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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 906 Documents
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Terapi Farmakologis Tinea Korporis pada Anak Fernandya Sylvia Nurindi; Rasmi Zakiah Oktarlina; Roro Rukmi WP
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.215

Abstract

Tinea corporis is a superficial fungal infection that attacks glabrous skin except the palms, soles of the feet and between thighs. Tinea corporis occurs in all age, but the highest incidence is in children and adolescents. The incidence of tinea corporis also depends on various factors, such as geographic conditions, climate, population, lifestyle, migration, culture, education and socioeconomic levels. The clinical features include the reddish spots with squama or central healing on its central accompanied by itching that is especially felt when sweating. The management of tinea corporis is divided to non-pharmacologic and pharmacologic. Pharmacologic therapy used for tinea corporis is a topical antifungal group imidazole, allylamine or benzylamine. The use of systemic antinfungal for tinea corporis only if the lesion is widespread and topical treatment is unsuccessful.
The Relation Between Emotional Quotient and Self-Directed Learning Readiness of Students in Medical Faculty of Lampung University Indah Anita Dewi; Dwita Oktaria; Betta Kurniawan
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.220

Abstract

Learning in medical faculties that use the method of problem-based learning (PBL) requires students to be able to study independently (SDL). Even though they have previously been exposed to SDL, students still do not have the readiness to study independently so that they cannot implement SDL well. Emotional quotient is the ability to manage the emotions of self and others. Students who have emotionally quotient will have good self-control so that there is greater potential for implementing independent learning. Emotional quotient is closely related to the readiness of individual independent learning. The higher the emotional quotient and self-directed learning readiness, the easier it is for individuals to be able to apply independent learning (SDL). This study aims to determine the relationship of emotional quotient with self-directed learning readiness of students in Medical Faculty of Lampung University. Data retrieval in this study using questionnaires tool that has been tested for validity and reliability. The sample uses a stratified random sampling technique from FK Unila medical students class of 2016, 2017, 2018 and 2019 as many as 255 samples. Univariate analysis showed most respondents have a high emotional quotient 83,9%, a moderate emotional quotient 16,1% and no respondents have a low emotional quotient. Respondents with a high self-directed learning readiness were 78,4 %, a moderate self-directed learning readiness 21,6% and no respondents have a low self-directed learning readiness. Bivariate analysis with chi-square test obtained p-value <0.05 and there is a significant relationship between emotional quotient and self-directed learning readiness of students in Medical Faculty of Lampung University.
Maternal Zinc Level As The Predictor of Neonates Anthropometric Grecia Ingrid Gultom; Reni Indriyani
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.221

Abstract

Anthropometric measurements are measurements of human body and can be performed on all ages, including neonates. Anthropometry in the neonate consists of body weight, body length, and head circumference. Anthropometry in neonates is essential for assessing intrauterine growth. Zinc is needed by the mother especially in the third trimester. Zinc functions are important in biological aspects such as in protein synthesis, cell division, and nucleic acid metabolism. During embryogenesis, zinc regulates the structure and chromatin function, and gene expression. Zinc deficiency during pregnancy can cause growth retardation by affecting the immune system. Some studies say zinc level does not correlate with birth weight and head circumference while other studies suggest that zinc level is associated with gestation age, weight, body length, head circumference. Cohort studies in China in 2014 says that defisiciency of maternal zinc in early gestation corelate with preterm birth and deficiency in late gestation corelate with Low Birth Weight (LBW).
Perforated Corneal Ulcer and Iris Oculi Sinistra Prolapse Fitriani Antika Dhamayanti; Rani Himayani; Helmi Ismunandar
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.222

