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Nexus Kedokteran Klinik
Published by Universitas Sebelas Maret
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
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Articles 334 Documents
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Hubungan Derajat Keparahan Stroke Dengan Kejadian Pneumonia Pada Pasien Post-Stroke Iskemik Akut Wulandari, Eksy Andhika; Suroto, .; Hartono, .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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% 1,334–11,157. 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 
Perbandingan Stres yang Dirasakan Pasien Asma dan Pasien PPOK di RSUD Dr.Moewardi Yunita, Amelia; Setijadi, Ana Rima; Widardo, .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Asthma is a chronic inflammatory disorder of the airways with episodic symptom such as cough, shortness of breath, wheeze, and uplifted chest. Chronic Obstructive Pulmonary Disease (COPD) is a disease which is characterized by airflow limitation that is not fully revesible and associated with an abnormal inflammatory response of the lung to noxious particles or gases. This study aimed to compared the perceived stress between asthma patients and COPD patients. This analytic study was observational using cross-sectional approach. A sample of 60 study subjects was selective by purposive sampling from outpatient who visited Pulmonary Clinic, RSUD Dr. Moewardi and fulfill the intrinsic criteria. The data was collected by interview using a set of questioner. The data was analyzed using Chi Square test on SPSS 20 for windows. This study showed that asthma patients had a low stress level, which is 60%. While, in COPD patients had high stress level, which is 63.33%. (p=0.002, OR= 7.5) There is a statistically significant difference perceived stress between asthma patients and COPD patients. COPD patients had higher stress level compared to asthma patients. 
Perbedaan Kualitas Tidur antara Pasien Asma dengan Pasien PPOK di RSUD Dr. Moewardi Ratmilia, Rizka; Setijadi, Ana Rima; ., Widardo
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Asthma and Chronic Obstructive Pulmonary Disease (COPD) refer to group of airflow obstruction diseases characterized by fundamental physiologic problems, they are increased resistance to airflow as a result of caliber reduction of conducting airways and chronic airway inflammation. Sleep requirement is so important for everyone’s life quality, however their sleep need depends upon many factors such as physiological factors. Asthma and COPD patients may suffer nocturnal symptom or other typical symptom presentation. This study aimed to find out the difference of sleeping quality between asthmatic patients and COPD patients. This study was an analytical observational with cross-sectional approach. The subjects were selected by purposive sampling technique. A total of 60 subjects consisted of 30 asthmatic patients and 30 COPD patients from outpatients who visited the pulmonary clinics of RSUD DR. Moewardi from April to May 2013. The data were collected using direct interview to fill KSPBJ-IRS (Kelompok Studi Psikiatri Bilogik Jakarta-Insomnia Rating Scale) questionnaire. Furthermore, the data were analyzed using Chi-Square test on Statistical Product and Service Solution (SPSS) 20.00 for Windows. There is no significant difference of sleep quality between asthmatic patients and COPD patients. According to Chi-Square test results, p-value is 0,301; p > 0,05. From this study it can be concluded that the obtained, there is no difference of sleep quality between asthmatic patients and COPD patients. Keywords: Sleep Quality, Asthma, COPD 
Hubungan Multi Paritas dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi Siswanto, Totok; Yuliantara, Eric Edwin; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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 Metode Persalinan Vacuum Ekstraksi dengan Kejadian Baby Blues Syndrome Ledysta, Pupus; Soetrisno, .; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: extraction deliveries are significantly increases the risk of trauma and become a stressor for mothers. One of the risk factor is baby blues as if there are obstetric or deliveries complications, which are trauma factor plays an important role. This study aims to determine the relationship between the methods of vacuum extraction parturition with the baby blues syndrome incidence. Methods: the study was use observational analytic cross sectional approach. The observation was conducted at the inpatient clinic of the plant Obstetric and Gynecology Mawar 1 RSUD Dr. Moewardi Surakarta. The study sample involved 50 patients vaginal deliveries taken by purposive sampling fixed exposures method. Each sample was given an outline description of the study and asked to sign an informed consent sheet followed by charging sheets identity, L-MMPI