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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 30 Documents
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Search results for , issue "Vol 13 No 6 (2023): Medula" : 30 Documents clear
HUBUNGAN LAMA MENDERITA DIABETES MELITUS DAN KADAR GULA DARAH DENGAN KUALITAS TIDUR PADA PASIEN DIABETES MELITUS TIPE 2 Rina Kriswiastiny; Siti Marini Yunita; Nopi Sani; Tony Prasetia
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.349

Abstract

Abstract Diabetes mellitus or what is known in laymen as diabetes is one of the four priority non-communicable diseases which are the target of follow-up by world leaders. The number of cases and prevalence of diabetes has continued to increase over the last 10 years. Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels above normal values (> 200 mg/dl). This study aims to determine whether there is a relationship between duration of diabetes mellitus and blood sugar levels with sleep quality in type 2 diabetes mellitus patients. This study used an observational analytic method with a cross sectional approach. It was found that there was no relationship between duration of suffering from type 2 diabetes mellitus and sleep quality with the result Asym-sig = 0.585 (p >0.05). It is known that there is no relationship between blood sugar levels and sleep quality with the result Asym-sig = 0.887 (p>0.05). There is no significant relationship between duration of suffering from type 2 diabetes mellitus and blood sugar levels with sleep quality.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPATUHANAN MASYARAKAT TERHADAP PENERAPAN PROTOKOL KESEHATAN COVID- Tedi Ardiansyah; Nia Triswanti; Sandhy Arya Pratama; Sri Maria Puji Lestari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.383

Abstract

ovid-19 is an infectious disease caused by a type of coronavirus, according to data from the Lampung Provincial Health Office in December 2021 there were 49,715 positive confirmed cases and 3,825 deaths, the work area of ​​the Segala Mider Health Center is the area with the 5th most Covid-19 cases in the Bandar Lampung with a total of 642 cases, the purpose of this study was to determine the factors that influence the level of community compliance with the Covid-19 health protocol in the work area of ​​the All Mider Public Health Center in 2022. This research is descriptive analytic using survey method with short Cross-sectional analysis The sample in this study was taken in the work area of ​​the Segala Mider Health Center, Lampung Province in 2022 as many as 100 people were selected by the Accidental Sampling technique. Data were taken using a questionnaire and statistically tested with univariate and bivariate Pearson Chi-Square using SPSS. Pearson Chi-Square test found a relationship between knowledge (p-value= 0.000), attitudes (p-value= 0.000), motivation (p-value=0.000), age (p-value=0.000) and education (p-value= 0.000) with the level of compliance and there is no relationship between gender (p-value= 0.199) with the level of compliance in the implementation of the Covid-19 health protocol in the work area of ​​the Segala Mider Public Health Center in 2022. There is a relationship There is a significant relationship between knowledge, motivation, age and education with the level of community compliance with the Covid-19 health protocol in the work area of ​​the Segala Mider Public Health Center in 2022.
PERBEDAAN KONTAMINASI TELUR SOIL TRANSMITTED HELMINTH PADA TANAH DI DAERAH PEDESAAN DAN PERKOTAAN Alvan Muhammad Hibatullah Santoso; Hanna Mutiara; Giska Tri Putri; Jhons Fatriyadi Suwandi
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.479

Abstract

Soil Transmitted Helminth is an infection that causes malnutrition, anemia, growth retardation. Transmission is through contact with eggs or larvae in the soil. Cases of STH infection in Indonesia are high in areas of poor sanitation, poor hygiene and lack of understanding of clean and healthy lifestyles. Therefore, this study aims to determine the contamination of STH eggs on soil in rural and urban areas. This research is a cross-sectional study with purposive sampling. The number of samples is 90 soil sample points in rural and urban areas and then the univariate and bivariate analysis tests are carried out using the pearson chi-square Test. The number of STH contamination in rural areas was 29 out of 90 samples with 26 samples of Ascaris lumbricoides, 2 samples of Hookworm, and 1 sample of Trichuris trichiura. STH egg contamination in urban areas was 22 out of 90 samples with details of 17 samples of Ascaris lumbricoides, 3 samples of Hookworm, and 2 samples of Trichuris trichiura. Based on the results of the pearson chi-square Test analysis, a p-value of 0.467 was obtained. There is no difference in contamination of STH eggs on soil in rural and urban areas.
Hubungan Konsumsi Kafein dengan Kejadian Depresi Indah Salsabila; Putu Ristyaning Ayu Sangging; Intanri Kurniati; Ratna Dewi Puspitasari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.488

