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All Journal Medula Juke Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya JURNAL ILMIAH KESEHATAN SANDI HUSADA JK Unila (Jurnal Kedokteran Universitas Lampung) International Journal of Advanced Health Science and Technology International Journal of Health, Engineering and Technology Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Majority Jurnal Ilmiah Kesehatan Sandi Husada Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Dian Isti Angraini
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Hubungan Pengaruh Media terhadap Risiko Kurang Energi Kronis (KEK) pada Mahasiswi Fakultas Keguruan dan Ilmu Pendidikan (FKIP) Universitas Lampung Fernanda Kusumawardani; Dian Isti Angraini; Minerva Nadia
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.v10i1.26

Abstract

Chronic Energy Deficiency (CED) is one of many problems that mostly found in women of childbearing age and pregnant women. CED is a condition where an individu is lacking of energy intake for a long time continuously. Based on basic health research, CED prevalence had increased from 13,6% to 20,8% within 2007 till 2013. CED doesn’t only affect the individu itself but also affect the next generation. CED is related to low birth weight infant and stunting incidence. There are many factors contribute to CED, one of them is media. This research aims to find the relation between media influence and chronic energy deficiency in college students. This research used analytical observational method with cross sectional approach in female college students of Faculty of Teacher Training and Education Lampung University. The respondents of this research were 190 female college students who met the inclusion criteria. Instruments used in this experiment were Media Influence Scale dan measuring tape. Data collected were analyzed by univariate and bivariate method. There are about 38,95% female college students were CED and 61,05% were not CED and most of the respondents stated that media has no influence (63,7%). Based on bivariate analysis, the p value between media influence and CED risk was 0,006. In conclusion, there is a significant relationship between media influence with CED risk.
Hubungan Efikasi Diri Dengan Tingkat Kecemasan Mahasiswa Tahun Pertama di Fakultas Kedokteran Universitas Lampung Tahun 2018 Habibi Adhi Pratama Duarsa; Oktafany; Dian Isti Angraini
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.59

Abstract

Anxiety can be experienced by all students, especially students who have heavy college burden, such as students of medical education study programs. Excessive anxiety can hurt students because it can affect student learning outcomes. Self-efficacy is a belief in one's ability to achieve an expected outcome, self-efficacy is known to play an important role in anxiety. This study aims to determine the correlation between self-efficacy and the anxiety level of first year medical student in lampung university. This study uses a cross sectional approach. The sample in the study were 183 respondents and were asked to fill in two questionnaires, namely the General Self-Efficacy and Zung Self Anxiety Scale. Based on univariate analysis found low self efficacy of 6.6%, moderate self efficacy of 77.6%, and high self efficacy of 15.8%. At the level of anxiety found not experiencing anxiety 23.5%, mild-moderate anxiety 71.0%, and severe anxiety 5.5%. Based on bivariate analysis with Gamma test, there was a significant correlation between self-efficacy and anxiety with a value (p = 0,0001), with the degree of closenses of a strong negative correlation ( = -0.657). The conclusion if self-efficacy higher then anxiety level gets lower, vice versa.
Hubungan Antara Paritas Dan Pantang Makan Terhadap Kejadian Kekurangan Energi Kronik (KEK) Pada Ibu Hamil Di Puskesmas Kota Bandar Lampung Rachmi L.P. Rukmono; Dian Isti Angraini; Tri Umiana Soleha
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.73

