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Published by Universitas Lampung
ISSN : 23373776     EISSN : 25990527     DOI : https://doi.org/10.59042/mj.v12i1.175
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Public Health
Jurnal Majority dalah peer-reviewed journal yang mempublikasikan artikel-artikel ilmiah bagi mahasiswa fakultas kedokteran, dosen maupun klinisi. Jurnal Majority menerima manuskrip atau artikel dalam bidang dalam lingkup bidang kedokteran dan kesehatan. Artikel-artikel yang dipublikasikan di Jurnal Majority mencakup artikel hasil penelitian, laporan kasus dan tinjauan pustaka.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 30 Documents
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Search results for , issue "Vol 9 No 1 (2020): MAJORITY" : 30 Documents clear
Penatalaksanaan Skabies Infeksi Sekunder Pada Anak Usia Sekolah Dengan Pendekatan Kedokteran Keluarga Di Puskesmas Natar Aprina Adha Widiastini; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Scabies is a parasitic infection of the skin caused by Sarcoptes scabei var hominis. Synonyms or other names for scabies are scabies, the itch, gudig, budukan, and agogo itching. Many factors support the development of this disease, including low socioeconomic conditions, poor personal hygiene, level of knowledge, age and contact with sufferers both directly and indirectly. This situation facilitates the transmission and infestation of Sarcoptes scabei. This study is a case report. Primary data were obtained through history taking, physical examination and home visits. Assessment is based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. In the results obtained a 7-year-old boy with complaints arise pimples accompanied by itching, especially at night since 11 months ago. Patients have aspects of internal risk in the form of poor personal hygiene, habits of children who sleep in the same room with their parents, bed linen, pillowcases, and curtains are rarely washed, repeated use of clothes before washing and use towels together. The external risk aspects are low income family with a fairly dense home environment, lack of cleanliness of the home environment, and low patient and family knowledge about scabies. Home visits were carried out 3 times to intervene in patients and families. The diagnosis and management of these patients is done holistically, patient centered, family approached and based on several theories and the latest research. In the process of behavior change, An. M has reached the trial stage. The process of behavior change in An. M and family in personal hygiene have been seen after intervention.
Perbedaan Pengetahuan antara Sebelum dan Sesudah Pelatihan Mengenai Pentingnya Antenatal Care pada Kader Posyandu Desa Gunungtiga, Kecamatan Ulubelu, Kabupaten Tanggamus, Lampung Charisatus Sidqotie; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

In 2015, the maternal mortality rate (MMR) in Tanggamus Regency amounted to 16 events consisting of 3 maternal deaths, 4 maternal deaths, 9 postpartum maternal deaths. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services, one of which is health care for pregnant women (antenatal care/ANC). ANC must meet the minimum frequency of 4 visits. However, the uneven distribution of health workers and the low knowledge of health cadres about the importance of ANC is still low, so the number of ANC visits is still low. This study used the quassy experimental method with the design of one group pretest-posttest design. The sampling technique is total sampling. The research was conducted from April to July 2018, located in Gunungtiga Village, Ulubelu District, Tanggamus Regency, Lampung. The samples that were obtained were 18 Posyandu cadres. The median value of the knowledge pre-test is 30, while the median value of the post-test knowledge is 80. The results of the bivariate analysis p = 0,000. There was a significant difference between the training regarding the importance of antenatal care for the knowledge of Posyandu cadres in Gunungtiga Village.
Penatalaksanaan Pasien Tinea Korporis Pembuat Kerupuk Dengan Pendekatan Kedokteran Keluarga Fauzia Tria Andara Sari; Dian Isti Angraini
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Tinea corporis is an infectious skin infection caused by dermatophytes that colonize and obtain nutrients from keratin, causing infections in the skin in the form of inflammatory reactions. The incidence of tinea corporis is high in tropical and subtropical climates as well as in populations with low socioeconomic status who live in crowded environments and low hygiene. The diagnosis of tinea corporis is based on history taking and physical examination. This case will discuss the identification of risk factors, management and prevention of tinea corporis in cracker makers based on patient-centered and family approach. This study is a case study with data obtained from history taking, physical examination, home visits, and patient medical records. Case, 30-year-old woman works as a cracker maker, lives in a main family, with a moderate daily activities, lack of personal hygiene and environment, and good relations between family members. The patient complained of itching accompanied by a burning sensation and redness around the side folds of the breast, back and right thigh since about 1 week before coming to the health center. After a holistic intervention with the educational method, it can be seen that there are good developments in patients ranging from decreased clinical symptoms to changes in good behavior towards personal and environmental hygiene, conclusions, family medicine services are effective in the management of tinea corporis. Providers resolve clinical problems and also deal with internal, external, psychosocial and environmental risks.
