Pub Date : 2022-09-12DOI: 10.14710/dmj.v11i5.35631
Erika Martining Wardani, Riezky Faisal Nugroho
Background: High or uncontrolled blood sugar levels are still widely found, one of which is due to the patient's lack of knowledge about the disease, diet and treatment of DM sufferers. Overcoming these problems by providing health education. Diabetes self management education (DSME) is a process to support knowledge, skills and abilities in diabetes self-care. Objective: This study examines the influence of diabetes self management education with ava on the knowledge of diabetes mellitus type 2. Methods: The design of this study used a quasy experiment with a pre-test and post-test nonequivalent control group approach. The population in this study were all elderly people with Diabetes Mellitus as many as 170 people, the sample was 60 respondents who were taken using the simple random sampling technique. The instrument used was a questionnaire given before and after the intervention. Data were analyzed using the Wilcoxon Signed Ranks Test with α = 0.05. Results: The research results obtained that the respondent's knowledge after (post test) giving intervention DSME with AVA obtained a Mean Rank value of 3.00 while the level of knowledge before it was carried out (pre test) obtained a Mean Rank value of 2.50 obtained a Sig value of 0.0001 which means if p
{"title":"The Infulence of Diabetes Self Management Education with AVA on the Knowledge of Diabetes Mellitus Type 2","authors":"Erika Martining Wardani, Riezky Faisal Nugroho","doi":"10.14710/dmj.v11i5.35631","DOIUrl":"https://doi.org/10.14710/dmj.v11i5.35631","url":null,"abstract":"Background: High or uncontrolled blood sugar levels are still widely found, one of which is due to the patient's lack of knowledge about the disease, diet and treatment of DM sufferers. Overcoming these problems by providing health education. Diabetes self management education (DSME) is a process to support knowledge, skills and abilities in diabetes self-care. \u0000Objective: This study examines the influence of diabetes self management education with ava on the knowledge of diabetes mellitus type 2. \u0000Methods: The design of this study used a quasy experiment with a pre-test and post-test nonequivalent control group approach. The population in this study were all elderly people with Diabetes Mellitus as many as 170 people, the sample was 60 respondents who were taken using the simple random sampling technique. The instrument used was a questionnaire given before and after the intervention. Data were analyzed using the Wilcoxon Signed Ranks Test with α = 0.05. \u0000Results: The research results obtained that the respondent's knowledge after (post test) giving intervention DSME with AVA obtained a Mean Rank value of 3.00 while the level of knowledge before it was carried out (pre test) obtained a Mean Rank value of 2.50 obtained a Sig value of 0.0001 which means if p","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132521790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-06DOI: 10.14710/dmj.v11i5.35368
Meisi Islami Bulan, Eva Annisaa', Intan Rahmania Eka Dini
Backgrounds: Hypertension and Diabetes Mellitus are interrelated diseases and have a strong predisposition to the occurrence of cardiovascular disease and atherosclerosis. BPJS Kesehatan states that the cost of hypertension services has increased every year, indicating the need to control costs through pharmacoeconomic studies. One method that can be used is cost-effectiveness analysis. Find out the effective drugs in terms of cost and therapy. Aim: To determine the cost-effectiveness of Captopril and Amlodipine for hypertensive patients with co-morbidities of diabetes mellitus at the Magelang District Health Center. Methods: This study was conducted retrospectively with medical record data for 2019-2020. The sample in this study was 35 with 15 groups of 10 mg/day amlodipine and 20 groups of 25 mg/day captopril. The outcome assessed was the number of patients who achieved the therapeutic target for 1 month using the drug. Results: The percentage of therapeutic effectiveness of amlodipine 10 mg/day was 86,7% while captopril 25 mg was 60%. The average direct medical cost of the amlodipine 10 mg/day is Rp10.429,30 greater than captopril 25 mg/day, which is Rp7.298,80. The ACER value of amlodipine 10 mg/day was Rp. 12.023,00 and captopril 25 mg/day was Rp. 12.164,00. Calculation of ICER value of the average direct medical cost of the 10 mg/day amlodipine group is Rp10.423,93 greater than captopril 25 mg/day, which is Rp7.298,80. Conclusion : Amlodipine is more cost-effective than captopril with an ACER value of RP. 12.023,00.
