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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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Faktor Risiko Kejadian Stroke di Usia Produktif Rizky Agung Purnomo; Ade Yonata; Intanri Kurniati
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.v12i3.456

Abstract

Stroke is a disorder due to focal or global brain function disorders that occur triggered by cerebrovascular disorders. Stroke is characterized by paralysis of the face or limbs, difficulty speaking, decreased consciousness, and visual disturbances. Stroke is the number 2 cause of death in the world, which is about 6 million deaths every year. Recently, stroke does not only occur in the elderly population, but also in the productive age. This article is a literature compiled to analyze the risk factors associated with the incidence of stroke in productive age. The references used are articles published between 2016-2022. There are 4 main risk factors for stroke in productive age, namely hypertension, diabetes mellitus, dyslipidemia, and lifestyle. Each factor plays a role in increasing the risk of stroke with its own mechanism. There is no difference between stroke risk factors in the productive age and the general population.
A Woman G1P0A0 39 Weeks Pregnant with Atrial Septal Defect and Primary Infertility 6 years: Wanita G1P0A0 Hamil 39 Minggu dengan Atrial Septal Defect dan Infertilitas Primer 6 tahun Lathifah Yasmine; Rodiani
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.v12i3.457

Abstract

Congenital heart disease (CHD) or congenital heart disease is an abnormality of the structure and function of the cardiac circulation at birth. Congenital heart disease is divided into two, namely cyanotic and acyanotic. Acyanotic CHD is divided into two, namely acyanotic CHD with shunts for example ASD (Atrial Septal Defect), VSD (Ventricular Septal Defect) and PDA (Patent Ductus Arteriosus) and acyanotic CHD without shunts, examples are pulmonary stenosis. ASD (Atrial Septal Defect) is a congenital birth defect in the form of a hole in the interatrial septum that occurs due to failure of interatrial septal fusion during the fetus and is followed by pulmonary venous flow that enters the left atrium and then passes through the right atrium. Infertility is said to be primary infertility if previously a married couple failed to get pregnant after one year postpartum or post- abortion without using any contraception. Mrs. F, 33 years old, was taken to Abdu Moeloek Hospital by her family on February 6, 2022 with complaints of shortness of breath that worsened 1 day before being admitted to the hospital. A history of shortness of breath and fainting has been experienced since the patient was a teenager and was diagnosed with congenital heart disease. Vaginal toucher examination revealed anterior portio, bud opening, 25% flattening, membranes could not be assessed, cephalic presentation, Hodge II decline and pointers could not be assessed. The diagnosis in this patient was G1P0A0 39 weeks pregnant with Atrial Septal Defect and Primary Infertility 6 years. The management of this patient is observation of vital signs, administration of pharmacological therapy in the form of furosemide and sildenafil and vaginal delivery.
Efektivitas Penggunaan Ventilasi Mekanis Non Invasif Pada Pasien Penyakit Paru Obstruktif Kronik Eksaserbasi Dengan Ancaman Gagal Napas: Evidence-Based Case Report Fadhlurrahman; Adityo Wibowo
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.v12i3.458

Abstract

Chronic obstructive pulmonary disease (COPD) is a chronic disease characterized by impaired airflow within the respiratory tract and is an increasing global health problem, characterized by airway obstructiveness, chronic obstructive bronchiolitis and emphysema. The disease is caused by prolonged exposure to cigarette smoke as well as air pollution. Symptom and risk management also include pharmacological and non-pharmacological treatment. COPD patients could experience shortness of breath with or without the threat of respiratory failure. Non-invasive ventilation is a non-pharmacological intervention used to treat severe COPD shortness of breath and to help the respiratory muscles work properly.  This study aimed to see how non-invasive mechanical ventilation worked as a treatment for respiratory failure in patients with chronic obstructive pulmonary disease.  Articles were searched in several databases, including PubMed/MEDLINE, ScienceDirect, Nature Journal, and Google Cendikia, using keywords related to clinical scenarios published between 2016 and 2022. The articles discovered were then subjected to a critical analysis using the Center of Evidence worksheet. Oxford-based Medicine Conclusion: According to the findings of the article analysis, patients with chronic obstructive pulmonary disease (COPD) treated with noninvasive mechanical ventilation had a lower risk of mortality and intubation.  
Hubungan Antara Parent And Peer Attachment Terhadap Nilai Ujian Akhir Blok (UAB) Ilmu Kedokteran Komunitas Pada Mahasiswa Angkatan 2015 Fakultas Kedokteran Universitas Lampung: Hubungan Antara Parent And Peer Attachment Terhadap Nilai Ujian Akhir Blok (UAB) Ilmu Kedokteran Komunitas Pada Mahasiswa Angkatan 2015 Fakultas Kedokteran Universitas Lampung heidy putri gumandang; Dwita Oktaria; Anisa Nuraisa Djausal
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.v12i3.460

