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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 14 No 7 (2024): Medula" : 30 Documents clear
PENATALAKSANAAN HOLISTIK PASIEN LAKI-LAKI USIA 27 TAHUN DENGAN VARISELA MELALUI PENDEKATAN DOKTER KELUARGA DI WILAYAH KERJA PUSKESMAS SUKARAJA Suwanda, Meyliana; Nusadewiarti, Azelia
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1317

Abstract

Varicella or chicken pox is an acute and highly contagious disease caused by infection with the Varicella Zoster virus (VZV). Apply the principles of family medicine services and carry out holistic management based on a framework for solving patient problems with a patient-centered, family focused and community-oriented approach based on Evidence Based Medicine. This study analysis is a case report. Primary data is obtained through history taking, physical examination and home visits to complete family data, psychosocial and environmental data. Secondary data was obtained from patient medical records at the Community Health Center. The assessment is carried out based on a holistic diagnosis of the beginning, process and end of the study quantitatively and qualitatively. Male patient Mr. C 27 years-old came with complaints that he had tingles on his face, neck, body, back, arms, and leg for two days ago accompanied by itching. Elastic in the form of vesicles the size of billions, round shape, well-defined, with an erythematosus base, distributed regionally. Clinically and on physical examination the patient was diagnosed with Varicella (ICD 10 B01.9). In this case, diagnosis and treatment have been carried out according to theory and related journals. After the intervention was carried out, there was a reduction in clinical symptoms and an increase in patient and family knowledge. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health.
Penatalaksanaan Pasien Perempuan Usia 33 Tahun dengan Infeksi Saluran Kemih dan Dispepsia melalui Pendekatan Dokter Keluarga di Wilayah Puskesmas Rawat Inap Kedaton Anjaya, Putri Ulayya; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Urinary tract infection (UTI) is an infection caused by the growth of microorganisms in the urinary tract that causes inflammation and bacteriuria. It is estimated that there are around 150 million cases of UTIs occurring each year worldwide, which can burden health care expenditures. Dyspepsia is a group of symptoms that include uncomfortable sensations in the abdomen, such as pain, bloating, nausea, and vomiting. It is estimated that almost 30% of cases encountered in general practice and 60% in gastroenterology practice are dyspepsia. Implementing comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with a patient-centered, family approach and community-oriented strategy. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data were obtained from the patient's medical records. Patient Mrs. H, 33 years old, came to the polyclinic with pain when urinating for 2 days, and nausea that had been felt for 7 days. The patient was diagnosed with UTI and Dyspepsia. Interventions were carried out in the form of providing health promotion using health posters regarding UTI and dyspepsia. The results of the intervention in patients were increased knowledge about the disease and compliance in implementing hygiene patterns, regular eating patterns, physical activity and reduced complaints experienced by patients. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health.
A case report PENATALAKSANAAN PASIEN PEREMPUAN USIA 72 TAHUN DENGAN ANEMIA PADA PENYAKIT GINJAL KRONIS MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS KEDATON Salsabila, Hasri Aghnia; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1326

Abstract

Anemia is a body condition characterized by a lower number of red blood cells or hemoglobin concentration than normal limits. According to WHO, 64 million or 23.9% of elderly suffer from anemia worldwide. One of the causes of anemia in the elderly is chronic kidney disease (CKD). According to RISKESDAS, the reported prevalence of CKD at ages ≥15 years is 0.38% in Indonesia with the highest incidence at ages 65-74 years. Appropriate holistic treatment using a family medicine approach is needed to improve the patient's quality of life. Implement comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with strategies that are patient centered, family approach and community oriented. This study is a case report. Primary data was obtained through history taking, physical examination and home visits. Secondary data was obtained from patient medical records. Patient Mrs. T, 72 years old, has been diagnosed with anemia, complains of weakness accompanied by fatigue, dizzy eyes and unsteadiness when walking. An intervention was carried out in the form of providing health promotion using health posters regarding anemia in chronic kidney disease. The results of the intervention in patients obtained increased knowledge about the disease and compliance in maintaining health for successful therapy. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health. Key words: Family Doctor, Anemia, Chronic Kidney Disease.
PENATALAKSANAAN HOLISTIK PASIEN PEREMPUAN USIA 55 TAHUN DENGAN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DAN RIWAYAT TUBERCULOSIS (TB) PARU MELALUI PENDEKATAN DOKTER KELUARGA DI WILAYAH PUSKESMAS PASAR AMBON Noviyanti, Dwi Wulan; Saftarina, Fitria
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1329

