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Dewi Yuniasih
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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 106 Documents
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Early Detection of Mental Health of Doctoral Students UAD due to the Covid-19 Pandemic through the Questionnaire Method Muhammad Agita Hutomo; Laela Hayu Nurani; Widea Rossi Desvita; Isabella Meliawati Sikumbang
Ahmad Dahlan Medical Journal Vol. 3 No. 2 (2022): November 2022
Publisher : Universitas Ahmad Dahlan

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Abstract

Stress and a decrease in student learning achievement can be triggered by the mal-adaptive coping experienced, especially during the COVID-19 pandemic which requires students to adjust physically and psychologically in the learning process on campus which is now done online and is more independent in learning. So, psychological support for students, especially UAD doctoral students, needs to be done, one of which is mental health screening. The purpose of this study was to determine the mental health condition and social support of students. In the end, this will be the basis for providing psychological support and improving educational and learning activities for UAD Doctoral program students. The research method used was the adjustment and validation of the Self-Report Questionnaire (SRQ) 29, covering aspects of mental health, namely anxiety, depression, stress, use of psychostimulants/substances, symptoms of psychosis (reality rating disorder) and post-traumatic stress disorder (PTSD); Customize and validate social support questionnaires; Submission of ethical review; and Conducting an online survey of mental health, anxiety, depression and social support for Doctoral students. The results obtained from SRQ29 showed that as many as 30% of students experienced PTSD and 10% experienced depression. However, the results of the high religiosity test and quality of life were not compromised. The conclusion of this study is that the existence of religiosity and spirituality can provide positive coping to reduce mental disorders and improve the quality of life for students during the COVID-19 pandemic.
Knowledge of Diabetes Mellitus and Student Healthy Lifestyle Behavior: Pengetahuan Tentang Diabetes Melitus Dan Perilaku Hidup Sehat Mahasiswa Barkah Purwanto; Nuni Ihsana; Adilah Rahmi Nashuha; Dewi Yuniasih
Ahmad Dahlan Medical Journal Vol. 3 No. 2 (2022): November 2022
Publisher : Universitas Ahmad Dahlan

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Abstract

Diabetes Mellitus (DM) is one of the four priority non-communicable diseases that are WHO targets to follow up with a rising prevalence every year. Changes in unhealthy living behaviour from a young age are an important cause of DM. Medical students as the younger generation have some functions as agents of change, agents of health, and social control regarding health, including DM. Therefore it is necessary to identify the students’ knowledge level related to DM to reduce its incidence by way of healthy living behaviour.This research aims to determine the relationship between students' knowledge level and their healthy living behaviour. This research is an analytic quantitative study with a cross-sectional design. The population of this study was all students of the UAD Faculty of Medicine. The research sample was 96 students of the UAD Faculty of Medicine in the 3rd, 5th, and 7th semesters with a simple random sampling technique. The research data was taken using questionnaires and processed using the Spearman Rank statistical test. The results showed that the majority of respondents (55.2%) had a sufficient knowledge level about DM and the majority of students' healthy life behaviours were in a good category (47.9%). From bivariate analysis, it was obtained that p value = 0.04 (p < 0.05) which indicates a significant relationship between students' knowledge level and their healthy living behaviour. There is a relationship between the students' knowledge level and their healthy living behaviour Diabetes Melitus (DM) merupakan satu dari empat penyakit tidak menular (PTM) yang menjadi prioritas target tindak lanjut WHO dengan prevalensi yang terus meningkat setiap tahunnya. Perubahan perilaku hidup yang tidak sehat sejak usia muda menjadi penyebab penting dalam terjadinya DM. Mahasiswa kedokteran sebagai generasi muda memiliki fungsi sebagai agent of change, agent of health, dan social control tentang kesehatan, termasuk DM. Sehingga perlu dilakukan identifikasi tingkat pengetahuan mahasiswa terkait DM untuk menurunkan angka kejadian DM melalui perilaku hidup sehatnya. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan dengan perilaku hidup sehat mahasiswa. Penelitian ini merupakan penelitian analitik kuantitatif dengan desain cross-sectional. Populasi penelitian ini adalah seluruh mahasiswa Fakultas Kedokteran UAD. Sampel penelitian sebanyak 96 mahasiswa Fakultas Kedokteran UAD semester 3, 5, dan 7 dengan teknik pengambilan sampel proportionate stratified random sampling, Data penelitian diambil menggunakan kuesioner dan diolah menggunakan uji statistik Spearman Rank. Hasil penelitian menunjukkan mayoritas responden (55,2%) memiliki tingkat pengetahuan yang cukup mengenai DM dan mayoritas perilaku hidup sehat mahasiswa dalam kategori baik (47,9%). Analisis bivariat didapatkan nilai p = 0,04 (p < 0,05) yang menunjukkan adanya hubungan signifikan antara tingkat pengetahuan dengan perilaku hidup sehat mahasiswa. Ada hubungan antara tingkat pengetahuan mengenai DM dengan perilaku hidup sehat mahasiswa
Characteristics of Patients With Upper Acute Respiratory Infection in the Case of Covid-19 at Sindang Barang Community Health Center, Bogor Avitasya Putri Rejeki; Novi Wijayanti Sukirto; Nuni Ihsana
Ahmad Dahlan Medical Journal Vol. 3 No. 2 (2022): November 2022
Publisher : Universitas Ahmad Dahlan

