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All Journal Jurnal Gizi dan Pangan JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kebijakan Kesehatan Indonesia Medula Juke Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Media Gizi Indonesia (MGI) Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Gizi Klinik Indonesia JMM (Jurnal Masyarakat Mandiri) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Journal of Health Promotion and Behavior Amerta Nutrition Jurnal Kreativitas PKM SRIWIJAYA JOURNAL OF MEDICINE Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Kesehatan Community Development Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Reswara: Jurnal Pengabdian Kepada Masyarakat JKPBL (Jurnal Kesehatan Panca Bhakti Lampung) JK Unila (Jurnal Kedokteran Universitas Lampung) Poltekita: Jurnal Pengabdian Masyarakat Jurnal Abdimas ADPI Sains dan Teknologi ADMA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Jurnal Bina Pengabdian Kepada Masyarakat Jurnal Pengabdian Pada Masyarakat Jurnal Keperawatan Profesional (KEPO) Journal of Innovative and Creativity JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Poltekita: Jurnal Pengabdian Masyarakat JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Dian Isti Angraini
Department Of Community Medicine And Public Health, Faculty Of Medicine, Universitas Lampung, Jalan Prof. Soemantri Brojonegoro 1, Bandar Lampung
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Penatalaksanaan Dermatitis Numularis pada Perempuan 50 Tahun melalui Pendekatan Dokter Keluarga di Puskesmas Satelit Kota Bandar Lampung: Fakultas Kedokteran, Universitas Lampung Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung Ali, Muhammad Chaidar; Angraini, Dian Isti
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.v15i2.1622

Abstract

Nummular dermatitis (ND) is a chronic inflammatory skin disorder characterized by round, coin-shaped lesions accompanied by itching and inflammation. Although more commonly affecting men aged 55–65 years, it can also occur in other age groups. Several risk factors contribute to its development, including dry skin, irritant exposure, infections, and environmental conditions. Family physicians play a vital role in promotive, preventive, curative, and rehabilitative efforts to improve patients’ quality of life. This study aimed to implement a comprehensive family medicine approach by identifying both internal and external risk factors and providing management based on Evidence-Based Medicine (EBM), emphasizing patient-centered, family-focused, and community-oriented care. This case report involved primary data collection through direct interviews, family anamnesis, physical examinations, and home visits to assess environmental, social, and family aspects. Secondary data were obtained from medical records. A holistic assessment using qualitative and quantitative methods was conducted throughout the management process. A 50-year-old woman presented with complaints of sudden-onset itching on the dorsal feet, knees, and arms persisting for one week, which progressively worsened and was accompanied by skin lesions. Interventions included patient and family education, family conference, pharmacological therapy, and supportive non-pharmacological management. Triggering factors identified in this case were dry skin, repeated trauma, limited health literacy, and occupational exposure. A holistic family medicine approach proved effective in reducing symptoms, enhancing patient knowledge, and preventing recurrence.
Penatalaksanaan Laki-Laki Usia 20 Tahun Dengan Skabies Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Tanjung Sari Natar Khairunnisa, Salma; Angraini, Dian Isti
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.v15i2.1636

Abstract

Scabies is a skin disease caused by infestation and sensitization with the parasite Sarcoptes scabiei var. hominis. Other names or synonyms of scabies are "agogo itching", "gudig", and "budukan". The prevalence of scabies in the world reaches 300 million people every year. Many variables contribute to the development of this disease, such as low socioeconomic status, inadequate personal hygiene, age, level of knowledge, and direct or indirect interactions with sufferers. Scabies is often ignored because it is not life threatening, even though this disease can become chronic and cause complications, as well as reducing the sufferer's quality of life. Therefore, appropriate holistic treatment is needed using a family medicine approach to achieve therapeutic success. This Study aims to apply the principles of a holistic and comprehensive family doctor approach in detecting internal and external risk factors and resolving problems based on EBM (Evidence Based Medicine) which is family approach and patient centered. This study is a case report. The data obtained were primary data obtained through alloanamnesis, physical examination, and home visits, and secondary data obtained from the patient's medical records. An. 20 years old HY came with complaints of itching on his right leg since more than a week ago and there were small pimples the size of pins filled with clear fluid in the itchy area which he then scratched and broke and became blackish scabs. The patient is worried that the complaint will get worse and interfere with the patient's activities. Next, holistic management is carried out, namely intervention using poster media. In the evaluation, results were obtained in the form of of a better understanding of the disease and changes in behavior that had an impact on the success of therapy. After carrying out holistic and comprehensive management, the patient experienced an increase in knowledge about the disease by 3.75 points. Complaints of itching and rashes on the skin have decreased and patients have improved personal and environmental hygiene.
Faktor-Faktor Penyebab Terjadinya Syndrome Dyspepsia Pada Remaja Putri Habsari, Maharani Kusuma; Angraini, Dian Isti; Yuningrum, Hesti; Wardani, Dyah Wulan Sumekar Rengganis
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1266

