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Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
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Core Subject : Health,
Medicine & Pharmacology
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Articles 334 Documents
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Hubungan Lama Sakit dengan Status Gizi Anak Penderita Talasemia di RSUD Dr. Moewardi Ilma Anisa; Muhammad Riza; Annang Giri Moelyo
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Systemic complications that occur in children with thalassemia like hepatomegaly, hemosiderosis, bone deformities can affect nutrition disorder and growth retardation. The longer someone has suffered thalassemia, the more likely for the systemic disorder occurred. The aims of this study to find out the correlation between duration of illness with nutritional status of children with thalassemia in Dr. Moewardi Hospital. Methods: This is an observational analytic study using cross sectional design which was conducted from April to May 2013. Thirty children with thalassemia in the Dr. Moewardi Hospital were fulfill the restriction criteria. The duration of illness was acquired from medical record, while the nutritional status was obtained through measurements of weight, height, and the mid-upper arm circumference. The correlation between the duration of illness, gender, blood transfusion, iron chelating agents, splenomegaly, and 1 day food recall with nutritional status was analyzed by using Spearman test followed by the multivariate logistic regression analysis. Results: Spearman test analysis showed no significant correlation between duration of illness with nutritional status in children with thalassemia according to the weight/age and height/age indicator (p = 0,403 and p = 0,408). From the result of analysis on correlation between gender, blood transfusion, iron chelating agents, splenomegaly, and 1 day food recall with nutritional status according to the weight/age and height/age indicator (p > 0,05). Conclusions: There is no significant correlation between the duration of illness with the nutritional status of children with thalassemia according to the weight/age and height/age indicator in Dr. Moewardi Hospital. There is no correlation between gender, blood transfusion, iron chelating agents, splenomegaly, and 1 day food recall with nutritional status. Keywords: Duration of Illness, Nutritional Status, Thalassemia
Hubungan Lama Pemberian Asi Eksklusif Dengan Awal Menstruasi Post Partum Tanpa Kontrasepsi Tambahan Firza Fatchya; Tri Budi Wiryanto; Bhisma Murti
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: This research aimed to analyze the relationship between duration of exclusive breastfeeding with the early postpartum period without additional contraception. Methods: This analytic study was observational using cross sectional approach. This research was held in May 2013 at Sibela health center Surakarta. A sample of 60 study subjects was selected by exhaustive sampling. The inclusion criterias were mothers exclusively breastfeeding. Samples can not be selected if (1) mothers using contraception until the first post partum period. Biographical data sheet and fill the sample informed consent as a sign of approval. The data was collected by interview using a set of questionnaire. The data was analyzed using multiple linear regression models on SPSS 16.0 for Windows program. Results : From the analysis of the association this research shows a positive and significant relationship between duration of exclusive breastfeeding with early post partum period. Each increment 1 week long exclusive breastfeeding will extend the return of the early post partum period for 0.69 weeks (b = 0.69; CI95% = 0:47 to 0.90, P = <0.001). Analysis of the relationship this variable has controlling the influence of confounding variables (age, BMI, additional food). Conclusion:. There is a relationship between duration of exclusive breastfeeding with the early post partum period without additional contraception. Increasingly duration of exclusive breastfeeding will extend the return of the early post partum period. Key words : exclusive breastfeeding, early post partum period
Pengaruh Ekspresi Emosi Keluarga terhadap Frekuensi Kekambuhan Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta Irene Yunita Prihandini; Aris Sudiyanto; Ruben Dharmawan
