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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 13 No 6 (2023): Medula" : 30 Documents clear
The KURANG ENERGI KRONIS IBU HAMIL SEBAGAI FAKTOR RISIKO TERHADAP KEJADIAN STUNTING PADA BALITA (USIA 24-59 BULAN) DI WILAYAH KERJA PUSKESMAS WAY URANG KECAMATAN KALIANDA LAMPUNG SELATAN Muhammad Abi Nubli; Sutarto Sutarto
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.808

Abstract

Stunting in infants is influenced by the history of nutrition mother like Less Energy Chronic (KEK). Lampung Province in 2018 had a prevalence of 27.3% had a case of short toddlers . The prevalence of South Lampung in 2018 has a prevalence of 43.01% of 42,971 people suffering from stunting .In the district of Urung Way itself which has the highest prevalence is the village of chess clans that is equal to 41.49%. The purpose of this study was to determine the prevalence of SEZ as a risk factor for the incidence of stunting under five (ages 24-59 months) in the Work Area of Way Urang Health Center in South Lampung Regency . This research is observational with case control method. Sample research is mothers who had infants aged 24 - 59 months in Region Work Puskesmas Way Urang to sample a number of 52 cases and 52 controls. This study uses the book Maternal and Child Health (MCH), and for statistical analysis a chi-square test is used. The results of the study distribution of frequencies history Less Energi Chronic (KEK) at the time of pregnancy, namely 32 mothers (30.8%) had a history of KEK and as many as 72 mothers (69.2%) did not have a history of Less Energy Chronic (KEK) during pregnancy and Less energy Chronic (KEK) mother pregnant as a factor of risk of occurrence of stunting in infants (age 24-59 months ) in Region Work Puskesmas Way Urang District South Lampung.
P3A0 Perdarahan Pasca Persalinan Pervaginam et causa Atonia Uteri: Laporan Kasus Alandra Rizhaqi Vastra; Ikhlas Taufik; Nurul Islamy
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.809

Abstract

Postpartum haemorrhage is a state of blood loss >500 ml through vaginal delivery, or >1000 ml in caesarean section after delivery. One of the most common causes of postpartum hemorrhage is uterine atony. Uterine atony is a condition of weak uterine tone that causes the uterus to be unable to close the bleeding from the placental implantation site after the baby and placenta are born. Mrs. RF, 36 years old, came to the ER of RS Abdul Moeleok with postpartum bleeding since ± 2 hours before entering the hospital. The patient gave birth vaginally with the help of a midwife and experienced postpartum bleeding due to the absence of adequate uterine contractions (uterine atony) after delivery. The patient was treated with oxytocin and misprostol and the bleeding was resolved.
MINYAK NABATI SEBAGAI PENGGANTI BAHAN KIMIA TOKSIK PADA PROSES CLEARING JARINGAN HISTOPATOLOGI Balqis Mezzaluna D'Azzuri; Susianti Susianti; Nisa Karima
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.813

Abstract

The clearing stage is an important step in preparing tissue histology to be examined under a light microscope, clearing is done to clean the tissue so that it is possible to insert it with an embedding material. Xylene is the material most widely used because of its excellent compatibility with fixing materials such as alcohol and paraffin. However, xylene is known to have various toxic effects on the exposed body. Many alternative materials have been found to replace xylene as a clearing agent in the process of making histopathological tissues. These ingredients are vegetable oils including coconut oil, peanut oil, olive oil, palm oil, and corn oil. These materials can be used as clearing agents without affecting the histological tissue composition, are more affordable, and do not cause health problems.
Penatalaksanaan Holistik Pasien Laki – Laki Usia 53 Tahun Dengan Low Back Pain dan Diabetes Melitus Tipe 2 Melalui Pendekatan Kedokteran Keluarga Ahmad Zidane Sagareno; Tutik Ernawati
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.816

Abstract

Low back pain is pain in the lower back area caused by nerve problems, muscle irritation or bone lesions. In Indonesia, the prevalence of musculoskeletal diseases is 24.7 percent, while in Lampung province the prevalence of musculoskeletal diseases is 18.9 percent. The highest prevalence of musculoskeletal disease at work is a farmer, fisherman or laborer at 31.2 percent. At the initial treatment, a 53-year-old male patient was found with complaints of pain in the lower back. Primary data were obtained through interview, physical examination and home visits. Secondary data was obtained from the patient's medical records at the PUSKESMAS (Community Health Centre). Family doctor services are carried out to identify risk factors, clinical problems, as well as evidence-based medicine based patient management that is family-approach, patient-centered and community oriented. The assessment is carried out based on a holistic diagnosis of the initial, process, and final studies both quantitatively and qualitatively. In patients found comorbid Diabetes Mellitus Type 2. The interventions provided were in the form of medical and non-medical interventions related to the patient's disease. Medical intervention aims to minimize complaints and prevent complications in order to improve the patient's quality of life. Non-medical interventions in the form of patient and family education about disease risk factors, patient lifestyle, eating patterns, and physical activity. After the intervention, the visual analogue scale of pain (VAS) is decreased from six to one.
Penatalaksanaan Holistik Paseien Wanita Usia 73 Tahun Dengan Skizofrenia Dan Hipertensi Melalui Pendekatan Kedokteran Keluarga Muhammad Jundi Nasrullah; Dian Isti Angraini
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.817

