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INDONESIA
Nexus Kedokteran Klinik
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Articles 7 Documents
Search results for , issue " Vol 4, No 1 (2015): Nexus Kedokteran Klinik" : 7 Documents clear
The Relationship between Active Smokers Status and Spermatozoa Motility in Sekar Moewardi Fertility Clinic in Surakarta Jati, Bima Kusuma; Riyadi, Slamet; Widyaningsih, Vitri
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Bacground: Infertility problem occurs on 15% couples. Fifty percent (50%) of the problem is caused by male. Cigarette smoking can increase free radical and cause spermatozoa oxidative stress. The study aimed to investigate the relationship between active smokers and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. Methods: The cross-sectional analytic study was performed on 72 men aged 20-45 years who had semen analysis in Sekar Moewardi Fertility Clinic in Surakarta during 2014. Active smoker history was obtained by self reported questionnaire, and spermatozoa motility was obtained by medical record of the semen examination from the laboratory. Subjects were divided into active smokers and nonsmokers. The data was analyzed with SPSS 20.0 for Windows using Chi Square method. Results: The total number of active smokers was 39 (28%) and nonsmoker was 44 (61%). Subjects with motile spermatozoa were 47 (65%) and nonmotil spermatozoa were 25 (35%). It was found that there was no significant relationship (p = 0.247; RR = 1.45) between active smoker status and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. The study also showed that spermatozoa motility was related to neither BMI nor age in all subjects. Conclusion: There was no significant relationship between active smoker status and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. Further studies are needed to confirm and determine other risk factors which can decrease sperm parameter. Keywords: cigarrete, smoker, motility, spermatozoa, semen
The Effect of Ischemic Stroke to Cognitive Disorders in RSUD Dr. Moewardi Desvitarini, Arwindya Galih; ., Subandi; Ghozali, Dhoni Akbar
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke is the fourth highest cause of death in the world after heart disease, cancer, and chronic lower respiratory tract disease. In Indonesia, stroke is the major cause of death, covering about 15.4% of deaths. Damage to brain cells due to stroke may cause cognitive dysfunction. Two-thirds of stroke patients may reveal cognitive degradation in various domains such as attention, language, memory, executive function, and visuospatial ability. This study aimed to analyze the effect of ischemic stroke to cognitive disorders. Method: This was an observational analytic study with cross-sectional approach which was conducted from July to September2014 at Neurology Outpatient Clinicof RSUD Dr. Moewardi Surakarta. A total of 50 subjects were obtained by fixed exposure sampling. The data were retrieved by using MoCA-Ina questionnaire and interviewing the respondents. The data were analyzed by Chi Square test and multiple logistic regression using SPSS 20.0 program for Windows. Result: Three independent variables were analyzed, which consisted of ischemic stroke, age, and level of education. Ischemic stroke was the only independent variable that associated with cognitive disorders significantly (p = 0.010). There were no association with cognitive disorders found in both age (p = 0.279 and level of education (p = 0.074). Conclusion: There is a significant association between ischemic stroke and cognitive disorders. Keywords: Ischemic stroke, cognitive disorder, MoCA-Ina 
Comparison of the Changing in Oxygen Saturation that is Induced Bupivacaine and Bupivacaine-Fentanyl in Spinal Anesthesia of Caesarian Section Patient Apriliawati, Fila; Sudjito, Mulyo Hadi; Sakiman, Bambang Sukilarso
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

ABSTRACT Background: Bupivacaine and Bupivacaine-Fentanyl mostly used in spinal anesthesia for prgenancy that need caesarian sections. Bupivacaine and Bupivacaine-Fentanyl influenced haemodynamic condition. One of the haemodynamic is respiration rate. When the respiration rate changed, it could change the oxygen saturation. Methods: Pregnant patients that need caesarean section with spinal anesthesia bupivacaine and bupivacaine-fentanyl were gathered. During the operation, oxygen saturation was observed with bed site monitor and it was noted. The data of oxygen saturation, data from medical record (age, weight, and height), and data of the previous research (bed site monitor) to be analyzed with Mann-Whitney test, Discriminant test, and Saphiro-Wilk test. Result: According to statistic analysis, there were no significant differences on the changing of oxygen saturation that is induced bupivacaine and bupivacaine-fentanyl in every phase (p >0.050 ). And, there were also no significant differences in the changing of oxygen saturation that was correlated with age (p=0.991), weight (p=0.986), and height (p=1.000). Conclusion: There were no diferrences on the changing of oxygen saturation that is induced bupivacaine and bupivacaine-fentanyl in the spinal anesthesia of caesarian section. There were no correlation also between age, weigth, and height because the homogenity of the sample.
