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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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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.
Perbedaan Usia, Gejala Klinis, Hasil Leukosit Total dan Hemoglobin Berdasarkan Hasil Pemeriksaan Titer Widal Pasien Demam Tifoid Frauprades, Kaltihennah Oktavia; Apriliana, Ety; Ismunandar, Helmi; Soleha, Tri Umiana
Journal of Language and Health Vol 5 No 2 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i2.4060

Abstract

Indonesia merupakan salah satu negara endemis demam tifoid. Salah satu pemeriksaan yang umum dilakukan untuk menunjang penegakkan diagnosis demam tifoid yaitu menggunakan uji widal namun banyak faktor yang memengaruhi titer widal pasien demam tifoid. Penelitian ini menggunakan pendekatan cross sectional dengan teknik pengambilan sampel menggunakan total sampling dan data yang digunakan berasal dari rekam medis pasien demam tifoid di RSUD dr. A. Dadi Tjokrodipo tahun 2019-2020. Hasil penelitian menunjukkan tidak adanya perbedaan yang bermakna antara usia (p = 0,075), gejala klinis (p = 0,813), hasil leukosit total (p = 0,510), dan hasil hemoglobin (p = 0,742) berdasarkan titer widal H. Penelitian ini juga tidak menunjukkan perbedaan bermakna antara gejala klinis (p = 0,495), hasil leukosit total (p = 0,360), dan hasil hemoglobin (p = 0,893) berdasarkan titer widal O. Dari berbagai variabel yang dianalisis, hanya usia pada titer widal O yang menunjukkan perbedaan signifikan (p = 0,009). Terdapat perbedaan yang bermakna antara usia berdasarkan titer widal O.
HUBUNGAN KEPATUHAN FISIOTERAPI DENGAN PERBAIKAN RANGE OF MOTION DAN TINGKAT NYERI PADA PASIEN OSTEOARTHRITIS LUTUT DI RUMAH SAKIT ADVENT Elvara Fatimah Muzaki; Ahmad Fauzi; Wiwi Febriani; Helmi Ismunandar
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 14 No. 3 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v14i3.11977

Abstract

Latar Belakang: Osteoarthritis (OA) merupakan penyakit degeneratif akibat inflamasi kronis pada sendi, yang sering terjadi pada populasi usia lanjut dan dapat menyebabkan keterbatasan gerak serta nyeri kronis. Fisioterapi menjadi salah satu terapi utama untuk meningkatkan Range of Motion dan mengurangi tingkat nyeri pada pasien osteoarthritis lutut. Kepatuhan pasien dalam menjalani fisioterapi memiliki peran penting dalam keberhasilan terapi. Metode Penelitian: Penelitian ini menggunakan desain penelitian cross sectional. Sampel penelitian terdiri dari pasien pasien osteoarthritis lutut yang menjalani fisioterapi di Rumah Sakit Advent, dengan total responden sebanyak 43 pasien. Data kepatuhan pasien di ukur dengan melihat kartu kedatangan pasien ke rumah sakit, sementara ROM diukur menggunakan goniometer, dan tingkat nyeri menggunakan skala Numeric Rating Scale (NRS). Hasil Penelitian: Data yang telah diperoleh kemudian dilakukan analisis univariat dan bivariat. Analisis bivariat menunjukan bahwa terdapat hubungan signifikan antara kepatuhan fisioterapi dengan perbaikan ROM pada fleksi lutut (sinistra p=0,000, dextra p=0,004) tetapi tidak terdapat hubungan signifikan pada ekstensi lutut (sinistra p=1,000, dextra p=1,000). Kepatuhan fisioterapi juga memiliki hubungan signifikan dengan penurunan tingkat nyeri (p=0,011). Responden yang patuh menunjukan perbaikan ROM yang lebih baik dan penurunan nyeri yang signifikan disbanding dengan yang tidak patuh. Kesimpulan: Kepatuhan fisioterapi memiliki peran penting dalam perbaikan ROM dan penguranga tingkat nyeri pada pasien osteoarthritis lutut. Hasil menunjukan perlunya edukasi dan motivasi kepada pasien untuk meningkatkan kepatuhan terhadap program fisioterapi guna mendukung hasil terapi yang optimal.
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.
MODEL 3D IMPLAN LUTUT FEMUR DARI REKONSTRUKSI TULANG LUTUT DENGAN METODE REVERSE ENGINEERING BERBANTUAN PEMINDAI CT-SCAN Harun, Suryadiwansa; Ismunandar, Helmi; Burhanuddin, Yanuar; Supriyadi, Satrio Darma
Jurnal Rekayasa Mesin Vol. 15 No. 1 (2024)
Publisher : Jurusan Teknik Mesin, Fakultas Teknik, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/jrm.v15i1.1498

Abstract

As a person ages, usually after age 50, knee joint bone damage caused by osteoarthritis can occur. It is to cause pain in the knee joint so that its function moves abnormally. The knee joint bone damage could be replaced with a prosthesis (Total Knee Replacement, TKR) to restore the knee joint's normal movement function. However, orthopaedic doctors sometimes have difficulty choosing standard implant designs available for patients' knees when performing TKR surgery, especially for Asian patients, including Indonesians. It is due to the geometry of the standard implant being different from the patient's knee anatomical shape. As a result, postoperative pain reactions can occur. Therefore, this study is to customize the TKR femoral implant's design according to the knee bone's geometry, especially in Indonesian patients. Reverse Engineering (RE) technology assisted by the CT-Scan and the boundary surface technique was applied for reconstructing the patient's knee bone into a femoral implant. The application of RE is initially, the patient's knee bone sample was scanned with Computer Tomography (CT) Scan. Then, the femur implant model was designed on the surface of the patient's knee bone using the boundary surface method. The 3D model of the TKR femoral implant was successfully designed to match the geometry of the patient's femur bone. It will be a reference for designing other TKR implants, namely the tibia component.
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