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All Journal Jurnal Kesehatan Masyarakat Indonesia Medula Juke Jurnal Pengabdian Pada Masyarakat Jurnal Dunia Kesmas Jurnal Medika Malahayati Jurnal 'Aisyiyah Medika NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) Buguh: Jurnal Pengabdian Kepada Masyarakat Action Research Literate (ARL) Journal of Language and Health Prosiding Konferensi Nasional PKM-CSR Jurnal Ilmu Medis Indonesia JCOMENT (Journal of Community Empowerment) Conferences of Medical Sciences Dies Natalis Journal Medical Informatics Technology Media Ilmiah Kesehatan Indonesia Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Winda Trijayanthi Utama, Winda Trijayanthi
Faculty Of Medicine, University Of Lampung
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Intoksikasi Pasca Ingesti Herbisida Paraquat Sany Setiawan; Risti Graharti; Winda Trijayanthi Utama
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.v10i3.104

Abstract

Paraquat dichloride is an active ingredient of the herbicide gramoxone which is often used for weed control and crop maintenance in the agricultural sector, paraquad dichloride is a broad spectrum contact herbicide which is geneally applied post growth. This herbicide is able to kill all types of weeds in the part that provides the herbicide solution direcly, because the dose and time of application used are correct so that the herbicide is effective in controlling weeds. Paraquat herbicide has a danger to organs such as eyes, skin, respiratory system, liver, heart, kidneys, and digestive tract. A man agreed to 56 years, a farmer, came with complacency since 3 days ago. Moisture with hoarseness, recovery, difficulty in carrying, and burning sensation in the chest. 5 days before admission, the patient inadvertently swallowed poison while working in the fields. On physical examination, hyperemic mucosa appears in the oral cavity, pharynx, and tonsils, as well as erosion in the posterior tongue and uvula. In indirect laryngoscopy, hyperemic mucosa and edema appear in the larynx and epiglottis. Investigations urea 276 mg / dl and creatinine 9.72 mg / dl. Patients diagnosed with acute laryngopharyngitis suspected corrosive esophagitis and post-intoxication of herbicides with acute kidney injury. Management of patients, namely: 1) 8 lpm oxygen with NRM, 2) IVFD RL 500 ml / 8 hours, 3) ceftriaxon 1 gr / 12 hours, 4) Furosemide / 8 hours, 5) Ranitidine 1 amp / 12 hours, 6) Metilprednisolone 125 mg / 12 hours, 7) Ketorolac 1 amp / 8 hours, 8) HD cito, 9) Bicnat 3 x 1000 mg, 10) Vit B12 3x1. The prognosis for paraquat poisoning greatly affects the amount of paraquat absorbed by the body, whereas the patient in this case is considered a good prognosis because the patient drank <20mg / kg of poison which could cause mild poisoning.
Environmental Burden of Diseases Utama, Winda Trijayanthi
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2895

Abstract

The Environmental Burden of Diseases (EBD) study assesses the Health Impact Assessment (HIA), the burden of disease caused by an environmental risk factor, and is closely related to the assessment of disease burden for individual disease and injury. In practice this is the result of an environmental health impact assessment. Data on disease burden and injury, which have been assessed at a global level, can be used for the EBD study. The results of the EBD study are generally presented in the form of gender and age groups, and are measured for mortality as well as public health measurement units such as DALYs (Disability-Adjusted Life Year).Keywords: Disability-Adjusted Life Year, Environmental Burden of Diseases, Health Impact AssessmentKorespondensi: dr. WInda Trijayanthi U, SH., M.K.K; Fakultas Kedokteran Universitas Lampung
Hubungan Asupan Protein Nabati dengan Kadar Hemoglobin Pada Wanita Usia Remaja Vegan Eniwati Eniwati; Ratna Dewi PS; Winda Trijayanthi Utama
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.v9i2.262

