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Nexus Kedokteran Klinik
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Articles 16 Documents
Search results for , issue "Vol 5, No 2 (2016): Nexus Kedokteran Klinik" : 16 Documents clear
SLEEP QUALITY IS ASSOCIATED WITH TOTAL CHOLESTEROL OF GERIATRIC PATIENTS IN RSUD DR MOEWARDI Mastura, Rila Ruis; Budiningsih, Fatichati .; ., Suyatmi .
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Hypercholesterolemia refers to condition where levels of cholesterol in theblood are higher than normal reference. In Indonesia, prevalence of hypercholesterolemia are continously increased. Growing evidences indicate there is a relationship between sleep and hypercholesterolemia. The aim of this study was to examine relationship between sleep quality and total cholesterol of geriatric patient. Methods:This study usedobservational analytic method with cross sectional approach. Geriatric patients (n=30) in Geriatric Polyclinic RSUD Dr. Moewardi were recruited in this study used convenience sampling based on inclusion and exclusion criteria.Variables in this study were sleep quality, body mass index (BMI) and total cholesterol. Sleep quality was measure during face to face interviews using validated Pittsburgh Sleep Quality Index Indonesian translation. Total cholesterol was gotten from laboratory test result which was performed a day before. BMI was calculated from direct measurement of weight and height. Data were analyzed by Chi-Square test. BMI as confounding factor was assessed by Mantel-Haenszel. Results:There was a statistically significant positive association between poor sleep quality and total cholesterol of geriatric patients(p=0.029 significance level ? = 0.05). Compared with good sleepers, relative risk (odds ratio) of having cholesterol > 200 mg/dl among poor sleepers was 5.78(95% CI,1.12-29, 85). Conclusions: This study found  association between sleep quality and total cholesterol of geriatric patients in RSUD Dr. Moewardi. Keywords: Total cholesterol, sleep quality 
The relations between delay in diagnosis in the case of patienss Pulmonary Tuberculosis with distance from home and employment of patients in Health Reference Fascility (BBKPM) Surakarta YASIN, LES; ., Reviono; Novierta, Riza
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Tuberculosis (TB) is the second major leading cause of death worldwide due to infectious diseases, with the incidence and prevalence of cases is still high in some countries in the world, and Indonesia is included. Early diagnosis is the key of the program to control the new cases of pulmonary TB. Delays in diagnosis of pulmonary tuberculosis patients remains a problem that is caused by many factors including the distance from home and employment status as the risk factor. This study aims to determine the relationship between delay in  diagnosis in the case of patients pulmonary TB with a distance from home and employment status in BBKPM Surakarta. Methods This study was observational analytic study approach cross-sectional are held on October to December 2015 in Balai Besar Kesehatan Paru Masyarakat (BBKPM) Surakarta.Total of 66 subjects were selected by consecutive sampling method. New cases of pulmonary TB patients in BBKPM Surakarta was collected by direct interview and using questionare about the delay, distance from home and employment status. Data was analyzed by using multiple chi-square models and processed with Statistical Product and Service Solutions (SPSS) 20.00 for Windows. Results: The total 66 samples, obtained samples with 45 people working status and  the samples do not work amounted to 21 people. Samples with that far distance from  home  as many as 38 people and the sample of distance closely from home to medical care as many as 28 people. Samples were late with number 34 and do not experience delays amount to 32 people. Distance from  home much influence on the occurrence of patient delay. Patients with far distance from  home visiting for the first time to a health facility more slower than those with distance  closely from home (p = 0,808). Effect on the employment status of the patients delay. Patient with status  working visit for the first time to health facilities more  slower than the patients with status do not work (p = 0,297). Conclusion: There is a moderate correlation between the delay in  diagnosis in the cases of patients pulmonary Tuberculosis with distance from home and employment of Patients in BBKPM  Surakarta, but the result were not statistically significant. Keywords: distance from home, employment status, the patient delays 
A Comparison of Recovery Times Using Aldrete Score Between General Anesthesia Propofol and Ketamine Dewi, Putu Ayu Apriliani Trisna; Suprapromo, R.Th; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Intravenous anesthesia is an anesthetic agent that is administered intravenously, the advantages of using intravenous anesthetic agent is more convenient for patients and a short onset duration and recovery time. Propofol and ketamine are two intravenous anesthetic agent that is often used as an anesthetic induction or as the induction and maintenance of anesthesia in shor time surgical. After surgical procedure, patient must be kept under clinical observation at all times in a recovery facility until patient have reached normal level of consciousness. Level of consciousness after surgary can be measured by using Aldrete score that