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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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Emfisema Subkutis dan Simple Pneumothoraks Akibat Tenggelam; Case Report dari Rumah Sakit Tipe D M Agung Yudistira Permana; Ni Ketut Agustiani Sudiar; AA Istri A WIda Purnama Dewi
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.84

Abstract

Drowning is defined as a condition in which acute respiratory disturbances result from immersion of the respiratory tract in a liquid, the third highest cause of death in the world. The process of holding breath can increase the pressure in the alveoli, water entering the respiratory tract will disrupt the surfactant layer, severe multi-organ complications occur, such as cardiac arrest, acute respiratory failure, lactic acidosis even a death. Early resuscitation and management are very important to support the patient's prognosis. This case report will discuss the journey and therapy of post-drowned patients in remote hospitals with limited equipment. An GS 6 years old was taken to the emergency room with a decrease in consciousness after drowning in the sea 1 hour before entering the hospital. The child had drowned for 10 minutes then helped without resuscitation and taken to the emergency room. GCS E2V1M4, HR 170x/min, RR 48x/min, temperature 38.7C and oxygen saturation 45%. During treatment, complications such as pneumothorax and massive subcutaneous emphysema occured . The treatment was done with a minimal invasive infraclavicular incisions method and obtained good results and minimal complications. Evaluation of pulmonary function and post surgical complications are needed during the healing process.
Cutaneous Larva Migrans Pada Anak Usia 3 Tahun Maya Nurul Hidayati
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.85

Abstract

Cutaneous larva migrans (CLM) or creeping eruption is a skin disease that makes inflammation of the skin in a linear or meandering form caused by invasion of hookworm larvae. CLM can be found in tropical and subtropical regions of the world, especially in warm, humid and sandy regions. An estimated 576-740 million people in the world are infected with hookworm. In Indonesia the prevalence of hookworm infection is around 30-50% where in plantation areas it has a higher prevalence. This case report describes a child 3 years old with complaints a reddish rash meandering on the right lower leg that felt itchy. On physical examination dermatologic alobtained at dextra cruris region are erythematous papules, multiple, linear, serpiginosa are partially covered in crust. Patients was diagnosed with Cutaneous larva migrans and given antihelmin medication and education.
Hubungan antara Faktor Pengetahuan Ibu, Sosial Budaya dan Informasi Petugas Kesehatan dalam Praktik Pemberian MP-ASI Dini dengan Kejadian Diare Akut pada Bayi Salsabila Ardhani; Roro RUkmi WIndi P; Agustyas Tjiptaningrum
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.86

Abstract

Diarrhea is one of the main causes of illness and death in childhood in developing countries. Diarrhea is caused by various factors one of which is the practice of early giving weaning food. The purpose of this study was to determine the relationship between the factors that influence the practice of giving early weaning food with the incidence of diarrhea in infants aged 0-6 months in Kemiling Health Center. This type of research is analytic observational research with cross sectional design, the sample in this study were all infants aged 0-6 months who sought treatment in Kemiling Health Center in February-March 2018 with consecutive sampling techniques and analyzed using chi square. The results show that there was a significant relationship between mother’s knowledge about early giving weaning food with the incidence of acute diarrhea in infants with a p-value of 0.009 (<α = 0.05), a significant relationship between socio-culture and the provision of early giving weaning food with the incidence of acute diarrhea in infants with a p-value of 0.003 (<α = 0.05 ), and a significant relationship between health care worker information about early giving weaning food and the incidence of acute diarrhea in infants with a p-value of 0.001 (<α = 0.05). There is a significant relationship between mother’s knowledge factor, socio culture factor, and health care worker information factor that influence the practice of early giving weaning food and diarrhea in infants aged 0-6 months at Kemiling Health Center in Bandar Lampung City.
Hubungan Kebersihan Diri dengan Kejadian Diare pada Petugas Kebersihan Tempat Pembuangan Akhir Bakung Bandar Lampung Agung Satria Utama H; Dyah Wulan Sumekar; Sofyan Musyabiq Wijaya
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.87

