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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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Karakteristik Pasien Apendisitis di RSUD Dr. H. Abdul Moeloek Fitria, Aghniya Rizqy; Ricky Ramadhian, Muhammad; Daulay, Suryani Agustina; Zuraida, Reni
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1405

Abstract

Appendicitis is inflammation of the vermiform appendix that can lead to perforation if not treated promptly. This study aims to identify the characteristics of appendicitis patients at RSUD Dr. H. Abdul Moeloek Lampung Province from January 2023 to July 2024. The method used was a descriptive observational study using secondary data from medical records of appendicitis patients. The sample was taken using total sampling, which was then selected based on inclusion and exclusion criteria, involving 84 patients with complete medical records and histopathology results. The results showed that the majority of appendicitis patients were in the 21-60 age range (49%), followed by the 0-20 age range (44%) and the >60 age group (7%). Based on gender, more male patients (56%) were found compared to females (44%). The most common type of appendicitis was simple acute appendicitis (48.8%), followed by perforated acute appendicitis (36.9%) and chronic appendicitis (14.3%). These findings are consistent with other studies showing a higher incidence of appendicitis in young adults and a higher prevalence in males. This study provides important insights into the characteristics of appendicitis patients, which may aid in early detection and more effective management.
Peran Faktor Determinan Sosial Kesehatan, Personal Hygiene, dan Lingkungan dalam Penularan Protozoa Usus Khuluq, Muhammad Khusnul; Irawati, Nur Ayu Virginia; Mutiara, Hanna; Suwandi, Jhons Fatriyadi
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1406

Abstract

Intestinal protozoan infections are a significant health issue, particularly in developing countries with low socioeconomic conditions, poor sanitation, and inadequate personal hygiene practices. The transmission of intestinal protozoa is closely linked to various social determinants of health, including education level, occupation, and household income. Parents with lower education levels tend to have limited knowledge about hygiene and infection prevention, increasing the risk of transmission to children. Certain occupations, such as farming, are also associated with a higher risk of infection due to exposure to contaminated environments. Personal hygiene plays a crucial role in preventing intestinal protozoan infections. Habits such as washing hands before eating, after defecation, and maintaining overall cleanliness can reduce the risk of transmission through the fecal-oral route. Additionally, inadequate environmental sanitation, including the absence of toilets, poor waste management, and limited access to clean water, contributes to high infection rates. Several studies indicate that communities living in areas with poor sanitation are more vulnerable to infection, mainly due to high fecal contamination in water and soil. Beyond social and environmental factors, the presence of pets or livestock can also serve as a source of transmission. Animals exposed to intestinal protozoa pose a risk of spreading the infection if not properly managed. Therefore, preventing intestinal protozoan infections requires a comprehensive approach, including health education, increased awareness of personal hygiene, improved sanitation facilities, and access to safe drinking water for communities.
Gambaran Tingkat Stres Kerja Perawat Di Ruang IGD, ICU, Dan NICU RSUD Dr. H. Abdul Moeloek Bandar Lampung Maulida, Syakira Zahra; Mayasari, Diana; Graharti, Risti; Sutarto, Sutarto
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1407

Abstract

Job stress is one of the factors that can lead to decreased performance. Occupations with the highest prevalence of work stress are owned by health workers. Nurses are more prone to stress than other health workers because nurses often have heavier workloads. The impact of stress that arises in the form of physiological, psychological and behavioral responses. the most influential factors causing nurses' work stress are individual and work factors. In addition, nurses in the emergency room and intensive care of hospitals are considered to have higher levels of job stress than other units. The purpose of this study was to determine the description of the level of work stress of emergency room, ICU, and NICU nurses at Dr. H. Abdul Moeloek Hospital Bandar Lampung. The type of research used is descriptive quantitative using primary data in the form of Perceived Stress Scale questionnaire. Sampling using proportional sampling technique with a total sample of 75 people consisting of 26 emergency room nurses, 26 ICU nurses, and 23 NICU nurses and the data will be analyzed univariately and then presented in tabular form. Based on the results of the study, 19 nurses (25.3%) were at a mild stress level and 56 nurses (74.7%) were at a moderate stress level. Levels of job stress that are too low or too high can lead to decreased job satisfaction and achievement so that it is necessary.
Hubungan Kebiasaan Sarapan dengan Status Gizi Siswa: Literature Review Huwaidy, Alwan Hibban Al; Zuraida, Reni; Febriani, Wiwi
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1408

