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Nexus Kedokteran Komunitas
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Articles 306 Documents
Pengaruh Penggunaan Kontrasepsi Depo Provera terhadap Timbulnya Melasma di Puskesmas Ngoresan Surakarta Firstiafina Tiffany; Yulia Lanti Retno Dewi; Sigit Setyawan
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: One side effect of Depo Provera Contraceptive usage is the emergence of melasma on the face. Research about the influence of Depo Provera contraceptive usage on the incidence of melasma has never existed in Ngoresan Public Health Center Surakarta. Therefore, the authors are interested to know whether a speckling of hyperpigmentation / melasma on the face can be caused due to the usage of contraceptive Depo Provera. Methods: This study used analytic observational with a retrospective cohort study approach. This study was conducted in March-April of 2013. Subjects in this study were women aged 20-40 years in Ngoresan Public Health Center Surakarta. The sampling technique used was fixed exposure sampling to the sample size of 60 people. Data collection used questionnaires and direct observations. Then, data were analyzed using the chi square test at 95% confidence level (p > 0.05). Results: Based on the calculation, obtained p value = 0.010 < limit value of significance p = 0.05 level. So H0 is rejected and H1 is accepted. Means there is a significant effect on the Depo Provera contraceptive usage on the incidence of melasma on the face at the Ngoresan Public Health Center Surakarta. Conclusions: From the research it can be concluded that the obtained statistically significant results on the effect of Depo Provera contraceptive usage on the incidence of melasma on the face at the Public Health Center Ngoresan Surakarta. The longer the usage of contraceptive Depo Provera more likely arise melasma. Keywords: Depo Provera Contraception, Melasma
Faktor Risiko ISPA pada Balita di Wilayah KerjaPuskesmas Sibela Surakarta Fitrian Sufianasari; Ismiranti Andarini; 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 Stres Psikis Menjelang UAN dan SNMPTN dengan Kejadian Fluor Albus pada Siswi SMA Peserta Bimbingan Belajar Jeanne Fransisca; Yoseph Indrayanto; Slamet Riyadi
Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The incidence number of psychological stress before UAN and SNMPTN in XII grade of high school students is quite high. This is so adverse because psychological stress itself could affect students health. For example, psychological stress could be a cause of whitish or fluor albus in female students. If this is ignored, it would be dangerous. For those reasons, this research was done to reveal the relation between psychological stress before UAN and SNMPTN to fluor albus incidence in female high school study course participants. Methods: The method of this research was analytical observation with cross sectional approach. The subject was female high school students grade XII and participants of study course in Surakarta. Author used purposive sampling as sampling technique and to gather the data author usedLie-Minnesota Multiphasic Personality Inventory (L-MMPI) questionnaires, anxiety facing UAN and SNMPTN questionnaires, DASS42 questionnaires, and fluor albus incidence questionnaires. Data were collected from 60 samples and was analyzed by Chi Square (X2) test and Coefficient Continquency (CC. Results: From this research, author obtained X2 score value(5,406) is bigger than X2 tablevalue (3,841) with signification rate (?) = 0,05 and independence degree (df) = 1. As for the p value obtained (0,02) is smaller than the significance level which is already defined previously (0,05). Those were shown that H0 was rejected. Data analysis was continue to Coefisien Continquency (CC) test which then obtained the value of CC = 0,287. It means that the relation is weak. Conclusion: There was a weak relation statistically between psychological stress before national examination (UAN) and national university entrance examination (SNMPTN) to fluor albus incidence in female high school study course participants. Keywords: Psychological Stress, UAN, SNMPTN, Fluor Albus
Hubungan Indeks Massa Tubuh (IMT) Dengan Usia Terjadinya Menarche Pada Siswi Sekolah Dasar Ngoresan Surakarta Amallia Ardana Reswari; Rosalia Sri Hidayati; Arif Suryawan
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Menarche or first menstruation is one of the many manifestations of puberty and early adolescence marks in girls. Variety of menarche age is influenced by various factors, one of which is body weight. In this study, body weight was measured using parameters Body Mass Index (BMI). The purpose of this study was to determine the relationship of IMT with the age of menarche. Methods: This study was an observational analytic with cross sectional study approach. The sampling technique used was purposive sampling. Sampel was as many as 43 students. The research was conducted in April 2012 in Ngoresan Elementary, Surakarta. Data were obtained by questionnaire and direct measurement of the weight and height. The statistical analysis used was chi-square. Results: Chi-square analysis results obtained p = 0.001 (p <0.05). From the results of this analysis showed a significant association Conclusions: Based on this study it can be concluded that there is a positive relationship between BMI and age of menarche. Keywords: Menarche, body mass index.
