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INDONESIA
Nexus Kedokteran Klinik
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Articles 18 Documents
Search results for , issue "Vol 5, No 1 (2016): Nexus Kedokteran Klinik" : 18 Documents clear
THE COMPARATION BETWEEN QUALITY OF LIFE OF PATIENT WITH UTERINE PROLAPSE WHICH CHOOSE OPERATIVE THERAPY AND CONSERVATIVE THERAPY AT RSUD DR. MOEWARDI SURAKARTA PRANABAKTI, ROSITA ALIFA
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Uterine prolapse is one of pelvic organ prolapse and become the number two most common cases after sistourethrokel . Epidemiology cases of uterine prolapse in Indonesia showed that uterine prolapse more common in patients grande multipara in menopause, rarely occurs in women nullipara . Over the past decade , the evaluation of pelvic organ prolapse in relation to health , using a comprehensive approach or overall. Instruments developed in this evaluation is the Prolapse Quality of Life Questionnaire (P-QOL). Differences in the treatment of uterine prolapse cases will certainly lead to different perceptions of individuals on their quality of life as measured using a P - QOL. The purpose of this study was to compare the quality of life of uterine prolapse surgery with conservative conducted in hospitals DR . Moewardi Surakarta . Methods: This study was observational analytic with cross sectional method . Samples were examined as many as 31 patients with uterine prolapse who were divided into 2 groups: 15 patients as operative group and 16 patients as conservative groups . Samples taken by accidental sampling . Samples were selected based on inclusion and exclusion criteria. Once approved informed consent, were interviewed using P - QOL questionnaire. The variables studied were the quality of life of patients in accordance with the chosen therapy . Data were analyzed using an unpaired t test Results: Obtained P values ??of 0.001 less than 0.05 . Meanwhile for the t table , look at the table t distribution with ? = 5 % : 2 = 2.5% with degrees of freedom ( df ) n - 2 or 31-2 = 29. By testing two sides ( significance = 0.025 ) results obtained for t table of 2.04. As for t obtained amounted to 3,81. Calculated t > t table ( 3.81 > 2.04 ) and P value ( 0.001 < 0.05), then Ho is rejected and H1 accepted, meaning that there are differences in the quality of life of patients with uterine prolapse between operative group with conservative groups . Conclusions: There are differences in the quality of life of patients with uterine prolapse surgery with conservative conducted at Hospital Dr. Moewardi Surakarta. Keywords: Uterine prolapse, quality of life, surgical, conservative.
The Correlation between Level of Mothers Knowledge in Bottle Feeding with Early Childhood Caries in Children Aged 3-5 Years Old Dewi, Anggita .; Nugroho, Hari Wahyu
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction:Caries is a problem that happen in many children around the world. Bottle feeding is one of factors that can occur caries on children’s teeth. High level of mothers knowledge about bottle feeding is assumed can prevent their children from caries.This study aims to determine the correlation between level of mothers knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Methods:This research was a cross-sectional observational analytic study. The subjects of this study was mother of Islam Bakti XI Surakarta and Sri Juwita Hanum kindergarten student. The sample size was 113 mother which was taken by purposive sampling. This research was done by using Knowledge of Bottle (KBU) questionnare and examination of childrens teeth. Data was analyzed with spearman test by Statistical Product and Serve Solution (SPSS) version 21.0 for Windows. Results:This study showed that the correlation between level of mothers knowledge in bottle feeding with early childhood caries in children aged 3-5 years old were significant (r = 0,917, p = 0,000). Conclusions:This study concluded that there was correlation between level of mothers knowledge in bottle feeding with early childhood caries in children aged 3-5 years old. Keywords:level of mother’s knowledge, bottle feeding, early childhood caries 
Obesity relations with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta Vinariyanti, Erika; Subiyantoro, Pradipto; Aryoseto, Lukman
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Indonesia is currently faced by dual nutrition problems , which prevalence of obesity had increased. Obesity is often associated with aspects of oral health. Oral hygiene is important to be maintained because it can affect the overall health of the body so as to be one indicator of a persons general health. Behavioral factors play an important role in influencing the status of oral hygiene habits such as eating sugary or high - carbohydrate food. This study aimed to determine the relationship between obesity and a score oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta by controlling confounding factors in brushing teeth habit, salivary pH and composition of dental students. Methods: This study was an observational analytical