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Ananda, Yovani Tria
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Laporan Kasus: Seorang Laki-Laki Usia 48 Tahun dengan Herniasi Nukleus Pulposus Servikal Fakhrizal, Muhammad Alka; Ramadhian, Muhammad Ricky; Wicaksono, Danang Samudro; Afrida, Frecilia; Ananda, Yovani Tria
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.v16i3.1801

Abstract

Cervical herniated nucleus pulposus is a common cause of neck pain, radicular pain, and neurological deficits resulting from compression of cervical nerve roots by intervertebral disc pathology. The incidence of cervical radiculopathy peaks in the fourth and fifth decades of life and is closely associated with degenerative disc changes. This report presents the case of a 48 year old male who complained of chronic neck pain radiating to the upper back and right upper extremity, accompanied by paresthesia, restricted cervical range of motion, and weakness during right arm elevation. The symptoms had persisted for one year and progressively worsened over the last two months, with no history of trauma. The patient also reported intermittent burning sensations that improved with rest. These clinical features were consistent with cervical radiculopathy caused by progressive cervical disc herniation. Magnetic resonance imaging of the cervical spine in sagittal sections revealed disc protrusion at the C5 C6 level causing anterior spinal canal compression, as well as mild disc protrusion at C6 C7 with narrowing of the anterior subarachnoid space. Thoracic spine MRI showed no significant abnormalities. Initial management consisted of conservative therapy using non steroidal anti inflammatory drugs and gabapentin to address inflammatory and neuropathic pain components. Due to persistent symptoms and motor weakness, surgical intervention with percutaneous endoscopic cervical discectomy was planned. A thorough understanding of cervical spine anatomy, disc herniation pathophysiology, clinical manifestations, and imaging findings is essential for accurate diagnosis and appropriate treatment selection to prevent symptom progression and deterioration of patient quality of life.
Analisis Faktor Prediksi Peningkatan Kontrol Glikemik Pada Pasien Diabetes Melitus Tipe 2 Di RSUD Abdul Moeloek Provinsi Lampung Periode Januari-Desember 2022 Ananda, Yovani Tria; Kurniati, Intanri; Carolia, Novita; Sangging, Putu Ristyaning Ayu
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.v16i3.1910

Abstract

The 2018 Basic Health Research report indicated that prevalence of Diabetes Mellitus (DM) in Indonesia increased to 8,3%. This rise was accompanied by an increase in obesity prevalence, a major risk factor for DM, from 14,8% in 20113 to 21,8% in 2018. These findings suggest that the number of individuals with DM in Indonesia is substantial and continues to grow annually. Data from Bandar Lampung City in 2021 showed that out of 6,467,624 individuals aged ≥15 years, approximately 198,046 (3%) were diagnosed with DM. This study aimed to analyze the association between predictive factors and glycemic control among patients with type 2 diabetes mellitus at Abdul Moeloek Hospital, Lampung Province, during January-December 2022. This research employed an observational study with a cross-sectional design. Secondary data were obtained from medical records of both inpatient and outpatient type 2 diabetes mellitus patients. Data analysis was performed using the Chi-Square test, with the Mann-Whitney test as an alternative. The result demonstrated significant associations between age at diagnosis (p=0,006), duration of Diabetes (p=0,012), body mass index (p=0,016), and comorbidities (p=0,020) with glycemic control. In conclusion, age at diagnosis, duration of disease, body mass index, and comorbid conditions were significantly associated with glycemic control among patients with type 2 diabetes mellitus receiving oral antidiabetic drugs and insulin therapy at Abdul Moeloek Hospital, Lampung Province, during January-December 2022.