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Ahmad Dahlan Medical Journal

admj
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Published by Universitas Ahmad Dahlan

ISSN : - EISSN : 27743837 DOI : 10.12928/admj

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Ahmad Dahlan Medical Journal is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures, treatment, or other health issues that is important for the development of health care system are also acceptable. Letters and commentaries of our published articles are welcome. Subjects suitable for publication include, but are not limited to the following fields of Allergy and immunology, Anesthesiology, Cancer and stem cells, Cardiovascular, Cell and molecular biology, Child health, Dermato-venereology, Geriatrics, Histopathology, Internal medicine, Neuro-psychiatric medicine, Ophthalmology, Oral medicine, Otorhynolaryngology, Physical medicine and rehabilitation, Physio-pharmacology, Pulmonology, Radiology, Surgery including orthopedic and urology, and Women’s health.

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 7 Documents

Search results for , issue "Vol. 3 No. 1 (2022): May 2022" : 7 Documents clear

The Effectiveness of Cadavers Compared with Mannequins on Understanding Anatomy of the Nervous System of Medical Students Vina Alexandra Kurniasari; Yunia Hastami; Siti Munawaroh
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

Anatomy of the nervous system is one of the basic materials of medicine that is quite difficult for students to understand. One method used for learning anatomy is a practicum in the laboratory by using various media, such as cadavers and mannequins. Both of these learning media has advantages and disadvantages of each in helping students to understand anatomy material. This study aims to compare cadavers and mannequins as a medium to assist students' understanding of the anatomy of the nervous system. This research is quasi-experimental research. Sampling using cluster random sampling method amounted to 4 SGD groups of first semester students of Sebelas Maret University medical study program which were then divided into 2 groups for each given material using cadaver and mannequins. Data collection was carried out by pretest and posttest conducted before and after the material was given using cadaver or mannequins. Data analysis using the t-independent test. This study shows that there is no significant difference between the use of cadavers and mannequins in the learning process of the anatomy of the nervous system, with t-independent test values obtained significance values of more than 0.05 (significance = 0.558). We can conclude that cadavers and mannequins are equally effective for use as a tool for learning the anatomy of the nervous system. ABSTRAK Anatomi sistem saraf merupakan salah satu materi dasar kedokteran yang dinilai cukup sulit bagi mahasiswa untuk dipahami. Salah satu metode pembelajaran anatomi, yaitu dengan praktikum di laboratorium dengan menggunakan berbagai media seperti, cadaver dan manekin. Kedua media pembelajaran ini masing-masing memiliki kelebihan dan kekurangan dalam membantu proses pemahaman anatomi. Penelitian ini bertujuan untuk membandingkan cadaver dan manekin sebagai media untuk membantu pemahaman anatomi sistem saraf. Penelitian ini merupakan penelitian quasi-eksperimental. Pengambilan sampel menggunakan metode cluster random sampling berjumlah 4 kelompok SGD mahasiswa semester satu program studi kedokteran Universitas Sebelas Maret yang kemudian dibagi menjadi 2 kelompok untuk masing-masing materi diberikan menggunakan cadaver dan manekin. Pengumpulan data dilakukan dengan pretest sebelum pemberian materi dan posttest setelah pemberian materi, baik menggunakan cadaver maupun manekin. Analisis data menggunakan uji t-independen. Hasil penelitian ini menunjukkan bahwa tidak ada perbedaan yang signifikan antara penggunaan cadaver atau manekin dalam pembelajaran anatomi sistem saraf, dengan hasil signifikasi pada uji t-independen didapatkan lebih dari 0.05 (signifikasi = 0.558). Dapat kami simpulkan bahwa cadaver dan manekin sama efektifnya untuk digunakan sebagai media pembelajaran anatomi sistem saraf.

A Case Report of Asymptomatic Covid-19 Infection Death in Gemelli Pregnancy Soniasari Soniasari; Munaya Fauziah
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

We present the case of a 23-year-old woman, G1P0A0, Gemelli (twins) with a gestational age of 38 weeks. The patient was referred to a type C referral hospital with complaints of low back pain without other symptoms. Antigen Rapid Test Swab examination with positive results and nasopharyngeal and oropharyngeal swab sampling for Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) examination of patients gave positive results with asymptomatic infection (without symptoms). Gemelli's pregnancy, which is considered a high risk and COVID-19 infection in the patient, resulted in parturition being performed by Sectio Caesarea. Both babies were born alive, but the first baby died on the first day, followed by the second baby on the second day after birth and then the mother experienced a worsening of the condition, namely in a coma placed in the ICU, on the third postpartum day she experienced respiratory and cardiac arrest and was declared dead.

