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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 27 Documents
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Search results for , issue "Vol 14 No 10 (2025): Medula" : 27 Documents clear
Budaya Keselamatan Pasien Terhadap Keselamatan Pasien Rumah Sakit : Tinjauan Pustaka Hendri, Kevin; Anggileo Pramesona, Bayu; Ganda Ratna, Maya; Lisiswanti, Rika
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1374

Abstract

Patient safety culture is an important aspect of healthcare that focuses on risk reduction and improved patient safety. Patient safety goals are efforts to prevent incidents that can harm patients and health institutions that are designed to improve patient safety by reducing the risk of injury, error, or danger during the provision of health services. Patient safety goals have six points including correct patient identification, effective communication, safety of medications that must be watched out, ensuring the correct surgical site, correct procedures and correct patients, reducing the risk of infection due to health care and reducing the risk of patients falling. Factors that affect patient safety culture include communication, lifelong learning, working hours and occupational safety culture affecting patient safety. Things that greatly contribute to the patient safety culture include openness in communication (67.54%), cooperation in hospital units (67.48%), organizational learning and sustainable development (66.90%) and non-punitive responses in case of mistakes (65.07%).  The conclusion of this study is that all units have a role in patient safety. Patient safety culture and patient safety goals are very closely related to patient safety in hospitals. However, further research is needed related to other factors that affect patient safety culture, especially regarding family involvement in patient safety.
Faktor-Faktor yang Memengaruhi Perfoma Atlet Prestasi Olahraga Permainan Bola Kecil Farhati, Soraya; Berawi, Khairun Nisa; Daulay, Suryani Agustina; Kurniawan, Candra
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1379

Abstract

Small ball game sports are a category of sports that involve small-sized balls and bats. Examples of these sports include badminton, rounders, baseball, softball, tennis, and others. Indonesia has not yet achieved notable achievements in small ball game sports. To improve performance and achieve better results, athletes must maintain optimal performance levels. It is crucial to identify and optimize all factors affecting the performance of small ball game athletes to help them reach their full potential. Optimal physical condition is the most essential factor for athletes. Physical fitness can be improved through the right combination of frequency, intensity, duration, and types of exercise. Another factor that affects athletic performance is nutrition, including macronutrients such as carbohydrates, proteins, and fats, as well as micronutrients like vitamins and minerals. Athletes have different nutritional needs compared to non-athletes. Furthermore, nutritional requirements vary across different sports disciplines and are highly individualized. Psychological factors also significantly affect an athlete's performance. An athlete's psychological state greatly influences their concentration during competitions and plays a crucial role in their ability to perform at their best. Key psychological aspects to consider include discipline, motivation, self-confidence, and personality. To achieve optimal performance, athletes require physical training, nutritional monitoring, and psychological support.
Manuver Epley dan Brandt-Daroff Dalam Penatalaksanaan Benign Paroxysmal Positional Vertigo (BPPV) Hafidah, Hazima Hasna; Marcellia, Selvi; Apriliana, Ety
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1383

Abstract

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of vertigo with a case prevalence of 1.6% globally. It is characterized by recurrent episodes of vertigo due to changes in head position. BPPV disease is caused by the transfer of otoconia to the semicircular canal, stimulating the vestibulocochlear nerve resulting in symptoms of vertigo, nystagmus, and becoming more sensitive to head movement. The impact is significant on the physical, psychological, and quality of life aspects of the patient. This literature review discusses the mechanism, effectiveness, and success rate of Epley and Brandt-Daroff maneuvers. Data were obtained from relevant literature with data sources coming from Pubmed, NCBI, and Google Scholar.  The results of the literature review showed that the Epley maneuver has high effectiveness with a cure rate of up to 92% within one week and a significant reduction in sequelae, especially in the modified Epley maneuver. In addition, the Brandt-Daroff maneuver proved to be effective for self-treatment at home with gradual improvement of vertigo symptoms. Both methods have advantages, such as the flexibility of the Brandt-Daroff maneuver and quick results in the Epley maneuver, but have certain limitations in patients with comorbid conditions. The conclusion of this literature review shows that the Epley maneuver is the first choice in the treatment of BPPV due to its higher effectiveness, while the Brandt-Daroff maneuver can be used as an alternative.
Gambaran Budaya Keselamatan Pasien di Rumah Sakit: Tinjauan Pustaka Amallia, Rizka Dina; Pramesona, Bayu Anggileo; Setiawan, Gigih; Saftarina, Fitria
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1389

