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All Journal Medula Juke Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Cepalo Jurnal Ilmiah Manusia dan Kesehatan JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) Essential: Essence of Scientific Medical Journal Jurnal Pengabdian Masyarakat: Humanity and Medicine Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Journal Medical Informatics Technology Majority
TA Larasati
Unknown Affiliation
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Medula

 1 
PENATALAKSAAN HOLISTIK PADA WANITA PENGRAJIN ANYAMAN LANSIA 62 TAHUN DENGAN OSTEOARTHRITIS DAN ASMA INTERMITEN DI PUSKESMAS KAMPUNG SAWAH MELALUI PENDEKATAN KEDOKTERAN KELUARGA ayu agustira; Ta Larasati
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.430

Abstract

Osteoarthritis (OA) is a degenerative disease of the joints that involves the cartilage, joint lining, ligaments and bones causing pain and stiffness in the joints. The causes of osteoarthritis are multifactorial, including gender, obesity, genetic factors, race, family history, joint injury, strenuous physical activity, work, and repetitive movements of the same joints. Asthma is a chronic respiratory disease based on chronic inflammation which results in obstruction and hyperreaction of the respiratory tract as a result of the interaction between genetic, host, and environmental factors. Both osteoarthritis and hypertension are diseases that must be managed comprehensively because they are chronic.To apply the principles of family doctor medicine according to the problems found in patients in various aspects and carry out a holistic and comprehensive management that includes patient-centered, family approached, and community-oriented based on evidence-based medicine. Patient Mrs. I, 62  years, with complaints of knee pain since about 5 day ago. Knee pain is felt especially when the patient does strenuous activities or when in a squatting position and then stands up, and when the patient goes up and down stairs, but the complaint improves when the patient rests.  The patient was diagnosed with osteoarthritis.  The patient has a history of asthma since childhood and asked for asthma medication because he was worried that in the rainy season with cold weather his asthma could recur. Several factors can affect the patient's condition, namely internal and external risk factors. In this case, diagnosis and treatment have been carried out according to the latest theory and journals. After the intervention, there was a decrease in clinical symptoms and an increase in the knowledge of patients and their families.
Mekanisme Koping dan Dukungan Keluarga Untuk Mencegah Depresi Pada ANak Mutiara Putri Adisa; Larasati, TA; Nafisah, Andi
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.v14i3.900

Abstract

Depression can be caused by a variety of factors, including genetics, mental health, personality, mental health, unemployment, and intelligence. Another common cause of depression in children is lack of family support and proper encouragement. The problem solving process is a useful skill because it is a process of managing mental illness (both external and internal) and requires real effort and effort in the form of suppressing emotions. The problem solving process is the body's response to change, the need to solve problems, and internal and external damage to the mind. Basically, parents have a big role in controlling the growth and development of each child from birth to adulthood. Therefore, parents who ignore their children's needs, especially if the child experiences mental disorders (depression), leave the child empty and without support. Parents can play an advocacy role if they know what to do, including understanding the problems their children face, managing family relationships, and making contributions. a person's level of self-confidence. Mental illness is not something to be ashamed of or hidden, but it is an illness that requires proper treatment. Just like wounds on the hands and feet, wounds in the heart must also be healed. Parents promote good career opportunities for teenagers. The higher the parents' education, the easier it is to help children who are experiencing depression. Supporting children with depression is more than just raising awareness.
Gangguan Sekresi dan Sensitivitas Insulin pada Remaja dengan Riwayat Keluarga Diabetes Melitus Tipe 2 Ardika, Okta Besti; Larasati, TA; Suharmanto, Suharmanto; Kurniati, Intanri
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.v14i1.943