Vitamin K and The Immune System Rachma Greta Perdana Putri; Rosyida Awalia Safitri; Yuni Herliyanti
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

Vitamin K is a vitamin fat-soluble with the main function as an anticoagulant. The active form of vitamin K can be divided into two categories, namely vitamin K1 (phylloquinone) can be found in photosynthetic plants and vitamin K2 (menaquinone) comes from bacteria, source in foods we can found this in fermented foods like natto or soybean product which fermented by Bacillus natto. This literature review was conducted through searching in database like PubMed, and Elsevier using keywords like vitamin K, Immune system, and inflammation. The role of vitamin K in physiological functions is well known worldwide, such as blood coagulation, bone metabolism, and regulation of several types of enzymes. Apart from this role, vitamin K also acts as a cofactor in several plasma proteins, so this vitamin can influence immune responses. Recent studies have found vitamin K links to inflammatory diseases. Vitamin K also induced autophagy pathway. However, information regarding the role of vitamin K in the immune system is limited.

Relationship between the amount of protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic Naufal Zuhdi Rabbani; Barkah Purwanto; Dyah Suryani; Dewi Yuniasih
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

The healing process of diabetic ulcers is influenced by the nutritional status of the patient, especially the nutritional status of the patient's protein intake. This study was conducted to determine the relationship between the amount of dietary protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic. This study uses a non-experimental quantitative method with a cross-sectional approach, conducted in May - June 2021 with the research subjects being diabetic ulcer patients who underwent treatment, either outpatient or inpatient stay 1 week with the number of subjects 32 patients aged more than 45 years with this type of male and female, patients with type 2 diabetes mellitus, diabetic ulcers in the leg region, the degree of diabetic ulcers according to Wagner with a score of 1-3, and the patient has full consciousness. Data collection on the amount of dietary protein intake of DM patients was obtained through interviews and questionnaires. The data were analyzed by using the chi-square correlation test or Fisher's exact. The research subjects on average did not have sufficient daily protein intake and did not experience the healing process of their diabetic ulcers. The relationship between the amount of dietary protein intake in DM patients and the healing process of diabetic ulcers was found. This study concludes that there is a relationship between the amount of dietary protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic. Abstrak Proses penyembuhan ulkus diabetikum dipengaruhi oleh status gizi pasien, terutama status gizi asupan protein pasien. Penelitian ini dilakukan untuk mengetahui hubungan antara jumlah asupan protein diet pasien DM dengan proses penyembuhan ulkus diabetikum di Klinik Pratama Rawat Inap Ampel Sehat. Penelitian ini menggunakan metode kuantitatif non eksperimental dengan pendekatan cross sectional, dilakukan pada bulan Mei – Juni 2021. dengan subjek penelitian adalah pasien ulkus diabetikum yang menjalani pengobatan, baik rawat jalan maupun rawat inap 1 minggu dengan jumlah subjek 32 pasien berusia lebih. dari 45 tahun dengan tipe ini pria dan wanita, pasien diabetes mellitus tipe 2, ulkus diabetik di daerah kaki, derajat ulkus diabetik menurut Wagner dengan skor 1-3, dan pasien memiliki kesadaran penuh. Pengumpulan data jumlah asupan protein diet pasien DM diperoleh melalui wawancara dan kuesioner. Analisis data menggunakan uji korelasi chi-square atau Fisher's exact. Subyek penelitian rata-rata tidak memiliki asupan protein harian yang cukup dan tidak mengalami proses penyembuhan ulkus diabetikumnya. Ditemukan hubungan antara jumlah asupan protein diet pada pasien DM dengan proses penyembuhan ulkus diabetikum. Penelitian ini menyimpulkan bahwa ada hubungan antara jumlah asupan protein diet pasien DM dengan proses penyembuhan ulkus diabetik di Klinik Pratama Rawat Inap Ampel Sehat This is an open access article under the CC–BY-SA license. _______

Phaco Time Phaco-Horizontal-Chop Technique for Cataract Surgery with Various Degrees of Lens Hardness Imam Masduki; Dwi Ditha Emelia; Ahmad Ikliluddin
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

