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Nexus Kedokteran Klinik
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HUBUNGAN IBU HAMIL PEROKOK PASIF DENGAN KEJADIAN KETUBAN PECAH DINI Dithyana, Icha; Soetrisno, .; Dharmawan, Ruben
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Premature Rupture of Membranes (PROM) is most important issues commonly encountered. Premature rupture of membranes can cause some complications for both mother and fetus and may increase maternal morbidity and mortality. The prevalence of smoking in Indonesia increase every year and 85.4% current smokers smoke in the home where their family members live with them, thus threatening the health and safety of the environment. This research aimed to analyze the correlation between pregnant passive smoker and premature rupture of membrane. Methode : This research is observational analytic research using case control approach. Total of 60 samples were selected with a fixed - disease sampling, are all expectant mothers and maternity patients at the RSUD Dr. Moewardi. Data were collected by interview and medical record. The data which is got then analyzed by the program Statistic Products and Service Solution (SPSS) for Windows Release 17.0 with the use of statistic test Chi Square. Result: There is a significant correlation between pregnant passive smoker and premature rupture of membrane where the results obtained by using statistical test Chi Square is p = 0.02 and OR= 3.5. Conclusion: Pregnant passive smoker is 3.5 times more risky for experiencing premature rupture of membrane than non-passive smoker. Keywords: Pregnant passive smoker, Premature Rupture of Membrane (PROM) 
HUBUNGAN HIPERGLIKEMIA DENGAN KEJADIAN STROKE HEMORAGIK PADA PEMERIKSAAN MULTISLICE CT-SCAN KEPALA TANPA KONTRAS DI RSUD DR. MOEWARDI SURAKARTA Christyan, Fernando Feliz; Widiastuti, .; Subandono, Jarot
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Stroke is the third most common cause of death in the world, with a high prevalence of death in low-and middle-income countries. Hyperglycemia has been associated with atherosclerotic lession resulting in cerebral aneurysm which can lead to hemorrhagic stroke. CT-Scan is considered sufficiently sensitive for detecting acute hemorrhage, as well as detecting mass lessions. The aim of this study was to determine the correlation between hyperglycemia and hemorrhagic stroke incident on noncontrast multislice CT-Scan of the head examination. Methods: This study was an observational study with the analytical approach to the subject of cross-sectional study. 70 subjects were selected by fixed- disease sampling methods. These subjects have been performed a noncontrast multislice CT-Scan of the head examination. Data was collected by reading the result of blood glucose level and CT-Scan of the head examination on patient?s medical record. Data were processed with Statistical Product and Service Solution (SPSS) 17.00 for Windows Results: Chi-Square models showed that X2 = 7,19 with 5% significancy. OR (Odds Ratio) in hemorrhagic stroke was 4,26 (CI 95% = 1,43-12,74). Patient with hyperglycemia increases the risk of getting hemorrhagic stroke  4,26 (4) times than patient without hyperglycemia. Conclusion: There is a correlation between hyperglycemia and hemorrhagic stroke incident. Keywords: hyperglycemia, hemorrhagic stroke, noncontrast head CT-Scan  
HUBUNGAN MULTI PARITAS DENGAN TINGKAT KEJADIAN KANKER SERVIKS DI RSUD DR MOEWARDI Siswanto, Totok; Yuliantara, Eric Edwin; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Cervical cancer is one of the most common cancer found in women and ranks second all cancers in women in the world. Multi parity thought to be one of the risk factors for cervical cancer. Hormonal and anatomical changes that occur in multi parity may increase the risk of cervical cancer by a variety of mechanisms. The purpose of this study was to determine the incidence rates of cervical cancer are associated with multi parity status. Methods: The type of research is an case-control. The samples in this study were patients with cervical cancer and other gynecological diseases with a total sample of 60 people. Measuring instrument used was a questionnaire, and then performed the data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between the multi-parity status with the incidence of cervical cancer. People with multi-parity status have an increased risk for cervical cancer was 8.986 times greater than women with non-multi-parity status (p = 0.003, OR = 8.986). Conclusion: Based on research of  woman with multi parity status will have the risk of having cervical cancer by 8,986 times compared to women with non-multi-parity status. Key Words: multi parity, cervical cancer 
HUBUNGAN ORANG TUA MENDERITA MIOPIA DENGAN KEJADIAN MIOPIA PADA ANAKNYA DI SDN CEMARA 2 SURAKARTA Narityastuti, Dwi Budi; Indrakila, Senyum; Setyawan, Sigit
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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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 
Hubungan Antara Stres Psikologis Dan Olahraga Terhadap Terjadinya Dismenore Primer Pada Mahasiswi Fakultas Kedokteran Universitas Sebelas Maret Ananda, Mutiara Rizky; Y, Eric Edwin; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Prevalence of primary dysmenorrhea in the adolescent in Surakarta is 87,7% and 15% of women in Indonesia complained that their activity were interrupted due to dysmenorrhea. Psychological stress and irregular sports allegedly have connection in increase the incidence of primary dysmenorrhea. This research aims to know the relation between psychological stress and exercise against the occurrence of primary dysmenorrhea. Methods: This study is analytical observational with cross sectional approach, and using primary data. This study using medical student of 2010, 2011, 2012 at Sebelas Maret University as sample, taken by simple random sampling methods about 62 samples. Data analysis using Chi Square test and binary logistic regression. Results: Result of data analysis using Chi Square test shows p value for the relationship of psychological stress with primary dysmenorrhea is 0,013 whereas p value of relations sports with primary dysmenorrhea is 0,009. For the results of the analysis data using binary logistic regression found that psychological stress has OR = 0,352 whereas exercise has OR =  3,808. Conclusions: Based on result of the study can be concluded that there is a relationship between psychological stress and exercise against the occurrence of primary dysmenorrhea in the medical student of Sebelas Maret University Surakarta. Keywords: Psychological Stress, Exercise, Primary Dysmenorrhea. 
