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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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HAEMORRHAGIC STROKE ON ELDERLY MAN WITH UNCONTROLLED HYPERTENSION Norma Julianti
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Stroke is a brain disorder due to pathological processes in the blood vessels system of the brain which caused by decrease in blood flow to the brain. This process can be a blockage of the blood vessel lumen by thrombosis or embolism, rupture of the blood vessel of the brain that causes bleeding, changes in the permeability of the blood vessel walls and changes in blood viscosity and quality. This case report taken from Abdul Moeloek hospital in July 2014. A man, 54 years old, came with a sudden loss of consciousness. One day before hospital admission, the patient still able to do his activity then patient suddenly had difficulty in walking. A fewdays before, patient suffered from headache and vomiting. One month before, the patient had a weakness at the right arm and leg. Physical examination found blood pressure was 200/100 mmHg, neurological status found pathological reflex, babinski and chaddock reflex. Patients was diagnosed with haemorrhagic stroke. Patient was treated with mannitol infusion, ranitidine injection 50 mg every 8 hours, ceftriaxone injection 1g every 12 hours, citicolin injection 250 mg every 12 hours, captopril tablet 25 mg every 8 hours, B complex tablet 100 mg every 12 hours. Haemorrhagic stroke in these patients is caused by uncontrolled hypertension. [J Agromed Unila 2015; 2(1):32-38]Keywords: haemorrhagic stroke, man, neurologic, uncontrolled hypertension
Cover Agromedicine Admin Agromedicine
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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A 62 YEARS OLD WOMAN WITH RECURRENT DEPRESSIVE DISORDER, CURRENT EPISODE MODERATE, WITH SOMATIC Hanif Fakhruddin
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Depressive disorder is a disorder in which there is a change in the emotional condition, motivation, function and motor behavior, and even cognitive. Female, 62 years old, with chief complain of moody, lost of interest, difficulty of sleeping, anxiety, restlessness, and feel hatred of her mother. Physhical examination found epigastric pain, from psychiatry status patient appearance was good, moody, often bowing her head and cry. The affective was depressive, talked less velocity with pressure, volume decrease, had idea of guilt, and insight was 5. Pasient diagnosed with axis I: recurrent depressive disorder, current episode moderate, with somaticsymptoms; axis II: not found; axis III: dyspepsia syndrome; axis IV: family problems; axis V: GAF HLPY: 80-71, Current GAF: 60-51. Pharmacotherapy treated with fluoxetine 1 x 20 mg, clobazam 2 x 5 mg, 2 x 150 mg ranitidine, and interpersonal psychotherapy. Depressive disorder patients is due to family problems with her biological mother. Based on GAF scores indicate good prognosis in this case. [J Agromed Unila 2015; 2(1):1-5]Keywords: moderate episode, recurrent depressive disorder, somatic symptoms
MANAGEMENT OF PULMONARY TUBERCULOSIS WITH DIABETES MELLITUS ON 52 YEARS OLD MALE PATIENT Nirmala Astri Prayogi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Tuberculosis (TB) is an infectious lung disease which occurred most in many developing countries such as Indonesia and usually infect children and adults. According to Lampung Province data and health information, pulmonary tuberculosis case detection rate in Lampung in 2011 was 48.65 thousand inhabitants, while in 2012 fell to 24.12 thousand inhabitants. The increase in cases of TB in patients with diabetes mellitus (DM) also occurred in Indonesia. A lot of diabetic patients who had TB and it increased the morbidity and mortality of TB and DM. Treatment of pulmonary tuberculosis in patients with DM similar to patients with non-DMon the controlled blood sugar levels condition. A man, 52 years old, came with complaint of cough since 1 month ago. Cough was not accompanied by phlegm or blood. Patients also complain of cold sweat at night, weight loss of about 9 kilos in 1 month, nausea, and sometimes patients complaint of shortness breath. Patients have a neighbor who suffered tuberculosis and is currently undergoing treatment for TB. Since three years ago patient has been suffering from diabetes and blood sugar control diligently every month. On physical examination found blood pressure, pulse, respiration and temperature at normal limit. At pulmonaryauscultation found any ronkhi (+) in both lung fields. Chest radiographs obtained TB diffuse, normal cor. Results of sputum smear was negative (-), random blood glucose levels of 180 mg/dl. Patients diagnosed with pulmonary tuberculosis accompanied with diabetes mellitus. Therapy was given in the form of RHZE combination pills and oral antidiabetic glibenclamide 1 x 5 mg and metformin 2 x 500 mg. [J Agromed Unila 2015; 2(1):6-12]Keywords: diabetes mellitus, treatment, tuberculosis
