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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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ANGKA KEJADIAN NEFROBLASTOMA BERDASARKAN USIA DAN JENIS KELAMIN PADA CT SCAN ABDOMEN DI INSTALASI RADIOLOGI RUMAH SAKIT UMUM DAERAH DR. H. ABDOEL MOELOEK TAHUN 2015-2020 Moch Rifly Hidayat; Alfi Wahyudi; Doni Rahman Nurdiana; Esteria Maharani; Toni 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.v13i6.553

Abstract

Nefroblastoma is one of the most common malignancies of primary kidney tumors in children, the incidence of nephroblastoma reaches 6-7% in cases of malignancy that occurs in children. To find out the incidence of nephroblastoma based on age and gender on an abdominal CT scan at the radiology installation at Dr.H. Abdoel Moeloek in 2015-2020. This study used a descriptive research design with retrospective method and cross sectional design. In this study, from 42 patients who were respondents, the most age group data were obtained at the age of 0-5 years with a total of 32 people with a percentage of 76.2%, followed by the age group of 6-10 years with 6 people with a percentage of 14.3% and the least was the age group of 11-15 years as many as 4 people with a percentage of 9.5%. In this study, the most common sex group was men with a total of 27 people with a percentage of 64.3%. In this study, there were 15 female respondents with a percentage of 35.7%. Obtained the age group, most at the age of 0-5 years with a total of 32 people with a percentage of 76.2%. Most of the sex group is male with a total of 27 people with a percentage of 67.6%.
Skleritis dan Rheumatoid Arthritis Cut Karel Dithia; Putu Ristyaning Ayu Sangging; Rani Himayani
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.v13i6.715

Abstract

Rheumatoid arthritis is the result of a chronic inflammatory process that involves the immune system. One of the antibodies that is often detected in RA and scleritis patients is rheumatoid factor (RF). RF are antibodies produced by the immune system to attack the body's own tissues, including joints and synovial membranes. Another part of the antibody effect that is cyclic anti-citrate antibody (Anti-CCP), is an antibody that recognizes citrulinating proteins in body tissues, namely certain protein modifications that occur in RA patients and are considered as important factors in the pathogenesis of this disease. Increased RF levels can occur in patients with RA as well as in patients with scleritis. Scleritis is an inflammatory condition of the sclera, which is the thick white layer that lines the front of the eyeball. The etiology or cause of scleritis is still not known with certainty, apart from uncertain etiology, there are factors that can increase the risk of developing scleritis, such as autoimmune diseases, infections, vascular disorders, trauma, and drugs. This literature review discusses the relationship between rheumatoid arthritis and scleritis.  
Penatalaksanaan Holistik Pada Pasien Wanita Usia 42 Tahun dengan Hipertensi dan Diabetus Melitus Tipe 2 dengan Neuropati Diabetikum Melalui Pendekatan Kedokteran Keluarga di Puskesmas Natar Annisa Ridha Salsabilla; Azelia Nusadewiarti
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.v13i6.789

Abstract

The current pattern of disease incidence has undergone changes which are characterized by epidemiological transitions. Changes in disease patterns that were originally dominated by infectious diseases turned to non-communicable diseases. Hypertension and Diabetes Mellitus are one of the non-communicable diseases which are very serious health problems both in the world and in Indonesia. The purpose of this case report is to implement a holistic and comprehensive family doctor service by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with a patient-centered and family approach. This study is a case report study. Primary data were obtained through history taking (autoanamnesis from the patient and alloanamnesis from the patient's family), physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. Patient Mrs. E is 42 years old, has been diagnosed with hypertension and type 2 diabetes mellitus with neuropathy has concerns about his health condition getting worse. The patient's hope is that the complaints disappear completely and do not recur, so they can be comfortable with their activities as usual. The patient's limited knowledge of the illness and an unfavorable lifestyle are factors that cause problems that occur in patients and their families. The diagnosis of hypertension and type 2 diabetes mellitus with neuropathy in this case is in accordance with several theories and critical studies from recent research. Management has been given in accordance with the management guidelines. There is good progress in patients starting from decreased clinical symptoms to changes in behavior after an intervention based on evidence-based medicine that is family-approach and patient-centered.
The PENATALAKSANAAN HOLISTIK PEREMPUAN USIA 41 TAHUN DENGAN HIPERTENSI DERAJAT II, DISPEPSIA, DAN VERTIGO MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS NATAR Fadillah Maulidia; Azelia Nusadewiarti
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.v13i6.802

