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Dewi Yuniasih
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Jl. Universitas Ahmad Dahlan Kampus 4, Kragilan, Tamanan, Kec. Banguntapan, Kabupaten Bantul, Daerah Istimewa Yogyakarta 55191
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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 11 Documents
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Search results for , issue "Vol. 6 No. 1 (2025): May 2025" : 11 Documents clear
Injury Pattern of Blunt Trauma Cases Based on HDSS Sleman 2021 Laksito, Aziz Pandu; WIraagni, Idha Arfianti; Widagdo, Hendro; Tri Artanti, Martiana Suciningtyas
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12488

Abstract

Blunt trauma is a significant cause of death and injury worldwide. In Indonesia, traffic accidents are the leading cause of blunt trauma-related mortality and morbidity. Reports indicate that Yogyakarta alone experiences millions of accident cases, resulting in numerous injuries and fatalities. The incidence and severity of blunt trauma vary based on factors such as sex, age, lifestyle, environment, and access to healthcare. Blunt trauma, caused by strong impacts, falls, or physical assaults with blunt objects, does not involve skin penetration and includes contusions, abrasions, lacerations, and fractures. This study aims to identify the patterns of blunt trauma in the Sleman Regency in 2021 using the Health and Demographic Surveillance System (HDSS), a research tool for collecting longitudinal data on social changes to advance scientific knowledge in healthcare through population data analysis. The research employed both univariate and bivariate analyses. Univariate analysis used a cross-sectional observational design, while bivariate analysis utilized the chi-square test. In 2021, 315 blunt trauma injuries were reported, primarily from motorbike accidents (263 cases) and other land transportation incidents (52 cases). Most victims were men (55.9%), with the adult age group (19-59 years) experiencing the majority of injuries (285 cases). Lower extremities were most frequently injured (64% of cases), often resulting in loss of motor reflexes (10.7%). Contusions on the lower extremities were the most common injury type (42.3%). The study shows a higher incidence of blunt trauma among men, particularly adults. Injuries are primarily contusions in the lower extremities, indicating the need for targeted safety measures. Demographic factors such as education level and age group influence injury distribution, highlighting the importance of effective management strategies to mitigate severe functional impacts.
The relationship between the frequency of cleaning facial skin and the incidence of acne vulgaris Sulaksono, Nabila; Rizkita, Leonny Dwi; Suryaningsih , Betty Ekawati
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12580

Abstract

Acne Vulgaris is a skin infection experienced by almost the entire population in the world. Global Burden of Disease (GBD) in his research, acne vulgaris occurs in around 85% of young to adult individuals aged 12 to 25 years. The main aim of this research is to determine the relationship between frequency of facial cleaning and acne vulgaris in Ahmad Dahlan University Medical Students Class of 2022. This research uses an analytical observational approach with a cross-sectional study approach. Specialist doctors in the field of dermatology examined samples of 94 students to identify acne vulgaris, after tabulation of samples that could be processed as many as 80 student samples. Frequency of facial cleaning was related to facial cleaning behavior as measured using a questionnaire. Demographic data, characteristics of acne vulgaris and frequency of facial cleansing were reported. Data processing uses univariate analysis and bivariate chi-square analysis. Hypothesis testing using the chi-square test with a confidence level of 95% obtained a p-value of 0.000 which is smaller than the significance of 0.05. The frequency of cleaning your face will reduce the occurrence of acne vulgaris or be a treatment to prevent acne vulgaris from occurring. The recommended frequency is 2-3x a day, it doesn't need to be more than 5x a day, because this can cause facial irritation and ultimately acne vulgaris.
The Relationship of Age And Gender On The Incident of Chronic Supurative Otitis Media Darussalam, Adam Ahmad; Abdullah, Adnan; Munandar As , Dhyas
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12582

Abstract

Chronic Suppurative Otitis Media (CSOM) is an inflammation of the middle ear and part of the mastoid that persists for more than 2 months. It is characterized by tympanic membrane perforation and purulent discharge, occasionally mixed with blood. World Health Organization (WHO) data from 2004 indicates that CSOM affects 65-330 million people, with a higher prevalence in developing countries. This study aimed to investigate the relationship between gender and age with CSOM. The research employed an observational analytic method using secondary data from medical records at PKU Muhammadiyah Hospital Yogyakarta from January 1, 2020, to February 28, 2022. Subjects were selected using purposive sampling, resulting in 122 respondents. The analysis utilized univariate and bivariate analyses using chi-square. The results showed that among 122 patients with otitis media and CSOM, females (54.9%) outnumbered males (45.1%). Age distribution was as follows: 2.5% aged 0-5 years, 6.6% aged 6-11 years, 4.9% aged 12-16 years, 27% aged 17-25 years, 9.8% aged 26-35 years, 13.1% aged 46-55 years, 13.1% aged 56-65 years, and 13.1% aged over 65 years. Bivariate analysis revealed no significant relationship between gender and CSOM (r= -0.115, p= 0.206) or between age and CSOM (r= -0.081, p= 0.375). The study concludes that there is no significant association between age or gender and the occurrence of CSOM.
The Relationship Between Cotton Bud Use and The Incidence of Cerumen Impaction Among Patients at The ENT Polyclinic of PKU Muhammadiyah Bantul Hospital Nadila; Firmansyah, Rizky; Ariani, Rizka
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12624

