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Jurnal Kedokteran Diponegoro
Published by Universitas Diponegoro
ISSN : -     EISSN : 25408844     DOI : -
Core Subject : Health,
Medicine & Pharmacology
JKD : JURNAL KEDOKTERAN DIPONEGORO ( ISSN : 2540-8844 ) adalah jurnal yang berisi tentang artikel bidang kedokteran dan kesehatan karya civitas akademika dari Program Studi Kedokteran Umum, Fakultas Kedokteran, Universitas Diponegoro Semarang dan peneliti dari luar yang membutuhkan publikasi . JURNAL KEDOKTERAN DIPONEGORO terbit empat kali per tahun. JURNAL KEDOKTERAN DIPONEGORO diterbitkan oleh Program Studi Kedokteran Umum, Fakultas Kedokteran, Universitas Diponegoro Semarang.
Arjuna Subject : -
Articles 8 Documents
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Search results for , issue "Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)" : 8 Documents clear
Factors Related to Duration and Interaction of Doctor-Patient Communication at Diponegoro National Hospital Refertiwi, Kriesye; Nugroho, Teddy Wahyu; Bakri, Saekhol; Wulandari, Diah Rahayu
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.45779

Abstract

Background: Doctor-patient communication is an important foundation in the process of diagnosis, therapy, and prevention of disease. Communication has been a challenge for most doctors. The doctor's willingness to provide sufficient time is needed to establish good interaction and communication between the doctor and the patient. Aim: To determine what factors are related to the duration and interaction of communication between doctors and patients at Diponegoro National Hospital (RSND) Semarang. Methods: Research subjects using analytic survey research designs, with quantitative approaches and cross-sectional research designs. The sample of this study was 80 patients who came to internal, neurological, pediatric, and cardiovascular polyclinics RSND Semarang. The independent variables were factors related to doctor-patient communication (number of patients, type of patients, complexity of the disease, and qualifications of specialist doctors). The dependent variable was doctor-patient communication (duration and communication interaction at RSND Semarang). Results: Most of the respondents (72.5%) experienced < 8 minutes of communication. The number of patients, type of patients (old/new), and qualifications of specialist doctors (internists, neurologists, pediatricians, and cardiologists) were statistically related to the duration of communication (p < 0.005). Meanwhile, the complexity of the disease was not statistically related to the duration of doctor-patient communication (p = 0,416). There was a relationship between the number of patients, type of patients (old/new), and qualifications of specialist doctors to the communication interaction of doctor-patient (p < 0.005). On the contrary, there is no relationship between the complexity of the disease and the communication interaction between the doctor and patient (p = 0,324). Conclusion: Factors related to the duration and communication interaction between doctor and patient at RSND Semarang are the number of patients, type of patients, and qualifications of specialist doctors.
The Art of Anti-Snake Venom Administration in Snakebite Grade III Following Viper Snakebite in Developing Country: A Case Report Kinanti, Hapsari; Kusumanegara, Agung
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.43109

Abstract

Snakebite remains a prior Neglected Tropical Disease in the World, especially in South-East Asia. There were many diversities in the management of snake bites based on the different levels of clinician experience. Anti-snake venom remains the mainstay treatment in venomous snakebites, meanwhile, the distribution of anti-snake venom is very sparse. Snakebite is time-limited and could be a life-threatening event. This case report described a delayed anti-snake venom administration in snakebite grade III following a viper snake bite. Tight observation including clinical manifestation and laboratory tests is the foremost thing to do in managing snakebite, due to its unpredictable clinical manifestation. Anti-snake venom dosage must be decided based on the progress of clinical manifestation and laboratory results. 
The Correlation between Duration and Frequency of Writing Activities on Subjective Complaints of Carpal Tunnel Syndrome Widyaningtyas, Hana; Setiawati, Erna; Kesoema, Tanti Ajoe
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.46140