Abstract

Chronic obstructive pulmonary disease (COPD) is defined as a lung disease with clinical symptoms as shortness of breath, coughing, phlegm production due to airway abnormalities that cause persistent airflow obstruction. This airflow obstruction in COPD is progressive and often associated with chronic-inflammation caused by exposure to noxious substances, such as cigarette smoke. Tuberculosis (TB) is a contagious-infectious disease caused by Mycobacterium-tuberculosis and most often manifests in the lungs (pulmonary TB), although-M.Tb can also infect other organs (extrapulmonary TB). History of pulmonary TB could cause permanent-damage to lung-anatomy and associated with loss of lung-function, such as bronchiectasis, fibrosis, or post-TB emphysema, which can increase the risk of COPD. Research by Fan H et al in 2021 stated that there was a risk of COPD in patients with a previous history of pulmonary TB. Providing family doctor services rooted in evidence-based medicine involves the identification of risk factors and clinical issues, along with the management of patients, all within a patient centered and family oriented problem solving framework. This study involves a case-report-analysis. Primary data were gathered through history taking, physical examinations, and home visits. The evaluation is conducted based on a comprehensive diagnosis-spanning the initial, process-oriented, and final phases of the study, using both quantitative and qualitative methods. Interventions for the patient-consisted of educational measures for patients and their families using posters and direct discussions. Following these interventions, there was an observed improvement in both knowledge and behavioral-changes both patient and family-behaviors, as evidenced by improvements in the final holistic-diagnostics.
PENDEKATAN HOLISTIK PADA WANITA USIA 54 TAHUN DENGAN DIABETES MELITUS TIPE II DAN OBESE DERAJAT II MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS RAJABASA INDAH Pratiwi, Bella; Ernawati, Tutik
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1332

Abstract

Diabetes Mellitus is one of the degenerative diseases with high prevalence and is increasing every year in Lampung province by 22,345 cases or 1.37%. Obesity is one of the predisposing factors for diabetes mellitus. The prevalence of obesity in the population aged 18 years and over increased from 14.8% to 21.8%. In Lampung province, it was 17.3%. Diabetes mellitus and Obesity must be managed comprehensively which is expected to prevent complications and improve the quality of life of patients. Objective: Implementation of Evidence Based Medicine-based services in patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework with a patient-centered, family-focused, and community-oriented approach. Method: This study is a case report. Primary data was obtained through anamnesis, physical examination and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. Results: After the intervention, there was an increase in patient and family knowledge regarding the importance of health care provider check-ups, regular medication consumption, appropriate diet and physical activity patterns for patients with Diabetes Mellitus and Obesity. Conclusion: Holistic management has been carried out with a family doctor approach for Mrs. A, 54 years old with type II Diabetes Mellitus and grade II Obesity which was adjusted based on the initial holistic diagnosis. The intervention has increased patient and family knowledge regarding the importance of health care provider check-ups, regular medication consumption, diet and physical activity patterns as indicated by improvements in the final holistic diagnosis.
Penatalaksanaan pada Nn. I Usia 21 Tahun dengan Demam Dengue Melalui Pendekatan Kedokteran Keluarga di Puskesmas Kedaton Bandar Lampung Winata, Afriza; Angraini, Dian Isti
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1334

