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Journal : Medula

Analysis Of Antihypertensive Use In Pregnant Women With Severe Preeclampsia At Inpatient Ward of Dr.H. Abdoel Moeloek Hospital Bandar Lampung Period January-September 2016 Reffilia Irfa; Rasmi Zakiah Oktarlina; Ety Apriliana; Tri Umiana Soleha
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.9

Abstract

Hypertension in pregnancy plays a major role in maternal and perinatal morbidity and mortality. Half to two-thirds of women with hypertension are diagnosed with preeclampsia and even eclampsia. One way to overcome hypertension is by antihypertensive pharmacological therapy. This study aims to analyze the use of antihypertensives in pregnant women with severe preeclampsia in the inpatient installation of RSUD Dr. H. Abdoel Moeloek for the period January-September 2016. Researchers used a cross-sectional approach and secondary data collection through 96 medical records of pregnant women with severe preeclampsia given antihypertensive drugs at RSUD Dr. H. Abdoel Moeloek during the period January-September 2016 based on dose accuracy, the accuracy of indication and accuracy of frequency is in accordance with the 2015 Queensland Health (Hypertensive Disorders of Pregnancy) and BNF (British National Formulary) 61 in 2011, with an exact indication of 83.3 %, the dose accuracy is 100%, and the frequency is 100%.
Penatalaksanaan Tuberkulosis Paru Putus Obat Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Sukaraja Chyntia Saputri; Sahab Sibuea; Rasmi Zakiah Oktarlina
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.v10i3.98

Abstract

A holistic and comprehensive family medicine approach in detecting internal-external factors, prioritizing family-approached and patient centers is hoped to be able to improve the quality of life of patients. In this case, diagnosis and management were carried out with the concept of family medicine. Primary data were obtained through history taking, physical examination and home visits. Secondary data comes from patient medical records. The case of the patient, Mrs. 26 years old, had drug withdrawal TB (ICD X A15.0). The complaint was felt to have reappeared since three months ago, but the patient still had functional degree 2 in carrying out daily activities. Patients have internal risk factors, namely the patient's lack of knowledge of the disease, inappropriate lifestyle, curative treatment behavior and lack of medication adherence. External factors possessed by the patient are a family with low income (ICD10 – Z59.6), poor lighting, poor ventilation in the house, a densely populated home environment, inadequate cleanliness of the home environment and contact with patients with prolonged coughs. Handling and treatment efforts in a holistic and comprehensive manner using a family medicine approach in the form of education on causes, transmission, treatment and prevention of disease.
Terapi Farmakologis Tinea Korporis pada Anak Fernandya Sylvia Nurindi; Rasmi Zakiah Oktarlina; Roro Rukmi WP
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.215

Abstract

Tinea corporis is a superficial fungal infection that attacks glabrous skin except the palms, soles of the feet and between thighs. Tinea corporis occurs in all age, but the highest incidence is in children and adolescents. The incidence of tinea corporis also depends on various factors, such as geographic conditions, climate, population, lifestyle, migration, culture, education and socioeconomic levels. The clinical features include the reddish spots with squama or central healing on its central accompanied by itching that is especially felt when sweating. The management of tinea corporis is divided to non-pharmacologic and pharmacologic. Pharmacologic therapy used for tinea corporis is a topical antifungal group imidazole, allylamine or benzylamine. The use of systemic antinfungal for tinea corporis only if the lesion is widespread and topical treatment is unsuccessful.
Effect of Vitamins B1, B6, and B12 Supplements on Work Fatigue in Shift Workers at Oil Packing Factory Josua Tumpal Haloman; Rasmi Zakiah Oktarlina; T.A. Larasati
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.239

