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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 8 Documents
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Search results for , issue "Vol 13 No 7 (2023): Medula" : 8 Documents clear
HUBUNGAN KEPATUHAN TERHADAP PROTOKOL KESEHATAN DAN DUKUNGAN KELUARGA TERHADAP KEJADIAN COVID-19 PADA MASYARAKAT DI KELURAHAN TANJUNG SENANG KOTA BANDAR LAMPUNG TAHUN 2021 Rita Agustina; Dita Fitriani; Achmad Farich; Austine Widya Kusuma
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.361

Abstract

Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by the SARS Coronavirus 2 (SARS-CoV-2). According to WHO data as of September 4, 2021, there were 218,946,836 confirmed cases and 4,539,723 deaths as a result of this virus. A considerable increase in the number of patients is frequently linked to noncompliance with community norms or indiscipline in applying health regulations. Aside from the level of community compliance, there are other factors that determine the occurrence of COVID-19, including family support. The family plays a significant role in developing and maintaining a fundamentally healthy lifestyle. However, many people are still unaware of the need of support from family members. The purpose of this study is to determine The purpose of this study is to examine the link between adherence to health protocols and family support on the incidence of COVID-19 in the Tanjung Senang Subdistrict of Bandar Lampung City in 2021. This study employs observational analytical quantitative research with a case control design. There is a significant link between Compliance with Health Protocols and the Incident of COVID-19, based on the statistical test findings of Compliance with Health Protocols and the Incident of COVID-19, with the p value = 0.000 (p0.05). Family Support and the Incident of COVID-19 received a p value of = 0.000 (p0.05), indicating that there is a significant association between the two. The incidence of COVID-19 is significantly related to adherence to health regimens and family support.
Penatalaksanaan Holistik Gagal Jantung Kongestif Dan Hipertensi Pada Wanita Usia 65 Tahun Melalui Pendekatan Kedokteran Keluarga Isabel Theodora; Sahab H Sibuea
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.837

Abstract

Heart disease is the highest cause of death worldwide for the last 20 years. The prevalence of CHF in Indonesia according to Riskesdas in 2018 was 1.5%, while the prevalence in Lampung in 2013 was estimated at around 5560 patients. Hypertension is a global health problem with the biggest morbidity rate in the world. In Indonesia, the estimated number of cases of hypertension is 63,309,650 people, while in Lampung,  is around 6,216,638 cases. This research aims to implementing a holistic and comprehensive approach of a family doctor according to the problems experienced by patients and patient management based on evidence based medicine, patient centered, family oriented and community oriented. Primary data was obtained through autoanamnesis, physical examination and home visits. Secondary data was obtained from patient's medical record. Assessment based on a holistic diagnosis from the beginning of the process and the final study qualitatively and quantitatively. In results patient Mrs. H, 65 years old, came to the Health Center to ask for a routine drug referral, the patient had complaints of congested breath when doing strenuous activities and improved while resting. The patient was diagnosed with CHF 10 years ago and hypertension 20 years ago. Patient has a high salt and fat diet, low physical activity, lack of knowledge and family support regarding the patient's disease and treatment. Furthermore, the management of patients is carried out according to the theory and related journals. At the time of evaluation, patients can follow the recommendations for both pharmacological and non-pharmacological therapy. Holistic management can increase knowledge and change the patient’s behavior. The role and support of the family are needed in the treatment of the patient in order to drugs consumption monitoring.
Perbandingan antara Bone Patellar Tendon Bone Autograft dengan Hamstring Tendon Autograft pada Rekonstruksi Anterior Cruciate Ligament : Sistematik Review Fuad Iqbal Elka Putra; Hanifah Hanum
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.838

