Nexus Kedokteran Komunitas
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Articles 132 Documents
Hubungan Kecerdasan Emosi dengan Perilaku Seksual Pranikah pada Remaja SMA Negeri 3 Surakarta

Anggara, Puji Astuti, ., Sumardiyono, Murti, Bhisma

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

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Abstract

Background: High emotional intelligence can prevent adolencents from deviant behaviour, particullary premarital sexual behavior. This study aims to prove that high emotional intelligence can reduce premarital sexual behavior. Methods: This study is an analytical observational research using cross sectional approach. This study had been done in April 2012 in SMA Negeri 3 Surakarta. 83 samples had been choosed by simple random sampling. This study use premarital sexual behavior as dependent variable, emotional quotient as independent variable, attitudes about premarital sexual behavior, bad influence of friends and religion as controlled variables. Questionnare to measure all variables had been tested validity and reliability. Samples were analyzed using binary logistic regression with SPSS 17.0. Results: This study shows that by controlling confounding factors, adolescents who have high emotional intelligence maybe lead to good sexual behavior by 6.84 times bigger than adolescents with low emotional intelligence (OR = 6.84; CI 95% = 1.75-26.72; p = 0.006). Conclusion: There is a relationship between emotional intelligence and premarital sexual behavior by controlling confounding factors. High emotional intelligence can reduce bad premarital sexual behavior. Keywords: premarital sexual behavior, emotional intelligence

Hubungan Tingkat Pengetahuan tentang PPOK dengan Ketaatan Pengobatan Pasien PPOK di RSUD Dr. Moewardi

Caetline, Maria Dewi ( Faculty of Medicine, Sebelas Maret University ) , Sutanto, Yusup Subagio ( Faculty of Medicine, Sebelas Maret University ) , Murti, Bhisma ( Faculty of Medicine, Sebelas Maret University )

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

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Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a non-infectious chronic and progressive disease, that has become one of the major causes of morbidity and mortality in the world. The treatment management of COPD is complex. Factors that can optimize treatment include patient acceptance to disease process, knowledge, trust in the treatment, effective patient-doctor communication, and adherence to treatment. This study aimed to analyze the association between knowledge of COPD and adherence to treatment among patients with COPD. Methods: This analytic study was observational with cross-sectional approach. A sample of 40 study subjects was selected by exhaustive sampling from outpatients with COPD visiting the Pulmonary Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using a set of questionnaire. The data was analyszed using multiple logistic regression model on SPSS version 17 for Windows. Results: Patients with high level of knowledge had 20 times as many level of adherence to COPD treatment than those with low level of knowledge (OR=21.01; 95%CI 2.08 to 211.98; p = 0.001). This estimate has controlled for the effects of confounding variables such as payment method, age, and gender. Conclusion: There is a statistically significant association between knowledge of COPD and adherence to treatment among patients with COPD. This conclusion is drawn after controlling for the effects of confounding factors such as payment method, age, and gender. Keywords: COPD, knowledge, adherence to treatment

Asosiasi Paparan Iklan Rokok dengan Pengetahuan, Sikap, dan Perilaku Merokok pada Remaja

Wibowo, Nimfa Christina Rachmawati ( Faculty of Medicine,SebelasMaret University ) , Probandari, Ari ( Faculty of Medicine,SebelasMaret University ) , Prasetyawati, Arsita Eka ( Faculty of Medicine,SebelasMaret University )

