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All Journal Medula Juke Jurnal Dunia Kesmas Jurnal Kreativitas PKM JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Medika Hutama Essential: Essence of Scientific Medical Journal Prosiding Konferensi Nasional PKM-CSR Journal of Comprehensive Science Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Journal of Student Research Sains Medisina Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Majority Jurnal Riset Multidisiplin Edukasi JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Galen: Jurnal Ilmu Farmasi dan Kesehatan SNTE JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Rani Himayani
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Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Konjungtivitis Alergi Noval Ramadirta; Mentari Putri Maharani; Rachel Agustin Inggrid Zefanya; Yashila Rahimah; 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.v13i4.1.716

Abstract

Allergic conjunctivitis is a form of ocular disorder associated with hypersensitivity reactions to foreign bodies. Allergic conjunctivitis is often a reaction to topical and systemic medications or cosmetics and animal dander from cats and/or dogs. Allergic conjunctivitis is a consequence of a type 1 allergic reaction. In individuals with hypersensitivity, when the allergen is present in the conjunctiva, this allergen triggers a reaction that causes Th2 cells to produce cytokines that induce the production of immunoglobulin E (IgE) by B cells. Classification of allergic conjunctivitis based on Ocular Allergy from the European Academy of Allergy and Clinical Immunology (EAACI) are ocular surface hypersensitivity disorders including ocular allergy or non-allergic ocular hypersensitivity. The diagnosis and management of this disease are related to the clinical manifestations that occur in patients. General management in the form of avoiding allergens and improving eye hygiene must be considered so that chronicity does not occur in the disease and interferes with the patient's quality of life. Some cases of allergic conjunctivitis do not pose a severe health threat. Complications of allergic conjunctivitis are rare, but when they do, they can be serious, including, in severe cases, scarring of the eye. If allergic conjunctivitis develops into infective conjunctivitis, the infection can spread to other body areas, potentially causing severe secondary infections. This article will provide a deeper understanding of allergic conjunctivitis, its diagnosis and management.
Acute Blepharitis: Diagnose and Management Vania Widyadhari Damayanti; 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.v13i4.1.718

Abstract

Blepharitis is an eye disorder that indicates inflammation at the edges of the palpebrae. Blepharitis can be divided into acute and chronic. Causes of acute blepharitis include bacterial, viral, or allergic reactions. Clinical manifestations that may appear include itching, burning, crusting, tearing, blurred vision, and foreign body sensation. No special diagnostic tests are needed other than a history and physical examination. Management in dealing with acute blepharitis is by keeping the eyes clean, warm and wet compresses, administering antibiotic ointments, administering topical corticosteroids. A diet that increases omega-3s and reduces omega-6s can also help with blepharitis symptoms. Food sources that contain omega-3s include sprouts, breast milk, and certain fish oils. Meanwhile food sources of omega-6 are meat, eggs, poultry, cereals, avocados, sunflower oil, corn oil, cottonseed oil, linseed oil, vegetable oils, margarine, sunflower seeds, pumpkin seeds, walnut seeds, soybeans, cashews, and other nuts.
HIFEMA : TINJAUAN KLINIS DAN KLASIFIKASI Imtinan Khoirunnisa; Carissa Aprilia Y; Fadilah Alwiyah; Regita Dwi M; 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.v13i4.1.720

Abstract

Accumulation of blood in the anterior chamber of the eye called hyphema. A hyphema usually caused by blund trauma to the eye. It can also occur as a result of surgery inside the eye or abnormal blood vessels inside eye. Bleeding, eye pain, blurry or distorted vision, and light sensitivity is the symptoms of hyphema. The treatment are encouraging the blood, treat elevation incraocular pressure, bed rest is recommended. Also, patient of hyphema can also kept head in elevatd position during sleep and protect the eye with a shield. Steroid eye drops usually prescribed to limit inflammation, dilating drops, and reduce the pain. The last treatment is surgery with purpose to remove the blood. Prognosis of hyphema depends on size, small sized have a good prognosis. But, patient whose have eyes undergo rebleding have bad prognosis because they have larger sized of hyphema.
Tinjauan Pustaka: Patofisiologi, Diagnosis, dan Tatalaksana Rinitis Alergi Ahmad Duta Al-Ihya; Ghina Salsabila Fenty PNR; 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.v13i4.1.725

