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 972 Documents
 44   45   46   47   48 
Penatalaksanaan Holistik ISK Pada Karyawan Perempuan Melalui Pendekatan Kedokteran Keluarga Andri Theja; Nicolaski Lumbuun
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.v13i6.819

Abstract

Urinary tract infection (UTI) is one of the most common types of infection among female employees. Some of the factors that make female employees more susceptible to UTI are the anatomy of the female urinary tract that is different from men, such as the urethra being shorter and closer to the anus, making it easier for bacteria to ascend into the urinary tract. In addition, sexual activity, lifestyle and work environment can also play a role in increasing the risk of UTI in female employees. UTI is a common health problem among women and is often found in primary care. UTI in female employees can cause physical discomfort and negatively impact work productivity. Holistic management and a family medicine approach can provide significant benefits in the management of UTIs especially in female employees who generally due to work demands often hold back urination and lack of drinking water. In the family medicine approach, doctors involve the patient's family in planning and supporting the patient's care. Families and patients are given information about UTIs, symptoms to watch out for, and preventive measures that can be taken. In addition, holistic management also includes psychosocial aspects by providing emotional support to patients and families. Through the family medicine approach and holistic management, it is hoped that patients will gain a better understanding of their condition, experience symptom improvement so that patients do not experience chronic UTI and prevent complications so that they do not need to be referred to secondary care. This approach also helps build a strong relationship between the patient, family and family doctor, which contributes to long-term management and prevention of recurrent infections.
Hubungan Kecerdasan Emosional Dengan Strategi Coping Pada Mahasiswa Program Studi Pendidikan Dokter (PSPD) Fakultas Kedokteran Universitas Lampung Serra Meilawati; Denny Andika Kurniawan; Dwita Oktaria; Merry Indah Sari
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.v13i6.820

Abstract

The stress level of medical students is very high when compared to other study programs in the non-medical sector with academic-related problems being the stressor main. Medium stress level is the stress level most experienced by students of the Faculty of Medicine, University of Lampung. Stress can have negative effects such as difficulty concentrating and health problems. It is important to develop coping strategies in dealing with stress so that negative impacts do not arise. Efforts or reactions that arise when individuals face stress are called coping strategies. The choice of coping strategies can be influenced by various factors, one of which is emotional intelligence. The ability to recognize and manage emotions that are felt by oneself and others is called emotional intelligence. High emotional intelligence possessed by an individual will make the individual considered able to solve the problem well. The purpose of this study was to determine the relationship between emotional intelligence and coping strategies in students of the Medical Education Study Program (PSPD), Faculty of Medicine, University of Lampung. The data in this study were collected using emotional intelligence questionnaires and coping strategies that had been tested for validity and reliability. The stratified random sampling technique was used in taking 255 samples of the PSPD FK Unila students class of 2017, 2018, 2019, and 2020. Univariate analysis showed that the level of emotional intelligence most respondents had was 76% high emotional intelligence, 24% medium emotional intelligence, and no low emotional intelligence. Respondents who chose problem focused coping 96% and emotional focused coping 4%. Bivariate analysis with Fisher Exact test obtained p <0.05, so the conclusion is that there is a relationship between emotional intelligence and coping strategies in students of the Medical Education Study Program (PSPD), Faculty of Medicine, University of Lampung.
Diagnosis dan Tatalaksana Epilepsi Fitriyani Fitriyani; putri puspa devi; Ria Wahyu Januarti
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.v13i6.822

