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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
Hubungan Asupan Makan Selama Pembelajaran Tatap Muka terhadap Status Gizi Anak Sekolah Dasar: Tinjauan Pustaka Jessica Putri Anumpitan; Reni Zuraida; Syahrul Hamidi Nasution
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.v13i6.824

Abstract

Since the COVID-19 outbreak was first discovered in Wuhan City, China, Indonesia has issued a policy to maintain social distance at the community level, so that the education sector diverts online learning. Online learning is learning using the internet network and handheld cellphones and computers as learning media. There are several models of online learning applications such as classroom, zoom, as well as whatsapp group. In the case of COVID-19 in Indonesia, children aged 5-12 years have an obese nutritional status with a diet often followed by weight gain and an increase in the frequency of sitting. This is caused by children's activities to stay at home and lead to the creation of a new lifestyle for children, namely a sedentary lifestyle. Parents also experience a dilemma in teaching their children during online learning because parents are not yet popular with distance learning using handheld cellphones or computers as learning media. Therefore, the SKB 4 Ministers also stipulate face-to-face learning because the pandemic has become endemic. During face-to-face learning in Indonesia, children aged 5-12 years have good nutritional status due to the activities of children who are able to return to activities outside the home such as returning to school. If food intake is balanced according to needs accompanied by the selection of the right food ingredients will give birth to good nutritional status. Food intake that exceeds the body's needs will cause excess weight and conversely food intake that is less than needed will cause the body to become thin and susceptible to disease.
Faktor Faktor Yang Mempengaruhi Terjadinya Infeksi Saluran Kemih Sekar Feni Widiyastuti; Tri Umiana Soleha
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.v13i6.825

Abstract

Urinary tract infection (UTI) is a collective term that describes any infection that involves any part of the urinary tract, include the kidneys, ureters, bladder and urethra. Urinarytract infection is also usually defined as an increase in the number of bacteria limiting 105 CFU or more, with symptoms such as frequent urge to urinate, pain, dysuria. Urinary tract infections can be caused by various types of bacteria. The bacteria that cause urinary tract infections are Escheria coli, Klebsiella sp, Proteus sp, Providensia, Citrobacter, Pseudomonas aeruginosa, Acinetobacter, Enterococsu faecali and Staphylococcus saprophyticus, Staphylococcus aureus, however, the leading cause of UTIs is generally caused by Escheria coli. There are many factors that influence the occurrence of urinary tract infections. The purpose of this literature review is to analyze the etiology and factors that influence the occurrence of UTI. The literature review was carried out through electronic-based journals, namely the Proquest database and Google Schola. The literature used is in accordance with the keywords, namely factors that influence the incidence of UTI. The inclusion criteria were articles published maximum in 2013. Meanwhile, the exclusion criteria were literature published in 2012 and below. Based on the research results obtained regarding. factors that influence the occurrence of urinary tract infections such as female gender, old age, catheter insertion, genital hygiene, comorbid diseases such as diabetes mellitus, hypertension, cerebrovascular disease and general health conditions.
Pengaruh Pemberian Ekstrak Buah Plum (Prunus domestica L.) Terhadap Panjang Badan Fetus Tikus Putih (Rattus novergicus) Galur Sprague Dawley Pada Tikus Putih (Rattus novergicus) Hamil Yang Dipapar Alkohol Dewi Tri Atmaningsih; Rodiani Rodiani
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.v13i6.827

Abstract

Alcohol consumption during pregnancy cause fetal alcohol syndrome and increases oxidative stress. Plum contains polyphenols as an antioxidant which can prevent oxidative stress by affecting the activity of osteoblasts and osteoclasts. This study aims to determine the effect of plum extract (Prunus domestica L.) on body length of fetal white rats (Rattus norvegicus) Sprague Dawley strain in pregnant white rats exposed by alcohol. This research used 30 white female rats of Sprague Dawley strain which divided into 5 groups. The positive control (KP) not given treatment, the negative control (KN) was given alcohol 0,27 ml/day on the 6th-15th day of pregnancy, the treatment group (P1, P2, P3) was given alcohol 0,27 ml/day and plum extract with respective dose 0f 40, 80, 160 mg orally for 21 days of gestation. Then the fetus was taken surgically on 21 days of gestation. This research showed that the average length of KP=41,34; KN=38,67; P1=39,22; P2=39,65; and P3=40,02 in mm. Then, the data were tested by One Way Anova test and resulting p value<0,05 and F count>F table for all data, then it followed by post hoc LSD test and the results showed p value<0,05 on measurements of body length except on KN-P1, P1-P2, dan P2-P3. There was effect of plum extract (Prunus domestica L.) on body length of fetal white rats (Rattus norvegicus) Sprague Dawley strain in pregnant white rats exposed by alcohol.
Identifikasi Pengobatan Yang Tidak Tepat (Innapropiate Medication ) Pada Pasien Geriatri Berdasarkan American Geriatric Society (AGS) Beers Criteria 2023 Anastasya Dian Nurratri; CitraYuliyanda Pardilawati
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.v13i6.828

