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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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Obstructive Sleep Apnea (OSA) pada Usia Produktif Annisarahma, Lyvia; Karima, Nisa; Sangging, Putu Ristyaning Ayu; Rudiyanto, Waluyo
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.v14i1.951

Abstract

Obstructive sleep apnea (OSA) is a sleep disorder which characterized by cessation of breathing for more than 10 seconds. A blockage in the upper respiratory tract may be the cause of OSA. One known risk factor for OSA is smoking. Moreover, the degree of physical activity might also influence OSA risk. This article is a literature review with a variety of the latest sources that are relevant to the topic. The sources used were obtained from the search engine for health journals. The prevalence of OSA in the productive age community in Asia is 4.1 - 7.5%. Some factors that affect the symptoms of OSA, especially in productive age, namely obesity, male sex, old age, genetic, smoking habits, and small upper airway diameter. OSA is characterized by snoring, periodic apnea, hypoxemia during sleep and hypersomnolence during the day. Some symptoms of OSA are snoring hard and annoying, stopping repeated breathing during sleep at night, insomnia, fatigue, and drowsiness during the day. Death from OSA in productive age is usually caused by complications after having OSA in the long period ahead.
Analisis Peresepan Obat yang Berpotensi Tidak Tepat Berdasarkan Kriteria STOPP Pada Pasien Geriatri Salsabilla, Riefa Ayu; Pardilawati, Citra Yuliyanda; Iqbal, Muhammad; Oktarlina, Rasmi Zakiah
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.952

Abstract

Potentially inappropriate prescribing (PIP) is a drug prescription without a proper clinical indication. The tools used to identify PIP in the geriatric patient is the STOPP criteria. The STOPP criteria evidently to improve treatment suitability, reduce medical costs, and reduce the occurrence of adverse drug reaction. The aim of this study is to evaluate the potentially inappropriate prescribing in geriatric patients using the STOPP criteria. This study is observational study used a cross-sectional approach. Geriatrics is an age group that is vulnerable to the side effects of drug use. Drug administration in geriatric patients is complex and requires a lot of consideration due changes in body composition and function, comorbidities, sensory and cognitive disorders, and polypharmacy, so that assistance with Potentially Inappropriate Medications (PIMs) and PPOs (Potentially Prescription Omissions) is important to improve the quality of treatment.
Hubungan Rinosinusitis Kronis dengan Tingkat Kekambuhan Asma Pada Anak Andriansah, M.; Susianti, Susianti; Angraini, Dian Isti
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.v14i5.953

Abstract

Asthma is one of the health problems that the world is fighting against, according to WHO in 2019 the global prevalence of asthma sufferers reached 262 million people with high mortality, causing 455,000 deaths. Apart from the high mortality rate, asthma also has a high morbidity rate. One of the reasons for the high morbidity rate in asthma is the high recurrence rate of asthma, which affects the productivity of asthma sufferers. In 2020, the asthma recurrence rate in adults was 40.7% and in children the asthma recurrence rate was divided into two groups based on age, namely in the under 18 age group it was 42.7% and in the under 5 year age group it was 52. 9%. There are many factors that influence the rate of asthma recurrence, namely allergic and non-allergic factors. One non-allergic factor that can trigger an asthma recurrence is an infection in the sinuses or sinusitis. The aim of this study was to determine the relationship between chronic rhinosinusitis and the rate of asthma recurrence in children. The method used was a review article by searching for articles using the keywords rhinosinusitis, asthma, asthma recurrence rate via Google Scholar and Pubmed, then the articles were reviewed and analyzed. The results of this review article are that there is a relationship between chronic rhinosinusitis and the rate of asthma recurrence in children, especially influencing the degree of asthma attacks in children.
Faktor-Faktor yang Mempengaruhi Keparahan Derajat Infeksi Dengue pada Pasien Anak Rahel, Clara Arta Uli; Apriliana, Ety; Septiani, Linda; Soleha, Tri Umiana
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.v14i1.954

