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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 471 Documents
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Syok Hipovolemik pada Plasenta Previa Fina Fatmawati Prayitno; Nurul Islamy; M. Zulkarnain Hussein; Marzuqi Sayuti
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.63

Abstract

Placenta previa is associated with increased maternal and fetal morbidity and mortality, especially if caused by continuous bleeding, making an accurate diagnosis is very important. The incidence of hypovolemic shock in placenta previa is very likely to occur when bleeding occurs continuously and is not managed accordingly. A 31-years-old woman, G2P1A0 30 weeks, presents with vaginal bleeding without pain. In obstetric examination, it was found that the results of the inspection contained vaginal bleeding, the results of the inspecular were positive fluxes with inactive blood from the external uterine ostium. Laboratory investigations found that the hemoglobin level was 10.2 g / dl. The patient was diagnosed with placenta previa totalis via ultrasonography. During the treatment the patient experienced worsening of symptoms resulting in hypovolemic shock. Management of these patients is carried out immediately and consideration of termination of pregnancy. Proper diagnosis and management will be the modality of reducing maternal and fetal morbidity and mortality. End a pregnancy when symptoms worsen, should always be considered an option in the treatment of placenta previa even though the pregnancy is not yet months.
Penatalaksanaan Holistik Penyakit Paru Obstruktif Kronik pada Lansia dengan Riwayat Merokok dan Paparan Polusi Udara Riska Permata Sari; Diana Mayasari
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.64

Abstract

The Diseases that frequently affect elderly groups includes chronic degenerative diseases such as chronic obstructive pulmonary disease (COPD). Chronic Obstructive Pulmonary Disease (COPD) is a disease characterized by obstruction of air flow in the airways that is not completely reversible. This study aims to identify risk factors, clinical problems, and provide management of patients with the implementation of a holistic family physician services based on evidence based medicine approach to patient and family centered approach. This study is a case report. Primary data were obtained through history taking (directly from the patient and indirectly from family members), physical examination and a home visit to complete the family, psychosocial and environmental data. Secondary data were obtained from medical records of the patient at the health center. Assessment was made based on a holistic diagnosis from the beginning, process, and the end of quantitative and qualitative studies. 64-year-old male patient was diagnosed with COPD, He was worried his diseases can disturbing his activity. Patients do not have enough knowledge of the disease they are suffering from, have a habit of smoking 10-15 cigarettes per day and often exposed to air pollution when going to work and back home. Pharmacological and non-pharmacological interventions were carried out for patient and his families with education related to the patient's disease and exercises for respiratory muscles. In the evaluation found an increase in patient compliance to avoid risk factors and family knowledge about the disease and the existence of support in carrying out breathing exercises in patients. Services with a family medicine approach in pharmacological and nonpharmacological therapy are able to solve health problems and improve the quality of life of patients.
Peningkatan Pengetahuan Siswa SMKN 2 Bandar Lampung Tentang Bahaya Rokok Melalui Penyuluhan Nisrina Aulia Amirah; Dyah Wulan Sumekar; Tri Umiana Soleha; Mukhlis Imanto
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.65

Abstract

Smoking is a global health problem, almost every country experiences an increase in adolescent smokers. Indonesia is the third largest country with the highest number of smokers after China and India. Various methods have been used to reduce the number of smokers at an adolescent. One effective method of preventing an increase in the number of adolescent smokers is counseling about cigarette risk knowledge. In preliminary research, we got there are around 90% of smoking students especially male students. The cause is lack adolescent knowledge against the dangers of smoking. This research aims to know the effect of counseling on cigarette risk knowledge in student SMKN 2 Bandar Lampung. It was carried out in April 2017, place in SMKN 2 Bandar Lampung. The results of the hypothesis with the values of the t-test paired obtained p = 0000 that indicate a difference of knowledge comparison before and after counseling on Students of SMKN 2 Bandar Lampung. So it can be inferred that the counseling intervention can increase cigarette risk knowledge on students SMKN 2 Bandar Lampung.
Karakteristik Fisik, Kimia, dan Biologi Tempat Perindukan Potensial Nyamuk Anopheles sp. di Wilayah Kerja Puskesmas Hanura Septilia Sugiarti; Riyan Wahyudo; Betta Kurniawan; Jhons Fatriyadi Suwandi
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.66

