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Journal : Medula

Hubungan Obesitas dengan Perubahan Perilaku pada Remaja di SMPN 4 Bandar Lampung Putri Giani Purnamasari; Khairun Nisa Berawi; Fitria Saftarina
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.24

Abstract

Obesity (overweight) is a fundamental disease from non-communicable diseases such as diabetes, hypertension, and cardiovascular disease who still becomes a major health issue in Indonesia and the world. The teenager is a transition period that involves changes in physiological, psychological, social, and can develop into overweight or obesity. The fear of being obese is more common in girls than boys, and this explains why an effort to lose weight is mostly found in girls. This study aimed to determine the relationship between obesity and teenagers' behavioral changes in 14-16 years old of SMPN 4 Bandar Lampung students. It was a comparative analytic with a cross-sectional study. The sampling method used a case-control and using a questionnaire as a measuring tool. Data were then analyzed with a chi-square test. The study was conducted against 77 respondents with 48 respondents (62.3%) who were obese and 29 respondents (37.7%) not obese. While as many as 20 respondents (26.0%) had problematic behavior and 57 respondents (74.0%) did not have problematic behavior. The result of the chi-square test with a p-value was 0.015. There was a significant association between obesity with the teenager's behavior change in SMP Negeri 4 Bandar Lampung.
Hubungan Higiene Personal Terhadap Kejadian Tinea Versicolor Pada Santri Pria Di Pondok Pesantren Darussa’adah Mojo Agung, Lampung Tengah Soni Setiya Wardana; Fitria Saftarina; Tri Umiana Soleha
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.41

Abstract

Tinea versicolor is an infection of superfisial fungal caused by Malassezia furfur, chronic, mild and usually without inflammation. Tinea versicolor occurs because of the condition that affect the balance between host and the fungal. Personal hygiene influenced by body image, social practic, social economic status, knowledge, culture, personal choices and physical condition. Poor personal hygiene levels is a risk factor for tinea versicolor. This study aimed to determine the relationship between personal hygiene and the incidence of tinea versicolor on male students in islamic boarding school. This study is an analytic observational with quantitave research method and cross-sectional approach. The sample in this study were 68 male students at the islamic boarding school. The diagnosis of tinea versicolor confirmed by clinical and microscopic findings on skin scrapings. Bivariate data analysis using chi square test (????=10%; CI=90%). The results of this study showed that 58,6% of respondents have a poor personal hygiene and 21,4% of the respondents had tinea versicolor. From chi sqaure test analysis, it was found that the relationship of personal hygiene and the incidence of tinea versicolor statistically significant with p=0,013. From this study we can conclude that there was a relationship between personal hygiene and the incidence of tinea versicolor.
Perbedaan Penyembuhan Luka Bakar Derajat II antara Pemberian Topikal Ekstrak Sel Punca Mesenkimal Wharton’s Jelly Tali Pusat Manusia dan Moist Exposed Burn Oitment (MEBO) pada Tikus Putih Jantan (Rattus Norvegicus) Galur Sparague Dawley Eka Lestari; Evi Kurniawati; Fitria Saftarina
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.88

Abstract

Abstract Moist Exposed Burn Ointment (MEBO) is an ointment which can accelerate burn healing. Wharton's jelly mesenchymal stem cell (WJMSc) extract in human umbilical cord has the ability to potentially assist the burns healing process. This research was a laboratory experimental study with the use of 27 white rat induced with second degree burns and was divided into a control group (K1), Moist Exposed Burn Ointment (MEBO) group (P1) and WJMSc (P2) group. Observation of burn healing rate used healing time and burn diameter was conducted for 28 days. Data were analyzed using One way ANOVA and Kruskal wallis statistic test with 5% of α value. Average burn healing rate of K1 group: 26,78 days, P1: 24,56 days, P2: 19,67 days with the result of burn healing rate data analyzed test is p:0,005. Differences in burn diameter occurred on day 8, 12, 16, 20 and 24 on the ploriferation and remodeling stage with the result of burn diameter data analyzed test is p<0,05. Conclusion: There was a significant difference on the speed of burn healing and burn diameter between treatment group with p: 0,001. WJMSc is the fastest therapy and the largest diameter cutback.
Penatalaksanaan Holistik Asma Eksaserbasi Pada Pasien Perempuan Usia 39 Tahun dengan Pendekatan Kedokteran Keluarga Hanifa Yuniasari; fitria saftarina
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.295