{"title":"Cost Effectiveness Analysis of Captopril And Amlodipine in Hypertensive Patients with Diabetes Mellitus at Magelang Regency Health Center","authors":"Meisi Islami Bulan, Eva Annisaa', Intan Rahmania Eka Dini","doi":"10.14710/dmj.v11i5.35368","DOIUrl":"https://doi.org/10.14710/dmj.v11i5.35368","url":null,"abstract":"Backgrounds: Hypertension and Diabetes Mellitus are interrelated diseases and have a strong predisposition to the occurrence of cardiovascular disease and atherosclerosis. BPJS Kesehatan states that the cost of hypertension services has increased every year, indicating the need to control costs through pharmacoeconomic studies. One method that can be used is cost-effectiveness analysis. Find out the effective drugs in terms of cost and therapy. Aim: To determine the cost-effectiveness of Captopril and Amlodipine for hypertensive patients with co-morbidities of diabetes mellitus at the Magelang District Health Center. Methods: This study was conducted retrospectively with medical record data for 2019-2020. The sample in this study was 35 with 15 groups of 10 mg/day amlodipine and 20 groups of 25 mg/day captopril. The outcome assessed was the number of patients who achieved the therapeutic target for 1 month using the drug. Results: The percentage of therapeutic effectiveness of amlodipine 10 mg/day was 86,7% while captopril 25 mg was 60%. The average direct medical cost of the amlodipine 10 mg/day is Rp10.429,30 greater than captopril 25 mg/day, which is Rp7.298,80. The ACER value of amlodipine 10 mg/day was Rp. 12.023,00 and captopril 25 mg/day was Rp. 12.164,00. Calculation of ICER value of the average direct medical cost of the 10 mg/day amlodipine group is Rp10.423,93 greater than captopril 25 mg/day, which is Rp7.298,80. Conclusion : Amlodipine is more cost-effective than captopril with an ACER value of RP. 12.023,00.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"220 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125379394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: In recent years, Diabetes Mellitus (DM) has emerged as the world's leading cause of death with the potential to develop micro vascular complications in the form of retinopathy. HbA1c is an indicator to identify hyperglycemia and plays an important role in monitoring the development of complications due to DM. This study is undertaken determine the relationship between HbA1C levels and the severity of diabetic retinopathy in DM patients. Aim: To identify the relationship between HbA1c levels and different stages of diabetic retinopathy. Method: An analytic observational, cross sectional design, using patients’ medical record. Patient data consisted of gender, age, DM duration, HbA1c levels, and stages of diabetic retinopathy. Non parametric correlation Spearman’s rho was chosen for statistical analysis. Result: A total of 72 DM patients consisted of 29 men and 43 women with a mean DM duration 10.4 years. A total of 37 patients were diagnosed with diabetic retinopathy with 30 NPDR respondents (41.7%) and 7 PDR respondents (9.7%). The average HbA1C levels based on the patient's diabetic retinopathy stages, as follows; normal attained 6.49% (SD ± 0.95), NPDR 8.17% (SD ± 1.77), and PDR 8.47% (SD ± 1, 10). Spearman's non-parametric test showed a strong and significant relationship (p
{"title":"Correlation between HbA1c Levels and Severity of Diabetic Retinopathy","authors":"Putri Lenggo Geany, Riski Prihatningtias, Arief Wildan, Maharani Cahyono","doi":"10.14710/dmj.v11i5.35569","DOIUrl":"https://doi.org/10.14710/dmj.v11i5.35569","url":null,"abstract":"Background: In recent years, Diabetes Mellitus (DM) has emerged as the world's leading cause of death with the potential to develop micro vascular complications in the form of retinopathy. HbA1c is an indicator to identify hyperglycemia and plays an important role in monitoring the development of complications due to DM. This study is undertaken determine the relationship between HbA1C levels and the severity of diabetic retinopathy in DM patients. \u0000Aim: To identify the relationship between HbA1c levels and different stages of diabetic retinopathy. \u0000Method: An analytic observational, cross sectional design, using patients’ medical