questionnaire, and blues questionnaire. This study analyzed three independent variables, namely the method of delivery, age, and income. Data were analyzed by Chi Square test. Results: there was a statistically significant relationship between the methods of vacuum extraction delivery as a risk factor baby blues syndrome events. Maternal great risk with vacuum extraction deliveries to experience the baby blues syndrome incidence 6.08 times greater than women with spontaneous labor (0R = 6.08, IK 95% 1.72, 21.50, p = 0.004). Conclusion: based on research with vacuum extraction deliveries will have the risk of having a baby syndrome blues 6.08 times greater than spontaneous vaginal delivery. Keywords: vacuum extraction, baby blues syndrome 
Hubungan Ibu Hamil Perokok Pasif dengan Persalinan Preterm di RSUD Dr. Moewardi Surakarta Imanuddin, Iqbal; Soetrisno, .; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Exposure to secondhand smoke among passive smoking pregnant women was known to contain various toxic chemical substances such as Nicotine, Carbon Monoxide, Cadmium, and Polycyclic Aromatic Hydrocarbon. These substances are able to reduce the oxygen supply to the fetus and stimulate the myometrium contraction that could lead to preterm delivery. This study aims to prove the correlation between passive smoking pregnant women and preterm delivery cases. Methods: This study is an analytical observational study using case control approach. This study was conducted in Mawar I ward RSUD Dr. Moewardi, Surakarta. The subjects in this study are 60 who perform delivery in RSUD Dr. Moewardi. Subject preferences were performed using fixed disease-sampling method where subjects are divided into 2 groups, the group consisting of 20 pregnant women with preterm delivery cases and the control group consisting of 40 pregnant women with aterm delivery. Each group was given a questionnaire contains questions regarding passive smokers status as an independent variable, as well as antenatal care (ANC) status, age, and previous preterm delivery history as the confounding factors that will be controlled. Chi square tests and multiple logistic regression analysis were used to analyze the data. Results: The study revealed significant correlation between passive smoking pregnant women and preterm delivery. Pregnant women with secondhand smoke exposure have a preterm delivery risk 9.4 times greater when compared to pregnant woman with no exposure after controlling the confounding factors which is antenatal care and considering the history of previous delivery (p = 0.008; OR = 9.39). Conclusion: There is a significant correlation between passive smoking pregnant women and preterm delivery. Passive smoking pregnant women have a higher risk to experience preterm delivery compared to non-passive smoking pregnant women. Keywords: pregnant women, passive smoking, preterm delivery.  
Hubungan Pemberian ASI Eksklusif dengan Kejadian Penyakit Alergi pada Anak Wardhani, Annisa; Harsono, Ganung; Widardo, .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Allergy defined as hipersensitivity reaction started by immunological mechanism through exposure of allergen to atopic individues. Atopy is genetical tendencies to produce IgE that has been exposed to allergen. Allergic disease that commonly found  in children are atopic eczema, asthma bronchial and  allergic rhinitis.  Whereas food allergy and cow’s milk allergy are the first allergic disease that could occur for the first time in children. For the past few years, the incidence of allergic disease is increased rapidly, on domestic and global scale. As the result, the prevention of  this disease become very important. There are many methods has been done, such as exclusive breatfeeding, avoidance of risk factor and tobacco smoke exposure, and probiotic administration, but the result is remain controversial. This study aims to find out the correlation between exclusive breastfeeding and occurence of allergic disease in children. Methods: This is an analytical survey study using case control approach which was conducted on May-July 2013 in Dr. Moewardi Hospital. The sample was taken using purposive sampling and used rule of thumb to take the amount of sample. Occurence of allergic disease is classified as independent variable and exclusive breastfeeding is classified as dependent variable. The children parents that agree to be taken as a sample signed informed consent and filled the questionnaire. The data about diagnosis was required from medical record. 70 samples of research were obtained and analyzed by using Chi Square test followed by the multivariate logistic regression analysis. Results: Bivariat analysis using Chi Square test showed significant correlation between exclusive breastfeeding with the occurence of allergic disease in children with p<0.05. Exclusive breastfeeding Crude OR was 0.351. By using multivariate logistic regression analysis were obtained adjusted OR = 0.214, p = 0.016 (p<0.05), and 95% CI = 0.061-0.751 for independent variable exclusive breastfeeding. Conclusions: There is a significant correlation between exclusive breastfeeding with the occurence of allergic disease in children (p = 0.016). The OR = 0.214 showed that exclusive breastfeeding is a protective factor against allergic disease in children. Keywords: Exclusive Breastfeeding, Allergic Disease, Atopy  