Abstract

Asthma is a chronic respiratory disease with a complex multifactorial disorder and its etiology is associated with the interaction between genetic susceptibility, host factors, and environmental exposures. Asthma can be considered a significant public health problem. Recurrent asthma symptoms often cause difficulty, daytime fatigue, reduced activity and productivity, and increase absenteeism from school and work. Asthma management must be with continuous monitoring to achieve controlled asthma, so it is necessary to manage patients holistically and comprehensively to improve patients’ quality of life. This study is a case report of asthma exacerbation in a woman who has various internal and external risk factors that influence the patient's disease. Primary data were obtained through history taking, physical examination and support during home visits. Secondary data obtained from the patient's medical record. Management of patients with asthma exacerbations is carried out comprehensively with the concept of a patient-centered, family-focused, and community-oriented approach. Medical management is in the form of relieving drugs and asthma control drugs. Non-medical management is in the form of education about asthma, including explaining and asking patients to identify and avoid asthma triggers. The results of the evaluation showed changes in attitudes in reducing the risk of exacerbations and improvements in asthma control as assessed by the Asthma Control Test.
Family Medicine Services for Elderly Women with Uncontrolled Grade II Hypertension and Obesity Anggita Gardeesna Sari; Fitria Saftarina
Medula Vol 11 No 1 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i1.193

Abstract

Hypertension is an abnormal increase in blood pressure which can be a major cause of cardiovascular disease. It is a condition characterized by systolic blood pressure> 140 mmHg and / or diastolic blood pressure> 90 mmHg. The prevalence of hypertension in Indonesia occurs in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). One of the risk factors associated with hypertension is obesity. Every 1 kg of increase in body weight has a HR for suffering from hypertension of 1.36 (95% CI: 1.29-1.45). In addition, based on the results of previous studies, it shows that every kilogram of weight loss can reduce systolic blood pressure by 1.05 mmHG and diastolic by 0.92 mmHg. Hypertension can be controlled by improving modifiable risk factors. This is the reason for comprehensive management of hypertensive patients with risk factors for obesity, in order to prevent serious complications in patients that lead to decreased quality of life of patients both within the family and community.
HUBUNGAN PERILAKU PERSONAL HYGIENE DENGAN KERACUNAN PESTISIDA MELALUI PENGUKURAN KADAR CHOLINESTERASE DALAM DARAH PADA PETANI DI PEKON SRIKATON KECAMATAN ADILUWIH KABUPATEN PRINGSEWU TAHUN 2017 Devi Liani Octiara; fitria saftarina
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.256

Abstract

Pesticides are very popular chemicals used to control the development or growth of pests, diseases, and weeds. Farmers are the largest working group in Indonesia to improve optimal agricultural output, farmers apply various technologies, including the use of chemicals. This study aims to analyze the relationship of personal hygiene behavior with pesticide poisoning in the blood of farmers in Pekon Srikaton Adiluwih Pringsewu District. This research used cross sectional research design with sampling technique such as consecutive sampling. The samples of this research are 86 farmers in Pekon Srikaton Adiluwih Pringsewu District. The statistical analysis was calculated using fisher exact test with a significance value a<5%. The statistical test showed that 20 farmers (91,9%) is pesticide poisoning and not pesticide poisoning is 7 farmers (8,1%), 20 farmers has work experiences less than 10 years (23.3%) and 66 farmers (76,7%) more than 10 years work experiences. Fisher test results obtained p value 0.508. There isn't  a relationship between work experiences and pesticide poisoning in blood to farmers in Pekon Srikaton Adiluwih Pringsewu District. This study conclude that there isn’t a relationship between work experiences and pesticide poisoning in the blood of farmers in Pekon Srikaton Adiluwih Pringsewu District.
Inovasi Kedokteran Komunitas Dalam Pelatihan Keselamatan Kerja Di Bidang Pertanian Berbasis Teknologi Melalui Permainan Digital Tasya Alifia Hanin; Fitria Saftarina; Dewi Nur Fiana
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.484