Abstract

Depression is a mood disorder. Depression is characterized by a feeling of sadness that lasts continuously and for a long time, which can interfere with a person's physical condition and social life. Around 121 million people in the world suffer from depression. It is estimated that only 30% of people with depression get proper treatment. This number does not include people who have clinical symptoms of depression but are not actually diagnosed. Some patients are also considered not to get proper treatment. The number of Indonesian populations aged more than 15 years and diagnosed with depression is 12 million sufferers. Pharmacological therapy in depressed patients is antidepressants such as serotonin and noradrenaline reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs). However, there are side effects that can result from long-term use of these drugs. Therefore, other treatments such as giving herbal medicines are needed to reduce symptoms in people with depression. Giving caffeine with the right dose can reduce the risk of depression, because of its ability to block the adenosine receptor subunit. However, caffeine consumption with doses above 68mg and below 509mg per day is assessed to have the opposite effect that increases the risk of developing depression.
GAMBARAN NILAI LABORATORIUM SGOT DAN SGPT PADA PENDERITA HEPATITIS B DI RSUD ABDUL MOELOEK LAMPUNG TAHUN 2021 Mohammad Hafizh Al Waali; Yesi Nurmalasari; Dita Fitriani; Zulfian Zulfian
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.528

Abstract

Hepatitis B is known as serum hepatitis. This disease is serious and is usually transmitted through contact with blood containing the virus. Based on the 2013 World Health Organization (WHO) report, 2 billion people in the world suffer from hepatitis, 240 million people suffer from chronic hepatitis B and 1.46 million of them die. Indonesia is a country with high endemic hepatitis B, the second largest in the South East Asian Region (SEAR) after Myanmar. The type of research used in this study is descriptive, which is a research method that shows the characteristics of the population or phenomenon being studied. The sample in this study was 95 people. The sampling method is purposive sampling technique. Univariate analysis using SPSS (Statistical Product and Service Solutions). The results of this study were that there was an increase in male sex compared to female, based on old age there was a higher increase than young age, and SGOT levels increased while SGPT was normal in patients with Hepatitis B Disease. There is a description of the normal category of SGOT value: 5-40µ/l and the value increases >40µ/l. there is a normal SGPT level value: 7-56µ/l and an increased value >56µ/l in patients with Hepatitis B at Dr. Hospital. H. Abdul Moeloek, Lampung Province in 2021..
Efektifitas Edukasi Self Management Terhadap Kontrol Tekanan Darah Pasien Hipertensi Zada Amalia Agatha Sari Zada Amalia Agatha Sari; Novita Carolia; Rasmi Zakiah Oktarlina; Suharmanto Suharmanto
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.535

Abstract

Hypertension is a systolic blood pressure 140 mmHg or higher and a diastolic blood pressure 90 mmHg or higher.22 In 2020 WHO (Word Health Organization) reported that there were 1.13 billion cases of hypertension and has caused 9.4 million dead.22 At the United States, in 2017-2018 it was reported that 63% people over 60 years old suffered from hypertension with a higher percentage of women (66.8%) than men (58.5%).2 According to the 2018 RISKESDAS results patients with hypertension in the elderly amounted to 63.5%. Due to its high prevalence, hypertension is a major global health problem and the main cause of death and disability in the world every year.12 Treatment of hypertension is carried out for a long time so that the success of hypertension treatment is strongly influenced by self management of patients to adhere to the treatment, routinely checking blood pressure, increasing physical activity, reducing cunsumption of foods containing sodium.11 Self management of hypertension has an important role in effective control off blood pressure in patient with hypertension.3 One of the ways to increase knowledge related to the prevention and control of hypertension is through education.10 The education provided in the form of theoretical materials such as lectures, discussions, counseling, e-learning, and also practices such as workshops or training with various related topics. The materials provided is in the form of facts about hypertension such as definitions, signs and symptoms, risk factors, how to diagnose and treat them, normal blood pressure, hypertension prevention, complications, drug use, drug side effects, the importance of taking medication regulary, the importance of blood pressure checks periodically, diet, physical activity, relaxation techniques such as deep breathing, muscle relaxation, guided imagery.18
ANGKA KEJADIAN NEFROBLASTOMA BERDASARKAN USIA DAN JENIS KELAMIN PADA CT SCAN ABDOMEN DI INSTALASI RADIOLOGI RUMAH SAKIT UMUM DAERAH DR. H. ABDOEL MOELOEK TAHUN 2015-2020 Moch Rifly Hidayat; Alfi Wahyudi; Doni Rahman Nurdiana; Esteria Maharani; Toni Prasetia
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.553