Abstract

Anterior Cruciate Ligament is a ligament injury is the most common injury around knee and divided into partial tear or complete tear. The aim of this study is to compare the outcome between Bone Patellar Tendon Bone (BPTB) autograft versus Hamstring Tendon (HT) for ACL reconstruction. The outcomes were assessed with International Knee Documentation Committee (IKDC), Lysholm score, Tegner activity scale and donor site morbidity. This systematic review uses Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The articles were searched for studies that compared functional outcomes of ACL reconstruction between BPTB autograft versus hamstring tendon autografts with a minimum 6 months follow-up. We analayzed 8 studies that compare outcomes of BPTB autograft (862 patient) vs HT autograft (4.991 patient). There was no significant differences in a patient underwent ACL reconstruction with BPTB autograft vs HT autograft the outcomes by IKDC score, Lysholm score and Tegner activity scale. In one study showed was significant in donor site morbidity where BPTB autograft makes postoperative pain during kneeling higher than HT autograft in 10 years follow up (BPTB 64%, HT 33%, p value 0.019) and the prevalence in pain during squatting BPTB was higher than HT autograft in 10 years follow up (BPTB 55%, HT 29%, p value 0.046). This study concluded there was no significant difference of comparison between BPTB autograft and HT autograft group after ACL reconstruction. Donor site morbidity most commonly occured in BPTB group than HT gorup. Keywords : Anterior Cruciate Ligament Injury, autograft, bone patellar tendon bone, hamstring tendon
Kompartemen Sindrom Ekstremitas Bawah : Diagnosis, Anatomi dan Tatalaksana Fuad Iqbal Elka Putra; Hanifah Hanum
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.839

Abstract

Abstract Acute compartment syndrome (ACS) is an orthopaedic emergency that can threaten life and limb. A comprehensive understanding of anatomy, along with proper diagnosis and treatment, plays a crucial role in preventing lower limb ischemia. We conducted an updated review of the literature using digital databases such as PubMed, Springer Link, and Science Direct. A clinical diagnosis of compartment syndrome must be followed by surgical decompression. Clinical signs of ACS include the 6 P’s: pain, poikilothermia, pallor, paresthesia, pulselessness, and paralysis. This literature review revealed that some studies showed fasciotomy is an emergency surgical procedure performed to decompress a compartment. The most common and validated method to measure limb intracompartment pressure (ICP) is by using the handheld Stryker Intra-Compartmental Pressure (STIC) Monitor System. Lower leg compartment divided into anterior, lateral, superficial posterior and deep posterior compartment, inside of compartment there are muscle, nerve, artery and vein. After diagnosis compartment syndrome we should continue to surgical decompression by fasciotomy in two methode medial incision (deep and superficial posterior compartment) and lateral incision (anterior and lateral compartments). As a conclusion early recognition and diagnosis of conditions of compartment syndrome are essential in preventing lower limb ischemia. Keywords: acute compartment syndrome, intracompartmental pressure, lower extremity
Penatalaksanaan Pasien Laki-Laki Usia 59 Tahun dengan Hipertensi Urgensi Melalui Pendekatan Kedokteran Keluarga Zulia Yasminanindita Fahmi; Azelia Nusadewiarti
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.843

Abstract

Hypertension is one of the biggest causes of morbidity in the world, often referred to as the silent killer. The prevalence of hypertension in Indonesia in 2018 based on Basic Health Research (Riskesdas) with a population of approximately 260 million increased by 34.1% compared to 2013. According to data from the Lampung Provincial Health Office in 2021, the prevalence of hypertension in South Lampung is 24.8% of the total population aged ≥ 15 years is 762,894 people. The purpose of this case report is to implement holistic and comprehensive family doctor services by identifying risk factors, clinical problems, and patient management based on Evidence Based Medicine with a patient centered and family focused approach. This study is a case report. Primary data were obtained through autoanamnesis, physical examination, and home visits. Secondary data were obtained from the patient's medical record. Mr. M, 59 years old, had a chief complaint of difficulty sleeping since 1 day ago. Internal risk factors in the patient are male gender, 59 years old, a history of smoking since 39 years ago, a mother with a history of hypertension, a curative treatment pattern, and the patient's lack of knowledge about: hypertension classification where the patient does not know he is included in hypertension urgency; risk factors that cause the disease; complications that may occur; how to control the disease. External risk factors in the patient are: lack of family knowledge about the patient's disease, risk factors, complications, and prevention and control of the disease in the family and economic stress due to crop failure losses. Diagnosis and management of patients have been carried out holistically, patient centered, family focused, and community oriented. Changes in the clinical, knowledge, and behavior of patients and their families occurred after the intervention was given.
Pola Pengobatan Coronavirus Disease-19 (COVID-19) dengan Komorbiditas Tuberkulosis Paru Pada Pasien Rawat Inap RSUD Al-Ihsan Bandung Tahun 2020 Chanief Hassan Widjaja; Novita Carolia; Intanri Kurniati
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.846

