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Ahmad Dahlan Medical Journal
Published by Universitas Ahmad Dahlan
ISSN : -     EISSN : 27743837     DOI : 10.12928/admj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Ahmad Dahlan Medical Journal is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures, treatment, or other health issues that is important for the development of health care system are also acceptable. Letters and commentaries of our published articles are welcome. Subjects suitable for publication include, but are not limited to the following fields of Allergy and immunology, Anesthesiology, Cancer and stem cells, Cardiovascular, Cell and molecular biology, Child health, Dermato-venereology, Geriatrics, Histopathology, Internal medicine, Neuro-psychiatric medicine, Ophthalmology, Oral medicine, Otorhynolaryngology, Physical medicine and rehabilitation, Physio-pharmacology, Pulmonology, Radiology, Surgery including orthopedic and urology, and Women’s health.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 16 Documents
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Search results for , issue "Vol. 4 No. 2 (2023): November 2023" : 16 Documents clear
The Relationship Between Parenting and Video Games of Addiction Trends During COVID-19 Pandemic in Adolescents at Muhammadiyah 1 Senior High School Yogyakarta Windy Aristiani; Wirasto , TR; Ismanto , HS
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

The COVID-19 pandemic has had an impact on school closures and social distancing. Teenagers spend time playing video games to overcome boredom, as a result, teenagers are increasingly attached to video games so they are at risk of experiencing addiction that has a negative impact on behavior and social. Parenting patterns determine and prevent the risk of video game addiction in adolescents. The three types of parenting are authoritarian, democratic, and permissive. Choosing the wrong parenting style can increase the risk of video game addiction in adolescents. This research is a non-experimental, descriptive-analytic with a cross-sectional approach. The research subjects were students of first-grade SMA Muhammadiyah 1 Yogyakarta. GAS was an instrument to measure game addiction. PAQ was an instrument to measure parenting style. Total of the research subjects 168, 7 subjects were excluded, and 161 subjects were obtained who play video games with authoritarian parenting 21 (13.0%), permissive 14 (8.7%), and democratic 126 (78.3%). There is a significant relationship between parenting styles and tendencies toward video game addiction (x2=13.17, p=0.001, C=0.275). Type of parenting authoritarian, permissive, and gender has a significant effect on the tendency of video game addiction, with (OR=6.05 for authoritarian, OR=6.3 for permissive, and OR=5.3 for gender). There is a significant relationship between parenting style and the tendency of video game addiction in adolescents at SMA Muhammadiyah 1 Yogyakarta. Authoritarian and permissive, as well as gender are the most influential factors in the behavior of video game addiction tendencies in teenagers at SMA Muhammadiyah 1 Yogyakarta.
The Characteristics of Pregnant Women with Anemia at Puskesmas Sanden Working Area in 2022-2023 Dewantari, Aulia Yasmin; Sistharani, Naila; Yuniasih, Dewi; Laariya, Tira Alfiani; Mawardi, Fitriana; Suprabandari, Suprabandari; Rahmawati, Nurul Fauziyah
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Anemia in pregnancy is a public health problem especially in developing countries and is associated to adverse pregnancy outcomes. The prevalence of anemia in Indonesia is relatively high. In 2018, the prevalence of anemia reached 32%. While the prevalence of anemia in pregnant women was 48.9% in the same year. Reducing the incidence of anemia in pregnant women is included in efforts to reduce maternal mortality (MMR) and morbidity or mortality in babies born. Puskesmas Sanden has a program to reduce MMR and infant mortality with one of the efforts made is to reduce the number of anemias in pregnant women. The purpose of this study was to determine the prevalence and characteristics of pregnant women who experience anemia in the working area of Puskesmas Sanden. This research was conducted using a descriptive method. The data were taken from secondary data, namely register data for pregnant women who carried out examinations at the Mother and Child Health Polyclinic in Puskesmas Sanden. The research respondents were all pregnant women who experienced anemia from January 1st, 2022 to June 30th, 2023, in which, there were 120 research respondents. Research variables include mother's age, number of parities, and upper arm circumference (UAC). The results showed that the prevalence of anemia in pregnant women was 254 people. The characteristics of pregnant women who experience anemia based on age showed that there were 97 people (80.83%) pregnant women who experience anemia are dominated by women aged 21-34 years old, while there are 3 (2.5%) pregnant women with anemia aged ≤ 20 years old, and 20 pregnant women with anemia aged ≥ 35 years (16.67%). Meanwhile, based on the number of parities, in this study, the total parity of all pregnant women who were included in the research respondents was ≤ 3, which were 120 people (100%), and none of the pregnant women who had parity > 3. Then, based on UAC, there were 94 (78.33%) pregnant women with anemia had more UAC ≥ 23.5 cm, and as many as 26 pregnant women with anemia had UAC < 23.5 cm (21.67%). The conclusion of this study is that the prevalence of pregnant women at Puskesmas Sanden is still relatively high, which is 39.69%.
