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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 13 Documents
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Search results for , issue "Vol 13 No 2 (2023): Medula" : 13 Documents clear
Faktor Risiko Kanker Kolorektal Naufal Rasyid Aswan; Rizki Hanriko
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.560

Abstract

Colorectal cancer is cancer of the colon or rectum. Colorectal cancer is the third most common cancer in men and second in women, and according to data from the World Health Organization (WHO), colorectal cancer accounts for nearly 1.4 million new cases every year worldwide. In 2017, there were 1.8 million cases of colorectal cancer worldwide, with a standard incidence rate of 23.2 cases per 100,000 person-years. This article is a literature compiled to analyze the risk factors associated with colorectal events. The references used are articles published between 2012-2022. Colorectal cancer risk factors are divided into modifiable risk factors and non-modifiable risk factors. The most dominant non-modifiable risk factor is a history of IBD, followed by a family history of cancer, history of diabetes, age and gender. The most dominant modifiable risk factor is psychosocial stress, followed by alcohol consumption, smoking history, and obesity.
Distribusi dan Situasi Vaksinasi COVID-19 Letifa Rahmadani; rasmi zakiah oktarlina; agustyas tjiptaningrum
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.618

Abstract

Developing a safe and effective COVID-19 vaccine and getting it into people's hands is a global priority that can bring hope for ending the COVID-19 pandemic. However, the application of this vaccine can differ between countries. This study takes a close look at vaccination policies, vaccination plans, and their implementation in Indonesia which may be relevant to other developing countries. Supply constraints are one of the problems faced by developing countries, including Indonesia, especially at the beginning of the vaccination period due to relatively low coverage of vaccination plans. Limited supply from producers is one of the biggest challenges in the initial vaccination period. The plan to procure early vaccinations in Indonesia will allow Indonesia to obtain more vaccine supplies over time to cover sufficient populations to acquire immunity. Apart from the importance of vaccination distribution, the willingness of individuals to receive the COVID-19 vaccine is a major challenge in many countries. However, the demand for a COVID-19 vaccine is relatively high among the world's general population. However, skepticism is a major obstacle to efforts to control the current pandemic. To promote the equitable distribution of vaccines, it is necessary to ensure that levels of price, access and acceptance are independent of available resources among individuals and countries. This can be achieved by raising awareness about the health-protective impact of vaccines among all citizens. The issue of vaccine distribution has become critical and a significant challenge in dealing with COVID-19, a global epidemic that has turned into a national disaster. Therefore, this must be addressed immediately because it can directly increase cases of COVID-19. This literature review discusses the distribution of vaccines and the problems encountered during the process.
HUBUNGAN LAMA MENDERITA DIABETES MELITUS DAN KADAR GULA DARAH DENGAN KUALITAS HIDUP PADA PASIEN DIABETES MELITUS TIPE 2 Nanang Priambodo; Rina Kriswiastiny; Dita Fitriani
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.386

Abstract

Diabetes Mellitus is a metabolic disorder with a marked high level of glucose in the blood. Diabetes mellitus can affect the quality of life of patients because diabetes mellitus will accompany a lifetime of patients with diabetes mellitus, if the treatment done to patients with diabetes mellitus is not appropriate. to determine the relationship between long-suffering from diabetes mellitus and blood sugar levels with quality of life in patients with Type 2 diabetes mellitus. this research uses observational analytical method and with cross sectional approach. based on the results of this study found that the most respondents who have a good quality of life is from the old group suffering from Type 2 diabetes mellitus >10 years as many as 31 (55.4%) respondents, and from the group of blood sugar levels 140-200 mg/dl sebnyak 29 (56.9) respondents. there is a relationship between long-suffering from Type 2 diabetes mellitus with quality of life with the results of p-value = 0.000 (p<0.05). It is known that there is a relationship between blood sugar levels and quality of life with the results of p-value = 0.000 (p<0.05).
KARAKTERISTIK TUMOR PAYUDARA PADA WANITA UMUR 35 - 65 TAHUN DI RSUD DR. H. ABDUL MOELOEK BANDAR LAMPUNG TAHUN 2018 Rima Nurbaiti; Festy Ladyani Mustofa; Ratna Purwaningrum; Nengah Budiarta
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.507

