cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Risti Graharti
Contact Email
risti.graharti@gmail.com
Phone
+6281369730011
Journal Mail Official
medulla.fkunila@gmail.com
Editorial Address
-
Location
Kota bandar lampung,
Lampung
INDONESIA
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
 28   29   30   31   32 
engelompokkan manifestasi kutan pada COVID-19 Nandya Dwizella; Nevristia Pratama
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.v12i4.491

Abstract

COVID-19 pandemic has gone through for more than two years, and it has taking millions of lives and has given a catastrophic damage globally in almost every aspect of life. The disease that is caused by SARS-CoV-2 virus is a novel disease that attack respiratory system in a swift manner. Even though respiratory system is the main concern of the disease, in the nature of its own disease, COVID is a systemic inflammatory disease and easily could make a different type of the symptoms in any other system of the body, not limited to respiratory system. It also gives a cutaneous manifestation with a lot of different lesion, but not handled properly and being overlooked. Until now, there is no concrete report of manifestation of cutaneous in COVID-19, this is one reason why clinician kept getting overlooked and do not giving patient a thorough and comprehensive therapy.  The importance of report in cutaneous manifestation in COVID-19 patient will make clinician easier to notice the manifestation and could help them to make a proper comprehensive therapy for patient. Giovani et al has proposed a group of cutaneous manifestation of COVID-19, characterized by its own lesion, the location, pathophysiology and incidence. This grouping of manifestation hopefully can help clinician to identify cutaneous manifestation in COVID-19.
Penatalaksanaan Holistik Dispepsia Fungsional Kronik pada Ny.S 56 Tahun yang Berulang dalam 1 Tahun Terakhir Melalui Pendekatan Kedokteran Keluarga Caesaria Zuya; Diana Mayasari
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.v12i4.506

Abstract

yspepsia is one of the health problems that are often encountered in daily practice. Dyspepsia was defined as having one or more symptoms of epigastric pain, burning, fullness after eating, or early satiety. Bloating and nausea are common with dyspepsia but are not specific. Potential lifestyle factors associated with dyspepsia include smoking, alcohol, and consumption of analgesics. Furthermore, dietary habits that include consumption of fast food, salty foods, coffee/tea, and spicy foods are associated with aggravating dyspepsia symptoms and lack of physical activity may contribute to the onset of dyspepsia. In addition, the stress factor is also something that must be overcome because it is one of the trigger factors and also aggravates the condition of dyspepsia patients. This study is a case report. Primary data were obtained through history taking (autoanamnesis and alloanamnesis from family and patients), physical examination, supporting examinations and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. Application of family doctor services based on evidence based medicine to patients by identifying risk factors, clinical problems, and patient management based on a patient problem solving framework with a patient centered approach and a family approach. A 56-year-old female patient came to the Kemiling Health Center with complaints of abdominal discomfort such as pain and a lump in the gut, accompanied by nausea and headache that had worsened since 2 days ago. Complaints are felt to come and go but get worse if the patient is late to eat. Similar complaints have been felt to have disappeared since 2017. Management of functional dyspepsia patients in a holistic and comprehensive manner, patient centers, family approved with functional dyspepsia treatment regularly according to EBM is needed in order to eliminate symptoms, trigger factors and change patient behavior so as to prevent complications and recurrence of the disease.
Kistadenoma Serosum Ovarii: Laporan Kasus Wilda Ainia Silmi Kaffah; Dhea Mutiara Karmelita; Nurul Islamy
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.v12i4.510

Abstract

Ovarian cystadenoma is a benign neoplasm originating from ovarian epithelium, including serous cystadenoma, mucinous cystadenoma, endometrioid, transitional clear cells (Brenner), and stromal epithelial cells. These epithelial tumors account for 60-80% of all ovarian neoplasms. Symptoms experienced by patients with ovarian cystadenoma are quite varied, depending on the type of cyst itself. The management of ovarian cystadenoma is surgical cystectomy with thorough exploration of the intrapelvic and abdominal organs. Further management is usually carried out with histopathological examination to determine the presence or absence of malignancy. Mrs. M, a 57-year-old woman was referred to Abdul Moeloek Hospital with a suspected diagnosis of ovarian neoplasm. The patient was referred for further examination and treatment. Symptoms include a lump in the stomach accompained by lower left abdominal pain since 2 months ago, often feeling nauseous since 5-6 years ago, weight loss is denied. Physical examination revealed a mass in the left lower quadrant. The results of ultrasound examination revealed a cystic mass in the left ovary. The patient was treated with pharmacotherapy and operative left salpingo oophorectomy. Postoperative diagnosis was left ovarian cystadenoma.
Pengaruh Pemberian Minuman Ringan Berkarbonasi terhadap Peningkatan Kadar Glukosa Darah dan Perubahan Diameter Pulau Langerhans Tikus Putih (Rattus norvegicus) Jantan Galur Sprague dawley Firinda Soniya; Waluyo Rudiyanto
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.v12i4.511

