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INDONESIA
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.
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Articles 974 Documents
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The Effect of Zumba on Dysmenorrhea in Students of the Faculty of Medicine, Diponegoro University Humairoh Mutha'alimah; Marijo Marijo; Yuli Trisetiyono; Putri Sekar Wiyati
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29949

Abstract

Background: Dysmenorrhea is the most common symptom of most menstrual complaints, and has a greater risk of causing disease than any other gynecological complaints. Dysmenorrhea can be accompanied by other symptoms such as sweating, tachycardia, nausea, vomiting, headache, diarrhea and tremors. Dysmenorrhea causes activity limitations which can affect productivity and quality of life of a woman.Objectives: Determine the effects of Zumba on primary dysmenorrhea among female students of the  Faculty of Medicine, Diponegoro University.Method: This study used an analytic observational study with a pretest-middletest-posttest design. A participants of 49 students were divided into 2 groups. The control group (K) was not given the Zumba intervention. Treatment group (P) was given 8-week intervention program with two 60’ sessions per week of Zumba. Data were collected before, during, and after Zumba intervention using a self-administrated dysmenorrhea questionnaire and VAS pain scale.Result: Based on the VAS pain scale and dysmenorrhea questionnaire, the mean value of the control group and treatment group was K: 2,02; 1,92; 2,06; P: 1,98; 1,98; 2,04. Statistical analysis using Friedman tests showed statistically not significant differences (p > 0,05).Conclusion: Zumba exercise did not have a significant difference in reducing dysmenorrhea pain levels.Keyword: Zumba exercise, exercise, primary dysmenorrhea, menstrual pain
The Relationship between Body Image with Eating Disorder in Medical Student Devina Nahama Natarijadi; Titis Hadiati
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29376

Abstract

Background: Adolescence is a critical stage when a person experiences a fast and significant changes in their physic, cognitive, emotion and social. This changes affect their body image. Body image dissatisfaction leads them to do anything, even by changing their eating behaviour, to have a body goal. This behaviour can leads to an eating disorder.Objective: To know the relationship between body image perception with the incidence of eating disorders in medical students.Methods: An observational study with a cross sectional design on 240 students of the Medical Faculty of Diponegoro University 2019 using the Multidimensional Body-Self Relations Questionnaire-Appearance Scale (MBSRQ-AS) test for scoring the body image and Eating Attitude Test-26 (EAT-26) for scoring the eating disorder.Results : Body image perception, Negative evaluation appearance 148 persons (61,67%). Negative appearance orientation 199 persons (82.91%). Negative body area satisfaction 167 persons (69,58%). Negative overweight preoccupation 137 persons (57,08%). Negative self-classified weight 102 persons (42,50%). Eating disorders, 19 persons (7,9%) had risk of eating disorders. Positive appearance orientation had a significant effect on the incidence of eating disorders. p < 0,05, OR = 3, dan CI95% = 0.115 – 0.848. Positive overweight preoccupation had a significant effect on the incident of eating disorders. p < 0,05, OR = 4 , dan CI95% = 0.084 - 0.692.Conclusion: There is relation between body image on appearance orientation subscale and overweight preoccupation subscale with eating disorders.Keywords : adolescence, body image, eating disorder
THE EFFECT OF COFFEE ON THE SPERMATOZOA MOTILITY OF MALE WISTAR RATS (Rattus norvegicus) EXPOSED TO ELECTRIC CIGARETTE SMOKE Erika Shinta Avianty; Puspita Kusuma Dewi; Amallia Nuggetsiana Setyawati; Arufiadi Anityo Mochtar
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29987