record. Patient data consisted of gender, age, DM duration, HbA1c levels, and stages of diabetic retinopathy. Non parametric correlation Spearman’s rho was chosen for statistical analysis. \u0000Result: A total of 72 DM patients consisted of 29 men and 43 women with a mean DM duration 10.4 years. A total of 37 patients were diagnosed with diabetic retinopathy with 30 NPDR respondents (41.7%) and 7 PDR respondents (9.7%). The average HbA1C levels based on the patient's diabetic retinopathy stages, as follows; normal attained 6.49% (SD ± 0.95), NPDR 8.17% (SD ± 1.77), and PDR 8.47% (SD ± 1, 10). Spearman's non-parametric test showed a strong and significant relationship (p","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114288365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-14DOI: 10.14710/dmj.v11i4.35080
Ashauma Aksanul Muttaqin, A. Himawan, L. Batubara, W. Widyawati
Background: Acne vulgaris or widely known as acne, is a skin disease in the form of inflammation of the pilosebaceous unit characterized by the appearance of comedones, papules, pustules, and nodules. Due to the Coronavirus disease 2019 (COVID-19) pandemic, masks have become personal protective equipment (PPEs), commonly used by health workers and the general public. The combination of friction, repeated pressure, sweat, or stress on the skin from wearing the mask causes acne or an exacerbation of existing acne. Meanwhile, the use of facial moisturizer can maintain skin moisture and help the repair process of the structure of the skin barrier.Objective: This study aims to determine the relationship between the use of facial moisturizers and the incidence of acne vulgaris due to masks.Methods: This study is an analytical observational study with a cross-sectional design. The subjects in this study amounted to 44 people who were nurses at the Diponegoro National Hospital who had approved the informed consent form, filled out a complete questionnaire, and included the research criteria. The research sample was selected using purposive sampling. The diagnosis of acne vulgaris was made by doctor-in-charge based on the subject's face photo. The statistical test used is Fischer's Exact Test.Results: Based on data analysis using Fischer's Exact Test, the results showed no significant relationship between the use of facial moisturizers and the incidence of acne vulgaris due to masks with a p-value = 0.722 (p>0.05).Conclusion: There is no relationship between the use of facial moisturizers with the incidence of acne vulgaris due to masks.
{"title":"The Correlation Between The Use Of Face Moisturizers On The Incidence Of Acne Vulgaris Due To Masks","authors":"Ashauma Aksanul Muttaqin, A. Himawan, L. Batubara, W. Widyawati","doi":"10.14710/dmj.v11i4.35080","DOIUrl":"https://doi.org/10.14710/dmj.v11i4.35080","url":null,"abstract":"Background: Acne vulgaris or widely known as acne, is a skin disease in the form of inflammation of the pilosebaceous unit characterized by the appearance of comedones, papules, pustules, and nodules. Due to the Coronavirus disease 2019 (COVID-19) pandemic, masks have become personal protective equipment (PPEs), commonly used by health workers and the general public. The combination of friction, repeated pressure, sweat, or stress on the skin from wearing the mask causes acne or an exacerbation of existing acne. Meanwhile, the use of facial moisturizer can maintain skin moisture and help the repair process of the structure of the skin barrier.Objective: This study aims to determine the relationship between the use of facial moisturizers and the incidence of acne vulgaris due to masks.Methods: This study is an analytical observational study with a cross-sectional design. The subjects in this study amounted to 44 people who were nurses at the Diponegoro National Hospital who had approved the informed consent form, filled out a complete questionnaire, and included the research criteria. The research sample was selected using purposive sampling. The diagnosis of acne vulgaris was made by doctor-in-charge based on the subject's face photo. The statistical test used is Fischer's Exact Test.Results: Based on data analysis using Fischer's Exact Test, the results showed no significant relationship between the use of facial moisturizers and the incidence of acne vulgaris due to masks with a p-value = 0.722 (p>0.05).Conclusion: There is no relationship between the use of facial moisturizers with the incidence of acne vulgaris due to masks.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117121527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-14DOI: 10.14710/dmj.v11i4.31778
