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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 9 No 2 (2019): Medula" : 26 Documents clear
Penatalaksanaan Holistik Pada Pasien TBC Milier – HIV Seronegatif Annisa Abdillah; Azelia Nusadewiarti
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.284

Abstract

Miliary TBC is a potentially fatal form of TBC. Mortality rates for military TBC occurs higher in adults (25% - 30%) than in children (15% - 20%). Clinical manifestations of patients with miliary tuberculosis in adults are not specific. Therapy is given not only by using drugs, but also the therapy should be focus on the patient or patient-centered and family approach which is done holistically. The study is Case Report. Primary data was obtained through history taking and physical examination by making home visits, filling out family folders, and filling in patient files. Assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. Based on holistic diagnosis, the patient complains fever for 6 months, accompanied by night sweats, decrease appetite, nausea, weight loss. The patient is worried that his pain will become increasingly burdensome and life threatening. The patient is a man, 53 years. Patients have fungtional degrees 2 with Milliary TBC – HIV Seronegative, have internal risk factors, such as drinking alcohol and smoking habits, curative treatment patterns, rarely exercise and lack of knowledge about the disease. The intervention and evaluation has been done to the patient and his family members about patient’s illness, medications, lifestyles, obtained changes in the behavior of patients and families. The diagnosis of milliary tuberculosis in this cases is in accordance with the theory and critical appraisal of resent research.
1. Kementrian Kesehatan Republik Indonesia. Pusat data dan informasi tuberkulosis. Jakarta: InfoDATIN; 2018. 2. Sharma SK, Mohan A, Sharma A. Miliary tuberculosis: A new look at an old foe. J Clin Tuberc. 2016; 3(1):13–27. 3. Ray S. Diagnosis and mana Anugerah Indah Sari; Roro Rukmi Windi; Hanna Mutiara
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.285

Abstract

Gross motor development is one of children development which must detect in young age for minimize developmental delayed. Age under 3 is a Golden Period which children brain is rapidly develop. Stimulation is a method that can increase children development. Stimulation in age 0-12 month need for optimizing children development. To know mother charactheristic based on giving gross motor stimulation age 0-12 months old at posyandu in Kelurahan Penengahan Raya Kecamatan Kedaton Bandar Lampung. Design of this observational descriptive to 27 mom who had children 0-12 months old at posyandu in Kelurahan Penengahan Raya Kecamatan Kedaton Bandar lampung. The data were taken in the from primary data from questionnaire to score maternal stimulation. We can get mother age 25-35 yo is 18 people and age <25 yo is 9 people. For job distribution, mother who work as housewife is 23 people, enterpreneur is 2 people and employee is 2 people. For last education distribution, elementary is 1 person, JHS is 10 people, SHS is 14 people and collage is 2 people Conclusion: good gross motor stimulation is given by mother who have 25-35 yo, work as housewife and their last education grade is senior high school.
Hubungan Antara Lama Menderita Diabetes Melitus Tipe 2 Dengan Kejadian Peripheral Arterial Disease Pada Pasien Diabetes Melitus Tipe 2 Di Puskesmas Kedaton Kota Bandar Lampung Adinda Ayu Lintang S; Hanna Mutiara; Merry Indah Sari; Muhartono; Ryan Falami
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.286

Abstract

Diabetes mellitus is a metabolic disease with characteristics of hyperglycemia occurs due to abnormalities of insulin secretion, insulin function, or both. Diabetes mellitus causes various kinds of complications, one of which is peripheral arterial disease (PAD). PAD is is a condition characterized by atherosclerotic occlusive disease of the lower extremities. The purpose of this study to knowing the relationship between the length of suffering type 2 diabetes mellitus and the incidence of peripheral arterial disease (PAD) in patients with type 2 diabetes mellitus in Puskesmas Kedaton Kota Bandar Lampung. This research is correlative analytic with cross sectional approach. The study was conducted November 2017. The population in this study were all patients with DM type 2 who joined prolanis activities at Puskesmas Kedaton of Bandar Lampung city. The number of research samples are 40 respondents with consecutive sampling technique. This results has 17 male and 23 women respondents. The average duration of DM is 9.8 years. Respondents with normal were 52.5%, mild PAD 12.5%, moderate 32.5% and severe 2.5%. Spearman test results of both variables obtained p value of 0.001 and correlation value 0.651. The conclusion is there are relationship between length of suffering type 2 diabetes mellitus and the incidence of peripheral arterial disease (PAD) in patients with type 2 diabetes mellitus in Puskesmas Kedaton of Bandar Lampung city.
Peran Albumin Glikat Pada Kontrol Glikemik dan Diagnosis Diabetes Mellitus Sharlene Sabrina; Putu Ristyaning Ayu; Iswandi Darwis
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.287

