Jurnal Kedokteran Diponegoro
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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<![CDATA[MORTALITAS OPERASI JANTUNG CORONARY ARTERY BYPASS GRAFT DI RSUP DR KARIADI SEMARANG PERIODE JANUARI 2014 - DESEMBER 2014 ]]>
<![CDATA[Gina Amalia Harahap]]>;
<![CDATA[Widya Istanto Nurcahyo]]>;
<![CDATA[Akhmad Ismail]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11822
<![CDATA[Background: Coronary Heart Disease can occur due to the formation of blockages in the heart arteries. The escalation of patients with this disease can not be separated from the influence of modern and instant lifestyle. One of the management are by doing CABG surgery. To change the society’s paradigm that heart surgery is a scary thing, cardiac surgery at a hospital, the patient's mortality data, can be used as the parametes to measure the quality of heart valve surgery in a hospital.Aim: To find out data on mortality in cardiac surgery department in a case of CABG surgery in Dr. Kariadi Hospital Semarang from January 2014- December 2014.Methods: This study is a descriptive study, with random sampling, using secondary data from medical records of the Medical Record Department, ICU (Intensive Care Unit) and Installation of Central Surgery Dr. Kariadi Hospital Semarang from January 2014- December 2014. Data are classified by the type of CABG operation by looking at mortality risk factors: gender, age, disease diagnosis, CPB time, cross-clamp time, longer ICU stay, length of ICU ventilators and cause of death.Result: The number of patients of CABG surgery in Dr. Kariadi Hospital Semarang on January 2014- December 2014 were as many as 28 people. The number of patients who died was 4 people (14,3%). Most cause of death was shock cardiogenic5 (50%)Conclusion: During the period of January 2014- December 2014, the death rate of the CABG surgery at Dr. Kariadi Hospital Semarang was 14,3%]]>
<![CDATA[ANALISA GAMBARAN POST MORTEM MAKROSKOPIS DAN MIKROSKOPIS ORGAN PARU DAN USUS HALUS PADA TIKUS WISTAR SETELAH PEMBERIAN WARFARIN LD-50 DAN LD-100 ]]>
<![CDATA[Mada Aji Prakoso]]>;
<![CDATA[Gatot Suharto]]>;
<![CDATA[Siti Amarwati]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11571
<![CDATA[Introduction : More than 800.000 people died every years from suicide, and in 2012 suicidal acts on 15-29 years old become the second most cause. Suicide by poison is one of the most used, Warfarins role here aside from its therapeutical effect as anticoagulant, and also as rodenticide in household often misused for a way to suicide. This study is aimed to analyze the differences of macroscopic and microscopics representation in lungs and small intestine on Wistar mouse after LD50 dan LD100 Warfarin administration.Method : This is experimental analytic study, using total sample of 27 mouse, male Rattus norvegicus as the sample. These 27 mouse will be divided into 3 group, 9 eachs. First group is administered LD50 Warfarin, second group is administered LD100 Warfarin, and the third group as control.Result : there is no differences in macroscopic aspect of lung control group with group LD50 dan LD100, in microscopic showed massive haemmorhage. On small intestines there is differences from control group with LD50 dan LD100.Conclussion : Toxic effect from warfarin showed in microscopic view of organs with hemorrhage and destruction of its tissues.]]>
<![CDATA[FAKTOR RISIKO YANG MEMPENGARUHI KASUS PERSALINAN DI UGD RSUP DR. KARIADI ]]>
<![CDATA[Vina Eka Wulandari]]>;
<![CDATA[Besari Adi Pramono]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11626
<![CDATA[Tujuan : Mengetahui faktor risiko yang berpengaruh pada kasus persalinan di UGDMetode : Rancangan penelitian ini adalah cross sectional dengan menggunakan data dari catatan medis. Subyek penelitian adalah pasien yang bersalin di UGD RSUP Dr, Kariadi 1 Agustus-31 Desember 2012. Pengambilan data dilakukan dengan consecutive sampling kemudian dilakukan analisis menggunakan uji chi square untuk variabel kategorikal.Hasil : Hasil analisis hubungan antara usia kehamilan ibu, tekanan darah, ukuran janin, ukuran panggul, terhadap kasus persalinan di UGD menggunakan uji chi square didapatkan hasil analisis statistika nilai p = < 0.05.Simpulan : Adanya hal-hal yang mempengaruhi kasus persalinan di UGD seperti usia kehamilan ibu, ukuran janin, ukuran panggul, dan tekanan darah. ]]>
