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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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The Correlation Between the Duration of Playing Online game and the Game Type with the Depression Level of Young Adult Visitor in Kingdom Game Centre Surakarta Pieter Reinaldo; Much. Syamsulhadi; Istar Yuliadi
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Online game is quite popular for an entertainment source in all over the world, according Indonesia. Online games has magical attraction that makes people eager to play it, such as three dimension graphic (3D), social and competitive aspect, as well as the play that runs like in real time. Several research reveal that playing online game too much can lead to a bad effect for the mental health of the player. This research has the purpose to find out whether there is a correlation between the duration of playing online game and the game type with the depression level of young adult visitor in Kingdom Game Centre Surakarta Methods: The kind of this research is analytical observational research with cross sectional approach. The population is the young adult visitor of Kingdom game centre in Surakarta. During March 2015, by using fixed exposure technique sampling, the researcher took sample of 56 repondents who fulfill the criterion. Duration of playing and type of online game is measured by using questionnaire, depression level is measured by using Beck Depression Inventory (BDI). The data is analysed by using double linear regression technique. Result: The duration time of playing online games has comparable significant correlation with the players depression level (p = 0,018). Type of game has significant correlation with the players depression level (p = 0,049), in which the player of MMORPG game has higher depression score compared with the player of MMORTS or MMOFPS. With the closeness of the relationship between these three variables is approximately (0,508). The accuracy of regression model 0.215 showed that 21.5% depression that occurred at the sample is due to the duration and type of game Conclusions: The longer the duration of playing online game then the depression will be heavier. MMORPG player will have heavier depression level compared with the player of other type of games. Keywords: Duration of Playing Online Game, Type of Online Game, Depression Level
Perbedaan Depresi pada Pasien Asma Persisten dengan Pasien PPOK di RSUD Dr. Moewardi Arum Alfiyah Fahmi; Ana Rima Setijadi; . Sumardiyono
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma and COPD are most pulmonary chronic disease. Recurrence dispnea attack in both can trigger the depression. Beside that, in COPD patient has mediator proinflamation are TNF-? and IL-6 that can make severe depression. Methods: This study is an observational analytic with cross sectional approach. The subjects are moderate to severe persistent asthma and moderate to severe Chronic Ostructive Pulmonary Disease (COPD) who came to pulmonary medicine clinic of Dr. Moewardi Hospital on April until June 2013. Subject were selected through purposive sampling. The study data obtained by doing interview qoestionnaire Beck Depression Inventory II (BDI-II). The data were analyze by t-test through SPSS Program 18 for Windows. Results: Data from 39 subjects consisting of 21 moderate to severe persistent asthma patients and 18 moderate to severe COPD patients. Median score of BDI-II moderate to severe COPD (11.89) is higher than moderate to severe persistent asthma (8.71). Data was also analyze by t-test by the significance p = 0.062. Conclusion: The study suggested no significant differences of depression between moderate to severe persistent asthma and moderate to severe COPD in Dr. Moewardi Hospital. Keyword: moderate to severe persistent asthma, moderate to severe COPD, depression.
The Association between Duration of Type 2 Diabetes Mellitus with Severity Degrees of Ischemic Stroke Patient in Ward of Neurogical Disease at RSUD Dr. Moewardi Triono Agung Sakti; . Suroto; Cr Siti . Utari
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is a most common cerebrovascular disease which is more common and become the second leading cause of death after ischemic heart disease in the world. In Indonesia, approximately 15.4% of deaths caused by stroke. One of risk factor from stroke is Diabetes Mellitus (DM) and Diabetes Mellitus type 2 is a major part of the diabetes that exist in society, especially in adulthood, which is about 85-90% of all diabetes types in the world. Therefore, it needs systematic examination of the use of the National Institutes of Health Stroke Scale (NIHSS) to determine the severity degrees of stroke in stroke patients who also suffer from diabetes. This study aimed to determine the association between duration of type 2 diabetes mellitus with severity degrees of ischemic stroke patient in Ward Neurological Diseases at RSUD Dr. Moewardi. Methods: This is an observational analytic study using cross sectional approach. A total of 32 subjects were selected by using purposive sampling, and subjects were ischemic stroke patients in Angrek II Ward of Neurological Disease at Hospital Dr. Moewardi. Data were collected by direct interview and examined subject using the NIHSS score. Data were analyzed using multiple logistic regression model and processed with the Statistical Product and Service Solutions (SPSS) for Windows 17:00. Results: Multiple logistic regression analysis showed the results OR = 1.558; 95% CI 0.317 to 7.656, and p = 0.585. These results already control all of confounding variables such as the levels of total cholesterol, smoking history, blood pressure, and history of alcohol consumption. Ischemic stroke patients who also suffer type 2 diabetes mellitus ? 5 years increases the risk of ischemic stroke with severe severity 1,558 times more than patients who have type 2 Diabetes Mellitus <5 years. Conclusions: There is a medium relationship between duration of type 2 Diabetes Mellitus with severity degrees ischemic stroke patient in Ward of Neurological Deisease at RSUD Dr. Moewardi, but the result is not significant in statistic. Keywords: Length Duration of DM, Tipe 2 Diabetes mellitus, Ischemic Stroke, Severity Degrees of Stroke
