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Nexus Kedokteran Klinik
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Articles 20 Documents
Search results for , issue " Vol 3, No 2 (2014): Nexus Kedokteran Klinik" : 20 Documents clear
Hubungan Andropause dengan Penyakit Jantung Koroner di RSUD Dr. Moewardi Surakarta Pramono, Hanne Dianta; Syahrir, Endang; Setyawan, Sigit
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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 
Hubungan antara Usia Menarke dengan Tinggi Badan dan Panjang Kaki Saat Dewasa Hapsari, Anindita Putri; Wiryanto, Tri Budi; Sumardiyono, .
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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 – 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 
Hubungan Lama Pemberian Asi Eksklusif Dengan Awal Menstruasi Post Partum Tanpa Kontrasepsi Tambahan Fatchya, Firza; Wiryanto, Tri Budi; Murti, Bhisma
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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  
Perbedaan Kemampuan Bahasa Menurut Jenis Kelamin pada Siswa SLB Autis di Surakarta Ningsih, Endang Susilowati; Sudiyanto, Aris; Hikmayani, Nur Hafidha
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

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.
Perbedaan Nilai Apgar antara Kelahiran Pervaginam dan Kelahiran Seksio Sesarea pada Partus Macet Wiryanto, Tri Budi; Sumardiyono, .
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Labour is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions. Obstructed labour can leading fetal asphyxia that indicate low APGAR score. In this case the delivery method can affect the state of the fetus. This study aimed to determine the difference APGAR score between vaginal delivery and caesarean section in obstructed labour. Methods: This analytic study was observational using cross sectional approach. The population of this study was all infants who was born by mother with  vaginal delivery and caesarean section deliveries in obstructed labor at RSUD Dr. Moewardi. A total of 30 subjects were selected by purposive sampling method in accordance with the inclusion criteria. The data of APGAR score was collected by viewing the medical records from the subject. The data was analyzed using Independent T Test on SPSS 16.0 for Windows program. Results: The analysis showed a difference between APGAR score (first and fifth minute) in each group was significant. The first minute APGAR score has p 0.021 obtained for delivery method. APGAR score at five minute has p 0.041 obtained for delivery method. APGAR score at ten-minute was not significant with the delivery method, with a p-value 0.059. Conclusions: There is statistically significant differences between APGAR score at first and fifth minute in vaginal delivery and caesarean section in obstructed labor. Keywords: apgar score,obstructed labour,delivery. 
Hubungan antara Anemia dan Kejadian Inersia Uteri di RSUD Dr.Moewardi Sari, Dhyani Rahma; Edwin, Eric; Damayanti, Kusmadewi Eka
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anemia is a condition of reduced levels of hemoglobin ( Hb ) which  leads to impaired maternal oxygen delivery to form energy in the uterine muscles to make contractions in labor. This research aims to investigate the relation between anemia and prevalence of uterine inertia. Methods: This was an analitic-observational cross sectional study using medical record data from 1 January 2012  – 30 May 2012 . A sample of 112 subjects was selected  from patiens who gave birth with anemia in Moewardi hospital. Sample was conducted in total sampling. Data were analyzed using Chi-Square test. The difference seen from the result by Risk Ratio ( RR ), while the significance of the result seen by the value of            p ( p < 0,05 ). Results: Analysis of Chi-Square test showed a statistically significant relationship between anemia and the prevalence  of  uterine inertia. The result obtained from the analysis was p = 0,001( p < 0,05 ). Conclusions: There is statistically significant relatonship between maternal anemia with prevalence of uterine inertia in Moewardi hospital during period the first of January 2012  – the thirtith of  May 2012  . Keywords: anemia, labour, uterine inertia.  