Abstract

Nutrition is one of the determinants of the quality of human resources. Malnutrition can cause failure of physical growth and development of intelligence, reduce work productivity and reduce endurance. The role of essential nutrients is basically not taken seriously by the community, especially adolescents. Insufficient nutritional needs in adolescents occur due to an imbalance in the intake of nutrients in the diet. The diet of adolescents is currently influenced by their environment, such as friends and media in choosing foods that tend to follow trends, coupled with wrong eating habits such as a vegetarian diet, dislike or abstinence from certain types of food. Vegetarian diets have a high risk for the occurrence of deficiency of several nutrients such as protein, iron, calcium, zinc, copper, amino acids, fatty acids, omega 3, omega 6, vitamin D, and Vitamin B12. Protein is the most high-risk nutrient that is deficient in vegetarians and has a function that is essential for the body in the formation of hemoglobin (Hb), protein plays an important role in the transportation of iron in the body. Therefore, a lack of protein intake can cause iron transport to be hampered resulting in iron deficiency resulting in anemia. Several studies have shown that there is a significant relationship between vegetable protein intake and hemoglobin levels.
‘Happy’ Hipoksemia pada pasien COVID-19 Dita Ayu Permata Dewi; Winda Trijayanthi Utama
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.107

Abstract

One of the dubious aspects for a doctor who treats COVID-19 patients with patients who have experienced hipoxia, but without the proper signs of respiratory distress, even the absence of complaints of shortness of breath. This phenomenon is referred to as ‘happy hipoxia’. For doctors, the presence of ‘happy hipoxia’ in a Covid-19 patient, even though the patient is in a hypoxemic state, can mistakenly lead to the message that the patient is not in a critical condition and is fine. These cases can rapidly skip the clinical evolutionary stage and develop Acute Respiratory Distress syndrome (ARDS), with cardiac and respiratory attacks simultaneously leading to sudden death. Pulse oximetry should be interpreted with caution, as the oxyhemoglobin dissociation curve shifts to the left. The pathophysiology of ‘happy hipoxia’ can be accepted by the hypothesis that neurological factors are involved. Hypoxia usually activates carotid body chemoreceptors, and afferent signals are transmitted through the nucleus tractus solitarius. This usually causes an increase in the respiratory rate and sensation of dyspnea. SARS-CoV-2 infects the brain via the olfactorial bulb and olfactory nerves, via trans-synaptic spread, eventually reaching the brain stem, and the nucleus tractus solitarius. Inflammation of the nucleus solitarius tract by viral invasion that stimulates afferent hypoxia from the carotid body may not be transmitted effectively to the nucleus solitarius tract, resulting in impaired efferent respiratory response. This explains why COVID-19 patients exhibit near normal breathing in the presence of severe hipoxia (Happy hypoxia). The clinician must not only trust a patient who appears ‘happy’ but must also trust the respiratory rate, signs of hyperventilation, oxygen saturation, and invasive measurements of hipoxia / hypocapnia at regular time intervals.
Pengaruh Konsumsi Teh Hijau Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Andini Pramesti Ningrum; Winda Trijayanthi Utama; Intanri Kurniati
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.122

Abstract

Hypertension is one of the most common diseases found in primary medical practice. The manifestation of hypertension is a disorder of cardiovascular hemodynamic balance which has an increase in systolic blood pressure ≥ 140 mmHg and or diastolic blood pressure ≥ 90 mmHg which is persistent, on repeated examinations. Hypertension complications can affect various target organs such as the heart, brain, kidneys, eyes, and peripheral arteries. Hypertension is influenced by the role of intravascular volume, the role of autonomic nerve control, and the role of renin angiotensin aldosterone. Tea is thought to have a variety of health benefits and most of the evidence suggests that green tea consumption is associated with lowering blood pressure. Tea and its secondary metabolites, namely polyphenolic compounds called flavonoid, play an important roles in relaxing smooth muscle contraction, enhancing eNOS activity, reducing vascular inflammation, inhibiting rennin and endothelin-1 activity and anti-vascular oxidative stress. Consumption of green tea can significantly reduce systolic blood pressure by 1.98 mmHg and diastolic blood pressure by 1.92 mmHg. The positive effect of green tea on blood pressure was obtained after consuming low doses (<582.8 mg/day) with long-term duration (≥12 weeks). A drop in blood pressure can lower the chance of complications.
Manifestasi Kulit pada COVID-19; Pengulasan Syifa Rahmi Fadhila; Winda Trijayanthi
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.v11i1.132

