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INDONESIA
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 Multi Paritas dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi Totok Siswanto; Eric Edwin Yuliantara; Lilik Wijayanti
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Cervical cancer is one of the most common cancer found in women and ranks second all cancers in women in the world. Multi parity thought to be one of the risk factors for cervical cancer. Hormonal and anatomical changes that occur in multi parity may increase the risk of cervical cancer by a variety of mechanisms. The purpose of this study was to determine the incidence rates of cervical cancer are associated with multi parity status. Methods: The type of research is an case-control. The samples in this study were patients with cervical cancer and other gynecological diseases with a total sample of 60 people. Measuring instrument used was a questionnaire, and then performed the data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between the multi-parity status with the incidence of cervical cancer. People with multi-parity status have an increased risk for cervical cancer was 8.986 times greater than women with non-multi-parity status (p = 0.003, OR = 8.986). Conclusion: Based on research of woman with multi parity status will have the risk of having cervical cancer by 8,986 times compared to women with non-multi-parity status. Key Words: multi parity, cervical cancer
Hubungan Kadar Glukosa Darah dengan Skor Fungsi Kognitif pada Pasien Stroke Iskemik di RSUD Dr. Moewardi Surakarta Maria Goretti Novianty Hutauruk; Oemar Sri Hartanto; Bhisma Murti; Agus Soedomo
Nexus Kedokteran Klinik Vol 1, No 1 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Objective: The aim of the study is to determain the relation between blood glucose level and cognitive function score in stroke ischemic patient at RSUD Dr. Moewardi. Background: . An ischemic stroke is death of an area of brain tissue (cerebral infarction) resulting from an inadequate supply of blood and oxygen to the brain due to blockage of an artery. Cognitive impairmentsthat may be experiencedafter theoccurrenceof strokeincludedifficulty concentratingforthe amountof time, organization,forgetfulnessand being easilyconfused. The state of hyperglycemia is common in the acute phase of stroke caused by stress and an increase in serum catecholamines. This study aimed to proof that their blood glucose levels rise will increase infarct size, decreased cognitive function and clinical output effects are worse, especially in non-hemorrhagic stroke Methods: This analytic study was analytic observational with cross-sectional approach. A sample of 50 study subjects was selected by random sampling from outpatients with stroke ischemic visiting the Neurology Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using a set of questionnaire. The data was analyszed using multiple linear regression model on SPSS version 17 for Windows. Results: There is a negative significant association between blood glucose level and Patients stroke ischemic with blood glucose level ?145mg/dL has MMSE score 5,39 point lower than blood glucose level <145mg/dL ( b= -5,39 ; CI 95% -6,98 sampai -3,81; p<0,001). This estimate has controlled for the effects of confounding variables such as level of education and age. Conclusion: There is a statistically significant association between blood glucose level and cognitive function score in stroke ischemic patient. This conclusion is drawn after controlling for the effects of confounding factors such as level of education and age. Keywords: Stroke ischemic,blood glucose level, cognitive functional score.
Comparison of the Changing in Oxygen Saturation that is Induced Bupivacaine and Bupivacaine-Fentanyl in Spinal Anesthesia of Caesarian Section Patient Fila Apriliawati; Mulyo Hadi Sudjito; Bambang Sukilarso Sakiman
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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ABSTRACT Background: Bupivacaine and Bupivacaine-Fentanyl mostly used in spinal anesthesia for prgenancy that need caesarian sections. Bupivacaine and Bupivacaine-Fentanyl influenced haemodynamic condition. One of the haemodynamic is respiration rate. When the respiration rate changed, it could change the oxygen saturation. Methods: Pregnant patients that need caesarean section with spinal anesthesia bupivacaine and bupivacaine-fentanyl were gathered. During the operation, oxygen saturation was observed with bed site monitor and it was noted. The data of oxygen saturation, data from medical record (age, weight, and height), and data of the previous research (bed site monitor) to be analyzed with Mann-Whitney test, Discriminant test, and Saphiro-Wilk test. Result: According to statistic analysis, there were no significant differences on the changing of oxygen saturation that is induced bupivacaine and bupivacaine-fentanyl in every phase (p >0.050 ). And, there were also no significant differences in the changing of oxygen saturation that was correlated with age (p=0.991), weight (p=0.986), and height (p=1.000). Conclusion: There were no diferrences on the changing of oxygen saturation that is induced bupivacaine and bupivacaine-fentanyl in the spinal anesthesia of caesarian section. There were no correlation also between age, weigth, and height because the homogenity of the sample.
