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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.
Arjuna Subject : -
Articles 932 Documents
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A 56 Years Old Female with Uncontrolled Diabetes Mellitus Type II, Pneumonia, and Suspect With Lung Abscess: a Case Report Fahreza Fahreza; Diana Novita; Sri Meutia
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.38079

Abstract

Background:Diabetes mellitus is a group of metabolic diseases with characteristic hyperglycemia. Proper management of DM patients is essential, and this is useful for controlling appropriate blood glucose levels. If blood glucose levels are uncontrolled, this lead to other complications in other organs, like interference with the immune system. Disruption of the immune system causes the risk of infectious diseases, such as pneumonia and lung abscess.Case Presentation:We report a female patient with a history of type 2 diabetes mellitus, complaining of dyspnea, cough with sputum, high fever, and headache. On chest examination showed left chest movement in the right lung, increased stem fremitus in all right lung fields, dullness in the right upper lung field, and amphoric sound, coarse and wet crackles heard in the right upper lung.  Several supporting examinations, including laboratory and radiological examinations were carried out.Conclusion: The patient was diagnosed with uncontrolled type 2 diabetes mellitus, pneumonia, and a suspected lung abscess. The patient was given several treatments and showed clinical improvement on the fifth day of treatment.
Morbus Hansen Fitria Idris; Wizar Putri Mellaratna
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.39371

Abstract

Morbus Hansen (MH) which is called leprosy or leprosy is an infectious disease that causes health problems throughout the world. Leprosy is spread all over the world, especially in tropical and subtropical areas and attacks all ages with the highest frequency in the age group of 20 to 30 years. Case Presentation : Mr. AB, male, aged 33 years, came complaining of numbness and frequent tingling. Hands and feet began to swell and sore. Some toenails fall off unnoticed. Physical examination found composmentis awareness. The general status of the patient was madarosis in both eyelashes, the eyes looked anemic. Ears found infiltrates in both earlobes. Dermatological status in the facial region and superior extremities showed multiple hyperpigmented macules and patches, well defined, geographic shape, sizes vary. Bacteriological examination with Slit Skin Smear on the earlobes found 1-10 Acid-Fast Bacilli (AFB) / 100 fields of view (+1). Bacteriological Index obtained +1. Conclusion: The patient was diagnosed with MB type leprosy accompanied by Erythema Nodusum Leprosum
Correlation between HbA1c Levels with Several Methods of estimated Glomerular Filtration Rate Calculation : Study in type-2 diabetes mellitus patients Septian Eka Prasetyo; Edward Kurnia Setiawan Limijadi; Dwi Lestari Partiningrum; Meita Hendrianingtyas
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.38564

Abstract

ABSTRACTBackground: Diabetes Mellitus is a long-term chronic disease characterized by blood glucose levels enhancement (hyperglycemia). Diabetes is closely related to hyperglycemia conditions. Prolonged hyperglycemic conditions can initiate abnormal interactions of metabolic and hemodynamic factors and stimulate the establishment of fibronectin and collagen, including affecting eGFR values. This study analyzed the correlation between HbA1c level and several methods of calculating eGFR in patients with type-2 diabetes mellitus.Objective: Analyzing the correlation between HbA1c levels and several methods of calculating eGFR (CKD-EPI, MDRD, and CG) in patients with type-2 diabetes mellitus.Method: This study was a cross-sectional observational study on 85 research subjects aged over 18 in February to November 2021. The data were taken from medical records of type-2 diabetes mellitus patients at RSND Semarang. The statistical analysis used the Pearson test.Results: The Pearson results showed that there was a significant correlation between HbA1c levels and several methods of calculating eGFR in patients with type-2 diabetes mellitus (p=0,000; r=0,430 in the CKD-EPI method, p=0,000; r=0,384 in the MDRD method, p=0,001; r=0,361 in the CG method).Conclusion: There was a significant positive correlation between HbA1c levels and eGFR CG, MDRD, and CKD-EPI methods in patients with type-2 diabetes mellitus, characterized by increased HbA1c levels and still high eGFR values.Keywords: Diabetes mellitus, HbA1c, eGFR, CKD-EPI, MDRD, CG
Breaking the Chains of Tuberculosis: Quantifying the Effects of Literacy, Population Density, and Access to Improve Sanitation to Support Defense Health and Security in Indonesia Reinpal Falefi; Hikmat Zakky Almubaraq; Nora Lelyana; Makmur Supriyatno
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.40353

