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<![CDATA[Hubungan Orang Tua Menderita Miopia dengan Kejadian Miopia pada Anaknya di SDN Cemara 2 Surakarta ]]>
<![CDATA[Narityastuti, Dwi Budi]]>;
<![CDATA[Indrakila, Senyum]]>;
<![CDATA[Setyawan, Sigit]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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 ]]>
<![CDATA[The Association between Duration of Type 2 Diabetes Mellitus with Severity Degrees of Ischemic Stroke Patient in Ward of Neurogical Disease at RSUD Dr. Moewardi ]]>
<![CDATA[Sakti, Triono Agung]]>;
<![CDATA[Suroto, .]]>;
<![CDATA[Utari, Cr Siti .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Stroke is a most common cerebrovascular disease which is more common and become the second leading cause of death after ischemic heart disease in the world. In Indonesia, approximately 15.4% of deaths caused by stroke. One of risk factor from stroke is Diabetes Mellitus (DM) and Diabetes Mellitus type 2 is a major part of the diabetes that exist in society, especially in adulthood, which is about 85-90% of all diabetes types in the world. Therefore, it needs systematic examination of the use of the National Institutes of Health Stroke Scale (NIHSS) to determine the severity degrees of stroke in stroke patients who also suffer from diabetes. This study aimed to determine the association between duration of type 2 diabetes mellitus with severity degrees of ischemic stroke patient in Ward Neurological Diseases at RSUD Dr. Moewardi. Methods: This is an observational analytic study using cross sectional approach. A total of 32 subjects were selected by using purposive sampling, and subjects were ischemic stroke patients in Angrek II Ward of Neurological Disease at Hospital Dr. Moewardi. Data were collected by direct interview and examined subject using the NIHSS score. Data were analyzed using multiple logistic regression model and processed with the Statistical Product and Service Solutions (SPSS) for Windows 17:00. Results: Multiple logistic regression analysis showed the results OR = 1.558; 95% CI 0.317 to 7.656, and p = 0.585. These results already control all of confounding variables such as the levels of total cholesterol, smoking history, blood pressure, and history of alcohol consumption. Ischemic stroke patients who also suffer type 2 diabetes mellitus  ⥠5 years increases the risk of ischemic stroke with severe severity 1,558 times more than patients who have type 2 Diabetes Mellitus  <5 years. Conclusions: There is a medium relationship between duration of type 2 Diabetes Mellitus with severity degrees ischemic stroke patient in Ward of Neurological Deisease at RSUD Dr. Moewardi, but the result is not significant in statistic. Keywords: Length Duration of DM, Tipe 2 Diabetes mellitus, Ischemic Stroke, Severity Degrees of Stroke  ]]>
<![CDATA[Miopia sebagai Faktor Risiko Terjadinya Penurunan Prestasi Belajar pada Anak SDN Cemara Dua Surakarta ]]>
<![CDATA[Indrakila, Senyum]]>;
<![CDATA[Primadewi, Novi]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Academic achievement is result of learning, which can be obtained by test. It is influenced by many internal factors (including five senses condition) and external factors. When there was an abnormality in the eye (including myopia), it will influence the learning procces, so the children cant get their best academic achievement. This study has a purpose to know if myopia is a risk factor for decreased academic achievement in children at SDN Cemara Dua Surakarta. Methods: This study is a case control study, conducted at SDN Cemara Dua Surakarta. Sample is divided into 2 groups (case group and control group) based on progress of academic achievement by end-semester report in year 2012/2013 (decreased or still/increased). And then refraction test by noncycloplegic autorefractometer is done to know myopia state of children. Independent variable is myopia, dependent variable is decreased academic achievement, and confounding factors are sex and tutoring. This study uses Chi-Square and multiple logistic regression to analyse data. Results: Students with myopia have probability 0.714 less than students without myopia to have a decreased academic achievement, but this relationship is not significant. (OR = 0.714; Cl 95% 0.252 s.d. 2.025; p = 0.525). Multiple logistic regression is not done because based on result of Chi-Square, confounding factors have p > 0.25 (sex p = 0.701, tutoring p = 0.750). Conclusions: Relationship between myopia and decreased academic achievement is not significant, so myopia is not a risk factor of decreased academic achievement in children at SDN Cemara Dua Surakarta. Keywords: Myopia, decreased academic achievement, case control, noncycloplegic autorefractometer. Â ]]>
<![CDATA[Hubungan Tinggi Badan menurut Umur dengan Kejadian Miopia pada Anak di SDN Cemara Dua Surakarta ]]>
<![CDATA[Aprillia, Wahyu]]>;
<![CDATA[Indrakila, Senyum]]>;
