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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 Penyakit PPOK pada Pasien Lansia Usia 76 Tahun Melalui Pendekatan Kedokteran Keluarga di Puskemas Susunan Baru: Indonesia Abdillah, Kemas Yahya; Karyus, Aila
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.892

Abstract

Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition characterized by limited airflow. The Global Burden of Disease Study reports the prevalence of COPD is 251 million cases. One factor that plays a role is long-term smoking behavior, either actively or passively. The clinical manifestation of COPD is a cough with phlegm that persists for more than 3 months, is dry and accompanied by shortness of breath, especially when the patient is active. Management of COPD consists of medical and non-medical. COPD is a lung disease that can be treated and prevented. However, in treating COPD, there needs to be participation and support from the patient and family. This study is a case report. Primary data was obtained through history taking, physical examination and home visits. Secondary data was obtained from patient medical records. Assessment is based on a holistic diagnosis from the beginning, process and end of the study qualitatively and quantitatively. Based on the study. patient Mr. P is 76 years old with a diagnosis of COPD, Mr. P has concerns that the patient's illness could cause him to die. The patient hopes to recover and not take routine medication again. Knowledge about COPD and trigger factors such as trash fumes and cigarette smoke from the surrounding environment are problems that occur in patients. Holistic management is needed for patients with COPD to identify problems that occur in patients so that patients can have a better quality of life.
Stroke Hemoragik pada Pasien dengan Riwayat Stroke Iskemik Fitriyani; Irawan, Wildan Kautsar
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.v13i7.893

Abstract

Stroke is an acute neurological disorder characterized by disruption of the blood supply to the brain, either due to obstruction or bleeding. Stroke is currently still a health problem that causes many disabilities and deaths in Indonesia. Stroke can also cause economic problems because of the disability that arises as a result of stroke and the funds that must be allocated to treat stroke in the national health system. One of the complications of stroke that can occur is recurrent stroke. This study aims to systematically establish a diagnosis in a 42 year old female patient so that the patient can be treated appropriately. The method used is a case report with analysis of primary data obtained through autoanamnesis, alloanamnesis, physical examination and supporting examinations. A 42 year old woman came with complaints of decreased consciousness accompanied by headache, nausea, vomiting, and weakness in the left limbs. The patient had experienced a non-hemorrhagic stroke 3 years ago. The patient was diagnosed with hypertension 7 years ago, the hypertension was not controlled and the patient did not take medication. The patient in this case was diagnosed with hemorrhagic stroke with a history of ischemic stroke. Patients are managed with non-medical, medical and rehabilitative management. In non-medical management, bed rest is performed. Medical management was given mannitol 250/125/125 every 8 hours, domperidone 3x10mg, sucralfate 3x2c, amlodipine 5 mg at night, lisinopril 5 mg in the morning, and paracetamol 3x1000 mg. The patient also underwent physiotherapy.
Hipertensi pada Diabetes Melitus: Patofisiologi dan Faktor Risiko Vania Widyadhari Damayanti; Ade Yonata; Evi Kurniawaty
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.v13i7.896

Abstract

Hypertension is a disease that commonly occurs in diabetes mellitus patients. There are 40 to 80 percent of DM patients who suffer from hypertension. Hypertension in diabetes mellitus increases the risk of cardiovascular complications. Even though there have been many studies that have proven that reducing blood pressure in diabetes mellitus patients has an effect on reducing the risk of cardiovascular complications, research shows that only 48 percent of the population can achieve a blood pressure target of less than 130/80 mmHg. The pathophysiology of hypertension in DM can be associated with a sedentary lifestyle, excess calorie intake, insulin resistance, dysregulation of the autonomic nervous system, premature vascular aging, increased intravascular volume, renal dysfunction, renin-angiotensin-aldosterone-system (RAAS), innate and acquired immunity, as well as environmental and socio-economic factors. Risk factors for hypertension in diabetes mellitus include age, gender, education, marital status, blood type, total cholesterol levels, HDL levels, LDL levels, triglyceride levels, smoking habits, employment, physical activity, body mass index, heredity of hypertension, DM heredity, and duration of suffering from DM, and blood glucose levels.
Hubungan Tingkat Pengetahuan Penggunaan Lensa Kontak Pada Pelajar
Sekolah Menengah Atas terhadap Risiko Ulkus Kornea di Bandar Lampung Ardella, Karina Belinda; Himayani, Rani; Utami, Nurul
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.v13i7.899

