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The Correlation between Women with Gestastional Hypertension and Preterm Birth Rates at Dr. Moewardi Hospital
Farrah Putri Amalia;
Nutria Widya Purna Anggraini;
Amandha Boy Timor Randita
Nexus Kedokteran Klinik Vol 5, No 3 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Hypertensive disorders of pregnancy is a medical problem that often arises in pregnant women. Hypertensive disorders of pregnancy contributes to various of perinatal outcomes, particularly preterm birth which is the most common cause of perinatal deaths. Gestational hypertension is one form of hypertensive disorders of pregnancy with the highest incidence rates. This study aims to determine the association between women with gestational hypertension and preterm birth rate at Dr. Moewardi Hospital. Methods: This research was an observational analytic study with cross sectional approach. The samples were pregnant women with gestational hypertension who gave birth at Dr. Moewardi Hospital in July 2014 - July 2015 (n = 87). The samples were selected by consecutive sampling method. Data of maternal blood pressure was obtained from medical records and grouped by the degree of hypertension (mild, moderate, severe). Data of gestational age of delivery was also obtained from medical records and divided into preterm (<37 weeks) and aterm (37 - 42 weeks) birth. Spearman test was used to measure correlation between variables with level of significance 5%. Results: There were a total of 35 preterm births of 87 mothers with gestational hypertension, with details as follows: 8 preterm births from mothers with mild hypertension (25.8%), 15 preterm births from mothers with moderate hypertension (60%), and 12 preterm births from mothers with severe hypertension (38.7%). Spearman correlation test showed a correlation coefficient (r) = -0.111 and p = 0.306. Conclusion: This research shows a statistically insignificant correlation (p=0.306) between women with gestational hypertension and preterm birth rate at Dr. Moewardi Hospital. Keywords: Gestational hypertension, preterm birth.
Hubungan Derajat Keparahan Stroke Dengan Kejadian Pneumonia Pada Pasien Post-Stroke Iskemik Akut
Eksy Andhika Wulandari;
. Suroto;
. Hartono
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Pneumonia is one of the complications which is undergone the most in stroke patient. One of the factors which is related to pneumonia is the severity stroke. This research is to find out correlation between the severity of stroke and pneumonia. Method: This research is cross-sectional study. The research is conducted in the ward of Anggrek 2 Dr. Moewardi Hospital. The independent variable of this research is the severity of stroke, meanwhile the dependent variable is the pneumonia diagnosis. The severity of patient hospitalized in April until October 2013 is measured by NIHSS. The samples are taken in simple random sampling to the number of 64 samples, divided into 2 groups where each of them consists of 32 samples. The samples are divided into 2 groups based on the NIHSS score, such as mild ischemic stroke patient (score <15) and severe ischemic stroke patient (score >15). Pneumonia diagnosis is gained through the data from medical record at the sample taking. The data is analyzed by Chi Square to find out the significance statistically. Result: This research shows the result oftest is OR = 3,857; CI 95% 1,33411,157. Patients with severe stroke have 3,857 more risk to have pneumonia than patients with mild stroke. Conclusion: There is a correlation between severity of stroke and pneumonia in patient with post-acute ischemic stroke in Unit Penyakit Saraf Dr. Moewardi Hospital. Keyword: severity of stroke, pneumonia, NIHSS
Perbedaan Fase Pendidikan Kedokteran terhadap Persepsi tentang Informed Consent
Diena Haniefa;
Hari Wujoso;
Adji Suwandono
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Medical Education Phases are divided into two phases, both are preclinical phase and clinical phase where in the clinical phase, students get clinical experiences. Experience is one factor that affects the formation of perceptions. From 2006 through 2012, Indonesian Medical Disciplinary Board (MKDKI), has received 183 complaints lodged with 5 problems related medical services in Indonesia, one of which is a communication problem. This study aims to determine the difference of medical education phases concerning perceptions of informed consent Methods: This study is an observational study with cross-sectional design which was held on December 2013 at the Faculty of Medicine, Sebelas Maret University and Dr. Moewardi Hospital, Surakarta. 60 subjects were taken by purposive sampling method continued with convenience sampling method. Subjects were asked to fill out a form of identity, informed consent sheet and questionnaire. Then the results of the questionnaire were tested by the Independent t-test through SPSS 20.0 for Windows. Results: Preclinical students were 30 respondents (50 %) , and clinical students were 30 respondents (50 %) . The results of the analysis by the Independent t- test showed no difference medical education phases (p = 0.083) concerning perceptions of informed consent. Conclusion: There were no difference medical education phases concerning perceptions of informed consent. Keywords: Medical Education Phases, Perception, Informed Consent