Abstract

Schizophrenia is a syndrome characterized by decreased or inability to communicate, impaired reality, cognitive impairment, and difficulty performing daily activities. Hypertension is a persistent condition of systolic blood pressure ≥ 140 mmHg and/or diastolic ≥ 90 mmHg. According to Riskesdas 2018 there are 7.0 per 1,000 Indonesian population suffering from schizophrenia. Meanwhile, the prevalence of hypertension at the age of ≥ 18 years was 34.1%. This case report describes a 73-year-old woman with complaints of difficulty sleeping at night because she still hears whispering voices and accompanied by headaches. Mental status examination revealed perceptual disturbances in the form of auditory hallucinations and thought content disturbances in the form of suspicious delusions. The management provided is in the form of medical and non-medical therapy as a holistic intervention with a family medicine approach. This study is aim to identifying risk factors, clinical problems, and management with a patient-centered and family approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The results of this study is patient was diagnosed with schizophrenia and hypertension. Limited knowledge of patients and families about the patient's disease is a factor that causes complaints to occur. In addition, dietary patterns in the family that are not suitable are also another factor that causes health problems suffered by patients. Holistic and comprehensive management of patient problems has been carried out by providing counseling to increase the knowledge of the patient's family.
Anestesi Umum pada Laparotomi dengan Indikasi Peritonitis Generalisata et causa Perforasi Apendisitis: Laporan Kasus Made Sherly Armiyanti; Asep
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.818

Abstract

Peritonitis is inflammation of the peritoneal cavity. Secondary peritonitis is one of the most common fatal surgical emergencies with a 10%−60% morbidity and mortality rate. Appendicitis is a common cause of peritonitis with an estimated prevalence of approximately 43.1%. The patient's prognosis is influenced by several factors, one of which is the quality of treatment. Surgery performed by a surgeon will certainly result in a faster and more effective treatment. Patient An. A, 7 years old, came with complaints of very severe abdominal pain since 2 hours before admission to the hospital, felt like being stabbed. Initially abdominal pain is felt in the lower right side, after that it spreads to all parts of the stomach. The patient has a history of abdominal massage by a shaman 5 hours before admission to the hospital. On physical examination, there was fever, tachycardia, VAS score 8, there was abdominal distension, Mc Burney’s sign, abdominal tenderness, muscular defans and rebound tenderness. The results of laboratory tests showed leukocytosis, thrombocytosis, and electrolyte imbalance. The results of an abdominal ultrasound examination showed acute appendicitis with suspicion of perforation. The patient was diagnosed with generalized peritonitis e.c appendicitis perforated and planned to perform laparotomy + appendectomy under general anesthesia. The postoperative diagnosis of the patient was generalized peritonitis + intestinal adhesions + perforated appendicitis by laparotomy + adhesiolysis + appendectomy.  
Penatalaksanaan Holistik ISK Pada Karyawan Perempuan Melalui Pendekatan Kedokteran Keluarga Andri Theja; Nicolaski Lumbuun
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.819

Abstract

Urinary tract infection (UTI) is one of the most common types of infection among female employees. Some of the factors that make female employees more susceptible to UTI are the anatomy of the female urinary tract that is different from men, such as the urethra being shorter and closer to the anus, making it easier for bacteria to ascend into the urinary tract. In addition, sexual activity, lifestyle and work environment can also play a role in increasing the risk of UTI in female employees. UTI is a common health problem among women and is often found in primary care. UTI in female employees can cause physical discomfort and negatively impact work productivity. Holistic management and a family medicine approach can provide significant benefits in the management of UTIs especially in female employees who generally due to work demands often hold back urination and lack of drinking water. In the family medicine approach, doctors involve the patient's family in planning and supporting the patient's care. Families and patients are given information about UTIs, symptoms to watch out for, and preventive measures that can be taken. In addition, holistic management also includes psychosocial aspects by providing emotional support to patients and families. Through the family medicine approach and holistic management, it is hoped that patients will gain a better understanding of their condition, experience symptom improvement so that patients do not experience chronic UTI and prevent complications so that they do not need to be referred to secondary care. This approach also helps build a strong relationship between the patient, family and family doctor, which contributes to long-term management and prevention of recurrent infections.
Hubungan Kecerdasan Emosional Dengan Strategi Coping Pada Mahasiswa Program Studi Pendidikan Dokter (PSPD) Fakultas Kedokteran Universitas Lampung Serra Meilawati; Denny Andika Kurniawan; Dwita Oktaria; Merry Indah Sari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.820

