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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 JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine International Journal of Health Science Jurnal Studi Multidisiplin Ilmu
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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HIPERTENSI PADA DIABETES MELLITUS: SEBUAH TINJAUAN PUSTAKA Heironimus Billy Febriyan; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1729

Abstract

Hypertension in patients with diabetes mellitus is a significant clinical problem because it increases the risk of cardiovascular and renal complications. The pathophysiology of this condition involves interactions between insulin resistance, activation of the renin–angiotensin–aldosterone system (RAAS), endothelial dysfunction, and oxidative stress, which trigger vasoconstriction, sodium retention, and increased vascular stiffness. Various clinical guidelines, including those of the American Diabetes Association (ADA), set a blood pressure target of <130/80 mmHg to reduce the risk of long-term complications. Evidence from clinical trials such as ABCD shows that intensive blood pressure control provides benefits in terms of the progression of retinopathy, albuminuria, and stroke risk. This article was compiled using a narrative review approach by examining the latest literature from international journals and clinical guidelines related to hypertension in diabetes. Sources were selected based on relevance, recency, and strength of evidence. The analysis was descriptive to summarize pathophysiology, blood pressure target recommendations, treatment options, and the role of lifestyle changes. Management of hypertension in diabetes requires a combination of pharmacological therapy and lifestyle modifications. ACE inhibitors and ARBs are the first choice due to their renal protective benefits, while calcium antagonists and thiazide diuretics are used as adjunctive therapy. Lifestyle interventions such as salt restriction, increased fruit and vegetable consumption, regular physical activity, weight loss, and alcohol restriction provide moderate blood pressure lowering effects and improve metabolic health. A comprehensive approach encompassing metabolic, pharmacological, and lifestyle management is crucial for reducing morbidity and mortality in patients with diabetes and hypertension.
RESIKO KECELAKAAN KERJA PADA TENAGA KESEHATAN DAN PENCEGAHANNYA: SEBUAH TINJAUAN LITERATUR Naisya Midary Mutia Pratiwi; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1730

Abstract

Healthcare workers represent an occupational group with a high risk of work related accidents, including biological exposure, injuries caused by sharp objects, exposure to hazardous chemical substances, and musculoskeletal disorders associated with ergonomic hazards. These risks are influenced by high workload, suboptimal use of personal protective equipment, and the incomplete implementation of safety procedures in healthcare settings. This study aims to identify the main types of hazards commonly experienced by healthcare workers and to analyze prevention strategies recommended in previous studies. The method used was a literature review by selecting relevant national and international scientific articles related to occupational accidents, needle stick injuries, chemical hazards, and ergonomic risks among healthcare workers. Selected articles were analyzed using a systematic literature review approach, focusing on key findings, contributing factors, and prevention recommendations reported in each study. The results indicate that needle stick exposure is the most frequently reported occupational accident among healthcare workers. In addition, chemical exposure from substances such as cytotoxic drugs and disinfectants, as well as musculoskeletal complaints caused by non ergonomic working techniques, are also commonly identified. Dominant contributing factors include inadequate occupational safety and health training, inconsistent use of personal protective equipment, weaknesses in healthcare facility risk management, and high workload. In conclusion, occupational accidents among healthcare workers are multifactorial and require comprehensive preventive measures through improved training, provision of safe working facilities, compliance with standard operating procedures, and strengthening of a safety culture in healthcare services.  
LOW BACK PAIN PADA TENAGA KESEHATAN DI RUANG OPERASI: SEBUAH TINJAUAN LITERATUR Poppy Monika Sari; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1732

