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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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Manajemen Jalan Napas Definitif pada Pasien Gawat Darurat Cholyviona W.S Handhayani; Sidharti, Liana; Wahyuni, Ari
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.979

Abstract

Definitive airway refers to the creation of a safe and patent airway to ensure adequate gas exchange, usually involving the trachea and special airway devices. Definitive airway is the standard of care in pre-hospital airway management, especially in trauma patients. Definitive airway has an important aspect in airway management, especially in emergency and trauma care, and its implementation is essential to ensure patient safety and stability. Proper training and routine maintenance skills are key to increasing the success rate of airway management procedures. A definitive airway can be performed if a clinical picture is obtained, including guarantees for maintaining a patent airway, failure to maintain adequate oxygenation with an oxygen mask or the appearance of apnea, airway guarantees including respiratory failure (hypoxia or hypercapnia), the presence of a head injury and requiring broadcast assistance, and decreased consciousness with a GCS (Glasgow Coma Scale) score of 8 or less. Patients with serious or persistent airway compromise usually require an airway device. The most common devices used in definitive airway include orotracheal intubation, nasotracheal intubation, and surgical airway (cricothyroidotomy and tracheostomy). The choice of airway device and technique is tailored to the specific clinical scenario and patient condition.
Nutrional Management in Chronic Kidney Disease Patients: Manajemen Gizi pada Pasien Chronic Kidney Disease (CKD) Al Farisi, Ahmad Fathin; Kurniati, Intanri; Hadibrata, Exsa
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.v14i2.982

Abstract

Chronic Kidney Disease (CKD) is kidney function disorder for >3 months. CKD is also a concern because of its relatively high prevalence and is one of the most common causes of death in Indonesia. A number of treatments that can be carried out in CKD patients depend on the symptoms, comorbidities, and complications in the patient. Management of CKD patients can be medical, operative, to conservative. Assessment of nutritional status is also a concern in patients with CKD because it is not uncommon for a decrease in nutritional status to occur. CKD patients undergoing dialysis treatment are more prone to experience protein-energy wasting (PEW). There are a number of nutritional therapies that can be performed on CKD patients, namely a low-protein diet, regulation of energy intake, oral supplementation, and IPPN/IPAA
Manajemen Terapi Acute Kidney Injury (AKI) Suherman, Auriva Renasha; Kurniati, Intanri; Hadibrata, Exsa
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.v14i2.983

Abstract

Acute Kidney Injury (AKI) is a syndrome characterized by decreased urine production and increased serum creatinine. AKI is a complication in 10 to 15% of patients in hospital and the incidence of AKI in the Intensive Care Unit (ICU) is 20 to 50%. AKI has 3 stages and based on etiology it is divided into 3, namely pre-renal, renal, and post-renal. AKI can be a complication of disease and can cause complications up to end-stage kidney disease. Biomarkers of AKI are not only a guide in diagnosis, but also a guide in the management of AKI. Prevention and management of AKI needs to be carried out in patients. Several AKI treatments that can be carried out include the administration of isotonic crystalloid, Hydroxerthylstarch, vasopressors, diuretics, vasodilators, GF intervention, glycemic control, and nutritional support.
Kerusakan, alkohol, kesehatan Kerusakan Lambung Akibat Konsumsi Alkohol: Dampak dan Penanganannya Madina Ghassan Nebraska; Jausal, Annisa Nuraisa; Wulan, Anggraeni Janar; Rudiyanto, Waluyo
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.v14i3.984

Abstract

Alcohol consumption has spread across various social strata of society, especially among teenagers. Health issues caused by alcohol are often overlooked. This article delves into the damage to the stomach caused by alcohol consumption. Alcohol can damage the gastric mucosa layer and disrupt the balance of stomach acid, leading to various conditions such as gastritis, gastric ulcers, and even gastric cancer. Additionally, alcohol can affect the movement of food and fluids in the digestive tract, increasing the risk of acid reflux, which can worsen stomach conditions. The mechanisms of stomach damage by alcohol involve the direct toxic effects of alcohol itself and the chronic inflammation it induces. Although this damage is often not immediately felt, its long-term effects can lead to serious complications. Management of alcohol-induced stomach damage involves lifestyle modifications, such as reducing or ceasing alcohol consumption, and medical treatment to alleviate symptoms and accelerate healing. To prevent further damage, it is important to raise awareness of the risks of alcohol to stomach health and promote a healthy lifestyle. Understanding the impact and management of stomach damage caused by alcohol consumption is crucial in preventing more serious complications.
Inovasi dalam Terapi Pengobatan Tuberkulosis dan Penerapannya di Indonesia Hidayat, Rizqi; Oktarlina, Rasmi Zakiah; Romulya, Ari Irawan
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.v14i2.985