Abstract

Type 2 diabetes mellitus (T2DM) is a metabolic disorder characterized by impaired insulin secretion or hyperglycemia due to the inability of pancreatic β-cells to compensate for increased glucose levels in the blood. The pathophysiology of T2DM may result from the interaction of environmental and genetic factors. A person who has a family history of T2DM will experience genetic mutations that cause impaired insulin secretion and sensitivity. The genetic inheritance of the child is based on the parent alleles of both parents including some genes that have mutations. There are three types of genetic inheritance mechanisms described by parent of origin effects (POE), namely genomic imprinting, mitochondrial inheritance, and maternal intrauterine effects. The mechanism of impaired insulin secretion and sensitivity in someone with a family history of T2DM during puberty, which is also triggered by stress and hormonal imbalance, results in insulin resistance, especially significant when entering adolescence and supported by a family history of T2DM. In children with a family history of T2DM, it was found that pancreatic β-cell compensation was 30% lower compared to children without a family history of T2DM.
Penatalaksanaan Pada Pedagang Perempuan Usia 55 Tahun Dengan Gout Artritis dan Dislipidemia Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Sukarame catur ambar wati; Larasati, TA
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.v14i3.966

Abstract

Gout arthritis is an increase in blood uric acid levels above normal which causes an inflammatory reaction in the joints. Prolonged gouty arthritis can damage the joints, soft tissues and kidneys. Dyslipidemia is a common metabolic condition characterized by a level of cholesterol in the plasma that exceeds normal values. Total cholesterol level is correlated as a strong risk factor for cardiovascular disease. Therefore, application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient-centered and family problem-solving framework. so that treatment goals can be achieved, prevent complications that may occur, and improve the patient's quality of life. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record. A Female patient, 55 years old, came with complaints of pain in both joints of the hands and feet and the back of the neck felt sore and tense. The patient has a history of high uric acid since the age of 36 years. In the knowledge assessment, the initial score before the intervention was 70 (patient), 50 (patient's family) and after the intervention became 100 (patient), 90 (patient's family). In terms of uric acid levels, uric acid levels decreased from 6.8 mg/dL to 6 mg/dL and blood cholesterol from 221 mg/dL to 188 mg/dL. In the aspect of diet there is a change in the type of food that is appropriate. In the aspect of physical activity there is a change in physical activity, sports 30 minutes 4 times a week. Enforcement of diagnosis and management of these patients has been done holistically, patient centered, family approach and community oriented based on several theories and the latest research. In the process of behavior change, the patient has reached the trial stage.
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: Hubungan Kepuasan Pasien Hipertensi Rawat Jalan Terkait Kepatuhan Minum Obat Hipertensi Disaputera, Alfafa Tsalaatsa; Oktarlina, Rasmi Zakiah; Graharti, Risti; Larasati, TA
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.v15i2.1628

Abstract

Patient satisfaction is a key indicator in assessing healthcare quality, especially in hospital pharmacy services which play a vital role in treatment effectiveness. Hypertension is a major chronic illness requiring strict medication adherence to prevent complications such as heart disease, stroke, and kidney failure. This review examines the relationship between outpatient hypertension patients' satisfaction with pharmacy services and their medication adherence. Findings highlight that satisfaction dimensions such as reliability, empathy, responsiveness, tangibles, and assurance significantly shape patient perceptions. Higher satisfaction correlates with increased adherence. Continuous education, empathetic interaction, efficient service systems, and clear pharmacist communication are essential. Quality pharmacy services not only improve patient outcomes but also support long-term hypertension control.
Co-Authors Andi Nafisah, Andi Anisa Nuraisa Jausal Ardika, Okta Besti ayu agustira Azelia Nusa Dewiarti catur ambar wati Dewi Nur Fiana Dewi, IK Disaputera, Alfafa Tsalaatsa Dyah Wulan Sumekar Rengganis Wardani Fardiansyah, Ahmad Irzal Fitria Saftarina Fitriani Antika Dhamayanti Gede Sukma Setiawan Hardita, WA Idzni Mardhiyah Intan Kusumaningtyas Intanri Kurniati Khairun Nisa Kusuma, Made Dwika Angga L. Ristia Eiska Madumey, Diora Gabrile Meiwa Rizky Ardhi Bella Putri Muhammad Arbyanka Diontama Mutiara Putri Adisa Oktadoni Saputra Perdami, Roro Rukmi Windi Puspaningrum, Dewi Ayu Raharjo, Shafana Azzahra Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Rika Lisiswanti Rika Lisiswanti Risti Graharti Rizqa Atina Saketi, Dwi Saputra, Magdalena Yosefin Semadela Solichin Putri Suharmanto Tendry Septa Winda Trijayanthi Utama, Winda Trijayanthi Yuniarti, Wulan Zega, Michael Adamfati Junior