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Schizophrenia is a severe disease, with basic personality disorder, distortion the proccess of thought, sometimes have the feeling that he/she was being controlled by external powers, peculiar delusions, disturbing perception, and an affect which does not correspond to the actual situation. In Schizophrenia patients, there are degradation in the field of employment, socialization, and self-care function. Thus, the patient requires caregiver who could take care of him/her, especially when the disease is relapse. Methods: This research is analitical observational by its character with the case control study approach that held between June up to July 2012 in Rumah Sakit Jiwa Daerah Surakarta. It used purposive sampling by divide it into two inclusion criterisa, the caregiver inclusion criteria were (1) Schizophrenia patient's family that accompany the patient in the Rumah Sakit Jiwa Daerah Surakarta (2) Schizophrenia patient's family that live in the same house with the patient (3) Patient that currently 20-60 years old (4) Voluntarily become respondent in this research and have agreed the informed consent sheet, whereas the inclusion criteria for the schizophrenia patients was (1) relapse patient (2) no reccurrence patient. The sample fulfill (1) identity & informed consent sheet (2) emotion expression quesioner. There are 60 sample and analyzed by pearson test and paired sampel t-test with SPSS 17.0 program for windows. Results: According to the result, we have known that the significance level is 0.004 so (which is 0.004<0.01/0.05) the decision is to accept the hypothesis which was stated that there is a significant connection between the emotion expression with the frequency of recurrence Schizophrenia patients in Rumah Sakit Jiwa Daerah Surakarta. The average difference between the groups of high emotional expression and low emotional expression, t arithmetic (3.826 > t table 1.76) so that H0 could be rejected. Therefore, there is also significant difference in recurrence between the groups of high emotional expression and the low emotional expression. While r calculation in this research is 0.058, so the alternative hypothesis (Ha) which was stated that there is significant positive connection between the Emotional Expression (EE) with the frequency of reccurrence Schizophrenia Patients in Rumah Sakit Jiwa Daerah Surakarta is accepted. Thus, naught hypothesis (Ho) which was stated that there isn't significant positive between the family emotional expression (EE) and the frequency of recurrence is rejected. The direction of both variables is positive, that is if Schizophrenia patient's family emotional expression is high then the frequency of recurrence must be high too, vice versa. Conclusions: The higher family emotional expression (EE) then the frequency of recurrence is must be higher too, vice versa. Key words: Emotional Expression, Frequency of Recurrence
Correlation Body Mass Index (BMI) with Asthma Quality of Life Anisa Rahmatia; Reviono .; Arif Suryawan
Nexus Kedokteran Klinik Vol 4, No 3 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The development of science and technology is not accompanied by decreasing prevalence of asthma. During the time, therapy success was only measured by peak expiratory flow rate, severity of symptoms, the need for other treatments, the amount of sputum and responsiveness of airway without noticed to the patients quality of life itself. The evidences suggest that increasing BMI play an important role in asthma quality of life. Therefore, it needs study about correlation BMI with asthma quality of life. Methods: This study is an observational study with cross sectional conducted in February March 2015 in BBKPM Surakarta. Sampling was done by purposive sampling. Subject to fill (1) bio-data form, (2) Questionnaire : Asthma Control Test (ACT) and Asthma Quality of Life Questionnaire (AQLQ). Treatment in respondent (1) Measurement height and weight. Data obtained by 103 subjects and analyzed using Spearman correlation through SPSS 20.00 for Windows. Result: This study shows the value of Spearman correlation r = -0,541; p < 0,05, which means there is a negative correlation was statistically significant between BMI and asthma quality of life among asthma controlled grup with a moderate correlation strength. Whereas among asthma uncontrolled grup shows the value of Spearman correlation r = -0,852; p < 0,05 which means there is a negative correlation was statistically significant between BMI and asthma quality of life with a very strong correlation strength. Conclusion: There is a moderate negative correlation and statistically significant between BMI and asthma quality of life among asthma controlled grup. And then there is a very strong negative correlation and statistically significant between BMI and asthma quality of life among asthma uncontrolled grup. Keywords: BMI, Asthma Quality of Life
Hubungan antara Kadar Hematokrit dengan Derajat Keparahan Stroke Iskemik Fase Akut pada Pasien di Unit Penyakit Saraf RSUD Dr. Moewardi Agung Wahyu Hidayat; . Suroto; Siti Utari