includes skin tone, respiration, circulation, level of consciousness and motor activity. The time required to recover fully normally ≤ 15 minutes. The objective of this study was to determine and to compare the recovery state between usage of general anesthesia propofol and ketamin. Methods: An analytical observational cross sectional study was conducted with both general anesthetics propofol and ketamin as independent variable and recovery state as dependent variable. Subjects recruited for this study were patients who underwent curatage surgery under intravenous anesthetics at Dr. Moewardi Regional General Hospital, Regional General Hospital of Ngipang, and Amanah Ibu Mother and Children Hospital. Subjects were selected using consecutive sampling technique. For the purpose of this study, recovery characteristics were measured using Aldrete score and were obtained after transported to a recovery room. Total subjects were 72, which were 36 subjects as propofol group and 36 subject as ketamin group. Statistical analyses were assessed by Chi square test using IBM SPSS 22.0. Results: This study found that 94,4% patients receiving propofol gained full recovery and 63,9% patients receiving ketamin gained full recovery as well. The statistical results stated that the p value is 0.001 (<0.05). Hence, statistically  there was a significant difference between usage of general anesthesia propofol and ketamin. Conclusions: These findings statistically significant difference between usage of general anesthesia propofol and ketamin Keywords: aldrete score, recovery times, propofol, ketamin 
THE RELATIONSHIP BETWEEN OBESITY WITH RISK INCIDENT OF OBSTRUCTIVE SLEEP APNEA Fakhruddin, Helmi; Aphridasari, Jatu; Hastuti, Heni
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction : The purpose of this research is to determine the relationship between obesity and risk incident of Obstructive Sleep Apnea (OSA). This research was conducted at the Medical Faculty Sebelas Maret University of Surakarta from October 2015 to November 2015. Methods : This research was an analytical research using cross sectional approach. The size of population was 200 while the size of sample was 100 people. The sampling techniques used  purposive random sampling. The data were obtained by questionnaire, research instrument with a guided interview technique using weighting machine, and microtoise. The obtained data were presented in tabular form and analyzed using the Chi Square Test at the level of significance α = 0,05. Results : From the result of research conducted in the Medical Faculty of Sebelas Maret University Surakarta from October 2015 to November 2015, it was obtained that subjects with obesity who had high risk of OSA was 29 people (78%). This number was more than the number of subjects with obesity who had low risk of OSA of 21 people (33%) from the total of 50 subjects with obesity. While the number of subjects who didn’t have obesity with high risk of OSA was 8 people (22%).  This number was fewer than the number of subjects who didn’t have obesity with low risk of OSA of 42 people (67%).  The results of data analysis obtained X2= 18,198 and OR= 7,25; so that it could be concluded statistically, that there was a relationship between obesity and risk incident of OSA. Conclusions : The conclusion from this research was there was relationship between obesity and risk incident of  OSA. Keyword: Obesity  –  Obstructive pulmonary disease  – Obstructive Sleep Apnea (OSA)
The Difference of Intraocular Pressure (IOP) between Myopic Eyes and Emmetropic Eyes in Medical Students of Sebelas Maret University Kumalasari, Putri Nur; Kuntoyo, Raharjo; Widardo, .
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Intraocular pressure (IOP) is a major risk factor of glaucoma. Prevalence of glaucoma increases in myopic eyes than in emmetropic eyes. There was a hypothesis that the relationship between glaucoma and myopia might be mediated by intraocular pressure. This study aims to investigate the difference of intraocular pressure (IOP) between myopic eyes and emmetropic eyes in medical students of  Sebelas Maret University. Methods: This study applied analytical observational method with cross sectional approach. Subject of the research was medical students of Sebelas Maret University batch of 2012. Samples were selected by a screening with inclusion and exclusion criterias and then randomized by simple random sampling technique. The total samples were 76 students. Afterwards, samples were interviewed about last refraction examination history and examined for refraction status through visus examination using snellen optotype so that samples were divided to myopic eyes group and emmetropic eyes group. Then, IOP was evaluated using Non Contact Tonometer (NCT). The data was analyzed with independent t-test which was processed by Statistical Product and Service Solutions (SPSS) 20.0 programme for Windows. Results: The mean of IOP in myopic eyes was 17.02 ± 2.69 mmHg in right eyes (OD) and 16.80 ± 2.84 mmHg in left eyes (OS). The mean of IOP in emmetropic eyes was 15.88 ± 2.44 mmHg (OD) and 15,32 ± 2,34 mmHg (OS). The comparative analysis of IOP between myopia and emmetropia showed the value of p = 0.065 (OD) and p = 0.076 (OS). Conclusions: There is no significant difference of IOP between myopic eyes and emmetropic eyes in medical students of Sebelas Maret University. Keywords: Emmetropia, Intraocular Pressure, Medical Student, Myopia. 
