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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 26 Documents
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Search results for , issue "Vol 14 No 11 (2024): Medula" : 26 Documents clear
- Kanker Prostat, Diagnosis Dini, dan Faktor Prognostik di Indonesia : Tinjauan Literatur: Tinjauan Literatur Mochammadin, Rafly Abdullah; -, Intanri Kurniati; -, Ramadhana komala; Fitria Saftarina
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1399

Abstract

Prostate cancer is one of the most common types of cancer among men, with a significantly increasing prevalence worldwide, including Indonesia. Early diagnosis of prostate cancer is critical to improving patient survival, and PSA (Prostate-Specific Antigen) serves as a key biomarker in this process. Elevated PSA levels are often an early indicator of prostate cancer, although many men are unaware of the symptoms in the early stages, which can lead to a late diagnosis. Therefore, regular screening of PSA levels is highly recommended, especially for men over the age of 50 years. This study evaluated the role of PSA in the diagnosis of prostate cancer as well as prognostic factors affecting patient survival. Results showed that high PSA levels were associated with the likelihood of prostate cancer, and factors such as the number of metastatic lesions and the patient's general health condition had a significant influence on clinical outcomes. Education about the symptoms and risks of prostate cancer needs to be improved to encourage men to undergo regular health checks. With a better understanding of prostate cancer and an appropriate
Gambaran Jenis Pekerjaan Ayah dan Status Pekerjaan Ibu Terhadap Kejadian Stunting di Puskesmas Seputih Surabaya Lampung Tengah Kalih, Abigael Ludwina; Sutarto, Sutarto; Suharmanto, Suharmanto; Sangging, Putu Ristyaning Ayu
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1409

Abstract

Stunting refers to short or very short stature based on length or height for age that is less than -2 standard deviations on the WHO growth curve. The World Health Organization (WHO) estimated that 22.2% or 149.2 million children under 5 years old suffered from stunting in 2020. Stunting is caused by two factors: direct and indirect factors.This study aims to examine the relationship between the father's type of occupation and the mother's employment status with the incidence of stunting in the working area of the Seputih Surabaya Public Health Center, Central Lampung. The study employed a cross-sectional design, with a sample of 57 toddlers from the Seputih Surabaya Subdistrict, Central Lampung Regency. The research was conducted from September to November 2024. The sampling technique used proportional random sampling and simple random sampling. This study utilized consent forms containing statements of willingness to participate as respondents, and data collection was conducted using questionnaires. The questionnaire included questions about the father’s type of occupation (e.g., farmer, civil servant, entrepreneur/trader, accountant, livestock farmer, fisherman, employee, teacher, or unemployed) and the mother’s employment status (working or not working). The data were analyzed univariately. The results showed that among toddlers with stunting, the most common type of father's occupation was farming, involving 33 children (58%). Regarding the mother’s employment status, the majority of stunted toddlers had mothers who were not working, accounting for 35 children (61.4%).
Faktor-Faktor yang Mempengaruhi Self-esteem pada Mahasiswa: Tinjauan Pustaka ANGGITA DERIZKY VIRGINIA; Rika Lisiswanti; Sutarto; Ari Wahyuni
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1412

Abstract

Self-esteem is a concept that everyone needs in life that includes an individual's subjective evaluation of their worth. Selfesteem can be defined as a person's perception of themselves, both positive and negative. Studies have shown that selfesteem has a tremendous impact on many important aspects of life, including relationships and job satisfaction, employment status, physical and mental health. In the condition of students with low self-esteem, it can affect their academic life, social life, and mental state which can cause stress to severe depression. Based on previous research, it can be seen that there are still many students who have low self-esteem. Therefore, this study aims to analyze the various factors that influence self-esteem in college students. In this study, researchers used the literature study method by compiling and analyzing fourteen articles. The results of the articles that have been reviewed, concluded that there are several factors that can affect the level of self-esteem of college students. High or low levels of self-esteem in students can be caused by a combination of family factors such as parental attention and education, academic factors such as the student's cumulative grade point average and other academic achievements, then social factors such as support from friends and their college environment, and psychological factors such as stress and depression.
Literature Review: Mekanisme Bacterial Vaginosis dalam Infeksi Intrauterin dan Dampaknya terhadap Kesehatan Reproduksi Wanita Ayuningtyas, Diah; Dewi Puspita Sari , Ratna; Sutarto; TA Larasati
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1430