Abstract

COVID-19 is a respiratory infection caused by the coronavirus. The main target of this virus attacks the mucosa of the upper respiratory tract and angiotensin-converting enzyme (ACE2) which is the receptor for viral entry. COVID-19 has many clinical manifestations. The clinical manifestations that appear in COVID-19 patients are similar to other respiratory viral infections, such as high fever, dry cough. However, over time there are many other manifestations such as fever, dry cough, diarrhea, shortness of breath (dyspnea), ageusia, anosmia, and the onset of skin manifestations. This article discusses skin manifestations in COVID-19 patients based on literature studies. The research method used in this journal is literature review. The author is looking for literature related to the topics discussed in this journal. From the research results, the skin can appear within 3 days before being diagnosed up to 13 days after being diagnosed with COVID-19. In the case of positive Covid-19 asymptomatic patients, clinical manifestations will appear on the 14th day and can be used as indicators of diagnosis. The most common skin manifestation that appears in COVID-19 patients is a maculopapular rash. Other lesions that can occur in COVID-19 patients, especially in young adults to the elderly, are urticaria, erythema nodosum, vesicular rash, petechiae / purpuric rash.
Kurkumin dan Inflammatory Bowel Disease Stevani Febeline; Winda Trijayanthi Utama; Waluyo Rudiyanto
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Inflammatory Bowel Disease (IBD) is an inflammatory disease of the gastrointestinal tract. The exact cause of Inflammatory Bowel Disease is not yet known clearly. The diagnosis of inflammatory bowel disease is often delayed due to non-specific and intermittent symptoms. There are 2 types of IBD, namely Ulcerative Colitis and Crohn's Disease. Management of IBD can be done with drug therapy, surgery, or a combination of both. This therapy aims to reduce symptoms, improve quality of life, prevent disease recurrence and avoid complications. IBD treatment can occur over a long period of time, during which time it costs quite a bit and can cause various side effects that can be experienced by patients. Therefore, experts began to consider other alternative therapies that could be used, for example the use of curcumin compounds. Curcumin is the active pigment that gives turmeric its yellow color, a plant that belongs to the ginger family or Zingiberaceae and contains anti-inflammatory substances. The mechanism of action of curcumin is by suppressing activity of Nuclear Factor-Kappa B (NF-KB) and also plays a role in suppressing Interleukin-1 (IL-1), IL-6, IL-12, IL-17, and Tumor Necrosis Factor Alpha (TNF). -α), two major cytokines that play an important role in the regulation of the inflammatory response. Management of IBD can be done through the administration of drugs so that curcumin can be considered as one of the treatments for IBD.
VISUM ET REPERTUM: A MEDICOLEGAL REPORT AS A COMBINATION OF MEDICAL KNOWLEDGE AND SKILL WITH LEGAL JURISDICTION Winda Trijayanthi Utama
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.404 KB)

Abstract

Visum et Repertum (VeR) is a medicolegal report which is made by a doctor in his capacity as an expert based on the examination of the person or people suspected. Due to an official request from an authorized law officer of what that were seen and found on the examination object while remembering the doctor’s oath. A VeR role as one of the valid evidence for proof of criminal cases against human health and life. Actually there is no reason for a doctor to refuse to make VeR, because this is meant to fulfill the formulation offence in Indonesia’s Penal Code (KUHP). A VeR basically is a compilation and its interpretation of a forensic medical examination as well as a physical examination on a routine medical examination. A VeR should not only fulfill the writing standard, but must also fulfill several terms and conditions for a court system. A good quality VeR has a certain structure and standard. A VeR written down with five main compositions, as opening parts (head of letter and sentence) “PRO JUSTICIA”, introductory data (data on requesting police institution, brief description on personal victim profile, identity of examinating doctor), report on factual findings (whole body character, related sign and symptoms, causal factor identified from victim), medicolegal conclusion (interpretation of report on factual finding in correlation with jurisdiction) and closing pledge statement. [JuKe Unila 2014; 4(8):269-275]
Kekerasan dalam Rumah Tangga: Laporan Kasus Winda Trijayanthi Utama; Asep Sukohar
JUKE Unila Vol 5, No 9 (2015)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.2 KB)

