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INDONESIA
Jurnal Kedokteran Diponegoro
Published by Universitas Diponegoro
ISSN : -     EISSN : 25408844     DOI : -
Core Subject : Health,
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
POTENTIAL USE OF VIRTUAL REALITY IN OVERCOMING NEEDLE PHOBIA IN COVID-19 VACCINATION Penggalih Mahardika Herlambang; Nanang Wiyono; Hendry Gunawan; Rani Tiyas Budiyanti
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 6 (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.v10i6.31504

Abstract

Background: Vaccination is very important because it can help prevent diseases that can be prevented by immunization (PD3I) such as polio, tetanus, diphtheria, measles, mumps, and rubella. During the Coronavirus Disease -19 (COVID-19) pandemic, the role of vaccination is very crucial, especially to reach herd immunity. However, there are many problems related to the implementation of vaccination, including needle phobia, which is a phobia of needles because it is considered painful. Virtual reality is a technology that develops in the form of a virtual image that can be used in vaccination services. This study aims to determine the potency of virtual reality to solve the needle phobia in vaccination services.Methods: The method used in this study is a literature review with sources from journals in the Scopus, ProQuest, and ScienceDirect database that was published in 2000 until 2020, and also books and articles with the keywords "virtual reality" "AND" "immunization," virtual reality " AND " vaccination " , "Needle phobia" "AND" "vaccination". This research was conducted from January to February 2021.Results: Based on the results obtained, virtual reality can be used in vaccination services, especially in the treatment of needle phobia. Virtual reality can become a distraction so that the patient will be distracted from fear and can lower the pain threshold. In addition, virtual reality can also be used as a means of education about immunization.Conclusion: Product development and clinical research need to be developed to assess the use of virtual reality in vaccination services during the COVID-19 pandemic. The use of virtual reality for other medical procedures that use needles can also be further investigated
OSTEOPENIA IN MALE AND FEMALE PATIENTS USING CARBAMAZEPIN AND VALPROIC ACID COMBINATION THERAPY: Analysis of Prevalence and Its Relationship with Epilepsy Characteristics Krisninda Anggonowati; Endang Kustiowati; M.I. Widiastuti; Amin Husni; Aris Catur Bintoro; Rahmi Ardhini
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 2 (2022): 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.v11i2.32744

Abstract

ABSTRACT Background : Epilepsy is a chronic condition with unprovoked seizures. One of the changes affected by anti-epileptic drugs is a decrease in bone density. Gender and sex hormones have implications on bone density.Objective : To determine the prevalence difference osteopenia between male and female, and relationship with clinical characteristics epilepsy patients taking a combination of carbamazepine and valproic acid.Methods: A cross-sectional study with 22 epileptic patients with age range of 18-60 years taking combination of carbamazepine and valproic acid at the Neurology Department Dr. Kariadi Semarang during June to October 2021 who met the inclusion and exclusion criteria. Patient data were obtained by filling out a questionnaire. The assessment of osteopenia was carried out by examination of Bone Mineral Densitometry. Data analysis was using Chi Square test and Spearman correlation test. The result was determined to be significant if the p value <0.05.Results : There were 11 male subjects and 11 female subjects. Chi Square resulted in significant difference between male and female (p<0.05). Spearman correlation test showed a relationship between osteopenia and duration before combination therapy, for men rho 0.734 (p<0.05), women rho 0.786 (p<0.001). There was a relationship between osteopenia and the onset of epilepsy, male rho 0.603 (p<0.05), female rho 0.757 (p<0.001). There was a relationship between osteopenia and age, male rho 0.487 (p=0.129), female rho 0.780 (p<0.001). There was also a relationship between osteopenia and seizure frequency, male rho 0.457 (p<0.05), female rho 0.467 (p=0.026).Conclusion: There was a significant osteopenia prevalence difference between male and female epilepsy patients taking combination of carbamazepine and valproic acid. Moderate and strong relationship were found between osteopenia and clinical characteristics epilepsy. Keywords : Epilepsy, osteopenia, carbamazepine, valproic acid
Antidiarrheal Effect of Lime Peel Extract on Bisacodyl-Induced Mice Abraham Talent Bawadi Sibarani; Hesti Triwahyu Hutami; Nani Maharani; Yora Nindita
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 6 (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.v10i6.32144

