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All Journal Teknologi dan Kejuruan: Jurnal teknologi, Kejuruan dan Pengajarannya Cakrawala Pendidikan Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Transmisi Medula TEFLIN Journal: A publication on the teaching and learning of English Jurnal Pendidikan Teknik Mesin Jurnal Analis Kesehatan at-tamkin: Jurnal Pengabdian kepada Masyarakat JOURNAL OF GOVERNMENT (Kajian Manajemen Pemerintahan dan Otonomi Daerah) Jurnal Ilmu Komputer dan Bisnis Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal JURNAL PENELITIAN PERAWAT PROFESIONAL Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Pengabdian, Pendidikan dan Teknologi JK Unila (Jurnal Kedokteran Universitas Lampung) MAHESA : Malahayati Health Student Journal AICS Journal of Language and Health Journal of Indonesian Rural and Regional Government (JIRReG) ETAM: Jurnal Pengabdian kepada Masyarakat Digital Transformation Technology (Digitech) Abdimas Indonesian Journal Sewagati: Jurnal Pengabdian Masyarakat Indonesia Safari : Jurnal Pengabdian Masyarakat Indonesia JURNAL TUNAS PENDIDIKAN Universal Raharja Community (URNITY Journal) Jurnal Kesehatan Tropis Indonesia International Journal of Research and Community Empowerment BULLET : Jurnal Multidisiplin Ilmu Commodities, Journal of Economic and Business International Journal of Education, Vocational and Social Science International Journal of Information Engineering and Science Holistik Jurnal Kesehatan Jurnal Pendidikan Teknik Mesin JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Lentera ICT Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Jurnal bahasa, sastra, seni, dan pengajarannya Jurnal Publikasi Sistem Informasi dan Manajemen Bisnis Journal of Pharmaceutical and Natural Resources
Suharmanto
Universitas Negeri Malang
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Efektifitas Edukasi Self Management Terhadap Kontrol Tekanan Darah Pasien Hipertensi Zada Amalia Agatha Sari Zada Amalia Agatha Sari; Novita Carolia; Rasmi Zakiah Oktarlina; Suharmanto Suharmanto
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.535

Abstract

Hypertension is a systolic blood pressure 140 mmHg or higher and a diastolic blood pressure 90 mmHg or higher.22 In 2020 WHO (Word Health Organization) reported that there were 1.13 billion cases of hypertension and has caused 9.4 million dead.22 At the United States, in 2017-2018 it was reported that 63% people over 60 years old suffered from hypertension with a higher percentage of women (66.8%) than men (58.5%).2 According to the 2018 RISKESDAS results patients with hypertension in the elderly amounted to 63.5%. Due to its high prevalence, hypertension is a major global health problem and the main cause of death and disability in the world every year.12 Treatment of hypertension is carried out for a long time so that the success of hypertension treatment is strongly influenced by self management of patients to adhere to the treatment, routinely checking blood pressure, increasing physical activity, reducing cunsumption of foods containing sodium.11 Self management of hypertension has an important role in effective control off blood pressure in patient with hypertension.3 One of the ways to increase knowledge related to the prevention and control of hypertension is through education.10 The education provided in the form of theoretical materials such as lectures, discussions, counseling, e-learning, and also practices such as workshops or training with various related topics. The materials provided is in the form of facts about hypertension such as definitions, signs and symptoms, risk factors, how to diagnose and treat them, normal blood pressure, hypertension prevention, complications, drug use, drug side effects, the importance of taking medication regulary, the importance of blood pressure checks periodically, diet, physical activity, relaxation techniques such as deep breathing, muscle relaxation, guided imagery.18
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.
Faktor-Faktor Yang Berhubungan Dengan Kejadian Glaukoma Di Rumah Sakit Mata Lampung Eye Center Bandar Lampung Amelia, Erry Rizki; Himayani, Rani; Suharmanto, Suharmanto
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.v14i5.1093

