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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 106 Documents
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Relationship Between Attitude and Knowledge of the Behavior of Scabies Patients at PKU Muhammadiyah Delanggu Hospital Hartini, Melok Tin; Purnamasari, Rina; Indrastiti, Retno; Ma'mun Sukri, Muhamad; Atthariq Ilmi, Putri
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Scabies is a skin condition caused by Sarcoptes scabiei variant hominis infestation. Scabies risk factors include a person's education and attitude toward personal and environmental hygiene. This study aims to investigate the relationship between attitudes and knowledge of the behavior of scabies patients at PKU Muhammadiyah Delanggu Hospital. This is a cross-sectional analytic study. The participants in this study were scabies patients who examined themselves at PKU Muhammadiyah Delanggu Klaten Hospital between January and September 2023. The sequential sampling method was used to obtain a sample of 135 subjects. The Fisher exact test is used to analyze univariate and bivariate data. The majority of scabies patients were aged 10-19 years (30.4%), whereas the minority were aged 30-39 years (3.0%). Men 57.8% are more than women 42.2%. The majority of scabies diagnoses (68.1%) were obtained through auto anamnesis, and approximately half of the patients (50.4%) possessed three of the four cardinal symptoms used for scabies diagnosis. With a p-value of 0.546 (p>0.05), the Fisher exact test demonstrates that knowledge is not related to a patient's behavior. However, the attitude factors test showed a p-value of less than 0.001, indicating that attitudes affect how scabies patients behave at the PKU Muhammadiyah Delanggu Hospital's Dermatology and Venereology clinic in Klaten. The results of the research show that there was a significant relationship between attitudes, rather than knowledge, significantly predicting how scabies patients behave in the Dermatology & Venereology clinic of PKU Muhammadiyah Delanggu Hospital, Klaten.
The Correlation between Hemoglobin Level, Age, and Family History of Febrile Seizure with The Incidence of Febrile Seizure in Children Istiqomah, Wimakrifah; Kartika Setyarini, Tri; Ratnaningrum, Kanti
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Febrile seizure is a seizure that occur when the body temperature increases and is caused by an extracranial process. There are several risk factors of febrile seizure, including hemoglobin level,-age,-and family history of febrile seizure. The aim of this study was to analyze the relationship between hemoglobin level, age, and family history of febrile seizure with the incidence of febrile seizure in 6-60 months children in Fatimah-Hospital-of Mother-and-Child-Lamongan. This study used a case-control design through retrospective approach based on data of children’s medical records in Fatimah-Hospital Lamongan from January-November 2021. The sample was selected by consecutive sampling method. Data analysis were using the chi-square test and continued with multiple logistic regression tests. The sample of this study was 80 children, consist of each 40 children as case and control group. Most of the febrile seizure occured in children with a low hemoglobin level (85%), in age of 6-24 months (82,4%), and have a family history of febrile seizure (65%). The result of the bivariate analysis showed that there was significant correlation between hemoglobin level (p = 0,022), age (p = 0,015),  and family history of febrile seizure (p = 0,000) with the incidence of febrile seizure. The result of the multivariate analysis showed that the most influential variable is family history of febrile seizure (OR=13,670). There was significant correlation between hemoglobin level,-age,-and family history of febrile seizure with the incidence of febrile seizure. Family history was the most influences factor for the incidence of febrile seizure.
Too “Big-Headed”, to Exit, a Massive Fetal Hydricephalus Causing Maternal Uterine Rupture. : Uterine Rupture After Delivery of Fetal Hydrocephalus Jihwaprani, Muhammad Candragupta; Ismirahmadani , Tiara Dinar; Kurniawan, Hendro
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Uterine rupture is an obstetric emergency, defined as a complete tear of all three layers of the uterus. It carries catastrophic maternal and fetal outcomes. While most commonly associated with previous cesarean deliveries or surgical obstetric-related procedures, it may very rarely be associated with abnormally high intrauterine pressure secondary to obstructed labor. Our center experienced a referred case of a spontaneous uterine rupture occurring after augmentation of labor and instrumental delivery of a hydrocephalic intrauterine fetal demise in an unbooked 29-year-old G4P3002 woman at 33 weeks’ gestation. She presented with acute hypotension and severe postpartum hemorrhage. Uterine rupture was diagnosed on clinical grounds. Early stabilization by maternal resuscitation and bleeding control was followed by an emergency total hysterectomy due to refractory hemorrhage. Our case depicted obstructed labor as a potential cause of uterine rupture and underpins the importance of routine antenatal care awareness which is still frequently overlooked in developing countries
Validity and Reliability of Knowledge, Attitude and Practice Questionnaire of Ear Care among Medical Workers Arsyada Hakama Syakuro; Deoni Daniswara; Adnan Abdullah; Rizka Fakhriani; Asti Widuri
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

The auditory system is a vital and prominent component of human. It is imperative for individuals to prioritize the maintenance of this organ throughout their lives. These methods encompass the maintenance of ear cleanliness, safeguarding against excessive noise exposure, preventing accidents, and warding off ear infections and disorders. The aim of this study was to determine the validity and reliability of knowledge, attitude, and practice about ear care among medical workers. This study uses a descriptive-analytic method with a cross-sectional design. The ear care questionnaire comprising of knowledge, attitude and practice translated and applicated for 45 participants, the validity test using Pearson’s correlation and reliability test evaluation determined by Cronbach’ s alpha. The ear care questionnaire Indonesian version found Pearson’s correlation of all items r above 0.35 or strongly valid, and the Cronbach’s alpha coefficient was 0.749 (adequate). Indonesian version of knowledge, attitude, and practice about ear care is valid and reliable, the result of assessment can indicate the needed of public awareness through education and health promotion.