Abstract

Background: Tuberculosis (TB) is a global health problem. It poses a significant burden worldwide, requiring urgent control measures and research for effective reduction especially in Indonesia.Objective: Investigating the effects of literacy, population density, and access to improved sanitation on TB incidence can provide insights into the relationship between these factors.Methods: This study was conducted in Jakarta, Indonesia from June to July 2023, using secondary data from 2005 to 2021. It employed a quantitative cross-sectional design to examine the relationship between variables. Data were collected from the ASEAN database and analyzed using descriptive and path analysis techniques to determine variable effects and significance. The study found that the incidence of tuberculosis in Indonesia initially decreased from 2005 to 2020 but significantly increased in 2021.Results: Population density, adult literacy rate, and access to improved sanitation all showed positive trends. Significant direct effects were observed among most variables, and indirect effects of population density on tuberculosis incidence were also identified through literacy and sanitation. The final model showed that higher population density correlated with increased access to sanitation and literacy rate, while access to improved sanitation was associated with reduced tuberculosis incidence. Overall, the model had a very good fit based on the indicators.Conclusion: Priority investments in sanitation infrastructure, especially in densely populated areas, along with improved access to sanitation facilities, combined with targeted health education campaigns and collaboration across defense, health, and education sectors, are recommended to enhance tuberculosis prevention and control
Avascular Necrosis Melina Handayani; Muhammad Bayu Rizaldy, Sp.OT
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.38551

Abstract

Osteonecrosis can be defined as bone cell death resulting from impaired blood flow to the bone due to traumatic or non-traumatic events. Case Presentation: We present a case in which a 62-year-old female came to the Orthopedic Surgery Polyclinic with complaints of pain in her groin. The pain is intermittent and worsens when the patient moves his legs. This makes it difficult for patients to sit and have pain when walking, so they need a cane as a tool. This complaint has been felt for ± 1.5 years and has been getting worse since this 1 month. During the pain the patient said he was taking pain relievers but his complaints did not decrease. On local examination in the left Hip Joint region, it was found that on look examination there was no visible deformity, swelling and skin color that was the same as the surrounding area. On examination of the feel found positive tenderness. On AP pelvic X-ray examination, there was a fracture of the left femoral head with superior displacement. Treatment for this patient includes non-surgical and surgical (total hip replacement). Conclusion: The patient was diagnosed with Avascular necrosis.
The Effect of Cervical Cancer Counseling on Cervical Cancer Prevention Behavior in Women of Childbearing Age: A Literature Study Miranti Puteri Aulia; Monica Dwi Hartanti
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.38759

Abstract

Background: : According to World Health Organization (WHO) data, cervical cancer is the second leading cause of death worldwide . In 2020 the worldwide burden of cervical cancer is significant, there are an estimated 604,000 new infections and 342,000 deaths in 2020. Based on Riskesdas data, the prevalence of tumor/cancer, especially cervical cancer, in Indonesia ranks second with 36,633 cases, accounting for 9.2% of all cancer cases. Effective interventions at various life stages could significantly reduce global mortality from cervical cancer. Objective: This study was conducted to examine the impact of cervical cancer counseling on cervical cancer prevention behavior in women of reproductive age. Methods: Conducting a literature review of previous journal articles related to the effects of cervical cancer counseling on cervical cancer prevention behavior in women of childbearing age. Results: The results of this study indicate that cervical cancer is a significant reproductive health issue in Indonesia due to low screening coverage and lack of knowledge, resulting in late diagnosis. However, education and counseling can play a vital role in increasing awareness and promoting preventive behavior towards cervical cancer. Conclusion: Education and counseling interventions can effectively increase awareness and promote preventive behavior, this promotive and preventive behavior greatly reduces the burden of cervical cancer. 
Study Of Selection Of Delivery Assistance By Tbas In Materials In Masadian Village, Menui Sub-District, Menui Islands, Morowali District Supriyadi Supriyadi; La Ode Liaumin Azim; Rasma Rasma; Mayurni Fardayana Malik; Saasa Saasa
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.38765

Abstract

Backgroud: Nationally, indicators regarding the coverage of delivery services at health facilities have succeeded in achieving the objectives of the 2017 strategic plan, but in several provinces in Indonesia there are still significant differences regarding the coverage of delivery services, for example, Jakarta has the highest coverage at 102%, then Bali at 97.73 %. Meanwhile, Central Sulawesi Province only had an achievement of 76.18%. Objective: This study aims to find out the description of the selection of birth attendants by dukuns for mothers giving birth in Masadian Village, Menui District, Archipelago District, Morowali Regency. Method: This research has a type of quantitative design with a descriptive approach. The population in this study were all birth mothers assisted by traditional birth attendants in 2022, totaling 40 people. the sample in this study was a portion of mothers who were assisted by traditional birth attendants in 2020 as many as 29 respondents. The sampling technique in this study was purposive sampling. The research data was processed using descriptive statistical tests. Result: The results showed that 69% of the respondents had low education and 31% had higher education, 62.1% less knowledge of respondents and 37.9% good category, most of the respondents' economic status was 72.4% low economic and 27 high economic .6%, access to health services 100% access is not affordable, and husband/family support 51.7% do not receive family support and 48.3% receive family support. It is suggested to the puskesmas to provide education to the community which aims to increase the knowledge of mothers, husbands and other families so that they are ready and willing to give birth in midwivesKeywords: birth attendant, traditional birth attendant, knowledge, access, family support 
Correlation of the Neutrophil-to-Lymphocytes Ratio with Serum Urea and Creatinine Levels in Leptospirosis Patients Dwi Retnoningrum; Teddy Dharmawan
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.37592

