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All Journal Jurnal Gizi dan Pangan Medula Juke Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan Paediatrica Indonesiana Jurnal Teknoinfo Jurnal Ilmiah Keperawatan Sai Betik Manuju : Malahayati Nursing Journal Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati Jurnal Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Electrical Engineering and Computer Science Jurnal Aisyah : Jurnal Ilmu Kesehatan JK Unila (Jurnal Kedokteran Universitas Lampung) Poltekita: Jurnal Pengabdian Masyarakat Jurnal Pengabdian Masyarakat: Humanity and Medicine MAHESA : Malahayati Health Student Journal Jurnal Inovasi Pembangunan Journal Of World Science Jurnal Ilmu Medis Indonesia Indonesian Journal of Nursing and Health Sciences (IJNHS) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Majority Holistik Jurnal Kesehatan JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Jurnal Sinergi Essentia: Journal of Medical Practice and Research
Khairun Nisa
Universitas Lampung
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Transportation Veterinary Other

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Hubungan antara Imunisasi Rotavirus dengan Kejadian Diare pada Balita Syahfira, Reisyah; Nareswari, Shinta; Berawi, Khairunnisa
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.v15i2.969

Abstract

Diarrhea is a condition of defecating more than 3 times a day accompanied by a change in the consistency of the stool to liquid with or without mucus and blood that lasts less than one week. Diarrhea results in a loss of fluids and electrolytes, especially sodium and potassium, in large amounts. Fluid loss that continues and is not balanced with adequate replacement will result in dehydration. The risk of dehydration in toddlers is greater due to the inability to meet their fluid needs while their body fluid composition is large. Dehydration that is allowed to continue will result in several complications and even death. Therefore, diarrhea is one of the diseases that is the main cause of morbidity and death in children under five. One prevention of diarrhea is rotavirus immunization. Rotavirus immunization is an effort to actively create/increase a person's immunity against a disease so that if one day they are exposed to the disease they will not get sick or will only experience mild illness. This research was conducted to determine the relationship between rotavirus immunization and the incidence of diarrhea in toddlers. This research uses a literature review method with data sources from the National Center for Biotechnology Information, Google Scholar, and Science. The research year range of articles is 2018 to 2021 and articles conducted in English and Indonesian literature. The results of this literature review from the 6 articles analyzed stated that there was a relationship between rotavirus immunization and the incidence of diarrhea in toddlers.
Article Review: Pendekatan Holistik Manajemen Obesitas: Aspek Psikologis dan Kesehatan Mental Syarel, Radin Ghefira Naura; Berawi, Khairun Nisa; Febriani, Wiwi
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.v14i8.1255

Abstract

Obesity is a complicated and multifaceted medical disorder defined by excess fat buildup, which can have a severe impact on an individual's physical and mental health. In 2022, the World Health Organization (WHO) reported that around 2.5 billion persons globally are overweight, with obesity incidence in Indonesia reaching 23.1%. This number indicates a notable rise and raises major public health concerns. Obesity has a significant effect on a person's mental health, including sadness, anxiety, and low self-esteem, in addition to raising the risk of several chronic diseases like type 2 diabetes, hypertension, and cardiovascular disease. According to recent studies, psychological variables are crucial in the emergence and maintenance of obesity. Unhealthy eating habits, such as consuming foods high in calories and low in nutrients, can be brought on by stress, social stigma, and environmental pressure. As a result, obesity management requires a multidisciplinary strategy that not only focuses on physical therapies such as food and exercise, but also takes into account the psychological factors that influence eating behavior. Acceptance and Commitment Therapy (ACT), which aims to help people manage psychological stress and build mental resilience, is one promising strategy. Accepting challenging emotional situations and resolving to act in line with one's own ideals are the main goals of ACT. It is believed that removing the stigma attached to weight and offering sufficient psychological assistance can enhance the lives of those who suffer from obesity and stop the rise in obesity rates in Indonesia. Better outcomes in controlling this condition can be accomplished by improving our understanding of the link between mental health and obesity and implementing comprehensive intervention techniques. This comprehensive strategy is anticipated to offer a more successful way to deal with the issue of obesity in society by incorporating a number of academic fields, such as psychology, nutrition, and sports.
Pemeriksaan Ultrasonografi Elastografi dalam Diagnosis Penyakit Ginjal Adisti, Fransiska; Ramadhian, Muhammad Ricky; Maulana, Muhammad; Berawi, Khairun Nisa
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.v14i11.1299

