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All Journal Medula Community Development Journal Jurnal Pengabdian Kepada Masyarakat (JPKM) Tabikpun ADMA: Jurnal Pengabdian dan Pemberdayaan Masyarakat
Liana Sidharti, Liana
Bagian Farmasi, Fakultas Kedokteran, Universitas Lampung
Humanities Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : medula

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Emergency and Disaster Management in the Health Sector Yusanda, Carissa Aprilia; Sidharti, Liana
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.v14i1.940

Abstract

  In this era of globalization, humans are faced with various challenges, including threats from disasters and emergency situations that can harm the health sector. Emergency and disaster management in the health sector is a critical aspect that requires serious attention. The importance of emergency and disaster management in the health sector is not only related to handling individual cases, but also involves prevention, preparedness and recovery efforts. The absence of adequate preparation can have serious impacts on public health, threaten the resilience of health systems, and increase the risk of disease. By adopting a qualitative approach, this research uses a case study design to gain an in-depth understanding of practices and policies related to preparedness, response and recovery in health emergencies. Through an in-depth understanding of emergency and disaster management in the health sector, it is hoped that innovative and effective solutions can be found in facing complex challenges that arise from natural disasters, armed conflicts, or global health threats. This research is expected to provide a valuable contribution to the development of policy, practice and advanced research in the field of emergency and disaster management that focuses on health aspects. The research findings highlight significant variations in the level of health system preparedness across contexts. The active involvement of stakeholders, including governments, non-governmental organizations and local communities, is identified as a key factor in successful emergency management. Environmental factors, such as geography and social dynamics, also influence the strategies implemented to respond to and recover from the health impacts of disasters.
Kejadian Gagal Ginjal Kronik pada Pasien Diabetes Melitus Tipe 2 Mentari Putri Maharani; Kurniati , Intanri; 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.v14i2.948

Abstract

Diabetes is widely regarded as the most prevalent factor leading to end-stage renal disease. The rising prevalence of obesity and the growing number of elderly individuals will result in an increased population of individuals with diabetes who also have chronic kidney disease. This kidney disease can either be caused by diabetic nephropathy or have a different underlying cause. The management of diabetes and accurate assessment of kidney disease are influenced by the factors of ageing and obesity. Individuals suffering from both diabetes and chronic kidney disease account for a disproportionately large portion of medical care expenses. Individuals afflicted with diabetes and diabetic nephropathy exhibit heightened susceptibility to retinopathy and foot complications necessitating synchronized medical attention. Individuals with both diabetes and chronic kidney disease have a higher susceptibility to anaemia and metabolic bone disease compared to those without diabetes who are at the same stages of chronic kidney disease. Considering the high prevalence of kidney disease (30-40%) among individuals with diabetes, it is estimated that over 2% of the adult population falls into this category. Therefore, it is crucial to develop new surveillance models for providing care to individuals with both diabetes and kidney disease. Additionally, primary care teams, who are responsible for managing the majority of these individuals, should also be supported.
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.
Manajemen Jalan Napas Definitif pada Pasien Gawat Darurat Cholyviona W.S Handhayani; Sidharti, Liana; Wahyuni, Ari
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.v14i4.979

Abstract

Definitive airway refers to the creation of a safe and patent airway to ensure adequate gas exchange, usually involving the trachea and special airway devices. Definitive airway is the standard of care in pre-hospital airway management, especially in trauma patients. Definitive airway has an important aspect in airway management, especially in emergency and trauma care, and its implementation is essential to ensure patient safety and stability. Proper training and routine maintenance skills are key to increasing the success rate of airway management procedures. A definitive airway can be performed if a clinical picture is obtained, including guarantees for maintaining a patent airway, failure to maintain adequate oxygenation with an oxygen mask or the appearance of apnea, airway guarantees including respiratory failure (hypoxia or hypercapnia), the presence of a head injury and requiring broadcast assistance, and decreased consciousness with a GCS (Glasgow Coma Scale) score of 8 or less. Patients with serious or persistent airway compromise usually require an airway device. The most common devices used in definitive airway include orotracheal intubation, nasotracheal intubation, and surgical airway (cricothyroidotomy and tracheostomy). The choice of airway device and technique is tailored to the specific clinical scenario and patient condition.
Co-Authors Ari Wahyuni Cholyviona W.S Handhayani Dian Isti Angraini Fauzi Ahmad Muda Fitria Saftarina Gliselda, Vika Kyneissia Kurniati , Intanri Kusumaningrum, Desy Mayasari, Diana Mentari Putri Maharani Novita Carolia Rasmi Zakiah Oktarlina Risal Wintoko Risti Graharti Tarigan Sibero, Hendra Tri Umiana Soleha Yusanda, Carissa Aprilia