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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 GRADE II HYPERTENSION WITH HEART FAILURE Indah Dwi Pratiwi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Hypertension is one of the most prevalent diseases in the family medicine’s services, and if it is not properly managed it can causefatal complication to death, due to heart attacks, strokes, and even kidney failure. Primary data were obtained through anamnesis, physical examination, and home visit follow-up. Secondary data were obtained from patient’s medical record. Patient, Mr. R, 83 years old with grade II hypertension and heart failure NYHA II. Risk factors for this patient are elderly, hypertension, smoking, and poor lifestyle. Physical examination obtained 160/80 mmHg, JVP 5 + 3 cm H2O, an enlarged heart with murmur sound. The patient was given ACE inhibitor, Betablocker, and Diuretics. Education about the disease and the importance of blood pressure control and prevention of complications also had been given. Within 21 days, showed a decrease in blood pressure fotm 160/80 mmHg to 130/80 mmHg. [J Agromed Unila 2014; 1(2):88-91]Keywords: heart failure, hypertension
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) MANAGEMENT IN OLD MALE WITH HISTORY AS ACTIVE SMOKERS Evi Febriani Lubis
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Chronic obstructive pulmonary disease (COPD) is one of the causes of morbidity and mortality throughout the world. Elderly increase the risk of COPD and cognitive impairment. The management for this patient using family medicine approach because of pharmacological modalities, non pharmacological modalities, and support from patient´s family is needed. Application of family medicine based on evidence-based medicine on patients with a history of COPD in the elderly as active smokers with identification of risk factors and clinical and management based on patient and family centered approach. This study is a case report. Primarydata were obtained through a careful history, physical examination, home visits follow-up, family data complement, and psychosocial and environmental. A 86-year-old male suffering from chronic obstructive pulmonary disease (COPD) was conducted an analysis of causes, such as the risk factors that cause the disease. The patient was given the treatment. Education about the disease and the importance of improving personal lifestyle, including education to all the family members. Results obtained in the form of reduced patient’s complaints. And treatment of COPD should be continued. COPD is a disease that affects quality of life.Role of health care workers and family members in the intervention treatment of patients with COPD is required. Treatment with patient-centered and family approach should be considered in patients with COPD. [J Agromed Unila 2014;1(2):92-98]Keywords: cognitive impairment, COPD, family medicine, old, smoking history
Cover Agromedicine Admin Agromedicine
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Cover Agromedicine
Cover Agromedicine Admin Agromedicine
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 4 No. 2 (2017): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Cover Agromedicine
ACUTE GLAUCOMA ON RIGHT EYE Laras Maranatha Tobing
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Acute glaucoma or primary angle closure glaucoma is a medical emergency case that caused by the angle of the anterior chamber suddenly closed by the iris with the result that sudden very high increase in intraocular pressure. Case of acute primary angle closure glaucoma in a woman aged 60 years presented with complaints of sudden blurred vision in her right with red eye and headache since 2 days before hospital admission. Ophthalmologic examination on the right eye revealed visual acuity 2/60 with mix conjungtival injection, corneal edema with hazy appearance, shallow anterior chamber, mid-dilated pupil (d ± 3mm) non reactive, cript of the iris is not obvious, dense lens and hard on palpation (digitalis tonometry N+3). Left eye examination revealed visual acuity 6/60, goodmovement and normal structure.Treated by initial antiglaucoma therapy to lower the intraocular pressure of the right eye with timolol 0.5% 2x2 drops, pilocarpine 2% 6x2 drops, and oral therapy with acetazolamide 2x250 mg and KCl 1x1 tab. Immediate and appropriate treatment in acute glaucoma can prevent permanent blindness. [J Agromed Unila 2014; 1(2):99-103]Keywords: acute glaucoma, antiglaucoma, intraocular pressure, old woman
DYSARTHRIA POST STROKE ATTACK WITH UNCONTROLLED HYPERTENSION AND OBESITY ON A HOUSEWIFE Ghina Yona Nurmufthi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Disarthria (slurred speech) is the symptom that can be seen from a stroke. This occur 15% incidence of the stroke. Hypertension, as a stroke risk factor, is still not well controlled. It increase from 7,6% (2007) to 9,5% (2013) in Indonesia. Mrs. U, 55 years old, BMI (Body Mass Index) was 25.88 kg/m2; BP (Blood Pressure) was 180/100 mmHg, has history of recurrent stroke attack twice with sequele of disarthria. The identified risk factors in this patient are uncontrolled hypertension, bad habit, lack of physical exercise and unsupported family members. Patient was treated with antihypertension drug, education oboutthe importance to control thehypertension, encourage to do the ‘lifestyle modification program’ and education to her family member to support her in order to control the blood pressure. In metabolic disease intervention, the doctor not only look the clinical symptoms but also look the psychosocial in our patient. So that we need the holistic, comprehensive and sustainable in examination and treatment for the patient. [J Agromed Unila 2014; 1(2):104-108]Keywords: dysarthria, stroke, hypertension, obesity, family medical care
CHRONIC KIDNEY DISEASE STAGE V Agnez Zahrah Fadhilah