Perbedaan Aktivitas Fisik pada Pasien Asma Terkontrol Sebagian dengan Tidak Terkontrol di RSUD Dr. Moewardi Olivia Dwimaswasti; . Harsini; . Isdaryanto
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Asthma can interfere with the fulfillment of the needs and proven to reduce the productivity and quality of life for the sufferer. Although asthma rarely cause death, disease often cause problems in both children and adults. Asthma can cause interference with daily activities and emotional disorders (anxiety, depression). Asthma can be mild and do not interfere with daily activities but also be persistent and interfere with daily activities. This studyaimedto determine differencesof physicalactivity between partlycontrolled andnotcontrolledasthma patient at theRSUDDr. Moewardi. Methods:This analytic study was observational using cross sectional approach. A sample of 60 study subjects was selected by purposive sampling from outpatients who visited Pulmonology Clinics, RSUD Dr. Moewardi Surakarta. The data was collected by interview and some datas taken from the medical records. The data was analyzed using logistic regression model on SPSS 17.00 for windows. Results:Inpartilycontrolledasthmawithlowphysical activity11 people(36.7%), moderate physicalactivity10people(33.3%) andhigh activity9people(30%). While in thenot controlledasthma with low activity24people(80%), moderate activity5 people(16.7%) and thehighactivity 1 person(3.3%).Differencesin physical activityin asthma patientspartlycontrolledand not controlledwithlowphysical activityx2=12.895, p= 0.002; OR=19.6(95% CI2.20up to174.72, p =0.008)and thedifferences inphysical activityin patientspartlycontrolledasthmaand not controlledwithmoderate physicalactivityx2=12.895, p= 0.002; OR=4.5 (CI 95%0.44up to46.17, p =0.205). Conclusions:There are differencesof physicalactivity between partlycontrolled andnotcontrolledasthma patient. Keywords:asthma bronchiale, control asthma, physical activity
Sleep Quality is Associated with Total Cholesterol of Geriatric Patients in RSUD Dr Moewardi Rila Ruis Mastura; Fatichati . Budiningsih; Suyatmi . .
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction: Hypercholesterolemia refers to condition where levels of cholesterol in theblood are higher than normal reference. In Indonesia, prevalence of hypercholesterolemia are continously increased. Growing evidences indicate there is a relationship between sleep and hypercholesterolemia. The aim of this study was to examine relationship between sleep quality and total cholesterol of geriatric patient. Methods:This study usedobservational analytic method with cross sectional approach. Geriatric patients (n=30) in Geriatric Polyclinic RSUD Dr. Moewardi were recruited in this study used convenience sampling based on inclusion and exclusion criteria.Variables in this study were sleep quality, body mass index (BMI) and total cholesterol. Sleep quality was measure during face to face interviews using validated Pittsburgh Sleep Quality Index Indonesian translation. Total cholesterol was gotten from laboratory test result which was performed a day before. BMI was calculated from direct measurement of weight and height. Data were analyzed by Chi-Square test. BMI as confounding factor was assessed by Mantel-Haenszel. Results:There was a statistically significant positive association between poor sleep quality and total cholesterol of geriatric patients(p=0.029 significance level ? = 0.05). Compared with good sleepers, relative risk (odds ratio) of having cholesterol > 200 mg/dl among poor sleepers was 5.78(95% CI,1.12-29, 85). Conclusions: This study found association between sleep quality and total cholesterol of geriatric patients in RSUD Dr. Moewardi. Keywords: Total cholesterol, sleep quality
