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All Journal Medula Juke Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati Journal Syifa Sciences and Clinical Research (JSSCR) 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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Analisis Klinis Dispepsia pada Pasien Kolelitiasis: Studi Literatur Gultom, Dea Debora Romauli; Ramadhian, Muhammad Ricky; Lusina, Septia Eva; Darwis, Iswandi
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.v14i9.1377

Abstract

Cholelithiasis, also known as gallstones, is a health problem that has been increasing in prevalence worldwide. Some patients with cholelithiasis experience dyspepsia, a condition that causes discomfort in the upper digestive tract. This study aims to analyze the clinical relationship between cholelithiasis and dyspepsia based on a literature review. The articles used in this study were collected from scientific sources such as PubMed, Google Scholar, and Science Direct. A descriptive analysis was conducted to identify the prevalence, risk factors, and mechanisms linking cholelithiasis with dyspepsia. The results show that most patients with cholelithiasis and dyspepsia are female. The most frequently reported symptoms are abdominal pain (100%), nausea (69%), and vomiting (27%). Eating fatty foods can make these symptoms worse. While many patients feel better after having cholecystectomy, about 30% still experience dyspepsia even after surgery. This connection may be due to issues with gastrointestinal motility disorders, bile reflux, and other multifactorial causes. However, the relationship between cholelithiasis and dyspepsia remains a subject of debate, requiring further research to uncover its mechanisms and develop more effective diagnostic and therapeutic strategies.
Peran Resiliensi dalam Mengurangi Stres Mahasiswa Kepaniteraan Klinik: Tinjauan Pustaka Syafira Salsabila; Lisiswanti, Rika; Yuningrum, Hesti; Ramadhian, Muhammad Ricky
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.v14i9.1417

Abstract

The transition from the preclinical to the clinical phase of medical education, characterized by a significant difference in the learning system and increased demands, often leads to stress among medical students. A very packed schedule, tight deadlines, and the need to adapt to a dynamic clinical environment are primary stressors for medical students during their clerkship. Prolonged high levels of stress can negatively impact mental health, academic performance, and the quality of medical care, increasing the risk of medical malpractice. Resilience, defined as an individual's ability to recover from difficult situations, has proven to be a crucial protective factor in mitigating the effects of stress. Resilience is a dynamic process demonstrated when individuals take adaptive actions in the face of adversity. It is not a genetic trait but a behavior that can be developed by strengthening the factors that support it. These factors can be internal, external, or interpersonal. One way to enhance resilience is through resilience training programs that involve interactive, independent, and reflective workshops. High levels of resilience among medical students are associated with increased subjective well-being, reduced stress levels, and a more positive perception of quality of life and the educational environment. Therefore, by enhancing resilience, medical students can better cope with the pressures of clerkship, maintain mental health, and optimize academic performance in medical care.
Hubungan Luas Lesi Foto Toraks Pasien Tuberkulosis Paru Dengan Waktu Konversi Sputum Basil Tahan Asam Ramadhian, Muhammad Ricky; Nadhifa, Farin; Nareswari, Shinta; Mustofa, Syazili
Jurnal Medika Malahayati Vol 9, No 2 (2025): Volume 9 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v9i2.18797