research using cross sectional approach. Sampling technique was used purposive sampling which the sample size was 30 students age 16-18 years old in SMAN 1 Surakarta taken in November 2015. Data z-score was obtained through the measurement of height and weight, whereas oral hygiene status was measured by the score of oral hygiene index simplified. Data analysis technique was Kolmogorv-Smirnov test and test correlation using contingency coefficient test. Data were processed by SPSS 20.00 for Windows. Results: This results showed there was a significant relationship between obesity with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta (p = 0,003). The contingency coefficient test showed there was a strong uphill linear relationship between obesity with OHIS score (r = 0,619) Conclusion: This study concluded that there was a relationship between obesity with a score of oral hygiene index simplified in adolescents aged 16-18 years in SMAN 1 Surakarta. Keywords: Obesity, Oral Hygiene
In Vitro Differentiation of Antifungal Effect in Herbal Toothpaste and Non Herbal Toothpaste against Candida albicans Rafsyanjani, Elsa Candra; Riswiyanto, Risya Cilmiaty Arief; Haryati, Sri
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Beside sodium monofluorophosphate, herbal toothpaste contained betel leaf extracts and lime extracts which  were  active composition of toothpaste. This research aimed to know in vitro differentiation of antifungal effect in herbal toothpaste and non herbal toothpaste against Candida albicans. Methods: This study applied an analytical experimental method. The subject of this research were cultured Candida albicans and taken by purposive randomized sampling. Toothpastes used in this study were toothpaste with 1 herbal ingredient, toothpaste with 2 herbal ingredients and non-herbal toothpaste. This research used 16 treatment groups by giving toothpaste solution with concentration of 20%, 30%, 50%, 70% and 90%, and this was also given ketoconazole 25 µg/ml as positive control. Concentration expressed as weight per volume (w/v). This research was repeated three times to minimize the occurrence of bias. The plate was incubated at 37°C for 24 hours and then formed inhibitory diameter zone was measured. The data was analyzed using One-Way ANOVA test, then this was continued by Least Significant Differences (LSD) Post-Hoc test. Results: One-way ANOVA test showed that there were differences of antifungal effect in herbal toothpaste and non herbal toothpaste (p = 0.003). Compared to non-herbal toothpaste, toothpaste with 1 herbal ingredient had significant differences started in concentration of 70%. Toothpaste with 2 herbal ingredients had significant differences started in concentration of 50%. Meanwhile, toothpaste with 2 herbal ingredients had significant differences compared to toothpaste with 1 herbal ingredient started in concentration of 90%. Conclusions: The antifungal effect in both herbal toothpaste and non herbal toothpaste were different. However, the significant differences appeared significantly in different concentrations. Keywords: Antifungal effect, herbal toothpaste, non herbal toothpaste, Candida albicans
The Correlation between Glycemic Control (HbA1c) and Nephropathy Diabetic among Type 2 Diabetes Mellitus Patients in Dr. Moewardi General Hospital Surakarta Lirani, Emma Ayu; Ariningrum, Dian; Sari, Yulia
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Nephropathy diabetic is the one of the most serious long-term complications of diabetes mellitus which could lead to end stage renal disease. One of the factors that influences nephropathy diabetic is glycemic control that can be monitored trough HbA1c level. The uncontrolled HbA1c level can causes an increasing of end glycation product which could lead to glomerular injury in type 2 diabetic patients. This study aimed to determine whether there is correlation between glycemic control (HbA1c) and nephropathy diabetic among type 2 diabetic patients in Dr.Moewardi General Hospital Surakarta.   Methods: This study is an observational analytic with case control approach. Subjects in this study are type 2 diabetes mellitus patients with nephropathy diabetic and without nephropathy diabetic in Dr. Moewardi General Hospital Surakarta. Data of HbA1c level of subjects in this study were collected from medical records. Sampling was done by purposive sampling with 40 patients as the case and 40 patients as the control. The data were analyzed using chi square test and logistic regression. Result: There is no significant correlation between control glycemic (HbA1c) with nephropathy diabetic with p-value = 0.528 (OR =1.378; CI 95% 0.509-3.727).  Multivariate analysis shows that hypertension is the most influenced risk factor (OR = 4.255; CI 95% 1.538-11.437; p = 0.004) followed by duration of diabetes (OR = 3.432; CI 95% 1.254-9.397; p = 0.016, meanwhile dyslipidemia has no significant correlation with nephropathy diabetic (OR = 0.925; CI 95% 0.259-3.303; p = 0.904). Conclution: There is no significant correlation between control glycemic (HbA1c) with nephropathy diabetic in diabetes mellitus type 2 in General Hospital Moewardi Surakarta. Keywords: Glycemic Control (HbA1c), Nephropathy Diabetic, Diabetes Mellitus Type 2 