Abstract

Chronic energy deficiency (CED) is defined as the condition of the occurrence of health problems, due to suffering from chronic food shortages. CED prevalence in Indonesia for pregnant women aged 15-49 years is 24.5%. The prevalence of CED in Bandar Lampung was the second highest after East Lampung which is 24.5%. The incidence of CED in pregnant women is influenced by direct factors and indirect factors. This research aimed to indentify the relationship of parity and food taboo to CED in pregnant women in Primary Health Center of Bandar Lampung. This research method used a cross-sectional method. The sampling technique is random sampling. The study was conducted in August-November 2018, at six health primary centers in Bandar Lampung. The sample obtained 88 pregnant womens. The diagnosis of CED is based on LILA <23.5 cm, whereas for food taboo and parity according to the questionnaire that has been made. The results showed that mothers had CED of 40.9% and not CED of 59.1%. The results of bivariate analysis on the food taboo variable obtained p value of 0.001 (p <0.05), which means that there was a relationship between food taboo and incidence of CED in pregnant women. While the parity variable was p value of 0.5179 (p> 0.05) no significant relationship between significant parity in the incidence of CED in pregnant women.
Convalescent plasma therapy, COVID-19, infectious disease Sumayyah Annida; Dian Isti Angraini
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.77

Abstract

Acute diarrhea is still a major cause of child morbidity and mortality in developing countries. One national data study reported that Lampung Province contributed 32.148 cases of diarrhea in 2018. Most cases of diarrhea were found in the age group 5-14 years followed by the age group of 15-24 years, and women were more often stricken with diarrhea than men. To identify internal and external risk factors and clinical problems in patients, as well as holistically manage patients by applying family doctors according to evidence based medicine through a patient centered approach and family approach. This study analysis is a case report. Primary data were obtained through history taking (autoanamnesis from the patient and alloanamnesis from the patient's family) physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment is based on a holistic diagnosis from the beginning, process, and end of study in a qualitative and quantitative manner. Patient An. NO, 5 years old, has been diagnosed with acute diarrhea without dehydration, has a concern about the declining health condition with a liquid chapter that does not stop. Limitations of the patient's family knowledge of the patient’s disease (cause, mode of transmission, the risk of the risk factors, treatment, and complications), use of unclean water for cooking and not paying attention to food hygiene are the main factors of the problem. Holistic and comprehensive management of patients' problems An. NO has been done by providing counseling to improve patient and family knowledge of diarrheal diseases and clean and healthy life.
Penatalaksanaan Holistik Penyakit Herpes Zoster pada Pasien Remaja Laki-Laki 15 Tahun dengan Pendekatan Kedokteran Keluarga Nadia Rosmalia Dewi; Dian Isti Angraini
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.v10i3.100

Abstract

Shingles is clinical manifestations due to reactivation of varicella zoster virus (VZV). in sensory ganglia that were previously exposed to primary varicella infection. The incidence of HZ increases with age and is rarely found in children. Shingles can occur in children who have primary primary infections, immunocompromised conditions, and who are related in the first year of life. The purpose of this study is to Identify internal and external risk factors and clinical problems in patients, as well as holistically managing patients by applying a family doctor based on evidence-based medicine through a patient centered approach and family approach. This study analysis is a case report. Primary data were obtained through history taking (autoanamnesis from the patient and alloanamnesis from the patient's family) physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment is based on a holistic diagnosis from the beginning, process, and end of study in a qualitative and quantitative manner. Patient A, 15 years old, who has been diagnosed with Herpes Zoster without complications has concerns about his health condition, the patient feels inferior and is afraid that his illness cannot be cured and is afraid of transmitting it to other family members. Patient's expectation is that complaints disappear completely and do not recur, so that they can be comfortable in their normal activities. Limitation of the patient's knowledge of the illness and bad lifestyle is a factor causing problems that occur in patients and families. The diagnosis of shingles in this case is in accordance with several theories and critical studies from recent research. Management has been given in accordance with management guidelines. Good developments were seen in patients ranging from decreased clinical symptoms to behavioral changes after a family-approach and patient-centered Evident Based Medicine intervention.
The Relationship Between Fiber Intake And Body Mass Index (Bmi) With Total Cholesterol Levels In Students Of Biology Department University Of Lampung Claudia Clara; Dian Isti angraini; Sofyan Musyabiq; Dyah Wulan Sumekar RW
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.212