<![CDATA[DAFTAR ISI JKD Vo. 5, No. 2, April 2016 ]]>
<![CDATA[Daftar Isi JKD]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.12750
<![CDATA[DAFTAR ISI JKD Vo. 5, No. 2, April 2016]]>
<![CDATA[PERBEDAAN POLA KLINIK TUBERKULOSIS PULMONAL DAN EKSTRA PULMONAL PADA PASIEN USIA DEWASA DAN GERIATRI ]]>
<![CDATA[Medita Muzwar]]>;
<![CDATA[Fatur Nur Kholis]]>;
<![CDATA[Dwi Ngestiningsih]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11599
<![CDATA[Background: Tuberculosis (TB) is a widespread health problem in the world, including Indonesia. TB infects a wide range of ages, including the elderly. The factors of mortality and morbidity due to TB in Indonesia are caused by inadequate drug using, comorbid disease, and Multi Drug Resistant (MDR) TB. History of symptoms and sign also proper diagnosis are expected to reduce the time delay of TB treatment resulting in lower morbidity.Objective: To determine the difference pattern of clinical pulmonary and extra-pulmonary TB in adult and geriatric patients.Methods: The study design was descriptive analytic. Sample was 225-patient medical records from Dr.Kariadi Hospital Semarang since January until December 2013. Data was described using drawings and tables. Tables used chi-square test to determine differences of variable.Results: 225 samples consisted of 155 patients with pulmonary TB patients (121 adults and 35 elderly), extra pulmonary TB patients 69 (62 adults and 7 elderly). Most symptom of pulmonary TB was shortness of breath (p=0.016) and extra pulmonary TB was weight loss. Results of blood tests found anemia (51.92% pulmonary TB, 42.03% extra pulmonary TB )and lymphopenia (25.00% pulmonary TB, 24.64% extra pulmonary TB). Results of sputum smear tests on pulmonary TB was acid-resistant bacteria (+), while on the extrapulmonary TB was acid-resistant bacteria (-). The thorax x-ray was found radiopaque spots (34.62% of pulmonary TB patients, 1.45% extra pulmonary TB patients). Most comorbid disease with pulmonary TB was another lung disease( 49% of elderly). Length of hospitalization of pulmonary tuberculosis patients was 6-10 days and extra pulmonary TB was more than 15 days. Most complications were hemoptysis and septic shock.Conclusion: The results of this study have almost the same results with the research that has been done before. ]]>
<![CDATA[PENGARUH RHODAMINE B PERORAL DOSIS BERTINGKAT SELAMA 12 MINGGU TERHADAP GAMBARAN HISTOPATOLOGIS JANTUNG TIKUS WISTAR ]]>
<![CDATA[Bayu Arif Wibowo]]>;
<![CDATA[Saebani Saebani]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11627
<![CDATA[Background : Rhodamine B dye is available in the market for the textile industry. This substance is often misused as a food coloring and cosmetics in many countries. This substance is most dangerous when consumed can cause disturbances in the function of organs, in the long term could be carcinogenic. This study aims to prove the existence of a relationship with a rhodamine-dose cardiac muscle cell damage Objective.Objective : To ascertain the differences of the images of cardiac histopathology caused by administration of Rhodamine B peroral with graded doses in 12 weeks.Methods : This research is True experimental laboratoric using post test only control group as it’s design. Sample of this research are 30 male wistar rat that fulfill the criteria for inclusion and exclusion, then divided randomly using simple random sampling. Rhodamine B consumption is 0 mg/kg BW in control group; 1/16 lethal dose (55,44 mg/kg BW) in treatment group I; 1/8 lethal dose (110,88 mg/kg BW) in treatment group II; 1/4 lethal dose (221,75 mg/kg BW) in treatment group III; 1/2 lethal dose (443,5 mg/kg BW) in treatment group IV; lethal dose (887 mg/kg BW) in treatment group V. Data collection is done with direct observation of images of spleen histopathology. Hypothesis testing using one-way Anova test continued with Post Hoc test.Result : There is an increase area of fibrosis in treatment 1, treatment 2, treatment 3, treatmen 4. Highest increasement on fibrosis area is found in traetment 4Conclusion : The myocardial has increased by time to time development, especially significant at group 4]]>
