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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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Hubungan Kecenderungan Gangguan Kepribadian Antisosial dengan Adiksi Online Game pada Remaja Laki-laki Pengunjung Game Centre di Surakarta Dyonisa Nasirochmi Pakha; Djoko Suwito; Zulaika Nur Afifah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Online gaming addiction has become a health issue and brings a negative impact, especially in adolescents. One of the factors that predispose online gaming addiction is the tendency of antisocial personality disorder. The tendency of antisocial personality disorder has symptoms that can lead to addictive attitude. This study aims to determine the correlation between the tendency of antisocial personality disorder and online games addiction in adolescents game center visitor in Surakarta. Methods: This study used an observational analytic with cross sectional approach in ten game centers in Surakarta. Sampling was carried out in July and September 2014 using the inclusion and exclusion criteria that have been determined. The sampling technique used was the total sampling. The independent variable was the tendency of antisocial personality disorder that was measured by The Manson Evaluation Test questionnaire, while the dependent variable was online gaming addiction that was measured by Online Game Addiction Indonesia questionnaire. The data analysis used was Pearson correlation test which Kolmogorov-Smirnov data normality test was previously conducted. Results: This study got 53 samples with a mean age of 17 years, the average score of the tendency of antisocial personality disorder was 29.989.32, and the average score of online gaming addiction was 18.385.90. Data normality test showed a significance value of the tendency of antisocial personality disorder = 0.061 (p> 0.05) and for online gaming addiction = 0.200 (p> 0.05), which means that the data distribution of two variables were normal. Pearson correlation test results demonstrate the value of the Pearson correlation coefficient (r) 0562 with a significance value = 0.000 (p <0.05), which means that there was a moderate correlation between the tendency of antisocial personality disorder and online gaming addiction in adolescents game center visitor in Surakarta and the correlation was statistically significant. Conclusions: There is a correlation between the tendency of antisocial personality disorder and online gaming addiction in adolescents game center visitor in Surakarta. Keywords: The tendency of antisocial personality disorder, online gaming addiction, adolescents
Faktor-Faktor Risiko Terjadinya Epilepsi pada Anak di RSUD Dr. Moewardi Paramita Riski Setianingsih; Agus Soedomo; Annang Giri Moelyo
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: There is no definite epidemiological data about the number of patients with epilepsy in Indonesia. It is estimated that there are 900.0001.800.000 epilepsy patients. The onset can be at any age, in which 3032.9% patients experience the first convulsion less than 4 years old, 50-51.5% in less than 10 years old, 7583.5% in less than 20 years old, 15% in more than 25 years old and 2% in more than 50 years old. Several risk factors cause epilepsy in children e.g. hereditary factor, asphyxia, premature, complex febrile seizure and head trauma. Methods: This was a case control study. Subject were selected consecutively from epilepsy children in Dr. Moewardi Hospital and matched with pediatric patients in Outpatlient Pediatric Clinics. The data was collected by structured interview and medical record. The data analyzed by Chi-Square test and Logistic Regression. All statistic analysis was measured by Statistical Product and Service Solution (SPSS) 16.00 for Windows. Results: There are 84 subjects eligible for the criteria. Asphyxia (p= 0.121) and premature (p= 0.393) are not risk factor for epilepsy. Hereditary factor (p= 0.001), complex febrile seizure (p= 0.000), and head trauma history (p= 0.001) are significant risk factor for epilepsy. Logistic regression result shows that the risk factors affecting epilepsy in children at Dr. Moewardi Hospital were complex febrile seizure (OR= 18.267 ; Cl 95% 5.393 s.d. 61.873 ; p= 0.000) and head trauma history (OR= 16.341 ; Cl 95% 3.346 s.d. 79.801 ; p= 0.001). Conclusions: Risk factor of epilepsy in children are complex febrile seizure and head trauma history. Keywords: hereditary, asphyxia, premature, complex febrile seizure, head trauma history, children with epilepsy
The Correlation between Diabetes Mellitus and Mild Cognitive Impairment in the Elderly in Surakarta Immanuel Billy Brilliandi; Rivan Danuaji; Bhisma Murti
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Mild cognitive impairment one of DM complication. The main factor leading to mild cognitive impairment is the alteration of the white matter of the brain. Impaired cognitive patients with DM causing great suffering for the patient themselves, their families, and their surrounding neighborhood and environment. The main objective of the study is to determine the correlation between DM and mild cognitive impairment in the elderly in Surakarta. Methods: This study is an analytic observational study with cross-sectional approach. The study was held in Dr. Moewardi General Hospital of Surakarta and Puskesmas Ngoresan. The independent variable was DM and the dependent one was mild cognitive impairment. The result of the study was analyzed by chi-square test and multiple logistic regression test. Result: The subjects were divided into two groups, the first one was a group of 22 people with DM and the other consisted of 23 people without DM. The subjects were directly asked to fill up the Montreal Cognitive Assessment-Indonesian version (MOCA-Ina) for the assessment of their cognitive function. The result of Chi-square test showed that DM and years of education were the variables which had the correlation with mild cognitive impairment (p= 0,003 and p= 0,020). The result of multiple logistic regression test showed that diabetes mellitus was the only one factor which had the correlation with mild cognitive impairment statistically (OR=5,489; CI 95%= 1,438 20,949; p= 0,013). Conclusions: There was a positive correlation between DM and mild cognitive impairment in the elderly in Surakarta. Keywords: Diabetes mellitus, mild cognitive impairment, neurobehavior, MOCA-Ina, elderly.
