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Mayasari, Diana
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Penatalaksanaan Holistik Pada Anak Usia 9 Tahun Dengan Tonsilitis Kronis Melalui Pendekatan Kedokteran Keluarga Djuardi, Attisya Milenty Putri; Mayasari, Diana
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.876

Abstract

Tonsillitis can occur at any age, especially in children. Tonsillitis has become one of the causes of decreased academic achievement and absenteeism from school. Patients with tonsillitis are also patients who often come to the practice of ear, nose, throat, head and neck surgeons (ENT-KL), pediatricians, and other health care facilities. This case report describes a 9 year old child who complained of fever accompanied by cold, cough, pain of swallowing, bad breath, and snoring. Patients often experience this complaints at least once every two months. Local status examination revealed a hyperemic pharynx, enlarged T3-T2 tonsils, widened crypts (+/+), detritus (+/+), and an uneven surface. The management provided is in the form of medical and non-medical therapy as a holistic intervention with a family medicine approach. The aim of this article is to identify risk factors, clinical problems, and management using a patient centered and family approach. This study is a case report. Primary data was obtained through history taking, physical examination and home visits.. As a result of this study, the patient was diagnosed with chronic tonsillitis. Internal risk aspects that influence the patient's condition include the patient's age, patient’s knowledge, patient’s lifestyle, dental and oral hygiene, and poor diet. External risk aspects that influence the patient's condition include a lack of family supervision regarding the patient's snack consumption, and slow decision making regarding follow-up actions based on patient complaints, the patient's family does not know enough about patient’s disease. Furthermore, holistic management has been carried out for patients and families through colored poster intervention media in the form of information about diseases, triggers and complications.
Pengaruh Stretching Exercise terhadap Keluhan Musculoskeletal Disorder pada Pengrajin Sulam Usus di Desa Margodadi, Kecamatan Jati Agung, Kabupaten Lampung Selatan Gunata, Agustina Fadilla; Mayasari, Diana
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

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Abstract

Sulam usus is a distinctive fashion of Lampung, made by sateen, which manufactured manually by hands. This process requiring meticulous detail, that lead to neck flexion and trunk bend posture, which can cause musculoskeletal disorder symptoms. One of the conservative therapy of musculoskeletal disorder is stretching exercise. This study aims to determine the effect of stretching exercise on musculoskeletal disorder symptoms among sulam usus worker in margodadi subdistrict jati agung district lampung selatan regency. This research used quasi experimental method with pre-posttest one group design, involving 28 respondents. Respondents will be given treatment of stretching exercise as much as 2 times daily for four weeks. The first and second score of musculoskeletal symptoms measured using a nordic body maps questionnaire. Data were analyzed by paired- samples t test with α = 0.05. In this study there was a significant difference of musculoskeletal disorder score mean different between the first score dan the second score (p=0,000). There is an effect of stretching exercise on musculoskeletal disorder symptoms among sulam usus worker in Margodadi Subdistrict Jati Agung District Lampung Selatan Regency.
PENATALAKSANAAN HOLISTIK PENYAKIT CAMPAK PADA BALITA USIA 3 TAHUN DENGAN RIWAYAT BELUM IMUNISASI CAMPAK DAN TINGKAT PENGETAHUAN KELUARGA MINIMAL MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS SUKARAJA Umroh, Afidatul; Mayasari, Diana
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.924