<![CDATA[Primadewi, Novi]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Myopia is one of refractive errors most often occurs in children. Axial length appears to be a major determinant of refractive error. It has been theorized that a larger body might be associated with a greater axial length (AL) simply as a function of larger overall body size. Some studies suggest that taller people were more myopic than short people. This study aimed to analyze the relationship between height for age with myopia in children at SDN Cemara Dua Surakarta. Methods: An analytical observational study using a cross sectional design, was performed in Cemara Dua Surakarta Elementary School on May-June 2013. Total respondents were 180 people, taken by fixed disease sampling. Height for age was determined by respondents height z-score analysis that adjusted for TB/U growth chart based on WHO child growth standard. Status myopia obtained by screening using autorefractometer. Analysis of data was bivariate chi square, using SPSS program version 20.0 for windows. Results: This study shows 6 (3,3%) subject were stunted, 163 (90,6%) subject were normal, and 11 (6,1%) subject were heigt. Number of taller children in myopia were 7 people (63.6%) and not myopia were 4 people (36.4%). Chi Square test showed the results of p value = 0.351 (p < 0,05). Conclusions: There is no relationship between height for age with myopia in children at SDN Cemara Dua Surakarta. Keywords: Height, Age, Myopia. ]]>
<![CDATA[Hubungan antara Lamanya Aktivitas Melihat Dekat dengan Miopia pada Anak di SDN Cemara 2 Surakarta ]]>
<![CDATA[Purbaningrum, Eli Dwy]]>;
<![CDATA[Indrakila, Senyum]]>;
<![CDATA[Primadewi, Novi]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[ Background: The most common type of refractive error in school student was myopia. Some factors are predicted play a role in the onset of myopia, one of them is nearwork activity. Meanwhile, the globalization encourages children to do some nearwork activities, such as reading and using gadgets. The purpose of this study was to analyze the the relationship between duration of nearwork activity and children myopia. Methods: This study used observational analytic method with cross-sectional design research. The population was all students of SDN Cemara 2 Surakarta. Subjects were students of grade III to V who are either suffering myopia or not. The total subject were 200 children, which was 100 children with myopia picked by fixed disease sampling technique, and 100 children with no myopia picked by simple random sampling technique. The data were collected by measurement with autorefractometre and questionnaires. The data obtained were analyzed by using multiple logistic regression with SPSS 17.0 for Windows. Result: From 200 subjects found that total children myopia who do nearwork activities longer 54 (52%) and children with no myopia who do nearwork activities longer 50 (48%). The results of multiple logistic regression statistical test showed that duration of nearwork activity and children myopia have no significant relationship statistically (p = 0,59). Conclusion: There was no significant relationship between duration of nearwork activity and children myopia. ]]>
<![CDATA[Hubungan antara Status Gizi dan Infeksi Blastocystis hominis pada Pasien Bangsal Anak RSUD Dr. Moewardi Surakarta ]]>
<![CDATA[Sungkar, Nabila Adib]]>;
<![CDATA[Dirgahayu, Paramasari]]>;
<![CDATA[Moelyo, Annang Giri]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background :Blastocystis hominis is one of the most common protozoans found in worldwide human intestinal tract. In Indonesia, its prevalence reached 60%, the highest prevalence found in children less than 6 years old (25%). Epidemiological and clinical researches show that a defect of nutritional status can inhibit immunity response and increase risk of infectional disease. This study aimed to analyze the correlation between nutritional status and Blastocystis hominis infection among children in RSUD Dr. Moewardi Surakarta. Methods :This study was an observational analytical research using cross-sectional approach. The subjects were every pediatric ward patient in RSUD Dr. Moewardi Surakarta period July-August 2013. A total of 50 subjects were selected using total sampling method. Fresh stool samples were examined using Ziehl-Neelsen staining method. Data were analyzed by multiple logistic regression analysis and processed with the Statistical Product and Service Solutions (SPSS) 17.0 for Windows. Results :Blastocystis hominis was found in 36/50 (72%) stool samples. Poor nutritional status patients in pediatric ward of RSUD Dr. Moewardi Surakarta have the same risk to be infected by Blastocystis hominis compared to good nutritional status patients (OR = 1.04 ; p < 0.97). But children aged under 2 years old have lower risk to get infected by Blastocystis hominis compared to children over 2 years old (OR = 29,333 ; p < 0,001) Conclusion :There is not any significant correlation between nutritional status and Blastocystis hominis infection among children in RSUD Dr. Moewardi Surakarta. Keywords :Blastocystis hominis, nutritional status ]]>
<![CDATA[Hubungan Andropause dengan Penyakit Jantung Koroner di RSUD Dr. Moewardi Surakarta ]]>
<![CDATA[Pramono, Hanne Dianta]]>;
<![CDATA[Syahrir, Endang]]>;