Hubungan Ibu Hamil Perokok Pasif dengan Kejadian Ketuban Pecah Dini Dithyana, Icha; Soetrisno, .; Dharmawan, Ruben
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Premature Rupture of Membranes (PROM) is most important issues commonly encountered. Premature rupture of membranes can cause some complications for both mother and fetus and may increase maternal morbidity and mortality. The prevalence of smoking in Indonesia increase every year and 85.4% current smokers smoke in the home where their family members live with them, thus threatening the health and safety of the environment. This research aimed to analyze the correlation between pregnant passive smoker and premature rupture of membrane. Methode : This research is observational analytic research using case control approach. Total of 60 samples were selected with a fixed - disease sampling, are all expectant mothers and maternity patients at the RSUD Dr. Moewardi. Data were collected by interview and medical record. The data which is got then analyzed by the program Statistic Products and Service Solution (SPSS) for Windows Release 17.0 with the use of statistic test Chi Square. Result: There is a significant correlation between pregnant passive smoker and premature rupture of membrane where the results obtained by using statistical test Chi Square is p = 0.02 and OR= 3.5. Conclusion: Pregnant passive smoker is 3.5 times more risky for experiencing premature rupture of membrane than non-passive smoker. Keywords: Pregnant passive smoker, Premature Rupture of Membrane (PROM) 
Hubungan Pemberian Obat Anti Tuberkulosis (OAT) dengan Kadar Asam Urat Setiawan, Ivan; Setijadi, Ana Rima; Sari, Yulia
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Multidrug tuberculosis treatment which is a long term medication often causes various side effects. One of them is an increase of uric acid level. This study aims to determine the correlation between tuberculosis treatment administration and uric acid level. Methods: This study used cohort method with one group before and after intervention design. A total of 30 tuberculosis patients who were admitted to Center of Lung Health Society Surakarta between April and August 2013 were taken as samples by consecutive sampling method. Criteria of sampling are pulmonary tuberculosis patients who is planned to get rifampisin, isoniazid, pirazinamid, and ethambutol for more than 4 weeks, aged over 18 years old, and had given informed consent. In this study we excluded pulmonary tuberculosis patients who also had liver or renal disorders, had suffered from hyperuricemia or took drugs for decreasing uric acid level, or had hypertension. The measurements of uric acid level was collected before the treatment and more than one  month after the treatment. Data were analyzed by paired t test (α = 0,05). Results: The average uric acid level of 30 patients before treatment was 4.68 ± 1.12 mg/dL, while the average uric acid levels after treatment was 8.56 ± 2.21 mg/dL, which was significantly higher than pretreatment (p=0.001). During treatment, hyperuricemia (uric acid level &gt; 7 mg/dL) was reported in 73.33% (22/30) of patients and two patients had arthralgia. Conclusions: Tuberculosis treatment administration may affect uric acid level. Hiperuricemia was reported in 73.33% of patients who receive tuberculosis treatment. Keywords: tuberculosis treatment, uric acid level, tuberculosis 
Hubungan Diabetes mellitus dengan Hasil Uji Konversi BTA Sputum setelah Pemberian Terapi Tuberkulosis Tahap Inisiasi Pranoto, Avamira Rosita; Sutanto, Yusup Subagio; Haryati, Sri
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Pulmonary tuberculosis (TB) is a chronic infection of lung caused by Mycobacterium tuberculosis. Tuberculosis treatment often gets failure in result because of lack of care in co-morbid disease such as Diabetes mellitus (DM), which can disturb TB patient immunity. The objective of this study was to determine the relation of Diabetes mellitus and result of conversion test of sputum with alcohol-acid resistant bacillus after initiation phase of tuberculosis medication. Methods: This was an observational analytic survey with retrospective cohort study. Using consecutive sampling method, this study took 124 patients from RSUD Dr. Moewardi and BBKPM (Balai Besar Kesehatan Paru Masyarakat) Surakarta, who divided into 2 groups based on the DM status