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[EFFECT OF SENAM SEHAT ANAK INDONESIA IN MAXIMUM OXYGEN CONSUMPTION IN CHILDHOOD OBESITY ]]>
<![CDATA[Arniari, Gek Yun]]>;
<![CDATA[Isma AP, Rahmi]]>;
<![CDATA[Setiawati, Erna]]>;
<![CDATA[Nency, Yetty Movieta]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27671
<![CDATA[Background: Obesity is one of the causal factors of chronic diseases such as heart disease, diabetes, hypertension, asthma, arthritis, and cancer. The change in lifestyle and lack of physical activity in children increase the incidence of obesity, accompanied by a decrease in physical fitness. One of the parameters that can be used to determine the level of physical fitness is the maximum oxygen consumption (VO2max). VO2max in children can be increased through aerobic physical exercise, such as Senam Sehat Anak Indonesia (SSAI). SSAI combines aerobic movements and joyful music in order to motivate children to be more excited in gymnastics. Methods: An Experimental study with the pre-post test design among 23 samples who fulfill the inclusion and exclusion criteria. The exercises were administered twice a week for six weeks. VO2max data were measured before and after the exercise in the first week and week 12. Data of VO2max were analyzed using the data normality test with Shapiro-Wilk, then continued with Wilcoxon test to determine the difference of VO2max. Results: There is significant difference of VO2max between before and after SSAI (p < 0.05). Conclusion: There is an increase in the maximum oxygen volume (VO2max) after the SSAI exercise in childhood obesity. ]]>
<![CDATA[THE EFFECT OF HONEY PINEAPPLE JUICE (Ananas comosus var. cayenne) ON TOOTH ENAMEL HARDNESS ]]>
<![CDATA[Fadiah Annisa Safirah]]>;
<![CDATA[Gunawan Wibisono]]>;
<![CDATA[Ainun Rahmasari Gumay]]>;
<![CDATA[Muflihatul Muniroh]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27662
<![CDATA[Background: The habit of drinking juice containing high acid in a certain time affects tooth erosion by inducing the dissolvement of enamel hydroxyapatite crystal. Honey pineapple juice is known to have a high acid content and lower pH. However, there have been no reports of honey pineapple juice on tooth enamel hardness. Aim: To determine the effect of honey pineapple juice on tooth enamel hardness. Methods: This study used an experimental laboratory design with a pre- and post-test group design. Twenty-four post extraction maxillary or mandible premolars were divided into 4 treatment groups; where each group was immersed in honey pineapple juice for 30, 60, 90 and 120 minutes. The pH of honey pineapple juice was determined in the early treatment. The hardness test was carried out before and after the treatment using Vickers Hardness Tester with a load of 100 grams for 15 seconds. Data analysis used Wilcoxon and Kruskal Wallis test. Results: The results showed a significant differences in tooth enamel hardness before and after immersion honey pineapple juice for 30 min (p = 0.028), 60 min (p = 0.028), 90 min (p = 0.028), and 120 min (p = 0.046). There was no significant difference in the mean of tooth enamel hardness at each immersion times (p = 0.985). Conclusions: Consumption of honey pineapple juice has an effect on reducing tooth enamel hardness that could be started in a short time consumption.]]>
<![CDATA[Cover-Daftar isi DMJ Juli 2020 ]]>
<![CDATA[Daftar Isi, cover]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27681
<![CDATA[Cover - Daftar Isi DMJ Volumen 9 Nomor 4 Juli 2020]]>
<![CDATA[THE EFFECTS ON FLAXSEED (LINUM USITATISSIMUM) ON THE SEVERITY LEVEL OF ACNE VULGARIS. ]]>
<![CDATA[Devi Saviera Firnanda]]>;
<![CDATA[Asih Budiastuti]]>;
<![CDATA[Aryoko Widodo]]>;
<![CDATA[Dhega Anindita Wibowo]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27667