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Abstract

Indonesia has the highest COVID-19 cases in Southeast Asia, with 1,577,526 confirmed cases. The city of Bogor alone has 14,769 confirmed cases of COVID-19. In Indonesia, the most common symptoms for COVID-19 patients are cough (63.4%) and fever (35.8%). These symptoms can also occur in upper Acute Respiratory Tract Infections (ARI), but patients with COVID-19 can have varying symptoms individually in each region.To determine the characteristics of patients with upper ARI symptoms in cases of COVID-19 at the Sindang Barang Community Health Center, Bogor City from 1 July 2020 to 31 July 2021.Quantitative research with descriptive observational research design and cross-sectional methods was employed. The total sampling technique was used with a sample of 169 people. The data source was secondary data in a form of Epidemiological Investigation (EI) data. Data analysis in this study was descriptive statistics.The results of the univariate analysis show that the highest percentage of characteristics of COVID-19 patients with upper ARI symptoms at the Sindang Barang Community Health Center, Bogor City are 36-45 years old (36.7%) with an average age of 36 years old, a minimum age of 18 years old, a maximum age of 58 years old, male (57.4 %), without comorbidities (95.9%), working as an employee (40.2%), living in Bubulak Village (35.5%), and showing cough symptoms (79.2%).
Pro dan Kontra untuk Kematian yang Dibantu Dokter (KDD): Konsep Martabat dalam Perawatan Akhir Kehidupan: Pros and Cons for Physician-Assisted Death (PAD): The Concept of Dignity in End-Of-Life Care Urfa Khairatun Hisan; Dian Rizzky Aisyari
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Banyak pasien berpendapat bahwa kematian yang dibantu dokter (KDD) merupakan salah satu cara untuk mewujudkan kematian yang bermartabat. Pada pasien yang menderita penyakit kronis dan menahun, KDD dapat dianggap sebagai upaya mewujudkan kematian yang bermartabat. Khususnya pada pasien yang mengidap terminal illness, mereka seringkali berpendapat bahwa kematian yang bermartabat melalui KDD jauh lebih baik dibanding penderitaan dan rasa sakit yang berkelanjutan, yang pada akhirnya mengantarkan pada keluaran yang sama: kematian. Terdapat berbagai alasan yang dikemukakan oleh pasien yang memohon KDD, meliputi rasa sakit yang menahun, membebani keluarga/teman, kehilangan otonomi, kehilangan kualitas hidup yang layak, kurangnya harga diri dan kepercayaan diri, kehilangan kendali atas fungsi tubuh, hingga merasa bahwa hidupnya sudah cukup memuaskan. Meski demikian, perdebatan terkait KDD merupakan perdebatan yang telah berlangsung panjang. Pihak pendukung KDD berargumen bahwa KDD dapat menghapuskan rasa sakit dan penderitaan, penghormatan terhadap otonomi pasien, hingga mengurangi tanggungan dan beban finansial/medis. Di sisi lain, pihak yang kontra dengan KDD berpendapat bahwa KDD merupakan tindakan keputusasaan/bunuh diri. Selain itu, pasien yang mengharapkan KDD seringkali dianggap pasien yang depresi dan berputus asa sehingga alih-alih memerlukan KDD, mereka seharusnya diberikan dukungan psikologi yang memadai. Tindakan KDD dan legalisasi KDD juga dianggap kontroversial dan berpotensi untuk menimbulkan masalah di kemudian hari. Pada artikel ini, penulis merangkum dan menyampaikan pro dan kontra dari tindakan KDD dari sudut pandang penulis. Alih-alih memihak salah satu pendapat, artikel ini berada pada posisi netral dan hanya merangkum argumen-argumen yang sudah ada terkait pro dan kontra terhadap KDD.
Risk Factors Analysis of Diaper Dermatitis in Children Aged 0-36 Months at Puskesmas Working Area, Tembalang District Ika Dyah Kurniati; Laila Arina Hukma Adila; Retno Indrastiti