Abstract

Background: Leptospirosis is a zoonosis that is still a problem in Indonesia. The kidneys are often the target organs in leptospirosis. The outer membrane of Leptospira Sp contains antigenic components and toxins that stimulate the inflammatory process in the kidneys. The neutrophil-to-lymphocyte ratio (NLR) is used as a marker of the inflammatory process, while urea creatinine is a sign of kidney damage. Objective: To prove the correlation between NLR and serum urea and creatinine levels in leptospirosis patients. Methods: This study was carried out retrospectively on the medical records of patients with confirmed leptospirosis by Microscopic Agglutination Test (MAT) at Dr. Kariadi Semarang between January 2020 and July 2022. NLR examination was obtained by dividing the number of neutrophils by the number of lymphocytes in the leukocyte count, urea, and creatinine levels from the patient's medical record. Statistical analysis using the Spearman correlation test, with a significance level of p <0.05. Results: From 33 samples, the median NLR was 10.75 (2.19-47,5), the median urea level was 131.0 mg/dL (15–467 mg/dL) creatinine 2.0 mg/dL (0.7-11.9 mg/dL). The correlation between NLR with urea (p=0.001 and r=0.561) and creatinine (p=0.003 and r=0.501). Increased NLR, urea, and creatinine were found in leptospirosis patients. Conclusion: There is a moderate positive correlation between NLR and urea and creatinine. An increase in NLR is a sign of an inflammatory process from leptospirosis. An increase in NLR correlates with an increase in urea and creatinine
Ethical and Professional Dilemmas encountered by Doctors in the National Health Insurance System Tuntas Dhanardhono; Wian Pisia Anggreliana; Intarniati Nur Rohmah; Sigid Kirana Lintang Bhima
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.40503

Abstract

Background: The implementation of the National Health Insurance System in Indonesia has not only increased access to medical services but also raised various dilemmas among doctors. Objective: This study aims to analyse various ethical and professional dilemmas among physicians in the National Health Insurance System (NHIS).Methods: This is a cross-sectional descriptive study with a purposive sampling method. A questionnaire was distributed online between June to December 2019 to physicians practicing in Indonesia.Results: Of the 87 doctors who participated in this study, 60.92% were general practitioners and 39.08% were specialists. The inability to maintain professional independence (63.41%) is the most common ethical dilemma faced by doctors with 65.38% of them experienced in advanced level health facilities. Meanwhile, the limitation of adequate medical care in an emergency (25.45%) is the most dilemmatic situation experienced in terms of professionalism with 85.71% occurring in advanced level health facilities.Conclusion: Physicians in Indonesia were deal with various dilemmas while practicing in the NHIS. The high rate of dissatisfaction and the various ethical problems and professional disciplines require a review of the health system to improve the quality of services and maintain the professionalism of doctors.
The Impact of Awarding Incentives on Posyandu Cadre Performance Atik Farokah; Qatrunnada Naqiyyah Khusmitha; Herdian Fitria Widyanto Putri; Eri Kurniasari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 5 (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.v12i5.38787

Abstract

Background:Stunting is a condition of failure to thrive due to chronic malnutrition that occurs in toddlers. Posyandu is an intervention facility for a specific nutrition program carried out by the Ministry of Health. The role of posyandu cadres is very important in efforts to reduce the prevalence of stunting. The Government of Malang Regency implements a cash incentive program for all posyandu cadres to improve their performance.Objective:This study aims to compare the effect of giving cash incentives on the performance of cadres of Pagelaran Health Center and Gedangan Health Center, Malang Regency.Methods:This study used an observational analytic design using a proportional cluster random sampling technique on 125 Pagelaran Health Center cadres and 125 Gedangan Health Center cadres. The research results were analyzed and interpreted using the SPSS Windows release version 2.1 computer program.Results:The results of this study prove that giving incentives to posyandu cadres in the Pagelaran Health Center work area has no effect on cadre performance with a significance value of 0.98 and giving incentives to posyandu cadres in the Gedangan Health Center work area has no effect on cadre performance with a significance value of 0.657.Conclusion:It can be concluded that the provision of incentives has no direct effect on the performance of posyandu cadres in the work area of Pagelaran Health Center and Gedangan Health Center.

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