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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 906 Documents
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Hubungan Antara Paritas Dan Pantang Makan Terhadap Kejadian Kekurangan Energi Kronik (KEK) Pada Ibu Hamil Di Puskesmas Kota Bandar Lampung Rachmi L.P. Rukmono; Dian Isti Angraini; Tri Umiana Soleha
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.73

Abstract

Chronic energy deficiency (CED) is defined as the condition of the occurrence of health problems, due to suffering from chronic food shortages. CED prevalence in Indonesia for pregnant women aged 15-49 years is 24.5%. The prevalence of CED in Bandar Lampung was the second highest after East Lampung which is 24.5%. The incidence of CED in pregnant women is influenced by direct factors and indirect factors. This research aimed to indentify the relationship of parity and food taboo to CED in pregnant women in Primary Health Center of Bandar Lampung. This research method used a cross-sectional method. The sampling technique is random sampling. The study was conducted in August-November 2018, at six health primary centers in Bandar Lampung. The sample obtained 88 pregnant womens. The diagnosis of CED is based on LILA <23.5 cm, whereas for food taboo and parity according to the questionnaire that has been made. The results showed that mothers had CED of 40.9% and not CED of 59.1%. The results of bivariate analysis on the food taboo variable obtained p value of 0.001 (p <0.05), which means that there was a relationship between food taboo and incidence of CED in pregnant women. While the parity variable was p value of 0.5179 (p> 0.05) no significant relationship between significant parity in the incidence of CED in pregnant women.
COVID-19 pada Kehamilan: Apakah berbahaya? Hanifa Salma Ramadhani; Nurul Islamy; Ade Yonata
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.74

Abstract

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which spread rapidly throughout the world. These health emergencies, especially deadly in vulnerable populations and communities where health care providers are not adequately prepared to manage this infection. Pregnant women and fetuses represent high-risk populations in this pandemic. Study this article compiled using the literature review method, derived from journals and books resulting from literature searching from search engines (Google and Google Scholar) and electronic source of database (PubMed). There are 37 references reviewed in this article review. A challenge in treating pregnant patients affected by SARS-CoV-2. The explanation in the review of this article is to present a discussion of COVID-19 in pregnancy, intrauterine transmission, and fetal complications in the mother. Fetal health is something that must be taken into consideration during labor In addition, it needs to be focused on the safety of health workers in treating COVID-19 patients. COVID-19 in pregnancy is dangerous for mothers and infants, mothers with COVID-19 have clinical airway symptoms that will aggravate the state of pregnancy, for infants if intrauterine transmission occurs, COVID-19 in infants will cause ARDS (acute respiratory distress syndrome) so endangering lives. The clinical characteristics of pregnant women with COVID-19 are similar to non-pregnant adults. Fetal and neonatal outcomes appear to be good in some cases, but available data only cover pregnant women infected in the third trimester.
Penatalaksanaan Hiperkolesterolemia Dan Obesitas Grade II Pada Pasien Wanita Usia 47 Tahun Melalui Pendekatan Kedokteran Keluarga Ebti Rizki Utami; Reni Zuraida
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.75

Abstract

The prevalence of hypercholesterolemia in Indonesia at the age of 25-34 years is 9.3% and increases with age up to 15.5% at the age of 55-64 years. Hypercholesterolemia is generally found in women (14.5%) than men (8.6%). This case report aims to identify risk factors and patient clinical problems to improve the patient's quality of life and carry out holistic and comprehensive management based on Evident Based Medicine which is family-approach and patient-centered. Primary data were obtained through anamnesis, physical examination and home visits. Secondary data were obtained from patient medical records. The assessment was carried out based on a qualitative and quantitative initial to final holistic diagnosis so that data were obtained in the form of a female patient aged 47 years, diagnosed with hypercholesterolemia and grade II obesity. Limited knowledge regarding the prevention of hypercholesterolemia and grade II obesity, foods that need to be avoided and the lack of motivation and family encouragement to bring patients to control their health regularly are factors that cause problems that occur in patients. Management in the form of simvastatin 1x10 mg and counseling about the patient's health condition. Then the evaluation was carried out by checking total cholesterol, the results of the pre-test 40 and the post-t test 80. There was an increase in the knowledge score including how to calculate ideal body weight, normal total cholesterol value in the body, normal value of BMI, and factors that cause increased cholesterol in the body. Management with a family medicine approach is proven to increase patient knowledge about their health condition and change their life behavior.
Manfaat Terapi Plasma Konvalesen pada Infeksi Covid-19 Asep Sukohar; Zihan Zetira
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.76

