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Hubungan antara Kecerdasan Emosi dengan Kecemasan dalam Menghadapi Ujian Nasional 2012 pada Siswa SMA Atika Puspita Hapsari; Mardiatmi Susilohati; Ruben Dharmawan
Nexus Pendidikan Kedokteran dan Kesehatan Vol 2, No 1 (2013): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Anxiety can be experienced by students, especially during preparation for the national examination. Brain performance in learning among students with high anxiety will more likely to degrade. Anxiety can further cause emotion disturbance, sleeping interference, appetite and physical fitness decrease, hence increasing the possibility of failing the final exam. These problems can be anticipated by early identification, regulation, and management of the emotion disturbance. This study aimed to determine the relationship between emotional quotient with anxiety among high school students preparing the national examination. Methods: This was a cross-sectional study using descriptive and analytical approach. The study was conducted at SMA Negeri 1 Tanjung, Brebes, and purposively sampled 12th grade students in 2011/2012 school year. EQ scores were measured using EQ scale, while anxiety scores were measured using TMAS scale. Data were processed using SPSS 17.0 for Windows. Results: Of 287 eligible samples, only 51 students met the inclusion criteria. Analysis from Pearsons product moment correlation showed an r value of -0,681 (p< 0.001). Conclusions: There was a negative relationship between emotional quotient with anxiety among students of SMA Negeri 1 Tanjung, Brebes preparing the 2012 national examination. Keywords: Emotional Quotient, Anxiety, High School National Examination

Hubungan Kecanduan Online Game dengan Depresi pada Remaja Laki-laki Pengunjung Game Centre di Kelurahan Jebres Sofi Ariani; Djoko Suwito; Ruben Dharmawan
Nexus Pendidikan Kedokteran dan Kesehatan Vol 1, No 1 (2012): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The number of adolescent boys spending their time in the game center is growing considerably. Previous research revealed that online gaming addiction affected the physical and mental health. This study aims to seek the relationship between online game addiction and depression. Methods: This was a descriptive analytical research with a cross sectional approach. boys were sampled using purposive sampling method, based on inclusion and exclusion criteria. Depression was measured using BDI depression scale, while online game addiction was determined using Youngs questionnaire and Family Intimacy Instrument (CCI). Multiple logistic regression was used to analyse the relationship between online game addiction, depression and family intimacy using SPSS 17.0 for Windows. Results: The results indicated a positive relationship between online game addiction and depression among adolescent boys in Jebres village. Teenagers with online game addiction had 1.61 times greater the risk for depression than adolescent boys without online game addiction, although not statistically significant (OR=1.61; 95% CI=0.30 to 8.69) p=0.581). Result from analysis on family intimacy variable also showed non significant relationship with depression. Adolescent boys with low family intimacy had lower risk for depression (OR=0.44). However, online game addiction showed a greater relationship with depression than low family intimacy. Conclusions: There was a positive relationship between online game addiction and depression among adolescent boys in Jebres village although not statistically significant. The higher the level of addiction to online games, the higher the risk for depression. Keywords: Adolescent, Online game addiction, Depression, Family intimacy.

Hubungan antara Kecemasan dengan Masa Menopause pada Wanita Kharisma Setya Harnani; Yoseph Indrayanto; Ruben Dharmawan
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Menopause is the transition of the reproductive period to the nonreproductive period which happens in women due to the decreased levels of the esterogen and progesterone hormones. There are several symptoms during the menopause period such as physical symptoms, somatic disorders, sexual disorders, and physical disorders. This research aims to describe the relation between anxiety and menopause in women. Methodology : This research is observational analytic research with cross sectional approach. This research was conducted in Posyandu Lansia Dahlia RW XIX Nusukan, Posyandu Lansia RW XIV Nusukan, and Posyandu Lansia Pucangsawit. The samples of this research are the women who had no menstrual period for 1-2 years, women ? 40 years old which are not in menopause period yet (control), women with unpathological menopause, L-MMPI scores with NO answers < 10, and the women who are able to be the respondents to fill in and accept the informed consent. This research employs the purposive random sampling technique in which samples are selected based on the characteristics of the research inclusion and exclusion. The dependent variable in this research is menopause and the independent variable is anxiety. The subject of the research filled (1) the curriculum vitae and informed consent, (2) L-MMPI questionnaire to checked the respondents truthfulness in filling the questionnaire, (3) TMAS questionnaire to found out the anxiety scores. The data which were obtained are 60 respondents, then the data were analyzed using Chi Square (x2) then Coeficient Contingency (C). Result : Based on the data analysis, p = 0.01 was obtained from ? = 0.05 which means p < 0.05 and the relation is 0.317. Conclusion : Statistically, there is significant relation with weak correlation between anxiety and menopause period in women. Keywords : Menopause, Anxiety