Abstract

Background: Diarrhea is a condition of increased fecal water content of more than 200 grams or 200 ml/24 hours with a liquid or semi-liquid consistency. Complications of diarrhea, dehydration and malnutrition are still world health problems. Lime peel extract contains tannins which have astringent properties. Tannins are indicated as an alternative anti-diarrheal agent by tightening and forming a protective layer on the intestinal mucosa thereby reducing osmolarity.Aim: To examine the consistency, fecal water content, and frequency of defecation of bisacodyl-induced diarrhea in mice that are given lime peel extract.Methods: This research was an experimental with post test only group design. Thirty-six male mice were included and then divided into 5 groups with bisacodyl induction and 1 normal control group (KM) without bisacodyl induction. The negative control group (KN) was given 0.5 ml Tween 80 1%, the positive control group (KP) was given attalpugite 0.4 mg/40gW, treatment group 1 (X1), treatment group 2 (X2), treatment group 3 (X3 ) were given lime peel extract at graded doses of 125, 250, and 500 mg/KgW. Consistency, fecal water content, and frequency of defecation were observed every 30 minutes for 4 hours by observing the consistency of feces, weighing wet and dry feces to measure the water content, and measuring the frequency of defecation in each group. Data were analyzed statitiscally using Kruskal Wallis test with Post Hoc Mann Whitney test.Results: There were significant differences between the comparison of defecation frequency in the X3 group and the KM group, for the fecal water content comparison between the X3 group and the KN group, and no significant differences in the following group comparisons.Conclusion: Lime peel extract cannot reduce the frequency of defecation, fecal water content, and increase the consistency of feces significantly.Keywords: Diarrhea, lime peel extract, tannins, astringent, consistency, fecal water content, frequency of defecation.
Why Infertility Patients Came Late to Infertility Clinics (Study at Kariadi General Hospital) Rahma Khusnul Khotimah; Besari Adi Pramono; Suharto Suharto; Yuli Trisetiyono
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 6 (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.v10i6.30190

Abstract

Background: Infertility is an inability of a spouse to get pregnant within twelve months seeking pregnancy without using any contraception. The duration of infertility affects the chance to get pregnant.Objective: To identify the factors causing infertility patient came late to Polyclinic Merpati RSUP Dr. KariadiMethods: This study was an observational descriptive with a cross-sectional design. The data were obtained from medical records and questionnaires. Twenty-six respondents were infertility patients who met the inclusion and exclusion criteria and came to Polyclinic Merpati RSUP Dr. Kariadi in September 2020.Results: The number of infertility patients in September 2020 was 76 patients, 72,4% of them came to Polyclinic Merpati late. Most people came after being referred from the previous doctors. Three factors causing infertility patients came late were economic factors, a social factor, and another difficulty.Conclusion: Factors causing the late coming of infertility patients were economic factors, a social factor, and another difficulty
Characteristics of Endometriosis Patients in RSUP Dr. Kariadi Semarang in 2018 Syarifah A Mansur; Yuli Trisetiyono; Muflihatul Muniroh; Nurul Setiyorini
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 2 (2022): 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.v11i2.30722

Abstract

Background : Endometriosis is one of the gynecological disorders that affects women at reproductive age between 20-35 years. Based on the above, endometriosis can cause pain that can interfere daily activity and infertility.Aim : To found the incidence and characteristics of patients with endometriosis who undergoing treatment and surgery in RSUP Dr. Kariadi Semarang Method: This study was a descriptive study. Data retrieved from medical records of endometriosis’s patients who undergoing treatment and surgery at RSUP Dr. Kariadi Semarang 2018. The result presented in distribution and frequency characteristics tables.Result : The incidence of endometriosis in RSUP Dr. Kariadi Semarang in 2018 were 176 cases of 8690 inpatients in the obstetric and gynecology wards. Characteristics of endometriosis patients are most at the age of 20 - 35 years, nullipara, with complaints of menstrual pain / dysmenorrhoea, location in the ovary, by managing the surgery and using GnRH agonists, and not a recurrent endometriosis patient.Conclusion : The incidence of endometriosis in RSUP Dr. Kariadi Semarang 2018 was 176 cases of 8690 patients at the Obstetrics and Gynecology (2 %). Endometrosis highest incidence was in the reproductive age (20-35 years).
The Association Between Sleep Quality and Working Memory of Medical Faculty Malikussaleh University Students Amri Afra Adilla; Cut Khairunnisa; Cut Sidrah Nadira; Rizka Sofia
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 6 (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.v10i6.32145

