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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 Kecemasan antara Kecerdasan Emosi Tinggi dan Kecerdasan Emosi Rendah pada Mahasiswa Angkatan 2010 yang Menghadapi Skripsi di Fakultas Kedokteran UNS Adinda Ferinawati; Yusvick M. Hadin; Lilik Wijayanti
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety is a state of excessive tension or inappropriate tension which is characterized by feelings of worry, uncertainty, or fear. Anxiety can be overcome with good emotional intelligence. Of the five areas that exist in emotional intelligence, self recognizing and managing emotions are the aspects who have a big role to overcome anxiety. This study aimed to determine whether there is a difference of anxiety between high emotional quotient and low emotional quotient of students year of 2010 doing mini thesis in Medical Faculty of UNS. Method: This research was an analytical descriptive research using cross sectional approach. The subjects were Medical Faculty students year of 2010 of Sebelas Maret University. Data were collected by using purposive sampling method within inclusion and exclusion criterias. Emotional quotient was measured by Emotional Quotient questionnaire, while anxiety was measured by Taylor Manifest Anxiety Scale. For assesing and finding honesty in answering questions given, was used L-MMPI scale questionnaire. Sixty samples were obtained and analyzed using Chi-Square test through SPSS 20.0 version for Windows program. Result: The result of research showed that 23 students (76.7 %) who have low emotional quotient were feeling anxious and 7 students (23.3 %) who have low emotional quotient were not feeling anxious. While 9 students (30 %) who have high emotional quotient were feeling anxious and 21 students (70 %) who have high emotional quotient were not feeling anxious. Chi-Square test showed the result of p = 0.000 and Odds Ratio = 7.667. Conclusion: There is a significant difference of anxiety between high emotional quotient and low emotional quotient of students year of 2010 doing mini thesis in Medical Faculty of UNS. Keywords: Anxiety, emotional quotient, students doing mini thesis
Hubungan Usia Primigravida dengan Kejadian Preeklampsia Berat di RSUD Dr. Moewardi Amalia, Fatkhurrohmah Leo; Wiryanto, Tri Budi; Hanim, Diffah
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

The Correlation between Level of Mother's Knowledge in Bottle Feeding with Early Childhood Caries in Children Aged 3-5 Years Old Dewi, Anggita .; Nugroho, Hari Wahyu
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction:Caries is a problem that happen in many children around the world. Bottle feeding is one of factors that can occur caries on children’s teeth. High level of mother's knowledge about bottle feeding is assumed can prevent their children from caries.This study aims to determine the correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Methods:This research was a cross-sectional observational analytic study. The subjects of this study was mother of Islam Bakti XI Surakarta and Sri Juwita Hanum kindergarten student. The sample size was 113 mother which was taken by purposive sampling. This research was done by using Knowledge of Bottle (KBU) questionnare and examination of children's teeth. Data was analyzed with spearman test by Statistical Product and Serve Solution (SPSS) version 21.0 for Windows. Results:This study showed that the correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old were significant (r = 0,917, p = 0,000). Conclusions:This study concluded that there was correlation between level of mother's knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Keywords:level of mother’s knowledge, bottle feeding, early childhood caries 
Perbedaan Ankle Brachial Index (ABI) pada Pasien Diabetes Melitus Tipe 2 Obese dan Normal Weight di RSUD Dr. Moewardi Miranti, Biltinova Arum; Sugiarto, .; Widardo, .
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Peripheral Arterial Disease (PAD) is one of the complications of type 2 diabetes mellitus. Obesity is a risk factor of PAD and it is estimated 80 - 90% of patients with type 2 diabetes mellitus are overweight or obese. ABI is a simple method for diagnosing PAD and the ABI value of < 0.9 means that the patient suffers PAD. The aims of this study are to know the difference of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital and the correlation between ABI and the Body Mass Index (BMI). Methods: This study is an analytical observation by means of cross sectional approach. The subjects were patients of Dr. Moewardi Hospital registered from April to July 2013, suffering type 2 diabetes mellitus. Subjects were selected through purposive sampling. The data were obtained by measuring the patients’ BMI, examining the patients’ ABI and checking the patients’ medical record. The data were analyzed by the unpaired t test, significant if p value < 0.05, and by Spearman correlation test through SPSS 20.0 Statistic program for Windows. Results: Data were taken from 33 subjects consisting of 11 obese patients and 22 normal weight patients suffering type 2 diabetes mellitus. The result obtained shows that 9 patients were included in the borderline category of ABI values, 6 (66.7%) patients were obese and 3 (33.3%) patients had normal weight. The unpaired t test shows that the mean of ABI of obese vs normal weight patients with type 2 diabetes mellitus is 0.98 ± 0.06 vs 1.01 ± 0.06, p = 0.221. The Spearman correlation test between ABI and BMI shows p = 0.028 and r = -0.384. Conclusions: The study suggested that there is no significant difference mean of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital. However, based on the interpretation of ABI values ​​obtained, the percentage of subjects with lower ABI values ​​was found greater in obese patients with type 2 diabetes mellitus (66.7%). There is correlation between ABI and BMI. Keywords: ABI, obese type 2 diabetes mellitus, normal weight type 2 diabetes mellitus  
