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Oktafany, Oktafany
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Hubungan Citra Tubuh dengan Status Gizi pada Mahasiswi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Lampung Marzon, Mafalda; Zuraida, Reni; Oktafany, Oktafany; Berawi, Khairun Nisa
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.v14i1.910

Abstract

In adolescence, health and nutrition have an important role in determining health and nutritional status in the next phase of the life cycle. The prevalence of abnormal nutritional status in Lampung Province is 24.91% for late adolescence aged 19 years and 35.97% for aged 20-24 years, while normal nutritional status for those aged 19 years is 75.09% and those aged 20-24 year amounted to 64.03% according to Riskesdas 2018. This occurs because there are factors that can influence nutritional status, such as body image. This study aims to determine the relationship between body image and nutritional status. The research design used in this research is analytical with a cross sectional approach, with a simple random sampling technique. There were 116 respondents obtained using the unpaired comparative categorical analytical formula. In this study there were 2 variables, namely body image and nutritional status. Body image variables are measured by MBSRQ (Multidimensional Body Self Relations Questionnaire) and body image variables are measured by body mass index. The data collected was analyzed univariately and bivariately with Chi-Square. The results of the univariate test showed that abnormal nutritional status was 65.5%, while normal nutritional status was 34.5%. In terms of body image, 20.7% of respondents had a positive body image and 79.3% had a negative body image. Based on bivariate analysis, there is a relationship between body image and nutritional status (p = 0.023). From the research results, it can be concluded that there is a significant relationship between body image and the nutritional status of students in the Medical Education Study Program, Faculty of Medicine, University of Lampung.
Analisis Fear of Failure (FoF) pada Mahasiswa Kedokteran Vidini Caya, Tazkia; Oktafany, Oktafany; Islami, Suryadi
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.v14i2.988

Abstract

Fear of failure is a person's response to the failure they experience and anticipation to avoid the bad consequences of that failure. Fear of failure can have both positive and negative impacts. Anyone can experience fear of failure, including medical students as students who are pursuing an education full of challenges and responsibilities. Medical students take a longer period of education and bear greater demands and roles than other students. To determine the level of fear of failure, the researchers used a research instrument in the form of a questionnaire, namely the Performance Failure Appraisal Inventory (PFAI). Universally, medical education educates students with the academic achievements that need to be achieved to obtain a license and guarantee a bright future. Without academic achievement and good achievement, degrees and job opportunities, even continuing education will not be easy to obtain. The level of fear of failure varies based on gender, academic year, Grade Point Average (GPA), interest in medical science, etc. Fear of failure shows a negative relationship with medical student learning achievement. Thus, fear of failure in medical students needs to be a concern for educational institutions in understanding student behavior and shaping the scope of teaching and providing counseling that can help medical students overcome the fear of failure.
Review Article: Tatalaksana Hipertensi Pada Kehamilan Santika, Mesi; Oktafany, Oktafany; Damayanti, Ervina; Sukohar, Asep
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1090

Abstract

Hypertension is an increase in blood pressure exceeds normal limits i.e. blood pressure ≥140/90 mmHg. Hypertension in pregnancy consists of four categories, namely preeclampsia/eclampsia, chronic hypertension, superimposed preeclampsia with chronic hypertension and gestational hypertension. Hypertension in pregnancy should be managed appropriately to reduce maternal and fetal morbidity and mortality rate, i.e. by preventing women from getting the risks of increased blood pressure, preventing disease progression and preventing the development of seizure and considering termination of pregnancy in life threatening situation for maternal and fetal health. The purpose of this literature review is to determine the management of hypertension in pregnancy. The method used is a literature review, i.e. by searching for both international and national literature using the google scholar and pubmed databases with the keyword "Management of hypertension in pregnancy". There are two categories of antihypertensive drug use in pregnancy, i.e. antihypertensive drugs that can be safely used in pregnancy and antihypertensive drugs to avoid in pregnancy. Antihypertensive drugs that are safe to use are labetalol, nifedipine, methyldopa, hydralazine, magnesium sulfate and prazosin. Antihypertensive drugs that should be avoided are angiotensin-converting enzyme inhibitor, angiotensin receptor blocker, diuretic, beta blocker (except labetalol) and calcium-channel blocker (except nifedipine and diltiazem).
POTENSI INTERAKSI OBAT PADA PASIEN SKIZOFRENIA Suri, Nurma; Salsabila, Lyansaputri; Adjeng, Andi Nafisah Tendri; Oktafany, Oktafany
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.v14i8.1165