The Comparation Between Quality of Life of Patient with Uterine Prolapse which Choose Operative Therapy and Conservative Therapy at RSUD Dr. Moewardi Surakarta PRANABAKTI, ROSITA ALIFA
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.048 KB)

Abstract

Introduction: Uterine prolapse is one of pelvic organ prolapse and become the number two most common cases after sistourethrokel . Epidemiology cases of uterine prolapse in Indonesia showed that uterine prolapse more common in patients grande multipara in menopause, rarely occurs in women nullipara . Over the past decade , the evaluation of pelvic organ prolapse in relation to health , using a comprehensive approach or overall. Instruments developed in this evaluation is the Prolapse Quality of Life Questionnaire (P-QOL). Differences in the treatment of uterine prolapse cases will certainly lead to different perceptions of individuals on their quality of life as measured using a P - QOL. The purpose of this study was to compare the quality of life of uterine prolapse surgery with conservative conducted in hospitals DR . Moewardi Surakarta . Methods: This study was observational analytic with cross sectional method . Samples were examined as many as 31 patients with uterine prolapse who were divided into 2 groups: 15 patients as operative group and 16 patients as conservative groups . Samples taken by accidental sampling . Samples were selected based on inclusion and exclusion criteria. Once approved informed consent, were interviewed using P - QOL questionnaire. The variables studied were the quality of life of patients in accordance with the chosen therapy . Data were analyzed using an unpaired t test Results: Obtained P values ​​of 0.001 less than 0.05 . Meanwhile for the t table , look at the table t distribution with α = 5 % : 2 = 2.5% with degrees of freedom ( df ) n - 2 or 31-2 = 29. By testing two sides ( significance = 0.025 ) results obtained for t table of 2.04. As for t obtained amounted to 3,81. Calculated t &gt; t table ( 3.81 &gt; 2.04 ) and P value ( 0.001 &lt; 0.05), then Ho is rejected and H1 accepted, meaning that there are differences in the quality of life of patients with uterine prolapse between operative group with conservative groups . Conclusions: There are differences in the quality of life of patients with uterine prolapse surgery with conservative conducted at Hospital Dr. Moewardi Surakarta. Keywords: Uterine prolapse, quality of life, surgical, conservative.
Profile Comparison of Patients with Staphylococcus aureus and Staphylococcus haemolyticus on Pus Specimen at Dr. Moewardi Hospital MAHARANI, AMANDA DIAH; ., Marwoto; Nefihancoro, Udi Heru
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Staphylococcus aureus and Staphylococcus haemolyticus were some of bacteria that often found in pus specimen. Unlike S. aureus, which is true pathogen, S. haemolyticus which is known by opportunistic bacteria were not considered as caused of infection. Therefore, the need of comparative data that can determine whether S. haemolyticus were cause of infection or just colonization was necessary. The purpose of this research is to compare clinical profile of patients’ with S. aureus and S. haemolyticus found in pus specimen. Methods: This study was a descriptive research using cross-sectional approach. The object of the research were patients’ medical records which have been identified by pus culture with positive result of Staphylococcus aureus and Staphylococcus haemolyticus on 2013-2014. Sampling was held during November and December 2015 at Dr. Moewardi Hospital, Surakarta with inclusion and exclusion criterias. Sampling was done and 69 people taken from the population. The data was statically analyzed by frequency distributive technique. Result: In 2 years, it is found that patients with Staphylococcus aureus and Staphylococcus haemolyticus are dominantly by men. Most of patients are adult (19-65 years old). Body temperature of patients with Staphylococcus aureus risk 2,04 times of increasing than patients with Staphylococcus haemolyticus. Conclusions: There are differences in clinical profile of patient with Staphylococcus aureus and Staphylococcus haemolyticus on pus specimen at Dr. Moewardi Hospital. Keywords: Pus Specimen, Pus Culture, Staphylococcus aureus,  Staphylococcus haemolyticus
Profile of Patient with Staphylococcus haemolyticus and Escherichia coli Bacteria on Urine Specimen at Dr. Moewardi Hospital ., Kumala; Saptawati, Leli; Susilo, R Satriyo Budhi