Abstract

Corneal ulcer is a pathological condition of the cornea characterized by suppurative infiltrates accompanied by a resonating corneal defect,corneal tissue discontinuity that can occur from the epithelium to the stroma. Corneal ulcers can occur due to trauma by foreign objects or diseases that cause the entry of bacteria or fungi into the cornea, causing infection or inflammation. Mr. 90 years old came with complaints that the left eye cannot see accompanied by bleeding out of clot. This complaint begins with the trauma he experienced since 1 week ago. Complaints that are felt by red eyes (+), pain (+), blurred vision (+), glare (+), swelling of the eyelids (+) and then a fluid in the form of blood and white fluid accompanied by thick yellowish from his left eye. On physical examination obtained ophthalmological status obtained 6/60 right eye vision, left eye vision zero visual field. In the superior palpebra et inferior oculi sinistra there is edema (+), NLP vision, conjunctival injection (+), ciliary injection (+), corneal perforation and cloudy stromal infiltrate (+), prolapsed iris with blood clots and yellowish fluid. The treatment given to these patients is in the form of operative and non-operative management. The operative action performed on this patient is oculi sinistra eviseration. The non-operative action taken is Ceftriaxone 2x1 gram injection, As. Mefenamat 3x500mg, Ranitidine 2x1 amp, Gentamicin Salp.
Karsinoma Nasofaring dengan Multiple Cranial Nerve Palsy Pada Pasien Wanita Usia 52 Tahun Arilinia Pratiwi; Mukhlis Imanto
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.223

Abstract

Nasopharyngeal Carcinoma is a malignant disease that appears in the nasopharyngeal area, namely the area above the throat and behind the nose. Nasopharyngeal carcinoma is an example of malignancy in the THT-KL and is the 4th most common malignancy case after breast cancer, cervical cancer, and lung cancer in Indonesia. The etiology of nasopharyngeal carcinoma is multifactorial, namely infection from Epstein Barr virus, genetic, and related to the environment such as consumption of salted fish, smoking habits, food preservatives, mosquito coils, and wood smoke. This case was found in a female patient, 52 years old, who came to Dr. Hospital. H. Abdoel Moeloek with complaints of headache since 2 months ago. Other complaints felt by patients are double vision, ringing in the ears, face feels numb on one side, pelo talk and tongue falling to one side, and nausea and weakness. There was a complaint of a lump appearing on the right neck since 5 months ago before complaints of headache appeared. The results of physical and supporting examinations and biopsy examinations have been carried out and the results obtained refer to the diagnosis of nasopharyngeal carcinoma. Treatment carried out on patients is symptomatic to reduce symptoms and is referred to a higher hospital for further treatment.
Sindrom Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) akibat Antibiotik: Laporan Kasus SIti Maimunah; Meligasari L. Gaya
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.224

Abstract

DRESS syndrome is a severe drug adverse reaction characterized by skin eruption, fever, and involvement of internal organs. DRESS syndrome has a clinical manifestation similar to other allergic drug eruption. Establishing a diagnosis of DRESS Syndrome quickly and precisely becomes important so that appropriate treatment can be done to reduce the mortality rate due to DRESS Syndrome. This case report aims to show the diagnosis and treatment of cases of DRESS Syndrome in patients with 28-year-old female patients with a history of taking antibiotics. Reported a 28-year-old female patient came with complaints of reddish spots accompanied by itching in most of her body since 5 days ago, complaints accompanied by fever. Spots appear suspected after the patient took antibiotics, namely cefadroxil and amoxicillin after surgery to remove ovarian tumor. Based on physical examination and support, the diagnosis of Allergy Drug Eruption Syndrome type DRESS et causa is suspected of cefadroxil and amoxicillin. Medical management in the form of systemic corticosteroids, antihistamines, and topical corticosteroids. DRESS syndrome is one of the adverse drug reaction which is characterized by skin eruption, fever, and involvement of internal organs. Management of the main DRESS syndrome is the identification and stopping the drug that is suspected to be the cause, and recommended administration of systemic corticosteroids.
Gangguan Mental Organik e.c. Epilepsi pada Laki-Laki Usia 17 Tahun : Laporan Kasus Anisa Wahyuni; Cahyaningsih Fibri R
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.225

Abstract

Gangguan mental organik merupakan suatu gangguan mental yang berkaitan dengan penyakit atau gangguan sistemik atau gangguan otak yang dapat didiagnosis tersendiri. Epilepsi adalah kelainan otak yang ditandai dengan kecenderungan timbulnya bangkitan kejang terus menerus, dengan konsekuensi gangguan neurobiologi, kognitif, psikologi dan sosial, dan terjadi minimal satu kali bangkitan epileptik. Penderita epilepsi memiliki risiko enam sampai dua belas kali lipat untuk berkembang menjadi gangguan psikotik. Tn.H laki-laki 17 tahun dengan riwayat epilepsi akibat cedera kepala dengan diagnosis psikiatri, gangguan mental organik akibat kerusakan atau disfungsi otak atau akibat penyakit lain atau penyakit fisik. (F06.8). Tatalaksana pada Tn.H ini adalah farmakoterapi dengan pemberian risperidone 2 kali 2 mg perhari, asam valproate 3 kali 250 mg, phenytoin 3 kali 50 mg serta psikoterapi pada Tn.H dan keluarganya dengan tujuan untuk mengenali penyakit dan mencegah kekambuhan dari penyakit.
Laporan Kasus : Anak Perempuan Usia 12 Tahun dengan Selulitis Preseptal Nabila Fatimah Az-Zahra; Rani Himayani; Helmi Ismunandar
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.226

