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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
Merokok dan Vaping Sebagai Faktor Resiko Terjadinya Gangguan pada Hati Mubarak, Raka Anzil; Windarti, Indri; Yunianto, Andi Eka
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.v14i11.1463

Abstract

Conventional cigarettes and e-cigarettes (vaping) has a significant impact to health issues worldwide. There are more than 1.1 billion active smokers in the world and 8 million people die each year due to tobacco consumption. E-cigarette use is also increasing. The liver is responsible for metabolism and detoxification, so it is highly vulnerable to the toxic effects of chemical compounds from conventional cigarettes and e-cigarettes. This article is a literature study using secondary data from articles in national and international journals sourced from Google Scholar, NCBI, and PubMed. The purpose of this article is to review the relation between smoking, vaping, and the risk of liver disease, with a focus on the components of cigarettes and the mechanisms of liver damage. There are 4000 chemicals contained in cigarettes, including nicotine which are addictives and stimulants. The effects of smoking on the liver are caused by toxic, immunologic, and oncogenic mechanisms. The use of e-cigarettes or vaping is gaining popularity as a safe alternative to conventional cigarettes. However, each e-liquid solution can contain up to 60 chemicals that are harmful to the body. The effects of e-cigarettes on the liver are explained by complex mechanisms such as oxidative stress, inflammation, mitochondrial dysfunction and impaired lipid metabolism in the liver. Smoking affects the progression of liver diseases such as Hepatitis, Non Alcoholic Fatty Liver Diseases (NAFLD), Primary Billier Cholangitis (PBC), and Hepatocellular carcinoma (HCC). Vaping has an association with the incidence of NAFLD and HCC, but there is not yet strong enough evidence to associate it with the progression of Hepatitis and PBC.
Faktor-Faktor yang Memengaruhi Empati pada Mahasiswa Kedokteran Alifah, Rahmah; Lisiswanti, Rika; Ratna, Maya Ganda; Oktafany
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.v14i11.1468

Abstract

Empathy in medical students is an important aspect that affects how medical students interact with patients and understand their feeling. In the medical world, empathy can enhance the doctor-patient relationship, improve patient satisfaction, and can even affect clinical outcomes. Patients who feel empathy from their doctors are more likely to fully explain their symptoms and actively engage in the doctor-patient relationship. Research shows that empathetic doctors tend to have more satisfied and compliant patients. A number of studies have identified that the level of empathy in medical students varies and is influenced by several factors. The purpose of this literature review is to identify the factors that affect empathy in medical students. The journal were obtained from Google Scholar and Pubmed database with keyword (Empathy) and (Medical Student) for publication in 2015-2024. Journal inclusion criteria used were medical student population, journals that discussed the relationship between several factors with empathy levels, and published between 2015-2024. Exclusion criteria are journals that cannot be accessed completely. The method of analysis carried out in this literature review is a descriptive method, which describes and explains through narratives of the articles found. Based on the results of review from several journals, it was found that factors such as stress, role models, empathy training, mental health, self-control, self-motivation, social awareness, and social skills, perception of learning environment, personality, self-reflection, emotional intelligence, and gratitude.
Peran Terapi Farmakologi dan Non-Farmakologi dalam Pengelolaan Dry Eye Disease Sitanggang, Grety; Himayani, Rani; Iyos, Rekha Nova; Mutiara, Hanna
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.v14i11.1469

Abstract

Dry Eye Disease (DED) is a multifactorial disorder of the ocular surface characterized by tear system imbalance, inflammation, and tissue damage, often leading to discomfort, visual disturbances, and a decline in quality of life. Managing DED requires a holistic approach that integrates both pharmacological and non-pharmacological therapies to alleviate symptoms while addressing underlying causes. Pharmacological treatments, such as artificial tears, anti-inflammatory agents (corticosteroids and cyclosporine), diquafosol tetrasodium, and oral pilocarpine, aim to restore ocular surface homeostasis. Non pharmacological approaches, including punctal plugs, lifestyle modifications, intense pulsed light (IPL) therapy, and nutritional supplementation with vitamin D and omega-3, are increasingly recognized for their supportive role in treatment. A comprehensive understanding of these therapeutic strategies is expected to improve DED management, enhance patients' quality of life, and prevent further complications.
Penyuluhan Kesehatan Untuk Meningkatkan Pemahaman Tentang Menjaga Kebersihan Telinga Zhalif Zhafir Aghna; 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.v14i11.1470