Sleep Quality is Associated with Total Cholesterol of Geriatric Patients in RSUD Dr Moewardi Mastura, Rila Ruis; Budiningsih, Fatichati .; ., Suyatmi .
Nexus Kedokteran Klinik Vol 5, No 2 (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: Hypercholesterolemia refers to condition where levels of cholesterol in theblood are higher than normal reference. In Indonesia, prevalence of hypercholesterolemia are continously increased. Growing evidences indicate there is a relationship between sleep and hypercholesterolemia. The aim of this study was to examine relationship between sleep quality and total cholesterol of geriatric patient. Methods:This study usedobservational analytic method with cross sectional approach. Geriatric patients (n=30) in Geriatric Polyclinic RSUD Dr. Moewardi were recruited in this study used convenience sampling based on inclusion and exclusion criteria.Variables in this study were sleep quality, body mass index (BMI) and total cholesterol. Sleep quality was measure during face to face interviews using validated Pittsburgh Sleep Quality Index Indonesian translation. Total cholesterol was gotten from laboratory test result which was performed a day before. BMI was calculated from direct measurement of weight and height. Data were analyzed by Chi-Square test. BMI as confounding factor was assessed by Mantel-Haenszel. Results:There was a statistically significant positive association between poor sleep quality and total cholesterol of geriatric patients(p=0.029 significance level α = 0.05). Compared with good sleepers, relative risk (odds ratio) of having cholesterol > 200 mg/dl among poor sleepers was 5.78(95% CI,1.12-29, 85). Conclusions: This study found  association between sleep quality and total cholesterol of geriatric patients in RSUD Dr. Moewardi. Keywords: Total cholesterol, sleep quality 
Correlation between Social Support and Anxiety among First Year Female Medical Student of Faculty of Medicine Sebelas Maret University in 2015 Ariani, Nisrina Mutia; Fanani, Mohammad; Aisyah, Siti
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: 18 – 25 years old university student is included into adolescent. Adolescent are susceptible of mental disorder, and one of the most common is anxiety. Female adolescent have the risk to anxiety two times higher. Anxiety can cause distortion of perception that can disturb the process of learning. Medical student have a greater risk to develop anxiety. To deal with stressor from the outside, an individual needs mental tenacity, and one of the factors that causing anxiety is social support. This research is aiming to understand the correlation between Social Support and Anxiety among First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. Methods: An observational analytics strategy and the cross-sectional study were adopted. This study had been done on November 2015 in Faculty of Medicine Sebelas Maret University. The subject was first year female medical student. This research used purposive sampling, and was done with questionnaires. There are five parts of the questionnaire (1) Informed consent; (2) Personal Information; (3) L-MMPI Questionnaire; (4) Taylor Manifest Anxiety Scale Questionnaire; (5) Interpersonal Support Evaluation List Questionnaire. Inclusion and exclusion were applied. The number of total sample was 102. Data analyzed using Kolmorgov-Smirnov and Pearson using SPSS Statistics. Results: Pearsons Product-Moment Correlation using SPSS Statistics suggest that the correlation coefficient was -0.24 (p=0.015). The value p < 0.05 suggests that there was specific correlation between social support and anxiety. The negative symbol suggest that higher levels of social support were related to lower levels of anxiety of First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. Conclusion: There was specific correlation between social support and anxiety of First Year Female Medical Student in Faculty of Medicine Sebelas Maret University. There was specific correlation that suggests higher levels of social support were related to lower levels of anxiety. Keywords: social support, anxiety, female medical student 
The Difference of Anxiety’s Score and Depression’s Score between Mother with Mild Intellectual Disability and Mother with Moderate Intellectual Disability in SLB Negeri Surakarta Izzani, Alindina; Sudiyanto, Aris; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Children with Intellectual Disability (ID) have low Intelligence Quotient (IQ) and low social interaction so that they have difficulty in self-adaptation. Caring for child with disability will increase the risk of psychological morbidity in family such as anxiety and depression especially in mother. This study is aimed to discover the difference of anxiety’s score and depression’s score between mother with mild intellectual disability and mother with moderate intellectual disability. Methods: This study was a cross-sectional observational analytic. 