Abstract

Background: Man infertility was caused by decrease of spermatozoa quality. E-cigarette smoke which contained chemicals as nicotine could produce free radicals which decreased spermatozoa motility. Coffee was contained of caffeine and chlorogenic acid functioned as antioxidant and increase spermatozoa motility. Aim: To prove the coffee giving effect to spermatozoa motility of male wistar rats that have been exposed to e-cigarette smoke. Methods: The sample were 28 male wistar rats (Rattus norvegicus), no anatomical abnormalities, 200-300 grams, and 8-9 weeks. The sample was randomly divided into 4 groups: no treatment, the rats which were exposed to e-cigarette smoke, the rats which were given 3ml robusta coffee solution contained of 180mg coffee powder and exposed to e-cigarette smoke, the rats which were given 3ml robusta coffee solution contained of 360mg coffee powder and exposed to e-cigarette smoke. The coffees solution was given through a gastric swab. The e-cigarette liquid doze was 3,5ml with 18mg/ml nicotine for each group. After four weeks, the rat’s sperm sample was taken, preparation was made, and spermatozoa motility was examined through microscope. The statistical test exerted Saphiro-Wilks test and non-parametrical test from Kruskal-Wallis. Results: The mean of spermatozoa motility percentage in progressive, non-progressive, and negative control group immotility = (53,81±6,507), (30,00±5,444), (16,66±3,333); positive control = (0,48±1,259), (17,14±18,604), (82,38±19,787); first treatment = (10,00±4,304), (32,85±14,065), (57,14±17,259); second treatment = (11,42±1,779), (26,19±8,033), (62,38±8,760). Kruskal-Wallis test showed a significant difference in progressive motility and immotility (p=0,000). Conclusion: The coffee solution could give an effect on the spermatozoa motility of male wistar rats exposed to electric cigarette smoke.                                Keywords: Infertility, e-cigarette, nicotine, coffee, motility
DIFFERENCES IN EMPATHY LEVEL BETWEEN JUNIOR AND SENIOR RESIDENTS, FACULTY OF MEDICINE, DIPONEGORO UNIVERSITY, DR. KARIADI HOSPITAL, SEMARANG Tatyana Santosa; Sigid Kirana Lintang Bhima; Julia Ike Haryanto; Titis Hadiati
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29442

Abstract

Background: The doctor-patient relationship has an important role in determining the diagnosis and patient management. In communicating with patients, as a doctor must show high empathy for patients. Therefore, it is important to assess the level of empathy for patients with Junior and Senior residents for patients. Aim: Understand the differences in the level of empathy towards patients with junior and senior residents at the Faculty of Medicine, Diponegoro University in Dr. Kariadi Hospital, Semarang. Method: Observational study with cross sectional design. The total sample size was 99 consisting of 35 junior residents and 64 senior residents. Nominal scale data, namely 35 junior residents and 64 senior residents were analyzed using the Kolmogorov-Smirnov normality test, while the interval scale data, namely the level of empathy, was analyzed using the unpaired t test. Results: Based on the Kolmogorov-Smirnov normality test. data distribution is normal (p = 0.091). In the unpaired t test, there was no significant difference (p = 0.501) between the level of resident education and the value of empathy. Conclusion: There is no significant difference between the education level of residents at the Faculty of Medicine, Diponegoro University in Dr. Kariadi Hospital, Semarang with the value of empathy, but from the value there is a decrease. Keywords: level of empathy; Junior residents; Senior residents; The Jefferson's Scale of Physician Empathy (JSPE).
THE DIFFERENCE OF RISK FACTORS OF ACUTE UPPER RESPIRATORY TRACT INFECTION IN THE URBAN AND RURAL PUBLIC HEALTH CENTER SEMARANG Regina Islamia Mugopal; Anna Mailasari Kusuma Dewi; Galuh Hardaningsih; Teddy Wahyu Nugroho
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29989

Abstract

Abstract Background: The acute upper respiratory tract infection was an infection on respiratory tract organ from the nose until pharynx. The geographical condition of a region could affect the case of acute upper respiratory tract infection. The factors related to both urban and rural life could affect in the difference of respiratory condition. The biological change of age, nutritional status, and allergy status were highly related to the increase of respiratory condition.Aim: To identify the risk factors of acute upper respiratory tract infection in the urban and rural public health center of Semarang.Methods: This research exerted observational research design and cross-sectional method. The total of research subjects were 200 patients with the diagnosis of acute upper respiratory tract infection in both the urban and rural public health center of Semarang. The risk factors were comprised of age, gender, body height, body weight, and history of drug allergy. The data sampling was taken through consecutive sampling technique. Moreover, the statistic test used Chi-square test.Results: This research finding referred that the largest number of sample on the age category in both urban and rural public health center were in the adult age (20-60 years old) with percentage of urban public health center (66,5%) and rural public health center (46%). The risk factor of age indicated a significant result in the urban public health center (p = 0,000) and rural public health center (p = 0,010). Next, the risk factor of gender indicated an insignificant result in the urban public health center (p = 0,391) and rural public health center (p = 0,885). Last, the risk factor of nutritional status in the urban public health center indicated an insignificant result (p = 0,094), while in the rural public health center indicated a significant result (p = 0,006).Conclusion: The risk factors of acute upper respiratory tract infection in rural public health center was different from the risk factors in urban public health center. The risk factors of acute upper respiratory tarct infection in the rural public health center were age and nutritional status, while the risk factor of acute upper respiratory  tract infection in the urban public health center was age.
How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor? Ahmad Faiz Tobari; Tun Paksi Sareharto; Vannya Dewi Puspitasari; Nurul Setiyorini
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29556

