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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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LITERATURE REVIEW: Pengaruh Penerapan Protokol ERAS (Enhanced Recovery After Surgery) Terhadap Length of Stay pada Pasien Pasca Pembedahan Miladina Zahra Aulia; Risal Wintoko; Sutyarso Sutyarso; Anggraeni Janar Wulan
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.653

Abstract

Surgery is a follow-up action of invasive emergency treatment by making an incision in a certain part of the body so that it can reach the target organ, after which it ends with closing or suturing the wound. The patient will experience the postoperative impact which is limited movement due to the pain felt after the surgical wound. Furthermore, because the patient cannot mobilize properly, it will affect wound healing. This has an impact on the patient's length of stay which is getting longer and will ultimately make the patient's quality of life worse. Patients with prolonged length of stay are at risk of developing other complications because the patient experiences a decrease in functional status during hospitalization. In addition, the impact of an extended length of stay can increase the financing burden for the hospital. Therefore, efforts are needed to accelerate effective post-surgical healing by implementing the ERAS (Enhanced Recovery After Surgery) protocol. ERAS is a multidisciplinary-based perioperative management protocol with the aim that postoperative patients experience immediate recovery by maintaining postoperative organ function, reducing stress response during surgery, and reducing morbidity in surgery. In several studies, the length of stay of postoperative patients applying the ERAS protocol was shorter than that of patients who did not use the ERAS protocol. This is because in the ERAS protocol, preparations are made for patients starting from pre-admission, pre-operative, intra-operative, and post-operative, each of which has components that can have an impact on accelerating post-operative patient recovery so that the patient's length of stay becomes shorter.
Hubungan Diabetes Melitus Dan Merokok Dengan Kejadian Benign Prostatic Hyperplasia (BPH): Tinjauan Pustaka Haikal Nirfandi; Khairun Nisa Berawi; Exsa Hadibrata
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.655

Abstract

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate gland in the form of a histological disorder due to the proliferation of prostate cells. According to the World Health Organization (WHO), there are 70 million degenerative cases, and BPH is included in that, while in Indonesia there are 9.2 million cases of BPH, with the most occurring in men over 60 years old. There are several risk factors that can increase the likelihood of BPH, such as age, race, family history of BPH, hypertension, obesity, and sexual activity. Men who have had a vasectomy are also at high risk of developing BPH. In addition, a history of diabetes mellitus and smoking habits are also risk factors that can increase the likelihood of BPH. The content of nicotine and conitin in cigarettes can increase the activity of androgen-damaging enzymes, resulting in a decrease in testosterone levels.
Diagnosis dan Tatalaksana Psoriasis Muhammad Rafi Eka Putra; Dwi Indria Anggraini; Syahrul Hamidi Nasution; Hendra Tarigan Sibero
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.656

Abstract

Psoriasis is a chronic skin inflammation characterized by clear erythematous plaques, rough scales, and layered silvery white plaques, especially on the elbows, knees, scalp, back, umbilicus, and lumbar region. 125 million people worldwide have psoriasis, with prevalence varying in different countries. Psoriasis has a prevalence of 1% to 3% in Europe and the United States. Psoriasis is a disease caused by an autoimmune condition. The diagnosis of psoriasis can be made based on the clinical picture. The physical examination should include examination of the primary lesion and other common areas affected by psoriasis including the scalp. A family history should be asked to support the diagnosis. The diagnosis can also be established by the presence of candle drip phenomenon, auspitz and kobner (isomorphic) which are symptoms of psoriasis. In addition, a histopathological examination can also be performed with a picture of hyperkeratosis, parakeratosis, acanthosis, Munro's abscess, papillomatosis and vasodilatation subepidermis. Psoriasis therapy is given topically in mild degrees and systemic therapy and phototherapy are given in moderate to severe psoriasis. Topical therapy that can be given is corticosteroids, vitamin D analogues, retinoids, TAR (LCD 3-10%), keratolytics (salicylic acid), and emollients. Systemic therapy used in moderate to severe cases includes acitretin, methotrexate, cyclosporin. Commonly used autotherapy in the treatment of psoriasis are narrowband ultraviolet B (NB-UVB), broadband ultraviolet B (BB-UVB), and topical 8-methoxypsoralen and UVA (PUVA).
Sarkoma Ewing: Diagnosis dan Tatalaksana Hisbul Waton; Helmi Ismunandar; Oktadoni Saputra; Ratna Dewi Puspita Sari
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.657