Abstract

Patient safety culture is the key to providing high-quality and safe healthcare services. All healthcare providers, especially nurses, must be committed to creating and maintaining a strong patient safety culture. This research aims to gain a deep understanding of patient safety culture. The method used is a literature study taken from PubMed and Google Scholar databases published within the last 5 years and relevant to the topic. The selected articles are those that are fully available, focus on hospitals as the research site, and are written in Indonesian or English. The research shows that a good patient safety culture, characterized by leadership support, teamwork, open communication, and an effective incident reporting system, can improve the quality of healthcare and reduce risk of medical errors. However, many hospitals have not fully implemented a patient safety culture optimally. Some common challenges include low incident reporting rates, lack of leadership support, and a lack of a learning culture from mistakes. To address this problem, continuous efforts are needed to build a strong patient safety culture, such as increasing staff awareness, providing training, and creating safe environment for reporting errors.
Pengaruh Pemberian Ekstrak Etanol Buah Pare (Momordica Charantia L) Terhadap Gambaran Histopatolgi Arteri Koronaria Tikus Putih (Rattus Norvegicus) Jantan Galur Sprague Dawley Yang Diinduksikan Minyak Jelant Joni, Agnesia Priskila; Windarti, Indri; Oktarlina, Rasmi Zakiah; Susianti, Susianti
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1392

Abstract

Coronary heart disease is one of the main causes of death in the world, with more than 17 million deaths every year due to heart and blood vessel diseases, with around 8.7 million of them caused by coronary heart disease and around 15 out of 1000 residents in Indonesia which is equivalent to around 2,78,064 people suffer from coronary heart disease. The high frequency of use of cooking oil means that cooking oil is often used repeatedly. Repeated use of cooking oil can cause damage to various body organs such as the liver, heart, kidneys and arteries. Exposure to free radicals and free fatty acids obtained from used cooking oil if it enters the body will result in oxidative stress. The atherosclerosis process is characterized by the change of k-LDL to Ox-LDL which triggers endothelial dysfunction and the formation of atherosclerotic plaque on the walls of blood vessels. The high fatty acid content in used cooking oil can easily stick to the walls of blood vessels, so that it will accumulate and form atherosclerotic plaque. One of the alternative antioxidants that comes from herbs is bitter melon (Momordica Charantia L). Bitter melon contains flavonoid compounds. Flavonoids are secondary metabolites which are antioxidants that can inhibit free radical activity and can prevent atherosclerosis. Antioxidant compounds can reduce atherosclerosis by inhibiting LDL metabolism in secondary atherosclerotic lesions to prevent LDL oxidation in these lesions.
Tekanan Darah Pada Atlet Al Ghifari, Ghaza Ahmad; Berawi, Khairun Nisa; Graharti, Risti; Kurniati, Intanri
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1398

Abstract

Blood pressure in athletes is an important topic in exercise physiology studies, given its influence on performance and long-term health. In general, athletes exhibit lower blood pressure at rest compared to sedentary individuals, as a result of the body's adaptation to regular physical exercise. The purpose of this method is to analyze and collate knowledge relevant to the research topic. In this study, 12 articles from national and international journals published between 2015 and 2023 were used. The articles were obtained from databases such as PubMed and Google Scholar. The collected sources were then analyzed using the systematic literature review method. The result of this study is that blood pressure in athletes can be different compared to individuals who are not involved in intense physical activity, due to the body's adaptation to regular exercise. Blood pressure in athletes is influenced by a variety of factors, including sport type, training pattern, age, gender, as well as genetic and environmental factors. Understanding these blood pressure patterns is important for optimizing performance and maintaining cardiovascular health in athletes.
Karakteristik Pasien Apendisitis di RSUD Dr. H. Abdul Moeloek Fitria, Aghniya Rizqy; Ricky Ramadhian, Muhammad; Daulay, Suryani Agustina; Zuraida, Reni
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1405

Abstract

Appendicitis is inflammation of the vermiform appendix that can lead to perforation if not treated promptly. This study aims to identify the characteristics of appendicitis patients at RSUD Dr. H. Abdul Moeloek Lampung Province from January 2023 to July 2024. The method used was a descriptive observational study using secondary data from medical records of appendicitis patients. The sample was taken using total sampling, which was then selected based on inclusion and exclusion criteria, involving 84 patients with complete medical records and histopathology results. The results showed that the majority of appendicitis patients were in the 21-60 age range (49%), followed by the 0-20 age range (44%) and the >60 age group (7%). Based on gender, more male patients (56%) were found compared to females (44%). The most common type of appendicitis was simple acute appendicitis (48.8%), followed by perforated acute appendicitis (36.9%) and chronic appendicitis (14.3%). These findings are consistent with other studies showing a higher incidence of appendicitis in young adults and a higher prevalence in males. This study provides important insights into the characteristics of appendicitis patients, which may aid in early detection and more effective management.
Peran Faktor Determinan Sosial Kesehatan, Personal Hygiene, dan Lingkungan dalam Penularan Protozoa Usus Khuluq, Muhammad Khusnul; Irawati, Nur Ayu Virginia; Mutiara, Hanna; Suwandi, Jhons Fatriyadi
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1406

