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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
Faktor Risiko Penyakit Ginjal Kronik Pada Pasien Diabetes Shaffa Aulia Shabrina; Fitria Saftarina; Bayu Anggileo Pramesona
Jurnal Kedokteran Universitas Lampung Vol 6, No 2 (2022): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila6258-62

Abstract

Penyakit ginjal kronik (PGK) merupakan suatu proses patofisiologis dengan etiologi beragam sehingga dapat menyebabkanpenurunan fungsi ginjal secara progresif yang ditandai dengan penurunan laju filtrasi glomerulus (LFG) secara perlahan dalam jangka waktu yang lama. Pada PGK kegagalan fungsi ginjal menyebabkan terganggunya metabolisme dankeseimbangan cairan sehingga terjadi penumpukan hasil metabolisme. Penyebab dari penyakit ginjal kronis salah satunyaberupa nefropati diabetik, sebagai komplikasi dari diabetes. PGK yang disebakan oleh nefropati diabetik dipengaruhi olehfaktor yang dapat dimodifikasi dan tidak dapat dimodifikasi. Faktor yang dapat dimodifikasi yaitu berupa albuminuria dalam jumlah yang besar, peningkatan kadar glikemi, tekanan arteri tingkat tinggi, dislipidemia, obesitas, merokok, stres oksidatifdan inflamasi. Untuk faktor yang tidak dapat dimodifikasi seperti genetika, ras, hiperfiltasi glomerulus, usia, jenis kelamin, dan lama terkena diabetes. PGK masih menjadi masalah kesehatan masyarakat global karena prevalensi dan insidensi gagalginjal yang terus meningkat, serta memiliki prognosis yang buruk dan biaya pengobatan yang tinggi. Prevalensi PGKmeningkat seiring meningkatnya usia dan kejadian diabetes melitus. Di Indonesia, pembiayaan perawatan penyakit ginjalmenempati peringkat kedua terbesar dari BPJS kesehatan setelah penyakit jantung. Ada beberapa kemungkinan faktorrisiko PGK pada pasien diabetes berupa albuminuria tinggi, hiperglikemia, hipertensi, dislipidemia, obesitas, merokok, stresoksidatif dan inflamasi. Faktor risiko yang paling berpengaruh terhadap kejadian PGK bagi penderita diabetes adalah hipertensi. Kata kunci: Diabetes, Faktor risiko, PGK
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.
Dampak Paparan Panas di Lingkungan Kerja Terhadap Kesehatan Pekerja Reinita Aulia; diana mayasari; 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.v13i3.660

Abstract

Heat exposure occurs when the body absorbs more heat than can be received through the process of thermoregulation. Workers who are exposed to heat or work in a hot environment may be at risk of experiencing heat stress which can adversely affect the worker's health. Heat exposure can cause physiological responses from various organs and cause various health problems. This article aims to discuss the impact of heat exposure in the work environment on the health of workers and preventive strategies that can be done. Heat exposure is a contact between an individual and the environment which can pose a risk of increased body temperature and perceived discomfort. Through the high frequency and intensity of heat waves, exposure to heat can cause physiological responses to various systems, namely the central nervous, musculoskeletal cardiovascular, and integumentary systems which if not properly controlled can lead to pathological conditions. Health problems that can occur are heat stroke, heat exhaustion, heat syncope, heat cramp and heat rash. Several steps must be implemented to protect the health of workers from exposure to heat in the work environment so that workers are not at risk of experiencing work-related injuries or illnesses.
Peningkatan Efektifitas Program Pencegahan Anemia pada Ibu Hamil Dian Isti Angraini; Fitria Saftarina; Efriyan Imantika; Novita Carolia
Jurnal Abdimas ADPI Sains dan Teknologi Vol. 4 No. 1 (2023): Jurnal Abdimas ADPI Sains dan Teknologi
Publisher : Asosiasi Dosen Pengabdian kepada Masyarakat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47841/saintek.v4i1.281

Abstract

The programme to increase the effectiveness of the anemia prevention program in pregnant women is an effort to empower the community, namely health cadres to increase the scope of the program for giving iron tablets to pregnant women. Empowerment of health cadres through training and health education to increase the ability to persuade pregnant women to want and comply with taking blood-added tablets as recommended can help increase the scope of the program for giving blood-added tablets to pregnant women. The purpose of this programme is to train health cadres and health workers to carry out persuasive communication to pregnant women to want and obediently take blood-added tablets (empowered cadres). The method that will be used is persuasive communication training for health cadres through interactive lectures and discussions, video screenings and exercise simulations. This activity was carried out for 1 day and took place at the Panjang City Health Center in Bandar Lampung. The participants were 30 people who were health cadres, health workers and pregnant women. The results of the evaluation of the implementation of the programme found that there was an increase in participants' understanding as much as 90% became a good understanding, 10% of participants had a fairly good understanding, and none of the participants had a poor understanding of anemia in pregnancy, prevention of anemia in pregnancy, persuasive communication to pregnant women so willing and obedient in taking blood-added tablets. The average pretest result was 55.1 and an increase in the posttest result was 83.7. Based on the analysis using the Wilcoxon test, it was found that there was a statistically significant difference in the pretest and posttest scores of the service participants (p=0.000). This programme to increase the effectiveness of the anemia prevention program in pregnant women has proven to be effective.
Penatalaksanaan Holistik Hipertensi Grade II dan Katarak Senilis pada Seorang Laki-Laki Usia 73 Tahun melalui Pendekatan Dokter Keluarga Nadila Ayuni Putri; Fitria Saftarina
Jurnal Penelitian Perawat Profesional Vol 4 No 4 (2022): November 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i4.1122

