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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 1,081 Documents
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Kaki Diabetes Berulang pada Lansia dengan Non-Adherence Kronik, Diabetes Burnout, dan Risiko Lingkungan Rumah Pesisir Dengan Pendekatan Kedokteran Keluarga : Laporan Kasus Lely Sustantine Totalia; R. Wianti Soeryani; Novendy Novendy
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1912

Abstract

Recurrent diabetic foot ulcer is a major chronic complication of type 2 diabetes mellitus that contributes to increasedmorbidity, amputation rates, and reduced quality of life, particularly among older adults. Ulcer recurrence is influenced not only by clinical factors but also by medication adherence, psychosocial conditions, family support, and environmentalcircumstances. This case report aims to describe the application of a family medicine approach in managing recurrent diabetic foot ulcer in an elderly patient with multimorbidity and socioeconomic limitations. Mr. S, a 74-year-old man with a five-year history of type 2 diabetes mellitus, hypertension, peripheral neuropathy, and previous foot debridement, presented with a plantar ulcer on the left foot caused by a wooden splinter from the floor of his stilt house. Clinical evaluation revealed a 3 × 2 cm ulcer with moderate infection, HbA1c of 10.2%, poor medication adherence, high diabetes distress, and risk of malnutrition. Holistic assessment identified internal factors including poor glycemic control, chronic non-adherence, and diabetic neuropathy, as well as external factors such as a hazardous coastal home environment, an elderly caregiver, and limited family income. Management was carried out using patient-centered care, family-focused care, and communityoriented care through wound debridement, insulin therapy, antibiotics, intensive diabetic foot care education, medication adherence improvement strategies, home environmental modification, and home visits. Four-week follow-up demonstrated clinical improvement, with ulcer size decreasing to 1.5 × 1 cm, healthy granulation tissue formation, improved medication adherence, and better foot care practices. A comprehensive family medicine approach may improve clinical outcomes and help prevent recurrent diabetic foot ulcers among vulnerable older adults.
Pemanfaatan Citra Digital dalam Bidang Kesehatan: Tinjauan Literatur Mohamad Idris; Linda Septiani
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.2028

Abstract

The development of digital technology has driven significant transformation in healthcare, particularly through the utilization of digital imaging. The application of digital imaging in healthcare includes disease diagnosis, radiological analysis, early disease detection, identification of herbal medicinal plants, patient monitoring, telemedicine, and the development of Artificial Intelligence (AI)-based healthcare systems to enhance the accuracy and efficiency of medical services. This study examined the utilization of digital imaging in healthcare based on various relevant studies. The method used in this study was a literature review conducted by collecting and analyzing national and international scientific articles related to digital image processing in healthcare. The results of the literature review indicate that digital imaging plays an important role in improving the effectiveness of diagnosis, medical analysis, and telemedicine services. Artificial Intelligence (AI) technologies, particularly deep learning and Convolutional Neural Networks (CNN), have demonstrated high accuracy in medical image processing, while image compression technology improves the efficiency of medical data transmission. However, its implementation still faces several challenges, including limitations in technological infrastructure, image quality, internet connectivity, and patient data security. Therefore, the development of digital imaging technology in healthcare needs to be continuously improved to support a more optimal healthcare system. Keywords: artificial intelligence, digital imaging, medical diagnosis, healthcare, technology
Potensi Tanaman Obat Indonesia sebagai Kandidat Terapi Pendukung pada Demam Berdarah Dengue Terza Aflika Happy; Linda Septiani; Risti Graharti; Femmy Andrifianie
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.2030

