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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 106 Documents
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Penatalaksanaan Holistik Pasien Vertigo dan Dispepsia Fungsional Pada Ny. M Usia 37 Tahun di Puskesmas Rawat Inap Gedong Air Melalui Pendekatan Kedokteran Keluarga Adilla Dwi Nur Yadika; Sahab Sibuea
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Vertigo is a false perception of a person's movements or the surrounding environment. Dyspepsia is a collection of symptoms of the upper digestive tract disorders. This case report aims to implement a holistic and comprehensive approach of a family doctor and patient management based on evidence based medicine, patient-centered, family oriented and community oriented. Primary data was obtained through autoanamnesis, physical examination and home visits. Secondary data was obtained from the patient's medical record. Assessment based on a a qualitative and quantitative holistic diagnosis. The results obtained are patients suffering from vertigo and dyspepsia with internal risk aspects such as inappropriate diet and eating habits, often late to eat, likes to consume spicy, sour, and fried foods, curative treatment patterns, and lack of knowledge about the disease. The external risk aspects are the lack of family knowledge about the patient's illness and curative family treatment patterns. Holistic management of patients and families through poster about the diseases suffered by patients, exercise that can be done by the patient, regular eating patterns, and foods that can cause the symptoms. At the time of evaluation, the patient had no symptoms anymore. The conclusions of the case report are holistic management can increase knowledge and change the patient’s behaviour and the role and support of the family are needed in the treatment of the patient. Keywords: Family doctor, functional dyspepsia, holistic treatment, vertigo.
Penatalaksanaan Holistik Perempuan Usia 56 Tahun dengan Diabetes Mellitus Tipe 2 melalui Pendekatan Kedokteran Keluarga Anisa Ramadhanti; Aila Karyus
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Diabetes mellitus (DM) remains as major health problem in the world and significantly increase every year. Family approach in the management of diabetes mellitus helps identify factors that influence clinical, personal and psychosocial family. This is a case report study. Primary data were collected by history taking (autoanamnesis and alloanamnesis of the family and patients), physical examination, examinations and home visits to assess the physical environment. Assessment is based on a holistic diagnosis from the start, process, and end of the study in a qualitative and quantitative manner. Patient complaints of tingling in both legs, weakness, frequent urination since one weeks ago, especially at night, besides that, they often feel thirsty and hungry easily. The patient's concern is that he has the same illness as his mother and younger siblings and the complaints will worsen which must be treated in a health facility. The patient's perception of the disease, the patient considers that this disease can be cured with drugs given by doctors without changing the patient's lifestyle Hope the patient can find out the disease and be treated so that complaints disappear so that patients can do activities as usual. Management of diabetes mellitus patients holistically and comprehensively, patient center, family approach with diabetes mellitus treatment according to EBM is needed in order to control blood sugar and change patient behavior to prevent acute and advanced complications.
Hubungan Penyakit Jantung pada Kehamilan dengan Kematian Maternal di RSUD Abdul Moeloek Bandar Lampung periode 2016—2019 Regina Pingkan; Ratna Dewi Puspita Sari; Diana Mayasari; Taufiqurrahman Rahim
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Maternal mortality is maternal deaths during pregnancy, childbirth, and puerperium but not due to other causes such as accidents or falling in every 100,000 live births. One of the important risk factors for maternal mortality is Peripartum Heart Disease. Peripartum Heart Disease (PPHD) is the highest cause of maternal death in 2018 at Abdul Moeloek Hospital in Bandar Lampung. This study aims to determine the relation between PPHD and maternal mortality. This research was a retrospective cohort study design and conducted in October—November 2019 at Abdul Moeloek Hospital in Bandar Lampung. The research sample was 96 respondents obtained using simple random sampling technique. The data used are secondary data from medical records from January 2016 to September 2019. The case group consisted of 48 pregnant women suffering from cardiac disease and the control group consisted of 48 pregnant women who did not suffer from cardiac disease. Data were analyzed by univariate and bivariate tests using the chi-square statistical test with α = 0.05.There were 9 respondents (18.75%) in the case group who experienced maternal death and 1 respondent (2.1%) in the control group who experienced maternal death. Statistical test results obtained there is a relation between Peripartum Heart Disease with maternal mortality in RSUD Abdul Moeloek Bandar Lampung period of 2016—2019.
Pengaruh Pemberian Injeksi Intramuskular Sel Punca Mesenkimal Tali Pusat Manusia Terhadap Gambaran Histopatologi Ginjal Pada Tikus Putih (Rattus norvegicus) Galur Sprague dawley yang diinduksi Aspirin Cahaya Carla Bangsawan; Evi Kurniawaty; Utari Gita Mutiara; Betta Kurniawan
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Uncontrolled use of aspirin can cause several complications and various damaged to organs, including kidney injury. Mesenchymal stem cells as an alternative therapy is an important source for repair and regeneration of damaged tissue. The purpose of this study is to determine the effect of intramuscular injection of human umbilical chord on kidney tissue impairment of rats (Rattus norvegicus) with aspirin induction. This study was a laboratory experimental study with a post test only control group design with 27 white rats (Rattus norvegicus) Sprague dawley strain which divided into three groups. The control group (KK) was given regular drink and food, P1 was given 200 mg/kgBW aspirin orally for 14 days, P2 was given 200 mg/kgBW aspirin orally for 14 days and treated with intramuscular injection of 0.75 mL extracted human cord mesenchymal stem cells. Data were observed by Kruskal-Wallis Non-Parametric Test, obtained p=0,001 (p<0,05), then get a meaningful result which means Ho is rejected. The statistical results with Mann-Whitney test obtained are also find significant differences in each groups, but P1 with P2 (p=0,497) has no significant differences.
Pemberian Tokolitik pada G1P0A0 Hamil 28 Minggu Belum Inpartu dengan KPD dan Oligohidramnion Alvira Balqis Soraya; Dinda Annisa Fitria; Ratna Dewi Puspita Sari
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Premature rupture of membranes is a rupture of the amniotic membrane before delivery. It occurs in 3% of pregnancies and carries a risk of preterm delivery. Each year there are 15 million babies born and more than 1 in 10 babies born prematurely (gestation less than 37 weeks). Obtained patient Mrs. IR, 36 years old, came with complaints of preterm pregnancy accompanied by water-discharge. This complaint was felt since two days before entered the hospital, clear color, odor less and changed sanitary napkins three times a day. The patient appeared to be moderately ill, consciousness compos mentis, blood pressure 118/87 mmHg, pulse 83x/minute, breathing 23x/minute and, temperature 36 ° C. The generalist status of the patient was within normal limits. On obstetric examination, there was a TFU of 3 fingers above the umbilicus (24 cm). The lower part of the mother's fetus was round, bouncy, hard with the impression of the head, not yet in PAP. His (-), fetal heart rate 148x/minute. Inspeculo examination found closed OUE, fluorine -, fluxus: +, amniotic (+) inactive, erosion / laceration / poly (-), red litmus (+) to blue. The patient was diagnosed as 28 weeks pregnant G1P0A0 with promiscuity of single live fetal head presentation and oligohydramnios. To prevent preterm labor in this case, conservative therapy is given in the form of antibiotics (prevent in increase dinfection), corticosteroids (fetal lung maturation), and tocolytics (suppress in uterine contractions). To assess the success of tocolytic therapy, the tocolytic index was used.  
Pendekatan Diagnosis Anemia pada Pasien dengan Penyakit Ginjal Kronik Alif Fernanda Putra; Yusuf Aulia Rahman
MAJORITY Vol 11 No 1 (2022): MAJORITY
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Abstract