Abstract

Diabetes Mellitus or DM is a chronic metabolic syndrome, which is usually characterized by excess glycemic conditions or hyperglycemia. The incidence of diabetes is increasing rapidly in populations in Asia, especially in countries with fairly fast economic growth. At present, there are around 171-194 million people in the world who suffer from diabetes. Fructosamine, glycated albumin and HbA1c are glycate proteins used to evaluate glycemic control in diabetic patients. Albumin glycate (GA) has a much shorter half-life than erythrocytes, so glycemic albumin can reflect glycemic control on a short-term basis (around 2-3 weeks) compared to HbA1c. In addition, GA has faster and greater changes compared to HbA1c, so GA may be more useful for describing glycemic control. The concentration of albumin glycate can be determined in several ways, namely by using the colorimetric method with thiobarbituric acid, the enzymatic method with proteinase and ketamine oxidase, the HPLC chromatography method, and the mass spectrometry method. Several studies have concluded that there is a strong relationship between glycated albumin, HbA1c and fasting blood glucose so that glycated albumin can be used as a glycemic control tool for early detection of diabetes complications, aiding diagnosis of diabetes and assisting in the selection of adequate management for diabetes patients.
Hubungan Tingkat Pengetahuan Wanita Usia Subur (WUS) dan Dukungan Suami dengan Pemeriksaan Inspeksi Visual Asam Asetat (IVA) sebagai Metode Deteksi Lesi Prakanker Serviks di Puskesmas Kalibalangan Kabupaten Lampung Utara Tahun 2019 M. Rizky Fathurrohim; Rasmi Zakiah Oktarlina; Nurul Islamy4
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.260

Abstract

Cervical cancer is the fourth most common cancer in women with an estimated 530,000 new cases, representing 7.9% of all female cancers. Cervical cancer events can be detected by the Visual Inspection Method of Acetic Acid (IVA). The relationship between the level of knowledge of women of childbearing age and husband's support to the visual inspection of acetic acid as an early detection of cervical pre-cancerous lesions. This type of quantitative research with cross sectional design. This research has been carried out at the Kalibalangan Main Health Center. The target of this study is all women of childbearing age who have been married, a sample of 196 people with convenience sampling technique. The object taken is the husband's knowledge and support with data collection by questionnaire. Data analysis used univariate and bivariate (chi square). As many as 151 (77.0%) respondents had never had an IVA examination. Based on the results of the study, most of the respondents with poor knowledge were 121 (61.7%) and there were no husband's support around 144 (73.5%). There is a correlation between knowledge of women of childbearing age and husband's support to the Acetic Acid Visual Inspection Examination as an early detection of cervical pre-cancerous lesions in Induk Health Center, Kalibalangan Village, North Lampung Regency in 2019 (p-value 0,000 and OR 13,707).
Pendekatan Diagnosis Berbasis Molekuler pada Pasien Talasemia Bagus Pratama; Intanri Kurniati
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.280

Abstract

Thalassemia is a red blood disorder which is one of the causes of death and illness in Indonesia. This disease occurs due to genetic disorder that affect the inability of a person to synthesize globin chains. A globin chain is one of the constituents of hemoglobin so that abnormality of composition of hemoglobin will cause abnormality of elasticity and lysis of the erythrocytes. This disorder has various clinical manifestations ranging from anemia, pale, fatigue, pain, abnormalities in the bone (thalassemic facie) to jaundice and hepatosplenomegaly. Generally, the diagnosis of thalassemia uses a complete blood count including calculating the number of erythrocytes, hemoglobin levels, hematocrit levels, MCV and MCH, blood smear examination and hemoglobin electrophoresis. The genetic examination on molecular-based diagnostic approach is an examination to get a result of changes in gene sequences or genetic mutations that will affect the difference of clinical manifestation and severity of thalassemia patients. Molecular diagnosis can be made in an effort to improve the effective management and the quality of life of patients.

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