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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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PROTEIN ENERGY DEFICIENCY TYPE MARASMUS WITH PULMONARY TUBERCULOSIS Sylvia Victoria
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Protein energy deficiency (PED) is a nutritional disorder that occurs in many developing countries such as Indonesia, Africa, Central America, and South America. This nutritional disorder often occurs in children under 5 years (toddlers). Marasmus is the lack or stalled growth accompanied by muscle atrophy and loss of fat under the skin. A child, 1 year and 6 months old, came with complaint of steady weight. Told by the father, that the patient's weight raised only 3.5 Kg in 18 months after birth. The patient's appetite is very bad. In addition, patients have long experience coughing, approximately since 6 months. Family history found that the patient's grandfather died one year ago due to pulmonary tuberculosis infection. On physical examination, the patient's general state was mild, compos mentis, and cranky. Weight 6.8 Kg, height 72.5 cm, head circumference 44 cm and upper arm circumference 11 cm, and the utritional status <-3 SD (WHO growth chart). Chest X-ray suggestive of pulmonary TB, scoring TBdiagnostic of this patient was 6. The patient diagnosed as PEM type marasmus with pulmonary tuberculosis. Patient were given nutritional and pharmacological therapy, F-75 according to the time of therapy, folic acid 1 x 5 mg (the first day) foloowed by 1 x 1 mg (the next day), vitamin A 200,000 SI, and cotrimoxazole syr 2 x 1 cth. Patients are also given tuberculosis drugs isoniazid, pyrazinamide, and rifampicin. In addition, the patient's parents were also given education. Problems often encountered in children with malnutrition and tuberculosis is difficult to recover completely. Therefore, it is very important to educate about how to eat and continuously take medicine, especially to the mother. [J Agromed Unila 2015; 2(1):47-51]Keywords: bad nutrition status, child, marasmic, pulmonary tuberculosis
MANAGEMENT OF SECONDARY GLAUCOMA DUE TO SENILE CATARACT IN 56 YEARS OLD MAN Arnia Arnia
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Glaucoma is the second leading major cause of blindness in the world after cataract. The morbidity is estimated at ± 70 million people. According to the Indonesian Ministry of Health survey reported in 1996, glaucoma is the third major cause of blindness in both eyes after cataract and blindness due to refractive error, with a prevalence of approximately 0.16% of the population. A man, 56 years old, present with a redness left eye with pain around the eyes and headace since ± 2 days before hospital admission. The eye pain first felt 6 months ago. Patient feel increasingly blur vision, often seen misty shadows and glare on the left eye. From examination on the left oculi found visual acuity was 0, the conjunctiva bulbi obtained mix injection, corneal edema (+), pupil rounded and at central, mydriasis (+), light reflex (-), cloudy lens, ocular tension increased with palpation. Patient diagnosed with secondary glaucoma et causa senile cataract. Management of this patient was hyperosmotic agents or manitol 250 mg/4 hours,timolol/betaxolol 0,25 to 0,50% eye drop 2 times a day; pilocarpine 2% eye drop 3 times a day; acetazolamide 250 mg tabs 3-4 times a day, KSR tab 1 a day, and planned for operation procedure if intraocular pressure has decreased. [J Agromed Unila 2015;2(1):52-56]Keywords: cataract, glaucoma, management
ACUTE EXACERBATIONS ON CHRONIC OSTRUCTIVE PULMONARY DISEASE (COPD) WITH SECONDARY INFECTION Nanang Hidayatulloh