Abstract

Cancer has a unique characteristic, which consists of malignant cells that can spread to other parts of the body. This spread is called metastasis and can occur through blood vessels or lymph vessels.This research is observational descriptive by using a cross sectional method approach using purposive sampling technique with a total of 105 samples. Data collection began in November 2019. This research was conducted at RSUD Dr. H. Abdul Moeloek Bandar Lampung. Statistical data chi-square test using SPSS 25. The research respondents obtained totaled 105 samples obtained 88 subjects. Respondents with > 40 years are as many as 66 people (75.0%), family history of breast tumors as many as 4 people (4.5%). radiation history as many as 3 people (3.4%). history of using hormonal family planning as many as 26 people (29, 5%). tumor size >5cm as many as 52 people (59.1%). Types of malignant tumors as many as 57 people (64.8%). The majority of respondents were > 40 years old, had a family history of breast tumors, and a history of radiation, a history of using hormonal contraception.
. Metode Gyssens Sebagai Pilihan Utama Dalam Evaluasi Kualitatif Penggunaan Antibiotik di Indonesia Dheti Efrilia -; Novita carolia; syazili mustofa; rasmi zakiah oktarlina
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.526

Abstract

Antibiotic resistance is a global health problem in the world. Antibiotic resistance is defined as the absence of inhibition of bacterial growth by systemic administration of antibiotics with normal doses or minimal inhibitory levels. The World Health Organization (WHO) seeks to control antibiotic resistance globally by making global action plans to combat bacterial resistance to antibiotics, namely increasing the wise use of antibiotics and evaluating the use of antibiotics. The qualitative evaluation that can be used is the Gyssens method. The Gyssens method was chosen because this method has more specific aspects to evaluate each of the important parameters included in the use of antibiotics such as indication, effectiveness, safety, price and spectrum, and can also evaluate treatment duration, dose, interval, and route of administration as well as time of giving. Therefore, this method is the main choice for evaluation of antibiotics in Indonesia.
Efek Samping Sectio Caesarea Metode ERACS (Literature Review) Arifaa Thalitha Z.; Liana Sidharti; Evi Kurniawaty
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.596

Abstract

Sectio caesarea surgery or cesarean section is a labor procedure to remove the baby through an incision in the abdomen (laparotomy) and uterus (hysterotomy). These surgeries are increasing all over the world (ACOG, 2021). The level of this operation continues to increase as evidenced by the report from the World Health Organization or WHO which will be published in 2021. The research was conducted using the literature review method. Literature review is a systematic, explicit and reproducible method for identifying, evaluating and synthesizing works. research results and ideas that have been produced by researchers and practitioners. The results of observations during the study on post-sectio caesarea (SC) birth mothers with the ERACS method, it was found that the implementation of early mobilization after 2-4 hours after surgery, most of the respondents were able to sit, and some even dared to stand. Then, after 8-10 hours, almost all of the respondents had removed the catheter, and some of the respondents had even taken a walk. After 13 hours after surgery, all respondents, based on the discussion above, which referred to several articles and journals, showed that the Caesarean section method had significant side effects, but there were also several advantages to the ERACS method, namely being able to make it easier and more effective in giving birth.
PENATALAKSANAAN HOLISTIK PENYAKIT EPILEPSI PADA PASIEN REMAJA DENGAN TINGKAT PENGETAHUAN YANG MINIMAL MELALUI PENDEKATAN KEDOKTERAN KELUARGA Riska Priyani; Cindy Gustavia Dwirusma; Diana Mayasari
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.603

Abstract

In developing countries, the incidence of epilepsy is 61-124/100,000 children per year. The prevalence of epilepsy cases in Indonesia is 8.2 per 1,000 population with an incidence rate of 50 per 100,000 population. In the management of epilepsy patients, cooperation from various parties is needed, one of which is the role of family doctors. Identify internal, external risk factors and clinical problems found in patients, apply a holistic and comprehensive family doctor approach according to the problems found in patients, and carry out evidence-based medicine management that is family-approach, patient-centered and community oriented. 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. Assessment was qualitatively and quantitatively carried out based on the initial holistic diagnosis, process, and end of the visit using food recall. A male patient, 17 years old, came to take an epilepsy control referral letter to the hospital. The patient has been diagnosed with epilepsy since 7 years ago. Patients routinely take medication to the hospital every month. At this time the patient said that the seizures began to decrease after taking the drug every day. Enforcement of diagnosis and management of these patients has been done holistically, patient centered, family approach and community oriented based on several theories and the latest research. In the process of behavior change, the patient has reached the trial stage
Ruptur Ureter Sinistra Pasca Histerektomi atas indikasi Adenomiosis Uteri dan Kista Endometrium Ghania Alizar; Nabila Quinsy Chiqita; Rodiani -
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.650