Pengaruh Ekspresi Emosi Keluarga terhadap Frekuensi Kekambuhan Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta Irene Yunita Prihandini; Aris Sudiyanto; Ruben Dharmawan
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 patient's family that accompany the patient in the Rumah Sakit Jiwa Daerah Surakarta (2) Schizophrenia patient's 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 isn't 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 patient's 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 kecanduan online game dengan kecemasan pada remaja pengunjung game centre di Kelurahan Jebres Surakarta Asri Sukawati Putri; Djoko Suwito; Ruben Dharmawan
Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background : Perfection graphics technologies in online gaming becomes allure for players, especially for adolescents. Some previous studies have claimed that online gaming addiction can affect the physical and psychological players, one of which may cause anxiety. This study aims to prove the relationship between addiction to online games with anxiety. Methods: This is a descriptive analysis research with a cross sectional approach. Subjects were adolescents game centre visitor in the Jebres Village . The samples are adolescents of the age 12-21 years old. Samples were taken purposively sampling. Data collection techniques using the TMAS anxiety scale, the scale of online gaming addiction questionnaires and Family Intimacy Instrument. Data scores online gaming addiction, anxiety and family intimacy were analyzed with multiple logistic regression analysis model. Result : This research obtained 35 young males. The results of multiple logistic regression analysis showed that there is a positive relationship between online game addiction and anxiety in adolescents in the Village Jebres. Adolescents with online gaming addiction have a risk 2.86 times greater for anxiety than adolescents without online gaming addiction p = 0.212. (OR: 2.86 CI 95% 0.55 s / d 14.91). The results of this analysis also showed an association between family intimacy and anxiety. Adolescents with low family intimacy had 0.51 times the risk for anxiety with p = 0.440 (OR = 0.51). However, online gaming addiction pose a greater risk of experience anxiety than the risks posed by families with low intimacy. Conclusion : There is relationship between online game addiction and anxiety. The higher the level of adolescent addiction to online games, the higher the risk for anxiety. Keywords : adolescent, online game addiction, anxiety, family intimacy

Pengaruh Ekstrak Daun Lamtoro (Leucaena leucocephala) terhadap Waktu Kematian Cacing Ascaris suum, Goeze In Vitro Mira Rizki Ramadhan; Ruben Dharmawan; Yusuf Ari Mashuri
Nexus Biomedika Vol 3, No 3 (2014): Nexus Biomedika
Publisher : Nexus Biomedika

