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Published by Universitas Lampung
ISSN : 23373776     EISSN : 25990527     DOI : https://doi.org/10.59042/mj.v12i1.175
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Public Health
Jurnal Majority dalah peer-reviewed journal yang mempublikasikan artikel-artikel ilmiah bagi mahasiswa fakultas kedokteran, dosen maupun klinisi. Jurnal Majority menerima manuskrip atau artikel dalam bidang dalam lingkup bidang kedokteran dan kesehatan. Artikel-artikel yang dipublikasikan di Jurnal Majority mencakup artikel hasil penelitian, laporan kasus dan tinjauan pustaka.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 106 Documents
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Hubungan Kecanduan Game Online dengan Manajemen Waktu pada Mahasiswa Fakultas Kedokteran Universitas Lampung Ahmad Mufid NA; Dwita Oktaria; Arif Yudho Prabowo; Oktafany
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Online games are a phenomenon that young people are interested, including students. Not a few of them have entered the stage of online game addiction. It can interfere with or decrease the ability of students to carry out time management. This study aims to determine the relationship between online game addiction and time management in 2015 students from Faculty of Medicine Universitas Lampung. This study uses a cross sectional approach. The research sample was taken as many as 162 respondents and asked to fill out two questionnaires namely Game Addiction Scale for Adolescents and Time Management “Effective Learning Service”. Based on the results of univariate analysis as many as 27,8% of students experience online game addiction and as many as 40,1% of students with enough time management level categories. Based on bivariate analysis using chi square test found a significant relationship between online game addiction and time management with a value of p=0,001 (p
Pola Bakteri Ulkus Diabetikum Pada Penderita Diabetes Melitus di RSUD Dr. H. Abdul Moeloek Haula Rizqiyah; Tri Umiana Soleha; Rizki Hanriko; Ety Apriliana
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Diabetes mellitus is a term for heterogeneous of metabolism disturbances for which the main finding is chronic hyperglycaemia. In diabetes mellitus, elevated glycaemic levels increases the risk of microvascular and macrovascular complications. These increase risk of further complications such as peripheral neuropathy which can cause foot ulcerations. Diabetic extremity ulcers develop in approximately 15% of people with diabetes and are a leading cause of hospitalization and amputation among such patient. Diabetic foot ulcer infection followed by amputation contribute dramatically not only to the morbidity among persons with diabetes, but are also associated with severe clinical depression and increased mortality rates. The aim of the study was to determine the bacterial profile of diabetic foot ulcer in RSUD Dr. H. Abdul Moeloek. This study was a descriptive study using a cross sectional study. Sampling was conducted at RSUD Dr. H. Abdul Moeloek and examined in Microbiology-Parasitology Laboratorium in Medicine Faculty of Lampung University. The diabetic foot ulcer swab was taken to identified the bacteria. Bacteria were isolated on nutrient agar, blood agar, Mc Conkey agar, and identified using Gram staining and biochemical test. In the 21 diabetic foot patients, 16 were males (76.2%) and 5 were females (23.8%) and grade-II Wagner’s ulcers were predominant, which is deep ulcer without bony involvement or abscess. In the diabetic foot ulcers cases, 85.7% cases had monomicrobial infections while 14.3% cases had mixed bacterial infection. Gram-positive bacteria accounted for 62.5%. Staphylococcus aureus was the most frequent microorganism yielded (58%). Gram-negative rods accounted for 37.5%. Escherichia coli was the most predominant gram-negative organism (17%). Staphylococcus aureus, Staphylococcus epidermidis, Citrobacter freundii, Escherichia coli, and Proteus mirabilis were found in diabetic foot infections in the present study.
Hubungan Antara Parent and Peer Attachment terhadap Motivasi Belajar Mahasiswa Tingkat Pertama Fakultas Kedokteran Universitas Lampung Dicky Auliansyah; Dwita Oktaria; Oktafany; Merry Indah Sari
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Motivation describes what gets people to do, keeps them doing, and helps them complete. One of the factors that influence motivation is environment. Attachment is an important factor because it is the basis for exploring the environment independently. Parents and friends is considered as an important factor of supporting system in learning. This study aims to determine the relationship between parent and peer attachment on learning motivation. This was an analytic observational study with cross sectional design. There were 157 respondents whose participated in this study. Student attachment was assessed using the Inventory Parent and Peer Attachment and motivation with the Motivated Strategies for Learning Questionnaire. The results showed that 99.4% of respondents had secure attachment and 0.6% had insecure attachment to the parent attachment. 98.1% of respondents had secure attachment and 1.9% had insecure attachment to peer attachment. 3.2% of respondents have low motivation and 96.8% of respondents have high motivation. Statistical analysis using Fisher's test found that there was no relationship between parent attachment and learning motivation (p value = 0.968) and there was no relationship between peer attachment and learning motivation (p value = 0.907). So, it can be concluded that there is no relationship between parent and peer attachment to the learning motivation of first-year students of the Faculty of Medicine, University of Lampung.