Abstract

Malaria is an infectious disease transmitted through mosquitoes and has become a health problem both in the world and Indonesia especially in Lampung. The population of the malaria vector is strongly influenced by the location of the breeding place. This study will examine the characteristics of breeding place of Anopheles sp as the malaria vector. This was an observational descriptive study conducted in the work area of Puskesmas Hanura Kabupaten Pesawaran. The physical characteristics has done by measuring temperature and water depth, the chemical characteristics by measuring pH and water salinity, and the biological characteristics by looking at organisms found at the sampling site. The breeding places are damaged boat, lagun, ditch, rice fields and abandoned ponds. The characteristics of the breeding palces are water temperature 29.5-32.4°C, water depth 10.1-28.6 cm, pH 5-6.6, salinity 0-9.3. Predators found in the breeding place are Aplocheilus panchax (tin head fish), Gambusia affinis (Cere Fish), Culex sp. (larvae stages), Aedes sp. (larvae stages), and water plants Ocsillatoria sp. (alga), Spirogyra (alga). Physical, chemical, and biological characteristics of Anopheles sp. breeding place in Puskesmas Hanura working area are optimum characteristics for Anopheles sp. breeding.
Hubungan Persepsi Mahasiswa Tentang Peer Assisted Learning (PAL) Praktikum Anatomi Dengan Hasil Ujian Praktikum Anatomi Fakultas Kedokteran Universitas Lampung Irvan Miftahul Arif; Rika Lisiswanti; Arif Yudho Prabowo; Merry Indah Sari
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.67

Abstract

Peer Assisted Learning (PAL) is a peer learning method that focuses on students as mentors. The Peer Assisted Learning Method has been used in anatomy study in Faculty of Medicine. Peer assisted learning helps improve student achievement and communication. The purpose of this study is to determine the relationship student perceptions about anatomy practicum PAL with the results of the anatomy lab exam. The design of this study uses the analytic observation method with a cross-sectional approach. The sampling technique in the form of total sampling with a population of 225 respondents, 163 respondents participated in the study, and 59 respondents entered into the exclusion criteria. This study uses primary data in the form of student perceptions assessed by Clinical Teaching Preference Questionnaire (CTPQ) and secondary data in the form of anatomical practicum exam in the block Medical Basic Science 2 (MBS2). The data obtained will be tested with the Spearman test. The results of this study obtained the student perception have median value of 35 while result of examination of anatomy practice have average value of 26. Based on the results the spearman test found that there is no relation between student perception about laboratory anatomy PAL with result of anatomical laboratory examination (p = 0.2) with a very weak correlation (r = 0.09).
Penatalaksaan Demam Tifoid Dan Pencegahan Holistik Pada Pasien Wanita Usia 61 Tahun Melalui Pendekatan Kedokteran Keluarga Karine Meynda Putri; Sahab Sibuea
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.68

Abstract

Fever is an acute infectious disease caused by Salmonella typhi bacteria. Fever often occurs in several countries in the world and generally occurs in countries with low levels of cleanliness. Based on data from WHO (World Health Organization) estimates the incidence rate in the world around 17 million people per year, the death rate from typhoid fever reaches 600,000 and 70% occur in Asia. To identify risk factors and problems with patient management based on the patient's problem by seeking family approval. This study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment is based on a preliminary, process, and final diagnosis of a qualitative and quantitative study. Patients have functional degrees 2 with typhoid fever which has internal risk factors, namely lack of knowledge related to typhoid fever and the process of infection of the surrounding environment. External risk factors are unclean home environment. Then educating patients and families about typhoid fever for a clean and healthy life. Clinical problems in patients need attention to changes in clean and healthy living behavior. Health workers support not only solving clinical problems, but also finding and providing solutions to problems in the environment that affect the health of patients and families
Graves Disease dengan Gangguan Irama Jantung M Agung Yudistira Permana; Widyanto P Adhy; Nurmalinda Kurniasih Mappapa; Iriyanti Aderina Patola
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.69

