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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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Penatalaksanaan Holistik Pada Wanita Usia 21 Tahun dengan Asma Persisten Ringan Melalui Pendekatan Kedokteran Keluarga Rika Partika; Azelia Nusadewiarti
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.796

Abstract

Indonesia is ranked 19th in the world regarding deaths due to asthma. Asthma is a heterogeneous disease characterized by chronic airway inflammation. Asthma is a reversible obstructive disorders which is requires control to improve the patient's quality of life. Holistic management through a family medicine approach is expected to be able to assist patients in identifying, controlling precipitating factors and preventing individuals with predisposition to asthma from developing asthma and preventing asthma patients from experiencing asthma attacks. In this study, primary data were obtained from autoanamnesis, physical examination and home visits. Secondary data was obtained from the patient's medical record. Patient Ms. C, 21 years old, has a main complaint of shortness of breath accompanied by a feeling of heaviness in the chest, coughing, and "wheezing" breath sounds that are felt to come and go and get worse, especially at night, early in the morning, cold weather, dust exposure and when the patient is under stress. The patient was diagnosed as mild persistent asthma. Internal risk factors include family history of asthma and atopy, lack of patient knowledge about the disease, and curative treatment behavior. External risk factors include lack of knowledge and attention of the family towards the patient's illness and dusty house conditions and lack of air circulation through windows. Medical and non-medical interventions are carried out for patients and families according to theory and literature with a patient-centered, family-oriented, and community-oriented approach.
Penatalaksanaan Holistik Pada Pria Usia 85 Tahun Dengan Gout Arthritis Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Rawat Inap Gedong Tataan Chintya Chintya Redina Habsari; Fitria Saftarina
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.799

Abstract

Gout arthritis is a condition where there is an increase in serum uric acid levels above normal. Risk factors that influence high uric acid levels are age, genetics, excessive purine intake, obesity, and post menopause. This disease is important to be managed comprehensively because treatment goals can be achieved so that management needs to be carried out through a family approach. Identify internal and external risk factors and clinical problems present in the patient. Apply a holistic and comprehensive approach to family doctors according to the problems found in patients and carry out evidence-based medicine-based management that is family-approach, patient-centered and community-oriented. The study conducted is a Case Report. Primary data were obtained through history taking, physical examination through home visits and filling in the family folder, secondary data were obtained through patient medical record. Assessment is based on a holistic diagnosis of initial, process, and end visits. Patient Mr. I, 85 years old, complained of pain in the joints of the fingers of his right hand since 7 days ago. The patient has had these complaints since ± 20 years ago. Clinically the patient was diagnosed with Gout Arthritis (ICD-X M10.0). Furthermore, holistic management is carried out, namely intervention using poster media. In the evaluation, the results were obtained in the form of a better understanding of the disease and changes in behavior that have an impact on the success of therapy. The diagnosis and management of these patients has been carried out holistically, patient centered, family approach and community oriented based. In the process of behavior change, the patient has reached the trial stage.
Pengaruh Pemberian Ekstrak Biji Kopi Robusta (Coffea canephora) Lampung Terhadap Aktivitas Enzim Katalase Cerebellum Tikus Putih (Rattus norvegicus) Jantan Galur Sprague-dawley yang Diinduksi Monosodium Glutamate Syifa Fakhirah Siregar; Anggraeni Janar Wulan; Dwita Oktaria
Medula Vol 13 No 5 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i5.815

Abstract

Excessive consumption of monosodium glutamate (MSG) has a neurotoxic effect on the cerebellum, which will lead to a state of oxidative stress characterized by decreased activity of catalase. This study aims to determine the effect of Lampung Robusta Coffee extract (Coffea canephora) againsts to activity of the cerebellar catalase enzyme in male rats (Rattus norvegicus) strain sprague-dawley induced by monosodium glutamate. This research is a type of experimental study with a Posttest Only Control Group Design approach. The subjects were 25 rats which were divided into 5 groups which are K- (aquadest 3,5 ml/day), K+ (MSG 4 g/kgBW/day), P1, P2, P3 (MSG 4 g/kgBW/day and Lampung Robusta Coffee extract 1,5 ml/200gBW/day with a concentration of 0,03 g/ml; 0,06 g/ml; 0,12 g/ml respectively) for 14 consecutive days. The activity of the cerebellar catalase enzyme is calculated with spectrophotometer 210 nm. The average specific activity of the cerebellum catalase enzyme in K +, K-, P1, P2 and P3 were 0.00104 U/mg, 0.00154 U/mg, 0.00139 U/mg, 0.00161 U/mg, and 0.00190 U/mg respectively. One-Way ANOVA test obtained p value = 0.001 (p <0.05). Post Hoc LSD test showed a significant difference (p <0.05) between the K + and K- (p = 0.007), K+ and P2(p = 0.003), K + and P3 (p = 0.000), and P1 and P3 (p = 0.007), which means that there is an effect of Lampung Robusta Coffee extract (Coffea canephora) againsts to activity of the enzyme catalase of cerebellar in male rats (Rattus norvegicus) strain Sprague-dawley induced by MSG.
HUBUNGAN LAMA MENDERITA DIABETES MELITUS DAN KADAR GULA DARAH DENGAN KUALITAS TIDUR PADA PASIEN DIABETES MELITUS TIPE 2 Rina Kriswiastiny; Siti Marini Yunita; Nopi Sani; Tony Prasetia
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.349

