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All Journal Medula The Journal of The Indonesian Medical Students´ Association Jurnal Administrasi Bisnis Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal Sains Farmasi dan Kesehatan JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Intan Kusumaningtyas
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Agriculture, Biological Sciences & Forestry Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Journal : Medula

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The Effect of Focus Group Discussions on Enhancing Adolescent Knowledge of Reproductive Health Salsabila, Karina Adra; Wardani, Dyah Wulan Sumekar Rengganis; Kusumaningtyas, Intan; Saftarina, Fitria
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1331

Abstract

Adolescents are individuals who have a great sense of curiosity, which can increase the risk of sexual and reproductive health issues. Adolescence is also experience puberty, in which the reproductive organs mature significantly. If these organs are not properly taken care, they can lead to various reproductive health issues. To prevent these issues, Various efforts are needed to increase adolescents' knowledges about reproductive health. One such effort can be giving health education using a method like Focus Group Discussion (FGD). This study aims to examine the impact of health education using the FGD method on improving knowledge about reproductive health among adolescents. The method that used in this study is a literature review. several literatures such as journals collected and analyzed them based on the findings from those studies. This research uses 8 journals, which consist  7 experimental research journals and 1 non-experimental research journal. The results, based on the analysis of these 8 previous studies, showed an improvement in the mean, median, as well as the minimum-maximum values before and after the intervention using the FGD method. The conclusion of this study is that there is a significant difference in the improvement of adolescents' knowledge about reproductive health before and after receiving health education through the FGD method.
Budaya dan Kualitas Hidup Lansia di Pelayanan Sosial Lanjut Usia: Systematic Review Raharjo, Shafana Azzahra; Larasati, TA; Kusumaningtyas, Intan; Utama, Winda Trijayanthi
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1433

Abstract

Aging is a natural process experienced by all living beings, marked by physiological, psychological, and social changes in individuals over the age of 60, as well as a decline in functional capacity and structural changes in the body. Many elderly individuals reside in social care facilities, which, although providing care for the neglected or less fortunate elderly, often face negative views from society, especially those that adhere to strong family values, which can affect their quality of life. This study examines the culture and quality of life of elderly individuals living in social care facilities through a systematic review. Data were gathered from relevant articles using related keywords from various databases. The findings of this study indicate that elderly individuals residing in social care facilities tend to have lower quality of life, due to limited social interactions and health-related issues. Factors influencing the quality of life of the elderly include physical, social, psychological, and environmental aspects, which are often affected by health conditions, physical limitations, and the lack of social interactions in social care facilities. On the other hand, cultural values also play a role in shaping societal views of social care facilities, particularly in regions with strong family-oriented values. Recommendations to improve the quality of life for the elderly include increasing attention to both their physical and psychological health, while ensuring that cultural values are respected in elderly social care services.
Literature Review: Manfaat Intervensi Home Visit oleh Tenaga Kesehatan Terhadap Pencegahan Stunting Nadifa, Shallu Afdha; Sutarto, Sutarto; Kusumaningtyas, Intan
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.v14i8.1259

Abstract

Stunting is a condition of children with a type of short stature caused by chronic malnutrition which is related to low socio-economic conditions, lack of nutritional intake, poor maternal health, a history of recurrent illnesses, and child feeding practices that do not meet standards. Stunting can be prevented through optimizing nutrition and health, namely home visit nutritional interventions by health workers. Home visits by health workers or trained cadres carried out during pregnancy or after the baby is born aim to educate parents directly and intensely. A review of the journal is necessary to find out the benefits of home visit interventions in reducing stunting so that the stunting problem in Indonesia can be resolved in an effective way. The method used in this research, the Systemic Literature Review (SLR), comes from national journals and international journals regarding the benefits of home visit interventions in the 2014-2024 time period. The results obtained from this study are that home visits can effectively increase mothers' knowledge and health behavior in caring for their babies and increase fathers' confidence in caring for children. Furthermore, due to the provision of correct parenting practices from health workers to families, home visits have been proven to be able to prevent stunting, increase weight gain, height, and child development scores, be able to increase the average IQ (Intelligence Quotient) score, children's executive function, and make children have higher pre-academic skills.
Review Article: Antibacterial Activity of Mangrove Lindur Extract (Bruguiera gymnorrhiza) Against Staphylococcus aureus Setyadi, Yudha Putra; Kurniawaty, Evi; Kusumaningtyas, Intan
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.v14i8.1300