Management of Heart Failure in the Hospital: A Clinical Approach Laksono, Sidhi; Syukran
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Despite tremendous breakthroughs in drug-based and device-based therapy, heart failure continues to be a serious and growing public health issue linked with substantial disability, frequent hospitalization, and large economic expenditures. Complex therapeutic options in a population with a high frequency of comorbidity and overall frailty hinder clinical care. In recent years, significant progress has been made in the care of heart failure (HF). In this study, the most recent available evidence, the indications provided by worldwide guidelines, and expert opinion on the optimal treatment for individuals with HF will be discussed. This review, according to the authors, bridges the gap between guidelines and clinical practice and presents recommendations to improve HF management.
The Relationship between the Incidence of Acute Otitis Media in Patients with Upper Respiratory Tract Infections at PKU Muhammadiyah Yogyakarta Hospital Harisna, Safyra Putri; Abdullah, Adnan; Prisilla, Elvina
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Acute Otitis Media (AOM) is an inflammation of the middle ear caused by blockage of the Eustachian tube, impaired immune factors, and recurrent Upper Respiratory Tract Infections (URTI). The highest incidence of AOM can be found in developing countries. Among the numerous cases, 70% of AOM cases begin with a history of URTI. As a result of URTI history, congestion, and swelling occur in the nasal mucosa, nasopharynx, and eventually the Eustachian tube, leading to the development of AOM symptoms. The purpose of this study is to determine the relationship between the occurrence of acute otitis media and patients with upper respiratory tract infections at PKU Muhammadiyah Yogyakarta Hospital. This study is descriptive-analytical quantitative research with a cross-sectional design and retrospective study. Data collection was conducted through the collection of secondary data obtained from medical records of otitis media patients. This research was conducted from November to December 2022 at PKU Muhammadiyah Yogyakarta Hospital. The research subjects consisted of 113 individuals with otitis media. This study reports the analysis of the relationship between the occurrence of acute otitis media and patients with upper respiratory tract infections. There is no significant relationship between AOM and URTI among patients at PKU Muhammadiyah Yogyakarta Hospital, with a p-value of 0,457. There is no relationship between the occurrence of acute otitis media and patients with upper respiratory tract infections at PKU Muhammadiyah Yogyakarta Hospital.
The Influence of Age on Visual Acuity in Postoperative Senile Cataract Patients Undergoing Phacoemulsification at Klinik Mata Dr. Imam Renata Shafira Nanda; Imam Masduki; Elvina Prisila
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Cataracts caused by aging are called senile cataracts. Phacoemulsification is the gold standard surgical method for cataract therapy. Postoperative visual acuity can be influenced by age. The objective of this study is to determine the characteristics of visual acuity and the influence of age on visual acuity in postoperative senile cataract patients undergoing phacoemulsification at Klinik Mata Dr. Imam. This study is retrospective research with a cross-sectional design. The data collected are secondary data from medical records, with a total of 106 respondents. The results of the univariate analysis showed that the majority of senile cataract patients undergoing phacoemulsification were in the elderly age group (55-65 years) with 42 cases (39.6%), male patients with 56 cases (52.8%), and 61 cases (57.5%) underwent surgery on the right eye. The best-corrected visual acuity in postoperative senile cataract patients undergoing phacoemulsification at Klinik Mata Dr. Imam was found on the 21st day. The largest proportion of patients achieving best-corrected visual acuity that meets the good standard set by WHO (6/6 - 6/18) was in the elderly age group (55-65 years) with 39 cases (41.5%), male patients with 50 cases (53.2%), and surgeries on the right eye with 52 cases (55.3%). Bivariate analysis was performed using the chi-square test and showed a significant influence between age and visual acuity in postoperative senile cataract patients undergoing phacoemulsification (p-value = 0.011). In conclusion, there is a significant influence of age on visual acuity in postoperative senile cataract patients undergoing phacoemulsification..
