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Journal : Medula

Faktor Risiko Pasien Coronavirus Disease-19 (Covid-19) Saphira Murfi; Tri Umiana Sholeha; Rani Himayani
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.581

Abstract

Coronavirus disease-19 (Covid-19) is a disease caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus that has caused a worldwide pandemic and reached Indonesia in March 2020. This disease causes a various clinical manifestations from mild to severe, one of which also depends on risk factors that can exacerbate Covid-19 patients to the point of causing death. Risk factors that are often associated with Covid-19 diseases, such as age, race and ethnicity, gender, obesity, history of hypertension, chronic obstructive pulmonary disease (COPD), and diabetes mellitus. This is also related to the entry of viruses into the body that uses angiotensin-converting enzyme-2 (ACE-2), causing various risk factors to appear. This article is a literature review that was compiled using articles as references that were used between 2020-2022.
Article Review: Congenital Nasolacrimal Duct Obstruction With Massage Therapy of The Lacrimal Sac Farraz Kanya Syahra; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.693

Abstract

Nasolacrimal duct obstruction is a disorder that is often found in children at the early age of birth. In most cases, the obstruction lies distal to the nasolacrimal duct as a result of a patent Hasner's valve. Epidemiological studies report that the prevalence of congenital nasolacrimal duct obstruction ranges from 5% to 20% in early childhood. Clinical manifestations that can occur as a result of this obstruction are in the form of epiphora or tears that don't drain properly resulting in accumulation and overflow of tears. In addition, symptoms that arise can be erythema on the periorbital skin, upper and lower eyelids due to irritation originating from reflex rubbing due to teardrops and discharge with inadequate drainage. This case can be given conservative therapy in the form of massage of the lacrimal sac which has been proven in many studies with favorable results. This therapy can be given in the absence of further complications such as mucocele or dacryocystitis. Massage therapy used since 1923 is the Crigler Technique. There is a new technique devised by a pediatric ophthalmologist, Philip, who provides new information based on his experience. This writing uses the article review method using several sources obtained from journals and books. This paper aims to determine the understanding and conservative management of congenital nasolacrimal duct obstruction so that the obstruction will disappear and prevent further complications.
Potensi Astragalus Sebagai Terapi Adjuvan Pada Pasien Glomerulonefritis Alfina Indah Nabila; Nabila Rayhan Yasmin; Rani Himayani; Ramadhan Triyandi
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.783

Abstract

Glomerulonephritis is a medical term used to describe a condition that involves some kidney damages. Glomerulonephritis is an abnormality of the kidney that may lead to end-stage renal disease (ESRD). The current glomerulonephritis therapy is considered not fully effective due to the possibility of additional morbidity and complications that may occur. The use of Astragalus as adjuvant therapy can inhibit the progression of glomerulonephritis. The journals, that was reviewed, obtained from the Google Scholar, Sciencedirect, PubMed, and Springer with a publication year range of 2009-2023. The journals were selected to obtain valid and reliable journals, then do a literature review and article writing. Astragalus membranaceus has a bioactive content that can act as an immunomodulator, antiinflamation, and renoprotector. Astragalus is able to improve kidney function through IL-6 secretion and improve kidney interstitial fibrosis. Administration of Astragalus in combination with conventional therapy can reduce serum creatinine and proteinuria. Astragalus has potential as adjuvant therapy in glomerulonephritis patients.
DAMPAK PEMBELAJARAN ONLINE TERHADAP KESEHATAN MENTAL PADA ERA PANDEMI COVID-19: DAMPAK PEMBELAJARAN ONLINE TERHADAP KESEHATAN MENTAL PADA ERA PANDEMI COVID-19 Okki Muhammad Fajar Muthahhari; Rani Himayani; Rizki Hanriko
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.784

Abstract

COVID-19, which spread throughout the world, causing the disease to be declared a pandemic, has affected all aspects of people's lives without exception in the world of education, which was previously conducted face-to-face, now the learning method has changed to online learning. This causes many things to be done by using communication tools as a socializing chain with the surrounding environment. Online education is a new method of learning through networks that has been in place since early 2020, which is one of the steps to reduce the spread of COVID-19. Distance Education can have an impact on students' psychology. This causes many things to be done by using communication tools as a socializing chain with the surrounding environment. Mental health is becoming a problem in the midst of the COVID-19 pandemic, especially for elementary school students. Mental health is constantly changing, creating a variety of major problems that must be resolved. This article aims to determine the mental health of students while undergoing online learning during the COVID-19 pandemic era. The type of review used in this journal is in the form of a literature review of 40 articles found through the NCBI database, PubMed, Google Scholar, only 22 articles were selected from 2020 to 2022. The result of this article is to explain the latest updates regarding the impact of online learning in the era of the COVID-19 pandemic. 19 on mental health.
Diagnosis dan Tatalaksana Trikiasis Keziah Tirtawijaya; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.674