Abstract

Cotton buds are commonly used to clean ears, although improper use can be harmful to ear health by causing cerumen impaction. Cerumen is a natural substance that normally exits the ear canal on its own but can accumulate due to cotton bud use, leading to hearing problems. This study aims to examine the relationship between cotton bud use and the incidence of cerumen impaction in patients at the ENT Polyclinic of PKU Muhammadiyah Hospital, Bantul, considering the high prevalence of this condition in Indonesia. This research used a cross-sectional design and collected data through questionnaires from 65 patients at the ENT clinic. The data were analyzed using SPSS 25 with chi-square and Fisher’s exact tests. Results showed that 86.2% of patients used cotton buds up to 2/3 of the inner ear canal. There was no significant relationship between the depth of cotton bud use and the incidence of cerumen impaction (p = 0.483). However, there was a significant relationship between the frequency of cotton bud use (> 1 time a week) and cerumen impaction in both ears (p = 0.032). Patients who frequently used cotton buds had a higher incidence of cerumen impaction compared to those who used them rarely. In conclusion, there is a relationship between the frequency of cotton bud use and the incidence of cerumen impaction.
Posaconazole for the Treatment of Refractory Keratomycosis A Systematic Review Adelia Rizka Amila; Jamaluddin Ahmad Ali Mas'ud; Norita Wahyuniawati Asfiana
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12876

Abstract

Fungal infections such as keratomycosis are one of the most difficult conditions to treat. Approximately half of patients with keratomycosis do not respond to antifungal treatments and carries a higher risk of developing endophthalmitis. If this problem is not treated promptly and effectively, it can lead to vision loss. The use of Posaconazole, a newer triazole, for keratomycosis has attracted new interest due to its broad spectrum and good ocular penetration. Therefore, we conducted a systematic review to assess and conclude the efficacy of posaconazole for refractory keratomycosis. We conducted a systematic review according to PRISMA guidelines. A comprehensive search in PubMed, Scopus, ScienceDirect and Google scholar was conducted from inception to January 2025. Duplicate publications, review articles and incomplete articles were excluded and the quality of the articles were assessed using a standardized tool. The database searches identified a total of 2668 articles. A thorough review of the abstracts and titles led to the exclusion of 1209 items. Finally, we identified 6 articles through full-text reading and analysis, which included 11 patients. All cases reported were successfully treated with posaconazole. In conclusion, posaconazole possibly effective, especially for refractory cases.
Holistic Management of Tuberculosis in 49 Years Old Woman with Complex Problems through A Family Medicine Approach : Case Report Dewantari, Aulia Nissa; Yuniasih, Dewi; Alfiani Laariya, Tira; Nuraga, Hega Fitri; Puspa Sari , Ade
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12893

Abstract

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, transmitted through airborne droplets when an infected person coughs, sneezes, or talks. Environmental conditions, such as poor ventilation and lack of sunlight, can facilitate the persistence of TB bacteria indoors. Sunlight and good air circulation play key roles in reducing bacterial survival. Health cadres are vital in detecting and managing TB cases in their communities. The Sanden Community Health Center runs a TB prevention and control program (P2TB) to help reduce TB incidence. A 49-year-old woman presented with a persistent cough for approximately two months, accompanied by fatigue, significant weight loss, and decreased appetite. The cough was intermittent, sometimes with phlegm, and unresponsive to cough medication. About a month prior, a Rapid Molecular Test (TCM) at a lung hospital in Yogyakarta confirmed TB. She had a history of unhealthy sexual behavior and was previously diagnosed with syphilis but tested negative for HIV. The patient also has metabolic syndrome. On physical examination, she appeared mildly ill but alert (E4M6V5), with a respiratory rate of 16/min. Lung and skin examinations were normal. Abdominal circumference was 112 cm. The patient received education on TB recognition, prevention, and intervention. Interventions were tailored to be patient-centered, family focused, and community-oriented. She was classified as a bacteriologically confirmed TB case, with no previous history of TB treatment and a negative HIV result..
A Literature Review on the Antihyperglycemic Effect of Nanoencapsulated Etlingera eatior Extract in Type 2 Diabetes Mellitus Salsabiella, Elok; Anggraeni, Amaliyah Dina; Prastiyo, Muhammad Dodik
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12966