Abstract

Rhinitis is broadly defined as inflammation of the nasal mucosa. The incidence rate of allergic rhinitis in Indonesia is estimated at approx 10-20% and soon increase. The average age of allergic rhinitis is 8-11 years,and 80% allergic rhinitis occurs in 20 years old. Rhinitis describes a pattern of symptoms resulting from nasal inflammation and/or nasal mucosal dysfunction that includes many different subtypes. There are three different, widely accepted subtypes of rhinitis: allergic rhinitis, infectious rhinitis, and non-allergic rhinitis, non-infectious rhinitis. Rhinitis is characterized by the presence of one or more of the following nasal symptoms: nasal congestion, anterior or posterior rhinorrhea, sneezing, and pruritus.The diagnosis of this disease can be done by percutaneous skin tests (skin prick test), radioalergosorbent test (RAST), simultaneous multiantigen test (MAST), fluoroallergosorbent test (FAST), and capture immunoassay test (ImmunoCAP). A thorough medical history and detailed clinical examination may lead to suspicion of allergic rhinitis. Medical therapy includes intranasal corticosteroids, which are safe to administer to both adults and children and are superior to combination oral antihistamines and leukotriene receptor antagonists. The first generation antihistamines are no longer recommended because of side effects, whereas the second generation oral antihistamines have strong H1 receptor selectivity and weak anticholinergic action. Nasal irrigation is widely used in all types of rhinitis with isotonic or hypertonic saline and helps remove mucus and clears inflammatory medications.
Ablasio Retina: Etiologi, Faktor Resiko, Diagnosis, dan Tatalaksana Salsabila Haqya Kusuma; 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.v13i4.1.726

Abstract

The separation of the neurosensory layer on the retina with the pigment epithelium layer at the bottom is an eye disease called Retinal Detachment. Retinal detachment occurs when the EPR and neurosensory layers are no longer attached to each other. Based on previous research, it was found that in the Iowa area conducted by Haimann et al., as well as research conducted in Minnesota by Wilkes et al., there were 12 cases of retinal detachment per 100,000 people each year. This research was conducted with the type of literature review research which has the aim of collecting data that is relevant to the material that is interested in being studied at this time, namely regarding Retinal Detachment or Retinal Detachment. The inclusion criteria used by the researchers were a literature that was uploaded or published at the latest in 2012. The exclusion criteria used were literature published in 2011 and below (examples: 2011, 2010). The results of the research that has been done are in the form of in-depth material regarding retinal detachment. Based on the theory introduced by the American Optometric Association (AAO), retinal detachment is categorized into rhegmatogenous which most often causes emergency conditions, and non-rhegmatogenous. Risk factors that affect retinal detachment are myopia, age, gender, trauma, the presence of peripheral retinal degeneration, and others. Meanwhile, the recommended treatment or therapy is vitrectomy surgery, scleral buckle, pneumatic retinopexy, and laser photocoagulation. Because retinal detachment can be an emergency case, doctors need to be aware of the signs and symptoms that lead to this disorder.
Optic Disc Cupping Kamila Nastiti; 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.v13i4.1.728

Abstract

Optic disc cupping is an enlargement of the cup and disc diameter ratio which is known as one of the characteristics of glaucoma. Glaucoma itself is one of the leading causes of blindness in Indonesia. Diabetes, heart disease, hypertension, nearsightedness and farsightedness can be risk factors for optic disc cupping due to glaucoma. Optic disc cupping can also be caused by various cases of non-glaucoma optic neuropathy. Distinguishing glaucomatous and non-glaucoma-induced optic disc cupping is a challenge for the observer. This research was conducted using the literature study method by conducting literature searches from various international and national journal sources. This study aims to collect data that is relevant to the material that is interested in being studied, namely regarding optical disc cupping. The results of the research that has been done are in the form of deepening material regarding optic disc cupping. The results showed that while the ratio of the cup to the optic nerve disc is quite variable in humans, the contours of the cup should be determined by biomicroscopic background assessment in order not to rely solely on color and to monitor blood flow and tipping on the rim of the cup. Optic disc cupping most often results from glaucoma. Deeper in the optic disc cupping occurs due to thinning of the prelaminar and laminar layers or high intraocular pressure.
SYSTEMATIC REVIEW KOMBINASI ORTOKERATOLOGI DENGAN ATROPIN PADA TERAPI MIOPIA ANAK Melni Armadani; Syahrani Alya Murfi; 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.v13i4.1.735