Prevalensi Kolonisasi Bakteri Methicillin-Resistant Staphylococcus aureus (MRSA) di Ruang Intensive Care Unit (ICU) Rumah Sakit Umum Daerah Abdul Moeloek Bandar Lampung Hasril Mulya Budiman; Tri Umiana Soleha; Efrida Warganegara; Dwi Indria Anggraini
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Methicillin-Resistant Staphylococcus aureus (MRSA) is a bacterium Staphylococcus aureus which has a resistance to methicillin and some beta-lactam antibiotics. MRSA can colonize as normal flora in some parts of the human body, such as the nose, skin, hands, perineum, and other parts of the body. Intensive Care Unit (ICU) is the high risk areas for MRSA transmission. The purpose of this study was to determine the prevalence of MRSA in ICU of Regional General Hospital Abdul Moeloek Bandar Lampung. The method used in this study was cross sectional. The primary data used in this research were obtained by collecting a nasal and hand swab of patients treated in the ICU at one time and then identify the MRSA bacteria in laboratory to determine its prevalence. The results of bacterial identification on the nose and hand specimen showed 15 out of 40 samples tested positive for MRSA (37.50%). The results of the identification of bacteria MRSA shows the prevalence of MRSA colonization of the nose specimen at 17.50%, hand amounted to 32.50%, and which are both positive at 12.50%. Based on the research that has been done, it can be concluded there is a prevalence of colonization of the MRSA bacteria in ICU of Regional General Hospital Bandar Lampung Abdul Moeloek is 37.50%.
Hubungan Pengetahuan Gizi Ibu Hamil terhadap Peningkatan Berat Badan Selama Kehamilan di Puskesmas Bandar Lampung Tasya Khalis Ilmiani; Dian Isti Angraini; Rizki Hanriko
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Adequacy of nutrition for pregnant women is very important because it can contribute to both the mother and the baby. Pregnant women with poor nutritional status can cause a risk of fetal development, disability in infants, low birth weight, and death before birth. Nutrition in pregnant women is influenced by the mother's nutritional knowledge during pregnancy. This study aims to determine the relationship between nutritional knowledge in pregnant women and weight gain during pregnancy. The design of study was cross sectional analytic using primary data obtained from the questionnaires and secondary data obtained from the KIA / KMS book that include maternal weight. Sampling was examined at Puskesmas Bandar Lampung which is Kedaton, Way Kandis, Satellite, Sukaraja, Sukabumi, and Simpur Puskesmas in 2018. The total sample is 130 pregnant womans with purposive sampling technique. The data analysis using Chi Square with α = 0.05 and CI = 95%. The results of the research showed that there is a relationship between nutritional knowledge in pregnant women and weight gain during pregnancy in Bandar Lampung Primary Health Center with a value of p = 0.003. From the results of this study it can be concluded that nutritional knowledge in pregnant women influences the weight gain during pregnancy.
Hidrops Fetalis Norman Fahryl
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Fetal hydrops is a pathological condition defined as an excessive fluid accumulation and fetal serous cavities in two or more fetal compartements. These fetal hydrops are serious cases that are in the fetus and have a poor prognosis. The incidence of fetal hydrops is estimated to be 1 in 3000 pregnancies with prevalence tends to increase over time. The etiology of fetal hydrops can be divided into 2, within Immune Hydrops Fetalis (IHF) and Non-Immune Fetal Hydrops (NIHF). Previously, cases of fetal hydrops were dominated by Rhesus isoimmunization which resulted in severe fetal conditions. However, after the development of treatment and diagnosis of Rh isoimmunization, most cases of hydrops are caused by nonimmune conditions. One cause of nonimmune hydrops is haematologic disorders or anemia. This anemia itself has several causative factors, including genetic disorders, infections, vascular malformations, and hemorrhagic fetomaternal. Alpha thlassemia is a blood disorder that reduces the production of hemoglobin. The more severe type is known as hemoglobin Bart hydrops fetalis syndrome. Alpha thalassemia is the most common cause of fetal hydrops in Southeast Asian countries. This case is a 33 week pregnant woman with fetal hydrops accompanied by haematological abnormalities in the form of anemia. This case report highlights the link between anemia and fetal hydrops and treatment in cases of fetal hydrops.
