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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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Perbedaan Tingkat Kecemasan Antara Siswa yang Mengikuti Dan tidak Mengikuti Bimbingan Belajar Dalam Menghadapi Ujian Nasional Di SMA Negeri 5 Surakarta Parendra, G. Harldy; Hadin, Yusvick; Sari, Yulia
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety is the signal awakening, warning the presence of treating hazard and enabling an individual to take some measures to deal with the threat. National exam is one factor that can result in anxiety in the students. Learning guiding is one of learning infrastructures out of school time functioning to help the student practice solving the problem quickly. This research aimed to find out whether or not there is a difference of anxiety level between students attending and those not attending Learning Guiding in Facing National Exam.   Method: This study was an analytical descriptive research using cross sectional approach. This research was conducted in SMA Negeri 5 Surakarta. The sample was taken using purposive sampling followed by random sampling. The sample was divided into 2 groups: the students attending and those not attending learning guiding. The students then filled in (1) personal data form, (2) L-MMPI questionnaire, (3) TMAS questionnaire, if the students did not meet inclusive and exclusive criteria and result of L-MMPI questionnaire ≥ 10, the sample cannot be chosen. The-60 samples obtained were analyzed using Chi Square using SPSS program 17.00 for Windows Program. Result: This research showed the c2 Chi-Square value of 1.684, while p = 0.194 or p > 0.05 meaning that there was no difference of anxiety level between the students attending and those not attending learning guiding in facing National Exam. Conclusion: There was no difference of anxiety level between the students attending and those not attending learning guiding in facing National Exam. Keywords: Learning Guiding, Anxiety. 
Hubungan antara Penerimaan Diri dan Depresi pada Remaja Tunarungu Putri Dini Azika; Machmuroch ,; Rosalia Sri Hidayati
Nexus Kedokteran Klinik Vol 1, No 1 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Adolescence is the periode of searching for identity and identity confusion. Adolescent who suffer from hearing impairment often experience berriers in the tasks of development. Low self-acceptance potentially led to depression in adolescent with physical disabilities, including hearing impairment. This study aims to determine the correlation between self-acceptance and depression in hearing impairment adolescent. Methods: This study was a descriptive analytical research using cross sectional approach implemented in March 2012 in the Public Special School of Surakarta, YRTRW School for the Deaf of Surakarta, and Gerkatin Solo Secretariat. The sample was taken using purposive sampling then random sampling after being selected based on the inclusion and exclusion criteria of research and the sample could not be selected when the result of L-MMPI ? 10 and it did not fill in the questionnaire completely. The subject filled in (1) curriculum vitae form, (2) L-MMPI questionnaire to find out the respondents truthfulness in filling in questionnaire, (3) Bergers Self-acceptance Scale questionnaire to find out the self-acceptance score (4) Becks Depression Inventory to find out the depression score. Data obtained by 31 subjects and analyzed using Pearson Product Moment correlation through SPSS 17.00 for windows program. Results: This research showed the Pearson correlation value r = -0,688, while p was p = 0,000 or p < 0,05, which means there is a significant negative correlation between self-acceptance and depression in hearing impairment adolescent with a strong correlation. Conclusions: There is a strong negative correlation between self-acceptance and depression in hearing impairment adolescent. Keywords: Self-acceptance, Depression, Adolescent, Hearing Impairment
The Correlation between Social Support and Depression in Female Student of 12th Class Al Islam 1 Senior High School Surakarta VICIANITA PUTRI UTAMI; MOHAMMAD FANANI .; SITI AISYAH .