Abstract

Personal hygiene means the act of maintaining one's personal hygiene and health for their physical and psychological well-being. Personal hygiene is one of the factors that can increase the risk of diarrhea. Janitors are a group of workers who have a high risk of experiencing health problems because of continuous exposure to garbage. The objective is to identify the relation of personal hygiene with diarrhea occurrence at janitor in Bakung landfills Bandar Lampung. The design of this survey is the analytical method with a cross-sectional approach to 58 respondents. This study used a questionnaire to assess the respondent’s personal hygiene and the incidence of diarrhea. The data obtained were calculated using the Chi-square test. Out of 58 participants, 40 participants (69%) were found to have good personal hygiene and 18 participants (31%) were found poor personal hygiene, while 24 participants (41,4%) were found experienced diarrhea and 34 (58,6%) were found did not experience diarrhea. Chi-square test result showed that there was a correlation between personal hygiene and diarrhea occurrence with a p-value of 0,02 (p<0,05). The findings in this study can be understood as there was a correlation between personal hygiene and diarrhea occurrence at janitor in Bakung landfills Bandar Lampung.
Perbedaan Penyembuhan Luka Bakar Derajat II antara Pemberian Topikal Ekstrak Sel Punca Mesenkimal Wharton’s Jelly Tali Pusat Manusia dan Moist Exposed Burn Oitment (MEBO) pada Tikus Putih Jantan (Rattus Norvegicus) Galur Sparague Dawley Eka Lestari; Evi Kurniawati; Fitria Saftarina
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.88

Abstract

Abstract Moist Exposed Burn Ointment (MEBO) is an ointment which can accelerate burn healing. Wharton's jelly mesenchymal stem cell (WJMSc) extract in human umbilical cord has the ability to potentially assist the burns healing process. This research was a laboratory experimental study with the use of 27 white rat induced with second degree burns and was divided into a control group (K1), Moist Exposed Burn Ointment (MEBO) group (P1) and WJMSc (P2) group. Observation of burn healing rate used healing time and burn diameter was conducted for 28 days. Data were analyzed using One way ANOVA and Kruskal wallis statistic test with 5% of α value. Average burn healing rate of K1 group: 26,78 days, P1: 24,56 days, P2: 19,67 days with the result of burn healing rate data analyzed test is p:0,005. Differences in burn diameter occurred on day 8, 12, 16, 20 and 24 on the ploriferation and remodeling stage with the result of burn diameter data analyzed test is p<0,05. Conclusion: There was a significant difference on the speed of burn healing and burn diameter between treatment group with p: 0,001. WJMSc is the fastest therapy and the largest diameter cutback.
Penatalaksanaan Holistik pada Pasien Anak dengan Demam Tifoid Melalui Pendekatan Kedokteran Keluarga Andria Novita Sari
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.89

Abstract

Typhoid fever is an infectious disease caused by Salmonella typhi. Transmission of the disease is usually through contaminated food or water. Poor hygiene and healthy behavior can increase the risk of typhoid fever. Early and adequate treatment can reduce complications and recurrence. This study is a case report. Patient Ms.F, 10 years old, was diagnosed with typhoid fever. Internal risk factors for patient were the habit of careless street food snacking and lack of typhoid fever knowledge. External factors were unoptimized habit of clean and healthy lifestyles and low-income family. The patient lives with her parents and five siblings. On history taking, physical examination, and laboratories found seven days of fever accompanied by nausea and vomiting 4−5x / day, temperature of 39.0oC, typhoid tongue (+), tenderness in the epigastrium, and a significant rise in titer in the Widal serology test. Medical treatment with chloramphenicol 4x500mg, paracetamol 3x500mg, and domperidone 3x10mg. Holistic and comprehensive management of Ms.F's patients has been carried out by providing counseling about typhoid fever, prevention efforts, and implementation of clean and healthy lifestyles and the importance of preventive measures to prevent complications of the disease to increase the knowledge of patients and their families.
Interferon Gamma Release Assay sebagai Diagnosis Infeksi Laten Mycobacterium tuberculosis Evriana Citra
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.90