Abstract

Background: Complications that often occur in vacuum extraction are third and fourth degree lacerations and neonatal asphyxia. In addition, asphyxia is the third leading cause of infant mortality in the world. Apart from being influenced by the existing vacuum extraction factors, the incidence of neonatal asphyxia and perineum laceration is also influenced by several maternal factors including maternal age and maternal parity.Objective: To prove the relationship between maternal age and parity number with perineum laceration and neonatal asphyxia after vacuum extraction at Dr. Kariadi General Hospital Medical CentreMethods: This study was an analytic observational study with a cross-sectional approach. The minimum sample required in this study is 26 patient data. The data used were data from the medical records of vacuum extraction patients at dr. Kariadi General Hospital Medical Centre Semarang which fit the inclusion and exclusion criteria by means of consecutive sampling. Then the data that has been collected is analyzed to find the relationship between variables.Results: Mothers who gave birth with the aid of vacuum extraction who suffered the most from third and fourth degree lacerations (31%) and neonatal asphyxia (15%) were women who were at risk (27%) and had the amount of parity at risk (23%). Chi-square test showed that there was a significant relationship between maternal age with perineum lacerations (p = 0.014), maternal age with neonatal asphyxia (p = 0.047), total parity with perineum lacerations (0.004), total parity with neonatal asphyxia (p = 0.028).Conclusion: There is a relationship between maternal age and parity with perineum lacerations and neonatal asphyxia after vacuum extraction in Dr. Kariadi General Hospital Medical Centre Semarang. The incidence of grade 3 and 4 perineum lacerations and neonatal asphyxia was most prevalent in women at risk age more than 35 years and at risk parity, namely primiparous The most influential risk factors for the occurrence of grade 3 and 4 perineum lacerations and neonatal asphyxia are primiparity.
EVALUATION OF ANTIBIOTIC USAGE IN ISKEMIC STROKE PATIENTS WITH INFECTIONS IN RSUP DR. KARIADI SEMARANG PERIOD 2018 Shafa Nahdah Wibowo; Trianggoro Budisulistyo; Endang Sri Sunarsih; Yora Nindita
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.30137

Abstract

Abstract Background: According to WHO stroke is the second leading cause of death in the world. Ischemic stroke is the type of stroke with the highest population reaching (80%). Data at RSUP Dr. Kariadi in 2015 showed that the most common complication in stroke was infection (37.9%). The most common cause of infection was bacteria with antibiotics as the main therapy. It is necessary to monitor the use of antibiotics due to increased cases of antibiotic resistance.Objective: To determine the rationality of antibiotic use in ischemic stroke patients with infections in RSUP Dr. Kariadi Semarang Period 2018..Method: This research is a descriptive observational study. The sample consisted of 41 medical records of inpatient male ischemic stroke patients at RSUP Dr. Kariadi Semarang in 2018. The use of antibiotics was evaluated using the Gyssens method.Results: The results of evaluation of antibiotics by the Gyssens method showed antibiotic rationality (53%). The most widely used antibiotics are ampicillin sulbactam (30.4%) and levofloxacin (27.5%). Giving empirical therapy (57.5%), and diagnosis of infection in patients including pneumonia (50,8%), sepsis (19.3%), UTI (17.5%), pressure sores (5.3%), abscesses mandible (3.5%), ulcerative colitis (1.7%), cellulitis (1.7%), gasteroeneritis (1.75%).Conclusion: The use of antibiotics in ischemic stroke patients hospitalized in RSUP. Dr. Kariadi Semarang in 2018 is rational. Its users have the right antibiotics, indications, dosage, administration, route, time, interval and patient.
The Effect of Mat Pilates exercise on Sleep Quality of Obese Young Adults Maria Devina Putri Elvariani; Rahmi Isma Asmara Putri; Erna Setiawati; Hexanto Muhartomo
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): 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.v10i3.29718

