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<![CDATA[Korioamnionitis Sebagai Faktor Risiko Terjadinya Persalinan Preterm ]]>
<![CDATA[Rahmi, Elita]]>;
<![CDATA[Respati, Supriyadi Hari]]>;
<![CDATA[Melinawati, Eriana]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 ]]>
<![CDATA[Perbedaan Kejadian Asfiksia Neonatorum pada Kehamilan dengan Preeklamsia Ringan dan Kehamilan Normal di RSUD Dr. Moewardi Surakarta ]]>
<![CDATA[Hadiyanto, Louis]]>;
<![CDATA[Darto, .]]>;
<![CDATA[Hafidha, Nur Hafidha]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: The incidences of early neonatal death and stillborn are high despite decreased overall child mortality rate. Asphyxia is one of causes of neonatal deaths. Hypertension in pregnancy (preeclampsia) may contribute to perinatal morbidity and mortality. Placental ischemia is proposed to be cause of preeclampsia as well as mechanism leading to neonatal asphyxia. This study aimed to compare the prevalences of neonatal asphyxia in pregnancies with mild preeclampsia and normal pregnancy at RSUD Dr. Moewardi Surakarta. Methods: This was an observational analytic study with cross-sectional approach, conducted from April to August 2012. Thirty patients with mild preeclampsia and 30 patients with normal pregnancies were selected based on certain criteria. Preeclampsia patients were identified from signs of hypertension (systolic/diastolic blood pressure â¥140/90 mmHg), extremity edema, and/or proteinuria. Neonatal asphyxia was identified from APGAR scores documented in medical record. Data were analyzed by Fisherâs exact test using SPSS version 13.0 for Windows. Results: Only 1 (3.3%) case of neonatal asphyxia was found in pregnancy with mild preeclampsia. No neonatal asphyxia was found in normal pregnancy. Result from Fisherâs exact test showed a p-value of 1.000 (p>0.05). Conclusion: There was no difference of neonatal asphyxia prevalence in pregnancies with mild preeclampsia and normal pregnancy at RSUD Dr. Moewardi Surakarta. Keywords: Mild preeclampsia, normal pregnancy, neonatal asphyxia]]>
<![CDATA[Hubungan Anemia pada Kehamilan dengan Berat Badan Bayi Lahir di RSUD Dr. Moewardi ]]>
<![CDATA[Damara, Novia]]>;
<![CDATA[Harsono, Ganung]]>;
<![CDATA[Suryawan, Arif]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Anemia is a problem in world health which attack a quarter of world population. Pregnancy anemia can caused bad effects to mother or the fetus. This research aims to reveal the relationship between pregnancy anemia and birth weight (high, normal, or low) in RSUD Dr. Moewardi Methods: This study was observational analytic with cross-sectional approach that was conducted in September-October 2012 at the Hospital Dr. Moewardi. The sampling was carried out sampling criterion. The measuring instruments that used were result of laboratory tests in RSUD Dr. Moewardi with cyanmethemoglobin method to determine whether the hemoglobin of pregnant women included in the criteria for anemia and baby scales to measure birth weight. The obtained data were 33 and the data analysis used Chi-Square test with SPSS 17.00 for Windows program. Results: This study demonstrates the value of Chi Square count equal to 33.000, while the value of Chi Square table with α = 0.005 and degrees of freedom (df) = 2 obtained a value 5.99. It means that the value of Chi Square count > value of Chi Square table. Meanwhile, with α = 0.05 shows p = 0.000, which means that p < 0.05. Thus, the two analyzes are the same conclusions that reject H0. Conclusions: There is a relationship between pregnancy anemia and birth weight in Hospital Dr. Moewardi. The samples were pregnant woman who suffer from mild anemia more likely to deliver babies with normal birth weight. Moreover, woman who suffer from severe anemia more likely to deliver babies with low birth weight. Keywords: Anemia, Pregnancy, Weight Birth ]]>
<![CDATA[Hubungan Anemia Dengan Hipotermia Pada Neonatus Di RSUD Dr. Moewardi ]]>
<![CDATA[Ardiningsih, .]]>;
<![CDATA[Hidayah, Dwi]]>;
<![CDATA[Sulaeman, Endang Sutisna]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 bodyâs 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 neonatesâ haemoglobin levels were measured then the neonatesâ 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]]>
<![CDATA[Prevalensi Pneumonia Nosokomial pada Pasien Rawat Inap di ICU RSUD Dr. Moewardi Periode April-Mei 2012 ]]>
<![CDATA[Gultom, Krismawarni]]>;
<![CDATA[Prasodjo, JB]]>;