Abstract

Epilepsy is defined as a brain disorder characterized by a tendency to cause continuous epileptic seizures with neurobiological, cognitive, psychological, and social consequences. The definition of epilepsy requires at least one epileptic seizure. In developing countries, the incidence of epilepsy is 61-124/100,000 children per year. The prevalence of epilepsy cases in Indonesia is 8.2 per 1,000 population with an incidence rate of 50 per 100,000 population. This study aims to systematically establish a diagnosis in a 42-year-old male patient so that the patient can be treated appropriately. The method used is case report with primary data analysis obtained through autoanamnesis, alloanamnesis, physical examination and supporting examination. A 42-year-old man came with complaints of recurrent seizures, a systematic anamnesis and physical examination were carried out to establish an etiologic diagnosis. The patient in this case was diagnosed with epilepsy. The patient in this case was diagnosed with epilepsy. The management given to this patient consisted of general management in the form of bed rest accompanied by monitoring of the patient's vital signs, and given medical therapy in the form of RL infusion XV gtt/min, gluconas ca drip/8 hours, KSR 3x1 tab, KCL drip 1 fls/8 hours, Phenytoin 1 ampoule/8 hours in 100 cc normosaline, and Folic Acid 2x1. To further support the diagnosis, the patient was advised to do an EEG examination.
TETRALOGI FALLOT: ULASAN SINGKAT PENCITRAAN RADIOLOGIS Laurensius Amedeo Sitindaon; Sri Indah Aruminingsih
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.v13i6.823

Abstract

Tetralogy of Fallot is the most common cyanotic congenital heart disease. Tetralogy of Fallot has four classic cardiac anatomical abnormalities in the form of ventricular septal defect, pulmonary stenosis or right ventricular outflow tract obstruction, right ventricular hypertrophy, and overriding aorta. Each component has a varying degree of severity and influences the severity of its clinical manifestations. In addition to the four classic anatomic abnormalities, tetralogy of Fallot can also be accompanied by extracardiac abnormalities, some of which are related to the coronary and pulmonary arteries. The complexity of the anatomic abnormalities of this disease increases the need for an organized and combined imaging approach so as to optimize the diagnosis and optimal follow-up plan. Several diagnostic tools may be used, either alone or in combination, depending on the indication, patient age and clinical condition, local availability and expertise, cost of each device, and possible need for intervention. Chest X-ray serves as the initial modality in evaluating suspected congenital heart disease by reviewing heart size and great vessel abnormalities. Transthoracic echocardiography is the best diagnostic modality in diagnosing congenital heart disease including tetralogy of Fallot and intracardiac abnormalities but in some cases cannot evaluate extracardiac abnormalities. Computed tomography, magnetic resonance imaging, and angiography are imaging adjuncts in the evaluation of extra-cadiac abnormalities and may be adjuncts in pre- and postoperative evaluations. Each of these radiological imaging modalities has its own advantages and limitations in evaluating tetralogy of Fallot.
Hubungan Asupan Makan Selama Pembelajaran Tatap Muka terhadap Status Gizi Anak Sekolah Dasar: Tinjauan Pustaka Jessica Putri Anumpitan; Reni Zuraida; Syahrul Hamidi Nasution
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.v13i6.824

Abstract

Since the COVID-19 outbreak was first discovered in Wuhan City, China, Indonesia has issued a policy to maintain social distance at the community level, so that the education sector diverts online learning. Online learning is learning using the internet network and handheld cellphones and computers as learning media. There are several models of online learning applications such as classroom, zoom, as well as whatsapp group. In the case of COVID-19 in Indonesia, children aged 5-12 years have an obese nutritional status with a diet often followed by weight gain and an increase in the frequency of sitting. This is caused by children's activities to stay at home and lead to the creation of a new lifestyle for children, namely a sedentary lifestyle. Parents also experience a dilemma in teaching their children during online learning because parents are not yet popular with distance learning using handheld cellphones or computers as learning media. Therefore, the SKB 4 Ministers also stipulate face-to-face learning because the pandemic has become endemic. During face-to-face learning in Indonesia, children aged 5-12 years have good nutritional status due to the activities of children who are able to return to activities outside the home such as returning to school. If food intake is balanced according to needs accompanied by the selection of the right food ingredients will give birth to good nutritional status. Food intake that exceeds the body's needs will cause excess weight and conversely food intake that is less than needed will cause the body to become thin and susceptible to disease.
Faktor Faktor Yang Mempengaruhi Terjadinya Infeksi Saluran Kemih Sekar Feni Widiyastuti; Tri Umiana Soleha
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.v13i6.825