Abstract

Adenomyosis is a benign gynecological disorder that invades endometrial tissue into the myometrial lining and suspected as one of the causes of subfertility in women. Adenomyosis usually diagnosed in the 4-5th decade of life, at the end of the reproductive period and perimenopause, but currently many women of reproductive age already suffer from adenomyosis, several studies suggest that this is influenced by lifestyle changes. A 45-year-old female patient was admitted to the emergency department with complaints of difficulty urinating after a hysterectomy 8 days before admission to the hospital for indications of adenomyosis and endometrial cysts. In the anamnesis, the patient complained of only a small amount of fluid coming out of the drainage and urinary catheter and 4 days before admission to the hospital there was no flow of urine coming out of the urinary catheter. This patient then underwent ureteroscopy and found signs of left 1/3 distal ureteral rupture. Operative management consists of neoimplantation and placement of a Double J stent in the left ureter. After 4 days postoperative, the patient was allowed to go home.
Hubungan Diabetes Melitus Dan Merokok Dengan Kejadian Benign Prostatic Hyperplasia (BPH): Tinjauan Pustaka Haikal Nirfandi; Khairun Nisa Berawi; Exsa Hadibrata
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.655

Abstract

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate gland in the form of a histological disorder due to the proliferation of prostate cells. According to the World Health Organization (WHO), there are 70 million degenerative cases, and BPH is included in that, while in Indonesia there are 9.2 million cases of BPH, with the most occurring in men over 60 years old. There are several risk factors that can increase the likelihood of BPH, such as age, race, family history of BPH, hypertension, obesity, and sexual activity. Men who have had a vasectomy are also at high risk of developing BPH. In addition, a history of diabetes mellitus and smoking habits are also risk factors that can increase the likelihood of BPH. The content of nicotine and conitin in cigarettes can increase the activity of androgen-damaging enzymes, resulting in a decrease in testosterone levels.
Diagnosis dan Tatalaksana Psoriasis Muhammad Rafi Eka Putra; Dwi Indria Anggraini; Syahrul Hamidi Nasution; Hendra Tarigan Sibero
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.656

Abstract

Psoriasis is a chronic skin inflammation characterized by clear erythematous plaques, rough scales, and layered silvery white plaques, especially on the elbows, knees, scalp, back, umbilicus, and lumbar region. 125 million people worldwide have psoriasis, with prevalence varying in different countries. Psoriasis has a prevalence of 1% to 3% in Europe and the United States. Psoriasis is a disease caused by an autoimmune condition. The diagnosis of psoriasis can be made based on the clinical picture. The physical examination should include examination of the primary lesion and other common areas affected by psoriasis including the scalp. A family history should be asked to support the diagnosis. The diagnosis can also be established by the presence of candle drip phenomenon, auspitz and kobner (isomorphic) which are symptoms of psoriasis. In addition, a histopathological examination can also be performed with a picture of hyperkeratosis, parakeratosis, acanthosis, Munro's abscess, papillomatosis and vasodilatation subepidermis. Psoriasis therapy is given topically in mild degrees and systemic therapy and phototherapy are given in moderate to severe psoriasis. Topical therapy that can be given is corticosteroids, vitamin D analogues, retinoids, TAR (LCD 3-10%), keratolytics (salicylic acid), and emollients. Systemic therapy used in moderate to severe cases includes acitretin, methotrexate, cyclosporin. Commonly used autotherapy in the treatment of psoriasis are narrowband ultraviolet B (NB-UVB), broadband ultraviolet B (BB-UVB), and topical 8-methoxypsoralen and UVA (PUVA).

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