Abstract

The carbonated soft drinks consumption in this world have been increasing rapidly. Several of epidemiology studies have linked chronic consumption a carbonated soft drink with obesity, fatty liver disease, cardiovascular disease, metabolic syndrome, dental caries and osteoporosis. This research aims to determine the effect of carbonated soft drinks consumption to increase blood glucose levels and islets of Langerhans diameter changes rats in male Sprague dawley white rats (Rattus norvegicus). This research is a post test only control group design experimental study using 28 male white rats Sprague dawley which divided into 4 groups. K group only given an aquadest ad libitum 6 ml/200 gr/day, P1 group is given carbonated soft drinks 3 ml/200 gr/day, P2 group is given carbonated soft drinks 6 ml/200 gr/day and P3 group is given carbonated soft drinks 12 ml/200 gr/day for 30 days. The data of blood glucose levels was analysed by using One Way ANOVA test with result in p value=0.00 (p<0.05) then followed by Post Hoc LSD test with result in p value<0.05 for all of groups. The data of diameter Langerhans islets was analysed by using One Way ANOVA test with result in p value=0.394 (p>0.05). There is an effect of carbonated soft drinks consumption to increase blood glucose levels and there is no effect of carbonated soft drinks consumption to Langerhans islets diameter changes in Male Sprague dawley white rats (Rattus norvegicus) all 30 days long.
Obstructive Sleep Apnea Syndrome dan Penderita Obesitas Olivia Putri Chairunnisa; Mutiara Khalish; Achmad Gozali
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.v12i4.513

Abstract

Obstructive sleep apnea (OSA) is characterized by episodes of respiratory arrest or shallow breathing during sleep. These episodes are caused by complete or partial collapse of the upper airway. Most of the time, respiratory events are associated with snoring, oxygen desaturation and decreased sleep duration. Obesity is an important risk factor for the development of OSA and is unique among the major preventable and modifiable risk factors. Many studies have evaluated the effect of weight loss, achieved by behavioral, pharmacological, and surgical approaches, in the management of OSA in obese patients. Initial management includes weight loss, which must be maintained in the long term to prevent relapse, and a 'weight loss program' is mandatory for patients. The success of such programs is usually influenced by the motivation of individuals and their support groups. The increasing prevalence of obesity has led to an increased incidence of respiratory distress during sleep. Obesity is associated with anatomical changes that predispose to upper airway obstruction during sleep. There are several mechanisms by which obesity can cause OSA, and the mechanisms are synergistic. Research shows that increased peripharyngeal fat deposition produces a mechanical load that offsets the maintenance of airway patency by dilator muscles and that this increase in collapsibility is particularly pronounced during sleep when there is decreased neuromuscular activity. In addition, there is some evidence to suggest that central obesity in particular may have a detrimental effect on neuromuscular activity in the upper airway. This literature review discusses the possible mechanisms of obstructive sleep apnea syndrome and the implications of the management that can be recommended to patients.
Penatalaksanaan Holistik Osteoarthritis Dan Obesitas Derajat 2 Pada Wanita Usia 69 Tahun Melalui Pendekatan Dokter Keluarga Abiyyi Pratama HW; Firinfa Soniya; Fitria Saftarina
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.v12i4.514