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is the main cause of morbidities and the third leading cause of death in the world, also promote the functional disorder of the patient. The increase of hematocrit level is one of risk factor the occurrence of ischemic stroke, by increasing the viscosity and decreasing blood perfusion to the brain. National Institute of Health Stroke Scale (NIHSS) is a parameter used to measure the severity of acute ischemic stroke. This study was proposed to know correlation between hematocrit levels and severity of acute ischemic stroke patients in neurolog ward Dr. Moewardi Hospital. Methods: This was an observational study with cross sectional analytic approach. A total of 44 subjects were selected by purposive sampling, they were acute ischemic stroke patients in neurology ward Dr. Moewardi Hospital. Data were collected by direct interview, examined the patients with NIHSS score and from medical record to got the value of hematocrit. Data analysis used multiple logistic regression models and were processed with Statistical Product and Service Solutions(SPSS) 17.00 forWindows. Results: This study showed a positive correlation and statistically significant between hematocrit levels and severity of acute ischemic stroke patients (r = 0,408; p < 0,009) with moderate correlation strength. Multiple logistic regression analysis showed OR = 8,086; CI 95% 1,108 59,005; and p = 0,039. Confounding factor, e.g smoking, and blood sugar have been controlled. Conclusions: There is moderate correlation between hematocrit levels and severity of acute ischemic stroke patients in neurology ward Dr. Moewardi Hospital. Keywords:Hematocrit levels, Severity of acute ischemic stroke, NIHSS
Hubungan Antara Hiperglikemi dengan Kejadian Infark Serebri pada Pemeriksaan Multi Slice CT-scan Kepala Tanpa Kontras di RSUD Dr. Moewardi Siska Dewi Agustina; . Widiastuti; Jarot Subandono
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: In recent year, numerous studies reported that stress hyperglycemia has been shown to be a risk factor for neurocardiovascular disease, with high risk of dying from coronary disease such as stroke. Stroke is the third leading cause of death in the world, with a high prevalence of death in low-and middle-income countries. Hyperglycemia has been associated with increased cerebral lactate resulting in local brain tissue acidosis. It worsens mitochondrial function in the penumbra, the moderately ischemic tissue of the brain. CT-scans are considered sufficiently sensitive for detecting mass lesions, such as a brain mass or abscess, as well as detecting acute hemorrhage. The aim of this study is to determine the relationship between hyperglycemia with cerebral infarction in non contrast multi slice head CT-scan. Methods: This was an observational cross sectional study. A total of 70 subjects were selected by fixed disease sampling, they were patients who have been perfomed non contrast multi slice head CT-scan in Dr. Moewardi Hospital. Data were collected from the report result of non contrast multi slice head CT-scan and the result of glucose blood level on patiensmedical record.Data analysis used chi square models and were processed with Statistical Product and Service Solutions (SPSS) 17.00 for Windows. Results: This study showed a positive association and statistically significant between hyperglycemia with cerebral infarction (?2 = 8,123; p<0.05) with moderate correlation strength. The result of OR (Odds Ratio) for cerebral infarction is 4,667 (CI 95% = 1,557 13.983). Confounding factor, e.g blood pressure and age have been controlled. Conclusions: There is a significance association between hyperglycemia with cerebral infarction in multi slice head CT-scan noncontrast at Dr Moewardi Hospital . Keywords: Hyperglycemia, cerebral infarction, head CT-scan without contrast
Perbedaan Tingkat Kecemasan Caregiver Pasien Skizofrenia Tipe Disorganized Dengan Tipe Katatonik Di RS Jiwa Daerah Surakarta Antonius Setyo Wibowo; Muchammad Syamsulhadi; Ari Natalia Probandari
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Schizophrenia is a clinical syndrome of severe mental disorders characterized by abnormal perception in the form of hallucinations, delusions, psychiatric behavior deviations, unusual beliefs, and mind distortions. Caregiver, someone who responsible to treat the patient will feel burden, include anxiety. This research aims to know the anxiety level difference between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Methods : This study was a descriptive analytic study with a cross sectional approach, conducted in the RS Jiwa Daerah Surakarta. The subjects were taken using consecutive sampling method. The subjects were divided into two groups, disorganized type and catatonic type of schizophrenia caregiver. The subjects filled out the (1)Informed Consent, (2)Study Questionnaire, (3)L-MMPI Questionnaire, (4)T-MAS Questionnaire. If the subject did not meet the criteria of inclusion and exclusion, and the result of the L-MMPI questionnaire ? 10, the subject could not be selected. The 35 data consisted of 25 disorganized type and 10 catatonic type of schizophrenia caregivers were analyzed using Fishers Exact Test. Results : This study demonstrated there is no difference of anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta which was shown by p = 0.264 (p > 0.05). Conclusions : There was no difference anxiety level between disorganized type and catatonic type of schizophrenia caregiver in RS Jiwa Daerah Surakarta. Keywords: caregiver, schizophrenia, disorganized type, catatonic type, anxiety level
Hubungan antara Fatty Liver dengan Hipertensi Sistemik di RSUD Dr. Moewardi Surakarta Yeny Ristaning Belawati; Widiastuti .; Balgis .
