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Nexus Kedokteran Klinik
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Articles 17 Documents
Search results for , issue " Vol 1, No 2 (2012): Nexus Kedokteran Klinik" : 17 Documents clear
The Difference of Airway Irritative Effect of Halotane and Isoflurane as Inhalational Anestethic Setyawan, Whendi; Judin, Marthunus; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Isoflurane and halothane have been used broadly. Airway irritation is one of the side effect from both isoflurane and halothane and have fairly important clinical implication in the provision of both anestethic agent. Methods:The Research is observational analitic research. The population of the research was the patient completed surgery with general anesteshia in IBS(InstalasiBedahSentral) RSUD dr. Moewardi, Surakarta and was transferred to the ward. The data of odynophagia and the incidence of chough were analyzed using Chi Square method. Results:This quote sampling research uses 30 samples divided into two groups, 15 peoples get Isoflurane as their anestethic agent, the other 15 get Halothane. The results of all samples obtained from both groups experienced a sense of hoarseness in the throat. Data incidence of odynophagia obtained that 15 patients of isoflurane experienced odynophagia and 7 patients found in the halothane. Data incidence of chough obtained that 7 patients of isoflurane experienced chough and none of the halothane patient experienced chough. Analitical result on the incidence of odynophagia obtained that patients given isoflurane are at risk for odynophagia 35.13 times greater than halothane, and the increased risk was statistically significant (OR: 35.13, 95% CI 1.78 to 693.30, p = 0.002) and the results cough incidence analysis, found patients given isoflurane are at risk for experiencing cough 27.35 times greater than halothane, and the increased risk was statistically significant (OR: 27.35, 95% CI 1:36 to 539.7, p = 0.004). Conclusions:The conclusions of this study isisoflurane has the effect of irritating the respiratory tract is greater than halothane as inhaled anesthetic. Isoflurane itself can still be used in elective surgery such as halothane when accompanied by adequate premedication Keywords:Isoflurane-Halothane-Iritation-Airway. 
Hubungan Perokok Pasif dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi Amar, Syahmi; Sunaryo, Rustam; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Incidence of cervical cancer each year has increased and the risk of death from cervical cancer is also increased. Cigarette smoke is one of the risk factors associated with cervical cancer which contains chemicals such as nicotine and benzopiren. The content of these chemicals may increase the risk of cervical cancer by various mechanisms. The purpose of this study was to determine the incidence rate of cervical cancer associated with exposure to passive smokers is connected. Methods: This type of research is an case-control. Sample of this study were gynecologic cancer patients with a total sample of 60 people. Measuring instrument used was a validated questionnaire, and performed data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between passive smoking with the incidence of cervical cancer. Passive smokers will have 11,5 ​​times the cervical cancer than non-passive smokers (p=0,001, OR = 11,5). Conclusion: Based on studies of passive smoking women would run the risk of cervical cancer will have 11,5 times higher than non-passive smokers. Key words: passive smoker, cervical cancer 
Hubungan Indeks Massa Tubuh Overweight dengan Gambaran Fatty Liver pada USG Abdomen di RSUD dr. Moewardi Dewi, Charismatika Syintia
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Overweight increasing in the world is one result of the modernization of lifestyles, the increasing caloric intake and limited physical activity. Overweight is more realized to become of a persons risk for metabolism chronic disease. Fatty liver is increasingly recognized condition that also develop into chronic liver disease. This study aims to examine the relationship between overweight body mass index and fatty liver picture on USG Abdomen in RSUD dr. Moewardi. The study is expected to assist in diagnosis and treatment is more adequate and the prevention of fatty liver early on. Methods: This research is an analytical observational research with cross-sectional approach. Subjects were patients undergoing abdominal ultrasound Radiology Installation in RSUD dr. Moewardi in June 2012. Sampling was done after a fixed exposure sampling were selected based on inclusion and exclusion criteria of the sample. The obtained data were as many as 40 samples, taken immediately to see the results of focused abdominal ultrasound examination of heart and with a body mass index calculation derived from measurements of height and weight. Then samples were analyzed by Chi Square test and Odds Ratio test using the Statistical Product and Service Solution (SPSS ) 17.0 for Windows. Result: The data link overweight with a body mass index picture of fatty liver on abdominal ultrasound in RSUD dr. Moewardi was tested by Chi Square test bivariate analysis, obtained p = 0,011. Odds Ratio test was then performed to determine the strength of a causal relationship with OR = 5,571. Conclusion: There is a significant association between overweight body mass index with images of fatty liver on abdominal ultrasound (p = 0,011), where an overweight have a risk for developing fatty liver 5,571 times that of a normoweight or underweight. Keywords: fatty liver, body mass index, overweight, ultrasound 
