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All Journal Medula Wikrama Parahita : Jurnal Pengabdian Masyarakat Jurnal Ilmu Kedokteran dan Kesehatan JURNAL PENELITIAN PERAWAT PROFESIONAL Wellness And Healthy Magazine JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal teknologi Kesehatan Borneo Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Journal of Student Research Jurnal Kedokteran Ibnu Nafis Jurnal Kesehatan Metro Sai Wawai JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Sangging, Putu Ristyaning Ayu
Fakultas Kedokteran, Universitas Lampung
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Optic Disc Cupping Kamila Nastiti; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.728

Abstract

Optic disc cupping is an enlargement of the cup and disc diameter ratio which is known as one of the characteristics of glaucoma. Glaucoma itself is one of the leading causes of blindness in Indonesia. Diabetes, heart disease, hypertension, nearsightedness and farsightedness can be risk factors for optic disc cupping due to glaucoma. Optic disc cupping can also be caused by various cases of non-glaucoma optic neuropathy. Distinguishing glaucomatous and non-glaucoma-induced optic disc cupping is a challenge for the observer. This research was conducted using the literature study method by conducting literature searches from various international and national journal sources. This study aims to collect data that is relevant to the material that is interested in being studied, namely regarding optical disc cupping. The results of the research that has been done are in the form of deepening material regarding optic disc cupping. The results showed that while the ratio of the cup to the optic nerve disc is quite variable in humans, the contours of the cup should be determined by biomicroscopic background assessment in order not to rely solely on color and to monitor blood flow and tipping on the rim of the cup. Optic disc cupping most often results from glaucoma. Deeper in the optic disc cupping occurs due to thinning of the prelaminar and laminar layers or high intraocular pressure.
Pengaruh Penggunaan Obat Kortikosteroid Terhadap Kejadian Glaukoma Akut Siti Shafira Elfreda; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.731

Abstract

Based on 2015 data obtained from the Global Burden of Disease Study, around 36 million people in the world or the global population are blind, 12.6 million of them are caused by cataracts, 7.4 million due to refractive disorders, and 2.9 million due to glaucoma. Corticosteroids are an anti-inflammatory class that is usually used in ocular and anterior segment disorders. When taking steroid drugs systemically or using them topically, periocular, or by inhalation, there will usually be an impact in the form of an increase in intraocular pressure which will show the effect within 3-6 weeks after use. This research was conducted as a type of literature review to collect data relevant to the material currently being studied, namely steroid-induced glaucoma. The results of the study showed that Steroid Induced Glaucoma is an eye disorder caused by steroid consumption and are the most common cause of irreversible blindness. This eye disorder is caused by systemic, inhaled, intranasal, or topical steroid induction which can cause an increase in IOP within several months. Treatment that can be recommended for patients to treat this case is with medication in the form of beta-blockers, alpha-2 agonists, and carbonic anhydrase inhibitors. It is also recommended for operative procedures such as lasers, tube shunts and cyclo-destructive procedures.
Serumen Prop sebagai Faktor Risiko Tuli Konduktif Ganesha Rahman Hakim; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.732

Abstract

Cerumen is a secretion found in the external auditory canal to protect the ear. Wax buildup or cerumen prop is one of the most common ear problems in the world. Deafness is a decrease in hearing even to the inability of the ears to hear. Conductive hearing loss is a type of deafness that occurs due to obstruction in the process of transmitting sound vibrations starting from the auricle to the hearing bone and ends before the vibrations are received by the auditory nerve. The impaction of cerumen on the cerumen prop can inhibit the vibration process so that hearing loss can occur. Because hearing loss occurs in the process of transmitting sound vibrations, therefore this process of hearing loss is classified as conductive hearing loss.
Diagnosis dan Tata Laksana Abses Peritonsil: Sebuah Tinjauan Pustaka Azizah Nur Rahmah; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.733