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Diaper dermatitis is an inflammation of the skin in the diaper area caused by contact with urine and feces and the friction of the diaper against the skin. The incidence of diaper dermatitis in Indonesia is 7-35% in male and female infants with the highest number at the age of 6-12 months. The purpose of this study was to determine the factors associated with diaper dermatitis in children aged 0-36 months at the Tembalang District Puskesmas, such as age, gender, mother's education level, mother's occupation, economic status, frequency of diaper changes, and personal hygiene. This study used an observational analytic method of Case-Control approach with a sample of 30 people, 15 case groups and 15 control groups with purposive sampling technique. Data were obtained through a questionnaire instrument which was then tested with the Chi-Square test with the help of software. Statistical test results showed no significant relationship between age, gender, mother's education level, mother's occupation, and economic status with the occurrence of diaper dermatitis and there was a significant relationship between the frequency of diaper changes 0.013 (p < 0.05) and personal hygiene 0.008 (p < 0.05). There is a significant relationship between the frequency of diaper changes and personal hygiene with the occurrence of diaper dermatitis, and there is no significant relationship with other risk factors.
The Complication of Tinea Pedis to Onychomycosis On Disposal Officer Ahmad Ghiffari; Mitayani Purwoko; Reza Reza; Dewi Yuniasih; Lucille Anisa Suardin; Indri Ramayanti
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Superficial dermatomycosis is the most common type of infection, which affects 20-25% of the world's population. Tinea pedis can cause onychomycosis and has been associated with onychomycosis in 30 to 50% of cases. The study aimed to determine the relationship between Tinea pedis and the occurrence of onychomycosis in scavengers. The research design used in this study is cross-sectional. The sample used was scavengers at the Sukawinatan landfill in Palembang. The sampling method used a consecutive sampling technique for as many as 70 respondents. This study used data obtained from interviews and examination of skin scrapings under a microscope and fungal culture. The results obtained were 31 respondents (44.3%) with tinea pedis and 39 respondents (55.7%) who did not have tinea pedis. Fifty-five respondents (78.5%) had onychomycosis, while 15 (21%) did not. Tinea pedis and onychomycosis are strongly related. The Odds Ratio (95%=CI) of the Chi-Square test was 0.309. Tinea pedis is 0.309 times more likely to have onychomycosis. In conclusion, there was a significant relationship between tinea pedis and the occurrence of onychomycosis in the disposal officer. The emergence of tinea pedis is due to the daily life of scavengers who live side by side with garbage and the lack of concern for personal hygiene which is not optimal, can be prevented and treated.
Tatalaksana Pasien dengan Manifestasi Neurologis Virus COVID-19 dan Patofisiologi : Tinjauan Pustaka: Treatment of Patient with Neurological Manifestation of COVID-19 Virus and Pathophysiology: Literature Review Ana Budi Rahayu
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Pasien COVID-19 dengan manifestasi neurologis dan komplikasi seperti pusing, sakit kepala, penyakit serebrovaskular akut,gangguan kesadaran, mielitis transversal, ensefalopati nekrotikans hemoragik akut, ensefalitis, ataksia, hipogeusia, dan sindromGuillian-Barre memerlukan penanganan yang tepat. Tinjauan literatur ini bertujuan untuk memberikan gambaran tentangstrategi pengobatan yang digunakan untuk pasien dengan manifestasi neurologis COVID-19 dan mengeksplorasi mekanismepatofisiologis yang mendasarinya. Tinjauan literatur ini bertujuan untuk mendeskripsikan manifestasi neurologis yang diinduksiSARS-CoV-2 dan mekanisme yang mendasari patofisiologi neurologis yang menyebabkan kerusakan jaringan saraf dengan pengobatan kasus per kasus. Temuan review kami adalah SARS-CoV-1 dan SARS-CoV-2 terutama menyerang sistem pernapasan. Mekanisme dan target SARS-CoV-2 ke sel saraf terjadi melalui beberapa rute, yaitu transneuronal dari paru, hematogen, danolfaktorius.
Gaucher’s Disease : A Case Report Elvina Prisila; Ana Majdawati