Abstract

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, which can affect various organs, especially the lungs. It is transmitted through the air, making it a global health problem. In Indonesia, the number of TB cases is quite significant, indicating serious challenges in handling this disease. In an effort to improve the effectiveness of health services, service innovations need to be developed with a focus on providing comfort for Tuberculosis (TB) patients during the treatment process. This study examines innovations in TB treatment therapy in Indonesia with a focus on understanding, identifying and addressing critical barriers to TB treatment. This research highlights the importance of innovations in TB treatment as a solution to overcome healthcare access barriers, improve efficiency, and reduce geographical barriers. Forms of innovation in TB treatment include diverse approaches to improve treatment effectiveness. Mobile Health (mHealth) provides health access solutions for individuals in remote areas through mobile technology. Digital Health, such as SMS and Voice over Text (VOT), supports patient monitoring and treatment success, requiring government technology infrastructure support. Telemedisin facilitates real-time communication between patients and health workers, minimizing the risk of treatment discontinuation. Innovative programs, such as TOSS-TB and BATAS PETIR, demonstrate success through political, economic, social support, and technology implementation. The use of technology for MDR tuberculosis involves a holistic approach, integrating technology, economic support, and social aspects. Continuous evaluation and adaptation of innovations are key to improving TB control outcomes globally.
Faktor-Faktor Yang Mempengaruhi Malnutrisi Muhammad Ihsan Fariqy; Graharti, Risti
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.v14i2.986

Abstract

Malnutrition in children is a serious issue that can impact both health and optimal growth. This condition arises from a nutritional imbalance, involving an excess or deficiency of calories, protein, and other essential nutrients. Risk factors include socio-economic status, maternal lack of awareness, Low Birth Weight (LBW), family food intake, infections, maternal education, breastfeeding practices, and environmental sanitation. Clinical manifestations of malnutrition encompass stunted growth, dry skin and hair, fatigue, decreased appetite, and motor development disorders. Effective preventive efforts require a holistic approach, including heightened public awareness of nutrition, changes in social and economic policies, and improvements in environmental sanitation. By understanding and addressing these factors, it is hoped that the prevalence of malnutrition can be reduced, thereby enhancing the overall quality of life for children worldwide.
Diagnosis And Treatment of Testicular Torsion Hilmi, Tamadar; Kurniati, Intanri; Hadibrata, Exsa
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.v14i2.987

Abstract

Testicular torsion is an urgent medical condition that occurs when one or both testicles experience rotation or reversal in the scrotum, thereby disrupting blood flow to the testicles. Testicular torsion usually occurs in young male patients (<25 years). If this occurs it can cause rapid testicular ischemia. Furthermore, if ischemia is not treated immediately, it can threaten the safety of the testicles and affect men's reproduction and quality of life. This disease causes 10% to 15% of acute scrotal disease in children, and causes an orchiectomy rate of 42% in boys undergoing testicular torsion surgery. This article discusses testicular torsion, including definition, symptoms, diagnosis, and management. Testicular torsion is characterized by complaints of pain, swelling and/or tenderness in the scrotum, loss of cremaster reflex, Deming's sign and Angell's sign. Apart from that, we will also discuss early detection techniques for testicular torsion, such as physical examination and ultrasound, which are very important for diagnosing this condition quickly. Testicular viability decreases significantly 6 hours after the onset of symptoms therefore early diagnosis is key. Immediate treatment with manual detorsion or surgery is necessary to restore blood flow to the testicle affected by torsion. Delay in action can cause permanent damage to the testicular tissue. Since testicular torsion is a very time-sensitive diagnosis, it may also be subject to many medicolegal challenges.
Analisis Fear of Failure (FoF) pada Mahasiswa Kedokteran Vidini Caya, Tazkia; Oktafany, Oktafany; Islami, Suryadi
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.v14i2.988

