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Jurnal Kedokteran Diponegoro
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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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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
CASE PRESENTATION OF 55-YEAR-OLD MAN WITH ACUTE MYELOID LEUKEMIA AND COVID 19 Novita Fajar Sari; Herniah Asti Wulanjani; Ardhea Jaludamascena; Dwi Retnoningrum
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.v11i3.33926

Abstract

Background: Acute myeloid leukemia (AML) is a malignancy originating from multipotential hematopoietic cells, which is characterized by clonal proliferation of abnormal blast cells in the bone marrow and failure of normal cell production. Coronavirus disease-19 (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. COVID-19 infection in AML patients will affect laboratory examinations to support the diagnosis of COVID-19 and the patient's prognosis. Case presentation: A 55-year- old man went to the hospital for chemotherapy and diagnosed of acute myelomonocytic leukemia. Patient complains of his gingival bleeding. The results of the routine haematological examination showed pancytopenia and the patient requires blood transfusion before chemotherapy. On the third day of treatment, the patient complained of fever, after several day patient complained cough, and shortness of breath. Physical examination showed pulse 100x/minutes, respiratory rate 26x/minutes, temperature 39.8˚C, crackles of the lungs. RT-PCR examination from nasopharyngeal swab showed a positive SARS-CoV-2. During treatment, the laboratory tests showed pancytopenia, increased D-Dimer, C-reactive protein, ferritin and procalcitonin. After the 42th day of treatment, the patient had clinical improvement, the fifth evaluation swab showed a negative RT-PCR result. Conclusion: AML patients have a higher risk of infection, especially COVID-19 infection. Correct laboratory examinations and treatment will promote a better prognosis. It is necessary to educate leukemic patients so that they always take precautions against infection, especially the prevention of COVID-19. 
MAT PILATES EXERCISE IMPROVES STATIC BALACE OF YOUNG ADULTS WITH OBESITY Yudha Hasya Ardana; Erna Setiawati; Rahmi Isma Asmara Putri; 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.v11i3.32443

Abstract

Background: The prevalence of obesity in women in Semarang at the age over 18 is 29.93%. This high prevalence rate of obesity can have a negative impact on individual health. The condition of obesity is closely related to its complications that can occur in various aspects of the body's physiology, in the example it can reduce functional abilities such as static balance which can interfere with activities and decrease quality of life. One of the methods that can be used to improve static balance is mat pilates. Mat pilates prioritizes stretching and strengthening core muscles with controlled and precise movements so that mat pilates exercises can improve static balance. However, no studies have yet discussed the effect of mat pilates exercise on static balance in obese young adults Aim: To prove that  mat pilates exercise can increase static balance of  female aged 18-23 years old with obesity. Methods: This study used quasi experimental pre and post-test design and was done in August-October 2020. The subjects were 33 female students of Medical Faculty of Diponegoro University aged 18-23 years with  BMI over 27 kg/m², divided in 2 groups. Treatment group (n=15) was instructed to do 8 weeks of mat pilates exercise (3 times a week) and control group (n=18) was instructed to not do any exercise. Static balace  was measured with Flamingo Balance Test (FBT). Data’s significance was analyzed with paired t test and independent t test. Results : There’s  a significant decrease (p<0,001; paired t test) in FBT score before and after of the mat pilates treatment group from 12,31 ± 5,15 to 10,09 ± 5,59. An insignificant increase (p=0,798; paired t test) found in FBT score before and after of the control group from 12,74 ± 4,65 to 12,93 ± 6,29. The score difference of FBT test of the mat pilates treatment group and control group shows significant result (p=0,013). Conclusion: There is an improvement of static balance after mat pilates exercise intervention on female aged 18-23 years old with obesity 
THE RELATIONSHIP OF ACADEMIC PROCRASTINATION WITH STRESS, ANXIETY, AND DEPRESSION DURING THE COVID-19 PANDEMIC IN STUDENTS OF THE MEDICAL STUDY PROGRAM, FACULTY OF MEDICINE, UNDIP Melania Tiara Cahyaratri; Fanti Saktini; Hang Gunawan Asikin; Tanjung Ayu Sumekar
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.v11i3.33244

