Nexus Kedokteran Klinik
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Hubungan Jenis Kelamin dengan Kejadian Demensia Vaskuler pada Pasien Pasca Stroke di RSUD Dr Moewardi Surakarta

Katrin Evasari, Gloria ( Faculty of Medicine, Sebelas Maret University ) , Hartanto, Oemar Sri ( Faculty of Medicine, Sebelas Maret University ) , Murti, Bhisma ( Faculty of Medicine, Sebelas Maret University )

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

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Abstract

Background: Stroke is a cerebrovascular disease which until now is rated third causing death in the world. Stroke can cause physical disability to psychosocial disfunction, such as cognitive decline. One of cognitive decline that caused by stroke is dementia. This study aimed to analyze the relationship between gender and vascular dementia incident among post stroke patients. Methods: This analytic study was observational with cross-sectional approach. A sample of 40 study subjects was selected by fixed-exposure sampling from outpatients with post-stroke visiting the Neurology Clinics, RSUD Dr. Moewardi Surakarta. They were grouped into two, male and female. The data was analyszed using multiple logistic regression model on SPSS version 17 for Windows. Results: Female patients had 1/100 times as many level of adherence to post-stroke vascular dementia than male patients (OR = 0.01; 95%CI 0.001 to 0.25; p = 0.004). This estimate has controlled for the effects of confounding variables such as age and level of education. Conclusions: There is a statistically significant relationship between gender to vascular dementia on post-stroke patients. This conclusion is drawn after controlling for the effects of confounding factors such as age and level of education. Keywords: gender, vascular dementia, stroke

Pengaruh Kecemasan terhadap Peningkatan Kadar Gula Darah Sewaktu Pasien Diabetes Melitus Tipe II RS. Dr. Moewardi

Nina Widyarini, Yosephine ( Faculty of Medicine, Sebelas Maret University ) , Nugroho, I. G. B. Indro ( Faculty of Medicine, Sebelas Maret University ) , Hidayati, H, Rosalia Sri ( Faculty of Medicine, Sebelas Maret University )

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

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Background: Diabetes Mellitus is caused by increasing of blood glucose levels due to lack of insulin hormone both absolute and relative. High blood glucose levels in patient with Diabetes Mellitus can caused by 5 factors such as enzym, hormone, gastrointestinal system, anxiety, and carbohydrate intake. Patient with high tension is estimated to have a worse prognosis than patient without any tension. This research aims to know how significant the effect of tension to increasing of blood glucose levels. Method: This study was a descriptive analytical research using cross sectional approach implemented in March 2012 at internal medicine clinic of RS. Dr. Moewardi Surakarta. The sample was taken using purposive sampling and random sampling after being selected based on the inclusion and exclusion criteria. The subject filled in (1) curriculum vitae form, (2) L-MMPI questionnaire to find out the respondent’s truthfulness in filling in questionnaire, (3) Zung questionnaire to find out the anxiety score and checking for blood glucose. 60 subject of research were obtained as the data and analyzed using Independent Sample t-test and linear regression analysis test through SPSS 17.00 for windows program. Result: Significance values that indicated on independent sample t-test is 0.00, it can be concluded that the data are significantly different. Linear regression analysis test obtained the equation that Y=a+Bx = 49.89 + 3.09 X, which indicates if there is an increased level of anxiety, then the blood glucose levels will rise as much as 49.89 + 3.09 X unit. Conclusion: Blood glucose level in patient Diabetes Mellitus Type II with anxiety is higher than patient without anxiety and the effect of anxiety to increasing blood glucose levels is still weak. Keywords : Diabetes Mellitus Type II, Blood Glucose Level, Anxiety

Hubungan antara Penerimaan Diri dan Depresi pada Remaja Tunarungu

Dini Azika, Putri ( Faculty of Medicine, Sebelas Maret University ) , ,, Machmuroch ( Faculty of Medicine, Sebelas Maret University ) , Sri Hidayati, Rosalia ( Faculty of Medicine, Sebelas Maret University )

