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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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Association between Characteristics and Behaviors of Workers that Exposed to Chemicals with ARI Symptoms in Artificial Nails Industry Oktavera Tri Kurniasih; Jatu Aphridasari; Sumardiyono .
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Artifical nails industry workers are potentially exposed to chemicals that can irritate the respiratory tract. Irritation of the respiratory tract may facilitate the occurrence of Acute Respiratory Infection (ARI). Worker characteristics and worker behaviors affect the occurrence of ARI. This research aimed to know the association between characteristics and behaviors of workers that exposed to chemicals with ARI symptoms in artificial nails industry. Methods: This research was an observational analytic with cross-sectional approach. The research was held in artificial nails industry of Purbalingga on November-December 2015 with 80 samples of workers which consisted of 48 workers of injection department and 32 workers of airbrush department. Independent variables of this research were worker characteristics and worker behaviors. Worker characteristics included gender, age, department of work, period of work, and length of work. Worker behaviors included behavior of the use of Personal Protective Equipment (PPE) such as masks and smoking behavior. Dependent variable of this research was ARI symptoms. Moderator variable of this research was chemicals exposure. Data were collected using questionnaires. Data were analyzed by multiple logistic regression analysis. Results: The results of multiple logistic regression analysis showed that variables that influence ARI symptoms were length of work (p = 0.000; PR = 13.28) and age (p = 0.001; PR = 10.53). Conclusions: Length of work and age influenced ARI symptoms of workers that exposed to chemicals in artificial nails industry. The strength of the relationship of length of work was greater than age. Keywords: Worker characteristics, worker behaviors, chemicals exposure, ARI symptoms.
Hubungan Pemberian Obat Anti Tuberkulosis (OAT) dengan Kadar Asam Urat Ivan Setiawan; Ana Rima Setijadi; Yulia Sari
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Multidrug tuberculosis treatment which is a long term medication often causes various side effects. One of them is an increase of uric acid level. This study aims to determine the correlation between tuberculosis treatment administration and uric acid level. Methods: This study used cohort method with one group before and after intervention design. A total of 30 tuberculosis patients who were admitted to Center of Lung Health Society Surakarta between April and August 2013 were taken as samples by consecutive sampling method. Criteria of sampling are pulmonary tuberculosis patients who is planned to get rifampisin, isoniazid, pirazinamid, and ethambutol for more than 4 weeks, aged over 18 years old, and had given informed consent. In this study we excluded pulmonary tuberculosis patients who also had liver or renal disorders, had suffered from hyperuricemia or took drugs for decreasing uric acid level, or had hypertension. The measurements of uric acid level was collected before the treatment and more than one month after the treatment. Data were analyzed by paired t test (? = 0,05). Results: The average uric acid level of 30 patients before treatment was 4.68 1.12 mg/dL, while the average uric acid levels after treatment was 8.56 2.21 mg/dL, which was significantly higher than pretreatment (p=0.001). During treatment, hyperuricemia (uric acid level > 7 mg/dL) was reported in 73.33% (22/30) of patients and two patients had arthralgia. Conclusions: Tuberculosis treatment administration may affect uric acid level. Hiperuricemia was reported in 73.33% of patients who receive tuberculosis treatment. Keywords: tuberculosis treatment, uric acid level, tuberculosis
