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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 12, No 4 (2023): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)" : 12 Documents clear
Differences of Schirmer’s Test Result In Patients With Controlled And Uncontrolled Diabetes Mellitus Atika Hazmi; Riski Prihatningtias; Hesti Triwahyu Hutami; Maharani Cahyono
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.37733

Abstract

Background: Diabetes Mellitus (DM) is a metabolic disease whose prevalence continues to increase every year. Peripheral neuropathy as a microvascular complication of DM can cause dry eye syndrome. HbA1c levels can determine controlled or uncontrolled DM.Objective: To determine the differences of the Schirmer’s test result for patients with controlled and uncontrolled diabetes mellitus.Methods: This study was an analytic observational study with cross sectional design. The study subjects were 44 diabetes mellitus patients consisting of 22 patients with controlled DM and 22 patients with uncontrolled DM who were selected based on inclusion and exclusion criteria, using consecutive sampling method. Data were collected from primary data that consists of name, age, gender, duration of DM, medical history, Hb, MCV, HbA1c and the Schirmer’s test result. The data were analyzed using non parametric Mann Whitney test and p < 0.05 was taken as significance.Results: The Schirmer’s test result < 10 mm which indicated the presence of dry eye syndrome was mostly found in female (71.4%), age > 45 years (85.7%), duration of DM > 10 years (78,6%), and patients with uncontrolled DM. The non parametric Mann Whitney test showed that there was a significant difference in the Schirmer’s test result (p < 0,05) between patients with controlled and uncontrolled DM.Conclusion: The Schirmer’s test result in patients with controlled DM was higher than patients with uncontrolled DM.
CASE REPORT : A 30-YEAR-OLD FEMALE IN THIRD TRIMESTER PREGNANCY WITH VARICELLA Ahmad Fikri Pulungan; Wizar Putri Mellaratna
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.37655

Abstract

Background Varicella (chickenpox) is a common childhood disease, but if it develops during pregnancy, it can have serious and undesirable consequences, including congenital varicella syndrome, maternal VZV pneumonia, and neonatal varicella infection; this can lead to feto-maternal morbidity and mortality. Antiviral therapy and appropriate supportive care improve maternal and neonatal outcomes. This case report provides an overview of varicella-zoster virus infection during pregnancy.Case Presentation: We present a case, a 30-year-old woman in the third trimester of pregnancy came to the emergency department of Cut Meutia Hospital with complaint of vesicle with that was very itchy on the face and all over the body. The patient also complained fever, had no appetite, itching in the throat and coughing up phlegm.Conclusion: The patient was diagnosed with varicella caused by varicella zoster virus and treated with acyclovir.
THE RELATIONSHIP OF PERSONAL HYGIENE ON THE SEVERITY OF ACNE VULGARIS IN MEDICAL STUDENTS WAHID HASYIM UNIVERSITY Ariska Oktaviani; Fatinah Shahab
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.38034

Abstract

Background: Acne vulgaris generally occurs in men and women, adolescents, and young adults. it is caused by propionibacterium acnes, which is an anaerobic bacteria that is gram-positive. There are other factors that cause acne such as hormones, oily, and dirty skin from dust and air pollution. The incidence of acne vulgaris can be influenced by the level of poor personal hygiene. Objective: This study aims to determine the relationship between personal hygiene and the severity of acne vulgaris among students of Faculty Medicine, Wahid Hasyim University, Semarang. Methods: The study was conducted on 45 students in the Faculty of Medicine, Wahid Hasyim University, Semarang using a cross-sectional method with a simple random sampling technique. The instruments used in this study were questionnaires. Results: There was a significant relationship between personal hygiene and the degree of severity of acne vulgaris. The chi-square statistical test obtained a p-value of 0.015 (p-value< 0.05). Conclusion: Students should always maintain and improve personal hygiene by bathing regularly 2 times a day, changing clothes 2 times a day, washing hands after activities, using personal towels and drying in the sun after use, and always maintaining the cleanliness of the bed by changing bed sheets regularly and periodically. 
Case Report: Enterocutanic Fistle Syafruddin Syafruddin; Della Vega Nisha Ayuna; M Fathul Arif
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.37649