Abstract

Learning achievement is the end of result that is awaited in learning something and there are several factors that influence it, one of it is environment. The family environment consisting of economic conditions, the atmosphere of house, and parents are mentioned have a role in learning achievement. When someone is in a family or community environment, students do not escape from social situations such as peers. The aim is to find out the relationship between parent and peer attachment with the result of Community Medicine (IKKOM) block in Medical Student, Faculty of Medicine, University of Lampung. The study used a cross sectional design and conducted in October 2018. Subjects were 183 students of batch 2015, Faculty of Medicine, University of Lampung. The results were analyzed using the Fisher and Chi-square test. This study used 183 respondents who showed that the level of attachment to parents of medical student batch 2015 Lampung University was high security, which was a percentage of 93.44% and the level of attachment to friends of medical student batch 2015 Lampung University was high security a percentage of 86.34%. Furthermore, the bivariate test obtained p value> 0.05, which means that statistically there is no significant relationship between parent and peer attachment with the result of Community Medicine (IKKOM) block in Medical Student, Faculty of Medicine, University of Lampung.We concluded that there was no significant relationship between parent and peer attachment with the result of Community Medicine block in Medical Student of 2015, Faculty of Medicine, University of Lampung.
Faktor Risiko Penyalahgunaan Narkoba pada Remaja Sheira Indah Anjani; High Boy Karmulrubog Hutasoit
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.v12i3.471

Abstract

  Adolescence is a time of physical, psychological, and social and emotional changes. At this stage of life, adolescents adopt behaviors that can lead to various health risks, including drug use. For adolescents, substance use tends to be acquired through experimentation and curiosity, especially through peers. Risk factors that potentially predispose adolescents to substance use include experimentation, lack of awareness, poor parental monitoring, peer influence, family and psychological problems. Risk factors can influence drug abuse in several ways. The more risk a child is exposed to, the more likely the child will abuse drugs. Some risk factors are very strong, but may not affect drug abuse unless certain conditions apply. Having a family history of substance abuse, for example, puts a child at risk for drug abuse. However, in an environment without drug-abusing peers and strong anti-drug norms, the child is less likely to abuse drugs and the presence of multiple protective factors can reduce the impact of some risk factors. For example, strong protections such as parental support and involvement can reduce the influence of strong risks, such as having peers who abuse substances. Adolescents have poor knowledge, attitudes and perceptions about pre-intervention of drug abuse. Interventions including health and psycho-education had effective results on knowledge, attitudes, and perceptions of adolescents about substance abuse. In dealing with drug prevention in adolescents, much special attention needs to be paid to individual factors because most of the findings are discussed in relation to these factors. With the increasing trend of drug abuse, it will be very important to focus research specifically on this area. This literature review discusses risk factors and prevention of drug abuse in adolescents  
Pengaruh Pemberian Teh Hijau (Camellia sinensis) terhadap Gambaran Histopatologi Paru-Paru Tikus Putih (Rattus novergicus) Jantan Galur Sprague Dawley yang di Papar Uap Rokok Elektronik Ni Putu Sari Widiyani; susianti; Putu Ristyaning Ayu Sangging
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.v12i3.472

Abstract

E-cigarettes are easy to obtain and feel safer than conventional cigarettes, making smokers begin to change their habits in using conventional cigarettes. This trend has made e-cigarettes increasingly popular. Toxic contained in e-cigarettes causes an oxidative stress process that triggers an inflammatory response and causes respiratory problems. Green tea extract is believed to be an antioxidant to suppress the oxidative stress process. The study used a pure experimental design using 30 white rats of the Sprague Dawley strain. There was a change in histopathological damage in all samples where there was a significant difference in the control group, but not significant in the value of the vape control (K2) with treatment group 1 (50 mg/kgBW) p=0.163. E-cigarette consumption leads to an increase in circulating markers of oxidative stress. E-cigarette vapor induces an increase in cellular reactive oxygen species which in turn increases circulating inflammatory markers. Green tea polyphenols seek reactive oxygen species (ROS) by generating more stable phenolic radicals. The protective effect is attributed to the antioxidant capacity thereby reducing lung tissue damage. The conclusion is that there is an effect of giving green tea extract at a dose of 50 mg/kgBW but there is an effect of giving green tea extract at a dose of 100 mg/kgBW and 200 mg/kgBW on changes in the histopathological picture of the lungs of white rats (Ratus novergicus) Sprague dawley strain exposed to steam. electronic cigarette.
Penatalaksanaan Holistik Pasien Laki-laki Usia 35 Tahun dengan Dermatitis Atopik Melalui Pendekatan Kedokteran Keluarga Arba Indra Putra; dian isti anggraini
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.v12i3.474