Hubungan antara Faktor Risiko Perdarahan dengan Kejadian Perdarahan Postpartum di RSUD Dr. Moewardi Surakarta Tahun 2012 Amanda, Larissa; Sunaryo, Rustam; Widardo, .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Maternal mortality rate in Indonesia is relatively high compared to the other Asian countries. Postpartum hemorrhage is one of the major cause of maternal mortality. The increase in risk factors for hemorrhage in pregnancy and labor is known to contribute to the increase in cases of postpartum hemorrhage.  The objective of this research was to know the correlation between risk factors for hemorrhage and occurrence of postpartum hemorrhage in Dr. Moewardi Hospital Surakarta in 2012. Methods: This research used descriptive analytical study by the case control approach. Case group was patients with postpartum hemorrhage in Dr. Moewardi Hospital Surakarta in 2012. Sample of the case group was taken by purposive sampling. Control group was postpartum patients in Dr. Moewardi Hospital Surakarta in 2012 who didn’t experience of postpartum hemorrhage. Sample of the control group was randomly selected by simple random sampling from 45 patients who had spontaneus labor and 45 patients who had sectio caesarean which met the criteria of purposive sampling. This research was conducted by collecting data from 55 medical records of patients in case and control groups. The collected data were analyzed with Chi Square and logistic regression formulas. Results: The result of statistical analysis revealed significant diferrences between case and control groups for methods of labour with p values = 0,001 and r = 0,405. The results of statistical analysis for age, parity, anemia, birthweight and severe preeclampsia revealed no significant differences between case and control groups with each p values = 0,566, 0,423, 0,401 and 0,161. There were no eclampsia and polihidramnios patient in case and control groups. Conclusions: The results of this research revealed that there were a correlation between spontaneous labor with episiotomy, elective caesarean section, emergency caesarean section, assisted vaginal delivery with episiotomy and occurence of postpartum hemorrhage in Dr. Moewardi Hospital in 2012. Keywords: postpartum hemorrhage, risk factors for hemorrhage. 
Hubungan Hiperglikemia Dengan Kejadian Stroke Hemoragik Pada Pemeriksaan Multislice CT-Scan Kepala Tanpa Kontras Di RSUD DR. Moewardi Surakarta Christyan, Fernando Feliz; Widiastuti, .; Subandono, Jarot
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is the third most common cause of death in the world, with a high prevalence of death in low-and middle-income countries. Hyperglycemia has been associated with atherosclerotic lession resulting in cerebral aneurysm which can lead to hemorrhagic stroke. CT-Scan is considered sufficiently sensitive for detecting acute hemorrhage, as well as detecting mass lessions. The aim of this study was to determine the correlation between hyperglycemia and hemorrhagic stroke incident on noncontrast multislice CT-Scan of the head examination. Methods: This study was an observational study with the analytical approach to the subject of cross-sectional study. 70 subjects were selected by fixed- disease sampling methods. These subjects have been performed a noncontrast multislice CT-Scan of the head examination. Data was collected by reading the result of blood glucose level and CT-Scan of the head examination on patient’s medical record. Data were processed with Statistical Product and Service Solution (SPSS) 17.00 for Windows Results: Chi-Square models showed that X2 = 7,19 with 5% significancy. OR (Odds Ratio) in hemorrhagic stroke was 4,26 (CI 95% = 1,43-12,74). Patient with hyperglycemia increases the risk of getting hemorrhagic stroke  4,26 (4) times than patient without hyperglycemia. Conclusion: There is a correlation between hyperglycemia and hemorrhagic stroke incident. Keywords: hyperglycemia, hemorrhagic stroke, noncontrast head CT-Scan  
Hubungan Antara Hiperglikemi dengan Kejadian Infark Serebri pada Pemeriksaan Multi Slice CT-scan Kepala Tanpa Kontras di RSUD Dr. Moewardi Agustina, Siska Dewi; Widiastuti, .; Subandono, Jarot
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 patiens’medical 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 (χ2 = 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 

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