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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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The Correlation between Computer Use and Visus of SMKN 2 Surakartas Informatic Engineering Students Novy Wahyunengsi Lowa; Retno Widiati .; Senyum Indrakila .
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Recently, computers have became primary needs of common people, especially among teenagers. It is proven in the results of a recent study that internet users in Indonesia from among children and adolescents are predicted reach to 30 million. Most computer users spend a lot of time for staring at computer, without give their eyes to rest. As a result, there was a repeated stress on the muscles of the eyes then fatigue. It will continue to decline in the function of the eye muscles that have consequence in visual impairment/decreasing in visual acuity. Methods : This study was analytic observational using cross sectional design that held in November 2014. The subjects of this study were 65 students of class X, XI, and XII SMKN 2 Surakarta who taken by purposive sampling technique through interviews. Analysis of the data used Spearman correlation test which treated with Statistical Product and Service Solutions (SPSS) 20.0 for Windows . Results : In this study indicated that there was no significant relationship between the duration of use of computer vision to the decline in students of N 2 Surakarta , where the value of p = 0.800 ( > 0.05) (old and right visual acuity) and p = 0593 ( > 0.05) (old and left visual acuity) .Conclusions : There is no relationship between the duration of use of the computer vision student N 2 Surakarta .Key Words : Computer use duration, visus, students
Perbedaan pH Saliva antara Remaja Wanita Pre Menarche dengan Remaja Wanita Post Menarche . Syamsudduha; Risya Cilmiati AR; Pradipto Subiyantoro
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 antara Faktor Risiko Perdarahan dengan Kejadian Perdarahan Postpartum di RSUD Dr. Moewardi Surakarta Tahun 2012 Larissa Amanda; Rustam Sunaryo; . 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: Maternal mortality rate in Indonesia is relatively high compared to the other Asian countries. Postpartum hemorrhage is one of the major cause of maternal mortality. The increase in risk factors for hemorrhage in pregnancy and labor is known to contribute to the increase in cases of postpartum hemorrhage. The objective of this research was to know the correlation between risk factors for hemorrhage and occurrence of postpartum hemorrhage in Dr. Moewardi Hospital Surakarta in 2012. Methods: This research used descriptive analytical study by the case control approach. Case group was patients with postpartum hemorrhage in Dr. Moewardi Hospital Surakarta in 2012. Sample of the case group was taken by purposive sampling. Control group was postpartum patients in Dr. Moewardi Hospital Surakarta in 2012 who didnt experience of postpartum hemorrhage. Sample of the control group was randomly selected by simple random sampling from 45 patients who had spontaneus labor and 45 patients who had sectio caesarean which met the criteria of purposive sampling. This research was conducted by collecting data from 55 medical records of patients in case and control groups. The collected data were analyzed with Chi Square and logistic regression formulas. Results: The result of statistical analysis revealed significant diferrences between case and control groups for methods of labour with p values = 0,001 and r = 0,405. The results of statistical analysis for age, parity, anemia, birthweight and severe preeclampsia revealed no significant differences between case and control groups with each p values = 0,566, 0,423, 0,401 and 0,161. There were no eclampsia and polihidramnios patient in case and control groups. Conclusions: The results of this research revealed that there were a correlation between spontaneous labor with episiotomy, elective caesarean section, emergency caesarean section, assisted vaginal delivery with episiotomy and occurence of postpartum hemorrhage in Dr. Moewardi Hospital in 2012. Keywords: postpartum hemorrhage, risk factors for hemorrhage.
Hubungan antara Optimisme dengan Kualitas Hidup pada Pasien Lupus Eritematosus Akrim Permitasari; Arief Nurudhin; Bagus Wicaksono
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Systemic Lupus Erythematosus (SLE) is an auto-immune disease that is vary since its relapse period (flare) and remission period. The occurence of flare on SLE consist of many factors, one of them is depression that is caused by stress. While, the optimists are known as people who have good ability on dealing with stress. This research is aimed to find out the relation between optimism and living quality of patients who suffered from SLE. Research Method: This research was an analytic observational research with cross sectional approach. The sample was SLE patients who are fused in Griya Kupu Surakarta community. This research conducted by filling out the quetionnaires, optimism quetionnaire (Life Orientation Test-Revised) and quality of life quetionnaire (SF-36). From these two data, the researcher did the analysis using Pearsons product moment correlation analysis. Then, the data were treated by using SPSS 14,0 for Windows application. Result: Based on the analysis, there were some result obtained: there was a strong unidirectional relation (r = 0,613) and significant (sig = 0,000) between optimism and quality of life. There was varied relationship between optimism and quality of life on each domain. Optimism had strong unidirectional relation on physical function domain (r = 0,515, sig = 0,003), pain domain (r = 0,570, sig = 0,001), social function domain (r = 0,602, sig = 0,000) and general health (r = 0,614, sig = 0,000). Optimism had quite strong unidirectional relation with physical role domain (r = 0,329, sig = 0,071), the role of emotion domain (r = 0,429, sig = 0,016) and energy domain (r = 0,498, sig = 0,004). But, on physical role domain (sig = 0,071) this result was not significant. Optimism had inversely relation with mental health (r = -0,318, sig = 0,087), this result was not significant. Conclusion: Based on this research, it can be concluded that there is a strong relation (r = 0,613, sig = 0,000) between optimism and quality of life of Systemic Lupus Erythematosus patients. Key Words: Systemic Lupus Erythematosus, Optimism, Quality of Life
The Difference of Incidence of Pulp Necrosis with Chronic Apical Abscess among Hypertensive and Normotensive Patients in Dr. Moewardi Hospital Andrio Palayukan; Risya Cilmiaty; Marwoto .