Hubungan Efikasi Diri dengan Kualitas Hidup Penderita Penyakit Paru Obstruktif Kronik (PPOK) di RSUD Dr. Moewardi Sarah Nadya Roosana; . Harsini; . Suradi
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Chronic Obstructive Pulmonary Disease COPD) is one of the causes of respiratory disorder that is often found in the world. Along with the increase in COPD complications, patients require a special effort to prevent lung decline of function in order to improve the quality of life. One of the ways is increasing self-efficacy. This study aims to determine the relationship between self-efficacy and quality of life in patients with COPD at RSUD Dr. Moewardi. Methods: This study was an observational analytic with cross-sectional approach. Samples of this study were 40 COPD patients in the outpatient pulmonary clinic of RSUD Dr. Moewardi were selected using purposive sampling technique. The independent variable of this study is self-efficacy which was measured with the COPD Self-Efficacy questionnaire (CSES). The dependent variable of this study is quality of life as measured by COPD Assesstment Test (CAT) questionnaire. The confounding variables of degree of smoking, duration of COPD, and the degree of breathlessness measured by respondent characteristics questionnaire and Modified Medical Research Council scale (mMRC scale). The data were analyzed using multiple logistic regression models. Results: Results of multiple logistic regression analysis showed the results OR = 72.055; CI 95% from 1300 to 3944.041; and p = 0.037. This result has controlled the confounding variables, namely the long-suffering COPD, degree of smoking and degree of breath shortness. Patients who have good self-efficacy have a good quality of life for seventy-two times greater than patients who have poor self-efficacy. Conclusions: There is significant correlation between self-efficacy and quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD) at RSUD Dr. Moewardi. Keywords: COPD, Self-Efficacy, Quality of life.
Hubungan antara Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) dan Kejadian Kanker Serviks di RSUD Dr. Moewardi Octava Prima Arta; 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: 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
Behavioral Problems in Children Patient with Epilepsy in RSUD Dr. Moewardi Surakarta Rachmania Budiati; Mustarsid .; Sumardiyono .
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Epilepsy is a chronic neurological disorder impacting on the child development. Children with epilepsy are at considerable risk for behavioral problems such as hyperactivity disorder, emotionality, and conduct problems. Comprehensive care including assessment of behavioral problems is needed for epileptic children. This study aimed to determine the differences in behavioral problems in children patient with epilepsy compared with children patients without epilepsy. Methods: The cross sectional study was conducted by 36 patients which consist of 20 children with epilepsy and 16 children without epilepsy in the pediatric clinic of RSUD Dr. Moewardi who met the inclusion criteria. Behavioral problems were screened by using the Strength and Difficulty Questionnaire (SDQ) Indonesian version. Data were analyzed by Fishers test and binary logistic regression. Results: Groups of children with epilepsy were significantly higher experiencing behavioral problems (36,1% vs 2,8% in controls, p < 0.001). Significant differences were also found in the percentage of emotional disorders and hyperactivity (p = 0.018 dan p = 0.004). Based on the multivariate analysis using binary logistic regression we concluded that the factors associated with behavioral disorders in children with epilepsy were the presence of a focus on EEG (95% CI 1.68238.63, p = 0.018) and AEDs polytherapy (95% CI 1.03-67.14, p = 0.046). We also found that the presence of a focus on EEG was a factor related to hyperactivity (95% CI 1.75-141.40, p = 0.014). Conclusions: Children patient with epilepsy have at greater risk behavioral problems than children without epilepsy. A focus on the result of EEG and AEDs polytherapy are factors associated with increased risk of behavior problems in children with epilepsy. Keywords: epilepsy, children, behavioral problems, SDQ
Hubungan Anemia pada Kehamilan dengan Berat Badan Bayi Lahir di RSUD Dr. Moewardi Novia Damara; Ganung Harsono; Arif Suryawan
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anemia is a problem in world health which attack a quarter of world population. Pregnancy anemia can caused bad effects to mother or the fetus. This research aims to reveal the relationship between pregnancy anemia and birth weight (high, normal, or low) in RSUD Dr. Moewardi Methods: This study was observational analytic with cross-sectional approach that was conducted in September-October 2012 at the Hospital Dr. Moewardi. The sampling was carried out sampling criterion. The measuring instruments that used were result of laboratory tests in RSUD Dr. Moewardi with cyanmethemoglobin method to determine whether the hemoglobin of pregnant women included in the criteria for anemia and baby scales to measure birth weight. The obtained data were 33 and the data analysis used Chi-Square test with SPSS 17.00 for Windows program. Results: This study demonstrates the value of Chi Square count equal to 33.000, while the value of Chi Square table with ? = 0.005 and degrees of freedom (df) = 2 obtained a value 5.99. It means that the value of Chi Square count > value of Chi Square table. Meanwhile, with ? = 0.05 shows p = 0.000, which means that p < 0.05. Thus, the two analyzes are the same conclusions that reject H0. Conclusions: There is a relationship between pregnancy anemia and birth weight in Hospital Dr. Moewardi. The samples were pregnant woman who suffer from mild anemia more likely to deliver babies with normal birth weight. Moreover, woman who suffer from severe anemia more likely to deliver babies with low birth weight. Keywords: Anemia, Pregnancy, Weight Birth