Abstract

Inappropriate prescribing (IP) for parents may be interpreted as a situation where pharmacotherapy is not within accepted medical standards. This includes overprescribing, misprescribing, and underprescribing which have the potential to have risks of use that outweigh the clinical benefits. The population over 60 is growing faster than any other age group as the increase in life expectancy has outpaced the decrease in the birth rate. According to world demographics, the population aged over 60 years has tripled in 50 years, from 600 million in 2000 to more than 2 billion in 2050. The number of elderly people in Indonesia is among the top 5 in the world, namely 18.1 million in 2010 and will double to 36 million in 2025. Then from 2000 to 2025, the life expectancy of Indonesia's population will reach 67.8% and increase to 73.6%. The elderly are vulnerable to various physical disorders caused by natural factors and disease factors. The aging process occurs due to changes in various organs including the gastrointestinal system, urinary system, central nervous system and others
Segmental Thoracic Spinal Anesthesia (TSA) for Open Reduction with Internal Fixation (ORIF) Surgery in Right Humeral Fracture Patients: A Case Report Imam Ghozali; Natalia Danayati
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.v13i6.830

Abstract

General anesthesia is used in most surgeries, but there has disadvantages, such as drug side effects and a long recovery. Spinal anesthesia such as TSA is starting to get attention and become an alternative option to reduce adverse effects and more effective. This case report, a 33-year-old woman diagnosed complete closed fracture of the 1/3 proximal right humerus underwent Open Reduction and Internal Fixation (ORIF) surgery with segmental thoracic Spinal Anesthesia (TSA). The patient presented with ASA II with mild electrolyte imbalance. Thoracic spinal anesthesia with a paramedian approach at the level of T4-5 vertebrae using a regimen levobupivacaine 5 mg. The adjuvants used were dexmedetomidine 5 mcg, ketamine 5 mg, and fentanyl 25 mcg. Intraoperative and postoperative monitoring of the patient's condition was stable, pain control was good, and no postoperative complications such as headache, nausea and vomiting. Thoracic segmental spinal anesthesia has several advantages such as the need for lower doses of anesthetic drugs and relatively safer than lumbar spinal anesthesia, good pain control, faster recovery, and can avoid the side effects of general anesthesia, so that TSA can be an alternative technical choice for anesthesia.
A Case Report of Modified Radical Mastectomy (MRM) In A 59-Year-Old Female Patient With Comorbid Bronchiectasis Using Thoracic Segmental Spinal Anesthesia (TSA) Imam Ghozali; Hario Tri Hendroko; Dansen Rudyanto; Marcella Dena Fernanda
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.v13i6.831

Abstract

Breast cancer is a disease with the highest incidence of malignancy in Indonesia and the world. Epidemiological studies have shown that cancer affects billions of women each year. The incidence of breast cancer increases with age. In the elderly, the possibility of co-morbidities which are comorbid major medical problems makes anesthetic management decisions more complicated and perioperative care more challenging. Increasing age and comorbidities are the most important risk factors for postoperative complications. TSA was performed on a 59-year-old female patient with comorbid bronchiectasis who received MRM. The level of needle insertion was between T5-T6, premedication in the form of 0.5 mg alprazolam tablets, initiation of TSA with 1 ml of 0.5% hyperbaric bupivacaine and 20 mcg of fentanyl. The level of sensory block achieved was between T1-T7. TSA resolved without complications. The patient remained comfortable during the operation and there was no significant change in the patient's hemodynamics, airway and breathing. There were no postoperative complications. Thoracal segmental spinal anesthesia (TSA) is a safe alternative in performing modified radical mastectomy (MRM) and other breast surgeries because it has highly selective spinal block capabilities, ensures better control during induction and surgical processes, stability of the respiratory system and cardiovascular, and reduces the need for local anesthetics and has a lower risk of toxicity.
Risiko Terjadinya Adiksi Internet pada Remaja dengan Gangguan Pemusatan Perhatian dan Hiperaktivitas: Sebuah Laporan Kasus Berbasis Bukti Dewanto Andoko; Darien Alfa Cipta; Tirta Darmawan Susanto
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.v13i6.833

