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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 PULMONARY TUBERCULOSIS AND DIABETES MELLITUS IN A 48 YEARS OLD WOMAN WITH FAMILY MEDICINE APPROACH Fahmi Aullia
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Tuberculosis (TB) remains a global health problem due to Mycobacterium tuberculosis infects one-third of the world population. The increase in cases of TB in patients with Diabetes Mellitus (DM) also occurred in Indonesia. Quite a lot of diabetic patients who had TB and it increased the morbidity and mortality of TB and DM. The principle of treatment of DM in TB or non-TB is no different. Good blood sugar control is the main thing and the most important to watch for the successful treatment of pulmonary tuberculosis in patients with DM. A housewive, 48 years old, have history of DM, with a chief complaint of cough continuously that does not go better since a year ago. Cough accompanied by phlegm white without blood. Patients feel weight decreased about 10 kilograms inthe last 1 year since the patient had a cough that would not go away. The patient has histoy of contact with a neighbor who died because of TB about 10 months ago. On pulmonary auscultation found any ronkhi (+) in both lung fields. The readings of chest radiographs obtained TB diffuse, normal cast. Laboratory results with the results of sputum smear positive (+), when blood sugar levels 305mg/dl. Patients diagnosed pulmonary TB with DM. The patient lived with her husband and two children patients. Good relationships between family members, family problem-solving discussions. Hygiene of the patient's home environment is still not good. Clinical management in form of RHZE combination pills, Glibenclamide 1x5mg and Metformin 2x500mg and psychosocial management in the form of counseling and risk assessment. External factors most responsible is the patient has a history of contact with a neighbor who died because of TB. Interventions that have done are clinical management about provision of Anti-Tuberculosis Drugs and the Anti-Diabetic Drugs and psychosocial management to conduct a riskassessment of the patient's family. [J Agromed Unila 2014; 1(2):132-138]Keywords: diabetes mellitus, family medicine, tuberculosis, women
MANAGEMENT OF NEURODERMATITIS ON THE ELDERLY IN KOTA KARANG VILLAGE Raden Dicky Wirawan Listiandoko
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Neurodermatitis circumscripta is a chronic severely pruritus disorder characterized by one or more lichenified plaques in which the skin is thickened and there are accentuated skin marking resembles tree bark. There are four steps treatment for neurodermatitis circumscripta, which are identifying underlying disease improve barrier layer function; reduce inflamation and break up the it scratch cycle; identification of internal and external factors as ethiology of neurodermatitis circumscripta; and the therapy for neurodermatitis circumscripta. Descriptive analyzes with primary data obtained through anamnesis, physical examination, and home visits for family assessment. Secondary data were obtained from medical records. Management of health problem using family medicine approach which are hollistic, comprehensive, integrated, and continous. Patient and member of the family understand more about neurodermatitis circumscripta and family participation, but intervention has not been done optimally because limitation of time. Clinical and psychosocial problems are complex and need a long time collaboration between healthcareproviders and family for its management. Health providers do not only solve patient’s health problem but also give education to the family about health problem and how family support is very important for the management. [J Agromed Unila 2014; 1(2):139-144]Keywords: family medicine, neurodermatitis circumscripta
CHRONIC RENAL FAILURE WITH GASTROPATHY UREMICUM AND HYPERTENSIVE RENAL DISEASE ON 34 YEARS OLD WOMAN Chenso Sulijaya
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Chronic renal failure (CRF), also known as chronic kidney disease (CKD), defined as abnormalities of renal pathology, such as hematuria and/-or proteinuria, or decreased GFR <60 mL/mi/1.73 m2 for more than 3 months. 34 years old woman, comes with hematemesis 1 week before hospital admission. The patient felt weak, headache, and dizzy, this complaint has been felt since 4 months and felt diminished urination, a month before admission there are ascites and leg edema with 160/100 mmHg of bloodpressure. Patients diagnosed with CRF ec primary glomerulopati, gastropathy uremicum, anemia ec CRF compounded with upper gastrointestinal bleeding. The management was based on stage the decrease of glomerular filtration rate, which is in principle divided into conservative therapy and renal replacement therapy (RRT). It also takes a multidisciplinary therapeutic areas that include medical, social, psychological, nutritional, and other coverage. The mortality rate in patients with CKD depends on the underlying cause and also the management. [J Agromed Unila 2014; 1(2):145-150]Keywords: ascites, chronic renal failure, glomerular filtration rate, hematemesis, leg edema
MANAGEMENT OF SCABIES PATIENT WITH SECONDARY INFECTION IN 7 YEARS OLD BOYS Rizqa Atina Mira Hamzah
