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All Journal Medula Juke Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati Journal Syifa Sciences and Clinical Research (JSSCR) JURNAL MUTIARA KESEHATAN MASYARAKAT JK Unila (Jurnal Kedokteran Universitas Lampung) Indonesian Community Empowerment Journal Jurnal Pengabdian Masyarakat JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Muhammad Ricky Ramadhian
Fakultas Kedokteran, Universitas Lampung
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Medula

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Analisis Hubungan Indeks Massa Tubuh dengan Daya Tahan Kardiorespirasi pada Anggota Komunitas Futsal Fakultas Kedokteran Universitas Lampung Ekki Pirmansyah; Berawi, Khairun Nisa; Ramadhian, Muhammad Ricky
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1675

Abstract

Cardiorespiratory endurance is a key indicator of physical fitness, reflecting the efficiency of the heart, lungs, and circulatory system in transporting and utilizing oxygen. Low cardiorespiratory endurance can increase cardiac workload and blood pressure, ultimately elevating the risk of cardiovascular disease. In addition to cardiorespiratory endurance, body mass index (BMI) is another important measure of physical fitness. This study aimed to analyze the relationship between BMI and cardiorespiratory endurance among members of the Futsal Community of the Faculty of Medicine, University of Lampung. This analytic observational study employed a cross-sectional design. A total sampling technique was used, involving 62 student members of the futsal community. The independent variable was BMI, calculated as body weight (kg) divided by height squared (m²). The dependent variable was cardiorespiratory endurance, assessed using the Rockport test. Data were analyzed using the Chi-square test. In this study, most of the participants had a normal BMI (40.32%), while cardiorespiratory endurance levels were predominantly categorized as poor (38.71%) and fair (37.81%). Bivariate analysis yielded a p-value of 0.000, indicating a significant association between BMI and cardiorespiratory endurance among members of the Futsal Community of the Faculty of Medicine, University of Lampung. The direction of the correlation was negative, meaning that an increase in BMI was associated with a decrease in cardiorespiratory endurance.
Hubungan IMT Terhadap Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2: Tinjauan Pustaka Afifah, Ighra; Kurniati, Intanri; Marcellia, Selvi; Ramadhian, Muhammad Ricky
Medula Vol 15 No 4 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i4.1704

Abstract

Type 2 diabetes mellitus is a chronic metabolic disease with a steadily increasing prevalence globally, including in Indonesia. One of the main risk factors contributing to the development and severity of type 2 diabetes is obesity, clinically measured by Body Mass Index (BMI). Increased BMI is closely associated with impaired glucose metabolism and insulin resistance, which play a key role in the pathogenesis of type 2 diabetes. This study used a literature review approach by examining various studies analyzing the relationship between BMI and blood glucose levels. The results showed that increased BMI is positively correlated with fasting blood glucose, random blood glucose, and HbA1c levels. Individuals with a higher BMI tend to experience more severe glycemic control disorders. Pathophysiologically, increased adipose tissue, especially visceral fat, produces various inflammatory mediators such as TNF-α and IL-6, which disrupt the insulin signaling pathway, reduce glucose uptake by muscle tissue, and trigger hyperglycemia. Furthermore, dysfunction of adipokine hormones such as decreased adiponectin and resistance to leptin contribute to worsening insulin sensitivity
Laporan Kasus: Seorang Laki-Laki Usia 48 Tahun dengan Herniasi Nukleus Pulposus Servikal Fakhrizal, Muhammad Alka; Ramadhian, Muhammad Ricky; Wicaksono, Danang Samudro; Afrida, Frecilia; Ananda, Yovani Tria
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1801