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 2 No. 1 (2015): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Chronic obstructive pulmonary disease (COPD) is a disease that can be prevented and treated. This disease cause some significant extrapulmonary symptoms which can result in different levels of severity for each individual. The main cause of COPD is cigarette, the smoke pollution from burning, and harmful gas particles. Acute exacerbations on COPD is associated with secondary infection in respiratory tract. Male, 77 years old, came with complaint of shortness of breath since 4 days before hospitali admission. Shortness arise when patient on activity and reduce while resting. Patient also complained of cough with greenish-yellow sputum since 3 years ago. On physical examination found barrel chest, vocal fremitus weakened, hipersonor percussion, and wheezingauscultation in both lung fields. Laboratory tests showed leukocytosis (11,000/ul), spirometry VEP1 45%, and x-rays looked impression of COPD. Patients was given supportive therapy with oxygen 2 liters/minute, pharmacological therapy of salbutamol + ipratropium bromide nebulizer every 8 hours, dexametasone injection of 5 mg every 8 hours, daily antibiotic ceftriaxone 2 grams, and mucolytics continued with medical rehabilitation. [J Agromed Unila 2015; 2(1):57-62]Keywords: chronic obstructive pulmonary disease, cigarette, cough, male, shortness of breath
MANAGEMENT OF ECTOPIC PREGNANCY WITH HYPOVOLEMIC SHOCK GRADE III FROM THE SIDE OF ANESTHESIOLOGY eka Cania; Bambang Eko Subekti
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Ectopic pregnancy occurs when the conceptus implants outside the normal endometrium. Critical situation can occur if the ectopic pregnancy causes abortion or tubal rupture. About 16% of deaths by severe bleeding (hemorrhagic) in pregnancy is reported to be caused by a ruptured ectopic pregnancy. Hypovolemic shock is a shock that occurs due to a reduction in intravascular plasma volume. This shock, in ruptured ectopic pregnancy case, may occur as a result of hemorrhagic. Mrs. N, 29 years old, was taken to the hospital with complaints of lower abdominal pain accompanied by vaginal bleeding since 2 days before hospital admission. Thepatient had no menstrual periods since 2 months ago and was confirmed pregnant by a pregnancy test. On arriving at the hospital, the patient in a state of compos mentis that confirmed with the Glasgow Coma Scale (GCS) was 15, blood presure was 110/50 mmHg, pulse rate was 120x/min, respiratory rate was 24x/min, temperature was 36,0ºC, which were drasticly change into shock in one hour later. Physical examination found tenderness and rebound tenderness in the suprapubic region (+). Gynecological examination found livide portio, closed Orificium Externum Uteri (OEU), flour (-), fluxus (+), no active vaginal bleeding. In vaginaltoucher found vaginal mucosa palpabled smooth, lower portio palpabled soft, closed OEU, right-left AP palpabled tense, painful shake portio (+), prominent douglas cavity, culdocentesis found blood. Superior and inferior extremities felt cold (+/+), no cyanosis, good turgor, capilary refill time (CRT)>2 seconds. Laboratory examination obtained Hb 5.5 g/dl, hematocrit 15%, leukocytes 24,500/ul. This patient was diagnosed with ruptured ectopic pregnancy with hypovolemic shock grade III and was treated with fluid resucitation then emergency laparotomy. This condition has dubia ad malam prognosis, because it is determined by the accuracyand speed of treatment. [J Agromed Unila 2014; 1(3):202-206]Keywords: fluid resuscitation, hypovolemic shock grade III, ruptured ectopic pregnancy
MANAGEMENT OF PULMONARY TUBERCULOSIS IN RELAPSE PATIENT Raihan Syafiin Syakti
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Morbidity, mortality, and disability of tuberculosis (TB) increases with the increasing life expectancy, the increasing number of smokers, and relapse of tuberculosis. Tuberculosis disease is an infectious disease that is directly caused by the Mycobacterium tuberculosis bacteria. Source of infection is the TB patients (with positif acid bacillus) that can spread the bacteria through the air into the respiratory droplets. The patient, 45 years old male, came to Rumah Sakit Umum Abdul Moeloek(RSAM), with chiefcomplaint of coughing and shortness of breath accompanied with fever since a month ago. Shortness of breath continues throughout the day, this symptom was felt even worse if patient had a lot of activities. Fever was felt at any time since a week ago. This complaint is accompanied by productive yellow phlegm cough. Weight loss occured during the last 6 months. Patient had history of 6 months pulmonary tuberculosis treatment and smok ing for 10 years. Patient