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, with high morbidity and mortality rates. Since the current management of DHF is primarily supportive, identifying effective complementary therapies has become an important research priority. Indonesia possesses extraordinary biodiversity, including numerous medicinal plants rich in bioactive secondary metabolites with potential therapeutic properties. This study aimed to review the potential of Indonesian medicinal plants as candidates for supportive therapy in DHF based on available scientific evidence. A literature review was conducted by analyzing national and international publications related to medicinal plants and dengue infection. The findings indicate that several Indonesian medicinal plants, including Phyllanthus niruri L., Psidium guajava, Carica papaya L., and Ipomoea batatas, demonstrate promising potential as supportive therapies for DHF. Their therapeutic effects are mainly attributed to bioactive compounds such as flavonoids, quercetin, saponins, tannins, alkaloids, and polyphenols, which exhibit antiviral, anti-inflammatory, antioxidant, and immunomodulatory activities. These compounds may also promote thrombopoiesis by stimulating granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin-3, thereby contributing to platelet recovery. In addition, they help reduce oxidative stress, suppress excessive pro-inflammatory cytokine production, and preserve vascular endothelial integrity, potentially preventing disease progression and plasma leakage. Overall, Indonesian medicinal plants represent promising candidates for complementary supportive therapy in DHF. Nevertheless, further preclinical investigations and well-designed clinical trials are required to confirm their efficacy, safety, optimal dosage, and mechanisms of action before they can be recommended for routine clinical practice.
Demam Tifoid disertai Ankilostomiasis pada Anak Usia 5 Tahun: Sebuah Laporan Kasus Muhammad Morsa Habibie; Oktadoni Saputra
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.2036

Abstract

Typhoid fever remains one of the most common infectious diseases affecting children in developing countries, particularly in areas with poor sanitation and hygiene. Meanwhile, hookworm infection continues to be a significant public health problem because it may cause chronic blood loss, iron deficiency anemia, malnutrition, and impaired growth in children. The coexistence of these two infections may aggravate clinical manifestations and requires a comprehensive diagnostic and therapeutic approach. This case report aims to describe the clinical presentation, diagnostic evaluation, and management of typhoid fever accompanied by hookworm infection in a child. A 5-year-11-month-old girl was admitted to the Emergency Department of dr. H. Abdul Moeloek Regional Hospital with a two-week history of fever accompanied by abdominal pain, vomiting, and diarrhea. Physical examination revealed fever, pale conjunctiva, and abdominal distension. Laboratory investigations demonstrated microcytic hypochromic anemia, leukocytosis, thrombocytosis, and hypoalbuminemia. Serological testing for anti-Salmonella IgM (TUBEX) yielded a positive result with a score of 6, while stool examination identified Ancylostoma duodenale eggs. The patient was diagnosed with typhoid fever and hookworm infection and was treated with intravenous antibiotics, an anthelmintic agent, supportive therapy, adequate fluid and nutritional management, and education regarding personal hygiene and sanitation. During hospitalization, the patient's clinical condition gradually improved, as evidenced by the resolution of fever, abdominal pain, vomiting, and diarrhea, along with improved tolerance to oral intake, and she was discharged in good condition. This case highlights the importance of considering coinfection in children presenting with prolonged fever, anemia, and poor sanitation-related risk factors. An integrated approach involving accurate diagnosis, appropriate antimicrobial and anthelmintic therapy, nutritional support, and preventive education is essential to improve clinical outcomes and reduce the risk of complications and reinfection.
Perbedaan Keseimbangan Postural Wanita Obesitas Peserta Senam Zumba di Pusat Kebugaran Bandar Lampung A.A. Mas Maharani; Khairun Nisa Berawi; Muhammad Iqbal
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.v16i4.1141

Abstract

Women have a greater risk become obese due to puberty. People with obesity or greater body mass index (BMI) have a poor postural balance. Muscle strength is one of the factors affect postural balance. Muscle strength can be trained with physical activity and zumba is one of physical activity which collaborate music, dance, and cardio. The aim of this study is to find out postural balance differences among obese woman who participate zumba exercise. This study is an unpaired quantitative analysis with a cross-sectional design. The study was conducted at De Perkasa Fitness Center with a total sample of 80 people. Data were collected by examining body weight, height, and postural balance using the berg balance scale test on obese women who participate zumba exercise. The data obtained were tested using the Saphiro Wilk test to find out the normality of data and continued with the Mann-Whitney test. The average results of postural balance in the routine and first-time groups, respectively, were 54.5 ± 1.377 and 51.95 ± 1.648. The results of the Mann-Whitney test showed that  p value = 0.000 (p<0.05) showed a significant difference (p<0.05) between the postural balance of obese women participating in zumba exercise. There are differences in the postural balance of obese women participating in zumba exercise at fitness center in Bandar Lampung.
Multigravida 14 weeks pregnant with hematemesis + electrolyte imbalance: Multigravida 14 weeks pregnant with hematemesis + electrolyte imbalance Fonda Octarianingsih Shariff; norma estarina
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.v16i4.1248