Abstract

Kelelahan kerja merupakan keluhan yang sering dijumpai pada pekerja, terutama pada pekerja shift. Kondisi fisik dan mental pekerja yang mengalami kelelahan berdampak negatif kepada pekerja itu sendiri dan hasil pekerjannya. Kombinasi multivitamin dengan kandungan vitamin B efektif mengatasi kelelahan fisik dan memperbaiki mood serta kemampuan kognitif. Penelitian ini bertujuan untuk mengetahui pengaruh suplemen multivitamin B1, B6, dan B12 terhadap kelelahan kerja khususnya pada pekerja shift. Penelitian ini merupakan penelitian eksperimental semu dengan sampel sebesar 31 orang pekerja shift di pabrik pengemasan minyak goreng yang sesuai dengan kriteria restriksi. Seluruh subjek diukur kelelahan kerjanya sebelum dan sesudah suplementasi dengan tablet kombinasi vitamin B1, B6 dan B12 selama 7 hari. Kelelahan kerja diukur dengan kuisioner Chalder Fatigue Scale (CFS) dan reaction timer. Data yang diperoleh dianalisis dengan uji statistik untuk melihat perbedaan nilai tengah sebelum dan sesudah suplementasi. Rata- rata skor kuisioner CFS sebelum dan sesudah suplementasi adalah 12,13 dan 8,52. Terdapat penurunan rata- rata skor kuisioner CFS sesudah suplementasi (p=0,001). Rata- rata waktu reaksi sebelum dan sesudah suplementasi adalah 209,45 dan 193,67. Terdapat penurunan rata-rata waktu reaksi sesudah suplementasi (p=0.028). Terdapat pengaruh suplementasi multivitamin B1, B6 dan B12 terhadap kelelahan kerja.
Diabetes Mellitus akibat Anti Psikotik pada Pasien Skizofrenia Danang hafizfadillah; Rasmi Zakiah Oktarlina
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.v10i4.121

Abstract

Schizophrenia is a mental illness with complex pathophysiology and covers various aspects such as behavioral, nerve, perception, and senses that can affect social life even disfunction at work. Schizophrenia requires a long-term treatment with anti-psychotic. The use of antipsychotics among adults and older has increased. Recent information regarding the use of antipsychotics in schizophrenic patients is associated with risk factors of cardiovascular and metabolic syndrome such as obesity, hypertension, insulin resistance, low HDL levels and high triglyceride levels. Diabetes mellitus is a syndrome of metabolic diseases characterized by chronic hyperglycemia either because the body does not produce enough insulin or because the cells do not respond to the insulin that has been produced. The numbers of type 2 diabetes mellitus is estimated to be two to three times higher in people with schizophrenia than in the general population, with a prevalence of 10% to 15%. The risk of diabetes is caused by antipsychotics which cause chronic effects of weight gain and systemic inflammation that will lead to insulin resistance, the direct effect of antipsychotic drugs on insulin action and drug-induced apoptosis of pancreatic beta cells. This article is a literature study to discuss the effects of using antipsychotic drugs in schizophrenic patients who have a role in the development of diabetes mellitus, direct and indirect effect of antipsychotics on the incidence of diabetes mellitus.
Hubungan Tingkat Pengetahuan Wanita Usia Subur (WUS) dan Dukungan Suami dengan Pemeriksaan Inspeksi Visual Asam Asetat (IVA) sebagai Metode Deteksi Lesi Prakanker Serviks di Puskesmas Kalibalangan Kabupaten Lampung Utara Tahun 2019 M. Rizky Fathurrohim; Rasmi Zakiah Oktarlina; Nurul Islamy4
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.v9i2.260

Abstract

Cervical cancer is the fourth most common cancer in women with an estimated 530,000 new cases, representing 7.9% of all female cancers. Cervical cancer events can be detected by the Visual Inspection Method of Acetic Acid (IVA). The relationship between the level of knowledge of women of childbearing age and husband's support to the visual inspection of acetic acid as an early detection of cervical pre-cancerous lesions. This type of quantitative research with cross sectional design. This research has been carried out at the Kalibalangan Main Health Center. The target of this study is all women of childbearing age who have been married, a sample of 196 people with convenience sampling technique. The object taken is the husband's knowledge and support with data collection by questionnaire. Data analysis used univariate and bivariate (chi square). As many as 151 (77.0%) respondents had never had an IVA examination. Based on the results of the study, most of the respondents with poor knowledge were 121 (61.7%) and there were no husband's support around 144 (73.5%). There is a correlation between knowledge of women of childbearing age and husband's support to the Acetic Acid Visual Inspection Examination as an early detection of cervical pre-cancerous lesions in Induk Health Center, Kalibalangan Village, North Lampung Regency in 2019 (p-value 0,000 and OR 13,707).
Thr Usage Comparison of Chloramphenicol and Levofloxacin as Therapy for Bacterial Conjunctivitis Alfina Indah Nabila; yusran; rasmi zakiah oktarlina
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.305

Abstract

Conjunctivitis is one of the most common eye diseases. Bacterial conjunctivitis ranks second after viral conjunctivitis as the most common cause of infectious conjunctivitis. Bacterial conjunctivitis can affect anyone of all ages, both men and women. One of the non-gonococcal bacteria that often causes eye infections is Staphylococcus aureus. Staphylococcus aureus generally affects adults more often than children Although rarely causes severe complaints, bacterial conjunctivitis can interfere with daily activities such as work or school. Bacterial conjunctivitis usually resolves on its own within 7 days but may continue for up to 2 weeks. Prescribing antibiotics in bacterial conjunctivitis can reduce complaints in patients and can also speed up healing. Selection of the right antibiotic is very important in order to obtain the desired treatment results. Chloramphenicol and levofloxacin are antibiotics with a broad spectrum that can be an option for the treatment of bacterial conjunctivitis caused by Staphylococcus aureus bacteria.
Pemanfaatan Gerakan Salat Sebagai Upaya Mencegah dan Mengatasi Hipertensi Rr Astri Nur Azizah Utama Utama; Rasmi Zakiah Oktarlina; Oktafany
Medula Vol 12 No 1 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i1.320

Abstract

Hypertension is defined as systolic blood pressure> 140 mm Hg and diastolic blood pressure> 90 mm Hg. Hypertension is a major risk factor for cardiovascular disease and metabolic syndrome, which is influenced by aging, but hypertension is a preventable disease. One of the preventions of hypertension is lifestyle modification such as physical activity, diet, and emotional management. In another study also mentioned that the combination of physical activity and meditation has the same effectiveness in reducing and preventing increased blood pressure compared to only low-salt food diets. Salat is a kind of meditation that involves physical movements consisting of standing, bowing, prostration, and sitting. During salat, parasympathetic activity is increased which is marked by a decrease in heart rate, especially when the prostration position (69 bpm) and a decreased of systolic blood pressure by 2.5% and diastolic by 2.8%. It shows that salat has a positive effect on the cardiovascular system. Another study showed that salat also effects on musculoskeletal so salat can be used as physical therapy in geriatric rehabilitation. Study about the benefit of salat in the cardiovascular system is still limited, so further research is needed to prove the effectiveness of the use of salat as an alternative method in reducing the prevalence of hypertension in Indonesia.
Hubungan Ketepatan Peresepan Obat Anti Hipertensi Terhadap Tekanan Darah Pasien Hipertensi Magdalena Yosefin Saputra; dyah wulan sumekar rw; rasmi zakiah oktarlina
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.v13i1.604

Abstract

Hypertension is a disease characterized by an increase in a person's blood pressure more than the normal blood pressure threshold. Hypertension is the 3rd most common cause of premature death in the world. This disease is also called the silent killer because most sufferers do not experience specific complaints, but complaints arise after organ abnormalities due to hypertension. Efforts to prevent and treat hypertension can be started with lifestyle changes such as consumption of fruits and vegetables, low consumption of salt and fat, regular exercise, and not smoking. Furthermore, treatment in the form of pharmacological management is also needed to regulate blood pressure so that it does not exceed normal limits. Administration of anti-hypertensive drugs also aims to prevent complications due to high blood pressure. Pharmacological treatment uses antihypertensive drugs such as diuretics, andrenergic blockers, angiotensin converting enzyme inhibitors (ACE-inhibitors), angiotensin-II inhibitors, calcium antagonists, direct vasodilators. Achieving the target of therapy in hypertensive patients means that there is a decrease in blood pressure until it reaches normal limits. In patients who receive antihypertensive drug prescriptions correctly, it is assessed that they have a 6 to 13-fold possibility of getting antihypertensive therapeutic effects that are on target compared to patients who receive antihypertensive drug therapy not right.
Distribusi dan Situasi Vaksinasi COVID-19 Letifa Rahmadani; rasmi zakiah oktarlina; agustyas tjiptaningrum
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.618