Globally, anemia occurs in 1.62 billion individuals or around 24.8% of the population. In Indonesia, anemia occurs in about 15.4% of the population. Anemia is often a problem with misdiagnosis and inaccurate management. The male patient presents with weakness since the last month. The patient began to feel symptoms of hypertension (220/110 mmHg) at 3 months ago accompanied by tightness, itching in the body, weakness and pale days, swelling almost all over the body, and decreased urine. On physical examination, there was hypertension (160/90 mmHg), the conjunctival was anemic and on the palpebrae, superior and inferior limbs there was pitting edema. On supporting examination, it was obtained patient with normocytic and normochromic anemia Hb 5 g/dL, erythrocyte 1.8 million/μL, hematocrit 15%, LED 90 mm/hour, ureum 486 mg/dL, creatinine 39.28 mg/dL, calcium 4.7 mg/dL, chloride 92 U/L, sodium 124 mmol/L, and potassium 6.6 mmol/L. USG of the abdomen shows the results of bilateral chronic kidney disease. Management of anemia in patients needs to be holistic considered starting from the causes and the choice of therapy used in order to reduce morbidity and mortality and improve the patient's quality of life. This journal will explain the approach to anemia through illustrations on case of patient with anemia in chronic kidney disease.
Hubungan Derajat Keparahan Gejala dengan Kualitas Tidur Pasien Penyakit Paru Obstruktif Kronik (PPOK) di RSUD Abdul Moeloek Provinsi Lampung Ayu Dinda Fatimah; Iswandi Darwis; Agustyas Tjiptaningrum; Khairun Nisa Berawi
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Chronic Obstructive Pulmonary Disease is a disease that has a high prevalence. The prevalence of COPD is always increasing in every country in the world. Deaths of people with COPD are associated with an increase in the severity of symptoms of the disease. The symptoms of COPD continue to worsen and have an impact on the decline in sleep quality of COPD patients. The Lampung Provincial Government makes COPD as one of the threats in carrying out health development in Lampung Province in 2015 to 2019. The purpose of this study was to determine the relationship relationship between severity of symptoms and sleep quality of patients with Chronic Obstructive Pulmonary Disease (COPD) in Abdul Moeloek regional hospital Lampung Province. It is used observational analytical method with cross sectional design was registered in this research. The sample was 40 COPD patients in Abdul Moeloek Regional Hospital Lampung Province, taken by consecutive sampling method. The study was conducted using the COPD Assessment Test questionnaire and Pittsburgh Sleep Quality Index questionnaire in the hospital, patient’s house, or patient’s office. Then the results of this study were processed using computer software. Result of analysis with Chi Square test with 95% confidence level (α = 0,05) showed p value 0,01 < 0,05. There is a significant association of Severity of Symptoms and Sleep Quality of Patients with Chronic Obstructive Pulmonary Disease (COPD) in Abdul Moeloek Regional Hospital Lampung Province.
Penatalaksanaan Holistik Pasien Asma Persisten Ringan Pada Perempuan Usia 12 Tahun dengan Faktor Pencetus Debu dan Cuaca Dingin Melalui Pendekatan Kedokteran Keluarga Muhammad Reqza Pratama; Azelia Nusadewiarti
MAJORITY Vol 11 No 1 (2022): MAJORITY
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Abstract