Abstract

Cervical herniated nucleus pulposus is a common cause of neck pain, radicular pain, and neurological deficits resulting from compression of cervical nerve roots by intervertebral disc pathology. The incidence of cervical radiculopathy peaks in the fourth and fifth decades of life and is closely associated with degenerative disc changes. This report presents the case of a 48 year old male who complained of chronic neck pain radiating to the upper back and right upper extremity, accompanied by paresthesia, restricted cervical range of motion, and weakness during right arm elevation. The symptoms had persisted for one year and progressively worsened over the last two months, with no history of trauma. The patient also reported intermittent burning sensations that improved with rest. These clinical features were consistent with cervical radiculopathy caused by progressive cervical disc herniation. Magnetic resonance imaging of the cervical spine in sagittal sections revealed disc protrusion at the C5 C6 level causing anterior spinal canal compression, as well as mild disc protrusion at C6 C7 with narrowing of the anterior subarachnoid space. Thoracic spine MRI showed no significant abnormalities. Initial management consisted of conservative therapy using non steroidal anti inflammatory drugs and gabapentin to address inflammatory and neuropathic pain components. Due to persistent symptoms and motor weakness, surgical intervention with percutaneous endoscopic cervical discectomy was planned. A thorough understanding of cervical spine anatomy, disc herniation pathophysiology, clinical manifestations, and imaging findings is essential for accurate diagnosis and appropriate treatment selection to prevent symptom progression and deterioration of patient quality of life.
Laporan Kasus: Pemanfaatan MRI pada Diagnosis Fraktur Kompresi Vertebra Akut Post-Trauma Afrida, Frecilia; Ramadhian, Ricky
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1813

Abstract

Vertebral compression fracture (VCF) is a common spinal injury, particularly among the elderly population with underlying osteoporosis. This condition may lead to severe pain, functional limitation, spinal deformity, and increased morbidity and mortality if not accurately diagnosed and managed. A comprehensive clinical and radiological approach is essential to establish the diagnosis and to differentiate acute traumatic fractures from chronic or pathological vertebral fractures. Magnetic resonance imaging (MRI) plays a crucial role in the evaluation of vertebral compression fractures due to its superior ability to assess soft tissues, spinal cord involvement, and bone marrow edema, which is a key indicator of acute injury. This case report describes a 68-year-old male with a known history of osteoporosis who presented to the emergency department following a fall from a height. The patient complained of severe lumbar pain and limited mobility without neurological deficits. MRI examination revealed an acute vertebral compression fracture characterized by bone marrow edema, with no evidence of paraspinal soft tissue involvement or spinal cord compression. These findings confirmed the diagnosis of an acute post-traumatic VCF in an osteoporotic patient. This case highlights the pivotal role of MRI in determining fracture acuity, evaluating spinal stability, detecting potential complications, and guiding appropriate management strategies. The appropriate utilization of MRI may improve diagnostic accuracy, facilitate timely intervention, and ultimately enhance clinical outcomes in patients with vertebral compression fractures.
Co-Authors Ade Marantika Adisti, Fransiska Afifah, Ighra Afrida, Frecilia Afriyani, Afriyani Akbar, Fareel Wahyu Ananda, Yovani Tria Anggraini, Dian Isti Aprina Adha Widiastini Asep Sukohar Atika Threenesia Balqis, Aurelia Corrinna Benny Bradley Pradana Pangaribuan Betta Kurniawan, Betta Daulay, Suryani Agustina Delvi Rusitaini Putri Diana Mayasari Efrida Warganegara Ekki Pirmansyah Ermin Rachmawati Ety Apriliana Ety Apriliana Fakhrizal, Muhammad Alka Falamy, Ryan Farhry Alvini Rahmania Fitria, Aghniya Rizqy George Pestalozi Gultom, Dea Debora Romauli Hanna Mutiara, Hanna Hendra Tarigan Sibero Intanri Kurniati Iswandi Darwis Jhons Fatriyadi Suwandi Josephine, Felicia Key Khairil Pahmi Khairil Pahmi Khairun Nisa Kurniawaty, Evi Lusina, Septia Eva M Sidratullah Marcellia, Selvi Meta Gapila Muhammad Maulana Muhammad Taupik Nadhifa, Farin Nasution, Salwa Salsabila Nora Ramkita Novita Carolia Nurul Sahana Rahmadhini Nurul Utami Oktadoni Saputra, Oktadoni Putri, Abrila Tamara Ratna, Maya Ganda Reni Zuraida Rifda Khairunnisa Rika Lisiswanti Risti Graharti Sangging, Putu Ristyaning Ayu Septiani, Linda Shinta Nareswari, Shinta Suryadi Islami Sutarto Sutarto Syafira Salsabila Syazili Mustofa Tri Umiana Sholeha Tri Umiana Soleha Tri Umiana Soleha Wardani, Nanda Fitri Wicaksono, Danang Samudro Yuniarti, Wulan Yuningrum, Hesti