified as independent variable and exclusive breastfeeding is classified as dependent variable. The children parents that agree to be taken as a sample signed informed consent and filled the questionnaire. The data about diagnosis was required from medical record. 70 samples of research were obtained and analyzed by using Chi Square test followed by the multivariate logistic regression analysis. Results: Bivariat analysis using Chi Square test showed significant correlation between exclusive breastfeeding with the occurence of allergic disease in children with p<0.05. Exclusive breastfeeding Crude OR was 0.351. By using multivariate logistic regression analysis were obtained adjusted OR = 0.214, p = 0.016 (p<0.05), and 95% CI = 0.061-0.751 for independent variable exclusive breastfeeding. Conclusions: There is a significant correlation between exclusive breastfeeding with the occurence of allergic disease in children (p = 0.016). The OR = 0.214 showed that exclusive breastfeeding is a protective factor against allergic disease in children. Keywords: Exclusive Breastfeeding, Allergic Disease, Atopy
Estimasi Tinggi Badan Berdasarkan Panjang Telapak Tangan dan Panjang Telapak Kaki Novian Anindito Santosa; Didik Gunawan Tamtomo; Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Body height measurement is one of forensic identification examinations. One of evidence that probably found in forensic cases is hand length or foot length. This research aimed to the know correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Methods: This research was descriptive analytic with cross-sectional study design. The research was held in Faculty of Medicine Universitas Sebelas Maret with 40 samples of students which consisted of 24 males and 16 females. Independent variable of this research werehand and foot length. Hand length was measured with caliper, foot length was measured with plan A4 paper and ruler. Dependent variable of this research was body height estimation which was measured with microtoise. Samples obtained were measured height, hand length and foot length. The result obtained was tested with double linear regression test. Results: The statistical analysis result for regression test partially obtained that right hand length had correlation score (r) 0,971 (p=0,000), left hand length had correlation score (r) 0,968 (p=0,000),right foot length had correlation score (r) 0,975 (p=0,000), left foot length had correlation score (r) 0,973 (p=0,000). While the result of double linear regression test had correlation score (r) 0,999 (p=0,000). Conclusions: There was correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Keywords: Body height,hand length foot length.
The Correlation between Serum Albumin Level with Ischemic Stroke Prognosis at Dr. Moewardi Hospital, Surakarta VANNY SCARLETT VALENTINE; Suratno .; Lukman Aryoseto
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
Pengaruh Rehabilitasi Medik Terhadap Tingkat Stress Pasien Karsinoma Mammae Pasca Operasi Di RS Kanker Dharmais Hafidz Nur Ichwan; Slamet Riyadi; Endang Sahir
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Carcinoma mammae is a cancer of thoracal region that most commonly found and suffered by women in Indonesia. Cancer patients may experience morbidity and psychiatric disorder. With rehabilitation, physical and psychological disorders which were caused by cancer could be reduced. This study aims to determine effects of medical rehabilitation towards stress level of post-surgical mammary carcinoma patients. Methods: This research is observational analytic study with cross-sectional approach. Subjects were patients who came to the clinic of Oncology and Medical Rehabilitation Installation of National Cancer Centre Dharmais. Research subjects were taken by purposive sampling technique. The research data were obtained through interviews using questionnaires. The collected data were statistically analyzed with Chi Square test using SPSS 17 software for Windows program. Results: From the research results, there is total 60 patients. Medium-category stress patients were 53 people, 25 people (47.2%) had never undergone medical rehabilitation, and 28 people (52.8%) had undergone medical rehabilitation. Severe-category stress patients were 7 people, 5 people (71.4%) had never undergone medical rehabilitation and 2 people (28.6%) had undergone medical rehabilitation. The results of calculations acquired a significance level of Xcount is 0.228 > significance level of p = 0.05. Conclusions: Based on the result of statistical analysis, it can be concluded that there is no significant effects of medical rehabilitation towards stress level of post-surgical mammary carcinoma patients. Keywords: Carcinoma Mammae Medical Rehabilitation Stress Level

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