Hubungan Merokok dengan Konversi Sputum Penderita TB Paru Kasus Baru di RSUD Dr. Moewardi Surakarta Zefania Yonisa; . Harsini; Novi Primadewi
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Tuberculosis or TB is an infectious disease caused by Mycobacterium tuberculosis complex and still a major health problem in Indonesia. Smoking TB patients have a greater risk for treatment failure and persistent infection. This study aims to determine the relationship between smoking and sputum conversion among patients with new cases pulmonary tuberculosis in Dr. Moewardi Hospital, Surakarta. Methods:This study was an observational analytic cross sectional approach. Subjects were new cases of pulmonary TB patients who have completed the intensive phase of treatment in Dr. Moewardi Hospital from January 2010 until March 2013. Patients with new cases pulmonary TB interviewed with a questionnaire to determine their smoking history. Sputum examination results seen in TB Treatment Card 01. Results were analyzed by Chi-Square statistical test (? = 0.05). Results: Of the 49 samples, a total of 26 pulmonary TB patients were smokers and 23 samples of patients with pulmonary tuberculosis are not categorized as smokers. Sputum conversion occurs more frequently in non-smoking pulmonary TB patients than smokers with pulmonary TB. Chi Square statistical test results showed a significant relationship between smoking and sputum conversion among patients with new cases pulmonary TB with p = 0.03 (p <0.05). Conclusions: There is astatistically significant association between smoking and sputum conversion among patients with new cases pulmonary TB. Smoking has a risk that sputum conversion does not occur after 2 months intensive phase of TB treatment. Keywords: smoking, sputum convertion, pulmonary tuberculosis
Hubungan Kecerdasan Emosi dengan Insomnia pada Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Sebelas Maret Surakarta Fitria Rahma Nurharyani; Mohammad Fanani; Ari Natalia Probandari
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Insomnia was the most frequently sleep disorder; even for adolescents, and college students. Insomnia was caused by many factors including emotion. The low emotional intelligence could lead individuals to be vulnerable to stress and the manifestation of stress included anxiety and depression that caused insomnia. This research aimed to identify the correlation between emotional intelligence and insomnia among Medical Students in Faculty of Medicine, Sebelas Maret University. Method: This study was an analytical descriptive study with cross-sectional approach conducted from October to November 2013 in Faculty of Medicine, Sebelas Maret University. The sample was taken using total sampling technique after having been selected using inclusion and exclusion criteria of research. The sample could not be included if the questionnaire was incomplete. The subject filled in (1) informed consent and personal data form, (2) L-MMPI questionnaire, (3) Insomnia Rating Scale questionnaire to find out the insomnia score, (4) Emotional intelligence questionnaire to measure the emotional intelligence score of sample. Totally, there were 128 sample subjects. The data were analyzed using Spearman Correlation test with SPSS 17.00 for Windows program. Result: The statistical analysis showed the Spearman correlation score (r) = -0.094 and p = 0.146 or p > 0.05, it meant that the correlation between emotional intelligence and insomnia of Medical Students in Medical Faculty of Surakarta Sebelas Maret University was not significant. Conclusion: There is no correlation between emotional intelligence and insomnia of Medical Students in Medical Faculty of Sebelas Maret University. Keywords: emotional intelligence, insomnia, medical students.
