cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Risti Graharti
Contact Email
risti.graharti@gmail.com
Phone
+6281369730011
Journal Mail Official
medulla.fkunila@gmail.com
Editorial Address
-
Location
Kota bandar lampung,
Lampung
INDONESIA
Medula
Published by Universitas Lampung
ISSN : -     EISSN : 97726154     DOI : -
Core Subject : Health, Science, Education,
Education Medicine & Pharmacology Neuroscience Public Health
Medical Profession Journal of Lampung didirkan pada tahun 2013. Medula hadir memenuhi kebutuhan publikasi jurnal bagi mahasiswa Fakultas Kedokteran, Dosen ataupun klinisi dan profesi lain dibidang kedokteran. Medula diterbitkan dengan frekuensi 4 kali dalam setahun yang tiap nomornya mencakup 30 jenis artikel ilmiah seperti artikel penelitian, laporan kasus, tinjauan pustaka dan lain-lain. Medula sudah memiliki nomor ISSN media cetak sejak tahun 2013
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 30 Documents
 1   2   3 
Search results for , issue "Vol 12 No 4 (2022): Medula" : 30 Documents clear
PENATALAKSANAAN HOLISTIK DISPEPSIA FUNGSIONAL PADA WANITA USIA 21 TAHUN DENGAN MELALUI PENDEKATAN DOKTER KELUARGA Redina Andini; Aila Karyus
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.516

Abstract

Dyspepsia fungsional is health problems that are often encountered in daily practice and are diseases with a large number of cases in Indonesia. Family doctor services play an important role as a treatment approach for patients because it applies as a help of healing, health promotions, and preventing diseases. The family doctor approach includes patient centred, family approach strategies, and community oriented. Important role in reducing the incidence and mortality of dyspepsia, as well as increasing the cure rate. Patients must know about their disease and have the awareness and motivation to complete treatment and lifestyle modifications so that treatment goals can be achieved. The study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record at the Puskesmas. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. A patient with complaints of heartbrun since 1 days before going to the Puskesma. Patient complains of abdominal discomfort such as feeling of bloating and pain in the form of stinging in the middle of abdomen and burning sensation in the pit of stomach. Another complaint that is felt  is feeling nauseous, vomiting and no appetite. In this case, diagnosis and treatment have been carried out according to the latest theory and journals. After the intervention, there was a decrease in clinical symptoms and an increase in the knowledge of patients and their families. patient Patients diagnosed with dyspepsia fungsional was in accordance with the theory from several guidelines and journals, there was a change in knowledge of the patient and his family after an intervention based on Evidence-Based Medicine which was patient-centred and family approach.
Korelasi Aminotransferase Platelet Ratio Index (APRI) Dengan Kadar Bilirubin Serum Pada Penderita Sirosis Hepatis Akibat Infeksi Virus Hepatitis C Di RSUD Dr. H. Abdul Moeloek Lampung Vira Katya Aurelia; Intanri Kurniati
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.518

Abstract

Hepatitis C is an Inflammation in Liver because of Hepatitis C Virus (HCV). When HCV turning into the bloodstream and enter the liver, HCV will attached to liver cells and starting proliferate. Liver cells becomes broken and causing fibrosis. When in the fibrosis phase, Trombopoietin will in the lower phase and thrombocytopenia will happen. An enzyme that most associated with the destruction of the liver cells is AST and ALT. APRI is apredictor of the cirrhosis progressivity with 81% sensitivity to assess the severity of cirrhosis that APRI is the patients AST value and the platelet. In liver cirrhosis will turns into hyperbillirubine. Intrahepatic phase involves inflammation or abnormalities in the liver that interfere with the removal of bilirubin. This study aims to determine the correlation between APRI and serum bilirubin levels and the mean correlation between AST, ALT, platelets and serum bilirubin levels in patients with hepatic cirrhosis due to hepatitis C virus infection at RSUD Dr . H. Abdul Moeloek Lampung. This study used a consecutive sampling research design and was conducted in June-July 2020. The study sample was 51 subjects. The data used in this study are secondary data, namely medical records. The case group consisted of 27 male patients and 24 female patients. Data were analyzed using Pearson test. : The results of bivariate analysis between APRI and serum bilirubin levels showed a p value of 0.000 which indicates a positive and very strong correlation between APRI and serum bilirubin levels, positive and strong correlation between AST and ALT with serum bilirubin levels, and negative and sufficient correlation between platelets and Serum Bilirubin levels in patients with hepatic cirrhosis due to hepatitis C virus infection at Dr. H. Abdul Moeloek Lampung
Penatalaksanaan Holistik Pada Anak Dengan Skabies Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Rawat Inap Gedong Tataan Katya Rizqita Fitriana; Joana Sirooj Irsyaadyah; Aila Karyus
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.520