Pengaruh Ekspresi Emosi Keluarga terhadap Frekuensi Kekambuhan Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta Prihandini, Irene Yunita; Sudiyanto, Aris; Dharmawan, Ruben
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Schizophrenia is a severe disease, with basic personality disorder, distortion the proccess of thought, sometimes have the feeling that he/she was being controlled by external powers, peculiar delusions, disturbing perception, and an affect which does not correspond to the actual situation. In Schizophrenia patients, there are degradation in the field of employment, socialization, and self-care function. Thus, the patient requires caregiver who could take care of him/her, especially when the disease is relapse. Methods: This research is analitical observational by its character with the case control study approach that held between June up to July 2012 in Rumah Sakit Jiwa Daerah Surakarta. It used purposive sampling by divide it into two inclusion criterisa, the caregiver inclusion criteria were (1) Schizophrenia patients family that accompany the patient in the Rumah Sakit Jiwa Daerah Surakarta (2) Schizophrenia patients family that live in the same house with the patient (3) Patient that currently 20-60 years old (4) Voluntarily become respondent in this research and have agreed the informed consent sheet, whereas the inclusion criteria for the schizophrenia patients was (1) relapse patient (2) no reccurrence patient. The sample fulfill (1) identity & informed consent sheet (2) emotion expression quesioner. There are 60 sample and analyzed by pearson test and paired sampel t-test with SPSS 17.0 program for windows. Results: According to the result, we have known that the significance level is 0.004 so (which is 0.004<0.01/0.05) the decision is to accept the hypothesis which was stated that there is a significant connection between the emotion expression with the frequency of recurrence Schizophrenia patients in Rumah Sakit Jiwa Daerah Surakarta. The average difference between the groups of high emotional expression and low emotional expression, t arithmetic (3.826 > t table 1.76) so that H0 could be rejected. Therefore, there is also significant difference in recurrence between the groups of high emotional expression and the low emotional expression. While r calculation in this research is 0.058, so the alternative hypothesis (Ha) which was stated that there is significant positive connection between the Emotional Expression (EE) with the frequency of reccurrence Schizophrenia Patients in Rumah Sakit Jiwa Daerah Surakarta is accepted. Thus, naught hypothesis (Ho) which was stated that there isnt significant positive between the family emotional expression (EE) and the frequency of recurrence is rejected. The direction of both variables is positive, that is if Schizophrenia patients family emotional expression is high then the frequency of recurrence must be high too, vice versa. Conclusions: The higher family emotional expression (EE) then the frequency of recurrence is must be higher too, vice versa.   Key words: Emotional Expression, Frequency of Recurrence 
Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Nugraha, Dwi Adhi; Yuliadi, Istar; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis 
Perbedaan Tingkat Kecemasan antara Siswa RSBI (Rintisan Sekolah Bertaraf Internasional) dan Akselerasi di SMA NEGERI 1 SURAKARTA Putri, Della Kusumaning; Fanani, Muhammad; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The anxiety at the students approaching teenagers age is the manifestation of the transition of emotional, morality, and relationship in family. A study was performed to the division of acceleration and RSBI classes in SMA Negeri 1 Surakarta creates the Difference of Anxiety Level between them because there is a psychological pressure constituting the high achievement demand. Methods: This was an analytic observational research with cross sectional approach. The subjects were the students of SMA Negeri 1 Surakarta. The sampling technique was using purposive sampling. The research data obtained by two different questionaire, the L-MMPI questionnaire, and Taylor Manifest of Anxiety Scale questionnaire (T-MAS). This study analysed statistically with Chi Square  test. Results: 58 samples were consisted of 26 acceleration’s students and 32 RSBI’s students. Based on analyzed data, there were differences of anxiety level at the students of acceleration and RSBI (Rintisan Sekolah Bertaraf Internasional) programs in SMA Negeri 1 Surakarta (p=0.036;OR 0.30). Conclusions: The differences of anxiety level were statistically significant between acceleration’s students and RSBI’s students (p=0.036). Anxiety level for students in acceleration was 0.3 times higher than the students in RSBI program. Keywords: anxiety, acceleration, RSBI. 