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Background. Nematodes infection particularly, Ascaris lumbricoides is cronic infection that make serious health problems. Leucaena leaf (Leucaena lecocephala) contain leucanin, leucanon, mimosin and tannin that have been known to have athelmintic effect. This study aimed to determine the effect of Leucaena. Leucaena leaf (Leucocaena leucocephala) extract towards death time of Ascaris suum, Goeze In Vitro.. Methods. This study was a laboratory experimental research using the post-test only controlled group design. The subject were adult worms that have length between 10 -20 cm. The sampling technique was used in purposive sampling. The subject was divides into 6 groups, each group consist of 4 worms, replication performed 4 times. Pirantel Pamoat 5mg/ml was used in Positive Control Group (KKP) and NaCl 0,9% was used in Negative Control Group (KKN). While the handling group was given by leucaena leaf extract in various concentration. 5% b/v was given by first handling group (KP1), 10% b/v was given for KP2, 20% b/v was given for KP3, and 30% b/v was given for KP4. Worms immersed every 60 minutes and counted the number of time. Data were analyzed with regression liner and probit analys. Results. The fastest of death time that given by leucaena leaf is KP4 in the amount of 375 minutest, followed by KP3, KP2 dan KP1. While the death time of KKP aproximately at 60 minutes dan 3360 minutes on KKN. The result of Pearson correlation test show close relationship between variation of the concentration and the time of death worms with a correlation coefficient 0,778 marked negative. The result of regression liner show significant p < 0.000, r square .605 with regression equation is Y = 2704 503,464 X. The result of probit analys LC50 in the amount of 10,355%, LT50 is counted at 411,178 minutes LT99 is counted at 571,621 minutes. While 37,055 minutes is counted for Pirantel Pamoat. Conclution. Based on this study, in can be concluded that the Leucaena leucocephala leaf extract affect mortality of Ascaris suum in Vitro. The increasing of extract concentration in inversely propotional with the death time of worms. Keywords : Leucaena Leaf extract, death time, anthelmintic

Pengaruh Ekstrak Bengkuang (Pachyrhizus erosus) terhadap Kadar Kolesterol Total Darah Tikus Putih (Rattus norvegicus) yang Diberi Diet Tinggi Lemak Atma Sanggani Tunikasari; . Suhanantyo; Ruben Dharmawan
Nexus Biomedika Vol 3, No 1 (2014): Nexus Biomedika
Publisher : Nexus Biomedika

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Background : Cardiovascular disease is the leading cause of disability and death in the world. High levels of blood cholesterol becoming a risk factor in atherosclerosis is the leading cause of cardiovascular disease. Yam Bean contains flavonoids, isoflavones, phenols, and saponins which have an effect of antihyperlipidemia. This study aimed to determine the effect of Yam Bean (Pachyrhizus erosus) extract on blood total cholesterol level of rats (Rattus norvegicus) with a high fat diet. Methods : This research was an experimental laboratoric research using the post test only with control group design. The research subject were 30 male white rats, Sprague Dawley strain, 2 months old, and their weights were about 130-240 gram. The subjects were arranged into 6 groups. The whole groups were adapted for 7 days. All groups except normal control, were administered high fat diet 2 ml/200 gram BW/day for 21 days. The positive control group was administered 0.18 mg/200 g BW/day of simvastatin and the negative control group was administered 2.00 ml/200 g BW/day of distilled water. While the first, second and third treatment groups were consecutively administered 70 mg, 140mg and 210 mg/200 g BW/day of Yam Bean extracts. On the 22nd day, the blood samples of the subjects were taken from pre-orbital plexus for measurement of cholesterol levels. Then, the data were analyzed using One-way ANOVA test and Least Significance Difference test (LSD). Results : The One-way ANOVA test showed a significant difference in blood total cholesterol level among six groups (p = 0.001). Post Hoc Test showed a significant difference among two groups, except the third treatment group which had the same result and the normal control groups (p = 0.335). Conclusion : Yam Bean (Pachyrhizus erosus) extract had effect to decrease the blood total cholesterol levels of rats. Keywords : Yam Bean (Pachyrhizus erosus) extract, total cholesterol levels, white rats.