Salsabila Lutfiarahma, Yan Wisnu Prajoko, F. H. Ningrum, Christina Hari Nawangsih Prihharsanti
Background: According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), breast cancer is the most common cancer in Indonesia. 3-dimensional conformal radiotherapy (3D-CRT) is one of the breast cancer treatment planning. Effect of radiation on the lungs can cause radiation pneumonitis. The incidence rate of pneumonitis in breast cancer patients who received radiotherapy using 3D-CRT techniques from several researchers is still varied and there is no accurate data yet at RSUP Dr. Kariadi.Objective: To determine the incidence of pneumonitis in breast cancer patients undergoing breast cancer 3D-CRT.Methods: The research design used in this study was cross sectional. The subject is chosen by consecutive sampling methods. The independent variables of this study was 3D breast cancer radiation therapy, while the dependent variable was radiation pneumonitis. This hypothesis test on this study is analyzed with chi-square test.Results: Forty one subjects were included in this study, two subjects were found with a picture of pneumonitis on chest radiographs. The incidence of radiation pneumonitis in breast cancer patients who received radiotherapy using 3-dimensional techniques was 4.9%. There is no significant relationship between breast cancer radiation therapy 3-dimensional techniques on the incidence of pneumonitis. And there was no significant difference in the proportion of pneumonitis in patients with breast cancer locations on the right and left sides.Conclusion: The incidence of radiation pneumonitis in breast cancer patients who received radiotherapy using a 3-dimensional technique is 4.9%. Keywords: 3 Dimensional Technique Radiotherapy, Breast Cancer, Radiation Pneumonitis
{"title":"THE INCIDENCE OF RADIATION PNEUMONITIS IN BREAST CANCER PATIENTS WHO RECEIVED RADIOTHERAPY USING 3-DIMENSIONAL TECHNIQUES","authors":"Salsabila Lutfiarahma, Yan Wisnu Prajoko, F. H. Ningrum, Christina Hari Nawangsih Prihharsanti","doi":"10.14710/dmj.v11i4.31778","DOIUrl":"https://doi.org/10.14710/dmj.v11i4.31778","url":null,"abstract":"Background: According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), breast cancer is the most common cancer in Indonesia. 3-dimensional conformal radiotherapy (3D-CRT) is one of the breast cancer treatment planning. Effect of radiation on the lungs can cause radiation pneumonitis. The incidence rate of pneumonitis in breast cancer patients who received radiotherapy using 3D-CRT techniques from several researchers is still varied and there is no accurate data yet at RSUP Dr. Kariadi.Objective: To determine the incidence of pneumonitis in breast cancer patients undergoing breast cancer 3D-CRT.Methods: The research design used in this study was cross sectional. The subject is chosen by consecutive sampling methods. The independent variables of this study was 3D breast cancer radiation therapy, while the dependent variable was radiation pneumonitis. This hypothesis test on this study is analyzed with chi-square test.Results: Forty one subjects were included in this study, two subjects were found with a picture of pneumonitis on chest radiographs. The incidence of radiation pneumonitis in breast cancer patients who received radiotherapy using 3-dimensional techniques was 4.9%. There is no significant relationship between breast cancer radiation therapy 3-dimensional techniques on the incidence of pneumonitis. And there was no significant difference in the proportion of pneumonitis in patients with breast cancer locations on the right and left sides.Conclusion: The incidence of radiation pneumonitis in breast cancer patients who received radiotherapy using a 3-dimensional technique is 4.9%. Keywords: 3 Dimensional Technique Radiotherapy, Breast Cancer, Radiation Pneumonitis","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123535605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.14710/dmj.v11i3.34576
