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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 Pada Ibu Rumah Tangga Usia 52 Tahun Dengan Dermatitis Kontak Iritan Melalui Pendekatan Kedokteran Keluarga Di Puskesmas Kalirejo Dita Rifzian, Malyca Rachmaniar; Angraini, Dian Isti
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1117

Abstract

Irritant contact dermatitis (ICD) is an inflammatory skin disease caused by irritant materials or substances and can be found in everyone from all age groups, races, and genders. The definitive management is to find and avoid the cause (irritants). Applying a holistic and comprehensive family doctor approach in detecting risk factors, clinical problems, and patient management based on evidence based medicine through family-approached, patient-centered, and community-oriented. This is a case report study, which the primary data were obtained through anamnesis, physical examination, home visits. The secondary data were obtained through patient’s medical records. Mrs. P, 52 years old, presents redness and itchy spots on both soles of the feet and peeled skin since two weeks ago. The patient is worried that the complaints may interfere her daily activities. The patient is a housewife who has just replaced the bathroom floor cleaning fluid. Patient was diagnosed with ICD based on history and physical examination. The intervention results were patient complaints’ were reduced, knowledge of patients and her family regarding ICD increased, and some behaviours of the patients and family changed.
Perbedaan Kadar Gula Darah Puasa Setelah Melakukan Senam Zumba pada Wanita yang Mengalami Obesitas di Pusat Kebugaran Bandar Lampung Agustina, Mezza; Khairunnisa; Oktarlina, Rasmi Zakiah
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1118

Abstract

Obesity is a global epidemic health problem and the cases continue to increase every year. Obesity is a predisposing factor for an increase in blood sugar levels. A relatively simple and easy way to prevent obesity and control blood sugar levels is to exercise regularly. One of them is the zumba exercise. During exercise, muscle cells use more glucose and other nutrient fuels than usual for muscle contraction activities. During physical activity, insulin sensitivity increases and causes a decrease in plasma blood sugar levels. This study aims to determine differences in fasting blood sugar levels for those who have exercised for the first time and who have done exercise twelve times in obese women. This research is an observational analytic study with a cross-sectional approach. In this study, fasting blood sugar levels were measured in 52 respondents who took part in zumba exercises at Fitness Center Bandar Lampung. Sampling was carried out on respondents who did zumba exercise for the first time and who had done zumba exercise twelve times. The results showed that the average fasting blood sugar levels for those who had exercised for the first time and who had done exercise twelve times were 98.65 and 91.38 mg/dl, respectively. Based on statistical tests, zumba exercise has a significant difference in changes in the value of fasting blood sugar levels in obese women who have done exercise.
Penatalaksanaan Holistik Pada Ny. T Umur 56 Tahun dengan Carpal Tunnel Syndrome Melalui Pendekatan Kedokteran Keluarga di Puskesmas Natar Marga, Muhammad Panji; Zuraida, Reni
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.v14i5.1119

Abstract

Carpal Tunnel Syndrome (CTS) is a clinical syndrome that arises due to the depression of the median nerve in the carpal tunnel (tunnel carpal) on the wrist, which causes pain, numbness, and tingling in the distribution of median nerve. CTS risk factors include obesity, monotonous wrist activity, pregnancy, genetic offspring, and rheumatic inflammation. So it is necessary to handle proper and carried out holistically with a family medicine approach to achieve the success of therapy. The purpose of this study was to implement the service of an evidence-based medicine based family doctor in patients by identifying risk factors, clinical problems, and patient management based on a framework for solving patient problems with the Patient Centered and Family Approach approach. This study is a case report. The data obtained are primary data obtained through autoanamnesis, alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical record. Patient Ny. T 56 years old comes with complaints of thumb, index finger, and middle finger of the right hand feels numb since one month ago. Patients also often complain of his fingers feel like shock and spread to the arms, until lately the patient cannot hold or hold objects. Patients work as washerwashers who work daily to wash and make the same movements repeatedly. Clinically the patient is diagnosed with CTS. Furthermore, management, intervention and evaluation are carried out. After holistic and comprehensive management, patients experience increased knowledge about their disease, and complaints of numbness in patients are reduced.
Penatalaksanaan Holistik Penyakit Pada Anak dengan Skabies Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Segala Mider Amourisva, Assyiva Putri; Angraini, Dian Isti
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1120

