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All Journal Medula Juke Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan 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 MAHESA : Malahayati Health Student Journal Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Journal Medical Informatics Technology Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
TA Larasati
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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MANAJEMEN DIRI PADA PASIEN DIABETES MELITUS TIPE II PADA ANGGOTA PROLANIS DI BANDAR LAMPUNG TA Larasati; Ratna Dewi Puspitasari; Fitriani Antika Dhamayanti
Essence of Scientific Medical Journal Vol 18 No 1 (2020): Volume 18 No. 1 (Januari - Juni 2020) Essential: Essence of Scientific Medical J
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ESTL.2020.v18.i01.p05

Abstract

ABSTRAK Pendahuluan: Besarnya kelompok penderita DM tipe II beresiko tinggi terhadap terjadinya komplikasi DM. Komplikasi pada pasien DM tipe II akan menurunkan kualitas hidup penderita DM. Dalam pengendalian penyakit DM diperlukan adanya manajemen diri diabetes. Manajemen diri diabetes akan menurunkan terjadinya resiko komplikasi pada penderita DM. Penelitian ini bertujuan untuk mengetahui hubungan manajemen diri diabetes dengan kontrol gula darah pasien DM tipe II pada peserta Prolanis di Bandar Lampung. Metode: Penelitian ini adalah penelitian observasional dengan menggunakan desain penelitian cross sectional study. Pengambilan sampel menggunakan metode cluster sampling alat ukur berupa Accu Check Blood Glucose Meter dan kuesioner . Analisis data dilakukan dengan uji chi-square. Penelitian dilakukan terhadap 97 responden pasien DM tipe II pada peserta Prolanis di Bandar Lampung. Hasil: Tingkat manajemen diri diabetes sebesar 80,41% tinggi dan 19,58% rendah. Kontrol gula darah sebesar 54,63% terkontrol dan 45,36% tidak terkontrol. Hasil uji chi-square didapatkan nilai p yaitu 0,034. Pembahasan: Penelitian ini memiliki hubungan yang bermakna antara manajemen diri diabetes dengan kontrol gula darah pasien DM tipe II pada peserta prolanis di Bandar Lampung Simpulan: Terdapat hubungan antara manajemen diri diabetes dengan kontrol gula darah Kata kunci: Kontrol gula darah, manajemen diri diabetes, pasien DM tipe II, peserta prolanis
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.
Analysis of Frailty Syndrome in Elderly Farmers TA Larasati; L. Ristia Eiska
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 6, No 1 (2023): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.76333

Abstract

Background: Lampung with a high population of farmers has entered with an old population. That inpacted Increasing age on several health problems, one of which is Frailty Syndrome / geriatric syndrome. This study aims to determine sociodemographic aspects, family functions, marital status, educational status, psychology, cognitive, and sleep quality on frailty syndrome. Methods: The research used an analytic observation method and a cross-sectional approach. Pusposive cluster sampling technique. This research was conducted in 7 villages in Muara Sungkai sub-district, North Lampung district, on 77 elderly farmers with the inclusion criteria agreed to the informed consent, aged >60 years, and did not have a disability. Frailty Syndrome based on  the FRAIL-J instrument. Family function was assessed from Smilkstein's Family System APGAR Items, Cognitive function based on MMSE (Mini Mental State Examination) instrument, Psychological based on GDS (Geriatric Depression Scale) instrument and Sleep Quality based on  Pittsburgh Sleep Quality Index (PSQI). Results: The results showed that there were 80.5% old farmers with Frailty Syndrome and 19.5% experienced pre-frailty. Variables related to frailty syndrome were age (p=0.014 ; 95% CI = 0.013 – 0.871), Family Function (p= <0.01 ; 95% CI = 2.998 – 28.038) , Educational Status (p=0.008; CI 95 % = 1.164-29.353) and sleep quality (p=0.033 ; 95% CI = 1.133-11.154) had a significant relationship with Frailty Syndrome. Conclusion: Age, family function, educational status and sleep quality are significantly associated with frailty syndrome.
Hipotiroid Kongenital: Literature Review Gede Sukma Setiawan; TA Larasati; Tendry Septa
Jurnal Kedokteran Universitas Lampung Vol 7, No 1 (2023): JURNAL KEDOKTERAN UNIVERSITAS LAMPUNG
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila71%p

