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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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GAMBARAN PENEGAKAN DIAGNOSIS DAN TATALAKSANA BERDASARKAN TINGKAT KEJADIAN TUMOR PARU DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG TAHUN 2018-2021 Vega Edelweis Veilana; Fransisca Tarida Yuniar Sinaga; Jordy Oktobiannobel; Retno Ariza Soeprihatini Soemarwoto
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.365

Abstract

Tumors that occur in the lungs can be divided into several types, namely benign tumors, malignant tumors, primary tumors and tumors caused by metastases from malignancies originating from other organs. There are about 1 million deaths in the population each year, which are caused by lung cancer malignancies. The case of lung tumor malignancy is ranked 4th, from the total number of cancers that occur in Indonesia. The increase in mortality due to malignant lung tumors is most likely due to delays in diagnosis. According to the Ministry of Health of the Republic of Indonesia, lung tumors are the main cause of death in men with a percentage (21.8%) and in women with a percentage (9.1%). This research uses descriptive observational method with retrospective observation using purposive sampling technique. The data used in the form of medical records. There were 159 lung tumor patients studied, consisting of 77.4% of men, 44.0% of 41-60 years of age, 95.0% of no family history, 67.9% of shortness of breath, and 67.9% of smoking history. 79.2%, using FNAB as much as 37.7%, stage IVA as much as 25.8%, squamosa cell carcinoma as much as 50.3% and chemotherapy as much as 47.8%. Lung tumor patients were mostly found in men, with an age range of 41-60 years, tended to suffer from patients who did not have a family history, the most had symptoms of shortness of breath, were active smokers, the most were stage IVA, with the type of squamous cell carcinoma. FNAB samples were 50.3% and underwent chemotherapy.
GAMBARAN PROGRESIVITAS DAN PROGNOSIS PADA PASIEN CA PARU DI RSUD. DR. H. ABDUL MOELOEK PROVINSI LAMPUNG TAHUN 2018-2021 Fransisca Tarida Yuniar Sinaga; Jordy Oktobiannbel; Retno Ariza Soeprihatinin Soemarwoto; Via Yuananda
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.366

Abstract

Lung cancer is all malignancy that occurs in the lung and originates from the lung itself (primary) and can even occur from outside the lung (metastasis). 2. Smoking is the highest risk factor for lung cancer. In general, the early stages do not cause prominent complaints, but over time general complaints can be seen. 3. Many lung cancer patients are diagnosed at stage III and IV so that the life expectancy is lower. This study aims to determine the frequency distribution of pulmonary CA patients in hospitals. DR. H. Abdul Moeloek Lampung Province in 2018-2021 with quantitative descriptive research methods. Lung cancer patients were male (73.8%) and female (26.2%) mostly aged 35-65 (70.9%), without a family history of lung cancer (77.9%), had a history of lung cancer. smoking (75.0%), found in stage IV B (37.7%), stage IV A (37.3%), stage III B (15.6%) and stage III A (15.6%). Most lung cancer patients were found without comorbid (41.8%), accompanied by complications of pleural effusion (35.2%) with contralateral lung metastases (32.8%). Most local metastases are found in the contralateral lung and distant metastases are often found in the brain. Early detection is important because the speed of treatment greatly affects the prognosis of the disease.
PERBANDINGAN ANGKA KESEMBUHAN ANTARA PASIEN COVID-19 YANG MEMILIKI KOMORBID DIABETES MELITUS DENGAN PASIEN COVID-19 TANPA KOMORBID DIABETES MELITUS DI RUMAH SAKIT NATAR MEDIKA NATAR TAHUN 2021 Firhat Esfandiari; Doni Rahman Nurdiana; Tusy Triwahyuni; Toni Prasetia
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.367