Abstract

Dengue infection is an infectious disease transmitted by mosquitoes, especially Aedes species which have been infected to humans. Dengue virus (DENV) consists of four serotypes, namely DEN-1, DEN-2, DEN-3, and DEN-4. Dengue virus infection in humans, especially in pediatric patients, can cause different symptoms from one patient to another. To make it easier to classify the patient's condition, WHO has classified the clinical severity of dengue infection, namely dengue fever, dengue hemorrhagic fever which consists of four levels, and dengue shock syndrome. The varying progression of dengue infection is the basis for knowing the factors that can influence the severity of the degree of dengue infection in terms of the patient's characteristics, clinical symptoms and laboratory results.
Surgical Site Infection Lubis, Aisyah; Wintoko, Risal; Ismunandar, Helmi; Windarti, Indri
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.956

Abstract

Surgical site infection (SSI) is a fairly common complication that can arise after surgery, both minor surgical procedures and more complex surgical procedures. This infection can occur due to the entry of pathogenic microorganisms into the surgical wound, causing an inflammatory reaction. This infection can prolong recovery time, increase mortality, require additional medical intervention, and affect the patient's quality of life. This impacts patient clinical outcomes as well as additional care costs. Factors such as surgical technique, cleanliness of the operating environment, use of implants, and the patient's health condition can influence and also contribute to increasing the risk of infection. Symptoms of surgical site infection include pain, swelling, redness, or the presence of pus in the surgical wound. When this infection occurs, immediate medical action is needed to prevent the spread of infection which can cause advanced conditions such as sepsis. Prevention of surgical site infections involves sterile measures before and during surgical procedures, the use of prophylactic antibiotics, and thorough post-operative monitoring. These efforts aim to reduce the risk of surgical site infections, ensure optimal recovery, and improve the overall results of the surgical procedure. An in-depth understanding of the risk factors and prevention of surgical site infections can help medical personnel provide quality care and ensure the success of the operation. There is also the importance of early detection and treatment of infections in patients undergoing surgery.
MENEJEMEN NYERI Gunadi, Eka; Istiana, Trismi
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.v14i1.957

Abstract

Pain is the most common chief complaint for emergency derpatment admission. Pain is sensory and emotional experience, unpleasant one, which may be related to threat of or process of tissue damage which is made by neuronal signalling. Globally, almost everone experiences pain in a year and one-third of world population experience chronic pain. Etiology of pain itself is various and its impacts negatively affect one’s activities of daily living (ADL) and quality of life (QoL), as well as their socioeconomics. World Health Organization (WHO) has created a guideline for pain management. This guideline suggests non-opioid, weak opioid, and strong opioid for analgesic depends on pain severity. Additional antidepressant, anticonvulsion, corticosteroid, or anxiolytic drug can also be givent for better analgesic outcome. What class drug to choose has to be based on one’s subjective pain experience, with fitted dose, and strict observation on possible side effects from chosen drugs. This guidance, unfortunatey, sometimes isn’t applied practically in managing pain, which makes the therapy less effective and efficient, causes increase in adverse events, as well as increase the risk of opioid dependence. The purpose of this article writing is to review pain management, hence its application in practice may be beneficial for many people.  
Article Review: Faktor Risiko dan Klasifikasi Retinopati Diabetik pada Pasien Diabetes Melitus Tipe 2 Dalillah, Fathian Nur; Yusran, Muhammad; Kurniati, Intanri; Rengganis Wardani, Dyah Wulan Sumekar
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.958