Abstract

Hipotiroidisme kongenital adalah suatu kondisi akibat kekurangan hormon tiroid pada bayi baru lahir. Hipotiroidisme kongenital tidak memiliki tanda dan gejala spesifik saat lahir. Ini dapat menyebabkan keterbelakangan mental dan pertumbuhan yang parah, dan gangguan perkembangan. Oleh karena itu, penting untuk melakukan tes skrining laboratorium bayi baru lahir untuk diagnosis dan pengobatan yang cepat untuk meminimalkan gejala sisa. Tes skrining laboratorium dilakukan dengan mengambil darah tusukan dari tumit bayi baru lahir dan menguji TSH atau T4 atau keduanya. Manifestasi klinis seringkali halus atau tidak ada saat lahir. Hal ini mungkin disebabkan oleh pelepasan beberapa hormon tiroid ibu melalui plasenta, sementara banyak bayi memiliki produksi tiroidnya sendiri. Gejala umum termasuk penurunan aktivitas dan peningkatan tidur, kesulitan makan, sembelit, dan penyakit kuning yang berkepanjangan. Pada pemeriksaan, tanda-tanda umum termasuk wajah myxedematous, fontanel besar, macroglossia, perut buncit dengan hernia umbilikalis, dan hipotonia. CH diklasifikasikan menjadi bentuk permanen dan sementara, yang pada gilirannya dapat dibagi menjadi etiologi primer, sekunder, atau perifer. Di negara-negara dengan program skrining bayi baru lahir, bayi dengan CH didiagnosis setelah terdeteksi melalui tes skrining. Diagnosis harus dikonfirmasi dengan menemukan peningkatan TSH serum dan kadar T4 atau T4 bebas yang rendah. Tes diagnostik lainnya, seperti pengambilan dan pemindaian radionuklida tiroid, sonografi tiroid, atau penentuan tiroglobulin serum dapat membantu menentukan etiologi yang mendasarinya, meskipun pengobatan dapat dimulai tanpa tes ini.Kata Kunci: Anak-anak, Hipotiroid Kongenital, Diagnosis
Penatalaksanaan Holistik Hiperkolesterolemia pada Ibu Rumah Tangga Semadela Solichin Putri; TA Larasati
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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

Abstract

Hypercholesterolemia is a common metabolic condition and is characterized by a high level of plasma cholesterol, also a risk factor for developing cardiovascular diseases. Cardiovascular diseases is included in Non-Communicable Diseases (NCD). The highest proportion of deaths from NCD are cardiovascular diseases (39%), followed by cancer (27%), other NCD (30%) and diabetes mellitus (4%). The incidence of hypercholesterolemia is associated with risk factors due to unhealthy lifestyle. Proper management besides pharmacological therapy is balanced with lifestyle interventions, such as diet, exercise, smoking cessation and weight loss. Implementation of family doctor services based on evidence based medicine in patients by identifying risk factors, clinical problems, and providing holistic and comprehensive management with patient centered and family focused approach. This study is a case report with primary data sources is obtained through anamnesis (autoanamnesis and alloanamnesis), physical examination and laboratory test. Activities that this study carried out are home visits and completing family fostered sheets, from the data obtained determined a holistic diagnosis and appropriate management. A 48-year-old housewife with hypercholesterolemia, functional degree one, lack of knowledge about her illness, poor diet and exercise patterns and her treatment pattern is still curative. Identification of internal factors, i.e genetic, overweight, lifestyle and psychological. External factors, the cultural aspects of the family that do not depend with the medicine prescribed by doctors as well as environmental aspects that do not support physical activity. The patient and her family have been educated about the disease, medicine, lifestyle, and proper diet. After evaluation, found that there are changes in lifestyle and patient perceptions regarding the disease. Patient management with the principles of family medicine care is helpful to reduce health problems in patients with hypercholesterolemia.
Edukasi perilaku sehat untuk meningkatkan imunitas dalam menghadapi pandemi Covid-19 di SMA Negeri 2 Bandar Lampung Berawi, Khairun Nisa; Larasati, TA; Fiana, Dewi Nur; Perdami, Roro Rukmi Windi; Puspaningrum, Dewi Ayu
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 2 No 1 (2021): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V2I1.53

Abstract

Bandar Lampung termasuk daerah dengan prevalensi Covid-19 tertinggi di Provinsi Lampung dengan total kematian sampai bulan September 2020 mencapai 15 pasien. Penyakit ini rentan menyerang remaja sekolah karena kelompok remaja menjadi komunitas yang banyak beraktifitas di luar rumah sehingga berisiko terpapar Covid-19. Remaja biasanya terinfeksi dengan status tanpa gejala sehingga berisiko menularkan. SMAN 2 Bandar lampung merupakan sekolah favorit dan diharapkan pengabdian kepada masyarakat (PKM) ini akan membentuk komunitas remaja yang bisa menjadi model pelaku protokol Covid-19. Kegiatan PKM ini bertujuan meningkatkan imunitas atau status kesehatan pada kelompok remaja target melalui edukasi untuk menerapkan protokol Covid-19 untuk membangun perilaku sehat sebagai upaya pencegahan Covid-19. Metode PKM menggunakan teknik penyuluhan serta demonstrasi video dan edukasi yang menunjukkan beberapa hal mengenai covid-19 dan pencegahannya, aturan menjaga jarak, cuci tangan dan masker yang dipresentasikan melalui daring, buku saku dan pamflet sebagai wahana edukasi berkelanjutan. Proses kegiatan yang dilaksanakan didapatkan peningkatan pengetahuan berdasarkan nilai rata-rata post-test sebesar 83, sedangkan nilai pre-test hanya sebesar 65. Diharapkan para siswa dapat mengimplikasikan pengetahuan dan pemahaman yang didapat mengenai protokol Covid-19 dan pencegahannya pada diri sendiri dan lingkungan sekitarnya.
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.
Article Review : Peran Hipertensi terhadap Patomekanisme Stroke Iskemik dan Hemoragik Muhammad Arbyanka Diontama; TA Larasati; Anisa Nuraisa Jausal
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 1 (2025): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i1.4752