<![CDATA[PERBEDAAN NILAI TOTAL LUNG CAPACITY, PEAK EXPIRATORY FLOW DAN EXPIRATORY RESERVE VOLUME ANTAR CABANG OLAHRAGA PADA ATLET USIA 6-12 TAHUN ]]>
<![CDATA[Radyoko Heru Rahbanu]]>;
<![CDATA[Yuswo Supatmo]]>;
<![CDATA[Endang Kumaidah]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11600
<![CDATA[Background: The development of a person's lungs are the most rapidly while still a child. Activity plays an important role in lung development. Research shows that exercise a positive impact on the development of lung and cardiovascular function. Each type of sport has a different energy system depends on the type of trainingObjective: To prove the difference in value of TLC, PEF and ERV among sports in athletes aged 6-12 years.Methods: This study used a descriptive analytic study is not paired with the cross-sectional design. Samples were 20 male athletes 6-12 years in the sport Volleyball, Soccer, Swimming and Taekwondo. Data retrieval characteristics such as age, height, weight, chest circumference and BMI. TLC values, PEF and ERV is measured by using a spirometer Spirolab II. Statistical test using Kruskal Wallis test.Results: The mean value of the group TLC Volleyball athletes was 2.21 L, athletes Football is 3.4 L, athletes Pool was 3.68 L and Taekwondo athletes was 3.19 L. The mean value of PEF group of athletes Volleyball is 4, 45 L / min, athletes Football is 3.8 L / min, athletes Pool was 4.44 L / min and Taekwondo athletes was 4.09 L / min. The mean value of ERV group of athletes was 0.75 L Volleyball, athletes Football is 0.53 L, 0.54 L Swimming athletes and athletes Taekwondo 0.49 L.Conclusion: In this study, there were significant differences between the average value of TLC sport athletes 6-12 years of age. Meanwhile, there was no significant difference in the average value of PEF and ERV sports athletes aged between 6-12 years. ]]>
<![CDATA[PENGARUH PEMBERIAN LEAFLET DAN PENJELASAN TERHADAP PENGETAHUAN IBU MENGENAI HIPERBILIRUBINEMIA NEONATORUM ]]>
<![CDATA[Belia Dwi Hapsari Nugraheni]]>;
<![CDATA[Adhie Nur Radityo Suswihardhyono]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11569
<![CDATA[Background : Hyperbilirubinemia is one of the most common clinical phenomenon found in neonates marked yellow coloration of the skin, mucosa, sclera result of the accumulation of direct and indirect bilirubin in serum or blood, if levels reach 5-7mg / dL and could have an impact on infant mortality if handling less. However, mothers' knowledge of hyperbilirubinemia is still low. So it takes a method of counseling to increase knowledge of mothers about hyperbilirubinemia.Aim : Analyzing the effect of leaflets and an explanation of the mothers knowledge regarding neonatal hyperbilirubinemia.Method : This study used a quasi-experimental with pretest posttest group. Samples taken counsecutive sampling. There are 35 subjects of mothers who gave birth at the Hospital dr. Kariadi, Semarang from May to June 2015. The researchers gave questionnaires that have been tested for validity as a pretest and then the subject was given a leaflet and explanations after pretest done. Posttest conducted one day after the subjects were counseled on neonatal hyperbilirubinemia. All result were analyzed using the Wilcoxon test..Result : This study, the mean maternal age 29.97 ± 7.09 years and the majority of respondents are housewives amounted to 48.60%. Knowledge mean of 5.82 ± 4.68 before being given a leaflet and explanations, can be increased significantly to 14 ± 2.99 at posttest, after being given leaflets and explanations with a value of p <0.05.Conclusion : Methods of individual counseling with the help of leaflets can increase knowledge about the mother neonatal hyperbilirubinemia.]]>