Abstract

Developing a safe and effective COVID-19 vaccine and getting it into people's hands is a global priority that can bring hope for ending the COVID-19 pandemic. However, the application of this vaccine can differ between countries. This study takes a close look at vaccination policies, vaccination plans, and their implementation in Indonesia which may be relevant to other developing countries. Supply constraints are one of the problems faced by developing countries, including Indonesia, especially at the beginning of the vaccination period due to relatively low coverage of vaccination plans. Limited supply from producers is one of the biggest challenges in the initial vaccination period. The plan to procure early vaccinations in Indonesia will allow Indonesia to obtain more vaccine supplies over time to cover sufficient populations to acquire immunity. Apart from the importance of vaccination distribution, the willingness of individuals to receive the COVID-19 vaccine is a major challenge in many countries. However, the demand for a COVID-19 vaccine is relatively high among the world's general population. However, skepticism is a major obstacle to efforts to control the current pandemic. To promote the equitable distribution of vaccines, it is necessary to ensure that levels of price, access and acceptance are independent of available resources among individuals and countries. This can be achieved by raising awareness about the health-protective impact of vaccines among all citizens. The issue of vaccine distribution has become critical and a significant challenge in dealing with COVID-19, a global epidemic that has turned into a national disaster. Therefore, this must be addressed immediately because it can directly increase cases of COVID-19. This literature review discusses the distribution of vaccines and the problems encountered during the process.
Co-Authors A.P, Afna Nur Adela Putri Agata Afna Nur Afni Palogan Afra Rahmania Santi oktarlina Afriyana, Regi Agung Abadi Kiswandono Agustina, Mezza agustyas tjiptaningrum Alfina Indah Nabila Ali Hasymi Romanov Alicia Rahma, Cinta Alvira Balqis Soraya Amanda, Fadyla Ambarwati, Yuli Andi Nafisah Andrifianie, Femmy Annisa Nurul Sa'diah Antika Sintia, Nova Aqil, Faiq Akhmad Ari Wahyuni Ari Wahyuni ari wahyuni Aryanti, Sri Asep Sukohar Asep Sukohar Asnah Tarigan Aspita Laila Asyraf Vivaldi Wardoyo Atri Sri Ulandari Audry Lintang Hasanuddin Augesti, Gita Aulia Nur Fadilah Aulia Ramdini, Dwi Axcellia Theresa Bayu Anggileo Pramesona Berlyantama Afifaldo Chyntia Saputri Citra Yuliyanda Pardilawati Citra Yuliyanda Pardilawati Citra Yuliyanda Pradilawati Damayanti, Ervina Danang hafizfadillah Daulay, Suryani Agustina Deandra Athaayaa Iswari Dewi Nur Fiana Dheti Efrilia Dheti Efrilia - Dika Pratiwi Adifa Disaputera, Alfafa Tsalaatsa Diva Meylia Dwi Anjani, Galuh DWi Aulia Ramdini Dwi Aulia Ramdini Dwi Indria Anggraini Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Ebti Rizki Utami Elisa, Syavira Ety Apriliana Ety Apriliana Evi Kurniawati, Evi Exsa Hadibrata Exsa Hadibrata Falamy, Ryan Fathia Sa'adah Fatimah Azzahra Fauzi, Isaura Dewi Femmy Andrifianie Fernandya Sylvia Nurindi Fonna, Maulida Puteri Fragil Khoirul Basyar Fredison, Fredison Happy, Terza Aflika Helmi Ismunandar Helmi