Abstract

Measles is a highly contagious disease. Measles is an important cause of child death worldwide. Groups of children of pre-school age and elementary school age are vulnerable to contracting measles because they have weak immune systems. Measles can cause immune amnesia which will affect the immune system, making sufferers susceptible to other diseases or complications. This indicates that holistic and comprehensive patient care is an important matter through the role of the family doctor. The purpose of writing this article is to identify internal, external risk factors and clinical problems found in patients, apply a holistic and comprehensive family doctor approach according to the problems found in patients, and carry out evidence-based medicine management that is family-approach, patient-centered and community oriented. The study is a case report. Primary data were obtained through history taking, physical examination and home visits. The assessment is based on a holistic diagnosis from the beginning, process and end by means of in-depth interviews, observations and patient filling sheets. Patient An. H, 3 years old, has had a continuous fever since 6 days ago, accompanied by a cold cough. On the fourth day of fever, reddish spots appear, starting behind the ears and then spreading to the face, neck, chest, stomach and arms, accompanied by red and watery conjunctiva of the eyes. Neighbor's children experienced the same complaint. The patient has not received measles immunization.
PENATALAKSANAAN HOLISTIK PADA PASEN DIABETES MELITUS TIPE 1 TIDAK TERKONTROL PADA REMAJA USIA 17 TAHUN DI PUSKESMAS NATAR MELALUI PENDEKATAN KEDOKTERAN KELUARGA Aulia Dita Maurizka; Mayasari, Diana
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.925

Abstract

Type 1 diabetes mellitus (DMT1) is a lifelong chronic disorder of glucose homeostasis characterized by autoimmune destruction of insulin-producing pancreatic beta cells, which progressively leads to insulin deficiency and results in hyperglycemia. This disease causes chronic complications that require ongoing treatment management and education for patients and their families. Uncontrolled disease will cause various metabolic complications, macrovascular and microvascular disorders that cause a decrease in the quality and life expectancy of the patient. The purpose of writing this article is to applying the principles of a holistic and comprehensive family doctor approach in detecting internal and external risk factors and solving EBM (Evidence Based Medicine) problems that are family approach and patient centered. This study is a descriptive study of case reports. Primary data were obtained through autoanamnesis and alloanamnesis, physical examination and home visits. Secondary data obtained from the patient's medical record. Patient An.J, aged 17 years, complained of feeling weak and tingling in his legs. The patient has a history of type 1 diabetes on insulin treatment. Patient complaints do not recur and can return to normal activities. Clinically the patient was diagnosed with type 1 diabetes mellitus and diabetic neuropathy. Internal risks are family history of DM, lack of knowledge about type 1 diabetes, high calorie and sugar diet behavior, smoking habits, and alcohol consumption and rarely exercise. External risk with a lack of family knowledge about diabetes mellitus, its triggers and complications faced by the patient. Furthermore, holistic management is carried out, namely non-medical management and mentose medicine with intervention using poster media. In the evaluation, the results obtained in the form of a better understanding of the disease and changes in behavior that have an impact on improving the quality of life. Holistic management with a family medicine approach is needed for patients with type 1 diabetes mellitus with complications of DM neuropathy to identify problems in various aspects in order to support the success of therapy and change patient behavior so as to prevent aggravation of complications.
The Effect Of Hyperglycemia On Early Hospital Admission To The Incidence Of Mortality In Iscemic Stroke Patiens At Abdul Moeloek Regional General Hospital In 2017-2020 Zahrani, Raisha Naomi; Ramayani, Fidha; Mayasari, Diana; Zanariah, Zam
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.950

Abstract

Stroke is the third leading cause of death in the world after coronary heart disease and cancer, both in developed and developing countries. Hyperglycemia can exacerbate neurological deficits and even increase mortality in ischemic stroke patients, but this is still controversial. This study aims to determine the effect of hyperglycemia at the beginning of hospital admission to the incidence of mortality in ischemic stroke patients at the Abdul Moeloek Regional General Hospital in 2017-2020. This type of research is analytic observational with a retrospective cohort study design. Data were taken from medical records with a total of 62 samples selected using a consecutive sampling technique. The results of the univariate analysis test showed that 53% of subjects experienced death (33 people). The results of the bivariate analysis test obtained p value <0.05 (p = 0.000), relative risk of 3.7, and a threshold value of 222.5 mg/dL. There is an effect of hyperglycemia at the beginning of hospital admission to the incidence of mortality in ischemic stroke patients at Abdul Moeloek Regional General Hospital.
PENATALAKSANAAN PADA PRIA USIA 53 TAHUN DENGAN DIABETES MELITUS TIPE 2 DAN TB PARU MELALUI PENDEKATAN DOKTER KELUARGA DI WILAYAH PUSKESMAS RAJABASA INDAH Soetardi, Eriza Kultsum R; Mayasari, Diana
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1142