David Amadeus Alexander, Darmawati Ayu Indraswari, Raden Mas Soerjo Adji, Sumardi Widodo
Background: Lower extremity pain from cycling with wrong technique or without adequate preparation could cause bodily injury and pain. Pain might cause reduced patient’s mobility and quality of life in physical and psychological aspects which results in disruption of sufferers when did their daily activities.Objective: Knowing relationship between uses of mountain bikes and folding bicycles with lower extremity pain.Methods: 65 respondents were involved in research conducted in Semarang online at the respective respondent's and researcher's premises. The study used cross-sectional method to assess relationship between certain types of bicycles uses with lower extremity pain presence and quality. Statistical test used in this study was the Mann-Whitney and Fischer's exact test.Results: There were significant differences in handlebar height, saddle height, and wheel diameter between two groups of respondents (p = 0.032, p = 0.001, p < 0.001). There was insignificant difference between mountain bikes and folding bicycles uses with lower extremity pain presence and quality (p = 0.481, p = 0.599). There was also non-significant correlation and very weak correlation mountain bikes and folding bicycles uses with lower extremity pain presence and quality (p = 0.613, p = 0.603), negative correlation to presence of pain (r = -0.088), and positive correlation to quality of pain (r = 0.066). Location of lower extremity which felt most painful by respondents was knee in both groups.Conclusion: There was insignificant relationship between certain types of bicycles uses with lower extremity pain.
背景:由于骑车技术错误或没有充分的准备而引起的下肢疼痛可能导致身体损伤和疼痛。疼痛可能会导致患者在生理和心理方面的活动能力和生活质量下降，从而导致患者日常活动的中断。目的:了解使用山地自行车和折叠自行车与下肢疼痛的关系。方法:65名受访者参与了三宝垄在线调查，分别在受访者和研究者的场所进行。该研究采用横断面方法评估某些类型的自行车使用与下肢疼痛存在和质量之间的关系。本研究使用的统计检验是Mann-Whitney和Fischer的精确检验。结果:两组被调查者在车把高度、鞍座高度和车轮直径上存在显著差异(p = 0.032, p = 0.001, p < 0.001)。使用山地自行车和折叠自行车的患者下肢疼痛的存在和质量差异不显著(p = 0.481, p = 0.599)。使用山地自行车和折叠自行车与下肢疼痛的存在和质量也存在不显著相关和极弱相关(p = 0.613, p = 0.603)，与疼痛的存在负相关(r = -0.088)，与疼痛的质量正相关(r = 0.066)。两组患者下肢最疼痛部位均为膝关节。结论:某些类型的自行车使用与下肢疼痛的关系不显著。
{"title":"Association between Mountain Bike and Folding Bicycle Usage with Lower Extremity Pain","authors":"David Amadeus Alexander, Darmawati Ayu Indraswari, Raden Mas Soerjo Adji, Sumardi Widodo","doi":"10.14710/dmj.v11i3.34576","DOIUrl":"https://doi.org/10.14710/dmj.v11i3.34576","url":null,"abstract":"Background: Lower extremity pain from cycling with wrong technique or without adequate preparation could cause bodily injury and pain. Pain might cause reduced patient’s mobility and quality of life in physical and psychological aspects which results in disruption of sufferers when did their daily activities.Objective: Knowing relationship between uses of mountain bikes and folding bicycles with lower extremity pain.Methods: 65 respondents were involved in research conducted in Semarang online at the respective respondent's and researcher's premises. The study used cross-sectional method to assess relationship between certain types of bicycles uses with lower extremity pain presence and quality. Statistical test used in this study was the Mann-Whitney and Fischer's exact test.Results: There were significant differences in handlebar height, saddle height, and wheel diameter between two groups of respondents (p = 0.032, p = 0.001, p < 0.001). There was insignificant difference between mountain bikes and folding bicycles uses with lower extremity pain presence and quality (p = 0.481, p = 0.599). There was also non-significant correlation and very weak correlation mountain bikes and folding bicycles uses with lower extremity pain presence and quality (p = 0.613, p = 0.603), negative correlation to presence of pain (r = -0.088), and positive correlation to quality of pain (r = 0.066). Location of lower extremity which felt most painful by respondents was knee in both groups.Conclusion: There was insignificant relationship between certain types of bicycles uses with lower extremity pain.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125849595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.14710/dmj.v11i3.33248