Abstract

Scabies is a skin disease caused by infestation and sensitization of the parasite Sarcoptes scabiei var. hominist. According to the World Health Organization (WHO), scabies often occurs in tropical and hot countries and in areas with high population density. It is also estimated that there are 200 million people worldwide suffer from scabies at one time and an estimated 10% of children in poor areas. Risk factors for scabies include socio-economic and low knowledge, personal hygiene and poor environment. Scabies is often overlooked because it is not life threatening. Appropriate case management holistically using a family medicine approach is needed to achieve therapeutic success and break the chain of disease transmission to the community. Patient An. AK aged 18 months came with complaints of itching since 2 months ago and there were small nodules the size of a pin filled with clear fluid in the itchy area which were then scratched and broke. Complaints have not been treated, and the longer the itching gets worse. The patient is worried that the complaint getting worse, not disappear and not heal so that it interferes with the patient's activities. Clinically the patient was diagnosed with scabies (ICD-10 B.86; ICPC-2:S72). Internal risks in the form of lack of personal and environmental hygiene, lack of knowledge, inappropriate treatment behavior. External risks include friends and family members who have the same complaint, lack of family hygiene, lack of family knowledge. Functional grade 1, which is able to carry out activities as before the illness without difficulty. Furthermore, holistic management is carried out, namely intervention using poster media. In the evaluation, the results obtained in the form of a better understanding of the disease and changes in behavior that have an impact on the success of therapy.
Penatalaksanaan Pneumonia Pada Balita Usia 7 Bulan dengan Pendekatan Kedokteran Keluarga Nada Naqiyya; Fukrapti; Aila Karyus
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.522

Abstract

Pneumonia is a disease that attacks the lower respiratory tract by pathogens. The most common causes in toddlers and children are viruses and bacteria. This article is a form of implementing family doctor services for patients by identifying risk factors, clinical problems, management and prevention efforts for patients based on a patient-centered and family problem solving framework. This study is a case report using primary data obtained through alloanamnesis, physical examination, home visits to complete family and psychosocial data, as well as environmental conditions. The assessment is based on a holistic diagnosis from the beginning, process and end of the study both quantitatively and qualitatively. A 7 month old toddler patient with a diagnosis of pneumonia. In this case, the internal factor that played a role in the patient was the patient's age, which was 7 months. External factors, namely the lack of family knowledge about pneumonia, its complications and the environment that has trigger factors. These patients were then given pharmacological and non-pharmacological interventions according to evidence-based medicine. The evaluation results showed an improvement in the patient's clinical condition and increased family knowledge about pneumonia. The diagnosis and management of this patient have been carried out according to the guidelines. Changes in behavior and knowledge of patients and their families are seen after interventions that are patient centered and family approach.
G3P2A0 Hamil 26 Minggu Inpartu dengan Perdarahan Trimester II e.c Mola Hidatidosa Parsial Janin Tunggal Hidup Intrauterin Riska Putri Soraya; Muhammad Caesario Liazmi; Nurul Islamy
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.524