Perbedaan Proporsi Jumlah Siswa Kelas XII SMA Al Islam 1 Surakarta yang Mengalami Depresi pada Kelompok dengan Kualitas Hidup dan Harga Diri Tinggi dan Rendah Afrizal Tri Heryadi; Istar Yuliadi; Siti Aisyah
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Adolescents aged 10-20 years experienced a rapid change in the size, shape, physiological, psychological and social function. In normal development, a teenager has a tendency to get depressed. To overcome that, a teenager need self-esteem and quality of life. The purpose of this study is to determine the differences in the proportion of students number of 12th Class Al Islam 1 Senior High School Surakarta, experiencing depression on the group with high or low quality of life and self-esteem. 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 the entire 12th class with purposive random sampling conducted for students with high self-esteem (25%) and low self-esteem (25%) and students with a high quality of life (25%) and a lower quality of life (25 %). Correspondent filling: (1)The contents of personal data; (2)L-MMPI questionnaire; (3)Rosenberg questionnaire to assess the self-esteem scores; (4)WHOQOL BREF questionnaire to assess quality of life scores; (5)BDI Questionnaire to assess depression scores. Data obtained for 96 students and the data were analyzed using Chi Square through 19.00 SPSS for Windows. Results: This study indicates: (1)Significant differences in the proportion of depression in a group of students with high and low self-esteem in Al Islam 1 Senior High School Surakarta (p<0.05) and the prevalence ratio of 0.4; (2)Significant difference in the proportion of depression in a group of students with high and low quality of life in Al Islam 1 Senior High School Surakarta (p<0.05) and the prevalence ratio of 0.3. Conclusions: (1)There is a significant difference in the proportion of depression in a group of students with high and low self-esteem and high and low quality of life in Al Islam 1 Senior High School Surakarta. Students with high self-esteem has the possibility to experience depression 0.4 times greater than students with low self-esteem and students with a high quality of life has the possibility to experience depression 0.3 times greater than students with lower quality of life. Keywords: Adolescence, quality of life, self-esteem, depression
Comparison of Effect between Inhalative Anesthetics with Isoflurane and Sevoflurane on Oxygen Saturation Prabuwinoto Setiawan; M.H. 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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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. The aim of this study was 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 first group received isoflurane anesthesia, the other group received sevoflurane anesthesia. Changing of oxygen saturation during operation was observed for two groups used bedside monitor. The data which have been collected analyzed using the Mann Whitney test and Pearson correlation test. Results: This study revealed a decrease in oxygen saturation for both groups in the induction phase (sevoflurane = 97.42 0.90; isoflurane = 97.00 0.75; p = 0.113). However, the oxygen saturation of isoflurane group was more fluctuating than sevoflurane group after inducton phase (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 changing of oxygen saturation between the isoflurane and sevoflurane anesthesia on the induction phase, 5 minutes and 15 minutes after incision. Anesthesia with sevoflurane in oxygen saturation is more stable compared with isoflurane anesthesia on intubation phase until 15 minutes after incision. Keywords: inhalation anesthesia, sevoflurane, isoflurane, hemodynamic, oxygen saturation
The Comparation Between Quality of Life of Patient with Uterine Prolapse which Choose Operative Therapy and Conservative Therapy at RSUD Dr. Moewardi Surakarta ROSITA ALIFA PRANABAKTI
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction: Uterine prolapse is one of pelvic organ prolapse and become the number two most common cases after sistourethrokel . Epidemiology cases of uterine prolapse in Indonesia showed that uterine prolapse more common in patients grande multipara in menopause, rarely occurs in women nullipara . Over the past decade , the evaluation of pelvic organ prolapse in relation to health , using a comprehensive approach or overall. Instruments developed in this evaluation is the Prolapse Quality of Life Questionnaire (P-QOL). Differences in the treatment of uterine prolapse cases will certainly lead to different perceptions of individuals on their quality of life as measured using a P - QOL. The purpose of this study was to compare the quality of life of uterine prolapse surgery with conservative conducted in hospitals DR . Moewardi Surakarta . Methods: This study was observational analytic with cross sectional method . Samples were examined as many as 31 patients with uterine prolapse who were divided into 2 groups: 15 patients as operative group and 16 patients as conservative groups . Samples taken by accidental sampling . Samples were selected based on inclusion and exclusion criteria. Once approved informed consent, were interviewed using P - QOL questionnaire. The variables studied were the quality of life of patients in accordance with the chosen therapy . Data were analyzed using an unpaired t test Results: Obtained P values ??of 0.001 less than 0.05 . Meanwhile for the t table , look at the table t distribution with ? = 5 % : 2 = 2.5% with degrees of freedom ( df ) n - 2 or 31-2 = 29. By testing two sides ( significance = 0.025 ) results obtained for t table of 2.04. As for t obtained amounted to 3,81. Calculated t > t table ( 3.81 > 2.04 ) and P value ( 0.001 < 0.05), then Ho is rejected and H1 accepted, meaning that there are differences in the quality of life of patients with uterine prolapse between operative group with conservative groups . Conclusions: There are differences in the quality of life of patients with uterine prolapse surgery with conservative conducted at Hospital Dr. Moewardi Surakarta. Keywords: Uterine prolapse, quality of life, surgical, conservative.

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