Hubungan Indeks Massa Tubuh (IMT) dengan Frekuensi Serangan Asma pada Pasien Asma Wanita yang Menggunakan Kontrasepsi Hormonal dan Tidak
Aninda Dwi Anggraeni;
. Harsini;
Arif Suryawan
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Asthma is the most common chronic disease throughout the world which the prevalence of asthma is greater in women. The evidence suggest that sex steroid hormones play an important role in respiratory health. Further, although asthma increased with increasing BMI in all women, this increase was stronger among women taking oral contraception. Therefore, it needs study about correlation BMI with asthma attack frequency in women patient with asthma using hormonal contraception and not. Methods: This study is an observational study with cross sectional conducted in June July 2014 in Dr. Moewardi general hospital and BBKPM Surakarta. Sampling was done by purposive sampling. Subject to fill (1) bio-data form, (2) Questionnaire. Treatment in respondent (1) Measurement height and weight. Data obtained by 60 subjects and analyzed using Spearman correlation through SPSS 20.00 for Windows. Result: This study shows the value of Spearman correlation r = 0,432; p < 0,05, which means there is a positive correlation was statistically significant between BMI and asthma attack frequency among women taking hormonal contraception with a moderate correlation strength. Whereas among women taking nonhormonal contraception shows the value of Spearman correlation r = 0,363; p < 0,05 which means there is a positive correlation was statistically significant between BMI and asthma attack frequency with a weak correlation strength. Conclusion: There is a moderate positive correlation and statistically significant between BMI and asthma attack frequency among women taking hormonal contraception. And then there is a weak positive correlation and statistically significant between BMI and asthma attack frequency among women taking nonhormonal contraception. Keywords: BMI, Asthma Attack Frequency, Contraception
Hubungan antara Penggunaan Obat Nyamuk dengan Tingkat Kontrol Asma
Astari Rindu Astuti;
Jatu Aphridasari;
. Widardo
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Asthma is a chronic inflammatory disorder of the airways with episodic symptoms such as cough, shortness of breath, wheezing, and uplifted chest. Mosquito repellent consists of chemical synthetic chemical materials that can prevent mosquitos bite towards. This study is to find out if there is or not any correlation between mosquito repellent usage and rate of asthma control. Methods: This study was an analytic observational study using cross sectional approach conducted on May to July 2013. Sixty samples were taken by using purposive sampling from outpatients who visited Pulmonary Clinics of Local Public Hospital Dr. Moewardi and fulfilled the inclusive criteria. The data was collected via interview by using a set of questionnaire. The data was then analyzed using Chi-Square test on Statistical Product and Service Solution (SPSS) 20.00 for Windows. Results: There is no significant correlation between mosquito repellent usage and rate of asthma control. From the Chi-Square test result, it was obtained that the significance value is p = 0,817. Conclusions: Based on this research, it can be concluded that there is no correlation between mosquito repellent usage and rate of asthma control. Keywords: mosquito repellent, rate of asthma control
Hubungan Orang Tua Menderita Miopia dengan Kejadian Miopia pada Anaknya di SDN Cemara 2 Surakarta
Dwi Budi Narityastuti;
Senyum Indrakila;
Sigit Setyawan
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Myopia has become a serious problem in some countries all over the world, particularly in Asia. Most number of myopia cases found in elementary school children. Its etiology is complex and is likely to involve the interaction genetic influences. This study aims to determine the relationship of genetic factors with the incidence of myopia in primary school age children. Methods:This is an observational analytic study using cross sectional approach which was conducted on May - June 2013. Two hundred elementary students with myopia in Cemara 2 Surakarta Elementary School met the criteria of restriction after getting eyes examination. Genetic factor and near work activities was acquired from questionnaire. Near work activities divided into how. The data were analyzed by use of chi square and multiple logistic regression, on SPSS 17.0. Difference was established by Odds Ratio (OR), significance was indicated by p value. Result: Chi-Square test analysis showed a significant association between parents suffers from myopia with the incidence of myopia in children. The analysis of the results obtained p <0.05,with value of p = 0.004. While the results for near work activities showed no significant p> 0.005. Conclusion: There is a relationship between parents suffer myopia with incidence of myopia in children at Cemara 2 Surakarta Elementary School. There was no relationship between the working distance is close to myopia in children. Keywords: Myopia, Genetic, Parental Myopia, Elementary Students