<![CDATA[Introduction. Acne vulgaris is the formation of blackheads, papules, pustules, nodules, or cysts which were the result of the blockage and inflammation of the pilosebaceous unit. In general, there are several factors associated with the occurrence of Acne vulgaris, namely the abnormal activity of the bacterium Propionibacteria acnes, increased sebum production, hyperkeratinization of the pilosebaceous duct, and also the inflammatory process. Objectives. The primary objective of this research is to know the effect of flaxseed (Linum usitatissimum) on the severity level of Acne vulgaris. Methods. The design of this research is experimental research with a one-group pre-test post-test design. This research will be conducted from October to November 2019. And will be implemented in the city of Semarang. The population in this research is female college students (preferably Diponegoro University students) aged 18-23 years old who suffered from various severity degrees of Acne vulgaris which fulfills the inclusion and exclusion criteria. Subjects are determined using purposive sampling methods. Results. The research sample was mostly females aged 18-23 years of 2016 at Diponegoro University who suffered from various degrees of Acne vulgaris. After a paired T-test, p <0.05 was obtained. Because the results obtained are p <0.05, it can be concluded that there is a significant difference between the degree of Acne vulgaris during the pre-test and post-test. Conclusion. there is an effect of Linum usitatissimum seeds on the severity of Acne vulgaris. ]]>
<![CDATA[THE EFFICACY OF TOPICAL CLINDAMYCIN GEL ON SEVERITY DEGREE OF ACNE VULGARIS AMONG FEMALE COLLEGE STUDENTS ]]>
<![CDATA[Hapsari, Rani Puspita]]>;
<![CDATA[Widayati, Retno Indar]]>;
<![CDATA[Afriliana, Liza]]>;
<![CDATA[Hadi, Purnomo]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) ]]>
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<![CDATA[Background: Acne vulgaris is a chronic inflammatory disease in the pilosebaceous follicle of the skin as the result of Propionibacterium acnes colonization. Clindamycin is an antibiotic that is effective against most gram-positive anaerobic bacteria such as the strain of  Propionibacterium sp. Clindamycin in topical form inhibits P. acnes lipase enzyme resulting in the decrease of free fatty acid on the skin surface and the decrease of the Propionibacterium acnes population.  Aim: To know the effect of topical clindamycin gel application on the severity degree of acne vulgaris among female college students of Diponegoro University. Methods: The study has done on 34 female college students of Diponegoro University who were diagnosed with Acne Vulgaris. All of the subjects underwent a face skin examination where the acne lesions were counted before and after the treatment. The treatment given was the application of clindamycin topical gel once a day for four weeks. The counted acne lesions were classified into the severity degree of acne vulgaris by Plewig and Kligman. The study compared the severity degree of acne vulgaris before and after the treatment. Statistical analysis of this study used the Wilcoxon test. Result: The result of pre and post-treatment data showed a significant decrease in the severity degree of acne vulgaris after the treatment application (p=0.000). The decrease of severity degree was marked by the decrease of acne lesion count after having four weeks of treatment. This significant result indicated an effective recovery of acne vulgaris after being given the treatment of topical clindamycin. The antibiotic and anti-inflammation effects of clindamycin were discovered effectively healing the lesions of acne vulgaris, therefore, decreasing its severity. Conclusion: Topical clindamycin can effectively reduce the severity degree of acne vulgaris among female college students of Diponegoro University.]]>
<![CDATA[ASSOCIATION BETWEEN ADULT TUBERCULOSIS TREATMENT STATUS WITH CHILDREN TUBERCULOSIS STATUS WHO HAD HOUSEHOLD CONTACT ]]>
<![CDATA[Agnes Emanuella]]>;
<![CDATA[Moh. Syarofil Anam]]>;
<![CDATA[Nahwa Arkhaesi]]>;
<![CDATA[Dodik Pramono]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27663
<![CDATA[Bacground: Tuberculosis (TB) is one of the ten types of diseases that cause the quite high death rate in the world. Indonesia is ranked number three in TB cases. Tuberculosis can spread from adult tuberculosis patients to others including children who have a history of household contact. Adult TB patients who have been diagnosed immediately receive treatment to cure and reduce transmission. Tuberculosis treatment is divided into intensive phase, advanced phase and successful treatment. Aim: This study aims to analyze the relationship between treatment status of tuberculosis on adult who contact with tuberculosis status on children in the houshold. Methods: This study was an observational analytic study with a cross sectional study. The subjects of this study were 35 adult TB patients who were in contact