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Urinary Tract Infection (UTI) is the most common disease worldwide. Escherichia coli is a bacterial pathogen that causes most UTIs while Staphylococcus haemolyticus is an opportunistic bacterium that can cause a UTI which is actually a normal flora on human skin. This study aimed to determine the profile of patients who are exposed to the bacteria S. haemolyticus and E. coli in urine specimens. Methods: This study was a descriptive research using clinical epidemiology approach. The object of the research was patients’ medical records which have been identified by urine culture with positive result of S. haemolyticus and E. coli on 2014. Sampling was held during December 2015 at Dr. Moewardi Hospital. Sampling was done and 88 people taken from the population. The data was statically analyzed with frequency distributive technique and odds ratio.   Results: Descriptive analysis using frequency distribution and odds ratio showed male patients are more than the female patients. These two bacteria show of most age category are adults. While the vital sign shows patients with S. haemolyticus body temperature is lower than E. coli. In the blood count result, white blood count of patients with E. coli has a higher mean than the variable numbers of leukocytes on patients with S. haemolyticus.   Conclusions: There are differences between the profile of patients who are exposed to E. coli and S. haemolyticus. On vital signs and the white blood count’s results, patients with E. coli was higher than patients with S. haemolyticus. Keywords: Urinary Tract Infection, Staphylococcus haemolyticus, Escherichia coli 
The Difference of Intraocular Pressure between Schiotz Tonometer and Non Contact Tonometer in Surakarta Nadiawati, Rizky Hanifah; ., Kurnia Rosyida; ., Lukman Aryoseto
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Rizky Hanifah Nadiawati, G0012192, 2015. The Difference of Intraocular Pressure between Schiotz Tonometer and Non Contact Tonometer in Surakarta. Mini Thesis. Faculty of Medicine, Sebelas Maret University, Surakarta. Introduction: Intraocular pressure (IOP) is the pressure inside the eyeball measured by tonometer. There is a lot kinds of tonometer, two of them are schiotz tonometer and non contact tonometer (NCT). This study aims to determine difference of IOP level measured by schiotz tonometer and non contact tonometer. Methods: This study was an observational analytic research with cross sectional approach. This study was conducted on November 2015 at Solo Eye Center Surakarta. The sample was collected by using consecutive sampling. Subjects were patient aged &gt;20 years old. Dependent variable was IOP. Independent variable were schiotz tonometer results and NCT results. Data was collected by IOP measurement with both tonometers. The analysis technique used in this study were Mann Whitney and Kappa test . Results: The mean age of subjects was 31.84 ± 17.05(mean ± SD) years. This study showed a mean of the difference of IOP level between schiotz tonometer and NCT, with p value was p=0.002 for IOP measurement of right eye and p&lt;0.001 for IOP measurement of left eye. The mean of IOP levels as taken by schiotz tonometer were 16.95 ± 3.64 (mean ± SD) and 19.68 ± 5.34. The mean of IOP levels as taken by NCT were 12.95 ±3.04 and 13.08 ± 2.52. Kappa test showed a less than chance agreement result between the two tonometers (ĸ = -0.050). Conclusions: There was a significant difference between IOP level measured by schiotz tonometer and non contact tonometer.   Keywords: intraocular pressure, schiotz tonometer, non contact tonometer 
The Correlation between Diabetes Mellitus and Mild Cognitive Impairment in the Elderly in Surakarta Brilliandi, Immanuel Billy; Danuaji, Rivan; Murti, Bhisma
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Mild cognitive impairment one of DM’ complication. The main factor leading to mild cognitive impairment is the alteration of the white matter of the brain. Impaired cognitive patients with DM causing great suffering for the patient themselves, their families, and their surrounding neighborhood and environment.  The main objective of the study is to determine the correlation between DM and mild cognitive impairment in the elderly in Surakarta. Methods: This study is an analytic observational study with cross-sectional approach. The study was held in Dr. Moewardi General Hospital of Surakarta and Puskesmas Ngoresan. The independent variable was DM and the dependent one was mild cognitive impairment. The result of the study was analyzed by chi-square test and multiple logistic regression test. Result: The subjects were divided into two groups, the first one was a group of 22 people with DM and the other consisted of 23 people without DM. The subjects were directly asked to fill up the Montreal Cognitive Assessment-Indonesian version (MOCA-Ina) for the assessment of their cognitive function. The result of Chi-square test showed that DM and years of education were the variables which had the correlation with mild cognitive impairment (p= 0,003 and p= 0,020). The result of multiple logistic regression test showed that diabetes mellitus was the only one factor which had the correlation with mild cognitive impairment statistically (OR=5,489; CI 95%= 1,438 – 20,949; p= 0,013). Conclusions: There was a positive correlation between DM and mild cognitive impairment in the elderly in Surakarta. Keywords: Diabetes mellitus, mild cognitive impairment, neurobehavior, MOCA-Ina, elderly. 

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