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Journal : Medula

Analisis Hipertensi Sebagai Faktor Risiko Terjadinya Penyakit Ginjal Kronik Satria Adi Nugraha; Sutarto; Winda Trijayanthi Utama
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.527

Abstract

Chronic kidney disease (CKD) is a disease that has a fairly high impact on morbidity and mortality in the community. The prevalence of CKD in the world reaches 8-16%, while in Indonesia according to basic health research data in 2018 at the age of 15 years the incidence of CKD is 0.64% and is increasing every year. Hypertension is one of the risk factors for CKD. Hypertension is the most common cardiovascular disease suffered by the community and according to WHO data in 2015 there were 1.13 billion people experiencing hypertension. The method used by the author in compiling this article is in the form of a literature review study covering the activities of collecting scientific sources both nationally and internationally and presenting a summary in the form of the most relevant publications. Hypertension has a relationship with the incidence of CKD. This is reinforced and in line with several studies that have been carried out and obtained the results that there is a significant relationship between hypertension and CKD.
Pengaruh Pemanfaatan Lahan Pekarangan Rumah Terhadap Kejadian Stunting Revika Gina Luthfiya; Sutarto; Reni Zuraida
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.532

Abstract

Stunting is an irreversible growth disorder that can be influenced by many factors, one of which is influenced by inadequate nutritional intake. The prevalence of stunting in Indonesia is still quite high, so various efforts have been made by the government to tackle the stunting problem. One of the efforts made is to socialize the use of yard land as an effort to prevent and deal with stunting. This article is a literature review compiled to determine the effect of nutritional intake from the home garden on the prevalence of stunted and non-stunted toddlers. The literature sources used in this article use national and international scientific articles published in 2013-2022. Nutritional intake which is the main cause is macronutrient intake, namely carbohydrate, protein and fat intake. Intake of macronutrients provides a large energy contribution to the level of daily energy adequacy. Energy deficit that occurs in toddlers aged 1-5 years is the biggest cause of stunting. Toddlers with stunting will experience chronic growth failure, if not treated immediately it will have a long impact until puberty. Utilization of the yard will affect the amount and type of variation in nutritional intake in toddlers, the diversity of commodities from the home yard will increase the nutritional intake of toddlers so as to avoid chronic malnutrition and stunting. Keywords: Stunting, Use of yard land, Nutritional Intake
Pengaruh Senam Kaki Diabetik terhadap Neuropati pada Pasien Diabetes Melitus Lutfia Qurotulnguyun; Fidha Rahmayani; Sutarto
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.455

Abstract

The prevalence of people with diabetes mellitus has increased every year. Indonesia is ranked 7th in the world with 10.7 million people with diabetes. Diabetes in the long term can cause macrovascular and microvascular complications. One of the main complication of diabetes mellitus is diabetic neuropathy. Diabetic neuropathy is a microvascular complication that causes peripheral nerve dysfunction, which attacks the lower extremities, especially the legs. About 50% people with diabetes mellitus experience diabetic neuropathy. If not treated properly, this condition can reduce the patient's quality of life, increase the risk of amputation, and even death. Drugs are often the main choice for therapy, but cost constraints and side effects cause interest to look for other treatment alternatives. Treatment that can be done is to exercise. One of the recommended sports is diabetic foot exercise. Diabetic foot exercise is a light exercise focused on the legs consisting of ten steps. This sport can be done easily, does not cost money, and does not take a long time. Several studies state that diabetic foot exercises can be an alternative to prevent and inhibit the worsening of neuropathy in patients with diabetes mellitus by helping to accelerate peripheral blood circulation and strengthen muscles in the lower extremities to prevent injuries and foot deformities.
Hubungan Antara Asupan Imunonutrisi dengan Status Imunitas Pascapandemi COVID-19 Anisa Maulidia; dian isti anggraini; sutarto
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.622

Abstract

The COVID-19 pandemic was announce by World Health Organization on March 11, 2020. The disease first appeared in Wuhan, China, and continued to spread to various countries around the world starting in December 2019. To reduce the spread of COVID-19, the Indonesian government implemented the Restriction of Community Activities (PPKM), which had an impact on various aspects of life, including health and the economy. After the reduction in morbidity of COVID-19, Indonesian President officially lifted the PPKM status on December 30, 2022. The government and all aspect work together to improve the post-pandemic situation. Until now, no drug has been found that can specifically cure COVID-19. This infection is the same as other viral infections, which have a self-limiting nature with the speed of recovery being influenced by the individual's immune status. Immune status is a condition of the immune system that protects a person's body from exposure to foreign objects. Factors that can affect the immunity status are age, intake of immunonutrition, hormones, and exposure to infection. Immunonutrition consists of certain nutrients that can help the immune system. This article is a literature review compiled to determine the relationship between immunonutrition intake with immunity status post-COVID-19 pandemic. The literature sources used in this article use national and international scientific articles that have been published in 2013–2022. There’re many impact of COVID-19 pandemic such as economic decrease that decrease purchasing power, including in the purchase of food. That’s all can cause the decreasing of immunity status.
PROFIL LIPID DAN TATALAKSANA PADA PENDERITA XANTHELASMA PALPEBRARUM Reynhard Theodorus Xaverius Saragih; Sutarto; Winda Trijayanthi Utama
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.658