Abstract

Non-communicable diseases (NCDs) and other degenerative diseases are still a major national health problem in Indonesia. One of the NCDs that continues to increase in Indonesia is Diabetes Mellitus cases. Morbidity and mortality rates due to type 2 diabetes and tuberkulosis (TB) are increasing among people with type 2 diabetes. According to WHO data, people with type 2 diabetes have a three times higher chance of contracting tuberkulosis (TB) than people without the disease. The aim of the family approach in the treatment of pulmonary tuberkulosis in diabetes mellitus sufferers is to determine the clinical, psychological and psychosocial determinants that influence the family. By implementing comprehensive family doctor services that are based on evidence-based medicine and a patient-centered approach. A 53 year old patient, who is the head of a family with teenage children and a school member whose only income is from the wife of a trader at school, has complaints of a cough that has not healed since the last month accompanied by intermittent fever, itchy throat, decreased appetite, body weight, and tingling in the hands and feet with a history of suffering from diabetes mellitus for 15 years. The patient was found to be suffering from diabetes and a new case of pulmonary tuberkulosis. The patient has difficulty carrying out activities and needs the role of family such as the patient's wife and children to help heal the patient's condition. After the intervention, the patient's fasting blood sugar decreased, clinical symptoms improved, and the level of knowledge increased. The patient's diagnosis of a new case of pulmonary tuberkulosis with type 2 diabetes was made according to recommendations. After implementing the patient-centered approach, family approach intervention, the patient's level of knowledge changed. As a result of implementing a comprehensive management strategy led by a family doctor, patient and family understanding of type 2 diabetes mellitus and pulmonary TB has increased. So that from the results of this research and intervention, it is hoped that patients and families will receive comprehensive services both in terms of physical, psychological health and level of knowledge with changes in behavior in managing the patient's illness.
Penatalaksanaan Holistik pada Anak Usia 6 Tahun dengan Tinea Kapitis melalui Pendekatan Kedokteran Keluarga di Wilayah Puskesmas Susunan Baru Nova Sabila; Mayasari, Diana
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1167

Abstract

Dermatophytosis is a superficial infection caused by dermatophyte fungi. This infection is also often called tinea. Classification is based on the part of the body affected, namely tinea capitis (head), tinea faciei (face), tinea barbae (beard), tinea corporis (body), tinea manuum (hands), tinea cruris (groin), tinea pedis (legs), tinea unguinum (nails). The prevalence of dermatophytosis in Asia is 35.6%, while in Indonesia it is 52%. Tinea capitis is the first and most common infection that occurs in pre-school and school-age children when compared to other types of tinea with risk factors originating from exposure to the school environment and hygiene applied at home. The aim of implementing family doctor services based on evidence-based medicine for patients is to identify risk factors, clinical problems, and patient management based on a framework for solving patient problems using a patient centered and family approach. The data obtained were primary data obtained through autoanamnesis, alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical records. Patient An. B aged 6 years as the age with the highest prevalence has internal risks, namely lack of knowledge, poor personal hygiene, and external factors found in the patient's environment. Management of patients holistically and comprehensively, patient-centered, family approach, and community-based in literature based on EBM. Interventions are provided medically and non-medically. Based on the evaluation results, it was found that there was an increase in knowledge, changes in clean and healthy lifestyles and understanding of disease.
PENATALAKSANAAN DISLIPIDEMIA DAN DISPEPSIA PADA LANSIA DENGAN PENGETAHUAN KURANG DAN AKTIVITAS FISIK YANG KURANG MELALUI PENDEKATAN KEDOKTERAN KELUARGA Rohmah, Zakiah Nur; Mayasari, Diana
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1341