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

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Background: Adolescence is the periode of searching for identity and identity confusion. Adolescent who suffer from hearing impairment often experience berriers in the tasks of development. Low self-acceptance potentially led to depression in adolescent with physical disabilities, including hearing impairment. This study aims to determine the correlation between self-acceptance and depression in hearing impairment adolescent.   Methods: This study was a descriptive analytical research using cross sectional approach implemented in March 2012 in the Public Special School of Surakarta, YRTRW School for the Deaf of Surakarta, and Gerkatin Solo Secretariat. The sample was taken using purposive sampling then 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 and it did not fill in the questionnaire completely. The subject filled in (1) curriculum vitae form, (2) L-MMPI questionnaire to find out the respondent’s truthfulness in filling in questionnaire, (3) Berger’s Self-acceptance Scale questionnaire to find out the self-acceptance score (4) Beck’s Depression Inventory to find out the depression score. Data obtained by 31 subjects and analyzed using Pearson Product Moment correlation through SPSS 17.00 for windows program.   Results: This research showed the Pearson correlation value r = -0,688, while p was p = 0,000 or p < 0,05, which means there is a significant negative correlation between self-acceptance and depression in hearing impairment adolescent with a strong correlation. Conclusions: There is a strong negative correlation between self-acceptance and depression in hearing impairment adolescent. Keywords: Self-acceptance, Depression, Adolescent, Hearing Impairment

Hubungan Kadar Glukosa Darah dengan Skor Fungsi Kognitif pada Pasien Stroke Iskemik di RSUD Dr. Moewardi Surakarta

Goretti Novianty Hutauruk, Maria, Sri Hartanto, Oemar, Murti, Bhisma, Soedomo, Agus

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

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Abstract

Objective: The aim of the study is to determain the relation between blood glucose level and cognitive function score in stroke ischemic patient at RSUD Dr. Moewardi. Background: . An ischemic stroke is death of an area of brain tissue (cerebral infarction) resulting from an inadequate supply of blood and oxygen to the brain due to blockage of an artery. Cognitive impairments that may be experienced after the occurrence of strokeinclude difficulty concentrating for the amount of time, organization, forgetfulnessand being easily confused. The state of hyperglycemia is common in the acute phase of stroke caused by stress and an increase in serum catecholamines. This study aimed to proof that their blood glucose levels rise will increase infarct size, decreased cognitive function and clinical output effects are worse, especially in non-hemorrhagic stroke Methods: This analytic study was analytic observational with cross-sectional approach. A sample of 50 study subjects was selected by random sampling from outpatients with stroke ischemic visiting the Neurology Clinics, RSUD Dr. Moewardi Surakarta. The data were collected by interview using a set of questionnaire. The data was analyszed using multiple linear regression model on SPSS version 17 for Windows. Results: There is a negative significant association between blood glucose level and Patients stroke ischemic with blood glucose level ≥145mg/dL has MMSE score 5,39 point lower than blood glucose level <145mg/dL ( b= -5,39 ; CI 95% -6,98 sampai -3,81; p<0,001). This estimate has controlled for the effects of confounding variables such as level of education and age. Conclusion: There is a statistically significant association between blood glucose level and cognitive function score in stroke ischemic patient. This conclusion is drawn after controlling for the effects of confounding factors such as level of education and age.   Keywords: Stroke ischemic,blood glucose level, cognitive functional score.

The Difference of Airway Irritative Effect of Halotane and Isoflurane as Inhalational Anestethic