with 58 children aged 0-18 years. Data collection was carried out at RSUP Kariadi and four puskesmas in Semarang from September 2019 to October 2019. Children tuberculosis status was classified as being TB exposure, TB infection and TB disease based on tuberculin tests and clinical symptoms. Statistical tests using the Chi-Square and Fisher Exact hypothesis tests. Results: Based on the results of statistical analysis, there was no significant relationship between the status of tuberculosis treatment on adult (p = 0.848) with status of tuberculosis for children that are in household contact. Conclusion: The status of tuberculosis treatment on adult has no statistical relationship with the status of tuberculosis for children in household contact.]]>
<![CDATA[DIFFERENCE IN SIZE OF LEPROSY PEDIS ULCER INJURY BEFORE AND AFTER THERAPY AT LEPROSY HOSPITAL DONOREJO, JEPARA REGENCY ]]>
<![CDATA[Pramesti Widya Kirana]]>;
<![CDATA[Muslimin Muslimin]]>;
<![CDATA[Teddy Wahyu Nugroho]]>;
<![CDATA[Reni Yuniati]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27668
<![CDATA[Background: Leprosy sufferers who experience disability at the time of diagnosis are usually late in seeking treatment because they are less aware of their health. Central Java Province ranks third with new cases of leprosy as many as 1,644 cases, after East Java (3,373), West Java (1,813) Provinces. It can be concluded that in Central Java there are still new cases of leprosy that if not treated properly will cause disabilities. Thus, level 2 disabilities in the form of foot ulcers should always be monitored and treated properly. Aim: Observe the success rate of several types of therapy for leprosy with foot ulcer at Donorejo Kelet Leprosy Hospital in Jepara Regency, and identify the grade and depth of ulcers before and after therapy. Method: Descriptive observational research (case study) using primary data obtained from questionnaires and weekly evaluation results regarding the size development of foot ulcers in leprosy for 4 weeks. Secondary data in the form of the given therapy were obtained from medical records. Data collected was processed descriptively covering general data such as age, sex, nutritional status, and special data including the patients’ risk factors (history of smoking, hygiene, wound size in centimeters (numerical data)). The data obtained were then compared between before and after therapy, and were analyzed with each other. Result: There were nine cases of leprosy with a foot ulcer, consisting of eight male patients and one female patient. The most common risk factor is smoking. After the leprosy patients were being treated for four weeks conventionally (wearing footwear, dressing, wound hygiene) and pharmacologically, there was a significant change in the reduction in wound volume with p=0.008 (p<0.05).]]>
<![CDATA[THE EFFECT OF ANALGESICS COMBINATION OF PARACETAMOL AND CODEINE ADMINISTRATION TO SERUM UREA IN MALE WISTAR RATS ]]>
<![CDATA[Akhiar Mar'i]]>;
<![CDATA[Taufik Eko Nugroho]]>;
<![CDATA[Erwin Kresnoadi]]>;
<![CDATA[Parish Budiono]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27673
<![CDATA[Background: A combination of the analgesic drug Paracetamol and Codeine can be used in moderate to severe pain management. Both are classified into two different groups of analgesics, thus they have a different mechanism of action. The combination of Paracetamol and Codeine provides better potential and work synergistically in pain management. This combination of analgesic drugs also has no potential side effects on the kidneys. Objective: To determine the combination of paracetamol and codeine analgesics on serum urea levels in male Wistar rats. Method: This study is an experimental study with a Post Test Only Control Group Design. Samples were 20 Wistar rats with certain criteria, randomly divided into 4 groups: control group, 32 mg/kgBW paracetamol group, 1,9 mg/kgBW codeine group, and 32 mg/kgBW paracetamol combination group and codeine 1,9 mg/kgBW. Giving is done orally with gastric sonde 4 times a day for 28 days. Day 29, blood is drawn through retroorbital vessels to measure serum urea levels. Statistical tests using the ANOVA and Post-Hoc tests. Results: The results obtained by the control group (32.1880), treatment group 1 (32.4240), treatment group 2 (32.3000), and treatment group 3 (31.1560). The One Way ANOVA statistical test results showed that the value of p = 0.970 (p> 0.05) which means there are no significant differences in serum urea levels between the four groups. Conclusion: There was no significant difference in the increase in the urea level between the combination of paracetamol and codeine compared to the control group. ]]>
