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Bayu Anggileo Pramesona
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Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Published by Universitas Lampung
ISSN : 26557800     EISSN : 2356332X     DOI : https://doi.org/10.23960/jka
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine is a peer-reviewed scientific journal published by the Faculty of Medicine, University of Lampung. This journal serves as a platform for disseminating research findings and scholarly discussions in the fields of medicine, public health, environmental health, and their intersections with agriculture and agromedicine. The journal emphasizes preventive, promotive, and educational health strategies, especially within rural and agrarian communities.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 565 Documents
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MANAGEMENT OF MALNUTRITION ON 16 MONTHS TODDLER WITH PULMONARY TUBERCULOSIS Mega Noviasari
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Nutrition is one of the indicators to assess the health development of a success country in building high quality human resources. Number of malnutrition in the province of Lampung since 2003-2012 is increasing, where the number of malnutrition cases in 2012 as many as 203 cases. The malnutrition may increase the risk of infectious disease because of the immune system is decreased. Increased risk of TB infection in toddler caused by immunodeficiency, malnutrition, and living in a home with adult TB patients. Toddler, female, 16 month, weight 6,4 Kg, with ongoing pulmonary tuberculosis (TB) treatment and malnutrition status, weight/age <-3SD, height/age -2SD, weight/height <-3SD. Then, we loking for the causes weight loss in the last 4 months. Analysis of causes, such as underlying disease or other risk factors that cause patients disease. Denver II test conducted to assess progress. Furthermore, patient was given the management of the disease by nonmedicamentosa and medicamantosa. Education to patient’s family about the disease and the need to improve diet and parenting. [J Agromed Unila 2014; 1(3) :238-243]Keywords: denver II, malnutrition, pulmonary tuberculosis, underlying disease
6 YEARS OLD CHILD WITH DENGUE HAEMORRHAGIC FEVER Hario Tri Hendroko
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Dengue hemorrhagic fever is a severe and sometimes fatal infection which are widely distributed in subtropical and tropical areas of the world. It is a mosquito-borne disease transmitted by Aedes aegypty mosquitoes and caused by the dengue virus. A child, 6 years old, came with fever since 3 days earlier, suddenly and continually. Physical examination found hypotension, narrowed pulse pressure, tachycardia, cool or mottled skin, prolonged capillary refill time, decreased urine output, and torniquet test positif. Laboratorry examination found trombositopenia (94000/mL), increased hematocrit level >20%, dengue serology examination IgM(+) and IgG (+). Patient was diagnosed and treated as dengue hemorrhagic fever grade III. Patient received care imediately andfinally recover without any ongoing problems and complications. The prognosis for patient with dengue hemorrhagic fever grade IIIdepends on how early the condition was detected and how early the patient was treated. [J Agromed Unila 2014; 1(3):244-248]Keywords: dengue hemorrhagic fever, pediatric, torniquet test
49 YEARS OLD MAN WITH TUBERCULOUS MENINGITIS Wida Ratnanurmala
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Tuberculous meningitis is an inflammation reaction of the lining of the brain caused by the germs of tuberculosis and is the most severe form of Mycobacterium tuberculosis infection that can cause death or severe neurological deficits. Tuberculous meningitis is preceded by prodromal symptoms include headache, anorexia, nausea/vomiting, fever, accompanied by changes in behavior, and loss of consciousness. Man, 49 years old, came with loss of consciousness. It has been started since 3 months before admission, the patient has a cough up mucus, fever, weight loss, headache, incoherent speech to a loss of consciousness. On physical examination, the patient had a GCS of 5, stupor, febrile, ronchi on both lungs, and positive meningeal sign. On laboratory results foundleukocytosis, thrombocytosis, X-ray interpretation was miliary tb, cranial CT scan found infarction. The management included general condition improvement, IVFD RL:NaCl 20 drops per minute, 2x50 mg ranitidine ampoule, 3x500 mg paracetamol, 3x500 mg tranexamic acid ampoule, 3x15 ml antacid syrup, 3x5 mg ampoule dexamethason, 1x450 mg rifampisin, 1x300 mg isoniazid, 3x250 mg pyrazinamide, 3x250 mg ethambutol, 1x750 mg streptomycin, 2x1 tablet B6 and B1. Besides the airway, breathing, and circulation management, anti-tuberculosis drugs treatment is required for 12 months. The prognosis is determined by the quick of treatment and the disease stage. [J Agromed Unila 2014; 1(3):249-252]Keywords: loss of conscioucness, tuberculous meningitis
ACQUIRED HEMOPHILIA A IN 3 YEARS OLD CHILD IN LAMPUNG ETHNIC GROUP Nabila Putri Astrini
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Acquired Hemophilia A is extremely rare in children. It is about 1:1,000,000 cases per year. Although it is rare, it can cause fatal condition to death. A boy, 3 years old, had a complaint of bruising on the face and extremities, the swelling often occur spontaneously, with no history of coagulation abnormality in family. Nonpharmacological management to patient was education about the patient’s condition and the kind of activities that should be limited. While the pharmacological management was transfusion of fresh frozen plasma, cryoprecipitate transfusion, and tranexamic acid injection, which were given for 6 days and responds well. Acquired hemophilia A must obtain adequate management immediately, both of nonpharmacologic and pharmacologic. [J Agromed Unila 2014; 1(3):253-256]Keyword: acquired hemophilia A, child, Lampung, treatment
50 YEARS OLDMAN WITH HAEMORRHAGIC STROKE Al Husni Hadi Pasca Putra