The Difference of PEFR Value between Brick Making Workers and Farmers in Sitimulyo Piyungan Bantul Asmara, Gilda Ditya; Surjanto, Eddy; Subagyo, Yusup
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Workplace that processes release dust and smoke, can cause a reduction of working comfort, visual disturbances, impaired lung physiology, and even can cause general poisoning. Brick making industry is one of the industries that produce a lot of pollution. Pollution resulting from the burning of wood and rice husk as the main fuel. This study aimed to determine the differences in peak expiratory flow rate values among brick making workers by the farmers in the Sitimulyo that not exposed to pollution in the workplace Methods: This study is observational analytic with cross sectional design. This research located in Sitimulyo Piyungan Bantul. There are 33 brick making workers and 33 farmers in Sitimulyo for sampling subjects. The independent variables in this study are the brick making workers and farmers while the dependent variable is the value of peak expiratory flow rate. Peak expiratory flow rate values were measured directly using a peak flow meter and analyzed by Mann-Whitney test.. Results: The results on research with 33 samples of brick making workers and 33 farmers in the  Sitimulyo obtained average peak ekspiration flow rate value for brick making workers is 441 L / min or 75.30% of the predicted value of peak ekspiration flow rate and the farmers group was 483 L / min or 82.01% of the predicted value of peak ekspiration flow rate. Then through the mann-whitney test obtained p = 0.015 (p <0.05). From these data showed there is statistically significant difference between the peak ekspiration flow rate value of brick making workers and farmers in Sitimulyo Piyungan Bantul.. Conclusions: There is a statistically significant difference between the peak ekspiration flow rate value of brick making workers and farmers in Sitimulyo Piyungan Bantul. Keywords: PEFR, brick, workers, farmers, Sitimulyo. 
Hubungan Usia Primigravida dengan Kejadian Preeklampsia Berat di RSUD Dr. Moewardi Amalia, Fatkhurrohmah Leo; Wiryanto, Tri Budi; Hanim, Diffah
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Age factor holds crucial cause of health level and the wealth of pregnant mother and the baby. In young age, the development of reproduction organs and the physiological function is not optimal yet, also the emotional and psychological phase of the mother is not mature enough. Therefore in pregnancy, the mother is not yet able to respond her pregnancy completely and also there often occurs complication. Three pregnancy complications that become the main cause of mother’s death in obstetric section are bleeding, infection, and pregnancy hypertension (preeclampsia). Preeclampsia is a disorder of multi organ that is very distinct in pregnancy, which is noted as occurrence of hypertension and proteinuria in pregnancy age above 20 weeks. This research purpose for analyzing the relation between the age of primigravida with the occurrence of severe preeclampsia in RSUD Dr. Moewardi. Methods: This research is observational analytic with cross-sectional. Research is done in April-June 2012 in RSUD Dr. Moewardi section Obstetrics and Gynecology. The taking of sample is done with the way of purposive sampling. This research got 60 samples consisted of 30 samples age < 20 years old and 30 samples age 20-35 years old with the diagnosis of severe preeclampsia 42 samples. The data which is got then analyzed with the use of statistic test Spearman. Results: The risk factors of severe preeklampsia in RSUD Dr. Moewardi are the age and the graduation of primigravida. The statistic test shows there is a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ≤ 0.05) Conclusions: There was a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ­= 0.024) whereas the strength of the positive correlation is weak (r = 0.291) Keywords: primigravida’s age, severe preeclampsia. 
