Medula
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
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<![CDATA[Pengaruh Pemberian Kombinasi Citosan Dan Cangkang Kulit Telur Sebagai Tandur Tulang Pada Penanganan Fraktur ]]>
<![CDATA[Helmi Ismunandar]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.53
<![CDATA[Fracture management affects the quality and quantity of osteogenic responses. Chitosan plays an important role in bone tissue engineering in the last two decades. Chicken eggshell contains apatite hydroxy, calcium, strontium, boron, zinc, copper, fluoride, magnesium, iron, and phosphorus which are needed in the process of bone healing. This is a comparative laboratory experimental research. There are 2 treatment groups. Rat’s right femur in both groups were fractured. There was no bone graft administration at Group I, whereas there was bone graft administration at group II. The bone graft was combination of citosan and eggshell. Histological examination was performed at 5th week and It was assessed by Salkeld score. In group I, the mean Salkeld histological score was 0.4 ± 0.5. In group II the mean Salkeld histological score was 1.2 ± 0.8. Kalseld's histology score in group II was higher than the first group. Based on the Mann-Whitney examination, it can be concluded that there is a significant difference (p <0.035) in the bone healing process between group I and group II.]]>
<![CDATA[Efek Pemberian Daun Sirih (Piper sp.) Terhadap Pertumbuhan Candida albicans ]]>
<![CDATA[Mira Kurnia]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.54
<![CDATA[Candidiasis is an infection caused by the Candida. The most common type of Candida that causes infection is Candida albicans. Part of body that generally can be attacked by Candida there are, the mouth, folds of the skin, the nail area and around the genitals, both male and female. Warm weather specially in Indonesia with a tropical climate and wear a tight cloths also poor personal hygiene can be a trigger for the growth of fungi, especially in moist body parts. Moreover, if supported by weak body immune conditions. Treatment using natural plants is rampant because it has fewer side effects. Betel leaf as a natural material that has often been used since a long time ago, it has been empirically proven to have antifungal effects, both fungistatic and fungicidal. Previous research has proven that betel leaf extract can inhibit the growth of Candida albicans that isolated in agar media. The potential of betel leaf as antifungal depends on the content of the extract which plays an important role, phenol compounds, flavonoids and tannins which are able to denaturate fungal proteins so as to prevent the proliferation of fungi. Provision of betel leaf extract (Piper sp.) with a minimum concentration of 25% can inhibit the growth of fungi and a maximum concentration of 100% can kill the growth of fungi Candida albicans.]]>
<![CDATA[Hubungan Pengetahuan dan Dukungan Keluarga terhadap Status Depresi pada pasien Kanker Serviks di RSUD DR. H. Abdul Moelok Bandar Lampung Tahun 2016 ]]>
<![CDATA[Shesy sya’haya]]>;
<![CDATA[Ratna Dewi PS]]>;
<![CDATA[Anggraeni Janar Wulan]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.55
<![CDATA[Cervical cancer is the second most types of cancer experienced by women around the world and are most numerous in Latin America and developing countries such as Indonesia. The impact that occurs in patients with cervical cancer one of which can cause problems in people with depression. Depression will be overcome by their patients use coping mechanisms based on the resources around. Source coping is important for the patient is the knowledge and family support. The study was to determine the related knowledge and family support for the level of depression in patients with cervical cancer at the Dr. H. Abdul Moeloek Bandar Lampung Hospital in 2016. The study is analytic survey with cross sectional approach. The sampling method using purposive sampling and obtained a sample of 24 respondents. The study uses chi square test with an alpha of 0.05. Results research showed a significant relationship between knowledge with the depressed levels of cervical cancer patients were obtained by value p = 0.014 and there was a significant relationship between family support with the depressed levels of cervical cancer patients were obtained value of p = 0.023. Theres a significant relationship knowledge and family support for the level of depression in patients with cervical cancer at the Dr. H. Abdul Moeloek Bandar Lampung Hospital in 2016]]>
<![CDATA[Hubungan Tingkat Pengetahuan Setelah Pendidikan tentang Upaya Berhenti Merokok (UBM) dengan Tingkat Keterampilan Konseling Sebaya di SMKN 2 Bandar Lampung ]]>
<![CDATA[Geta Okta Prayogi]]>;
<![CDATA[Dyah Wulan Sumekar]]>;
<![CDATA[Sutarto]]>;
<![CDATA[Riyan Wahyudo]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.56
