Ahmad Dahlan Medical Journal

The Application Of Hypnoparenting With The Risk Of Temper Tantrums In Preschool Children During The Covid-19 Pandemic

Febrian Putri Ardini — 2025-10-09

Temper tantrums are a condition where children vent their uncontrolled emotions. Hypnoparenting is a therapy used by parents to control and develop children's mentality by means of hypnosis. The high number of temper tantrums in preschool-age children with a pandemic situation that has not subsided and is triggered by increased stressors in children.

The purpose of this study was to find out the relationship between the application of hypnoparenting and the occurrence of temper tantrums in preschool-aged children during the Covid-19 pandemic at the Posyandu in Dorogi Village, Godong, Grobogan

Quantitative research, quasi-experimental design with time series design. The sample is preschool-aged children who are at risk of temper tantrums at the Posyandu in Dorogi Village. Temper tantrum assessment was carried out using a questionnaire before and after the hypnoparenting implementation intervention. Analysis using the Wilcoxon Rank Test.

There was a significant difference in the risk of temper tantrums between before and after the application of hypnoparenting (p<0.001).

There is a relationship between the application of hypnoparenting and the risk of temper tantrums in preschool-aged children during the Covid-19 pandemic at the Posyandu in Dorolegi Village, Godong, Grobogan.

Anxiety Levels among Tuberculosis Patients: A Descriptive Study

Liena Sofiana — 2025-10-09

Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis and transmitted through airborne droplets. Despite global control efforts, TB continues to pose a major health challenge and remains one of the most fatal diseases after HIV/AIDS. In the Special Region of Yogyakarta, the treatment success rate for TB in 2021 was lowest in Sleman District (86.4%). Among its 25 community health centers, Depok III Community Health Center reported the highest number of TB cases during that year. Beyond the physical symptoms, TB patients often face psychological problems, particularly anxiety, which can be influenced by demographic and treatment-related factors such as age, sex, education, income, treatment duration, and side effects of medication. This study employed a quantitative descriptive design to explore anxiety levels among TB patients undergoing treatment at Depok III Community Health Center, with participants recruited using total sampling. Findings revealed that nearly half of the respondents experienced moderate anxiety (46.7%), while 13.3% reported severe anxiety. In contrast, 30.0% of patients showed no signs of anxiety and were categorized as normal. The analysis further indicated that anxiety levels were associated with several patient characteristics, including gender, age, educational attainment, income, and length of treatment. These results underscore the importance of addressing not only the physical aspects of TB but also the psychological well-being of patients, suggesting that comprehensive management strategies are essential for improving treatment outcomes and quality of life.

Relationship Between The Amount Of Protein Intake And The Weight Gain Of Pregnant Women During Pregnancy With Low Birth Weight Babies

Esti Widiasih — 2025-10-09

Protein intake is the main determinant in the survival, growth and development of the embryo while weight gain during pregnancy is needed to support the development and growth of the fetus in the womb. Birth weight is also related to the fulfillment of nutrition during pregnancy, where the fulfillment of maternal nutrition can be measured through its anthropometry, namely weight gain during pregnancy. This study aims to prove the relationship between the amount of protein intake and the weight gain of pregnant women during pregnancy with the baby's birth weight. This research method was analytic observational with a case control design. The research subjects were mothers who had babies with normal and low birth weight who met the inclusion and exclusion criteria. The sampling technique was purposive sampling. The research instrument was using the SQ-FFQ questionnaire about protein intake with interviews by nutritionist enumerators. Statistical test was using Chi-square correlation. A total of 32 research subjects, the majority aged 20-35 years (81.2%), moderated educational status (62.5%), low economic status (50%), parity was not at risked (84.4%), weight gain was appropriated ( 56.3%) and low protein intake (53.1%). The chi-square test obtained a p value of 0.013 and a p value of 0.021, which means that there was a relationship between the amount of protein intake and the weight gain of pregnant women during pregnancy with the birth weight of the baby.

Domestic Violence Case Analysis At Regional Public Hospital Dr. Moewardi, Surakarta In 2018-2024

Muhammad Yusuf Arrozhi Arrozhi — 2025-10-09

In Indonesia, the incidence of domestic violence has tended to increase over the past five years. There were 11,758 cases of domestic violence in 2018 and 16,519 cases in 2022. This study aims to determine the characteristics of cases in victims of domestic violence at Regional Public Hospital Dr. Moewardi Surakarta in 2018-2024. This study is a descriptive observational study using secondary data derived from medical records of victims of domestic violence at Regional Public Hospital Dr. Moewardi in 2018-2024. The sampling technique was done by total sampling. The research data was then analyzed for frequency distribution in the form of tables and graphs. There were 7 cases of domestic violence that occurred in the span of 2018 to 2024, the highest number of cases was in 2024, namely 4 cases, followed by 2022 with 2 cases and in 2021 with 1 case. In 2018, 2019, 2020 and 2023 there were no confirmed cases of domestic violence examined. The characteristics of the wounds on 50% of the victims were abrasions, 41.67% were bruises and 8.33% were cuts. The location of the wounds was 40% on the head, 26.6% on the upper extremities, 20% on the lower extremities, and 13.3% on the body. The highest incidence of domestic violence in the last 7 years was in 2024, all victims of domestic violence were adult women who suffered the most abrasions with the most wound locations on the head.