Abstract

Fistula is an abnormal connection between a channel with another channel (internal fistula), or a channel with the outside through the skin (externa fistula). A male, 48 years old, came to the RSUCM Hospital with complaints of discharge from the wound after a hernia operation on the left hip since 1 month at the SMRS. The liquid comes out in small increments, spontaneously, in lumps the size of corn kernels, blackish brown and sometimes greenish yellow, and smells bad. Surgical scars are often inflamed since 6 months after hernia surgery and have often been constipated since the operation. History of hypertension and diabetes mellitus since 4 years ago, not in control and not taking medication regularly. On physical examination, vital signs revealed hypertension. On physical examination, the status of the left iliac a/rillois was seen, an open wound measuring 1x1.5 cm, smelly discharge (+), felt warm, edema (+), NT (+). On complete blood laboratory examination, found within normal limits. At the time of colonoscopy. 
Association Between Stunting and Anemia Among Toddlers: Stratified by Characteristic of Family and Immunization Status in Mlonggo District, Jepara Regency Arwinda Nugraheni; Muflihatul Muniroh; Yora Nindita; Firdaus Wahyudi; Bambang Hariyana
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.38561

Abstract

Background: The risk of anemia in stunted toddlers is higher than in normal toddlers. There is limited research on anemia in children under 3 years old in the community and there is a need for supporting research to prove the possibility of controlling stunting and anemia together. Previous studies have shown that family characteristics and immunization status are associated with the stunting and anemia.Objective: This study aims to analyze the association between anemia and stunting in toddlers that are stratified by characteristics of family and Immunization status.Methods: This study used a cross-sectional design study and was conducted on September-October 2020 in the Mlonggo District, Jepara Regency. One hundred two respondents were selected by cluster random sampling technique. The questionnaire was applied to collect the data on stunting, anemia, immunization status, age, mother's occupation and education status, SCREEM score, and APGAR score. This study used the Chi-Square statistic test.Results: The anemia status was measured by the Hb meter. The characteristics of stunting status (stunting = 17.7%, no stunting= 82.3%), anemia status (Yes = 63.7%, No = 36.3%). The association between stunting and anemia was stratified by the child age (6-23 months) (PR=1.667; 95%; CI=1.103-2.519; P=0.123), employed mother (PR=1.593; 95%CI=1.265-2.005; P=0.154), incomplete and inappropriate immunization status (PR=1.636; 95%CI= 1.132-2.366; P=0.133) and highly internal family function; (PR=1.512; 95% CI=1.270-1.799; P=0.029).Conclusion: There was an association between stunting and anemia in toddlers from child age of 6-23 months, employed mother, incomplete and inappropriate immunization, and highly family function groups.
CASE REPORT DIAGNOSIS AND TREATMENT OF VERNAL KERATOCONJUNCTIVITIS Fariz Auliadi Khalil; Risa Ayu Nilmarani; Syarifah Rohaya; Diana Novita
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.38080

Abstract

Background: Vernal keratoconjunctivitis (VKC) is a bilateral ocular allergic disease mediated by hypersensitivity reactions. VKC events occur in boys in the first decade of life and continue until puberty. Early identification and effective treatment are essential because the condition is recurrent and potentially burdensome to the patient's quality of life. This case report examines the diagnosis, management, and therapy options for patients with VKC and highlights the significance of the clinician's involvement in cases with VKC.Case Presentation: We report a case, a boy, 8 years old, came to the eye clinic at Cut Meutia Hospital with pain in both eyes, red eyes, decreased vision, and increased eye discharge. This complaint has been experienced for the past few years, and most appeared when the patient played under the sun or when the patient's allergy came. Examination showed mild conjunctival inflammation, pseudoptosis, and papillae on the limbus.Conclusion: The patient was diagnosed with VKC and received several treatments, including artificial tear and dexamethasone.
Effect of Breadfruit Leaf Extract on Sperm Quality in Diabetic Male Wistar Rats Rafi Ilmansyah; Ulya Hasna Khairunnisa; Cendikia Sengkalaning Pangrukti; Rifki Rizaldi; Rr Mahayu Dewi Ariani; Donna Hermawati; Eka Chandra Herlina; Acmad Zulfa Juniarto
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.37700