Abstract

Scabies is a skin disease caused by the mite Sarcoptes scabei parasite, which causes itching that gets worse at night and can be transmitted through prolonged contact with sufferers. Factors that influence the prevalence of scabies are age, gender, poor hygiene, contact with sufferers, and also low knowledge about the disease. So that proper treatment is needed and carried out holistically with a family medicine approach to achieve therapeutic success. The purpose of writing this article is to apply of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient problem solving framework using a patient centered and family approach. This study is a case report. The data obtained are primary data obtained through autoanamnesis, alloanamnesis, physical examination, and home visits and secondary data obtained from the patient's medical record. Patient An. N, 15 years old, came with his mother with complaints of severe itching at night since a month ago, there were reddish nodules the size of pins appearing on the palms of his hands, then spreading to other areas. The patient is worried that it will get worse and interfere with activities. The patient was clinically diagnosed with scabies. Furthermore, management, intervention and evaluation are carried out. On evaluation, there were reduced complaints, patient knowledge about the disease increased, and changes in behavior in maintaining personal and environmental hygiene. After holistic and comprehensive management, patients experience an increase in knowledge about their disease. Complaints of itching and nodules in patients are reduced, patients and their families maintain personal and environmental hygiene.
Holistic Management of a 9 Year Old Boy Patient with Pulmonary TB Through a Family Doctor Approach in the Rajabasa Indah Community Health Center Area Fadhila, Syifa Rahmi; Khairunissa Athira Nauli Siregar; Tuti Malindasari; Fitria Saftarina; Belinda Apriannanti Beauty
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.v14i5.1122

Abstract

TB is a disease that is still difficult to complete. The estimated of the number of TB cases in children reaches 99,000 cases or 12% of the total case. The analysis of this study is case report. Assessment is carried out based on a holistic diagnosis from the start, process, and end of the study quantitatively and qualitatively. An. L, 9 years old, has a main complaint of coughing up phlegm. The patient also experienced complaints of not gaining weight, looking thin, and the patient's mother said her child had become less active since she was sick. The patient is a TB patient who has been undergoing OAT treatment for almost 4 months. Some of the factors that can influence the patient's condition are internal and external risk factors. In this case, a diagnosis of tuberculosis was carried out in accordance with current theories and research. After the intervention, there was a decrease in clinical symptoms and changes in the behavior of the patient and his family. The management given is in accordance with the guidelines, it can be seen that changes in behavior and knowledge of the patient and the patient's family are seen after intervention based on evidence-based medicine which is patient-centered, family approach.
ANALISIS DAN INTERPRETASI CAIRAN SEREBROSPINAL (LCS) DALAM PERAWATAN NEUROKRITIS UNTUK KONDISI NEUROLOGIS AKUT, ARTIKEL REVIEW Sinulingga, Anselmus Libreya; Sangging, Putu Ristyaning Ayu; Soleha, Tri Umiana
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.v14i5.1125

Abstract

Cerebrospinal fluid (LCS) is a clear fluid circulating in the intracranial and spinal compartments. Under normal conditions, the composition of LCS remains constant. However, in various neurological disease especially in acute conditions, the composition, quantity and its pressure can be altered. The importance of CSF in the diagnosis of neurological diseases has been enhanced with the development of techniques that allow direct measurement or indirect analysis of CSF composition. These methods not only aid in diagnosis but also in assessing the severity and prognosis of the neurological conditions faced by patients. For instance, measuring glucose levels in CSF can help differentiate between subarachnoid hemorrhage due to an aneurysm and other types of hemorrhagic stroke. By measuring the levels of various LCS components using relevant techniques, diagnosis, severity and prognostication of neurological conditions like infections, subarachnoid hemorrhage, demyelinating conditions, tumor like conditions, etc. can be done. In the context of emergency care, a good understanding of changes in CSF and their relevance to the patient's clinical condition enables doctors to make more accurate decisions regarding management and treatment. Therefore, CSF analysis is crucial not only for initial diagnosis but also for monitoring and assessing the response to therapy. In this review, alterations in LCS components and its relevance to the emergency care physician to help in the management of patients are enumerated.
Penatalaksanaan Holistik Pasien Perempuan Dewasa Usia 54 Tahun Dengan Dermatitis Kontak Alergi Melalui Pendekatan Kedokteran Keluarga Dzakirah, Inas; Karyus, Aila
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1126

Abstract

Allergic contact dermatitis is dermatitis that occurs due to exposure to allergens outside the body, mediated by a type 4 hypersensitivity reaction. This disease is generally synonymous with pruritus has erythema, oedem,. This disease results in a high rate of morbidity and its prevalence has increased in recent decades. This article is a form of application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and management based on a problem-solving framework with a patient-centered and family-centered approach. This study is a Case Report. Primary data were obtained through autoanamnesis, physical examination, home visits to complete family and psychosocial data, as well as the environment. Assessment based on a holistic diagnosis from the beginning, process and end of the study quantitatively and qualitatively.Adult female patient aged 54 years with allergic contact dermatitis. On internal factors in cases such as genetic factors, age factors, and ignorance of the originator. External factors are the lack of family knowledge about kontak alergic dermatitis, its complications and the environment that has many allergens. Pharmacological and non-pharmacological interventions were carried out in the form of education in preventing the onset of symptoms of allergic contact dermatitis in patients. Diagnosis and management of these patients has been carried out in a holistic, patient-centered, family approach and based on several theories and recent research. In the process of change, patients and families have reached the adoption stage.
Penatalaksanaan Holistik Pada Tn. B Usia 50 Tahun dengan Ulkus Diabetikum Melalui Pendekatan Kedokteran Keluarga di Puskesmas Rawat Inap Tanjung Sari Salsabila, Dea Muthia; Zuraida, Reni
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1129