Abstract

Ewing's sarcoma (ES) is the second most common bone malignancy. It is accompanied by osteosarcoma. Ewing's sarcoma is most common in people between the ages of 10 and 20, or becomes more common in their 20s, and most cases affect males. The exact cause of Ewing's sarcoma is unknown, but it is currently associated with a translocation of chromosomes 11 and 12 which results in fusion of the EWS and FL-1 genes in 90% of cases. Ewing's sarcoma is often diagnosed with an extensive lesion and metastases, so the patient's prognosis is poor. Complaints that are often found in patients with Ewing's sarcoma are pain, fever, mass and fracture pathology. In addition, laboratory tests found an increase in blood sedimentation levels (ESR), anemia followed by an increase in white blood cells, lactate dehydrogenase (LDH). Radiographs show ill-defined, punctate, penetrating, or moth-eaten lesions, onion-like periosteal reaction, and abundant soft tissue around the diaphysis or metaphysis. Treatment of Ewing's sarcoma is a multimodal approach that combines chemotherapy, physical therapy, and radiation therapy. This combination has been shown to increase the 5-year survival rate of patients with Ewing's sarcoma to over 50%.
PROFIL LIPID DAN TATALAKSANA PADA PENDERITA XANTHELASMA PALPEBRARUM Reynhard Theodorus Xaverius Saragih; Sutarto; Winda Trijayanthi Utama
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.658

Abstract

Xanthelasma palpebrarum is the occurrence of yellowish flat lesions around the eyelids. Xanthelasma is generally found in adults over the age of fifty. It is not known exactly how xanthelasma can occur, but xanthelasma is thought to be related to atherosclerosis. In this study, lipid profile analysis and management of xanthelasma patients were carried out. Literature collection was carried out with the inclusion criteria in the form of literature published maximum in 2012. Meanwhile, the exclusion criteria were in the form of literature published in 2011 and below. The results of the study showed increased levels of serum cholesterol, triglycerides, VLDL, and HDL in xanthelasma patients. This study also found an increase in Epicardial Adipose Tissue (EAT) in xanthelasma patients, which these findings indicate that there is a relationship between xanthelasma and atherosclerosis.
Hubungan Riwayat Imunisasi Dasar Dan Riwayat Infeksi Dengan Kejadian Stunting Pada Balita: Tinjauan Pustaka Reizki Arsyad; Sutarto .; Novita Caolia
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.659

Abstract

Stunting is a condition of growth failure in children caused by malnutrition from the womb until the age of 2 years, and the child is considered too short when compared to normal children of his age. The World Health Organization (WHO) noted that in 2018, there were 21.9% of stunting toddlers in the world and 14.9% in Southeast Asia. Meanwhile, in Indonesia, it was recorded that in 2018, there were at least 30.8% of toddlers who experienced stunting. Many factors can cause stunting in toddlers, for example, such as toddler nutritional intake, parental income, basic immunization history, infectious diseases, early initiation of breastfeeding, exclusive breastfeeding, low birth weight, and early marriage. Basic immunization that is not fulfilled completely will cause toddlers to experience infectious diseases and cause their appetites to decrease so that their nutritional intake is not sufficient, which has an impact on stunting. 
Dampak Paparan Panas di Lingkungan Kerja Terhadap Kesehatan Pekerja Reinita Aulia; diana mayasari; fitria saftarina
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.660

Abstract

Heat exposure occurs when the body absorbs more heat than can be received through the process of thermoregulation. Workers who are exposed to heat or work in a hot environment may be at risk of experiencing heat stress which can adversely affect the worker's health. Heat exposure can cause physiological responses from various organs and cause various health problems. This article aims to discuss the impact of heat exposure in the work environment on the health of workers and preventive strategies that can be done. Heat exposure is a contact between an individual and the environment which can pose a risk of increased body temperature and perceived discomfort. Through the high frequency and intensity of heat waves, exposure to heat can cause physiological responses to various systems, namely the central nervous, musculoskeletal cardiovascular, and integumentary systems which if not properly controlled can lead to pathological conditions. Health problems that can occur are heat stroke, heat exhaustion, heat syncope, heat cramp and heat rash. Several steps must be implemented to protect the health of workers from exposure to heat in the work environment so that workers are not at risk of experiencing work-related injuries or illnesses.
Faktor-Faktor yang Berpengaruh Terhadap Kejadian Ventilator Associated Pneumonia Nadya Salsabilah; Ari Wahyuni; Liana Sidharti
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.664