Abstract

The pandemic of coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has attracted the world’s attention. On June the cases spreaded more than 200 countries and territories. America occupied the highest level of confirmed cases 4.437.946 and fatality cases 119.761. In Indonesia has 47.898 confirmed cases and 2.535 fatality cases. Until now there are no specific drugs or vaccines available to treat COVID-19. The principle therapy in Indonesia are oxygen supplementation, fluid theraphy, vasopressor drugs, empiric antibiotic, symptomatic therapy, and systemic corticosteroid. The Food and Drug Administration (FDA) recommends therapy in patients COVID-19 are use convalescent plasma taken from patients who recovered from infection. Convalescent plasma therapy is the administration of passive polyclonal antibodies (Ab) to provide immediate immunity that has been used more than a century ago. Several studies have reported that the use of convalescent plasma increases patient survival, improves clinical symptoms, decreases mortality and there are no significant adverse effects.
Convalescent plasma therapy, COVID-19, infectious disease Sumayyah Annida; Dian Isti Angraini
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.77

Abstract

Acute diarrhea is still a major cause of child morbidity and mortality in developing countries. One national data study reported that Lampung Province contributed 32.148 cases of diarrhea in 2018. Most cases of diarrhea were found in the age group 5-14 years followed by the age group of 15-24 years, and women were more often stricken with diarrhea than men. To identify internal and external risk factors and clinical problems in patients, as well as holistically manage patients by applying family doctors according to evidence based medicine through a patient centered approach and family approach. This study analysis is a case report. 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 study in a qualitative and quantitative manner. Patient An. NO, 5 years old, has been diagnosed with acute diarrhea without dehydration, has a concern about the declining health condition with a liquid chapter that does not stop. Limitations of the patient's family knowledge of the patient’s disease (cause, mode of transmission, the risk of the risk factors, treatment, and complications), use of unclean water for cooking and not paying attention to food hygiene are the main factors of the problem. Holistic and comprehensive management of patients' problems An. NO has been done by providing counseling to improve patient and family knowledge of diarrheal diseases and clean and healthy life.
Hubungan antara Lingkungan Belajar dengan Pendekatan Belajar Mahasiswa Tahun Pertama Fakultas Kedokteran Universitas Lampung Echa Putri Anjani; Merry Indah Sari; Ety Apriliana
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.78

Abstract

The learning environment in medical education cast of physical, non-physical/social context in which students study. The learning environment creates an atmosphere of learning that influences student behaviors and efforts that are visible from the way they choose a learning approach that ultimately affects learning outcomes. The learning approach consists of a deep approach and a surface approach. The study aim to find the relationship between the perception of learning environment and learning approach among first year student at the Medical Faculty Lampung University. This is a cross sectional study with sample of 214 first year medical students. Data were collected using Dundee Ready Educational Environment Measure (DREEM) and Revised Two-Factor Study Process Questionnaire (R-SPQ-2F). There are 87 students (40,7%) have excellent perception to learning environment and 127 students (59,3%) have good perception. There were 202 students (94.4%) using deep approach and 12 students (5.6%) using surface approach. Students have excellent perceptions of the learning environment with an deep approach of 84 students (96.6%) and using a surface approach of 3 students (3.4%). Students who have a good perception of the learning environment with deep approach of 118 students (92.9%) and using the surface approach of 9 students (7.1%). The data was statistically tested using Fisher exact test and p value is 0,368 (>0,05). The result there is no significant relationship between the perception of learning environment and learning approach among first year student at the Medical Faculty Lampung University.
Hipertensi Kronis Superimposed Preeklampsia dengan Impending Eklampsia dan Partial HELLP Syndrome Dila Aulia; Nurul Islamy; Ade Yonata
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.79

Abstract

Hypertension in pregnancy is defined as systolic blood pressure of 140 mmHg or more or diastolic blood pressure of 90 mmHg or more. Preeclampsia is a new onset hypertension (blood pressure> 140 mmHg systolic and / or> 90 mmHg diastolic) after 20 weeks and proteinuria or in the absence of proteinuria. Chronic hypertension with superimposed preeclampsia is a chronic hypertension sufferer who has preeclampsia. Ten million women worldwide experience preeclampsia every year. Of these cases, 7,600 pregnant women die each year due to preeclampsia and related hypertension disorders. Preeclampsia accompanied by prodomal sign is called impending eclampsia. HELLP syndrome is a collection of symptoms that include hemolysis, elevated liver enzymes, and platelet counts that are less than the lower limit. The method used is a case report with analysis of primary data obtained from symptoms, physical examination and laboratory examination showing hemoglobin 11.2 g / dL, platelets 156,000 / µL, lactate dehydrogenase (LDH): 687 / µL and urine examination showed 500 mg results / dL. Ultrasonography (USG) on 26 October 2019 obtained a single live fetal head presentation, 26-27 weeks gestation, fetal weight 976 grams, congenital hydrocephalus abnormalities, sufficient amniotic fluid. Ultrasound on 04/10/2019 found a single fetus alive head presentation, 30 weeks gestation, congenital hydrocephalus abnormalities, normal membranes. There are risk factors associated with the onset of preeclampsia in these patients, namely a history of hypertension, old age, and BMI. In this case expectative management was chosen because in patients with preterm pregnancy <34 weeks.
Buah Nanas (Ananas comosus L.) sebagai Faktor Penurunan Resiko Inflamasi Kronis pada Penyakit Infeksi Muhammad Hidayatullah Saputra Amsia
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.80

