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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Medula Jurnal Dunia Kesmas Journal of Language and Health Jurnal Farmasetis Sains Medisina Journal of Health Science and Medical Therapy
Tri Umiana Soleha
Bagian Mikrobiologi, Fakultas Kedokteran, Universitas Lampung
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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THE DIFFERENCES OF COMMUNITY KNOWLEDGE BETWEEN BEFORE AND AFTER HEALTH EDUCATION OF MALARIA Sa'diyah, Isma Fadlilatus; Wardani, Dyah Wulan Sumekar Rengganis; Kurniawan, Betta; Soleha, Tri Umiana
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 8 No. 2 (2020): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.22 KB) | DOI: 10.22437/jmj.v8i2.10209

Abstract

Background: Sukajaya Lempasing village is a malaria-endemic area with the increasing of Annual Parasitic Incident from 2015, which is 1.7 per 1,000 population to 2.2 per 1,000 population in 2016. The village has a higher Annual Parasite Incidence with a national Annual Parasite Incidence in Indonesia of 0.84 per 1,000 population. Various efforts have been made to prevent malaria, such as early diagnosis, prompt treatment, vector surveillance and control. However, the program has not been effective in reducing the number of malaria due to the lack of society’s knowledge about Malaria. Methods: This research uses the quasi-experimental method. The sampling technique is a total sampling. The study was conducted from April to June 2017, located in Sukajaya Lempasing Village, Pesawaran, Lampung. The samples obtained were 25 people. Data obtained from questionnaires. Results: The results of univariate analysis obtained abnormal distribution data with the p-value of pretest = 0.03 and p posttest = 0.00. Because the data is abnormally distributed, the bivariate analysis of the non-parametric Wilcoxon test is used which shows the value of p = 0.00. Conclussion: The conclusion of this research is the difference in knowledge about malaria before and after health education in the community of Sukajaya Lempasing Village. Keywords: Malaria, Health Education, Knowledge.
Diare adalah kondisi yang ditand Ecoli Penyabab Diare Akut : Ecoli Penyabab Diare Akut: Patogenesis, Diagnosis dan Tatalaksana Shinta Dewi, Brigitta; Soleha, Tri Umiana; Septiani, Linda; Apriliana, Ety
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.903

Abstract

The presence of Escherichia coli bacteria or what is often called E.coli is an indicator of contaminated food and water which shows that there is contamination in human feces. 16 Research results show that consuming food contaminated with Escherichia coli bacteria can cause symptoms of diarrhea, pain, fever, and vomiting6. Escherichia coli bacteria can be transmitted through contact with infected food handlers when processing food16. Escherichia coli can be transmitted from feces through contact with human fingers, flies, soil and water that comes into direct contact with food and eating utensils19. Diarrhea in Indonesia is an endemic disease and a potential disease that is associated with a significant mortality rate. In that year, there were 21 extraordinary events (KLB) which spread across 12 provinces and 17 districts/cities. 12. An increase in diarrhea occurred in 2018 with the number of cases reaching 4,504,524 people. In 2019, diarrhea cases decreased slightly to 4,485,513 people. The national incidence rate of diarrhea is 270 per 1,000 population12. In 2020, diarrhea in Bandar Lampung City reached 16,989, in 2021 there was an increase with the number of cases 22,371 (Central Statistics Agency for Bandar Lampung City, 2023) 4. Knowledge and updates regarding E. Coli as a cause of diarrhea are important for medical personnel.
Enterobactericeae Sebagai Bakteri Patogen Infeksi Nosokomial di Rumah Sakit Putri, Abrila Tamara; Soleha, Tri Umiana; Nareswari, Shinta; Ramadhian, M. Ricky
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.v14i1.942