Abstract

Contact lenses are visual aids that can be used to correct refractive errors and for cosmetic purposes. Knowledge of contact lenses usage influence contact lens wearing behavior. Corneal ulcer can be caused by improper use of contact lenses. The objective of this study is to determine the correlation between knowledge level of contact lenses usage with the risk of corneal ulcer among high school students in Bandar Lampung. This quantitative analytic study with a cross-sectional design was conducted in December 2020 - February 2021. Research respondents consisted of 54 high school students in Bandar Lampung who match the criteria and were selected randomly. The research instrument was a questionnaire to assess knowledge of contact lenses usage and symptoms that accompany contact lens usage. Data were analyzed by Fisher test. In this study, as many as 47 respondents (87.0%) were female. There are 32 respondents (59.3%) who use contact lenses to correct eye refractive disorders. As many as 50 respondents (92.6%) have good knowledge and 4 respondents (7.4%) have sufficient knowledge. Respondents with red eyes and decreased visual acuity are 8 respondents (16,7%). Respondents who are at risk of corneal ulcer are 3 respondents (5.6%). In the analysis of the correlation between knowledge level of contact lenses usage and the risk of corneal ulcers, p value = 1,000. In this study, knowledge level of contact lenses usage has no correlation with the risk of corneal ulcers among high school students in Bandar Lampung.
Mekanisme Koping dan Dukungan Keluarga Untuk Mencegah Depresi Pada ANak Mutiara Putri Adisa; Larasati, TA; Nafisah, Andi
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.900

Abstract

Depression can be caused by a variety of factors, including genetics, mental health, personality, mental health, unemployment, and intelligence. Another common cause of depression in children is lack of family support and proper encouragement. The problem solving process is a useful skill because it is a process of managing mental illness (both external and internal) and requires real effort and effort in the form of suppressing emotions. The problem solving process is the body's response to change, the need to solve problems, and internal and external damage to the mind. Basically, parents have a big role in controlling the growth and development of each child from birth to adulthood. Therefore, parents who ignore their children's needs, especially if the child experiences mental disorders (depression), leave the child empty and without support. Parents can play an advocacy role if they know what to do, including understanding the problems their children face, managing family relationships, and making contributions. a person's level of self-confidence. Mental illness is not something to be ashamed of or hidden, but it is an illness that requires proper treatment. Just like wounds on the hands and feet, wounds in the heart must also be healed. Parents promote good career opportunities for teenagers. The higher the parents' education, the easier it is to help children who are experiencing depression. Supporting children with depression is more than just raising awareness.
Kesehatan Mental sebagai Aspek Penting dalam Intervensi Pasca Bencana Hakim, Ganesha Rahman; Ismunandar, Helmi; Sutarto, Sutarto
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.902

Abstract

Indonesia experiences a high occurrence of natural disasters. Throughout the year 2022, a total of 3,544 disasters were recorded in Indonesia. Disasters can be defined as events that threaten lives and disrupt communities, resulting from both natural and non-natural factors. Disasters have broad impacts on physical and mental health. The population affected by disasters may exhibit traumatic reactions and show psychological symptoms. Some individuals require assistance to cope with their traumatic reactions. Psychological First Aid (PFA) is an effective psychological intervention that can provide support and a sense of safety to individuals affected by disasters. The principles of PFA involve providing emotional support and connecting the victim with the necessary assistance. PFA is conducted using three principles: look, listen, and link. The first step involves identifying victims in need of psychological assistance, followed by listening and calming the victims. Finally, the helper will assist the victim in obtaining further necessary assistance. PFA has a positive impact on the mental health of victims, reducing anxiety, depression, emotional distress, and feelings of fear. Additionally, PFA can provide victims with a sense of security and help them reconnect with available assistance.
Diare adalah kondisi yang ditand Ecoli Penyabab Diare Akut : Ecoli Penyabab Diare Akut: Patogenesis, Diagnosis dan Tatalaksana Shinta Dewi, Brigitta; Soleha, Tri Umiana; Septiani, Linda; Apriliana, Ety
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.903

Abstract

The presence of Escherichia coli bacteria or what is often called E.coli is an indicator of contaminated food and water which shows that there is contamination in human feces. 16 Research results show that consuming food contaminated with Escherichia coli bacteria can cause symptoms of diarrhea, pain, fever, and vomiting6. Escherichia coli bacteria can be transmitted through contact with infected food handlers when processing food16. Escherichia coli can be transmitted from feces through contact with human fingers, flies, soil and water that comes into direct contact with food and eating utensils19. Diarrhea in Indonesia is an endemic disease and a potential disease that is associated with a significant mortality rate. In that year, there were 21 extraordinary events (KLB) which spread across 12 provinces and 17 districts/cities. 12. An increase in diarrhea occurred in 2018 with the number of cases reaching 4,504,524 people. In 2019, diarrhea cases decreased slightly to 4,485,513 people. The national incidence rate of diarrhea is 270 per 1,000 population12. In 2020, diarrhea in Bandar Lampung City reached 16,989, in 2021 there was an increase with the number of cases 22,371 (Central Statistics Agency for Bandar Lampung City, 2023) 4. Knowledge and updates regarding E. Coli as a cause of diarrhea are important for medical personnel.
Mitigasi Bencana Untuk Penyandang Disabilitas Devi, Maria; Sutarto, Sutarto; Ismunandar, Helmi
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.v13i7.907