Abstract

Glaucoma is a chronic progressive optic neuropathy characterized by elevated intraocular pressure, cupping of the optic disc and visual impairment with visual field defects. Every year the number of glaucoma is increasing and become the second common cause of blindness. This study aims to determine what factors related to the incidence of glaucoma at the Eye Hospital Lampung Eye Center Bandar Lampung. This study used an analytic observational design with a cross sectional approach. The data used who were sourced from secondary data in the form of medical records that are recorded data were patient characteristics, main complaint, history of hypertension and incidence of glaucoma. This respondents consisted of 134 glaucoma patients who showed the results that most respondents are in the age group >60 years (43.3%), male (53%), had high education status (64,9%), had no history of hypertension (73.1%), the main complaint with visual impairment (59,7%) and the incidence of primary glaucoma type of glaucoma (47.8%) . There were no correlation among age (p = 0,468), gender (p = 0.148), education status (p = 0.116), a history of hypertension (p = 0.259) and main complaint (p = 0.087) with the incidence of glaucoma at Eye Hospital Lampung Eye Center Bandar Lampung. There were no correlation among the characteristic features, history of hypertension and main complaint of glaucoma with the incidence of glaucoma.
Manifestasi Klinis Infeksi Parasi Usus pada Anak: Literature Review Nirwan, Qurratul Aina; Mutiara, Hanna; Suharmanto, Suharmanto; Wardani, Dyah Wulan Sumekar Rengganis
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.v14i9.1394

Abstract

Intestinal parasitic infection is a disease that still neglated, more likely found in developing countries. This infection is caused by a group of intestinal protozoa and worms, generally intestinal nematodes. In children, the STH group is the most common cause of infection. Infection often occurs via the fecal-oral route. Children more often consume infective stages to other age groups due to their poor hygiene behavior.  Intestinal parasitic infections in children can cause high mortality and mobility. This infection causes a decline in health conditions, nutritional absorption, intelligence and productivity. This can simultaneously cause disruption of growth and development in children. These manifestations are related to the virulence of the parasite strain, the number of infective stages consumed, the age of the patient, and the state of the immune system at the time of infection. Apart from that, the manifestations that arise are widespread, asymptomatic to chronic. The manifestions are related to the digestive tract as the target organ of infections. However, manifestations can also be found outside the digestive tract. This is because organisms move to other organs through blood vessels. Manifestations that arise in the digestive tract are usually nausea, vomiting, abdominal pain, constipation, and diarrhea which is sometimes accompanied by blood. Not only that, weakness, fatigue, lethargy, and eating disorders are the manifestation of these infections. This is what causes growth and development disorders in children. Meanwhile, the extraintestinal mainifestations are liver abscess due to amoeba infection, Loeffler syndrome due to Ascaris lumbricoides infection and other manifestations. Usually, the intestinal nematoda infections caused have their own characteristics.
Faktor Yang Berhubungan Dengan Kejadian Ulkus Kornea : Literatur Review Laras Pratiwi, Astari; Suharmanto, Suharmanto; Taolin, Alberto
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.v15i2.1638

Abstract

Corneal ulcer is a pathological condition in the form of a lesion or defect caused by the loss of tissue discontinuity accompanied by infiltration, which can occur in the cornea, from the epithelium to the stroma. This literature review aims to describe the factors associated with the occurrence of corneal ulcers. This literature review describes the factors associated with the occurrence of corneal ulcers. Researchers use articles from Google Scholar and PubMed. The articles used are articles from the last 10 years from 2015-2025. Researchers use the keywords "corneal ulcer" and "factors". The articles obtained were 39 articles and 10 articles met the requirements. Researchers made a resume of the research results and interpreted and concluded from the selected articles. Corneal ulcers can be caused by various risk factors, both infectious and non-infectious. Unhygienic or prolonged use of contact lenses, viral infections such as herpes simplex, dry eye syndrome, eyelid disorders (such as entropion or trichiasis), use of steroid eye drops without medical supervision, and trauma or injury to the eye are the main causes. In addition, people with diabetes mellitus and those with a history of eye diseases such as blepharitis are also more susceptible to corneal ulcers.
Gambaran Jenis Pekerjaan Ayah dan Status Pekerjaan Ibu Terhadap Kejadian Stunting di Puskesmas Seputih Surabaya Lampung Tengah Kalih, Abigael Ludwina; Sutarto, Sutarto; Suharmanto, Suharmanto; Sangging, Putu Ristyaning Ayu
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.v14i11.1409