Hubungan Usia Menarche dengan Depresi pada Remaja Annisa Pertiwi; Yulidar Hafidh; Nur Hafidha Hikmayani
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Menarcheisone of the puberty signsin women.The timing of menarche had shifted towards earlier onset and the number ofyoung adolescent girlswho experiencedmenarcheearlier thantheir peers is increasing. Early menarche hadresulted in the acceleration of physical changes, but these are not always followed by emotional and psychological maturity, thereby causinga variety ofpsychologicalproblemssuch asdepression. This studyaimed to examinethe associationbetweenearlymenarcheand depression inadolescentgirls whileadjusting forother confounding variables(body massindex, economic status, andbirth order). Methods:This was ananalyticalobservationalstudy with cross-sectional approach. SubjectswereYear 8students atSMPNegeri 4 Surakarta. All subjects who met inclusion criteria were assessedfordepressionsymptoms using the Beck Depression Inventoryquestionnaire.Data on age at menarche, heightand weight,monthlyincome ofbothparents, andbirth order were collected.Data wereanalyzed by multivariatelogisticregression. Results: Of 111 participating subjects, 63,1% had experienced early menarche and 53,7% of whom had depression symptoms. In multivariate analysis, ageat menarchewas not statistically significantly associated with depression (OR=1.66;95% CI=0.7163.863;p=0.237)after adjusting for body mass index and birth order. Conclusions:There was nosignificant associationbetweentiming ofmenarcheand depression inyoung adolescent girls after adjusting forbody mass index and birth order. Keywords:earlymenarche, depression, adolescent girls.
Hubungan antara Tingkat Pendidikan Orangtua dengan Pengetahuan tentang Pelecehan Seksual pada Anak Remaja di Surakarta Pritha Fajar Abrianti; Diffah Hanim; . Suparman
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The incidence of sexual abuse in Indonesia increases every year. However, most cases of sexual abuse are often not revealed due to lack of knowledge. Based on the theory, education was one of the factors that affect knowledge of people or families. The aim of this study was to analyze association between parents education levels with knowledge about sexual abuse on adolescent. Methods: This study was an observational study with cross sectional design. This study used 76 samples of 7th grade students parents from two public junior high schools in Surakarta which was taken by cluster sampling. The level of parents education and knowledge were collected through a questionnaire. The association between parents education levels with knowledge was analyzed by Spearman Rho correlation test. Results: The number of 76 respondents, 11 respondents (14.5%) had low education level, 55 respondents (72.3%) had moderate education level, and 10 respondents (13.2%) had high education level. The distribution of respondents knowledge was 66 respondents (86.85%) had good knowledge, 9 respondents (11.85%) had sufficient knowledge, and 1 respondent (1.3%) had less knowledge. Spearman Rho analysis of test results obtained by the value of rs = 0.514 (p = 0.000) which meant that there were 51.4% parents education level have positive correlation with knowledge about sexual abuse on adolescent and 48.6% knowledge about sexual abuse on adolescent was influencedby another factors. This value indicated that there was moderate association between education levels with knowledge about sexual abuse on adolescent. Conclusion: The association between parents education level with knowledge about sexual abuse on adolescent in Surakarta was significant (p = 0.000, rs = 0.514). Keywords:Education level, Knowledge, Sexual abuse