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Pengaruh Pemberian Ekstrak Etanol 70% Daun Ceplukan (Physalis angulata L.) Terhadap Gambaran Histopatologis Hepar Tikus Putih (Rattus Norvegicus) Galur Sprague Dawley Yang Diinduksi Isoniazid (INH) Dewi Nur Fiana; Muhartono -
JUKE Unila Vol 3, No 02 (2013)
Publisher : Fakultas Kedokteran Universitas Lampung

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Dampak Terapi Musik pada Fungsi Kognitif Pasien dengan Demensia Dewi Nur Fiana; Annisa Cahyani
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2231

Penurunan fungsi kognitif dan memori pada pasien demensia biasanya disertai dengan perubahan perilaku dan mood, serta ketidakmampuan untuk melakukan aktivitas sehari-hari. Pendekatan terapi non-farmakologis yang dapat dilakukan salah satunya adalah terapi musik. Terapi musik merupakan kegiatan rekreasi yang apabila dilakukan secara teratur dapat membantu menjaga kapasitas kognitif dan emosional pasien dengan demensia (PWD). Secara psikologis, musik memiliki peran penting dalam pengaturan emosi, komunikasi, dan interaksi sosial. Secara umum, musik melibatkan area otak yang sangat luas dari temporal, frontal, parietal, cerebellar, dan area otak limbik/paralimbik yang terkait dengan banyak proses perseptual, kognitif, motorik, dan emosional di otak. Intervensi dapat diberikan dengan kegiatan musik seperti bernyanyi dan mendengarkan lagu-lagu yang akrab (dikenal). Adanya hubungan saraf antara musik, emosi, dan memori dapat menjelaskan mengapa musik yang sangat akrab (dikenal) dapat membangkitkan ingatan dan emosi pasien dengan demensia. Pendekatan ini dapat dilakukan pada pelayanan primer atau secara mandiri bagi pasien guna meningkatkan kualitas hidup.Kata kunci: demensia, kognitif, terapi musik

Recovery Of Intra Parenchym Lesion Hemorragic Stroke Dewi Nur Fiana
Jurnal Kedokteran Universitas Lampung Vol 4, No 1 (2020): JK UNILA
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v4i1.2787

Recovering from a stroke can be a lengthy process that requires patience, hard work, and commitment. It may take years to recover. Recovery time after a stroke is different for everyone—it can take weeks, months, or even years. Some people recover fully, but others have long-term or lifelong disabilities. Strokes can cause significant impairment in language, cognition, motor, and sensory skills. This is why it’s considered to be a leading cause of serious long-term disability. The hemorrhage at the left cortex and subcortex of temporal lobe gives manifestation to contralateral hemiparesis. In acute setting, we should optimize the cerebral blood oxygen perfusion, so the penumbra area can survive. After surviving the acute stage, we have to assest functional prognosis in activities and optimized it because patient still has the contralateral extremities to help with activities.Keywords: Functional ability, Hemorrhagic stroke, Rehabilitation,

Recovery Of Intra Parenchym Lesion Hemorragic Stroke Dewi Nur Fiana
Jurnal Kedokteran Universitas Lampung Vol 4, No 2 (2020): JK UNILA
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v4i2.2878

Recovering from a stroke can be a lengthy process that requires patience, hard work, and commitment. It may take years to recover. Recovery time after a stroke is different for everyone—itcan take weeks, months, or even years. Some people recover fully, but others have long-term orlifelong disabilities. Strokes can cause significant impairment in language, cognition, motor, andsensory skills. This is why it’s considered to be a leading cause of serious long-term disability. Thehemorrhage at the left cortex and subcortex of temporal lobe gives manifestation to contralateralhemiparesis. In acute setting, we should optimize the cerebral blood oxygen perfusion, so thepenumbra area can survive. After surviving the acute stage, we have to assest functional prognosisin activities and optimized it because patient still has the contralateral extremities to help withactivities. Keywords: Functional ability, Hemorrhagic stroke, Rehabilitation,

Habilitation Of Cerebral Palsy Spastic Type + Upper Respiratory Track Infection + Malnutrition + Respiratory Disturbance + Feeding Problem + Mobilization Disturbances + Communication Disturbance Dewi Nur Fiana
Jurnal Kedokteran Universitas Lampung Vol 4, No 1 (2020): JK UNILA
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v4i1.2768