<![CDATA[Setyawan, Sigit]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background : Andropause is a syndrome of aging that can be interpreted by the cessation of physiological processes in men. It is estimated there are at least 25 million men in America between 40 and 55 years have some degree of andropause. The loss of testosterone can occur in men age 35 years , gradually , with testosterone levels decreased only 1 % to 1.5 % per year. Coronary heart disease is a pathological condition of the coronary arteries ( atherosclerosis ) that causes changes in the structure and function of arteries and decrease blood flow to the heart. Coronary heart disease is a major health problem in developed countries . While the cause of death remains ranked No. 3. Study aimed to analyze the correlation between andropause with coronary heart disease in Dr . Moewardi hospitals Surakarta. Methods : This study was an observational analytic cross sectional approach . Subjects were patients with coronary heart disease and who do not suffer from coronary heart disease who present in Cardiac clinic Dr . Moewardi hospital Surakarta . A total of 104 subjects were selected using purposive sampling method . Data were collected by direct interviews and questionnaires . Data were analyzed by multiple logistic regression analysis and processed with the Statistical Product and Service Solutions ( SPSS ) 16.0 for Windows . Results : Patients with coronary heart disease have a risk of andropause with moderate levels of correlation of 0.32 with the use of contingency correlation test. Conclusions : There is a significant association between andropause with coronary heart disease in elderly men in Surakarta Moewardi Hospital with moderate levels of correlation. Keywords : Andropause , Coronary Heart Disease ]]>
<![CDATA[Hubungan antara Usia Menarke dengan Tinggi Badan dan Panjang Kaki Saat Dewasa ]]>
<![CDATA[Hapsari, Anindita Putri]]>;
<![CDATA[Wiryanto, Tri Budi]]>;
<![CDATA[Sumardiyono, .]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background: Menarche happens when estrogen activity at the peak, that is showed with high level estrogen. In other words, age at menarche is the first onset of high level estrogen. Estrogen not just has important role in reproduction system but also in bone growth. Low level estrogen, or estrogen level when estrogen activity has not at peak yet during puberty time, can stimulate bone growth with growth hormone stimulation mechanism while high level estrogen, or estrogen level when estrogen activity at the peak, can accelerate the closure of epiphysial growth disks so the bone growth will stop in stages. Based on that theory, there is correlation between age at menarche with adult height and leg length. But there are still pros and cons about the result of correlation between age at menarche with final height and leg length from researchers in different places. Therefore, research about age at menarche in relation with adult height and leg length is needed. Methods: This research is analytic observational â cross sectional. The data about age at menarche, height and leg length is gained from interview and measurement with 60 medical students of Sebelas Maret University. The data gained from the research is analyzed statistically using t test and Pearson Correlation test. Results: The average of age at menarche is 12.42 years old. In t test, there is no significant average difference of height (p = 0.612) and leg length (p = 0.341) between later age at menarche (higher than the average) group with early age at menarche (lower than the average) group. In Pearson Correlation test, there is no correlation between age at menarche with adult height (p = 0.985) and leg length (p = 0.443). Conclusions: In conclusion, there is no correlation between age at menarche with adult height and leg length. Keywords: age at menarche, height, leg length ]]>
<![CDATA[Hubungan Lama Pemberian Asi Eksklusif Dengan Awal Menstruasi Post Partum Tanpa Kontrasepsi Tambahan ]]>
<![CDATA[Fatchya, Firza]]>;
<![CDATA[Wiryanto, Tri Budi]]>;
<![CDATA[Murti, Bhisma]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[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  ]]>
<![CDATA[Perbedaan Kemampuan Bahasa Menurut Jenis Kelamin pada Siswa SLB Autis di Surakarta ]]>
<![CDATA[Ningsih, Endang Susilowati]]>;
<![CDATA[Sudiyanto, Aris]]>;
<![CDATA[Hikmayani, Nur Hafidha]]>
<![CDATA[ Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Sebelas Maret Surakarta ]]>
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<![CDATA[Background:Knowledge about language in autism are lacking or else contradictive. Previous studies found that girls with autism spectrum disorder (ASD) had greater communication deficits than boys,while other studies mentioned that boys with ASD had less languagecapabilities than girls.This study aimed to examine the difference in language ability by genderamongstudents of autis schools in Surakarta. Methods:This was an observational analytic study using cross-sectional approach, conducted from April to May 2013 in SLB Autis Harmony and SLB Autis Alamanda Surakarta. Students of SLB Autis Harmony and SLB Autis Alamanda who met inclusion criteria were sampled. Subjects were categorized into verbal and nonverbal type. Data were analyzed using Fishers exact test. Results:Of 33 subjects meeting the restriction criteria, 19 (57.6%) had language skills of nonverbal type, and 13 students (68.4%) of whom were boys. Statistical analysis showed no difference in language abilities of autistic boys and girls (p = 1.000). Conclusions:There was no language skill differenceaccording to gender of students with autism in SLB Autis Harmony and SLB Autis Alamanda Surakarta. Keywords:autism, language, gender.]]>