Abstract

Atopic Dermatitis (hereinafter referred to as AD) is a typical, chronic, and frequent relapse (exacerbation) inflammatory skin disease which, although rare, can be found in adult patients. Atopic dermatitis found in adults is more caused by psychological stress and is supported by decreased function of the autonomic nervous system. This article is a form of the application of family doctor services based on evidence based medicine to patients by identifying risk factors, clinical problems, and patient management based on the framework of solving patient problems with a patient centered and family approach. This study is a Case Report. Primary data were obtained through autoanamnesis, physical examination, home visits to complete family and psychosocial data, as well as the environment. Assessment based on a holistic diagnosis from the beginning, process and end of the study quantitatively and qualitatively. Adult patient with atopic dermatitis. On internal factors in the case such as genetic factors, age, and ignorance of the precipitating factor. External factors are the lack of family knowledge about atopic dermatitis, its complications and the environment that has many allergens. Pharmacological and non-pharmacological interventions were carried out in the form of education in preventing the recurrence of atopic dermatitis symptoms in patients. Enforcement of diagnosis and management of these patients has been carried out holistically, patient centered, family approach and based on several theories and the latest research. In the process of behavior change, patients and families have reached the adoption stage.
Kriteria Diagnostik dan Pendekatan Terapeutik pada Pasien dengan DIslipidemia Pediatri nickyta; Dyah Wulan Sumekar Rengganis Wardani; Anggraeni Janar Wulan
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.481

Abstract

Dyslipidemia or hyperlipoproteinemia is a quantitative change in the concentration of total cholesterol, its fraction, or just triglycerides in plasma. In addition, there is ample evidence to support that pediatric dyslipidemia is associated with atherosclerosis in adulthood. To reduce cardiovascular risk in adulthood, early identification and treatment is needed to reduce morbidity and mortality. Dyslipidemia itself can occur due to changes in primary lipoprotein metabolism due to genetic (primary) causes or other pathologies such as the result of accumulation of exogenous (secondary) factors. Therefore, mixed dyslipidemia results from genetic and environmental associations with risk factors for cardiovascular disease. However, lipid metabolism screening in pediatrics is not carried out in a targeted manner, causing problems where the outcome is not generally accepted. In addition, no one knows the effect of long-term pharmacological therapy. Therefore, this study aimed to review the various available literature resources on pediatric dyslipidemia to present data on a structured approach to pediatric dyslipidemia that focuses on screening, atherosclerotic risk stratification, and therapeutic approaches.
MEKANISME AKSI DAN EFIKASI OBAT-OBATAN BOTANI YANG BERPOTENSI DALAM PENGOBATAN ALTERNATIF UNTUK FIBROID UTERUS Tiara Sekar; Rodiani; DWi Aulia Ramdini
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.483

Abstract

Uterine fibroids are benign gynecologic tumors that develop from the myometrium and become entangled in the majority of women. The available pharmacological treatments are useful for reducing the size of the fibroids and relieving the symptoms of uterine fibroids. However, these pharmacological agents are said to be unaffordable for most people and are also associated with considerable side effects. Therefore, botanical medicines stole the attention in the last decade because of their therapeutic effectiveness accompanied by affordable costs and comparable and stronger therapeutic efficacy, with fewer side effects. The aim of this review is to provide information regarding the mechanisms by which various botanical drugs possess uterine anti-fibroid activity. The source search method is carried out through several trusted websites such as Pubmed, Science Direct, and Google Scholar. Based on the literature that has been identified, five botanical drugs were found which will be discussed in this review. These botanical drugs will be explained their mechanism of action in carrying out uterine anti-fibroid activity which has the potential as an alternative treatment for uterine fibroids.
Inovasi Kedokteran Komunitas Dalam Pelatihan Keselamatan Kerja Di Bidang Pertanian Berbasis Teknologi Melalui Permainan Digital Tasya Alifia Hanin; Fitria Saftarina; Dewi Nur Fiana
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.484

Abstract

The Occupational Health and Safety sector is currently in training methods to minimize the risk of injury and increase safety at work. Various work sectors have implemented a more active method of delivering training materials, namely through the application of digital games. Digital games are considered successful in some sectors of work, but are limited in agriculture. This is because in the agricultural sector this tends to occur with the same movement and flow. Therefore, this literature aims to understand how to deal with various occupational risks as long as game-based safety in the field can be applied in the agricultural sector. Literature search through Pubmed, Scopus, PsycINFO, and Web of Science with a focus on “serious games” and “gamification” as safety training methods. As a result, digital games that can be applied are through computer technology, with games in the form of increasing levels, points, and challenges being the most popular attraction. During the game, the positive feedback generated and after the game is proven to improve the skills and safety of workers. Therefore, digital games can be developed as an effective, satisfying, and interesting training method for workers in the agricultural sector.

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