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Contact Name
Risti Graharti
Contact Email
risti.graharti@gmail.com
Phone
+6281369730011
Journal Mail Official
medulla.fkunila@gmail.com
Editorial Address
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Location
Kota bandar lampung,
Lampung
INDONESIA
Medula
Published by Universitas Lampung
ISSN : -     EISSN : 97726154     DOI : -
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
Articles 7 Documents
Search results for , issue "Vol 13 No 4 (2023): Medula" : 7 Documents clear
Penatalaksanaan Holistik Wanita Usia 49 tahun dengan Tuberkulosis Paru dan Diabetes Mellitus Tipe 2 dengan Tingkat Pengetahuan Minimal dan Sikap Menjaga Kelangsungan Pengobatan melalui Pendekatan Kedokteran Keluarga Clarisa Rahmah; Shenia Verinda Harsa; Diana Mayasari
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.639

Abstract

Infectious diseases with comorbidity are important health problems that are supposed to be evaluated immediately because they have the potential for complications if no intervention is carried out. Tuberculosis (TB) is an infectious disease that is still a problem in the world especially in developing countries. Diabetes mellitus is estimated to be the cause of 15% of tuberculosis cases today, because it could decrease the immune system which can cause someone prone to get infectious disease. The family approach in the management of Pulmonary Tuberculosis and diabetes mellitus can help identify factors that influence clinically, personally and family psychosocial so that management will be more comprehensive. This study is a case report. Primary data were obtained through history taking, physical examination, supporting examination and home visits to assess the physical environment. Prior to the intervention, the patient's knowledge about the disease was lacking, the pattern of curative treatment, diet was not good, rarely exercised. Family knowledge about Pulmonary Tuberculosis and diabetes mellitus is still low. After the intervention, there was an improvement in the knowledge score and attitude to maintan continuity of treatment which increased by 40 points. After the treatment was carried out on the patient, there was an improvement in the knowledge and attitude to maintan continuity of treatment regarding the disease, as well as an improvement in diet and physical activity patterns.
Medication Error pada Tahap Prescribing, Transcribing, Dispensing dan Administration Eka Ananda Laksana Putri; Asep Sukohar; Ervina Damayanti
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.667

Abstract

Medication Error is any error that occurs in the treatment process, endangers the patient and can actually be prevented. According to WHO, the number of incidents of medication errors shows that this is a global problem. This error occurs both in the process of prescribing (prescribing), reading the prescription (transcribing), preparation to drug delivery (dispensing), as well as in the process of drug use (administering). In this journal review, issues related to Medication Errors are collected and then reviewed again to see definitions, terminology, events, influencing factors, ways of prevention and legal consequences related to Medication Errors. Medication error can be a very fundamental clinical problem. Factors that influence Medication Error include the complexity of clinical cases, lack of knowledge of doctors and pharmacists, factors related to drugs, communication, workload and unsupportive work systems. In prevention, pharmacists have an important role because they collaborate directly with doctors who write prescriptions. Automation and computers, rules and policies, standards and protocols, checklists and double check systems, and greater caution and vigilance can be used to reduce medication Error. Patients are protected by law because they are consumers of health services. The relationship between doctors and patients involves legal aspects, namely civil and criminal. Criminal law only applies to errors and negligence if the patient dies or becomes disabled as a result of the medical treatment provided whereas civil lawsuits can be filed when the patient suffers a loss even if the fault is minor.
Perbandingan Pemeriksaan Tinja Metode Sedimentasi Formol-ether dengan Metode Kato-Katz dalam Mendeteksi Soil-transmitted Helminth.: . Rilianda Abelira; Hanna Mutiara
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.672

Abstract

Soil-transmitted Helminth (STH) is the most common intestinal parasitic infection that contribute to the global disease burden. Various health problems may occur due to this infection. STH infections can be diagnosed by microscopic examination of the stool. WHO recommends the Kato-Katz method as the gold standard for detecting STH, but this method is less sensitive to mild infections. Another method recommended for mild infections is the formol-ether concentration (FEC) method. Some studies show different results for the comparison of these two methods. This study aims to compare the result of the stool examination between FEC method and the Kato-Katz method in detecting STH. Evaluation of examination methods is important in the search for accurate diagnostic techniques.This study used stored stool samples. The study design was descriptive analytic with cross sectional approach. The sampling technique used is consecutive random sampling. Data were analyse based on STH frequency with McNemar's comparative statistical test. The microscopic picture of the FEC method is clearer than the microscopic picture of Kato-Katz method. The results of stool examination using the FEC method and the Kato-Katz method obtained positive results of 6 samples (20%) and negative samples of 24 samples (80%), same result for both method. The type of worm eggs found was Ascaris lumbricoides with 6 samples (100%). Hookworms (A.duodenale and N. americanus) found by FEC method was 2 samples (33.3%) of 6 positive samples. McNemar test results obtained p value of 1,000 (> α 0.05).There is no statistically significant difference from the results of the comparison of stool examination with the FEC method and the Kato-Katz method using McNemar test.
Hubungan Paritas Dengan Kejadian Kanker Serviks: Tinjauan Pustaka Nathasya Karren Zeta Nathasya Karren Zeta; Rasmi Zakiah Oktarlina; Dwi Aulia Ramdini; M. Fitra Wardhana
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.739