Abstract

Infectious diseases remain prevalent in Indonesia, influenced by environmental factors such as poor sanitation, low public awareness of clean and healthy living behaviors, and a tropical climate. Infectious diseases are health issues caused by microorganisms, such as bacteria, viruses, or parasites, that enter the body. Staphylococcus aureus is one of the primary pathogens for humans and can cause various infections. The main treatment for Staphylococcus aureus infections is antibiotics. However, bacterial resistance to methicillin antibiotics (Methicillin-Resistant Staphylococcus aureus or MRSA) is increasingly common in Indonesia. Therefore, alternative antibiotic treatments based on plant-derived compounds are highly needed. One plant with potential antibacterial activity is Bruguiera gymnorrhiza. Commonly known as bakau lindur, various parts of Bruguiera gymnorrhiza, such as its bark, leaves, and roots, have antibacterial properties. This is attributed to the bioactive compounds present in its extracts, including flavonoids, saponins, alkaloids, phenols, steroids, terpenoids, and tannins.. This article aims to determine whether Bruguiera gymnorrhiza extract exhibits antibacterial activity against Staphylococcus aureus. Based on the literature review, Bruguiera gymnorrhiza extract has been proven to possess antibacterial activity against Staphylococcus aureus. The best antibacterial activity was observed in the 96% ethanol extract of Bruguiera gymnorrhiza bark at a concentration of 15,000 ppm, resulting in a 13.62 mm inhibition zone categorized as strong.
Potensi Daun Jambu Air (Syzygium aquem) sebagai Fitofarmaka : Literature Review Febrianti, Arlin; Susianti, Susianti; Kusumaningtyas, Intan; Mustofa, Syazili
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1456

Abstract

Traditional medicine widely utilizes plant extracts from various parts of plants due to their secondary metabolite content, which possesses therapeutic effects. One plant with high pharmacological potential is the water apple leaf (*Syzygium aqueum*), belonging to the Myrtaceae family and commonly found in tropical regions such as Indonesia, Malaysia, and India. Water apple leaves have been used as phytopharmaceuticals because they contain various bioactive compounds that can be extracted and utilized for treating different diseases. The active compounds commonly found in water apple leaves include alkaloids, flavonoids, steroids, triterpenoids, and coumarins. Studies have shown that water apple leaf extracts exhibit various pharmacological activities, including antibacterial, antioxidant, anti-inflammatory, anticancer, antimicrobial, and antidiabetic properties. Additionally, the bioactive compounds in water apple leaves have the potential to be further developed as natural therapeutic agents for treating degenerative diseases and infections. This pharmacological potential positions water apple leaves as a promising phytopharmaceutical candidate for development in the pharmaceutical and healthcare industries. However, further research is required to explore the mechanisms of action, efficacy, and potential toxicity of the active compounds in water apple leaves. A comprehensive study in this area will enable the optimization of water apple leaves as a safe and effective natural therapy for various diseases.
Partus Prematurus Imminens Akibat Penggunaan Obat Uretonika Dosis Tinggi: Sebuah Laporan Kasus Pratiwi, Aulia Sari; Graharti, Risti; Kusumaningtyas, Intan
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Imminent preterm labor is an obstetric condition characterized by uterine contractions accompanied by cervical changes before 37 weeks of gestation, which can lead to preterm delivery. This condition remains the leading cause of perinatal morbidity and mortality in Indonesia. According to the 2018 Basic Health Research (Riskesdas), the prevalence of premature births reached 29.5 per 1,000 live births and contributed to 35% of neonatal deaths. This study aims to report and analyze cases of imminent premature labor due to the use of high-dose urethronics, as well as to review the latest evidence-based management. Data were obtained through anamnesis, physical examination, and review of patient medical records, which were then supplemented with a literature review related to the mechanism of action of uterotonic drugs, the role of prostaglandins, and management guidelines from the WHO, ACOG, and WAPM-PMF. The results of the report showed that patients experienced active uterine contractions with premature rupture of membranes at 29–30 weeks of gestation after repeated consumption of high doses of misoprostol. The use of uretonic drugs caused an increase in contractions due to excessive prostaglandin stimulation. Management included the administration of antenatal corticosteroids to accelerate fetal lung maturation, short-term tocolytics to delay labor, and magnesium sulfate as a neuroprotective agent. It is concluded that the use of uterotonic drugs without medical supervision can be a factor in triggering imminent premature labor. A comprehensive and evidence-based management approach can reduce the risk of neonatal complications and improve pregnancy outcomes, making strict supervision and patient education important steps in preventing similar cases in the future.
Prevalensi Komplikasi Kematian Ibu Dengan Persalinan Sectio Caesarea Di RSUD Dr. H. Abdul Moeloek Pada Tahun 2019 Assirri, Agung; Graharti, Risti; Kusumaningtyas, Intan
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1761