Abstract

Intrauterine infection is an inflammatory condition involving various components of pregnancy, including the amniotic fluid, placenta, fetus, amniotic membranes, and decidua. One of the main mechanisms contributing to this infection is ascending infection from the lower genital tract, in which microorganisms such as Ureaplasma, Escherichia coli, and Streptococcus agalactiae ascend into the amniotic cavity. Imbalances in the vaginal microbiota, such as in bacterial vaginosis (BV), exacerbate the risk of ascending infection, by replacing the protective Lactobacillus dominance with anaerobic pathogens. This condition can lead to various obstetric complications, including preterm labor, preterm rupture of membranes, and increased maternal and neonatal morbidity and mortality. Studies have shown that changes in the vaginal microbiota can have significant impacts on reproductive health. Processes such as menstruation, sexual activity, and invasive medical interventions can alter the composition of the microbiota, affect vaginal pH, and reduce the dominance of Lactobacillus, thereby increasing the risk of intrauterine infection. In addition, uterine pumps play a role in the transfer of microorganisms from the vagina to the uterine cavity, further increasing the risk of infection. With the advancement of molecular technology, the understanding of vaginal and uterine microbiota is growing, especially in relation to the mechanism of intrauterine infection. Microbiota imbalance not only contributes to inflammation, but also alters immunological signaling pathways, reduces the barrier function of the endometrial epithelium, and allows pathogens to cross the placenta. Therefore, microbiota-based approaches, such as the use of Lactobacillus probiotics, as well as education about reproductive health, are potential strategies in preventing complications associated with intrauterine infection.
Laboratory Examination in Tonsillitis: A Literature Review Sembiring, Dustin Delano Pranata; Imanto, Mukhlis; Sangging, Putu Ristyaning Ayu; Angraini, Dian Isti
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1434

Abstract

Laboratory tests play a crucial role in the diagnosis and etiology of tonsillitis, especially in children. Tonsillitis, an inflammation of the palatine tonsils, commonly affects children aged 5–15 years and is a significant cause of morbidity associated with upper respiratory tract infections. The disease can be classified into acute and chronic tonsillitis based on duration, with causes varying from viral to bacterial infections. Laboratory parameters such as leukocyte, neutrophil, lymphocyte, platelet counts, and C-reactive protein are used to differentiate the etiology of tonsillitis. Bacterial tonsillitis generally shows an increase in leukocytes and neutrophils, while viral infections are more commonly associated with lymphocytosis. Complete blood count, throat culture, and rapid antigen detection test (RADT) are the mainstays of diagnostic testing. Throat culture is considered the gold standard for pathogen identification, although it is more time-consuming. RADT offers a faster alternative with high sensitivity and specificity. Anti-Streptolysin O (ASO) titer is also important to detect Group A β-hemolytic Streptococcus infection, which is often associated with chronic tonsillitis. Recent studies have shown a correlation between laboratory results and the severity of tonsillitis. For example, a study in Sudan found that 64% of patients with tonsillitis had neutrophilia, 54% showed an elevated erythrocyte sedimentation rate, and 50% were ASO positive. These findings confirm the association between bacterial infection and chronic tonsillitis. However, interpretation of laboratory results must be done with caution, considering factors such as the time of sampling, examination technique, patient age, and the skill of the health care provider. Appropriate clinical decision-making requires the integration of laboratory results with the patient's clinical history. Further research is needed to explore the correlation between laboratory parameters, the severity of tonsillitis, and their impact on optimal therapy choices. A better understanding of these relationships will help improve the accuracy of diagnosis and the effectiveness of tonsillitis treatment.
Krisis Hiperglikemik: Diabetic Ketoacidosis (DKA) dan Hyperglycemic Hyperosmolar State (HHS) Wibowo, Muhammad Rafi; Rudiyanto, Waluyo; Yunianto, Andi Eka; Soleha, Tri Umiana
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1435

Abstract

Hyperglycemic crisis is an acute metabolic complication of diabetes mellitus that can be life threatening if not treated appropriately. This research aims to examine in more depth the hyperglycemia crisis. This research is a literature study using relevant literature such as articles and journals from various national and international databases such as Google Scholar, NCBI, and PubMed. Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar State (HHS) are serious and emergency forms of hyperglycemic crisis. DKA is often found in people with type 1 diabetes due to severe insulin deficiency, which is characterized by the triad of hyperglycemia, acidosis, and ketosis. In contrast, HHS occurs more frequently in type 2 diabetes, with features of hyperglycemia, hyperosmolarity, and dehydration, but without significant ketosis and acidosis. Both of these conditions have a high risk of death if left untreated, with the death rate for DKA around <1% and HHS around 15%. The goal of treatment for both is to improve circulation and tissue perfusion, correct hyperglycemia, ketogenesis, and electrolyte imbalances, and identify precipitating factors. Treatment begins with correcting dehydration and electrolyte imbalances through rehydration with crystalloid fluids, as well as treating hyperglycemia by administering insulin boluses or infusions. Prevention of DKA and HHS is to ensure that patients do not stop insulin or oral hyperglycemic drugs, monitor blood sugar levels regularly and immediately seek professional medical help if something undesirable happens.
Overview of Personal Protective Equipment Use Among Oil Palm Farmers in Simpang Pematang Subdistrict, Mesuji Regency Camilia, Anita; Saftarina, Fitria; Febriani, Wiwi; Larasati, TA
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1437