Abstract

Background: Working memory is a form of storage of information that is relevant to the activity being worked out in a short time and a limited amount of information. The working memory capacity is influenced by sleep quality. Increased human activity in the modern era, causing less attention to the quality and quantity of sleep. Recent study showed that the prevalence of medical student who have poor sleep quality is quite high, reaching 76%. Poor quality of sleep will cause a person to think and work more slowly, make mistakes, and have a hard time remembering things. Objective: This research aims to know the relationship of sleep quality with working memory capacity in medical students of Malikussaleh University. Methods: This research was an analytical study with cross- sectional approach, and the Fisher test was used as the statistical test. Proportional stratified random sampling was used to  obtained  71 samples of students who had qualified inclusion and exclusion criterias. Results: The results showed that 84,5% of students had poor quality of sleep and 56,3% of students had low working memory capacity. Statistical analysis by Fisher test showed the value of p < 0,05. Conclusion:  there is an association between sleep quality and the capacity of working memory in the Faculty of Medicine students of Malikussaleh University.
The Effect of Carbonated, Isotonic, and Yoghurt Drinks to the Hardness of Bulk Fill Composite Resin Tyagita Haning Ratnasari; Nadia Hardini; Yoghi Bagus Prabowo; Faizah Fulyani
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 2 (2022): 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.v11i2.31349

Abstract

Background: Composite resin often used as a restoration material due to its advantages in the aesthetic field. The bulk-fill type is one of the composite resin that can be applied directly into cavities as deep as 4 mm, so that restoration procedure becomes easy and effective. Hence, exposure to various acidic drinks can reduce the hardness of composite resins and eventually lead to failure of the tooth restoration process.Objective: This research aimed to evaluate the effects of several commercial acidic drinks, (carbonated, isotonic, and yogurt) on the hardness of bulk-fill composite resins.Method: This research was an experimental study with a post-test control group design. Twenty-four specimens were made with the size 10 x 4 mm using the metal mold rings. Specimens were divided into 4 groups for artificial saliva (served as a control), carbonated, isotonic, and yogurt. Specimens were immersed in storage agents for 5 seconds followed by artificial saliva for 5 seconds. This cycle was repeated 20 times for 14 days. The bulk-fill composite resin hardness was measured using a Micro Vickers Hardness Tester with a load of 100 grams for 10 seconds. Statistical analysis was performed using One Way ANOVA and Post Hoc LSDResults: Data were normally distributed and homogeneous with p > 0.05. The One Way ANOVA test showed the biggest difference in bulk fill composite resin between 4 groups (p < 0.001). The Post Hoc LSD test showed significant differences between all groups (p < 0.001)Conclusion: Carbonated, isotonic, and yogurt drink significantly decreased surface microhardness of bulk-fill composites resin but the carbonated drinks greatly reduce the hardness value since it has the lowest pH of 2.3.
Relationship of Hand Sanitizer Usage Frequency with the Incidence of Irritant Contact Dermatitis during COVID-19 Pandemic Almira Dwixie Dhara Desira; Puguh Riyanto; Liza Afriliana; Dea Amarilisa Adespin
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 2 (2022): 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.v11i2.32631