Abstract

Nefroblastoma is one of the most common malignancies of primary kidney tumors in children, the incidence of nephroblastoma reaches 6-7% in cases of malignancy that occurs in children. To find out the incidence of nephroblastoma based on age and gender on an abdominal CT scan at the radiology installation at Dr.H. Abdoel Moeloek in 2015-2020. This study used a descriptive research design with retrospective method and cross sectional design. In this study, from 42 patients who were respondents, the most age group data were obtained at the age of 0-5 years with a total of 32 people with a percentage of 76.2%, followed by the age group of 6-10 years with 6 people with a percentage of 14.3% and the least was the age group of 11-15 years as many as 4 people with a percentage of 9.5%. In this study, the most common sex group was men with a total of 27 people with a percentage of 64.3%. In this study, there were 15 female respondents with a percentage of 35.7%. Obtained the age group, most at the age of 0-5 years with a total of 32 people with a percentage of 76.2%. Most of the sex group is male with a total of 27 people with a percentage of 67.6%.
Skleritis dan Rheumatoid Arthritis Cut Karel Dithia; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.715

Abstract

Rheumatoid arthritis is the result of a chronic inflammatory process that involves the immune system. One of the antibodies that is often detected in RA and scleritis patients is rheumatoid factor (RF). RF are antibodies produced by the immune system to attack the body's own tissues, including joints and synovial membranes. Another part of the antibody effect that is cyclic anti-citrate antibody (Anti-CCP), is an antibody that recognizes citrulinating proteins in body tissues, namely certain protein modifications that occur in RA patients and are considered as important factors in the pathogenesis of this disease. Increased RF levels can occur in patients with RA as well as in patients with scleritis. Scleritis is an inflammatory condition of the sclera, which is the thick white layer that lines the front of the eyeball. The etiology or cause of scleritis is still not known with certainty, apart from uncertain etiology, there are factors that can increase the risk of developing scleritis, such as autoimmune diseases, infections, vascular disorders, trauma, and drugs. This literature review discusses the relationship between rheumatoid arthritis and scleritis.  
Penatalaksanaan Holistik Pada Pasien Wanita Usia 42 Tahun dengan Hipertensi dan Diabetus Melitus Tipe 2 dengan Neuropati Diabetikum Melalui Pendekatan Kedokteran Keluarga di Puskesmas Natar Annisa Ridha Salsabilla; Azelia Nusadewiarti
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.789

Abstract

The current pattern of disease incidence has undergone changes which are characterized by epidemiological transitions. Changes in disease patterns that were originally dominated by infectious diseases turned to non-communicable diseases. Hypertension and Diabetes Mellitus are one of the non-communicable diseases which are very serious health problems both in the world and in Indonesia. The purpose of this case report is to implement a holistic and comprehensive family doctor service by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with a patient-centered and family approach. This study is a case report study. Primary data were obtained through history taking (autoanamnesis from the patient and alloanamnesis from the patient's family), physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. Patient Mrs. E is 42 years old, has been diagnosed with hypertension and type 2 diabetes mellitus with neuropathy has concerns about his health condition getting worse. The patient's hope is that the complaints disappear completely and do not recur, so they can be comfortable with their activities as usual. The patient's limited knowledge of the illness and an unfavorable lifestyle are factors that cause problems that occur in patients and their families. The diagnosis of hypertension and type 2 diabetes mellitus with neuropathy in this case is in accordance with several theories and critical studies from recent research. Management has been given in accordance with the management guidelines. There is good progress in patients starting from decreased clinical symptoms to changes in behavior after an intervention based on evidence-based medicine that is family-approach and patient-centered.
The PENATALAKSANAAN HOLISTIK PEREMPUAN USIA 41 TAHUN DENGAN HIPERTENSI DERAJAT II, DISPEPSIA, DAN VERTIGO MELALUI PENDEKATAN KEDOKTERAN KELUARGA DI WILAYAH KERJA PUSKESMAS NATAR Fadillah Maulidia; Azelia Nusadewiarti
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.802

Abstract

Hypertension is one of the non-communicable diseases (PTM) which is a very serious health problem both in the world and in Indonesia and is the cause of death which reaches 6.7% of the population at all ages in Indonesia. Dyspepsia is a health problem that is often encountered in daily practice. It is estimated that nearly 30% of cases found in general practice and 60% in gastroenterology practice are dyspepsia. A 41-year-old female patient came to the health center with complaints of dizziness, nausea, vomiting and cold sweat. The patient has a history of hypertension since 2013. In addition, patients also often complain of pain in the pit of the stomach. Complaints are felt repeatedly. Patients do not routinely take antihypertensive medication and do not routinely control and do not follow a healthy lifestyle. Patients have a desire to know more about the patient's illness and want to recover. The patient's knowledge about the disease is lacking, as well as curative treatment patterns, poor diet, rarely exercise and moderate physical activity. Diagnosis and management of these patients has been carried out in a holistic, patient-centered, family approach based on evidence-based medicine and there have been changes in the knowledge and behavior of patients and families after the intervention.

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