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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 972 Documents
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Hubungan Pengaruh Media terhadap Risiko Kurang Energi Kronis (KEK) pada Mahasiswi Fakultas Keguruan dan Ilmu Pendidikan (FKIP) Universitas Lampung Fernanda Kusumawardani; Dian Isti Angraini; Minerva Nadia
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.26

Abstract

Chronic Energy Deficiency (CED) is one of many problems that mostly found in women of childbearing age and pregnant women. CED is a condition where an individu is lacking of energy intake for a long time continuously. Based on basic health research, CED prevalence had increased from 13,6% to 20,8% within 2007 till 2013. CED doesn’t only affect the individu itself but also affect the next generation. CED is related to low birth weight infant and stunting incidence. There are many factors contribute to CED, one of them is media. This research aims to find the relation between media influence and chronic energy deficiency in college students. This research used analytical observational method with cross sectional approach in female college students of Faculty of Teacher Training and Education Lampung University. The respondents of this research were 190 female college students who met the inclusion criteria. Instruments used in this experiment were Media Influence Scale dan measuring tape. Data collected were analyzed by univariate and bivariate method. There are about 38,95% female college students were CED and 61,05% were not CED and most of the respondents stated that media has no influence (63,7%). Based on bivariate analysis, the p value between media influence and CED risk was 0,006. In conclusion, there is a significant relationship between media influence with CED risk.
Hubungan Keluhan Iritasi Mata dengan Lama Kontak dan Kadar Klorin pada Air Kolam Renang Universitas Lampung Fahma Azizaturrahmah; Rani Himayani; Anggraeni Janar Wulan
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.28

Abstract

Eye irritation is an inflammation of conjunctival layer caused by exposure of irritant substances such as chemicals. Chlorine in swimming pool water is one of the chemical substances that can cause eye irritation complaint at a certain level and time. This study aims to determine the relationship between eye irritation with contact time and swimming pool chlorine levels. The research design was quantitative with cross sectional method, with sampling technique of consecutive sampling. There were 96 participants. Chlorine levels were tested with chlorine meter then eye complaint and contact time were taken from the questionnaire filling. The analysis test was performed by using chi-square test. There was correlation between eye irritation with chlorine level with result of chi-square test p value = 0,002 and odds ratio equal to 4,577. There was correlation between eye complaint with chlorine contact time with chi-square test p value = 0,04 and odds ratio 2,857. Conclusion: Participants with chlorine exposure more than standard were at risk 4,577 times to have eye irritation than participants with chlorine exposure at standard. Participants with chlorine exposure more than 15 minutes were at risk 2,857 times to have eye irritation than participants with chlorine exposure less than 15 minutes.
Penatalaksanaan Holistik Pada Pasien Diare Akut Dehidrasi Ringan Sedang dan Gizi Buruk Melalui Pendekatan Kedokteran Keluarga Firdha Yossi Chani; Diana Mayasari
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.32

Abstract

Nowadays, the high morbidity and mortality rates caused by diarrhea require prompt and precise initial management. Nutritional conditions are one of the causes of the high morbidity of diarrhea in children. Poor nutritional conditions will have an impact on disruption of growth, mental development and intelligence of children and increase the likelihood of infection in children. In this case family medicine approach needs to be done to identify risk factors and clinical problems in patients, as well as to conduct holistic and comprehensive management with the application of evidence based medicine family doctors through a patient centered approach and family approach. The study conducted was Case Report. Primary data were obtained through alloanamnesis and physical examination by making a home visit, and filling in patient files. Secondary data was taken from the patient's medical record. The assessment is based on an initial holistic diagnosis, process and end of visit. Based on the final holistic diagnostic An. V had acute diarrhea, some dehydration and malnutrition, internal and external risk factors were found. Patient weight is very low (malnutrition), lack of family knowledge of the illness suffered and lack of awareness of cleanliness and balanced nutrition are the main factors of the problem. The family is given intervention by medical treatment and counseling using leafleates. Then an evaluation a conclusion can be drawn that there is an increase in knowledge about disease, hygiene and balanced nutrition
Penatalaksanaan Penyakit Paru Obstruktif Kronik (PPOK) dengan Hipertensi Melalui Pendekatan Kedokteran Keluarga Lisa Ayu Pratiwi1, TA Larasati2 Lisa Ayu Pratiwi; T.A. Larasati
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.34