also had history of pleural fluid punction procedure in the chest. The patient had no history of diabetes, accidents, or heart disease. Relapse pulmonary tuberculosis shouldbe diagnosed and treated as soon as possible to avoid complications such as acute respiratory distress. The management of relapse pulmonary tuberculosis is medication for 8 months and which divided by 2 stage, intensive stage and advanced stage. For advanced stage, if available, can be performed antibiotic resistant tests, the results can provide appropriate drug choice. [J. Agromed Unila 2014; 1(3):207-210]Keywords: drug resistant, pulmonary tuberculosis, relapse
BIPOLAR AFFECTIVE DISORDER AND MANIC EPISODE WITH PSYCHOTIC SYMPTOMS IN A 39 YEARS OLD MAN Lewi Martha Furi
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Bipolar is a mood disorder that consists at least one manic episode, hypomania, or mixed which is usually accompanied by a history of major depressive episodes. An extreme shift of mood, motivation, and energy suffered by patients with bipolar can lead to disability and even suicide. Therefore, it is important to know the symptoms, how to diagnose, and the treatment. A man, 39 years old, came with his family with the complaint of rampage and beating people for no reason. Over the past month, the family admitted patients cannot sleep. On physical examination found cuts on the right cheek. General status, neurological, and laboratory tests are in normal range, from psychiatric examination obtained clear consciousness, elevation of mood occasionally disforic, blunted affect, Inappropriate, with auditory, tactile, and visual hallucinations accompanied with delusions of greatness and erotomaniac. Patients diagnosed with axis I: F31.2 bipolar affective disorder, manic episode with psychotic symptoms; axis II: notfound yet; axis III: vulnus laceratum in the right maxillary region; axis IV: primary support group problems; axis V: GAF20-11. Pharmacotherapy with haloperidol 3x2 mg tab, clozapine 2x25 mg tab, and supportive psychotherapy. Bipolar disorder in these patients was initiated after his wife passed. [J Agromed Unila 2014; 1(3):211-215]Keywords: bipolar, hallucination, man ,manic, phsycotic
NEPHROTIC SYNDROME IN 2 YEARS OLD CHILD Rahma Putri Kinasih
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Nephrotic syndrome is a chronic glomerular disease most often in children. The incidence of nephrotic syndrome at 2-7 per 100.000 children per year and a prevalence at 12-16 per 100.000 children. In Indonesia, nephrotic syndrome was reported at 6 per 100.000 children per year. Ratio of boys and girls is 2:1. Until the mid-20th century, the morbidity of nephrotic syndrome in children is still high, exceeding 50%. A boy, 2 years old, accompanied with chief complaint of body swollen or puffy, swollen at the location of the eyelid region (puffy face), chest, abdomen, arms and legs, presence of mild and moderate hypertension, presence of oliguria.Laboratory tests results obtained serum albumin level of 1.4 g/dl (hypoalbuminemia), blood cholesterol level 339 mg/dL (hypercholesterolemia), there is protein in the urine (proteinuria) 3+ or total protein 3.2 g/dl, the presence of erythrocytes in urine 15-20/hpf (microscopic hematuria). Management of non medical with sodium and calorie diet and medical management with diuretics such as furosemide at a dose of 2x15 mg to reduce edema. There is a mild degree hypertension were given captopril 2x6.25 mg. Given antibiotic drip Ceftriaxon 1.5 g. Corticosteroids are not given because the patient had hypertension. [J Agromed Unila 2014; 1(3):216-221]Keywords: edema, hypercholesterolemia, hypoalbuminemia, nephrotic syndrome, proteinuria
A 30 YEARS WOMAN WITH MAJOR DEPRESSIVE DISORDER WITH PSHYCHOTIC SYMTOMPS Prataganta Iradat