Abstract

Xanthelasma palpebrarum is the occurrence of yellowish flat lesions around the eyelids. Xanthelasma is generally found in adults over the age of fifty. It is not known exactly how xanthelasma can occur, but xanthelasma is thought to be related to atherosclerosis. In this study, lipid profile analysis and management of xanthelasma patients were carried out. Literature collection was carried out with the inclusion criteria in the form of literature published maximum in 2012. Meanwhile, the exclusion criteria were in the form of literature published in 2011 and below. The results of the study showed increased levels of serum cholesterol, triglycerides, VLDL, and HDL in xanthelasma patients. This study also found an increase in Epicardial Adipose Tissue (EAT) in xanthelasma patients, which these findings indicate that there is a relationship between xanthelasma and atherosclerosis.
The KURANG ENERGI KRONIS IBU HAMIL SEBAGAI FAKTOR RISIKO TERHADAP KEJADIAN STUNTING PADA BALITA (USIA 24-59 BULAN) DI WILAYAH KERJA PUSKESMAS WAY URANG KECAMATAN KALIANDA LAMPUNG SELATAN Muhammad Abi Nubli; Sutarto Sutarto
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.v13i6.808

Abstract

Stunting in infants is influenced by the history of nutrition mother like Less Energy Chronic (KEK). Lampung Province in 2018 had a prevalence of 27.3% had a case of short toddlers . The prevalence of South Lampung in 2018 has a prevalence of 43.01% of 42,971 people suffering from stunting .In the district of Urung Way itself which has the highest prevalence is the village of chess clans that is equal to 41.49%. The purpose of this study was to determine the prevalence of SEZ as a risk factor for the incidence of stunting under five (ages 24-59 months) in the Work Area of Way Urang Health Center in South Lampung Regency . This research is observational with case control method. Sample research is mothers who had infants aged 24 - 59 months in Region Work Puskesmas Way Urang to sample a number of 52 cases and 52 controls. This study uses the book Maternal and Child Health (MCH), and for statistical analysis a chi-square test is used. The results of the study distribution of frequencies history Less Energi Chronic (KEK) at the time of pregnancy, namely 32 mothers (30.8%) had a history of KEK and as many as 72 mothers (69.2%) did not have a history of Less Energy Chronic (KEK) during pregnancy and Less energy Chronic (KEK) mother pregnant as a factor of risk of occurrence of stunting in infants (age 24-59 months ) in Region Work Puskesmas Way Urang District South Lampung.
Kesehatan Mental sebagai Aspek Penting dalam Intervensi Pasca Bencana Hakim, Ganesha Rahman; Ismunandar, Helmi; Sutarto, Sutarto
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.v14i1.902

Abstract

Indonesia experiences a high occurrence of natural disasters. Throughout the year 2022, a total of 3,544 disasters were recorded in Indonesia. Disasters can be defined as events that threaten lives and disrupt communities, resulting from both natural and non-natural factors. Disasters have broad impacts on physical and mental health. The population affected by disasters may exhibit traumatic reactions and show psychological symptoms. Some individuals require assistance to cope with their traumatic reactions. Psychological First Aid (PFA) is an effective psychological intervention that can provide support and a sense of safety to individuals affected by disasters. The principles of PFA involve providing emotional support and connecting the victim with the necessary assistance. PFA is conducted using three principles: look, listen, and link. The first step involves identifying victims in need of psychological assistance, followed by listening and calming the victims. Finally, the helper will assist the victim in obtaining further necessary assistance. PFA has a positive impact on the mental health of victims, reducing anxiety, depression, emotional distress, and feelings of fear. Additionally, PFA can provide victims with a sense of security and help them reconnect with available assistance.
Mitigasi Bencana Untuk Penyandang Disabilitas Devi, Maria; Sutarto, Sutarto; Ismunandar, Helmi
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.v13i7.907

Abstract

Indonesia is a country with a high level of vulnerability to natural disasters. Based on data from Indonesia's National Disaster Management Agency (BNPB), it was found that in 2023, 2,669 natural disasters occurred throughout Indonesia. The intensity of the incident with the highest number was forest and land fires 1,624 times. People with disabilities are known to be more vulnerable in emergencies caused by natural disasters. Mitigation, as the first step in dealing with disasters, is the prevention phase followed by the preparedness, emergency response and recovery phases. Measures to reduce potential hazards with an emphasis on Disaster Risk Reduction (DRR) and Disaster Risk Management (DRM) efforts are prioritized. Some inclusive approaches to disaster mitigation for persons with disabilities include planning, preparation, and risk reduction through evacuation training, greater participation of persons with disabilities in disaster coordination and management, and better data management so that integration is not only to fulfill human rights, but through effective programs and policies from pre-disaster, during disaster, and post-disaster stages according to the type and type of disability. The involvement of individuals with disabilities in disaster management systems and processes certainly cannot be achieved without the support and cooperation of all parties, especially the community and government. People with various disabilities from different backgrounds have the opportunity to co-design disaster management and rehabilitation policies, resources or activities. This article will discuss information regarding the preparedness of people with disabilities in the face of disasters.
Manajemen Pra Tsunami Fatkhul Rizqi, Khoirul; Sutarto, Sutarto; Ismunandar, Helmi
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.912

