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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
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Search results for , issue "Vol 12 No 4 (2022): Medula" : 30 Documents clear
Penatalaksanaan Holistik Pada Laki-Laki Usia 69 Tahun Dengan PPOK Dan Hipertensi Grade II Melalui Pendekatan Kedokteran Keluarga Rizki Arisandi; Dian Isti Angraini
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.v12i4.533

Abstract

Changes in the level of welfare of the Indonesian people have led to an increase in the prevalence of non-communicable diseases, one of which is Chronic Obstructive Pulmonary Disease (COPD). The prevalence of COPD in Indonesia is 3.7% and in Lampung the prevalence is 2.04% and ranks number 7 of the 10 most common diseases found in Lampung. In addition, it is estimated that there are 1.28 billion people aged 30-79 years who have hypertension, of which two thirds live in developing countries, and about 46% are not aware of having hypertension. Less than half (42%) of the population with hypertension is diagnosed and treated. In this case report, it is reported that a 69-year-old male patient with COPD and grade II hypertension had concerns that his complaints would increase and not improve. The limited knowledge about the patient's health condition in the form of risk factors, disease prevention, treatment patterns and the lack of motivation and encouragement from the family to stop smoking and take the patient for routine health control are factors that cause problems that occur in patient and family. The management was carried out holistically using a family medicine approach and after evaluation it was found that the patient's symptoms were reduced, increased knowledge, and changes in the patient's diet and physical activity.
HIV stadium IV on ARV, Tuberculosis Paru dan Gizi Buruk Tipe Marasmus pada Anak Perempuan 10 tahun: Laporan Kasus Anniza Agustina; Kinanti Rahmadita; Shinta Nareswari
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.v12i4.539

Abstract

Human Immunodeficiency Virus (HIV) infection remains a global problem, with nearly 38 million people infected worldwide. Tuberculosis (TB) is the most common opportunistic infection found in HIV patients. Malnutrition in children with HIV infection can be caused by various factors such as individual factors, namely the absorption and metabolism disorders of children. Reported a 10-year-old girl with complaints of fever, cough and weight loss. The patient has been diagnosed with HIV since 4 years ago. The HIV status of both parents is unknown. History of contact with adult TB, namely the patient's father. Physical examination found multiple submental and submandibular lymph nodes (KGB) measuring 1x1cm palpable soft. On auscultation of the lungs there were crackles in both lung fields. Nutritional status of malnourished patients with marasmus type. AP chest x-ray examination revealed a primary impression of TB. The medical therapy given was continuing antiretroviral drugs (tenofovir, lamivudine, and evapirenz), D5¼NS fluids 1200cc/day, antibiotics ceftriaxone 1.2g/24 hours, antipyretic paracetamol syrup 3x7.5ml, folic acid 1x5mg on the first day and 1x1mg on the next day, Vitamin C 2x50mg, vitamin B complex 1 tablet per day and salbutamol 3x1,5mg. Pulmonary TB was treated with rifampin 200 mg/day, isoniazid 140 mg/day, ethambutol 300 mg/day, and pyrazinamide 500 mg/day. Non-medical therapy in the form of oral nutrition, namely rice, side dishes, and milk with a total calorie of 55kcal/kgBW/day.
Penatalaksanaan Holistik Tinea Kruris dan Obesitas Derajat I Pada Ny. J Usia 43 Tahun Di Puskesmas Kota Karang Melalui Pendekatan Kedokteran Keluarga Gusti Agung Putu Yogy Veda Ananta Gusti; Chika Tania; Sahab H. Sibuea
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.v12i4.545

Abstract

   Dermatophytosis infections have spread throughout the world. The prevalence of this disease is 20-25% with the most common cause being dermatophyte fungi, while the most common in Asia is tinea corporis infection with a prevalence of 35.40%. Implement a holistic approach to family medicine and comprehensively in detecting internal and external risk factors and solve problems based on Evidence Based Medicine that is family-approached and patientcentered. This study is descriptive study about case report. The primary data obtained through anamnesis, physical examination and a visit to the home. Secondary data were obtained from medical records of patients. The patient complained of reddish spots on the right left groin since 4 days ago. The patient also admitted that she could easily sweat and not ooften change her clothes. Diagnosis and management of this patient has been doing holistically, patients center, family approach based on several theories and current research that not just focused on the patient but to the other member of her familiy so it would resulting in an increase of cognitive and life quality on tinea cruris and obesity patient.
Perbandingan Efek Jus Buah Pare (Momordica charanti L), Jus Biji Petai (Parkia speciosa Hassk) Dan Kombinasi Keduanya Terhadap Kadar HDL (High Density Lipoprotein) Dan Kadar LDL (Low Density Lipoprotein) Darah Tikus Putih Jantan (Rattus Norvegicus) Galur andestya nanda pratama; Syazili Mustofa; Tri Umiana Soleha
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.v12i4.546