Abstract

The inflammatory reaction is a defensive reaction (self-defense) in response to injury in the form of a vascular reaction which results in the delivery of fluids, dissolved substances and cells from the blood circulation to the interstitial tissues in the area of ​​injury or necrosis. Inflammation can also be included in a nonspecific reaction, from the host to infection. The result of an inflammatory reaction is the neutralization and removal of the invading agent, the destruction of the necrotic tissue, and the formation of the conditions necessary for repair and recovery. If the inflammatory process does not heal, it can lead to chronic inflammation. Pineapple (Ananas Comosus L.) contains the enzyme bromelain which is a proteolytic enzyme that has anti-inflammatory properties. The most common use of bromelain is as an anti-inflammatory and anti-edema agent, antithrombotic and fibrinolytic activity.5 Bromelain is categorized as a dietary supplement by the United States FDA and is on the list of compounds known to be safe. In addition, it is also reported that there are vanillin, methyl-propyl ketone, n-valerianic acid, isocapronic acid, acrylic acid, L (-) - malic acid, β-methyltiopropionic acid methyl ester (and ethyl ester), 5-hydroxytriptamine, quainic acid. -1, 4-di-p-coumarin. Pineapple can be used as a preventive measure for the occurrence of chronic inflammation in infectious diseases.
Penatalaksanaan Holistik Pasien Remaja Akhir Usia 19 Tahun Dengan Tuberkulosis Rontgen Positif (Kategori I) Melalui Pendekatan Kedokteran Keluarga Sabrina Fazriesa; Azelia Nusadewiarti
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.81

Abstract

According to WHO in the Global TB Report 2017, Indonesia ranks third out of six countries which account for 60% of TB cases worldwide, after China and India. Prevention and control of TB risk factors is done in a way that is to cultivate clean and healthy living behavior, to cultivate cough ethical behavior, to maintain and improve the quality of housing and the environment in accordance with healthy home standards, increase endurance, handling of TB comorbidities, the application of prevention and control TB infection in Health Care Facilities, and outside Health Care Facilities. Patient Mr. P, 19 years old, has been diagnosed with primary pulmonary tuberculosis (ICD 10 A16.0). Having concerns about lack of adherence to taking medication. Limited knowledge of patients and their families about the disease and the right lifestyle according to the illness. Interventions were conducted regarding education and motivation to take medications regularly, always control according to schedule, cough ethics, ways to prevent TB transmission and side effects that might arise during treatment. After an evaluation, the patient and family's knowledge about the disease and the importance of taking medication regularly is quite good. Mr. P started to have daily routine activities, exercising regularly and taking medicine regularly with his mother as PMO. Family doctor services in pharmacological and non-pharmacological therapy are able to solve health problems and improve the quality of life of patients.
Sindrom Stevens-Johnson (SSJ) melebihi Nekrolisis Epidermal Toksik (NET) pada Geriatri: Laporan kasus Aliezsa Esthi Kusuma; Dwi Indria Angraini
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.82

Abstract

Steven Johnson Syndrome (SSJ) is an acute, life-threatening disease characterized by necrosis and epidermal release in vesicobulosa skin, mucous orifice, and eyes, with severe general symptoms. The incidence of SSJ overlapping Toxic Epidermal Necrolysis (NET) is 1-10 cases per 1 million cases per year. The most common cause is hypersensitivity reactions to drugs. Pathogenesis of SSJ and NET is still not widely known. Symptoms begin with symptoms of prodromal flu like symptoms followed by bullae and epidermolysis. SSJ and NET based on age have been reported not only as risk factors but also associated with increased mortality. A 66-year-old woman presents with rashes, blisters and blisters accompanied by peeling all over her body including the skin, eyes, lips and genitals. Six days before hospital admission the patient had a history of treatment at a first-level health facility in the form of ondansentron, paracetamol, dexamethasone, chlorpheniramine, glyceryl guaiacolate, salbutamol, antacids and ranitidine. On physical examination found about 27% epidermiolisis body with positive sign Nicolsky. SCORTEN calculated on patient 3. Pharmacological treatment given to patients in the form of intravenous and topical antibiotics and steroids.

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