Abstract

Urinary tract infection (UTI) is a collective term that describes any infection that involves any part of the urinary tract, include the kidneys, ureters, bladder and urethra. Urinarytract infection is also usually defined as an increase in the number of bacteria limiting 105 CFU or more, with symptoms such as frequent urge to urinate, pain, dysuria. Urinary tract infections can be caused by various types of bacteria. The bacteria that cause urinary tract infections are Escheria coli, Klebsiella sp, Proteus sp, Providensia, Citrobacter, Pseudomonas aeruginosa, Acinetobacter, Enterococsu faecali and Staphylococcus saprophyticus, Staphylococcus aureus, however, the leading cause of UTIs is generally caused by Escheria coli. There are many factors that influence the occurrence of urinary tract infections. The purpose of this literature review is to analyze the etiology and factors that influence the occurrence of UTI. The literature review was carried out through electronic-based journals, namely the Proquest database and Google Schola. The literature used is in accordance with the keywords, namely factors that influence the incidence of UTI. The inclusion criteria were articles published maximum in 2013. Meanwhile, the exclusion criteria were literature published in 2012 and below. Based on the research results obtained regarding. factors that influence the occurrence of urinary tract infections such as female gender, old age, catheter insertion, genital hygiene, comorbid diseases such as diabetes mellitus, hypertension, cerebrovascular disease and general health conditions.
Pengaruh Pemberian Ekstrak Buah Plum (Prunus domestica L.) Terhadap Panjang Badan Fetus Tikus Putih (Rattus novergicus) Galur Sprague Dawley Pada Tikus Putih (Rattus novergicus) Hamil Yang Dipapar Alkohol Dewi Tri Atmaningsih; Rodiani Rodiani
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.v13i6.827

Abstract

Alcohol consumption during pregnancy cause fetal alcohol syndrome and increases oxidative stress. Plum contains polyphenols as an antioxidant which can prevent oxidative stress by affecting the activity of osteoblasts and osteoclasts. This study aims to determine the effect of plum extract (Prunus domestica L.) on body length of fetal white rats (Rattus norvegicus) Sprague Dawley strain in pregnant white rats exposed by alcohol. This research used 30 white female rats of Sprague Dawley strain which divided into 5 groups. The positive control (KP) not given treatment, the negative control (KN) was given alcohol 0,27 ml/day on the 6th-15th day of pregnancy, the treatment group (P1, P2, P3) was given alcohol 0,27 ml/day and plum extract with respective dose 0f 40, 80, 160 mg orally for 21 days of gestation. Then the fetus was taken surgically on 21 days of gestation. This research showed that the average length of KP=41,34; KN=38,67; P1=39,22; P2=39,65; and P3=40,02 in mm. Then, the data were tested by One Way Anova test and resulting p value<0,05 and F count>F table for all data, then it followed by post hoc LSD test and the results showed p value<0,05 on measurements of body length except on KN-P1, P1-P2, dan P2-P3. There was effect of plum extract (Prunus domestica L.) on body length of fetal white rats (Rattus norvegicus) Sprague Dawley strain in pregnant white rats exposed by alcohol.
Identifikasi Pengobatan Yang Tidak Tepat (Innapropiate Medication ) Pada Pasien Geriatri Berdasarkan American Geriatric Society (AGS) Beers Criteria 2023 Anastasya Dian Nurratri; CitraYuliyanda Pardilawati
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.v13i6.828