SPINAL DISC HERNIATION L4-S1 WITH CHRONIC EROSIVE GASTRITIS Hema Anggika Pratami
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Spinal disc herniation or called HNP is exploited nucleus pulposus into the vertebral canal due to degeneration of the annulus fibrosus of vertebra corpus caused by degenerative process and traumatic, while gastritis is an inflammation of the lining of the stomach mucosa and submucosa. A female, 55 years old, came to Abdul Moeloek Hospital in Bandar Lampung with complaint of low back pain that radiates down to the legs and feet, especially the left side since one year ago. A history of vomiting blood andstool black as asphalt one year ago. The physical examination found positive test Lasseque right and left, a positive test Kernig right and left. Achilles tendon reflex left leg negative. Examination Patrick and counter Patrick positive on the right and left leg. Hipoestesi obtained from the calf to the left foot. Tenderness in the epigastrium. Has been performed endoscopy in patient, the result was erosive gastritis. The diagnosis of this patient is spinal disc herniation and chronic erosive gastritis. The management to this patient was paracetamol 500 mg 3x1 tablet, omeprazole tablets 20 mg 2x1, sucralfate 3x1 table spoon syrup, and vitamin B complex tablets 2x1. Then planned for laminectomy surgery. [J Agromed Unila 2015; 2(1):13-17]Keyword: chronic erosive gastritis, low back pain, spinal disc herniation
PTERYGIUM OCULI DEXTRA STAGE III Gladys Clara Dea Putri
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Pterygium is a disorder of the conjunctiva bulbi, fibrovaskular growth conjunctival degenerative and invasive that marked with eye irritating, itchy, redness, foreign body sensation, and may cause astigmatism or obstruction of the visual axis that will impair vision. The cause of pterygium is still not known. Some risk factors for pterygium include ultraviolet exposure, chronic micro trauma to the eye, and microbial or viral infection. Female, 50 years old, came with eye complaint of foreign body sensation since 3 years ago. Complaint followed with redness eyes and sore if exposed to wind. On physical examination found good general condition, compos mentis, blood pressure was 120/80 mmHg, pulse 80 x/min, respiration 16 x/min, temperature was 36.6 oC. At the ophthalmologicalexamination found reddish white membrane around the nasal and triangular apex passing the limbus and the edge of the pupil. Patients diagnosed as pterygium oculi dextra stage III. The management was education to patient in order to protect the eyes from sunlight, dust, and wind, and operative procedure to remove the pterygium. The prognosis to this patient is good. [J Agromed Unila 2015; 2(1):18-22]Keywords: antibiotic, oculi dextra, pterygium, woman
CORNELIA DE LANGE SYNDROME WITH SEPSIS NEONATORUM AND RESPIRATORY DISTRESS SYNDROME Angga Nugraha
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Pterygium is a disorder of the conjunctiva bulbi, fibrovaskular growth conjunctival degenerative and invasive that marked with eye irritating, itchy, redness, foreign body sensation, and may cause astigmatism or obstruction of the visual axis that will impair vision. The cause of pterygium is still not known. Some risk factors for pterygium include ultraviolet exposure, chronic micro trauma to the eye, and microbial or viral infection. Female, 50 years old, came with eye complaint of foreign body sensation since 3 years ago. Complaint followed with redness eyes and sore if exposed to wind. On physical examination found good general condition, compos mentis, blood pressure was 120/80 mmHg, pulse 80 x/min, respiration 16 x/min, temperature was 36.6 oC. At the ophthalmologicalexamination found reddish white membrane around the nasal and triangular apex passing the limbus and the edge of the pupil. Patients diagnosed as pterygium oculi dextra stage III. The management was education to patient in order to protect the eyes from sunlight, dust, and wind, and operative procedure to remove the pterygium. The prognosis to this patient is good. [J Agromed Unila 2015; 2(1):18-22]Keywords: antibiotic, oculi dextra, pterygium, woman