Hubungan Tinggi Badan menurut Umur dengan Kejadian Miopia pada Anak di SDN Cemara Dua Surakarta Aprillia, Wahyu; Indrakila, Senyum; Primadewi, Novi
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Myopia is one of refractive errors most often occurs in children. Axial length appears to be a major determinant of refractive error. It has been theorized that a larger body might be associated with a greater axial length (AL) simply as a function of larger overall body size. Some studies suggest that taller people were more myopic than short people. This study aimed to analyze the relationship between height for age with myopia in children at  SDN Cemara Dua Surakarta. Methods: An analytical observational study using a cross sectional design, was performed in Cemara Dua Surakarta Elementary School on May-June 2013. Total respondents were 180 people, taken by fixed disease sampling. Height for age was determined by respondents height z-score analysis that adjusted for TB/U growth chart based on WHO child growth standard. Status myopia obtained by screening using autorefractometer. Analysis of data was bivariate chi square, using SPSS program version 20.0 for windows. Results: This study shows 6 (3,3%) subject were stunted, 163 (90,6%) subject were normal, and 11 (6,1%) subject were heigt. Number of taller children in myopia were 7 people (63.6%) and not myopia were 4 people (36.4%). Chi Square test showed the results of p value = 0.351 (p < 0,05). Conclusions: There is no relationship between height for age with myopia in children at SDN Cemara Dua Surakarta. Keywords: Height, Age, Myopia. 
Perbedaan Kualitas Tidur Mahasiswa yang Merokok dengan yang Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret Saputri, Rizky Hening; Fanani, M.; Hanim, Diffah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Smoking was a bad habit that has been a problem throughout the world both in developed and developing countries. Primary Health Research mentioned that 27.2% smokers were male students and moreover smoking habit of students was followed by staying up late at night. Smokers who did smoke activity at night have higher risk of experiencing sleep disturbances than smokers who did smoke activity during the day. Approximately 20% to 50% adults per year report sleep disturbance fulfillment and about 17% had serious sleep disturbance fulfillment experience. The current prevalence of insomnia according to DSM-IV criteria in adolescents showed 10.7%. These number would be increase along with the increase of age and contributing factors like smoking. This study aims to determine the difference of sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University. Method: Observational analytic with cross sectional method approach. Samples taken by Purposive Random Sampling method. The number of sample was 100 consisted of 50 male smoker students and 50 male non-smoker students. This research instrument was smoking activity questionnaire, LMMPI questionnaire and PSQI questionnaire. Data analysis done with independent T-test. Result: The results showed 39 (64%) samples of male smoker students had poor sleep quality, and 11 (28,2%) samples of male smoker students had good sleep quality. While the male non-smoker 28 (71,8%) samples had good sleep quality and 22 (36%) samples of male non-smokers students had poor sleep quality. T Count value (-3.487) < t table value (-1.661) with p = 0.001. Conclusion: There was difference in the sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University (p = 0.001). Some smoker college student had poor sleep quality while non-smoker college student had good sleep quality. Keywords: Smoker, Non- smoker, sleep quality. 
Hubungan Stres dengan Frekuensi Serangan pada Pasien Asma di RSUD Dr. Moewardi Ramadhian, Elsa Adila; Subagio, Yusup; ., Sutanto; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is a respiratory inflamation disease with symptoms such as cough, wheeze, uplifted chest, shortness of breath. Previews studies assumsed that asthma has psychosomatic component that is predominated by psychoanalysis. Stress and psychologic factors had been assosiated with asthma symptoms, bronco-constriction and reduction in average pulmonary flow in patients with asthma. This study aimed to determine the assosiation between stress and asthma frequency in patients with asthma. Methods: This analytic study was observational using cross-sectional approach. A sample of 50 study subjects was selected by exhaustive sampling from outpatients who visited Pulmonary Clinics, RSUD Dr. Moewardi Surakarta. The data was collected by interview using a set of questionnaire. The data was annalyzed using multiple logistic regression model on SPSS 20 for windows. Results: Asthmatic patients with high level of stress had 13,39 times as many risk of having asthma attacks then those with low level of stress. This estimate had controlled for the effects of confounding variables such as exposure to cigarette smoke, use of controller, age, and gender. Conclusion: There is a statisticaly significant assosiation between stress and frequency of asthma attack in patient with asthma. This conclusion is drawn after controlling for the effects of confounding variables such as exposure to cigarrete smoke, use of controller, age, and gender. Keywords: stress, asthma  
Platelet and Leukocyte Count Difference on Clinical Degrees of Dengue in Children in Dr Moewardi Hospital Surakarta. Putro, Jati Febriyanto Adi Listyono; Nugroho, Hari Wahyu; ., Hudiyono