Abstract

Mycobacterium tuberculosa (Mtb) infection is influenced by host-specific factors and pathogens interacting with the environment in a complex way to determine the outcome of infection. The result of infection with Mycobacterium tuberculosa is one of three possible outcomes, which are cured, latent, or active. asymptomatic latent tuberculosis infection, which is defined as a state of persistent bacterial viability, immune control, and no evi- dence of clinically manifested active tuberculosis. Latent tuberculosis infection (LTBI) is a persistent immunological evidence in the asymptomatic phase of active TB infection. LTBI can develop into active TB that depends on host factors, pathogens and the environment. The diagnosis of LTBI can reduce the rate of active TB by providing preventive therapy. At present one of the checks that can diagnose LTBI is the examination of Interferon Gamma Release Assay (IGRA) in addition to the tuberculin skin test (TST). The purpose of this study was to determine the specificity and sensitivity of the IGRA examination as a diagnosis of latent Mycobacterium tuberculosis infection. The result is IGRA examination is more specific and sensitive, unless active with TST that is unable to determine active TB or not
Manifestasi Kulit pada Pasien COVID-19 Mega Rukmana Dewi
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.91

Abstract

Corona virus disease 2019 or commonly known as COVID-19 is an infection by acute respiratory virus Coronavirus-2 (SARS-CoV-2). In Indonesia, first cases COVID-19 discovered on March 2, 2020 there are 2 cases. Until June 3, 2020, there were 28,233 confirmed cases with 1,698 deaths. In province of Lampung, there were 136 confirmed cases with 11 cases of death. The most common manifestations in COVID-19 patients is respiratory symptoms. Skin manifestations are rarely found of COVID-19 patients but there is 2 cases reported in China shows skin manifestations. Skin manifestations found of COVID-19 patients in several cases include morbilliform rash, urticaria, rash with ptekie, rash with purpura, papulovesicular lesions, chilblain and livedoid lesions.
Ekstrak Daun Ricinus communis L. sebagai Antimikroba Alami: Pengembangan Antimikroba Baru terhadap Mikroba MDR Nurul Annisa Azmy
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.92

Abstract

The emergence of microbes multidrug-resistant (MDR), caused by overuse of antibiotics, induce a dramatic decrease in the efficacy of antimicrobial drugs. Natural products can be used as exploration and development of new antimicrobials. Plants are a natural source that contains ingredients for traditional medicines. Plants are a source of phytochemical with various bio-structures and effective bioactivity against a number of diseases including bacterial infectious diseases. More than 80% of the world's total population relies on herbal medicines to meet their primary health care needs. The use of plants as alternative medicine is widely used by the community, in addition to being easily available, these medicinal plants rarely have side effects such as synthetic drugs. Extracts from plants are widely used by humans for various purposes including solving human health problems for example, herbal medicines used their antimicrobial properties to treat other diseases due to the activity of secondary metabolites contained in them. One of the herbs that is believed to be antimicrobial, namely Ricinus communis L. Jarak Kepyar or Ricinus communis L. is a plant that easy to grow in the field or in open areas, is resistant to drought and can grow in various soil conditions. Ricinus communis L. leaf extract contains various kinds of phytochemical compounds which play a role in inhibiting bacterial growth. The mechanism of inhibition of bacterial growth occurs through inhibition of the synthesis of microbial cell walls so that microbes will die.
Salfingoophorectomy pada Giant Ovarian Mature Cystic Teratoma disertai Hernia Umbilikal Rachmatia Ramadanti; Yusmaidi
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.93

Abstract

Giant ovarian cysts are tumor which have a diameter > 10 cm in radiology or reaching above the umbilicus. Symptoms of tumor are usually asymptomatic, but can cause nonspecific stomach disorders including pain, nausea, and vomiting. In teratomas can be found sebaceous glands, sweat glands, hair follicles, fatty tissue. Investigations can be performed ultrasonography and CT-Sacn. The treatment is performed surgically by laparotomy or laparoscopy. In this case Nn.S, 22 years old came with complaints of an enlarged abdomen since 2 years ago. The physical examination of the patient are compost mentis. Blood pressure 130/100 mmHg, heart rate 105x / minute, respiratory rate 24x / minute, temperature 37.0oC. Examination of the abdomen showed an enlargement of the abdomen equivalent to 9 months gestational age with a 103 cm abdominal circumference, bowel sounds (+) 10x / minute, on percussion tympanic to deaf, found palpation hard palpated, negative tenderness. At CT scan shows that teratomas are quite large in the abdominal cavity which deviates the intrabomen into peripheral organs.

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