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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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Faktor-Faktor yang Memengaruhi Empati pada Mahasiswa Kedokteran Alifah, Rahmah; Lisiswanti, Rika; Ratna, Maya Ganda; Oktafany
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.v14i11.1468

Abstract

Empathy in medical students is an important aspect that affects how medical students interact with patients and understand their feeling. In the medical world, empathy can enhance the doctor-patient relationship, improve patient satisfaction, and can even affect clinical outcomes. Patients who feel empathy from their doctors are more likely to fully explain their symptoms and actively engage in the doctor-patient relationship. Research shows that empathetic doctors tend to have more satisfied and compliant patients. A number of studies have identified that the level of empathy in medical students varies and is influenced by several factors. The purpose of this literature review is to identify the factors that affect empathy in medical students. The journal were obtained from Google Scholar and Pubmed database with keyword (Empathy) and (Medical Student) for publication in 2015-2024. Journal inclusion criteria used were medical student population, journals that discussed the relationship between several factors with empathy levels, and published between 2015-2024. Exclusion criteria are journals that cannot be accessed completely. The method of analysis carried out in this literature review is a descriptive method, which describes and explains through narratives of the articles found. Based on the results of review from several journals, it was found that factors such as stress, role models, empathy training, mental health, self-control, self-motivation, social awareness, and social skills, perception of learning environment, personality, self-reflection, emotional intelligence, and gratitude.
Peran Terapi Farmakologi dan Non-Farmakologi dalam Pengelolaan Dry Eye Disease Sitanggang, Grety; Himayani, Rani; Iyos, Rekha Nova; Mutiara, Hanna
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.v14i11.1469

Abstract

Dry Eye Disease (DED) is a multifactorial disorder of the ocular surface characterized by tear system imbalance, inflammation, and tissue damage, often leading to discomfort, visual disturbances, and a decline in quality of life. Managing DED requires a holistic approach that integrates both pharmacological and non-pharmacological therapies to alleviate symptoms while addressing underlying causes. Pharmacological treatments, such as artificial tears, anti-inflammatory agents (corticosteroids and cyclosporine), diquafosol tetrasodium, and oral pilocarpine, aim to restore ocular surface homeostasis. Non pharmacological approaches, including punctal plugs, lifestyle modifications, intense pulsed light (IPL) therapy, and nutritional supplementation with vitamin D and omega-3, are increasingly recognized for their supportive role in treatment. A comprehensive understanding of these therapeutic strategies is expected to improve DED management, enhance patients' quality of life, and prevent further complications.
Penyuluhan Kesehatan Untuk Meningkatkan Pemahaman Tentang Menjaga Kebersihan Telinga Zhalif Zhafir Aghna; Imanto, Mukhlis
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.v14i11.1470

Abstract

The habit of cleaning the external auditory canal (EAC) with cotton buds and other objects is a common practice. Among the general public, ears are believed to need to be cleaned frequently to remove dirt in the form of earwax. This is usually done by inserting objects into the ear itself, most often with Q-tips also known as cotton buds. Medical concerns over cotton bud use and its complications were first reported in 1972, with reports of tympanic membrane perforation, otitis externa, and cerumen impaction. Today, cotton bud-related injuries have become a common reason for visits to ear, nose, and throat clinics. The purpose of this activity is to increase public understanding of how to properly maintain ear hygiene and reduce the incidence of complications due to lack of understanding about it. The target of this activity is 20 patients at the Abdul Moeloek Hospital Polyclinic, Lampung Province on November 21, 2023, 10:00-12:00 WIB. The form of this activity includes providing material on maintaining ear hygiene properly followed by discussion. The results of this activity are that there are still some patients who still have a low level of understanding, attitude, and practice regarding maintaining ear hygiene and health. After counseling, there was an increase in understanding, attitudes, and practices among respondents which is expected to increase knowledge among individual, family, and community components in maintaining ear hygiene.
Hubungan Antara Status Gizi dengan Siklus Menstruasi pada Mahasiswi Pendidikan Dokter Universitas Lampung Angkatan 2021 Hasanah, Sabila; Zuraida, Reni; Suharmanto, Suharmanto; Mutiara, Hanna
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.v14i11.1473

Abstract

A normal menstrual cycle reflects good reproductive health and plays an important role in preparing the body for pregnancy. Based on the 2018 Basic Health Research, around 13.7% of women aged 10-59 years experienced irregular menstruation. One of the factors that can interfere with the normalcy of the menstrual cycle is abnormal nutritional status. This study aims to determine whether there is a relationship between nutritional status and the menstrual cycle in University of Lampung Medical Education students class of 2021. The type of research used was analytical observational with a cross-sectional approach, which was carried out from November 2024 to January 2025, involving 123 female students selected through simple random sampling technique. Data on nutritional status was obtained from the calculation of Body Mass Index (BMI), while menstrual cycle data was obtained using a menstrual cycle sheet. The results of the analysis using the mann-whitney test showed a p-value of 0.083 (p-value>0.05), which indicated that there was no significant relationship between nutritional status and menstrual cycle among University of Lampung medical education students Class of 2021.
A Kasus Langka: Intususepsi Pada Orang Dewasa Dona, Adma Hayani; Pramudya, Ricky; Parinding, Imanuel Taba
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.v14i11.1474