Abstract

Trichiasis is a condition in which the eyelashes are in the wrong position, facing back and rubbing against the cornea or conjunctiva. In trichiasis the eyelash follicles are normal, but the direction of their growth is abnormal. Some of the eyelashes or all of the eyelashes at the eyelid margin may be involved. Trichiasis can be classified into major and minor. Trichiasis is an acquired condition, not a congenital condition. Trichiasis affects the lower eyelids, but in certain cases, such as chemical burns of both eyelids and trachoma, the upper eyelids are more affected. The cause of trichiasis is often idiopathic, but chronic eyelid inflammation or an infection such as trachoma, herpes simplex or zoster, can be the cause. Trichiasis often occurs with other diseases such as trachoma, cicatricial pemphigoid, and other eyelid trauma. Trichiasis is complicated by corneal erosion and corneal ulcers. Trichiasis can cause eye irritation. Treatment of trichiasis is divided into operative and non-operative management. Treatment of trichiasis depends on the number of eyelashes involved. Treatment of trichiasis can be in the form of using contact lenses, removing eyelashes, or surgery. This paper uses the article review method using sources such as journals and books. The purpose of this writing is to know the definition, diagnosis, and management of trichiasis. The diagnosis of trichiasis can be established by anamnesis and physical examination. The management of trichiasis depends on the symptoms in the anamnesis and physical examination.
Hubungan Glaukoma dengan Hipertensi Muhammad Arsy Kamal Faadhil; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.675

Abstract

Glaucoma is a group of progressive optic neuropathy characterized by degeneration of retinal ganglion cells and resulting changes in the optic nerve head. Glaucoma can be classified into 2 broad categories: open-angle glaucoma and angle-closure glaucoma. In patients with open-angle glaucoma, there is increased resistance to aqueous outflow through the trabecular meshwork. Conversely, access to drainage pathways is usually obstructed in patients with angle-closure glaucoma. Intraocular pressure can cause mechanical stress and strain on the posterior structures of the eye, especially the lamina cribrosa and the surrounding tissues.Acute open angle glaucomacan manifest itself with pain radiating from the eye, visual disturbances, conjunctival hyperemia, and occasionally nausea and vomiting with a tense, rock-hard globe. This is an ophthalmological emergency that requires immediate treatment to prevent severe eye damage and blindness. In contrast, open-angle glaucoma is usually asymptomatic until it reaches an advanced stage. If there are visual field defects, they are usually not located in the same part of the fields of the two eyes and are therefore well compensated for by binocular vision. Thus, people with open-angle glaucoma generally report no symptoms and many are completely unaware that they have the condition.Several epidemiological studies have reported that an increase in systemic blood pressure is associated with a small increase in intraocular pressure. Individuals with hypertension have a risk of about 1.2 times higher for developing open-angle glaucoma than individuals without hypertension followed by other risk factors, namely age over 40 years, and use of antihypertensive drugs. Patients over 40 years of age, especially those with a history of hypertension, are advised to undergo an eye examination.
Buta Senja: Hubungannya Dengan Asupan Vitamin A di Indonesia Evan Christian Christian; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.679

Abstract

Night blindness is a disorder of the eyes where the eyes cannot function properly in low light or inadequate lighting conditions. This occurs due to dysfunction of the rod cells present in the retina of the eye. Rod cells play a crucial role in vision and are closely related to the availability of vitamin A in the body. Vitamin A is an essential micronutrient for the body and plays an active role in a person’s vision. Vitamin A works in conjunction with rhodopsin in the mechanism of vision. Vitamin A can produce rhodopsin and regulate vision mechanisms through several mechanisms, one of which is the conversion of the cis chain to trans. Vitamin A deficiency can disrupt a person’s vision. Research shows that there are still many children in the world and in Indoneisa who suffer from vitamin A deficiency. The WHO estimates that around 190 million children worldwide suffer from vitamin A deficiency. Studies in Central Java shows that Indonesia still experiences vitamin A deficiency, with about 60% of children having serum retinol levels below normal. Low serum retinol is indicator of a person’s vitamin A deficiency, The use of vitamin A supplements is important in preventing night blindness. Research shows that the use of additional vitamin A supplements can be done since infancy, by providing supplements to newly delivering mothers, so that the vitamin A supplements consumed by the mother can increase the retinol level in the colostrum of mother’s milk that will be consumed by the child.
Gambaran Umum dan Tata Laksana Kalazion Lintang Lestari Cahya Sawitri; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.687