Nisrina Nur Haniyah, F. A. Rahmadi, A. N. Setyawati, Rina Pratiwi
Background: Stool examination is a gold standard that can be used to detect problems in the disgestive systems, which becomes a preliminary examination to determine a diagnosis. The variation characteristics of stool in malnuorished children are very possible due to the infection in the digestive tract, resulting in impaired absorption of nutrients and other health problems.Objective: To find out the profile of routine feces examination in malnourished children.Methods: This study was descriptive research with a cross-sectional method. This study was conducted from April—August 2021 with a sample size of 38 stunted and malnourished children of 6 month-old to 5-year-old in Rumah Gizi and Poli Anak RSUP Dr. Kariadi Semarang. Collecting the data of anthropometric, quisioners, and laboratorium stool macroscopic and microscopic analytic.Results: Macroscopic examination showed that 13 samples (34.25) had a normal brown color, 35 samples (92.1%) had a soft consistency. Moreover, mucus was found in 6 samples (15.8%). In microscopic examination found that 4 cases (10.5%) were positive for carbohydrates. In 17 cases (44.75), fibers were found. Leukocytes were found in 2 cases (5.2%), erythrocytes were found in 8 cases (21.1%), occult blood was found in 10 cases (26.3%), and fungal positive was found in 14 cases (36.8%).Conclusion: Most of the feces were brown, had soft consistency, did not have mucus and blood. Furthermore, fat, fiber, carbohydrates, leukocytes, erythrocytes, occult bold, and fungal were not found in most of the stools.
{"title":"Stool Examination Profiles in Malnourished Children","authors":"Nisrina Nur Haniyah, F. A. Rahmadi, A. N. Setyawati, Rina Pratiwi","doi":"10.14710/dmj.v11i3.33248","DOIUrl":"https://doi.org/10.14710/dmj.v11i3.33248","url":null,"abstract":"Background: Stool examination is a gold standard that can be used to detect problems in the disgestive systems, which becomes a preliminary examination to determine a diagnosis. The variation characteristics of stool in malnuorished children are very possible due to the infection in the digestive tract, resulting in impaired absorption of nutrients and other health problems.Objective: To find out the profile of routine feces examination in malnourished children.Methods: This study was descriptive research with a cross-sectional method. This study was conducted from April—August 2021 with a sample size of 38 stunted and malnourished children of 6 month-old to 5-year-old in Rumah Gizi and Poli Anak RSUP Dr. Kariadi Semarang. Collecting the data of anthropometric, quisioners, and laboratorium stool macroscopic and microscopic analytic.Results: Macroscopic examination showed that 13 samples (34.25) had a normal brown color, 35 samples (92.1%) had a soft consistency. Moreover, mucus was found in 6 samples (15.8%). In microscopic examination found that 4 cases (10.5%) were positive for carbohydrates. In 17 cases (44.75), fibers were found. Leukocytes were found in 2 cases (5.2%), erythrocytes were found in 8 cases (21.1%), occult blood was found in 10 cases (26.3%), and fungal positive was found in 14 cases (36.8%).Conclusion: Most of the feces were brown, had soft consistency, did not have mucus and blood. Furthermore, fat, fiber, carbohydrates, leukocytes, erythrocytes, occult bold, and fungal were not found in most of the stools.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133074132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.14710/dmj.v11i3.33114
Yohana Revi Imanita, Endang Ambarwati, M. Muniroh, Y. Purwoko