Abstract

Ultrasonography (USG) is a diagnostic tool in medical imaging that operates on the principle of ultrasound waves emitted by a transducer. Recent advancements in USG technology have significantly enhanced its diagnostic capabilities. Renal elastography, a specialized application, enables the assessment of tissue stiffness or elasticity. The technique involves applying pressure to the tissue and measuring the resulting strain, providing valuable insights into the extent of fibrosis in the renal parenchyma. This article presents a comprehensive review of renal elastography ultrasonography and its clinical applications. USG is a non-invasive imaging modality that requires no special preparation, typically performed with the patient in a supine position. The kidneys are evaluated in longitudinal and transverse planes using a transducer positioned at the flank. Various elastography techniques exist, categorized based on the intensity of external pressure applied.
The Hubungan Penyakit Jantung Bawaan (PJB) Dengan Status Gizi Pada Balita: Literature Review: Hubungan Penyakit Jantung Bawaan (PJB) Dengan Status Gizi Pada Balita: Literature Review Pertiwi, Nabila Rahma; Berawi, Khairun Nisa
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.v14i10.1348

Abstract

Congenital Heart Disease (CHD) is a heart condition present at birth, with a global incidence of 9.4 cases per 1,000 live births, and in Indonesia, around 8 cases per 1,000 births. Children with CHD, especially those experiencing malnutrition, are at high risk of growth disorders due to energy imbalance and nutrient deficiencies. Studies on infants with cyanotic and acyanotic CHD show a significant relationship between the type of CHD and the child’s nutritional status. Cyanotic CHD has a greater impact on growth disorders compared to acyanotic CHD, with infants with cyanotic CHD having lower weight and height. The research also indicates that infants with cyanotic CHD have a higher risk of malnutrition due to difficulty meeting their energy needs through food intake. Malnutrition in infants with CHD can be caused by insufficient food intake, inefficient nutrient absorption, and increased energy demands due to the heart working harder. Hypoxemia in cyanotic CHD leads to decreased appetite, increased workload on the heart and lungs, and inefficient thermoregulation, ultimately increasing calorie needs. Additionally, hypoxemia causes changes in body tissue, such as a reduction in fat cells, leading to chronic malnutrition. Increased blood viscosity due to erythrocytosis impedes blood flow and oxygen distribution, worsening the energy imbalance that significantly affects the growth of infants.
Transient Ischemic Attack : Tantangan dalam Mendiagnosis Akuba, Nanda Nurrohim; Susianti; Daulay, Suryani Agustina; Berawi, Khairun Nisa
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.v14i10.1360

Abstract

Stroke is a condition characterized by the rapid development of clinical signs of focal and global neurological deficits, which can worsen and persist for 24 hours or more, potentially leading to death, with no clear cause other than vascular. Transient Ischemic Attack (TIA) is a temporary neurological dysfunction caused by a blockade or reduction in blood perfusion to brain tissue, lasting from a few seconds to minutes, and in some cases, up to 24 hours. Diagnosing TIA is challenging because patients typically present after the TIA has resolved, making it crucial to diagnose TIA clinically before confirming the diagnosis with additional examinations such as CT-Scan or MRI. There are meta-analysis studies that describe the role of certain biomarkers in supporting the diagnosis of TIA. Due to the closely related pathomechanisms between TIA and ischemic stroke, almost all the same biomarkers can be used to diagnose both conditions. There are scoring systems used to identify the risk of stroke in patients with TIA, with the ABCD² score being the most commonly used. Rapid assessment and the implementation of adequate therapy reduce the risk of TIA progressing to ischemic stroke.
Faktor-Faktor yang Memengaruhi Perfoma Atlet Prestasi Olahraga Permainan Bola Kecil Farhati, Soraya; Berawi, Khairun Nisa; Daulay, Suryani Agustina; Kurniawan, Candra
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.v14i10.1379