Abstract

Hipertensi merupakan suatu masalah kesehatan global yang dapat menyebabkan terjadinya peningkatan angka kesakitan, kematian dan beban biaya kesehatan diseluruh dunia termasuk Indonesia. Hipertensi adalah salah satu faktor risiko yang dapat menyebabkan terjadinya kerusakan mata, salah satunya dapat menyebabkan terjadinya penyakit katarak. Menurut Global Data on Visual Impairment pada tahun 2015 penyebab gangguan penglihatan mata terbanyak diseluruh dunia adalah kelainan refraksi (43%), katarak (33%) dan glaukoma (2%). Dengan banyaknya angka kejadian hipertensi di Indonesia, maka tujuan dalam penelitian ini adalah untuk mengetahui faktor resiko, masalah klinis, melakukan penatalaksanaan pasien secara holistik dengan menerapkan dokter keluarga sesuai evidence based medicine melalui pendekatan patient centred dan family approach. etode studi ini adalah laporan kasus. Data primer diperoleh melalui autoanamnesis dan alloanamnesis, pemeriksaan fisik dan kunjungan rumah, untuk melengkapi data keluarga, data psikososial dan lingkungan. Penilaian dilakukan berdasarkan diagnosis holistik dari awal, proses, dan akhir studi secara kuantitatif dan kualitatif. Pasien mengeluhkan sakit kepala sejak 3 hari yang lalu, pasien mengatakan jika sakit kepala terasa hilang timbul dan dirasa seperti tertekan pada daerah kepala dan menjalar hingga ke daerah tengkuk dan leher, keluhan seperti ini memang kerap dirasakan. yang dirasakan memberat saat melakukan aktifitas fisik dan mereda ketika pasien istirahat. Keluhan lain yang dirasakan pasien merasa badan sering terasa pegal, dan mata sebelah kanan terasa buram. Pasien sering mengkonsumsi makanan asin, ikan asin dan gorengan dalam 1 minggu pasien mengkonsumsi makanan tersebut >3 kali, pasien juga suka minum kopi dan memiliki riwayat merokok > 40 tahun. Pada hasil akhir terdapat perubahan dalam pola makan dan aktivitas fisik pada pasien.
Penatalaksanaan Holistik Wanita Usia 57 Tahun dengan Osteoarthritis melalui Pendekatan Kedokteran Keluarga Winda Puspita Sari; Fitria Saftarina
Jurnal Penelitian Perawat Profesional Vol 4 No 4 (2022): November 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i4.1183

Abstract

Osteoartritis merupakan penyakit reumatik yang paling banyak ditemui dibandingkan kasus penyakit reumatik lainnya di Indonesia. Penyebab osteoartritis bersifat multifaktoral antara lain jenis kelamin, obese, faktor genetik, ras, riwayat keluarga, cidera sendi, aktivitas fisik yang berat, pekerjaan, dan melakukan gerakan pada sendi yang sama berulang-ulang. Melakukan pelayanan dokter keluarga dengan mengidentifikasi faktor risiko, masalah klinis, dan mengelola pasien berdasarkan Evidence-Based Medicine yaitu pendekatan yang berpusat pada keluarga, berorientasi pada pasien dan berorientasi pada masyarakat. Penelitian yang dilakukan adalah laporan kasus. Data awal diperoleh melalui anamnesis, pemeriksaan fisik, dan kunjungan rumah. Data sekunder dikumpulkan dari rekam medis pasien di puskesmas. Penilaian dilakukan atas dasar diagnosis holistik dari awal, proses, dan akhir penelitian secara kuantitatif dan kualitatif. Pasien Ny. S, Wanita, 57 tahun, dengan keluhan nyeri lutut sejak kurang lebih 5 hari yang lalu. Nyeri lutut dirasakan hilang timbul selama 5 hari sebelum pasien datang berobat. Pasien didiagnosis dengan osteoarthritis. Beberapa faktor yang dapat mempengaruhi kondisi pasien, yaitu faktor risiko internal dan eksternal. Dalam hal ini, diagnosis dan pengobatan dibuat sesuai dengan teori dan penilaian terbaru. Setelah intervensi, gejala klinis menurun dan pemahaman pasien dan keluarganya meningkat. Diagnosis osteoarthritis pada pasien ini sesuai dengan teori dari beberapa rekomendasi dan review, ditemukan adanya perubahan pengetahuan pasien dan keluarga setelah dilakukan intervensi berbasis Medicine, evidence-based patient-centered dan family approach.
Fluid Intake and Hydration among Children Fitria Saftarina; Milatul Fauziah
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 6, No 1 (2023): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.76280