Background: Lung function has mutual correlation with exercise. Abnormal lung function can affect physical ability to exercise. Otherwise, exercise can increase lung function. Peak expiratory flow rate (PEFR) is a parameter to observe the lung function. High Intensity Circuit Training (HICT) is a combination of aerobic and endurance exercise which has total duration only 7-minutes long. High Intensity Circuit Training can be a good choice for young adults because it does not need much time, easy to be practiced, and beneficial for physical health as well. Objective: To analyze a significant increase in PEFR value after High Intensity Circuit Training for 8 weeks. Methods: This study was a quasi-experimental study with pre-test and post-test comparison group method. Samples were taken purposively from medical student of Diponegoro University (n=56, age=18-21 years old), who were divided into two groups, the control and training group. Peak flow meter was used to measure PEFR value before and after intervention. The data were analysed using Paired T test and Independent T test. Results: A significant increase of PEFR value was found after High Intensity Circuit Training for 8 weeks (p=0.000). The mean difference between pre-test and post-test PEFR value was found increased significantly (p=0.001), that training group had higher score as compared to control group. Conclusion: Regular High Intensity Circuit Training can improve lung function particularly PEFR value in male young adults.
{"title":"EFFECT OF HIGH INTENSITY CIRCUIT TRAINING IN PEAK EXPIRATORY FLOW RATE VALUE AMONG MALE YOUNG ADULTS","authors":"Yohana Revi Imanita, Endang Ambarwati, M. Muniroh, Y. Purwoko","doi":"10.14710/dmj.v11i3.33114","DOIUrl":"https://doi.org/10.14710/dmj.v11i3.33114","url":null,"abstract":"Background: Lung function has mutual correlation with exercise. Abnormal lung function can affect physical ability to exercise. Otherwise, exercise can increase lung function. Peak expiratory flow rate (PEFR) is a parameter to observe the lung function. High Intensity Circuit Training (HICT) is a combination of aerobic and endurance exercise which has total duration only 7-minutes long. High Intensity Circuit Training can be a good choice for young adults because it does not need much time, easy to be practiced, and beneficial for physical health as well. Objective: To analyze a significant increase in PEFR value after High Intensity Circuit Training for 8 weeks. Methods: This study was a quasi-experimental study with pre-test and post-test comparison group method. Samples were taken purposively from medical student of Diponegoro University (n=56, age=18-21 years old), who were divided into two groups, the control and training group. Peak flow meter was used to measure PEFR value before and after intervention. The data were analysed using Paired T test and Independent T test. Results: A significant increase of PEFR value was found after High Intensity Circuit Training for 8 weeks (p=0.000). The mean difference between pre-test and post-test PEFR value was found increased significantly (p=0.001), that training group had higher score as compared to control group. Conclusion: Regular High Intensity Circuit Training can improve lung function particularly PEFR value in male young adults.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115287404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.14710/dmj.v11i3.33706
Diniafelsa Wola, N. Wijayahadi, M. A. Sobirin, Erwin Kresnoadi
Background: Furosemide as a diuretic loop is one of the main therapies given to heart failure patients with congestion, but in its use furosemide requires a lot of consideration related to toxicity, side effects, and drug interactions.Objective: To determine the toxicity, side effects and drug interactions of furosemide on heart failure patients.Methods: This research is a Systematic Review. Samples were obtained by searching for journals in the online databases of Pubmed, Scopus and Springer Link then adjusted to inclusion criteria and research questions. Data analysis was based on the PRISMA checklist, then searched for similarities and differences.Results: This study found the side effects of furosemide therapy in heart failure patients were: electrolyte disturbance such as: hyponatremia; hypokalemia; and hypomagnesemia, arrythmia, worsening renal function and worsening of AKI, hypotension, increase of plasma renin, and increased risk of fractures. No incidence of furosemid toxicity. The interaction of furosemide on heart failure patients may occur in several drugs like aspirin, digoxin, ACE-inhibitor, and bronchodilator.Conclusion: There is some side effect of furosemide and drug interactions occured in therapy of heart failure patients.Keywords: Furosemide, Toxicity, Side Effects, Interactions, Heart Failure.