Abstract

Small ball game sports are a category of sports that involve small-sized balls and bats. Examples of these sports include badminton, rounders, baseball, softball, tennis, and others. Indonesia has not yet achieved notable achievements in small ball game sports. To improve performance and achieve better results, athletes must maintain optimal performance levels. It is crucial to identify and optimize all factors affecting the performance of small ball game athletes to help them reach their full potential. Optimal physical condition is the most essential factor for athletes. Physical fitness can be improved through the right combination of frequency, intensity, duration, and types of exercise. Another factor that affects athletic performance is nutrition, including macronutrients such as carbohydrates, proteins, and fats, as well as micronutrients like vitamins and minerals. Athletes have different nutritional needs compared to non-athletes. Furthermore, nutritional requirements vary across different sports disciplines and are highly individualized. Psychological factors also significantly affect an athlete's performance. An athlete's psychological state greatly influences their concentration during competitions and plays a crucial role in their ability to perform at their best. Key psychological aspects to consider include discipline, motivation, self-confidence, and personality. To achieve optimal performance, athletes require physical training, nutritional monitoring, and psychological support.
Tekanan Darah Pada Atlet Al Ghifari, Ghaza Ahmad; Berawi, Khairun Nisa; Graharti, Risti; Kurniati, Intanri
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.v14i10.1398

Abstract

Blood pressure in athletes is an important topic in exercise physiology studies, given its influence on performance and long-term health. In general, athletes exhibit lower blood pressure at rest compared to sedentary individuals, as a result of the body's adaptation to regular physical exercise. The purpose of this method is to analyze and collate knowledge relevant to the research topic. In this study, 12 articles from national and international journals published between 2015 and 2023 were used. The articles were obtained from databases such as PubMed and Google Scholar. The collected sources were then analyzed using the systematic literature review method. The result of this study is that blood pressure in athletes can be different compared to individuals who are not involved in intense physical activity, due to the body's adaptation to regular exercise. Blood pressure in athletes is influenced by a variety of factors, including sport type, training pattern, age, gender, as well as genetic and environmental factors. Understanding these blood pressure patterns is important for optimizing performance and maintaining cardiovascular health in athletes.
Hubungan antara Postur Kerja dan Keluhan Muskuloskeletal pada Pekerja Kantoran : Literature Review Ramadhan, Yasmine Aulia; Wardani, Dyah Wulan Sumekar Rengganis; Komala, Ramadhana; Berawi, Khairunnisa
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.v14i11.1442

Abstract

Musculoskeletal disorders (MSDs) are commonly experienced by office workers, particularly those who spend long hours working in front of computers with non-ergonomic postures. Frequent complaints such as pain in the neck, back, arms, and wrists are often caused by unsupported sitting positions or the use of work equipment that does not adhere to ergonomic principles. An evaluation to understand the relationship between work posture and musculoskeletal complaints among office workers is necessary to assess its risk level for MSDs.. One effective method to assess MSD risk is the Rapid Office Strain Assessment (ROSA). This method evaluates three key aspects of the work environment: chair design, monitor position, and the placement of the mouse and keyboard, all of which significantly impact worker comfort and health. The assessment assigns scores to each element to determine the level of risk. Studies reveal that many workers face high risks due to non-ergonomic working postures, which directly contribute to musculoskeletal complaints. Implementing ergonomic principles, such as using chairs that support proper posture, adjusting desk height to match the worker's stature, and optimizing computer device arrangements, is crucial to reducing these risks. Additionally, incorporating breaks for stretching into work schedules is strongly recommended. These measures not only alleviate MSD complaints but also enhance workplace comfort and overall productivity.
Aktivitas Antibakteri Epigallocatechin Gallate (EGCG) Teh Hijau pada Bakteri Gram Positif dan Bakteri Gram Negatif Afifah, Syafira Hasna; Apriliana, Ety; Setiawan, Gigih; Berawi, Khairun Nisa
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.v14i12.1446