Abstract

Hypertension is one of the non-communicable diseases (PTM) which is a very serious health problem both in the world and in Indonesia and is the cause of death which reaches 6.7% of the population at all ages in Indonesia. Dyspepsia is a health problem that is often encountered in daily practice. It is estimated that nearly 30% of cases found in general practice and 60% in gastroenterology practice are dyspepsia. A 41-year-old female patient came to the health center with complaints of dizziness, nausea, vomiting and cold sweat. The patient has a history of hypertension since 2013. In addition, patients also often complain of pain in the pit of the stomach. Complaints are felt repeatedly. Patients do not routinely take antihypertensive medication and do not routinely control and do not follow a healthy lifestyle. Patients have a desire to know more about the patient's illness and want to recover. The patient's knowledge about the disease is lacking, as well as curative treatment patterns, poor diet, rarely exercise and moderate physical activity. Diagnosis and management of these patients has been carried out in a holistic, patient-centered, family approach based on evidence-based medicine and there have been changes in the knowledge and behavior of patients and families after the intervention.
The KURANG ENERGI KRONIS IBU HAMIL SEBAGAI FAKTOR RISIKO TERHADAP KEJADIAN STUNTING PADA BALITA (USIA 24-59 BULAN) DI WILAYAH KERJA PUSKESMAS WAY URANG KECAMATAN KALIANDA LAMPUNG SELATAN Muhammad Abi Nubli; Sutarto Sutarto
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.v13i6.808

Abstract

Stunting in infants is influenced by the history of nutrition mother like Less Energy Chronic (KEK). Lampung Province in 2018 had a prevalence of 27.3% had a case of short toddlers . The prevalence of South Lampung in 2018 has a prevalence of 43.01% of 42,971 people suffering from stunting .In the district of Urung Way itself which has the highest prevalence is the village of chess clans that is equal to 41.49%. The purpose of this study was to determine the prevalence of SEZ as a risk factor for the incidence of stunting under five (ages 24-59 months) in the Work Area of Way Urang Health Center in South Lampung Regency . This research is observational with case control method. Sample research is mothers who had infants aged 24 - 59 months in Region Work Puskesmas Way Urang to sample a number of 52 cases and 52 controls. This study uses the book Maternal and Child Health (MCH), and for statistical analysis a chi-square test is used. The results of the study distribution of frequencies history Less Energi Chronic (KEK) at the time of pregnancy, namely 32 mothers (30.8%) had a history of KEK and as many as 72 mothers (69.2%) did not have a history of Less Energy Chronic (KEK) during pregnancy and Less energy Chronic (KEK) mother pregnant as a factor of risk of occurrence of stunting in infants (age 24-59 months ) in Region Work Puskesmas Way Urang District South Lampung.
P3A0 Perdarahan Pasca Persalinan Pervaginam et causa Atonia Uteri: Laporan Kasus Alandra Rizhaqi Vastra; Ikhlas Taufik; Nurul Islamy
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.v13i6.809

Abstract

Postpartum haemorrhage is a state of blood loss >500 ml through vaginal delivery, or >1000 ml in caesarean section after delivery. One of the most common causes of postpartum hemorrhage is uterine atony. Uterine atony is a condition of weak uterine tone that causes the uterus to be unable to close the bleeding from the placental implantation site after the baby and placenta are born. Mrs. RF, 36 years old, came to the ER of RS Abdul Moeleok with postpartum bleeding since ± 2 hours before entering the hospital. The patient gave birth vaginally with the help of a midwife and experienced postpartum bleeding due to the absence of adequate uterine contractions (uterine atony) after delivery. The patient was treated with oxytocin and misprostol and the bleeding was resolved.
MINYAK NABATI SEBAGAI PENGGANTI BAHAN KIMIA TOKSIK PADA PROSES CLEARING JARINGAN HISTOPATOLOGI Balqis Mezzaluna D'Azzuri; Susianti Susianti; Nisa Karima
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.v13i6.813

Abstract

The clearing stage is an important step in preparing tissue histology to be examined under a light microscope, clearing is done to clean the tissue so that it is possible to insert it with an embedding material. Xylene is the material most widely used because of its excellent compatibility with fixing materials such as alcohol and paraffin. However, xylene is known to have various toxic effects on the exposed body. Many alternative materials have been found to replace xylene as a clearing agent in the process of making histopathological tissues. These ingredients are vegetable oils including coconut oil, peanut oil, olive oil, palm oil, and corn oil. These materials can be used as clearing agents without affecting the histological tissue composition, are more affordable, and do not cause health problems.
Penatalaksanaan Holistik Pasien Laki – Laki Usia 53 Tahun Dengan Low Back Pain dan Diabetes Melitus Tipe 2 Melalui Pendekatan Kedokteran Keluarga Ahmad Zidane Sagareno; Tutik Ernawati
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.v13i6.816