Abstract

Dengue fever (DF) is an acute viral infectious disease caused by the dengue virus which in general can be characterized by symptoms of fever for 2-7 days, accompanied by other symptoms in the form of bleeding, such as nosebleeds and red spots on the body (ptekiae), bleeding gums, decreased platelets, the form of hemoconcentration in the form of plasma leakage with signs such as increased hematocrit, ascites, pleural effusion. The purpose of this case report is to Implementing family doctor services by identifying risk factors, clinical problems, and patient management based on Evidence-Based Medicine that is family-approach, patient-centred and community-oriented. The study conducted is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical records at the puskesmas. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. Patient is female with complaints of fever since 4 days ago. Fever followed by weakness, hedache, and nausea. In this case, the diagnosis and treatment have been carried out according to the latest theory and journals. After the intervention, there was an improvement in patient symptoms and an increase of patient knowledge.
Pengaruh Pemberian Ekstrak Biji Kopi Robusta (Coffea canephora) Lampung Terhadap Gambaran Histopatologi Tubulus Proksimal Ginjal Tikus Putih (Rattus norvegicus) Jantan Galur Sprague-dawley yang Diinduksi Monosodium Glutamat Salsabila, Aina; Wulan, Anggraeni Janar; Rodiani, Rodiani
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1335

Abstract

Excessive consumption of monosodium glutamate can form free radicals and is nephrotoxic which causes damage to organs, one of which is the kidneys, especially in the proximal tubule. Chlorogenic acid compounds contained in coffee beans have potential as antioxidants and nephroprotective agents. Coffee consumption at a certain dose is assumed to prevent and or reduce damage to the proximal kidney tubules of rats caused by free radicals. This research is an experimental study with a completely randomized design (CRD) with a Posttest Only Control Group Design approach. This research was conducted for 14 days. The samples used were 25 rats which were divided into 5 groups, namely K- (aquades 3 ml/day), K+ (MSG 4 g/kgBW/day), P1, P2, and P3 (MSG 4 g/kgBW/day). and Lampung robusta coffee bean extract 1 ml/200gBW/day with a concentration of 0.006 g/ml; 0.012 g/ml; 0.024 g/ml respectively) with each group consisting of 5 rats. Kidney histopathological assessment was carried out by observing kidney preparations in 5 visual fields each in 400x magnification. The mean total score of proximal tubular damage in groups K-, K+, P1, P2, and P3 respectively was 2.48; 3.40; 2.80; 2.64; 3.04. One Way ANOVA test obtained p value = 0.001 (p <0.05). Post Hoc LSD test on proximal tubular damage scores showed a significant difference (p<0.05) between K- and K+ (p=0.000), K- and P3 (p=0.008), K+ and P1 (p=0.005) , K+ with P2 (p=0.001), and P2 with P3 (p=0.047). There is an effect of administration of Lampung Robusta (Coffea canephora) coffee bean extract on the histopathological appearance of the kidney proximal tubules of male rats (Rattus norvegicus) strain Sprague-Dawley induced by monosodium glutamate.
PENATALAKSANAAN HOLISTIK PADA WANITA USIA 54 TAHUN DENGAN HIPERTENSI, DM TIPE 2 DAN HIPERKOLESTEROLEMIA MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS KARANG ANYAR Muhammad, Innou Dhanu; Saftarina, Fitria
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1340