Perbedaan Kecemasan antara Kecerdasan Emosi Tinggi dan Kecerdasan Emosi Rendah pada Mahasiswa Angkatan 2010 yang Menghadapi Skripsi di Fakultas Kedokteran UNS Ferinawati, Adinda; Hadin, Yusvick M.; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety is a state of excessive tension or inappropriate tension which is characterized by feelings of worry, uncertainty, or fear. Anxiety can be overcome with good emotional intelligence. Of the five areas that exist in emotional intelligence, self recognizing and managing emotions are the aspects who have a big role to overcome anxiety.  This study aimed to determine  whether there is a difference of anxiety between high emotional quotient and low emotional quotient of  students year of 2010 doing mini thesis in Medical Faculty of UNS. Method: This research was an analytical descriptive research using cross sectional approach. The subjects were Medical Faculty students year of 2010 of Sebelas Maret University. Data were collected by using purposive sampling method within inclusion and exclusion criterias. Emotional quotient was measured by Emotional Quotient questionnaire, while anxiety was measured by Taylor Manifest Anxiety Scale. For assesing and finding honesty in answering questions given, was used L-MMPI scale questionnaire. Sixty samples were obtained and analyzed using Chi-Square test through SPSS 20.0 version for Windows program. Result: The result of research showed that 23 students (76.7 %) who have low emotional quotient were feeling anxious and 7 students (23.3 %) who have low emotional quotient were not feeling anxious. While 9 students (30 %)  who have high emotional quotient were feeling anxious and 21 students (70 %)  who have high emotional quotient were not feeling anxious. Chi-Square test showed the result of p = 0.000 and Odds Ratio = 7.667. Conclusion: There is a significant difference of anxiety between high emotional quotient and low emotional quotient of  students year of 2010 doing mini thesis in Medical Faculty of UNS. Keywords: Anxiety, emotional quotient, students doing mini thesis
Hubungan antara Kejadian Abortus Spontan dengan Paritas dan Usia Ibu Hamil di RSUD Dr Moewardi Badri, Dwi Septiadi; Melinawati, Eriana; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Abortion is one of the health problems that causing high morbidity and mortality. there are various factors suspected to be associated with the cause of abortion including the factor of age and parity. A very young or a very old maternal age can increase the risk of abortion. So does the parity, the more parity of the mothers, the higher the risk of abortion. The purpose of this study was to determine the incidence of spontaneous abortion associated with maternal age and parity status during pregnancy. Methods: This study was an observational analytic study using cross-sectional. A total of 40 study subjects were selected by purposive random sampling was the pregnant women who become inpatients at the Department of Obstetrics and Gynecology at Dr. Moewardi State Hospital Surakarta who met the inclusion criteria . Data were collected by direct interview to the patient . The data were analyzed using logistic regression analysis test. Results: Based on the research status of pregnant women with parity ≥ 4 are 8.53 times likely to experience spontaneous abortion ( p = 0.000 , OR = 8.53 ). While pregnant women with age of < 20 years and > 35 years are 14.77 times likely to experience spontaneous abortion ( p = 0.000 , OR = 14.77 ). Conclusions: There is a significant relationship between the incidence of spontaneous abortion with parity and maternal age. Pregnant women with parity status ≥ 4 are 8.53 times likely to experience a spontaneous abortion while pregnant women with age < 20 years and > 35 years are 14.77 times likely to experience spontaneous abortion. Keywords: spontaneous abortion , parity , age  
Perbedaan Tingkat Depresi Saat Menjalani Pembinaan Intra Mural dengan Saat Menjalani Pembimbingan pada Warga Binaan Pemasyarakatan Indanarta, Elga Putri; Fanani, Mohammad; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Correctional coached people, both in intra mural and in parole coaching are vulnerable to get depression. Depression is a syndrom of depressed mood with sympthoms and signs of pathologic sadness and suffering components. This study aimed to proof the difference of depression levels between inmates who are in intra mural coaching and correctional clients who are in parole coaching that inmates’ are higher than correctional clients’. Methods: This analytic study was observational with cross-sectional approach. 20 inmates who are in intra mural coaching at Class I Detention Center Surakarta (group 1) and 10 ex-inmates who had intra mural coached in Class I Detention Center Surakarta that now under parole coaching as correctional clients by Class II Correctional Center Surakarta (group 2) were taken as samples by total sampling from available population. The primary data were collected by questionnaire of Beck Depression Inventory that answered by the respondens after received some instructions. The data were analyzed using t test on Statistical Package for the Social Sciences (SPSS) version 16.0  for Windows. Results: Group 1 had depression score (mean±deviation standart) 23.85±7.13 and group 2  had 13.10±7.25. t test showed that depression levels of those groups were significantly different with p=0.002 (p<0.05). Conclusion: There is a statistically significant difference between depression level on inmates who are in intra mural coaching and on clients who are in parole coaching under the supervision of correctional system. Inmates who are in intra mural coaching had higher level of depression than ex-inmates who are in parole coaching as correctional clients. Keywords: depression, inmates, clients, correctional coached people  
Hubungan Antara Kejadian Abortus Spontan dengan Kadar Hemoglobin di RSUD Dr. Moewardi Sitorus, Andreas Peter; Melinawati, Eriana; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Many cases of abortions are caused by abnormal hemoglobin levels. World Health Organization (WHO) estimates that 35-75% of pregnant women in developing countries and 18% of pregnant women in developed countries undergo anemia while being pregnant. The purpose of this study is to determine the relationship between the incidence of spontaneous abortion with hemoglobin levels. Methods : This study is an analitic observational study with cross-sectional design. Its population are pregnant women who had been treated at the Obstetrics and Gynecology of Dr. Moewardi General Hospital. Subjects were taken with purposive random sampling technique. The data were collected using direct observation and subjects’ medical records. Data were analyzed using Chi Square. Results : The results of this study found 40 subjects due to the case of this study. Subjects with anemia who did not experience abortion counted only 2 people (5.0%) and subjects who experienced abortion counted as many as 17 people (42.5%). While subjects with normal hemoglobin levels who did not experienced abortion aggregates to 18 people (45%) and subjects who experienced abortion counted as many as 3 people (7.5%). The calculation obtained p-value = 0.000 <0.05, and OR = 0.020, which means there is a relationship between the incidence of spontaneous abortion with hemoglobin levels. Conclusions : There is a significant relationship between the incidence of spontaneous abortion with hemoglobin levels. Low hemoglobin levels will increase the risk of abortion.Keywords: abortion, hemoglobin levels, anemia 

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