Abstract

Enterobactericeae are gram-negative rod bacteria which are often pathogenic bacteria that cause nosocomial infections. Enterobactericeae bacteria have several characteristics including small size and rod shape, natural habitat in the digestive tract of humans or animals and some others originate from bodies or inanimate objects, are motile and non-motile, cannot form spores, and are aerobic to facultative anaerobic. Nosocomial infections are infections that are acquired during the health care process at the hospital, but are not present when the patient is admitted to the hospital. The source of transmission of nosocomial infections can result from direct or indirect contamination in the health care process in hospitals. Common nosocomial infections include Central Line Associated Blood Stream Infection (CLABSI), Catheter Associated Urinary Tract Infection (CAUTI), Surgical Site Infection (SSI), and nosocomial pneumonia consisting of Hospital Acquired Pneumoniae (HAP), Ventilator Associated Pneumoniae (VAP), and Health Care Associated Pneumoniae (HCAP). The Enterobactericeae bacteria that often cause nosocomial infections in hospitals include Escherichia coli, Klebsiella sp, Enterobacter sp, Pseudomonas sp, and so on. Nosocomial infections have a negative impact on the health recovery process of inpatients in hospital, so they need to be handled well and preventive efforts are made to avoid this undesirable event through health service efforts that comply with standard operational procedures and pay attention to aseptic principles.
Faktor-Faktor yang Mempengaruhi Keparahan Derajat Infeksi Dengue pada Pasien Anak Rahel, Clara Arta Uli; Apriliana, Ety; Septiani, Linda; Soleha, Tri Umiana
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.v14i1.954

Abstract

Dengue infection is an infectious disease transmitted by mosquitoes, especially Aedes species which have been infected to humans. Dengue virus (DENV) consists of four serotypes, namely DEN-1, DEN-2, DEN-3, and DEN-4. Dengue virus infection in humans, especially in pediatric patients, can cause different symptoms from one patient to another. To make it easier to classify the patient's condition, WHO has classified the clinical severity of dengue infection, namely dengue fever, dengue hemorrhagic fever which consists of four levels, and dengue shock syndrome. The varying progression of dengue infection is the basis for knowing the factors that can influence the severity of the degree of dengue infection in terms of the patient's characteristics, clinical symptoms and laboratory results.
Uji Efektivitas Dekontaminasi Masker Bedah Menggunakan Rice Cooker Pada Masker yang Digunakan Mahasiswa Fakultas Kedokteran Universitas Lampung Tahun 2018 Gliselda, Vika Kyneissia; Soleha, Tri Umiana; Wintoko, Risal; Sidharti, Liana
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.962

Abstract

Since the pandemic, there has been an increase in demand for surgical masks. This causes an increase in waste that is difficult to decompose and requires solutions such as decontamination so that it can be reused. Mask decontamination is currently still being carried out on a large scale and has been standardized. This is a drawback because it is difficult for the community to do. In Taiwan, there is one method of mask decontamination using a rice cooker which is widely available, but there are still many limitations in this research. The aim of this research is to determine the effectiveness of using a rice cooker as a decontamination tool against bacteria on surgical masks. This research was carried out on 20 samples of surgical masks used by students, consisting of calculating the number of colonies that grew before and after decontamination on Brain Heart Infusion Agar (BHI) media, gram staining, culture on blood agar plate media, catalase test and culture on mannitol media. salt agar. The type of bacteria on the surgical mask used is Bacillus sp. (85%) and Staphylococcus epidermidis (15%). The Wilcoxon statistical test regarding the effectiveness of surgical masks before and after showed a p value <0.05. The use of a rice cooker is effective as a tool for decontaminating surgical masks that have been used by students.
Kajian Polifarmasi Terhadap Keamanan Obat Pada Pasien Geriatri Jessy Dewi Awali; Pardilawati, Citra Yuliyanda; Soleha, Tri Umiana; Oktarlina, Rasmi Zakiah
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1059