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Stroke is a clinical syndrome that is characterized by acute focal loss of the brain function, lasting more than 24 hours or causing early death, which is caused either by spontaneous bleeding into the brain tissue, covering brain tissues (Intraserbral spontaneous bleeding or subarachnoid bleeding-hemorrhagic stroke) or inadequate blood supply to the brain as a result of low blood flow, thrombosis, and embolism associated with a vascular, heart or blood disease (ischemic stroke or cerebral infarction). 59 years oldman came with a complaint of sloping mouth to the left, weakness at the right arm and right leg, vertigo and nausea-vomiting. Patients admitted had history of hypertension since 1 years ago. Patients also admitted had stroke symptoms since 1 year ago. [J. Agromed Unila 2014; 1(3):257-262]Keywords: hemorrhagic stroke, hypertension, stroke
TRAUMA AS TRIGGER FACTOR AND MALNUTRITION STATUS AS RISK FACTOR IN THE ETIOPATHOGENESIS FOURNIER’S GANGRENE SCROTALIS ON A 39 YEARS OLD MAN Fajar Al Habibi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Progressivity of the Fournier’s Gangrene (FG) is often fulminating and can rapidly cause multiple organ failure and death. Because of potential complications, it is important to diagnose the disease as early as possible. The purpose of this case report is to study how the role of the risk and trigger factors in the etiopathogenesis FG. A man, 39 years old, Body Mass Index (BMI) 17,77, came with a chief complaint of sudden pain in the scrotum accompanied by hot and discharging wound. Two days before hospital admission, patient suffered trauma to the lower abdomen. Patient complained of enlargement of the left scrotum. Scrotum feels hot and painful. The next day, the patient's scrotum pus out. Physical examination found the left scrotum was bigger than the right one, and had an erosive ulcers with lot of discharge. The area is about ± 25 cm2. The layers of skin had necrosis at the wound area. Patient was diagnosed with FG clinically with Fournier’s Gangrene severity index (FGSI) 0-4. Patient was treated intravenous broad spectrum antibiotic ceftriaxon 2x1 gram per day and radical surgical debridement. Clinically, trauma are trigger factors whilemalnutrition status as a risk factor in the etiopathogenesis FG on this patient. [J Agromed Unila 2014; 1(3):263-267]Keywords: fournier’s gangrene, man, malnutrition, scrotum, trauma
ADVANCED TREATMENT OF PRIMARY PULMONARY TB IN HILDREN WITH IMPAIRED GROWTH AND DEVELOPMENT WITH THE MOTHER AS THE BREADWINNER AND AS A DIRECT THERAPY OBSERVER Aprilia Elisabet
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Tuberculosis (TB) is an infectious disease that cause of death in high mortality and morbidity, and long-term therapy in the world. In Indonesia, TB is a major cause of mortality and morbidity in children after a respiratory infection. The objective in this clinical study is to identificatify of internal and external factors of a patient with pulmonary tuberculosis with impaired growth and development with the mother who became the breadwinner of the family and also as direct therapy observer. The methods in this clinical study is descriptive study using primary data were obtained through alloanamnesis, physical examination, advancedexamination, home visit, collecting family, psychosocial, and environment data. The results is a girl with age under five years with impaired growth and development that have a history of exposure to TB patients whose the mother is not only as breadwinner but also as direct therapy observer. Therapy of this patient are Rifampisin 1x150 mg and INH 1x100 mg, high calory and high protein diet, sunlight therapy, speech therapy and mother’s care. After treatment, complaints reduced, growt and development improved. The conclusion is pulmonary TB in children can indeed cause growth disorders so as a doctor must quick and active in pulmonary TBmanagement. [J Agromed Unila 2014; 1(3):268-273]Keywords: disorders of growth and development, family medicine, pulmonary tuberculosis
19 YEARS OLD WOMAN WITH TOXIC EPIDERMAL NECROLYSIS Ikbal Sidiq
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Toxic Epidermal Necrolysis (TEN) is a syndrome that affects the skin, mucous membrane at the orifice, and eyes with severe general condition. The woman, 19 years old, came with the chief complaint of blisters on the skin with skin damage on the chest, neck, abdomen, back, groin, wrists, and feet for 4 days. Therapy specifically with systemic drugs ciprofloxacin 2x400 mg intravenously, 2x600 mg clindamycin intravenously, ceterizine 10 mg, and topical medications with NaCl 0.9% to compress the eyes and lips, andsilver sulfadiazine 1% cream. Toxic epidermal necrolysis diagnosis of patients based on the triad abnormalities of skin, mucosa, and eyes, as well as its relationship with the causes and laboratory investigations. [J Agromed Unila 2014; 1(3):274-276]Keywords: skin blister, toxic epidermal necrolysis, woman
Cover Agromedicine Admin Agromedicine
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Cover Agromedicine
LUNG TUBERCULOSIS RELAPSE WITH DOWN SYNDROM Raden Chandrajaya Listiandoko
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Tuberculosis is still remain as one of main health problem in Indonesian. Every years, more than 500.000 of new cases tuberculosis appear in Indonesian and approximately 140.000 people died. Based on national standard and prediction of tuberculosis patients, Lampung has 7.728 people with tuberculosis. Sindrom down patient, who had tuberculosis, need extra attention. The patient, she was diagnosed with lung tuberculosis relaps, and now on tuberculosis treatment. Interventions had been done to improve the family knowledge based on literatures and family medicine approach in efforts of modifying the modificator factors of the disease.Improvement of knowledge about lung tuberculosis and obedience of taking the treatment are expected, including motivating the family to give support. Improvement of knowledge and health behavior about the importance of preventive than curative act, and also to improve the health life style. Comprehensive and continuous approach to the patient’s problems had been done, along with identificated the influencial factors of the disease and assessed the patient ability to solve the problem. [J Agromed Unila 2014; 1(2):82-87]Keywords: down syndrom, family development, lung tuberculosis relapse

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