Abstract

Epigallocatechin gallate (EGCG) is a catechin compound found in green tea and is known for its various health benefits, including antioxidant, anti-inflammatory, and antibacterial activity. Research on the antibacterial effects of EGCG shows that this compound has significant potential in inhibiting the growth of various pathogens, both Gram-positive and Gram-negative bacteria. Gram-positive bacteria, such as Staphylococcus aureus and Streptococcus pneumoniae, are more sensitive to EGCG than Gram-negative bacteria. The antibacterial mechanism of EGCG in Gram-positive bacteria involves disrupting cell membrane integrity and inhibiting biofilm formation, while in Gram-negative bacteria, EGCG can increase the permeability of the outer membrane and increase the penetration efficiency of antibiotics. However, the main challenge in using EGCG against Gram-negative bacteria is the structural barrier present in the outer membrane, which limits the penetration of the compound. The use of EGCG in combination therapy with antibiotics shows great potential in overcoming antibiotic-resistant infections, strengthening antibacterial activity, and reducing side effects. Although EGCG shows promise as an antibacterial therapy, challenges related to bioavailability, stability, and formulation need to be overcome to optimize its potential in the treatment of difficult-to-treat bacterial infections.
Analisis Hubungan Indeks Massa Tubuh dengan Daya Tahan Kardiorespirasi pada Anggota Komunitas Futsal Fakultas Kedokteran Universitas Lampung Ekki Pirmansyah; Berawi, Khairun Nisa; Ramadhian, Muhammad Ricky
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1675

