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Journal : Medula

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.
Pengaruh HbA1c Terhadap Profil Lipid pada Pasien Diabetes Melitus Tipe 2 Suci, Maghfirly Juniarti Eka; Tjiptaningrum, Agustyas; Setiawan, Gigih; Kurniati, Intanri
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.v14i8.1263

Abstract

Diabetes Mellitus (DM) is characterized by a state of hyperglycemia due to insulin resistance, decreased insulin production, or both of these conditions which are classified into metabolic diseases. When checking the condition of type 2 DM, HbA1c can be checked as an indicator. High and uncontrolled HbA1c levels will cause disturbances in lipid profiles such as increased triglycerides, LDL, total cholesterol, and decreased HDL. The purpose of this study is to determine whether or not there is an effect of HbA1c on lipid profiles in type 2 DM patients. This method uses scientific publication search media such as Google Scholar, Pubmed, and old medical scientific journals using the keywords “lipid profile, HbA1c, type 2 diabetes mellitus, and dyslipidemia” obtained 15,700 articles and scientific journals. In patients with type 2 diabetes mellitus, glycemic control can be determined by HbA1c examination, high HbA1c levels are associated with disruption of lipid profile levels. The results of the study discuss the effect of HbA1c levels on lipid profiles in patients with type 2 diabetes and determine the relationship between the two.
Relationship between Student Engagement in Learning and Grade Point Average of Students Kristiani, Rini; Oktafany; Setiawan, Gigih; Lisiswanti, Rika
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1353

Abstract

Student engagement in learning is a form of student participation in the learning process. There are three dimensions in student involvement, namely behavioral, emotional, and cognitive dimensions. This study aims to find the relationship between student engagement in learning and its dimensions on GPA in students of the Medical Education Study Program, Faculty of Medicine, Lampung University (PSPD FK Unila). This research design is descriptive analytic with a cross-sectional approach conducted on students of class 2022 PSPD FK Unila with the sampling technique is total sampling. The data collection process used the University Student Engagement Inventory (USEI) questionnaire along with demographic data for GPA. The research was conducted in October-November 2024. The analysis was conducted using the spearman test. The results showed that the level of student engagement The highest was in the medium + low category totaling 168 students (80.8%), the most dominant dimension in engagement was behavioral engagement, then cognitive, and the lowest was emotional. Most students' GPA is in the very satisfactory category (64.5%), followed by praise (20.2%), and the last is satisfactory (15.3%). There was a significant relationship between student engagement in learning and GPA (p value = 0.027, r = 0.155). Further analysis found that there was a relationship between behavioral engagement on GPA (p value = 0.014, r = 0.173) and cognitive engagement on GPA (p value = 0.021, r = 0.162), while emotional engagement showed no significant relationship on GPA (p value = 0.558). There is a significant relationship between student engagement in learning and GPA in FK Unila PSPD students. The dimensions that are significantly related to GPA are the dimensions of behavioral and cognitive engagement, while the emotional dimension does not show a significant relationship to student GPA.
Gambaran Budaya Keselamatan Pasien di Rumah Sakit: Tinjauan Pustaka Amallia, Rizka Dina; Pramesona, Bayu Anggileo; Setiawan, Gigih; Saftarina, Fitria
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.v14i10.1389

Abstract

Patient safety culture is the key to providing high-quality and safe healthcare services. All healthcare providers, especially nurses, must be committed to creating and maintaining a strong patient safety culture. This research aims to gain a deep understanding of patient safety culture. The method used is a literature study taken from PubMed and Google Scholar databases published within the last 5 years and relevant to the topic. The selected articles are those that are fully available, focus on hospitals as the research site, and are written in Indonesian or English. The research shows that a good patient safety culture, characterized by leadership support, teamwork, open communication, and an effective incident reporting system, can improve the quality of healthcare and reduce risk of medical errors. However, many hospitals have not fully implemented a patient safety culture optimally. Some common challenges include low incident reporting rates, lack of leadership support, and a lack of a learning culture from mistakes. To address this problem, continuous efforts are needed to build a strong patient safety culture, such as increasing staff awareness, providing training, and creating safe environment for reporting errors.
Aktivitas Antibakteri Epigallocatechin Gallate (EGCG) Teh Hijau pada Bakteri Gram Positif dan Bakteri Gram Negatif Afifah, Syafira Hasna; Apriliana, Ety; Setiawan, Gigih; Berawi, Khairun Nisa
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.v14i12.1446

Abstract

Epigallocatechin gallate (EGCG) is a catechin compound found in green tea and is known for its various health benefits, including antioxidant, anti-inflammatory, and antibacterial activity. Research on the antibacterial effects of EGCG shows that this compound has significant potential in inhibiting the growth of various pathogens, both Gram-positive and Gram-negative bacteria. Gram-positive bacteria, such as Staphylococcus aureus and Streptococcus pneumoniae, are more sensitive to EGCG than Gram-negative bacteria. The antibacterial mechanism of EGCG in Gram-positive bacteria involves disrupting cell membrane integrity and inhibiting biofilm formation, while in Gram-negative bacteria, EGCG can increase the permeability of the outer membrane and increase the penetration efficiency of antibiotics. However, the main challenge in using EGCG against Gram-negative bacteria is the structural barrier present in the outer membrane, which limits the penetration of the compound. The use of EGCG in combination therapy with antibiotics shows great potential in overcoming antibiotic-resistant infections, strengthening antibacterial activity, and reducing side effects. Although EGCG shows promise as an antibacterial therapy, challenges related to bioavailability, stability, and formulation need to be overcome to optimize its potential in the treatment of difficult-to-treat bacterial infections.