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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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LOW BACK PAIN: Literature Review Shafia, Anindya; Ismunandar, Helmi; Putri, Giska Tri; Saftarina, Fitria
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1631

Abstract

Low back pain (LBP) is one of the most common musculoskeletal problems and a leading cause of disability and global productivity loss. This condition can be either acute or chronic and is caused by various factors, including mechanical, radicular, and nociplastic components. The complexity of its etiology and the variability of treatment responses necessitate a comprehensive and multidimensional approach. This study is a literature review that examines scientific articles obtained from databases such as PubMed, Scopus, and Google Scholar. The articles reviewed were published between 2015-2025 and discussed aspects of  definition, epidemiology, classification, diagnosis, and pharmacological and non-pharmacological management of LBP. The review found that LBP has a high global prevalence, particularly among the productive age group and the elderly. Risk factors include biomechanical, psychosocial, and lifestyle aspects. Management of LBP involves pharmacological treatments (NSAIDs, tramadol, duloxetine) and non-pharmacological approaches (physical exercise, education, multidisciplinary rehabilitation). LBP is a complex public health issue with significant economic and social burdens. Effective management strategies require a biopsychosocial approach, appropriate use of screening tools, and multifactorial interventions tailored to the type and phase of pain. Prevention through education and physical activity has also proven effective in reducing the risk of LBP occurrence.
Holistic Management with Family Doctor Approach in a 65-Year-Old Woman With Allergi Contact Dermatitis Istiqomah, Dinni; Utama, Winda Trijayanthi
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1634

Abstract

Allergic contact dermatitis is a skin inflammation caused by exposure to antigens that causes a type IV hypersensitivity reaction and can be experienced by everyone from all ages, races, and genders. The definitive treatment of the disease is to find and avoid the allergen that causes dermatitis. This is a case report study. Data were obtained from anamnesis, physical examination, and patient’s medical records.  Mrs. P, 65 years old, came to the Kebon Jahe Community Health Center with complaints of red spots appearing with itching between the fingers of the patient’s right hand since 7 days ago since patient was wearing a metal ring that the patient had used for the first time. The patient was diagnosed with allergic dermatitis based on the history and physical examination. Non-medical and medical interventions were carried out on patients and their families with education regarding the patient’s illness during three home visits. Holistic management with a family doctor approach has been carried out for Mrs. P, 65 years old with allergic contact dermatitis, which is adjusted based on initial holistic diagnostics.
Penatalaksanaan Laki-Laki Usia 20 Tahun Dengan Skabies Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Tanjung Sari Natar Khairunnisa, Salma; Angraini, Dian Isti
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1636

Abstract

Scabies is a skin disease caused by infestation and sensitization with the parasite Sarcoptes scabiei var. hominis. Other names or synonyms of scabies are "agogo itching", "gudig", and "budukan". The prevalence of scabies in the world reaches 300 million people every year. Many variables contribute to the development of this disease, such as low socioeconomic status, inadequate personal hygiene, age, level of knowledge, and direct or indirect interactions with sufferers. Scabies is often ignored because it is not life threatening, even though this disease can become chronic and cause complications, as well as reducing the sufferer's quality of life. Therefore, appropriate holistic treatment is needed using a family medicine approach to achieve therapeutic success. This Study aims to apply the principles of a holistic and comprehensive family doctor approach in detecting internal and external risk factors and resolving problems based on EBM (Evidence Based Medicine) which is family approach and patient centered. This study is a case report. The data obtained were primary data obtained through alloanamnesis, physical examination, and home visits, and secondary data obtained from the patient's medical records. An. 20 years old HY came with complaints of itching on his right leg since more than a week ago and there were small pimples the size of pins filled with clear fluid in the itchy area which he then scratched and broke and became blackish scabs. The patient is worried that the complaint will get worse and interfere with the patient's activities. Next, holistic management is carried out, namely intervention using poster media. In the evaluation, results were obtained in the form of of a better understanding of the disease and changes in behavior that had an impact on the success of therapy. After carrying out holistic and comprehensive management, the patient experienced an increase in knowledge about the disease by 3.75 points. Complaints of itching and rashes on the skin have decreased and patients have improved personal and environmental hygiene.
Penatalaksanaan Holistik dengan Pendekatan Dokter Keluarga pada Wanita Usia 42 Tahun dengan Asma Persisten Sedang Annisa, Nur; Karyus, Aila
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1637

