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All Journal Medula Juke Jurnal Kesehatan JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai
Oktadoni Saputra, Oktadoni
Bagian Pendidikan Kedokteran, Fakultas Kedokteran, Universitas Lampung
Agriculture, Biological Sciences & Forestry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Journal : medula

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Persepsi mahasiswa terhadap pemberian kuis interaktif dalam proses pembelajaran pada mahasiswa Program Studi Pendidikan Dokter Universitas Lampung: Sebuah studi kualitatif Putri, Lulu Rafika; Saputra, Oktadoni; Wijaya, Sofyan Musyabiq
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.914

Abstract

The condition of the COVID-19 pandemic affects many aspects of education, one of which is the increased use of electronic or digital media as a means that can support the learning process. The selection of appropriate and interesting teaching and learning media is important to support the learning process. This study aims to explore student perceptions of the provision of interactive quizzes in the learning process for students of the University of Lampung Medical Education Study Program: A Qualitative Study. This study used a qualitative research design with a phenomenological approach. The informants in this study were first, second, third, and fourth year students with six informants who met the criteria of gender and Grade Point Average (GPA), as well as four lecturers. Data were collected through Focus Group Discussion (FGD) with medical students and in-depth interviews with lecturers. Data were analyzed using thematic analysis. There are various perceptions from students regarding the provision of interactive quizzes in the learning process. The perceptions obtained are related to the advantages, disadvantages and effectiveness of providing interactive quizzes in the learning process.
Homeostasis Tubuh Nasyafa, Syabila Febrilia; Saputra, Oktadoni; Zuraida, Reni
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.v14i2.941

Abstract

The body has mechanisms at the cellular level to maintain internal balance, called dynamic balance. Even though the external environment undergoes changes, the body continues to operate to prevent deviation from this balance. Environmental changes can affect internal systems, so homeostasis is needed to prevent damage to cells, tissues and organs through regulatory mechanisms. Homeostasis regulation involves local control (paracrine and autocrine responses) as well as reflex control involving the nervous and endocrine systems. Homeostasis is a basic concept of physiology that plays an important role in maintaining internal stability and adaptive responses in the body. The importance of homeostasis lies in the fact that the body's cells and tissues can only remain alive and function efficiently if their internal conditions are maintained properly. All organ systems depend on each other to maintain homeostasis, and changes in one system can affect other body systems. Homeostasis includes the body's ability to maintain a stable internal environment despite changes such as temperature, air, atmospheric oxygen, carbon dioxide levels, physical activity, exposure to toxins, disease, drug therapy, fever, and diet. Disruption of homeostasis can cause dysfunction and loss of control of organs in the body. Several physiological systems are regulated by homeostasis, such as thermoreceptors which regulate body temperature and the role of homeostasis in the endocrine system to regulate hormonal balance and hormone regulation in the body. Homeostasis is influenced by several constant conditions, including body temperature and body fluid balance, which are maintained within predetermined limits (the so-called homeostatic range). Examples of other variables are the pH of the extracellular fluid, the concentration of sodium, potassium and calcium ions, and blood sugar levels. Homeostasis is an automatic process and mechanism carried out by living creatures to maintain constant conditions so that their bodies can function normally, even though changes occur in the environment inside or outside the body.
Hubungan Prosedur Invasif dan Lama Rawat Inap Terhadap Kejadian Sepsis Neonatorum Awitan Lambat di RSUD Dr. H. Abdul Moeloek Tahun 2023 Putri Arafah, Aisyah; Rukmono, Prambudi; Nareswari, Shinta; Saputra, Oktadoni
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1310