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Dengue Hemmorhagic Fever is still one of the major public health problem in Indonesia. The classification of Dengue severity from mild to severe is very important because it can prevent the progression of Dengue. Unfortunately the WHO 2011 criteria for Dengue severity only contains the clinical symptoms of patients without including the exact value of complete blood count, like platelet and leukocyte, in each degree. This study was conducted to determine whether there was a difference between the value of platelet and leukocyte in each clinical degree of Dengue Methods: This research was an analytical observational study with cross sectional approach. It was carried out in Dr. Moewardi hospital, Surakarta from July to October 2014. Children who were hospitalized in Dr. Moewardi hospital from January 1st to December 31st 2013 whom fulfill all of the inclusion criteria and none of the exclusion criteria were eliglible. Data was taken from medical record an analyzed using Kruskal-Wallis test and Spearman test. Results: Among 203 patiens were diagnosed with Dengue hemorrhagic fever, 113 (55%) patients were in DHF 1, 52 (25%) patiens were in DHF 2, and 38 (20%) were DSS patients. The difference of platelet count in each degree was significant (p=0,01). The difference of leukocyte in each degree was significant (p=0,002). The association between platelet count and clinical Dengue degree was statistically significant (p=0,005) with very weak negative correlation (r=-0,198). The association between leukocyte count and clinical Dengue degree was statistically significant (p=0,001) with weak positive correlation (r=0,227) Conclusions:There are significant differences of platelet and leukocyte count in clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta. There are no correlation between platelet and leukocyte with clinical Dengue degree of children in Dr. Moewardi hospital, Surakarta although statistically significant. Keywords: Dengue hemorrhagic fever, platelets, lekocytes 
Prevalensi Pneumonia Nosokomial pada Pasien Rawat Inap di ICU RSUD Dr. Moewardi Periode April-Mei 2012 Gultom, Krismawarni; Prasodjo, JB; Hudiyono, .
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background  : Infectious diseases are the main causes of morbidity and mortality in the world. The prevalence of nosocomial infections still high  in development countries. Nosocomial infections often occured, especially in ICU’s patients, it is around 25-33%. A minimum research of the incidence of hospital acquired pneumonia in Dr. Moewardi Hospital is the background of this research. Thorax photo were obtained when the patient first entered the hospital and after being treated in hospital for more than 48 hours. It used as one of the diagnostic tests to assist the prevalence of hospital acquired pneumonia on ICU’s patient. Methods : This is a descriptive observational research method with a cross-sectional approach to obtain the prevalence of hospital acquired pneumonia in ICU Dr. Moewardi Hospital during April-May 2012. The sample is done by using a purposive sampling. The population of this study was all patients who are hospitalized in the ICU Dr. Moewardi Hospital in Surakarta during April-May 2012. Results : Total sample are 72 patients. The result of this research shows that the prevalence of hospital acquired pneumonia in April-May 2012 on patients who are hospitalized in the ICU Dr. Moewardi Hospital is 8.3%. The middle age group (48-64 years) and old age (65-88 years) are the greater group of getting risk of hospital acquired pneumonia. Discussion : The prevalence of  hospital acquired pneumonia is 8.3%. This may be caused by the use of respiratory mechanic devices, the immunocompromised patients,  hospital environmental factors, the use of immunosuppressive drugs and the time of patients hospitalized. It is recommended that all of medical team of this hospital need to develop an effective program to control and prevent nosocomial pneumonia infection. Key words : prevalence, hospital acquired pneumonia, thorax photo  
Hubungan Metode Persalinan Vacuum Ekstraksi dengan Kejadian Baby Blues Syndrome Ledysta, Pupus; Soetrisno, .; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: extraction deliveries are significantly increases the risk of trauma and become a stressor for mothers. One of the risk factor is baby blues as if there are obstetric or deliveries complications, which are trauma factor plays an important role. This study aims to determine the relationship between the methods of vacuum extraction parturition with the baby blues syndrome incidence. Methods: the study was use observational analytic cross sectional approach. The observation was conducted at the inpatient clinic of the plant Obstetric and Gynecology Mawar 1 RSUD Dr. Moewardi Surakarta. The study sample involved 50 patients vaginal deliveries taken by purposive sampling fixed exposures method. Each sample was given an outline description of the study and asked to sign an informed consent sheet followed by charging sheets identity, L-MMPI questionnaire, and blues questionnaire. This study analyzed three independent variables, namely the method of delivery, age, and income. Data were analyzed by Chi Square test. Results: there was a statistically significant relationship between the methods of vacuum extraction delivery as a risk factor baby blues syndrome events. Maternal great risk with vacuum extraction deliveries to experience the baby blues syndrome incidence 6.08 times greater than women with spontaneous labor (0R = 6.08, IK 95% 1.72, 21.50, p = 0.004). Conclusion: based on research with vacuum extraction deliveries will have the risk of having a baby syndrome blues 6.08 times greater than spontaneous vaginal delivery. Keywords: vacuum extraction, baby blues syndrome 

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