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HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN KUNJUNGAN BEROBAT DAN KADAR GLUKOSA DARAH PUASA PENDERITA DIABETES MELITUS TIPE 2 DI PUSKESMAS KENDAL 1 Edwin Rheza Nugroho; Ika Vamilia Warlisti; Saekhol Bakri
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 4 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.016 KB) | DOI: 10.14710/dmj.v7i4.22266

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Latar Belakang: Penanganan terapi diabetes melitus dilakukan seumur hidup sehingga membutuhkan kepatuhan kunjungan berobat dan kadar glukosa darah puasa yang baik. Penelitian ini bertujuan mengidentifikasi hubungan antara dukungan keluarga dengan kepatuhan kunjungan berobat dan kadar glukosa darah puasa penderita diabetes melitus tipe 2 di Puskesmas Kendal 1.Metode: Desain penelitian ini adalah analtik cross sectional dengan jumlah sampel 58 pasien DM tipe 2. Analisa data menggunakan chi square dan fisher’s exact.Hasil: Hasil penelitian didapatkan tidak ada pengaruh hubungan antara dukungan keluarga dengan kepatuhan menjalankan pengobatan (p>0,05) dan ada pengaruh hubungan antara dukungan keluarga dengan kadar glukosa darah puasa (p<0,05).Simpulan: Dapat disimpulkan terdapat pengaruh hubungan antara dukungan keluarga dengan kadar glukosa darah puasa.Kata kunci: Dukungan Keluarga, Kepatuhan Kunjungan Berobat, Kadar Glukosa Darah Puasa
The Effects of Zinc Supplementation on Immune Response of Obese Children With Family History of Atopy W Wistiani; Dewi Ratih; M Mulyono; Saekhol Bakri
Journal of Biomedicine and Translational Research Vol 4, No 2 (2018): December 2018
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (12.889 KB) | DOI: 10.14710/jbtr.v4i2.3520

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Introduction: Obesity is associated with low-grade chronic inflammation and disbalance between cytokine production of T helper1 and T helper2 cells.  Zinc plays role in balancing immune response, has anti-oxidant and anti-inflammation activities; its deficiency also common in obesity.  The role of zinc supplementation in children with obesity with risk of atopy needs to be elucidated.Materials and Method: We performed randomized controlled trial double-blind to investigate the effect of daily 15 mg zinc supplementation for 6 weeks in children aged 13 to 14 years old with obese who has family history of atopy.  Subjects were divided into group of zinc supplementation and placebo, recruited from junior high schools from Semarang municipality, performed during periods from January to December 2013.  Plasma zinc concentration, leptin, immunoglobulin-E (Ig-E), interferon-γ (IFN-γ), interleukin-4 (IL-4) were measured, also body weight, height and ISAAC questionnaire to recruit subjects with family history of atopy.Result: There were 36 subjects.  The concentration of zinc serum, Ig-E, IFN-γ, and IL-4 of two groups before supplementation were not significantly different (p>0.05).  Zinc supplementation increase the mean level of zinc concentration on treatment group compare to placebo group (27.74+11.80 vs 3.47+2.55, p=0.000).  The concentration of Ig-E, IFN-γ and IL-4 serum were decreased at treatment group (15.5+20.46 vs 20.02+38.02, p=0.613), (1.82+3.59 vs 0.911+3.51, p=0.174), and (4.76+6.49 vs 2.44+4.41, p=0.085) respectively.  Conclusion: Zinc supplementation increased the level of zinc serum concentration of obese children and decreased the risk of atopy.
PERBANDINGAN KUALITAS TENAGA KESEHATAN PADA PELAYANAN DIARE ANAK DI LAYANAN PRIMER (ANALISA DATA INDONESIAN FAMILY LIFE SURVEY (IFLS) 2007) Saekhol Bakri; Hari Kusnanto; Mubasysyir Hasanbasri
Media Medika Muda Vol 2, No 1 (2017)
Publisher : Faculty of Medicine Diponegoro University