Perbedaan Perubahan Tekanan Darah Arteri Rerata antara Penggunaan Diazepam dan Midazolam sebagai Premedikasi Anestesi Melissa Donda; Hadi Sudjito; Bagus Wicaksono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Diazepam and midazolam is used as premedication for anesthesia. Diazepam and midazolam as the benzodiazepine drugs can cause changes in mean arterial pressure. This study aimed to prove the difference in mean arterial pressure changes between diazepam and midazolam as premedication for general anesthesia. Methods: This was an observational analytic study with cross-sectional method. Using consecutive sampling, we selected patients who fulfill the inclusive and exclusive criterias. Thirty patients were selected and divided into group of diazepam and midazolam. The first group was given diazepam 0.07 mg/kg intravenously and the second group was given midazolam 0.07 mg/kg intravenously. The blood pressure is recorded before giving the premedication and in five minutes after giving the premedication. The differences in mean arterial blood pressure between the two groups were analyzed by independent t-test. Results: The result showed a non-significant difference in mean arterial pressure before the administration (p=0.198, p>0.05) and five minutes after the administration of diazepam and midazolam (p=0.335, p>0.05). Conclusions: There is no significant difference in mean arterial pressure when using premedication of Diazepam and Midazolam administration. Keywords: Diazepam, Midazolam, Mean Arterial Pressure
Pengaruh Kecemasan terhadap Peningkatan Kadar Gula Darah Sewaktu Pasien Diabetes Melitus Tipe II RS. Dr. Moewardi Yosephine Nina Widyarini; I. G. B. Indro Nugroho; Rosalia Sri Hidayati, H
Nexus Kedokteran Klinik Vol 1, No 1 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Diabetes Mellitus is caused by increasing of blood glucose levels due to lack of insulin hormone both absolute and relative. High blood glucose levels in patient with Diabetes Mellitus can caused by 5 factors such as enzym, hormone, gastrointestinal system, anxiety, and carbohydrate intake. Patient with high tension is estimated to have a worse prognosis than patient without any tension. This research aims to know how significant the effect of tension to increasing of blood glucose levels. Method: This study was a descriptive analytical research using cross sectional approach implemented in March 2012 at internal medicine clinic of RS. Dr. Moewardi Surakarta. The sample was taken using purposive sampling and random sampling after being selected based on the inclusion and exclusion criteria. The subject filled in (1) curriculum vitae form, (2) L-MMPI questionnaire to find out the respondents truthfulness in filling in questionnaire, (3) Zung questionnaire to find out the anxiety score and checking for blood glucose. 60 subject of research were obtained as the data and analyzed using Independent Sample t-test and linear regression analysis test through SPSS 17.00 for windows program. Result: Significance values that indicated on independent sample t-test is 0.00, it can be concluded that the data are significantly different. Linear regression analysis test obtained the equation that Y=a+Bx = 49.89 + 3.09 X, which indicates if there is an increased level of anxiety, then the blood glucose levels will rise as much as 49.89 + 3.09 X unit. Conclusion: Blood glucose level in patient Diabetes Mellitus Type II with anxiety is higher than patient without anxiety and the effect of anxiety to increasing blood glucose levels is still weak. Keywords : Diabetes Mellitus Type II, Blood Glucose Level, Anxiety
Hubungan Jenis Kelamin dengan Kualitas Hidup Terkait Kesehatan Pasien Pasca Stroke Iskemik di RSUD Dr. Moewardi Martha Oktavia Dewi Savitri; Oemar Sri Hartanto; Bhisma Murti
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke has remained the top major killers during this last decade, actually as second leading cause of death in the world. Men suffers more stroke than women, yet the severity is worse in women. Based on some literatures, the outcome after stroke is estimated by sex, female patient has poor recovery with greater chance of depression and tends to have more disabilities, impairments and dependencies in functional activities, which these will deteriorate patients health related quality of life (HRQOL). This study aims to investigate whether there is any correlation between sex and health related quality of life of post ischemic stroke patients. Methods: This study was performed using analytic observational method with cross sectional approach. Subjects were post ischemic stroke patients at Public Hospital Dr. Moewardi. Forty five samples were taken by using fixed exposure sampling method. Instruments used in this study were Health Related Quality of Life (HR-QOL) SF-36 and Family Support Instrument. Statistic test used in this study was multiple linear regression analysis. Results: Twenty three samples (51.1 %) were men. The