Setyawan, Whendi, Judin, Marthunus, Murti, Bhisma

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

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Abstract

Background:Isoflurane and halothane have been used broadly. Airway irritation is one of the side effect from both isoflurane and halothane and have fairly important clinical implication in the provision of both anestethic agent. Methods:The Research is observational analitic research. The population of the research was the patient completed surgery with general anesteshia in IBS(InstalasiBedahSentral) RSUD dr. Moewardi, Surakarta and was transferred to the ward. The data of odynophagia and the incidence of chough were analyzed using Chi Square method. Results:This quote sampling research uses 30 samples divided into two groups, 15 peoples get Isoflurane as their anestethic agent, the other 15 get Halothane. The results of all samples obtained from both groups experienced a sense of hoarseness in the throat. Data incidence of odynophagia obtained that 15 patients of isoflurane experienced odynophagia and 7 patients found in the halothane. Data incidence of chough obtained that 7 patients of isoflurane experienced chough and none of the halothane patient experienced chough. Analitical result on the incidence of odynophagia obtained that patients given isoflurane are at risk for odynophagia 35.13 times greater than halothane, and the increased risk was statistically significant (OR: 35.13, 95% CI 1.78 to 693.30, p = 0.002) and the results cough incidence analysis, found patients given isoflurane are at risk for experiencing cough 27.35 times greater than halothane, and the increased risk was statistically significant (OR: 27.35, 95% CI 1:36 to 539.7, p = 0.004). Conclusions:The conclusions of this study isisoflurane has the effect of irritating the respiratory tract is greater than halothane as inhaled anesthetic. Isoflurane itself can still be used in elective surgery such as halothane when accompanied by adequate premedication Keywords:Isoflurane-Halothane-Iritation-Airway. 

Hubungan Perokok Pasif dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi

Amar, Syahmi, Sunaryo, Rustam, Murti, Bhisma

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

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Background: Incidence of cervical cancer each year has increased and the risk of death from cervical cancer is also increased. Cigarette smoke is one of the risk factors associated with cervical cancer which contains chemicals such as nicotine and benzopiren. The content of these chemicals may increase the risk of cervical cancer by various mechanisms. The purpose of this study was to determine the incidence rate of cervical cancer associated with exposure to passive smokers is connected. Methods: This type of research is an case-control. Sample of this study were gynecologic cancer patients with a total sample of 60 people. Measuring instrument used was a validated questionnaire, and performed data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between passive smoking with the incidence of cervical cancer. Passive smokers will have 11,5 ​​times the cervical cancer than non-passive smokers (p=0,001, OR = 11,5). Conclusion: Based on studies of passive smoking women would run the risk of cervical cancer will have 11,5 times higher than non-passive smokers. Key words: passive smoker, cervical cancer 

Hubungan Indeks Massa Tubuh Overweight dengan Gambaran Fatty Liver pada USG Abdomen di RSUD dr. Moewardi

Dewi, Charismatika Syintia

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

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Background: Overweight increasing in the world is one result of the modernization of lifestyles, the increasing caloric intake and limited physical activity. Overweight is more realized to become of a persons risk for metabolism chronic disease. Fatty liver is increasingly recognized condition that also develop into chronic liver disease. This study aims to examine the relationship between overweight body mass index and fatty liver picture on USG Abdomen in RSUD dr. Moewardi. The study is expected to assist in diagnosis and treatment is more adequate and the prevention of fatty liver early on. Methods: This research is an analytical observational research with cross-sectional approach. Subjects were patients undergoing abdominal ultrasound Radiology Installation in RSUD dr. Moewardi in June 2012. Sampling was done after a fixed exposure sampling were selected based on inclusion and exclusion criteria of the sample. The obtained data were as many as 40 samples, taken immediately to see the results of focused abdominal ultrasound examination of heart and with a body mass index calculation derived from measurements of height and weight. Then samples were analyzed by Chi Square test and Odds Ratio test using the Statistical Product and Service Solution (SPSS ) 17.0 for Windows. Result: The data link overweight with a body mass index picture of fatty liver on abdominal ultrasound in RSUD dr. Moewardi was tested by Chi Square test bivariate analysis, obtained p = 0,011. Odds Ratio test was then performed to determine the strength of a causal relationship with OR = 5,571. Conclusion: There is a significant association between overweight body mass index with images of fatty liver on abdominal ultrasound (p = 0,011), where an overweight have a risk for developing fatty liver 5,571 times that of a normoweight or underweight. Keywords: fatty liver, body mass index, overweight, ultrasound 

Pengaruh Ekspresi Emosi Keluarga terhadap Frekuensi Kekambuhan Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta

Prihandini, Irene Yunita, Sudiyanto, Aris, Dharmawan, Ruben

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

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Background: Schizophrenia is a severe disease, with basic personality disorder, distortion the proccess of thought, sometimes have the feeling that he/she was being controlled by external powers, peculiar delusions, disturbing perception, and an affect which does not correspond to the actual situation. In Schizophrenia patients, there are degradation in the field of employment, socialization, and self-care function. Thus, the patient requires caregiver who could take care of him/her, especially when the disease is relapse. Methods: This research is analitical observational by its character with the case control study approach that held between June up to July 2012 in Rumah Sakit Jiwa Daerah Surakarta. It used purposive sampling by divide it into two inclusion criterisa, the caregiver inclusion criteria were (1) Schizophrenia patients family that accompany the patient in the Rumah Sakit Jiwa Daerah Surakarta (2) Schizophrenia patients family that live in the same house with the patient (3) Patient that currently 20-60 years old (4) Voluntarily become respondent in this research and have agreed the informed consent sheet, whereas the inclusion criteria for the schizophrenia patients was (1) relapse patient (2) no reccurrence patient. The sample fulfill (1) identity & informed consent sheet (2) emotion expression quesioner. There are 60 sample and analyzed by pearson test and paired sampel t-test with SPSS 17.0 program for windows. Results: According to the result, we have known that the significance level is 0.004 so (which is 0.004<0.01/0.05) the decision is to accept the hypothesis which was stated that there is a significant connection between the emotion expression with the frequency of recurrence Schizophrenia patients in Rumah Sakit Jiwa Daerah Surakarta. The average difference between the groups of high emotional expression and low emotional expression, t arithmetic (3.826 > t table 1.76) so that H0 could be rejected. Therefore, there is also significant difference in recurrence between the groups of high emotional expression and the low emotional expression. While r calculation in this research is 0.058, so the alternative hypothesis (Ha) which was stated that there is significant positive connection between the Emotional Expression (EE) with the frequency of reccurrence Schizophrenia Patients in Rumah Sakit Jiwa Daerah Surakarta is accepted. Thus, naught hypothesis (Ho) which was stated that there isnt significant positive between the family emotional expression (EE) and the frequency of recurrence is rejected. The direction of both variables is positive, that is if Schizophrenia patients family emotional expression is high then the frequency of recurrence must be high too, vice versa. Conclusions: The higher family emotional expression (EE) then the frequency of recurrence is must be higher too, vice versa.   Key words: Emotional Expression, Frequency of Recurrence 

Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi

Nugraha, Dwi Adhi, Yuliadi, Istar, Hartanto, Rifai

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

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Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis 

Perbedaan Tingkat Kecemasan antara Siswa RSBI (Rintisan Sekolah Bertaraf Internasional) dan Akselerasi di SMA NEGERI 1 SURAKARTA

Putri, Della Kusumaning, Fanani, Muhammad, Murti, Bhisma

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

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Background: The anxiety at the students approaching teenagers age is the manifestation of the transition of emotional, morality, and relationship in family. A study was performed to the division of acceleration and RSBI classes in SMA Negeri 1 Surakarta creates the Difference of Anxiety Level between them because there is a psychological pressure constituting the high achievement demand. Methods: This was an analytic observational research with cross sectional approach. The subjects were the students of SMA Negeri 1 Surakarta. The sampling technique was using purposive sampling. The research data obtained by two different questionaire, the L-MMPI questionnaire, and Taylor Manifest of Anxiety Scale questionnaire (T-MAS). This study analysed statistically with Chi Square  test. Results: 58 samples were consisted of 26 acceleration’s students and 32 RSBI’s students. Based on analyzed data, there were differences of anxiety level at the students of acceleration and RSBI (Rintisan Sekolah Bertaraf Internasional) programs in SMA Negeri 1 Surakarta (p=0.036;OR 0.30). Conclusions: The differences of anxiety level were statistically significant between acceleration’s students and RSBI’s students (p=0.036). Anxiety level for students in acceleration was 0.3 times higher than the students in RSBI program. Keywords: anxiety, acceleration, RSBI. 

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