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Latar Belakang: Diare merupakan salah satu penyakit yang berpengaruh terhadap kematian anak. Kualitas tenaga kesehatan yang baik dapat berpengaruh positif terhadap kualitas pelayanan. Pelayanan primer memiliki peranan yang penting untuk meningkatkan derajat kesehatan. Penelitian ini bertujuan untuk mengetahui perbandingan kualitas tenaga kesehatan (dokter, perawat dan bidan) pada pelayanan primer di Indonesia.Metode: Penelitian kuantitatif menggunakan analisis data sekunder Indonesian Family Life Survey (IFLS) 2007 dengan unit analisis tenaga kesehatan dan desain cross sectional. Data IFLS 2007 diambil dari 13 provinsi. Perbandingan kualitas tenaga kesehatan dinilai dari pertanyaan vignette meliputi anamnesis, pemeriksaan fisik, pemeriksaan laboratorium dan terapi pada blok puskesmas dan fasilitas kesehatan praktek swasta. Kemudian di uji menggunakan one way-Annova dengan program Stata 12 dengan kemaknaan p < 0.05.Hasil :Sampel terdiri atas 2179 tenaga kesehatan. Dokter memiliki rerata tertinggi dalam menjawab seluruh pertanyaan yaitu sebanyak22.25±7.9 dari 56 pertanyaan.Dari 26 pertanyaan anamnesis, rerata dokter menjawab 11±4.1 lebih tinggi dibandingkan dengan perawat : 9.06±3.3 dan bidan : 10.07 ±3,7 (p<0.05). Dari 19 pertanyaan pemeriksaan fisik dan laboratorium, rerata dokter menjawab7.62±3.1, lebih tinggi dari perawat 6.36±2.9 dan bidan 6.89±2.9 (p < 0.05).Dari 19 pertanyaan terapi rerata dokter 3.62±1.8, tidak berbeda secara statistik dibanding bidan 3.64±1.7 (p>0.05).Simpulan : Dokter memiliki kualitas lebih baik dibandingkan dengan perawat dan bidan dalam kemampuan anamnesis, pemeriksaan fisik – laboratorium dan kemampuan dalam menjawab seluruh pertanyaan. Kemampuan Dokter tidak berbeda dibandingkan bidan dalam memberikan terapi diare. Kata kunci: diare, perbandingan, kualitas tenaga kesehatan, IFLS
Implementation of interprofessional education in community setting Fatikhu Yatuni Asmara; Saekhol Bakri; Dian Puspita Dewi; Diana Nur Afifah; Tri Nur Kristina
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.655 KB) | DOI: 10.22146/jcoemph.47513

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Community health problem(s) needs to be solved collaboratively among the health care team. Interprofessional Education (IPE) is implemented to facilitate health students to collaborate before they join in the working world. The purpose of this study was to identify the experience of students, lecturers, and family members in the implementation of IPE in a community setting. All (465) sixth semester medical, nursing, and nutrition students in the Faculty of Medicine Universitas Diponegoro participated in the IPE program. Each small group contains 4-5 students who worked together in the community setting to identify family health problems, implement interventions, and evaluate the results. Focus Group Discussion (FGD) was conducted to evaluate the implementation. Twenty-four medical, nursing, and nutrition students, eight lecturers, and five family members were involved in this study. FGD was conducted separately among groups. The implementation is divided into four phases, namely, preparation, process, evaluation, and benefit. Unclear competencies and roles-responsibilities of each student in the program was the most problem faced during preparation, while obstacles during the process were difficult to set a schedule among team members. Conducting an objective assessment of both methods and tools needs to be concerned in the evaluation phase. However, students, lecturers, and family members appreciated the program and preferred to sustain the program. IPE can be implemented in a community setting to solve health problems and it can facilitate students to collaborate in a team, but it needs to be settled including preparation, process, and evaluation.
The Effect of Green Tea Leaf Extract on Spatial Memory Function and Superoxyde Dismutase Enzyme Activity in Mice with D-galactose Induced Dimentia Gumay, Ainun Rahmasari; Bakri, Saekhol; Utomo, Astika Widy
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 8, No 1 (2017): June 2017
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.137 KB) | DOI: 10.30659/sainsmed.v8i1.1050

