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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 1,040 Documents
KINESIO TAPING INFLUENCE THE AGILITY OF RECREATIONAL SOCCER PLAYERS Robby Robby; Aditya Paramita Andini; Tanti Ajoe Kesoema
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).v14i6.47028

Abstract

Background: Soccer is a physical activity that requires good agility to run fast, dribble the ball, avoid opponents and guard opponents. Kinesio taping is used in rehabilitation, especially for the treatment and prevention of musculoskeletal system injuries, but there is not enough data in increasing the agility of soccer player. Methods: This study was a quasi-experimental with a pre-post test group design on 60 males aged 17-25 years who played recreational soccer. Subjects were divided into 2 groups consisting of intervention group (n = 30) and control group (n = 30). The intervention group received kinesio taping with a facilitation technique with a 35% pull on the quadriceps, gastrocnemius and soleus muscles, while the control group received sham, non-elastic adhesive tape on the same muscle group. Agility measurements were carried out before and after 30 minutes of intervention using the Agility T Test in both groups. Results: There was no statistically significant difference in the average agility score before intervention between the control group (11.38+0.83 seconds) and the treatment group (11.47+1.20 seconds) with p=0.7304. In control group, there was no statistically significant difference in the average agility score before (11.38+0.83 seconds) and after (11.40+0.79 seconds) the intevention (p=0.6184). In intervention group, there was a statistically significant difference in the average agility score before (11.47+1.20) and after (10.99+1.20) intervention (p=0.000). Discussion: The facilitation technique of kinesio taping increases muscle strength and muscle contraction leading to increased agility. Conclusion: Kinesio taping increase the agility of recreational soccer player.
ASSOCIATION BETWEEN THE TYPE OF HOSPITAL WARD AND LENGTH OF STAY (LOS) OF INPATIENTS WITH HEART FAILURE Tira Alfiani Laariya; MH. Muflihatul Ulfa; Fauzan Achmad Maliki
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.v15i1.52649

Abstract

Background: Hospitals in Indonesia implemented several types of wards, from class III, class II, class I, and VIP. An indicator for assessing efficiency and quality of care is length of stay (LOS). Heart failure has become a worldwide issue with a high burden of medical costs. Objective: This study aimed to calculate the average LOS of heart failure patients and to identify their associations with the type of hospital ward. Methods: This cross-sectional study extracted data from the hospital information system to gather information on heart failure patients from 2021 to 2024 at PKU Muhammadiyah Yogyakarta Hospital, using purposive sampling. The data was analyzed using the Mann-Whitney U test. Results: The average LOS of all heart failure patients was 4,9 days (±2,9) with a median of 4,0 days (±3,0). Based on the type of wards, average and median LOS in class III were 5 days and 4 days; in class II were 4,2 days and 4 days; in class I were 5,9 days and 4,5 days; and VIP was 3,6 days and 3 days. There were no differences in LOS between class III and non-class III in heart failure patients with a p-value of 0,171. Conclusion: The average LOS of heart failure patients was 4,9 days with no differences between them and the type of ward.
Effectiveness of Adding Strengthening Lower Extremity Exercise on Gait Speed of Hajj Pilgrims Who Receive Walking Aerobic Exercises Rahmi Isma Asmara Putri; Dian Permata; Naela Munawaroh
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.v13i6.46222

Abstract

Background: In the Hajj pilgrimage, the daily activities of Hajj Pilgrims also require good walking skills. Walking is the most common physical activities. Individuals with limited mobility have been found to have greater energy costs related to daily life tasks. Resistance training is a type of exercise that can increase muscular speed, power, strength, hypertrophy, and coordination. The decreased muscle strength leads to decrease in walking ability. Objective: Researchers want to compare that adding strengthening lower extremity exercise can improve the gait speed on Hajj Pilgrims more than control group who receive walking aerobic exercise only. Methods: A randomized controlled trial was used for this research. There were 36 participants divided into an 18-person intervention group and an 18-person control group. The groups received walking aerobic exercises five times a week and the intervention group were added strengthening lower extremity exercise twice a week. A 4-meter gait speed test was used to evaluate gait speed both pre- and post- a six-week course of intervention. Results: After six weeks, there was a significant increase in gait speed in both the intervention group (p=0.000) and the control group (p=0.000). There’s no significant difference between the interventions of each group (0.86 ± 0.58) compared to the control group. (0.87 ± 0.66) (p=0.968). Conclusion: Walking aerobic exercise and adding strengthening lower extremity exercise can increase gait speed significantly. However, walking aerobic exercise with or without strengthening lower extremity exercise addition there is an increase in gait speed.
Management of an Oral Ranula in a HIV positive patient: Case report Muhammad Abdurrahman; Novia Dias Oryza; Ayunda Kalam Mahardika; Devi Farida Utami; Elissa Chairani
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.v14i2.46230