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

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Abstract

Background:Knowledge and attitude are factors influence smoking behavior among teenagers. Previous studies show that cigarette advertisements do not consistently affect on teenagers’ smoking behavior. This studyaimed to determine the association between cigarette advertisement exposure, knowledge, attitude, and smoking behavior among teenagers. Methods:A cross-sectional study was conducted during March 2012 among 98 students in SMP Negeri 01 Colomadu, Karanganyar. The sampling technique was a multistage cluster sampling. Cigarette advertisement exposure, knowledge, attitude, and smoking behavior data were collected using questionnaires, which were tested for its validity and reliability before. The data analyses used Spearman correlation and Chi-Square tests. Results:The study found a significant relationship between cigarette advertisement exposure and knowledge (r=-0.267; p=0.009). There was no significant relationship between cigarette advertisement exposure and teenagers’ attitude (r=-0.129; p=0.206). There were no significant relationships between cigarette advertisement exposure 1-10 times per week and past smoking(p=1,000; OR=0,917; CI95% 0,258-3,262),and with current smoking among teenagers (p=1,000; OR=0,971; CI95% 0,931-1,012). Cigarette advertisement exposure more than 11 per week increased a risk for past smoking 2.406 times (p=0,500; Cl95% 0,521-11,104), but not significantly. Conclusions:Cigarette advertisement exposure more than 11 per week associated with teenagers’ knowledge about cigarette and teenagers attitude to cigarette and smoking. There is no significant relationship between cigarette advertisement exposure and smoking behavior among teenagers. Keywords:cigarette advertisement, knowledge, attitude, behavior, and smoking.

Hubungan Penggunaan Obat Nyamuk dalam Rumah Tangga dengan Kejadian ISPA pada Balita di Puskesmas Sibela Surakarta

Syahidah, Sumayyah ( Faculty of Medicine, Sebelas Maret University ) , ., Sumardiyono ( Faculty of Medicine, Sebelas Maret University ) , Hikmayani, Nur Hafidha ( Faculty of Medicine, Sebelas Maret University )

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

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Abstract

Background: Morbidity and mortality due to acute respiratory infection (ARI) in children under five years old is high. Contributing factors include air pollution caused by domestic use of mosquito coils and spray. Hazardous chemicals in both mosquito coils and spray can iritate respiratory tracts, thereby putting children at higher risk for infection. This research aims to examine whether domestic use of mosquito coils and spray is associated with the prevalence of ARI among children under five years at Puskesmas Sibela Surakarta. Methods: This was an observational study using case control design conducted from March to April 2012 at Puskesmas Sibela Surakarta. Forty subjects were sampled using fixed-disease sampling method. Parents of case group (20 children with ARI) and control group (20 children without ARI) were interviewed and asked to fill out specific questionnaires. Data were analyzed using χ2 test and odds ratio. Results: Twelve children with ARI were exposed to mosquito coils and spray at home. History of mosquito coils and spray exposure at home were only found in two children without ARI. Statistical analyses showed a significant relationship between ARI in children and domestic use of mosquito coils and spray (OR = 13,5, 95% CI 2,4 to 74,9, p = 0,001). Conclusions: There was a significant relationship between domestic use of mosquito coils and spray with prevalence of ARI among children under five years at Puskesmas Sibela Surakarta. Compared to children who lived in a house not using mosquito coils and spray, those who were exposed to mosquito coils and spray at home had 13.5 times higher the risk to get ARI. Keywords: ARI, Children Under Five Years, Mosquito Coils and Spray. 

The Relationship between Andropause and Anxiety in males in Jebres Subdistrict, Surakarta

Putriana, Raja Amelia, Iryawan, Andri, Riyadi, Slamet

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

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Abstract

Background: Andropause is a changes that occurs due to males because of  reduction of testosterone levels. These changes is not only in the physical aspect, but also the psychological aspect. This study aims to determine the relationship between andropause with anxiety in males.Method: This research is a analytical observational research with the approach of cross sectional.  The sample was taken using purposive random sampling after being selected based on the inclusion and exclusion criteria of research and the sample could not be selected when the result of L-MMPI ≥ 10. The subject filled in (1) curriculum vitae form and informed consent, (2) L-MMPI questionnaire to find out the respondent’s truthfulness in filling in questionnaire, (3) ADAM questionnaire as an early screening andropause and  (4) T-MAS questionnaire to find out the anxiety score. 60 subject of  research were obtained as the data and analyzed using with Chi Square and Coefisien Contingency (C).Result: The data analysis, with α = 0,05, shows p = 0,06 which means p > 0,05 and C = 0,324 or 32,4%.Conclusion: This study revealed that there is no significant correlation between andropause and anxiety in males (p > 0,05).Keywords: Andopause, Anxiety