Abstract

Infant Mortality Rate (IMR) in Indonesia is still dominated by neonatal deaths, accounting for 55% of all infant deaths. Neonatal sepsis is the third leading cause of neonatal deaths after low birth weight (LBW) and asphyxia. Late-onset neonatal sepsis (LONS) is a systemic response to infection when the neonate is more than 72 hours old, as evidenced by a positive blood culture. Currently, late-onset neonatal sepsis remains the third leading cause of neonatal deaths. Late-onset neonatal sepsis usually occurs through the transmission of pathogens from the environment (nosocomial). The difficulty of early diagnosis in late-onset neonatal sepsis necessitates a diagnosis based on nosocomial infection factors, such as the use of invasive procedures and prolonged hospital stays. This research employed a descriptive analytic method with a cross-sectional approach. The sample consisted of all neonates diagnosed with neonatal sepsis and recorded in medical records with positive blood culture results in the Perinatology ward of RSUD Dr. H. Abdul Moeloek Bandar Lampung in 2023. Data were analyzed univariately and bivariately using the Chi-square test with Fisher's exact test as an alternative. The data suggests a statistically significant correlation between invasive procedures (p= 0.043) and length of hospital stay (p= 0.012) with the development of late-onset neonatal sepsis (LONS).
Anak dengan Tuberkulosis (TB) Paru Kasus Baru Terkonfirmasi Bakteriologis dengan Riwayat Human Immunodeficiency Virus (HIV) yang Menjalani Pengobatan Antiretroviral (ARV) Soemarwoto, Retno Ariza S; Afryan, I Made; Nareswari, Shinta; Sinaga, Fransisca; Saputra, Oktadoni; Herliyana, Lina; Hidayat, Hidayat
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.v14i10.1423

Abstract

Tuberculosis (TB) in children with Human Immunodeficiency Virus (HIV) is a complex clinical challenge due to the synergistic interaction between these two diseases, which mutually worsen the patient's clinical condition. HIV decreases immunity, thus increasing the risk of TB infection, while TB accelerates HIV progressivity. TB-HIV co-infection is a major cause of morbidity and mortality, especially in children with undetected M. Tuberculosis infection. By 2022, an estimated 710,000 HIV patients will develop TB, of which 187,000 will die. This article aims to provide an update on the management of pulmonary TB in children with HIV who are routinely on antiretroviral (ARV) treatment. The discussion covers the definition, epidemiology, etiology, disease progression, pathogenesis, diagnosis, supporting investigations, and management of TB-HIV. The diagnosis of TB in children with HIV is often difficult due to non-specific clinical manifestations and limitations of diagnostic tests. Therefore, early detection through comprehensive testing is essential. TB-HIV management requires a multidisciplinary approach, including appropriate TB treatment and integrated ARV administration. Intensive monitoring is also required to prevent complications, such as drug resistance or adverse effects of therapy. In conclusion, this article emphasizes the importance of a holistic approach in evaluating and managing pulmonary TB in children with HIV, including interprofessional collaboration, family education, and preventive efforts to improve patients' quality of life and reduce mortality.
Co-Authors Afryan, I Made Aprilliana, Ety Arief, Skolastika Faustina Ivana Atha, Fidela Anindya Bayu Anggileo Pramesona Dyah Wulan Sumekar Rengganis Wardani Falamy, Ryan Hadibrata, Exsa Herliyana, Lina Hidayat Hidayat Kurniawan, Diva Ardhana Kurniawaty, Evi Muhammad Ricky Ramadhian Nasution, Rizqiani Astrid Nasyafa, Syabila Febrilia Nora Ramkita Nuriah, Nuriah Nurul Utami Prambudi Rukmono Putri Arafah, Aisyah Putri, Lulu Rafika Reni Zuraida Rika Lisiswanti Risal Wintoko Rizki Hanriko Rudiyanto, Waluyo Shinta Nareswari, Shinta Sinaga, Fransisca Soemarwoto, Retno Ariza S Sofyan Musyabiq Wijaya Suharmanto Suharyani Suharyani Susianti Susianti Sutarto Sutarto Syazili Mustofa Widia, Chyci Wulan, Anggraini Janar