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Background: Oxidative stress and inflammation play an important role in pathogenesis of brain aging and neurodegenerative diseases such as Alzheimer. Green tea has been shown to have antioxidant, anti-inflammatory, anticancer, and neuroprotective activity.Objectives: to determine the effect of green tea extract on spatial memory function and superoxide dismutase enzyme activity in mice with D-galactose induced dementiaMethods: An experimental study using "post test only control group design". Twenty male BALB/c Mice aged 6-8 weeks were divided into 4 groups. Negative control group (NG) was induced by subcutaneous injection of D-galactose (150 mg/kg BW) once daily for 6 weeks. GT-90, GT-270, GT-540 were induced by D-galactose and orally administered with 90, 270, and 540 mg/kg BW of green tea extract once daily for 6 weeks. The spatial memory functions were assessed using Morris water maze and SOD enzyme activities were evaluated using ELISA. One-way Anova and Kruskal-Wallis were used for statistical analysis. Results: mean percentage of latency time in the GT-90 (35.29 (SD= 2.69)%), GT-270 (35.28 (SD= 2.62)%), and GT-540 (35.62 (SD=5.05)%) were significantly higher compared to that of NG (20.38 (SD = 3.21)%), p <0.05). SOD enzyme activity in the GT-270 (0.78 (SD = 0.07) U/ml) was significantly higher compared to that of NG (0.51 (SD = 0.01) U ml), p= 0.004).Conclusion: Green tea extract may improve spatial memory function and the activity of superoxide dismutase enzyme in mice with D-galactose induced dementia.
Factors Related to Duration and Interaction of Doctor-Patient Communication at Diponegoro National Hospital Refertiwi, Kriesye; Nugroho, Teddy Wahyu; Bakri, Saekhol; Wulandari, Diah Rahayu
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.45779

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Background: Doctor-patient communication is an important foundation in the process of diagnosis, therapy, and prevention of disease. Communication has been a challenge for most doctors. The doctor's willingness to provide sufficient time is needed to establish good interaction and communication between the doctor and the patient. Aim: To determine what factors are related to the duration and interaction of communication between doctors and patients at Diponegoro National Hospital (RSND) Semarang. Methods: Research subjects using analytic survey research designs, with quantitative approaches and cross-sectional research designs. The sample of this study was 80 patients who came to internal, neurological, pediatric, and cardiovascular polyclinics RSND Semarang. The independent variables were factors related to doctor-patient communication (number of patients, type of patients, complexity of the disease, and qualifications of specialist doctors). The dependent variable was doctor-patient communication (duration and communication interaction at RSND Semarang). Results: Most of the respondents (72.5%) experienced < 8 minutes of communication. The number of patients, type of patients (old/new), and qualifications of specialist doctors (internists, neurologists, pediatricians, and cardiologists) were statistically related to the duration of communication (p < 0.005). Meanwhile, the complexity of the disease was not statistically related to the duration of doctor-patient communication (p = 0,416). There was a relationship between the number of patients, type of patients (old/new), and qualifications of specialist doctors to the communication interaction of doctor-patient (p < 0.005). On the contrary, there is no relationship between the complexity of the disease and the communication interaction between the doctor and patient (p = 0,324). Conclusion: Factors related to the duration and communication interaction between doctor and patient at RSND Semarang are the number of patients, type of patients, and qualifications of specialist doctors.
The Comparison of Oral Health Status between Psychotic and Non-Psychotic Mental Disorders Patients Anang, Zhavira Dwiyanti; Bakri, Saekhol; Wardani, Natalia Dewi; Nasia, Avina Anin
Acta Odontologica Indonesia Vol 1, No 1 (2025): June Edition
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/actodont.26934

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Background: Psychotic mental disorder characterized by psychotic symptoms such as delusions and hallucinations, while non psychotic mental disorder has no severe impairment to recognize reality. Both of these mental disorders are predicted to have differences in oral health, proved by oral health status assessments.Aim: To know the comparison of oral health status between psychotic and non psychotic mental disorders patients.Method: Cross-sectional study of 40 respondents and age criteria of 18 – 55 years old, patients with orthodontic appliances or diabetes mellitus were not included. DMF-T Index and OHI-S examinations were used as oral health status assessments. The statistical test was using the Mann-Whitney test. Significant differences (p<0,05) was obtained.Result: Psychotic mental disorder patients had higher median values (6,72; 2,16), compared to non psychotic mental disorder patients (3,00; 1,00) based on DMF-T Index (p=0,016) and OHI-S (p=0,000).Conclusion:  Psychotic mental disorder patients had worse oral health than non psychotic mental disorder patient based on DMF-T Index and OHI-S.
A Review: How Metformin Improves the Prognosis for Coronavirus Disease-19 Patients with Hypertension? Mufaiduddin, Muhammad; Ade Laryan, Vito Etenio; Bakri, Saekhol
SCRIPTA SCORE Scientific Medical Journal Vol. 6 No. 2 (2025): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v6i2.19644

Abstract