Abstract

A 34-year-old multigravida patient 7 weeks pregnant came to the emergency room of RSPBAH Bandar Lampung with complaints of nausea and vomiting since 2 weeks ago. With compaints of nausea (+),for two months, recently vomiting, accompanied by fresh blood clots. Vomiting today 15times and vomiting accompanied by fresh blood and blood clots >4 times. Hearthburn, headache, weekness vital signs of blood pressure 120?80mmhg, pulse100x/minute, temperature 36,3 c, respiratory rate 20x/minute, axogen saturation 97%, in the hematology supporting examination on 05-09-2024 found a decrease in Hit, Type of Leukocyte Rod 0%, Hit. Type of Leukocyte Lymhocyte 19%, and MCH which increase to 32pg. And the supporting examination of Ultrasonography (USG) obtained the impression of a signle fetus alive with a gestasional age 14 weeks, Estimated delivery on February 26,2024. Biparietal Diameter with assize of 2.95cm. The diagnosis in this case is a 14 week pregnant with Hematemesis + Electrolyte Imbalance. The management obtained in this patient is observation of general condition, periodic vital sign examination, indication of hospitalization with treatment : observation of vital sign and GCS, advise the mother to rest in bad, IUVD RL XXtpm, Ondancentron Injection 3x1, Ranitidine 2x1, Antasid syr 3x1. The Prognosis In this patient is dubia ad bonam.
Kualitas Air dan Perilaku Masyarakat Terhadap Derajat Kesehatan Masyarakat Adilla Dwi Nur Yadika
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.v16i4.1577

Abstract

Water quality is a crucial factor in maintaining public health. The quality of water is crucial for daily life, from drinking to household, industrial, and health needs. Water that does not meet standards can cause various infectious and chronic diseases. This article uses a literature approach through a review of various studies related to water quality parameters and their impact on health. Water quality can be measured using the Water Quality Index (WQI). Parameters that determine water quality include physical, chemical, and biological factors. Low water quality is associated with high levels of heavy metals (Pb, As, Fe, Cd), chemical compounds (nitrate and fluoride), and microbiological contamination (Escherichia coli). Water quality can be influenced by natural factors, such as rainfall, watershed geography, the atmosphere, and geology. Furthermore, water quality is also determined by community behavior, which in turn influences community health, such as industrial, domestic, and/or agricultural activities. Community behavior in water treatment and storage also influences the increased risk of diarrhea, cholera, and nervous system disorders. Water quality and community behavior play a significant role in community health. Cross-sectoral collaboration between government, industry, and the community is needed to maintain water quality and prevent waterborne diseases, thereby improving public health.
the The Relationship Between Social Media Usage Intensity and Anxiety Levels Among Tarumanagara University Medical Students in 2025: The Relationship Between Social Media Usage Intensity and Anxiety Levels Among Tarumanagara University Medical Students in 2025 Lourdes Thorino Beru Ginting; Lamhot Asnir Lumbantobin
Medula Vol 15 No 4 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i4.1605