Abstract

The stress level of medical students is very high when compared to other study programs in the non-medical sector with academic-related problems being the stressor main. Medium stress level is the stress level most experienced by students of the Faculty of Medicine, University of Lampung. Stress can have negative effects such as difficulty concentrating and health problems. It is important to develop coping strategies in dealing with stress so that negative impacts do not arise. Efforts or reactions that arise when individuals face stress are called coping strategies. The choice of coping strategies can be influenced by various factors, one of which is emotional intelligence. The ability to recognize and manage emotions that are felt by oneself and others is called emotional intelligence. High emotional intelligence possessed by an individual will make the individual considered able to solve the problem well. The purpose of this study was to determine the relationship between emotional intelligence and coping strategies in students of the Medical Education Study Program (PSPD), Faculty of Medicine, University of Lampung. The data in this study were collected using emotional intelligence questionnaires and coping strategies that had been tested for validity and reliability. The stratified random sampling technique was used in taking 255 samples of the PSPD FK Unila students class of 2017, 2018, 2019, and 2020. Univariate analysis showed that the level of emotional intelligence most respondents had was 76% high emotional intelligence, 24% medium emotional intelligence, and no low emotional intelligence. Respondents who chose problem focused coping 96% and emotional focused coping 4%. Bivariate analysis with Fisher Exact test obtained p <0.05, so the conclusion is that there is a relationship between emotional intelligence and coping strategies in students of the Medical Education Study Program (PSPD), Faculty of Medicine, University of Lampung.
Diagnosis dan Tatalaksana Epilepsi Fitriyani Fitriyani; putri puspa devi; Ria Wahyu Januarti
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.822

Abstract

Epilepsy is defined as a brain disorder characterized by a tendency to cause continuous epileptic seizures with neurobiological, cognitive, psychological, and social consequences. The definition of epilepsy requires at least one epileptic seizure. 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. This study aims to systematically establish a diagnosis in a 42-year-old male patient so that the patient can be treated appropriately. The method used is case report with primary data analysis obtained through autoanamnesis, alloanamnesis, physical examination and supporting examination. A 42-year-old man came with complaints of recurrent seizures, a systematic anamnesis and physical examination were carried out to establish an etiologic diagnosis. The patient in this case was diagnosed with epilepsy. The patient in this case was diagnosed with epilepsy. The management given to this patient consisted of general management in the form of bed rest accompanied by monitoring of the patient's vital signs, and given medical therapy in the form of RL infusion XV gtt/min, gluconas ca drip/8 hours, KSR 3x1 tab, KCL drip 1 fls/8 hours, Phenytoin 1 ampoule/8 hours in 100 cc normosaline, and Folic Acid 2x1. To further support the diagnosis, the patient was advised to do an EEG examination.
TETRALOGI FALLOT: ULASAN SINGKAT PENCITRAAN RADIOLOGIS Laurensius Amedeo Sitindaon; Sri Indah Aruminingsih
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.823

Abstract

Tetralogy of Fallot is the most common cyanotic congenital heart disease. Tetralogy of Fallot has four classic cardiac anatomical abnormalities in the form of ventricular septal defect, pulmonary stenosis or right ventricular outflow tract obstruction, right ventricular hypertrophy, and overriding aorta. Each component has a varying degree of severity and influences the severity of its clinical manifestations. In addition to the four classic anatomic abnormalities, tetralogy of Fallot can also be accompanied by extracardiac abnormalities, some of which are related to the coronary and pulmonary arteries. The complexity of the anatomic abnormalities of this disease increases the need for an organized and combined imaging approach so as to optimize the diagnosis and optimal follow-up plan. Several diagnostic tools may be used, either alone or in combination, depending on the indication, patient age and clinical condition, local availability and expertise, cost of each device, and possible need for intervention. Chest X-ray serves as the initial modality in evaluating suspected congenital heart disease by reviewing heart size and great vessel abnormalities. Transthoracic echocardiography is the best diagnostic modality in diagnosing congenital heart disease including tetralogy of Fallot and intracardiac abnormalities but in some cases cannot evaluate extracardiac abnormalities. Computed tomography, magnetic resonance imaging, and angiography are imaging adjuncts in the evaluation of extra-cadiac abnormalities and may be adjuncts in pre- and postoperative evaluations. Each of these radiological imaging modalities has its own advantages and limitations in evaluating tetralogy of Fallot.

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