The most frequent and accurate cataract surgery had been the phacoemulsification method. Currently, phacoemulsification had been developed using various techniques including divide and conquer phaco chop and supra capsular. This research aims to assess the cataract surgery time or phaco time at various degrees of lens hardness. All cataract patients at the Kharisma Paramedika Hospital, Kulon Progo, Yogyakarta Special Region during the period June-December 2021, had cataract surgery using the horizontal chop phacoemulsification technique, by an experienced eye specialist. The machine used the Millennium from Bausch & Lomb. Parameter settings on the machine are as follows: bottle height 100 cm; vacuum 230 mmHg; 25% power; multi burst module. The patient gave topical anesthesia with 0.5% pantocaine, then an incision was made with 2.75 mm keratoma, then trypan blue gave into the anterior chamber of the eye, then sodium hyaluronate was added without rinsing. Then the operator performs an anterior capsulotomy in a way of continuous circular capsulorhexis (CCC). The second port incision was made with a 15-degree knife, then hydro dissection was performed. The phaco time value was recorded on the machine at the end of each operation. There were 40 subjects (57%) male and 30 subjects (43%) female. Subjects aged 50-65 years reached 56 subjects (80%) and those aged >65 years were 14 subjects (20%). The average value of phaco time was obtained at 54.83 seconds. As Conclusion, Phacoemulsification cataract surgery with horizontal chop technique at various degrees of resolution density obtained an average phaco time of 54.83 seconds. ABSTRAK Pembedahan katarak yang cukup akurat dilakukan adalah dengan metode fakoemulsifikasi. Berbagai teknik fakoemulsifikasi, antara lain: divide and conquer, phaco chop (terdiri dari: horizontal chop, vertical chop, serta stop&chop), dan suprakapsular. Teknik horizontal chop dan vertical chop cukup efektif dilakukan, namun teknik ini cukup sulit bagi pemula. Terdapat parameter yang dapat dinilai pada operasi katarak, salah satunya yaitu phaco time. Penelitian ini bertujuan menilai waktu operasi katarak atau phaco time pada berbagai derajat kekerasan lensa. Semua pasien katarak di RS Kharisma Paramedika, Kulon Progo, Daerah Istimewa Yogyakarta (DIY), selama periode Juni-Desember 2021, dilakukan operasi katarak dengan teknik fakoemulsifikasi horizontal chop, oleh seorang spesialis mata yang sudah berpengalaman. Mesin yang digunakan adalah Millenium dari Bausch & Lomb. Parameter pengaturan pada mesin sebagai berikut : tinggi botol 100 cm ; vacum 230 mmHg ; power 25% ; modul multiburst. Pada pasien diberikan anestesi topikal dengan pantocain 0,5%, selanjutnya dilakukan insisi dengan keratom 2,75 mm, diberikan trypan blue ke dalam kamera okuli anterior, kemudian tanpa pembilasan dimasukkan sodium hyaluronat. Operator melakukan kapsulotomi anterior dengan cara continuous circular capsulorhexis (CCC). Pembuatan insisi second port dilakukan dengan pisau 15 derajat, lalu dilakukan hidrodiseksi. Pencatatan nilai phaco time dilakukan setiap akhir operasi. Hasil penelitian kami, sebanyak 70 subjek penelitian, terdiri dari 40 subjek (57%) laki-laki dan 30 subjek (43%) perempuan. Subjek yang memiliki usia 50-65 tahun berjumlah 56 subjek (80%) dan yang berusia >65 tahun berjumlah 14 subjek (20%). Nilai rata-rata phaco time yang didapatkan adalah 54,83 detik. Sehingga dapat kami simpulkan operasi katarak fakoemulsifikasi dengan teknik horizontal chop pada berbagai derajat kepadatan lensa didapatkan nilai rata-rata phaco time sebesar 54,83 detik.

Determinant Factors Affecting Perceived Barriers in Implementing the Covid-19 Health Protocol in The Community Hema Dewi Anggraheny; Aisyah Lahdji; Disa Yanuar
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