Abstract

Total cholesterol levels in body play an important role in the process of degenerative diseases. Total cholesterol levels are affected by age, intake of fiber, fat, carbohydrates and protein, physical activity and body mass index. This study aimed to determine the relationship between fiber intake and body mass index (BMI) with total cholesterol levels in students of Biology Department University of Lampung. This study used analytic-correlative research method with cross sectional approach. Sampling was taken by disproportionate stratified random sampling and obtained 43 respondents, aged 18-22 years. This research was conducted on November 2017 in Biology Department of Matematics and Sains, Faculty University of Lampung. The results showed that the average intake of fiber was 4,20 grams/day; the average of body mass index was 21,719; the average of total cholesterol levels was 180,4 mg/dl. Results showed significant relationship between fiber intake and total cholesterol levels with medium correlation (r=-0,470, p = 0,001) and significant relationship between body mass index and total cholesterol levels with medium correlation (r=0,510 p =0,000). There was relationship between fiber intake and body mass index (BMI) with total cholesterol levels in students of Biology Department University of Lampung.
Tanaman Sambung Nyawa (Gynura procumbens) sebagai Antihiperglikemi Ayu Agustira; Iswandi Darwis; Dian Isti angraini
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.265

Abstract

Diabetes mellitus is a disease with impaired carbohydrate metabolism identified by high blood glucose levels (hyperglycemia) and the presence of glucose in urine (glycosuria) that occurs due to abnormal insulin secretion, insulin activity or both. Diabetes mellitus is one of the biggest cause of deaths in Indonesia, which is proven by the Data of Sample Registration Survey in 2014 where diabetes became the third cause of death in Indonesia after stroke and coronary heart disease. If not handled properly, it will affect the decrease in productivity, increase disability, premature death, etc. Sambung Nyawa Plants (Grynura Procumbens) has been widely used as a traditional medicine as antihyperglycemic. Sambung Nyawa Plants contains saponin compounds, flavonoids, and alkaloids, which can reduce blood glucose levels. The mechanism of reducing glucose by Sambung Nyawa Plants is by secreting insulin in β-pancreatic cells and regenerating β-pancreatic cell damage, as an antioxidant that can bind free radicals, there by reducing insulin resistance, and inhibiting alpha amylase and alpha glucosidase which can break carbohydrates into monosaccharides that can be absorbed by the intestine
Relationship Of Family Factor Againts The Development Of Children Age 4-6 Years Old In Padang Manis Village Wonosobo District Tanggamus Regency Andrian Reza Saputra; Dian Isti angraini; Tri Umiana Soleha
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.279

Abstract

The family is the first environment that is introduced to the children. The family is the first subject that matter to be a factor of developmental deviation. This study’s aim to determine the relationship between Family Factors and children developmental in age 4-6 years old. Total samples of 52 family in Padang Manis village who selected with total sampling technique. Inclusion criteria is a family and child 4-6 year old who is willing to be a respondent. The results showed that there was a significant correlation between family income and children development with p = 0,003 (p <0,05). There was a significant correlation between parenting system and children development with p value = 0,034 (p <0,05). There was a significant relationship between parent educational background and children development with p = 0,001 (p <0,05). There was a significant relationship between the number of siblings and the development of children with a value of p = 0.001 (p <0.05). Result showed there is a relationship of family factors to the development of children in age 4-6 years old in the Padang Manis village Wonosobo district Tanggamus regency.
Hubungan Perilaku Pemberian Makanan Pendamping Asi (Mp-Asi) Dengan Status Gizi Bayi Usia 6-24 Bulan Di Wilayah Kerja Puskesmas Satelit Kota Bandar Lampung Winda Puspita Sari; Dian Isti Angraini
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.427