Abstract

Stroke is a syndrome characterized by sudden focal neurological deficits caused by vascular injury, either hemorrhage or infarction in the central nervous system. According to the World Health Organization, approximately 15 million people experience stroke worldwide each year, with 5 million resulting in death and another 5 million suffering permanent disability. Hypertension is a major risk factor for both ischemic and hemorrhagic stroke, mediated by complex pathophysiological mechanisms. This review aims to explore the mechanisms by which hypertension contributes to the pathophysiology of stroke based on current evidence. The study adopts a literature review approach, utilizing data sources from journal articles, books, and other relevant documents accessible online via search engines such as Google Scholar®, PubMed®, and ScienceDirect®. The findings indicate that ischemic stroke occurs due to atherosclerosis and microvascular dysfunction induced by hypertension, whereas hemorrhagic stroke involves vessel rupture resulting from arterial wall weakening. Hypertension also affects the permeability of the blood-brain barrier through molecular pathways such as vascular endothelial growth factor (VEGF) release, leading to cerebral edema. Studies demonstrate that effective blood pressure control can significantly reduce the risk of stroke by up to 41%, underscoring hypertension as a primary target in stroke prevention.
Co-Authors Akbar, Dafa Rafiqi Andi Nafisah, Andi Anisa Nuraisa Jausal Ardika, Okta Besti Ari Wahyuni Arum Nurzeza Asep Sukohar Aulia Putri ayu agustira Ayuningtyas, Diah Azelia Nusa Dewiarti Azhar, Hafidz Sirojudin Bayu Anggileo Pramesona Camilia, Anita catur ambar wati Danar Fahmi Sudarsono Dani Kartika Sari Daniel Surya Wijaya Dewi Nur Fiana Dewi Puspita Sari , Ratna Dewi, IK Diah Ayu Larasati Dian Isti Anggraini Dian Isti Angraini Diana Mayasari Disaputera, Alfafa Tsalaatsa Dwiputri, Maliya Finda Dyah Wulan SR Wardhani Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar RW Efendy, Monica Cindy Intan Efrida Warganegara Evi Kurniawaty Fardiansyah, Ahmad Irzal Faridah Alatas Fauziah Lubis Ferdiansyah, Ahmad Irzal Fitria Saftarina Fitriani Antika Dhamayanti Gede Sukma Setiawan Hanifah Rahmania Happy, Terza Aflika Hardita, WA Herina Azzahra Idzni Mardhiyah Intan Fajar Ningtyas Intan Kusumaningtyas Intanri Kurniati Irawan, Agustinus Evrianto Jausal, Anisa Nuraisa Jausal, Annisa Nuraisa Juliana, Risna Karima, Nisa Khairun Nisa Kusuma, Made Dwika Angga L. Ristia Eiska Madumey, Diora Gabrile Meiwa Rizky Ardhi Bella Putri Muhammad Arbyanka Diontama Muhartono Muhartono Mukhlis Imanto Mutiara Kartiko Putri Mutiara Putri Adisa Nada Ismalia Napitupulu, Cindy Cecilia Anasthasya Nida Nabilah Nur Nirwan, Qurratul Aini Novita Carolia Novita Carolia Nurrahma, Alya Nabila Nusadewiarti, Azelia Oktadoni Saputra Pandiangan, Franklin Perdami, Roro Rukmi Windi Purnama, Dara Marissa Widya Puspaningrum, Dewi Ayu Raharjo, Shafana Azzahra Rahmatullah, M Raihan Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratu, Sarih Reni Zuraida Restu Pemanggih Rika Lisiswanti Rika Lisiswanti Risti Graharti Rizqa Atina Roro Rukmi Windi Perdani, Roro Rukmi Saketi, Dwi Saputra, Magdalena Yosefin Seffia Riandini sefira dwi ramadhany Semadela Solichin Putri Septina Ashariani Sihaloho, Yohana Christiani Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Sultan Mahathir Bastha Susan Yulia Laura Howay Sutarto Sutarto Sutarto Syahrul Hamidi Nasution Tendry Septa Tri Umiana Soleha Wahidah, Putri Kamila Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wulan, Anggraini Janar Yuniarti, Wulan Zega, Michael Adamfati Junior