Abstract

Dyslipidemia is a lipid metabolism disorder characterized by an increase or decrease in the levels of lipid fractions in plasma. Dyspepsia is a feeling of discomfort in the upper stomach. In Maret, in 2018 there were 28.8% of the Indonesian population aged ≥ 15 years with abnormal total cholesterol levels. In 2020, the prevalence of dyspepsia was 28 million people, 11.3% of the Indonesian population. The aim of this research is to determine risk factors, clinical problems, and manage patients by applying the principles of family medicine according to evidence-based medicine through a patient centered and family approach. The method of this study is a case report. Primary data through history taking, physical examination and home visits, to complete family data, psychosocial and environmental data. The assessment is carried out based on a holistic diagnosis of the beginning, process and end of the study quantitatively and qualitatively. Result: 69 years old patient with complaints of neck stiffness and headache since two weeks ago. The patient has a history of high cholesterol since the past year and does not regularly take cholesterol medication. The patient likes to eat oily foods and coconut milk. The patient has insufficient nutritional intake. The patient’s total cholesterol level was 271 mg/dL. The patient complained of upper stomach pain, a feeling of bloating in his stomach that had been getting worse for the past 2 days. Complaints were caused by sour, spicy and late eating. The patient experienced this complaint since 30 years ago. The patient was diagnosed with dyslipidemia and dyspepsia. In this case, diagnosis and treatment are carried out in accordance with theories and journals. After the intervention, there was improvement in clinical symptoms, increased knowledge, and changes in the patient’s lifestyle.
PENATALAKSANAAN DAN EXERCISE PADA DIABETES MELLITUS TIPE 2 DENGAN NEUROPATI PASIEN LAKI- LAKI LANSIA MELALUI PRINSIP PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS KEBON JAHE Andra, Aditya; Mayasari, Diana
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1345

Abstract

Diabetes mellitus, a metabolic disorder characterized by elevated blood glucose levels due to insulin deficiency or insulin resistance, is a pressing global health issue, with more than 537 million people affected worldwide, according to WHO data from 2023, and an annual mortality rate of 1.5 million. In Indonesia, the prevalence of type 2 diabetes reached 19,572,564 cases in 2021, with Lampung reporting 38,923 cases. One key area of concern is the Kebon Jahe Community Health Center, which has recorded a high incidence of diabetes. A lack of awareness about diabetes contributes to a high rate of complications such as neuropathy, which can lead to damage to sensory, autonomic, and motor nerves in the peripheral nervous system if not well controlled. The management aimed to implement a holistic and comprehensive family physician approach tailored to the patient’s problems, utilizing evidence-based medicine that is patient-centered, family-oriented, and community-oriented. Primary data were obtained through auto-anamnesis, physical examination, and home visits. Secondary data were gathered from the patient’s medical records. Evaluations were conducted based on a holistic diagnosis from the initial process to the final study, analyzed qualitatively and quantitatively. Mr. H, a 66-year-old man, visited the Kebon Jahe Community Health Center with complaints of tingling and numbness in his hands for the past two months. The patient also reported frequent urination, excessive thirst, and increased hunger. He experienced weight loss of 3 kg over the past three months. A physical examination revealed a deficit in protopathic sensory function. The patient had a habit of consuming sugar from tea or coffee, adding 1-2 tablespoons in 5 servings daily. The patient’s knowledge about his condition was limited. Management was carried out according to related theories and journal guidelines. During the evaluation, the patient was able to adhere to both pharmacological and non-pharmacological therapy recommendations.
Faktor-Faktor yang Berpengaruh terhadap Kelelahan Kerja pada Petugas Pemadam Kebakaran : Tinjauan Pustaka Adhim, Muhammad Risqi; Mayasari, Diana; Setiawan, Gigih
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1319