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Gaucher disease is a rare genetic disorder in which a person lacks an enzyme called glucocerebrosidase (GBA). Gaucher disease is an autosomal recessive inherited disorder of metabolism where a type of fat (lipid) called glucocerebroside cannot be adequately degraded. The lack of the GBA causes harmful substances to build up in the lung, liver, spleen, bones, and bone marrow, brain and eyes. These substances prevent cells and organs from working properly. There are three recognized Types of Gaucher disease and each has a wide range of symptoms. Type 1 is the most common, does not affect the nervous system and may appear early in life or adulthood. Many people with Type 1 Gaucher disease have findings that are so mild that they never have any problems from the disorder. Type 2 and 3 do affect the nervous system. A man, 27th, goes to the hospital with pain at upper of left knee, swollen since 3 week ago, hypertension(-), DM (-), history of left knee operation. Traumatic history (-). HB: 14,9mmgr/dl, AL 7,6. AT 186, HMT 43,8%, GDS 95 mg/dl, APTT 34,4. PPT: 11,6, diff eosinophil: 3,2. From the symptoms dan clinical finding from this patient we can make conclusion, the case is typical Gaucher disease type 1.
Maternal characteristics and delivery method in patients with preeclampsia in PKU Muhammadiyah Bantul, Yogyakarta Irfan Rahmatullah; Rachma Greta Perdana Putri; Tiara Ismirahmadani; Novi Sukirto
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Preeclampsia is the condition of pregnancy that has high mortality of mother and result some complication for the childbirth. The incidence of preeclampsia in the world reaches 10% whereas 3% -5% of them experience complications of eclamptic pregnancy. The objective of this study was to explore maternal characteristics and delivery methods of preeclampsia in order to predict the prognosis of the diseases and direct proper antenatal care. Methods: the study was Descriptive observational with a cross-sectional design at PKU Muhammadiyah Bantul during 2018-2020. Data were collected from medical records. The variables was compared using the Mann-whitney, kruskall wallis, and crosstabs as appropriate. Results: In this study, we found 77 women. Majority of patient’s age are less than 35 years old, 5 patients (6.50%) were mild preeclampsia and 52 patients (67.50%) were severe preeclampsia. Forty seven (61.04%) patients with preeclampsia were multigravida and 37 patients (48.05%) have normal BMI. Almost all patients without comorbid disease (96.10%) and history of preeclampsia (98.70%). Sixty eight patients (88.31%) have interpregnancy interval less than 5 years and without complication after delivery. Preeclampsia’s patients delivered at aterm gestational age (67.53%). Significantly, delivery method of the patients were cesarean section (74.03%; p = 0.01%).
Hubungan Pola Pengasuhan Dan Sikap Orangtua Dengan Kejadian Infeksi Saluran Pernapasan Akut (ISPA) Pada Balita: Relationship of Parenting Pattern and Parental Attitude with Acute Respiratory Infections in Children Under 5 Years Oky Rahma Prihandani; Jihan Fatmawati; Kanti Ratnaningrum
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Acute respiratory infections (ARIs) is the leading cause of death in children under 5 years oldThe objective of this study was to determine the relationship between parenting pattern and parental attitude with the incidence of ARIs in children under 5 years old at Karangkemiri Village, Banyumas. This was a cross sectional study with the subjects of 46 mothers. Data was analyzed using Fisher’s Exact Test and Logistic regression. The results showed that the incidence of ARIs in children under 5 years was 32.6%. Bivariate analysis showed significant differences in feeding habit, parenting habit, and parental attitude on the incidence of ARIs with a value of 0.023, 0.003, and 0.023 respectively. Meanwhile, there is no relationship between the habit of providing health services on the incidence of ARIs with a value of 0.244. The most important factor in this study was parenting habit

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