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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.

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THE EFFECT OF PLYOMETRICS TRAINING ON EXPLOSIVE POWER OF MEDICAL STUDENTS IN DIPONEGORO UNIVERSITY Pramatama Andhika Sunarso Pandoyo; Darmawati Ayu Indraswari; Marijo Marijo; Yuriz Bakhtiar
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Introduction : Explosive power are the combination maximum strength and maximum velocity. High value of muscle strength and velocity can lead to good measurement of explosive power. Plyometrics training known as an exercise that can increased explosive power. This exercise is really popular among athletes and has proven to increase their explosive power. However, there’s still no further study that measured explosive power on medical students after given plyometrics training treatment. Methods : Quasi experimental study of plyometrics training has done for 6 weeks to medical students Diponegoro University. 28 subjects was divide into 2 groups : plyometrics training (as treatment group) and control group (as non-treatment group). Vertical jump test score was measurement in pre-test, middle-test, and post-test. The explosive power measured by vertical jump test. The results were analyzed by SPSS software. Results : The explosive power improved among subjects in plyometrics treatment group. During the plyometrics treatment, vertical jump was singnificantly increase during treatment in pre-test to mid-test (35.93 cm to 49,21 cm ; P : <0.001) and mid-test to post-test measurement (49.21 cm to 54.21 cm ; P : <0.001). Vertical jump score significantly increase in plyometrics group compare to control group ; on middle-test (<0.001 vs 0.344 ; P 0.019) and post-test (<0.001 vs 729 ; P 0.001) measurement respectively. Conclusions : Plyometrics training improved lower limb explosive power in male medical students of Diponegoro University. This is marked by significantly increase among subjects in plyometrics treatment group.Keywords: Plyometrics Training, Explosive Power, Vertical Jump Test

DIFFERENCE IN SIZE OF LEPROSY PEDIS ULCER INJURY BEFORE AND AFTER THERAPY AT LEPROSY HOSPITAL DONOREJO, JEPARA REGENCY Pramesti Widya Kirana; Muslimin Muslimin; Teddy Wahyu Nugroho; Reni Yuniati
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: Leprosy sufferers who experience disability at the time of diagnosis are usually late in seeking treatment because they are less aware of their health. Central Java Province ranks third with new cases of leprosy as many as 1,644 cases, after East Java (3,373), West Java (1,813) Provinces. It can be concluded that in Central Java there are still new cases of leprosy that if not treated properly will cause disabilities. Thus, level 2 disabilities in the form of foot ulcers should always be monitored and treated properly. Aim: Observe the success rate of several types of therapy for leprosy with foot ulcer at Donorejo Kelet Leprosy Hospital in Jepara Regency, and identify the grade and depth of ulcers before and after therapy. Method: Descriptive observational research (case study) using primary data obtained from questionnaires and weekly evaluation results regarding the size development of foot ulcers in leprosy for 4 weeks. Secondary data in the form of the given therapy were obtained from medical records. Data collected was processed descriptively covering general data such as age, sex, nutritional status, and special data including the patients’ risk factors (history of smoking, hygiene, wound size in centimeters (numerical data)). The data obtained were then compared between before and after therapy, and were analyzed with each other. Result: There were nine cases of leprosy with a foot ulcer, consisting of eight male patients and one female patient. The most common risk factor is smoking. After the leprosy patients were being treated for four weeks conventionally (wearing footwear, dressing, wound hygiene) and pharmacologically, there was a significant change in the reduction in wound volume with p=0.008 (p<0.05).