<![CDATA[PENGARUH LATIHAN ZUMBA TERHADAP MASSA OTOT TUBUH PADA WANITA USIA MUDA ]]>
<![CDATA[Rina Prihatingrum]]>;
<![CDATA[Tanjung Ayu Sumekar]]>;
<![CDATA[Hardian Hardian]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11601
<![CDATA[Background : Body weight consists of water, fat degree, bone, and body muscle mass. Body muscle mass is total weight degree of human’s muscle. Recently, Zumba is an exercise that is interested by women that is believed to build an ideal body weight.Purpose : To observe the effect of Zumba exercise on body muscle mass in young females.Method: This study was an analytical observational research with cross sectional design. The subjects were young females aged 19-24 years (n=18) who took a routine Zumba exercise. Muscle mass was measured using Bioelectric Impedance Analysis (Glass Body Analyzer 835) weight scale. . Correlation between the period of Zumba exercise and body muscle mass was analyzed using Spearman’s rho correlation test.Result: From the 18 subjects, we foundthat the muscle mass average of Zumba participants who took this exercise for ≥8 weeks was higher than the participants who tookthis exercise for <8 weeks. Muscle mass average in the subjects who experienced Zumba exercise for < 8 weeks was 38,9% , andthe average in participants who experienced this exercise for ≥ 8 weeks was 42,1%. In the Spearman’s rho correlation test there was a medium degree positive correlation between muscle mass and Zumba exercise (r=0,52; p=0,032).Conclusion : The study found the differences between the average of body muscle mass in subjects who experienced Zumba exercise for <8 weeks and ≥8 weeks. This study also showed a positive correlation with moderate degree between body muscle mass and Zumba exercise period. Zumba has influences in young women’s body muscle mass.]]>
<![CDATA[Analisa Gambaran Post Mortem Makroskopis dan Mikroskopis Organ Jantung dan Ginjal pada Tikus Wistar Setelah Pemberian Warfarin LD50 dan LD 100 ]]>
<![CDATA[Anggoro Adjar Mangestu]]>;
<![CDATA[Gatot Suharto]]>;
<![CDATA[Siti Amarwati]]>
<![CDATA[ Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 2 (2016): JURNAL KEDOKTERAN DIPONEGORO ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v5i2.11820
<![CDATA[Background : Its about 800.000 people die caused of suicide in a year. In 2012, suicide is the second most common cause of death in juvenile, range of age is 15-29 yo (WHO). One of common cause in suicide is using poison, and one of them is medical drugs. Warfarin is a substance which belong to medical drug as a human therapeutic agent but also can be use as a rodenticide. This study was aimed to analyze the effect of Warfarin administration in Wistar Rats organs especially brain and liver in a macroscopic and microscopic presentation.Aim : to know macroscopic and microscopic view after the provision of warfarin a dose of LD-50 and LD-100.Method : Laboratoric experimental study with 27 male Wistar Rats divided into 3 groups. Two treatment groups were given single dose Warfarin LD-50 200mg/kg BW and Warfarin LD100 400mg/kg BW. This study was conducted in Biology Faculty UNES and Patology Anatomy Laboratory WASPADA Semarang for histopatology examination.Result : Prominent abnormality findings on microscopic representation including haemorrhage ptechiae and blood vessel enlargement in almost every organ, meanwhile damaging happened in liver. Microscopic representation examination showed haemorrhage, nekrosis, and inflammation signs.Conclusion : There are prominent abnormality characteristics in macroscopic representation as well as microscopic Wistar Rats organ examination after Warfarin LD-50 and LD-100 administration, most important at liver.]]>
