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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 1,040 Documents
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CORRELATION BETWEEN BODY MASS INDEX (BMI) AND URIC ACID LEVELS IN PRE-ELDERLY AGES IN SURABAYA Putri Widiya Ningrum; Suhartati Suhartati; Wahyuni Dyah Parmasari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 3 (2025): 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.v14i3.48663

Abstract

Background: Uric acid is the result from the breakdown of purine compounds originating from exogenous (diet) and endogenous (results of nucleic acid catabolism). Hyperuricemia occurs when uric acid levels that exceed normal limits, which is caused by several factors, one of which is obesity.  This study aimed to determine the correlation between Body Mass Index (BMI) and uric acid levels in the elderly aged 45-59 years in patients at the Pakis Health Center, Surabaya. Objective: To analyze the relationship between Body Mass Index (BMI) and uric acid levels in pre-eldery age. Method: This research uses a cross-sectional approach with consecutive sampling. The total number of respondents in the study was 76 people. This research uses secondary data from patient medical records. Data processing uses the Spearman correlation test. Results: The study found a significant correlation between groups with  p-value of 0.004 (p < 0.05) and a correlation coefficient of 0.326. Conclusion: The research found the correlation between Body Mass Index (BMI) and uric acid levels in pre-elderly people aged 45-59 years in patients at the Pakis Health Center, Surabaya.
COMPARISON OF IOP MEASUREMENT BY GOLDMANN APPLANATION TONOMETER AND NON CONTACT TONOMETER IN GLAUCOMA PATIENTS Puspita Kusuma Dewi; Maharani Maharani
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 5 (2025): 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.v14i5.47796

Abstract

Introduction and objective: Intraocular pressure (IOP) measurement is important in diagnosis and management of glaucoma. Goldmann applanation tonometer (GAT) is regarded as the ’’gold standard’’ for measuring IOP. The non-contact tonometer (NCT) commonly used in ophthalmological practices and has potential advantages as the minimum risk of infection. This study was undertaken to compare IOP measured by GAT and NCT in different range of IOP. Methods: This was a cross sectional, observational analytic study wherein glaucoma patients visiting a hospital were included. IOP measurements were performed using GAT and NCT. Subjects were grouped into lower (<21 mmHg) IOP and higher (≥ 21 mmHg) IOP. The tonometer inter-method for IOP values were compared and analyzed. Results: IOP of 82 glaucomatous eyes were measured (46 eyes in the lower IOP group and 36 eyes in the higher IOP group). The mean of paired difference between GAT and NCT in the lower IOP group was 0.22±2.5 mmHg (p>0.05) and in the higher IOP group was 1.68±4.1 mmHg (p<0.05). The NCT underestimated GAT measurement in 67% eyes in higher IOP level group. Bland-Altman plot showed a good NCT-GAT agreement in the lower IOP group. Conclusion: Pressure readings of GAT and NCT was comparable in the subjects with lower IOP range 
OVERVIEW OF LEGAL DECISIONS ON ALLEGED MALPRACTICE BY PROFESSIONAL DOCTORS AND DENTISTS: STUDY OF DATA AT THE SUPREME COURT IN 2016-2020 Karlina Harsono Ilham; Intarniati Nur Rohmah; Edward Kurnia Setiawan L
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 6 (2025): 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.v14i6.50879