KEPATUHAN CUCI TANGAN PETUGAS RAWAT INAP DI RUMAH SAKIT NASIONAL DIPONEGORO SEMARANG Rahma Athifah Amelia; Winarto Winarto; Purnomo Hadi; Endang Sri Lestari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Latar belakang : Cuci tangan merupakan tindakan efektif untuk mencegah transmisi patogen dari petugas medis ke pasien maupun sebaliknya, untuk pencegahan infeksi nosokomial, namun tidak fokus pada kegiatan cuci tangannya saja, tetapi juga tingkat kepatuhan pelaksanaan cuci tangan itu sendiri. Perlu dilakukan penelitian tentang tingkat kepatuhan pelaksanaan cuci tangan tersebut. Tujuan : Mengetahui kepatuhan cuci tangan petugas rawat inap Rumah Sakit Nasional Diponegoro Semarang. Metode : Desain penelitian ini adalah cross sectional. Sampel dalam penelitian ini adalah petugas rawat inap di ruang Lavender, Chrysant, Gladiol, dan ICU. Penelitian dilakukan selama periode Mei-Juni 2018. Alat yang digunakan adalah lembar observasi indikasi 5 momen WHO dan lembar kuesioner menilai karakteristik sampel. Data yang didapatkan dianalisa menggunakan analisa univariat. Hasil : Dari 441 indikasi 5 momen cuci tangan didapatkan kepatuhan cuci tangan sebanyak 221 (50.1%). Ruang dengan kepatuhan tertinggi adalah Lavender (84.1%) diikuti ruang ICU (60.9%), ruang Chrysant (42.9%), dan ruang Galdiol (36.8%). Profesi dengan kepatuhan tertinggi adalah dokter (60%). Pendidikan terakhir terbanyak adalah D3 (40.5%). Sebanyak 72.6% petugas rawat inap sudah bekerja selama 1-4 tahun. Beberapa faktor potensial yang berpengaruh terhadap angka kepatuhan cuci tangan adalah pengetahuan, persepsi tentang pentingnya cuci tangan, keuntungan cuci tangan, hambatan cuci tangan, motivasi cuci tangan dan sikap. Simpulan : Kepatuhan cuci tangan petugas rawat inap Rumah sakit Nasional Diponegoro Semarang adalah 50.1%.

THE EFFECT OF JENGKOL SEED (Archidendron pauciflorum) EXTRACT TO PLASMA MDA LEVEL DUE TO DEEP SECOND DEGREE BURN WOUND IN SPRAGUE DAWLEY RATS Kurniati, Steffi; Batubara, Lusiana; Wikanta, Edmond Rukmana; Johan, Andrew
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: During inflammatory phase of the burn healing process, the number of plasma MDA levels tend to increase, which may cause damage towards cells and thus delay the resolution of burn wounds. Some research has been done in order to find alternative treatment for burn wound, including the application of antioxidant. Jengkol contains many antioxidant compounds which are expected to reduce plasma MDA levels, so it can accelerate the healing of burn wound. Aim: To prove that administration of jengkol extract can reduce plasma MDA level in Sprague dawley rats which were been given burn wound. Method: This experiment was using pre and post-test control group design, with 20 Sprague dawley rats as samples. All of the samples were given deep second degree burn wound which were then divided equally into 2 groups, treatment group (given jengkol extract 500 mg/KgBW) and control group (not given anything). Plasma MDA levels were then analyzed by using TBARS method. Data was analyzed using paired T-test, Wilcoxon, Mann-Whitney, and independence T-test. Result: There is no significant difference between the mean of plasma MDA levels in pre and post-test of either control group (p=0.771) or in the treatment group (p=1.00). Using Mann-Whitney test, there isn’t any significant difference in the pre-test between control and treatment group (p=0.677) or in the post-test between control and treatment group (p=0.916) by using independence T-test. Conclusion: Jengkol extract cannot reduce plasma MDA levels of Sprague dawley rats which were given burn wound.