Abstract

Myopia is a refractive disorder in which the light rays that enter the eye are focused in front of the retina, not directly above it, so that distant objects appear blurred. Based on several studies, it was found that myopia progresses most rapidly during childhood, and the age of stabilization has been reported to be in the 15-16 year age range. One of the therapies that can be used to slow the progression of myopia is atropine in combination with orthokeratology lenses. The research method was carried out by searching articles on PUBMED with the formula, namely 'Combination Orthokeratology with Atropine' AND 'Myopia' AND Children with a range of 2017 to 2023. Orthokeratology is a method that uses rigid contact lenses designed with a highly oxygen permeable return geometry that helps reshape the central cornea to correct low to moderate refractive errors. The efficiency of orthokeratology in reducing axial elongation in young children has been demonstrated worldwide. Atropine can block muscarinic receptors in the sclera and retina, resulting in thickening of the scleral fibrous layer and thinning of the scleral cartilage layer. This change retards axial elongation and results in recovery of the refractive error. From several existing literature studies, the combination of atropine therapy with orthokeratology lenses has proven effective in slowing the progression or development of myopia in children by suppressing axial elongation.
Otosklerosis Kurnia Fithrananda; 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.v13i4.1.738

Abstract

Otosclerosis is a hearing disorder with an abnormal condition of the process of remodelling the hearing bones that most often affects the stapes bone. This disease affects women more often than men by showing symptoms of decreased hearing, tinnitus, and vertigo. The ethology and pathophysiology of this disease are still controversial and unclear. However, there are several factors like infection, heredity, anatomy, and pregnancy that are said to be associated with this disease. Diagnostic enforcement of this disease is carried out by means of a CT Scan accompanied by various ear physical examinations. Until now, surgery and hearing aids are still considered the best treatment compared to administering drugs. The prognosis of this disease is said to be good, but there is still the possibility of recurrent conductive hearing loss.
Otitis Media Efusi: Etiologi, Patofisiologi, Patogenesis, Epidemiologi, Diagnosis, Tatalaksana, Komplikasi Brigitta Shinta dewi; Angelica Philia Christy; Nabila Alsa Sagia; 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.v13i4.1.780

Abstract

Otitis media with effusion is a common problem faced by general practitioners, paediatricians and otolaryngologists. Otitis media with effusion (OME) is a common clinical condition associated with hearing loss in which there is fluid in the middle ear but no acute infection. Otitis media with effusion is more affected in children, where it can be found in 80% of preschool children. Otitis media with effusion can cause significant delays and damage to communication and skills as well as difficulties in behavior and education. This article reviews the definition, several available etiological theories, pathophysiology of otitis media with effusion in the human body, epidemiology or spread of the disease, clinical diagnosis or symptoms found, complications, and how to manage patients with otitis media with effusion. Patients with otitis media with effusion often experience chief complaints of reduced hearing and a feeling of blockage in the ears. In children due to reduced hearing can cause speech disorders as well. To ensure that the patient really has otitis media with effusion, otoscopy, audiometry, and tympanometry can be done. Most otitis media with effusion can heal spontaneously, but there are several treatments that can be done, for example by using steroids, decongestants, histamine, or by decongesting. If the otitis media with effusion is not immediately given proper management, several complications will occur such as speech delays in children, changes in the structure of the ear, permanent hearing loss, and also tympanosclerosis
Skleritis dan Rheumatoid Arthritis Cut Karel Dithia; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.715

Abstract

Rheumatoid arthritis is the result of a chronic inflammatory process that involves the immune system. One of the antibodies that is often detected in RA and scleritis patients is rheumatoid factor (RF). RF are antibodies produced by the immune system to attack the body's own tissues, including joints and synovial membranes. Another part of the antibody effect that is cyclic anti-citrate antibody (Anti-CCP), is an antibody that recognizes citrulinating proteins in body tissues, namely certain protein modifications that occur in RA patients and are considered as important factors in the pathogenesis of this disease. Increased RF levels can occur in patients with RA as well as in patients with scleritis. Scleritis is an inflammatory condition of the sclera, which is the thick white layer that lines the front of the eyeball. The etiology or cause of scleritis is still not known with certainty, apart from uncertain etiology, there are factors that can increase the risk of developing scleritis, such as autoimmune diseases, infections, vascular disorders, trauma, and drugs. This literature review discusses the relationship between rheumatoid arthritis and scleritis.  
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