<![CDATA[Hudiyono, .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background  : Infectious diseases are the main causes of morbidity and mortality in the world. The prevalence of nosocomial infections still high  in development countries. Nosocomial infections often occured, especially in ICUâs patients, it is around 25-33%. A minimum research of the incidence of hospital acquired pneumonia in Dr. Moewardi Hospital is the background of this research. Thorax photo were obtained when the patient first entered the hospital and after being treated in hospital for more than 48 hours. It used as one of the diagnostic tests to assist the prevalence of hospital acquired pneumonia on ICUâs patient. Methods : This is a descriptive observational research method with a cross-sectional approach to obtain the prevalence of hospital acquired pneumonia in ICU Dr. Moewardi Hospital during April-May 2012. The sample is done by using a purposive sampling. The population of this study was all patients who are hospitalized in the ICU Dr. Moewardi Hospital in Surakarta during April-May 2012. Results : Total sample are 72 patients. The result of this research shows that the prevalence of hospital acquired pneumonia in April-May 2012 on patients who are hospitalized in the ICU Dr. Moewardi Hospital is 8.3%. The middle age group (48-64 years) and old age (65-88 years) are the greater group of getting risk of hospital acquired pneumonia. Discussion : The prevalence of hospital acquired pneumonia is 8.3%. This may be caused by the use of respiratory mechanic devices, the immunocompromised patients,  hospital environmental factors, the use of immunosuppressive drugs and the time of patients hospitalized. It is recommended that all of medical team of this hospital need to develop an effective program to control and prevent nosocomial pneumonia infection. Key words : prevalence, hospital acquired pneumonia, thorax photo  ]]>
<![CDATA[Hubungan Obesitas Dengan Kejadian Infark Serebral Pada Pasien Rawat Inap Bangsal Saraf RSUD Dr. Moewardi ]]>
<![CDATA[C N, Stefanny]]>;
<![CDATA[Prasodjo, JB]]>;
<![CDATA[Hudiyono, .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background  :Obesity is closely associated with increased risk of atherosclerosis disease. Atherosclerosis occurs when a portion of the surface of the large arteries forming plaque. As a result, the plaque will cause blood vessel disorders, even cerebrovascular disease. Cerebral infarction is a cerebrovascular disease that can cause a drop in the supply of oxygen and glucose to a particular part of the brain that eventually lead to the onset of a stroke. The cerebral infarctionâs high occurrence rate were the reason that made the researcher wanted to find out if there is a relationship between obesity and cerebral infarction in patients hospitalized in the neurological ward RSUD Dr.Moewardi. Methods :This was an observational analytic research with cross sectional design. This research was done in RSUD Dr.Moewardi. The sampling was done in consecutive sampling. This researchâs populations were patients hospitalized in the neurological ward RSUD Dr.Moewardi during November-December 2012. Results :Total sample are 42 patients. The result of this research shows there were 21 samples of cerebral infarction case, which consisted of 17 obesity patients and 4 non-obesity patients. The other 21 samples were the non-cerebral infarction patients which consisted of 3 obesity patients and 18 non-obesity patients. The obtained data were analyzed using Chi-Square test and resulted in a significant relationship ( p< 0,01). Conclusions :There was a relationship between obesity and cerebral infarction in patients hospitalized in the neurological ward RSUD Dr.Moewardi. Key words :relationship, obesity, cerebral infarction.]]>
<![CDATA[Perbedaan Ankle Brachial Index (ABI) pada Pasien Diabetes Melitus Tipe 2 Obese dan Normal Weight di RSUD Dr. Moewardi ]]>
<![CDATA[Miranti, Biltinova Arum]]>;
<![CDATA[Sugiarto, .]]>;