Abstract

Coronavirus disease-19 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and attacks the respiratory tract as its main target. Pulmonary tuberculosis (TB) is a disease with high incidence in Indonesia and transmitted through the respiratory tract and attacks lung organs same as COVID-19, allowing the possibility for co-infection of the two microorganisms simultaneously. The purpose of this study was to determine the pattern of treatment for COVID-19 and pulmonary TB at inpatient care facility Al-Ihsan Hospital Bandung. This study was an observational descriptive study with retrospective approach. The number of samples were 15 who had COVID-19 and pulmonary tuberculosis, taken from March until December 2020 at inpatient care facility Al-Ihsan Hospital Bandung. The sample taken using the total sampling technique, then analyzed using univariate test.There are five types of drugs found in this study, which is antibiotics, anti-tuberculosisdrugs, antivirals, corticosteroids, and vitamins. The types of antibiotics used were azithromycin (80%), levofloxacin (80%), ceftazidime (13.33%), ofloxacin (6.67%), and cefotaxime (6.67%). Anti-tuberculosis drugs with fixed dose combination (FDC) were given to 13 samples (86.67%). The types of antiviral drugs used were isoprinosine (80%), oseltamivir (13.33%), and chloroquine (6.67%). The types of corticosteroid drugs used were dexamethasone (33.33%) and bethametasone (6.67%). Types of vitamins used were vitamin C (100%), vitamin B6 (6.67%), vitamin D (73.33%), and zinc supplements (33.33%).
Penatalaksanaan Pasien Wanita 63 Tahun dengan Tuberkulosis Paru dan Diabetes Melitus Tipe 2 Melalui Pendekatan Dokter Keluarga di Puskesmas Susunan Baru Desti Dwi Rahmah; Aila Karyus
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.847

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which can attack the lungs and other organs. As many as 10.6 million people worldwide suffer from tuberculosis (TB) with an increase in the incidence rate of 3.6% between 2020 and 2021. Type 2 diabetes mellitus (DM) is one of the most important risk factors for worsening TB with a risk of active TB 2 -4 times higher in individuals with type 2 DM than non-DM. The study conducted in the form of a case report. Data were obtained through anamnesis, physical examination, laboratory examination, and medical records at PUSKESMAS. The assessment carried out based on the initial holistic diagnosis, process, and the final of the study both quantitatively and qualitatively. Based on the study, case a 63-year-old female patient with complaints of dry cough and phlegm for 2 months accompanied by an itchy throat, chills, decreased appetite and body weight. The patient has type 2 DM since 6 years. Family doctor services carried out to identify risk factors, clinical problems, as well as evidence-based medicine with patient management through a family approach, patient-centred, and community-oriented. Interventions done both medically and non-medically in the form of patient and family education about pulmonary tuberculosis and type 2 DM. Evaluation after the intervention obtained a decrease in fasting blood sugar, an increase in knowledge about the patient's disease, and an improvement in eating patterns.
GAMBARAN PENGETAHUAN MAHASISWA FAKULTAS KEDOKTERAN PROGRAM STUDI PENDIDIKAN DOKTER UNIVERSITAS LAMPUNG ANGKATAN 2021 TERHADAP ANESTESI DAN PERAN DOKTER SPESIALIS ANESTESI Javinka Fairuz Zahrani; Liana Sidharti; Nurul Islamy; Bambang Eko Subakti
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.849

Abstract

Anesthesia is an action in the medical field that is carried out intentionally on healthy patients and patients who have a disease from mild to severe with the aim that the patient does not feel sick when surgery is performed. This study aims to describe the knowledge of students of the Faculty of Medicine, Medical Education Study Program, University of Lampung on anesthesia and the role of anesthesiologists. This study used a descriptive cross-sectional research method on 136 samples selected through simple random sampling technique. The study used a questionnaire given via google form. The data were analyzed univariately to describe the knowledge of students of the medical faculty of the Lampung University medical education study program on anesthesia and the role of anesthesiologists. The results showed that 12 respondents (8.8%) had good knowledge, 54 respondents (39.7%) had sufficient knowledge, and 70 respondents (51.5%) had less knowledge about anesthesia and the role of anesthesiologists. . The conclusion in this study was that students of the medical faculty of the Lampung University medical education study program class of 2021 still lacked knowledge about anesthesia and the role of anesthesiologists.

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