The Correlation between Social Support and Depression in Female Student of 12th Class Al Islam 1 Senior High School Surakarta UTAMI, VICIANITA PUTRI; ., MOHAMMAD FANANI; ., SITI AISYAH
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The incidence of depression in adolescents can be very dangerous because it can affect learning in the school. To neutralize the incidence of depression in adolescents, we can apply good social support from family, friends, and the environment so the teenager can pass it well. The purpose of this study was to determine the correlation between social support and depression in female student of 12th class Al Islam 1 Senior High School Surakarta. Methods: This study is an observational study with cross sectional analytical conducted in July 2014 in Al Islam 1 Senior High School Surakarta. Sampling is conducted for all of the female students of 12th class, and then exclude sample that can’t be inclution and exclution criteria. Correspondent filling: (1) the contents of personal data; (2) L-MMPI questionnaire; (3) ISEL questionnaire to assess the social support scores; (4) BDI Questionnaire to assess depression scores. The data were obtained for 143 students and were analyzed using Spearman through 21.00 SPSS for Windows. Results: The analysis showed Spearman correlation coefficient -0.880; p = 0.000. The strength of the correlation values ​​included in the category of very strong (r = 0.8-1.00). p > 0.05 it can be concluded that H1 is accepted and Ho is rejected or suggest a correlation between social support and depression in female student of 12th Class Al Islam 1 Senior High School Surakarta. It also showed the negative direction of correlation. It means that the higher of social support, then lower the depression, and  the lower of social support, then higher the depression. Conclusions: There is correlation between social support and depression in female students of 12th class Al-Islam 1 Senior High School Surakarta. The correlation is very strong with the negative direction of correlation means that the higher of social support, then lower the depression, and the lower of social support, then higher the depression. Keywords: Adolescence, social support, depression 
The Correlation between Platelet Count and Hematocrit concentration in Dengue Haemorrhagic Fever Patients at Moewardi Hospital SANTOSO, ARIFA MARTHA; Harioputro, Dhani Redhono; ., Hudiyono
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Dengue Haemorrhagic Fever (DHF) is the most common arbovirus on human, and causes hundreds of deaths every years. Two laboratory criteria used to diagnose this disease are thrombocytopenia and increased hematocrit concentration (hemoconcentration). The purpose of this study is to analyze the correlation between platelet count and hematocrit concentration in DHF patients. Methods: This research was observational analytic study with cross sectional approach at Moewardi Hospital. Sample was taken from adult DHF cases at Moewardi Hospital. The data was gathered from medical records of patients. Sample selection had been done by checking the inclusion and exclusion criteria of the study sample, and the amount of samples in this study was 142 subjects. Variables correlated were platelet count and hematocrit. The data was statistically analyzed using Kolomogorov-Sminov normality test and Pearson correlation test. Results: Patients’ age ranging between 18-71 years old, with the mean age was 28 years old. The mean platelet count was 69.000/µl. The mean hematocrit concentration was 43%. There was a significantly negative correlation between platelet count and hematocrit concentration in DHF patient, but this correlation was weak (p=0,008;      r= -0,222). Conclusion: There is a significantly negative weak correlation between Platelet Count and Hematocrit concentration in DHF Patients. The lower the platelet count, the hematocrit percentage would be higher. Keywords: Dengue Haemorrhagic Fever, Platelet Count, Hematocrit  
The Correlation between Serum Albumin Level with Ischemic Stroke Prognosis at Dr. Moewardi Hospital, Surakarta VALENTINE, VANNY SCARLETT; ., Suratno; Aryoseto, Lukman