Abstract

After the baby agrees 6–12 months breastfeeding is no longer enough to meet nutrition. Inadequate fulfillment of nutrition will result in poor nutritional status of children. The impact of malnutrition status will cause an increase in physical growth and intelligence development as well as a decrease in endurance which results in an increase in mortality in infants. One cause of malnutrition is the help of parents in providing complementary feeding. This study aims to determine the relationship between the behavior of complementary feeding with the nutritional status of infants aged 6–24 months in working area of ​​the Bandar Lampung Satelit Health Center. This research uses quantitative method with cross sectional approach. The sample consisted of 64 mothers who had babies aged 6–24 months in working area of ​​Bandar Lampung Satelit Health Center. Sampling was done by consecutive sampling and the data were analyzed by chi square test. As many as 45 infants (70.3%) had good nutritional status and 19 (29.7%) infants had undernourished status. A total of 25 people (39.1%) had good complementary feeding behavior, while a total of 39 people (60.9%) have poor complementary feeding giving behavior. Statistically, complementary feeding giving behavior is related to infant nutritional status with p value = 0,000. Based on this study, we can concluded that there is a relationship between maternal behavior in the provision of complementary feeding and nutritional status of infants aged 6–24 months in working area of ​​Bandar Lampung Satelit Health Center.
Penatalaksanaan Holistik Pada Laki-Laki Usia 69 Tahun Dengan PPOK Dan Hipertensi Grade II Melalui Pendekatan Kedokteran Keluarga Rizki Arisandi; Dian Isti Angraini
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.v12i4.533

Abstract

Changes in the level of welfare of the Indonesian people have led to an increase in the prevalence of non-communicable diseases, one of which is Chronic Obstructive Pulmonary Disease (COPD). The prevalence of COPD in Indonesia is 3.7% and in Lampung the prevalence is 2.04% and ranks number 7 of the 10 most common diseases found in Lampung. In addition, it is estimated that there are 1.28 billion people aged 30-79 years who have hypertension, of which two thirds live in developing countries, and about 46% are not aware of having hypertension. Less than half (42%) of the population with hypertension is diagnosed and treated. In this case report, it is reported that a 69-year-old male patient with COPD and grade II hypertension had concerns that his complaints would increase and not improve. The limited knowledge about the patient's health condition in the form of risk factors, disease prevention, treatment patterns and the lack of motivation and encouragement from the family to stop smoking and take the patient for routine health control are factors that cause problems that occur in patient and family. The management was carried out holistically using a family medicine approach and after evaluation it was found that the patient's symptoms were reduced, increased knowledge, and changes in the patient's diet and physical activity.
Co-Authors Agustyas Tjiptaningrum Ahmad Alvin Dictara Aila Karyus Alvin Widya Ananda Ananda Felicia Aziza Andrian Reza Saputra Anggraeni Janar Wulan Anisa Nuraisa Jausal Arilinia Pratiwi Asiah Nurul Izzah Ayu Agustira Bagus Pratama Betta Kurniawan, Betta Clara FIrhan Asifa Claudia Clara Delisa Mutiara Nabila Diana Mayasari Dyah Wulan Sumekar RW Efriyan Imantika Fauzia Tria Andara Sari Febilla Naili Alfalah Fernanda Kusumawardani Fitria Saftarina Habibi Adhi Pratama Duarsa Haliza Henfa Dela Cruz Hana Nafisah Intanri Kurniati Iswandi Darwis Itsa, Nando Abdila Izzah, Asiah Nurul Jhons Fatriyadi Suwandi Khairun Nisa Khairun Nisa M. Agung Prasetya Adnyana Yoga M. Nabil Sulthoni Eralsyah Meriska Cesia Putri Minerva Nadia Muhammad Muizzulatif Mutiara Kartiko Putri Nadia Rosmalia Dewi Nayarani Humaira Oktadoni Saputra Oktafany Pinkan Ahdalifa Putu Ristyaning Ayu Rachmi L.P. Rukmono Rachmi Lestari Rukmono Ramadhana Komala Ratna Dewi Puspita Sari Ratu Henggar Audrya Gharrieni Reni Zuraida Renti Kusumaningrum Samosir Rika Lisiswanti Rizki Arisandi Rizki Hanriko Sartika Safitri Septyne Rahayuni Putri Sofyan Musyabiq Wijaya Soraya Rahmanisa Sumayyah Annida Syfa Dinia Putri TA Larasati Tasya Khalis Ilmiani Tri Umiana Soleha Triola Fitria Uliana Nur Melin Winda Puspita Sari Zulfa Labibah