Abstract

Intestinal protozoan infections are a significant health issue, particularly in developing countries with low socioeconomic conditions, poor sanitation, and inadequate personal hygiene practices. The transmission of intestinal protozoa is closely linked to various social determinants of health, including education level, occupation, and household income. Parents with lower education levels tend to have limited knowledge about hygiene and infection prevention, increasing the risk of transmission to children. Certain occupations, such as farming, are also associated with a higher risk of infection due to exposure to contaminated environments. Personal hygiene plays a crucial role in preventing intestinal protozoan infections. Habits such as washing hands before eating, after defecation, and maintaining overall cleanliness can reduce the risk of transmission through the fecal-oral route. Additionally, inadequate environmental sanitation, including the absence of toilets, poor waste management, and limited access to clean water, contributes to high infection rates. Several studies indicate that communities living in areas with poor sanitation are more vulnerable to infection, mainly due to high fecal contamination in water and soil. Beyond social and environmental factors, the presence of pets or livestock can also serve as a source of transmission. Animals exposed to intestinal protozoa pose a risk of spreading the infection if not properly managed. Therefore, preventing intestinal protozoan infections requires a comprehensive approach, including health education, increased awareness of personal hygiene, improved sanitation facilities, and access to safe drinking water for communities.
Gambaran Tingkat Stres Kerja Perawat Di Ruang IGD, ICU, Dan NICU RSUD Dr. H. Abdul Moeloek Bandar Lampung Maulida, Syakira Zahra; Mayasari, Diana; Graharti, Risti; Sutarto, Sutarto
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1407

Abstract

Job stress is one of the factors that can lead to decreased performance. Occupations with the highest prevalence of work stress are owned by health workers. Nurses are more prone to stress than other health workers because nurses often have heavier workloads. The impact of stress that arises in the form of physiological, psychological and behavioral responses. the most influential factors causing nurses' work stress are individual and work factors. In addition, nurses in the emergency room and intensive care of hospitals are considered to have higher levels of job stress than other units. The purpose of this study was to determine the description of the level of work stress of emergency room, ICU, and NICU nurses at Dr. H. Abdul Moeloek Hospital Bandar Lampung. The type of research used is descriptive quantitative using primary data in the form of Perceived Stress Scale questionnaire. Sampling using proportional sampling technique with a total sample of 75 people consisting of 26 emergency room nurses, 26 ICU nurses, and 23 NICU nurses and the data will be analyzed univariately and then presented in tabular form. Based on the results of the study, 19 nurses (25.3%) were at a mild stress level and 56 nurses (74.7%) were at a moderate stress level. Levels of job stress that are too low or too high can lead to decreased job satisfaction and achievement so that it is necessary.
Hubungan Kebiasaan Sarapan dengan Status Gizi Siswa: Literature Review Huwaidy, Alwan Hibban Al; Zuraida, Reni; Febriani, Wiwi
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1408

Abstract

Students are a very valuable asset for the future of the nation. Good nutritional status is essential to support student achievement. However, currently Indonesia is experiencing a double nutritional problem in the form of malnutrition and overnutrition at school age. In addition, there are still few students in Indonesia who are accustomed to having breakfast with quality food in the morning. One of the factors that influences students' nutritional status is breakfast habits. This study aims to determine the relationship between breakfast habits and students' nutritional status. The method used is a literature review of 13 journals or articles from the Google Scholar database related to the Relationship between Breakfast Habits and Students' Nutritional Status published from 2015 to 2025. The results of this study indicate that the 12 journals or articles reviewed have a significant relationship between breakfast habits and nutritional status in students. Students who are accustomed to having breakfast will find it easier to meet their daily nutritional needs so that their nutritional status tends to be normal. However, students who are not accustomed to having breakfast will miss the opportunity to meet 15-30% of their daily nutritional needs so that their nutritional status is lacking. In addition, students who do not have breakfast tend to consume excessive lunch and high calories during the day so that their nutritional status is more. The conclusion of this study is that there is a relationship between breakfast habits and nutritional status in students.

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