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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 111 Documents
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Multidimensional Clinical Challenges in a Female with Chronic Epilepsy on Phenytoin: A Case Report: Nurulita, Syafira Laila; Lamsudin, Rusdi
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14276

Abstract

Epilepsy is a long-standing neurological disorder defined by recurrent, unprovoked seizures, affecting more than 50 million individuals globally and influencing physical, mental, and social aspects of life. Continuous administration of antiepileptic drugs (AEDs) such as phenytoin is a common therapeutic strategy; however, prolonged use may result in adverse effects that complicate treatment. This case report describes a 40-year-old woman with epilepsy since the age of four, presenting with recurrent seizures, impaired memory, headaches, and sexual dysfunction. Her most recent event was an absence seizure accompanied by upward eye deviation and tongue biting. Electroencephalography (EEG) demonstrated generalized spike-and-wave patterns. The patient was treated with phenytoin and folic acid, with the recent addition of clobazam, leading to favorable outcomes, including reduced seizure frequency, improved sleep, and diminished anxiety and dizziness. A persistent reduction in libido, first noted during adolescence, was suspected to be associated with long-term phenytoin use. Additionally, dental problems such as caries and tooth impaction were believed to worsen headache intensity. This case emphasizes the need for a comprehensive approach to epilepsy care, considering psychological conditions, cognitive impairment, and oral health. Prompt recognition of AED-related side effects and individualized treatment planning are essential to optimize patient outcomes.
Comparison of Clinical Recovery Following Conventional Tonsillectomy Versus Bipolar Vessel Sealing Device in Chronic Tonsillitis: A Case Report Abdullah, Adnan; Widuri, Asti; Farid, Muhammad; Mujiono, Zuhair Sudrajat Tiyan; Isnaini, Banun Intan
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14304

Abstract

Tonsillectomy remains a common surgical intervention for chronic or recurrent tonsillitis, with evolving techniques aiming to minimize complications and accelerate recovery. This case report explores the clinical outcomes of using conventional tonsillectomy compared to the Bipolar Vessel Sealing Device (BVSD) methods. Two male patients, aged 22 and 33, presented with chronic tonsillitis characterized by throat discomfort, odynophagia, and worsening symptoms, including sleep-related breathing difficulties. Both underwent tonsillectomy, one with the conventional Sluder-Ballenger technique and the other with BVSD. Postoperative parameters pain (measured by Visual Analog Scale), bleeding, fever, and time needed to regain the normal diet were monitored for six days. No bleeding or fever was observed in either patient. However, the BVSD technique was associated with significantly lower pain scores, ranging from VAS 5 to 0 by day six, compared to 9 to 3 in the conventional group. Additionally, patients in the BVSD group transitioned to solid food earlier (day 4), while the conventional group required until day 6. These findings suggest improved tissue preservation and faster functional recovery with BVSD. The BVSD technique offers advantages in postoperative pain control and recovery of swallowing function compared to conventional methods. Although limited by small sample size, this case report supports the potential of BVSD as a more patient-friendly and efficient surgical approach for tonsillectomy, warranting further investigation in larger, controlled studies
Association Between Obesity and the Incidence of Hypertension Among Adolescents in Ponorogo Ulfa, MH Muflihatul; Greta Perdana Putri,, Rachma; Fadhila, Rais
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14308