Abstract

Hyperthyroidism is an endocrine disorder with the second highest incidence after diabetes, the most common hyperthyroidism (60% -80% of cases) is caused by Graves’ disease. Graves' disease is an autoimmune disorder, the presence of thyroid stimulating immunoglobulin (TSI), or can be called a thyroid stimulating antibody (TSAb) which is secreted in the thyroid gland binding to thyroid stimulating hormone (TSH) receptors in the thyroid gland to stimulate the thyroid gland to produce hormones . In this case, Ms. FF 47th came with thumping chest since one week before came to hospital, accompanied by excessive sweating and trembling hands. There is enlargement of the skin-colored, painless thyroid gland with no firm boundary. From TSH laboratory results <0.1 µU/mL, total T4 and T3 are 157 µg/dL and 8.9ng/dL accompanied by atrial fibrillation on the ECG. Given 3x100mg PTU therapy and oral 3x30mg propanolol obtained good results on the third day of treatment. A long evaluation and monitoring is needed to ensure that the patient has healing.
Peran Metformin sebagai Terapi pada Kanker Kolorektal Puji Indah Permatasari
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.70

Abstract

In Indonesia, based on WHO data in 2014, colorectal cancer ranks second in men and third in women. Diet and lifestyle factors are risk factors for colorectal cancer. Limiting the consumption of cooked meat and red meat, replacing it with fish as an alternative source of protein and avoiding cooking meat at high temperatures are some strategies to reduce the risk of colorectal cancer.3,4 Insulin is thought to trigger tumorigenesis either directly by affecting epithelial tissue through its interaction in insulin / insulin-like growth factor receptors, or indirectly through its effect on other modulators, such as sex hormones and adiponectin. Metformin is a drug that is believed to have properties to treat diabetes since the 17th century. Retrospective studies show that metformin is also associated with a reduced risk of cancer, suggesting a potential role as an anticancer agent.2 The mechanism of metformin as a preventive or adjuvant therapy in colorectal cancer is based on inhibition of growth and proliferation of cancer cells through its main mechanism, affecting the AMPK / mTOR pathway. This is the basis for the potential of metformin to be used as a preventive therapy or adjuvant therapy in cancer, especially colorectal cancer.
Peran Hormon Estrogen Pada Siklus Menstruasi Sebagai Faktor Pemicu Terjadinya Migrain Vanessa Faradise Inonu
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.71

Abstract

Migraine is a recurrent attacks of headache with signs and symptoms such as nausea, vomiting, photophobia, and phonophobia. Migraine is divided into two subtypes, migraine without aura and migraine with aura. Prevalence of migraine is increase in women after puberty and more than 50% the attack occurs on menstruation. Migrain can be triggered by many factors, such as age, gender, psychologic factors, and the more important is hormonal factor on menstrual cycle, oral contraceptive used, pregnancy, and menopause. However, the menstruation is a significant risk factor in triggering the incidence of migraine without aura. The menstrual cycle consists of three phases, that are the follicular phase, ovulation, and the luteal phase. In the menstrual cycle, there is an important theory that can explain the occurs of menstrual migraine, that is estrogen withdrawal theory that developed by Somerville. The risk of migraine without aura will increase on two days before the menstruation begin until three days of menstruation. This matter is related to estrogen withdrawal or a big decline of estrogen hormone on early follicular phase and late luteal phase. In the presence of estrogen withdrawal, there will be a supressed of serotonergic system and a delayed recovery from the glutamatergic system on central nervous system. The estrogen withdrawal in menstrual cycle which facilitated these neurotransmitter system has a role in triggering the migraine without aura.
Quersetin Pada Benalu Teh Sebagai Terapi Hipertensi Syfa Dinia Putri
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.72

Abstract

Hypertension is still a big challenge in world. This disease is sometimes not realized by the sufferer. Hypertension is known by increased systolic blood pressure greater than 140 mmHg and / or diastolic greater than 90 mmHg on two measurements with an interval of 5 minutes in a state of resting enough (calm). The management of hypertension can be done by using drugs or by modifying lifestyle. Treatment of hypertension can be done using traditional medicines. Various studies have shown that tea parasites can lower blood pressure because tea parasites contain flavonoids. One of the powerful flavonoids is quercetin. These compounds act as antioxidants by releasing or donating hydrogen ions to peroxy free radicals to make them more stable. This activity blocks the oxidation reaction of bad cholesterol (LDL) which causes blood to thicken, thus preventing the deposition of fat on the walls of blood vessels. Quercetin also has the potential to increasing Nitric Oxide (NO) production in endothelial cells. In this case, the tea parasite containing quercetin is thought to have an effect on lowering blood pressure. So the parasite tea can be used as an antihypertensive.

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