Perbandingan Tingkat Stres pada Mahasiswa Tingkat I, II dan III Fakultas Kedokteran Universitas Lampung Nabila Casogi Adryana; Oktafany; Ety Apriliana; Dwita Oktaria
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Stress is a condition of physical, emotional, mental and spiritual disability in response to a threat causing physical health problems. College students are the individuals who are prepared to be globally competitive as human resources. The aim of the study is to determine the comparison of stress level in the first, second, and third year students of Medical Faculty of University of Lampung.This study was a analytical descriptive study using cross sectional design and proportionate stratified random sampling as sampling method. Questionnaires was used as measuring instrument. The data was analyzed using one-way ANOVA.The data were assessed in total 312 subjects as respondent, and accounted of 102 in the first, 100 in the second, and 98 in the third year. A percentage of 76.5% of moderate stress and 23.5% of severe stress were obtained from the first year ofstudents. The subjects of the second year were 82% of moderate stress and 18% of severe stress.The subjects of 98 of the third year own 65.3% of moderate stress and 34.7% of severe stress. One-way ANNOVA test results showed p value of 0,001. There was a comparison of stress levelin the first, second, and third yearstudents of Medical Faculty of University of Lampung. This study showed a comparison of stress level in the first, second, and third year students of Medical Faculty of University of Lampung.
Penatalaksanaan Holistik Infeksi Dengue pada Pria Pra Lansia dengan Pengetahuan Preventif Kurang Melalui Pendekatan Kedokteran Keluarga Annisa Yulida Syani; Sahab Sibuea
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF) are diseases transmitted through Aedes sp. This infection in tropical and subtropical climates. Prevention with hygiene and healthy living habits and maintaining a clean environment. Family doctors is important to treating sufferres, doctors must pay attention to the environment and daily behavior of sufferers and their families that have an impact on the recurrence process or spread of dengue disease. This study was to identify risk factors to management based on a problem solving framework through a family medicine approach. Primary data by history taking, physical examination and home visits. Secondary data from patient medical records. Assessment based on a holistic diagnosis in a qualitative and quantitative. The results is functional grade 2 patients with DHF, internal risk factors namely lack of knowledge about the disease and prevention. External risk factors are piles of goods next to the patient's house and piles of clothes in the house that are not arranged, wells and bathtubs in the house that are not closed. Intervention by counseling regarding dengue disease with hygiene and healthy live habits. Evaluation, there has been a slight change in behavior where patients, families and local residents do Burying, Draining, and Closing. Conclusion is that clinical problems in patients require attention in changing hygiene and healthy living behavior which takes time to get a change. Health workers are tasked with solving clinical problems ,finding, and providing solutions to problems in the environment that affect the health of all.
Hubungan Perilaku Hidup Bersih dan Sehat Terhadap Otitis Media Supuratif Kronik (OMSK) Mai Rista Nila Sari; Mukhlis Imanto
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Chronic suppurative otitis media is a chronic infection in the middle ear with perforation of the tympanic membrane and secretions from the middle ear or intermittent. Watery or thick secretions, clear or pus. Chronic suppurative otitis media is a complication of acute otitis media with perforation of the tympanic membrane more than 2 months and discharge, which if not treatment properly will increase the disease progression. The risk factors for the incidence of otitis media are reliable, especially in the nasopharynx and eustachian tube. Risk factors of chronic suppurative otitis media is host factors, infectious factors, environmental factors, sociodemographic factors, lack of patient knowledge about the disease and patient behavior in daily life. Results of Basic Health Research (Riskesdas) The prevalence of Clean and Healthy Life Style in Indonesian 2011 was still low at 38.7%, compared to the National target until 2013 of 65.0%. This paper aims to determine the relationship between clean and healthy life style with chronic suppurative otitis media.