Abstract

Asthma is a heterogeneous disease, which has characteristics of chronic inflammation of the airways characterized by a history of respiratory symptoms such as wheezing, shortness of breath, chest tightness, and coughing that vary in terms of time and intensity, accompanied by variations in expiratory airflow obstruction. This study is a descriptive study of case reports. Primary data were obtained through autoanamnesis, physical examination, and visits to the patient's home. Secondary data were obtained from patient medical records at Panjang Public Health Center. Patient Mrs. LM, 42 years old, diagnosed with moderate persistent Asthma was managed comprehensively, namely given medication in the form of bronchodilators and inhalers and carried out interventions using poster media and showing asthma exercise videos. The evaluation obtained results in the form of improved patient complaints, increased understanding of the disease as evidenced by a comparison of pre-test and post-test values and increased family support The application of a family doctor approach is needed for holistic and comprehensive management of patients with moderate persistent Asthma to detect internal and external risk factors in order to support successful therapy and improve the patient's quality of life.
Faktor Yang Berhubungan Dengan Kejadian Ulkus Kornea : Literatur Review Laras Pratiwi, Astari; Suharmanto, Suharmanto; Taolin, Alberto
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1638

Abstract

Corneal ulcer is a pathological condition in the form of a lesion or defect caused by the loss of tissue discontinuity accompanied by infiltration, which can occur in the cornea, from the epithelium to the stroma. This literature review aims to describe the factors associated with the occurrence of corneal ulcers. This literature review describes the factors associated with the occurrence of corneal ulcers. Researchers use articles from Google Scholar and PubMed. The articles used are articles from the last 10 years from 2015-2025. Researchers use the keywords "corneal ulcer" and "factors". The articles obtained were 39 articles and 10 articles met the requirements. Researchers made a resume of the research results and interpreted and concluded from the selected articles. Corneal ulcers can be caused by various risk factors, both infectious and non-infectious. Unhygienic or prolonged use of contact lenses, viral infections such as herpes simplex, dry eye syndrome, eyelid disorders (such as entropion or trichiasis), use of steroid eye drops without medical supervision, and trauma or injury to the eye are the main causes. In addition, people with diabetes mellitus and those with a history of eye diseases such as blepharitis are also more susceptible to corneal ulcers.
PENATALAKSANAAN PADA NY. I USIA 54 TAHUN DENGAN DIABETES MELITUS TIPE 2 DAN DISLIPIDEMIA MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI PUSKESMAS GEDONG TATAAN Utami, Nabila Rachmadita; Aliffia Bingga, Isvi; Saftarina, Fitria; Putri, Giska Tri
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1155

Abstract

Diseases in Indonesia can generally be divided into communicable diseases and non-communicable diseases. Based on Riskesdas data, the number of DM suffers in Indonesia is increasing every year. In Indonesia, the prevalence of dislipidemia increase to 15.5% in the 55-64 year age group. Of these, 80% of patients died suddenly due to a heart attack, and 20% showed no symptoms. Patients must know about their disease and have awareness and motivation to make lifestyle modifications so that treatment goals can be achieved, so management is needed through a family approach. Application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on the patient's problem-solving framework with a patient centered approach and a family approach. This study is a case report. Primary data were obtained through anamnesis, physical examination and home visits to assess the physical environment. Secondary data were obtained from patient medical records. Assessments are based on a holistic diagnosis from the start, process, and end of the study in a qualitative and quantitative manner. Mrs. I, 54 years old with type 2 diabetes mellitus (DM) and dyslipidemia, was worried that his complaints would get worse and not improve. Limited knowledge about the patient's health condition in the form of causative factors, prevention of type 2 DM and dyslipidemia, foods that need to be avoided and the lack of motivation and encouragement from families to bring patients for routine health control are factors that cause problems that occur in patients and families. Holistic and comprehensive management of the problems patient named as Mrs. I  has been carried out by providing counseling to increase the knowledge of patients and their families.
Tinjauan Pustaka : Patofisiologi, Diagnosis, Tatalaksana, serta Strategi Pencegahan Otitis Eksterna Khairunnisa, Kana; Agustina, Tri; Suwondo, Arsita Sri Devi; Rosita, Salsa Bela; Sari, Lutfita Singgih Intania; Fadhila, Jihan Nida
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1223

Abstract

Otitis externa is an infectious or noninfectious inflammation that occurs in the outer ear.  Otitis externa can be acute, chronic, diffuse, and malignant caused by bacterial, fungal, or viral infections. The main predisposing factor is the swimming habit which can increase 5 times compared to people who do not swim. Factors that may increase the risk of infection, especially in humid climates or if there is narrowing of the ear canal. This article provides an in-depth review of the pathophysiology, diagnosis, management, and prevention strategies of otitis externa using the literature review method from reliable scientific sources. The data shows that the management of otitis externa involves the use of analgesics, topical antibiotics, oral antibiotics, and systemic antibiotics administered based on their classification, while prevention includes avoidance of precipitating factors and cerumen treatment. This conclusion emphasizes the importance of appropriate prevention strategies and accurate diagnosis to improve treatment outcomes and reduce the risk of recurrent infection.
G3P2A0 Hamil 32 Minggu dengan Hipertensi Gestasional ardinda arlindova; Shariff, Fonda Octarianingsih
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1464