Abstract

Peritonsillas abscess or quinsy is a disease that often appears as a complication of acute tonsillitis. Peritonsillar abscess is commonly found in twenty to forty year old adults, but it can also appears in children. The clinical manifestations of this disease are throat pain and swallowing difficulty, bad breath, referred pain on the ear, et cetera. Peritonsillar abscess is diagnosed by patient history and several tests, one of them being the aspiration of the abscess, which is the gold standard. The management of peritonsillar abscess are pharmacological treatment by giving antibiotic. Combination of penicillin and metronidazole is effective to treat peritonsillar abscess. Nonpharmacological treatment is done by gargling with warm liquid. Some complications of peritonsillar abscess are meningitis, retropharyngeal abscess, and brain abscess. One of the prevention of this disease is keeping a good oral hygiene to avoid infection.
SYSTEMATIC REVIEW KOMBINASI ORTOKERATOLOGI DENGAN ATROPIN PADA TERAPI MIOPIA ANAK Melni Armadani; Syahrani Alya Murfi; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.735

Abstract

Myopia is a refractive disorder in which the light rays that enter the eye are focused in front of the retina, not directly above it, so that distant objects appear blurred. Based on several studies, it was found that myopia progresses most rapidly during childhood, and the age of stabilization has been reported to be in the 15-16 year age range. One of the therapies that can be used to slow the progression of myopia is atropine in combination with orthokeratology lenses. The research method was carried out by searching articles on PUBMED with the formula, namely 'Combination Orthokeratology with Atropine' AND 'Myopia' AND Children with a range of 2017 to 2023. Orthokeratology is a method that uses rigid contact lenses designed with a highly oxygen permeable return geometry that helps reshape the central cornea to correct low to moderate refractive errors. The efficiency of orthokeratology in reducing axial elongation in young children has been demonstrated worldwide. Atropine can block muscarinic receptors in the sclera and retina, resulting in thickening of the scleral fibrous layer and thinning of the scleral cartilage layer. This change retards axial elongation and results in recovery of the refractive error. From several existing literature studies, the combination of atropine therapy with orthokeratology lenses has proven effective in slowing the progression or development of myopia in children by suppressing axial elongation.
Xerophthalmia: Risk Factors and Prevention Almaina Puteri Jasmine Almaina; Mafalda Marzon; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.737

Abstract

Xerophthalmia refers to a range of ocular symptoms caused by vitamin A deficiency, ranging from night blindness and Bitot’s spots to corneal xerosis, ulceration, and keratomalacia, which can lead to blindness. Globally, the incidence of xerophthalmia has been estimated at 350.000 cases annually. The majority of children who have vitamin A deficiency severe enough to cause bilateral corneal melting, perforation and blindness associated with xerophthalmia die within the first year of becoming blind. It has an essential role in maintenance of corneal and conjunctival epithelization, as well as photoreceptor transduction in the retina. On the eye, vitamin A deficiency results in night blindness, xerosis of the conjunctiva and cornea, and ultimately corneal ulceration and necrosis of the cornea. Several risk factors for vitamin A deficiency and xerophthalmia have been established through epidemiological studies, including demographic, geographic, childhood, parental and household factors. Prevention of xerophthalmia can be done with three strategies, such as periodic high-potency vitamin A supplementation, food fortification, and improving availability of foods containing vitamin A.
Otosklerosis Kurnia Fithrananda; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.738

Abstract

Otosclerosis is a hearing disorder with an abnormal condition of the process of remodelling the hearing bones that most often affects the stapes bone. This disease affects women more often than men by showing symptoms of decreased hearing, tinnitus, and vertigo. The ethology and pathophysiology of this disease are still controversial and unclear. However, there are several factors like infection, heredity, anatomy, and pregnancy that are said to be associated with this disease. Diagnostic enforcement of this disease is carried out by means of a CT Scan accompanied by various ear physical examinations. Until now, surgery and hearing aids are still considered the best treatment compared to administering drugs. The prognosis of this disease is said to be good, but there is still the possibility of recurrent conductive hearing loss.
Intervensi Pada Penderita Hordeolum Adinda Husna Cahyana; Arfa Salma Firnandya; Muhammad Ammar Naufal; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.742