The Effect of Health Education on Knowledge of the Dangers of Smoking in Students of SMK Negeri 4 Yogyakarta Prisilla Maya Heni Pratiwi; Putri, Rachma Greta Perdana; Sukirto, Novi Wijayanti; Astuti, Fardhiasih Dwi
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Smoking is the activity of smoking tobacco rolls wrapped in paper or nipa leaves and then burning and producing smoke. In thesurvey results of the Ministry of Health of the Republic of Indonesia, the risk of smoking behavior in junior and senior high school students in Indonesia in 2015 was 32.82% in male students. Smoking habits lead to health risk for cardiovascular and respiratory diseases and many types of cancer. Smokers have moderate knowledge of tobacco. The study's aim is to examine the effect of health education on knowledge of the dangers of smoking in students of SMK Negeri 4 Yogyakarta. This study utilized a pre-experimental design method with One-Group Pretest-Posttest design approach. The study sample consisted of 127 students who met inclusion and exclusion criteria in class X students of SMK Negeri 4 Yogyakarta. The pretest and post-test scores varied from 22 to 29 with increased scores of the post-test’s trend. Statistical analysis using chi-square test analysis showed a p-value of 0.000 (<0.05). These results suggest that there is an influence between health education on knowledge of the dangers of smoking in students of SMK Negeri 4 Yogyakarta
Management of Sodium Imbalance Purwanto, Barkah Djaka; Perdana Putri, Rachma Greta
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Sodium imbalance consists of hyponatremia and hypernatremia. Acute and severe hyponatremia and hypernatremia are life-threatening conditions. Rapid and slow correction should be considered for optimal outcomes, as aggressive management is often associated with the danger of demyelination and cerebral edema. This review aims to determine the safe management of sodium imbalance so that it is hoped that in overcoming critical conditions it does not transfer to other critical conditions that are equally fatal. The data search strategy uses the PubMed and Google Scholar databases between 2010 and 2022 with free full text that can be downloaded. The findings emphasize that acute and severe hyponatremia and hypernatremia are often life-threatening conditions. Management of these conditions requires caution, as aggressive correction in hyponatremia can result in osmotic demyelination, while hypernatremia can lead to cerebral edema. Despite theoretical risks, the study found no significant difference in 30-day mortality, seizures, cerebral edema, or decreased consciousness between fast and slow correction methods. The conclusion underscores the importance of tailored and cautious management strategies to mitigate the risks associated with sodium imbalance corrections.
Lymphocyte Count as Predictor of Covid-19 Patients Mortality and Length of Stay in the Covid ICU of Dr Sardjito Hospital Indra Wijaya, Adi; Jufan, Akhmad Yun; Widodo, Untung
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Covid-19 is an acute infection of the respiratory tract with a variety of clinical manifestations and severity. Lymphocyte count correlates to the severity of Covid-19. This study aims to find the relationship between lymphocyte count, mortality, and length of stay in COVID-19 patients. A retrospective cohort observational studies were conducted using medical records of confirmed COVID-19 patients in RSUP Dr. Sardjito Hospital between 1st January 2021 to 31st December 2021. The lymphocyte count cut-off point as a mortality factor was determined with the ROC curve and Youden’s index. Survival analysis was done using Kaplan Meier to investigate the relation of lymphocyte count to mortality and length of stay. The correlation between lymphocyte count and other factors affecting mortality and length of stay was analyzed with Cox regression. There were 217 subjects who fulfilled the inclusion and exclusion criteria. The cut-off point of lymphocyte count was set at 1.06,103 cells/μL. A total of 121 subjects have a lymphocyte count of <1.06,103 cells/μl. Higher lymphocyte counts (≥1.06,103 cells/μl) showed a reduced risk of mortality (HR 0.570; 95% CI 0.403 – 0.807, p=0.002). The duration of hospitalization was shorter in the group of patients with lymphocyte count <1.06,103 cells/μL OR 0.802, 95% CI 1.032-2.646; p=0.110) with a median of 128.77 hours (12.84 – 983.99 hours), which might be explained by higher mortality (p = 0.000) in the low lymphocyte patients’ group (64.8%). Low lymphocytes <1.06,103 cells/μL in COVID-19 patients is independently and significantly associated with increased risk of mortality and insignificantly associated with shorter length of stay.