Hubungan Penggunaan Air Conditioner (AC) di Ruang Kelas Terhadap Kejadian Sindrom Mata Kering Pada Pelajar SMA Negeri Bandar Lampung Amalia Widya Larasati; Rani Himayani
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Using Air Conditioner (AC) in daily life have become a habit. AC is used to give a cozy condition but in the other side, AC causes low humidity and causing dry eye syndrome. The purpose of this research was to know the correlation between using AC in classroom and dry eye syndrome. The design of this study was analytic observational by using cross-sectional design. Subject of the research was XII grade students of Senior High School (SHS) 9 and 14 Bandar Lampung. There were 60 students from SHS 9 which using AC in classroom, and 60 students from SHS 14 which not using AC in classroom. Samples were selected by consecutive sampling and evaluated using schirmer test. Then, samples divided into normal and dry eye syndrome. Data analysis was using Chi Square test. The percentage of students who use AC in classroom and suffering dry eye were 61,7%. Meanwhile, students who don’t use AC in classroom and suffering dry eye were 20% (p=0,001). There was significant correlation between using AC in classroom and the incident of dry eye syndrome in Senior High School student at Bandar Lampung.
Penatalaksanaan Demam Tifoid pada Lansia dengan Pendekatan Kedokteran Keluarga Dwi Jayanti Tri Lestari; Aila Karyus
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Typhoid fever is a systemic infectious disease caused by Salmonella typhi bacteria that can enter through contaminated food and drink. According to CDC, the incidence of typhoid fever in The United States of America at the age group of 45-64 years old was 23 patients from the total of 309 patients. Early treatment and prevention of recurrence are important to prevent the worsening of the disease and its complications. This study is a case report. Primary data was obtained from autoanamnesis, physical examination and home visits. Secondary data was obtained from the patient's medical records at the public health center. The assessment is based on a holistic diagnosis from the beginning, process, and end of study quantitatively and qualitatively. Patient Mrs. P, 67 years old, has typhoid fever due to poor hygiene, but the patient still has a functional degree of 2 in carrying out daily activities. Patient had internal risk factors, which were poor personal hygiene and the lack of patient knowledge about typhoid fever. External factor was the lack of house cleanliness. Patient management was done with the implementation of patient-centered, family-focused, and community-oriented approach. The interventions given were secondary prevention of typhoid fever and education of a clean and healthy lifestyle carried out in three times visits. The evaluation resulted in less complaints of patient illness and more knowledge and attitudes of patients and families related to typhoid fever were gained.
Manifestasi Klinis dan Perjalanan Penyakit pada Pasien Covid-19 Celine Grace
MAJORITY Vol 9 No 1 (2020): MAJORITY
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SARS-CoV-2 or nCov-19 is included in the category betaCoVs the genomic analysis suggests that SARS-CoV-2 may evolve that are found on bats. Because mutations in the original strains can be directly triggered virulence towards humans. According to the World Health Organization (WHO), the viral disease continues to emerge and is a serious problem for public health. In the last twenty years, several viral epidemics such as severe coronavirus acute respiratory syndrome (SARS-CoV) at 2002 to 2003. It was found that 98% of patients in their study had a fever, which 78% had temperatures higher than 38 °c. They reported that 76% of patients had coughed, 44% of patients experienced fatigue and muscular pain, and 55% of patients experienced dyspnea with old age cases and the owners of Compenion and ARDS would have worse prognosis when infected with this virus. With the absence of effective treatment, the best way to handle the epidemic of SARS-CoV-2 is to control the source of infection. Strategies include early diagnosis, isolation, and supportive care. Immunosuppressive drugs have an effect on humoral immunity, cell-mediated immunity and neutrophil function, increasing the risk of severe infections caused by viral agents. Patients receiving immunosuppressive therapy are at risk to have a more severe manifestation of the viral infection. Some studies also included chloroquine as a treatment of Cov-19.
Potensi Curcumin sebagai Modalitas Terapi Suportif Pada Pasien Kanker Payudara Amira Puri Zahra; Ahmad Farishal; Bintang Abadi Siregar
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Breast cancer is a malignancy in breast cells in the ducts or lobes due to mutations in gene level. Gene mutations, especially BRCA1 and BRCA2, are the dominant genes in breast cancer that activate carcinogenesis that causes immune defects. Decreased immunity must be improved and supported one of them using special nutrition improvements that have supportive therapy in breast cancer. Curcumin has potential as a nutrient that increases immunity and has an apotosis effect, suppresses metastases, regulates microRNA and stops the angiogenesis process promoted by VEGF in cancer cells. Curcumin is a natural ingredient obtained from Curcuma longa alias turmeric which has been used widely as a spice in the Asian region. The potential anticancer and antioxidant available in curcumin should be given at a minimum dose of 3.6gram and absorbed by the intestine only 1% but it is easily deposited in the brain, liver and lungs. The use of nano and injection routes are expected to increase the bioavability of curcumin.

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