Abstract

Background: In 2020, lectures were passed online due to the pandemic Covid 19, but now it is offline as before. This method has increased hand duration for writing. Using a hand for long and repetitive duration can affect pathological abnormalities on the nerves that lead to complaints such as soreness, pain, numbness, and weakness. Of these symptoms, 90% refer to a pathological disorder named Carpal Tunnel Syndrome (CTS).Objective: To determine the relationship between writing activities and subjective complaints of CTS using research subjects of students of the Department of Medical Science, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia. Methods: This study is analytical with a crosssectional method. CTS complaints were measured Boston Carpal Tunnel Syndrome Questionnaire(BCTS-Q). Data analysis was performed using univariate analysis and Spearman correlation bivariate analysis. Results: 99 respondents fit the criteria that experience subjective complaints of CTS based on the BCTS-Q; 69.7% mild, 4% moderate, and 1% very severe. There was no correlation between duration (p= 0.852), frequency (p = 0.824), and rest time of writing (p = 0.285) with subjective complaints of CTS. It could be the cause of high subjectivity in interpreting the severity of CTS without a physical examination and difficulty in recalling the time they needed to write in one week. Conclusion: There is no relationship between the duration, frequency, and length of rest time of writing and subjective complaints of CTS.
Scurvy with Musculoskeletal Pain in Indonesian Pediatric Patient: A Case Report Muhammad, Hilmi; Meirizal, Meirizal; Sakti, Yudha Mathan; Triangga, Aditya Fuad Robby; Lanodiyu, Zikrina Abiyanti; Putra, Ginanjar Reza; Yasser, Yasser; Putro, Yuni Artha Prabowo
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.44840

Abstract

Background: Scurvy is a potentially fatal disease caused by a severe deficiency of vitamin C, which can manifest as a musculoskeletal problem. Early diagnosis and treatment of vitamin C deficiency are crucial to prevent severe symptoms. Unfortunately, vitamin C level evaluations in Indonesia are very limited due to the lack of laboratory facilities. As a result, patients with scurvy are often underdiagnosed and do not receive adequate management. Case Presentation: 5-year-old boy with musculoskeletal pain and inability to walk. Radiographic findings showed a pathognomonic line of Fränkel, Trümmerfeld zone, and Wimberger ring sign, with laboratory evaluation showing an anemia and vitamin D deficiency. We did not perform a laboratory examination for vitamin C due to a lack of test facilities but the patient was given oral 250 mg of vitamin C daily instead. The patient showed significant improvement in symptoms and laboratory results after three months of vitamin C supplementation. To summarize, that vitamin C deficiency should be considered among patients with related musculoskeletal manifestations supported by imaging results. 
Risk Stratification Tools in Predicting Survival and Transformation of Therapy-Related Myelodysplastic Syndrome: A Systematic Review Rubiyat, Siti; seran, Bernadetha kusuma kris firmantya tei; Rustamadji, Albert Tri
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.46210

Abstract

Background: Therapy-related myelodysplastic syndromes (t-MDS) are grouped with therapy-related acute lymphoblastic leukemia (t-ALL) and therapy-related myelodysplastic/myeloproliferative neoplasms (t-MDS/MPN) under therapy-related myeloid neoplasms (t-MNs). Most myelodysplastic syndrome (MDS) prognostic models have excluded t-MDS patients, leaving their prognostic utility uncertain. Objective: This systematic review aims to synthesize the predictive utility of existing and novel risk stratification tools in assessing the survival and transformation of t-MDS. Methods: Searches were conducted in PubMed and ScienceDirect following PRISMA 2020 guidelines, focusing on overall survival and transforming t-MDS into acute myeloid leukemia (AML). Two reviewers independently screened references, extracted data, and assessed quality using the QUAPAS-2 tool. Results: From 1715 abstracts and 13 papers, 6 studies were included. Three studies on the International Prognostic Scoring System (IPSS) showed significant predictive power for survival and AML transformation. Five studies on the revised IPSS (IPSS-R) and WHO-based Prognostic Scoring System-revised (WPSS-R) also showed significant results. One study highlighted the cytogenetic component of IPSS-R (cIPSS-R) as highly prognostic. Conclusion: Existing and novel risk stratification tools demonstrate significant prognostic power for t- MDS. Further refinement and validation are needed to enhance risk assessment and treatment strategies. 
Identifying Acute Ischemic Stroke with Hemichorea as A Clinical Manifestation: A Case Report Nugraha, Priya; Hamdan, Muhammad; Soedjono, Harris Kristanto; Valentine, Putri Permata
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.46243