Abstract

The eye is one of the body's senses that is sensitive to many things and easily gets an infection. Patients with infection or inflammation of the eyelids are often the first to present to the primary care physician. One of the conditions of infection of the eyelids is a stye or hordeolum. Hordeolum is the most common acute bacterial infection by Staphylococcus aureus that occurs on the eyelids. Hordeolum divided into two categories, internal and external. The sebaceous glands of the eyelash follicles (Glands of Zeiss) and the apocrine glands of Moll, both located on the margins of the lids, are the source of the external hordeolum. Meanwhile, the Meibomian glands, which are found on the inside of the eyelids, are the source of internal hordeolum. Although it occurs quite often, hordeolum does not have a definite incidence. All ages are affected, especially adolescents and young adults, and the onset is spontaneous or associated with risk factors such as eyelid hygiene and long-term disease. Diagnosis can be determined from clinical examination alone, while supporting examinations are carried out if there is suspicion of involvement of other parts of the eye that significantly interferes with the physical condition. Management is generally conservative in the form of warm compresses and cleaning the lids. Antibiotics are used if the condition is severe.
Otitis Media Efusi: Etiologi, Patofisiologi, Patogenesis, Epidemiologi, Diagnosis, Tatalaksana, Komplikasi Brigitta Shinta dewi; Angelica Philia Christy; Nabila Alsa Sagia; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.780

Abstract

Otitis media with effusion is a common problem faced by general practitioners, paediatricians and otolaryngologists. Otitis media with effusion (OME) is a common clinical condition associated with hearing loss in which there is fluid in the middle ear but no acute infection. Otitis media with effusion is more affected in children, where it can be found in 80% of preschool children. Otitis media with effusion can cause significant delays and damage to communication and skills as well as difficulties in behavior and education. This article reviews the definition, several available etiological theories, pathophysiology of otitis media with effusion in the human body, epidemiology or spread of the disease, clinical diagnosis or symptoms found, complications, and how to manage patients with otitis media with effusion. Patients with otitis media with effusion often experience chief complaints of reduced hearing and a feeling of blockage in the ears. In children due to reduced hearing can cause speech disorders as well. To ensure that the patient really has otitis media with effusion, otoscopy, audiometry, and tympanometry can be done. Most otitis media with effusion can heal spontaneously, but there are several treatments that can be done, for example by using steroids, decongestants, histamine, or by decongesting. If the otitis media with effusion is not immediately given proper management, several complications will occur such as speech delays in children, changes in the structure of the ear, permanent hearing loss, and also tympanosclerosis
Hubungan Konsumsi Kafein dengan Kejadian Depresi Indah Salsabila; Putu Ristyaning Ayu Sangging; Intanri Kurniati; Ratna Dewi Puspitasari
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.v13i6.488