Abstract

  Background: Malpractice is an act that is not appropriate from the actions of an expert, a lack of sub-standard skills, or an expert's inaccuracy in carrying out the legal obligations, practices that are not in accordance with procedures, or illegal or immoral acts. This study is descriptive of the description of the final legal decision obtained by the doctor and/or dentist regarding allegations of malpractice in practicing medicine. Aim: To find out the problems of malpractice cases, law enforcement in the form of sanctions and laws reviewed and legal decisions related to alleged malpractice by the profession of doctors and / or dentists in the Supreme Court in 2016-2020 in Indonesia. Methods: This research is a descriptive study. The data population is based on cases of professional malpractice of doctors and/or dentists based on data at the Supreme Court (Mahkamah Agung) in 2016- 2020. Results: The results showed that 71% were found not guilty and 29% were found guilty of cases of alleged medical malpractice in carrying out their treatment. Conclusion: Cases of doctors who were sued by patients and complainants at the Supreme Court based on 2016-2020 data on suspicion of committing acts of malpractice in medical practice resulted in 71% of cases being declared not guilty while 29% were found guilty of malpractice and served sentences in accordance with the final decision. that has been determined, whether to get a sanction in the form of compensating for the loss to the plaintiff along with the expenditure of the ongoing Supreme Court proceedings or legal sanctions in accordance with the law that has been violated. 
The Correlation between Sleep Quality and Acne vulgaris Incidence in Medical Students of Universitas Tarumanagara Helena Ivonne Cungse Adinegoro; Donatila Mano
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 6 (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.v13i6.47012

Abstract

Background: Acne vulgaris is still occurred among medical students worldwide, with a prevalence range of 34,38% to 97,9%. Acne vulgaris, which affects the pilosebaceous unit, is suspected to be related to sleep quality because it involves many hormones, including melatonin, which is associated to sleep. Melatonin can suppress androgens, which play a crucial role in Acne vulgaris pathogenesis. Besides, some studies said that melatonin has a role to suppress inflammation. Medical students also often experience poor sleep quality. Previous studies on the correlation between sleep quality and Acne vulgaris have shown varied results. Objective: This research was conducted to confirm the correlation between sleep quality and Acne vulgaris. Methods: A total of 195 medical students from Tarumanagara University classes of 2021 and 2022 participated in this study by answering the Pittsburgh Sleep Quality Index (PSQI) and Acne vulgaris questionnaires. Samples were taken using non-random consecutive sampling. This research used an analytical observational method with a cross-sectional design. Results: The study found that 92 respondents (47,2%) had good sleep quality, while 103 respondents had poor sleep quality (52,8%). A total of 123 respondents (63,15) experiences Acne vulgaris. Chi-square statistical analysis using SPSS software showed a significant correlation between sleep quality and Acne vulgaris (p-value <0,05; PRR = 1,261; 95% CI = 1,261-1,576). Conclusion: Poor sleep quality can increase the risk of developing Acne vulgaris.
Renal Dose Adjustment Management for Herpes Zoster in Immunocompromised Patient with Renal Impairment: A Case Report and Literature Review Hapsari Kinanti; Hasnikmah Mappamasing; Trisiswati Indranarum; Medhi Denisa Alinda; Linda Astari; Afif Nurul Hidayati
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 2 (2025): 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.v14i2.48430

Abstract

  Background: Herpes zoster is a reactivation of varicella-zoster virus that is characterized by a painful dermatomal vesicle eruption. Herpes zoster can bring several burdens including a painful rash and complications such as herpetic neuralgia and other neurological disorder. Herpes zoster commonly affects persons with decreased immunity levels which can caused by several conditions including malignancy. Multiple myeloma is one of the haematological malignancies commonly associated with renal impairments. Acyclovir is excreted in an unchanged form through renal, thus in patients with renal impairment could decrease the excretion level and can increase the possibility of renal toxicity. Case Presentation: We present a case report of a 46-year-old herpes zoster patient with multiple myeloma and renal impairment. The renal dose adjustment for acyclovir was done in this patient becomes 800mg three times daily. One week after the administration of acyclovir this patient showed remarkable results, there was no new lesion was found. This patient resolved after 10 days of renal dose adjustment of oral acyclovir and continued the multiple myeloma treatment on day fourteen. Conclusion: The management of herpes zoster infection in a patient with multiple myeloma commonly accompanies with renal impairment thus the consideration of adjusting the dose for renal impaired condition is important to reduce the possibility of renal toxicity in concordance with maintaining its adequate dose to prevent the possibility of complication
THE ROLE OF KUNDALINI YOGA IN ALLEVIATING EARLY PREGNANCY DIS-COMFORTS: A PRE-POST TEST EXPERIMENTAL STUDY Qatrunnada Naqiyyah Khusmitha; Atik Farokah; Herdian Fitria Widyanto Putri
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 4 (2025): 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/jkd (dmj).v14i4.49685

