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All Journal Medula Juke Rekayasa Mesin Jurnal Sistem Kesehatan JK Unila (Jurnal Kedokteran Universitas Lampung) Journal of Language and Health Prosiding Konferensi Nasional PKM-CSR Medic Nutricia : Jurnal Ilmu Kesehatan Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Helmi Ismunandar
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Journal : Medula

 1 
Cara-cara mempercepat penyembuhan luka takhfa nur asyifa; Syazili Mustofa; Helmi Ismunandar; Winda Trijayanthi
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.v12i4.531

Abstract

A wound is a disconnection of tissue continuity due to damage, or loss of tissue substance due to injury or surgery. wounds are the most common injuries found in our daily lives. there are 3 phases of wound healing process are inflammatory phase, proliferation phase and maturation phase. this process is influenced by many factors like patient factors, wound factors and local factors. in the wound healing process, there are several things that can accelerate wound healing are away from cigarettes, reducing stress, improving nutrition by adding supplements (protein, vitamins and minerals), control chronic disease, stop consume alcohol, prevent infections (wound dressings and antibiotik), and avoid medical drugs that can affect wound healing. by understanding the physiology of good wound healing, we can accelerate wound healing and minimize unwanted effects
Sarkoma Ewing: Diagnosis dan Tatalaksana Hisbul Waton; Helmi Ismunandar; Oktadoni Saputra; Ratna Dewi Puspita Sari
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.v13i2.657

Abstract

Ewing's sarcoma (ES) is the second most common bone malignancy. It is accompanied by osteosarcoma. Ewing's sarcoma is most common in people between the ages of 10 and 20, or becomes more common in their 20s, and most cases affect males. The exact cause of Ewing's sarcoma is unknown, but it is currently associated with a translocation of chromosomes 11 and 12 which results in fusion of the EWS and FL-1 genes in 90% of cases. Ewing's sarcoma is often diagnosed with an extensive lesion and metastases, so the patient's prognosis is poor. Complaints that are often found in patients with Ewing's sarcoma are pain, fever, mass and fracture pathology. In addition, laboratory tests found an increase in blood sedimentation levels (ESR), anemia followed by an increase in white blood cells, lactate dehydrogenase (LDH). Radiographs show ill-defined, punctate, penetrating, or moth-eaten lesions, onion-like periosteal reaction, and abundant soft tissue around the diaphysis or metaphysis. Treatment of Ewing's sarcoma is a multimodal approach that combines chemotherapy, physical therapy, and radiation therapy. This combination has been shown to increase the 5-year survival rate of patients with Ewing's sarcoma to over 50%.
Polytrauma dan Injury Severity Score (ISS) Gigaramadan Sema; Helmi Ismunandar; Rani Himayani; Risti Graharti
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.v13i6.834

Abstract

Polytrauma is trauma that occurs at several areas on the body, followed by decline in physiological function which has the potential to cause multiple organ dysfunction and death in patients. Initial assessment of polytrauma is important to identify injuries that require initial treatment, determine the management of these injuries, and assess the patient's prognosis. There are several scoring systems that can be used to assess polytrauma injuries. Abbreviated Injury Scale (AIS) can be used to assess the severity of the injury and the probability of death of the patient. The Injury Severity Score (ISS) is a scoring system that assesses the three most severe injuries from six body regions. New Injury Severity Score (NISS) is an update from ISS; assessment of the three most severe injuries to the body regardless of body region. These assessment methods can help the trauma care system to better prevent complications and death in polytrauma patients.
Kesehatan Mental sebagai Aspek Penting dalam Intervensi Pasca Bencana Hakim, Ganesha Rahman; Ismunandar, Helmi; Sutarto, Sutarto
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.902

Abstract

Indonesia experiences a high occurrence of natural disasters. Throughout the year 2022, a total of 3,544 disasters were recorded in Indonesia. Disasters can be defined as events that threaten lives and disrupt communities, resulting from both natural and non-natural factors. Disasters have broad impacts on physical and mental health. The population affected by disasters may exhibit traumatic reactions and show psychological symptoms. Some individuals require assistance to cope with their traumatic reactions. Psychological First Aid (PFA) is an effective psychological intervention that can provide support and a sense of safety to individuals affected by disasters. The principles of PFA involve providing emotional support and connecting the victim with the necessary assistance. PFA is conducted using three principles: look, listen, and link. The first step involves identifying victims in need of psychological assistance, followed by listening and calming the victims. Finally, the helper will assist the victim in obtaining further necessary assistance. PFA has a positive impact on the mental health of victims, reducing anxiety, depression, emotional distress, and feelings of fear. Additionally, PFA can provide victims with a sense of security and help them reconnect with available assistance.
Mitigasi Bencana Untuk Penyandang Disabilitas Devi, Maria; Sutarto, Sutarto; Ismunandar, Helmi
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.907