Abstract

Tuberkulosis paru (TB paru) merupakan penyakit menular yang disebabkan karena adanya infeksi pada parenkim paru oleh Mycobacterium tuberculosis (M. tb). Salah satu modalitas dalam mendiagnosis TB adalah pemeriksaan spesimen dahak menggunakan pemeriksaan basil tahan asam (BTA) serta pemeriksaan radiologi dengan foto toraks. Dalam pemeriksaan foto toraks, lesi TB paru dapat dibagi menjadi lesi minimal, lanjut sedang, dan sangat lanjut. TB dikenal sebagai penyakit dengan durasi pengobatan yang lama, terbagi menjadi fase intensif dan lanjutan. Dalam mengevaluasi pengobatan, dilakukan pemeriksaan sputum BTA di akhir setiap fase untuk menilai status konversi sputum. Luas lesi diduga berperan dalam durasi konversi sputum BTA. Penelitian ini bertujuan untuk menentukan apakah terdapat hubungan antara luas lesi foto toraks pasien TB paru dengan waktu konversi sputum BTA. Desain penelitian ini adalah analitik observasional menggunakan data rekam medis dan laman Sistem Informasi Tuberkulosis (SITB). Sebanyak 55 orang yang diteliti diambil dengan teknik total sampling. Data kemudian dianalisis dengan uji Chi-Square. Hasil yang diperoleh adalah bahwa 52,7% pasien TB paru memiliki luas lesi sangat lanjut dan 61,8% pasien TB paru mengalami konversi selama fase intensif. Analisis bivariat memberikan hasil P-value < 0,001. Kesimpulan penelitiaan ini adalah luas lesi foto toraks pasien TB paru berhubungan dengan waktu konversi sputum BTA di RSUD Dr. H. Abdul Moeloek pada tahun 2020-2023.
Enhancing Trauma Care: A Community Service Initiative for Focused Assessment Sonography for Trauma (FAST) Training among Junior Doctors at Dr. H. Abdul Moeloek General Hospital, Bandarlampung, Indonesia Ramadhian, Muhammad Ricky
Indonesian Community Empowerment Journal Vol. 4 No. 1 (2024): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v4i1.40

Abstract

Focused assessment sonography for trauma (FAST) is a rapid bedside ultrasound examination crucial for the initial assessment of trauma patients. This study reports on a community service initiative aimed at improving FAST competency among young doctors at Dr. H. Abdul Moeloek General Hospital, Bandarlampung, Indonesia. A mixed-methods approach was employed. The program included: 1) A pre-training assessment of FAST knowledge and skills. 2) A structured FAST training curriculum with didactic lectures, hands-on scanning sessions, and case-based discussions. 3) A post-training assessment of FAST competency. 4) Qualitative feedback from participants to assess the program's impact. Thirty-two young doctors participated in the program. There was a significant improvement in FAST knowledge (pre-test mean: 45%; post-test mean: 82%) and scanning skills. Participants reported increased confidence in FAST utilization and its integration into their trauma assessment workflow. This community service initiative demonstrated the effectiveness of a structured FAST training program in enhancing the competency of young doctors in trauma care. Such programs have the potential to improve patient outcomes and contribute to the development of a skilled healthcare workforce.
EDUKASI TENTANG RISIKO INFEKSI PARASIT USUS PADA PERILAKU OPEN DEFECATION SEBAGAI UPAYA MENINGKATKAN PENCAPAIAN OPEN DEFECATION FREE YANG MENUNJANG PENINGKATAN DERAJAT KESEHATAN ANAK INDONESIA Mutiara, Hanna; Lisiswanti, Rika; Ramadhian, Muhammad Ricky; Islami, Suryadi; Apriliana, Ety; Fatriyadi, Jhons
BESIRU : Jurnal Pengabdian Masyarakat Vol. 1 No. 2 (2024): BESIRU : Jurnal Pengabdian Masyarakat, Februari 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/480vf954