Abstract

Background: Recent studies highlight the therapeutic potential of yoga and meditation in pregnancy, particularly for managing anxiety, nausea, and vomiting in pregnancy (NVP). Although some clinical research has established yoga’s benefits, the specific effects of Kundalini Yoga on anxiety and NVP during early pregnancy remain underexplored. Objective: This study examines the effectiveness of Kundalini Yoga in reducing anxiety and NVP levels among pregnant women in their first trimester. Methods: A true experimental study with a pre-posttest randomized controlled design was conducted. A total of 50 pregnant women attending Polindes Mancon, Nganjuk, were randomly assigned to either the treatment group (receiving Kundalini Yoga intervention) or the control group (receiving standard prenatal care). Anxiety and NVP levels were measured using validated questionnaires before and after a four-week intervention period. Results: The treatment group exhibited significant reductions in anxiety (p = 0.039) and NVP levels (p = 0.000) compared to the control group (p < 0.05). Within-group analysis showed that anxiety levels significantly decreased in the treatment group (p = 0.002), while no significant change was observed in the control group (p = 0.102). Additionally, both groups demonstrated improvements in NVP from pre- to post-intervention, though the effect was more pronounced in the treatment group (p = 0.000) compared to the control group (p = 0.013, p < 0.05). Conclusion: These findings suggest that Kundalini Yoga is an effective intervention for reducing anxiety and NVP during early pregnancy, potentially improving both the psychological and physical well-being of expectant mothers. Future research should explore long-term effects and optimal implementation strategies for integrating Kundalini Yoga into prenatal care programs.
STASIS DERMATITIS IN PRIMARY CARE: A CASE REPORT AND MANAGEMENT REVIEW Dimas Farhan Wibawanto; Tiffany Valentina; Dina Evariyana Bangun; Tresia Arthati
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 1 (2026): 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.v15i1.51441

Abstract

Background: Stasis dermatitis is a chronic inflammatory skin disease caused by venous insufficiency that generally affects the lower legs, characterized by erythema, scale, erosion, crusting, and sometimes skin ulceration. Risk factors for stasis dermatitis include age over 50 years, obesity, trauma and female gender.  Case Presentation: We report a 62-year-old man complaining of mild itching on the right leg for 1 week. Initially, the patient complained of hyperpigmentation in his right leg skin for 1 year. On examination, we found a patient has hypertension with 168/82 mmHg blood pressure. Patient in the past was diagnosed with hypertension but never taking any drugs. Skin examination in right leg skin found edema with multiple erythematous macules, irregular edge, circumscript, confluence and multiple erosions were found, atrophie blanche and lipodermatosclerosis were also found in the distal 2/3 of the right lower leg. The patient was given topical corticosteroid therapy, moisturizers and compression. Elevation was performed while sleeping. The patient was given antihypertensive drugs captopril 25 mg x 2 and loratadine 10 mg x1 for reducing itchiness . The patient was referred to vascular surgery for further evaluation. Conclusion: Stasis dematitis is a chronic skin disease is one of the most overlook to diagnose in primary health care, the role of primary care is to give intervention from early stage to prevent worsening of the disease.
The Association Between Hypertension and Stroke in PKU Muhammadiyah Gamping Hospital Intan Dyah Prawesti; Andrianto Selohandono; Ario Tejosukmono; Novi Wijayanti Sukirto; Rachma Greta Perdana Putri
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 6 (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.v13i6.46464