Abstract

In the treatment of schizophrenia, antipsychotics as the main therapy are generally combined with additional therapy. Combination therapy has a risk of drug interactions. The aim of the study was to describe the potential factors that influence drug interactions. The study was conducted using observational quantitative analytic methods with a retrospective cross-sectional approach. The sample was selected by total sampling method in the medical records of inpatients at the Lampung Mental Hospital from January-December 2022. The Lexicomp software was used to identify potential drug interactions. In the 265 samples, 344 treatment profiles were obtained with a total of 1349 drugs used. Then, 1786 potential drug interactions were classified as level of risk A (0%), B (0.8%), C (80.2%), D (19%), and X (0%). There was a significant relationship between gender, length of stay, and number of drugs (p<0.05) on potential drug interaction level D (major). Multivariate analysis showed the number of drugs had the strongest relationship (p=0.000 OR=8.233) to potential drug interactions. There was a significant relationship between gender, length of stay, and number of drugs with potential drug interactions level D. The number of drugs had the strongest with potential drug interactions.
Insomnia pada Mahasiswa Kedokteran: Sebuah Tinjauan Pustaka Fuad Fadillah; Lisiswanti, Rika; Rudiyanto, Waluyo; Oktafany, Oktafany
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.v14i9.1416

Abstract

A person who struggles to fall asleep and/or stay asleep is said to have insomnia. In Southeast Asia, 67% of 1,508 persons suffer from insomnia worldwide, and 7.3% of those who suffer from it are students. About 67% of Indonesians suffer from insomnia, with mild insomnia accounting for 55.8% and moderate insomnia for 23.3% of cases. Students who suffer from insomnia suffer, particularly those studying medicine. Medical students' usage of devices and the stress that comes with learning are linked to insomnia. By interfering with the body's sleep and wake cycle and blocking the melatonin hormone's function, using electronics at night, particularly shortly before bed, can make it difficult for the body to regulate and manage the ideal time to go to sleep and the time to be awake. Through the HPA-axis mechanism, which is triggered by corticosteroid releasing factor (CRF) and arginine vasopressin (AVP), anxiety can result in sleeplessness. This may lead the body to produce more cortisol, which would raise the wakefulness system and result in insomnia. Those who suffer from insomnia, particularly the medical students in this piece, incur unpleasant consequences. Fatigue, memory loss, and concentration issues are some of the issues that cause insomnia and impact a person's performance during the day. Disrupting concentration makes learning ineffective, which can ultimately impact medical students' performance and the quality of graduates.
The Role of Between Scenario Quality and Prior Knowledge on the Effectiveness of Tutorial Discussions in Problem-Based Learning (PBL): Literature Review Mu'izabby, Iffah Salma; Oktafany, Oktafany; Ratna, Maya Ganda; Lisiswanti, Rika
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1460

Abstract

Problem-Based Learning (PBL) is a learning method that puts students at the centre of the learning process, encouraging them to learn independently through problem solving. One of the main approaches in PBL is tutorial discussion, which plays an important role in promoting deep learning. The effectiveness of tutorial discussions is influenced by three main aspects: the quality of the problem scenario, students' prior knowledge, and tutor performance. The scenario should be authentic, relevant to the students' level of understanding, and able to stimulate independent learning. Students' prior knowledge also affects their contribution to the discussion, as adequate understanding allows for more active engagement. In addition, the tutor's role in facilitating the discussion also influences the success of the PBL method. The quality of the scenario and prior knowledge play an important role in the effectiveness of Problem-Based Learning (PBL) discussions, although their relationship is not always statistically significant. The quality of a well-designed scenario can stimulate meaningful discussions, motivate students, and support the achievement of learning objectives. Prior knowledge, while not necessarily determining the success of the discussion, influences how students integrate new information. Groups with lower prior knowledge can show higher discussion effectiveness through active exploration. Overall, the effectiveness of PBL is influenced by the interaction between the quality of learning design and student characteristics, suggesting the need for a holistic approach in designing PBL scenarios.
Co-Authors Anisa Nuraisa Jausal Aqsha, Shabita Asep Sukohar Asep Sukohar Audry Lintang Hasanuddin Ayu S, Putu Ristyaning Chalida, Aprilly Adlina Citra Yuliyanda Pardilawati Damayanti, Ervina Dianda Faradiba Wardani DWi Aulia Ramdini Dwita Oktaria Ety Apriliana Fuad Fadillah Hanna Mutiara, Hanna Ihsanti Dwi Rahayu Junando, Mirza Khairun Nisa Kurniawaty, Evi Mallarangeng, Andi Nafisah Tendri Adjeng Marzon, Mafalda Mu'izabby, Iffah Salma Muhammad Yusran Nabilla Nabilla Natanael, Jessica Nurliwayka Qodri, Amari Oktadoni Saputra Puspita, Ratna Dewi Putri, Asyifa Adinda Rahmadian, M. Ricky Ramdini, Dwi Aulia Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Reni Zuraida Rika Lisiswanti Rizki Hanriko Rudiyanto, Waluyo Salsabila, Lyansaputri Santika, Mesi Sari, Merry Indah Suri, Nurma Suryadi Islami Sutyarso Sutyarso Tri Umiana Soleha Vidini Caya, Tazkia Winda Trijayanthi Utama, Winda Trijayanthi Wulan, Anggraini Janar Yasmin Al Illyyin Zahra Nur Sa'diyyah