Abstract

Students are a very valuable asset for the future of the nation. Good nutritional status is essential to support student achievement. However, currently Indonesia is experiencing a double nutritional problem in the form of malnutrition and overnutrition at school age. In addition, there are still few students in Indonesia who are accustomed to having breakfast with quality food in the morning. One of the factors that influences students' nutritional status is breakfast habits. This study aims to determine the relationship between breakfast habits and students' nutritional status. The method used is a literature review of 13 journals or articles from the Google Scholar database related to the Relationship between Breakfast Habits and Students' Nutritional Status published from 2015 to 2025. The results of this study indicate that the 12 journals or articles reviewed have a significant relationship between breakfast habits and nutritional status in students. Students who are accustomed to having breakfast will find it easier to meet their daily nutritional needs so that their nutritional status tends to be normal. However, students who are not accustomed to having breakfast will miss the opportunity to meet 15-30% of their daily nutritional needs so that their nutritional status is lacking. In addition, students who do not have breakfast tend to consume excessive lunch and high calories during the day so that their nutritional status is more. The conclusion of this study is that there is a relationship between breakfast habits and nutritional status in students.
Gambaran Jenis Pekerjaan Ayah dan Status Pekerjaan Ibu Terhadap Kejadian Stunting di Puskesmas Seputih Surabaya Lampung Tengah Kalih, Abigael Ludwina; Sutarto, Sutarto; Suharmanto, Suharmanto; Sangging, Putu Ristyaning Ayu
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1409

Abstract

Stunting refers to short or very short stature based on length or height for age that is less than -2 standard deviations on the WHO growth curve. The World Health Organization (WHO) estimated that 22.2% or 149.2 million children under 5 years old suffered from stunting in 2020. Stunting is caused by two factors: direct and indirect factors.This study aims to examine the relationship between the father's type of occupation and the mother's employment status with the incidence of stunting in the working area of the Seputih Surabaya Public Health Center, Central Lampung. The study employed a cross-sectional design, with a sample of 57 toddlers from the Seputih Surabaya Subdistrict, Central Lampung Regency. The research was conducted from September to November 2024. The sampling technique used proportional random sampling and simple random sampling. This study utilized consent forms containing statements of willingness to participate as respondents, and data collection was conducted using questionnaires. The questionnaire included questions about the father’s type of occupation (e.g., farmer, civil servant, entrepreneur/trader, accountant, livestock farmer, fisherman, employee, teacher, or unemployed) and the mother’s employment status (working or not working). The data were analyzed univariately. The results showed that among toddlers with stunting, the most common type of father's occupation was farming, involving 33 children (58%). Regarding the mother’s employment status, the majority of stunted toddlers had mothers who were not working, accounting for 35 children (61.4%).
Cystatin C sebagai Biomarker Fungsi Ginjal: Literature Review Pestalozi, George; Akbar, Fareel Wahyu; Ramadhian, Muhammad Ricky; Graharti, Risti; Lisiswanti, Rika
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1410

Abstract

Kidneys are the primary organs responsible for the excretion of metabolic waste products. Glomerular Filtration Rate (GFR) serves as a critical parameter for assessing renal function, with serum creatinine traditionally utilized as the primary biomarker. However, the accuracy of creatinine-based assessments is limited by its susceptibility to external variables, including age, sex, muscle mass, and dietary intake. These factors can lead to variability in results and reduce diagnostic precision. To overcome these limitations, cystatin C (CysC) has gained prominence as a superior alternative biomarker. Unlike creatinine, serum CysC levels are minimally influenced by external factors, offering greater stability and sensitivity in detecting acute kidney injury (AKI), chronic kidney disease (CKD), and other renal impairments such as diabetic nephropathy. Cystatin C provides notable advantages in the reclassification of CKD stages, particularly in cases where GFR measurements are borderline. CysC has demonstrated superior reliability over creatinine in predicting complications such as delayed graft function (DGF), a condition often necessitating hemodialysis. Preoperative measurement of CysC levels is instrumental in predicting long-term renal function and identifying patients at elevated risk for adverse outcomes. Elevated serum CysC concentrations in patients with renal cell carcinoma (RCC) have been correlated with poorer prognoses and an increased likelihood of postoperative renal injury. Despite its clinical advantages, the routine adoption of CysC is constrained by certain limitations. Chief among these is the significantly higher cost of CysC assays compared to traditional creatinine tests, which restricts its widespread application to confirmatory diagnostics or complex clinical scenarios.
Faktor-Faktor yang Mempengaruhi Self-esteem pada Mahasiswa: Tinjauan Pustaka ANGGITA DERIZKY VIRGINIA; Rika Lisiswanti; Sutarto; Ari Wahyuni
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1412