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is still a major problem in public health in the world and in Indonesia. In the development of the disease, COPD can be accompanied by hypertension either due to exposure to COPD risk factors or to go hand in hand as a comorbid disease. COPD and hypertension are problems so pay attention to the patient in the management of the disease. Application of Evidence Base Medicine based services to these patients to identify risk factors in the form of lifestyle and clinical problems as well as patient centered management and family approach. This study uses primary data directly from patients and secondary data obtained from patient medical records. The assessment in this case is based on a holistic diagnosis from the beginning, process, and end of the study in a qualitative and quantitative manner. 56-year-old patient with male sex comes with complaints, cough with phlegm Accompanied by shortness of breath lost arise, since 5 days ago. On physical examination obtained blood pressure 160 / 90mmhg breathing frequency 24 times per minute. In the thoracic region examination there is a Barrel Chest, widening of the rib cage, normal vesicular, positive rhonchi, negative wheezing. Internal factors in the form of age 56 years male gender lack of knowledge about COPD disease and hypertension, the purpose of treatment and the prognosis of the disease suffered. . External factors lack understanding about patient disease, lack of awareness of family members not to smoke in the house and cook with a stove. Then the patient and family intervene about the causes, risk factors, clinical symptoms, prognosis, and prevention of recurrence that can be done. So in the evaluation we found the patient had shown improvement with indicators using a questionnaire.
Penatalaksanaan Holistik Penyakit Paru Obstruktif Kronis Dengan Riwayat Tuberkulosis Paru Pada Lansia Perokok Purnama Simbolon; Diana Mayasari
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.35

Abstract

Chronic Obstructive Pulmonary Disease is a chronic lung disease that can be prevented and treated, which is characterized by air flow resistance that is not completely reversible. COPD in Southeast Asian countries is estimated at 6.3% with the highest prevalence found in Vietnam (6.7%) and China (6.5%). While in Indonesia, according to data from the Basic Health Research (RISKESDAS) 2018, the national smoking prevalence for people aged ≥ 10 years is 28.8% and for aged 10-18 years is 9,1 %. Pulmonary tuberculosis (TB) is a contagious infectious disease caused by Mycobacterium tuberculosis and most often manifests in the lungs. In Indonesia, TB is a major public health problem. The number of TB patients in Indonesia is the 3rd largest in the world. The study conducted was a case report. Primary data was obtained through history taking and physical examination by making home visits, filling family folders, and filling patient files. The assessment is carried out based on a holistic initial diagnosis, process, and end of the visit quantitatively and qualitatively. Patients were diagnosed with COPD from the history taking and physical examination. As well as supporting examinations. Patients do not have enough knowledge of the disease they are suffering from. Patients have a habit of smoking one pack per day. In the patient's environment there are neighbors who are taking TB packages. The patient's work environment is exposed to smoke from burning trash and dust when sweeping the yard. In the evaluation found an increase in patient compliance to avoid risk factors and family knowledge about the disease and the existence of support in carrying out breathing exercises in patients.
Hubungan Jumlah Leukosit Darah Dan Pemeriksaan Mikroskopis Feses Terhadap Penyebab Infeksi Pada Penderita Diare Akut Usia 2–5 Tahun Yang Dirawat Di Rsud Ahmad Yani Kota Metro M. Haikal; Tri Umiana Soleha; Rika Lisiswanti
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.36

Abstract

Diarrhea is the discharge of stool with a watery form and with more frequencies than usual. Diarrhea is a leading cause of death in children in developing countries with an interpretation of 1.3 billion events and 3.2 million deaths of toddler each year. Diagnosis of diarrhea is required, including complete blood count examination, serum electrolyte, urea and creatinine levels, faecal examination, and Enzym-linked immunosorbent assay (ELISA) giardiasis and serological test of amebiasis, and x-ray images of the abdomen. Stool examination and examination of blood leukocyte counts are closely related to the etiology of diarrheal diseases. The design of this study is comparative analytic with cross sectional approach to 16 DM patients and 16 subjects with impaired glucose tolerance (IGT). The data taken is primary data in the form of blood test result. The variables of this study are DM patients and subjects with IGT and the platelet indices (MPV and PDW-CV) of the two groups. A total of 19 respondents with elevated blood leukocytes with microscopic examination of bacterial/parasitic faeces were 17 respondents or 47% and with non bacterial/parasitic infections there were 2 respondents or 6%. Of the 17 respondents who did not increase blood leukocyte level there were 4 respondents or 11% with bacterial/parasitic infection and 13 respondents or 36% with infectious causes other than bacteria/parasite. Chi-square test results obtained ρ value = 0.00 ≤ α = 0.05. There is correlation between blood leukocyte count of microscopic examination of faeces in patients with acute diarrhea age 2-5 years.
Penatalaksanaan Diabetes Mellitus Tipe 2 Dengan Hipertensi Grade 1 Pada Perempuan Usia 50 Tahun dengan Pendekatan Kedokteran Keluarga Nisa Arifah; Reni Zuraida
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.37