Abstract

One of the most common non-communicable diseases is dyspepsia syndrome. A collection of symptoms in the upper gastrointestinal tract known as dyspepsia syndrome includes pain or discomfort in the upper abdominal area, a burning sensation in the chest, a feeling of fullness and early satiety, nausea, and vomiting. Indonesia ranks third after the United States as the country with the highest prevalence of dyspepsia syndrome, reaching 40–50%. Various risk factors, such as age, gender, dietary patterns, breakfast habits, consumption of spicy and sour foods, fast food, irritative beverages (soda, coffee, alcohol), exercise habits, smoking, nutritional status, and socioeconomic factors, can lead to the occurrence of dyspepsia syndrome. Adolescence is one of the risk factors that influence the occurrence of dyspepsia syndrome. Adolescents who are at higher risk of developing dyspepsia syndrome are those of the female gender. Teenage girls are more likely to pay attention to body shape and have a desire to emulate their online idols, which can lead them to adopt strict diets and irregular eating habits. Excessive physical activity contributes to the poor eating habits and breakfast habits of teenagers. The consumption of unhealthy foods, such as spicy and sharp-flavoured dishes, will increase stomach acid production. Stress in adolescents can be one of the triggers for dyspepsia syndrome. Prolonged stress can disrupt the digestive system and cause symptoms in healthy individuals. Every teenager with a busy schedule must be able to manage their time and schedule to avoid dyspepsia syndrome by bringing a packed lunch during activities.
Review Article: Potensi Farmakologi Bunga Telang (Clitoria ternatea) Athallah, Dimas Rifqi; Rudiyanto, Waluyo; Wijaya, Sofyan Musyabiq; Angraini, Dian Isti
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1267

Abstract

Clitoria ternatea, commonly known as butterfly pea flower, is a tropical plant with high historical and cultural value, particularly in traditional medicine in Indonesia and Asia. This plant is rich in bioactive compounds such as phenols, terpenoids, and alkaloids, which contribute to its various pharmacological activities, including antioxidant, antidiabetic, antihyperlipidemic, anticancer, anti-inflammatory, antimicrobial, hepatoprotective, and neuroprotective effects. The phenolic compounds in the flower function as natural antioxidants, while terpenoids and alkaloids support antidiabetic and anticancer effects. This review aims to evaluate the pharmacological potential of C. ternatea based on literature published in the last decade (2014–2024), sourced from PubMed, Google Scholar, Science Direct, and ResearchGate. Inclusion criteria were articles in English and Indonesian, while exclusion criteria included incomplete access articles, secondary reviews, and studies with weak methodologies. Based on this review, C. ternatea shows great potential as an alternative modern therapy, with consistent research demonstrating significant therapeutic activity and low side effects. Its bioactive compounds work through mechanisms such as enzyme inhibition, glucose regulation, inflammation modulation, and protection from oxidative stress, making it a promising candidate for innovative therapeutic development.
Preliminary Study on Anxiety Levels Among Palm Oil Farmers in Simpang Pematang District, Mesuji Regency-Lampung Province (2024) Bachtiar, Nabylly Aghna; Saftarina, Fitria; Larasati, Ratri Mauluti; Angraini, Dian Isti
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1425

Abstract

As the world's largest palm oil producer, Indonesia bears a significant responsibility for the well-being of its farmers, including mental health aspects, which remain a pressing issue. Farmers face various occupational pressures that have the potential to trigger psychological disorders, particularly anxiety. Poorly managed anxiety can lead to decreased concentration and productivity. This study aims to describe the anxiety levels experienced by palm oil farmers in Simpang Pematang District, Mesuji Regency, Lampung. A cross-sectional design was employed in this study, utilizing purposive sampling for sample selection. A total of 109 palm oil farmers participated as respondents, and the collected data were analyzed using frequency distribution. The results indicate that 14.7% of farmers exhibited symptoms of anxiety, with 11.9% experiencing mild anxiety and 2.8% experiencing moderate anxiety. No cases of severe anxiety were found among the respondents. Although the overall anxiety level identified in this study was lower than in previous research, it remains a matter of concern. These findings highlight the necessity of continuous efforts to enhance the mental well-being of farmers. Therefore, a more intensive mental health promotion program is required to improve farmers' understanding of stress management strategies. By doing so, farmers are expected to maintain their psychological well-being, ultimately contributing to increased productivity in Indonesia's palm oil agricultural sector.
Laboratory Examination in Tonsillitis: A Literature Review Sembiring, Dustin Delano Pranata; Imanto, Mukhlis; Sangging, Putu Ristyaning Ayu; Angraini, Dian Isti
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.v14i11.1434