Association Between Obesity and the Incidence of Hypertension Among Adolescents in Ponorogo

MH Muflihatul Ulfa — 2025-10-09

Obesity occurs due to excess energy stored in body fat tissue, resulting from an imbalance between energy intake and expenditure. In adolescence, obesity is a multifactorial health problem influenced by genetic, behavioral, environmental, and social factors, and is a known risk factor for hypertension. The pathogenesis of hypertension in obese individuals involves abnormal adipose tissue activity in producing hormones and adipokines, although the mechanisms are not yet fully understood. Several studies have linked obesity to hypertension, but mostly in adult populations, where the indicators for obesity differ from those for adolescents and children. In younger populations, overweight or obesity assessment should be based on BMI-for-age charts adjusted for sex, yet studies in adolescents often still use adult criteria. This study aimed to determine the association between obesity and hypertension among adolescents in Ponorogo. An observational analytic study with a cross-sectional design was conducted using data from the 2024 PASHMINA (Pelayanan Kesehatan Remaja Milik NA) health screening program organized by Regional Board of Nasyiatul Aisyiyah of Ponorogo among senior high school students. A total of 179 respondents participated, with 65.9% female and 65.4% having normal nutritional status. The overall prevalence of hypertension was 6.1%, while obesity prevalence was 12.8%. Hypertension was more common in obese adolescents (26.1%) compared to non-obese adolescents (3.2%), with obesity increasing the risk of hypertension by 10.66 times (p < 0.001). These findings highlight the need for appropriate obesity assessment methods in adolescents and the importance of nutrition education, promotion of physical activity, early detection, and regular health monitoring to prevent hypertension from an early age.

Multiple Triggering Factors Of Generalized Pustular Psoriasis: A Case Report

Mugi Restiana Utami — 2025-10-09

Generalized Pustular Psoriasis (GPP) is a rare, severe systemic inflammatory disorder driven by dysregulation of the interleukin-36 (IL-36) pathway. Flares are often precipitated by multiple triggering factors, including infections, medication and underlying comorbidities. A 40-year-old overweight male with a history of pustular psoriasis and poor treatment adherence presented with a severe flare of widespread, painful pustules. The presentation was complicated by consumption of diclofenac and multiple infections, including cellulitis and untreated dental caries, which progressed to septic shock and acute kidney injury (AKI). He was managed with intravenous antibiotics and systemic immunomodulators (cyclosporine, then methotrexate), leading to significant clinical improvement. Host factors like obesity and non-adherence created a pro-inflammatory state, while acute infections and non-steroidal anti-inflammatory drugs (NSAID) acted as potent triggers for IL-36 upregulation, igniting a severe inflammatory cascade. This convergence led to life-threatening systemic complications, underscoring the complexity of the disease. Severe GPP flares are often triggered by a convergence of overweight status, NSAID and acute infections. Effective management requires a holistic, multidisciplinary approach that aggressively identifies and treats all contributing triggers to improve outcomes.

Comparison of Clinical Recovery Following Conventional Tonsillectomy Versus Bipolar Vessel Sealing Device in Chronic Tonsillitis: A Case Report

Adnan Abdullah — 2025-10-09

Tonsillectomy remains a common surgical intervention for chronic or recurrent tonsillitis, with evolving techniques aiming to minimize complications and accelerate recovery. This case report explores the clinical outcomes of using conventional tonsillectomy compared to the Bipolar Vessel Sealing Device (BVSD) methods.

Two male patients, aged 22 and 33, presented with chronic tonsillitis characterized by throat discomfort, odynophagia, and worsening symptoms, including sleep-related breathing difficulties. Both underwent tonsillectomy, one with the conventional Sluder-Ballenger technique and the other with BVSD. Postoperative parameters pain (measured by Visual Analog Scale), bleeding, fever, and time needed to regain the normal diet were monitored for six days.

No bleeding or fever was observed in either patient. However, the BVSD technique was associated with significantly lower pain scores, ranging from VAS 5 to 0 by day six, compared to 9 to 3 in the conventional group. Additionally, patients in the BVSD group transitioned to solid food earlier (day 4), while the conventional group required until day 6. These findings suggest improved tissue preservation and faster functional recovery with BVSD.