Abstract

Chalazion is the most common local inflammatory condition, accounting for 13.4% of all benign eyelid lesions, caused by obstruction of the meibomian glands in the upper or lower lid, either unilaterally or bilaterally. Chalazion is a chronic granulomatous inflammatory condition of the Meibomian glands which are responsible for producing meibum which can reduce tear evaporation and facilitate lubrication of the ocular surface. This situation is often associated with acne rosacea, atopy, seborrheic, and chronic blepharitis. The lesions are inflammatory nodules that form when the products of lipid breakdown enter the surrounding tissue and trigger a granulomatous inflammatory reaction. The nodule is not more than 1 cm in size, not hyperemic, not painful when pressed, not fluctuate, and pseudoptosis. Single hard textured nodule located deep in the upper or lower lid or tarsal. Management can be done through a conservative approach, antibiotics, and surgery. Conservative medical treatments include warm compresses, eyelid massage, eyelid scrubs, and eyelid cleansing with baby shampoo. Antibiotics are generally not indicated, unless the condition is associated with severe blepharitis or blepharitis due to rosacea. Persistent lesions require surgical intervention. Smaller lesions are treated by surgical curettage and dissection. Larger lesions require more extensive excision. Good sleeping habits, regular exercise, and fresh air are essential to promote healthy skin and Meibomian glands.
ARTICLE REVIEW PERDARAHAN SUBKONJUNGTIVA Syiva Ulhayah; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.696

Abstract

One of the common complaints in emergency departments and outpatient clinics is red eyes. One of the causes of red eyes that often occurs is subconjunctival hemorrhage which is a disorder that can occur in most benign situations but can also occur at certain times as a clinical manifestation of a diagnosis of a dangerous disease, especially if the bleeding occurs continuously or recurrently. . Usually, subconjunctival hemorrhages are painless. The conjunctiva consists of two parts, namely the bulbar part which covers the sclera and the tarsal part which covers the inside of the eyelids. The occurrence of subconjunctival hemorrhage is due to tearing of the small blood vessels on the surface of the eye above the sclera. This leaking blood then enters the lower Tenon's capsule and its condition becomes more pronounced when the blood leaks into the externally exposed portion of the bulbar conjunctiva. Subconjunctival hemorrhage can occur in elderly or young patients where the main risk factors in young patients are trauma and contact lens use and in elderly patients are systemic vascular diseases, such as hypertension, diabetes, and arteriosclerosis. In its treatment, subconjunctival hemorrhage does not require special treatment and will heal within 1-2 weeks. However, several factors need to be considered in the management of subconjunctival hemorrhage, including whether the patient experiences irritation, whether subconjunctival bleeding is accompanied by decreased vision, and whether there is a history of trauma. Subconjunctival hemorrhage has a good prognosis.
Diagnosis dan Tatalaksana Otitis Media Supuratif Kronik Rizqiani Astrid Nasution; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.701