Abstract

Background: Academic procrastination is defined as a learner's tendency to delay learning-related activities, which in many cases eventually causes anxiety and stress. Studying at home tends to cause a feeling of having a lot of free time, eventually postponing work. Students who often procrastinate tend to experience anxiety and depression more often than students who do not procrastinate.Aim: To prove the relationship between academic procrastination and stress, anxiety, and depression due to the COVID-19 pandemic.Method: This research was a cross-sectional study with 184 respondents. The research was conducted in November 2021. The respondents were UNDIP medical students batch 2020. The questionnaires used were the Procrastination Academic Scale for Student (PASS) and Depression, Anxiety, Stress Scale-21 (DASS-21). Data were taken from the questionnaire after the respondents agreed to the informed consent and were analyzed using the Spearman correlation test.Results: As many as 70,1% of respondents were female. Almost 50% of students have a high level of procrastination. A total of 21.7% of students experienced severe to very severe stress, 55.4% experienced severe to very severe anxiety, and as many as 50.4% experienced severe to very severe depression. The level of academic procrastination was positively correlated with stress levels (r=0.468, p<0.001), anxiety levels (r=0.468, p<0.001), and depression levels (r=0.401, p<0.001).Conclusion: Academic procrastination with stress, anxiety, and depression during the COVID-19 pandemic has a significant relationship with a moderate positive correlation.Keywords: Procrastination ; Stress ; Anxiety ; Depression ; COVID-19 Pandemic.
The Relationship Between Academic Procrastination and Sleep Quality of Students of Medical Study Program, Faculty of Medicine, Diponegoro University During the COVID-19 Pandemic Athaya Zayyan Pusparini; Fanti Saktini; Hang Gunawan Asikin; Tanjung Ayu Sumekar
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.v11i3.33242

Abstract

Background: The COVID-19 pandemic requires the government to take policies by establishing online learning. Online learning has significantly provided changes to students' daily activities, thus resulting in academic procrastination. Academic procrastination is defined as an act of postponing academic activities that may lead to decreased academic performance, increased physical, emotional, mental problems, and unhealthy sleep patterns. Sleep is referred to as a crucial activity of daily routines, and poor sleep quality may contribute to negative impacts on academic success. Aim: To evaluate the relationship between procrastination and sleep quality for students of the Medical Study Program, Faculty of Medicine, Diponegoro University, during the COVID-19 pandemic. Method: This research used a cross-sectional design. Subsequently, 84 active students of the Faculty of Medicine, Diponegoro University, Class of 2020, were found to meet the research criteria, agreed to the informed consent, and filled out the complete questionnaire. The statistical test used was Spearman's test analysis. Results: Referring to the results obtained, there was no significant relationship between academic procrastination and sleep quality for students during the COVID-19 pandemic. Moreover, 39 (46.4%) students were identified as having a high level of academic procrastination. Meanwhile, the majority of students with poor sleep quality during the COVID-19 pandemic was amounted to 52 (61.9%). Conclusion: There was no significant relationship between academic procrastination and sleep quality for students of the Medical Study Program, Faculty of Medicine, Diponegoro University, during the COVID-19 pandemic.
Factors Affecting Patient Adherence to Pharmacological Therapy in Gout Arthritis and Hyperuricemia Dzaki Edmonda Setyawan; Endang Mahati; Nani Maharani
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.v11i3.32688

Abstract

Abstract Background: Pharmacological therapy to reduce serum uric acid levels in gouty arthritis and hyperuricemia patients is essential to prevent gout flare and other hyperuricemia-related morbidities. However, only about 50% of gout arthritis patients adhered to their treatment. Knowing the factors influencing adherence to therapy can be used as a reference for health services to improve adherence.Objective: This study aimed to analyze the factors that influenced the patient's adherence to gouty arthritis and hyperuricemia pharmacological therapy.Methods: This was an observational study with a cross-sectional approach. Subjects were the patients in Wuryantoro Community Health Center, Wonogiri Regency, diagnosed with gouty arthritis or hyperuricemia due to a disorder in purine metabolism. Sampling was done by a consecutive sampling method. Questionnaires with the related medical record were used to collect the necessary data. Research variables were knowledge, attitudes and behavior, gender, age, occupation, insurance, distance from residence to health care facilities, and adherence to therapy which was in binary.Results: Sixty-one percent from a total of 41 respondents were found to be non-adherence to pharmacological therapy. Knowledge, attitudes, and behavior towards therapy, educational level, availability of health insurance, and distance to health facilities were significantly correlated to treatment adherence (p < 0.05). Sex, age, and occupation were not correlated to adherence.Conclusion: Factors influencing adherence were knowledge, attitudes and behavior, academic background, insurance, and the distance from residence to health care facilities.
NURSES’ SLEEP QUALITY AND QUALITY OF LIFE DURING THE COVID-19 PANDEMIC: ANALYSIS OF CORRELATION AND DIFFERENCES IN THE RAJAWALI ISOLATION AND NON-ISOLATION WARDS Nurhasanah Nurhasanah; Hang Gunawan Asikin; Natalia Dewi Wardani; Widodo Sarjana; Witrie Sutaty Miliawati Rahayu
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.v11i3.34089