Computer Usage Behavior Relationship Against Refraction Status in Students of the Faculty of Medicine, University of Muhammadiyah Semarang Kurniati, Ika Dyah; Martiningsih, Wahju Ratna; Swasty
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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During the 2019 COVID pandemic, the learning process was carried out online so that the level of computer usage was higher every day. Physical disorders that often occur due to computer use in the eyes, include refractive errors, one of which is myopia. The purpose of this study was to determine the relationship between visual distance, sitting position and computer screen brightness on refractive status in students of the Faculty of Medicine, University of Muhammadiyah Semarang. This research is an analytic observation research by design cross-sectional. The sample for this study was students from class 2019 – 2021 at the Faculty of Medicine, Muhammadiyah University, Semarang. Sampling technique using simple random sampling which selects objects at random. Researchers used the questionnaire method where the questionnaire contained written questions that had been validated. The data obtained were analyzed using the chi-square test. The number of respondents to this study was 74 students. The distance from the eye to the screen of the most respondents is close distance as many as 40 people (54.1%), The position of the most respondents when using a laptop is bending as many as 50 people (67.6%), The brightness of the laptop screen used by most respondents uses optimal brightness as much as 73 people (98.6%). Respondents who experienced an increase in myopia were 24 (32.5%). The results of this study showed that there was no relationship between distance (p 0.456), sitting position (p 0.690) and screen brightness (p 0.485) on refractive status, because both respondents the distance, position and lighting are appropriate or not, all show almost the same percentage to experience an increase in myopia.
The Relationship Between Anxiety and Compliance of Swab Officers in Using Masks During the Covid-19 Pandemic Assyifa Oktavia Wiraningtyas; Yuniasih, Dewi; Rossi Desvita, Widea; Rokhmayanti, Rokhmayanti
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
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The Covid-19 has spread in Indonesia, including Kulon Progo, causing casualties. Symptomatic patients will interact with swab officers at Wates and Nyi Ageng Serang Regional Public Hospital it can cause anxiety for the swab officers on duty. Coping with the spread of Covid-19 is by obediently wearing a mask. Anxiety is a factor that can affect a person's compliance. This study aims to determine the relationship between anxiety levels and compliance with the use of hospital swab masks. This study used an observational analytic method with a cross-sectional study approach. The sample of this study was swab officers who served at Wates and Nyi Ageng Serang Regional Public Hospital in August-September 2022 and who had met the inclusion criteria. The sampling technique of this study used total sampling with a sample of 27 people. Of the 27 samples, only 26 respondents were appropriate with inclusion criteria. Data analysis used the Chi-Square test to test the hypotheses obtained from the answers to the questionnaire as a research instrument. From the results of the analysis, it was obtained sig (2-tailed) of 0,236 (sig> 0.05), so there was no relationship between anxiety and compliance with the use of masks for swab officers at Wates and Nyi Ageng Serang Regional Public Hospital. The conclusion is the majority of respondents were female, and there was no correlation between anxiety and compliance with swab officers' use of masks at Wates Hospital and Nyi Ageng Serang Hospital.  At Wates Hospital and Nyi Ageng Serang Hospital, there is no gender difference in swab workers' compliance with mask use.