Abstract

Background: Stroke is a non-communicable disease whose annual incidence or prevalence continues to increase, with one of the causes being hypertension. Hypertension is a condition of increased blood pressure, if not controlled, can lead to complications. The incidence of stroke in Sleman Regency reaches 10,4% and the incidence of hypertension in Sleman Regency reaches 23,7%.Objective: This research aims to determine the relationship between patients who have hypertension with the occurrence of stroke.Methods: This research is a quantitative analytic study using a cross-sectional design. The population is all stroke patients at PKU Muhammadiyah Gamping Hospital, with a sample of 99 patients and the data collection technique used is purposive sampling. The research data was taken using medical records.Results: The result showed that the majority of patients had hemorrhagic stroke (62,6%) with grade 3 hypertension (37,3%). The odds ratio (OR) for hypertension grade 3 has a risk of 7,153 times having a stroke compared to grade 1 hypertension. The p-value for hypertension 1 and hypertension 3 is 0,001 (p<0,005) which indicates a significant relationship between higher grade hypertension and the incidence of hemorrhagic stroke. Conclusion: There is a relationship between higher grade hypertension and the incidence of hemorrhagic stroke
The Effect of Serving Temperature of Black Tea (Camellia sinensis) on the Hardness of Nanohybrid Composite Resin Garizqi Rindang Handayani; Muflihatul Muniroh; Nadia Hardini
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 2 (2025): 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.v14i2.46636

Abstract

  Background: Nanohybrid composite resin is a restorative material in the field of dentistry that combines micro and nano-sized filler particles to enhance its mechanical hardness properties compared to its previous versions. Hardness can be influenced by several factors, including patients' beverage consumption patterns. A popular beverage among the Indonesian population is black tea (Camellia sinensis), which can be consumed both cold and hot. Objective: This study aims to determine the effect of beverage temperature on the hardness of nanohybrid composite resin. Methods: This study is a quasi-experimental laboratory study with a post-test only group design. The research sample consisted of 30 samples of nanohybrid composite resin with a diameter of 10 mm and a thickness of 2 mm, which were divided into three immersion groups: the control group using aquadest solution at 25±1°C, group I using black tea solution at 5±1°C, and group II using black tea solution at 50±1°C. The hardness of the samples was measured using a Vickers Hardness Tester. Data were analyzed using parametric One-Way ANOVA and Post Hoc LSD (Least Significant Difference) test. Results: The One-Way ANOVA analysis results showed a significant difference in the hardness values of nanohybrid composite resin after immersion in aquadest at 25±1°C, black tea at 5±1°C, and black tea at 50±1°C with a p<0.05. The Post Hoc LSD test results showed significant differences with a p<0.05 between the immersion groups. Conclusion: There is an effect of beverage temperature on the hardness of nanohybrid composite resin. 
ANALYSIS OF FAMILY SUPPORT FOR MEDICATION COMPLIANCE IN HYPERTENSIVE PATIENTS PARTICIPATING PROLANIS AT PUSKESMAS TEPUS 2 Maulana Faris Ikhzul Haq; Rachma Greta Perdana Putri; Tira Alfiani Laariya; Leonny Dwi Rizkita
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 4 (2025): 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/jkd (dmj).v14i4.49421

Abstract

Introduction: The Indonesian Ministry of Health has released a list of the most diagnosed non-communicable diseases in 2023, and hypertension, or high blood pressure, was in the first position. One of the risk factors that cause an increase in the incidence of hypertension is patient non-compliance in implementing the therapy program. Family support is one of the factors that has a significant contribution as a patient booster in influencing patient compliance. The family has an important role in the process of supervision, maintenance, and prevention of hypertension complications. Methods: This study is a quantitative study with a cross-sectional approach. Sampling was carried out using the total sampling technique at Tepus 2 Puskesmas. The total is 43 hypertensive patients participating in Prolanis. Data collection was carried out by distributing family support questionnaires and Morisky Medication Compliance Scale (MMAS-8) questionnaires. Bivariate tests were performed using Chi Square and Spearman's rho tests. Results: Univariate results showed that most respondents had sufficient family support, as many as 28 people (65.1%), and a high level of compliance with taking medication, as many as 25 people (58.1%). From the bivariate results obtained, a p-value of 0.001 (p < 0.05) and an r-value of 0.478. Conclusion: There is a relationship between family support and adherence to medication compliance in hypertensive patients participating in Prolanis at Tepus 2 Puskesmas in 2023 with sufficient relationship strength and positive correlation (unidirectional); the better the family support.

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