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Scabies is a skin disease caused by Sarcoptes scabiei mites infection. Progression of the disease is also influenced by low socio economic circumstances, poor level hygiene, lack of knowledge, and also diagnosis and treatment errors. internal and external factors identification of patient relating to personal hygiene behavior. This study is a case report, primary data obtained through anamnesis (autoanamnesis and alloanamnesis), physical examination, and laboratory tests in Puskesmas. Home visits, completing the family data, psychosocial, and also environment. Assessment based on early holistic diagnostic, process, and end of study by quantitative and qualitative. A boy, 7 years old, has a habit of sharing clothes and towels, and living in a dirty home environment. Based on the theory, case of scabies with secondary infection is a problem on hygine and healthy living behavior. Family medicine has an important role in scabies patient management with secondary infection and need parents role to solve problems and modify family habits. [J Agromed Unila 2014; 1(2): 151-155]Keywords: family medicine care, personal hygiene, scabies
METABOLIC SYNDROME WITH CORONARY HEART DISEASE ON ELDERLY Intan Putri Prayitno
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Obesity, insulin resistance, dyslipidemia, and hypertension are the main components of the metabolic syndrome. Cardiovascular disease (CVD) is the leading cause of mortality and morbidity in developed countries and developing. The aim of this study is to diagnose the disease, know the causes, the risk factors, the management, and to improve patient outcomes and increase patient knowledge along with awareness about the disease and the metabolic syndrome, especially coronary heart disease. Descriptive study in the case reports with data obtained derived from primary data obtained through anamnesis, physical examination andlaboratory tests. Home visits for intervention and assessment of outcomes. Men, 65 years old, diagnosed with metabolic syndrome. Blood pressure was 200/110 mmHg, 68x pulse/minute, respiratory rate was 23x/min, temperature was 36,50C, 150 cm of height, 75 kg of weight and the BMI was 33.33, waist length was 104 cm, at time blood glucose was 368 g/dl, had a history of recurrent chest pain. With the risk factors of smoking, lack of activity, and bad diet pattern. After the intervention there was improvement on knowledge of patients disease, decrease blood pressure and blood sugar level. [J Agromed Unila 2014; 1(2):156-160]Keywords: cardiovascular desease, lifestyle, metabolic syndrome
SUPRATENTORIAL SPACE OCCUPYING LESION ET CAUSA IDIOPATHIC AND HYDROCEPHALUS Cyntia Amanda
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Space occupying lesion (SOL) is a lesion that extends or occupies space in the brain, including tumors, hematoma, and abscess. The position of SOL in the brain has a dramatic effect on the signs and symptoms. Boy, 13 years old, with a chief complaint of pain on the back of the head like a throbbing. The pain felt more intense over the past 2 weeks and occured ± 5 times a day and accompanied by vomiting. Complaints often heavier when he wake up in the morning. The blood pressure, pulse, temperature, and respiration are normal. Abnormalities were not found in the examination of the cranial nerves, brain membranes sign stimuli, motor system, sensibility, coordination, autonomic nerves, and noble function. The examination of the balance had positive results, obtained in the Romberg test. CT scan examination show the picture of hipodens mass in the posterior and ventricular IV dilation. Diagnosis of patients is supratentorial SOL et causa idiopathic and hydrocephalus. Space occupying lesion and hydrocephalus experienced by these patients is idiopathic, but we can not rule out the possibility of collision risk factors that occur while the patient is still being a child. Surgery is the best way to resolve a case like this before going further complication. [J Agromed Unila 2014; 1(2):161-165]Keywords: brain tumors, hydrocephalus, shunt, space occupying lesion
TYPE 2 DIABETES MELLITUS WITH DIABETIC ULCERS ON PLANTARIS PEDIS SINISTRA Tri Hasan Basri
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Diabetes mellitus is a group of metabolic diseases with characteristic of hyperglycemia that occurs due to abnormal insulin secretion, insulin action or both. This disease is the sixth leading cause of death in Indonesia. Ny.Y, 60 years old, present with lesions on the left leg since 3 weeks before admission. Patients initialy wound on the left leg red with bumps shaped and contains water, then over time it breaks into lumps and ulcers becoming widened, and malodours. Patient was compos mentis, bloodpressure was 100/70 mmHg, pulse was 86 x/min, respiration rate was 20 x/min, temperature was 37,2 0C. Laboratory tests withat time blood sugar 514mg/dl and potassium 2.6 mmol/L. The left plantar region of the foot ulcers are measured 10x6 cm with a depth of ± 2 cm, ulcers produced pus and surrounding hyperemia. Patients were assigned to treatment with IFVD NaCl 0.9%, cetriaxon 1 gr, metronidazole fls 250 mg, diaversa 2 mg, ketorolaks 30 mg, KSR 600 mg, humulin R 8 UI, and metformin 500 mg.Diabetes is a metabolic disease caused by many factors, which is characterized by a chronic increase in blood glucose. [J Agromed Unila 2014; 1(2):166-169]Keywords: blood sugar, diabates mellitus, ulcers