Abstract

The Occupational Health and Safety sector is currently in training methods to minimize the risk of injury and increase safety at work. Various work sectors have implemented a more active method of delivering training materials, namely through the application of digital games. Digital games are considered successful in some sectors of work, but are limited in agriculture. This is because in the agricultural sector this tends to occur with the same movement and flow. Therefore, this literature aims to understand how to deal with various occupational risks as long as game-based safety in the field can be applied in the agricultural sector. Literature search through Pubmed, Scopus, PsycINFO, and Web of Science with a focus on “serious games” and “gamification” as safety training methods. As a result, digital games that can be applied are through computer technology, with games in the form of increasing levels, points, and challenges being the most popular attraction. During the game, the positive feedback generated and after the game is proven to improve the skills and safety of workers. Therefore, digital games can be developed as an effective, satisfying, and interesting training method for workers in the agricultural sector.
Penatalaksanaan Holistik Osteoarthritis Dan Obesitas Derajat 2 Pada Wanita Usia 69 Tahun Melalui Pendekatan Dokter Keluarga Abiyyi Pratama HW; Firinfa Soniya; Fitria Saftarina
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.514

Abstract

Osteoarthritis (OA) is a degenerative disease of the joints caused by several factors there are age, gender, race, genetics, trauma, occupation (activity), and obesity. Based on data from the WHO 2019, the prevalence of joint disease is reported to be 40% of the world's elderly population will suffer from OA, which 80% have limited joint motion. The causes of pain that occur are multifactorial. Obesity is the strongest modifiable risk factor in OA patients. During activity, half of the body weight rests on the joints. An increase in body weight will double the load on the joints when walking, especially the knee joints. Patient Mrs. N, 69 years old, came to the Panjang health center on November 11, 2021 with complaints of pain and stiffness in the joints in the right and left knees since 1 week ago. The complaints were felt continuously, especially when the patient often walked. Pain is felt in the right and left knees. The duration of complaints of pain appears less than 30 minutes.The pain is felt like a stabbing and comes and goes, especially in the morning after waking up. On physical examination, the body weight was 87 kg, height 168 cm, BMI 33.98. The diagnosis in this patient was Osteoarthritis (OA) and 2nd Grade Obesity.Management is carried out holistically for patients and families through flipchart intervention media in the form of information about OA and obesity and also suggests recommended activities for patients. Holistic management based on Evidence Based Medicine through patient-centered and family approaches can improve knowledge, attitudes and behavior on the patient
Penatalaksanaan Komprehensif pada Wanita Usia 30 Tahun dengan Demam Tifoid melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Kemiling Nadhila Nur Shafitha; Fitria Saftarina
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.515