Abstract

Focal brain lesions can induce abnormal involuntary movement disorders, including hemichorea, hemiballismus, parkinsonism, myoclonus, dystonia, tremor, and asterixis. The most common cause of focal brain lesions is stroke, followed by trauma, neoplasm, anoxia, vascular malformations, metabolic disease, and multiple sclerosis. Hemichorea-hemiballismus as an initial presentation of acute ischemic stroke is very rare, with an incidence rate of 0.54%. Case Presentation: A 65-year-old male with a past medical history of hypertension and diabetes experienced sudden, involuntary, non-rhythmic, and uncontrollable movements of the left extremity one day before being admitted to the hospital. A non-contrast CT scan of the head revealed acute cerebral infarction on the right basal ganglia. The symptoms of hemichorea improved with the initiation of haloperidol after three days of treatment. Regarding this case, acute ischemic stroke should be considered suppose a patient without hyperglycemia and with sudden onset of hemichorea visits to emergency room. 
Oral and Perioral Manifestations in Monkeypox Patients: A Systematic Review of Case Reports and Case Series Ridho, Fiki Muhammad; Iqbal, Mohammad; Laksono, Eko Puji; Leal, Rafael Sena Saraiva
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.42539

Abstract

Background: Human monkeypox (MPX) is an infectious disease caused by the MPX virus. One of the manifestations caused by MPX in humans is lesions in the oral cavity and surrounding areas. This is of particular concern, especially for dentists, when identifying MPX through oral and perioral inspection. Objective: This study aims to systematically and comprehensively describe MPX patients' oral and perioral manifestations. Methods: Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic literature search was conducted on the following databases: PubMed, ScienceDirect, Scopus, Wiley, and Google Scholar. Quality assessment was performed using the JBI critical appraisal checklist. Results: 824 articles were identified from the databases and 45 case report studies and 3 case series studies involving 57 MPX patients with oral and perioral manifestations were eligible for review. All included articles were rated moderate to high quality based on the quality assessment. According to the pooled data obtained, the most common prevalence of oral and perioral manifestations is ulcers (19.3%), followed by sore throat (18.6%), edema (10.7%), pustules (10%), erythema (7.9%), and vesicles (5.7%). Based on the location of oral and perioral lesions, the most common occurred in the oropharynx and pharynx (27.5%), perioral (17.4%), tongue (12.8%), tonsils (12.8%), and lips (10.1%). Conclusion: The most common oral and perioral manifestations in MPX patients are ulcers, sore throat, edema, pustules, erythema, and vesicles which can be found most often in the oropharynx/pharynx, perioral, tongue, tonsil and lip region.
Relationship Between Fasting Blood Glucose Levels and Lipid Profiles in Type 2 Diabetes Mellitus Patients with Hypertension Lestari, Sarah Syifa; Setiawan L, Edward Kurnia; Rachmawati, Banundari; Candra, Aryu
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.42645

Abstract

Background: Diabetes Mellitus (DM) is a global health emergency that experiences an increasing trend every year. Diabetes mellitus can cause complications if not treated properly. One of the complications that arises is hypertension. Type 2 DM patients with hypertension may have a higher risk of complications than type 2 DM patients without hypertension. Aim: To prove the relationship between Fasting Blood Glucose (FBG) levels and lipid profile levels in type 2 DM patients with hypertension. Methods: This research is an analytical observational study using a cross-sectional approach. This study used secondary data from type 2 DM patients with hypertension medical records at Diponegoro National Hospital, with as many as 38 respondents from 2021 to 2023. Results: Spearman Rank’s analysis showed that in type 2 DM patients with hypertension, the correlation between GDP levels and total cholesterol levels was p = 0.073 and r = 0.295, HDL cholesterol p = 0.232 and r = 0.199, LDL cholesterol p=0.048 and r=0.323, and triglyceride p=0.371 and r=0.149. Conclusion: There was a significant positive correlation between GDP levels and LDL cholesterol levels in type 2 DM patients with hypertension. 

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