Abstract

Occupational Safety and Health (K3) is an important aspect in protecting workers from the risk of work accidents, including work fatigue which can have an impact on physical and mental health. Workplace fatigue often occurs due to various factors that can cause physiological and psychological disorders. Firefighters are a profession that has a high risk of work fatigue, considering the high number of fire incidents and the response system which is still not optimal. Heavy workloads and high physical and mental demands further increase the risk of work fatigue in firefighters. This research uses a literature review method by analyzing various academic journals published in the last five years (2019–2024). The research results show that there are two main factors that influence work fatigue, namely internal factors and external factors. Internal factors include age, years of service, smoking status, and sleep patterns. Meanwhile, external factors include workload, work stress, work attitudes and working time. Untreated work fatigue can have a negative impact on the work safety and productivity of firefighters, and even increase the risk of work accidents. Therefore, preventive efforts and a thorough evaluation of work safety limits are needed to minimize the risk of fatigue and create a safer and healthier work environment for firefighters.
Co-Authors A.T, Minerva Nadia Putri Adhim, Muhammad Risqi Ago, Muhammad Bagus Nitei Agustin, Marchella Aini, Silvina Nur Akramullah, Akramullah Andra, Aditya Anggraeni, Liza Ardhana, Nanda Rizki Asti, Andi Fajar Aulia Dita Maurizka Azhari Aziz Samudra Aziz, Muhammad Irsyad Nurullah Bustomi, Eka Chania Devi, Fryda Liana Dewi Nur Fiana Dian Isti Angraini Djuardi, Attisya Milenty Putri Dwi Indria Anggraini Dwita Oktaria Efriyan Imantika Eliza Techa Fattima, Eliza Techa Eri Dia, Eva Ety Apriliana Eva Eri Dia Fathaniah, Widya Fathia, Nauriel Fauzi Ahmad Muda Fitri, Dilla Syahra Noor Fitria Saftarina Fitriyana, Intan Gunata, Agustina Fadilla Hadibrata, Exsa Hafizha, Syifa Hana Muthi'a Putri Hanna Mutiara, Hanna Harsa, Shenia Verinda Hasbullah, Faza Ihsanti Dwi Rahayu Indri Windarti Irwansyah Irwansyah Isti Anggraini, Dian Isti Angraini, Dian Kussumawati, Risma Lay, Dhivana Anarchia Ria Leonard, Edo Christian Liana Sidharti, Liana Machmud Aminudin Mardiroharjo, Nanang Maulida, Syakira Zahra Mindaudah Murtane, Nyoman Mupu Nareswari, Prasnya Jatu Nova Sabila Novita Carolia Prihatin, yulianah Putra, Muhammad Ferdiansyah Putri A.T, Minerva Nadia Putri, Hanifah Sapto Putri, Reny Arienta Rahmah, Clarisa Rahmat Hidayat Rahmatika, Achisna Rahmawati, Nur Laili Rahmayani, Fidha Ramadhan, Risca Ariska Ramayani, Fidha Rasmi Zakiah Oktarlina ratri mauluti larasati, ratri mauluti larasati Ratu, Sarih Risal Wintoko Risti Graharti Rohmah, Zakiah Nur Roro Rukmi Windi Perdani, Roro Rukmi S, Johns Fatriyadi Santika, Maya Saputri, Chyntia Setiawan, Gigih Setiorini, Anggi Shinta Nareswari, Shinta Simatupang, Devi Fila Delfia BR Soetardi, Eriza Kultsum R Sofyan Musyabiq Wijaya Sri Waluyo Susianti, Susianti Sutarto Sutarto Syazili Mustofa Tarigan Sibero, Hendra Umroh, Afidatul Utama, WInda Trijayanti Utami, Putu Urvasi Ari Wiguna, Bangkit Adhi Wiwi Febriani Zahrani, Raisha Naomi Zanariah, Zam