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Pulp necrosis is a continuation of pulp inflammation that did not receive adequate treatment. Necrotic pulp along with bacteria growing in the vicinity can cause an inflammatory response in the periapical tissues. The aim of this study was to determine the difference of incidence of pulp necrosis with chronic apical abscess between hypertensive and normotensive patients at Dr.Moewardi Hospial. Methods: The design of this study was case control with cross sectional approach. Data were collected from medical record of patient at dental outpatient clinic Dr. Moewardi Hospital from September 2013 to September 2014. Samples were taken by purposive sampling method. Samples were classified into four groups: patient with hypertension and pulp necrosis with chronic apical abscess, hypertension and dental caries, normotensive and pulp necrosis with chronic apical abscess, normotensive and dental caries. Data were analyzed by Chi Square test (? = 0.05). Result: There were 70 Subjects who met inclusion and exclusion criteria. The percentage of hypertensive and pulp necrosis with chronic apical abscess was 24.28%, hypertensive and dental caries was 2.86%, normotensive and pulp necrosis with chronic apical abscess was 40%, and normotensive with dental caries was 32.86%. The result of Chi Square test demonstrated a significant difference between the four groups with p = 0.007 (p < 0.05). Conclusion: There is a significant difference of incidence of pulp necrosis with chronic apical abscess between hypertension and normotensive patients at Dr. Moewardi Hospital. Key words: pulp necrosis, chronic apical abscess, hypertensive, normotensive
The association between pregnancy spacing and iron deficiency anemia at RSUD Dr. Moewardi Puspa Damayanti; Rustam Sunaryo; Bhisma Murti
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Pregnant women to be one of those most vulnerable to malnutrition, especially iron deficiency anemia and iron deficiency anemia coping is currently focused on the tablet of iron (Fe) in pregnant women. While pregnancy distance of less than 2 years old are at greatest risk for iron deficiency anemia. Methods : This analytic study was observational using case-control approach. A sample of 60 study subjects was selected by purposive sampling and fixed disease sampling from outpatients who visited Obstetric Clinics, RSUD Dr. Moewardi Surakarta. The data was collected by interview and some datas taken from the medical records. The data was analyzed using multiple logistic regression model on SPSS 20.00 for windows. Result : The pregnant women with pregnancy spacing ? 24 months at RSUD Dr. Moewardi have a greater risk for iron deficiency anemia 0,8 times lower than <24 months pregnancy spacing (OR=0,8 ; Cl 95% 0,17 s.d. 3,80; p=0,778). This analysis have control gestational age as a confounding factor, but not control the intake of nutrient. Conclusions : There is a weak and negative association, and not statistically significant between the gestational age with iron deficiency anemia. Keywords: pregnancy spacing, iron deficiency anemia
Sleep Latency among High School Female Students who Dance Gambyong Pareanom Tika Permata Sari; Much Syamsulhadi; Dian Nugroho
Nexus Kedokteran Klinik Vol 5, No 3 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Sleep is important to maintain homeostatic function and mental health. Previous study showed that mindfulness exercise can shorten sleep latency. In this study, Gambyong Pareanom dance is used as mindfulness exercise. This study aims to find out whether Gambyong Pareanom dance can influence sleep latency. Methods: This study is a quasi experimental study with the design of pretest and posttest. The study took place in SMA Negeri 4 Surakarta with 10th grade students as subjects. Subjects were taken in blind method and divided into two: control and treatment. Students in treatment group follow 8 week of Gambyong Pareanom dance practice. Data was collected using Pittsburgh Sleep Quality Index (PSQI) questionnaire. PSQI score was measured before and after treatment and is compared to control group. Independent variables are dancing and not dancing Gambyong Pareanom while the dependent variable is sleep quality. Data was analyzed using Wilcoxon test. Result: Treatment group experienced significant improvement in their sleep latency (p = 0,003). Keywords: sleep, physical activity, mindfulness, sleep latency, dance
Hubungan Diabetes mellitus dengan Hasil Uji Konversi BTA Sputum setelah Pemberian Terapi Tuberkulosis Tahap Inisiasi Avamira Rosita Pranoto; Yusup Subagio Sutanto; Sri Haryati