Abstract

Indonesia is a country with a high level of vulnerability to natural disasters. Based on data from Indonesia's National Disaster Management Agency (BNPB), it was found that in 2023, 2,669 natural disasters occurred throughout Indonesia. The intensity of the incident with the highest number was forest and land fires 1,624 times. People with disabilities are known to be more vulnerable in emergencies caused by natural disasters. Mitigation, as the first step in dealing with disasters, is the prevention phase followed by the preparedness, emergency response and recovery phases. Measures to reduce potential hazards with an emphasis on Disaster Risk Reduction (DRR) and Disaster Risk Management (DRM) efforts are prioritized. Some inclusive approaches to disaster mitigation for persons with disabilities include planning, preparation, and risk reduction through evacuation training, greater participation of persons with disabilities in disaster coordination and management, and better data management so that integration is not only to fulfill human rights, but through effective programs and policies from pre-disaster, during disaster, and post-disaster stages according to the type and type of disability. The involvement of individuals with disabilities in disaster management systems and processes certainly cannot be achieved without the support and cooperation of all parties, especially the community and government. People with various disabilities from different backgrounds have the opportunity to co-design disaster management and rehabilitation policies, resources or activities. This article will discuss information regarding the preparedness of people with disabilities in the face of disasters.
Manajemen Pra Tsunami Fatkhul Rizqi, Khoirul; Sutarto, Sutarto; Ismunandar, Helmi
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.912

Abstract

Geographically, Indonesia is in the tectonic ring, where 3 tectonic plates meet, including the Indo-Austalian Plate, the Eurasian Plate and the Pacific Plate. The meeting of these 3 plates carries the risk of an underwater earthquake causing a tsunami. Tsunamis are a threat to residential areas in coastal areas. This is the biggest problem for coastal communities because it can cause a lot of casualties and very serious damage to buildings. The largest tsunami that occurred in Indonesia was a tsunami measuring 9.3 SR (Ritcher Scale) in Aceh Province on December 26 2004, which resulted in many fatalities. This article aims to understand and describe pre-tsunami management. This article uses a qualitative approach with discussion using paragraph descriptions of the data. The results of this article explain that there are several efforts that can be made to minimize tsunamis, namely pre-tsunami management consisting of mitigation, preparedness and early detection. According to Law no. 24 of 2007, Disaster management is a dynamic, continuous and integrated process that aims to improve the quality of things related to disaster analysis and observation as well as steps for prevention, mitigation, preparedness, early warning, emergency management, disaster rehabilitation and reconstruction. . Therefore, pre-tsunami management is very important for all communities, especially communities living in areas close to the sea such as beaches and ports.
Surgical Site Infection Lubis, Aisyah; Wintoko, Risal; Ismunandar, Helmi; Windarti, Indri
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.956

Abstract

Surgical site infection (SSI) is a fairly common complication that can arise after surgery, both minor surgical procedures and more complex surgical procedures. This infection can occur due to the entry of pathogenic microorganisms into the surgical wound, causing an inflammatory reaction. This infection can prolong recovery time, increase mortality, require additional medical intervention, and affect the patient's quality of life. This impacts patient clinical outcomes as well as additional care costs. Factors such as surgical technique, cleanliness of the operating environment, use of implants, and the patient's health condition can influence and also contribute to increasing the risk of infection. Symptoms of surgical site infection include pain, swelling, redness, or the presence of pus in the surgical wound. When this infection occurs, immediate medical action is needed to prevent the spread of infection which can cause advanced conditions such as sepsis. Prevention of surgical site infections involves sterile measures before and during surgical procedures, the use of prophylactic antibiotics, and thorough post-operative monitoring. These efforts aim to reduce the risk of surgical site infections, ensure optimal recovery, and improve the overall results of the surgical procedure. An in-depth understanding of the risk factors and prevention of surgical site infections can help medical personnel provide quality care and ensure the success of the operation. There is also the importance of early detection and treatment of infections in patients undergoing surgery.
LOW BACK PAIN: Literature Review Shafia, Anindya; Ismunandar, Helmi; Putri, Giska Tri; Saftarina, Fitria
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.v15i2.1631

Abstract

Low back pain (LBP) is one of the most common musculoskeletal problems and a leading cause of disability and global productivity loss. This condition can be either acute or chronic and is caused by various factors, including mechanical, radicular, and nociplastic components. The complexity of its etiology and the variability of treatment responses necessitate a comprehensive and multidimensional approach. This study is a literature review that examines scientific articles obtained from databases such as PubMed, Scopus, and Google Scholar. The articles reviewed were published between 2015-2025 and discussed aspects of  definition, epidemiology, classification, diagnosis, and pharmacological and non-pharmacological management of LBP. The review found that LBP has a high global prevalence, particularly among the productive age group and the elderly. Risk factors include biomechanical, psychosocial, and lifestyle aspects. Management of LBP involves pharmacological treatments (NSAIDs, tramadol, duloxetine) and non-pharmacological approaches (physical exercise, education, multidisciplinary rehabilitation). LBP is a complex public health issue with significant economic and social burdens. Effective management strategies require a biopsychosocial approach, appropriate use of screening tools, and multifactorial interventions tailored to the type and phase of pain. Prevention through education and physical activity has also proven effective in reducing the risk of LBP occurrence.
Penggunaan Dinamometer Tangan Sebagai Instrumen Asesmen Klinis Ilhamy, Satria Rizqi; Setiorini, Anggi; Ratna, Maya Ganda; Ismunandar, Helmi
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.v14i8.1254