average age of patients is around 59 years, with an average score of HR-QOL= 353.35. It has been found that there is significant negative correlation between female patients and HR-QOL for b= -69.35, p=0.000 (p<0.05). It also has been found that the confounding factor of age is negatively and significantly correlated to the HR-QOL for b= -3.84, p= 0.000 (p<0.05) and the confounding factor of family support has significantly positive correlation to HR-QOL for b= 10.33, p=0.000 (p<0.05). Adjusted R2= 0.95 showing the suitability of the model by 95% in the population. Conclusion: Female patients averagely have lower HR-QOL score as much as 69.35 than male patients. One year increment in age will decrease HR-QOL score as much as 3.84 points. And each 1-score increase in family support will enhance HR-QOL score as much as 10.33 points. Keywords: sex, age, family support, health related quality of life, post ischemic stroke patients
Pengaruh Paparan Polusi Jalan Raya terhadap Waktu Transpor Mukosiliar Hidung Pada Petugas Kebersihan Dinas Kebersihan dan Pertamana Kota Surakarta Muhammad Aji Imaduddin; S Hendradewi; Vicky Eko Nurcahyo
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Nasal health is strongly influenced by the nasal mucociliary transport system as the primary defense of exposure to hazardous substances contained in the air. Exposure to air pollution experienced daily by the janitor at the town highway would affect the nasal mucociliary clearance mechanisms. Exposure to pollution will cause mucosal can not move, therefore nasal mucociliary transport time will be longer than normal. Methods: This type of research is observational analytic cross-sectional approach. The sample was a janitor Cleanliness and Sanitation Department of Surakarta as many as 30 people. The control group is a cleaning service Hospital Dr. Moewardi as many as 30 people. Measuring instrument used was a questionnaire and saccharine test, then performed the data analysis by Chi Square analysis. Results: In this research, the influence of exposure to highway pollution on nasal mucociliary transport time. Janitor Cleanliness and Sanitation Department of Surakarta exposed pollution has six times the risk than cleaning service at the Hospital Dr. Moewardi not exposed to pollution in terms of prolongation of nasal mucociliary transport time. Conclusions: Based on the study, exposure to highway pollution prolong nasal mucociliary transport time. Keywords: Exposure to highway pollution, nasal mucociliary transport time
The Difference of Intraocular Pressure between Schiotz Tonometer and Non Contact Tonometer in Surakarta Rizky Hanifah Nadiawati; Kurnia Rosyida .; 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

Rizky Hanifah Nadiawati, G0012192, 2015. The Difference of Intraocular Pressure between Schiotz Tonometer and Non Contact Tonometer in Surakarta. Mini Thesis. Faculty of Medicine, Sebelas Maret University, Surakarta. Introduction: Intraocular pressure (IOP) is the pressure inside the eyeball measured by tonometer. There is a lot kinds of tonometer, two of them are schiotz tonometer and non contact tonometer (NCT). This study aims to determine difference of IOP level measured by schiotz tonometer and non contact tonometer. Methods: This study was an observational analytic research with cross sectional approach. This study was conducted on November 2015 at Solo Eye Center Surakarta. The sample was collected by using consecutive sampling. Subjects were patient aged >20 years old. Dependent variable was IOP. Independent variable were schiotz tonometer results and NCT results. Data was collected by IOP measurement with both tonometers. The analysis technique used in this study were Mann Whitney and Kappa test . Results: The mean age of subjects was 31.84 17.05(mean SD) years. This study showed a mean of the difference of IOP level between schiotz tonometer and NCT, with p value was p=0.002 for IOP measurement of right eye and p<0.001 for IOP measurement of left eye. The mean of IOP levels as taken by schiotz tonometer were 16.95 3.64 (mean SD) and 19.68 5.34. The mean of IOP levels as taken by NCT were 12.95 3.04 and 13.08 2.52. Kappa test showed a less than chance agreement result between the two tonometers (? = -0.050). Conclusions: There was a significant difference between IOP level measured by schiotz tonometer and non contact tonometer. Keywords: intraocular pressure, schiotz tonometer, non contact tonometer