Abstract

Keutuhan dan kerukunan rumah tangga yang bahagia, aman, tenteram, dan damai merupakan dambaan setiap orang dalam rumah tangga. Keutuhan dan kerukunan rumah tangga dapat terganggu apabila kualitas pengendalian diri orang-orang yang ada dalam lingkup rumah tangga tidak dapat dikontrol yang pada akhirnya dapat terjadi tindak kekerasan dalam rumah tangga (KDRT). Kekerasan dalam rumah tangga adalah setiap perbuatan terhadap seseorang terutama perempuan, yang berakibat timbulnya kesengsaraan atau penderitaan secara fisik, seksual, psikologis, dan penelantaran rumah tangga termasuk ancaman untuk melakukan perbuatan, pemaksaan, atau perampasan kemerdekaan secara melawan hukum dalam lingkup rumah tangga. Kekerasan dalam rumah tangga merupakan masalah global yang menyebabkan morbiditas, mortalitas, dan gangguan kesehatan mental. Kasus KDRT harus ditangani secara tuntas agar tidak terjadi “lingkaran kekerasan”. Untuk mencegah, melindungi korban serta menindak pelaku kekerasan dalam rumah tangga maka negara dan masyarakat berkewajiban memberikan perlindungan kepada korban KDRT sebagaimana kemudian diatur di dalam UU No.23 Tahun 2004 tentang Penghapusan KDRT. Pembuktian terhadap kasus KDRT dalam Undang-Undang Nomor 23 Tahun 2004 tentang Penghapusan KDRT dapat dilakukan dengan hanya mendengarkan keterangan saksi korban, atau dapat juga ditambah dengan alat bukti yang lain. Salah satu cara untuk membuktikan tindak pidana KDRT ini adalah dengan menggunakan Visum et Repertum (VeR). Kasus, seorang perempuan, 44 tahun, datang ke Rumah Sakit Umum Daerah (RSUD) Dr. H. Abdul Moeloek Provinsi Lampung untuk dilakukan pemeriksaan fisik dan dibuatkan VeR atas tindak KDRT yang dialaminya. Simpulan, VeR merupakan salah satu alat bukti yang diatur dalam Pasal 184 Kitab Undang-undang Hukum Acara Pidana (KUHAP), meskipun mengenai VeR ini tidak diatur secara khusus dalam KUHAP namun VeR ini termasuk dalam kategori alat bukti surat dan alat bukti keterangan ahli. [JuKe Unila 2015; 5(9):54-60]
PEMBERDAYAAN KEMITRAAN DUKUN BERANAK PADA PELAYANAN KESEHATAN IBU -ANAK DALAM RANGKA UPAYA PENCEGAHAN STUNTING DI DESA CIPADANG KECAMATAN GEDONG TATAAN KABUPATEN PESAWARAN (DESA BINAAN FAKULTAS KEDOKTERAN – UNIVERSITAS LAMPUNG) Sutarto Sutarto; Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Risti Graharti; Reni Indriyani
BUGUH: JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 2 No. 1 (2022)
Publisher : Badan Pelaksana Kuliah Kerja Nyata Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (689.128 KB) | DOI: 10.23960/buguh.v2n1.888