Abstract

Geographically, Indonesia is in the tectonic ring, where 3 tectonic plates meet, including the Indo-Austalian Plate, the Eurasian Plate and the Pacific Plate. The meeting of these 3 plates carries the risk of an underwater earthquake causing a tsunami. Tsunamis are a threat to residential areas in coastal areas. This is the biggest problem for coastal communities because it can cause a lot of casualties and very serious damage to buildings. The largest tsunami that occurred in Indonesia was a tsunami measuring 9.3 SR (Ritcher Scale) in Aceh Province on December 26 2004, which resulted in many fatalities. This article aims to understand and describe pre-tsunami management. This article uses a qualitative approach with discussion using paragraph descriptions of the data. The results of this article explain that there are several efforts that can be made to minimize tsunamis, namely pre-tsunami management consisting of mitigation, preparedness and early detection. According to Law no. 24 of 2007, Disaster management is a dynamic, continuous and integrated process that aims to improve the quality of things related to disaster analysis and observation as well as steps for prevention, mitigation, preparedness, early warning, emergency management, disaster rehabilitation and reconstruction. . Therefore, pre-tsunami management is very important for all communities, especially communities living in areas close to the sea such as beaches and ports.
Epidemiologi Dan Diagnosis Preeklamsia Rahmatullah, Muhammad Rayza; Sutarto, Sutarto; Sari, Ratna Dewi Puspita; Romulya, Ari Irawan
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.v14i2.964

Abstract

Preeclampsia is a serious pregnancy complication characterized by high blood pressure and organ damage. This condition poses a health risk for both the mother and the fetus. This article reviews the epidemiology and diagnosis of preeclampsia. Its epidemiology is complex with varying global prevalence. Risk factors include maternal age, history of preeclampsia and family, multiple pregnancies, obesity, diabetes, and kidney disease. Common diagnostic methods include blood pressure measurement, urine analysis, laboratory tests, and Doppler ultrasonography to assess the placenta and fetus. Prevention and early detection are the major priorities to reduce maternal and infant mortality rates. Further research is needed to develop better diagnostic and prevention strategies. Increasing understanding of the epidemiology and diagnostic methods of preeclampsia, more mothers and babies can be protected from the risks of this condition in the future.
Co-Authors Adilla Dwi Nur Yadika Ahmad Zidane Sagareno Alberto Taolin Andinatania, Marcella Anisa Maulidia Anisa Maulidia Anton Wibowo ari wahyuni Asep Sukohar Bayu Anggileo Pramesona Chindy Annisa Putri Mandala Sempaga Cindi Pebrianti Daulay, Suryani Agustina Daulay Devi, Maria Dian Isti Anggraini Dian Isti Angraini Dian Pratiwi Dyah Wulan S.R Wardani Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar RW Endro Prasetyo Wahono Fatkhul Rizqi, Khoirul Fitria Saftarina Hakim, Ganesha Rahman Hari Kaskoyo Helmi Ismunandar Indri Windarti Indriyani, Reni Irma Lusi Nugraheni Irma Lusi Nugraheni Jeffrey Surya Jhons Fatriyadi Suwandi Lutfia Qurotulnguyun Muhammad Abi Nubli Mustofa Usman Naza Tsasbita Hayuning Adila Nixon Steven Novita Carolia Prianto, Nawan Rahman Sumanto Rahmatullah, Muhammad Rayza Rahmayani, Fidha Ramadhana Komala Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Reni Indriyani Reni Indriyani Reni Indriyani Reni Indriyani Reni Indriyani Reni Zuraida Renti Kusumaningrum Samosir Revika Gina Luthfiya Reynhard Theodorus Xaverius Saragih Risti Graharti Romulya, Ari Irawan Samsul Bakri Sari, Riska Permata Satria Adi Nugraha Siwi Meutia Sadewi Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Sri Aryanti Suharmanto Suharmanto Sumardilah, Dewi Syahrul Hamidi Nasution Tiara Cornela Azqinar Trijayanthi Utama, Winda Usdeka Muliani Utama, Winda Trijayanthi Utama Wardani, Dyah Wulan Winda Trijayanthi Utama, Winda Trijayanthi Yutricha Salsabila Fauzi Zahra, Tsurayya Fathma Zulfa, Fathimah