Asthma is a chronic inflammatory disorder of the airways that causes bronchial hyperreactivity that causes symptoms such as wheezing, coughing, shortness of breath and chest tightness, especially at night and early morning, which are generally reversible with or without treatment. The application of family doctor services based on evidence based medicine to patients by identifying risk factors, clinical problems, and management based on a problem solving framework with a patient-centered and family approach. This study is a Case Report. Primary data were obtained through history taking, physical examination, home visits to complete family and psychosocial data, as well as the environment. Assessment based on a holistic diagnosis from the beginning, process and end of the study quantitatively and qualitatively. In this patient, pharmacological and non-pharmacological interventions were carried out in the form of education in preventing asthma attacks in patients. Patient An. S, aged 12 years, had the main complaint of shortness of breath accompanied by coughing up phlegm at night. The patient was diagnosed with bronchial asthma and was already on medication. The patient's internal risk factor is having knowledge about the disease and the patient's home environment that is exposed to road dust. The external risk factor that affects is the state of the house that has but the windows are rarely opened. For the patients, it was done in the form of counseling about asthma, counseling on cleaning the home environment from dust, using masks when doing activities, and taking medication regularly. After the intervention, there was a change in the knowledge of the patient and his family.
HUBUNGAN DURASI MENDERITA HIPERTENSI DENGAN KEJADIAN RETINOPATI HIPERTENSI DI RSUD DR. A. DADI TJOKRODIPO BANDAR LAMPUNG PERIODE 2017-2020 Jyoti Krisna Murti; Rani Himayani; Hanna Mutiara; Muhammad Yusran
MAJORITY Vol 11 No 2 (2023): MAJORITY
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Abstract

Hypertension in Indonesia increase every year until in 2018 reached 34.1%. Long duration hypertension cause organ damage, hypertensive retinopathy is one of them. Hypertensive retinopathy shows changes in retinal vascularity such as narrowing and sclerosis in response to increased pressure of blood. The purpose of this study was to determine the relationship between the duration of hypertension and event of hypertensive retinopathy in RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung Period 2017-2020. This study used an observational analysis research method with a cross sectional approach. The research subjects consisted of 168 samples. Sampling method using total sampling. Data on the duration of hypertension and the event of hypertensive retinopathy were taken from medical records. The analytical test used is the chi-square test. This study that of the 168 respondents with hypertension, 53.0% were aged 40-60 years. Patients with hypertension are male as much as 65.5%. Patients with hypertension degree 2 as much as 71%. Based on the duration of suffering from hypertension, the most common duration was 61.3%. As many as 72.6% of hypertensive patients did not experience hypertensive retinopathy, while 27.4% had hypertensive retinopathy. The results of chi-Square analysis showed that there was a significant relationship between the duration of suffering from hypertension and the incidence of hypertensive retinopathy (p = 0.000). There is a significant relationship between the duration hypertension and event of hypertensive retinopathy in RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung period 2017-2020
Management of Housewive, 57 Years Old With Uncontrolled Type 2 of Diabetes Melitus Through Family Medicine Approach in Karang Anyar Health Center 2022 Anthia Vradinatika; Reni Zuraida
MAJORITY Vol 11 No 2 (2023): MAJORITY
Publisher : Majority

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Abstract

Type 2 diabetes mellitus (DM) is a non-communicable disease known as a silent killer with a prevalence of 9.3% of the totalpopulation in the world and 10.7% of the total population in Indonesia according to the International Diabetes Federation(IDF). ) in 2019. The research objective is to implement evidence-based medicine-based family doctor services by identifyingrisk factors, clinical problems and patient management based on a patient-centered and family-centered problem-solvingframework. This study is a case report. Assessment is formulated based on the initial holistic diagnosis, process, and the endof the study qualitatively and quantitatively. The problems found in this case are related to the wrong perceptions of patientsand their families, inappropriate lifestyles, eating patterns and physical activity as well as the lack of support and motivationof family members. After holistic and comprehensive management was carried out, there was an increase in patient andfamily knowledge points about DM from 40 to 90, and a temporary decrease in blood sugar levels from 540 mg/dL to 271mg/dL.

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