Abstract

Depression is a mood disorder. Depression is characterized by a feeling of sadness that lasts continuously and for a long time, which can interfere with a person's physical condition and social life. Around 121 million people in the world suffer from depression. It is estimated that only 30% of people with depression get proper treatment. This number does not include people who have clinical symptoms of depression but are not actually diagnosed. Some patients are also considered not to get proper treatment. The number of Indonesian populations aged more than 15 years and diagnosed with depression is 12 million sufferers. Pharmacological therapy in depressed patients is antidepressants such as serotonin and noradrenaline reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs). However, there are side effects that can result from long-term use of these drugs. Therefore, other treatments such as giving herbal medicines are needed to reduce symptoms in people with depression. Giving caffeine with the right dose can reduce the risk of depression, because of its ability to block the adenosine receptor subunit. However, caffeine consumption with doses above 68mg and below 509mg per day is assessed to have the opposite effect that increases the risk of developing depression.
Co-Authors Adinda Husna Cahyana Agung Ikhssani Agustyas Tjiptaningrum Ahmad Duta Al-Ihya Alghani, Sulthan Rafi Almaina Puteri Jasmine Almaina Amira Nabila Andi Nafisah Angelica Philia Christy Anggraeni Janar Wulan Annisarahma, Lyvia Aprilia, Intan Rahma Ardian Reza Putra Arfa Salma Firnandya Ari Irawan Ari Irawan Ari Wahyuni Aulia Nur Fitriatsani Aurora Awindya Nareswari Azizah Nur Rahmah Bagus Pratama Brigitta Shinta dewi Carissa Aprilia Y Cholyviona W.S Handhayani Citra Yuliyanda Pardilawati Cut Karel Dithia Daffa Fahreiza Daffa Fahreiza Devina Hardianto Devira Fitriani Kamal Devya Aulia Dian Isti Angraini Dilla Syahra Noor Fitri Dzakwan Cedri Ketierteu Ellysa Angguman Putri Evan Christian Christian Fadila Gustiani Daraz Fadilah Alwiyah Faiq Razaan Razaan Farid Hammadi Faridi Pani Farraz Kanya Syahra Fayza Syachrani Fityah Zabrina Hidayat Ganesha Rahman Hakim Ghina Salsabila Fenty PNR Gusnirwan, Alief Hanifah Qollama Astrid Hanna Mutiara Hendri Busman Herlambang, Geri Indra Imtinan Khoirunnisa Indah Kurnia Putri Waruwu Indah Salsabila Indri Windarti Intanri Kurniati Isabela Irene Pangestu Jhons Fatriyadi Suwandi Julianti, Dinul Aliya Kalih, Abigael Ludwina Kamila Nastiti Karima, Nisa Keziah Tirtawijaya Khairun Nisa Kurnia Fithrananda Kurniawaty, Evi Laja, Rana Salsabila Putri Lintang Lestari Cahya Sawitri Mafalda Marzon Maria Devi Melni Armadani Mentari Putri Maharani Mira Yustika Mochamad Fauzan Dava Muhamad Zaidan Algifari Muhammad Ammar Naufal Muhammad Arsy Kamal Faadhil Muhammad Maulana Muhammad Rizki Akbar, Muhammad Rizki Mukhbita, Khalila Alya Mukhlis Imanto, Mukhlis Nabila Alsa Sagia Nabila Shafira Nabila Yoli Rahmadani Nadhia Wihelga Nahrassyiah Rahma Putri Ni Putu Sari Widiyani Noval Ramadirta Nurul Fadhilah Az-zahro Nurul Utami Oktafany Oktafany Oktoba, Zulpakor Pardilawati, Citra Yulianda Pardilawati, Citra Yuliyanda Prasetyo, Muhammad Purwono Qoriba, Fathan RA Genta Syakira Hatta Rachel Agustin Inggrid Zefanya Rafi Gutra Aslam rahmawati, selvi Rahmi Zuraida Raihanah Nabilah Rani Himayani Rani Himayani Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Regita Dwi M Reisyah Syahfira Rifka Putri Dewi Rika Lisiswanti Risti Graharti Rizqiani Astrid Nasution Rudiyanto, Waluyo Salsabila Haqya Kusuma Salshabilla, Annisa Sembiring, Dustin Delano Pranata Setiorini, Anggi Shiddiq, Muhammad Nasrullah Nur Shinta Nareswari, Shinta Simanungkalit, Jesica Natalia Sinulingga, Anselmus Libreya Siti Shafira Elfreda Suharmanto Suryani Agustina Daulay Susianti Susianti Sutarto Sutarto Sutyarso Sutyarso Syahrani Alya Murfi Syalwa Meutia Syiva Ulhayah Tamaulina Br Sembiring Tiasti, Jania Tri Umiana Soleha Tsurayya Fathma Zahra Yashila Rahimah Zahra, Siti Aqila Zayatri Nurul Jannaty Zheva Aprillia Yozevi