Cerebral Palsy (CP) is a disorder of movement and posture that appear during infancy or early childhood. It is caused by nonprogressive damage to the brain before, during or shortly after birth. CP is not a single disease but a name given to a wide variety of static neuromotor impairment Syndromes occurring. Secondary to a lesion in the developing brain.1 HR, 26 month old boy,was consulted by Pediatric Department on 11-09-2015 with diagnose Epilepsi focal symptomatic + Cerebral Quadriplegi + suspect visupect visual impairment. HR had ad bonam for prognosis quo ad vitam and ad sanationam, but dubia ad bonam for quo ad functionam. He had stable hemodynamic and but have high risk of infection or risk of aspiration right now. His maturation is at brain stem level and her GMFCS level was V. He might have dependence in mobility. Prognosis still dubia because during therapy at physical medicine & rehabilitation department, his body weight was increase, his pulmonary problem is improve, His head and neck control improved, and his ability to rolling is improve. His parents also understand their son condition and set a reasonable expectation.Keywords: Cerebral Palsy ,Feeding Problem, Immobilization, Sapsticity,

Inovasi Kedokteran Komunitas Dalam Pelatihan Keselamatan Kerja Di Bidang Pertanian Berbasis Teknologi Melalui Permainan Digital Tasya Alifia Hanin; Fitria Saftarina; Dewi Nur Fiana
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.484

The Occupational Health and Safety sector is currently in training methods to minimize the risk of injury and increase safety at work. Various work sectors have implemented a more active method of delivering training materials, namely through the application of digital games. Digital games are considered successful in some sectors of work, but are limited in agriculture. This is because in the agricultural sector this tends to occur with the same movement and flow. Therefore, this literature aims to understand how to deal with various occupational risks as long as game-based safety in the field can be applied in the agricultural sector. Literature search through Pubmed, Scopus, PsycINFO, and Web of Science with a focus on “serious games” and “gamification” as safety training methods. As a result, digital games that can be applied are through computer technology, with games in the form of increasing levels, points, and challenges being the most popular attraction. During the game, the positive feedback generated and after the game is proven to improve the skills and safety of workers. Therefore, digital games can be developed as an effective, satisfying, and interesting training method for workers in the agricultural sector.

Korelasi Intensitas Nyeri dengan Paritas Kehamilan pada Ibu Hamil yang Mengalami Nyeri Punggung Bawah di Puskesmas Kedaton Kota Bandar Lampung Dewi Nur Fiana; Khairun Nisa; Fidha Rahmayani
Jurnal Kedokteran Universitas Lampung Vol 6, No 2 (2022): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila6284-88

Sepertiga dari populasi penderita nyeri punggung bawah (NPB) yang mengalami nyeri hebat dan sering dikaitkan dengan keterbatasan kemampuan ibu hamil untuk bekerja secara efektif. Hal tersebut berkaitan pada kualitas hidup yang buruk, akibatnya produktivitas ibu hamil dalam kegiatan rutin hariannya berkurang 1. Tujuan penelitian ini adalah untuk mengetahui korelasi intensitas nyeri dengan paritas kehamilan pada ibu hamil yang mengalami nyeri punggung bawah. Sebanyak 63 ibu hamil yang memenuhi kriteria dilakukan pengambilan data berupa data paritas dan derajat nyeri pungggung bawah. . Pada uji kruskall-wallis didapatkan nilai p value = 0.947. Dimana nilai p-value tersebut >0.05 sehingga didapatkan hasil bahwa tidak terdapat hubungan yang bermakna antara paritas dan NPB pada ibu hamil . Hasil penelitian menunjukkan terdapat korelasi antara intensitas nyeri dengan paritas kehamilan pada ibu hamil yang mengalami nyeri punggung bawah (NPB) di Puskesmas Kedaton Bandar Lampung. Kata Kunci: ibu hamil, nyeri punggung bawah, paritas

Perbandingan Efektifitas Terapi Nutrisi Enteral dengan Pemberian Secara Nasogastric Tube, Nasoduodenal Tube dan Jejonostomy Feeding Tube Pada Pasien Perforasi Gaster di Rumah Sakit Abdul Moeloek Tahun 2022 Risal Wintoo; Yusmaidi Uismaidi; Dewi Nur Fiana; Nabila Nur Azizah; Cyndin Aisah
Jurnal Kedokteran Universitas Lampung Vol 7, No 1 (2023): JURNAL KEDOKTERAN UNIVERSITAS LAMPUNG
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila714-7