Abstract

Nosocomial infections also reffered to as healthcare-asscociated infections (HAI). This infection can occur both while in the treatment room, during surgical procedurs or actions, and it can also be transmitted through medical devices that have contact with patients such as mechanical ventilators. The use of a mechanical ventilator machine is intended as a life saving measure in critical patients and is usually found in the intensive care unit (ICU) room of a hospital. Ventilator associated pneumonia is a risk that can occur when using a mechanical ventilator machine. VAP is nosocomial pneumonia in patients who have mechanically ventilated with endotracheal tube and tracheostomy for at least 48 hours. In United States, Ventilator Associated Pneumonia is one of the causes of mortality in patients with a mortality rate of 13%. In Europe, mortality rate due to early Ventilator Associated Pneumonia is 19,2% and late Ventilator Associated Pneumonia is 31,4%. Ventilator associated pneumonia is reported to have varying incidence rates ranging from 9-27%. The mortality rate from ventilator associated pneumonia can be more than 50%. This event is influenced by several risk factors, one of which is the duration of using a mechanical ventilator. The use of a mechanical ventilator, especially during the installation of an endotracheal tube (ETT) can damage the defense barrier in the airways, the installation of an ETT can also damage the mucociliary and tracheal epithelium and interfere with the cough reflex. This allows pathogens to invade the lower respiratory tract resulting in ventilator associated pneumonia.  
Hipotensi Intradialitik pada Pasien Gagal Ginjal Kronik Ghina Nisrina Nurfatin; Ade Yonata; Ety Apriliana
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.663

Abstract

Chronic renal failure is a disease defined as kidney damage or an estimated glomerular filtration rate (eGFR) of less than 60 ml/min/1.73 m2 and persisting for 3 months or more. Chronic kidney disease is irreversible and often requires hemodialysis as a treatment. As many as 10% of people in the world have chronic kidney failure. More than 2 million people receive therapy with dialysis or hemodialysis and kidney transplants. Hemodialysis is a kidney replacement therapy that is carried out by flowing the patient's blood into a dialyser. This therapy is considered effective in reducing mortality due to chronic kidney failure. However, various complications can also be caused by the use of this hemodialysis device, one of which is intradialytic hypotension. Intradialysis hypotension will cause a decrease in tissue perfusion. This decrease in tissue perfusion will lead to reduced blood supply to the periphery, heart, kidneys, and even the brain. Preventive measures are the best method of avoiding intradialytic hypotension. This complication must be avoided and managed immediately because it can cause damage to vital organs which can be fatal to the body.
Hubungan Usia, Paritas, Penyakit Infeksi Dan Status Gizi Ibu Terhadap Kejadian Kelainan Kongenital Mayor pada Janin Zahra Dewi Hasna Difa; Khairun Nisa; Betta Kurniawan; Nurul Islamy; Rodiani -
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.668

Abstract

Major congenital abnormalities refer to medical and cosmetic abnormalities that require surgery and are a leading cause of mortality among children under the age of five in Indonesia. Several risk factors contribute to congenital abnormalities, including the mother’s age, parity, infectious diseases, nutritional status, environment, education, and employment. This study aims to determine the relationship between age, parity, infectious diseases, and nutritional status of mothers and the occurrence of major congenital abnormalities. Secondary data from medical records of mothers who received treatment in the delima room at RSUD Dr. H. Abdul Moeloek were analyzed using an observational analytic method and a cross-sectional approach. The chi-square test and odds ratio values were used to test the major congenital abnormalities' relationship with the risk factors. Results showed that there was a significant association between nutritional status, infectious diseases, and parity with the incidence of major congenital abnormalities (p = 0,004; OR = 0,086; 95% CI = 0,016-0,468), (p = 0,034; OR = 6,816; 95% CI = 1,288 – 36,062) and  (p = 0,005; OR = 9,567; 95% CI = 1,549 – 30,206), but not with maternal age (p = 0,724; OR = 1,333; 95% CI = 0,322 – 5,526). The incidence of major congenital abnormalities is related to nutritional status, infectious diseases, and parity, but not to maternal age. 

Page 37 of 91 | Total Record : 906

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