Abstract

Typhoid fever is a global infectious disease, especially in developing countries. Typhoid fever in Indonesia is endemic and is a public health problem. Failure of therapy by using antibiotics can bind closely to the patient, and germs. To implement comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence based medicine with strategies that are patient centered, family oriented and community oriented. The analysis of this study is a case report. Primary data were obtained through history taking (autoanamnesis), physical examination, supporting examination and home visits. Assessment is carried out based on a holistic diagnosis of the initial, process, and final study quantitatively and qualitatively. Patient Mrs. H, 40 years old, came to the clinic with complaints of fever accompanied by headache, abdominal pain, nausea, vomiting, and a dirty tongue. Patients diagnosed with typhoid fever are in accordance with evidence based medicine. After the intervention, there was a decrease in clinical symptoms, an increase in knowledge and changes in the behavior of patients and their families. The diagnosis and management of typhoid fever in this patient was in accordance with national guidelines. Changes in clinical symptoms, knowledge and behavior in patients and their families after interventions based on evidence based medicine that are patient centered and family approach
Covid 19 with Kidney Failure Arsistya Ayu Marella; Khairun Nisa Berawi; Fitria Saftarina
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.632

Abstract

Corona virus disease 2019 or commonly called COVID-19 is a disease caused by infection with the SARS-CoV-2 virus and is one of the biggest challenges facing humanity in recent years. This disease is highly contagious with various manifestations and complications and poses a threat to public health. This virus can infect a large number of organs, including the lungs and upper respiratory tract, brain, liver, kidneys, intestines and many others. Although the greatest damage occurs in the lungs, the kidneys are no exception, and acute kidney injury (AKI) can occur in patients with COVID-19. AKI is one of the most frequent and serious organic complications of COVID-19. The incidence of COVID-19 AKI. During the COVID-19 pandemic, many patients were hospitalized with severe respiratory illnesses and experienced complications. Acute kidney injury (AKI) is one of the more dangerous complications that contributes to morbidity and mortality among patients. Kidney damage can occur due to direct attack by the virus itself, or due to a cytokine storm caused by an abnormality of the immune system. Hypotension or dehydration, hypoxaemia, sepsis and nephrotoxic drugs can also cause kidney failure. This research method begins by searching articles on Google Scholar, pubmed and ncbi within the year range determined by the researchers and using the keywords COVID-19, kidney failure, complications of kidney failure in COVID-19 patients. The results of the study found articles about producing several conclusions such as the effect of kidney failure on COVID-19 patients, then the long-term effects on the kidneys of patients with COVID-19.