Abstract

Geriatric patients an elderly patients suffering from a variety diseases (multimorbidity) caused by a decrease in body organ function. Multimorbidity in geriatric patients tends to lead to increased prescriptions and risks of polypharmacy. Polypharmacy can be defined as the use of five or more types of medications by a patient simultaneously. Polypharmacy is a major concern because of negative health impacts on patients, such as increased incidence of adverse drug reactions, harmful drug interactions, decreased medication adherence, and potentially inappropriate prescribing. Collaboration among doctors, pharmacists, other healthcare professionals, and families plays an important role in ensuring the effectiveness of treatment for geriatric patients, thus making the medications used safe and appropriate and reducing the negative impact of polypharmacy.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMERIKSAAN PAYUDARA SENDIRI SEBAGAI METODE DETEKSI DINI KANKER PAYUDARA DI PUSKESMAS TEGINENENG KABUPATEN PESAWARAN Bajuri, Annisa Nur Oktavia; Sari, Ratna Dewi Puspita; Soleha, Tri Umiana
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1069

Abstract

Breast cancer is the uncontrolled growth of cells in the lobules, ductus and supporting tissue of the breast that surrounds them. An examination for early detection of breast cancer is breast self-examination (BSE) which can reduce the mortality rate by 25-30%. Pesawaran District in 2018 had a coverage of the PTM indicator for BSE examination of 16,20%, with the highest achievement at the Gedong Tataan Community Health Center of 27,83% and the lowest in Tegineneng Community Health Center of 4,17%. This research was conducted to determine the factors associated with BSE behavior in women of childbearing age (WUS) in Tegineneng Community Health Center, Pesawaran Regency. The research used an analytical observational method with a cross sectional approach. The sampling technique was cluster sampling. Data was collected using a questionnaire and analyzed with chi-square test. The results showed that there was a significant correlation between knowledge (p-value 0.003) and media information (p-value 0.000) on BSE behavior. There was a significant relationship between knowledge and information media on BSE behavior. Meanwhile, there was no significant relationship between age, motivation, and the role of health workers on BSE behavior.
Mekanisme Kerja & Penggunaan Klinis N-Acetylcystein (NAC) Pada Penyakit Paru & Saluran Napas Poty, Pitha Maykania; Mustofa, Syazili; Kurniawaty, Evi; Soleha, Tri Umiana
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1083

Abstract

Lung disease is one of the leading causes of illness and death worldwide. Lung disease can be caused by inflammation of the tissues due to oxidative stress. Oxidative stress plays a role in the pathogenesis of lung disease, both acute and chronic. Oxidative stress in the lungs occurs when antioxidant capacity is depleted due to external exposures, such as changes in oxygen pressure due to pollutants, and internal exposures, such as systemic disease and activation of inflammatory cells in response to exposure. Oxidative stress is an imbalance in the production of oxidants and antioxidants in the body's metabolism. In lung disease, oxidative stress increases in endogenous metabolism so exogenous antioxidants in the form of N-acetylcysteine ​​(NAC) are needed. NAC is a glutathione precursor that can replenish total thiols (cysteine, cysteinylglycine, glutathione, and homocysteine). The mechanism of action of NAC is by interacting with ROS so that it can increase antioxidant capacity again. Oxidative stress can deplete antioxidants, NAC will release Thiol groups directly thereby neutralizing oxidants such as N and NO2. Clinically, NAC has been proven to be useful as a treatment for lung diseases such as COVID-19, asthma, bronchiectasis, COPD, and TB at high doses, namely 1200 mg/day.
Hubungan Usia, Jenis Kelamin, dan Jarak Jahitan Luka dengan Kejadian Infeksi Luka Operasi pada Pasien Apendisitis Perforasi di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2020-2021 Caesarridha, Dhaifany Karissa; Wintoko, Risal; Mustofa, Syazili; Soleha, Tri Umiana
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1094

