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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 12 Documents
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Search results for , issue "Vol 10, No 3 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)" : 12 Documents clear
The Effect of High Intensity Interval Training (HIIT) on Reaction Time Study Among Medical Student in Semarang Chikita Dian Rahma Saphira; Sumardi Widodo; Arinta Puspita Wati; Tanjung Ayu Sumekar
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.v10i3.29283

Abstract

Background: Reaction time is a cognitive-motoric connection that is important in making quick decisions. Due to the lack of time, medical student has low physical activity.  High Intensity Interval Training (HIIT) is a strong and intense exercise interspersed with low intensity exercise that does not require much time. It has been known that can improve cognitive function.Objective: To determine the effect of HIIT on an individual’s reaction time.Methods: Quasi-experimental research with pre-test and post-test groups design. The research subjects were 29 medical students of Diponegoro University, woman, normal IMT, 18-22 ages, has no neurologic deficit. The control group instructed not to do any physical exercises (n=15) and the experimental group was given an intervention of HIIT exercises that consists of warm-up, core, and cool-down movements for 6 weeks (n=14). Reaction time scores before and after were measured using the Attention Network Test (ANT). The significance of the data was analyzed using the paired sample t-test the independent sample t-test.Results: A significant decrease in reaction time scores (p=0,007) in both the experimental and control groups. A significant difference in reaction time scores (p=0.007) between the experimental group before and after the intervention was 592,07±74,82 to 517,21±56,77 milisecond. A significant difference in reaction time scores (p=0.024) between the control group before and after the intervention was 611,73±78,93 to 574,06±47,06 milisecond.Conclusion: HIIT for 6 weeks has been proved to reduce reaction time scores.  Keywords: High Intensity Interval Training, Physical Exercise, Reaction Time, Attention Network Test.
MELATONIN CAN NOT SIGNIFICANTLY INCREASE PLATELET COUNT Tania Meysavira Fawzi; Lusiana Batubara; Asih Budiastuti; Taufik Eko 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.v10i3.29492

Abstract

Background: Burn injury defines as skin or tissue damage caused by heat, radioactivity, electricity, or chemicals. Burn injury have an impact on physiological homeostasis. Burn injury will cause an increase in free radicals, it can also cause changes in the platelet count. Melatonin has been proposed as burn supportive therapy because it acts as an antioxidant that can eliminate free radicals. Melatonin can increase the number of the platelets through the mechanism of increasing megakaryocyte fragmentation and modulating the cytokines involved in platelet production. Aim: Proving the effects of melatonin supplementation on the number of platelets in male Wistar rats with third degree of burn injury. Methods: This research was an experimental with randomized control group pre-post test design. Samples are 12 healthy male Wistar rats then randomly divide into two groups, control and experimental group. Each rat was induced 30% burn injury under anesthesia. Rats in control group were given placebo at 0, 8, and 16 hours after burn injury, while rats in experimental group were treated with melatonin intraperitoneal at 0, 8 and 16 hours after burn injury. Blood samples were collected from the retroorbital sinuses at 0, 3, and 24 hours. Data were analyzed statistically by Paired t-Test and Independent t-Test. Results: In control group, the number of platelets at 0-3 hours (p=0,024) and 0-24 hours (p=0,039) showed a significant decrease in platelet count. In experimental group, the number of platelets at 0-3 hours (p=0,047), 0-24 hours (0,015), 3-24 hours (p=0,04) showed a significant decrease in platelet count.Conclusions: Melatonin administration did not cause a significant increase of platelets number. Keywords: Burns, Platelet count, Melatonin
The Comparison Between Plyometrics and Aerobic Exercises toward Medical Students of Diponegoro University Iin Atika Situngkir; Endang Ambarwati; Endang Kumaidah; Sumardi Widodo
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.v10i3.29274

Abstract

ABSTRACTIntroduction: Sedentary life style had become one of factors causing health problem for someone in general. To avoid that condition we could apply some exercises regularly. Exercise can improve concentration, memory, and intellectuals. The sports enjoyed today are Plyometrics and Aerobics. Both sports proved beneficial in improving cognitive function, including concentration. The purpose of this study is to find out comparison between Plyometric and Aerobic towards concentration level.Methods: This research applied quasi-experimental study with pre and post-test design. There were subjects divided into three groups were control group, Plyometrics group and Aerobics group. Medical students of Diponegoro University were taken as subjects of the research which consist 39 males. Intervention is given for 6 weeks. Each week consists of two meetings. The indicator of this research focused on concentration level measured by using Digit Symbol Substitution Test (DSST), measured before and after 6 weeks exercise. Statistical analysis of this study using Paired t-test.Results: There was a significant difference in concentration measurement results between treatment and control groups (p=0.00). Treatment group concentration scores improved better than control group. The DSST score on Plyometrics exercises was 60.00±5.08 and after intervention to 78.00±2.30. The DSST score on Aerobic exercises was 58.76±4.88 and after intervention to 63.07±5.88. Plyometrics exercises are shown to have better effects in increased concentration compared to Aerobic exercises.Conclusion Plyometric and Aerobic exercise were able to enhance concentration level with the highest result achieved by Plyometric group.
The Correlation between Mean Aterial Pressure and Bleeding Volume with The National Institute of Health Stroke Scale (NIHSS) Score for Intracerebral Hemmorhage Patients Shonia Syvafiftyan Rosaline; Hermina Sukmaningtyas; Arinta Puspita Wati; Sukma Imawati
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.v10i3.29315

Abstract

Introduction: Intracerebral hemorrhage refers to primary, spontaneous, and non-traumatic bleeding that occurs in the brain parenchyma. Intracerebral hemorrhage accounts for approximately 10-20% of all stroke. The most common risk factor for non-traumatic hemorrhagic stroke is hypertension. The increase in Mean Arterial Pressure leads to the incidence of intracerebral hemmorhage. The NIHSS is a systematic assessment tool that quantitatively measures stroke associated with neurologic deficits. Neurological deficits that occur in intracerebral hemorrhage occur because blood enters the brain parenchyma. The incoming blood was measured by the Automatic Volume Method (software volume evaluation), namely the calculation of volume by computer software on the CT Scan tool.Aim: To determine the correlation between Mean Arterial Pressure and bleeding volume with NIHSS score in intracerebral hemorrhage patients.Methods: The research design used in this study was cross sectional. The sample of this study was 40 research subjects using purposive sampling, this study has independent variables, namely Mean Arterial Pressure and bleeding volume, while the dependent variable is the NIHSS score (National Institute of Health Stroke Scale). This study conducted an analysis using Spearman's.Results: : The results of this study indicate that there is no significant relationship between bleeding volume and NIHSS score (p = 0,157, r = 0,228) and there is no significant relationship between MAP and NIHSS score (p = 0,268, r = -0,179)Conclusion: There is no statistically significant relationship between Mean Arterial Pressure and bleeding volume with the NIHSS scoreKeywords: Mean Arterial Pressure, Bleeding Volume, National Institute of Health Stroke Scale, Intracerebral Hemorrhage
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.

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