The Relationship Of Ear Picking Habits With The Incident Of Otitis Externa At Roemani Muhammadiyah Hospital Semarang Martono, Wahyu Budi; Nina Anggraeni Noviasari; Reynaldy Aditya Putra; Wahyu Puspita Eka Almira
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Acute ear canal inflammation, or otitis externa, is brought on by bacterial, fungal, or viral infections. One of factor that cause inflammation of the outer ear is a change in the pH in the ear canal, which is usually normal or acidic. When the pH becomes alkaline, protection against infection decreases. Edema of the squamous epithelium can result from the picking habit's reduction of the protective layer. It can cause local trauma which causes bacteria to enter through the skin, inflate and cause exudate. The aim of this study was to determine the relationship between ear picking habits and the incidence of otitis externa at Roemani Muhammadiyah Hospital. This study uses a cross-sectional design and observational analysis. Using a purposive sampling technique, samples of all ENT polyclinic patients who met the inclusion and exclusion criteria between January 2019 and December 2020 at Roemani Muhammadiyah Hospital in Semarang City, Central Java Province totaled roughly 36 individuals. The responders were asked to fill out a questionnaire. It has several questions that were utilized as study guidelines to gather research data and as note-taking tools. According to the findings, ear plucking and otitis externa were significantly correlated with a prevalence value of 0.000 <0.05. There is a significant relationship between the habit of picking the ears and otitis externa in ENT polyclinic patients, Roemani Muhammadiyah Hospital, Semarang.
Characteristics of Schizophrenia Patients at Kasihan II Bantul Public Health Center in 2022 Elistiana, Dinda Ian; Aristiani, Windy; Adnan; Yuniasih, Dewi
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Mental health problems are still a significant problem throughout the world. Schizophrenia is a form of chronic mental disorder that affects a person's ability to think, behave, manage emotions and interact with other people. Sociodemographic factors in individuals can be one of the risk factors for someone experiencing mental disorders, including schizophrenia. Therefore, knowing the sociodemographic factors of schizophrenia patients can be a way of early detection and preventive measures against the high rate of schizophrenia recurrence. This study aimed to determine the sociodemographic characteristics of schizophrenia patients at Kasihan II Bantul Public Health Center. This research is quantitative research with a descriptive observational research design. Data collection was carried out retrospectively using medical record data from 91 schizophrenia patients at Kasihan II Bantul Public Health Center in 2022. Sociodemographic data was taken and analyzed by presenting the results using frequency and proportion distribution tables. The results of the study showed that the incidence of schizophrenia at Kasihan II Bantul Public Health Center occurred most frequently in the adult age group as many as 79 subjects (86.8%), 57 subjects (62.6%) were males, 37 subjects (48.4%) had secondary education, 65 subjects (71.4%) had jobs, and 51 subjects (56%) were unmarried.
Overview of Tuberculosis Epidemiology at PKU Muhammadiyah Bantul Hospital in 2021-2023 Sukirto, Novi; Yuniasih, Dewi; Prisilla, Elvina; Umam Kurniawan, Nurcholid; Budi Rahayu, Ana; Awisarita, Wiwara; Ariani, Rizka
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

The number of tuberculosis cases reported in Bantul Regency in 2022 was 732 cases. Aims this study to determine the epidemiological picture of tuberculosis in PKU Muhammadiyah Bantul Hospital in 2023. Research method: The research method applied in this study was the analytical observational method. The design in this study was cross-sectional. Tuberculosis cases at PKU Muhammadiyah Bantul Hospital in 2021-2023 experienced fluctuations and based on gender, the most cases were 54% males, the most tuberculosis patients were in the age group of 55-64 years, 86% of patients resided in Bantul Regency, the classification of tuberculosis was more in pulmonary tuberculosis, namely 72%, based on the results of the thoracic examination, 68% were known to be positive for tuberculosis, 17% of tuberculosis patients were accompanied by diabetes mellitus and 2% of tuberculosis patients were confirmed HIV positive. The conclusion is Patients at PKU Muhammadiyah Bantul Hospital were more male than female. Most of the patients in the age group of 55-64 years, and resided in Bantul. The TB diagnosis is most pulmonary tuberculosis, with more positive thoracic examination results, fewer patients with diabetes mellitus, and fewer HIV-positive tuberculosis patients. Keywords: epidemiology, characteristics, tuberculosis

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