Kehamilan pada Usia Remaja Sebagai Faktor Risiko Terjadinya Ketuban Pecah Dini Kevin Wahyudy Prasetyo; 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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Background: Premature Rupture of Membranes (PROM) is a complication that happens in 10% of pregnancy and it increases the risk of fetal death. Teenagers who get pregnant have risk for having PROM. This condition is related to nutrition factor that changes the immunity of mother. The goal of this research is to acknowledge teenage pregnancy as risk factor of PROM. Methods: This research is a case control based study. The sample used by researcher is term pregnant women with and without PROM complication with a total sample of 30 people. The data is collected from medical record and questionnaire. The data, afterwards, analyzed with multiple logistic regression analysis. Result: There is a statistically significant relationship between teenage pregnancy and PROM. Pregnant teenagers have risk to get PROM 11,808 times bigger than those of adult (p = 0,021; OR = 11,808). Conclusion: Based on the result, it can be concluded that teenage pregnancy has risk to get PROM 11,808 times bigger than those of adult. Keyword: teenage pregnancy, Premature Rupture of Membranes
Perbedaan Nilai Apgar antara Kelahiran Pervaginam dan Kelahiran Seksio Sesarea pada Partus Macet Rizky Mas&#039;ah; Tri Budi Wiryanto; . Sumardiyono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Labour is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions. Obstructed labour can leading fetal asphyxia that indicate low APGAR score. In this case the delivery method can affect the state of the fetus. This study aimed to determine the difference APGAR score between vaginal delivery and caesarean section in obstructed labour. Methods: This analytic study was observational using cross sectional approach. The population of this study was all infants who was born by mother with vaginal delivery and caesarean section deliveries in obstructed labor at RSUD Dr. Moewardi. A total of 30 subjects were selected by purposive sampling method in accordance with the inclusion criteria. The data of APGAR score was collected by viewing the medical records from the subject. The data was analyzed using Independent T Test on SPSS 16.0 for Windows program. Results: The analysis showed a difference between APGAR score (first and fifth minute) in each group was significant. The first minute APGAR score has p 0.021 obtained for delivery method. APGAR score at five minute has p 0.041 obtained for delivery method. APGAR score at ten-minute was not significant with the delivery method, with a p-value 0.059. Conclusions: There is statistically significant differences between APGAR score at first and fifth minute in vaginal delivery and caesarean section in obstructed labor. Keywords: apgar score,obstructed labour,delivery.
Perbedaan Tingkat Kecemasan antara Siswa RSBI (Rintisan Sekolah Bertaraf Internasional) dan Akselerasi di SMA NEGERI 1 SURAKARTA Della Kusumaning Putri; Muhammad Fanani; 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: The anxiety at the students approaching teenagers age is the manifestation of the transition of emotional, morality, and relationship in family. A study was performed to the division of acceleration and RSBI classes in SMA Negeri 1 Surakarta creates the Difference of Anxiety Level between them because there is a psychological pressure constituting the high achievement demand. Methods: This was an analytic observational research with cross sectional approach. The subjects were the students of SMA Negeri 1 Surakarta. The sampling technique was using purposive sampling. The research data obtained by two different questionaire, the L-MMPI questionnaire, and Taylor Manifest of Anxiety Scale questionnaire (T-MAS). This study analysed statistically with Chi Square test. Results: 58 samples were consisted of 26 accelerations students and 32 RSBIs students. Based on analyzed data, there were differences of anxiety level at the students of acceleration and RSBI (Rintisan Sekolah Bertaraf Internasional) programs in SMA Negeri 1 Surakarta (p=0.036;OR 0.30). Conclusions: The differences of anxiety level were statistically significant between accelerations students and RSBIs students (p=0.036). Anxiety level for students in acceleration was 0.3 times higher than the students in RSBI program. Keywords: anxiety, acceleration, RSBI.

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