THE EFFECT OF ANALGESICS COMBINATION OF PARACETAMOL AND CODEINE ADMINISTRATION TO SERUM UREA IN MALE WISTAR RATS Akhiar Mar'i; Taufik Eko Nugroho; Erwin Kresnoadi; Parish Budiono
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: A combination of the analgesic drug Paracetamol and Codeine can be used in moderate to severe pain management. Both are classified into two different groups of analgesics, thus they have a different mechanism of action. The combination of Paracetamol and Codeine provides better potential and work synergistically in pain management. This combination of analgesic drugs also has no potential side effects on the kidneys. Objective: To determine the combination of paracetamol and codeine analgesics on serum urea levels in male Wistar rats. Method: This study is an experimental study with a Post Test Only Control Group Design. Samples were 20 Wistar rats with certain criteria, randomly divided into 4 groups: control group, 32 mg/kgBW paracetamol group, 1,9 mg/kgBW codeine group, and 32 mg/kgBW paracetamol combination group and codeine 1,9 mg/kgBW. Giving is done orally with gastric sonde 4 times a day for 28 days. Day 29, blood is drawn through retroorbital vessels to measure serum urea levels. Statistical tests using the ANOVA and Post-Hoc tests. Results: The results obtained by the control group (32.1880), treatment group 1 (32.4240), treatment group 2 (32.3000), and treatment group 3 (31.1560). The One Way ANOVA statistical test results showed that the value of p = 0.970 (p> 0.05) which means there are no significant differences in serum urea levels between the four groups. Conclusion: There was no significant difference in the increase in the urea level between the combination of paracetamol and codeine compared to the control group.

THE CORRELATION BETWEEN SOCIAL MEDIA INTENSITY USE AND MOTHER'S ANXIETY LEVEL (A CROSS-SECTIONAL STUDY IN PRIMIPAROUS MOTHERS KELURAHAN ROWOSARI SEMARANG) Alifatush Shabrina; Titis Hadiati; Hang Gunawan Asikin; Widodo Sarjana
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: Anxiety disorder is one of the most common psychological disorder that often occurs in mothers after childbirth. One factor that is considered to have a correlation with the prevalence of anxiety level is the intensity of the social media use. In using social media, people tend to compare themselves and their lives with those of others and there is pressure to feel accepted by social media stereotypes. This study wants to focus on seeing whether there is a relationship between the intensity of social media use and maternal anxiety levels. Methods: This study was a cross-sectional study of 47 primiparous mothers in Kelurahan Rowosari Semarang. The data collection including: social media use intensity that was examined by SONTUS questionnaire, mothers’ anxiety level examined by Zung questionnaire and family socio-economical circumstances. Data was analized using Spearman’s rank correlation coefficient. Results: The majority of respondents were in the group with low intensity social media use (89.4%). The level of respondents' anxiety assessed using the Zung questionnaire grouped 51.1% of patients in the group with no anxiety and 48.9% of patients in the group with mild anxiety. There were no patients classified as moderate or high anxiety group. Based on the results of statistical analysis showed no significant correlation between social media intensity use and mother's anxiety level in primiparous mothers in Kelurahan Rowosari Semarang (p=0,214). Conclusion: There were no significant correlation between social media intensity use and mother's anxiety level in primiparous mothers in Kelurahan Rowosari Semarang.

THE INFLUENCE OF BEETROOT (Beta vulgaris) ON SPERMATOZOA VITALITY OF WISTAR RATS EXPOSED TO MOSQUITO COILS Bharadaksa, Mohammad Arya Lingga; Ariani, Mahayu Dewi; Dewi, Puspita Kusuma; Nugroho, Trilaksana
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: Spermatozoa vitality is one of the sperm analysis test. Application mosquito coil repellentgenerates free radical enhancement. Free radical contribute to external factor thatinfluence the quality of spermatozoa vitality. Beetroot(Beta vulgaris) contain a considerably high amount of antioxidant. It reduce free radical in the body and improve quality of spermatozoa vitality. Aim: To find out and analyze the effect of beetroot (Beta vulgaris) on the spermatozoa vitality of male wistar rats exposed to mosquito coils. Methods: This research uses experimental methods, with a post-test only control group design. The research sample was selected using a simple random sampling technique28 male wistar rats met the inclusion and exclusion criteria, then divided into 4 treatment groups K (-), K (+), P1 and P2.Data obtained after 56 days of treatment with 7 days of adaptation before treatment, the data will be tested for normality with Shapiro-Wilk then proceed one way ANOVA if the data distribution is normal. Results: Shapiro-Wilk test showed no significant differences between groups K (-), K (+), P1 and P2 (p> 0.05). One way ANOVA test on sperm vitality analysis showed a significant difference between groups. Post-Hoc test showed sperm vitality on K (+) there was significant difference compared to K (-) (p <0.001), K (+) no significant difference compared to P1 (p = 0.244) and K (+) there was significant difference compared to P2 (p = 0.001). Conclusion: Giving beetroot juice with the right dose has a significant effect on the spermatozoa vitality of male wistar rats exposed to the smoke of mosquito coils.