Abstract

Obesity occurs due to excess energy stored in body fat tissue, resulting from an imbalance between energy intake and expenditure. In adolescence, obesity is a multifactorial health problem influenced by genetic, behavioral, environmental, and social factors, and is a known risk factor for hypertension. The pathogenesis of hypertension in obese individuals involves abnormal adipose tissue activity in producing hormones and adipokines, although the mechanisms are not yet fully understood. Several studies have linked obesity to hypertension, but mostly in adult populations, where the indicators for obesity differ from those for adolescents and children. In younger populations, overweight or obesity assessment should be based on BMI-for-age charts adjusted for sex, yet studies in adolescents often still use adult criteria. This study aimed to determine the association between obesity and hypertension among adolescents in Ponorogo. An observational analytic study with a cross-sectional design was conducted using data from the 2024 PASHMINA (Pelayanan Kesehatan Remaja Milik NA) health screening program organized by Regional Board of Nasyiatul Aisyiyah of Ponorogo among senior high school students. A total of 179 respondents participated, with 65.9% female and 65.4% having normal nutritional status. The overall prevalence of hypertension was 6.1%, while obesity prevalence was 12.8%. Hypertension was more common in obese adolescents (26.1%) compared to non-obese adolescents (3.2%), with obesity increasing the risk of hypertension by 10.66 times (p < 0.001). These findings highlight the need for appropriate obesity assessment methods in adolescents and the importance of nutrition education, promotion of physical activity, early detection, and regular health monitoring to prevent hypertension from an early age.
Heart Failure with Atrial Fibrillation: Physical Domain Severely Compromised Despite Preserved Mental Well-Being Indrawan Sani, Riyanda; Handayani, Ahmad; Annisa; Sheila Dhiene Putri
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14418

Abstract

Atrial fibrillation (AF) frequently coexists with chronic heart failure (CHF), imposing a “double chronic burden” that may severely affect patients’ quality of life (QoL). This study aimed to evaluate QoL in CHF patients with AF using the SF-36 questionnaire, focusing on the most impaired physical and mental domains. A descriptive study was conducted on 30 adult patients (≥40 years) attending the Cardiology Clinic of Mitra Medika Amplas Hospital, Medan. QoL was assessed using the validated Indonesian version of SF-36, and data were analyzed descriptively. The mean age was 62 years, with 70% female, 76.7% having non-valvular AF, and common comorbidities including coronary artery disease (43.3%) and hypertension (33.3%). Physical domains were severely impaired, with role physical (24.17), general health (37.00), and physical functioning (44.00), resulting in a low Physical Component Summary (PCS) of 30.0. In contrast, mental domains were relatively preserved, with mental health (80.93), vitality (80.17), and social functioning (76.35), yielding a Mental Component Summary (MCS) of 57.5. These findings indicate that CHF patients with AF experience substantial physical limitations despite maintained mental well-being, highlighting the importance of interventions targeting physical function while supporting psychosocial health.
Evaluation of the Rationality of Antihypertensive Drug Use in Hypertension Patients at Peusangan Siblah Krueng Public Health Center, Bireuen District Adduana, Nuva; yuziani, yuziani; Novalia, Vera
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14430

Abstract

Hypertension is a chronic disease with a high prevalence and a significant risk of serious complications if not properly managed. The aim of this study was to evaluate the rational use of antihypertensive drugs in hypertensive patients at Peusangan Siblah Krueng Public Health Center, Bireuen District, based on the criteria of appropriate indication, appropriate patient, appropriate drug, and appropriate dose according to JNC VIII guidelines. This was a descriptive observational study with a retrospective approach using medical records of hypertensive patients in 2023. A total of 185 patients were selected through purposive sampling based on inclusion and exclusion criteria. Data collected included patient identity, diagnosis, type of antihypertensive drugs, dosage, and administration. Rationality was evaluated using the 4T classification (appropriate indication, patient, drug, and dose) in accordance with JNC VIII guidelines. The results showed that appropriateness of indication and patient both reached 100%. Appropriateness of drug was 96.8%, with the majority of patients receiving amlodipine as the main therapy. Appropriateness of dose was 98.9%, with a small proportion of inappropriateness observed in patients with comorbid diabetes mellitus. Overall, the use of antihypertensive drugs in hypertensive patients at Peusangan Siblah Krueng Public Health Center, Bireuen District, can be categorized as rational based on the 4T criteria, although some discrepancies remain in drug selection and dosage, particularly among patients with comorbidities.
Anxiety Levels among Tuberculosis Patients: A Descriptive Study Sofiana, Liena; Oktaviani, Nadia; Oktaviana, Ardyawati Wira
Ahmad Dahlan Medical Journal Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i2.14472