<![CDATA[Widardo, .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Peripheral Arterial Disease (PAD) is one of the complications of type 2 diabetes mellitus. Obesity is a risk factor of PAD and it is estimated 80 - 90% of patients with type 2 diabetes mellitus are overweight or obese. ABI is a simple method for diagnosing PAD and the ABI value of < 0.9 means that the patient suffers PAD. The aims of this study are to know the difference of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital and the correlation between ABI and the Body Mass Index (BMI). Methods: This study is an analytical observation by means of cross sectional approach. The subjects were patients of Dr. Moewardi Hospital registered from April to July 2013, suffering type 2 diabetes mellitus. Subjects were selected through purposive sampling. The data were obtained by measuring the patientsâ BMI, examining the patientsâ ABI and checking the patientsâ medical record. The data were analyzed by the unpaired t test, significant if p value < 0.05, and by Spearman correlation test through SPSS 20.0 Statistic program for Windows. Results: Data were taken from 33 subjects consisting of 11 obese patients and 22 normal weight patients suffering type 2 diabetes mellitus. The result obtained shows that 9 patients were included in the borderline category of ABI values, 6 (66.7%) patients were obese and 3 (33.3%) patients had normal weight. The unpaired t test shows that the mean of ABI of obese vs normal weight patients with type 2 diabetes mellitus is 0.98 ± 0.06 vs 1.01 ± 0.06, p = 0.221. The Spearman correlation test between ABI and BMI shows p = 0.028 and r = -0.384. Conclusions: The study suggested that there is no significant difference mean of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital. However, based on the interpretation of ABI values ââobtained, the percentage of subjects with lower ABI values ââwas found greater in obese patients with type 2 diabetes mellitus (66.7%). There is correlation between ABI and BMI. Keywords: ABI, obese type 2 diabetes mellitus, normal weight type 2 diabetes mellitus  ]]>
<![CDATA[Hubungan Merokok dengan Konversi Sputum Penderita TB Paru Kasus Baru di RSUD Dr. Moewardi Surakarta ]]>
<![CDATA[Yonisa, Zefania]]>;
<![CDATA[Harsini, .]]>;
<![CDATA[Primadewi, Novi]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 (α = 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 ]]>
<![CDATA[Hubungan Ibu Perokok Pasif Selama Kehamilan Dengan Kejadian Infeksi Respiratori Akut Bagian Bawah ]]>
<![CDATA[Windriya, BRA I Ratu]]>;
<![CDATA[Andarini, Ismiranti]]>;
<![CDATA[Sahir, Endang]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Acute Respiratory Infection (ARI) has been the main cause of child morbidity and mortality, includes upper ARI and lower ARI. Lower respiratory infection is the infection under of larynx, includes epiglotitis, croup (laryngotracheobronchitis), bronchitis, bronchiolitis, and pneumonia. The one risk factor of lower ARI is air pollution (if in the house use firewood to cook and/or cohabit with active smoker). Prenatal exposure to cigarette smoke will affect the morphogenesis of fetus lung so it will increase respiratory infection risk after the fetus is born. This research aims to find out how big the relationship between maternal passive smoking during pregnancy with lower acute respiratory infection. Methods: The research was an analytical survey with case control approach implemented in March-April 2013 in RSUD Dr. Moewardi Surakarta. The samples was taken using purposive sampling and the number of samples based on rule of thumb. Dependent variable in this research was lower acute respiratory infection and independent variable was maternal passive smoking during pregnancy. The parents of the sample signed informed consent as the consent form and filled the questionnaire. Medical records was required for obtained the data about diagnose and nutrition status of the samples. This research were obtained 60 samples and analyzed use bivariate analysis continued multivariate analysis with logistic regression test. Results: The research with bivariate analysis showed that maternal passive smoking during pregnancy and low birth weight infant were significant with p < 0.05. Crude OR maternal passive smoking during pregnancy was 5.688. By multivariate analysis with logistic regression test obtained adjusted OR = 4.000, p = 0.043 (p < 0.05), and 95% CI = 1.043-15.343 for independent variable maternal passive smoking during pregnancy. Conclusions: There was significant relationship between maternal passive smoking during pregnancy with lower acute respiratory infection of child (p = 0.043), at the risk of 4.000 times more likely to suffer lower ARI. Keywords: Pregnant Maternal, Passive Smoking, Lower Acute Respiratory Infection ]]>
<![CDATA[Hubungan antara Kadar Hematokrit dengan Derajat Keparahan Stroke Iskemik Fase Akut pada Pasien di Unit Penyakit Saraf RSUD Dr. Moewardi ]]>
<![CDATA[Hidayat, Agung Wahyu]]>;
<![CDATA[Suroto, .]]>;
<![CDATA[Utari, Siti]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 â 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  ]]>