Abstract

Intussusception is defined as the invagination of one segment of intestine into the next. Unlike children, intussusception in adults is rare. The incidence of intussusception in adults is around 1%-5% of intestinal obstruction with an average age of 50 years. Compared with intussusception in children, intussusception in adults is different because 90% of cases are complications of pathological starting points, including polyps, carcinoma, strictures, adhesions, and Meckel's diverticulum. Meanwhile, the incidence of idiopathic intussusception is around 10% of cases. A 39-year-old woman with a history of right lower abdominal pain for 3 days came to the emergency department accompanied by vomiting, no bowel movements and a history of abdominal massage. Physical examination found a positive Mc Burney sign, a sausage-like mass was palpable, abdominal ultrasonography showed a doughnut sign and an impression of ileo-caecal intussusception. The patient underwent exploratory laparotomy and appendectomy. During the operation, ileocaecal invagination into the ascending colon was seen, then a milking procedure was performed. The patient was discharged in stable condition on the fifth day of hospitalization. Management of intussusception depends on the part of the intestine involved. Reduction of acute intussusception is an emergency procedure and should be performed immediately after diagnosis in preparation for possible surgery. Management can be done operatively or non-operatively. Resection of the intestine is the final choice if the intestinal viability is compromised or there are pathological points. Early diagnosis and timely intervention greatly affect the patient's prognosis.
Komplikasi Spinal Anastesi Pada Pasien Operasi: Literature Review Sujadi, Didi; Suharmanto, Suharmanto; Indrawan, Khadafi
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.v15i3.1646

Abstract

Abstract Spinal anesthesia is a commonly used anesthetic technique in various surgical procedures. Most operations are performed using spinal anesthesia rather than general anesthesia or local anesthesia. Spinal anesthesia is a regional anesthetic technique that involves injecting a local anesthetic into the subarachnoid space. Spinal anesthesia can avoid the risks of failed endotracheal intubation and the possibility of aspiration of gastric contents during general anesthesia, and can provide patient satisfaction. This article was written using a literature review method conducted through a literature search of various national and international journals. Journal articles from 2015 to 2025 served as the basis for the article used. References used were searched through the Pubmed, NCBI, and Google Scholar databases. The reading sources used were then analyzed using a systematic literature review method, which includes the activities of collecting, evaluating, and developing research with a specific focus. Spinal anesthesia, while having advantages, can also cause several complications. Complications of spinal anesthesia can include hypothermia, shivering, post-operative nausea and vomiting (PONV), post-dural puncture headache (PDPH), high or total spinal block, and urinary retention.
Continuous Ambulatory Peritoneal Dialysis (CAPD) sebagai Terapi Pengganti Ginjal Safitri, Rini; Sutanto, Agus
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.v15i3.1669

Abstract

Chronic Kidney Disease (CKD) is a major global health concern with a steadily rising prevalence, often progressing to End-Stage Renal Disease (ESRD) that requires Renal Replacement Therapy (RRT). Common modalities of RRT include hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation. Continuous Ambulatory Peritoneal Dialysis (CAPD) has gained increasing attention as a PD modality offering greater flexibility, cost efficiency, and improved patient quality of life. This review aims to provide a comprehensive overview of CAPD mechanisms, indications, contraindications, management, and potential complications, while also comparing it with hemodialysis in terms of clinical outcomes, cost, and accessibility. Numerous studies have demonstrated that CAPD contributes to better physical, emotional, and psychological well-being, as well as being more cost-effective, particularly in developing countries such as Indonesia. Nevertheless, its implementation remains limited due to challenges in patient education, healthcare provider readiness, and infrastructural support. By enhancing patient training, establishing stronger clinical networks, and integrating CAPD into national kidney care policies, this modality could play a pivotal role in improving the equity and sustainability of renal replacement therapy in Indonesia.
Case Report: Tonsilitis Kronik Pada Anak Usia 12 Tahun Retno Mareintika; Graharti, Risti; Hayati, Rina
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.v15i3.1670