Abstract

Surgical site infection is a type of nosocomial infection with the most common occurrence, which is 38% of all cases of nosocomial infection. The distance of sutures affects the local hemodynamics around the surgical wound and can cause the inhibition of thrombus formation which plays a role in the wound healing process so that it will inhibit wound healing which will lead to increase of bacterial growth and cause infection and tissue damage. This study is an unpaired comparative analytic method with a cross-sectional research design. The sampling technique is total sampling. The research subjects were patients with perforated appendicitis at RSUD Dr. H. Abdul Moeloek, Lampung in 2020-2021, totaling 37 people. The independent variable in this study were age, gender, and the distance between the sutures, while the dependent variable was the incidence of surgical site infection. The study showed that the distance of sutures had a correlation with the incidence of surgical site infection with a p value of 0.00 (<0.05), where the distance of sutures that <2 cm has a higher frequency of surgical site infections than the distance of sutures that ≥2 cm. Age also has a correlation with the incidence of surgical site infection with a p value of 0.041 (<0.05). Meanwhile, gender did not have a correlation with the incidence of surgical site infection with a p value of 0.728 (> 0.05). We can conclude that the distance of sutures and age have a correlation with the incidence of surgical site infection. Otherwise, gender is not associated with the incidence of surgical site infection.
ANALISIS DAN INTERPRETASI CAIRAN SEREBROSPINAL (LCS) DALAM PERAWATAN NEUROKRITIS UNTUK KONDISI NEUROLOGIS AKUT, ARTIKEL REVIEW Sinulingga, Anselmus Libreya; Sangging, Putu Ristyaning Ayu; Soleha, Tri Umiana
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1125

Abstract

Cerebrospinal fluid (LCS) is a clear fluid circulating in the intracranial and spinal compartments. Under normal conditions, the composition of LCS remains constant. However, in various neurological disease especially in acute conditions, the composition, quantity and its pressure can be altered. The importance of CSF in the diagnosis of neurological diseases has been enhanced with the development of techniques that allow direct measurement or indirect analysis of CSF composition. These methods not only aid in diagnosis but also in assessing the severity and prognosis of the neurological conditions faced by patients. For instance, measuring glucose levels in CSF can help differentiate between subarachnoid hemorrhage due to an aneurysm and other types of hemorrhagic stroke. By measuring the levels of various LCS components using relevant techniques, diagnosis, severity and prognostication of neurological conditions like infections, subarachnoid hemorrhage, demyelinating conditions, tumor like conditions, etc. can be done. In the context of emergency care, a good understanding of changes in CSF and their relevance to the patient's clinical condition enables doctors to make more accurate decisions regarding management and treatment. Therefore, CSF analysis is crucial not only for initial diagnosis but also for monitoring and assessing the response to therapy. In this review, alterations in LCS components and its relevance to the emergency care physician to help in the management of patients are enumerated.
Co-Authors Artanti, Mariesela Bajuri, Annisa Nur Oktavia Betta Kurniawan, Betta Caesarridha, Dhaifany Karissa Cyntithia, L. Gita Dewayanti, Wahyu Dyah Wulan Sumekar Rengganis Wardani Ety Apriliana Frauprades, Kaltihennah Oktavia Gliselda, Vika Kyneissia Helmi Ismunandar Indri Windarti Jessy Dewi Awali Kurniawaty, Evi Liana Sidharti, Liana Mallarangeng, Andi Nafisah Tendri Adjeng Muhammad Ricky Ramadhian Oktoba, Zulpakor Pardilawati, Citra Yuliyanda Poty, Pitha Maykania Purba, Gemi Sabrina Putri, Abrila Tamara Rahel, Clara Arta Uli Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Risal Wintoko Sa'diyah, Isma Fadlilatus Sangging, Putu Ristyaning Ayu Septiani, Linda Shinta Dewi, Brigitta Shinta Nareswari, Shinta Sinulingga, Anselmus Libreya Situmorang, Ezra Winandi Syazili Mustofa