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Nexus Kedokteran Klinik
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HUBUNGAN KUALITAS TIDUR DENGAN ANSIETAS PADA PENDERITA ASMA BRONKIALE Hapsari, Dhiandra Dwi; ., Harsini; ., Hartono
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Asthma is chronic inflammatory disease. Anxiety is psychiatric condition that is often found in many aspect of health one of which is asthma. Sleep disorders commonly found in patients with known asthma nocturnal. This study aimed to determine the relationship between sleep quality and anxiety of asthma patient. Methods: This study was observational by using cross-sectional design. The sample was selected by fixed exposure sampling from out patients who visited Pulmonology Clinics, RSUD Dr. Moewardi Surakarta.  This research was held on April - May 2012. The data was collected by interview and some datas taken from the medical records. The data was analyzed using Chi-Square model, run on Statistical Product and Service Solution (SPSS) 18.00 for Windows. Results: Samples sizes were 30 asthma patients with anxiety and 30 asthma patient without anxiety. The results of this study showed that there is difference of sleep quality between asthma patient with anxiety and without anxiety. Asthma patient who were anxiety had 0.13 times higher risk for experiencing poor sleep quality than those who were without anxiety (OR = 0.13; p < 0.05). Conclusions: There is relationship between the sleep quality with anxiety of asthma patient. It is a strong association and statistically significant. The higher the level of anxiety, the higher the risk for poor quality sleep. Keywords: Asthma bronchiale, anxiety, sleep quality. 
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 person's 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 
PERBEDAAN NILAI ARUS PUNCAK EKSPIRASI ANTARA PEREMPUAN YANG MEMASAK DENGAN KAYU BAKAR DAN LPG Arindha, Imaniar Hidayati; Setijadi, Ana Rima; Primadewi, Novi
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: There are a lot of report about obstruction phenomenon because of firewoods use for fuel consumption of cooking. Its known from decrease value of PEF examination. Methods: This research was an analytical descriptive research using cross sectional approach and had been done in March 2012 in Giripeni Wates. The subjects were a woman who cooking use firewood and LPG. Data was collected by using purposive random sampling method. Data was analyzed using Chi Square test through SPSS 17.00 for Windows. Results: This research showed a mean of peak flow value?s in woman who cooking use firewood are 63,49 ± 13,01 and LPG are 82,82 ± 6,57. t-test shows     p = 0,000 and Chi Square shows p = 0,003, Odd Ratio = 5,23. Conclusion: there were significant differences of PEF between a woman who cooking use firewood and LPG, firewood user  has risk 5,23 bigger than LPG user. Keyword: Peak Ekspiratory Flow (PEF), firewood, LPG 
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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Abstract

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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Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.042 KB)

Abstract

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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Abstract

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 &amp; 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&lt;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 &gt; 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 &gt;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 (&lt; 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 &lt;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. 

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