The Relationship Between Mother's Age at Childbirth and the Incidence of Low Birth Weight (LBW) at PKU Muhammadiyah Yogyakarta Hospital In The Years 2017-2021 Mariya Ulfa Damayanti; Umam, Nurcholid; Agustin, Helfi
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
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Low Birth Weight (LBW) is a critical health issue, particularly in developing countries with low socio-economic conditions. The World Health Organization (WHO) reveals that more than 80% of 2.5 million babies born worldwide each year experience deaths due to LBW. Indonesia falls into the category of countries with a significant incidence of LBW in the Southeast Asian region. In 2019, the highest Infant Mortality Rate (IMR) in Indonesia was linked to LBW cases. This research adopts a quantitative approach with an observational analytic design, focusing on the analysis of relationships between variables. The research method used is a cross-sectional approach. The study was conducted at RS PKU Muhammadiyah Yogyakarta in June 2023. The sampling method applied is non-probability sampling with purposive sampling variations. The research findings indicate a significant relationship between the age of mothers during childbirth and the incidence of LBW (p-value = 0.000). Rejection of the null hypothesis (H0) and acceptance of the alternative hypothesis (H1) depict a strong association between the age of mothers during childbirth and LBW incidents. The results of the Odds Ratio (OR) analysis show a figure of 10.427. Overall, this research concludes that a significant relationship exists between the age of mothers during childbirth and the occurrence of LBW. These findings highlight the potential impact of maternal age during childbirth on the risk of LBW in newborns.     This is an open access article under the CC–BY-SA license.           
Characteristics of Endometriosis Patients at Sultan Agung Hospital Semarang During the Period 2018 - 2019 Aryani, Rini; Ashari, Muslich
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
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Endometriosis is a female gynecological disorder that is defined as the presence of ectopic growth of endometrial glands and stroma (outside the uterine cavity). Infertility, chronic pelvic pain, and dysmenorrhea caused by endometriosis greatly impact the quality of life and productivity of women of reproductive age (18- 45 years). The aim of this study was to describe the characteristics of risk factors for endometriosis sufferers at RSI Sultan Agung Semarang during the period 1 July 2018 to 31 July 2019. This study used a retrospective descriptive study, using medical record data of endometriosis sufferers at Sultan Agung Hospital in Semarang. The time allocation for this research was August - October 2019. Data analysis was carried out univariately on each variable from the results of this research to see the frequency and percentage distribution. The research variables were age, education level, occupation, parity, age at menarche, clinical symptoms, location of endometriosis, disease stage, and management. The results of the study showed that most endometriosis patients were of reproductive age (64.8%), with the highest education level of endometriosis patients being high school (31.5%), housewife being the most dominant occupation (44.4%), and endometriosis patients are dominated by multiparas (37%), the most common marital status is married (87%), with the main symptom frequently found being dysmenorrhea (70.4%) and the most frequently given therapy is operative (25.9%). The majority of endometriosis sufferers are of reproductive age with a high school education level and housewives.
Systematic Review and Meta-Analysis: Effect of Zinc Levels in COVID-19 Patients on Their Clinical Severity Annisa, Ika Nur; Yuniasih, Dewi; Sukirto, Novi Wijayanti
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
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Background: COVID-19 is a new type of Coronavirus that can cause ARDS and make it a worldwide pandemic. Treatment for COVID-19 is based on the clinical severity of COVID-19. Zinc has anti-inflammatory, antiviral, and antioxidant effects given as an adjuvant therapy for the treatment of COVID-19. Prolonged zinc deficiency is a risk factor for severe COVID-19. Methods: This systematic review and meta-analysis study used 4 databases namely ScienceDirect, Cochrane Library, ProQuest, and PubMed. The keywords used are “Zinc” OR “Severity COVID-19” AND “Zinc Deficiency” OR “Mortality COVID-19” AND “Zinc” OR “Clinical Severity COVID-19” AND “Zinc Deficiency” OR “Clinical Severity COVID- 19”. The articles identified are articles that are relevant to the title of research, published internationally, accessed free of charge, published between 2019-2021, published in accredited journals Results: Out of 8,330 article titles, 944 were excluded due to double counting in each database. A total of 7,371 articles were excluded because they did not match the title of the study, did not match the research method, used another language, did not match the year of publication. A total of 15 articles were included in the qualitative synthesis. Five studies were included in the meta-analysis. Three studies were analyzed with the results that the average zinc level of COVID-19 patients was not much different from that of healthy patients with a mean difference of 1.73 (95% CI -39.14-42.60). Two studies were analyzed with low zinc levels in patients with severe COVID-19 associated with the need to enter the intensive care unit with an OR of 3.62 The SARS-CoV-2 virus spreads through droplets that are expelled while coughing or sneezing. Conclusion: The average zinc level of COVID-19 patients is not different from that of healthy patients, but low zinc levels in patients with severe COVID-19 are associated with the need to enter the intensive care unit.

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