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Fatty liver is the accumulation of fat in the liver ranging from simple steatosis to nonalcoholic steatohepatitis (NASH) and cirrhosis. Patients fatty liver is often associated with metabolic disorders. It can be seen from the results of laboratory tests of blood, such as elevated levels of Alanin Amino Transferase (ALT), Gamma Glutamyl Transferase (GGT), alkaline phosphatase, ferritin, and another impaired liver function test. Hypertension is one of the conditions of metabolic disorders, and by an unknown mechanism there was an allegation of relationship between fatty liver and systemic hypertension Methods: This study was an analytical observational research with cross-sectional approach. The research was taken place in Radiology Installation of RSUD Dr. Moewardi Surakarta. The samples were consisted of 20 fatty liver patients and 20 non-fatty liver patients. Dependent variable of this research was fatty liver, and independent was systemic hypertension. The data was collected by viewing the result of USG abdomen-hepar examination and measuring patients blood pressure by researcher. The data of research was analyzed using Chi Square test and Odds Ratio. Results: There was a significant relationship between fatty liver and hypertension systemic in RSUD Dr. Moewardi Surakarta (p < 0,05); fatty liver patients had risk of hypertension systemic 7 times higher than the non-fatty liver patients (OR = 7) Conclusions: There was a significant relationship between fatty liver and hypertension systemic in RSUD Dr. Moewardi Surakarta, fatty liver patients have a risk of systemic hypertension 7 times greater than non-fatty liver patients Keywords: Fatty Liver, Hypertension Systemic, USG Abdomen
Effect of Indonesian elderly exercise to muscles flexibility in Posyandu Lansia RW XV Gendingan, Jebres, Surakarta Stefanus Bramantyo Widigdo; Desy Kurniawati Tandiyo; Lilik Wijayanti
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Motion limitation usually found as a result of the decreased flexibility of muscles in elderly. The decreasing flexibility might be prevented by doing physical activities. For elderly, the recommended physical activity was Indonesian elderly exercise. This studys aim was to understand the effect of Indonesian elderly exercise to increase muscles flexibility in elderly. Methods : This study was a quasi-experiment using pre and post-test without control design method, which held on September-October 2014 in Posyandu Lansia RW XV Gendingan, Jebres, Surakarta. Sampling method was using purposive sampling, with inclusion and exclusion criteria. Data measured with chair-sit and reach test. Thirty subjects analyzed with marginal homogeneity test. Result : This study showed significant effect of Indonesian elderly exercise in increasing muscle flexibility of elderly. The marginal homogeneity test was p = 0.000 (< 0.05). Conclusion : There was significant effect from Indonesian elderly exercise in increasing muscle flexibility of elderly. Key Words : Elderly, Muscle Flexibility, Indonesian Elderly Exercise.
Korioamnionitis Sebagai Faktor Risiko Terjadinya Persalinan Preterm Elita Rahmi; Supriyadi Hari Respati; Eriana Melinawati
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Premature Rupture of Membranes (PROM) is one causes of fetal mortality and morbidity. Suspected chorioamnionitis is a major cause of preterm labor. Methods: This study was observational analytic cross-sectional approach. Sample of 694 study subjects that satisfy with inclusion and exclusion criteria were taken from the medical records of patients who gave birth in RSUD Dr. Moewardi. The data was analyzed using bivariate analysis and processed with Statistical Product and Service Solutions (SPSS) for Windows 20:00. Results: Chorioamnionitis is a risk factor 1.045 times to preterm delivery occur (OR = 1045; CI = 95%, 0737, 1483, p = 0804). Chorioamnionitis caused death of neonatal mortality 1.554 times compared with norma pregnancy (OR = 1554; CI = 95%, 0790, 3057, p = 0.194). Chorioamnionitis 1.747 times risk factors for occur asphyxia in preterm labor and statistically significant (OR = 1747; CI = 95%, 1114, 2741, p = 0.014). Conclusions: There was no significant relationship between chorioamnionitis with preterm labor and chorioamnionitis with neonatal mortality. There is a significant relationship between chorioamnionitis with asphyxia. Keywords: PROM, Chorioamnionitis, preterm labor

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