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Transient Ischemic Attack : Tantangan dalam Mendiagnosis Akuba, Nanda Nurrohim; Susianti; Daulay, Suryani Agustina; Berawi, Khairun Nisa
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1360

Abstract

Stroke is a condition characterized by the rapid development of clinical signs of focal and global neurological deficits, which can worsen and persist for 24 hours or more, potentially leading to death, with no clear cause other than vascular. Transient Ischemic Attack (TIA) is a temporary neurological dysfunction caused by a blockade or reduction in blood perfusion to brain tissue, lasting from a few seconds to minutes, and in some cases, up to 24 hours. Diagnosing TIA is challenging because patients typically present after the TIA has resolved, making it crucial to diagnose TIA clinically before confirming the diagnosis with additional examinations such as CT-Scan or MRI. There are meta-analysis studies that describe the role of certain biomarkers in supporting the diagnosis of TIA. Due to the closely related pathomechanisms between TIA and ischemic stroke, almost all the same biomarkers can be used to diagnose both conditions. There are scoring systems used to identify the risk of stroke in patients with TIA, with the ABCD² score being the most commonly used. Rapid assessment and the implementation of adequate therapy reduce the risk of TIA progressing to ischemic stroke.
Faktor-Faktor yang Memengaruhi Perfoma Atlet Prestasi Olahraga Permainan Bola Kecil Farhati, Soraya; Berawi, Khairun Nisa; Daulay, Suryani Agustina; Kurniawan, Candra
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1379

Abstract

Small ball game sports are a category of sports that involve small-sized balls and bats. Examples of these sports include badminton, rounders, baseball, softball, tennis, and others. Indonesia has not yet achieved notable achievements in small ball game sports. To improve performance and achieve better results, athletes must maintain optimal performance levels. It is crucial to identify and optimize all factors affecting the performance of small ball game athletes to help them reach their full potential. Optimal physical condition is the most essential factor for athletes. Physical fitness can be improved through the right combination of frequency, intensity, duration, and types of exercise. Another factor that affects athletic performance is nutrition, including macronutrients such as carbohydrates, proteins, and fats, as well as micronutrients like vitamins and minerals. Athletes have different nutritional needs compared to non-athletes. Furthermore, nutritional requirements vary across different sports disciplines and are highly individualized. Psychological factors also significantly affect an athlete's performance. An athlete's psychological state greatly influences their concentration during competitions and plays a crucial role in their ability to perform at their best. Key psychological aspects to consider include discipline, motivation, self-confidence, and personality. To achieve optimal performance, athletes require physical training, nutritional monitoring, and psychological support.
Karakteristik Pasien Apendisitis di RSUD Dr. H. Abdul Moeloek Fitria, Aghniya Rizqy; Ricky Ramadhian, Muhammad; Daulay, Suryani Agustina; Zuraida, Reni
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1405

Abstract

Appendicitis is inflammation of the vermiform appendix that can lead to perforation if not treated promptly. This study aims to identify the characteristics of appendicitis patients at RSUD Dr. H. Abdul Moeloek Lampung Province from January 2023 to July 2024. The method used was a descriptive observational study using secondary data from medical records of appendicitis patients. The sample was taken using total sampling, which was then selected based on inclusion and exclusion criteria, involving 84 patients with complete medical records and histopathology results. The results showed that the majority of appendicitis patients were in the 21-60 age range (49%), followed by the 0-20 age range (44%) and the >60 age group (7%). Based on gender, more male patients (56%) were found compared to females (44%). The most common type of appendicitis was simple acute appendicitis (48.8%), followed by perforated acute appendicitis (36.9%) and chronic appendicitis (14.3%). These findings are consistent with other studies showing a higher incidence of appendicitis in young adults and a higher prevalence in males. This study provides important insights into the characteristics of appendicitis patients, which may aid in early detection and more effective management.
Factors Affecting Academic Stress in Medical Students Literature Review Nirwan, Qurratul Aini; Rahmanisa, Soraya; Daulay, Suryani Agustina; Sari, Ratna Dewi Puspita
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1444