Abstract

The rapid increase in social media use among university students has raised concerns regarding its potential psychological consequences, particularly anxiety disorders. This study aimed to determine the relationship between social media usage intensity and anxiety levels among medical students at the Faculty of Medicine, Tarumanagara University, in 2025. An analytical observational study with a cross-sectional design was conducted involving 212 respondents selected through consecutive sampling. Social media usage intensity was assessed using the Social Networking Time Use Scale (SONTUS), while anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Spearman rank correlation test, and the strength of the association was estimated using the Prevalence Ratio (PR). The results showed that 65.6% of respondents had high to very high social media usage intensity, while 59.0% experienced moderate to severe anxiety. Spearman rank analysis demonstrated a statistically significant positive correlation between social media usage intensity and anxiety levels (r = 0.324; p < 0.001). Furthermore, students with high social media usage intensity had a 1.91-fold higher risk of experiencing moderate to severe anxiety than those with lower usage intensity. These findings indicate that excessive social media use may contribute to poorer mental health outcomes among medical students. Therefore, promoting awareness and providing education on responsible and mindful social media use is essential to reduce its adverse psychological effects, support healthy digital habits, and improve students' overall mental well-being.
Kebiasaan Membaca Label Informasi Gizi dan Pengaruhnya terhadap Obesitas : Sebuah Literature Review Salwa Alina Faza; Dian Isti Angraini; Sofyan Musyabiq Wijaya; Bayu Anggileo Pramesona
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.v16i4.1640

Abstract

Obesity is a growing global health problem, including in Indonesia. One preventative strategy is through the habit of reading nutritional information labels on packaged food products, which provide information on energy, fat, sugar, and sodium content. However, this habit remains low and has not been directly studied in relation to obesity incidence. This study is a literature review of articles from the Google Scholar, PubMed, ScienceDirect, and GARUDA databases from 2015–2025. Keywords used include "obesity," "nutrition information label," and "food label reading habits" in both Indonesian and English. The articles described are full-text and relevant to the topic. Several studies have found that individuals who regularly read labels tend to have a normal Body Mass Index (BMI). However, most of the literature only examines behavioral aspects or knowledge of nutrition labels, without exploring their direct link to obesity. Factors such as nutritional literacy, label design, and education significantly influence the effectiveness of labels on consumption. The habit of reading nutrition labels has the potential to help prevent obesity if accompanied by understanding and educational support. However, there is still a gap between knowledge and practice. A multidimensional approach is needed, including communicative label design, such as FoPNL, and ongoing regulation. Further studies are needed to examine the direct relationship between label reading behavior and obesity incidence.
Ketumbar (Coriandrum sativum L.) sebagai Agen Antiinflamasi Alami: Studi Literatur Ruben Ferdian; Susianti Susianti; Ratri Mauluti Larasati; Waluyo Rudiyanto
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1705

Abstract

Inflammation plays a crucial role in the pathogenesis of various chronic diseases, prompting continued interest in the development of natural anti-inflammatory agents with favorable efficacy and safety profiles. Coriandrum sativum L. (coriander) has been reported to exhibit anti-inflammatory properties through multiple biological pathways. This article aims to summarize and evaluate recent experimental evidence regarding the anti-inflammatory activity of Coriandrum sativum. A narrative review approach was employed, with literature searches conducted in PubMed and Google Scholar for publications from 2015 to 2025 using keywords related to Coriandrum sativum and inflammation. Included studies comprised in vitro and in vivo experiments assessing the anti-inflammatory effects of extracts, fractions, or active components of Coriandrum sativum, with extracted data covering the type of preparation, experimental model, dosage or concentration, and measured inflammatory parameters. The reviewed studies indicate that various preparations of Coriandrum sativum exhibit measurable anti-inflammatory activity, particularly polar extracts (ethanolic and methanolic) and essential oils rich in linalool, which were consistently reported to reduce pro-inflammatory mediators and cytokines and to improve biochemical and histopathological parameters in inflammatory models. Nevertheless, heterogeneity in methodologies, dosage variations, and limited phytochemical characterization were noted across studies. Based on the available evidence, polar extracts and essential oils of Coriandrum sativum appear to be the most promising preparations as natural anti-inflammatory agents; however, further studies focusing on extract standardization, toxicity evaluation, and early-phase clinical trials are required to support their potential application in humans.

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