Abstract

Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis and transmitted through airborne droplets. Despite global control efforts, TB continues to pose a major health challenge and remains one of the most fatal diseases after HIV/AIDS. In the Special Region of Yogyakarta, the treatment success rate for TB in 2021 was lowest in Sleman District (86.4%). Among its 25 community health centers, Depok III Community Health Center reported the highest number of TB cases during that year. Beyond the physical symptoms, TB patients often face psychological problems, particularly anxiety, which can be influenced by demographic and treatment-related factors such as age, sex, education, income, treatment duration, and side effects of medication. This study employed a quantitative descriptive design to explore anxiety levels among TB patients undergoing treatment at Depok III Community Health Center, with participants recruited using total sampling. Findings revealed that nearly half of the respondents experienced moderate anxiety (46.7%), while 13.3% reported severe anxiety. In contrast, 30.0% of patients showed no signs of anxiety and were categorized as normal. The analysis further indicated that anxiety levels were associated with several patient characteristics, including gender, age, educational attainment, income, and length of treatment. These results underscore the importance of addressing not only the physical aspects of TB but also the psychological well-being of patients, suggesting that comprehensive management strategies are essential for improving treatment outcomes and quality of life.
BOWEL OBSTRUCTION DUE TO SIGMOID COLON ENTRAPMENT TO INTRAUTERINE AFTER CURETTAGE PROCEDURE Rahmatullah, Andika Ilham; Purwohadi, Wahyu
Ahmad Dahlan Medical Journal Vol. 7 No. 1 (2026): May 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v7i1.14557

Abstract

Uterine perforation represents an uncommon yet potentially severe complication of uterine curettage, as it may involve intra-abdominal organs and result in life-threatening outcomes. Timely identification and appropriate management are essential to prevent serious morbidity. We report a 37-year-old woman who presented with abdominal distension, inability to pass gas, and absence of defecation three days after undergoing uterine curettage for retained placenta. Abdominal X-ray suggested large bowel obstruction. Exploratory laparotomy revealed sigmoid colon entrapment within a uterine perforation. The bowel was viable and successfully reduced, followed by uterine repair. The patient had an uneventful recovery and was discharged in good condition. Uterine perforation can manifest with delayed and nonspecific clinical signs, making diagnosis challenging. While the small intestine is more frequently affected, the occurrence of sigmoid colon entrapment within a uterine defect is exceptionally uncommon. Diagnostic imaging, particularly computed tomography (CT), can assist in identifying the condition; nevertheless, surgical exploration remains the gold standard for establishing the diagnosis and providing definitive management. This case highlights the need to consider uterine perforation accompanied by bowel incarceration in patients who develop bowel obstruction symptoms following curettage. Prompt diagnosis and early surgical management are essential to minimize complications and ensure optimal patient outcomes.
COMPARISON OF PAIN PERCEPTION IN CATARACT SURGERY WITH PHACO- HORIZONTAL-CHOP TECHNIQUE VERSUS VERTICAL-CHOP TECHNIQUE IN GRADE 3 CATARACT Imam Masduki; Emelia, Dwi Ditha; Putri, Rachma Greta Perdana
Ahmad Dahlan Medical Journal Vol. 7 No. 1 (2026): May 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v7i1.14565