Abstract

A student is an individual who studies at a higher education institution. A medical student is a student who requires dedication and undergoes significant pressure to complete their studies. Medical students are highly vulnerable to academic stress. Stress is a threatening state experienced by an individual, while a stressor is the source of stress. Academic stress occurs when students face academic pressure, such as intensive learning activities. Stressors that can contribute to academic stress include exams, practical sessions, assignments, and time constraints that must be managed within a short period. Academic stress impacts mental health, which in turn affects students' academic performance. Stress induced by psychological pressure causes changes in the body, resulting in two types of responses: slow and fast responses. These responses are linked to two physiological systems: the sympathetic adrenomedullary system and the hypothalamic-pituitary-adrenal  HPA   axis. Several factors influence academic stress in medical students, including self-efficacy, hardiness, optimism, achievement motivation, procrastination, and social support. High self-efficacy helps students manage stress, while hardiness strengthens their resilience in facing pressure. Optimism and achievement motivation contribute to students' ability to recover from failure and stay focused on their goals. Conversely, procrastination worsens stress due to delays in completing tasks. Social support from family, friends, and institutions plays a crucial role in reducing stress by providing a sense of security and emotional balance for students.
Penyuluhan Deteksi Dini Kanker Leher Rahim Metode Tes IVA Pada Wanita Usia Subur di Desa Muaratais Tahun 2020 Daulay, Suryani Agustina
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 2 No. 3 (2020): Vol. 2 No. 3 Desember 2020
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (611.422 KB)

Abstract

Cervical cancer is the most common cancer in women with 7.5% of all deaths due to cervical cancer. Cervical cancer is still found in many developing countries, including Indonesia. The aim of this PKM is to motivate women of reproductive age (WUS) about the importance of early detection of cervical cancer using the IVA test method. PKM activities were carried out by means of health education methods using leaflet media to 30 WUSs in Muaratais Village. The results of this outreach activity were continued by providing an evaluation to WUS, namely questions and answers regarding the material on early detection of cervical cancer using the given IVA test method. There were three questions that were asked by the extension agent to WUS. Based on the answers given, the WUS showed that the WUS understood the material provided by the extension agents. PKM activities carried out went well. The WUS in Muaratais Village who participated in the activity seemed enthusiastic about participating in the counseling activities.
Efektivitas Penyuluhan Terhadap Perilaku Deteksi Dini Kanker Leher Rahim Metode Tes IVA Pada WUS di Puskesmas Pembantu Muaratais Tahun 2019 Daulay, Suryani Agustina; Sitorus, Samsidar; Sibero, Jitasari Taringan
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 4 No 2 (2019): Vol.4 No.2 Desember 2019
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cancer is the second leading cause of death in the world (13%) after cardiovascular disease. Cervical cancer is the most common cancer in women with 7.5% of all deaths. The purpose of this study was to determine and analyze the effectiveness of counseling on the early detection of cervical cancer IVA method in WUS at the Muaratais Helper Health Center in 2019. This type of research is a Quasi experimental study. The population in this study was WUS mothers in the Working Area of Muaratais Support Health Center as many as 1390 people. The sample consisted of 60 WUS mothers. The sample was divided into 2 groups: the Experiment and Control group with 30 people each. The experimental group was intervened with counseling and the control group was not given an intervention. The instrument used was a questionnaire. Data analysis was performed univariate, bivariate. The results showed in the experimental group after being given counseling the results of paired statistical t test with a significant level of sig α 0.05 obtained p-value 0,000 <0.05, which means there are differences before counseling and after counseling on knowledge about early detection of cancer cervix IVA method on WUS at the Muaratais Support Health Center in 2019. The conclusion of this study is that counseling is effective in improving maternal behavior in early detection of cervical cancer IVA test methods.
Faktor yang Berhubungan Dengan Rendahnya Penggunaan KB Implant Pada Wanita Pasangan Usia Subur (WUS) di Desa Pintupadang Kecamatan Batang Angkola Tahun 2020 Daulay, Suryani Agustina
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 5 No 2 (2020): Vol.5 No. 2 Desember 2020
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v5i2.249