Abstract

Hand is one of the system organs in the human bodies consisting of bones, muscles, and nerves that works in unison in order to function well. Hand plays a crucial role in daily activities hence it needs to have a good function. One of the main method to assess one’s hand function is by their handgrip strength measured by a hand dynamometer. Hand grip strength measured by a hand dynamometer can be used as a certain health indicator in clinical settings either as a diagnostic tool or as a prognostic predictor for some diseases. One of the use of hand grip strength measured by a hand dynamometer is to diagnose sarcopenia, a musculoskeletal degenerative disease that affects the elderly because of their aging process. Research showed a relationship between a low results of hand grip measurement with an increase of the risk of death in pneumonia patients caused by COVID-19. The results from the dynamometer can also be used as a predictor of success for weaning off a ventilator. Other research also found a correlation between the hand grip measurement with the degree of severity in type 3 spinocerebellar ataxia. Hand grip measurement is relevant for assessing clinical outcomes in patients with incurable cancer. Another study found that hand grip strength measurement can be used to assess chronic kidney disease patient’s vascular diameter for their vascular access in order to continue their hemodialysis. Therefore, dynamometer has a potential as a clinical assessment instrument to support diagnostic and prognostic accuracy.
Penatalaksanaan Sindrom Terowongan Karpal: Tinjauan Literatur Sihaloho, Yohanna Christiani; Ismunandar, Helmi; Maulana, Muhammad
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.v14i11.1373

Abstract

Carpal tunnel syndrome is a group of symptoms caused by compression of the median nerve, resulting in increased carpal tunnel pressure on the wrist. Dominant paresthesia at night, pain that is worse at night, and weakness in the hands (for example, holding objects, making fists, and impaired fine motor skills in the hands) are symptoms that can occur in CTS sufferers. The incidence of CTS is estimated at 2.7-5.8% in the world, 7-16% in the UK, and 2.6 million adults (1.55%) experience CTS in the United States. The incidence of CTS is not yet known with certainty in Indonesia, but research in Denpasar reported that there was an incidence of CTS in workers of 79.2% (Paramita et al., 2021). CTS risk factors are divided into internal and external factors. Internal factors, including age, gender, nutritional status, pregnancy, menopause, other medical conditions (fracture or dislocation, diabetes mellitus, and rheumatoid arthritis). External factors, including repetitive wrist and hand movements, stiff and inappropriate work postures, long work duration. Physical and supporting examinations need to be carried out to help diagnose CTS. Examinations that can be carried out include provocation examinations, electrodiagnostic examinations and ultrasound examinations. Patients who have been diagnosed with CTS can be treated immediately to prevent further severity, including conservative therapy, pharmacological therapy, surgical therapy, or occupational therapy.
Co-Authors Ad-Dhuha, Rahmah Maziyah Ahmad Fauzi Aisyah Lubis, Aisyah Alyzah Nabila Miranda Andrifianie, Femmy Ari Wahyuni Ari Wahyuni Devi, Maria Dhipayasa Adirinarso Dwi Indria Anggraini Elvara Fatimah Muzaki Ety Apriliana Fadhilah, Fuad Fatkhul Rizqi, Khoirul Febrianti, Arlin Firsandini, Firsandini Fitria Saftarina Frauprades, Kaltihennah Oktavia Ghifari, Ghaza Ahmad Al Gigaramadan Sema Giska Tri Putri Hakim, Ganesha Rahman Hanna Mutiara Hisbul Waton Ihsanti Dwi Rahayu Ilhamy, Satria Rizqi Indika Poloriani Tunang Indri Windarti Intanri Kurniati Junita, Aulia Khairun Nisa M. Aqmal Hidayah Muhammad Maulana Muhartono Muhartono Mukhlis Imanto Novita Carolia Oktadoni Saputra Oktoba, Zulpakor Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Risal Wintoko Risti Graharti Setiorini, Anggi Shafia, Anindya Sihaloho, Yohanna Christiani Soraya Rahmanisa Supriyadi, Satrio Darma Suryadiwansa Harun Susanti, Andani Dewanti Sutarto Sutarto Syazili Mustofa T. Adjeng, Andi Nafisah takhfa nur asyifa Tiffani Dinda Ashar Tri Umiana Soleha Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Yanuar Burhanuddin Yoyos Dias Ismiarto Yusnita Eka Rahayu