Abstract

Hydatidiform mole is an abnormal condition in pregnancy with part or all of the chorionic villi undergo hydropic degeneration. Hydatidiform mole is divided into complete hydatidiform mole and partial hydatidiform mole. The incidence rate in Indonesia is around 1:80 normal deliveries. While the incidence of partial moles is rare, the incidence varies from 5:100,000 and 1:10,000 pregnancies. Mrs. A 37 years old came to the ER Abdul Moeloek Hospital with complained abdominal pain and vaginal bleeding. Result of general examination: moderate ill appearance, blood pressure was 148/89 mmHg, other sign examination were within normal limits. On obstetric examination, the uterine fundal height was two fingers above the umbilicus, the fetal heart rate was 155x/min and three contractions in 10 minutes, the duration was 20-40 seconds. Speculum examination result : opened portio, there is a fish eyed-like bubble, and active bleeding. Ultrasound examination revealed that she was pregnant 26 weeks with a partial hydatidiform mole. Complete blood count with severe anemia. Whereas immunological and serological examinations results: β-hCG 5,242,880 mIU/mL; T3 1.93 nmol/L; T4 157, 43 nmol/L; TSH 0.01 uIU/mL. So the diagnosis is G3P2A0 26 weeks of gestational age in active phase with a partial hydatidiform mole accompanied by hyperthyroidism and severe anemia with single live fetus intrauterine. Patient lead to spontaneous vaginal delivery were then treated with curettage, transfusion and postpartum care. Furthermore, the mole tissue was taken for Anatomical Pathology examination and the patient was planned to control for the β-hCG evaluation.
Analisis Hipertensi Sebagai Faktor Risiko Terjadinya Penyakit Ginjal Kronik Satria Adi Nugraha; Sutarto; Winda Trijayanthi Utama
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.527

Abstract

Chronic kidney disease (CKD) is a disease that has a fairly high impact on morbidity and mortality in the community. The prevalence of CKD in the world reaches 8-16%, while in Indonesia according to basic health research data in 2018 at the age of 15 years the incidence of CKD is 0.64% and is increasing every year. Hypertension is one of the risk factors for CKD. Hypertension is the most common cardiovascular disease suffered by the community and according to WHO data in 2015 there were 1.13 billion people experiencing hypertension. The method used by the author in compiling this article is in the form of a literature review study covering the activities of collecting scientific sources both nationally and internationally and presenting a summary in the form of the most relevant publications. Hypertension has a relationship with the incidence of CKD. This is reinforced and in line with several studies that have been carried out and obtained the results that there is a significant relationship between hypertension and CKD.
GAMBARAN TINGKAT PENGETAHUAN BIDAN DAN PERAWAT TENTANG PEMBERIAN VITAMIN K PADA BAYI BARU LAHIR DI PUSKESMAS KECAMATAN MESUJI TIMUR TAHUN 2022 Aprellia Irianti Irianti; Muhammad Yunus; Arti Febriyani Hutasuhut; Astri Pinilih
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.529

Abstract

Background: Vitamin K is a fat-soluble vitamin that has an important role in activating substances that play a role in blood clotting. Neonates tend to have relatively lower levels of vitamin K and vitamin K reserves in the liver compared to neonates. This causes newborns to tend to have vitamin K deficiency. Objective: To describe the level of knowledge of midwives and nurses about giving vitamin K to newborns at the Puskesmas Mesuji Timur District in 2022. The type of research used is descriptive with a cross sectional design. The sample in this study were midwives and nurses at the Mesuji Timur District Health Center with a total of 65 people. Results: In this study, the frequency of sufficient knowledge level of respondents was 47 people with a percentage of 72.3%. The conclusion of this study is that midwives at the Puskesmas Mesuji Timur District have good knowledge of 16%, 38% enough and less 8%. Nurses at the Puskesmas Mesuji Timur District have good knowledge of 26,7%, enough 60% and less 13,3%.
Single-Shot Anestesi Spinal Segmental Thoracic Atau Thoracic Spinal Anesthesia (TSA) Untuk Operasi Embolectomy Pada Pasien Dengan Acute Limb Ischemia (ALI) Stadium IIB : Laporan Kasus Imam Ghozali; Tasrif Hamdi; Rizki Arisandi; Alda Putri Rahmadilla
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.530

Abstract

General anesthesia is the most widely used anesthetic and is the standard for most surgeries. However, general anesthesia has several disadvantages, including side effects of the drugs used, longer recovery time, and inadequate pain control. Therefore, the use of regional anesthesia is an alternative option to reduce the adverse effects of general anesthesia, one of which is spinal segmental thoracic anesthesia. In this case report, a 52-year-old woman that diagnosed with Stage IIb Acute Limb Ischemia (ALI) underwent embolectomy under thoracic spinal segmental anesthesia. The patient presented with ASA III physical status with type II DM, CHF, CAD3VD and increased coagulation factors. Thoracic spinal anesthesia with a paramedian approach at the level of the T10-11 vertebrae using a regimen of levobupivacaine 5 mg and bupivacaine 2.5 mg. The adjuvants used were dexmedetomidine 5 mcg, ketamine 15 mg, and fentanyl 25 mg. During the operation there were no hemodynamic fluctuations. Post-operative monitoring of the patient's condition was stable, pain control was good, and there were no complaints of headache, nausea, and vomiting. Segmental thoracic spinal anesthesia has several advantages such as the need for lower anesthetic doses, safer than lumbar spinal anesthesia, good pain control, faster recovery, and avoiding the side effects of general anesthesia. Therefore, this anesthetic technique can be an effective alternative choice for general anesthesia
Cara-cara mempercepat penyembuhan luka takhfa nur asyifa; Syazili Mustofa; Helmi Ismunandar; Winda Trijayanthi
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.531