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The incidence of depression in adolescents can be very dangerous because it can affect learning in the school. To neutralize the incidence of depression in adolescents, we can apply good social support from family, friends, and the environment so the teenager can pass it well. The purpose of this study was to determine the correlation between social support and depression in female student of 12th class Al Islam 1 Senior High School Surakarta. Methods: This study is an observational study with cross sectional analytical conducted in July 2014 in Al Islam 1 Senior High School Surakarta. Sampling is conducted for all of the female students of 12th class, and then exclude sample that cant be inclution and exclution criteria. Correspondent filling: (1) the contents of personal data; (2) L-MMPI questionnaire; (3) ISEL questionnaire to assess the social support scores; (4) BDI Questionnaire to assess depression scores. The data were obtained for 143 students and were analyzed using Spearman through 21.00 SPSS for Windows. Results: The analysis showed Spearman correlation coefficient -0.880; p = 0.000. The strength of the correlation values ??included in the category of very strong (r = 0.8-1.00). p > 0.05 it can be concluded that H1 is accepted and Ho is rejected or suggest a correlation between social support and depression in female student of 12th Class Al Islam 1 Senior High School Surakarta. It also showed the negative direction of correlation. It means that the higher of social support, then lower the depression, and the lower of social support, then higher the depression. Conclusions: There is correlation between social support and depression in female students of 12th class Al-Islam 1 Senior High School Surakarta. The correlation is very strong with the negative direction of correlation means that the higher of social support, then lower the depression, and the lower of social support, then higher the depression. Keywords: Adolescence, social support, depression
Pengaruh Kelainan Refraksi terhadap Terjadinya Vertigo pada Pasien di Poli Mata RSUD Dr. Moewardi Fitri Prawitasari; . Suratno; Senyum Indrakila
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Refractive error occurs when the lights do not fall exactly at retina and cause blur vision. Visual system disorder causes balance disorder with vertigo symptom. This research aims to know the effect of refractive error on vertigo to patients at Ophthalmology Department of Dr. Moewardi Hospital. Methods: This research was observational-analitic with cross-sectional approach. The samples for this research were the patients at Ophthalmology Department of Dr. Moewardi Hospital aged 18-58 years old who has refractive error such as miopia, hipermetropia, or astigmatism while the second group (control) were people aged 18-58 years old without refractive error. Those samples were given questionnaire Vertigo Symptom Scale-Short Form and were tested for the balance to find out vertigo. Data was analyzed with Fisher Exact Test. Results: After the research to 25 patients with refractive error, 6 of 25 patients had vertigo. The second group, samples without refractive error had no vertigo. The result of Fisher Exact Test showed p value= 0,022 (p<0,05). Conclusions: There was effect of refractive error on vertigo to patients at Ophthalmology Department of Dr. Moewardi Hospital. Keywords: Refractive error, vertigo
Correlation between Social Support and Anxiety among First Year Female Medical Student of Faculty of Medicine Sebelas Maret University in 2015 Nisrina Mutia Ariani; Mohammad Fanani; Siti Aisyah
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: 18 25 years old university student is included into adolescent. Adolescent are susceptible of mental disorder, and one of the most common is anxiety. Female adolescent have the risk to anxiety two times higher. Anxiety can cause distortion of perception that can disturb the process of learning. Medical student have a greater risk to develop anxiety. To deal with stressor from the outside, an individual needs mental tenacity, and one of the factors that causing anxiety is social support. This research is aiming to understand the correlation between Social Support and Anxiety among First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. Methods: An observational analytics strategy and the cross-sectional study were adopted. This study had been done on November 2015 in Faculty of Medicine Sebelas Maret University. The subject was first year female medical student. This research used purposive sampling, and was done with questionnaires. There are five parts of the questionnaire (1) Informed consent; (2) Personal Information; (3) L-MMPI Questionnaire; (4) Taylor Manifest Anxiety Scale