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Pulmonary tuberculosis (TB) is a chronic infection of lung caused by Mycobacterium tuberculosis. Tuberculosis treatment often gets failure in result because of lack of care in co-morbid disease such as Diabetes mellitus (DM), which can disturb TB patient immunity. The objective of this study was to determine the relation of Diabetes mellitus and result of conversion test of sputum with alcohol-acid resistant bacillus after initiation phase of tuberculosis medication. Methods: This was an observational analytic survey with retrospective cohort study. Using consecutive sampling method, this study took 124 patients from RSUD Dr. Moewardi and BBKPM (Balai Besar Kesehatan Paru Masyarakat) Surakarta, who divided into 2 groups based on the DM status of newly diagnosed pulmonary TB patients. Control group consisted of 86 newly diagnosed pulmonary TB patients without DM; exposure group consisted of 38 newly diagnosed pulmonary TB patients with DM. Patients from both groups were given category-1 tuberculosis treatment during 2 months of initiation phase therapy, then the BTA conversion status of patients was observed. Data collected through the medical record and concurrent data of pulmonary TB patients. Data was analyzed by SPSS using Chi Square test. Probability (p) is < 0.05 with 95% confident interval. Results: There were 14 patients from the control group who failed to undergo conversion after 2 months of initiation phase therapy, whereas from the exposure group, there were 17 patients who got failure in result. Data analysis using Chi Square with significance level p < 0.05 was obtained p = 0.001 and Relative Risk (RR) = 0.66. Conclusions: DM seems to have a negative impact on the outcome of tuberculosis treatment. Pulmonary tuberculosis patients with DM as comorbid disease has probability 0.66 times lower than those without DM to get positive result from BTA sputum conversion test. Screening for DM and subsequent blood glucose control may improve the outcome of tuberculosis treatment. Keywords: Diabetes mellitus, tuberculosis medication, result of conversion test of sputum
Hubungan Endometriosis dengan Dismenore pada Pasien Poliklinik Obstetri dan Ginekologi di RSUD Dr. Moewardi Dian Fikri Rachmawan; Tedja Danudjo Oepomo; Nanang Wiyono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Generally, reproductive-aged and unpregnant women experience menstruation which is able to be accompanied by dysmenorrhea. Dysmenorrhea prevalence ranged from 1.7% 97% in 106 studies, which is involving 125.249 women. In 20 high-quality studies with representative samples, dysmenorrhea prevalence was reported between 16.8% 81%. Approximately, there were 60% 70% of Indonesian women who experienced dysmenorrhea during menstruation with 15% of them complained that their activities were limited due to dysmenorrhea. One of the significant risk factors that cause dysmenorrhea is endometriosis. Nevertheless, there is no definitive data on dysmenorrhea caused by endometriosis in Indonesia. In fact, endometriosis would greatly impact the quality of life of a woman. The present study aims to determine the association between endometriosis and dysmenorrhea among patients admitted on the Obstetrics Gynecology Clinic of RSUD Dr. Moewardi. Methods: The present study was as an analytical observational study with cross sectional approach. A total of 45 subjects were selected from medical records of RSUD Dr. Moewardi by stratified random sampling technique, which subsequently were divided into 2 groups, namely; 15 patients of endometriosis group and 30 patients of gynecologic malignancies other than endometriosis group. Data was collected by interviewing patients and asking them to fill out the questionnaire. Data was analyzed by using Chi Square test and processed with Statistical Product and Service Solutions (SPSS) 19.00 for Windows. Results: Chi Square test showed OR = 24,182; CI 95% = 2,788 209,764; and p = 0,000. Patients diagnosed by endometriosis are at risk for dysmenorrhea 24,182 times greater than patients with gynecologic malignancies other than endometriosis. Conclusions: There is a significant association between endometriosis and dysmenorrhea among patients admitted on the Obstetrics Gynecology Clinic of RSUD Dr. Moewardi. Keywords: Endometriosis, dysmenorrhea, stratified randim sampling.
The Difference of Anxiety between Primigravida and Multigravida Patients in Third Trimester Pregnancy at Permata Bunda Hospital Purwodadi Ichsanul Amy Himawan; Djoko Suwito; 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: 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.

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