MANAGEMENT OF GRADE II HYPERTENSION WITH HISTORY OF NON HEMORAGIC STROKE Febriyan Edmi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Hypertension and stroke is very common disease. The prevalence of hypertensiom continues to increase compared to previous years throughout the world and in Indonesia. Application of family medicine services based on Evidence Based Medicine (EBM) in patients with identified risk factors, clinical problems, as well as the management of the patient based on the framework of problem settlement with patient centre and family approaches. This study is a case report. The primary data obtained through allonamnesis (patient husband), physical examination, household and family circumstances. Based on a holistic assessment of theinitial diagnosis. Assessment of study was quantitative and qualitative. Male, 47 years old, with hypertension grade II and history of stroke non hemorrhagic 3 months ago. Risk factors was identified, blood pressure was checked, and furthermore, given the pharmacological and nonpharmacological management. Internal risk factors are elderly, patient’s parent had a hypertension history, treatment patterns still priority on curative, lack of knowledge about the illness, lack of knowledge about diet for people with hypertension and stroke, lack of knowledge about the importance of regular exercise. Patient then Provided with educationabout the disease and the importance of improving diet in accordance with the disease and post stroke rehabilitation. Result obtained improvement, blood pressure was controlled and patient knowledge about the disease and healthy lifestyle are increases. The role of the family was very important in the shared responsibility of complications and preventive measures. [J Agromed Unila 2014; 1(2):170-173]Keywords: hypertension, non hemoragic stroke
DIABETES MELLITUS TYPE II AND GRADE I HYPERTENSION ACCOMPANIED OBESITY ON 75 YEARS OLD WOMAN WITHOUT Rezandi Aziztama
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 2 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Hypertension is often associated with risk of diabetes and other diseases. The prevalence of both conditions is quite high and tends to increase from year to year. Hypertension can lead to complications of a stroke, heart and kidney failure, can even cause sudden death, as well as with diabetes. This is often caused due to an unfavorable lifestyle and psychosocial stress, mild daily activity and completed with varieties of psychosocial problems that are not easily to be resolved. Ny. IN , 75 years old , with chief complaint of pain in nape of neck since 2 weeks ago. The complaints was Intermittent, and become heaver when the patient have less of rest.The patient often feels unsteady, but improves with rest. Patients already taking over the counter medicine, but the symptoms did not recover, because of that the patient went to the health center. Patient had a history of diabetes since 2008. Patient rarely control her treatment, patient seek treatment if only there was a complaint. The patient also had a history of hypertension, but patients do not regularly take medicine and the patient does not routinely control to health centers. From physical examination,patient seems in mild pain; temperature was 36,7oC; blood pressure was 150/90 mmHg; pulse rate was 80x/min; respiration rate was 22x/min; weight 61 kg; height 155 cm; nutritional status was obesity grade 1 (BMI: 25.39). Laboratory tests found blood sugar at any time test 200 gr/dl. Therefore, the role of community and family is helpful in completion of clinical problems. Clinical problems and complex changes in behavior can not be resolved within 4 weeks. Required patient desirability to change thebehavior, and also need support of the family. It should be integrated based on family risk factors that theoretically therapy with family support might work. [J Agromed Unila 2014; 1(2):174-179]Keywords: diabetes mellitus, hypertension, risk factor
THE CHRONIC OBSTRUCTIVE PULMONARY DISEASE ON PASSIVE SMOKERS Danisa Okpitasari
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 a disease characterized by persistent airflow which progressive and related with increase in chronic inflammatory airway response and lungs to particles and dangerous gases. Woman, 52 years old, weight 48 kg. From the anamnesa, she has got cough with sticky white sputum, persistance dispnea with wheezing, and weight loss. On physical examination the respiration rate 26x/ minute, barrel chest, dilatation of intercostal space, hipersonor percussion, auscultation there is wheezing at all lung fields. Patients was diagnosed with COPD. Management inclding pharmacological and non pharmacological treatment to reduce patient‘s morbidity, also required the support of the patient's family. The results of the intervention found patient‘s improvement and can do light activity again. [J Agromed Unila 2014; 1(2):180-184]Keywords: assisted families, passive smoker, the chronic obstructive pulmonary disease.

Page 12 of 57 | Total Record : 565

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