Abstract

The habit of cleaning the external auditory canal (EAC) with cotton buds and other objects is a common practice. Among the general public, ears are believed to need to be cleaned frequently to remove dirt in the form of earwax. This is usually done by inserting objects into the ear itself, most often with Q-tips also known as cotton buds. Medical concerns over cotton bud use and its complications were first reported in 1972, with reports of tympanic membrane perforation, otitis externa, and cerumen impaction. Today, cotton bud-related injuries have become a common reason for visits to ear, nose, and throat clinics. The purpose of this activity is to increase public understanding of how to properly maintain ear hygiene and reduce the incidence of complications due to lack of understanding about it. The target of this activity is 20 patients at the Abdul Moeloek Hospital Polyclinic, Lampung Province on November 21, 2023, 10:00-12:00 WIB. The form of this activity includes providing material on maintaining ear hygiene properly followed by discussion. The results of this activity are that there are still some patients who still have a low level of understanding, attitude, and practice regarding maintaining ear hygiene and health. After counseling, there was an increase in understanding, attitudes, and practices among respondents which is expected to increase knowledge among individual, family, and community components in maintaining ear hygiene.
Hubungan Antara Status Gizi dengan Siklus Menstruasi pada Mahasiswi Pendidikan Dokter Universitas Lampung Angkatan 2021 Hasanah, Sabila; Zuraida, Reni; Suharmanto, Suharmanto; Mutiara, Hanna
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.v14i11.1473

Abstract

A normal menstrual cycle reflects good reproductive health and plays an important role in preparing the body for pregnancy. Based on the 2018 Basic Health Research, around 13.7% of women aged 10-59 years experienced irregular menstruation. One of the factors that can interfere with the normalcy of the menstrual cycle is abnormal nutritional status. This study aims to determine whether there is a relationship between nutritional status and the menstrual cycle in University of Lampung Medical Education students class of 2021. The type of research used was analytical observational with a cross-sectional approach, which was carried out from November 2024 to January 2025, involving 123 female students selected through simple random sampling technique. Data on nutritional status was obtained from the calculation of Body Mass Index (BMI), while menstrual cycle data was obtained using a menstrual cycle sheet. The results of the analysis using the mann-whitney test showed a p-value of 0.083 (p-value>0.05), which indicated that there was no significant relationship between nutritional status and menstrual cycle among University of Lampung medical education students Class of 2021.
A Kasus Langka: Intususepsi Pada Orang Dewasa Dona, Adma Hayani; Pramudya, Ricky; Parinding, Imanuel Taba
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.v14i11.1474

Abstract

Intussusception is defined as the invagination of one segment of intestine into the next. Unlike children, intussusception in adults is rare. The incidence of intussusception in adults is around 1%-5% of intestinal obstruction with an average age of 50 years. Compared with intussusception in children, intussusception in adults is different because 90% of cases are complications of pathological starting points, including polyps, carcinoma, strictures, adhesions, and Meckel's diverticulum. Meanwhile, the incidence of idiopathic intussusception is around 10% of cases. A 39-year-old woman with a history of right lower abdominal pain for 3 days came to the emergency department accompanied by vomiting, no bowel movements and a history of abdominal massage. Physical examination found a positive Mc Burney sign, a sausage-like mass was palpable, abdominal ultrasonography showed a doughnut sign and an impression of ileo-caecal intussusception. The patient underwent exploratory laparotomy and appendectomy. During the operation, ileocaecal invagination into the ascending colon was seen, then a milking procedure was performed. The patient was discharged in stable condition on the fifth day of hospitalization. Management of intussusception depends on the part of the intestine involved. Reduction of acute intussusception is an emergency procedure and should be performed immediately after diagnosis in preparation for possible surgery. Management can be done operatively or non-operatively. Resection of the intestine is the final choice if the intestinal viability is compromised or there are pathological points. Early diagnosis and timely intervention greatly affect the patient's prognosis.

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