Abstract

Inappropriate prescribing (IP) for parents may be interpreted as a situation where pharmacotherapy is not within accepted medical standards. This includes overprescribing, misprescribing, and underprescribing which have the potential to have risks of use that outweigh the clinical benefits. The population over 60 is growing faster than any other age group as the increase in life expectancy has outpaced the decrease in the birth rate. According to world demographics, the population aged over 60 years has tripled in 50 years, from 600 million in 2000 to more than 2 billion in 2050. The number of elderly people in Indonesia is among the top 5 in the world, namely 18.1 million in 2010 and will double to 36 million in 2025. Then from 2000 to 2025, the life expectancy of Indonesia's population will reach 67.8% and increase to 73.6%. The elderly are vulnerable to various physical disorders caused by natural factors and disease factors. The aging process occurs due to changes in various organs including the gastrointestinal system, urinary system, central nervous system and others
Segmental Thoracic Spinal Anesthesia (TSA) for Open Reduction with Internal Fixation (ORIF) Surgery in Right Humeral Fracture Patients: A Case Report Imam Ghozali; Natalia Danayati
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.v13i6.830

Abstract

General anesthesia is used in most surgeries, but there has disadvantages, such as drug side effects and a long recovery. Spinal anesthesia such as TSA is starting to get attention and become an alternative option to reduce adverse effects and more effective. This case report, a 33-year-old woman diagnosed complete closed fracture of the 1/3 proximal right humerus underwent Open Reduction and Internal Fixation (ORIF) surgery with segmental thoracic Spinal Anesthesia (TSA). The patient presented with ASA II with mild electrolyte imbalance. Thoracic spinal anesthesia with a paramedian approach at the level of T4-5 vertebrae using a regimen levobupivacaine 5 mg. The adjuvants used were dexmedetomidine 5 mcg, ketamine 5 mg, and fentanyl 25 mcg. Intraoperative and postoperative monitoring of the patient's condition was stable, pain control was good, and no postoperative complications such as headache, nausea and vomiting. Thoracic segmental spinal anesthesia has several advantages such as the need for lower doses of anesthetic drugs and relatively safer than lumbar spinal anesthesia, good pain control, faster recovery, and can avoid the side effects of general anesthesia, so that TSA can be an alternative technical choice for anesthesia.
A Case Report of Modified Radical Mastectomy (MRM) In A 59-Year-Old Female Patient With Comorbid Bronchiectasis Using Thoracic Segmental Spinal Anesthesia (TSA) Imam Ghozali; Hario Tri Hendroko; Dansen Rudyanto; Marcella Dena Fernanda
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.v13i6.831

Abstract

Breast cancer is a disease with the highest incidence of malignancy in Indonesia and the world. Epidemiological studies have shown that cancer affects billions of women each year. The incidence of breast cancer increases with age. In the elderly, the possibility of co-morbidities which are comorbid major medical problems makes anesthetic management decisions more complicated and perioperative care more challenging. Increasing age and comorbidities are the most important risk factors for postoperative complications. TSA was performed on a 59-year-old female patient with comorbid bronchiectasis who received MRM. The level of needle insertion was between T5-T6, premedication in the form of 0.5 mg alprazolam tablets, initiation of TSA with 1 ml of 0.5% hyperbaric bupivacaine and 20 mcg of fentanyl. The level of sensory block achieved was between T1-T7. TSA resolved without complications. The patient remained comfortable during the operation and there was no significant change in the patient's hemodynamics, airway and breathing. There were no postoperative complications. Thoracal segmental spinal anesthesia (TSA) is a safe alternative in performing modified radical mastectomy (MRM) and other breast surgeries because it has highly selective spinal block capabilities, ensures better control during induction and surgical processes, stability of the respiratory system and cardiovascular, and reduces the need for local anesthetics and has a lower risk of toxicity.

Page 46 of 98 | Total Record : 972

 44   45   46   47   48 

Filter by Year

2019 2026


Reset
Filter By Issues
All Issue Vol 16 No 3 (2026): Medula Vol 16 No 2 (2026): Medula Vol 16 No 1 (2026): Medula Vol 14 No 10 (2025): Medula Vol 15 No 4 (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