Abstract

COVID-19 is a disease caused by the SARS-CoV-2 virus. Most people infected with the virus can experience moderate to severe respiratory problems and recover without requiring special treatment. However, some will become severe and require medical treatment.Diabetes mellitus (DM) is a chronic disease that poses a challenge in the world of health, diabetes mellitus is one of the non-communicable diseases (PTM) which caused 1.6 million deaths in 2010. The cure rate among COVID-19 patients who have comorbid diabetes mellitus is higher. small compared to COVID-19 patients without comorbidities. Knowing the comparison of the cure rate of COVID-19 patients with diabetes mellitus as comorbid and COVID-19 patients without comorbidities at Natar Medika Hospital, Natar District, 2021. This study uses a descriptive-comparative research method with a cross sectional approach. Based on the results of this study, the majority of respondents were 71 respondents consisting of age > 45 years with a total of 50 patients (70.4%) the majority of respondents were women with 37 patients (52.1%) most patients with COVID-19 were without comorbid as many as 44 people (62%) of COVID-19 patients who recovered were more than COVID-19 patients who died, namely 59 patients (83.1%). In the results of statistical test analysis with Mann Whitney obtained p value = 0.000 (p <0.05) which means that there is a significant difference in the cure rate between COVID-19 patients who have comorbid diabetes mellitus and COVID-19 patients without comorbidities at Natar Hospital. Medika Natar in 2021.
Hubungan Kadar HbA1c Dengan Kadar Kolesterol Total Pada Penderita Diabetes Mellitus Tipe 2 Dirumah Sakit Pertemina Bintang Amin HUsada Bandar Lampung 2022. Indra Saputra; Zulfian; Selvia Anggraeni; Toni Prasetya
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.368

Abstract

Diabetes mellitus (DM) is a chronic metabolic disease due to decreased insulin production in pancreatic cells, or the body experiences insulin ineffectiveness. Based on data from the International Diabetes Federation (IDF), in 2013 – 2017 there was an increase in the number of people with DM from 10.3 million to 16.7 million in 2045. This type of research is an observational analytic with a cross sectional method using a total sampling of 30 patient samples. Type 2 DM that meets the inclusion criteria. Data collection begins in February 2022 until it is completed. The data used are primary data in the form of direct examination. Data were evaluated by chi square test. The research sample was 30 patients with type 2 diabetes with an HbA1c value of 7%, namely 23 patients (76.3%), for an HbA1c value <7%, as many as 7 patients (23.3%) and total cholesterol levels 200mg/dl. namely as many as 20 patients (66.7%), for total cholesterol levels <200mg/dl as many as 10 patients (33.3%). The results of the chi square correlation obtained a value of p = 0.033, because the value of p = 0.033 <0.05 so it can be stated that Ha is accepted and Ho is declared rejected or there is a significant correlation, with p = 0.033 it can be interpreted that the strength of the correlation is positive between the HbA1c value and cholesterol levels. total in patients with type 2 diabetes. There was a significant correlation between the value of HbA1c and total cholesterol levels in patients with type 2 diabetes with p-value = 0.033.
HUBUNGAN LAMA MENDERITA DIABETES MELITUS DAN KADAR GULA DARAH DENGAN KADAR KREATININ PASIEN DIABETES MELITUS TIPE 2 PADA PEREMPUAN DAN LAKI-LAKI Rina Kriswiastiny; ketut yoeby sena; Rinto Hadiarto; Toni Prasetia
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.373

Abstract

Diabetes mellitus is a chronic or long-term condition that occurs due to high blood sugar levels caused by the inability of the pancreas to be able to produce enough insulin or even unable to produce insulin. The number of uncomplicated type 2 DM patients who were hospitalized at Pertamina Bintang Amin Husada Hospital Bandar Lampung in the January-October 2021 was 497 patients. This observational analytic study with cross sectional method used a total sampling of 30 samples of type 2 DM patients who met the inclusion criteria. Data collection began in January 2022. Data were evaluated by chi-square test. The research sample was 30 patients with type 2 DM with a duration of suffering >5 years as many as 15 patients and <5 years as many as 15 patients, with a mean blood sugar level (GDS) of 223, the lowest GDS 87 and the highest GDS 530. The mean creatinine level of patients Type 2 diabetes mellitus out of 30 respondents was 0.9 with the lowest creatinine level 0.2 and the highest 3.2. The results of the chi-square correlation between the length of suffering from type 2 diabetes and creatinine levels obtained p value = 0.048, because the p value = 0.048 <0.05 so it can be stated that there is a relationship. In the results of the chi-square correlation between blood sugar levels and creatinine levels, the p value = 0.060, because the p value = 0.060 > 0.05, it can be stated that there is no significant correlation between blood sugar levels and creatinine levels in type 2 DM patients.
ANALISIS PERBEDAAN SIKAP IBU HAMIL YANG DIVKASIN DAN TIDAK DIVAKSIN COVID-19 DI PUSKESMAS SIMPUR KOTA BANDAR LAMPUNG TAHUN 2021 Fonda Octarianingsih Shariff; Festy Ladyani Mustofa; Devita Febriani Putri; Renaldy Firdaus
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.376