Abstract

Hypertension in pregnancy is defined as an increase in blood pressure ≥140/90 mmHg that appears after 20 weeks of gestation without a history of previous hypertension. This case report discusses the case of a 39-year-old woman (G3P2A0) with a gestational age of 32 weeks who was diagnosed with gestational hypertension. The patient was referred from a health center with a history of high blood pressure during ANC (Antenatal Care) and recurrent headaches since 20 weeks of gestation. Examination showed blood pressure of 157/91 mmHg without signs of severe preeclampsia, while proteinuria +1 was detected. Risk factors include age >35 years and a history of hypertension in previous pregnancies. The patient was given pharmacological therapy, namely nifedipine 10 mg 1x1 orally with regular blood pressure monitoring. This study emphasizes the importance of early detection and management of gestational hypertension to prevent complications for the mother and fetus.
Penatalaksanaan Holistik Hemoroid Interna Grade II pada Pria Usia 42 Tahun Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Rawat Inap Sukaraja Retno Mareintika; Ernawati, Tutik
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1514

Abstract

Hemorrhoids are submucosal swellings in the anal canal, consisting of venous plexuses, small arteries, and dilated areolar tissue. in 2019, approximately 4.4% of the global population suffered from hemorrhoidal disease. Data from WHO in 2017, the number of hemorrhoids cases reached 230 million people. In 2017, the global incidence of hemorrhoids increased to 54%. In Indonesia, based on the Basic Health Research (Riskesdas) data, it is estimated 2030, the number of individuals suffering from hemorrhoids will reach 21.3 million. The objective of this study is to identify internal and external risk factors, as well as clinical problems in patients, and to apply Evidence-Based Medicine (EBM) in the family doctor services for these patients. The management of patients was conducted based on a patient-centered, family-focused, and community-oriented problem-solving framework. Primary data were obtained through autoanamnesis, physical examination, and home visits, while secondary data were gathered from patients' medical records. The evaluation was based on a holistic diagnosis from the beginning to the end of the study, both qualitatively and quantitatively. Patient Mr. T, 42 years old, had a main complaint of bulging protruding mass from his anus that is exacerbated with defecation and bowel movements. accompanied by bleeding for the past week. The patient was concerned about the worsening of the condition. Clinically, the patient was diagnosed with Grade II Internal Hemorrhoids. A holistic management approach was implemented, including an intervention using a poster as a media. The diagnosis and management of this patient were carried out holistically and comprehensively, based on several theories and current research. During the behavior change process, the patient has reached the trial stage.
The Relationship Between Gender and Weight, Height, Age, Pregnancy, Heredity, Joint Laxity, Body Mass Index, and Physical Activity in Spondylolisthesis Patients at RSUP Fatmawati Jakarta in 2023-2024 Fauzi, Ahmad; Noerhadiono, Donny; Rayman, Rahmatullah
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1493

Abstract

Spondylolisthesis is the displacement of a vertebra relative to the vertebra below it, causing pain. While various risk factors for spondylolisthesis exist, few studies have explored which risk factors are specific to one gender. Therefore, this study aims to find the relationship between gender and parameters that are commonly considered risk factors for spondylolisthesis. This cross-sectional study was conducted from May to June 2024. A total of 35 patients with spondylolisthesis who underwent surgery at RSUP Fatmawati Jakarta were selected. Patient data were collected from medical records and screened based on inclusion and exclusion criteria. Of the patients, 45.7% were male and 54.3% were female. The data were analyzed using SPSS 16.0. There was a significant difference in the average weight and height between male and female spondylolisthesis patients (weight p=0.017<∝, height p=0.000<∝). There was no significant difference in age. Women with multigravida had the highest frequency (19) compared to primigravida (5), indicating a potential risk factor. No differences were found in joint laxity (p=0.968>∝), BMI, heredity (p=0.922>∝), or physical activity (p=0.076>∝) between genders. There are various risk factors for spondylolisthesis. This study found significant differences in weight and height between genders in spondylolisthesis cases, but no significant differences in other parameters. The study also suggests that multiparity may be a significant risk factor, although further research is needed to confirm this

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