{"title":"Toxicity, Side Effects, and Furosemide Interactions in Therapy of Heart Failure Patients (Systematic Review)","authors":"Diniafelsa Wola, N. Wijayahadi, M. A. Sobirin, Erwin Kresnoadi","doi":"10.14710/dmj.v11i3.33706","DOIUrl":"https://doi.org/10.14710/dmj.v11i3.33706","url":null,"abstract":"Background: Furosemide as a diuretic loop is one of the main therapies given to heart failure patients with congestion, but in its use furosemide requires a lot of consideration related to toxicity, side effects, and drug interactions.Objective: To determine the toxicity, side effects and drug interactions of furosemide on heart failure patients.Methods: This research is a Systematic Review. Samples were obtained by searching for journals in the online databases of Pubmed, Scopus and Springer Link then adjusted to inclusion criteria and research questions. Data analysis was based on the PRISMA checklist, then searched for similarities and differences.Results: This study found the side effects of furosemide therapy in heart failure patients were: electrolyte disturbance such as: hyponatremia; hypokalemia; and hypomagnesemia, arrythmia, worsening renal function and worsening of AKI, hypotension, increase of plasma renin, and increased risk of fractures. No incidence of furosemid toxicity. The interaction of furosemide on heart failure patients may occur in several drugs like aspirin, digoxin, ACE-inhibitor, and bronchodilator.Conclusion: There is some side effect of furosemide and drug interactions occured in therapy of heart failure patients.Keywords: Furosemide, Toxicity, Side Effects, Interactions, Heart Failure.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129086924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.14710/dmj.v11i3.33250
Arinta Puspita Wati, Hexanto Muhartomo, Fatiha Sri Utami Tamad, R. Putri
Background. Dementia is a syndrome due to brain disease, usually chronic or progressive and there is a disturbance of sublime function. Lack of knowledge and awareness of health workers about the occurrence of dementia can worsen dementia due to delays in diagnosis and treatment. Method. This study is a descriptive study with a cross sectional design involving 66 respondents who have agreed to the informed consent and are general practitioners who work in Primary Health Care Facilities. Sampling using consecutive sampling technique, samples that meet the inclusion and exclusion criteria. Data collection was carried out in November 2021. Data analysis used SPSS 22.0 ver. Results. The average knowledge of respondents before the training was described from the pretest score of 5.2. Conclusion. Lack of knowledge about dementia in general practitioners who work in primary health care facilities in the Semarang.
{"title":"KNOWLEDGE OF GENERAL DOCTORS OF PRIMARY HEALTH SERVICE FACILITIES IN SEMARANG CITY ABOUT DEMENTIA IN SEMARANG CITY","authors":"Arinta Puspita Wati, Hexanto Muhartomo, Fatiha Sri Utami Tamad, R. Putri","doi":"10.14710/dmj.v11i3.33250","DOIUrl":"https://doi.org/10.14710/dmj.v11i3.33250","url":null,"abstract":"Background. Dementia is a syndrome due to brain disease, usually chronic or progressive and there is a disturbance of sublime function. Lack of knowledge and awareness of health workers about the occurrence of dementia can worsen dementia due to delays in diagnosis and treatment. Method. This study is a descriptive study with a cross sectional design involving 66 respondents who have agreed to the informed consent and are general practitioners who work in Primary Health Care Facilities. Sampling using consecutive sampling technique, samples that meet the inclusion and exclusion criteria. Data collection was carried out in November 2021. Data analysis used SPSS 22.0 ver. Results. The average knowledge of respondents before the training was described from the pretest score of 5.2. Conclusion. Lack of knowledge about dementia in general practitioners who work in primary health care facilities in the Semarang.","PeriodicalId":394284,"journal":{"name":"DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114889020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：