Abstract

Osteoarthritis (OA) is a degenerative disease of the joints caused by several factors there are age, gender, race, genetics, trauma, occupation (activity), and obesity. Based on data from the WHO 2019, the prevalence of joint disease is reported to be 40% of the world's elderly population will suffer from OA, which 80% have limited joint motion. The causes of pain that occur are multifactorial. Obesity is the strongest modifiable risk factor in OA patients. During activity, half of the body weight rests on the joints. An increase in body weight will double the load on the joints when walking, especially the knee joints. Patient Mrs. N, 69 years old, came to the Panjang health center on November 11, 2021 with complaints of pain and stiffness in the joints in the right and left knees since 1 week ago. The complaints were felt continuously, especially when the patient often walked. Pain is felt in the right and left knees. The duration of complaints of pain appears less than 30 minutes.The pain is felt like a stabbing and comes and goes, especially in the morning after waking up. On physical examination, the body weight was 87 kg, height 168 cm, BMI 33.98. The diagnosis in this patient was Osteoarthritis (OA) and 2nd Grade Obesity.Management is carried out holistically for patients and families through flipchart intervention media in the form of information about OA and obesity and also suggests recommended activities for patients. Holistic management based on Evidence Based Medicine through patient-centered and family approaches can improve knowledge, attitudes and behavior on the patient
Penatalaksanaan Komprehensif pada Wanita Usia 30 Tahun dengan Demam Tifoid melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Kemiling Nadhila Nur Shafitha; Fitria Saftarina
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.v12i4.515

Abstract

Typhoid fever is a global infectious disease, especially in developing countries. Typhoid fever in Indonesia is endemic and is a public health problem. Failure of therapy by using antibiotics can bind closely to the patient, and germs. To implement comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence based medicine with strategies that are patient centered, family oriented and community oriented. The analysis of this study is a case report. Primary data were obtained through history taking (autoanamnesis), physical examination, supporting examination and home visits. Assessment is carried out based on a holistic diagnosis of the initial, process, and final study quantitatively and qualitatively. Patient Mrs. H, 40 years old, came to the clinic with complaints of fever accompanied by headache, abdominal pain, nausea, vomiting, and a dirty tongue. Patients diagnosed with typhoid fever are in accordance with evidence based medicine. After the intervention, there was a decrease in clinical symptoms, an increase in knowledge and changes in the behavior of patients and their families. The diagnosis and management of typhoid fever in this patient was in accordance with national guidelines. Changes in clinical symptoms, knowledge and behavior in patients and their families after interventions based on evidence based medicine that are patient centered and family approach
PENATALAKSANAAN HOLISTIK DISPEPSIA FUNGSIONAL PADA WANITA USIA 21 TAHUN DENGAN MELALUI PENDEKATAN DOKTER KELUARGA Redina Andini; Aila Karyus
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.v12i4.516

Abstract

Dyspepsia fungsional is health problems that are often encountered in daily practice and are diseases with a large number of cases in Indonesia. Family doctor services play an important role as a treatment approach for patients because it applies as a help of healing, health promotions, and preventing diseases. The family doctor approach includes patient centred, family approach strategies, and community oriented. Important role in reducing the incidence and mortality of dyspepsia, as well as increasing the cure rate. Patients must know about their disease and have the awareness and motivation to complete treatment and lifestyle modifications so that treatment goals can be achieved. The study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record at the Puskesmas. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. A patient with complaints of heartbrun since 1 days before going to the Puskesma. Patient complains of abdominal discomfort such as feeling of bloating and pain in the form of stinging in the middle of abdomen and burning sensation in the pit of stomach. Another complaint that is felt  is feeling nauseous, vomiting and no appetite. In this case, diagnosis and treatment have been carried out according to the latest theory and journals. After the intervention, there was a decrease in clinical symptoms and an increase in the knowledge of patients and their families. patient Patients diagnosed with dyspepsia fungsional was in accordance with the theory from several guidelines and journals, there was a change in knowledge of the patient and his family after an intervention based on Evidence-Based Medicine which was patient-centred and family approach.
Korelasi Aminotransferase Platelet Ratio Index (APRI) Dengan Kadar Bilirubin Serum Pada Penderita Sirosis Hepatis Akibat Infeksi Virus Hepatitis C Di RSUD Dr. H. Abdul Moeloek Lampung Vira Katya Aurelia; Intanri Kurniati
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.v12i4.518