Abstract

One of the most common infections of the eyelid and periorbital soft tissues is preseptal cellulitis that is characterized by acute eyelid erythema and edema. Preseptal cellulitis are much more common in young children than adults. In addition, preseptal cellulitis is more frequent than orbital cellulitis. Preseptal cellulitis occurs anterior to the orbital septum. Preseptal cellulitis is a common infection of the eyelid and periorbital soft tissue that is characterized by acute erythema and edema of the eyelid.Most preseptal cellulitis is caused by local spread of sinusitis or adjacent dacryocystitis, external eye infection, or after trauma to the eyelidPreseptal cellulitis generally occurs in children rather than adults.Radiological examination such as imaging with MRI or CT is not indicated unless suspected orbital cellulitis or eyelid abscess is present, or there is a failure to respond to therapy.Administration of antibiotics in patients with preseptal cellulitis caused by bacterial infection must be started as soon as possible.This study discusses the case of girl with preseptal cellulitis who were treated with appropriate antibiotics.
Penatalaksanaan Pasien Diabetes Melitus Tipe 2 dengan Neuropati dan Retinopati Diabetikum Melalui Pendekatan Kedokteran Keluarga Yuwandita Tamara Putri D; Azelia Nusadewiarti
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.227

Abstract

Diabetes mellitus (DM) is a group of metabolic disorders characterized by hyperglycemia. Currently DM has become a global health threat. 415 million people worldwide suffer from DM in 2015 and are expected to increase to 642 million by 2040. Application of family doctor based services based on evidence based medicine in patients by identifying risk factors, clinical problems, and patient management based on the framework of solving patient problems with approached and family approached patient. Analysis of this study is a case report. Primary data is obtained through history taking, physical examination and home visits to supplement family data, psychosocial and environmental data. Assessment is based on a holistic diagnosis from the beginning, the process, and the end of the study quantitatively and qualitatively. Patient ny. S 56 years old was diagnosed with Type 2 Diabetes Mellitus. Patients had internal risk aspects such as obesity, non-physical activity, offspring of diabetes mellitus, history of DM drug breakdown, curative treatment patterns. The external risk aspect of the patient is that the family does not understand the patient's disease and its complications, the family economy is low. Furthermore, the management consists of education about DM and its care for patients and families as well as initial GDS measurements. After evaluating, a decrease in GDS is obtained in patients.
Penatalaksanaan Rheumatoid Arthritis Pada Petani Wanita Usia Lanjut Melalui Pendekatan Kedokteran Keluarga Nailul Azizah; Reni Zuraida
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.228

Abstract

Rheumatoid Arthritis (RA) is an autoimmune disease characterized by erosive, symmetrical synovitis and requires long-term treatment so family support is needed in its management. This study is a case report. Primary data obtained through history taking, physical examination, and home visits. Secondary data were obtained from the patient's medical record. At the first visit, the patient's complaint was pain in the proximal interphalangeal joint (PIP) digital I-V dextra et sinistiti. Internal risk factors namely lack of knowledge about the causes of RA, precipitating factors, how to deal with acute symptoms, diet and exercise are recommended. External risk factors in patients are families who pay less attention to diet and exercise recommended to patients and do not use shoes and waterproof gloves and do repetitive movements without resting when farming. The second visit was to be intervened with the family conference method using poster media. The third visit found complaints of reduced joint pain because the patient took piroxicam 10 mg and applied liniment to the painful location. Patients have been consuming fruit and milk regularly and exercising muscle stretches three times a week for 30 minutes. Families remind diet and exercise accordingly. When farming use shoes and waterproof gloves and rest between repetitive movements. There is an increase in patient knowledge about the causes, precipitating factors, how to deal with acute symptoms, diet, and exercise that is appropriate for RA, characterized by an increase in post-test scores of 40.

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