Peningkatan Risiko infeksi Multi Drugs Resitant Tuberculosis (MDR-TB) pada Penderita Human Immunodeficiency Virus (HIV) Dwiki Wijaya Rahman; Ety Apriliana
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

HIV infection is the biggest challenge for tuberculosis control efforts. People with HIV will have a greater potential to be infected with tuberculosis as an opportunistic disease or to aggravate existing tuberculosis into active tuberculosis. MDR-TB is tuberculosis that is resistant to at least 2 types of anti-tuberculosis drugs (OAT). HIV sufferers will be more at risk of experiencing MDR-TB coinfection due to several reasons, one of which is HIV infection which can cause OAT malabsorption, such as rifampin and ethambutol, too much treatment causes patient non-compliance with treatment, and the possibility of HIV and MDR-TB sufferers who are in areas of the same prevalence, such as in hospitals and densely populated environments, cause the transmission of MDR-TB is more susceptible to HIV sufferers due to a weakened immune system.
Carotid Cavernous Fistula Neli Salsabila; Rani Himayani
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Carotid cavernous fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus. The most common (70%-90%) etiology of CCF is trauma and spontaneus CCF (30%) due to aneurysms or the presence of atherosclerotic arteries. Various symptoms can be found in cases of CCF such as conjunctival chemosis, proptosis, pulsating exophthalmus, diplopia, ophthalmoplegia, orbital pain, bruits and blindness. Sometimes spontaneous CCF is misdiagnosed as conjunctivitis or late in diagnosis. Cranial nerve damage and vision loss in CCF can become permanent if left untreated. Therefore, this paper aims to find out cases of CCF, from the history and physical examination so that if the diagnosis of CCF has been established in ophthalmologist, it will be referred to the neurosurgery for further management. The history for the etiology of CCF and ophthalmological examination to see the symptoms and signs in CCF cases, and the diagnosis can also be confirmed by radiological examination computed tomography scan (CT Scan) and cerebral angiography as the gold standard. Management of CCF in ophthalmologist with medical therapy or surgery if an increased intraocular pressure is obtained and the management of symptoms in the eye. Based on the patients’s symptoms, treatment can be observation, neuro-radiological intervention, or neurosurgical intervention.
Penatalaksanaan Pasien Tinea Korporis Pembuat Kerupuk Dengan Pendekatan Kedokteran Keluarga Fauzia Tria Andara Sari; Dian Isti Angraini
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Tinea corporis is an infectious skin infection caused by dermatophytes that colonize and obtain nutrients from keratin, causing infections in the skin in the form of inflammatory reactions. The incidence of tinea corporis is high in tropical and subtropical climates as well as in populations with low socioeconomic status who live in crowded environments and low hygiene. The diagnosis of tinea corporis is based on history taking and physical examination. This case will discuss the identification of risk factors, management and prevention of tinea corporis in cracker makers based on patient-centered and family approach. This study is a case study with data obtained from history taking, physical examination, home visits, and patient medical records. Case, 30-year-old woman works as a cracker maker, lives in a main family, with a moderate daily activities, lack of personal hygiene and environment, and good relations between family members. The patient complained of itching accompanied by a burning sensation and redness around the side folds of the breast, back and right thigh since about 1 week before coming to the health center. After a holistic intervention with the educational method, it can be seen that there are good developments in patients ranging from decreased clinical symptoms to changes in good behavior towards personal and environmental hygiene, conclusions, family medicine services are effective in the management of tinea corporis. Providers resolve clinical problems and also deal with internal, external, psychosocial and environmental risks.
Prevalensi Kolonisasi Bakteri Methicillin-Resistant Staphylococcus aureus (MRSA) di Ruang Intensive Care Unit (ICU) Rumah Sakit Umum Daerah Abdul Moeloek Bandar Lampung Hasril Mulya Budiman; Tri Umiana Soleha; Efrida Warganegara; Dwi Indria Anggraini
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Methicillin-Resistant Staphylococcus aureus (MRSA) is a bacterium Staphylococcus aureus which has a resistance to methicillin and some beta-lactam antibiotics. MRSA can colonize as normal flora in some parts of the human body, such as the nose, skin, hands, perineum, and other parts of the body. Intensive Care Unit (ICU) is the high risk areas for MRSA transmission. The purpose of this study was to determine the prevalence of MRSA in ICU of Regional General Hospital Abdul Moeloek Bandar Lampung. The method used in this study was cross sectional. The primary data used in this research were obtained by collecting a nasal and hand swab of patients treated in the ICU at one time and then identify the MRSA bacteria in laboratory to determine its prevalence. The results of bacterial identification on the nose and hand specimen showed 15 out of 40 samples tested positive for MRSA (37.50%). The results of the identification of bacteria MRSA shows the prevalence of MRSA colonization of the nose specimen at 17.50%, hand amounted to 32.50%, and which are both positive at 12.50%. Based on the research that has been done, it can be concluded there is a prevalence of colonization of the MRSA bacteria in ICU of Regional General Hospital Bandar Lampung Abdul Moeloek is 37.50%.

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