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Chronic kidney diseases (CKD) are a global health problem with increasing incidence, prevalence, and mortality rate. There is no single cause and the damage is usually irreversible and can lead to poor prognosis. A 62 years old man, came with a chief complaint of swelling on his feets since 2 weeks ago, this condition accompanied with weak, pale, nauseous, and vomitingapproximately 5 times a day after eating. The intensity of urinate is deacreasing during 6 months. He had hypertension since 2002 and diabetes since 2004. From physical examination, blood pressure is 190/110 mmHg, conjuncitiva looks pale, epigastric pain, and pitting oedem in inferior extrimity. Laboratory examination show hemoglobin 5,2 g/dl, ureum 70 mg/dl, creatinin 7,2 mg/dl, and at time blood glucose 168 mg/dl, with GFR 7,9 ml/mnt/1,73m2. The patient is diagnosed with CKD Stage V. Treated with furosemid 1 x 40 mg, captopril 3 x 12,5 mg, bicarnat 3 x 1, folat acid 3 x 1, CaCO3 3 x 1, and transfusion 800cc of packed red cell. Nonfarmacotherapy was bedrest, diet with high calory, low protein, low phosphate, low salt, and water balance. [J Agromed Unila 2014;1(2): 109-113]Keywords: chronic kidney diseases, hypertension, oedem
MANAGEMENT OF GRADE II HYPERTENSION AND NYHA GRADE II HEART FAILURE IN ELDERLY WOMEN WITH LACK FAMILY Ressi Ana Maisuri
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Hypertension is increasing of blood pressure with advance development to the target organs damaging, such as stroke, and coronary artery disease. This disease has become unsolving problem not only in Indonesia but in worldwide too. Mrs. S, 63 years old, BP 180 / 100mmHg, HR 98x / min, 22x RR / min and T 36.6 °C, had a history of hypertension since 10 years ago and diagnosed with heart failure in 2009. Other risk factors identified in the development of hypertension in these elderly patients. The clinicaldiagnosis of the patients according to the JNC 7 and NYHA classification was grade II hypertension with NYHA grade II heart failure. The management was given captopril 2x12,5mg; paracetamol 3x500mg as well as a good education to patients and families about treatment, routine control and risk factors for complications scrining. Family medicine has an important role in the management of grade II hypertension and NYHA grade II heart failure, and requires the family support for the patient's regular visit and obedient in take her medicines. [J Agromed Unila 2014; 1(2):114-118]Keywords: elderly women, grade II hypertension, NYHA grade II heart failure
CONGESTIVE HEART FAILURE ET CAUSA RHEUMATIC HEART DISEASE Muhammad Rizki Darmawan Mustakim
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Rheumatic heart disease (RHD) caused by the Streptococcus β hemoliticus type A bacteria, which can cause rheumatic fever and may lead to complications such as congestive heart failure. Heart failure is a clinical syndrome caused by abnormal structure or function of the heart, where the heart can not pump blood to meet the metabolic needs of the network. A boy, 13 years old, with a chief complaint of shortness of breath which intensified since 2 days before hospital admission. Previosly, Shortness of breath had been felt for 3 weeks. The patient also complained of swollen on both legs and both eyelids, swollen stomach, and cough with darkred blood pleghm. On physical examination, blood pressure, pulse, and temperature was normal, respiratory 34 x/min. In the face,was found a second lid edema, nostril breath, and central cyanosis. In the neck, the jugular venous pressure was normal. In the pulmonary was found smooth wet ronkhi (+) in both lung bases. The ictus cordis was visible and palpable in the left anterior axillary linea and as high as the 5th inter costal space, palpable thrill. Left heart border was dilated and murmurs (+) at grade 4/6 in mitral, tricuspid, and aortic valves. The abdomen was convex and found tenderness in the right upper quadrant, and palpable liver. Thesuperior extremities were found finger clubbing on both sides, whereas the inferior extremities were found pretibial edema. Laboratory results showed leukocytosis, increased SGOT, hypoalbuminemia, CRP (+) and ASTO (+). On the EKG obtained prolonged PR interval and the echocardiographic examination found mitral, tricuspid, and aortic valves insufficiency. Patient was diagnosed with congestive heart failure et causa rheumatic heart disease. The pharmacotherapy was furosemide 40 mg/12 hours, captopril 2 x 12,5 mg, and digoxin 1 x 0.125 mg. The heart failure in this patient is caused by rheumatic heart disease which is established by using Jones criteria. The results of treatment in this patient showed mprovement after evaluation during treatment. [J Agromed Unila 2014; 1(2):119-125]Keywords: child, congestive heart failure, rheumatic fever, rheumatic heart disease
CHRONIC DIARRHEA WITH CHRONIC GASTRITIS ON ELDERLY WOMEN Elis Sri Alawiyah; Muhartono Muhartono
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Diarrheal disease is still a public health problem for Indonesia, because of its morbidity and mortality are still high. Morbidity survey conducted by Subdit Diarrhea, Department of Health from 2000 untill 2010 looks inclination incidence. In addition, there are also a number of chronic gastritis gastritis already so high that ranks 10th in the category of most diseases. Ny. N, 60 years old female came to the health center with a history of diarrhea since 3 days ago. Diarrhea more than 6 times a day, intermittent over the past 1 month, the color was yellow, and slimy. This complaint accompanied by nausea, decreased appetite, sometimesaccompanied by fever. Physical examination revealed blood pressure, pulse and breathing are normal but body temperature was 37.6 oC, sunken eyelids, dry lips, abdomen was convex, epigastric tenderness, increased bowel sounds. Diagnosis of these patients are chronic diarrhea and chronic gastritis. Therapy was Cotrimoxazole 2x1 tabs, Oralit (on each diarrhea), Zinc 1x1 tab, Paracetamol 3x1 tab, Antacid 3x1 tab. Chronic diarrhea in these patients caused by infection and non-infectious. While chronicgastritis caused by the bacterium Helicobacter pylory or psychological stress. [J Agromed Unila 2014; 1(2):126-131]Keywords: chronic diarrhea, chronic gastritis

Page 11 of 57 | Total Record : 565

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