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INDONESIA
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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Comparison of Effect between Inhalative Anesthetics with Isoflurane and Sevoflurane on Oxygen Saturation Setiawan, Prabuwinoto; Sudjito, M.H.; Probandari, Ari
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

ABSTRACT   Background: Inhalative anesthesia with isoflurane and sevoflurane are known to lower the oxygen saturation in patients. Both of these agents reduce the ventilation response to hypoxia. This study aimed to compare the effect of giving inhaled anesthetics isoflurane and sevoflurane to changes in oxygen saturation. Methods: This study was an observational analytic study with cross-sectional approach. The study was conducted at the Central Installation of Surgery dr. Moewardi Hospital. Samples were taken by consecutive sampling. There were two groups in this study, the group that received isoflurane anesthesia and sevoflurane anesthesia. Each group was observed for the changes in oxygen saturation during the operation using the bed side monitor. The data which have been collected then be analyzed using the Mann Whitney test and Pearson correlation test. Results: These results revealed that in both groups, isoflurane and sevoflurane, there was a decrease in oxygen saturation in the induction phase (sevoflurane = 97.42 ± 0.90; isoflurane = 97.00 ± 0.75; p = 0.113). However, after the induction phase the oxygen saturation among the patients of the isoflurane group was more fluctuating than the ones of the sevoflurane group (p intubation = 0.001; p incision 5’ = 0.117; p incision 10’ = 0.001; p incision 15’ = 0.048). The further analysis showed no statistically significant difference in oxygen saturation between the isoflurane and the sevoflurane groups (p = 0.113). Conclusions: There are no significant differences in changes of oxygen saturation between the isoflurane and sevoflurane anesthesia on the induction phase, 5 minutes after incision and 15 minutes after incision. Anesthesia with sevoflurane in oxygen saturation is more stable compared with isoflurane anesthesia on intubation phase up to 15 minutes after incision. Keywords: inhalation anesthesia, sevoflurane, isoflurane, hemodynamic, oxygen saturation
Hubungan kecanduan online game dengan kecemasan pada remaja pengunjung game centre di Kelurahan Jebres Surakarta Putri, Asri Sukawati; Suwito, Djoko; Dharmawan, Ruben
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Perfection graphics technologies in online gaming becomes allure for players, especially for adolescents. Some previous studies have claimed that online gaming addiction can affect the physical and psychological players, one of which may cause anxiety. This study aims to prove the relationship between addiction to online games with anxiety. Methods: This is a descriptive analysis research with a cross sectional approach. Subjects were adolescents game centre visitor in the Jebres Village . The samples are adolescents of the age 12-21 years old. Samples were taken purposively sampling. Data collection techniques using the TMAS anxiety scale, the scale of online gaming addiction questionnaires and Family Intimacy Instrument. Data scores online gaming addiction, anxiety and family intimacy were analyzed with multiple logistic regression analysis model. Result : This research obtained 35 young males. The results of multiple logistic regression analysis showed that there is a positive relationship between online game addiction and anxiety in adolescents in the Village Jebres. Adolescents with online gaming addiction have a risk 2.86 times greater for anxiety than adolescents without online gaming addiction p = 0.212. (OR: 2.86 CI 95% 0.55 s / d 14.91). The results of this analysis also showed an association between family intimacy and anxiety. Adolescents with low family intimacy had 0.51 times the risk for anxiety with p = 0.440 (OR = 0.51). However, online gaming addiction pose a greater risk of experience anxiety than the risks posed by families with low intimacy. Conclusion : There is relationship between online game addiction and anxiety. The higher the level of adolescent addiction to online games, the higher the risk for anxiety. Keywords : adolescent, online game addiction, anxiety, family intimacy
Faktor-Faktor Risiko Terjadinya Epilepsi pada Anak di RSUD Dr. Moewardi Riski Setianingsih, Paramita; Soedomo, Agus; Giri Moelyo, Annang
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 900.000–1.800.000 epilepsy patients. The onset can be at any age, in which 30–32.9% patients experience the first convulsion less than 4 years old, 50-51.5% in less than 10 years old, 75–83.5% 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  
Perbedaan Nilai Arus Puncak Ekspirasi antara Perempuan yang Memasak dengan Kayu Bakar dan LPG Arindha, Imaniar Hidayati; Setijadi, Ana Rima; Primadewi, Novi
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: There are a lot of report about obstruction phenomenon because of firewoods use for fuel consumption of cooking. Its known from decrease value of PEF examination. Methods: This research was an analytical descriptive research using cross sectional approach and had been done in March 2012 in Giripeni Wates. The subjects were a woman who cooking use firewood and LPG. Data was collected by using purposive random sampling method. Data was analyzed using Chi Square test through SPSS 17.00 for Windows. Results: This research showed a mean of peak flow value’s in woman who cooking use firewood are 63,49 ± 13,01 and LPG are 82,82 ± 6,57. t-test shows     p = 0,000 and Chi Square shows p = 0,003, Odd Ratio = 5,23. Conclusion: there were significant differences of PEF between a woman who cooking use firewood and LPG, firewood user  has risk 5,23 bigger than LPG user. Keyword: Peak Ekspiratory Flow (PEF), firewood, LPG 
The association between pregnancy spacing and iron deficiency anemia at RSUD Dr. Moewardi Damayanti, Puspa; Sunaryo, Rustam; Murti, Bhisma