Abstract

Cardiorespiratory endurance is a key indicator of physical fitness, reflecting the efficiency of the heart, lungs, and circulatory system in transporting and utilizing oxygen. Low cardiorespiratory endurance can increase cardiac workload and blood pressure, ultimately elevating the risk of cardiovascular disease. In addition to cardiorespiratory endurance, body mass index (BMI) is another important measure of physical fitness. This study aimed to analyze the relationship between BMI and cardiorespiratory endurance among members of the Futsal Community of the Faculty of Medicine, University of Lampung. This analytic observational study employed a cross-sectional design. A total sampling technique was used, involving 62 student members of the futsal community. The independent variable was BMI, calculated as body weight (kg) divided by height squared (m²). The dependent variable was cardiorespiratory endurance, assessed using the Rockport test. Data were analyzed using the Chi-square test. In this study, most of the participants had a normal BMI (40.32%), while cardiorespiratory endurance levels were predominantly categorized as poor (38.71%) and fair (37.81%). Bivariate analysis yielded a p-value of 0.000, indicating a significant association between BMI and cardiorespiratory endurance among members of the Futsal Community of the Faculty of Medicine, University of Lampung. The direction of the correlation was negative, meaning that an increase in BMI was associated with a decrease in cardiorespiratory endurance.
Co-Authors Abimanyu Darmawan Adisti, Fransiska Admi Syarif Afifah, Syafira Hasna Agung, Leni Yulinda Kesuma Agus Wantoro Agustyas Tjiptaningrum Agustyas Tjiptaningrum Ahmad Arkan Ichsan Ahmad Arkan Ichsan Ahmad Farishal Akuba, Nanda Nurrohim Al Ghifari, Ghaza Ahmad Alicia Rahma, Cinta Alinta Ayuningtyas Alinta Almufit, Sabrina Early Amalia Tirzaningrum Amir, Anzela Andhika Mahatidanar Anggi Setiorini Anggraeni Janar Wulan Anggraeni, Ni Made Ida Damma anggraini janar wulan Angraini, Dwi Indria Ani Yuli Yanti Puspitasari Anisa Adelia Annisa Adietya Pratama Annisa Fath Annisa Putri Perdani Apri Lyanda Aprilia, Sandrina Audy Arif Yudho Prabowo Arsistya Ayu Marella Asep Sukohar Asiah Nurul Izzah Assidiq, Hans Pratama Astiti, Feni Ayu Dinda Fatimah Azizah, Nailul Azizza, Zahra Qori Azkiya Balqis, Gasela Zalianti Bayu Anggileo Pramesona Candra Kurniawan Chicy WIdya Morfi Christy, Angelica Philia CNA Qolbi Daulay, Suryani Agustina Dea Okta Pabiola Desty Marini Dewi Nur Fiana Dewi Nur Fiana Dewi Nur Fiana Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Syafitri Dian Syafitri Dian Syafitri Diana Mayasari Dilangga, Pad Dinda Annisa Fitria Diva Iole Humaira Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Eca Cania Edward Sintong Samosir Efrida Warganegara Ekki Pirmansyah Emantis Rosa Ester Krisdayanti Ety Apriliana Exsa Hadibrata Farhati, Soraya Fathia Radinda Salsabila Fathia Sabila Umar Fauzi Ahmad Muda Fauziyyah Nuur Al Azizah Fitria Putridewi Abidin Fitria Saftarina Frigandra Syahputri Ghaitsa Lulua Giska Tri Putri Gozali, Achmad Haikal Nirfandi Hanif, Fauziah Hanna Mutiara Happy, Terza Aflika Haq, Rais Amaral Helmi Ismunandar Helmi Ismunandar Hendra Tarigan Sibero Hendri Busman Heni Sulistiani Herdato, M. Junus Didiek Hj. Rahma Amtiria Ilham Nugroho Ilham Nugroho Indri Windarti Intan Kusumaningtyas Intanri Kurniati Irawati, Nur Ayu Virginia Iswandi Darwis Jovan Widjaja, Jovan Widjaja Karima, Nisa Khalisah Nurjihany Salsabila Kurnia Muludi Kurniawan, Ryanda Masri Kurniawaty, Evi Kusumajati, Pusparini Latief, Adhi Nugroho Leni Ervina, Leni Lesilolo, Caroline Virgine Putri Liana Sidharti Liana Sidharti M Masykur Berawi M. Aqmal Hidayah M. Irfan zaki Rici Maharani, Atifah Fadilah MAHARANI, MELINDA Marcellia, Selvi Marzon, Mafalda Messah, Anse Diana Valentiene Mia Trihasna Asrizal Morfi, Chicy Widya Muhammad Aditya Muhammad Aditya, Muhammad Muhammad Aditya, Muhammad Aditya Muhammad Al Ikhsan Muhammad Farid Adityo Muhammad Maulana Muhammad Morsa Habibie Muhammad Ricky Ramadhian Muhammad Rifki Pratama Muhartono Muhartono Murfi, Syahrani Alya Nadyanka Zafirah Daya Adiwiguna Neema Putri Prameswari Nelly Yuana Ni MAde Ida Damma Nisa Karima Nisa Karimah Nur Anggraini Nurhaliza, Suci Nurul Islamy Nurul Islamy Nurul Utami Oktadoni Saputra Oktafany, Oktafany Oktavia Ningtias, Nabila Padmadisastra, Jauzaa Faishal Ahmad Perdami, Roro Rukmi Windi Pertiwi, Nabila Rahma Prabowo, Arif Yudho Prambudi Rukmono Pramesona, , Bayu Anggileo Prayogi, Norbertus Marcell Purnama, Dara Marissa Widya Puspaningrum, Dewi Ayu Putri Giani Purnamasari Qanita Arindia, Naifa Hana Rahma, Cinta Alicia Rahmah, Azizah Nur rahmawati, selvi Ramadhan Triyandi Ramadhan, Yasmine Aulia Ramadhana Komala Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Ratri Mauluti Larasati Ratu Nirmala Wahyunindita Redi Bintang Pratama Reni Zuraida Rianto, Muhamad Arif Rika Lisiswanti Risti Graharti Riyan Wahyudo Roro Rukmi Windi Perdani, Roro Rukmi RR. Ella Evrita Hestiandari Rudiyanto, Waluyo Safira, Ditya Ananda Salma Khairunnisa Samsul Bakri Sangging, Putu Ristyaning Ayu Sembiring, Rinawati Septiani, Linda Setiawan, Gigih Setiorini, Anggi Sheira Indah Anjani Shiddiq, Haikal Shinta Nareswari, Shinta Siregar, Maulana Irfan Hazairin Smith Imanuel Saputra Soemarwoto, Retno Ariza S. Sowiyah Sowiyah Sri Ratna Sulistiyanti Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Susianti Susianti, Susianti Sutarto Sutarto Sutyarso Sutyarso Sutyarso Syahfira, Reisyah Syahrani, Fitri Aulia Syarel, Radin Ghefira Naura Syazili Mustofa Ta Larasati TA Larasati Tasya Khariena Akbar Theodora Agverianti Theodorus, Emeraldha Verizka, Talitha Warsito Warsito Warsono Warsono Wibowo, Gatra Hadimuti Widjaja, Jovan Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wuryaningsih Dwi Sayekti Yoga, M. Agung Prasetya Adnyana Yolanda, Jennifer Ester Yulita Yulita Yuningrum, Hesti Zahra, Tsurayya Fathma Zefanya, Ezekial