Abstract

Family planning program is an effective way to prevent maternal and child mortality because it can help married couples avoid high-risk pregnancies, reduce the risk of maternal mortality through pregnancy prevention, delay, gestational age and spacing pregnancies with the main target being couples of reproductive age . The purpose of this study was to determine the factors associated with the low use of implant family planning in women with fertile age couples (WUS) in Pintupadang Village, Batang Angkola District in 2020. This study used an analytical survey with a cross sectional approach. The population used was all women in fertile age (WUS) in the village of Pintupadang, Batang Angkola District, amounting to 40 people. Sampling was carried out using the total population technique. This research was conducted in Pintupadang Village, Batang Angkola District. Data analysis using the Chi-Square test. The results of this study were knowledge with a value of p = 0.001 (<0.05), parity with a value of p = 0.013 (<0.05) and husband's support with a value of p = 0.005 (<0.05). The conclusion of this study is that there are factors that are associated with the low use of implant planning in women with fertile age couples (WUS) in Pintupadang Village, Batang Angkola District in 2020.
PENYULUHAN TENTANG PERAN GIZI SEIMBANG TERHADAP TUMBUH KEMBANG ANAK DI DUSUN VIII DESA WAY HUWI KECAMATAN JATI AGUNG LAMPUNG SELATAN Daulay, Suryani Agustina; Utama, Winda Trijayanthi; Steven, Nixon; Raharjo, Shafana Azzahra
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 9 No. 1 (2024): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v9i1.3294

Abstract

Posyandu sebagai bentuk Upaya Kesehatan Bersumberdaya Masyarakat (UKBM) memberdayakan masyarakat dan memudahkan mereka dalam mendapatkan pelayanan kesehatan dasar, terutama untuk ibu, bayi, anak, dan lansia. Stunting (pendek dan sangat pendek) dan Wasting (gizi kurang dan gizi buruk) menjadi fokus utama dalam menangani masalah kesehatan masyarakat. Penyuluhan tentang peran gizi seimbang terhadap tumbuh kembang anak dengan metode ceramah merupakan salah satu upaya untuk meningkatkan pengetahuan masyarakat sehingga masyarakat memperbaiki gizi untuk kesehatan anaknya, Peningkatan pengetahuan masyarakat tentang peran gizi seimbang terhadap tumbuh kembang anak dinilai dengan melakukan pengisian kuesioner sebelum dan sesudah dilakukan penyuluhan. Hasil kegiatan pengabdian ini menunjukkan adanya peningkatan pengetahuan masyarakat mengenai peran gizi seimbang terhadap tumbuh kembang anak, baik dari segi pencegahan maupun dari akibat yang ditimbulkan. Pengetahuan yang baik tentang peran gizi seimbang terhadap tumbuh kembang anak diperlukan untuk membentuk perilaku hidup sehat sehingga dapat menekan prevalensi stunting dan Wasting. Kata kunci: Penyuluhan, Peran Gizi, Tumbuh Kembang Anak
PENGUATAN KADER JUMANTIK DAN PEMBERDAYAAN MASYARAKAT PADA PENCEGAHAN PENYAKIT DEMAM BERDARAH DENGUE (DBD) DI DESA KARANG ANYAR KECAMATAN JATI AGUNG KABUPATEN LAMPUNG SELATAN: PENGUATAN KADER JUMANTIK DAN PEMBERDAYAAN MASYARAKAT Kurniawaty, Evi; Oktarlina, Rasmi Zakiah; Daulay, Suryani Agustina; Febriani, Wiwi; Sutarto, Sutarto
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 9 No. 2 (2024): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v9i2.3422

Abstract

Kegiatan penyuluhan kesehatan tentang Demam Berdarah Dengue (DBD) di Desa Karang Anyar, Kecamatan Jati Agung, Kabupaten Lampung Selatan, pada Juli 2024 bertujuan untuk meningkatkan pengetahuan masyarakat dan keterampilan kader jumantik dalam pencegahan dan penanganan dini penyakit DBD. Kegiatan ini mencakup sosialisasi terkait penyebaran, gejala, dan langkah pencegahan DBD, serta pelatihan kader jumantik dengan teknik surveilans dan Pemberantasan Sarang Nyamuk (PSN) melalui program 3M Plus. Evaluasi dilakukan melalui pre-test dan post-test untuk mengukur efektivitas penyuluhan. Hasil menunjukkan peningkatan signifikan dalam pengetahuan peserta, yang tercermin dalam kenaikan rata-rata nilai post-test dibandingkan pre-test. Distribusi peserta berdasarkan usia menunjukkan bahwa kegiatan ini menarik perhatian berbagai kelompok usia, dengan partisipasi tertinggi pada kelompok usia muda, yang menunjukkan minat mereka terhadap peningkatan pengetahuan kesehatan. Efektivitas kegiatan ini didukung oleh analisis statistik paired t-test dan ukuran efek Cohen's d, yang menunjukkan bahwa intervensi penyuluhan memiliki dampak signifikan dan besar terhadap peningkatan pemahaman peserta. Partisipasi aktif masyarakat menunjukkan kesadaran yang tinggi akan pentingnya pencegahan DBD. Disarankan agar penyuluhan dilakukan secara berkala, terutama pada musim hujan saat risiko DBD meningkat. Selain itu, pemerintah daerah dan puskesmas setempat diharapkan mendukung program dengan menyediakan materi edukasi tambahan dan memfasilitasi pemantauan jentik berkala serta pemberdayaan kader jumantik untuk keberlanjutan pencegahan DBD yang efektif di tingkat komunitas.
Deteksi dini status gizi melalui pemeriksaan Bioelectrical Impedance Analysis (BIA) dan skrining penyakit tidak menular pada lansia Yuningrum, Hesti; Daulay, Suryani Agustina; Febriani, Wiwi; Ulandari, Atri Sri; Nabilla, Nabilla
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 6 (2025): November (In Progress)
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i6.36063