Pengaruh Promosi Kesehatan Perilaku Hidup Bersih dan Sehat (PHBS) pada Tatanan Sekolah terhadap Pengetahuan PHBS Siswa Kelas IV dan V di SD Negeri Ngemplak Surakarta Nur Izah Ameta; Bambang Soebagyo; . 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: Health promotion can improve knowledge, attitudes and behavior, particullary knowledge of Clean and Healthy Behavior. This study aims to prove the effect of health promotion on knowledge of Clean and Healthy Behavior. Methods: This research is a pre-experimental design with the plan of one-group pretest posttest design was held on 12 April 2013 at SD Negeri Ngemplak Surakarta. The study population was all students of SD Negeri Ngemplak Surakarta totaling 230 people. While the sampling carried out by simple random sampling in grade students IV and V. The sample consisted of 32 grade students IV and 38 grade students V. Then the total number of samples is 70 students. The independent variable in this study is a health promotion of clean and healthy behavior in the order of school a measurement tool slides and posters. As for the dependent variable is the knowledge of clean and healthy behavior are measured using a questionnaire that have been tested for validity and reliability. Analyzed using marginal homogeneity test through SPSS 16.0 for Windows program. Results : This research shows a increased knowledge after health promotion Clean and Healthy Behavior a number of 62 students or 88.57% of all students in attendance, knowledge of students decreased a number of 2 students or 2.8% and a fixed 6 students or 8.57 % and the marginal homogeneity test results showed p = 0.000. Conclusion:. There is the influence of health promotion of clean and healthy behavior in the order of school to knowledge clean and healthy behavior students in class IV and V SD Negeri Ngemplak Surakarta. Students who are knowledgeable well after the intervention more than ever before. Keywords: health promotion of PHBS, knowledge PHBS
Hubungan antara Anemia dan Kejadian Inersia Uteri di RSUD Dr.Moewardi Dhyani Rahma Sari; Eric Edwin; Kusmadewi Eka Damayanti
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anemia is a condition of reduced levels of hemoglobin ( Hb ) which leads to impaired maternal oxygen delivery to form energy in the uterine muscles to make contractions in labor. This research aims to investigate the relation between anemia and prevalence of uterine inertia. Methods: This was an analitic-observational cross sectional study using medical record data from 1 January 2012 30 May 2012 . A sample of 112 subjects was selected from patiens who gave birth with anemia in Moewardi hospital. Sample was conducted in total sampling. Data were analyzed using Chi-Square test. The difference seen from the result by Risk Ratio ( RR ), while the significance of the result seen by the value of p ( p < 0,05 ). Results: Analysis of Chi-Square test showed a statistically significant relationship between anemia and the prevalence of uterine inertia. The result obtained from the analysis was p = 0,001( p < 0,05 ). Conclusions: There is statistically significant relatonship between maternal anemia with prevalence of uterine inertia in Moewardi hospital during period the first of January 2012 the thirtith of May 2012 . Keywords: anemia, labour, uterine inertia.