Abstract

Hepatitis C is an Inflammation in Liver because of Hepatitis C Virus (HCV). When HCV turning into the bloodstream and enter the liver, HCV will attached to liver cells and starting proliferate. Liver cells becomes broken and causing fibrosis. When in the fibrosis phase, Trombopoietin will in the lower phase and thrombocytopenia will happen. An enzyme that most associated with the destruction of the liver cells is AST and ALT. APRI is apredictor of the cirrhosis progressivity with 81% sensitivity to assess the severity of cirrhosis that APRI is the patients AST value and the platelet. In liver cirrhosis will turns into hyperbillirubine. Intrahepatic phase involves inflammation or abnormalities in the liver that interfere with the removal of bilirubin. This study aims to determine the correlation between APRI and serum bilirubin levels and the mean correlation between AST, ALT, platelets and serum bilirubin levels in patients with hepatic cirrhosis due to hepatitis C virus infection at RSUD Dr . H. Abdul Moeloek Lampung. This study used a consecutive sampling research design and was conducted in June-July 2020. The study sample was 51 subjects. The data used in this study are secondary data, namely medical records. The case group consisted of 27 male patients and 24 female patients. Data were analyzed using Pearson test. : The results of bivariate analysis between APRI and serum bilirubin levels showed a p value of 0.000 which indicates a positive and very strong correlation between APRI and serum bilirubin levels, positive and strong correlation between AST and ALT with serum bilirubin levels, and negative and sufficient correlation between platelets and Serum Bilirubin levels in patients with hepatic cirrhosis due to hepatitis C virus infection at Dr. H. Abdul Moeloek Lampung
Penatalaksanaan Holistik Pada Anak Dengan Skabies Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Rawat Inap Gedong Tataan Katya Rizqita Fitriana; Joana Sirooj Irsyaadyah; Aila Karyus
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.v12i4.520

Abstract

Scabies is a skin disease caused by infestation and sensitization of the parasite Sarcoptes scabiei var. hominist. According to the World Health Organization (WHO), scabies often occurs in tropical and hot countries and in areas with high population density. It is also estimated that there are 200 million people worldwide suffer from scabies at one time and an estimated 10% of children in poor areas. Risk factors for scabies include socio-economic and low knowledge, personal hygiene and poor environment. Scabies is often overlooked because it is not life threatening. Appropriate case management holistically using a family medicine approach is needed to achieve therapeutic success and break the chain of disease transmission to the community. Patient An. AK aged 18 months came with complaints of itching since 2 months ago and there were small nodules the size of a pin filled with clear fluid in the itchy area which were then scratched and broke. Complaints have not been treated, and the longer the itching gets worse. The patient is worried that the complaint getting worse, not disappear and not heal so that it interferes with the patient's activities. Clinically the patient was diagnosed with scabies (ICD-10 B.86; ICPC-2:S72). Internal risks in the form of lack of personal and environmental hygiene, lack of knowledge, inappropriate treatment behavior. External risks include friends and family members who have the same complaint, lack of family hygiene, lack of family knowledge. Functional grade 1, which is able to carry out activities as before the illness without difficulty. Furthermore, holistic management is carried out, namely intervention using poster media. In the evaluation, the results obtained in the form of a better understanding of the disease and changes in behavior that have an impact on the success of therapy.

Page 30 of 91 | Total Record : 906

 28   29   30   31   32 

Filter by Year

2019 2025


Reset
Filter By Issues
All Issue Vol 14 No 10 (2025): Medula Vol 15 No 3 (2025): Medula Vol 15 No 2 (2025): Medula Vol 15 No 1 (2025): Medula Vol 14 No 12 (2024): Medula Vol 14 No 11 (2024): Medula Vol 14 No 9 (2024): Medula Vol 14 No 8 (2024): Medula Vol 14 No 7 (2024): Medula Vol 14 No 6 (2024): Medula Vol 14 No 5 (2024): Medula Vol 14 No 4 (2024): Medula Vol 14 No 3 (2024): Medula Vol 14 No 2 (2024): Medula Vol 14 No 1 (2024): Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense) Vol 13 No 7 (2023): Medula Vol 13 No 6 (2023): Medula Vol 13 No 5 (2023): Medula Vol 13 No 4 (2023): Medula Vol 13 No 3 (2023): Medula Vol 13 No 2 (2023): Medula Vol 13 No 1 (2023): Medula Vol 12 No 4 (2022): Medula Vol 12 No 3 (2022): Medula Vol 12 No 2 (2022): Medula Vol 12 No 1 (2022): Medula Vol 11 No 4 (2021): Medula Vol 11 No 3 (2021): Medula Vol 11 No 2 (2021): Medula Vol 11 No 1 (2021): Medula Vol 10 No 4 (2021): Medula Vol 10 No 3 (2020): Medula Vol 10 No 2 (2020): Medula Vol 10 No 1 (2020): Medula Vol 9 No 4 (2020): Medula Vol 9 No 3 (2019): Medula Vol 9 No 2 (2019): Medula More Issue