of newly diagnosed pulmonary TB patients. Control group consisted of 86 newly diagnosed pulmonary TB patients without DM; exposure group consisted of 38 newly diagnosed pulmonary TB patients with DM. Patients from both groups were given category-1 tuberculosis treatment during 2 months of initiation phase therapy, then the BTA conversion status of patients was observed. Data collected through the medical record and concurrent data of pulmonary TB patients. Data was analyzed by SPSS using Chi Square test. Probability (p) is &lt; 0.05 with 95% confident interval. Results: There were 14 patients from the control group who failed to undergo conversion after 2 months of initiation phase therapy, whereas from the exposure group, there were 17 patients who got failure in result. Data analysis using Chi Square with significance level p &lt; 0.05 was obtained p = 0.001 and Relative Risk (RR) = 0.66. Conclusions: DM seems to have a negative impact on the outcome of tuberculosis treatment. Pulmonary tuberculosis patients with DM as comorbid disease has probability 0.66 times lower than those without DM to get positive result from BTA sputum conversion test. Screening for DM and subsequent blood glucose control may improve the outcome of tuberculosis treatment. Keywords: Diabetes mellitus, tuberculosis medication, result of conversion test of sputum 
Hubungan Derajat Keparahan Stroke Dengan Kejadian Pneumonia Pada Pasien Post-Stroke Iskemik Akut Wulandari, Eksy Andhika; Suroto, .; Hartono, .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Pneumonia is one of the complications which is undergone the most in stroke patient. One of the factors which is related to pneumonia is the severity stroke. This research is to find out correlation between the severity of stroke and pneumonia. Method: This research is cross-sectional study. The research is conducted in the ward of Anggrek 2 Dr. Moewardi Hospital. The independent variable of this research is the severity of  stroke, meanwhile the dependent variable is the pneumonia diagnosis. The severity of patient hospitalized in April until October 2013 is measured by NIHSS. The samples are taken in simple random sampling to the number of 64 samples, divided into 2 groups where each of them consists of 32 samples. The samples are divided into 2 groups based on the NIHSS score, such as mild ischemic stroke patient (score &lt;15) and severe ischemic stroke patient (score &gt;15). Pneumonia diagnosis is gained through the data from medical record at the sample taking. The data is analyzed by Chi Square to find out the significance statistically. Result: This research shows the result oftest is OR = 3,857; CI 95% 1,334–11,157. Patients with severe stroke have 3,857 more risk to have pneumonia than patients with mild stroke. Conclusion: There is a correlation between severity of stroke and pneumonia in patient with post-acute ischemic stroke  in Unit Penyakit Saraf Dr. Moewardi Hospital. Keyword: severity of stroke, pneumonia, NIHSS 
Perbandingan Stres yang Dirasakan Pasien Asma dan Pasien PPOK di RSUD Dr.Moewardi Yunita, Amelia; Setijadi, Ana Rima; Widardo, .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Asthma is a chronic inflammatory disorder of the airways with episodic symptom such as cough, shortness of breath, wheeze, and uplifted chest. Chronic Obstructive Pulmonary Disease (COPD) is a disease which is characterized by airflow limitation that is not fully revesible and associated with an abnormal inflammatory response of the lung to noxious particles or gases. This study aimed to compared the perceived stress between asthma patients and COPD patients. This analytic study was observational using cross-sectional approach. A sample of 60 study subjects was selective by purposive sampling from outpatient who visited Pulmonary Clinic, RSUD Dr. Moewardi and fulfill the intrinsic criteria. The data was collected by interview using a set of questioner. The data was analyzed using Chi Square test on SPSS 20 for windows. This study showed that asthma patients had a low stress level, which is 60%. While, in COPD patients had high stress level, which is 63.33%. (p=0.002, OR= 7.5) There is a statistically significant difference perceived stress between asthma patients and COPD patients. COPD patients had higher stress level compared to asthma patients. 

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