Perceived barriers to the application of health protocols are defined as obstacles that arise in carrying out health protocols. The smaller the obstacles, the more people will implement health protocols. Perceived barriers in carrying out health protocols are influenced by demographic areas, education level, employment status, sources of information, and positive experiences of Covid 19. This study aims to determine the factors that influence the perception of the community’s barrier in carrying out health protocols. This study used an analytic observational method with a cross-sectional design. The study was conducted in Semarang, Central Java Province, Indonesia, in November 2021. The research subjects were taken by consecutive sampling as many as 88 people. Perceived barrier questionnaires were prepared, previously through validity and reliability tests. Test the analysis with Mann Whitney and Chi-Square. The majority of people with low perceived barrier are people who live in urban areas (66,7%), have higher education (76,7%), work (93,3%), receive information related to Covid 19 from social media (46,7%), and have no experience of Covid 19 (63,3%). There was a significant relationship between area of residence (p=0,026), education (p=0,003), employment status (p=0,000), experience (0,003) on the perceived barriers from health protocols. The perception of a small barrier is shown in urban communities, higher education, work status, easy media access, and experience that do not intersect with Covid 19. There will be easier to receive education and implement health protocols. ABSTRAK Hambatan yang dirasakan dalam penerapan protokol kesehatan didefinisikan sebagai hambatan yang muncul dalam melaksanakan protokol kesehatan. Semakin kecil hambatannya, semakin banyak masyarakat yang menerapkan protokol kesehatan. Hambatan yang dirasakan dalam melaksanakan protokol kesehatan dipengaruhi oleh wilayah demografi, tingkat pendidikan, status pekerjaan, sumber informasi, dan pengalaman positif Covid 19. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi persepsi hambatan masyarakat dalam melaksanakan protokol kesehatan. . Penelitian ini menggunakan metode observasional analitik dengan desain cross sectional. Penelitian dilakukan di Semarang, Provinsi Jawa Tengah, Indonesia, pada bulan November 2021. Subjek penelitian diambil secara consecutive sampling sebanyak 88 orang. Kuesioner hambatan yang dirasakan disiapkan, sebelumnya melalui uji validitas dan reliabilitas. Uji analisis dengan Mann Whitney dan Chi-Square. Mayoritas masyarakat dengan persepsi hambatan rendah adalah masyarakat yang tinggal di perkotaan (66,7%), berpendidikan tinggi (76,7%), bekerja (93,3%), menerima informasi terkait Covid 19 dari media sosial ( 46,7%), dan tidak memiliki pengalaman Covid 19 (63,3%). Ada hubungan yang signifikan antara daerah tempat tinggal (p=0,026), pendidikan (p=0,003), status pekerjaan (p=0,000), pengalaman (0,003) terhadap persepsi hambatan protokol kesehatan. Persepsi hambatan kecil ditunjukkan pada masyarakat perkotaan, pendidikan tinggi, status pekerjaan, akses media yang mudah, dan pengalaman yang tidak bersinggungan dengan Covid 19. Akan lebih mudah menerima pendidikan dan menerapkan protokol kesehatan. This is an open access article under the CC–BY-SA license.

Mesenchymal Stem Cells Therapy in critical COVID-19 patient: a case report Novi Sukirto; Zainul Arifin; Sumardi Sumardi; Barkah Purwanto; Auliya Azisah Mansur; Naila Sistharani
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

COVID-19 pneumonia with critical symptoms causes acute respiratory distress syndrome (ARDS) and multiple organ dysfunction syndromes (MODS) which can be severe complications until death. One therapy for Covid-19 critical was to suppress the effects of cytokine storms, which was administered by Mesenchymal Stem Cells therapy. In this case, we will report a case of COVID-19 with a critical patient that was given MSC therapy there were good outcomes in this case which were improvement of the clinical symptoms and prevent death. ABSTRAK Pneumonia COVID-19 dengan gejala kritis menyebabkan sindrom gangguan pernapasan akut (ARDS) dan sindrom disfungsi organ multipel (MODS) yang dapat menjadi komplikasi berat hingga kematian. Salah satu terapi kritis Covid-19 adalah menekan efek badai sitokin, yang dilakukan dengan terapi Sel Punca Mesenkim. Dalam kasus ini, kami akan melaporkan kasus COVID-19 dengan pasien kritis yang diberikan terapi MSC ada hasil yang baik dalam kasus ini yaitu perbaikan gejala klinis dan mencegah kematian

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Dewi Yuniasih

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dewi.yuniasih@med.uad.ac.id

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+62274563515

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uad.admj@gmail.com

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Jl. Universitas Ahmad Dahlan Kampus 4, Kragilan, Tamanan, Kec. Banguntapan, Kabupaten Bantul, Daerah Istimewa Yogyakarta 55191

Location
Kota yogyakarta,

Daerah istimewa yogyakarta

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Dewi Yuniasih

Contact Email dewi.yuniasih@med.uad.ac.id

Phone +62274563515

Journal Mail Official uad.admj@gmail.com

Editorial Address Jl. Universitas Ahmad Dahlan Kampus 4, Kragilan, Tamanan, Kec. Banguntapan, Kabupaten Bantul, Daerah Istimewa Yogyakarta 55191

Location Kota yogyakarta, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Dewi Yuniasih

Contact Email
dewi.yuniasih@med.uad.ac.id

Phone
+62274563515

Journal Mail Official
uad.admj@gmail.com

Editorial Address
Jl. Universitas Ahmad Dahlan Kampus 4, Kragilan, Tamanan, Kec. Banguntapan, Kabupaten Bantul, Daerah Istimewa Yogyakarta 55191

Location
Kota yogyakarta,

Daerah istimewa yogyakarta

INDONESIA