Perbedaan Kualitas Tidur antara Pasien Asma dengan Pasien PPOK di RSUD Dr. Moewardi Rizka Ratmilia; Ana Rima Setijadi; Widardo .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Asthma and Chronic Obstructive Pulmonary Disease (COPD) refer to group of airflow obstruction diseases characterized by fundamental physiologic problems, they are increased resistance to airflow as a result of caliber reduction of conducting airways and chronic airway inflammation. Sleep requirement is so important for everyones life quality, however their sleep need depends upon many factors such as physiological factors. Asthma and COPD patients may suffer nocturnal symptom or other typical symptom presentation. This study aimed to find out the difference of sleeping quality between asthmatic patients and COPD patients. This study was an analytical observational with cross-sectional approach. The subjects were selected by purposive sampling technique. A total of 60 subjects consisted of 30 asthmatic patients and 30 COPD patients from outpatients who visited the pulmonary clinics of RSUD DR. Moewardi from April to May 2013. The data were collected using direct interview to fill KSPBJ-IRS (Kelompok Studi Psikiatri Bilogik Jakarta-Insomnia Rating Scale) questionnaire. Furthermore, the data were analyzed using Chi-Square test on Statistical Product and Service Solution (SPSS) 20.00 for Windows. There is no significant difference of sleep quality between asthmatic patients and COPD patients. According to Chi-Square test results, p-value is 0,301; p > 0,05. From this study it can be concluded that the obtained, there is no difference of sleep quality between asthmatic patients and COPD patients. Keywords: Sleep Quality, Asthma, COPD
Hubungan Abnormalitas Persalinan Dengan Faktor Risiko Autistik Bani Zakiyah; Aris Sudiyanto; Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Autism is a disorder affects communication, social, language, and behaviour impairments of children. The prevalence of autism tend to increase, but its etiology still unclear and multifactoral suspected. Based on some studies, the incidence of autism were increase if there are some problems in prenatal, natal, or postnatal. Abnormality labor is one of the problem in natal that suspected has a correlation with autism. This study aims to determine the correlation between abnormal labor and risk factors of autism. Methods: This study was an analytic observational study with case control design. The subject were taken by porposive random sampling in case group and control group. The interview done in 66 mothers of children. 33 children taken from SLB Autis Harmony, SLB Autis Agca Center, SLB Autis Alamanda, and SLB-B C dan Autis YBA Surakarta as case group and 33 children taken from SDN Ngoresan Surakarta as control group. Then the results were tested with Chi Square through SPSS 17.0 for Windows. Results: From the case group, 90.9% were born with abnormal labor and from the control group, 48.5% were born with abnormal labor. The result of Chi Square analysis, the value p < 0.01, it means the probability value is lower than 0.05. So, there is significal correlation between abnormal labor and risk factors of autism. Conclusions: The conclusion of this research is there is correlation between abnormal labor and risk factor of autism. Keywords: abnormal labor, risk factors, autism
The Effect of Ischemic Stroke to Cognitive Disorders in RSUD Dr. Moewardi Arwindya Galih Desvitarini; Subandi .; Dhoni Akbar Ghozali
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 is the fourth highest cause of death in the world after heart disease, cancer, and chronic lower respiratory tract disease. In Indonesia, stroke is the major cause of death, covering about 15.4% of deaths. Damage to brain cells due to stroke may cause cognitive dysfunction. Two-thirds of stroke patients may reveal cognitive degradation in various domains such as attention, language, memory, executive function, and visuospatial ability. This study aimed to analyze the effect of ischemic stroke to cognitive disorders. Method: This was an observational analytic study with cross-sectional approach which was conducted from July to September2014 at Neurology Outpatient Clinicof RSUD Dr. Moewardi Surakarta. A total of 50 subjects were obtained by fixed exposure sampling. The data were retrieved by using MoCA-Ina questionnaire and interviewing the respondents. The data were analyzed by Chi Square test and multiple logistic regression using SPSS 20.0 program for Windows. Result: Three independent variables were analyzed, which consisted of ischemic stroke, age, and level of education. Ischemic stroke was the only independent variable that associated with cognitive disorders significantly (p = 0.010). There were no association with cognitive disorders found in both age (p = 0.279 and level of education (p = 0.074). Conclusion: There is a significant association between ischemic stroke and cognitive disorders. Keywords: Ischemic stroke, cognitive disorder, MoCA-Ina

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