Abstract

The use of personal protective equipment (PPE) is an essential effort in preventing occupational health and safety risks, especially for farmers working in the plantation sector. This study aims to analyze the use of PPE among oil palm farmers in Simpang Pematang Subdistrict, Mesuji Regency. The research employs a cross-sectional approach involving 105 oil palm farmers selected through purposive sampling. Data were collected using questionnaires and analyzed univariately. The findings show that the level of compliance with PPE usage is still low, with only 48.6% of farmers consistently adhering to PPE usage procedures. The use of specific PPE items such as masks and protective glasses is particularly low, at just 13.3% and 5.7%, respectively. The main barriers to PPE use include farmers' lack of understanding about its importance, limited availability of PPE, and misconceptions about its comfort. This study concludes that strategic efforts are needed to improve PPE compliance through education, outreach programs, and the provision of adequate PPE.
Hubungan antara Postur Kerja dan Keluhan Muskuloskeletal pada Pekerja Kantoran : Literature Review Ramadhan, Yasmine Aulia; Wardani, Dyah Wulan Sumekar Rengganis; Komala, Ramadhana; Berawi, Khairunnisa
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1442

Abstract

Musculoskeletal disorders (MSDs) are commonly experienced by office workers, particularly those who spend long hours working in front of computers with non-ergonomic postures. Frequent complaints such as pain in the neck, back, arms, and wrists are often caused by unsupported sitting positions or the use of work equipment that does not adhere to ergonomic principles. An evaluation to understand the relationship between work posture and musculoskeletal complaints among office workers is necessary to assess its risk level for MSDs.. One effective method to assess MSD risk is the Rapid Office Strain Assessment (ROSA). This method evaluates three key aspects of the work environment: chair design, monitor position, and the placement of the mouse and keyboard, all of which significantly impact worker comfort and health. The assessment assigns scores to each element to determine the level of risk. Studies reveal that many workers face high risks due to non-ergonomic working postures, which directly contribute to musculoskeletal complaints. Implementing ergonomic principles, such as using chairs that support proper posture, adjusting desk height to match the worker's stature, and optimizing computer device arrangements, is crucial to reducing these risks. Additionally, incorporating breaks for stretching into work schedules is strongly recommended. These measures not only alleviate MSD complaints but also enhance workplace comfort and overall productivity.
Tinjauan Pustaka: Pengaruh Obesitas, Resistensi Insulin dan Sindrom Metabolik dengan Fungsi Tiroid Fala, Arzety Rifda; Windarti, Indri; Jausal, Anisa Nuraisa; Sukohar, Asep
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1459

Abstract

The thyroid gland, located in the neck, is crucial for regulate metabolism, growth, and development by producing hormones like thyroxine (T4) and triiodothyronine (T3). These hormones influence various body functions, including heart rate, temperature control, energy production, and fat metabolism. When the thyroid gland doesn't function properly, it can cause conditions like hypothyroidism or hyperthyroidism. Factors such as obesity, insulin resistance, and metabolic syndrome can disrupt thyroid function. Obesity, characterized by excessive fat accumulation, is a global issue. This study examines how obesity, insulin resistance, and metabolic syndrome affect thyroid function. A review of fourteen relevant articles found that Thyroid Stimulating Hormone (TSH) levels are positively correlated with Body Mass Index (BMI), insulin resistance, and metabolic syndrome. The underlying mechanism is increased levels of leptin and inflammatory cytokines, which affect TSH production and thyroid function through disruption of T3 feedback. The findings indicate that obesity, insulin resistance, and metabolic syndrome lead to increased TSH as a compensatory response. This study highlights the importance of understanding the relationship between these conditions for better prevention and health management.
Penyuluhan Edukasi Penggunaan Earphone Pasien Poli THT-KL RSUD dr H. Abdul Moeloek Provinsi Lampung Tahun 2024 Akbar, Tasya; Imanto, Mukhlis
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1462

Abstract

One of the five main senses in humans is the ear which is very necessary to capture the communication delivered. The human ear can only receive sound frequency intensity with a range of about 20 Hz to 20kHz. If the ear is exposed to quite loud noise and for a long period of time, it will cause noise-induced hearing loss. Earphone users who use the device more than 8 hours / week compared to earphone users with a time limit of only a few hours, the results of hearing levels are worse. This activity aims to provide knowledge about education in the use of earphones which is carried out by the ENT-HN Polyclinic of Dr. H. Abdul Moeloek Hospital, Lampung Province. The activity began with providing counseling and continued with a discussion session. Before and after the counseling, a pre- and post-test was given with an average result of 50 and 82.5, there was a significant increase in knowledge in patients about ear health. Through this activity, it is known that there is an increase in knowledge from patients at the ENT-HN Polyclinic of Dr. H. Abdul Moeloek Hospital, Lampung Province regarding education in the proper use of earphones in everyday life.

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