Hubungan antara Frekuensi Masturbasi dengan Indeks Prestasi Belajar pada Mahasiswa Fakultas Kedokteran Universitas Sebelas Maret
Gerry Febrian Rizaldi;
. Makmuroch;
Istar Yuliadi
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Masturbation is generally defined as the deliberate stimulation of the genital organs is performed on to obtain sexual pleasure and satisfaction. Masturbation can cause disruption of concentration on a particular teens. For a student or students, the important factor is the ability to support the achievement of learning memory and concentration as internal factors. The purpose of this study was to determine the relationship between the frequency of masturbation with the index student learning achievement in medical school, Sebelas Maret University. Methods: This research is a descriptive analytic cross with sectional study approach. Samples were taken using a total random sampling method. Researchers took a sample of 170 people. Data were obtained by questionnaire. Data were analyzed using the Statistical Product and Service Solutions (SPSS) 17 for Windows statistical test "Chi Square". Results: A total of 139 respondents consisted of 65 respondents to the frequency of masturbation > 2x a week and 74 respondents with masturbation frequency ? 2x a week. Chi Square test showed statistical calculation results of p < 0.05 is p = 0.000; OR = 1.23. Conclusions: The analysis showed there is a relationship between the frequency of masturbation and the index student learning achievement in this research Keywords: masturbation index student learning achievement students
Perbedaan Nilai Arus Puncak Ekspirasi antara Perempuan yang Memasak dengan Kayu Bakar dan LPG
Imaniar Hidayati Arindha;
Ana Rima Setijadi;
Novi Primadewi
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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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 values 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 Difference of Anxiety Level and Family Support Between Congenital and Non Congenital People with Physical Disabilities in BBRSBD Prof. Dr. Soeharso, Surakarta
Desvian Adi Nugraha;
Makmuroch .;
Endang Sahir
Nexus Kedokteran Klinik Vol 4, No 2 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Anxiety arises due to various factors, like a state of physical disabilities. Family support is very important to eliminate those anxiety. This study aimed to know the difference of anxiety level and family support between congenital and non congenital people with physical disabilities in BBRSBD Prof. Dr. Soeharso, Surakarta.Method: This study is an observational analytic with cross-sectional study design. The study was held in BBRSBD Prof. Dr. Soeharso, Surakarta. The samples are 60 people consist of 30 congenital and 30 non congenital disabilities. The independent variable is congenital and non congenital disabilities. The dependent variables are the level of anxiety and family support. Samples were measured about their L - MMPI, TMAS and family support score. The results were tested by t test.Results: Statistical analysis for the study of t test in TMAS score has p value = 0.984 (> 0.05 ) so there is no difference of TMAS score significantly between congenital and non congenital disablility groups.While p value of family support is 0.115 (> 0.05), so there is no significant differences of family support between congenital and non congenital disablility groups.Conclusion:There is no difference of anxiety level and family support significantly between congenital and non congenital people with physical disabilities in BBRSBD Prof. Dr. Soeharso, SurakartaKeywords: Disability, anxiety, family support
Hubungan Anemia Dengan Hipotermia Pada Neonatus Di RSUD Dr. Moewardi
. Ardiningsih;
Dwi Hidayah;
Endang Sutisna Sulaeman
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta
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Background: Based on data from Departemen Kesehatan Republik Indonesia (2007), one of the causes of death in the first 24 hours of life is hypothermia. Hypothermia is caused by the reduction of heat production. The production of heat in of neonates are strongly associated with the supply of oxygen. Anemia is bodys condition with haemoglobin levels below normal score according to age and gender. The oxygen supply to tissues is reduced if haemoglobin level is decreased, causing the reduction of heat production. The aim of this research is to know about the association between anemia and hypothermia on neonates. Methods: This is an observational analytic research with cross sectional design. This research was done in RSUD Dr.Moewardi. The samples were the neonates who were treated in the High Care Unit (HCU) of neonates in RSUD Dr.Moewardi on the 3rd until 15th of March 2013. Dependent variable was hypothermia, and the independent variable was anemia. The neonates haemoglobin levels were measured then the neonates temperature were observerd every 3 hours for 24 jam. The data were analyzed using fisher test, because the requirements of chi-square test were not met. Result: The results from fisher test were p = 0,225. Conclusion: The analysis showed there was not association between anemia and hypothermia in this research. Keyword: anemia, hypothermia, neonates