Abstract

A wound is a disconnection of tissue continuity due to damage, or loss of tissue substance due to injury or surgery. wounds are the most common injuries found in our daily lives. there are 3 phases of wound healing process are inflammatory phase, proliferation phase and maturation phase. this process is influenced by many factors like patient factors, wound factors and local factors. in the wound healing process, there are several things that can accelerate wound healing are away from cigarettes, reducing stress, improving nutrition by adding supplements (protein, vitamins and minerals), control chronic disease, stop consume alcohol, prevent infections (wound dressings and antibiotik), and avoid medical drugs that can affect wound healing. by understanding the physiology of good wound healing, we can accelerate wound healing and minimize unwanted effects
Pengaruh Pemanfaatan Lahan Pekarangan Rumah Terhadap Kejadian Stunting Revika Gina Luthfiya; Sutarto; Reni Zuraida
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.532

Abstract

Stunting is an irreversible growth disorder that can be influenced by many factors, one of which is influenced by inadequate nutritional intake. The prevalence of stunting in Indonesia is still quite high, so various efforts have been made by the government to tackle the stunting problem. One of the efforts made is to socialize the use of yard land as an effort to prevent and deal with stunting. This article is a literature review compiled to determine the effect of nutritional intake from the home garden on the prevalence of stunted and non-stunted toddlers. The literature sources used in this article use national and international scientific articles published in 2013-2022. Nutritional intake which is the main cause is macronutrient intake, namely carbohydrate, protein and fat intake. Intake of macronutrients provides a large energy contribution to the level of daily energy adequacy. Energy deficit that occurs in toddlers aged 1-5 years is the biggest cause of stunting. Toddlers with stunting will experience chronic growth failure, if not treated immediately it will have a long impact until puberty. Utilization of the yard will affect the amount and type of variation in nutritional intake in toddlers, the diversity of commodities from the home yard will increase the nutritional intake of toddlers so as to avoid chronic malnutrition and stunting. Keywords: Stunting, Use of yard land, Nutritional Intake

Page 2 of 3 | Total Record : 30

 1   2   3 

Filter by Year

2022 2022


Reset
Filter By Issues
All Issue Vol 14 No 10 (2025): Medula Vol 15 No 3 (2025): Medula Vol 15 No 2 (2025): Medula Vol 15 No 1 (2025): Medula Vol 14 No 12 (2024): Medula Vol 14 No 11 (2024): Medula Vol 14 No 9 (2024): Medula Vol 14 No 8 (2024): Medula Vol 14 No 7 (2024): Medula Vol 14 No 6 (2024): Medula Vol 14 No 5 (2024): Medula Vol 14 No 4 (2024): Medula Vol 14 No 3 (2024): Medula Vol 14 No 2 (2024): Medula Vol 14 No 1 (2024): Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense) Vol 13 No 7 (2023): Medula Vol 13 No 6 (2023): Medula Vol 13 No 5 (2023): Medula Vol 13 No 4 (2023): Medula Vol 13 No 3 (2023): Medula Vol 13 No 2 (2023): Medula Vol 13 No 1 (2023): Medula Vol 12 No 4 (2022): Medula Vol 12 No 3 (2022): Medula Vol 12 No 2 (2022): Medula Vol 12 No 1 (2022): Medula Vol 11 No 4 (2021): Medula Vol 11 No 3 (2021): Medula Vol 11 No 2 (2021): Medula Vol 11 No 1 (2021): Medula Vol 10 No 4 (2021): Medula Vol 10 No 3 (2020): Medula Vol 10 No 2 (2020): Medula Vol 10 No 1 (2020): Medula Vol 9 No 4 (2020): Medula Vol 9 No 3 (2019): Medula Vol 9 No 2 (2019): Medula More Issue