Abstract

Low Back Pain is one of the most common musculoskeletal complaints among Healthcare Workers, especially nurses, and directly affects quality of life, work performance, and productivity. The high physical demands of healthcare services increase the risk of Low Back Pain through multiple factors. Individual factors include age, body mass index, level of physical activity, and a history of back injury. Occupational factors involve non-ergonomic working postures, patient lifting and transfer activities, repetitive movements, prolonged working hours, and heavy workloads. This study aims to review the literature related to risk factors, impacts, and the effectiveness of preventive interventions for Low Back Pain among Healthcare Workers. The method used is a literature review of scientific articles retrieved from relevant international databases, focusing on Healthcare Workers as the primary population. The review results show that more than half of Healthcare Workers in various countries report experiencing Low Back Pain, with occupational factors identified as the main contributors. Reported impacts include increased absenteeism, decreased work performance, and a higher risk of developing chronic musculoskeletal disorders. Preventive interventions such as workplace ergonomic modifications and posture education demonstrate more consistent effectiveness in reducing the incidence of Low Back Pain compared to physical activity-based interventions or stretching exercises alone. Stretching exercises provide limited benefits when not combined with ergonomic improvements. Therefore, prevention of Low Back Pain among Healthcare Workers requires an integrated approach that combines education, application of ergonomic principles, and systematic workload management to reduce prevalence and mitigate its negative impact.
DAMPAK BURNOUT PADA TENAGA KESEHATAN: TINJAUAN LITERATUR TENTANG FAKTOR PENCETUS DAN STRATEGI PENCEGAHAN Ni Putu Swastini; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1737

Abstract

Burnout is a common work-related stress syndrome among healthcare workers, characterized by emotional exhaustion, depersonalization, and reduced professional achievement. This condition has a negative impact on service quality, worker health, and patient safety. Factors contributing to burnout include personal characteristics, sociodemographic factors, work environment conditions, high workload, and lack of organizational support. This study aims to review the literature on the factors that trigger burnout in healthcare workers and effective prevention strategies at the individual and organizational levels. The study used a literature review design with a search of articles in the PubMed, ScienceDirect, and Google Scholar databases using the keywords “burnout,” “healthcare workers,” “risk factors,” and “prevention strategies.” The articles included were publications from the last ten years, in Indonesian and English, and relevant to the research objectives. Data were synthesized narratively to identify risk factors and prevention strategies for burnout. Factors contributing to burnout included individual factors (age, gender, personality type), working conditions (high workload, overtime, interaction with patients), and organizational environment (managerial support, work culture). Effective prevention strategies combine individual interventions, such as mindfulness, CBT, and coping training, with organizational interventions, including supportive leadership, flexible policies, open communication, and empowerment of healthcare workers. Preventing burnout in healthcare workers requires a holistic approach that integrates individual and organizational strategies. Management and leadership support that emphasizes employee well-being is key to reducing burnout and improving the quality of healthcare services.
DRY EYE SYNDROME PADA PEKERJA KANTOR: TINJAUAN PUSTAKA Tyaradhia Ranita Eltidar; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1779

Abstract

An epidemiological study in the United States involving 75,000 adults reported that 5,051 individuals, or 6.73%, were diagnosed with Dry Eye Syndrome (DES), highlighting its growing importance as a public health issue, particularly among office workers with prolonged digital screen exposure. The extensive use of computers, smartphones, and tablets contributes to DES primarily through reduced blink frequency and incomplete blinking, which increase tear evaporation and lead to ocular surface dryness. Prolonged screen exposure may also induce oxidative stress and inflammation on the ocular surface, accelerating DES development. Workplace environmental factors, including air conditioning, artificial lighting, and low humidity, further elevate the risk, while blue light from screens may disrupt circadian rhythms, reduce tear production, and exacerbate symptoms. Poor ergonomic practices, such as improper screen positioning and prolonged near work, add visual strain and worsen Digital Eye Strain. A cross-sectional study in Bangladesh in 2023 found that daily screen time exceeding 8 hours, blink rates below 10 blinks per minute, and air-conditioned work environments significantly increased DES risk among office workers. Similar findings were reported in a 2024 cross-sectional study from India, which also identified screen distances of less than 50 cm and workplace humidity below 30% as risk factors. In addition, a cohort study in the Netherlands showed that professionals in legal, health, business, and administrative sectors had a higher risk of developing DES, which has been shown to reduce work productivity after symptom onset.
Apendisitis Akut pada Pasien Usia Lanjut: Laporan Kasus Noval Ramadirta; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1890