Abstract

Indonesia is the 7th country with the highest prevalence of diabetes,90% of patients who suffer from diabetes mellitus (DM) throughout the world are DM type 2. Preparation of Medical Base Evidence-based tasks in male patients with risks and problems as well as patient management based on patient responsibility and centralized and family patient approach. This study is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination, and home visits. Secondary data obtained from the patient's medical records. Assessment is based on diagnosis from the beginning, process, and end of qualitative and quantitative studies. Mrs. W 50 years old patient was diagnosed with Diabetes Mellitus Type 2 accompanied by hypertension. Patients have aspects of internal risk in the form of patients having a poor diet, patients having poor lifestyle, lack of knowledge of patients about controlling and monitoring DM, family history factors of hypertension, and patients' curative treatment. External aspects of the family psychosocial risk in the form of a lack of understanding of the patient's disease, as well as patient family members less motivating patients to maintain a regular diet according to the DM diet, controlling blood sugar and blood pressure, and regular treatment. Holistic management with a family doctor approach can improve knowledge, attitudes, and behavior in patients. Also, the role of the family is very important in the care and treatment of sick family members.
Penatalaksanaan Holistik Artritis Reumatoid Pada Wanita Usia 56 Tahun Melalui Pendekatan Dokter Keluarga M Nikhola Risol; RE. Rizal Efendi
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.39

Abstract

Rheumatoid Arthritis is an inflammatory disease due to autoimmune, systemic, progressive and chronic processes. The characteristics most frequently encountered are symmetrical polyarthritis and tenosynovitis, morning stiffness, increased blood flow rate (LED) and autoantibody images with targeted immunoglobulin (rheumatoid factor) in serum. The prevalence in men is 0.16% lower than that of women which is 0.75% and can be stated statistically significant. The cause of RA is not yet known with certainty, but there are several factors that are thought to trigger RA such as smoking, high meat consumption, infection, inflammation of the joints and tendon sheath, obesity, genetic factors, age, sex. The application evidence based medicine family doctor services for patients by identifying risk factors, clinical problems, and patient management based on the framework of solving patient problems with a patient centered and family approached approach. The analysis of study a case report. Primary data obtained through history taking, physical examination and home visits to complete family data, psychosocial and environmental data. Assessment is based holistic diagnosis from beginning, process, end study quantitatively and qualitatively. Patients have aspects internal riskknowledge about RA, curative treatment patterns, irregular eating patterns. External risk aspect patients knowledge and family support treatment, holistic management .
Penatalaksanaan Anemia Defisiensi Besi Pada Laki - laki Usia 46 Tahun Melalui Pendekatan Kedokteran Keluarga Tasya Putri Atma Utami Raka; Reni Zuraida
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.40

Abstract

Anemia is one of the health problems in the whole world, especially in developing countries where an estimated 30% of the world's population suffer from anemia. The application of Evidence Base Medicine based services on adult male patients by identifying risk factors and clinical problems and management of patients based on the framework of problem solving and the patient centered approach and family approach. Assessment is based on a holistic diagnosis from the beginning, process, and end of study in a qualitative and quantitative manner. Men aged 46 years, who had been diagnosed with Iron deficiency Anemia had a fear that their complaints would get worse and not improve because after a laboratory examination of Hb patients was 9.8 gr / dl. Limited knowledge about the patient's health conditions in the form of factors that cause anemia, complications from anemia, prevention of anemia, foods that need to be avoided as well as lack of motivation and family encouragement to bring control patients to the nearest health care facility.After a family physician approach is made to anemic patients, there is a change in knowledge about anemia.
Hubungan Higiene Personal Terhadap Kejadian Tinea Versicolor Pada Santri Pria Di Pondok Pesantren Darussa’adah Mojo Agung, Lampung Tengah Soni Setiya Wardana; Fitria Saftarina; Tri Umiana Soleha
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.41

Abstract

Tinea versicolor is an infection of superfisial fungal caused by Malassezia furfur, chronic, mild and usually without inflammation. Tinea versicolor occurs because of the condition that affect the balance between host and the fungal. Personal hygiene influenced by body image, social practic, social economic status, knowledge, culture, personal choices and physical condition. Poor personal hygiene levels is a risk factor for tinea versicolor. This study aimed to determine the relationship between personal hygiene and the incidence of tinea versicolor on male students in islamic boarding school. This study is an analytic observational with quantitave research method and cross-sectional approach. The sample in this study were 68 male students at the islamic boarding school. The diagnosis of tinea versicolor confirmed by clinical and microscopic findings on skin scrapings. Bivariate data analysis using chi square test (????=10%; CI=90%). The results of this study showed that 58,6% of respondents have a poor personal hygiene and 21,4% of the respondents had tinea versicolor. From chi sqaure test analysis, it was found that the relationship of personal hygiene and the incidence of tinea versicolor statistically significant with p=0,013. From this study we can conclude that there was a relationship between personal hygiene and the incidence of tinea versicolor.

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