Abstract

Background: Ranula is a cyst resulting from obstruction of the major salivary gland which is a phenomenon of duct retention in the sublingual gland located at the floor of the mouth, resulting in swelling under the tongue and bluish. Ranula may occur in association with HIV. This article reports the management of ranula cases in HIV patients. Case Presentation: A 20-year-old male patient came with complaints of a lump under his tongue 1 month ago, often recurrence. The patient has a history of HIV. Extraoral examination showed a painless lump in the left submandibular region. On intraoral examination, it was found a translucent lump in the sublingual region, mobile, and painless. Diagnostic tests including OPG, thorax radiography, and MRI. Treatment was carried out by marsupialization under general anesthesia. Conlussion: Persistent chronic inflammation caused by HIV can lead to blockage of the small ducts, followed by distension that can lead to rupture of the ducts and extravasation of mucus into the surrounding tissue. The treatment was marsupialization under general anesthesia.
RELATIONSHIP BETWEEN AGE AND GENDER WITH SPECIFIC LOW BACK PAIN IN PKU MUHAMMADIYAH BANTUL HOSPITAL Aulia Nissa Dewantari; Rahma Greta Perdana Putri; Ana Budi Rahayu; Elvina Prisila
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).v14i4.49322

Abstract

Background: Low back pain is defined as pain localized below the 12th costal margin to the lower gluteal fold. Specific low back pain is caused by pathological mechanisms as the cause of complaints. Age and gender are risk factors for low back pain. Objective: to find out the relationship between age and gender with specific low back pain at PKU Muhammadiyah Hospital Bantul. Method: This study used a cross-sectional design with the chi-square analysis test. Data were taken from the medical records of PKU Muhammadiyah Bantul Hospital in October-November 2021 with a sample of 96 respondents. Results: Specific low back pain was more common in those aged ≥ 35 years, with 50 persons (98.0%), while those aged < 35 years had 1 person (2%). Among them, women were the majority (64.7%), while the men were only 35.3%. The underlying diagnosis of specific low back pain included 42 people (82.4%) experiencing intervertebral disc disorder, spondylolisthesis in as many as 4 people (7.8%), scoliosis in as many as 2 people (3.9%), fracture compression in as many as 2 people (3.9%), and spondylolysis in as many as 1 person (2%). Bivariate analysis obtained a p-value = 0.003. While the gender factor with specific low back pain showed a p-value = 0.968. Conclusion: This study shows that there is a significant relationship between age and specific low back pain and there is no relationship between gender and specific low back pain.
KNOWLEDGE, ATTITUDES, AND BEHAVIOR IN RELATION TO COMPUTER VISION SYNDROME AND MUSCULOSKELETAL PAIN AMONG GADGET USERS AT SDN WONOTINGAL 01-02 Oktaviarum Slamet Utama; Hari Peni Julianti; Rahmi Isma Asmara Putri
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.v14i6.51197

Abstract

Background: Although recent studies have revealed associations between excessive use of gadgets with health problems such as Computer Vision Syndrome (CVS) and musculoskeletal pain, the role of knowledge, attitude and practice for these conditions is obscure. While clinical research has identified these associations betweenasih lis screen time and such health risks, there is less evidence about how the extent of children’s awareness, or behaviors, might affect the presence of those problems. Objective: This study examines the relationship between knowledge, attitude, and behavior with the incidence of Computer Vision Syndrome (CVS) and musculoskeletal pain in gadget users at SDN Wonotingal 01-02. Methods: This study uses a quantitative methodology with an analytical observational design of a cross-sectional type. It aims to examine the relationship between knowledge, attitudes, and behaviors with the occurrence of Computer Vision Syndrome (CVS) and musculoskeletal pain in gadget users at SDN Wonotingal 01 and 02. The research was conducted in May 2024, involving fifth and sixth-grade students as the sample, using total sampling to include all eligible participants who met the inclusion criteria. Results: CVS occurrence was strongly associated with knowledge (P < 0.001), attitudes (P < 0.001) and behaviors (P < 0.001). Moreover, there was a positive correlation between neck musculoskeletal pain with knowledge (P < 0.001) and behaviors (P < 0.001), thigh pain with Behaviors (P = 0.008), Calf pain with attitudes (P = 0.013) and behaviors (P = 0.011). Conclusion: This study discovered that knowledge, attitude, and behavior have an influence on the incidence of Computer Vision Syndrome (CVS) and musculoskeletal pain in gadget users at SDN Wonotingal 01-02. A significant relationship was observed between CVS status and musculoskeletal pain. More studies with a larger sample, particularly with respect to lower limb pain, need to be conducted, together with consideration of other aspects related to knowledge, attitudes, and behaviors for future investigations.
Comparison of Exercise Intensity Based on Anaerobic Threshold on Fatigue in Men with Low Activity Mela Kurnia Widyarini; Tanti Ajoe Kesoema; Robby Tjandra
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 14, No 1 (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.v14i1.47026