Abstract

Stunting refers to short or very short stature based on length or height for age that is less than -2 standard deviations on the WHO growth curve. The World Health Organization (WHO) estimated that 22.2% or 149.2 million children under 5 years old suffered from stunting in 2020. Stunting is caused by two factors: direct and indirect factors.This study aims to examine the relationship between the father's type of occupation and the mother's employment status with the incidence of stunting in the working area of the Seputih Surabaya Public Health Center, Central Lampung. The study employed a cross-sectional design, with a sample of 57 toddlers from the Seputih Surabaya Subdistrict, Central Lampung Regency. The research was conducted from September to November 2024. The sampling technique used proportional random sampling and simple random sampling. This study utilized consent forms containing statements of willingness to participate as respondents, and data collection was conducted using questionnaires. The questionnaire included questions about the father’s type of occupation (e.g., farmer, civil servant, entrepreneur/trader, accountant, livestock farmer, fisherman, employee, teacher, or unemployed) and the mother’s employment status (working or not working). The data were analyzed univariately. The results showed that among toddlers with stunting, the most common type of father's occupation was farming, involving 33 children (58%). Regarding the mother’s employment status, the majority of stunted toddlers had mothers who were not working, accounting for 35 children (61.4%).
Hubungan Antara Status Gizi dengan Siklus Menstruasi pada Mahasiswi Pendidikan Dokter Universitas Lampung Angkatan 2021 Hasanah, Sabila; Zuraida, Reni; Suharmanto, Suharmanto; Mutiara, Hanna
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.v14i11.1473

Abstract

A normal menstrual cycle reflects good reproductive health and plays an important role in preparing the body for pregnancy. Based on the 2018 Basic Health Research, around 13.7% of women aged 10-59 years experienced irregular menstruation. One of the factors that can interfere with the normalcy of the menstrual cycle is abnormal nutritional status. This study aims to determine whether there is a relationship between nutritional status and the menstrual cycle in University of Lampung Medical Education students class of 2021. The type of research used was analytical observational with a cross-sectional approach, which was carried out from November 2024 to January 2025, involving 123 female students selected through simple random sampling technique. Data on nutritional status was obtained from the calculation of Body Mass Index (BMI), while menstrual cycle data was obtained using a menstrual cycle sheet. The results of the analysis using the mann-whitney test showed a p-value of 0.083 (p-value>0.05), which indicated that there was no significant relationship between nutritional status and menstrual cycle among University of Lampung medical education students Class of 2021.
Komplikasi Spinal Anastesi Pada Pasien Operasi: Literature Review Sujadi, Didi; Suharmanto, Suharmanto; Indrawan, Khadafi
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.v15i3.1646

Abstract

Abstract Spinal anesthesia is a commonly used anesthetic technique in various surgical procedures. Most operations are performed using spinal anesthesia rather than general anesthesia or local anesthesia. Spinal anesthesia is a regional anesthetic technique that involves injecting a local anesthetic into the subarachnoid space. Spinal anesthesia can avoid the risks of failed endotracheal intubation and the possibility of aspiration of gastric contents during general anesthesia, and can provide patient satisfaction. This article was written using a literature review method conducted through a literature search of various national and international journals. Journal articles from 2015 to 2025 served as the basis for the article used. References used were searched through the Pubmed, NCBI, and Google Scholar databases. The reading sources used were then analyzed using a systematic literature review method, which includes the activities of collecting, evaluating, and developing research with a specific focus. Spinal anesthesia, while having advantages, can also cause several complications. Complications of spinal anesthesia can include hypothermia, shivering, post-operative nausea and vomiting (PONV), post-dural puncture headache (PDPH), high or total spinal block, and urinary retention.
Faktor - Faktor Yang Berhubungan Dengan Kejadian Guillain-Barré Syndrome (GBS) : Literatur Review Aulia Nur Fadilah; Fitriyani, Fitriyani; Suharmanto, Suharmanto
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.v15i3.1673