Abstract

Laboratory tests play a crucial role in the diagnosis and etiology of tonsillitis, especially in children. Tonsillitis, an inflammation of the palatine tonsils, commonly affects children aged 5–15 years and is a significant cause of morbidity associated with upper respiratory tract infections. The disease can be classified into acute and chronic tonsillitis based on duration, with causes varying from viral to bacterial infections. Laboratory parameters such as leukocyte, neutrophil, lymphocyte, platelet counts, and C-reactive protein are used to differentiate the etiology of tonsillitis. Bacterial tonsillitis generally shows an increase in leukocytes and neutrophils, while viral infections are more commonly associated with lymphocytosis. Complete blood count, throat culture, and rapid antigen detection test (RADT) are the mainstays of diagnostic testing. Throat culture is considered the gold standard for pathogen identification, although it is more time-consuming. RADT offers a faster alternative with high sensitivity and specificity. Anti-Streptolysin O (ASO) titer is also important to detect Group A β-hemolytic Streptococcus infection, which is often associated with chronic tonsillitis. Recent studies have shown a correlation between laboratory results and the severity of tonsillitis. For example, a study in Sudan found that 64% of patients with tonsillitis had neutrophilia, 54% showed an elevated erythrocyte sedimentation rate, and 50% were ASO positive. These findings confirm the association between bacterial infection and chronic tonsillitis. However, interpretation of laboratory results must be done with caution, considering factors such as the time of sampling, examination technique, patient age, and the skill of the health care provider. Appropriate clinical decision-making requires the integration of laboratory results with the patient's clinical history. Further research is needed to explore the correlation between laboratory parameters, the severity of tonsillitis, and their impact on optimal therapy choices. A better understanding of these relationships will help improve the accuracy of diagnosis and the effectiveness of tonsillitis treatment.
Faktor-faktor yang Memengaruhi Menarche Dini pada Remaja Perempuan Hafizha, Syifa; Angraini, Dian Isti; Mayasari, Diana; Perdani, Roro Rukmi Windi
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1452

Abstract

Adolescence is a critical phase of rapid growth characterized by the maturation of reproductive organs, known as puberty. In females, puberty is marked by the onset of menstruation, with menarche being the first occurrence of menstruation, typically between the ages of 12 and 14 years. However, the average age of menarche in Indonesia has declined over the years, leading to an increase in early menarche cases. Early menarche occurs at an age of < 11 years (9-10 years) that is primarily driven by elevated estrogen levels in the female body. Factors influencing early menarche include genetics, nutritional status, lifestyle, dietary intake, physical activity, stress management, socioeconomic conditions, sexual behavior, and media exposure. This literature review aims to examine the correlation between these factors and the decreasing age of menarche among adolescent girls in Indonesia. Nutritional status and imbalanced dietary patterns are external factors strongly associated with early menarche. Genetic factors, particularly maternal menarche age, significantly influence the likelihood of early menarche in daughters. Low levels of physical activity contribute to increased ovarian activity and elevated estrogen levels, thereby raising the risk of early menarche. Furthermore, insufficient physical activity is directly linked to early menarche. External influences such as media exposure shape sexual behaviors, which may accelerate menarche onset. Poor stress management also disrupts estrogen regulation, further contributing to early menarche.
Perdarahan Uterus Abnormal Pada Seorang Wanita Berusia 35 Tahun : Sebuah Laporan Kasus Perdana, Azzahra Gadis Junita; Angraini, Dian Isti
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1743