Questionnaire; (5) Interpersonal Support Evaluation List Questionnaire. Inclusion and exclusion were applied. The number of total sample was 102. Data analyzed using Kolmorgov-Smirnov and Pearson using SPSS Statistics. Results: Pearson's Product-Moment Correlation using SPSS Statistics suggest that the correlation coefficient was -0.24 (p=0.015). The value p < 0.05 suggests that there was specific correlation between social support and anxiety. The negative symbol suggest that higher levels of social support were related to lower levels of anxiety of First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. Conclusion: There was specific correlation between social support and anxiety of First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. There was specific correlation that suggests higher levels of social support were related to lower levels of anxiety. Keywords: social support, anxiety, female medical student
Hubungan Lanjut Usia Dengan Kejadian Disfungsi Ereksi di Poliklinik Geriatri RSUD Dr.Moewardi Surakarta Tatas Bayu Mursito; Yulia Lanti Retno Dewi; Endang Gerilyawati
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Aging is a natural process of gradual disappearance of the tissue's ability to repair itself and maintain its normal structure and function. Erectile dysfunction is the inability to maintain a sufficient erection to achieve satisfaction. In line with aging, the sexual function of men will decrease. The aim of the study was to determine the relationship between elderly and erectile dysfunction. Methods: This was an observational study using cross sectional approach. The study was conducted at Geriatric Policlinic RSUD Dr.Moewardi Surakarta. Samples were elderly men who met the inclusion criteria which was set by the writer. 30 males were chosen to participate in the study. Data were collected through self-administered questionnaires and an interview. Data analyzed by Lambda correlation test. Results: Most patients with erectile dysfunction samples were elderly category (60-74 years) as many as 22 people (73.33%). Lambda correlation test showed no correlation of 0.000 indicates that there is a very weak relationship between elderly and the incidence of erectile dysfunction. Conclusions: Based on this study, it can be concluded that there was a very weak relationship between elderly and the incidence of erectile dysfunction. Keywords: Elderly, erectile dysfunction.
Perbedaan Depresi Siswa Kelas XII SMA Al Islam 1 Surakarta yang Tinggal di Asrama Binaan dan Orang Tua Kandung Annisa Inayati MS; Mardiatmi Susilohati; 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: Depression is a mood state or mood decline, marked by distress, decreased functional activity, moodiness, and loss of interest in all or a range of activities . During its development, a teenager is vulnerable with an identity crisis and depression. Being neighborhoods far away from parents spur the onset of depression. This study aims to find out the depression rate between among high school students of class XII SMA Al Islam 1 Surakarta who live in dormitories and live with their biological parent. Methods: The study was an analytical observational research using cross sectional approach implemented in Agustus 2013 in SMA Al Islam 1 Surakarta. The sample was taken using total sampling for the entire class XII. Purposive random sampling conducted for the dormitory student that can represent the whole dormitory students and performed simple random sampling for students who live with their own biological parents according to the number of samples required (sample of dormitory students). The samples filled in ( 1 ) Curriculum vitae form, (2) L - MMPI questionnaire to find out the respondents truthfulness in completing the questionnaire, ( 3) BDI questionnaire to assess depression score, score ? 9 means no depression and score > 9 means depression. Data obtained 72 students as the subject of research and the data were foanalyzed using Chi Square test through SPSS 17.00 for Windows . Results: This research showed the Chi Square (X2) value is 0,084, while the price of X2 table on db = 1 at the 0.05 significance level is 3.481. This means that the X2 count < X2 table. In addition the p-value calculated is 0.772 or p > 0.05, then the null hypothesis is accepted. Chi-square test results showed that there was no significant difference of depression level between students living in dormitories and students living with their biological parents. Conclusion: There was no difference of depression level among class XII students who live in dormitories and who live with their biological parents in SMA Al Islam 1 Surakarta. Thus the residence does not affect a student's pattern of depression. Key words : depression, housing, dormitories, boarding, biological parents.