Abstract

Background: Dyslipidemia is an abnormality of lipid fraction in blood plasma, Dyslipidemia can cause coronary heart disease (CHD) which is the main cause of death in the world. Bitter melon juice (Momordica charanti L), bitter beans juice (Parkia speciosa Hassk) has an antioxidant (antidislipidemia) that able to influence the LDL and HDL level. Purpose: Compare Bitter melon Fruit Juice, bitter beans Juice and the combination of HDL and LDL levels in male white rats with a high-fat diet. Method: An experimental study using a posttest control only design group. Using 30 white Wistar rats. There were 5 groups, there are the negative control group (K-) were only given a standard diet, 4 other controls were given a high-fat diet, the positive control group (K+) were only given 2ml/200gBB quail egg yolk, bitter melon (P1) 100ml/KgBB , bitter beans juice (P2) 100ml/KgBB/day, and combination juice (P3) 200ml/KgBB, for 14 days. Results: Average HDL levels in bitter melon juice group (78.73 ± 1.42 mg/dl), bitter beans juice group (65.74 ± 2.02 mg/dl), and combination juice group (70.37 ± 1.35mg/dl). The mean LDL level in the bitter melon fruit juice group (75.92 ± 1.28 mg/dl), bitter beans juice group (76.52 ± 1.20 mg/dl), and combination juice group (52.12 ± 1.20 mg/dl). The mean HDL and LDL levels in treatment groups were significantly different from negative (K-) and positive (K+) control groups with p <0.05 Conclusion: Giving fruit juice is better than HDL levels, and combination juice is better for LDL levels in male white rats on a high-fat diet.
Wanita G2P1A0 Hamil 39 Minggu Belum Inpartu dengan Eklampsi Janin Tunggal Hidup dan Suspek Pertumbuhan Janin Terhambat Karina Azlia Amanda; Karunia Santi; Ratna Dewi Puspitasari
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.v12i4.548

Abstract

Eclampsia is a syndrome characterized by hypertension and proteinuria after 20 weeks of gestation and can be accompanied by organ damage and seizures. Preeclampsia and eclampsia are the causes of 30-40% of perinatal deaths and are one of the obstetric complications that cause a lot of morbidity and mortality in addition to bleeding and infection. The female patient, 21 years old, was taken to Abdul Moeloek Hospital by her family at the referral of Bumi Waras Hospital with complaints of pregnancy with high blood pressure and a history of seizures before hospital admission. From the examination of an obgyn specialist outside, an ultrasound was performed with the results of intauterine growth restriction. The gestosis index in this patient is 10. The diagnosis in this patient Gravida 2 Partus 1 Abortion 0 (G2P1A0) 39 weeks pregnant and not yet parturition with eclampsia of a live singleton fetus with cephalic presentation and suspect IUGR (intrauterine groth restriction). The patient received active management after receiving medical and observative therapy. Medical therapy consists of MgSO4, nifedipine and dexamethasone. The diagnosis and management in this case have been adjusted according to the reference.
Pengelolaan Limbah Obat dalam Rumah Tangga Tasya Nadia Putri; 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.v12i4.549

Abstract

Environmental pollution caused by drug waste has become a global concern because it can reduce the quality of human life. Based on Riskesdas 2018, 35.2% of households store drugs for self-medication. Drug waste is estimated to increase along with the population growth rate, followed by increased consumption of drugs in the community. Drug waste includes unused and expired drugs. Household drug waste is usually disposed of directly into landfills, so it has the potential to cause various problems in the environment, including damage to water, air, and soil, ecosystems, toxins for animals and humans. This article aims to determine the management of pharmaceutical waste in the household so that it does not cause negative impacts on health and the environment. The method of writing this article with a literature review is to analyze the management of drug waste in the household. Most people do not know the proper management of drug waste. Drug waste is disposed of without paying attention to the drug waste management system. The community is expected to be able to implement the management of drug waste in households to prevent environmental pollution that can reduce the quality of life.
Potensi Ekstrak Kulit Batang Bakau Minyak (Rhizophora apiculata) Sebagai Larvasida Terhadap Larva Aedes Aegypti Dzakwan Cedri Ketierteu; Jhons Fatriyadi Suwandi; Putu Ristyaning Ayu Sangging; Hanna Mutiara
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.v12i4.577