Abstract

Guillain-Barré Syndrome (GBS) is an acute neurological disease characterized by progressive muscle weakness, accompanied by decreased or loss of reflexes due to an autoimmune process that attacks the peripheral nervous system. This condition can progress rapidly and potentially lead to paralysis and even respiratory failure if not treated promptly. This literature review aims to identify and analyze factors associated with the occurrence of Guillain-Barré Syndrome based on recent research. The research method was conducted through a literature review using Google Scholar and PubMed databases using the keywords "Guillain-Barré Syndrome" and "factors." The articles retrieved were published between 2015 and 2025. Of the 45 articles found, only 17 met the inclusion criteria and were subjected to in-depth analysis. The analysis process involved a systematic review of research results, interpretation of findings, and drawing conclusions regarding risk factors and mechanisms involved in GBS. The study results indicate that bacterial or viral infections are the primary triggers for GBS, particularly Campylobacter jejuni, Epstein-Barr virus, Cytomegalovirus, and Zika virus. Furthermore, some cases have been linked to vaccinations, surgical procedures, autoimmune conditions, and a history of upper respiratory or gastrointestinal infections prior to the onset of neurological symptoms. Genetic factors and an abnormal immune response are also suspected to play a role in the pathogenesis of GBS. Understanding these factors is crucial for increasing clinical awareness, accelerating early diagnosis, and optimizing prevention and management strategies. Surveillance of infectious diseases, implementation of safe medical practices, and increased awareness among healthcare workers are expected to reduce the incidence and mortality from Guillain-Barré Syndrome. However, in Indonesia, integrated studies related to GBS factors are still limited. Therefore, this study is expected to contribute scientifically to control efforts and improve the quality of healthcare services for patients at risk for or diagnosed with Guillain-Barré Syndrome.
Hubungan Disfungsi Endotel dengan Preeklamsia Gejala Pemberat Angelie Cahya Putri; Nurul Islamy; Anisa Nuraisa Jausal; Suharmanto Suharmanto
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.v16i3.1777