Abstract

Diabetes mellitus Type 2 (T2DM) is characterized by hyperglycemia due to pancreatic β-cell damage, leading to impaired insulin production. The International Diabetes Federation (IDF) estimates that by 2021, 537 million people worldwide will have T2DM, with projections reaching 783 million people by 2045. In 2023, Indonesia reported a diabetes prevalence of 9.1%, affecting around 25 million people. Nanocarrier-based drug delivery systems show promise in improving diabetes management by enhancing bioavailability and sustaining drug release. This study tested the effectiveness of a nano drug delivery system using nanoencapsulation of Etlingera elatior extract in T2DM therapy. Etlingera elatior contains flavonoids, polyphenols, saponins, and alkaloids, which exhibit significant antihyperglycemic properties. Nanoencapsulation with biodegradable polymers improves stability and controlled release of bioactive compounds. Using a qualitative document study, data sourced from Google Scholar and Publish or Perish with a range of 2015-2024 were analyzed through NVivo 12 Pro software for MacBook Pro. The findings showed that Etlingera elatior effectively lowered blood glucose, improved insulin sensitivity, and protected β-cells, while nanoencapsulation optimized bioavailability. Thus, nanoencapsulation of Etlingera elatior represents a promising innovation for diabetes management, potentially improving glucose control and patient outcomes in Indonesia.
Mental Health of Medical Students: A Bibliometric Analysis with Scopus Indexation Desvita, Widea Rossi; Aristiani, Windy; Yuniasih, Dewi; Sumarno, Andhira Setya Yudha
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.13050

Abstract

Medical students are particularly susceptible to mental health challenges arising from academic pressure, clinical demands, and social expectations, which contribute to high rates of anxiety, depression, and burnout that jeopardize both well-being and professional performance; consequently, this study aimed to map the global research landscape on medical student mental health by conducting a bibliometric analysis of Scopus-indexed publications from 2013 to 2023 using a systematic search with keywords such as “medical student,” “mental health,” “depression,” “anxiety,” and “burnout,” followed by the extraction of metadata including titles, abstracts, authors, keywords, journals, and institutions, and subsequent analysis with VOS viewer software to visualize publication trends, collaboration networks, and research hotspots; the analysis of 7,126 publications revealed that “depression,” “anxiety,” and “burnout” were the most frequent keywords, identified key global collaborators, and indicated a surge in research activity during the COVID-19 pandemic, ultimately underscoring the increasing attention to mental health issues among medical students and highlighting the need for targeted interventions such as curriculum reform, enhanced mental health support programs, and resilience training to inform future research and guide policylevel strategies.
Characteristics of Osteoarthritis Patients at PKU Bantul Hospital in 2024 Prisila, Elvina; Wijayanti Sukirto, Novi; Ilham Rahmatullah, Andika; Pirman Abdul Aziz, Adinda; Arrafi Pratama, Rheycado; Chairunnisa Ramadhani, Salsabila; Yuniasih, Dewi
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.13098

Abstract

Osteoarthritis (OA) is a degenerative joint disorder that commonly affects the elderly population, primarily resulting from the aging process and prolonged mechanical stress on articular cartilage. The risk of deceloping OA significantly increases between the ages of 30 and 65, with individuals over the age of 65 facing a tenfold higher risk. Common clinical manifestations include joint pain, stiffness, swelling, and reduced mobility, which can severely impact quality of life. This study aims to provide a comprehensive overview of the demographic and clinical characteristics of OA patients treated at PKU Bantul Hospital between January and December 2024. A cross-sectional design was employed, utilizing secondary data extracted from hospital’s medical records. A total of 579 OA patients were identified, with a predominant female population (419 individals, 41,1%). The vast majority received outpatient care (540 individuals, 93,3%). Radiological examinations were conducted in 462 patients (80%), with the knee joint being the most commonly affected site (369 cases, 64%). These findings highlight the high burden of OA among elderly females and underscore the importance of early diagnosis and effective management strategies, particularly for knee involvement, to prevent disease progression and improve patient outcomes.
Effectiveness of Red Guava Leaf Ethanol Extract (Psidium guajava L.) on Increasing Hemoglobin Levels in Female White Rats (Rattus novergicus) Yuziani; Fadhilah, Siti Ghina; Akbar, Teuku Ilhami Surya
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.13148

Abstract

Hemoglobin is the protein found in red blood cells that has the task of delivering oxygen to the lungs. When the hemoglobin level degrades, it can cause symptoms of anemia. Guava fruit is often used by people in traditional medicine to increase hemoglobin levels. The average person only uses the fruit because it contains flavonoids. However, generally flavonoid compounds are also contained in guava leaves. The purpose of this study is to identify the effects of extracted from guava leaves (Psidium guajava L.) on anemic hemoglobin levels of female wistar strains. The study used a laboratory experimental design with pretest and post-test group design, purposive sampling technique. The sample in this study was 30 female wistar strains divided into 5 groups, namely negative control without treatment, positive control was given sangobion to rats with anemia, and treatment groups I, II, III were given guava leaf extract at doses of 100 mg/KgBb, 250 mg/KgBb and 500 mg/KgBb to rats with anemia. Increased hemoglobin levels of guava leaves (Psidium guajava L.) respectively 13.56 gr/dl, 15.56 gr/dl dl, and 16.85 gr/dl. The most influential guava leaf extract is treatment group 3 with a dose of 500mg/kgBB and in post hoc analysis using LSD shows a significant difference between guava leaf extract at a dose of 100 mg/KgBb, 250 mg/KgBb and 500 mg/KgBb (p-value = 0.0000) in increasing hemoglobin levels

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