Co-Authors -, Intanri Kurniati -, Ramadhana komala Abiyyi Pratama HW Agung, Lovina Ramadhita Airlangga Damara Akhmad Rizki Farhan Aldo Fatejarum Alia, Ega Chessa Aliffia Bingga, Isvi Alvin Widya Ananda Amalia, Usnida Khoiru Amallia, Rizka Dina Amelia, Rizqina Fara Andari, Michelle Safna Anggita Gardeesna Sari Anggraini, Dian Isti Anis Permanasari Anisya Yulida Syani Aprianna, Belinda Aprina Adha Widiastini Arlandi, Charity Binda Arrizky, Muhammad Heickal Ikhlasul Amal Arsistya Ayu Marella Asep Sukohar Athoriq, Muhammad Reivan Putra Atika Damayanti ATIKA RAHMAWATI Azelia Nusa Dewiarti Azka, Laisa Bachtiar, Nabylly Aghna Baresti, Sarah Windia Bayu Anggileo Pramesona Belinda Apriannanti Beauty Betta Kurniawan, Betta Camilia, Anita Camillia, Anita Carolina, Imelda Charisatus Sidqotie Chintya Chintya Redina Habsari Citra Yuliyanda Pardilawati Daniel Surya Wijaya Devi Liani Octiara Dewi Nur Fiana Dian Isti Anggraini Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Diana Mayasari Diana Mayasari Diana, Mayasari Dinda Annisa Fitria Dwi Indria Anggraini Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Eka Lestari Emir Yusuf Muhammad Endro Prasetyo Wahono Ety Apriliana Ety Apriliana Ety Apriliana Evi Kurniawati Fadhila, Syifa Rahmi Fairuz Khanza Amalia Fairuz Rabbaniyah Fairuz Rabbaniyah Farhah, Putri Dzahabiyyah Fauzi Ahmad Muda Fauziah Dwi Apriani Febriana, Wiwi Febriawan, Rahmat Febrina Dwiyanti Firinfa Soniya Fitri, Hilda Fitriani Antika Dhamayanti Freshilia Agustin Giska Tri Putri Haekal Alfhad Hanifa Yuniasari Hanna Mutiara Hanna Mutiara, Hanna Happy, Terza Aflika Hartoyo Hartoyo Helmi Ismunandar Herlambang, Geri Indra Hilda Fitri Hotman Natama Nainggolan Ibrahim, Syachrony Iffatunnada Khalishah Ihsanti Dwi Rahayu Indri Windarti Indria, Anggraini Dwi Intan Kusumaningtyas Isti Anggraini, Dian Isti Angraini, Dian Iswandi Darwis Jhons Fatriyadi Suwandi Karima, Nisa Karimah, Nisa Kartika, Juspeni Khairani, Dinda Aulia Khairun Nisa Khairunissa Athira Nauli Siregar Kurniawan, Ryanda Masri Laisa Azka Larasati, Ratri Mauluti Liana Sidharti, Liana M. Muhlis Rizki Maristiana Ayu Maryatun Hasan Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Milatul Fauziah Minerva Nadia Putri Mochammadin, Rafly Abdullah MS Mahrinasari Muhammad Gilang Muhammad Maulana Muhammad Ridho Muhammad Yusran Muhammad, Innou Dhanu Muhartono Muhartono Muthia Aya Syahmalya Nabilah, Deana Rifqoh Nadhila Nur Shafitha Nadila Ayuni Putri Nadiya Dewi Kusnadi Nainggolan, Hotman Natama Nanda Tiara Santika Naomi Elfriede Sirait Nisa Karimah Novita Carolia Novita Carolia Noviyanti, Dwi Wulan Nurul Utami Nyimas, Naflah Nadila Oktavia, Rizwiki Ovalia, Nora Wilya Pangestu, Arief Ristia Pramesona, , Bayu Anggileo Pratama, Arraian Berdha Putri Damayanti Putri Giani Purnamasari Putri, Tasya Ellyana Rahmatika, Achisna Ramadhan, Rifqi Ihza Ramadhana Komala Rani Himayani Reandy Ilham Andriyono Reinita Aulia Reni Zuraida Ridho Pambudi Rika Lisiswanti Rika Lisiswanti Rika Rahmawati Risti Graharti Rizky Arif Prasetyo Rizqa Atina Rodiani S, Johns Fatriyadi Salma Alya Ihsan Salsabila, Karina Adra San Maulina Sihaloho Santoso, Trio Sari, Riska Permata Satria Bangsawan Sefin, Ilu Salsabila Selly Stepriyani Septiani, Linda Setiawan, Gigih Setiorini, Anggi Shaffa Aulia Shabrina Shafia, Anindya Silvi Qiro'atul Aini Sinum, Ilham Muhammad SOEDJARWO Soedjarwo, Soedjarwo Sofyan Musyabiq Wijaya Soni Setiya Wardana Soraya Rahmanisa Sormin, Merris Hartati Sri Waluyo Stepriyani, Selly Subardiman, Najla Fadiyah Sudjarwo MA Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Susianti, Susianti Susilawati Susilawati Sutarto Sutarto Syaka, Muthiiah Khodista Syazili Mustofa Ta Larasati TA Larasati Tara Aulianova Tarigan Sibero, Hendra Tasya Alifia Hanin Tri Umiana Soleha Tricia, Yulita Tuti Malindasari Utama, WInda Trijayanti Utami, Nabila Rachmadita Viera Rininda Mauli Dinar Winda Puspita Sari Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wulan, Anggraini Janar Yasmin, Deffina Widya Yoga, M Agung Prasetya Adnyana Yogi Maryadi Yulita Tricia Zahara, Noeril Asy Syifa Zenith Puspitawati