Abstract

Preeclampsia with severe features is a major pregnancy complication contributing substantially to maternal and perinatal morbidity and mortality worldwide. This condition primarily arises from impaired placentation that leads to placental hypoperfusion and the release of anti-angiogenic factors such as sFlt-1 and soluble endoglin, which suppress pro-angiogenic activity of VEGF and PlGF, ultimately triggering systemic endothelial dysfunction. This review aims to analyze the relationship between endothelial dysfunction and the pathophysiological mechanisms of severe preeclampsia through current scientific literature. A narrative literature review was conducted, examining clinical and molecular studies related to angiogenesis, oxidative stress, inflammation, and biomarkers influencing disease progression. The findings indicate that angiogenic imbalance, increased oxidative stress, inflammatory activation, and hemodynamic alterations are key drivers of endothelial injury, resulting in hypertension, proteinuria, edema, and multi-organ involvement. Additionally, the sFlt-1/PlGF ratio is identified as a strong predictor of disease severity and progression toward severe preeclampsia. The discussion highlights that deeper understanding of endothelial mechanisms provides promising pathways for developing early screening tools and targeted therapeutic strategies. Thus, endothelial dysfunction represents a central component in the pathogenesis of severe preeclampsia and remains critical for improving detection and clinical management.
Co-Authors Ade Yonata, Ade Aep Saefullah Agus Suyetno Akmal, Firdaus Alberto Taolin Ali Saukah Ali Saukah Alma Abigail Pamarta Amelia, Erry Rizki Angelie Cahya Putri Anindyaguna, Anggit Anisa Nuraisa Jausal Annisa Tamara Panjaitan Annisya, Annisya Ardika, Okta Besti Ari Wahyuni Arief Syahreza Asep Sukohar Asep Sukohar Atri Sri Ulandari Aulia Nur Fadilah Ayuwardani, Mellasanti Baehaqi Bayu Anggileo Pramesona Bayu Setyo Nugroho Betta Kurniawan, Betta Budi Prasetya Cayandrawati Sutiono, Cayandrawati Dani Irawan Daulay, Suryani A. Dedy Arisjulyanto Devie, Erika Dian Luthfiyati, Dian Didik Nurhadi Didin Zakariya Lubis Dika, Johan Wayan Dilla Syahra Noor Fitri Diska Fatima Virgiyanti Durrotun Nafisah DWi Aulia Ramdini Dwi Aulia Ramdini Dwi Puji Septarini Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Dyan Puji Puji Lestari Eddy Sutadji Elisa, Syavira Eny Suspartiana Ety Apriliana Evynurul Laily Zen Exsa Hadibrata Farouk, Umar FAUZAN ABDILLAH Febri Febri Febrianta, Muhammad Kaisar Firdaus, Purna Fisy Amalia Fitria Saftarina Fitriyani Fitriyani Fredison Fredison Fredison, Fredison Furaidah Gunadi H. Abd. Sulistyo Hadibrata, Exsa Halim Tjiwidjaja Hanna Mutiara, Hanna Happy, Terza A Hasanah, Sabila Hdibrata, Exsa Hendri Busman Heny Setyawati Hermawan , Iwan Hindrawati, Gita I Putu Ngurah Wage Myartawan Ilmidin, Ilmidin Imam Sudjono Inayah Inayah Inayah Intanri Kurniati Ismawanto, Iqbal Iwan Hermawan Jati Nugroho Jayaun Jazuli, Khanif Johannes Ananta Prayogo Kalih, Abigael Ludwina Kanzulli, Mohammad Haidar Khadafi Indrawan Khairul Saleh Khairun Nisa Kurniawan, Ryanda Masri Kusuma, Ardhanari Hendra L.P, Eka Ananda Laras Pratiwi, Astari Larasati, Ratri M. Lulus Irawati Luqman Khakim Lusiana Rahmawati Lusina, Septia Eva M. Ridho Ulya Maharani, Shella Maria Hidayati Maria Hidayati, Maria Maula, Nadliatul Mirjam Anugerahwati Mohammad Adnan Latief Mohammad Adnan Latief Monica D.D. Oka Muhammad Faisal Muhammad Fitra Wardhana Sayoeti Muhammad Iqbal Muhammad Rizky Hasan, Muhammad Rizky Muhammad Sultan, Muhammad Mukhlis Imanto, Mukhlis Mutiara Fauza Nanang Adie Setyawan Nastiti, Ana Putri Nazia, Marsa Zahra Nilna Fauza Nirwan, Qurratul Aina Novita Carolia Nurhayati Nurhayati Nurmumpuni, Dwita Nurul Islamy Nurul Utami Oktadoni Saputra, Oktadoni Oktoba, Zulpakor Ona Rahmawati Pandu Atri Saputra Pandu Atri Saputra Parnawati, Tantry Ajeng Pramesona, , Bayu Anggileo Pratama, Aldino Pratama Pratama, Bagas Pratama, Muhammad Yandi Pratiwi, Mona Inayah Puput Tri Hartanti Purnomo Purnomo Purnomo Purnomo Purnomo Purnomo, Purnomo Puteri Sahra Salsabila Qudus Sabha Adhinugraha Rahmat Febriawan Raisa Fadilla Ramadhan Triyandi Ramdini, Dwi Aulia Rani Himayani RANO KURNIA SINURAYA Rasmi Zakiah Oktarlina Rasyid, M. Fauzan Abdillah Reni Zuraida Risal Wintoko Risal Wintoko Risti Graharti Rizki Hanriko Rudiyanto, Waluyo Safitri, Nara Salma Alya Ihsan Salsabila, Aqilla Salsiyah, Sri Marhaeni Sangging, Putu Ristyaning Ayu Saputri, Kharisma Sartono Sartono, Sartono selvi rahmawati Septiarti, Nadiya Puput Ika Setiawati, Lita Setiorini, Anggi Shela Sandra Kirana Sihaloho, San Maulina Siti mutmainnah Sitti Aliyah Azzahra Sofyan Musyabiq Wijaya Sri Eka Sadriatwati, Sri Eka Suhermanto Suhermanto Suhermanto, Suhermanto Suhermanto, Suhermanto Sujadi, Didi Sukardi Sukardi Sulistiyani, Endang Supardal Supardal, Supardal Suparmin, Agus Susianti Susianti Sutariyono Sutariyono Sutarto Sutarto Sutyarso Suyatno Suyatno Syafran Nurrahman TA Larasati Taolin, Alberto Titik Haryati Tohiroh Tohiroh Triyandi, Ramadhan Tugiyono Tugiyono Tuwoso Ujang Kusnaedi Ulinnuha, Najwa Utama, Nadila Gita Putri Utami Widiati Utami, Hadiahti Utami, Wiranti Sri War, Muhammad Fitra Wardhana, Muhammad Fitra Wartariyus Wicaksono, Moch. Wahyu Widia, Chyci Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Yaktiworo Indriani Yazid Basthomi Yunianto, Andi Eka Yuniar, Mirza Yuningrum, Hesti Zada Amalia Agatha Sari Zada Amalia Agatha Sari Zeta, Nathasya Karren