Ismunandar Hidayat, Rizqi High Boy Karumulborg Hutasoit Humaira, Nayarani Ilyas Prabamukti Inas Salsabila Indri Windarti Indriyani, Reni Intan Kusumaningtyas Intanri Kurniati J, Zayatri Nurul Jeffrey Surya Jessy Dewi Awali Jezmy, Beby Kelidia Joni, Agnesia Priskila Josua Tumpal Haloman Junando, Mirza Karima, Nisa Khairun Nisa Khairunnisa Kurniawaty, Evi Kusumaningrum, Desy L.P, Eka Ananda Lani Hartanti Lathifah, Dina Silmi Letifa Rahmadani Letifa Rahmadani Lia Qelina Liana Sidharti, Liana Lina Marlina M. Bintang Al Farrel M. Fitra Wardhana M. Fitra Wardhana M. Ricky Ramadhian M. Rizky Fathurrohim Magdalena Yosefin Saputra Magdalena Yosefin Saputra Mallarangeng, Andi Nafisah Tendri Adjeng Marcelia, Selvi Mayasari, Diana Melia Megawati Mirza Junando Muhammad Aditya, Muhammad Muhammad Aditya, Muhammad Aditya Muhammad Fakih Muhammad Fitra Wardhana Sayoeti Muhammad Iqbal Muhammad Iqbal Muhammad Kaisar Febriantara Muhammad Maulana Muhammad Miraj Mirza, Isroni Mukhlis Imanto Mukhlis Imanto, Mukhlis Mulyono Mulyono Mutiara Nauli Br. Sitinjak Nara Safitri Natamiharja, Rudi Nathasya Karren Zeta Nathasya Karren Zeta Naza Tsasbita Hayuning Adila Nazher, Muhammad Noldy Masyitha Nora Ramkita Novita Carolia Novita Carolia Novita Carolia Novriana, Dina NUR AFRIYANI Nurul Islamy4 Nurul Utami Oktafany Oktafany Oktafany Oktafany, Oktafany Oktoba, Zulpakor P, Cindy Ivana P, Cutra Yuliyanda Pardilawati, Citra Yulianda Pardilawati, Citra Yuliyanda Patricia Cristina Wati Pius Ave Rafael Silalahi Prabamukti, Ilyas Pratama, Andre Arya Puteri, Vadiyani Fricillya Putri Ria Ariyanti Putri Ulan Sari Putri, Oka Mahila Gustia Putri, Syalika Dianisa Radita Dewi Prasetyani Rahma, Cinta Alicia Rahmania Santi, Afra Rahmasari, Fania Asfi rahmawati, selvi Ramadhana Komala Ramdini, Dwi Aulia Rani Himayani Rani Himayani Ratna Dewi Puspita Sari Ratu, Sarih Reffilia Irfa Rena Roy Reni Indriyani Reni Zuraida Reva Dwi Yanty Rika Lisiswanti Rika Lisiswanti Risal Wintoko Risti Graharti Rodiani, Rodiani Romulya, Ari Irawan Roro Rukmi Windi Perdani Roro Rukmi WP Rossa, Putri Emylia Roviq Umam S Rr Astri Nur Azizah Utama Utama Rudiyanto, Waluyo Safitri, Nara Sahab Sibuea Salsabila Dzakiyyah Zahra Salsabila Nurislami Salsabila Nurislami Salsabila, Lyansaputri Salsabilla, Riefa Ayu Salshabilla, Annisa Sangging, Putu Ristyaning Ayu Santhi, Komang Ria Yuliana Saputra, Kurnia Hadi Saputra, Magdalena Yosefin Sari, Tri Anti Permata Septiani, Linda Setiawan, Muhamad Rizky Setiorini, Anggi Shinta Nareswari, Shinta Shinta Nurhaliza Silalahi, Pius Ave Rafael Siti Khalimatus Sa'diah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Suri, Nurma Susianti, Susianti Sutarto . Sutarto Sutarto Sutarto Sutarto Sutyarso Syaiful Bahri Syavira Elisa Syazili Mustofa T. Adjeng, Andi Nafisah T.A. Larasati TA Larasati Tias Adhe Setyaningrum Tri Umiana Soleha Tri Umiana Soleha Triyandi, Ramadhan Ulinnuha, Najwa Vania Putri Risyhade Verizka, Talitha Wardani, Dyah Wulan S.R Wardani, Dyah Wulan S.R. Wardani, Farah Dwi Widyaningrum, Diah Ayu Winda Trijayanthi Utama, Winda Trijayanthi Winnugroho Wiratman, Manfaluthy Hakim, Tiara Aninditha, Aru W. Sudoyo, Joedo Prihartono Wiwi Febriani yusran Zada Amalia Agatha Sari Zada Amalia Agatha Sari Zahra Wafiyatunisa Zeta, Nathasya Karren Zetira, Zihan Zunando, Mirza