The Difference of PEFR Value between Brick Making Workers and Farmers in Sitimulyo Piyungan Bantul Gilda Ditya Asmara; Eddy Surjanto; Yusup Subagyo
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Workplace that processes release dust and smoke, can cause a reduction of working comfort, visual disturbances, impaired lung physiology, and even can cause general poisoning. Brick making industry is one of the industries that produce a lot of pollution. Pollution resulting from the burning of wood and rice husk as the main fuel. This study aimed to determine the differences in peak expiratory flow rate values among brick making workers by the farmers in the Sitimulyo that not exposed to pollution in the workplace Methods: This study is observational analytic with cross sectional design. This research located in Sitimulyo Piyungan Bantul. There are 33 brick making workers and 33 farmers in Sitimulyo for sampling subjects. The independent variables in this study are the brick making workers and farmers while the dependent variable is the value of peak expiratory flow rate. Peak expiratory flow rate values were measured directly using a peak flow meter and analyzed by Mann-Whitney test.. Results: The results on research with 33 samples of brick making workers and 33 farmers in the Sitimulyo obtained average peak ekspiration flow rate value for brick making workers is 441 L / min or 75.30% of the predicted value of peak ekspiration flow rate and the farmers group was 483 L / min or 82.01% of the predicted value of peak ekspiration flow rate. Then through the mann-whitney test obtained p = 0.015 (p <0.05). From these data showed there is statistically significant difference between the peak ekspiration flow rate value of brick making workers and farmers in Sitimulyo Piyungan Bantul.. Conclusions: There is a statistically significant difference between the peak ekspiration flow rate value of brick making workers and farmers in Sitimulyo Piyungan Bantul. Keywords: PEFR, brick, workers, farmers, Sitimulyo.
The Correlation Between Head Circumference and Stature Rizki Febriawan; Andy Yok Siswosaputro; Novianto Adi Nugroho
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stature measurement is one of forensic identification examinations. One of evidence that probably found in forensic cases is head circumference. The aim of this research aimed to know the correlation between head circumference and stature. Methods: This research was descriptive analytic with cross-sectional study design. The research was held in Faculty of Medicine Universitas Sebelas Maret with 82 samples of students which consisted of 46 males and 36 females. Independent variable of this research were head circumference ehich was measured with medline. Dependent variable of this research was stature which was measured with microtoise in centimeter. Samples obtained were measured stature and head circumference The result obtained was tested with pearson correlation and simple linear regression test. Results: The statistical analysis result significant correlation between head circumference and stature (r=0,670, p<0,01).The regression equation for stature and head circumference was found to be Y= 6,037 + 2,836 X (R2=0,449). Where Y is the stature of individual and X is the head circumference. Conclusions: There was significant correlation between head circumference and stature.Therefore, the present study will help in medico-legal cases in establishing the identity of an individual. Keywords: Stature, Head circumference
Hubungan antara Syok Berkepanjangan (Prolonged Shock) dengan Kematian Anak Penderita Dengue Shock Syndrome di PICU/NICU RSUD Dr.Moewardi Rizka Solehah; . Pudjiastuti; Leli Saptawati
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Dengue Shock Syndrome (DSS) is severe type of dengue infection which is the major cause of mortality. In Indonesia, DSS cases increase until 53%, the number of incidence are 500.000 cases every year, and its mortality is 1-5%. DSS is caused by plasma leakage which can leading to tissue hypoperfusion. If proper and timely management of DSS had delayed, DSS may result in multiple organ dysfunction syndrome (MODS) even death. The purpose of this research is to find out whether there is the relationship between prolonged shock and mortality of children with Dengue Shock Syndrome at PICU/NICU of RSUD Dr. Moewardi. This was an analytic observational study with cross sectional approach and purposive sampling technique. A sample of 61 study subject was selected by purposive sampling technique from children who aged 0-18 years, children who suffered Dengue Shock Syndrome and treated at PICU/NICU RSUD Dr. Moewardi in June 2006 - December 2011. The data obtained from PICU/NICU and medical records section of RSUD Dr. Moewardi. Statistical analysis was using chi square test and continued by using contingency coefficient test. Patients of prolonged shock DSS have higher mortality than patients of non-prolonged shock DSS, although the relation between them is low (p = 0.005; contingency coefficient = 0,335). The mortality risk were five times greater (OR= 5; CI 95%; 1,536 16,273). In this study, DSS was much found in girl (59,02%), children aged 6-12 years old (52,46%), and usually who had weak condition (67,21%), and good nutritional status because this study was done at area with good nutritional status was majority in children. There were significant relationship between prolonged shock and mortality of children with Dengue Shock Syndrome at PICU/NICU of RSUD Dr. Moewardi with low rate relation. Patients with prolonged shock DSS have higher risk of mortality than patients with non-prolonged shock DSS.