Abstract

Abstract Diabetes mellitus or what is known in laymen as diabetes is one of the four priority non-communicable diseases which are the target of follow-up by world leaders. The number of cases and prevalence of diabetes has continued to increase over the last 10 years. Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels above normal values (> 200 mg/dl). This study aims to determine whether there is a relationship between duration of diabetes mellitus and blood sugar levels with sleep quality in type 2 diabetes mellitus patients. This study used an observational analytic method with a cross sectional approach. It was found that there was no relationship between duration of suffering from type 2 diabetes mellitus and sleep quality with the result Asym-sig = 0.585 (p >0.05). It is known that there is no relationship between blood sugar levels and sleep quality with the result Asym-sig = 0.887 (p>0.05). There is no significant relationship between duration of suffering from type 2 diabetes mellitus and blood sugar levels with sleep quality.
HUBUNGAN KEPATUHAN TERHADAP PROTOKOL KESEHATAN DAN DUKUNGAN KELUARGA TERHADAP KEJADIAN COVID-19 PADA MASYARAKAT DI KELURAHAN TANJUNG SENANG KOTA BANDAR LAMPUNG TAHUN 2021 Rita Agustina; Dita Fitriani; Achmad Farich; Austine Widya Kusuma
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.361

Abstract

Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by the SARS Coronavirus 2 (SARS-CoV-2). According to WHO data as of September 4, 2021, there were 218,946,836 confirmed cases and 4,539,723 deaths as a result of this virus. A considerable increase in the number of patients is frequently linked to noncompliance with community norms or indiscipline in applying health regulations. Aside from the level of community compliance, there are other factors that determine the occurrence of COVID-19, including family support. The family plays a significant role in developing and maintaining a fundamentally healthy lifestyle. However, many people are still unaware of the need of support from family members. The purpose of this study is to determine The purpose of this study is to examine the link between adherence to health protocols and family support on the incidence of COVID-19 in the Tanjung Senang Subdistrict of Bandar Lampung City in 2021. This study employs observational analytical quantitative research with a case control design. There is a significant link between Compliance with Health Protocols and the Incident of COVID-19, based on the statistical test findings of Compliance with Health Protocols and the Incident of COVID-19, with the p value = 0.000 (p0.05). Family Support and the Incident of COVID-19 received a p value of = 0.000 (p0.05), indicating that there is a significant association between the two. The incidence of COVID-19 is significantly related to adherence to health regimens and family support.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPATUHANAN MASYARAKAT TERHADAP PENERAPAN PROTOKOL KESEHATAN COVID- Tedi Ardiansyah; Nia Triswanti; Sandhy Arya Pratama; Sri Maria Puji Lestari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.383

Abstract

ovid-19 is an infectious disease caused by a type of coronavirus, according to data from the Lampung Provincial Health Office in December 2021 there were 49,715 positive confirmed cases and 3,825 deaths, the work area of ​​the Segala Mider Health Center is the area with the 5th most Covid-19 cases in the Bandar Lampung with a total of 642 cases, the purpose of this study was to determine the factors that influence the level of community compliance with the Covid-19 health protocol in the work area of ​​the All Mider Public Health Center in 2022. This research is descriptive analytic using survey method with short Cross-sectional analysis The sample in this study was taken in the work area of ​​the Segala Mider Health Center, Lampung Province in 2022 as many as 100 people were selected by the Accidental Sampling technique. Data were taken using a questionnaire and statistically tested with univariate and bivariate Pearson Chi-Square using SPSS. Pearson Chi-Square test found a relationship between knowledge (p-value= 0.000), attitudes (p-value= 0.000), motivation (p-value=0.000), age (p-value=0.000) and education (p-value= 0.000) with the level of compliance and there is no relationship between gender (p-value= 0.199) with the level of compliance in the implementation of the Covid-19 health protocol in the work area of ​​the Segala Mider Public Health Center in 2022. There is a relationship There is a significant relationship between knowledge, motivation, age and education with the level of community compliance with the Covid-19 health protocol in the work area of ​​the Segala Mider Public Health Center in 2022.
PERBEDAAN KONTAMINASI TELUR SOIL TRANSMITTED HELMINTH PADA TANAH DI DAERAH PEDESAAN DAN PERKOTAAN Alvan Muhammad Hibatullah Santoso; Hanna Mutiara; Giska Tri Putri; Jhons Fatriyadi Suwandi
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.479