Abstract

Sustainable Development Goals (SDGs) have set 17 development goals that must be achieved by 2030. One of the goals is to ensure a healthy and prosperous life for all communities. This health-related component is related to access to clean water and sanitation to create a healthy environment and will reduce the risk of transmission of various infectious diseases, especially diarrhea. Diarrhea is currently one of the biggest killers of toddlers in Indonesia. This disease is an environmental-based disease that is closely related to the practice of open defecation. Diarrhea can be caused by several etiologies, including intestinal parasitic diseases.  One of the targets set out in the SDGs related to healthy sanitation is access to achieving stop open defecation behavior. Stichting Nederlandse Vrijwilligers (SNV) in April 2022 stated that of the 9 million residents in Lampung, around 1 million people do not have access to a toilet or still practice open defecation. Of the 15 city districts in Lampung Province, only five regions have implemented ODF. The aim of this activity is to make an effort to improve children's health status, in particular increasing knowledge about the risk of intestinal parasite infection in open defecation behavior. This is expected to increase motivation and practice to stop open defecation so that it can increase the achievement of open defecation free in Indonesia, especially Lampung Province. It is hoped that this will improve the level of health, especially for Indonesian children who are the nation's next generation.
Pemeriksaan Ultrasonografi Elastografi dalam Diagnosis Penyakit Ginjal Adisti, Fransiska; Ramadhian, Muhammad Ricky; Maulana, Muhammad; Berawi, Khairun Nisa
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.v14i11.1299

Abstract

Ultrasonography (USG) is a diagnostic tool in medical imaging that operates on the principle of ultrasound waves emitted by a transducer. Recent advancements in USG technology have significantly enhanced its diagnostic capabilities. Renal elastography, a specialized application, enables the assessment of tissue stiffness or elasticity. The technique involves applying pressure to the tissue and measuring the resulting strain, providing valuable insights into the extent of fibrosis in the renal parenchyma. This article presents a comprehensive review of renal elastography ultrasonography and its clinical applications. USG is a non-invasive imaging modality that requires no special preparation, typically performed with the patient in a supine position. The kidneys are evaluated in longitudinal and transverse planes using a transducer positioned at the flank. Various elastography techniques exist, categorized based on the intensity of external pressure applied.
Peran Anemia Sebagai Faktor Risiko Hipertensi Resisten pada Penyakit Ginjal Kronik Nasution, Salwa Salsabila; Kurniati, Intanri; Ratna, Maya Ganda; Ramadhian, M. Ricky
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1354

Abstract

Anemia is one of the most common complications in chronic kidney disease (CKD) that significantly affects quality of life and prognosis. Anemia is a condition where there is a decrease in iron-rich hemoglobin levels, which functions to circulate oxygen throughout the body. Chronic kidney disease is a kidney condition characterized by abnormalities in kidney structure or function. Men have a 2 times higher risk of developing CKD than women due to their generally poorer lifestyle habits. The condition of insufficient oxygen perfusion to tissues leads to activation of the renin-angiotensin-aldosterone system (RAAS). The RAAS system ultimately produces aldosterone and antidiuretic hormones that cause sodium retention in the body and lead to increased blood pressure. Additionally, anemia can cause changes in blood vessels, where there is an increase in vascular resistance, especially in CKD patients. Studies have also shown that erythropoietin therapy can increase the prevalence of hypertension. Resistant hypertension is a condition where someone suffering from hypertension fails to achieve target blood pressure of <140/80 mmHg in normal individuals and <130/80 mmHg in CKD patients despite adhering to a combination dose of three types of antihypertensive medications. Someone suffering from resistant hypertension must comply with the drug dosage prescribed by the doctor and also improve their lifestyle. This article aims to understand how anemia serves as a risk factor for resistant hypertension in CKD patients. Furthermore, the diagnosis and treatment of resistant hypertension are also discussed in this article.
Demensia Alzheimer pada Lansia Nadhifa, Farin; Ramadhian, Muhammad Ricky; Nareswari, Shinta
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.v14i11.1355