THE EFFECT OF MAT PILATES IN LUMBAR FLEXIBILITY OF OVERWEIGHT AND OBESE CHILDREN Graciela Eunike Hartono; Tanti Ajoe Koesoema; Rahmi Isma AP; Dimas Tri Anantyo
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background : Overweight and obesity are the conditions where lumbar have to bear more load, and it will decrease its flexibility. Decrease of lumbar flexibility will affect the range of motion. Based on some literatures, mat pilates will increase the ability on lumbar flexibility, however there is no evidence effect of mat pilates in children, especially overweight and obese children. Aim : To know the effect of mat pilates on lumbar flexibility of overweight and obese children. Method :This study was pre experimental one group pre and post test design with 20 subjects based on inclusion dan exclusion criteria. Subjects did mat Pilates exercise for 12 times. Lumbar flexibility was measured by Modified Modified Schober Test for lumbal flexion and extension before intervention and after 4 weeks mat pilates exercise. Data analyzed by SPSS using Saphiro Wilk test as data’s nomalities test and Paired T test as hypothesis test. Result : The mean of MMST Flexion pre and post test after Mat Pilates have increased from 3,15±0,3118 cm to 7,63±0,4 cm. The mean of MMST extension pre and post test after Mat Pilates hav e increased from 1,415±0,21 cm to 3±0,236 cm. The means of a BMI Post test (24,89 ± 0,9 kg/m2) is higher than the mean of a BMI Pre test (24,86 ± 0,8 kg/m2).The significant result proves the effect of mat pilates in lumbar flexibility of overweight and obese children which measured by MMST Flexion and MMST Extension. The result of p value for MMST Flexion is p=0,00 and the result of p value for MMST Extension is p=0,00 which both of MMST flexion and Extension are significant or different. Conclusion : Mat pilates can increase the lumbar flexibility of overweight and obese children.Keyword: Mat Pilates, Lumbar Flexibility, overweight and obese children.

THE EFFECT OF CLIMBING UP AND DOWNSTAIRS EXERCISE ON SHORT-TERM MEMORY AMONG YOUNG ADULTS (AGE 18-22) Raisa Dzata Adly S.K; Yosef Purwoko; Buwono Puruhito; Yuswo Supatmo
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Background: Short-term memory affects academic performance. Good memory function is one of the benefits of physical exercise. A sedentary lifestyle and physical inactivity lead people to do less exercise. Climbing up and downstairs is one form of practical physical exercise that can be easily done anywhere at any time and by anyone. Aim: To assess the effect of climbing up and down stairs exercise on short-term memory in young adults. Method: This research used Quasi-Experimental with pre-test and post-test non-equivalent group method. Subjects were medical students of the Faculty of Medicine, Diponegoro University (n=40) aged 18-22 years that meet the inclusion criteria. Subjects were divided into 2 groups, control group (CG) and exercise group (EG), each consisting of 20 people. The subject's short-term memory was assessed using the Scenery Picture Memory Test (SPMT). Statistical analysis with Shapiro-Wilk test, paired T-test, Wilcoxon, independent T-test, and Mann-Whitney. Result: There were significant improvements in short-term memory before and after climbing up and down stairs exercise on both exercise group (p=0.000) and control group (p=0.001). No difference in pre-test scores between groups (p=0.921), and a significant difference in post-test scores between groups (p=0.010). An Independent T-test was done on the delta of the pre-post test between groups and is significant (p=0.016). Conclusion: 6 weeks of climbing up and down stairs exercise improves short-term memory in young adults. A higher improvement was found in the exercise group.

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DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

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