Abstract

Chronic suppurative otitis media or also known as CSOM is a chronic inflammation or infection of the middle ear with a perforation of the tympanic membrane accompanied by or without discharge in the ear canal for at least 2-6 weeks. Chronic suppurative otitis media may start as otitis media with progressively worsening tympanic membrane perforation. The presence of cholesteatoma, namely the keratinized squamous epithelium in the middle ear can worsen the patient's condition to the point of complications. The diagnosis of chronic suppurative otitis media includes anamnesis, physical examination, and supporting examinations. In the anamnesis, the patient experiences symptoms such as decreased hearing function, discharge from the ear canal, tinnitus, a feeling of fullness in the ear, and can be accompanied by otalgia and high fever which indicates complications. The physical examination was carried out by examining the ear canal, examining the middle ear, and examining the hearing test in the form of a tuning test consisting of a Rinne test, Weber test, and Schwabach test, as well as a whispered voice test. In supporting examination of chronic suppurative otitis media, pure tone audiometry, Brainstem Evoked Response Audiometry (BERA) and otomicroscopy were performed. Management of chronic suppurative otitis media consists of non-operative management and operative management. Non-operative management is carried out with an aural toilet, administration of topical and systemic antibiotics, and education. Operative management is in the form of surgery consisting of myringoplasty, tympanoplasty, and mastoidectomy. Operative management is carried out if the patient with chronic suppurative otitis media is not responsive to topical or systemic medical therapy with appropriate aural toilet.
Co-Authors Ad-Dhuha, Rahmah Maziyah Adelia, Anggi Adrifianie, Femmy Ahmad Duta Al-Ihya Alfina Indah Nabila Amalia Febriyanti Ambarwati, Endah Amelia, Erry Rizki Amira Nabila Andrifianie, Femmy Angelica Philia Christy Anggraeni Janar Wulan Anindia Syafia Halimathus Sa'dyah Aprianti, Shervia Dwi Ardella, Karina Belinda Ardika, Okta Besti Ari Wahyuni Ari Wahyuni ari wahyuni Arif Yudho Prabowo Asep Sukohar Betta Kurniawan, Betta Brigitta Shinta dewi Cahyana, Adinda Husna Carissa Aprilia Y Chindy Annisa Putri Mandala Sempaga Cut Karel Dithia Daffa Fahreiza Damayanti, Ervina Devina Hardianto Devira Fitriani Kamal Dewayanti, Wahyu Dwi Anjani, Galuh Dwi Indria Anggraini Edward Sintong Samosir Ellysa Angguman Putri Ety Apriliana Ety Apriliana Evan Christian Christian Fadhilah, Fuad Fadilah Alwiyah Fairuz Hanan, Sifa’Syaharani Faisal Rohmadhiyaul Haq Faisol Rohmadhiyaul Haq Faridi Pani Farraz Kanya Syahra Fauzan Hafizh, Ahmad Fauziani, Andra Nabila Fayza Syachrani Febri Nadyanti Febrianti, Arlin Fernadya Sylvia Nurindi Firsandini, Firsandini Fitria Saftarina Ghaitsa Lulua Ghifari, Ghaza Ahmad Al Ghiffari, Fahman Ghina Salsabila Fenty PNR Gigaramadan Sema Gigih Forda Nama Giska Tri Putri Graceciela, Yohana Eva Hana Qanitah Hanifah Qollama Astrid Hanna Mutiara, Hanna Happy, Terza Aflika Helmi Ismunandar Helmi Ismunandar Hendra Tarigan Sibero Hery Dian Septama Ida Laila Ihsanti Dwi Rahayu Ika Agustin Putri Haryant Imtinan Khoirunnisa Intan Kusumaningtyas Intanri Kurniati Junando, Mirza Junita, Aulia Kadek Elvina Kusuma Putri Kamila Nastiti Keziah Tirtawijaya Khairun Nisa Kurnia Fithrananda Kurniawan, Diva Ardhana Lintang Lestari Cahya Sawitri Lubna Farhana M Yusran M. Revo Artmando L M. Yusran Maharani , Mentari Putri Mallarangeng, Andi Nafisah Tendri Adjeng Mardiana Mardiana Maretta, Alvina Christy Maureen Angelica Melni Armadani Mentari Putri Maharani Mochamad Fauzan Dava Muhammad Aditya, Muhammad Muhammad Arsy Kamal Faadhil Muhammad Maulana Muhammad Maulana Muhammad Yusran Muhartono Muhartono Mukhlis Imanto Nabila Alsa Sagia Nabila Rayhan Yasmin Nadhia Wihelga Nahrassyiah Rahma Putri Naila Fathiya Isnanto Nashwa Faadillah Nasyim Natanael, Jessica Neli Salsabila Ni Made Karenina Rini Dwi Cintawan Noval Ramadirta Nurhaliza, Rahma Nurul Fadhilah Az-zahro Nurul Purna Mahardika Nurul Utami Okki Muhammad Fajar Muthahhari oktadiani, Isna Oktafany, Oktafany Oktaryona Trisera Oktoba, Zulpakor Prayogi, Norbertus Marcell Putu Ristyaning Ayu RA Genta Syakira Hatta Rachel Agustin Inggrid Zefanya Rahmah, Nisrina Nur Ramadhan Triyandi Ramadhina, Farrasyifa Ramdini, Dwi Aulia Rasmi Zakiah Oktarlina Regita Dwi M Rekha Nova Iyos, Rekha Nova Rengganis Wardani, Dyah Wulan Sumekar Renitta Anggraeni Rifka Putri Dewi Riska Azzahra Risti Graharti Ristyaning Ayu Sangging, Putu Rizki Hanriko Rizqiani Astrid Nasution Rudiyanto, Waluyo Ruth Leria Noverika Salsabila Haqya Kusuma Sangging, Putu Ristyaning Ayu Saphira Murfi Septiani, Linda Serafina Subagio Shifa Azzahra, Nimas Sitanggang, Grety Soraya Rahmanisa Suharmanto Susanti, Andani Dewanti Sutarto Sutarto Sutarto Sutarto Syachrani , Fayza Syahrani Alya Murfi Syazili Mustofa Syiva Ulhayah T. Adjeng, Andi Nafisah Thamara Az Zahra Tri Umiana Sholeha Tri Umiana Soleha Tri Umiana Soleha Tsurayya Fathma Zahra Vania Widyadhari Damayanti Widjaja, Jovan Wildan Kautsar Irawan Wiwi Febriani Yashila Rahimah Yasmin, Deffina Widya Yuliant, Titin Yusran, M Zenith Puspitawati Zheva Aprillia Yozevi