Abstract

Chronic tonsillitis is one of the most common upper respiratory tract infections in children. This condition is characterized by recurrent inflammation of the tonsils, which can interfere with daily activities, reduce appetite, impair sleep quality, and increase the risk of severe complications such as peritonsillar abscess, parapharyngeal abscess, or sepsis. Appropriate management is essential to prevent recurrence and further complications.This case report describes a 12-year-old female patient who presented with complaints of odynophagia, a foreign body sensation in the throat, halitosis, recurrent fever, and snoring during sleep. Physical examination revealed T3–T3 tonsils with enlarged crypts and the presence of detritus, leading to a diagnosis of chronic tonsillitis or recurrent acute tonsillitis. Initial management included amoxicillin 500 mg three times daily for 10 days, paracetamol 10–15 mg/kgBW as needed for fever, and an antiseptic mouthwash. The patient and her family were also educated on medication adherence, maintaining oral hygiene, and avoiding triggering foods such as spicy meals, cold drinks, and unhygienic snacks.Conservative therapy provided temporary symptomatic improvement; however, considering the recurrent episodes and sleep disturbances, the patient was advised to undergo tonsillectomy as definitive therapy. This case emphasizes that chronic tonsillitis in children requires accurate diagnosis, comprehensive management, and timely intervention. Conservative treatment may alleviate symptoms, but tonsillectomy plays a pivotal role in preventing recurrence, reducing the risk of complications, and improving the patient’s quality of life.
Holistic Management Of 8 Years Old Child With Nephrotic Syndrome Through A Family Medicine Approach Simatupang, Devi Fila Delfia BR; Mayasari, Diana
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.v15i3.1671

Abstract

Nephrotic syndrome (NS) is a glomerular disorder of the kidney characterized by massive proteinuria, hypoalbuminemia, edema, and hypercholesterolemia. The global incidence of NS is approximately 1–3 cases per 100,000 children (<16 years), with a prevalence of 6 cases per 100,000 population (2–3 cases per year) in Indonesia. The male-to-female ratio is 2:1. Inappropriate management may result in recurrent relapses, increased risk of complications, and reduced patient well-being. This study represents an application of evidence-based family medicine in managing a patient with nephrotic syndrome, involving the identification of clinical problems, risk factors, and comprehensive management through a patient-centered and family approach. Primary data were obtained through alloanamnesis, physical and supporting examinations, and home visits to complement data on family, psychosocial, and environmental aspects. Evaluation was conducted holistically from the initial to the final stages of the study using both quantitative and qualitative assessments. Disease recurrence can be prevented through non-pharmacological interventions such as patient education on triggering factors. Internal factors identified in this case included a history of infection, age, and lack of awareness regarding relapse risk factors. External factors included insufficient family knowledge about nephrotic syndrome, its potential complications, and the influence of environmental factors in preventing recurrence. The diagnosis was established, and holistic management was carried out using a patient-centered and family approach, supported by relevant theories and recent studies. The patient and family have achieved the adoption stage in behavioral change.
Faktor - Faktor Yang Berhubungan Dengan Kejadian Guillain-Barré Syndrome (GBS) : Literatur Review Aulia Nur Fadilah; Fitriyani, Fitriyani; Suharmanto, Suharmanto
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.v15i3.1673

Abstract

Guillain-Barré Syndrome (GBS) is an acute neurological disease characterized by progressive muscle weakness, accompanied by decreased or loss of reflexes due to an autoimmune process that attacks the peripheral nervous system. This condition can progress rapidly and potentially lead to paralysis and even respiratory failure if not treated promptly. This literature review aims to identify and analyze factors associated with the occurrence of Guillain-Barré Syndrome based on recent research. The research method was conducted through a literature review using Google Scholar and PubMed databases using the keywords "Guillain-Barré Syndrome" and "factors." The articles retrieved were published between 2015 and 2025. Of the 45 articles found, only 17 met the inclusion criteria and were subjected to in-depth analysis. The analysis process involved a systematic review of research results, interpretation of findings, and drawing conclusions regarding risk factors and mechanisms involved in GBS. The study results indicate that bacterial or viral infections are the primary triggers for GBS, particularly Campylobacter jejuni, Epstein-Barr virus, Cytomegalovirus, and Zika virus. Furthermore, some cases have been linked to vaccinations, surgical procedures, autoimmune conditions, and a history of upper respiratory or gastrointestinal infections prior to the onset of neurological symptoms. Genetic factors and an abnormal immune response are also suspected to play a role in the pathogenesis of GBS. Understanding these factors is crucial for increasing clinical awareness, accelerating early diagnosis, and optimizing prevention and management strategies. Surveillance of infectious diseases, implementation of safe medical practices, and increased awareness among healthcare workers are expected to reduce the incidence and mortality from Guillain-Barré Syndrome. However, in Indonesia, integrated studies related to GBS factors are still limited. Therefore, this study is expected to contribute scientifically to control efforts and improve the quality of healthcare services for patients at risk for or diagnosed with Guillain-Barré Syndrome.

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