The Protection Effect of Mango (Mangifera indica L.) Fruit Juice on Renal Histological Structure of Mice Induced Paracetamol Wahyu Wirawan; Muthmainah .; Ruben Dharmawan
Nexus Kedokteran Translasional Vol 2, No 2 (2013): Nexus Kedokteran Translasional
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Mangifera indica L. fruit contains vitamin C, vitamin E and ?-carotene which are thought to protect the ren from free radicals. In present study, Mangifera indica L. fruit is evaluated for its protection effect on paracetamol induced renal cell damage in mice. Methods: To evaluate the nefroprotective effect of Mangifera indica L. fruit juice, 28 male Swiss webster mice were equally divided into four groups. Mice in group I (KKn) were given aquadest and group II (KKp) received paracetamol for 3 days. Group III-IV (KP1 and KP2) not only received paracetamol, but also received multilevel doses of Mangifera indica L. fruit juice for 14 days. Mice were sacrificed on the 15th day and histological preparation was made to evaluate histological damage in ren. Renal histological structures were assessed by counting the number of renal cells on proximal tubule undergoing pyknosis, karyorhexis, and karyolysis. Data were analyzed using the One Way ANOVA test (? = 0.05) and the Post Hoc Multiple Comparisons (LSD) test (? = 0.05). Results: The mean renal cell histological damage score in KKp group : 36.43 1.66, KKn group : 6.5 1.34, KP1 group : 14.86 1.56, KP2 group : 8.5 2.13. The results of One Way ANOVA test showed significant difference between the four groups (p=0.000) and the results of LSD test showed significant differences between each other group (p<0.005). Conclusions: Mango fruit juice can decrease the damage of renal histological structure in mice induced by paracetamol, and increasing the dose of mango fruit juice can increase its protection effect on histological structure of renal cell therefore it cant give the same histological structure as in control group. Keywords: Mangifera indica L. fruit juice, paracetamol, renal cell histological damage.

The Relationship between Health Service Quality and Satisfaction Level of JKN SJSN (Public Health Security) Patient in UPTD Puskesmas Nusukan of Surakarta City Hanni Wardhani; Bhisma Murti; Ruben Dharmawan
Nexus Kedokteran Komunitas Vol 4, No 2 (2015): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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JKN SJSN (Public Health Security) patient as the customers who use health care service in Puskesmas need a high-quality health service to cure the diseases they suffer from. Furthermore, to generate satisfaction with the health service they receive from the personnel of Puskesmas. As we know, Puskesmas is one form of comprehensive health service organizations encompassing health promotion, prevention, curing and recovery aspects for all people so that the society will get a high-quality and affordable health service. This study aimed to analyze the relationship between health service quality and the satisfaction level of JKN SJSN patients in UPTD Puskesmas Nusukan of Surakarta City. This study was an analytical observational research with cross-sectional approach. Fourty subjects of research selected using simple random sampling technique were the participants of JKN SJSN who had had them examined in UPTD Puskesmas Nusukan of Surakarta City and met the inclusion criteria. The data collection was carried out through questionnaire with the direction of the researchers. The data of research was analyzed using Chi Square test and processed using Statistical Product and Service Solution (SPSS) 21.00 for Windows. This study showed that the Quality of Health Service was related significantly to the Satisfaction Level of JKN SJSN Patient. There was a statistically significant relationship between Health Service Quality and the Satisfaction Level of JKN SJSN patients with OR = 20,8; CI 95% = 2,35184,40; p<0,001.

Hubungan Ibu Hamil Perokok Pasif dengan Kejadian Ketuban Pecah Dini Icha Dithyana; . Soetrisno; Ruben Dharmawan
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Premature Rupture of Membranes (PROM) is most important issues commonly encountered. Premature rupture of membranes can cause some complications for both mother and fetus and may increase maternal morbidity and mortality. The prevalence of smoking in Indonesia increase every year and 85.4% current smokers smoke in the home where their family members live with them, thus threatening the health and safety of the environment. This research aimed to analyze the correlation between pregnant passive smoker and premature rupture of membrane. Methode : This research is observational analytic research using case control approach. Total of 60 samples were selected with a fixed - disease sampling, are all expectant mothers and maternity patients at the RSUD Dr. Moewardi. Data were collected by interview and medical record. The data which is got then analyzed by the program Statistic Products and Service Solution (SPSS) for Windows Release 17.0 with the use of statistic test Chi Square. Result: There is a significant correlation between pregnant passive smoker and premature rupture of membrane where the results obtained by using statistical test Chi Square is p = 0.02 and OR= 3.5. Conclusion: Pregnant passive smoker is 3.5 times more risky for experiencing premature rupture of membrane than non-passive smoker. Keywords: Pregnant passive smoker, Premature Rupture of Membrane (PROM)

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