The relations between delay in diagnosis in the case of patienss Pulmonary Tuberculosis with distance from home and employment of patients in Health Reference Fascility (BBKPM) Surakarta LES YASIN; Reviono .; Riza Novierta
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Tuberculosis (TB) is the second major leading cause of death worldwide due to infectious diseases, with the incidence and prevalence of cases is still high in some countries in the world, and Indonesia is included. Early diagnosis is the key of the program to control the new cases of pulmonary TB. Delays in diagnosis of pulmonary tuberculosis patients remains a problem that is caused by many factors including the distance from home and employment status as the risk factor. This study aims to determine the relationship between delay in diagnosis in the case of patients pulmonary TB with a distance from home and employment status in BBKPM Surakarta. Methods This study was observational analytic study approach cross-sectional are held on October to December 2015 in Balai Besar Kesehatan Paru Masyarakat (BBKPM) Surakarta.Total of 66 subjects were selected by consecutive sampling method. New cases of pulmonary TB patients in BBKPM Surakarta was collected by direct interview and using questionare about the delay, distance from home and employment status. Data was analyzed by using multiple chi-square models and processed with Statistical Product and Service Solutions (SPSS) 20.00 for Windows. Results: The total 66 samples, obtained samples with 45 people working status and the samples do not work amounted to 21 people. Samples with that far distance from home as many as 38 people and the sample of distance closely from home to medical care as many as 28 people. Samples were late with number 34 and do not experience delays amount to 32 people. Distance from home much influence on the occurrence of patient delay. Patients with far distance from home visiting for the first time to a health facility more slower than those with distance closely from home (p = 0,808). Effect on the employment status of the patients delay. Patient with status working visit for the first time to health facilities more slower than the patients with status do not work (p = 0,297). Conclusion: There is a moderate correlation between the delay in diagnosis in the cases of patients pulmonary Tuberculosis with distance from home and employment of Patients in BBKPM Surakarta, but the result were not statistically significant. Keywords: distance from home, employment status, the patient delays
Hubungan Tingkat Pengetahuan Orangtua tentang Pencetus Asma dengan Frekuensi Serangan pada Pasien Asma Anak Puji Rahmawati; Ismiranti Andarini; . 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 is a chronic inflammatory airway disease characterized by episodic wheeze, coughe, and tightness in chest due to airway obstruction. Asthma attack is usually preceded by various kinds of triggers and different in each person. Asthma management is very complex and requires collaboration between patient with their families, especially parent. In order to properly manage asthma, patient and parent should have specific knowledge about asthma. This study aimed to determine the association between parent knowledge about asthma triggers and asthma attack frequency in children. Methods: This analytic study was observational using cross sectional approach. The population of this study was child patient with asthma at RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat. A sample of 33 study subjects was selected by purposive sampling from outpatient and inpatient with asthma who visited Pediatric Clinics, RSUD Dr. Moewardi Surakarta and Balai Besar Kesehatan Paru Masyarakat and suitable with the inclusion criteria. The data was collected by interview using a set of questionnaire from Asthma General Knowledge Questionnaire (AGKQ) and International Study of Asthma and Allergies in Childhood (ISAAC) filled by the parent of patients. The data was analyzed using Chi Square test (?2) on SPSS 17.0 for Windows program. Results: From the analysis of relationship of parent knowledge about asthma triggers and asthma attack frequency on children obtained ?2 count rate of 5.629, p = 0.026, and C = 0,382. The C value indicates level of relationship of parent knowledge about asthma triggers and asthma attack frequency on children is 38,2%. Conclusions: There is a statistically significant relationship of parent knowledge about asthma triggers and asthma attack frequency on children. Keywords: parent knowledge, asthma attack frequency

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