Abstract

Acute appendicitis is one of the most common surgical abdominal emergencies and may lead to severe complications such as perforation if not promptly and appropriately managed, particularly in elderly patients who often present with atypical clinical features. This case report aims to describe the diagnostic approach and management of acute appendicitis in an elderly patient using a comprehensive clinical, laboratory, and imaging-based evaluation. A 64-year-old male presented with right lower quadrant abdominal pain preceded by periumbilical pain, accompanied by nausea and vomiting. Physical examination revealed right lower quadrant tenderness with a positive McBurney sign without generalized peritoneal irritation. Laboratory findings showed leukocytosis with neutrophil predominance, while abdominal ultrasonography suggested acute appendicitis with suspected periappendiceal abscess. Based on the Alvarado and RIPASA scores, the patient was classified as high probability for acute appendicitis and underwent appendectomy. Intraoperative findings revealed non-perforated acute appendicitis without abscess formation, establishing the definitive diagnosis of uncomplicated acute appendicitis. The patient received empirical antibiotic therapy, analgesics, and definitive surgical management with favorable postoperative outcomes without complications. This case highlights that the integration of history taking, physical examination, laboratory tests, imaging, and clinical scoring systems is essential for accurate diagnosis of acute appendicitis, especially in elderly patients with variable clinical presentations, and emphasizes the importance of early surgical intervention to prevent disease progression and complications.
Cataracts in Elderly Patients with Grade 1 Hypertension: Case Reports Elizabeth Mega Sinaga; Winda Trijayanthi Utama
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.1955

Abstract

Cataract is one of the leading causes of blindness worldwide, including in Indonesia, particularly among the elderly population. Uncontrolled hypertension is believed to accelerate the development of cataract through mechanisms involving oxidative stress and microvascular dysfunction. This case is reported due to the frequent coexistence of hypertension and cataract in older adults; however, the relationship between systemic risk factor control and visual function preservation is often underemphasized. The aim of this report is to describe the clinical manifestations, risk factors, diagnostic approach, and management of a patient with hypertension and senile cataract. This case report is based on primary data obtained from medical history taking, physical examination, blood pressure measurement, and ophthalmological assessment. A 63-year-old male patient, Mr. H, was diagnosed with grade 1 hypertension and senile cataract, presenting with progressive right eye visual deterioration accompanied by a sensation of haze and glare. Clinical evaluation revealed a blood pressure of 145/93 mmHg, reduced visual acuity, lens opacity, and a positive shadow test, supporting the diagnosis. Management included administration of amlodipine 5 mg, lifestyle modification education such as a low-salt diet, increased physical activity, smoking cessation, and improved medication adherence. The patient was also referred to an ophthalmologist for further evaluation and consideration of phacoemulsification as definitive therapy. This case highlights that early recognition, blood pressure control, and appropriate management play an important role in slowing disease progression and preserving visual function.
Laporan Kasus : Perempuan 61 tahun dengan Katarak Senilis Imatur Okuli Dekstra et Sinistra Faradhila Azqiah Cahyani; Winda Trijayanthi Utama
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.1961

Abstract

The eye is one of the sensory organs that functions as the organ of vision. Various ocular disorders can cause visual impairment, one of which is cataract. Cataract is a condition characterized by opacification of the lens, which can lead to impaired visual function. Cataracts can be classified into several types, one of which is senile cataract. Senile cataract is a type of cataract associated with the aging process. It can cause visual disturbances that significantly affect the quality of life of affected individuals. We report the case of a 61-year-old woman who presented to the Ophthalmology Clinic of Dr. A. Dadi Tjokrodipo Hospital with complaints of blurred vision for one year prior to admission, which had progressively worsened over the past month. The patient also complained of cloudy vision, glare, and a foreign body sensation in the eye. Ophthalmological examination revealed visual acuity of 1/60 in both the right and left eyes, with a positive shadow test on physical examination. Based on the clinical findings, the patient was diagnosed with senile cataract. Accurate diagnosis through thorough history taking and comprehensive ophthalmological examination is essential to determine disease severity and appropriate therapeutic management. Adequate treatment can improve visual function, enhance quality of life, and significantly influence the patient's prognosis. This case report aims to discuss the clinical presentation, diagnostic approach, and management of senile cataract in an elderly patient.
Penatalaksanaan Diabetes Mellitus Tipe 2 dengan Komplikasi Selulitis pada Perempuan Usia 50 Tahun: Laporan Kasus Sheilla Amelia Vandela; Winda Trijayanthi Utama
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.2005