15 mothers of mild intellectual disability (C) and 15 mothers of moderate intellectual disability (C1) were recruited with consecutive sampling from SLB Negeri Surakarta on October 2015. Lie-Minnesota Multyphasic Personality Inventory (L-MMPI), Taylor’s Manifest Anxiety Scale (TMAS), and Beck’s Depression Inventory-II (BDI-II) questionnaires were used to assessed anxiety and depression. The test data was broken down and analyzed by independent t-test and the SPSS 20 for Windows software. Results: Mean and deviation TMAS score of mother with mild intellectual disability is 24,93±7,648 and mother with moderate intellectual disability is 23,00±9,736. There is no difference of anxiety’s score between two group of mothers (p = 0,55 ; p > 0,05). Mean and deviation BDI-II score of mother with mild intellectual disability is 11.27±9.08 and mother with moderate intellectual disability is 10.93±10.39. There is no difference of depression’s score between two group of mothers (p = 0,92; p > 0,05). Conclusions: There is no difference of anxiety’s score and depression’s score between mother with mild intellectual disability and mother with moderate intellectual disability in SLB Negeri Surakarta. Keywords: Intellectual disability, Anxiety, Depression 
Association between Characteristics and Behaviors of Workers that Exposed to Chemicals with ARI Symptoms in Artificial Nails Industry Kurniasih, Oktavera Tri; Aphridasari, Jatu; ., Sumardiyono
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Artifical nails industry workers are potentially exposed to chemicals that can irritate the respiratory tract. Irritation of the respiratory tract may facilitate the occurrence of Acute Respiratory Infection (ARI). Worker characteristics and worker behaviors affect the occurrence of ARI. This research aimed to know the association between characteristics and behaviors of workers that exposed to chemicals with ARI symptoms in artificial nails industry. Methods: This research was an observational analytic with cross-sectional approach. The research was held in artificial nails industry of Purbalingga on November-December 2015 with 80 samples of workers which consisted of 48 workers of injection department and 32 workers of airbrush department. Independent variables of this research were worker characteristics and worker behaviors. Worker characteristics included gender, age, department of work, period of work, and length of work. Worker behaviors included behavior of the use of Personal Protective Equipment (PPE) such as masks and smoking behavior. Dependent variable of this research was ARI symptoms. Moderator variable of this research was chemicals exposure. Data were collected using questionnaires. Data were analyzed by multiple logistic regression analysis. Results: The results of multiple logistic regression analysis showed that variables that influence ARI symptoms were length of work (p = 0.000; PR = 13.28) and age (p = 0.001; PR = 10.53). Conclusions: Length of work and age influenced ARI symptoms of workers that exposed to chemicals in artificial nails industry. The strength of the relationship of length of work was greater than age. Keywords: Worker characteristics, worker behaviors, chemicals exposure, ARI symptoms. 
A Comparison of Recovery Times Using Aldrete Score Between General Anesthesia Propofol and Ketamine Dewi, Putu Ayu Apriliani Trisna; Suprapromo, R.Th; Probandari, Ari Natalia
Nexus Kedokteran Klinik Vol 5, No 2 (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

Background: Intravenous anesthesia is an anesthetic agent that is administered intravenously, the advantages of using intravenous anesthetic agent is more convenient for patients and a short onset duration and recovery time. Propofol and ketamine are two intravenous anesthetic agent that is often used as an anesthetic induction or as the induction and maintenance of anesthesia in shor time surgical. After surgical procedure, patient must be kept under clinical observation at all times in a recovery facility until patient have reached normal level of consciousness. Level of consciousness after surgary can be measured by using Aldrete score that includes skin tone, respiration, circulation, level of consciousness and motor activity. The time required to recover fully normally ? 15 minutes. The objective of this study was to determine and to compare the recovery state between usage of general anesthesia propofol and ketamin. Methods: An analytical observational cross sectional study was conducted with both general anesthetics propofol and ketamin as independent variable and recovery state as dependent variable. Subjects recruited for this study were patients who underwent curatage surgery under intravenous anesthetics at Dr. Moewardi Regional General Hospital, Regional General Hospital of Ngipang, and Amanah Ibu Mother and Children Hospital. Subjects were selected using consecutive sampling technique. For the purpose of this study, recovery characteristics were measured using Aldrete score and were obtained after transported to a recovery room. Total subjects were 72, which were 36 subjects as propofol group and 36 subject as ketamin group. Statistical analyses were assessed by Chi square test using IBM SPSS 22.0. Results: This study found that 94,4% patients receiving propofol gained full recovery and 63,9% patients receiving ketamin gained full recovery as well. The statistical results stated that the p value is 0.001 (<0.05). Hence, statistically  there was a significant difference between usage of general anesthesia propofol and ketamin. Conclusions: These findings statistically significant difference between usage of general anesthesia propofol and ketamin Keywords: aldrete score, recovery times, propofol, ketamin 

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