Abstract

Most cataract surgery is done by phacoemulsification method. Phacoemulsification cataract surgery with horizontal chop and vertical chop techniques is quite effective until now. In cataract surgery, generally used topical anesthetic pantocaine 0.5% (tetracaine 0.5%) to control pain in patients. This research aims to compare pain perception using a numeric rating scale in grade 3 cataracts operated by the phaco-horizontal-chop versus vertical-chop technique. This study is a comparative analytical study with a total of 87 subjects, consisting of 45 subjects undergoing surgery with the horizontal-chop technique, and 43 subjects with the vertical-chop technique. All patients were given the same topical anesthetic, pantocaine 0,5%. After the operation done, each subject will be asked about their pain perception using a numerical rating scale parameter. Then, the data were analyzed using univariate and bivariate analysis using chi-square. Among the 87 patients, mean pain scale in this study was 3.51, with a median value of 3.00. The minimum value of the pain scale was 1 while the maximum value was 6. The results showed that there was no significant relationship to pain experienced by patients undergoing phacoemulsification cataract surgery with the horizontal-chop technique compared with the vertical-chop (p = 1,000).
In Vitro Evaluation of Antibacterial Potential BioMint D-Spray Derived from Anredera cordifolia and Mentha spicata Extracts on Diabetic Wound Pathogens Maulida, Mas'ulatur Rohmah; Ardani, Nandita Diva; Putri , Anggi Ananta; Kuswidyaningrum, Desviona; Museyaroh
Ahmad Dahlan Medical Journal Vol. 7 No. 1 (2026): May 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v7i1.14834

Abstract

Diabetes mellitus is a metabolic disorder associated with a high risk of complications, particularly Diabetic Foot Ulcers (DFU). Indonesia recorded approximately 20.4 million diabetes cases in 2024, increasing the demand for effective and affordable wound care. Anredera cordifolia and Mentha spicata contain bioactive compounds including flavonoids, saponins, carvone, and phenolic acids with proven antibacterial and anti-inflammatory properties, making them promising natural candidates for diabetic wound management. This study employed a true experimental design using a combined extract of Anredera cordifolia and Mentha spicata leaves at a 1:1 ratio prepared via maceration. Phytochemical screening and pH testing were performed to characterize the extract. Antibacterial activity was assessed using the well diffusion method at concentrations of 60%, 70%, 80%, 90%, and 100%, followed by incubation for 12 and 24 hours and observed. Inhibition zone diameters were analyzed using the Shapiro-Wilk normality test followed by One-Way ANOVA at α = 0.05. Phytochemical analysis confirmed the presence of flavonoids, alkaloids, and tannins, with all concentrations exhibiting an acidic pH of 4.0. Antibacterial activity against Staphylococcus aureus was observed across all concentrations, with 60% established as the minimum inhibitory concentration (MIC). Inhibition zone diameters ranged from 14.20 mm to 15.40 mm across observation periods. The combined extract demonstrated intermediate antibacterial activity against Staphylococcus aureus based on CLSI standards, with inhibition zones of 14.20 to 15.40 mm compared to novobiocin (22 mm). No statistically significant difference was observed between concentrations. Further in vivo studies are recommended to evaluate pharmacological effects and optimal concentration in biological systems.
Hypertension Control and Cardiovascular Risk Profiles in Patients with Established Coronary Artery Disease: A Single-Centre Study Handayani, Ahmad; Safar, Farha Sonia; Guhtama, Muhammad Ary
Ahmad Dahlan Medical Journal Vol. 7 No. 1 (2026): May 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v7i1.15077

Abstract

Coronary artery disease (CAD) remains a leading cause of global morbidity and mortality, driven by interconnected risk factors such as hypertension, diabetes mellitus, smoking, obesity, and dyslipidemia. Effective management of these factors is essential in secondary prevention. This study aimed to compare the level of hypertension control with other cardiometabolic risk factors among CAD patients. Using a cross-sectional design, 40 CAD patients with multiple risk factors at Mitra Medika Amplas Hospital were assessed for hypertension control, smoking status, blood glucose regulation, achievement of ideal body weight, and dyslipidemia management based on clinical measurements and questionnaire data. Data were analyzed using descriptive statistics. Associations between risk factors and their level of control were assessed using the Chi-square test, with Fisher’s exact test applied when expected cell counts were small. Hypertension emerged as the most well-controlled risk factor, whereas blood glucose, body weight, and especially dyslipidemia showed poor levels of control. The study also found that an increasing number of coexisting risk factors correlated with progressively lower control of each individual factor. These findings underscore the need for more comprehensive, structured, and multidisciplinary risk-factor management to improve the effectiveness of secondary prevention in CAD patients.

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