Abstract

Alzheimer’s dementia in the elderly is a health problem that affects the quality of life of patients and their families. This study aims to explore the risk factors, prevention, and management of Alzheimer's Dementia in the elderly, focusing on the use of information technology for early detection, and the impact of physical activity as a preventive strategy. This research utilizes a literature review method by analyzing previous studies related to Alzheimer's dementia in the elderly. The analysis includes risk factors for dementia, prevention through physical activity, and the role of information technology in early detection and disease management. The results of the literature review indicate that the risk factors for Alzheimer's dementia in the elderly include age, genetics, and lifestyle. The study also shows that physical activity has a positive effect in reducing the risk of dementia. Moreover, information technology has significant potential in aiding early detection and disease management, allowing for more timely and effective intervention. Alzheimer’s dementia in the elderly requires a comprehensive approach involving early detection, prevention, and disease management. Physical activity and the use of information technology play vital roles in preventive and therapeutic strategies for Alzheimer's dementia.
Karakteristik Pasien Apendisitis di RSUD Dr. H. Abdul Moeloek Fitria, Aghniya Rizqy; Ricky Ramadhian, Muhammad; Daulay, Suryani Agustina; Zuraida, Reni
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1405

Abstract

Appendicitis is inflammation of the vermiform appendix that can lead to perforation if not treated promptly. This study aims to identify the characteristics of appendicitis patients at RSUD Dr. H. Abdul Moeloek Lampung Province from January 2023 to July 2024. The method used was a descriptive observational study using secondary data from medical records of appendicitis patients. The sample was taken using total sampling, which was then selected based on inclusion and exclusion criteria, involving 84 patients with complete medical records and histopathology results. The results showed that the majority of appendicitis patients were in the 21-60 age range (49%), followed by the 0-20 age range (44%) and the >60 age group (7%). Based on gender, more male patients (56%) were found compared to females (44%). The most common type of appendicitis was simple acute appendicitis (48.8%), followed by perforated acute appendicitis (36.9%) and chronic appendicitis (14.3%). These findings are consistent with other studies showing a higher incidence of appendicitis in young adults and a higher prevalence in males. This study provides important insights into the characteristics of appendicitis patients, which may aid in early detection and more effective management.
Cystatin C sebagai Biomarker Fungsi Ginjal: Literature Review Pestalozi, George; Akbar, Fareel Wahyu; Ramadhian, Muhammad Ricky; Graharti, Risti; Lisiswanti, Rika
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1410

Abstract

Kidneys are the primary organs responsible for the excretion of metabolic waste products. Glomerular Filtration Rate (GFR) serves as a critical parameter for assessing renal function, with serum creatinine traditionally utilized as the primary biomarker. However, the accuracy of creatinine-based assessments is limited by its susceptibility to external variables, including age, sex, muscle mass, and dietary intake. These factors can lead to variability in results and reduce diagnostic precision. To overcome these limitations, cystatin C (CysC) has gained prominence as a superior alternative biomarker. Unlike creatinine, serum CysC levels are minimally influenced by external factors, offering greater stability and sensitivity in detecting acute kidney injury (AKI), chronic kidney disease (CKD), and other renal impairments such as diabetic nephropathy. Cystatin C provides notable advantages in the reclassification of CKD stages, particularly in cases where GFR measurements are borderline. CysC has demonstrated superior reliability over creatinine in predicting complications such as delayed graft function (DGF), a condition often necessitating hemodialysis. Preoperative measurement of CysC levels is instrumental in predicting long-term renal function and identifying patients at elevated risk for adverse outcomes. Elevated serum CysC concentrations in patients with renal cell carcinoma (RCC) have been correlated with poorer prognoses and an increased likelihood of postoperative renal injury. Despite its clinical advantages, the routine adoption of CysC is constrained by certain limitations. Chief among these is the significantly higher cost of CysC assays compared to traditional creatinine tests, which restricts its widespread application to confirmatory diagnostics or complex clinical scenarios.
Co-Authors Ade Marantika Adisti, Fransiska Afriyani, Afriyani Akbar, Fareel Wahyu 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 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 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 Septiani, Linda Shinta Nareswari, Shinta Suryadi Islami Sutarto Sutarto Syafira Salsabila Syazili Mustofa Tri Umiana Sholeha Tri Umiana Soleha Tri Umiana Soleha Yuniarti, Wulan Yuningrum, Hesti