Abstract

Abnormal uterine bleeding (PUA) is a gynecological disorder that often occurs in women of reproductive age characterized by menstrual disturbances both in number and duration. The prevalence of PUA worldwide ranges from 3-30% with a higher incidence during menarche and perimenopause. In Indonesia, PUA is estimated to occur in 20% of adolescents and 50% of women aged 40-50 years. Management of PUA requires a holistic approach that includes biomedical, psychosocial and behavioral aspects. The family medicine approach is an effective strategy by considering risk factors, lifestyle, and psychosocial conditions of patients. This study used a qualitative descriptive design with a case study. Data were collected through history taking, physical examination, supporting examination, and in-depth interviews. Interventions included medical therapy, health education, lifestyle modification, and psychosocial support. Patient Mrs. F, 35 years old, had complaints of abnormal bleeding outside the menstrual phase since one month ago. Internal risk factors include lack of knowledge related to PUA, inappropriate diet, and low awareness of routine control. While the patient's external factors include lack of family knowledge about PUA, appropriate contraceptive recommendations for patients and lack of family support. After the intervention, there was an increase in patient and family knowledge, improvement in the patient's diet and physical activity, and increased family attention and support for the patient.
Co-Authors Adelia Meutia Putri agustyas tjiptaningrum Ahdalifa, Pinkan Akhmad Rizki Farhan Akmal, Vina Amelia Al Supartinah Al Supartinah, Al Ali, Muhammad Chaidar Amourisva, Assyiva Putri Andriansah, M. Anggraeni, Liza Anisa Maulidia Anisa Nuraisa Jausal Anjaya, Putri Ulayya Athallah, Dimas Rifqi Aurelina, Renata Bachtiar, Nabylly Aghna Bagus Pratama Bambang Pujianto Bayu Anggileo Pramesona Carolia, Imelda Daulay, Suryani Daulay, Suryani Agustina Deddy Nur Wachid Delmi Sulastri Diana, Mayasari Dita Rifzian, Malyca Rachmaniar Dwi Indria Anggraini Dwita Oktaria Dyah Wulan S.R Wardani Dyah Wulan Sumekar Rengganis Wardani Efrida Warganegara Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Eka Putri Rahmadhani Emantis Rosa Ernawaty, Tutik Ety Apriliana Ety Apriliana Fathaniah, Widya Fauzi Ahmad Muda Firdawati, Firdawati Fitri, Dilla Syahra Noor Fitria Saftarina Ginting, Kristian Pieri Giska Tri Putri Habsari, Maharani Kusuma Hafizha, Syifa Happy, Terza Aflika Hardisman Harmaina Harmaina, Harmaina Indria, Anggraini Dwi Intanri Kurniati Islami, Andi Rassya Daffa Jausal, Anisa Nuraisa Jhons Fatriyadi Suwandi Kania, Susi Karima, Nisa Karimah Khitami Aziz Karyus, Aila Khairun Nisa Khairunnisa, Lyliani Khairunnisa, Salma Kirana, Falahdila Rebika Kristian Pieri Ginting Larasati, Ratri Mauluti Leni Ervina, Leni Liana Sidharti, Liana Lidya Angelina Purba Maya Ganda Ratna Mayasari, Diana Meiyanti Meiyanti, Meiyanti Merry Indah Sari Merry Indah Sari Miranda, Alyzah Nabila Muhamad Fathurrahman Zain Muhammad Abdul Ghoni Sutardi Muhammad Iz Zuddin Adha Muhammad Jundi Nasrullah Muhammad Yusran Mukhlis Imanto Mukhlis Imanto, Mukhlis Naila Fathiya Isnanto Nisa Karimah Nisa, Lutfi Khoirun Nixon Steven Novita Carolia Novita Carolia Novita Carolia Nurtandhee, Mutiara Perdana, Azzahra Gadis Junita Putu Risyaning Ayu Rahmani, Adrina Rizka Ramadhan, Rifqi Ihza Ramadhana Komala Rangga Firdaus Ratna, Maya Ganda Reni Zuraida Renti Kusumaningrum Samosir Riska Oktavioni Salsabilla Rizki Arisandi Rizki Hanriko Rodiani Roro Rukmi Windi Perdani, Roro Rukmi Rudiyanto, Waluyo Salsabila, Hasri Aghnia Sangging, Putu Ristyaning Ayu Sari, Merry Indah Sekar Ronna Fiskasari Sembiring, Dustin Delano Pranata Sharlene Sabrina Azzahra Sofyan Musyabiq Wijaya Soraya Rahmanisa Sormin, Merris Hartati Sri Hasnawati Suharmanto Suharmanto Suharmanto Suryadi Suryadi Susianti Susianti Susmalini, Susmalini Sutarto Sutarto Taufiqy, Athaya Tutik Ernawati Utari Gita Mutiara Wachid, Deddy Nur Winata, Afriza Wiwi Febriani Wuryaningsih Dwi Sayekti Yaktiworo Indriani Yana, Risda Yoga, M. Agung Prasetya Adnyana Yoga, Made Agung Prasetya Adnyana Yuliana Yunianto, Andi Eka Yuningrum, Hesti Yusrawati Yusrawati Zenith Puspitawati