Abstract

Abstrak Kelompok lansia merupakan populasi yang sangat rentan terhadap berbagai masalah kesehatan, termasuk malnutrisi dan penyakit tidak menular (PTM) seperti hipertensi, diabetes melitus, dan dislipidemia. Deteksi dini terhadap perubahan komposisi tubuh dan faktor risiko PTM penting dilakukan guna mencegah komplikasi dan menurunkan beban penyakit pada kelompok usia ini. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan deteksi dini status gizi menggunakan alat Bioelectrical Impedance Analysis (BIA) serta melakukan skrining PTM (tekanan darah, gula darah, dan asam urat) pada lansia di posyandu lansia kebon bibit diwilayah kerja Puskesmas Hajimena, Lampung. Metode yang digunakan meliputi pemeriksaan langsung dan edukasi hasil skrining. Sasaran kegiatan adalah 40 orang lansia yang aktif mengikuti posyandu lansia. Kegiatan pengabdian kepada masyarakat ini dapat meningkatkan kesadaran lansia akan pentingnya pemantauan status gizi dan kesehatan secara berkala. Hasil skrining PTM berdasarkan tekanan darah menunjukkan sebagian besar lansia dengan kategori pre hipertensi sebanyak 14 orang (35%), kadar gula darah sewaktu (GDS) dalam kategori normal sebanyak 32 orang (80%) dan pemeriksaan asam urat kategori tinggi sebanyak 24 orang (60%). Pemeriksaan menggunakan BIA didapatkan nilai IMT sebagian besar responden kategori obesitas sebanyak 18 orang (45%), lemak tubuh kategori sangat tinggi sebanyak 29 orang (72.5%), lemak visceral kategori normal sebanyak 27 orang (67.5%) dan massa otot kategori rendah sebanyak 28 orang (70%).  Penggunaan metode BIA dan skrining penyakit tidak menular dapat mendeteksi permasalahan gizi serta faktor risiko PTM. Program ini memperkuat tindakan promotif dan preventif dalam pelayanan kesehatan yang dapat dilakukan oleh petugas kesehatan seperti bidan desa. Kata kunci: deteksi dini; status gizi; BIA; Penyakit tidak menular; lansia. Abstract The elderly are a population that is highly vulnerable to various health problems, including malnutrition and non-communicable diseases (NCDs) such as hypertension, diabetes mellitus, and dyslipidemia. Early detection of changes in body composition and NCD risk factors is important in order to prevent complications and reduce the burden of disease in this age group. This community service activity aims to conduct early detection of nutritional status using Bioelectrical Impedance Analysis (BIA) and screening for NCDs (blood pressure, blood sugar, and uric acid) in the elderly at the Kebon Bibit elderly health center in the Hajimena Community Health Center working area. The methods used included direct examination and screening result education. The target of the activity was 40 elderly people who actively participated in the elderly health center. This community service activity can increase the awareness of the elderly about the importance of regular monitoring of nutritional status and health. The results of the PTM screening based on blood pressure showed that most elderly people were in the pre-hypertension category, with 14 people (35%), while 32 people (80%) had normal blood sugar levels (GDS) and 24 people (60%) had high uric acid levels. The BIA examination found that most respondents were obese, with 18 people (45%) in the obese category, 29 people (72.5%) in the very high body fat category, 27 people (67.5%) in the normal visceral fat category, and 28 people (70%) in the low muscle mass category.  The use of the BIA method and non-communicable disease screening can detect nutritional problems and NCD risk factors. This program strengthens promotive and preventive actions in health services that can be carried out by health workers such as village midwives. Keywords: early detection; nutritional status; BIA; non-communicable diseases; elderly.