Abstract

Background: Irritant Contact Dermatitis (ICD) is an eruption of the skin caused by the non-immunologic inflammatory response of the skin to the irritant agents. The government urged to implement health protocols 3M, one of them is hand hygiene by used hand sanitizer to prevent the spread of COVID-19 infection. Repeated use of hand sanitizer can cause skin irritation and inflammatory response such as dryness, cracks, and other symptoms of ICD.Objective: To analyze the relationship between the frequency of use of hand sanitizer and the incidence of ICD.Methods: Observational analytics study cross-sectional design. The research subject were 260 medical faculty students of Diponegoro University who had to agree with informed consent, filled questionnaires and qualified by research criteria. Diagnostic of ICD based on questionnaires and physical examination of ICD. The statistical analysis data was used Chi-square test.Results: The results showed after analyze data use Chi-square test that there was not significantly related frequency use the hand sanitizer to the incidence irritant contact dermatitis during the COVID-19 pandemic with a p-value is 0,078 (p>0,05). The most frequent use of hand sanitizers is 5-10 times a day (56,5%), the most symptoms in ICD are dry, scaly, and peeling skin (30%), and the incidence of ICD due to the use of hand sanitizers are 33,5%.Conclusion: There was no significant relationship between frequency of use of hand sanitizer and irritant contact dermatitis during pandemic the COVID-19.
Stool Examination Profiles in Malnourished Children Nisrina Nur Haniyah; Farid Agung Rahmadi; Amallia Nugettsiana Setyawati; Rina Pratiwi
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 4 (2022): 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.v11i3.33248

Abstract

Background: Stool examination is a gold standard that can be used to detect problems in the disgestive systems, which becomes a preliminary examination to determine a diagnosis. The variation characteristics of stool in malnuorished children are very possible due to the infection in the digestive tract, resulting in impaired absorption of nutrients and other health problems.Objective: To find out the profile of routine feces examination in malnourished children.Methods: This study was descriptive research with a cross-sectional method. This study was conducted from April—August 2021 with a sample size of 38 stunted and malnourished children of 6 month-old to 5-year-old in Rumah Gizi and Poli Anak RSUP Dr. Kariadi Semarang. Collecting the data of anthropometric, quisioners, and laboratorium stool macroscopic and microscopic analytic.Results: Macroscopic examination showed that 13 samples (34.25) had a normal brown color, 35 samples (92.1%) had a soft consistency. Moreover, mucus was found in 6 samples (15.8%). In microscopic examination found that 4 cases (10.5%) were positive for carbohydrates. In 17 cases (44.75), fibers were found. Leukocytes were found in 2 cases (5.2%), erythrocytes were found in 8 cases (21.1%), occult blood was found in 10 cases (26.3%), and fungal positive was found in 14 cases (36.8%).Conclusion: Most of the feces were brown, had soft consistency, did not have mucus and blood. Furthermore, fat, fiber, carbohydrates, leukocytes, erythrocytes, occult bold, and fungal were not found in most of the stools.
THE RELATIONSHIP BETWEEN WAIST-HIP RATIO AND 60-METER RUNNING SPEED Studies on students of the Faculty of Medicine, Diponegoro University Niken Ayu Dewi Masitoh; Hardhono Susanto; Endang Kumaidah; Yuswo Supatmo
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 3 (2022): 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.v11i3.34047

Abstract

It is imperative to improve Indonesia's achievement in sprint category using an indicator according to talent scouting. The running speed of those with excessive body fat is slower. The distribution of body fat, especially in the area of abdomen and hip, could be measured using the waist hip ratio indicator. This study is aimed at determining the relationship between waist-hip ratio and 60-m running speed. This was a cross-sectional study. The subjects were chosen using simple random sampling. There were 32 medical students of Diponegoro University that met the inclusion criteria and did not meet the exclusion criteria.. The subjects were measured for their waist circumference, hip circumference, leg length, and 60-m running speed. The mean of waist hip ratio was 0.88 ± 0.07; the mean of leg length was 80.24 ± 3.75 cm; the mean of 60-m running speed was 5.49 ± 0.69 m/ s. Pearson correlation test between waist-hip ratio and 60-m running speed of Diponegoro University's medical students showed a significant negative correlation (r= -0.515; p= 0.003). According to multiple linear regression analysis, it was found that waist-hip ratio affected 60-m running speed as much as 26.6%. (R2= 0.266). Thus, there is a significant negative correlation between waist-hip ratio and 60-m running speed.Keywords: waist-hip ratio, 60-m running speed

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