Abstract

Diabetes Mellitus is a metabolic disorder characterized by chronic hyperglycemia. Diabetic ulcer is a state of ulcer, infection, and/or tissue damage, which is associated with neurological disorders and peripheral vascular disease in the lower extremities. The family approach in the management of diabetic ulcers and Diabetes Mellitus helps to identify factors that influence both clinically, personally and psychosocially in the family so that management will be more comprehensive. The purpose of this study was to application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework using a patient-centered and family approach. This study is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination, supporting examination and physical environment. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The patient complained of an open wound on the leg, numbness on both left, frequent urination and easy thirst. The patient has been diagnosed with DM since 2019. The patient was diagnosed with DM based on history, physical examination and supporting examinations. Knowledge of patients and families about the disease they suffer is lacking. After the intervention, the patient showed clinical improvement and there was a change in behavior. In the quantitative assessment, there was an increase in all aspects assessed, namely knowledge, diet and physical activity. Diagnosis and management of these patients is carried out in a holistic and comprehensive manner, patient center, family appropriate with regular DM treatment according to EBM is needed in order to control blood sugar by changing the patient's behavior so as to prevent other complications from arising.
24 Years-Old Adolescent WITH Internet Addiction Disorder Through A Family Medicine Approach Emilius, Denny; Soeryani, R. Wianti; Lumbuun, Nicolaski
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1131

Abstract

Internet Addiction Disorder (IAD) is an increasing public health problem among adolescents. As a branch of medical science that plays an important role in handling public health problems, family medicine has a unique perspective in understanding and seeking solutions to the problem of IAD in adolescents. This case report aims to explain the family medicine approach in managing IAD in adolescents, including the identification of risk factors, holistic interventions, and the role of family physicians in preventive, curative, and rehabilitative efforts.  The case study of a 24-year-old adolescent with IAD, using a family medicine approach, obtained an in-depth understanding of the psychological, social, and physiological dynamics underlying IAD in adolescents is key for family doctors in designing effective interventions. A family medicine approach that focuses on the unique needs and context of each adolescent patient can provide more comprehensive solutions. Family physicians play an important role in early screening, education, referral to mental health services, and collaboration with parents, schools, and communities.  Preventive efforts are also made through the promotion of healthy internet use, development of self-regulation skills, and family/community empowerment. The family medicine approach in managing adolescent IAD places doctors as agents of change who focus on promotive, preventive, curative, and rehabilitative efforts. Collaboration between the government, professional associations, and other stakeholders is needed to develop an effective framework to prevent and address IAD in adolescents.
Penatalaksanaan Holistik Wanita Usia 26 Tahun Dengan Kekurangan Energi Kronis Melalui Pendekatan Dokter Keluarga di Wilayah Puskesmas Rajabasa Indah Alia, Ega Chessa; Nyimas, Naflah Nadila; Saftarina, Fitria; Aprianna, Belinda
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1132

Abstract

Malnutrition in Pregnancy (ICD 10-O25) is a malnutrition problem cause by the lack of food or nourishment intake in a long period of time, up to years. One of the potential problem in long term macro malnutrition, specifically in pregnant women with ICD 10-O25 is give birth to Low Weight Baby (LWB), anemia and decreased immunity. In Indonesia, there are 17.3% pregnant women with ICD 10-O25. Lampung in particular, there are 13.6% pregnant women with ICD 10-O25. Therefor, it is crucial to comprehensively manage nutrition status, especially in pregnant women. Identify internal and external risk factors and clinical problems present in the patient. Apply a holistic and comprehensive family doctor approach according to the problems found in the patient and carry out medicine-based management. This study is descriptive study about case report. The primary data obtained through anamnesis, physical examination and a visit to the home. Secondary data were obtained from medical records of patients. The patient is a pregnant women with ICD 10-O25. The internal risk factor aspect in the patient is the patient's unhealthy eating and drinking patterns. Aspects of the patient's external factors due to lack of support and information from the family and the environment. Patients are given information about CED and healthy eating patterns. In addition, patients are assisted in applying their knowledge. The diagnosis enforcement and management with this patient has been done with family medical approach, several theories and latest researches. After intervention to the patient, the patient has better understanding and attempted to apply the knowledge. Furthermore, the patient’s Mid Upper Arm Circumference (MUAC) has been increased in the last evaluation visit.

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