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Stroke can cause brain damage that ends up as a serious long-term disability. Some previous research mentioned that albumin as a neuroprotector in ischemic stroke. Albumin can improve ischemic stroke prognosis by anti-edema effects, hemodilution effects, and antioxidants effects. Methods: This study is an analytical observational research with a cross sectional approach. The amount of sample in this study is 32 ischemic stroke patients at Dr. Moewardi Hospital, Surakarta were selected by simple random sampling. The sample were selected according to both inclusive and exclusive criteria that determined by the researcher. The dependent variable in this study is ischemic stroke prognosis, the independent variable is serum albumin level, and confounding variable are age, stroke severity degree, premorbid conditions, and post-stroke complications. Researcher gives the explanation and helps the patients to fill (1) Biodata form and informed consent, (2) Serum albumin level, ages, stroke severity degree, premorbid conditions, and post-stroke complications, and (3) Barthel Index. The collective data were analyzed using the Spearman Test and then processed with odds ratio calculation. Then, confounding variable was calculated with binary logistic regression analysis. Result: Using Spearman Test obtained value (p) = 0,04 and a correlation coefficient of serum albumin level and ischemic stroke prognosis was 0.313. Based on the calculation, the value of odds ratio is 4.000 with Confidence of Interval is  0,828 – 19,325 (RO = 4,000, CI = 0,828 – 19,325). The result of binary logistic regression analysis was known that influential variable in ischemic stroke prognosis is stroke severity degree (RO = 36,000) and post-stroke complication (RO = 3.441.206.744). With constant at –23,463, obtained the equation: . Conclusion: There is a statistically significant relationship between serum albumin level with ischemic stroke prognosis at Dr. Moewardi Hospital, Surakarta. Patient with low level serum albumin has 4 times greater suffered worse ischemic stroke prognosis than patients with normal serum albumin level. Keywords: Albumin, stroke ischemic prognosis 
The Difference of Incidence of Pulp Necrosis with Chronic Apical Abscess among Hypertensive and Normotensive Patients in Dr. Moewardi Hospital Palayukan, Andrio; Cilmiaty, Risya; ., Marwoto
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Backgrounds: Pulp necrosis is a continuation of pulp inflammation that did not receive adequate treatment. Necrotic pulp along with bacteria growing in the vicinity can cause an inflammatory response in the periapical tissues. The aim of this study was to determine the difference of incidence of pulp necrosis with chronic apical abscess between hypertensive and normotensive patients at Dr.Moewardi Hospial. Methods: The design of this study was case control with cross sectional approach. Data were collected from medical record of patient at dental outpatient clinic Dr. Moewardi Hospital from September 2013 to September 2014. Samples were taken by purposive sampling method. Samples were classified into four groups: patient with hypertension and pulp necrosis with chronic apical abscess, hypertension and dental caries, normotensive and pulp necrosis with chronic apical abscess, normotensive and dental caries. Data were analyzed by Chi Square test (α = 0.05). Result: There were 70 Subjects who met inclusion and exclusion criteria. The percentage of hypertensive and pulp necrosis with chronic apical abscess was 24.28%, hypertensive and dental caries was 2.86%, normotensive and pulp necrosis with chronic apical abscess was 40%, and normotensive with dental caries was 32.86%. The result of Chi Square test demonstrated a significant difference between the four groups with p = 0.007 (p < 0.05). Conclusion: There is a significant difference of incidence of pulp necrosis with chronic apical abscess between hypertension and normotensive patients at Dr. Moewardi Hospital. Key words: pulp necrosis, chronic apical abscess, hypertensive, normotensive 

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