Insidensi Infeksi Bayi Baru Lahir Berdasarkan Lama Ketuban Pecah Dini di RSUD Dr. Moewardi Surakarta Rika Ernawati; Hermawan Udiyanto; 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: The incidence of Premature Rupture of Membranes (PROM) approaches 10% of all delivered which one of the most pregnancy complications. During the latency period of PROM, the bacterias raise inflammation in the vagina, move up in the fetal membranes, umbilical cord, and placenta. Fetal infection caused by aspiration of infected amniotic fluid may lead neonatus stillbirth, preterm delivery, or neonatal sepsis. This study conducted to prove the differences of the incidence in neonatal infection based on the latent period of PROM at Dr. Moewardi Surakarta Hospital. Methods: An observational analytic study with cross sectional method conducted to mother criteria which were term gestation, aged around 20-35 years old, spontaneous vaginal delivery, give birth an infant with a birth weight ? 2500 grams. The independent variable was a latent period of PROM while the dependent variable was a neonatal infection. The subjects were divided into two groups: PROM < 24 hours and PROM ? 24 hours. Further, their neonatal were observed the results of blood culture, leukocyte, neutrophil, thrombocyte, and temperature through medical records. The variable was analyzed by Chi Square test. Results: The subjects were 64 samples in two groups, each consisted of 32 samples. The result of the test stated that the p -value was 0.040 (p < 0.05) with RR = 3.400, thus it could be conclude that there was a statistically significant difference in the incidence of neonatal infection based on the latent period of PROM, where the neonatal at PROM ? 24 hours had opportunity 3.4 times more than the risk of infection of the PROM < 24 hours. Conclusion: There was a statistically significant difference in the incidence of neonatal infection based on the latent period of PROM at Dr. Moewardi Surakarta Hospital. Keywords: Premature Rupture of Membranes, Neonatal infection, Blood culture
Efek Anestesi Inhalasi Sevofluran dan Isofluran Terhadap Frekuensi Nadi Aulia Nurul Fatimah; Mulyo Hadi Sudjito; Ari Probandari
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anesthesia is an important part of the surgery. Sevoflurane and isoflurane are two inhalation anesthesia drugs have been commonly used. During anesthesia, one of indicators should be monitored is frequency of pulse. This research aimed to know the effects of these two drugs to the frequency of pulse. Methods: This research was an analytical observational research with the approach of cross sectional. The sample was taken by consecutive sampling after being selected based on the inclusion and exclusion criteria. Totally, 50 patients were divided into two groups of inhalation anesthetic sevoflurane and inhalation anesthetic sevoflurane and isoflurane. Data was analyzed with independent t test. Results: The p values on t-independent test in the early phase of the pulse frequency, phase induction and phase intubation were 0.04; 0.00; 0.02, and of the phase 5 of incision, 10of incision and 15of incision were 0.02; 0,0; 0.03. This results showed statistical significant of mean of pulse-frequency difference between sevoflurane and isoflurane in each of phase of inhalation anesthesia. Conclusions: Both sevoflurane and isoflurane influence the frequency of pulse. The mean of pulse frequency by isoflurane is higher than sevoflurane. However, inhalation anesthesia sevoflurane provides better stability than isoflurane. Keywords: Anesthetic Inhalation, Frequency of Pulse, Isoflurane, Sevoflurane
Profile Comparison of Patients with Staphylococcus aureus and Staphylococcus haemolyticus on Pus Specimen at Dr. Moewardi Hospital AMANDA DIAH MAHARANI; Marwoto .; Udi Heru Nefihancoro
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Staphylococcus aureus and Staphylococcus haemolyticus were some of bacteria that often found in pus specimen. Unlike S. aureus, which is true pathogen, S. haemolyticus which is known by opportunistic bacteria were not considered as caused of infection. Therefore, the need of comparative data that can determine whether S. haemolyticus were cause of infection or just colonization was necessary. The purpose of this research is to compare clinical profile of patients with S. aureus and S. haemolyticus found in pus specimen. Methods: This study was a descriptive research using cross-sectional approach. The object of the research were patients medical records which have been identified by pus culture with positive result of Staphylococcus aureus and Staphylococcus haemolyticus on 2013-2014. Sampling was held during November and December 2015 at Dr. Moewardi Hospital, Surakarta with inclusion and exclusion criterias. Sampling was done and 69 people taken from the population. The data was statically analyzed by frequency distributive technique. Result: In 2 years, it is found that patients with Staphylococcus aureus and Staphylococcus haemolyticus are dominantly by men. Most of patients are adult (19-65 years old). Body temperature of patients with Staphylococcus aureus risk 2,04 times of increasing than patients with Staphylococcus haemolyticus. Conclusions: There are differences in clinical profile of patient with Staphylococcus aureus and Staphylococcus haemolyticus on pus specimen at Dr. Moewardi Hospital. Keywords: Pus Specimen, Pus Culture, Staphylococcus aureus, Staphylococcus haemolyticus

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