Hubungan Antara Andropause Dengan Insomnia Pada Pria Di Kecamatan Jebres Surakarta

Putri, Wiharesi, Iryawan, Andri, Riyadi, Slamet

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

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Abstract

Background: Andropause represents the symptoms and signs due to the lower rate of testosteron that happened slowly along with increasing the age. One of the symptoms is vasomotor disorder, that is called hot flashes. The presence of hot flashes can be result to insomnia in males with andropause. Number of  andropause’s prevalence which tend to high in some area in Indonesia can indicate the amount of adult men that suffer from insomnia. This research aim to prove that there is a correlation between andropause and insomnia, especially at Subdistrict Jebres Surakarta. Method: This analytic qualitative observational study uses cross-sectional method was held in Subdistrict Jebres Surakarta. Subjects in this study are males with inclusion and exclusion criterias. Sixty males (above 40 years old) were chosen to participate in this study by purposive random sampling (30 males with andropause and 30 males without andropause). Data were collected through self-administered questionnaire. Collected data were analyzed using Chi Square (X2) test and Contingency Coefficient (C) test. Result: The data analysis, with α = 0.05, shows p = 0.003 which means p < 0.05 and C = 0.36 or 36 %. Conclusion: There is a correlation between andropause and insomnia in males at Subdistrict Jebres Surakarta (p < 0.05, C = 0.36), where the number of insomnia’s prevalence is bigger at andropause’s group. Keywords: andropause, insomnia, hot flashes 

Hubungan Status Gizi dengan Rata-Rata Usia Menarche

Fitriana, Ema Nur, Moelyo, Annang Giri ( Universitas Sebelas Maret Surakarta ) , Yuliadi, Istar ( Universitas Sebelas Maret Surakarta )

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

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Abstract

Background : Menarche is the first menstrual period in woman reproduction cycle. Several epidemiology studies shows that the onset of menarche was became earlier. This condition was supposed to be related with the increases of nutritional status. The aim of this study was to identify the  association between Nutritional status with the mean of age of menarche in SD N 1 Kleco Surakarta (elementary school) students. Method : An analytical observational study using a cross sectional design, was performed in SDN 1 Kleco Surakarta (elementary school) students within the onset of menarche or the 3rd-6th grade’s student on April 2012.  Nutritional status was measured anthropometically for calculating and plotting the body mass index (BMI) for age based on CDC 2000 growth chart. An interview was done to know the age of menarche. The association between nutritional status with the mean age of menarche had been analyzed by Kruskal Wallis SPSS 17 for windows, meanwhile the association between nutritional status with episode of menarche had been analyzed by Chi Square. Result : This study shows 48 (26,8%) subjects were underweight, 96 (53,6%) subject were normal, 25 (13,9%) subject were overweight, and 10 (5,7%) subject were obese.  Twenty six subjects (14.5%) have had period of menarche when we did this study. Means of age of menarche is 10.72 (SD 0.89) years old; the youngest age of menarche is 9 years old (2 subjects, 7.7%). Chi-square test showed no association between nutritional status and episode of age of menarche (odd ratio 1.64, 95%CI 0.63-4.39). Kruskall-Wallis test revealed no association between overweight-obese girls and means of age of menarche (p =0.906,p>0.05). Conclusion : There is no association between nutritional status with the mean of age of menarche in SD Negeri 1 Kleco Surakarta’s student. Keywords: Nutritional Status - Age of Menarche 