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) constitutes a prominent neurodevelopmental disorder frequently observed in childhood, characterized by three core symptoms encompassing inattention, hyperactivity, and impulsivity. Notably, the persistence of ADHD can extend from childhood into adolescence and even adulthood. Importantly, it has been noted that in nearly half of cases where ADHD endures beyond childhood and into the later stages of life, there is a substantial elevation in the risk of various addictive behaviors, encompassing alcohol, nicotine, other substances, and behavioral addictions like internet addiction, in comparison to individuals without a history of ADHD. Against this backdrop, the present literature exploration is specifically focused on discerning the influence of childhood ADHD on the propensity for internet addiction in adolescence and young adulthood. To comprehensively address this query, a meticulously structured search was conducted across several renowned databases including Pubmed, EBSCOhost, Scopus, and ProQuest. The search parameters were thoughtfully adapted and refined to align seamlessly with the clinical question, ensuring the retrieval of pertinent and valuable information. Among the amassed results, one article was identified as particularly pertinent, serving as a concise compilation of the most recent insights into the intricate interplay between ADHD and internet addiction. The outcomes derived from this thorough meta-analytical review not only establish a substantial association between childhood and adolescent ADHD and an augmented susceptibility to internet addiction in later years but also provide quantification through a notable Crude Odds Ratio (COR) of 3.76 (95% CI: 2.75, 5.15) and an Adjusted Odds Ratio (AOR) of 2.51 (95% CI: 2.09, 3.02) following meticulous confounder adjustments. Furthermore, a striking observation emerges wherein adolescents grappling with internet addiction manifest intensified ADHD symptoms, corroborated by evident elevation in Abbreviated Conners Rating Scale scores relative to their non-addicted counterparts. Collectively, these findings underscore the imperative of recognizing and addressing the heightened risk of internet addiction among adolescents with a history of ADHD and spotlight the pressing need for nuanced interventions and comprehensive support strategies.
Polytrauma dan Injury Severity Score (ISS) Gigaramadan Sema; Helmi Ismunandar; Rani Himayani; Risti Graharti
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.v13i6.834

Abstract

Polytrauma is trauma that occurs at several areas on the body, followed by decline in physiological function which has the potential to cause multiple organ dysfunction and death in patients. Initial assessment of polytrauma is important to identify injuries that require initial treatment, determine the management of these injuries, and assess the patient's prognosis. There are several scoring systems that can be used to assess polytrauma injuries. Abbreviated Injury Scale (AIS) can be used to assess the severity of the injury and the probability of death of the patient. The Injury Severity Score (ISS) is a scoring system that assesses the three most severe injuries from six body regions. New Injury Severity Score (NISS) is an update from ISS; assessment of the three most severe injuries to the body regardless of body region. These assessment methods can help the trauma care system to better prevent complications and death in polytrauma patients.
Penatalaksanaan Pneumonia dengan Pendekatan Kedokteran Keluarga: Sebuah Laporan Kasus Afrileo Vebi Eka Utama; Wianti Soeryani Soedjal; Veli Sungono
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.v13i6.835

Abstract

Abstract Pneumonia is an acute inflammation of the lung parenchyma caused by microorganisms (bacteria, viruses, fungi, parasites, protozoa), not caused by Mycobacterium tuberculosis. Pneumonia has clinical symptoms such as fever, cough, shortness of breath, chest pain, ronkhi, wheezing and decreased breathing sounds. The diagnosis of pneumonia itself is based on anamnesis, physical examination, and supporting examinations such as laboratory tests and thoracic photographs. This case report applies a holistic and comprehensive family medicine approach and prioritizes patient centered, family focused and community oriented management. This case study was obtained through history taking, physical examination and home visits. This case report describes a 17-year-old male with clinical symptoms of pneumonia, namely fever, cough and shortness of breath with laboratory examination found leukocytosis and radiology obtained infiltrates in both lungs with the impression of pneumonia. In this case, comprehensive management has also been carried out, namely patient centered, family focused and community oriented.
Pleural Mesothelioma: Asbestosis-Related Pathogenesis: Mesothelioma Pleura : Patogenesis Terkait Asbestosis Adityo Wibowo
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.v13i6.836

Abstract

Pleural mesothelioma is a malignancy that develops from the pleura's mesothelial layer. Pleural mesothelioma is classified into three distinct categories of cells, which have different prognoses. This condition can be caused by different kinds of sources, one of which is chronic exposure to asbestos that enters the airways and causes asbestosis. Asbestos is the main carcinogen related to pleural malignancy. In most cases of pleural mesothelioma, asbestos exposure occurs over a 30-year period. The accumulation of asbestos fiber in the pleural cavity will induce chronic inflammation and abnormal tissue repair. Asbestos is a silicate mineral found in various forms, including chrysotile, crocidolite, amosite, anthophyllite, actinolite and tremolite. Asbestosis can be developed through both direct and indirect exposure. The most frequent causes of asbestosis and pleural mesothelioma are direct asbestos exposure at the workplace and domestic exposure around the environment. The greater risk factors for pleural mesothelioma are directly correlated to high concentration and long duration of exposure. Further study is needed to understand the pathophysiology and immunological pathways that lead to the development of pleural mesothelioma from asbestosis. Significant amounts of exposure have been associated with increasing risk factors for pleural mesothelioma.

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