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Hubungan Usia Primigravida dengan Kejadian Preeklampsia Berat di RSUD Dr. Moewardi

Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Age factor holds crucial cause of health level and the wealth of pregnant mother and the baby. In young age, the development of reproduction organs and the physiological function is not optimal yet, also the emotional and psychological phase of the mother is not mature enough. Therefore in pregnancy, the mother is not yet able to respond her pregnancy completely and also there often occurs complication. Three pregnancy complications that become the main cause of mother’s death in obstetric section are bleeding, infection, and pregnancy hypertension (preeclampsia). Preeclampsia is a disorder of multi organ that is very distinct in pregnancy, which is noted as occurrence of hypertension and proteinuria in pregnancy age above 20 weeks. This research purpose for analyzing the relation between the age of primigravida with the occurrence of severe preeclampsia in RSUD Dr. Moewardi. Methods: This research is observational analytic with cross-sectional. Research is done in April-June 2012 in RSUD Dr. Moewardi section Obstetrics and Gynecology. The taking of sample is done with the way of purposive sampling. This research got 60 samples consisted of 30 samples age < 20 years old and 30 samples age 20-35 years old with the diagnosis of severe preeclampsia 42 samples. The data which is got then analyzed with the use of statistic test Spearman. Results: The risk factors of severe preeklampsia in RSUD Dr. Moewardi are the age and the graduation of primigravida. The statistic test shows there is a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ≤ 0.05) Conclusions: There was a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ­= 0.024) whereas the strength of the positive correlation is weak (r = 0.291) Keywords: primigravida’s age, severe preeclampsia. 

Perbedaan Kecenderungan Somatisasi Antara Mahasiswa Semester IV yang Memiliki Tingkat Kecemasan Tinggi dan Rendah di Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Somatization disorder is the presence of somatic complaints (physic) which can not be found the adequate medical explanation. Anxiety is a feeling disorder which characterized by a feeling of fear or concern that deep and sustained. Anxiety can occur in the fourth semester students. This research aims to find out is there any difference of the somatization tendencies between semester IV students who have high and low levels of anxiety in Medical Faculty of Sebelas Maret University Surakarta. Methods: This was an analytic observational research with case-control design. The subject were fourth semester students in Medical Faculty of Sebelas Maret University who meet established criteria. The sampling technique using total sampling of a large population of 237 people. The data analysed by using SPSS for Windows version 17.0 programme with the normality test by Shapiro-Wilk continued by Mann-Whitney because the data that taken was not normal distribution. Results: Students with high anxiety level was obtained an average IRS score of 15.75 and SD 6.883. Students with low anxiety level was obtained an average IRS score of 5.33 and SD 3.467. The difference of somatization tendencies between semester IV students who had high and low levels of anxiety generate significant value (p = 0.000) Conclusions: There were difference of somatization tendencies which statistically significant betweet semester IV students who had high and low levels of anxiety. Students who had high level of anxiety are more likely to experience somatization compared to students who had low level of anxiety. Keywords: Level of anxiety, somatization tendencies, medical students. 

Perbedaan Kualitas Tidur Mahasiswa yang Merokok dengan yang Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret

Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Smoking was a bad habit that has been a problem throughout the world both in developed and developing countries. Primary Health Research mentioned that 27.2% smokers were male students and moreover smoking habit of students was followed by staying up late at night. Smokers who did smoke activity at night have higher risk of experiencing sleep disturbances than smokers who did smoke activity during the day. Approximately 20% to 50% adults per year report sleep disturbance fulfillment and about 17% had serious sleep disturbance fulfillment experience. The current prevalence of insomnia according to DSM-IV criteria in adolescents showed 10.7%. These number would be increase along with the increase of age and contributing factors like smoking. This study aims to determine the difference of sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University. Method: Observational analytic with cross sectional method approach. Samples taken by Purposive Random Sampling method. The number of sample was 100 consisted of 50 male smoker students and 50 male non-smoker students. This research instrument was smoking activity questionnaire, LMMPI questionnaire and PSQI questionnaire. Data analysis done with independent T-test. Result: The results showed 39 (64%) samples of male smoker students had poor sleep quality, and 11 (28,2%) samples of male smoker students had good sleep quality. While the male non-smoker 28 (71,8%) samples had good sleep quality and 22 (36%) samples of male non-smokers students had poor sleep quality. T Count value (-3.487) < t table value (-1.661) with p = 0.001. Conclusion: There was difference in the sleep quality between smoker and non-smoker college student in the Faculty of Letter and Art Sebelas Maret University (p = 0.001). Some smoker college student had poor sleep quality while non-smoker college student had good sleep quality. Keywords: Smoker, Non- smoker, sleep quality. 

Perbedaan Tingkat Kecemasan Antara Mahasiswa yang Merokok dan Tidak Merokok di Fakultas Sastra dan Seni Rupa Universitas Sebelas Maret

Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Anxiety disorder have been reported to be associate with increased rates of smoking, increased consumption of cigarettes per smoker, and lower rates of smoking cessation than non-anxiety disordered control groups. In addition, increased anxiety symptoms appear to be correlated with increased rates of smoking. This study aimed to analyze the differences of anxiety level between smoking student and non-smoking student of Faculty Letter and Fine Arts Sebelas Maret University. Method: This study was an observational analytic study with cross sectional approach. The study sample totaled 100 students, between 50 smoking students and 50 non-smoking students of Faculty Letter and Fine Arts Sebelas Maret University class of 2008-2013 which were randomly drawn by purposive sampling technique and continued with simple random sampling. Each respondent was given one standard questionnaire of TMAS (Taylor Manifest Anxiety Scale), L-MMPI (Lie-scale Minnesota Multiphasic Personality Inventory), and standard questionnaire of smokers. The TMAS questionnaire consisting of 50 “yes” or “no” option questions, L-MMPI questionnaire consisting of 10 “yes” or “no” option questions, and smokers questionnaire consisting of 3 multiple choice questions. The research data were tested with the Chi Square test, and would be continued with the Regression Linier test (α=0,1). Result: There were 13 smoker students had not have anxiety disorder, 10 smoker students had low anxiety disorder, 25 smoker students had moderate anxiety disorder, and 2 smoker students had high anxiety disorder. While 31 non-smoker students had not have anxiety disorder, 10 non-smoker students had low anxiety disorder, 9 non-smoker students who had moderate anxiety disorder, there were not found non-smoker student had high anxiety disorder. From the Chi Square test resulted p<0.1 (p=0.001) and would be continued with Regression Linier. From the test result showed correlation coefficients (r) in the amount of 0.411. Conclusion: There was a differences anxiety level between smoking students and non-smoking students of Faculty Letter and Fine Art Sebelas Maret University. Tobacco consumption had a moderate relationship with anxiety level. Heavier smoking on smoker student proved to be increasing anxiety level. Keywords: smoking student, non-smoking student, anxiety level