<![CDATA[Smoking is a bad habit that danger the smoker and the non smoker. In SMKN 2 Bandar Lampung, some students have started smoking. Therefore, it is urgent to conduct socialization and found anti-smoking agents. This research is aim to identify knowledge level after education of smoking cessation efforts and peer counseling skill level, and also strength of relationship between knowledge level and peer counseling skill level. The research used cross sectional method with one group posttest design about smoking cessation efforts and peer counseling skill. Sampling technique was total sampling. The research was carried out in May-June 2017 at SMKN 2 Bandar Lampung. Sample consists of 21 peoples. Data was obtained from knowledge questionnaires and skill checklist of peer counseling. The result showed that the majority of student had good knowledge (86%) and skills (90,5%). The result of bivariate analyze obtained p value=0,014<0,05 which means there is relationship between knowledge level and skill level. There was a significant relationship between knowledge level after education about smoking cessation efforts and peer counseling skill level in SMKN 2 Bandar Lampung.]]>
<![CDATA[Manifestasi Klinis Mata pada Infeksi Covid-19 ]]>
<![CDATA[Dianti Sevina Salma Elmasri]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.57
<![CDATA[Coronavirus Disease 2019 (COVID-19) is a new kind of disease that has never been identified before in humans. The disease is caused by the novel severe acute respiratory syndrome-coronavirus-2 (Sars-CoV-2), which will make the person who is attacked have symptoms of pneumonia. Ocular transmission in the case of COVID-19 should not be ignored. Obtained data on a study conducted in China, positive patients with COVID-19 can have ocular manifestations, such as epiphora, conjunctival congion, chemosis, and these occur in patients with more severe systemic manifestations. Other studies also indicate the presence of clinical manifestations that meet the criteria of acute viral conjunctivitis. Ocular transmission can occur because when a pathogen in the eye, it is partially absorbed by the cornea and the conjunctiva and is largely flowed into the nasal cavity through the nasolacrimal tract and then transported to the lower part of the respiratory tract, including the nasopharynx and trachea, or swallowed into the gastrointestinal tract. This allows the pathogens about the eye to be carried up to the respiratory tract and the gastrointestinal tract.]]>
<![CDATA[Efek Diuretik Nigella sativa sebagai Terapi Hipertensi ]]>
<![CDATA[Fadila Rahayu]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.58
<![CDATA[Hypertension is a condition of increased blood pressure that can cause damage to organs such as heart, blood vessels, kidneys and the central nervous system. Prevention and treatment of hypertension requires something with minimal side effects. Nowadays, herbal medicine are so popular because its contain antioxidant and etc that can be another choice to treat the disease. One of them is Nigella sativa. The main contents are thymoquinone and polyphenols. N. sativa seeds contain protein (26.7%), fat (28.5%), carbohydrates (24.9%), crude fiber (8.4%) and total ash (4.8%). The seeds also contain many vitamins and minerals such as Cu, P, Zn and Fe etc. The seeds contain carotene which the liver converts into vitamin A. The roots and shoots are reported to contain vanillic acid. The seeds are reported to contain fatty oils rich in unsaturated fatty acids, especially linoleic acid (50-60%), oleic acid (20%), eicodadienoic acid (3%) and dihomolinoleic acid (10%). Nigella sativa has a diuretic effect to make diuresis so this can make lower blood pressure in hypertensive condition. Moreover, Nigella sativa has another mechanism to make blood pressure lower in hypertensive condition.]]>
<![CDATA[Hubungan Efikasi Diri Dengan Tingkat Kecemasan Mahasiswa Tahun Pertama di Fakultas Kedokteran Universitas Lampung Tahun 2018 ]]>
<![CDATA[Habibi Adhi Pratama Duarsa]]>;
<![CDATA[Oktafany]]>;
<![CDATA[Dian Isti Angraini]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.59
<![CDATA[Anxiety can be experienced by all students, especially students who have heavy college burden, such as students of medical education study programs. Excessive anxiety can hurt students because it can affect student learning outcomes. Self-efficacy is a belief in one's ability to achieve an expected outcome, self-efficacy is known to play an important role in anxiety. This study aims to determine the correlation between self-efficacy and the anxiety level of first year medical student in lampung university. This study uses a cross sectional approach. The sample in the study were 183 respondents and were asked to fill in two questionnaires, namely the General Self-Efficacy and Zung Self Anxiety Scale. Based on univariate analysis found low self efficacy of 6.6%, moderate self efficacy of 77.6%, and high self efficacy of 15.8%. At the level of anxiety found not experiencing anxiety 23.5%, mild-moderate anxiety 71.0%, and severe anxiety 5.5%. Based on bivariate analysis with Gamma test, there was a significant correlation between self-efficacy and anxiety with a value (p = 0,0001), with the degree of closenses of a strong negative correlation ( = -0.657). The conclusion if self-efficacy higher then anxiety level gets lower, vice versa.]]>
