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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) Nusantara Hasana Journal 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 Ilmu Kedokteran dan Kesehatan Indonesia Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Dian Isti Angraini
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance 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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Journal : Medula

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HOLISTIC MANAGEMENT OF 63 YEARS OLD GERIATRIC MAN WITH AXIAL NECK PAIN THROUGH THE FAMILY MEDICINE APPROACH Hana Nafisah; Clara FIrhan Asifa; Dian Isti Angraini
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.602

Abstract

The most common health problem at work is musculoskeletal disorders (MSDs). One of the most common complaints of MSDs is pain in the neck muscles or axial neck pain. Axial neck pain is often exacerbated and has many risk factors, especially related to workplace ergonomics. Comprehensive management is needed so that risk factors can be identified, and holistic management can be given. Application of evidence-based medicine-based family doctor services by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework using a patient-centered and family approach. Primary data were obtained through anamnesis, physical examination, supporting examinations and home visits to assess the physical environment. The patient complains of pain in the back of the neck accompanied by a feeling of stiffness in the neck. Complaints felt since 1 week ago. The pain is felt like squeezing, comes and goes, decreases slightly when you apply warm oil and rest, but a few moments later the pain will recur, the pain gets worse after working lifting heavy weights on your shoulders or turning your neck to the right and left and lowering your head. Pain also radiates from the back of the neck to the shoulders, shoulder blades and upper back. Pain does not radiate down the arm. According to the patient's statement, the pain scale felt by the patient between 1-10 is 7. Diagnosis and management of this patient is carried out holistically and comprehensively, patient center, family appropriate, community oriented with drug administration, carrying out ergonomic guidelines at work and doing cervical exercises regularly according to the EBM so that it can prevent recurrence of axial neck pain.  
Penatalaksanaa Lansia Wanita Dengan Sindroma Metabolik Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Satelit Ratu Henggar Audrya Gharrieni; Dian Isti Angraini
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1616

Abstract

Metabolic syndrome is a collection of disorders that include insulin resistance, central obesity, dyslipidemia and high blood pressure. Definitions and criteria for diagnosing metabolic syndrome are constantly changing and are a topic of debate. In general, the prevalence of metabolic syndrome (SM) worldwide ranges from 20-25%, while in Indonesia it is 23.34%, with a higher prevalence in men (26.2%) than women (21.4%). Since hypertension and type 2 diabetes mellitus are chronic diseases and require long-term treatment, family physician services are needed to manage these diseases. The analysis in this study is a case report with primary data obtained from anamnesis and physical examination at the health center, and follow-up examinations during home visits to obtain environmental and social data. Secondary data were obtained from the patient's medical record at the Satellite Health Center. Assessment was carried out based on holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. In this case, diagnosis and treatment have been carried out according to theory and relevant journal references. After the intervention was given, there was an improvement in clinical symptoms and increased understanding of the patient and his family. The diagnosis and management of this patient was carried out holistically, patient centered, family approach, and community oriented. Based on a number of recent theories and studies, there is an increase in knowledge among the patient's family.
Management Of a 56 Year-Old Female Patient with Herpes Zoster Through a Family Medicine Approach in Panjang Primary Healthcare Center Itsa, Nando Abdila; Dian Isti Angraini
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1625

Abstract

Herpes zoster is a disease caused by reactivation of the Varicella Zoster Virus which remains latent. The incidence of shingles increases with age and the immune system weakens. Herpes zoster is a disease that can recur at any time, so it needs to be treated holistically. The purpose of this case report is to implement a holistic and comprehensive family doctor service by identifying risk factors, clinical problems, and patient management based on evidence-based medicine which are patient centred, family approach, and community oriented. This study is a case report study. 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 was based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. Patient Mrs. S, 56 year-old, complaints of small nodules in groups containing fluid accompanied by sensations of pain, heat and itchy on the right side of his back since 8 days ago. The complaint began with fever a day before. The patient has a previous history of chickenpox. Non-medical and medical interventions are performed on patients and their families. The result reveals that the patient can follow these recommendations. Management has been given according to management guidelines. Good progress has been seen in patients starting from a decrease in clinical symptoms to changes in behavior. The role and support of the family is needed in the care and treatment of patients.
Dysmenorrhea Primer: Tinjauan Pustaka Ananda Felicia Aziza; Dian Isti Angraini; Ramadhana Komala; Rika Lisiswanti
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.v14i11.1330

Abstract

Dysmenorrhea is a common gynecological complaint among adolescent girls and young women, characterized by disruptive menstrual pain. This condition can affect health, social relationships, as well as school and work activities. The WHO in 2017 stated that 90% of women of reproductive age worldwide experience dysmenorrhea, while in the Southeast Asia region, the prevalence reaches 50.9% in Malaysia and 64.25% in Indonesia. Dysmenorrhea can be classified into primary dysmenorrhea, which occurs without any underlying pelvic pathology, and secondary dysmenorrhea, which occurs due to pelvic pathology such as endometriosis. The severity of primary dysmenorrhea can be classified as mild, moderate, and severe using the WaLIDD Score, a tool that helps measure the intensity and impact of pain. Management of dysmenorrhea can include NSAID medications, hormonal therapy, and alternative therapies such as exercise, although their effectiveness has not been consistently proven. Most teenage girls often consider dysmenorrhea to be a normal part of a menstrual cycle. However, dysmenorrhea that does not receive proper treatment will later impact cases of endometriosis in the future. With a better understanding of the causes and management of dysmenorrhea, it is hoped that patient awareness can be increased and they can be encouraged to seek appropriate medical treatment.
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 Dwita Oktaria Dyah Wulan Sumekar RW Efriyan Imantika Enriko Aprilio Fauzia Tria Andara Sari Febilla Naili Alfalah Fernanda Kusumawardani Fitria Saftarina Habibi Adhi Pratama Duarsa Haliza Henfa Dela Cruz Hana Nafisah Hesti Yuningrum Intanri Kurniati Iswandi Darwis Itsa, Nando Abdila Izzah, Asiah Nurul Jhons Fatriyadi Suwandi Khairun Nisa Khairun Nisa Kurnia Eka Putri Linda Septiani M. Agung Prasetya Adnyana Yoga M. Nabil Sulthoni Eralsyah Meriska Cesia Putri Minerva Nadia Muhammad Aditya Muhammad Muizzulatif Mutiara Kartiko Putri Nadia Rosmalia Dewi Nayarani Humaira Oktadoni Saputra Oktafany Pinkan Ahdalifa Putri Damayanti 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 Rojwa Azka Syakira Sartika Safitri Septyne Rahayuni Putri Simanjuntak, David Bryan Natanael Sofyan Musyabiq Wijaya Soraya Rahmanisa Sumayyah Annida Syfa Dinia Putri TA Larasati Tasya Khalis Ilmiani Terza Afika Happy Tri Umiana Soleha Triola Fitria Uliana Nur Melin Winda Puspita Sari Zahira Farini Hasbani Zulfa Labibah