HIV/AIDS STADIUM III WITH OPPORTUNISTIC INFECTION Ryan Falamy
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Acquired Immunodeficiency Syndrome (AIDS) is a collection of symptoms or diseases caused by decrease of immunity by the Human imunodeficiency virus (HIV) infection which includes family Retroviridae. The AIDS is a final stage of HIV infection. A woman, 27 years old, with chief complaint of abdominal pain since 2 months before hospital admission, the symptom followed with nausea and vomiting. Patients also complaint of on and off fever accompanied with a dry cough, mouth sores intermittently, decreased appetite, fatigue throughout the body. History of diarrhea 3-5x/day since 5 months ago and wrosen since last 2 months. The patient had a history of free sex before marriage. From a physical examination found blood pressure was 100/60 mmHg, pulse 76x/min, breathing frequency 20x/min, temperature 36,70C, increased bowel movement sounds, abdominal pain (+). On examination laboratory obtained Hb 10.2 g/dl, leukocytes 7,300/mm3, platelets 476,000/mm3, SGOT 29 U/dL, SGPT 24 U/dL, urea 25 mg/dl, creatinine 0.8 mg/dl, HIV reactive. Patient was diagnosed with HIV/AIDS stadium III with opportunistic infections. The management was bed rest, soft food high calorie high protein diet, infusion KAEN 3B XX gtt/min, paracetamol 3x500 mg tab if fever, ranitidine injection 1 amp/12 hours, ketoconazole 200 mg tab 3x1, folic acid 3x1 tab, bicarbonate 3x1 tab, cotrimoxazol2x960 mg for 2 weeks, anti-retroviral (stavudin+lamivudine+nevirapine). Once a person was infected with HIV, for lifetime he will remain infected, so it takes antiretroviral treatment for a lifetime to prevent the progression of HIV infection. [J Agromed Unila 2015; 2(1):28-31]Keywords: acquired immunodeficiency syndrome, anti-retroviral, human imunodeficiency virus, opportunistic infection
TODDLER WITH ENTEROBIASIS Salman Alfarisi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Enterobiasis is a disease caused by Enterobius vermicularis. The disease is spread to all levels of society, in cities and villages in the high and low social, children and adults. However, compared to adults this disease has a high prevalence in children. Personal hygiene is a very important factor on the occurrence of Enterobiasis. Patient, 2 years and 10 months old female, came to the clinic brought by her parents because they found two worm in patient’s stool at night, the worm was small, fine as hair, cream-colored.The last few days the patient often feels restless and difficult to sleep at night. Physical examination found no abnormalities, but the long and dirty nails. Patients was diagnosed with enterobiasis and treated with pyrantel pamoate 125 mg single dose. Parents were educated to teach their children about personal hygiene with washing hand before eat and after defecation, cut the nails and keep the nail hygiene. In this case the role of parents is very important. [J Agromed Unila 2015; 2(1):39-42]Keywords: bad personal hygine, enterobiasis, pyrantel pamoat, toddler
OTITIS EXTERNA IN 23 YEARS OLD WOMEN Fatrianda Putri Cyninthia Kennedy
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Otitis externa is an inflammation of acute and chronic ear canal caused by bacteria, it can be localized or diffuse. Factors that cause otitis externa is moisture, clogging the middle ear canal, local trauma, and allergies. Otitis externa can spread to pina, periaurikular or to the temporal bone. This is a disease of the external ear that is often found. Woman, 23 years old, complaint of earache for 2 days, followed with hearing loss, but no discharge from the left ear. Based on history, physical examination, andhome visits, obtained internal factors that affect this case, among others, scraping ear habit with a cotton bud every day and less maintain hygiene. From a physical examination on the left ear obtained pain auricle movement (+), tenderness tragus (+), acoustic meatus appear edema and hyperemia. The diagnosis in this case is otitis externa. Problem solving in this case is the intervention on patients, not only in medical therapy but also in all aspects of self hygiene. [J Agromed Unila 2015; 2(1):43-46]Keywords: behavior, hygiene, otitis externa.

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