Pendahuluan : Salah satu kondisi kegawatan gaster yang sering terjadi adalah perforasi gaster, meliputi 25-30 % kondisi akut abdomen di Unit Gawat Darurat dan mempunyai angka mortalitas dan morbiditas yang tinggi. Nutrisi adalah salah satu terapi yang di gunakan pada pasien perforasi gaster selain operastif dan medikamentosa. Terapi nutrisi paling sering adalah nutrisi enteral. Metode : Membandingkan efektifitas dan efisiensi pemberian nutrisi enteral melalui nasogastruc tube, nasoduodenal tube ataupun jejunostomy feeding tube pada pasien perforasi gaster yang menjalani terapi pembedahan di Rumah Sakit Abdul Moeloek Bandar Lampung pada periode penelitiantahun 2022.Hasil: Tidak di dapatkan perbedaan secara bermakna akses pemberian nutrisi enteral secara oral, nasogastric tube, nasoduodenal tube dan jejonustomy feeding terhadap satus gizi secara atropometri dan biokimia pada pasien perforasi gaster yang di Rawat di RSUD Abdul Moeloek. Kata Kunci : akses nutrisi, perforasi gaster, status gizi

Analisis Faktor Determinan Keluhan Work-Related Musculoskeletal Disorder pada Karyawan Bagian Teknisi dan Operator di Perusahaan Gas Negara Solution Area Lampung Reandy Ilham Andriyono; Fitria Saftarina; Minerva Nadia Putri; Dewi Nur Fiana
MAJORITY Vol 10 No 1 (2021): MAJORITY
Publisher : Majority

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Musculoskeletal disorders (MSDs) are biggest complaints felt by employees and have several risk factors are biomechanical factors, individual factors, and psychosocial factors. MSDs can affect the performance of an employee. Determine the determinant factors of the Work-Related Musculoskeletal Disorder (WMSDs) complaints on technician and operator employees at Perusahaan Gas Negara Solution Area Lampung. The research method used a cross sectional with total sampling technique that included inclusion criteria. Respondents were analyzed using Rapid Entering Body Assessment (REBA) scoring and measured their height and weight, and filled questionnaires are Self Biodata, Copenhagen Psychosocial Questionnaire II (CopSoq II), and Nordic Body Map (NBM). The results of univariate analysis on various factors were obtained namely age (100% of adult category employees), length of work (56% of employees working category> 8 hours), length of service (66% of employees entered the category> 3 years and 40% entered the category ≤3 years ), smoking habits (74% of employees have smoking habits), body mass index (62% of employees including fat category), work posture (100% of employees in the low category), psychosocial (52% of employees including good category and 48% bad, WMSDs (70% of employees have complaints and 30% of employees have no complaints). Based on bivariate analysis with Chi square test (p

Perbedaan Kapasitas Fungsional Paru Mahasiswa yang Latihan Aerobik Jump Rope dan Jogging Raynaldo Marbun; Dewi Nur Fiana
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Students have dense activities so they often forget to do exercises that cause declining body health. Jump rope and jogging exercises which are types of aerobic exercise are practical exercises that can improve the functional performance of the body especially the functional capacity of the pulmonary. The purpose of this aerobic exercise research is to determine differences in the functional capacity of the pulmonary of students who did jogging and jump rope. RCT research with 35 students of the Faculty of Medicine, University of Lampung which was divided into a control group and an intervention group. The intervention group had a jogging exercise dose with requency 2 times a week, intensity 40%-90% Hearth Rate Reserve (HRR), time 30 minutes, aerobic type and jump rope exercise dose with frequency 4 times a week, intensity 70%-75% Maximum Hearth Rate (MHR), time 5 minutes, type aerobics. The mean VO2 Max value of the exercise group was higher than the control group and had significant differences. The mean VO2 Max jump rope group was higher than the jogging group but there was no significant difference between them. There was no significant difference between the jump rope and jogging exercise groups but there were significant differences between the exercise training groups and the control group so that jump rope and jogging exercises were considered to increase VO2 Max.

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