Abstract

Background: A sedentary lifestyle can result in excessive fatigue. Aerobic exercise improves cardiorespiratory fitness, physical activity, and fatigue. Cardiorespiratory exercise testing (CPET) is the most appropriate and effective tool for prescribing exercise programs. Objective: To compare the effect of exercise at an intensity above and below the anaerobic threshold (AT) on fatigue men with low activity. Methods: This study was an experimental single-blinded control trial with a pre-post design. There were 24 participants divided into two groups: group A (n = 12) received intensity training above the AT, and group B (n = 12) received intensity training below the AT. Both groups received treadmill aerobic exercises three times a week for 4 weeks. Fatigue levels were measured with the Fatigue Severity Scale questionnaire at the beginning and end of fourth week of intervention. Results: After four weeks, there was a significant improvement in fatigue levels in both the A group (p = 0.002) and the B group (p = 0.002). There was no statistically significant difference between the A group (-6.58 ± 5.62) and the B group (-4.67 ± 5.87) (p = 0.265). Conclusion: Both exercise intensity above and below the AT within 4 weeks showed improvement on fatigue level in men with low activity. Exercise intensity above AT was not superior compared to exercise intensity below AT in improving fatigue levels.
COMPARISON OF THE IMPLEMENTATION OF AROMATHERAPY OF PAPPERMINT with HAND MASSAGE ON THE PAIN OF PATIENTS AFTER CHOLELITHIASIS SURGERY : A CASE STUDY Maya Syarivatul Azizah; Sidik Awaludin
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.v14i3.48105

Abstract

Background: Cholelithiasis is a gallstone disease that originates from fluid that hardens in the gallbladder. The prevalence of gallstones is increasing every year. Behavior modification in individuals is considered less successful, more aggressive actions (surgery) are needed. However, the majority of patients complain of pain after surgery. Medical treatment without complementary balance can cause problems such as decreased cardiac output. Complementary therapies that can be used are aromatherapy and hand massage. Methods: A case study study of 3 postoperative   cholelithiasis patients. Case presentation: Peppermint aromatherapy or hand massage was used to reduce postoperative pain in three samples (two intervention, one control). Therapy was given for three days, starting on the first postoperative day with moderate pain (4-6). Interventions included measuring blood pressure and pain scale before and after therapy. Both methods subjectively reduced pain and objectively lowered blood pressure and heart rate. Conclusion: Peppermint  aromatherapy with hand massage can be used as complementary therapy to accompany medical treatment to reduce pain in patients after cholelithiasis surgery. In addition, this therapy is easy to apply and does not cost much so that the patient's family can practice it at home.
PROPOSED MECHANISM OF ERLOTINIB-INDUCED RASH FORMATION IN RATS BASED ON THE SKIN EXPRESSION OF CINC1 AND TTP mRNAs Iqbal Julian; Takuya Iwamoto
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.v14i5.49108

Abstract

Background: Erlotinib's effect on the skin is greatly recognized to cause rashes. To treat the rashes effectively, it is necessary to understand the mechanism of rashes formation induced by the drug. However, the mechanism underlying the effect was not well-known. Objective: This study measured the CINC1 and TTP mRNAs’ expression to elaborate the mechanism. Methods: An experimental preclinical quantitative study was designed. Rats were divided into three groups: placebo, low dose, and high dose based on the involvement and dosage of erlotinib, and were treated for 7 days. The samples were collected from the blood on days 0 and 7 and the skin on day 7. The blood was used to measure the circulating concentration of CINC-1, whereas the skin was used to measure the tissue expression of CINC1 and TTP mRNAs. Results: At mild rashes, the tissue expression of CINC1 and TTP mRNAs tended to elevate compared to the placebo, while at severe rashes, the TTP mRNA was suppressed in contrast to the CINC1 mRNA. The level of circulating CINC1 among the three groups following 7 days of treatment tended to elevate. Conclusion: The results suggest the involvement of CINC1 and TTP during the formation of erlotinib-induced rashes and the mechanism underlying the rashes formation was proposed accordingly. Furthermore, targeting these proteins could be a reference for a clinical study on the treatment of erlotinib-induced rashes.
EFFECT OF EXERCISE ON TRPV1 EXPRESSION IN THE MUSCLE OF GALUR WISTAR RATS Hanna Goenawan; Raisa Zahra; Putri Teesa Radhiyanti; Julia Ramadhanti; Vita Murniati Tarawan; Fifi Veronica
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.v14i6.50802

Abstract

Background: Exercise is an activity that induces acid generation as one of the TRPV1 stimulants. Activation of TRPV1, a pain receptor, by acid, can lead to the formation of neuropeptides such as substance P and calcitonin gene-related peptides as a cause of inflammation and pain. However, chronic TRPV1 activation triggered by exercise can cause TRPV1 desensitization. Objective: Aim of this study was to examine the effect of different intensity exercise on TRPV1 mRNA expression in gastrocnemius muscle. Methods: This study was experimental study using animals models. Rats aged 12-24 weeks were given exercise interventions, a treadmill protocol, 5 times a week (30 min/day) with low (10 m/s), moderate (20 m/s), and high (30 m/s) intensity for 8 weeks. After exercise period, gastrocnemius muscle were isolated and subjected for TRPV1 mRNA expression analysis using semi quantitative real time PCR. Results: There was no changes of TRPV1 mRNA gene expression in gastrocnemius after treatment of different intensity exercise (p =0.694). Conclusion: As the conclusion, 8 weeks different intensity of exercise did not alter TRPV1 expression in gastrocnemius. 

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