Abstract

Soil Transmitted Helminth is an infection that causes malnutrition, anemia, growth retardation. Transmission is through contact with eggs or larvae in the soil. Cases of STH infection in Indonesia are high in areas of poor sanitation, poor hygiene and lack of understanding of clean and healthy lifestyles. Therefore, this study aims to determine the contamination of STH eggs on soil in rural and urban areas. This research is a cross-sectional study with purposive sampling. The number of samples is 90 soil sample points in rural and urban areas and then the univariate and bivariate analysis tests are carried out using the pearson chi-square Test. The number of STH contamination in rural areas was 29 out of 90 samples with 26 samples of Ascaris lumbricoides, 2 samples of Hookworm, and 1 sample of Trichuris trichiura. STH egg contamination in urban areas was 22 out of 90 samples with details of 17 samples of Ascaris lumbricoides, 3 samples of Hookworm, and 2 samples of Trichuris trichiura. Based on the results of the pearson chi-square Test analysis, a p-value of 0.467 was obtained. There is no difference in contamination of STH eggs on soil in rural and urban areas.
Hubungan Konsumsi Kafein dengan Kejadian Depresi Indah Salsabila; Putu Ristyaning Ayu Sangging; Intanri Kurniati; Ratna Dewi Puspitasari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.488

Abstract

Depression is a mood disorder. Depression is characterized by a feeling of sadness that lasts continuously and for a long time, which can interfere with a person's physical condition and social life. Around 121 million people in the world suffer from depression. It is estimated that only 30% of people with depression get proper treatment. This number does not include people who have clinical symptoms of depression but are not actually diagnosed. Some patients are also considered not to get proper treatment. The number of Indonesian populations aged more than 15 years and diagnosed with depression is 12 million sufferers. Pharmacological therapy in depressed patients is antidepressants such as serotonin and noradrenaline reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs). However, there are side effects that can result from long-term use of these drugs. Therefore, other treatments such as giving herbal medicines are needed to reduce symptoms in people with depression. Giving caffeine with the right dose can reduce the risk of depression, because of its ability to block the adenosine receptor subunit. However, caffeine consumption with doses above 68mg and below 509mg per day is assessed to have the opposite effect that increases the risk of developing depression.
GAMBARAN NILAI LABORATORIUM SGOT DAN SGPT PADA PENDERITA HEPATITIS B DI RSUD ABDUL MOELOEK LAMPUNG TAHUN 2021 Mohammad Hafizh Al Waali; Yesi Nurmalasari; Dita Fitriani; Zulfian Zulfian
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.528

Abstract

Hepatitis B is known as serum hepatitis. This disease is serious and is usually transmitted through contact with blood containing the virus. Based on the 2013 World Health Organization (WHO) report, 2 billion people in the world suffer from hepatitis, 240 million people suffer from chronic hepatitis B and 1.46 million of them die. Indonesia is a country with high endemic hepatitis B, the second largest in the South East Asian Region (SEAR) after Myanmar. The type of research used in this study is descriptive, which is a research method that shows the characteristics of the population or phenomenon being studied. The sample in this study was 95 people. The sampling method is purposive sampling technique. Univariate analysis using SPSS (Statistical Product and Service Solutions). The results of this study were that there was an increase in male sex compared to female, based on old age there was a higher increase than young age, and SGOT levels increased while SGPT was normal in patients with Hepatitis B Disease. There is a description of the normal category of SGOT value: 5-40µ/l and the value increases >40µ/l. there is a normal SGPT level value: 7-56µ/l and an increased value >56µ/l in patients with Hepatitis B at Dr. Hospital. H. Abdul Moeloek, Lampung Province in 2021..
Efektifitas Edukasi Self Management Terhadap Kontrol Tekanan Darah Pasien Hipertensi Zada Amalia Agatha Sari Zada Amalia Agatha Sari; Novita Carolia; Rasmi Zakiah Oktarlina; Suharmanto Suharmanto
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.535

Abstract

Hypertension is a systolic blood pressure 140 mmHg or higher and a diastolic blood pressure 90 mmHg or higher.22 In 2020 WHO (Word Health Organization) reported that there were 1.13 billion cases of hypertension and has caused 9.4 million dead.22 At the United States, in 2017-2018 it was reported that 63% people over 60 years old suffered from hypertension with a higher percentage of women (66.8%) than men (58.5%).2 According to the 2018 RISKESDAS results patients with hypertension in the elderly amounted to 63.5%. Due to its high prevalence, hypertension is a major global health problem and the main cause of death and disability in the world every year.12 Treatment of hypertension is carried out for a long time so that the success of hypertension treatment is strongly influenced by self management of patients to adhere to the treatment, routinely checking blood pressure, increasing physical activity, reducing cunsumption of foods containing sodium.11 Self management of hypertension has an important role in effective control off blood pressure in patient with hypertension.3 One of the ways to increase knowledge related to the prevention and control of hypertension is through education.10 The education provided in the form of theoretical materials such as lectures, discussions, counseling, e-learning, and also practices such as workshops or training with various related topics. The materials provided is in the form of facts about hypertension such as definitions, signs and symptoms, risk factors, how to diagnose and treat them, normal blood pressure, hypertension prevention, complications, drug use, drug side effects, the importance of taking medication regulary, the importance of blood pressure checks periodically, diet, physical activity, relaxation techniques such as deep breathing, muscle relaxation, guided imagery.18

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