Abstract

Coronavirus Disease 2019 or also called COVID-19 is an infectious disease, caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 is a new type of coronavirus that has never been identified before in humans. COVID-19 vaccination aims to reduce the transmission of COVID-19 transmission, reduce the number of pain and death due to COVID-19, achieve herd immunity and protect pregnant women to remain socially and economically productive. Knowing the differences in attitudes of pregnant women who are vaccinated and non vaccinated for COVID-19 at public health center simpur Bandar Lampung city in 2021. Design methods used are descriptive analytics with a Case Control approach. Sampling technique with Quota Sampling research technique. The results showed from a sample of 30 that pregnant women who had done the vaccine, with a good attitude as much as 14 (46.7%), and with a bad attitude as much as 1 person (3.3%). While pregnant women who do not vaccinate with good attitudes as much as 2 (6.7%), and with bad attitudes as many as 13 people (43.3%). Based on differences in attitudes of pregnant women that the number of attitudes of pregnant women who have been vaccinated as many as 15 people and the number of pregnant women who are not vaccinated as many as 15 people. After the T-TEST test, the attitude of pregnant women who have been vaccinated and the attitude of pregnant women who are not vaccinated get a result of p value = 0.000 this means that H1 is accepted and H0 is rejected where there is a significant difference  in the attitude of vaccinated pregnant women and the attitudes of pregnant women who are non vaccinated for COVID-19. There is a difference in the attitude of pregnant women who are vaccinated and not vaccinated against COVID-19 at the Simpur Health Center in Bandar Lampung City in 2021 with a signification level of 0.000 obtained by P<0.05
HUBUNGAN ANTARA INDEKS MASSA TUBUH DENGAN TEKANAN DARAH SISTOLIK DI PUSKESMAS RAWAT INAP SIMPUR BANDAR LAMPUNG TAHUN 2022 Ika Artini; Sandhy Arya Pratama; Firhat Esfandiari; Richard Bartolomeus Alton
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.380

Abstract

Hypertension is a condition when a person has systolic blood pressure 140 mmHg and/or diastolic blood pressure 90 mmHg, on repeated examinations. The main blood pressure measurement that is the basis for determining the diagnosis of hypertension is diastolic blood pressure measurement. Hypertension with obesity is still very common. The prevalence of hypertension accompanied by obesity is also still increasing today. According to several studies, obesity and hypertension have a significant relationship. There are several explanations that patients who have a BMI with obesity will have a risk of 1.64 times to suffer from hypertension compared to BMI. Research Objectives To determine the correlation between body mass index degrees with blood pressure at public health center of Simpur in Bandar Lampung 2021. This type of research is quantitative research. With the analytical survey method using cross sectional design, through questionnaires given online to respondents who meet the inclusion criteria. Sample obtained was 97 respondents. The degree of blood pressure with the highest number of respondents was the degree of hypertension level 2 systolic >160 as many as 51 people (52.6%), the most age group were adult patients with an age range of 20-59 years as many as 66 people (68%), the degree of body mass index The highest number was obesity level 2 30 as many as 61 people (62.9%), the relationship between the degree of body mass index and the degree of blood pressure was mostly obesity level 2 with blood pressure of hypertension level 2 as many as 35 people (32.1%). Spearman test obtained p = 0.000 (p <0.05). There is a relationship between the degree of body mass index with the degree of blood pressure with the results of the Spearman test obtained p = 0.000 (p <0.05).
Pengaruh Jus Tomat (Solanum lycopersicum) terhadap Tebal Epitel Seminiferus Tikus Putih Galur Sprague dawley yang Diinduksi Gentamisin Fahmi Ikhtiar; Exsa Hadibrata
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.382

Abstract

Aminoglycosides including gentamicin have been used successfully for decades in the treatment of gram-negative bacterial infections. However, gentamicin produces testicular toxicity, resulting in limited therapeutic doses. Lycopene, one of the antioxidants in tomatoes, has singlet-oxygen and free radical scavenging capacity. Moreover, lycopene serves as a promising intervention for testicular toxicity associated with oxidative stress. Researchers wanted to see the effect of tomato juice on the seminiferous tubules of white rats. This type of research is experimental research with post test only control group design. The rats used were 29 male white rats (Rattus novergicus) which were divided into 5 groups, namely the negative control group as normal control. The positive control group was given gentamicin 20 mg/kgBW. Treatment groups 1, 2, and 3 were the treatment groups with gentamicin 20 mg/kgBW and tomato juice 25%, 50%, and 100%. Gentamicin was given for 10 days and tomato juice was given for 24 days. Data analysis was carried out using the One Way Annova method and continued with Post Hoc. After statistical testing, there was a significant effect of giving tomato juice on seminiferous epithelial thickness induced by gentamicin in white rats of the Sprague Dawley strain (p<0.05).
Hubungan Tonsilektomi Dengan Kualitas Hidup Pada Anak Di Rumah Sakit Detasemen Kesehatan Tentara Bandar Lampung Tahun 2018 Abimanyu Darmawan; Mukhlis Imanto
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.387