Abstract

Fear of failure is a person's response to the failure they experience and anticipation to avoid the bad consequences of that failure. Fear of failure can have both positive and negative impacts. Anyone can experience fear of failure, including medical students as students who are pursuing an education full of challenges and responsibilities. Medical students take a longer period of education and bear greater demands and roles than other students. To determine the level of fear of failure, the researchers used a research instrument in the form of a questionnaire, namely the Performance Failure Appraisal Inventory (PFAI). Universally, medical education educates students with the academic achievements that need to be achieved to obtain a license and guarantee a bright future. Without academic achievement and good achievement, degrees and job opportunities, even continuing education will not be easy to obtain. The level of fear of failure varies based on gender, academic year, Grade Point Average (GPA), interest in medical science, etc. Fear of failure shows a negative relationship with medical student learning achievement. Thus, fear of failure in medical students needs to be a concern for educational institutions in understanding student behavior and shaping the scope of teaching and providing counseling that can help medical students overcome the fear of failure.
Tinjauan: Malondialdehyde (MDA) sebagai Marker Stres Oksidatif Berbagai Penyakit Gusnirwan, Alief; Sangging, Putu Ristyaning Ayu
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.v14i2.990

Abstract

Oxidative Stress is a condition of imbalance between free radicals and antioxidants in the body. This can be caused by the excessive production of reactive oxygen species (ROS) or reactive nitrogen species (RNS), which can damage biomolecules such as lipids, proteins, and nucleic acids. Various factors, including environmental elements like UV rays, radiation, pollutants, smoking, heavy metals, and exposure to drugs, can trigger this condition. Malondialdehyde (MDA) serves as a stable and accurate biomarker of oxidative stress and can indicate the oxidation processes within cell membranes. Elevated concentrations of MDA are associated with pathological conditions and can lead to damage to blood vessel walls, the development of heart diseases, changes in cell membrane properties, and DNA mutations, contributing to the formation of cancer and genetic diseases. Numerous studies have shown significantly different MDA levels between healthy individuals and those with specific diseases, and MDA values correlate with the severity of various illnesses. Understanding the mechanisms of oxidative stress and measuring biomarkers like MDA provide crucial insights into the role of oxidative stress in the pathology of diverse diseases, opening avenues for the development of more effective prevention and treatment strategies.
Proper Management of Underweight and Anemia in Tuberculosis Patients Increases The Improvement Time During Two-Week Treatment Follow-Up Saputra, Tetra Arya; Wibowo, Adityo
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.v14i5.991

Abstract

Tuberculosis (TB) continues to be the leading cause of disease and mortality caused by chronic pulmonary infection. The World Health Organization (WHO) considers that one-third of the global population is infected with Mycobacterium tuberculosis (Mtb).  Mycobacterium tuberculosis infection results in persistent lung damage, which is characterized by ongoing inflammation that damages lung tissue. The patient additionally experienced a cough for almost one month, with clear mucous, absence of blood, and mild shortness of breath. Patients had decreases in body weight and loss of appetite for about three weeks. Night sweats appeared within one month. There was no specific complaint of gastrointestinal symptoms. The patient's nutritional management was focused primarily on oral intake, with a total daily consumption of 1690 kcal. The daily protein, carbohydrate, and fat consumption is divided into 42.45 grams of protein, 253.5 grams of carbohydrates, and 37.5 grams of fat. There was no history of food allergy from the patient, therefore we decided not to impose any dietary restrictions. The improvement in body weight was used to monitor the outcome of the nutritional intervention. Nutritional issues have emerged as a significant contributor to an increasing percentage of individuals with low hemoglobin (Hb), influencing TB-related morbidity. The most prevalent causes of anemia in tuberculosis are nutritional deficiencies and malabsorption as a result of appetite loss. Poor intake of food has also been linked to an increased risk of disseminated TB. To improve treatment outcomes, nutritional support should be provided in addition to tuberculosis medicine.

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