<![CDATA[THE CORRELATION BETWEEN SOCIAL MEDIA INTENSITY USE AND MOTHER'S ANXIETY LEVEL (A CROSS-SECTIONAL STUDY IN PRIMIPAROUS MOTHERS KELURAHAN ROWOSARI SEMARANG) ]]>
<![CDATA[Alifatush Shabrina]]>;
<![CDATA[Titis Hadiati]]>;
<![CDATA[Hang Gunawan Asikin]]>;
<![CDATA[Widodo Sarjana]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27664
<![CDATA[Background: Anxiety disorder is one of the most common psychological disorder that often occurs in mothers after childbirth. One factor that is considered to have a correlation with the prevalence of anxiety level is the intensity of the social media use. In using social media, people tend to compare themselves and their lives with those of others and there is pressure to feel accepted by social media stereotypes. This study wants to focus on seeing whether there is a relationship between the intensity of social media use and maternal anxiety levels. Methods: This study was a cross-sectional study of 47 primiparous mothers in Kelurahan Rowosari Semarang. The data collection including: social media use intensity that was examined by SONTUS questionnaire, mothers’ anxiety level examined by Zung questionnaire and family socio-economical circumstances. Data was analized using Spearman’s rank correlation coefficient. Results: The majority of respondents were in the group with low intensity social media use (89.4%). The level of respondents' anxiety assessed using the Zung questionnaire grouped 51.1% of patients in the group with no anxiety and 48.9% of patients in the group with mild anxiety. There were no patients classified as moderate or high anxiety group. Based on the results of statistical analysis showed no significant correlation between social media intensity use and mother's anxiety level in primiparous mothers in Kelurahan Rowosari Semarang (p=0,214). Conclusion: There were no significant correlation between social media intensity use and mother's anxiety level in primiparous mothers in Kelurahan Rowosari Semarang. ]]>
<![CDATA[THE EFFECT OF CLIMBING UP AND DOWNSTAIRS EXERCISE ON SHORT-TERM MEMORY AMONG YOUNG ADULTS (AGE 18-22) ]]>
<![CDATA[Raisa Dzata Adly S.K]]>;
<![CDATA[Yosef Purwoko]]>;
<![CDATA[Buwono Puruhito]]>;
<![CDATA[Yuswo Supatmo]]>
<![CDATA[ DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 4 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro ) ]]>
Publisher : <![CDATA[Faculty of Medicine, Diponegoro University, Semarang, Indonesia ]]>
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DOI: 10.14710/dmj.v9i4.27669
<![CDATA[Background: Short-term memory affects academic performance. Good memory function is one of the benefits of physical exercise. A sedentary lifestyle and physical inactivity lead people to do less exercise. Climbing up and downstairs is one form of practical physical exercise that can be easily done anywhere at any time and by anyone. Aim: To assess the effect of climbing up and down stairs exercise on short-term memory in young adults. Method: This research used Quasi-Experimental with pre-test and post-test non-equivalent group method. Subjects were medical students of the Faculty of Medicine, Diponegoro University (n=40) aged 18-22 years that meet the inclusion criteria. Subjects were divided into 2 groups, control group (CG) and exercise group (EG), each consisting of 20 people. The subject's short-term memory was assessed using the Scenery Picture Memory Test (SPMT). Statistical analysis with Shapiro-Wilk test, paired T-test, Wilcoxon, independent T-test, and Mann-Whitney. Result: There were significant improvements in short-term memory before and after climbing up and down stairs exercise on both exercise group (p=0.000) and control group (p=0.001). No difference in pre-test scores between groups (p=0.921), and a significant difference in post-test scores between groups (p=0.010). An Independent T-test was done on the delta of the pre-post test between groups and is significant (p=0.016). Conclusion: 6 weeks of climbing up and down stairs exercise improves short-term memory in young adults. A higher improvement was found in the exercise group.]]>