Abstract

Background: Diabetes mellitus can lead to various complications, one of the most devastating complications is infertility. Meanwhile, the antioxidant compounds of breadfruit leaves have been shown to help heal oxidative stress and therefore prevent infertility in diabetic patients. Therefore, this study aimed to determine the effect of breadfruit leaves in improving sperm quality parameters in male diabetic Wistar rats.Methods: In this study, twenty four male rats were used and were classified into four groups. Two of the four groups were alloxan-induced diabetics and were treated with a graded dose of breadfruit leaf extract. The two control groups received no therapy and the treatment was administered for 30 days. The rats were terminated after day 31 and sperm concentration, morphology, motility, and spermatogenesis were examined. Result: The results showed that breadfruit leaves increase sperm quality parameter levels compared to the control groups. The group that received a 400 mg/kg dose of breadfruit leaves showed the most significant improvement in terms of the level of sperm parameters compared to the other group that received a dose of 100 mg/kg breadfruit leaves. Conclusions: The protective effect of breadfruit leaves significantly reduced sperm damage caused by diabetes mellitus in Wistar Rats.
Post COVID-19 Immunization Herpes Zoster Reactivation In Asia : A Literature Review Nurul Nisa Ulfa; Danisa Diandra Safarina; Puguh Riyanto
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i3.37292

Abstract

Background: The COVID-19 vaccine that targets viral mRNA has been created and can be used as an effort to end the COVID-19 pandemic that has hit the world since 2020. The COVID-19 vaccine currently being developed has proven its effectiveness and safety in the general adult population.Objective: To identify reactivation of Herpes Zoster virus post COVID-19 vaccine.Methods: This article review discusses four case reports of Herpes Zoster following the COVID-19 immunization in Asia which were obtained from various sources such as Pubmed Medline Embase.Results: The mRNA-type vaccine is associated with skin manifestations with an increased incidence (14.4%) of Herpes Zoster which was observed around 6-8 days after administration of the first dose of vaccine (BNT162b2 vaccine) and 1.5% after administration of the mRNA- 1273 which occurred in the Asian Oceanian race. COVID-19 vaccine substances such as polyethylene glycol (PEG), the polysorbate present in mRNA vaccines, and polysorbate 80 are suspected causing an allergic reactions.Conclusion: Health workers must be careful in administering the COVID-19 vaccine, especially to individuals who have risk factors that can decrease their immune system so it can cause reactivation of Herpes Zoster.   
CASE REPORT : FISH BONE CORPAL IN ESOPHAGUS Adilla Afra Amri; Fahrizal Fahrizal
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.37924

Abstract

Esophageal foreign bodies are sharp or blunt objects or food that gets stuck and wedged in the esophagus due to being swallowed either intentionally or accidentally.A 53-year-old male patient arrived complaining of constant, worsening swallowing pain that has persisted for the past four days. The discomfort was initially experienced above the throat, but after attempting several traditional procedures to remove the bones, the pain was felt to shift to the region below the throat. Before going to the hospital, Patient has a history of consuming tuna bones. A fishbone was found in the esophagus area after an esophagoscopy was done.
Correlation between Maternal Characteristics and The Incidence of COVID-19 in Pregnant Woman: A Cross-Sectional Study Sekar Ayu Putri Utami; Rini Aryani; Rita Kartika Sari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): 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.v12i4.37722

Abstract

Background: COVID-19 is an infectious disease that attacks the respiratory tract. Pregnancy is considered as a risk factor because during pregnancy several physiological changes occur, namely increased expression of ACE2, changes in the respiratory system, and changes in the immune system, which make pregnant women more susceptible to SARS-CoV-2 infection. Objective: This study aims to determine the relationship between the characteristics of pregnant women and the incidence of COVID-19.Methods: This observational analytic study used 51 samples of pregnant women, both infected with COVID-19 and those who were not, which were taken using a total sampling technique. The characteristics of pregnant women were taken through secondary data in the form of medical records at K.R.M.T. Wongsonegoro Regional Public Hospital Semarang, then analyzed univariately and bivariately using Spearman's test and contingency coefficient.Results: The results obtained from the bivariate analysis were p = 0.863 (> 0.005) for the comorbid history variable, p = 0.367 (> 0.005) for the body mass index variable, and p = 0.423 (> 0.005) for the hypertension incident variable.Conclusion: The results of this study concluded that there was no correlation between the characteristics of pregnant women (history of comorbidities, body mass index, and incidence of hypertension) with the incidence of COVID-19 in patients at K.R.M.T. Wongsonegoro Regional Public Hospital Semarang.

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