Abstract

Self-esteem is a concept that everyone needs in life that includes an individual's subjective evaluation of their worth. Selfesteem can be defined as a person's perception of themselves, both positive and negative. Studies have shown that selfesteem has a tremendous impact on many important aspects of life, including relationships and job satisfaction, employment status, physical and mental health. In the condition of students with low self-esteem, it can affect their academic life, social life, and mental state which can cause stress to severe depression. Based on previous research, it can be seen that there are still many students who have low self-esteem. Therefore, this study aims to analyze the various factors that influence self-esteem in college students. In this study, researchers used the literature study method by compiling and analyzing fourteen articles. The results of the articles that have been reviewed, concluded that there are several factors that can affect the level of self-esteem of college students. High or low levels of self-esteem in students can be caused by a combination of family factors such as parental attention and education, academic factors such as the student's cumulative grade point average and other academic achievements, then social factors such as support from friends and their college environment, and psychological factors such as stress and depression.
Hubungan Antara Jenis Kelamin dengan Tingkat Kecemasan pada Mahasiswa Kedokteran: Tinjauan Pustaka Firdausy, Daniatul; Wardani, Dyah Wulan Sumekar Rengganis; Larasati, Ratri Mauluti; Pramesona, Bayu Anggileo
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1413

Abstract

Anxiety is one of the mental disorders often experienced by medical students due to high academic pressure. Factors that influence anxiety include biological, psychological, and social aspects. This study aims to determine the relationship between gender and anxiety levels in medical students. The method used is a literature review with a total sampling technique, in which four selected journals from the period 2015–2025 were analyzed. The results showed that female students have higher levels of anxiety compared to male students. This is due to several factors, such as hormonal differences, where estrogen plays a role in the regulation of serotonin which affects anxiety, and differences in emotional responses, where women are more likely to use emotion-based coping strategies. In addition, greater social pressure on women also contributes to their high levels of anxiety. The impact of high anxiety on students can affect academic achievement, concentration, and overall mental health. Therefore, it is important for educational institutions to provide psychological support and effective stress management programs to help students, especially women, manage anxiety. With the right intervention, it is hoped that medical students can be better prepared to face academic and professional challenges without experiencing significant psychological disorders.
Penggunaan OAINS sebagai Faktor Risiko Dispepsia Wahidah, Putri Kamila; Wardani, Dyah Wulan Sumekar Rengganis; Iyos, Rekha Nova
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1414

Abstract

Dyspepsia is a syndrome characterized by a collection of symptoms such as epigastric discomfort, burning sensation, nausea, vomiting, bloating and satiety. These symptoms can be chronic and recur frequently, requiring long-term therapy. If left untreated, dyspepsia can interfere with daily activities and increase medical costs. In Indonesia, the prevalence of dyspepsia is increasing significantly, with major risk factors including irregular diet, alcohol consumption, stress, and the use of non-steroidal anti-inflammatory drugs (NSAIDs). Long-term use of NSAIDs can damage the gastric mucosa, increase gastric acid production, and cause gastrointestinal complications such as peptic ulcers and gastrointestinal bleeding. The main mechanism of NSAID side effects involves inhibition of the COX-1 enzyme which reduces the production of protective prostaglandins in the gastric mucosa. In addition, some patients with a history of gastric disease are more susceptible to side effects due to NSAIDs. Therefore, preventive strategies such as the use of selective COX-2 inhibitors and the combination of NSAIDs with proton pump inhibitors (PPIs) are effective approaches in reducing the risk of dyspepsia and related complications. The impact of dyspepsia is not only physical but also affects mental, social and emotional aspects. Sleep disturbances and anxiety are common in people with chronic dyspepsia, which can reduce productivity and quality of life.
Peran Flavonoid Sebagai Antiulser dan Antioksidan pada Ulkus Duodenum Zahra, Aulia Jannatuz; Susianti, Susianti; Happy, Terza Aflika; Soleha, Tri Umiana
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1415

Abstract

Duodenal ulcer is a pathological condition characterized by damage to the duodenal mucosa due to an imbalance between protective and aggressive factors, such as gastric acid and pepsin. The primary factors contributing to the development of this ulcer include Helicobacter pylori infection. Additionally, prolonged use of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) is also a significant factor in the occurrence of duodenal ulcers, as these drugs inhibit prostaglandin synthesis, which plays a crucial role in mucosal protection. In Indonesia, the prevalence of duodenal ulcers is estimated to be around 11–14%. Flavonoids, as bioactive compounds with antioxidant, anti-inflammatory, and anti-ulcer properties, have been widely studied for their potential in the management of peptic ulcers, including duodenal ulcers. Flavonoids have been shown to inhibit gastric acid secretion, stimulate mucus production, and protect the gastrointestinal mucosa through cytoprotective and antioxidative mechanisms, specifically by inhibiting reactive oxygen species (ROS). Furthermore, flavonoids have the ability to suppress H. pylori growth, thereby contributing to the prevention of ulcer pathogenesis caused by this bacterium. Flavonoids also enhance blood flow to the gastric mucosa and modulate enzymes involved in epithelial defense. Despite these benefits, the main challenges in utilizing flavonoids are their low bioavailability and potential toxicity at high doses. Therefore, further studies are essential to evaluate the efficacy, safety, and formulation optimization of flavonoids to enhance their availability as a natural therapeutic alternative and their application in the clinical treatment of peptic ulcers.

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