Abstract

Diabetik retinopathy (DR) is a major complication of diabetes mellitus and the leading cause of vision loss. This condition can result in vision impairment and even blindness if not promptly and accurately managed. Risk factors that can increase the likelihood of someone experiencing diabetik retinopathy include age, gender, poor glycemic control, hypertension, dyslipidemia, pregnancy, and smoking. Several of these risk factors can lead to diabetik retinopathy through various mechanisms, such as increased oxidative stress, elevated permeability of retinal blood vessels, formation of hard exudates, and other mechanisms. The classification of diabetik retinopathy is divided into two types: nonproliferative diabetes retinopathy (NPDR) and proliferative diabetes retinopathy (PDR). Nonproliferative is further categorized into three severity levels: mild, moderate, and severe, while proliferative is divided into advanced and very advanced stages. The global prevalence of diabetik retinopathy is approximately 34.6%. In Indonesia, the prevalence of diabetes has reached 10.7 million people, making it one of the top 10 countries with the highest diabetes incidence in the world. The province of Lampung also has a significant number of diabetes cases. According to a study, the prevalence of diabetes in Lampung Province is 9.3%. The objective of this article is to enhance comprehension regarding the risk factors impacting the progression of Diabetic Retinopathy (DR). This piece will explore the factors that contribute to an increased severity of DR.
Hubungan Kadar Kolesterol dengan Hipertensi Sinaga, Elizabeth Mega; Musyabiq, Sofyan
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.960

Abstract

Hypertension is one of the diseases that become a problem in the world because it increases the risk of cardiovascular disease, brain, kidneys, and others. However, this is often not realized because it is often without symptoms. Lifestyle plays a role in the regulation of blood pressure and contributes to the development of hypertension. One of the causes of hypertension is cholesterol. The buildup of cholesterol in the blood will clog blood vessels and stiffness occurs so that blood pressure increases. This study aims to determine the relationship between cholesterol levels and hypertension. This research method was carried out by meta-analysis research through searching articles on Google Scholar with the formula, 'The Relationship of Cholesterol Levels with Hypertension' with a range of 2019-2024. From 8 literature reviews, it was found that the majority of respondents studied who experienced elevated cholesterol levels would also experience an increase in blood pressure. After this study, there was a relationship between cholesterol levels and hypertension.
Rapid Diagnosis and Management of Concomitant Acute Cardiogenic Pulmonary Edema and Community-Acquired Pneumonia Increase Patient Survival Wibowo, Adityo; Saputra, Tetra Arya
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.961

Abstract

Acute pulmonary edema is a potentially life-threatening complication of cardiac disease that leads to acute respiratory failure. Cardiogenic pulmonary edema affects approximately 80% of patients with acute decompensated heart failure. Acute pulmonary edema caused by heart failure affects nearly a million individuals annually, and the number of cases is growing significantly as the ejection fraction reduces. The clinical presentation can be identified by a sudden onset of dyspnea and a quick accumulation of fluid inside the alveolar and lung interstitial secondary to an increase in hydrostatic pressure. Community-acquired pneumonia (CAP) is the most common respiratory infection caused by a microbial infection of the lung parenchyma and has almost similar clinical characteristics to acute pulmonary edema. The length of stay in hospital will increase nearly two times longer in these concomitant diseases. Comorbidity of cardiogenic lung edema and CAP increase mortality rate by nearly 25% in heart failure patients without early detection and proper management.
Uji Efektivitas Dekontaminasi Masker Bedah Menggunakan Rice Cooker Pada Masker yang Digunakan Mahasiswa Fakultas Kedokteran Universitas Lampung Tahun 2018 Gliselda, Vika Kyneissia; Soleha, Tri Umiana; Wintoko, Risal; Sidharti, Liana
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.962

Abstract

Since the pandemic, there has been an increase in demand for surgical masks. This causes an increase in waste that is difficult to decompose and requires solutions such as decontamination so that it can be reused. Mask decontamination is currently still being carried out on a large scale and has been standardized. This is a drawback because it is difficult for the community to do. In Taiwan, there is one method of mask decontamination using a rice cooker which is widely available, but there are still many limitations in this research. The aim of this research is to determine the effectiveness of using a rice cooker as a decontamination tool against bacteria on surgical masks. This research was carried out on 20 samples of surgical masks used by students, consisting of calculating the number of colonies that grew before and after decontamination on Brain Heart Infusion Agar (BHI) media, gram staining, culture on blood agar plate media, catalase test and culture on mannitol media. salt agar. The type of bacteria on the surgical mask used is Bacillus sp. (85%) and Staphylococcus epidermidis (15%). The Wilcoxon statistical test regarding the effectiveness of surgical masks before and after showed a p value <0.05. The use of a rice cooker is effective as a tool for decontaminating surgical masks that have been used by students.

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