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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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Functional Disaster Preparedness at Community Health Centers in Mount Merapi Yogyakarta Disaster Prone Areas Arliono, Tri Yunanto; Putra, Fadly Muhammad Bima; Wijaya, Oktomi; Ihsana, Nuni; Indarto, Bayu Praditya; Hutomo, Muhammad Agita; Putri, Rachma Greta Perdana; Heriyanto, Mochammad Junaidy; Wijaya, Adi Indra; Alim, Ahmad Muttaqin
Ahmad Dahlan Medical Journal Vol. 5 No. 2 (2024): November 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i2.10946

Abstract

Mount Merapi is one of the most active volcanoes in the world. The major eruptions happened in 1768, 1822, 1849, 1872, and the most recently in 2010. Three health centers are situated at the foot of Mount Merapi, with a high risk of potential disasters, ranging from eruptions and cold lava flows to landslides. To maintain service quality and effective disaster response, this study aimed to provide evaluation material for optimizing service quality and assessing the readiness level of these health centers. The research used a quantitative analysis method, collecting numerical data to outline the preparedness level of the three health centers: Puskesmas Pakem, Puskesmas Turi, and Puskesmas Cangkringan. The results, achieved through manual calculations, indicated that Puskesmas Pakem exhibited the highest functional preparedness with a score of 0.45, categorized as "moderate." Puskesmas Turi scored 0.40, also categorized as "moderate." On the other hand, Puskesmas Cangkringan scored 0.24, falling into the "low" category. In conclusion, two health centers fell into the "moderate" category, which means the risks to the safety of staff and patients persisted, necessitating future interventions. Meanwhile, one health center fell into the "low" category, signifying its inability to function optimally during disasters and requiring immediate interventions
A Rare Case of Basaloid Squamous Cell Carcinoma in the Genital Region Fitria Puspita Dewi; Saputra, Arkan Runako
Ahmad Dahlan Medical Journal Vol. 5 No. 2 (2024): November 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i2.11461

Abstract

Vulvar carcinoma accounts for approximately 0,7% of all malignancies in females and 4% of cases of malignancies in the female reproductive organs. Basaloid squamous cell carcinoma (BSCC) is an uncommon squamous cell carcinoma (SCC) variant with aggressive biological features and frequent distant metastasis. BSCC is reported to occur in approximately 2% of cases in the head and neck region, such as the oral cavity, larynx, and hypopharynx, but can also be found in the nasopharynx and trachea. BSCC is rarely found in the female genital tract, only 6 cases of BSCC cancer in the genital tract have been reported. The detection of vulvar cancer often takes longer than necessary for several reasons. Firstly, the condition can be asymptomatic for a prolonged duration. Moreover, there is a lack of awareness among women about the disease and its signs, which further delays the diagnosis. This postponement in diagnosis results in a worse prognosis and fewer options for medical treatment, ultimately impacting women's psychosexual and psychosocial. We present the case of a 62-year-old woman who attended the obstetrics clinic of Dr. Sardjito Hospital with multiple blackish masses on the vulva extending to the gluteal region and also lymphadenopathy in the inguinal lymph nodes. A wide excision vulvectomy was performed, and the specimen was sent to the Anatomical Pathology Laboratory.
Emerging Neuroplasticity-based Therapies in Stroke Rehabilitation: Literature Review Selohandono, Andrianto; Zamroni; Budi Rahayu, Ana
Ahmad Dahlan Medical Journal Vol. 5 No. 2 (2024): November 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i2.11626

Abstract

Stroke is a significant global health concern, leading to substantial mortality and long-term disability among survivors. Traditionally, stroke rehabilitation has focused on compensatory strategies to mitigate the effects of impairments rather than addressing their root causes. However, growing recognition of the brain's capacity for neuroplasticity a process involving the brain's ability to reorganize itself in response to injury has prompted a paradigm shift. This review explores the mechanisms of neuroplasticity and the latest neuroplasticity-based interventions for stroke recovery. It highlights the role of neuronal regeneration, synaptic plasticity, and functional reorganization in promoting recovery. Additionally, the review discusses emerging therapies, such as Constraint-Induced Movement Therapy, mirror therapy, robot-assisted training, and non-invasive brain stimulation techniques, which have shown promise in enhancing neuroplasticity and improving functional outcomes. Although the results of these interventions have been complex and the effect sizes modest, they underscore the potential for innovative approaches to harness neuroplasticity in stroke rehabilitation.
Bibliometric Analysis of Gene Research on Aging Putri, Rachmagreta Perdana; Annisa, Annisa; Tejosukmono, Ario; Yuniasih, Dewi
Ahmad Dahlan Medical Journal Vol. 5 No. 2 (2024): November 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i2.11996

Abstract

Aging is associated with various factors identified in the hallmark of aging. Numerous studies have been conducted to identify genes involved in the aging process, allowing for a comprehensive understanding of this phenomenon. This study aims to provide an overview of research on genes associated with the aging process. Data for this study was obtained and analyzed from the SCOPUS database covering the period from 2014 to 2024, with a focus on medicine, neuroscience, and nursing. The keywords used for the search were "gene," "longevity," and "aging." The search results were filtered to match the study's purpose and were limited to articles in English. The data obtained was analyzed using VOSviewer version 1.6.20. A total of 1,603 articles were analyzed. The highest number of publications occurred in 2021. The most frequent sources for these articles were the journals Biogerontology and The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. The United States was the leading contributor in publications (n=488), with Harvard Medical School producing the highest number (n=45). The most-cited article was by Loboda in 2016 (1,863 citations). Research on genes associated with aging has shifted from identifying genes (2017-2019) to focusing on the functions of these genes in physiological processes and other risk factors of aging. In conclusion, the aging research has evolved from focusing solely on gene identification to exploring the physiological functions and risk factors related to aging.
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..

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