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder that may lead to various complications, including cellulitis. This case report aimed to implement evidence-based medicine care through a patient-centered and family-oriented approach in a patient with type 2 diabetes mellitus complicated by cellulitis. Data were collected through history taking, physical examination, supporting investigations, and home visits to comprehensively assess the patient's risk factors and overall condition. Interventions included health education, dietary modification, promotion of physical activity, and family involvement in patient care. The results demonstrated improved knowledge among the patient and family members, better adherence to recommended dietary practices, and increased regular physical activity. The family medicine approach was shown to support more comprehensive diabetes management and contribute to complication prevention and improvement of the patient's quality of life.
Co-Authors Aditia, Arianda Alghani, Sulthan Rafi Amanah, Nur Suci Amelia, Maya Rizky Amir, Anzela Ananda, Amallia Andari, Michelle Safna Andini Pramesti Ningrum Andriani, Silvia Anggraini, Dian Isti Anisa Adelia Anisa Nuraisa Jausal Annisa Auliya Dien Safitrie Arifah Putri Desenia Asep Sukohar Asyifa, Takhfa Nur Azalia, Nadhira Azelia Nusadewiarti Azhar, Hafidz Sirojudhin Azmi, Aulia Salma Azzahra, Herina Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Daulay, Suryani Agustina Desta Bulan Cahyarani Dharmesti, Rizky Aleyda Dian Pratiwi Dian Puspita Larasati Dita Ayu Permata Dewi Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Elizabeth Mega Sinaga Eniwati Eniwati Evi Kurniawaty Fadhilah, Retno Suci Fadhillah, Paisal Faradhila Azqiah Cahyani Fatharanni, Mentari Olivia Fathia, Nauriel Ferdian, Ruben Fitri Maharani Fitria Saftarina Hafizh, Ahmad Fauzan Haq, Rais Amaral Heironimus Billy Febriyan Helmi Ismunandar Indika Poloriani Tunang Indriyani, Reni Intan Kusumaningtyas Intanri Kurniati Intanri Kurniati Iqbal Lambara Putra Istiqomah, Dinni Jovita, Hasna Laili Khairun Nisa Kurniawan, Denny Andika Kurniawaty, Evi Kusuma, Febriyani Dyah Larasati, Ratri Mauluti Lariza Serafina Tobroni M. Yogie Fadli Maharani, Ardila Putri Maharani, Calista Putri Maharani, Raihan Syifa Maharani, Shella Marcellia, Selvi Maya Ganda Ratna Mersiana, Putri Febi Muhammad Aditya, Muhammad Muhammad Maulana Muhammad Nadhif Rafii Muhartono Muhartono Naisya Midary Mutia Pratiwi Nasser, Ghalib Abdul Ni Putu Swastini Noval Ramadirta Novita Carolia Novita Carolia Nurhardita, Fika Nuriah Nuriah Nurladira, Salsanisa Tisno Nurliwayka Qodri, Amari Oktadoni Saputra Oktafany, Oktafany Pamarta, Rachel Dwyana Poppy Monika Sari Pratama, Redi Bintang Prayogi, Norbertus Marcell Puspitasari, Ratna Dewi Putra, Ruchpy Cahya Putri Puspa Devi Putri, Asyifa Dinda Raehana, Nabila Salwa Raharjo, Shafana Azzahra Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi PS Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Rekha Nova Iyos 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 Salsabila Nurislami Sany Setiawan Saribu, Samintola Dolok Satria Adi Nugraha Septia Eva Lusina Septiani, Linda Setiorini, Anggi Sheilla Amelia Vandela 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 Sutarto Sutarto Sutyarso Sutyarso Syazili Mustofa Syifa Rahmi Fadhila TA Larasati Tasya Nadia Putri Tri Umiana Soleha Tri Umiana Soleha Tyaradhia Ranita Eltidar Utomo, Muhammad Aditya W, Sofyan Musyabiq Waluyo Rudiyanto Wardani, Nanda Fitri Widjaja, Jovan Zahra, Tsurayya Fathma