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Depression is a common mental disorder that appears with a sad mood, loss of interest, decreased of energy, low self-esteem, sleep or appetite disturbance, and decreased of concentration. This disorder incidence is increased with the increasing senescence. Women, 30 years old, with a chief complaint of delusion that she had already died. Because of this, she often attempted suicide. From anamnesis found that patient in low mood, kept silent and abstracteded, lost appetite and pull away from the environment. Psychiatric status found the general impression of the patient seen untidy in dressing, facial features appropriate with age, sadexpression, lack of concentration, mood/affective was sad/hypothimia. The way of thinking was less productive, coherent, relevant, with no language impairment, the contents of thought are nihilistic delusions and delusions of guilt. There are hallucinations and illusions. The insight level was 1. Multiaxial diagnosis are axis I: major depressive episode with psychotic symptoms; axis II and III: currently not found; axis IV: problems with primary support group (family); axis V: GAF 60-51. Patients received psychotherapy and pharmacotherapy in the form of fluoxetine, risperidone. Mental disorders experienced by patients due to various factors. Therefore,the patient need cooperative support and good communication from physicians, patients herself, and families. [J Agromed Unila 2014; 1(3):222-227]Keywords: depression, depressive disorder, mood, pshychotic
CONTACT DERMATITIS WITH LATEX CONTACT RISK FACTOR IN PT. X Risti Graharti
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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In many industries today, the prevalence of occupational contact dermatitis is increasing with increased use of chemicals in the industry which prevalence reach 67.7%. National Institute of Occupational Safety Hazard estimate the incidence of occupational dermatitis is actually 20-50 times higher than the reported cases. Patients, 49 years old male, with chief complaint of thickened hands accompanied with peeling nails since last 7 years. At first, complaint emerged in the form of itching and burn sensation in both hands, followed by the onset of a round red spots of a pin head and little bit swollen. Eventually, the spots become bubblesfilled with water. Some bubbles contains pus and dried. During these 7 years, the patient's skin thickened and becoming white between the fingers and hands, some sections also appears brown. The patient admitted his fingernails peeled and some parts changed color to brown. The patient was diagnosed with occupational contact dermatitis (irritant and allergic) et causa rubber’s liquid. Patient was given 3x500 mg amoxicillin, dexametason 2x0.5 mg, antihistamine cetirizin 1x10 mg, and betamethasone cream. The non medical therapy was education for wearing protective equipment and avoiding skin contact with rubber or otherchemistry substances, keep personal hygiene by cleaning gloves after use and putting them in a safe place, recognize and preventskin contact with materials which may cause contact dermatitis, reducing severe activity especially in the affected hand. [J Agromed Unila 2014; 1(3):228-231]Keywords: allergic, contact dermatitis, irritant, occupational, rubber
A 27 YEARS OLD WOMAN WITH SEVERE PREECLAMPSIA AND PARTIAL HELLP SYNDROME Annida Nurul Haq
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 3 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Preelampsia and HELLP Syndrome are one of emergency case in obstetric, which is characterized by hypertension and proteinuria after 20 weeks gestation, where HELLP Syndrome is presence of hemolysis, elevated liver enzymes, and low platelets. A case report taken at October 2013 in Abdul Moeloek general hospital. Primary data way obtained from anamnesis and physical examination. Secondary data was from laboratorium examination and medical report. A 27 years old, fullterm pregnancy, G2P1A0, came todelivering with history of hypertension since 32 weeks gestacy, the laboratorium examination is thrombocytes 147.000/mm3, LDH 644 u/l, and urinary excretion of 5gr protein in a 24-hour specimen (4+ reading on dipstick). The management of this patient is including fluid management, preventing eclampsia, management of blood pressure and corticosteroid. Precise management in this case prevents advance complication and decrease mothers mortality rate. [J Agromed Unila 2014; 1(3):232-237]Keywords: HELLP syndrome, hypertension in pregnancy, preeclampsia, severe preeclampsia

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