Abstract

Children birth a greater chance of desiccation than adults. As many as 22% of children in Indonesia calm do not drink plenty. As a resolution of many studies, children came to school with a shortage in hydration prominence. Objectives: The purpose of this study are describe fluid intake and  hydration state among children at elementary school in Lampung. Methods: Design of this study used analytical observational study. The sampel was 69 children, with total sampling technique. The study was conducted from Sept 2019 to Jan 2020, at  primary school in Bandar Lampung. Fluid intake was obtained  from the Beverage Uptake Questionaire and hydration state was obtained from urine specific gravity. Results: The result of study,  a total 48 children (69,6) had good fluid intake, 47 children (68,1%) drinking water more than  3 times a day but 42 children (60.9%) had clinical dehydration. Conclusion: Further research is needed to measure adequacy of fluid intake with other methods and instruments.
Co-Authors Abiyyi Pratama HW Agung, Lovina Ramadhita Ahmad Fauzi Akhmad Rizki Farhan Alia, Ega Chessa Aliffia Bingga, Isvi Alvin Widya Ananda 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 Athoriq, Muhammad Reivan Putra Atika Damayanti Atika Rahmawati Azelia Nusa Dewiarti Baresti, Sarah Windia Bayu Anggileo Pramesona Belinda Apriannanti Beauty Betta Kurniawan, Betta Carolina, Imelda Charisatus Sidqotie Chintya Chintya Redina Habsari Devi Liani Octiara Dewi Nur Fiana Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Diana Mayasari Diana Mayasari Diana Mayasari Dinda Annisa Fitria Dinda Aulia Khairani Dwi Indria Anggraini Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Eka Lestari Emir Yusuf Muhammad Ety Apriliana Ety Apriliana Evi Kurniawati Fadhila, Syifa Rahmi Fairuz Rabbaniyah Fairuz Rabbaniyah Fauzi Ahmad Muda Fauziah Dwi Apriani Febriawan, Rahmat Febrina Dwiyanti Firinfa Soniya Fitri, Hilda Freshilia Agustin Giska Tri Putri Haekal Alfhad Hanifa Yuniasari Happy, Terza Aflika Hartoyo Hartoyo Helmi Ismunandar Herlambang, Geri Indra Hilda Fitri Hotman Natama Nainggolan Ibrahim, Syachrony Ihsanti Dwi Rahayu Intan Kusumaningtyas Isti Anggraini, Dian Isti Angraini, Dian Iswandi Darwis Jhons Fatriyadi Suwandi Karimah, Nisa Kartika, Juspeni Khairun Nisa Khairunissa Athira Nauli Siregar Kurniawan, Ryanda Masri Liana Sidharti, Liana M. Muhlis Rizki Maristiana Ayu Maryatun Hasan Maya Ganda Ratna Mayasari Diana Mayasari, Diana Merry Indah Sari Merry Indah Sari Milatul Fauziah Minerva Nadia Putri MS Mahrinasari Muhammad Gilang Muhammad Maulana Muhammad, Innou Dhanu Nabilah, Deana Rifqoh Nadhila Nur Shafitha Nadila Ayuni Putri Nainggolan, Hotman Natama Nisa Karimah Noeril Asy Syifa Zahara Novita Carolia Novita Carolia Noviyanti, Dwi Wulan Nyimas, Naflah Nadila Pangestu, Arief Ristia Pramesona, , Bayu Anggileo Pratama, Arraian Berdha Putri Giani Purnamasari Putri, Tasya Ellyana Rahmatika, Achisna Ramadhan, Rifqi Ihza Ramadhana Komala Rani Himayani Reandy Ilham Andriyono Reinita Aulia Reni Zuraida Rika Rahmawati Rizky Arif Prasetyo Rizqa Atina Rizwiki Oktavia Rodiani Salsabila, Karina Adra San Maulina Sihaloho Santoso, Trio Sari, Riska Permata Satria Bangsawan Sefin, Ilu Salsabila Selly Stepriyani Shaffa Aulia Shabrina Shafia, Anindya Sinum, Ilham Muhammad Soedjarwo Soedjarwo Soedjarwo Sofyan Musyabiq Wijaya Soni Setiya Wardana Sormin, Merris Hartati Sri Waluyo Stepriyani, Selly Subardiman, Najla Fadiyah Sudjarwo MA Suharmanto Suharmanto Suharmanto Susilawati Susilawati Sutarto Sutarto Syaka, Muthiiah Khodista Syazili Mustofa TA Larasati Tarigan Sibero, Hendra Tasya Alifia Hanin Tri Umiana Soleha Tricia, Yulita Tuti Malindasari Utama, WInda Trijayanti Utami, Nabila Rachmadita Winda Puspita Sari Yasmin, Deffina Widya Yulita Tricia Zenith Puspitawati