Faktor Risiko ISPA pada Balita di Wilayah KerjaPuskesmas Sibela Surakarta

Sufianasari, Fitrian, Andarini, Ismiranti, ., Widardo

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

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Background: Acute respiratory infection (ARIs) continue to be leading cause of acute illnesses and remain the most main cause of infant and young children mortality worldwide, accounting for about two million deaths each year and ranking first among cause of disability-adjusted life-years lost in developing countries. This research aims to get information of risk factors ARIs in children under 5 years old at puskesmas Sibela Surakarta. Methods: This study was a descriptive analytical research using cross sectional approach implemented in April 2012 at puskesmas Sibela Surakarta. Total respondents were 60 people (30 case and 30 controls). Sample was taken by fixed disease sampling whereas children are taken randomly based on inclusion and exclusion criteria that are defined previously. Analysis of data was multivariate with logistic regression, using SPSS program version 17 for windows. Results: Factor proven as risk factor of ARIs were smokers family member (p = 0,047 ;OR 3,728; 95% CI 1,015 – 13,696) and infected family member  (p = 0,001; OR 12,728; 95% CI 2,912 – 55,626). Factor unproven as risk factors of ARIs were nutritional status (it could not be analyzed) and immunization status (p = 0,902; OR 1,233; 95% CI 0,044 – 34,285). Conclusions: Factor proven as risk factor of ARIs in children under 5 years were smoker family member and infected family member. Factor unproven as risk factors were nutritional and immunization status. Keywords: ARI, children, risk factor 

Hubungan antara Pekerjaan dengan Prevalensi Dugaan Mati Mendadak di RSUD Dr. Moewardi pada Januari 2006—Desember 2011

Kusumawaty, Aldila Desy

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

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Abstract

Aldila Desy Kusumawaty, G0009010, 2012, The Relation of Work with Prevalence of Suspected Sudden Death in Hospital Dr. Moewardi in January 2006—December 2011. Mini Thesis. Medical Faculty of Sebelas Maret University, Surakarta. Background: The work environment impact on person’s health behavior. The existence of an excessive work load has a negative effect on worker health. Stress can cause cardiac arrhythmias and sudden death in susceptible people, perhaps through the center that is driven by the autonomic nervous system response. The purpose of this study was to determine the incidence of sudden death associated with the work load. Methods: This is a type of case-control study. Sample of this study was the victim of sudden death and people who live near or around the house of that sudden death’s victims with total sample 88 people. The data was analyzed with Chi Square Test and multiple logistic regression analysis. Results: Found a statistically significant association between the incidence of sudden death with the work. People with heavy work will have sudden death risk about 3,46 times compared to those with light work (p= 0.046; OR= 3.46). Conclusions: Based on this study, people with heavy work will have a risk for sudden death 3,46 times greater than people with light work. Keywords: work, work load, sudden death.

Prevalensi Jenis Kelamin dan Penyebab Kematian Bayi pada Kasus Infanticide di RSUD Dr. Moewardi Januari 2006 – Desember 2011

Setyarini, Rafika Iezza

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

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Background: Nowadays, babies murder right after born or we can call it infanticide, spontanously or well-planned, has increased. The purpose of this study was to find out the prevalence of sex-related infanticide and the causes on RSUD Dr. Moewardi. Methods: This was an observational retrospective study. Sample of this study was the victim of infanticide and was chosen by purposive sampling with total sample were 24 cases. Then all variables were analyzed using Chi Square Test. Results: This study found 24 cases of infanticide, 4 cases on 2006, 5 cases on 2007, 6 cases on 2008, 5 cases on 2009, 1 case on 2010, and 3 cases on 2011. There are 17 cases of male infanticide and 7 cases of female infanticide. The causes of babies’ death were asphyxia (13 cases), Caffy Syndrome (7 cases), blunt trauma (4 cases). Chi Square Test’s result is statistically not significant (p: 0.104). Conclusions: The prevalence of male infanticide is higher than female infanticide. The most cause of babies’ death is asphyxia and there is no corelation between the sex and the death causes. Keywords: infanticide, sex-related, cause of death 

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