Abstract

Background: Obesity currently becomes one of the world's problems that can decrease a person’s quality of sleep. Pilates exercise was found to improve sleep quality in obese patients. Pilates exercise are safe to do because they don't involve jumping and running so they avoid trauma. Mat Pilates exercise is basic exercises that are done on the floor on a mat with simpler movements.Objective: To analyze sleep quality in obese young adults before doing Mat Pilates exercise and to compare changes in sleep quality for obese young adults before and after doing Mat Pilates exercise.Methods: This study used a quasi-experimental design applying one group pre-posttest. Samples were taken by purposive sampling with a total of 36 people who met the inclusion and exclusion criteria. The measurement of sleep quality used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was tested for normality by using the Shapiro-Wilk test and the effect of Mat Pilates exercise on sleep quality in the treatment group using the Wilcoxon test. The difference is significant if p <0.05.Results: The average sleep quality for young adults before participating in the Mat Pilates exercise was 8.22 ± 1.87, while the average sleep quality for young adults after participating in the Mat Pilates exercise was 4.33 ± 0.77. The statistical test results showed that there was a significant difference (p = <0.001).Conclusion: There is an improvement in the mean value of sleep quality after doing Mat Pilates exercise.  
CORRELATION BETWEEN HOUSE DUST MITE DENSITY WITH HEALTHY HOUSE CRITERIA AND ASTHMA STATUS IN PEDIATRIC PATIENTS Shobrina Insan Sakina Armunanto; Dian Puspita Dewi; Dodik Pramono; Moh Syarofil Anam
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 5 (2021): 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.v10i5.30270

Abstract

Abstract Background: Asthma is a chronic respiratory disease most often found in children and has the highest prevalence in developing countries. House dust mites are the second most common trigger of asthma whose habitat is influenced by the criteria for a healthy.Objective: Understanding the correlation between sleep density and asthma status in pediatric patients and criteria for a healthy house.Methods: This study was an analytical observational method with a cross sectional study design that took place from June to October 2020. It involved 25 respondents of children with asthma patients aged 3-11 years. There is a confounding variable, namely the criterion score for a healthy house. Dust samples were collected in the bedroom of the respondent diagnosed with bronchial asthma. The identification process using the floating method was carried out at the Parasitology Laboratory, Faculty of Medicine, Diponegoro University, Semarang Indonesia. Respondent data were analyzed using statistical software programs. Non-parametric test with lambda correlation test.Results: The mean of house dust mite’s density in the respondent's house was 3.68 ± 2.32. House dust mite’s density was associated with the criteria for a healthy house (p <0.05), but house dust mite density was not related to the asthma status of pediatric patients (p> 0.05).Conclusion: There is no correlation between pediatric asthma status and house dust mite density. 
THE RELATIONSHIP BETWEEN AWARENESS AND KNOWLEDGE LEVEL OF CLINICAL DENTAL STUDENTS ABOUT ORAL CANCER DISEASE Stefani Marlene Tarius; Tira Hamdillah Skripsa; Diah Rahayu Wulandari
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 4 (2021): 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.v10i4.30151

Abstract

Background: Oral cancer is the sixth most common type of cancer with two out of three cases occurring in developing countries. As clinical dental students, knowledge and awareness about oral cancer should also be improved with the aim of helping them as future dentists to be more ready to act immediately in prevention phase and early diagnosis of oral cancer.Objective: This study aims to analyze the relationship between the level of knowledge and the level of awareness of dental students about oral cancer.Methods: An observational analytic study with a cross sectional study design. A total of 91 clinical dental students participated in this study. Oral cancer awareness and knowledge level were measured using a pre-validated questionnaire. Spearman’s rho correlation test was used to determine the association between oral cancer awareness and knowledge level of clinical dental students.Results: Out of 91 clinical dental students, 61 (67%) students got excellent-graded awareness and 57 (62,6%) students got good-graded knowledge. Spearman rho correlation test showed oral cancer awareness were significantly associated (p=0,007) with oral cancer knowledge level. Significant positive linear correlations (r=0,279) between oral cancer awareness and knowledge level were also observed from the study results.Conclusion: Clinical dental students’ oral cancer awareness and knowledge level are significantly associated.

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