Abstract

Dengue Hemorrhagic Fever (DHF) is a disease in humans which is transmitted by the Aedes aegypti mosquito as a vector which causes many cases of death. In Indonesia, the number of cases of dengue fever deaths will be 705 cases in 2021. Alternative natural insecticides are needed to avoid potential resistance to chemical insecticides. Rhizophora apiculata stem bark contains active compounds, namely saponins, flavonoids, alkaloids, and tannins which are larvicidal. The purpose of this study was to determine the larvicidal effectiveness of Rhizophora apiculata stem bark extract. This study used a laboratory experimental research design with a post test only control group design pattern. Divided into 6 groups, namely negative control, 0.045%, 0.09%, 0.18%, 0.36%, and positive control. Each group contained 25 larvae in 20 ml of Rhizophora apiculata stem bark extract solution with 4 repetitions. The data analysis used was univariate data analysis to find which concentration caused the highest death of Aedes aegypti larvae. From the research results, it was found that the average mortality of larvae from 4 repetitions at concentrations of 0.045%, 0.09%, 0.18%, and 0.36% were 68%, 97%, 99%, and 100% respectively.
Faktor Risiko Pasien Coronavirus Disease-19 (Covid-19) Saphira Murfi; Tri Umiana Sholeha; Rani Himayani
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.v12i4.581

Abstract

Coronavirus disease-19 (Covid-19) is a disease caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus that has caused a worldwide pandemic and reached Indonesia in March 2020. This disease causes a various clinical manifestations from mild to severe, one of which also depends on risk factors that can exacerbate Covid-19 patients to the point of causing death. Risk factors that are often associated with Covid-19 diseases, such as age, race and ethnicity, gender, obesity, history of hypertension, chronic obstructive pulmonary disease (COPD), and diabetes mellitus. This is also related to the entry of viruses into the body that uses angiotensin-converting enzyme-2 (ACE-2), causing various risk factors to appear. This article is a literature review that was compiled using articles as references that were used between 2020-2022.
Penatalaksanaan Holistik Pada Wanita Usia 63 Tahun Dengan Penyakit Osteoarthritis dengan Hipertensi dan Dispepsia Melalui Pendekatan Kedokteran Keluarga thaharatin Giza; Azelia Nusadewiarti
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.v12i4.585

Abstract

Osteoarthritis is a chronic disease characterized by damage of joint cartilage that causing stiffness, pain, and movement disorders. While hypertension is a condition where a person’s systolic and diastolic blood pressure is >140/90 mmHg. Both osteoarthritis and hypertension are diseases that must be managed comprehensively because they are chronic. Implementing family doctor services by identifying risk factors, clinical problems, as well as patient management based on evidence-based medicine that is family-approach, patient-centred dan community oriented. The study conducted is a case report. Patient, Mrs. S, a woman, 63 years old, has a complaint of pain in both knee joints since about 3 days ago. Pain felt come and go and getting worse especially in the morning with a duration is about 15 minutes. The patient has an additional complaint of headache and epigastric pain. The patient was diagnosed as osteoarthritis with hypertension and dyspepsia. Several factors can affect patient’s condition, both internal and external risk factors. 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. The diagnosis of osteoarthritis with hypertension and dyspepsia in this patient was in accordance with the theory from several guidelines and journals, it was seen that there were a change in knowledge of the patient and his family after the intervention based on evidence-based medicine yang bersifat patient-centred dan family medicine approach.
G4P2A1 Hamil 38 Minggu Belum Inpartu dengan HAP e.c Plasenta Akreta dengan Riwayat SC Satu Kali, Janin Tunggal Hidup, Letak Lintang : Sebuah Laporan Kasus Fukrapti Fukrapti; Restu Krisnanda; 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.v12i4.594

Abstract

Placenta accreta is the abnormal implantation of the placenta in the uterine wall. The risk factors for placenta accreta include a history of myometrial damage due to cesarean section, placenta previa, maternal age > 35 years, and multipara. Meanwhile, the transverse lie is when the position of the fetus is perpendicular to the mother. The predisposition factors for transverse fetal position are multipara, placenta previa, and uterine myoma. Mrs. YS, G4P2A1, 32 years old, was referred from Way Kanan Hospital with bleeding from the genitals 3 weeks before she entered to the hospital. The bleeding was fresh red, no pain, 3 times changing pads per day. The patient was diagnosed with placenta accreta at 6 months of gestation. Examination of vital sign, general physical examination, and complete haematological examination were within normal limits. Obstetrical physical examination revealed fundal height of 3 fingers bellow the Xyphoideus Processus with estimated fetal weight of 2.790 gram, and transverse lie. Ultrasound results showed the impression of a single live fetus in a transverse position, biparietal diemeter indicated 38 weeks 3 days of gestational age with the placenta closing the OUI, pathological lacunae, hypervascularization, and bridging vessels. The patient underwent laparotomy and total hysterectomy. Postoperatively, ceftriaxone 1 gram/12 hours IV therapy, tranexamic acid 500 mg/8 hours IV, ketorolac 30 mg/8 hours, and transfusions of 2 PRC and 2 WB kolf were given. Post-transfusion haemoglobin 10.8 g/dL.

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