The Difference of Anxiety between Primigravida and Multigravida Patients in Third Trimester Pregnancy at Permata Bunda Hospital Purwodadi Himawan, Ichsanul Amy; Suwito, Djoko; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety can be experienced by humans, characterized by the fear, unpleasant, and often accompanied by autonomic symptoms. Pregnant woman may experience anxiety, especially in the third trimester, and there may be differences in anxiety in primigravida and multigravida. This study aims to determine the difference of anxiety level between primigravida and multigravida patient in the third trimester of pregnancy. Methods: The research was descriptive analytic study with cross sectional approach was conducted to patients in obstetry and gynecology clinic Permata Bunda Hospital Purwodadi on March 2012. Sixty samples were choosen by random purposive sampling. The samples were (1) thirty primigravida patients and thirty multigravida patients, (2) third trimester pregnancy. Samples were excluded if (1) LMMPI score more than 10, (2) Family death and suddenly incident like accident in last 3 month, (3) severe physical illness. This research was analized by Mann Whitney test by Statistical Product and Service Solution (SPSS) Program 17.00 for Windows. Results: Average score of primigravida 20,1000 ± 1,30811, and multigravida 24,2000 ± 1,02318. The result of Mann-Whitney test was p = 0,015. ( p < 0,05) Conclusions: This research found a significant difference of anxiety level between primigravida and multigravida patients in third trimester pregnancy at Permata Bunda Hospital Purwodadi. Keywords: anxiety, pregnancy, primigravida, multigravida, third trimester. 
Hubungan antara Rentang Waktu Terjadinya Serangan Hingga Tiba di RSUD Dr. Moewardi dengan Prognosis Stroke Iskemik Pratami, Gia Noor; ., Suroto; Mirawati, Diah Kurnia
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Stroke is the third leading cause of death in the world. The awareness of early signs and symptoms of stroke and referral to hospital efforts should be made because the successful treatment of stroke is determined by the speed of action in the acute phase (therapeutic window). In ischemic stroke, restoration or improvement of perfusion to the ischemic area is a therapy key. This study is aimed to determine the relationship between time range from stroke attack until arrive at the Dr. Moewardi hospital with ischemic stroke prognosis. Methods: This study was observational cohort analytic approach. A total of 48 subjects were selected by purposive sampling, they were ischemic stroke patients in the room Orchid II Dr. Moewardi Hospital. Data was collected by direct interview and examination of the patient by using NIHSS score. Data was analyzed by using multiple logistic regression models and processed with Statistical Product and Service Solutions (SPSS) for Windows 17.00. Results: Multiple logistic regression showed the results OR = 1.89;  CI 95% 0.395 – 9.035; and p=0.425. This result has controlled the confounding variables of age, blood pressure, blood sugar levels, and colesterol levels. Patient who arrived at the Dr. Moewardi hospital >24 hours after the stroke attack increases the risk of poor prognosis 1.890 times than that arrived at the hospital <6 hours and 6-24 hours. Conclusions: There is a moderate correlation between the time range from stroke attack until arrive at the Dr. Moewardi hospital with ischemic stroke prognosis, although in this study the relationship was not statistically significant. Keywords: time range, attack, Dr. Moewardi hospital, prognosis, ischemic stroke  

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