Abstract

Chronic tonsillitis is an inflammatory disease of the tonsils that often occurs in children. The action taken in chronic tonsillitis is tonsillectomy. Given the tonsils as a body defense system is still a matter of controversy among experts. Chronic tonsillitis that has been done with tonsillectomy will affect the quality of life. Quality of  life consists of emotions, social, school, and physical. The aim of this study is to determine the relationship of tonsillectomy with quality of life in children. The design used in this study was observational analytic with a case control approach. Data collected by analyzing medical records and distributing questionnaires to 44 children aged 5-12 years. Sampling methods done by purposive sampling. The research instrument used was Pediatric Quality of Life Inventory (PedsQL). Data were analyzed with chi square. Most of tonsillectomy patients have good quality of life with a percentage of 77,3% compared to those without tonsillectomy with a percentage of 31,8%. Tonsillectomy was statistically related with quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar Lampung with p value = 0,006 (p<0,05). Based on this study, we can conclude that there was a relationship between tonsillectomy and quality of life in children at the Hospital Detasemen Kesehatan Tentara  Bandar lampung in 2018. Chronic tonsillitis is an inflammatory disease of the tonsils that often occurs in children. The action taken in chronic tonsillitis is tonsillectomy. Given the tonsils as a body defense system is still a matter of controversy among experts. Chronic tonsillitis that has been done with tonsillectomy will affect the quality of life. Quality of  life consists of emotions, social, school, and physical. The aim of this study is to determine the relationship of tonsillectomy with quality of life in children. The design used in this study was observational analytic with a case control approach. Data collected by analyzing medical records and distributing questionnaires to 44 children aged 5-12 years. Sampling methods done by purposive sampling. The research instrument used was Pediatric Quality of Life Inventory (PedsQL). Data were analyzed with chi square. Most of tonsillectomy patients have good quality of life with a percentage of 77,3% compared to those without tonsillectomy with a percentage of 31,8%. Tonsillectomy was statistically related with quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar Lampung with p value = 0,006 (p<0,05). Based on this study, we can conclude that there was a relationship between tonsillectomy and quality of life in children at the Hospital Detasemen Kesehatan Tentara  Bandar lampung in 2018.
Hubungan Optimisme Dengan Resiliensi Pada Mahasiswa Kedokteran Universitas Malahayati Yang Sedang Menempuh Skripsi SIti Hana Muthliatul Jannah; Supriyati; Arti Febriyani Hutasuhut; Octa Reni Setiawati
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.397

Abstract

Reseliensi is a process of human self-resilience that experiences trials in life, such as in students who are taking thesis. One of the factors that can affect resilience is optimism. When the student is taking the thesis, the student must do the process of self-resilience. So that students who are taking thesis are expected to have high resilience. Knowing the relationship of optimism with resilience in university medical students evenayati who are taking thesis class of 2018. This type of research uses a quantitative approach in which there are two psychological scales including optimism scale and resilience scale. The sample in this study, students of the Malahayati University Medical Study Program who were taking the class of 2018 thesis amounted to 111 people. Analyze the data using spearman's correlation test. The majority of students of the Malahayati University Medical Study Program who are taking the class of 2018 thesis have a moderate optimism of 72 people (64.9%). The majority of students of malahayati University Medical Study Program who are studying thesis class of 2018 have a high resilience of 89 people (80.2%). There is a relationship of optimism with resilience in students of the Malahayati University Medical Study Program who are studying the class of 2018 thesis with a correlation (r) between optimism and resilience of 0.319 with a significant level of 0.001. There is a relationship of optimism with resilience in students of the Malahayati University Medical Study Program who are taking the class of 2018 thesis with a correlation (r) between optimism and resilience of 0.319 with a significance level of 0.001.

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