Abstract

Indonesia is a country with a high level of vulnerability to natural disasters. Based on data from Indonesia's National Disaster Management Agency (BNPB), it was found that in 2023, 2,669 natural disasters occurred throughout Indonesia. The intensity of the incident with the highest number was forest and land fires 1,624 times. People with disabilities are known to be more vulnerable in emergencies caused by natural disasters. Mitigation, as the first step in dealing with disasters, is the prevention phase followed by the preparedness, emergency response and recovery phases. Measures to reduce potential hazards with an emphasis on Disaster Risk Reduction (DRR) and Disaster Risk Management (DRM) efforts are prioritized. Some inclusive approaches to disaster mitigation for persons with disabilities include planning, preparation, and risk reduction through evacuation training, greater participation of persons with disabilities in disaster coordination and management, and better data management so that integration is not only to fulfill human rights, but through effective programs and policies from pre-disaster, during disaster, and post-disaster stages according to the type and type of disability. The involvement of individuals with disabilities in disaster management systems and processes certainly cannot be achieved without the support and cooperation of all parties, especially the community and government. People with various disabilities from different backgrounds have the opportunity to co-design disaster management and rehabilitation policies, resources or activities. This article will discuss information regarding the preparedness of people with disabilities in the face of disasters.
Hubungan Pengetahuan Mengenai Hidrasi Sehat dan Kecukupan Minum Air Putih dengan Kelebihan Berat Badan: Tinjauan Pustaka Muhammad Abdul Ghoni Sutardi; Angraini, Dian Isti; Zuraida, Reni
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.v13i7.908

Abstract

Water is a very important nutrient and is the most constituent component of the human body. Most of the water required by the body comes from drinking. Each person's fluid needs vary depending on physical activity, age, weight, ambient temperature and humidity. Fluid water is recommended over other types of beverages. Water needs about two liters or eight glasses a day for adolescents and adults who do light activities in the office and home under daily temperature conditions. Hydration knowledge can be a factor that affects the fulfillment of a person's water intake. Good hydration knowledge will make a person choose fluid consumption based on quality and quantity so that their fluid needs are met. Unfulfilled fluid intake can lead to dehydration. Dehydration is defined as a state of the body when fluid expenditure is greater than fluid intake. Dehydration can be a risk factor for overweight. Overweight is a condition when there is an accumulation of excess fat due to an imbalance between energy intake and energy used for a long time. Dehydration can cause a decrease in cognitive function and mood that causes weakness and laziness in physical activity; dehydration also causes fluid and electrolyte imbalances that increase appetite; and dehydration can increase glycerol and free fatty acids resulting in increased triglyceride formation. Adequate water intake can lead to weight loss by slowing gastric emptying and increasing metabolism.
Pengaruh Stretching Exercise terhadap Keluhan Musculoskeletal Disorder pada Pengrajin Sulam Usus di Desa Margodadi, Kecamatan Jati Agung, Kabupaten Lampung Selatan Gunata, Agustina Fadilla; Mayasari, Diana
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sulam usus is a distinctive fashion of Lampung, made by sateen, which manufactured manually by hands. This process requiring meticulous detail, that lead to neck flexion and trunk bend posture, which can cause musculoskeletal disorder symptoms. One of the conservative therapy of musculoskeletal disorder is stretching exercise. This study aims to determine the effect of stretching exercise on musculoskeletal disorder symptoms among sulam usus worker in margodadi subdistrict jati agung district lampung selatan regency. This research used quasi experimental method with pre-posttest one group design, involving 28 respondents. Respondents will be given treatment of stretching exercise as much as 2 times daily for four weeks. The first and second score of musculoskeletal symptoms measured using a nordic body maps questionnaire. Data were analyzed by paired- samples t test with α = 0.05. In this study there was a significant difference of musculoskeletal disorder score mean different between the first score dan the second score (p=0,000). There is an effect of stretching exercise on musculoskeletal disorder symptoms among sulam usus worker in Margodadi Subdistrict Jati Agung District Lampung Selatan Regency.

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