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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 4 Documents
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Search results for , issue "Vol 16 No 4 (2026): Medula" : 4 Documents clear
Diagnostik Holistik Dan Penatalaksanaan Komprehensif Ibu Hamil Pada Pasien Ny. N 30 Tahun Dengan Kehamilan Risiko Tinggi Kek Dan Anemia Di Puskesmas Bangetayu Semarang Rohman, Fatuh; Ratnawatia, Ratnawati; Maulan, Aris
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1716

Abstract

High-risk pregnancy due to chronic energy deficiency (CED) and anemia remains a significant concern in primary healthcare because of its association with adverse maternal and neonatal outcomes. This case report describes a 30-year-old pregnant woman at 28 weeks of gestation diagnosed with CED (mid-upper arm circumference 22.5 cm) and iron deficiency anemia (hemoglobin 10.1 g/dL) at Bangetayu Community Health Center, Semarang. A holistic diagnostic approach was applied, integrating medical assessment with family function evaluation (Family APGAR and SCREEM), nutritional behavior analysis, and environmental factors. Management included iron and folic acid supplementation, provision of fortified supplementary food, intensive nutrition counseling, and structured family and community involvement. The distinguishing aspect of this case lies in the integration of clinical management with systematic family and environmental assessment to address multifactorial risk determinants. The expected clinical outcomes were improvement in maternal nutritional status, optimized weight gain during pregnancy, prevention of low birth weight and stunting, and reduced risk of perinatal complications. This case highlights that comprehensive, family-centered, and community-oriented interventions are essential in strengthening early detection and management of high-risk pregnancies in primary care settings.  
Efektivitas Amoxicillin dan Piperacillin Terhadap Klebsiella pneumoniae pada Kasus Infeksi Saluran Pernapasan Akut di RSUD Dr. H. Abdul Moeloek Periode 2019 – 2023 Azalia, Nadhira; Soleha, Tri Umiana; Larasati, Ratri Mauluti; Utama, Winda Trijayanthi
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1846

Abstract

Acute respiratory tract infection (ARI) is one of the leading causes of morbidity that often requires antibiotic therapy, with Klebsiella pneumoniae being one of the most commonly found bacterial pathogens and known to have a high level of antibiotic resistance. Irrational use of antibiotics can accelerate the development of resistance, so the effectiveness of antibiotics needs to be evaluated periodically. Amoxicillin and piperacillin are commonly used antibiotics in the management of ARTI. This study aimed to evaluate the effectiveness of amoxicillin and piperacillin against Klebsiella pneumoniae in cases of ARTI at Dr. H. Abdul Moeloek General Hospital from 2019 to 2023. This study is an observational analytical study with a cross-sectional design using secondary data in the form of culture results and antibiotic sensitivity tests from patient medical records. The sampling technique used total sampling with a total of 106 Klebsiella pneumoniae isolates. Data analysis was performed using the Chi-Square test. The results showed that the resistance rate of Klebsiella pneumoniae to amoxicillin was 92.5% with a sensitivity of 7.5%. In contrast, piperacillin showed a higher sensitivity of 58.5% although resistance was still found at 41.5%. Statistical tests showed a significant relationship between the type of antibiotic and the level of bacterial sensitivity (p-value < 0.001). The conclusion of this study indicates that piperacillin is more effective than amoxicillin in the management of ARI caused by Klebsiella pneumoniae and can be considered in the selection of empirical antibiotic therapy.
Eksisi luas karsinoma sel basal pada aksila Khusna, Asmaul; Devi, Dinna; Putri, Heffi Anindya
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1857

Abstract

Basal cell carcinoma (BCC) is a malignant neoplasm arising from the basal layer of the epidermis and is the most common type of skin cancer, yet it is rarely found in the axillary region due to minimal ultraviolet exposure. Wide local excision is the main therapeutic option to achieve tumor-free margins and prevent recurrence. We report a case of a 46-year-old man presenting with a tumor in the left axilla that had gradually enlarged over one year and developed ulceration within the last three months. The initial lesion appeared as a small pruritic nodule that progressively enlarged and ruptured due to scratching. Physical examination revealed a 5 × 2 × 2 cm tumor with a necrotic base, regular margins, elevated edges, and firm consistency. A clinical diagnosis of BCC was established and confirmed by histopathological examination as nodular type. The patient underwent wide local excision with adequate margins. One-month postoperative evaluation showed good wound healing without signs of recurrence. Repeated trauma and chronic inflammation are considered potential risk factors for BCC in sun-protected areas such as the axilla. BCC rarely metastasizes and has a favorable prognosis when diagnosed and treated early. Adequate wide local excision plays a crucial role in reducing recurrence, with a recurrence rate of approximately 1% when completely excised.
A CONGESTIVE HEART FAILURE PADA PASIEN HYPERTENSIVE HEART DISEASE LAPORAN KASUS Djamil, Putri Amelia; Ernawati, Tutik
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1867

Abstract

Chronic heart failure is a major cause of morbidity among older adults and is frequently associated with uncontrolled hypertension. This case report aims to describe the management of chronic heart failure in a patient with hypertensive heart disease using a comprehensive family medicine approach. Data were obtained through detailed history taking, physical examination, medical record review, and home visits to assess family dynamics, health behaviors, and environmental factors influencing the patient’s condition. A 65 year old woman presented with progressive dyspnea that worsened during physical activity and when lying down. Her blood pressure was 142 over 95 mmHg, and chest radiography showed cardiomegaly. The patient was diagnosed with chronic heart failure with a history of long standing uncontrolled hypertension. Interventions included pharmacological and non pharmacological strategies consisting of optimization of antihypertensive therapy, low sodium diet education, fluid intake adjustment based on clinical status, structured physical activity recommendations, and active family involvement in monitoring treatment adherence and lifestyle modification. After three weeks of follow up, clinical improvement was observed with blood pressure reduced to 123 over 76 mmHg and a decrease in dyspnea severity measured by the visual analog scale from three to one. The knowledge score of the patient and family increased from 60 percent to 100 percent, accompanied by better medication adherence and routine follow up. A family based comprehensive approach contributed to symptom improvement, enhanced treatment adherence, and better blood pressure control in a patient with chronic heart failure and hypertension.

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