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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 for windows. Results : The pregnant women with pregnancy spacing ≥ 24 months at RSUD Dr. Moewardi have a greater risk for iron deficiency anemia 0,8 times larger 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. Conclusion: 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
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  
Hubungan Status Ekonomi dengan Jenis Persalinan di RSUD Dr. Moewardi Surakarta Dzulfikar, Muhammad; ., Soetrisno; Hikmayani, Nur Hafidha
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Economic status is one of the environmental factors that can indirectly affect labor and delivery. Economic status willinfluence maternal nutrition during pregnancy, and will subsequently impact on the pregnancy condition and mothers’strength during birth process. Pregnant women with low socioeconomic status are therefore prone to undergolabor with action. This study aims to analyze the relationship between economic status and types of labor, and to compare theprevalence of labor with action among pregnant women with low and high economic status while controlling parity, educational level, and mothers’ height. Methods: This wasan observational analytic study with cross-sectional approach. Sixty women werepurposively sampled frompatient population who gave birth at RSUD Dr. Moewardi Surakarta. Labor with action was defined as instrument-assisted delivery (i.e. forceps, vacuum, caesarian section). Pregnant women were classified as having low economic status if their family income were lower than median. Data were analyzed by Poisson regressions(robust variance method) using Stata SE version 12.0. Results: There were 29 (48.3%) labors with action at MawarI Wardduring April to July 2012, 19 (65.5%) of which occurred in pregnant women with low income. Results from bivariate analysis showed a significant relationship between economic status and type of labor (PR=1.9, p=0.030). After controllingparity andheight, prevalence of labor with actionamong mothers with low family income were 1.8 greater than that of mothers with high family income (PR=1.8; 95% CI=1.0 to 3,1, p=0.049). Conclusion: Low economic status in pregnant women was marginally significantly associated with higher prevalence of labor with action, after controlling parity and mothers’ height. Keywords: economic status, labor type  
Hubungan Frekuensi Bangkitan dengan Skor Kualitas Hidup pada Penderita Epilepsi Umum di RSUD Dr. Moewardi Dewayani, Fillisita Chandramalina; Mirawati, Diah Kurnia; Sulaeman, Endang Sutisna
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Epilepsy is a chronic neurology disease. When epilepsy was not well-controlled, it could cause so many effects such as decreasing quality of life score. The aim of this study was to find out the relation between seizure frequency and quality of life score of general epileptic patients in Dr. Moewardi hospital. Methods: This was an observational study with analytic cross-sectional approach conducted from July to August 2012 at Neurology Department of Dr. Moewardi hospital. Samples were taken by purposive sampling after selected based on inclusion and exclusion criteria. The frequency of seizure was recorded by medical record. The quality of life was assessed by QOLIE-31 questionnaire. Score of seizure frequency and quality of life were analyzed with one-way ANOVA models by SPSS 17.0 for Windows. Results: There were 30 samples consist of 13 women and 17 men. The average of quality of life total score in high seizure frequency was 59.56 ± 4.71, medium seizure frequency was 78.32 ± 2.20, and seizure free was 83.40 ± 2.34. There was a negative relationship between seizure frequency and quality of life score on patients with general epilepsy. Analysis by one-way ANOVA/Kruskal Wallis showed a statistically significant relationship (p < 0.05) for total score component and the other seven components. Conclusion: Patients with higher seizure frequency had lower quality of life score. Keywords: seizure frequency, quality of  life score, general epilepsy  
Hubungan antara Kecemasan dengan Frekuensi Bangkitan pada Penderita Epilepsi Parsial di RSUD Dr. Moewardi Anggraeni, Lucia Pancani; Mirawati, Diah Kurnia; Sulaeman, Endang Sutisna
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Anxiety is a psychological disorder that involves dysregulation of the nervous system Therefore, anxiety could affected seizure’s threshold in people with epilepsy indirectly. The aim of this study was to know an association between anxiety and seizure frequency of partial epileptic patients in hospitals Dr. Moewardi. Methods: This was an observational study with analytic cross sectional approach. Samples were taken by purposive sampling after selected based on inclusion and exclusion criteria. The data were obtained by using of TMAS anxiety scale, interviewed seizures frequency in last one month, and the patients medical record. Analysis of anxiety and seizures frequency’s score used linear regression models by SPSS 17.0 for windows Results: There were 31 samples consisted of 10 women and 21 men. Result showed a significant positive relation between anxiety and seizure frequency of partial epileptic patients in hospitals Dr. Moewardi (p < 0.05, CI 95% = 0.06 - 0.037). Linear regression analysis test showed an equation that Y= a + bX = -1.174 + 0.218 X. It meaned that the seizure frequency would rise  -1.174 + 0.218 X unit for every inrcreasing of anxiety level. Conclusion: Patients with higher level of anxiety have had more often seizure attack. Keywords: Partial epileptic patients, anxiety, frequency of seizure 
Pengaruh Kelainan Refraksi terhadap Terjadinya Vertigo pada Pasien di Poli Mata RSUD Dr. Moewardi Prawitasari, Fitri; Suratno, .; Indrakila, Senyum
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 

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