Abstract

Hypertension is a condition when blood pressure in the blood vessels increases chronically. Data from the World Health Organization (WHO) in 2015 showed that the incidence of hypertension in the world reached 1.13 billion and in 2025 the number of hypertension sufferers will continue to increase to reach 1.5 billion individuals. Type 2 DM is a metabolic disease characterized by hyperglycemia due to insufficiency of insulin secretion by pancreatic beta cells or impaired insulin function. According to the International Diabetes Federation (IDF), it is estimated that one in 11 adults or 90 million people (aged 20-79 years) in Southeast Asia will suffer from DM in 2021. Hypercholesterolemia is a condition characterized by high levels of cholesterol in the blood. According to (Riskesdas) 2018, it shows 21.2% of the Indonesian population aged ≥ 15 years. Hypertension, type 2 diabetes mellitus (T2DM) and hypercholesterolemia are chronic disease disorders that are interrelated with each other due to overlapping risk factors such as endothelial dysfunction, vascular inflammation, arterial remodeling, atherosclerosis, dyslipidemia and obesity. There are many cardiovascular complications in diabetes and hypertension, especially related to microvascular and macrovascular diseases such as stroke, heart failure, kidney disease, retinopathy, neuropathy and amputation. To reduce morbidity and mortality rates, Evidence Based Medicine-based service management is carried out in patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework with a patient-centered, family-focused and community-oriented approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively.
PENATALAKSANAAN DAN EXERCISE PADA DIABETES MELLITUS TIPE 2 DENGAN NEUROPATI PASIEN LAKI- LAKI LANSIA MELALUI PRINSIP PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS KEBON JAHE Andra, Aditya; Mayasari, Diana
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1345

Abstract

Diabetes mellitus, a metabolic disorder characterized by elevated blood glucose levels due to insulin deficiency or insulin resistance, is a pressing global health issue, with more than 537 million people affected worldwide, according to WHO data from 2023, and an annual mortality rate of 1.5 million. In Indonesia, the prevalence of type 2 diabetes reached 19,572,564 cases in 2021, with Lampung reporting 38,923 cases. One key area of concern is the Kebon Jahe Community Health Center, which has recorded a high incidence of diabetes. A lack of awareness about diabetes contributes to a high rate of complications such as neuropathy, which can lead to damage to sensory, autonomic, and motor nerves in the peripheral nervous system if not well controlled. The management aimed to implement a holistic and comprehensive family physician approach tailored to the patient’s problems, utilizing evidence-based medicine that is patient-centered, family-oriented, and community-oriented. Primary data were obtained through auto-anamnesis, physical examination, and home visits. Secondary data were gathered from the patient’s medical records. Evaluations were conducted based on a holistic diagnosis from the initial process to the final study, analyzed qualitatively and quantitatively. Mr. H, a 66-year-old man, visited the Kebon Jahe Community Health Center with complaints of tingling and numbness in his hands for the past two months. The patient also reported frequent urination, excessive thirst, and increased hunger. He experienced weight loss of 3 kg over the past three months. A physical examination revealed a deficit in protopathic sensory function. The patient had a habit of consuming sugar from tea or coffee, adding 1-2 tablespoons in 5 servings daily. The patient’s knowledge about his condition was limited. Management was carried out according to related theories and journal guidelines. During the evaluation, the patient was able to adhere to both pharmacological and non-pharmacological therapy recommendations.
Sindrom Horner : Rusaknya Jaras Okulosimpatetik Fitriyani, Fitriyani; Melissa Dwi Mayang Sari; Betsheba, Betsheba
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1346

Abstract

Horner's syndrome is a group of symptoms consisting of a slightly drooping upper eyelid (ptosis) and a smaller pupil (miosis) on the affected side (ipsilateral), less commonly accompanied by a lack of sweat production (anhidrosis) over the ipsilateral eyebrow or face. Horner’s syndrome can be congenital, acquired, or inherited disorder, but the cause is sometimes unknown. Based on the anatomical location of the underlying pathological process, Horner's syndrome is classified into central, preganglionic, and postganglionic. Although in most cases clinical examination may predict the etiology, in other cases pharmacological testing can help in localizing the lesion. Pharmacological testing agents used in the diagnosis of Horner's syndrome include apraclonidine, cocaine, hydroxyamphetamine, or phenylephrine. Imaging approaches such as targeted Magnetic Resonance Imaging (MRI) or Computed Tomography Angiography (CTA) are recommended, given the financial burden of imaging the entire oculosympathetic pathway. This article reviews the clinical signs and symptoms as well as the pharmacological and imaging modalities that can help in the diagnosis and localization of Horner's syndrome and the cause of the condition.

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