Abstract

Low back pain is pain in the lower back area caused by nerve problems, muscle irritation or bone lesions. In Indonesia, the prevalence of musculoskeletal diseases is 24.7 percent, while in Lampung province the prevalence of musculoskeletal diseases is 18.9 percent. The highest prevalence of musculoskeletal disease at work is a farmer, fisherman or laborer at 31.2 percent. At the initial treatment, a 53-year-old male patient was found with complaints of pain in the lower back. Primary data were obtained through interview, physical examination and home visits. Secondary data was obtained from the patient's medical records at the PUSKESMAS (Community Health Centre). Family doctor services are carried out to identify risk factors, clinical problems, as well as evidence-based medicine based patient management that is family-approach, patient-centered and community oriented. The assessment is carried out based on a holistic diagnosis of the initial, process, and final studies both quantitatively and qualitatively. In patients found comorbid Diabetes Mellitus Type 2. The interventions provided were in the form of medical and non-medical interventions related to the patient's disease. Medical intervention aims to minimize complaints and prevent complications in order to improve the patient's quality of life. Non-medical interventions in the form of patient and family education about disease risk factors, patient lifestyle, eating patterns, and physical activity. After the intervention, the visual analogue scale of pain (VAS) is decreased from six to one.
Penatalaksanaan Holistik Paseien Wanita Usia 73 Tahun Dengan Skizofrenia Dan Hipertensi Melalui Pendekatan Kedokteran Keluarga Muhammad Jundi Nasrullah; Dian Isti Angraini
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.v13i6.817

Abstract

Schizophrenia is a syndrome characterized by decreased or inability to communicate, impaired reality, cognitive impairment, and difficulty performing daily activities. Hypertension is a persistent condition of systolic blood pressure ≥ 140 mmHg and/or diastolic ≥ 90 mmHg. According to Riskesdas 2018 there are 7.0 per 1,000 Indonesian population suffering from schizophrenia. Meanwhile, the prevalence of hypertension at the age of ≥ 18 years was 34.1%. This case report describes a 73-year-old woman with complaints of difficulty sleeping at night because she still hears whispering voices and accompanied by headaches. Mental status examination revealed perceptual disturbances in the form of auditory hallucinations and thought content disturbances in the form of suspicious delusions. The management provided is in the form of medical and non-medical therapy as a holistic intervention with a family medicine approach. This study is aim to identifying risk factors, clinical problems, and management with a patient-centered and family approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data was obtained from the patient's medical record. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The results of this study is patient was diagnosed with schizophrenia and hypertension. Limited knowledge of patients and families about the patient's disease is a factor that causes complaints to occur. In addition, dietary patterns in the family that are not suitable are also another factor that causes health problems suffered by patients. Holistic and comprehensive management of patient problems has been carried out by providing counseling to increase the knowledge of the patient's family.
Anestesi Umum pada Laparotomi dengan Indikasi Peritonitis Generalisata et causa Perforasi Apendisitis: Laporan Kasus Made Sherly Armiyanti; Asep
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.v13i6.818

Abstract

Peritonitis is inflammation of the peritoneal cavity. Secondary peritonitis is one of the most common fatal surgical emergencies with a 10%−60% morbidity and mortality rate. Appendicitis is a common cause of peritonitis with an estimated prevalence of approximately 43.1%. The patient's prognosis is influenced by several factors, one of which is the quality of treatment. Surgery performed by a surgeon will certainly result in a faster and more effective treatment. Patient An. A, 7 years old, came with complaints of very severe abdominal pain since 2 hours before admission to the hospital, felt like being stabbed. Initially abdominal pain is felt in the lower right side, after that it spreads to all parts of the stomach. The patient has a history of abdominal massage by a shaman 5 hours before admission to the hospital. On physical examination, there was fever, tachycardia, VAS score 8, there was abdominal distension, Mc Burney’s sign, abdominal tenderness, muscular defans and rebound tenderness. The results of laboratory tests showed leukocytosis, thrombocytosis, and electrolyte imbalance. The results of an abdominal ultrasound examination showed acute appendicitis with suspicion of perforation. The patient was diagnosed with generalized peritonitis e.c appendicitis perforated and planned to perform laparotomy + appendectomy under general anesthesia. The postoperative diagnosis of the patient was generalized peritonitis + intestinal adhesions + perforated appendicitis by laparotomy + adhesiolysis + appendectomy.  

Page 45 of 98 | Total Record : 972

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