<![CDATA[Hubungan Indeks Masa Tubuh pada Balita Stunting Terhadap Kadar Hemoglobin di Kecamatan Gunung Sugih Kabupaten Lampung Tengah ]]>
<![CDATA[Frigandra Syahputri]]>;
<![CDATA[Khairun Nisa Berawi]]>;
<![CDATA[Eca Cania]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.60
<![CDATA[The prevalence of stunting in Gunung Sugih District, Lampung Tengah Regency, Lampung Province is high for stunting category in Indonesia. Nutritional status in stunting can be measured by body mass index according to age (BMI /A). Stunting has anemia as hemodynamic problems due to lack of iron (Fe) intake. The parameter which is used for measure anemia is hemoglobin. This study aims to determine the relationship between BMI in stunting children and hemoglobin levels as a marker of anemia. Observational analytic method with cross sectional approach was used in this study with 35 samples (cluster random sampling). Primary data are height, weight, body mass index (BMI) and hemoglobin (Hb) levels as measured by Hb Meter (Dr.Family®). Data analysis was performed by Pearson correlation test. Obtained a normal BMI of -0.51SD with a percentage of 94.3%. Hb levels with a mean of 10.4 g/dL and 57.1% of children had anemia. The results of the Pearson correlation test found that Ho was received with value of p=0.511 (p>0.05) and had a positive correlation (r=0.115). This study did not show a significant relationship between body mass index (BMI) of hemoglobin (Hb) levels as a marker of anemia in stunting infants in Gunung Sugih District, Central Lampung Regency.]]>
<![CDATA[Esophageal Myotomy pada Achalasia ]]>
<![CDATA[Nadhia Khairunnisa]]>;
<![CDATA[Yusmaidi]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.61
<![CDATA[Achalasia is a rare esophageal motility disorder that results from decreased or the absence of ganglion-blocking cells in the esophageal myenteric plexus and lower esophageal sphincter (LES). This results in the inability of the LES to relax as well as the dysfunction of the esophagus. Patients usually present with symptoms of dysphagia. Surgical therapy in Achalasia is known as Heller myotomy (Esopageal myotomy), a procedure in which the muscles around the esophagus are opened and cut. Conventional surgery uses a long incision in the chest and abdomen provides a very good result in decresing the symptoms, with a efficacy level from 88% to 95% and lasting for 6 to 10 years. For example, in the case of Mr. Y, 51 years old came with disfagia since approximately 1 year ago. The patient also complained losing weight for 10kg in the past 6 months. The physical examination of the patient are compost mentis. Blood pressure 170/100 mmHg, heart rate 80x / minute, respiratory rate 20x / minute, temperature 37.0oC. Examination of extremities and neuromuscular are normal. At radiological examination, a rontgent was obtained with the appearance of an esophageal dilatation.]]>
<![CDATA[Penatalaksanaan Penyakit Skabies Pada Laki-Laki Usia 42 Tahun Dengan Pendekatan Kedokteran Keluarga ]]>
<![CDATA[Bahesty Cut Nyak Din]]>;
<![CDATA[Sahab Sibuea]]>
<![CDATA[ Medula Vol 10 No 2 (2020): Medula ]]>
Publisher : <![CDATA[CV. Jasa Sukses Abadi ]]>
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DOI: 10.53089/medula.v10i2.62
<![CDATA[Scabies is an infectious disease caused by infestation of Sarcoptes scabiei hominis variants and their products. Scabies is transmitted through direct skin-to-skin contact or indirect contact through shared objects, such as towels, clothing, bed linen. Lack of knowledge and personal hygiene can lead to scabies. This study is a case report based on Evidence Base Medicine in male patients aged 42 years by identifying risk factors and clinical problems and management of patients based on patient problems as well as the patient centered approach and family approach. Primary data were obtained through history taking (autoanamnesis), physical examination and home visits. Secondary data was obtained from the patient's medical record. Assessment is based on a holistic diagnosis from the beginning, process, and end of study in a qualitative and quantitative manner. Tn.Y patient aged 42 years was diagnosed with scabies, has an internal risk aspect in the form of the habit of rarely washing his hands after the activity and habit of using toiletries together. Aspects of external risks in the form of a dense residential environment, slums, and irregular arrangement of goods and there are similar complaints in the families of patients who live at home. Holistic management with a family doctor approach can improve knowledge, attitudes, and behavior in patients. In addition, the role of the family is very important in the care and treatment of sick family members.]]>