Abstract

Cervical cancer is a malignancy of the uterine cervix. Cervical cancer is one of the cancers that most often causes death in women in the world, especially in developing countries where one of the main causes is infection with the Human Papilloma Virus (HPV). The incidence of cervical cancer both in Indonesia and in the world tends to increase from year to year. The latest data shows that in 2018 there were 570,000 cases of cervical cancer in the world and in 2013 as many as 98,692 cases of cervical cancer occurred in Indonesia. According to the American Cancer Society, factors that can increase the risk of developing cervical cancer are HPV infection, family history of cervical cancer, use of hormonal birth control types, sexual behavior, age, parity, inappropriate diets that tend to be unhealthy diets and smoking habits. The number of parity of a woman associated with the incidence of cervical cancer. This is because every delivery, the cervix will experience trauma during the remodeling process. Deviations during the remodeling process cause changes in the extracellular components which impact important molecules that act as anticancer, namely E-Cadherin where the content will decrease in the cervical membrane so that the risk of cervical cancer will increase.
Kajian Literatur: Aktivitas Antibakteri dari Ekstrak Daun Sirih (Piper betle L.) Terhadap Bakteri Staphylococcus aureus Nur Amrillah; Ramadhan Triyandi; Muhammad Iqbal; Citra Yuliyanda Pardilawati
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.754

Abstract

Bacterial infection is a major health problem that affects many humans. The therapy used to treat bacterial infections generally uses antibiotics. However, the inappropriate and continuous selection and use of antibiotics can lead to the occurrence of antibiotic resistance in humans. Staphylococcus aureus is one of the most involved pathogenic bacteria in human bacterial infections. This bacterium is found in the normal skin microbiota of animals and humans. Staphylococcus aureus has infected as many as 20-30% of the healthy human population. Staphylococcus aureus produces antibiotic neutralizing enzymes resulting in resistance to many antibiotics. Many developing countries use medicinal plants as an alternative to treat infections. More than 700 species of betel leaf are found in the North and South of the world and are widely grown in most countries such as Indonesia, India, Sri Lanka, Malaysia, the Philippines, as well as other countries in Southeast Asia and East Africa. Boiled betel leaf (Piper betle L.) has been widely used in Indonesia as an alternative medicine. Betel leaf extract contains several chemical components such as terpenoids, alkaloids and phenolic compounds such as flavonoids, tannins and saponins. These components are known to have strong potential as antibacterial. This study article aims to find out whether betel leaf extract (Piper betle L.) has the ability to inhibit bacterial growth and what concentration of the extract is needed so that there is inhibition of activity and growth of Staphylococcus aureus.
Literatur Review: Efek Samping Penggunaan Obat Hipertensi Sekar Anastry Putri; Dwi Aulia Ramdini; Afriyani; M. Fitra Wardhana
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.773

Abstract

Hypertension is a major risk factor for cardiovascular disease. Hypertension also has another term, namely "silent killer" which can be interpreted that it is not uncommon for people with hypertension to find it difficult to realize or even not to feel the warning symptoms of their disease. Treatment for hypertensive patients is a treatment therapy that needs to be done in the long term or for life. The problem often occurs in the treatment of chronic diseases that require long-term treatment such as hypertension because there are still many patients who do not comply with the treatment therapy they should be undergoing. One of the causes of non-compliance is the presence of patients who experience side effects from treatment. A drug side effect is an unwanted event and is detrimental to the patient as a result of drug use. Side effects that often occur in amlodipine therapy are: palpitations, flushing, ankle edema, hypotension, headache and nausea. Captropil can cause hyperkalemia and dry cough. Side effects of beta blockers that can occur are insomnia, hallucinations and depression. Clonidine can cause side effects such as dry mouth with symptoms of dry and cracked lips. Treatment with hydrochlorothiazide generally causes complaints related to side effects of the drug including frequent urination, feeling weak and wanting to faint, and abnormal heart rate. The use of diuretics can cause increased levels of uric acid or hyperuricemia resulting in deposition of uric acid, acute arthritis, nephrolithiasis.
Pengaruh Metode Ekstraksi Terhadap Persen Rendemen dan Kadar Fenolik Ekstrak Tanaman yang Berpotensi sebagai Antioksidan Nungky Pawarti; Muhammad Iqbal; Dwi Aulia Ramdini; Citra Yuliyanda
Medula Vol 13 No 4 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.774

Abstract

Antioxidants are chemical compounds with various structures that bind free radicals. Antioxidants can inhibit oxidation reactions even at low concentrations. Antioxidant reactions with free radicals also occur in the body. Antioxidants will bind to free radicals and turn them into less reactive compounds so that cells and organs in the body will be protected from oxidative stress which can trigger various diseases. Identification of antioxidants is done by extracting natural plant materials. The methods often used in extraction include maceration, soxhletation, reflux and percolation. Different extraction processes will affect the type and quality of the compounds produced. The factors that influence the success of the extraction are the type of dissolution, the ratio of the amount of solvent, particle size, temperature, time and method of extraction. Secondary metabolite compounds which are thermolabile will experience an increase in levels with increasing temperature. However, the levels of metabolite compounds will decrease with the addition of higher temperatures. Heating helps metabolite compounds that are insoluble at room temperature to be dissolved maximally so that the extraction process can run well. The amount of active substance produced in extraction will affect the percent yield value. The percent yield value is needed to determine the amount of extract produced during the extraction. The yield data also has a close relationship with the active compounds in a sample. The higher the yield value, the more active compounds contained in the sample.

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