The BVSD technique offers advantages in postoperative pain control and recovery of swallowing function compared to conventional methods. Although limited by small sample size, this case report supports the potential of BVSD as a more patient-friendly and efficient surgical approach for tonsillectomy, warranting further investigation in larger, controlled studies

Heart Failure with Atrial Fibrillation: Physical Domain Severely Compromised Despite Preserved Mental Well-Being

Riyanda Indrawan Sani — 2025-10-09

Atrial fibrillation (AF) frequently coexists with chronic heart failure (CHF), imposing a “double chronic burden” that may severely affect patients’ quality of life (QoL). This study aimed to evaluate QoL in CHF patients with AF using the SF-36 questionnaire, focusing on the most impaired physical and mental domains. A descriptive study was conducted on 30 adult patients (≥40 years) attending the Cardiology Clinic of Mitra Medika Amplas Hospital, Medan. QoL was assessed using the validated Indonesian version of SF-36, and data were analyzed descriptively. The mean age was 62 years, with 70% female, 76.7% having non-valvular AF, and common comorbidities including coronary artery disease (43.3%) and hypertension (33.3%). Physical domains were severely impaired, with role physical (24.17), general health (37.00), and physical functioning (44.00), resulting in a low Physical Component Summary (PCS) of 30.0. In contrast, mental domains were relatively preserved, with mental health (80.93), vitality (80.17), and social functioning (76.35), yielding a Mental Component Summary (MCS) of 57.5. These findings indicate that CHF patients with AF experience substantial physical limitations despite maintained mental well-being, highlighting the importance of interventions targeting physical function while supporting psychosocial health.

Trends and Challenges in Forensic Image Processing: A Bibliometric Study

Idha Arfianti WIraagni — 2025-10-09

Forensic image processing plays a pivotal role in modern criminal investigations by enhancing, analyzing, and interpreting visual evidence. This bibliometric study aims to evaluate the research trends, influential publications, and collaborative networks in forensic image processing over the past two decades. This study analyzes global research trends in forensic entomology using data from the Scopus database spanning 1962 to 2024, with data visualized through VOSviewer. A total of 4,463 articles were identified, with an average productivity of 72 papers per year. Results reveal a significant increase in research outputs, with dominant contributions from countries excelling in advanced computational technologies. Current hot topics in the field include digital forensic, deep learning, convolutional neural network, and diagnostic imaging. This study provides valuable insights into the evolution of forensic image processing research and identifies future directions for technological advancements and interdisciplinary collaborations.

Multidimensional Clinical Challenges in a Female with Chronic Epilepsy on Phenytoin: A Case Report

Syafira Laila Nurulita — 2025-10-09

Epilepsy is a long-standing neurological disorder defined by recurrent, unprovoked seizures, affecting more than 50 million individuals globally and influencing physical, mental, and social aspects of life. Continuous administration of antiepileptic drugs (AEDs) such as phenytoin is a common therapeutic strategy; however, prolonged use may result in adverse effects that complicate treatment. This case report describes a 40-year-old woman with epilepsy since the age of four, presenting with recurrent seizures, impaired memory, headaches, and sexual dysfunction. Her most recent event was an absence seizure accompanied by upward eye deviation and tongue biting. Electroencephalography (EEG) demonstrated generalized spike-and-wave patterns. The patient was treated with phenytoin and folic acid, with the recent addition of clobazam, leading to favorable outcomes, including reduced seizure frequency, improved sleep, and diminished anxiety and dizziness. A persistent reduction in libido, first noted during adolescence, was suspected to be associated with long-term phenytoin use. Additionally, dental problems such as caries and tooth impaction were believed to worsen headache intensity. This case emphasizes the need for a comprehensive approach to epilepsy care, considering psychological conditions, cognitive impairment, and oral health. Prompt recognition of AED-related side effects and individualized treatment planning are essential to optimize patient outcomes.

Evaluation of the Rationality of Antihypertensive Drug Use in Hypertension Patients at Peusangan Siblah Krueng Public Health Center, Bireuen District

Nuva Adduana — 2025-10-09

Hypertension is a chronic disease with a high prevalence and a significant risk of serious complications if not properly managed. The aim of this study was to evaluate the rational use of antihypertensive drugs in hypertensive patients at Peusangan Siblah Krueng Public Health Center, Bireuen District, based on the criteria of appropriate indication, appropriate patient, appropriate drug, and appropriate dose according to JNC VIII guidelines. This was a descriptive observational study with a retrospective approach using medical records of hypertensive patients in 2023. A total of 185 patients were selected through purposive sampling based on inclusion and exclusion criteria. Data collected included patient identity, diagnosis, type of antihypertensive drugs, dosage, and administration. Rationality was evaluated using the 4T classification (appropriate indication, patient, drug, and dose) in accordance with JNC VIII guidelines. The results showed that appropriateness of indication and patient both reached 100%. Appropriateness of drug was 96.8%, with the majority of patients receiving amlodipine as the main therapy. Appropriateness of dose was 98.9%, with a small proportion of inappropriateness observed in patients with comorbid diabetes mellitus. Overall, the use of antihypertensive drugs in hypertensive patients at Peusangan Siblah Krueng Public Health Center, Bireuen District, can be categorized as rational based on the 4T criteria, although some discrepancies remain in drug selection and dosage, particularly among patients with comorbidities.