Abstract

Pendahuluan: Stunting merupakan salah satu kondisi kekurangan gizi kronis disertai dengan komplikasi sakit. Stunting disebabkan oleh berbagai faktor, antara lain perilaku ibu saat hamil dan pola asuh balita yang kurang baik. Penyakit infeksi secara langsung atau tidak langsung berkaitan dengan pelayanan kesehatan ibu dan anak. Dengan pertimbangan tersebut bahwa pelayanan kesehatan ibu dan anak sangat berpengaruh terhadap kejadian stunting. Kegiatan ini untuk membantu pelayanan kesehatan ibu dan anak oleh puskesmas, dengan melakukan pemberdayaan dukun beranak/bayi dalam rangka pencegahan stunting di desa Cipadang. Tujuan kegiatan ini untuk meningkatkan pengetahuan dukun beranak dan kader kesehatan dalam forum kemitraan dukun beranak/bayi dan bidan (puskesmas) dan terjalinnya hubungan kemitraan. Metode: Pelaksanaan pengabdian dengan metode penyuluhan ceramah kelompok dan lanjutkan diskusi. Pada hari yang berbeda dilakukan wawancara mendalam dan penyerahan bahan pokok kebutuhan keluarga sehari-hari. Untuk memndapatkan analisa ilmiah pada peningkatan hasil pengukuran tingkat pengetahuan peserta selanjutnya dilakukan analisa data statisitk uji beda berpasangan. Hasil dan Pembahasan: melalui penyuluhan dan diskusi terdapat peningkatan pengetahuan dukun beranak dan kader kesehatan dalam forum kemitraan dukun beranak/bayi dan bidan (puskesmas) di desa Cipadang dalam rangka peningkatan pelayanan kesehatan ibu dan anak untuk mencegah kejadian stunting.
Co-Authors Aditia, Arianda Alghani, Sulthan Rafi Amanah, Nur Suci Amelia, Maya Rizky Amir, Anzela Ananda, Amallia Andini Pramesti Ningrum Andriani, Silvia Anggraini, Dian Isti Anisa Adelia Annisa Auliya Dien Safitrie Arifah Putri Desenia Asep Sukohar Azelia Nusadewiarti Azhar, Hafidz Sirojudhin Azmi, Aulia Salma Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Daulay, Suryani Agustina Dharmesti, Rizky Aleyda Dian Pratiwi Dian Puspita Larasati Dita Ayu Permata Dewi Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Eniwati Eniwati Evi Kurniawaty Fadhilah, Retno Suci Fadhillah, Paisal Fatharanni, Mentari Olivia Fathia, Nauriel Ferdian, Ruben Fitria Saftarina Hafizh, Ahmad Fauzan Haq, Rais Amaral Helmi Ismunandar Indika Poloriani Tunang Indriyani, Reni Intan Kusumaningtyas Intanri Kurniati Intanri Kurniati Iqbal Lambara Putra Istiqomah, Dinni Jovita, Hasna Laili Khairun Nisa Kurniawaty, Evi Kusuma, Febriyani Dyah Lariza Serafina Tobroni Maharani, Ardila Putri Maharani, Calista Putri Maharani, Raihan Syifa Maharani, Shella Marcellia, Selvi Mersiana, Putri Febi Muhammad Aditya, Muhammad Muhammad Maulana Muhartono Muhartono Nasser, Ghalib Abdul Novita Carolia Novita Carolia Nurhardita, Fika Nuriah Nuriah Nurladira, Salsanisa Tisno Nurliwayka Qodri, Amari Oktadoni Saputra Oktafany, Oktafany Pamarta, Rachel Dwyana Prayogi, Norbertus Marcell Puspitasari, Ratna Dewi Putra, Ruchpy Cahya Putri Puspa Devi Putri, Asyifa Dinda Raehana, Nabila Salwa Raharjo, Shafana Azzahra Rasmi Zakiah Oktarlina Ratna Dewi PS Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Reni Indriyani Reni Indriyani Reni Indriyani Reynhard Theodorus Xaverius Saragih Riandini, Sabrina Risti Graharti Rizal Effendi, R E Sahputra, Rahmat Tridhandy Salma Alya Ihsan Salsabila Alifiyah Setiawan Salsabila Dzakiyyah Zahra Sany Setiawan Satria Adi Nugraha Septia Eva Lusina Septiani, Linda Setiorini, Anggi Shinta Nareswari, Shinta Silvia Andriani Sirait, Naomi Elfriede Situmorang, Cindy Miranda Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Stevani Febeline Steven, Nixon Suarto, Sutarto Suharmanto Suharyani Suharyani Suryawinata, Arli Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso Sutyarso Syazili Mustofa Syifa Rahmi Fadhila TA Larasati takhfa nur asyifa Tasya Nadia Putri Tri Umiana Soleha Utomo, Muhammad Aditya W, Sofyan Musyabiq Waluyo Rudiyanto Wardani, Nanda Fitri Widjaja, Jovan Zahra, Tsurayya Fathma