Abstract

Background: Nurses are one of the first-line fighters who treat Coronavirus disease 2019 (COVID-19) patients. They are prone to stress, anxiety, and sleep disturbances that can interfere with nurses providing medical services. Although some clinical research has established sleep quality and quality of life, the comparisons of sleep quality, quality of life, and each domain of quality of life for nurses who work in isolation and non-isolation wards is not well knownObjective: This study examines the correlation between sleep quality and quality of life amongst Dr. Kariadi General Hospital nurses during the COVID-19 pandemic.Methods: This quantitative study uses a cross-sectional approach. 51 nurses who worked in the Rajawali rooms in the isolation and non-isolation wards for COVID-19 at Dr. Kariadi Semarang were included by the consecutive sampling method. The instrument used are the sociodemographic questionnaire, The PSQI, and The WHOQOL-BREF Indonesian versions. Bivariate analysis was analyzed using the Spearman testResults: There was a correlation between sleep quality and the quality of life of nurses (p=0.020,r= -0.325). There was a difference between the sleep quality of nurses who work in isolation and non-isolation wards (p=0.03). There was no difference between the quality of life of nurses who work in isolation and non-isolation wards (p = 0.698).Conclusion: There is significant correlation between nurses’ sleep quality and their quality of life. There’s bad quality of life for nurses who worked inward isolation so further examination and periodic screening are needed to optimize their care.
Relationship between body mass index and postural balance among student of the martial arts club malikussaleh university Melina Handayani; Muhammad Sayuti; Cut Sidrah Nadira
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.v11i3.33916

Abstract

 Relationship between body mass index and postural balance among student of the martial arts club malikussaleh university. Postural balance is an important component in martial arts. Every player martial art needs fast and strong movements so that the body must be well controlled. Disturbances such as body mass index (BMI) that are not ideal can affect postural stability. The height and shortness or the weight and lightness of a person will affect the location of the center of gravity that later will affect the balance. The purpose of this study is to find out the relationship between body mass index and postural balance among students of the Martial Arts Club Malikussaleh University. This study used a cross-sectional design which was conducted in March 2021 at the Bukit Indah Campus, Malikussaleh University. The sample of this study used total sampling with 49 respondents. Data collection was carried out by measuring body weight, height, static balance with a standing stork test and dynamic balance with a modified bass test of dynamic balance. The results of this study obtained BMI with the highest proportion is normal category, with 31 people (63.3%), while the static balance commonly found in the very good category with 11 people (22.4%), and dynamic balance commonly found in the balanced category with 29 people (59.2 %). The results of the chi-square analysis showed that there was a relationship between BMI with static balance (p = 0.019) and dynamic balance (p = 0.012). This study concludes that there is a relationship between BMI and postural balance among students of Martial Arts Club Malikussaleh University.
Immune Response and Prognosis of Chronic Kidney Disease Patients Undergoing Hemodialysis Against COVID-19: A Systematic Review Nurul Hanifa; Riri Andri Muzasti
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.v11i3.34232

Abstract

Background: Chronic kidney disease (CKD) patients are characterized by immune response dysfunction which increased susceptibility to infections. CKD is one of the Coronavirus disease-2019 (COVID-19) comorbidity that generally has a poor clinical outcome and patients undergoing hemodialysis had a 50% hospitalization rate and 20%-30% mortality rate. Seroconversion after confirmation of COVID-19 infection is close to 100% in the dialysis population, but the durability of the immune response and the extent as a protection against infection remains unclear. This study aimed to determine the immune response and prognosis of CKD patients undergoing hemodialysis against COVID-19.Objective: To determine immune response and prognosis of CKD patients undergoing hemodialysis against COVID-19.Methods: This is a systematic review study that used literature sourced from online journal databases on Google Scholar, PubMed, Cochrane, and Clinical Key sites. Literature that has passed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) staging and the journal quality review based on the Newcastle-Ottawa Scale (NOS) assessment is then synthesized qualitatively and presented systematically.Results: Based on the data analysis, there were positive immune responses in 460 of 735 (62.6%) CKD patients undergoing hemodialysis against COVID-19 and a higher mortality rate (10.5%) than the control group (6.9%).Conclusion: The immune response and prognosis of CKD patients undergoing hemodialysis against COVID-19 were worse than the control group. Therefore, COVID-19 vaccination should be prioritized in CKD patients undergoing hemodialysis.
The Effect Of Lemongrass Stem Infusion (Cymbopogon citratus) On Growth Of Streptococcus mutans Azzadian Octa Kusuma; Endang Sri Lestari; Tyas Prihatiningsih; Nadia Hardini
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.v11i3.32251

Abstract

Objectives: To determine the effect of lemongrass infusion on the growth of Streptococcus mutans at various concentrations. Methods: This study used post test only control group design with total sample is 9 samples, concentration 100%, 50%, 25%, 12,5%, 6,25%, 3,125%, 1,56%, positive control, and negative control with 3 replications. The research uses dilution method by looking at the turbidity which can be marked as MIC, for MBC used pour plate method was determined by looking at the presence or absence of bacterial growth on the plate. Data analysis was performed using the spss application using Kruskal-Wallis test with significance level if the result of p<0,05. Results of Study: The results of the sample group were 100%, 50%, 25%, 12,5%, 6,25%, 3,125%, 1,56% in the MIC test showed turbidity in all samples, then the MBC test showed growth bacteria in all samples. The assessment of the probability test p value of 1,000 (>0,05) indicates that there is no significant difference between research groups. Conclusion: There was no effect of lemongrass stem infusion with various concentrations on the growth of Streptococcus mutans.

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