Abstract

Maternal mortality is defined as the number of deaths in women that occur during pregnancy up to 42 days after delivery, caused by conditions directly related to pregnancy or its management, not by accidents or injuries. In Indonesia, the pattern of causes of maternal mortality over time has remained relatively constant, with hemorrhage, preeclampsia-eclampsia, and infection as the dominant factors contributing to high maternal mortality rates. One medical intervention that can help reduce the risk of maternal mortality is delivery by cesarean section (CS), especially in cases where the condition of the mother or fetus does not allow for vaginal delivery. This study aims to identify the prevalence of complications that cause maternal mortality in cesarean section deliveries at Dr. H. Abdul Moeloek Regional General Hospital. The research design used is a descriptive study with a qualitative approach. Secondary data were collected from patient medical records, and the sampling method used was total sampling, so that all 351 cases of C-section deliveries during the study period were analyzed. The results showed that there were 2 cases of maternal mortality out of a total of 351 C-section deliveries, or 0.57%. Both deaths were caused by postpartum hemorrhage (50%) and pre-existing heart disease (50%). These findings indicate that although the maternal mortality rate in CS deliveries at Dr. H. Abdul Moeloek Regional General Hospital is relatively low, risk factors such as hemorrhage and comorbidity still require special attention in delivery management.
Case Report: Kehamilan Ektopik Terganggu pada G3P1A1 Wanita 29 Tahun Hendarto, Hasta; Oktarlina, Rasmi Zakiah; Kusumaningtyas, Intan
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1786

Abstract

Ectopic pregnancy is a condition in which the gestational sac is located outside the uterine cavity, representing the most common life-threatening emergency during the first trimester of pregnancy. Implantation in ectopic pregnancy frequently occurs in the fallopian tube. The clinical manifestations are typically characterized by amenorrhea, followed by vaginal bleeding and sudden onset abdominal pain. In this case, a 29-year-old woman, G3P1A1, presented at 6–7 weeks of gestation with severe lower abdominal pain accompanied by vaginal bleeding, along with a risk factor of a previous history of ectopic pregnancy. Data were obtained through anamnesis, general physical examination, obstetric assessment, ultrasonography, and both medical and non-medical management. Physical examination revealed conjunctival pallor, abdominal distension with muscular defense, tenderness in the lower abdomen, and a non-palpable uterine fundus. Pelvic examination demonstrated cervical motion tenderness and bulging in the pouch of Douglas. Ultrasonography findings were highly suggestive of ectopic pregnancy. The diagnosis was established as gravida 3 para 1 abortus 1, 6–7 weeks of gestation, with a complicated ectopic pregnancy. The patient underwent exploratory laparotomy with left salpingectomy due to rupture of the left ampullary segment of the fallopian tube. Methotrexate therapy was not administered, as the patient did not meet the eligibility criteria for medical management, given that tubal rupture had already occurred.
Co-Authors Andon Hestiantoro Andrifianie, Femmy Aprilia, Sandrina Audy Ari Wahyuni Asep Sukohar Assirri, Agung Diana Mayasari Dyah Wulan Sumekar Rengganis Wardani Emantis Rosa Endah Setyaningrum Endah Setyaningrum, Endah Fauzan Hafizh, Ahmad Febrianti, Arlin Femmy Andrifianie Fitria Saftarina Happy, Terza Aflika Hendarto, Hasta Idris, Mohamad Intanri Kurniati Istiqomatul Qur'ani Khairun Nisa Kurniawaty, Evi Linda Septiani Lusina, Septia Eva Maretta, Alvina Christy Maureen Angelica Moch Dzulkirom Muhammad Maulana Muhammad Maulana Mulya, Ireniza Pradevi Nadifa, Shallu Afdha Pratiwi, Aulia Sari Prayogi, Norbertus Marcell Primasari Pertiwi Putri Rahma Azzahra Raharjo, Shafana Azzahra Rani Himayani Rasmi Zakiah Oktarlina Reny Arienta Putri Risti Graharti Rosa, Emantis Ruth Leria Noverika Salsabila, Karina Adra Septiani, Linda Setyadi, Yudha Putra Siboro, Erwi Saulina Venezia Susianti, Susianti Sutarto Sutarto Syazili Mustofa TA Larasati Terza Aflika Happy Widjaja, Jovan Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani