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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 208 Documents
Penatalaksanaan Holistik pada Lansia dengan Isolated Systolic Hypertension (ISH), Suspek Retinopati Hipertensi dan Imobilitas: Penatalaksanaan Holistik pada Lansia dengan Isolated Systolic Hypertension (ISH), Suspek Retinopati Hipertensi dan Imobilitas Karimah Khitami Aziz; Dian Isti Angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : Lakuna

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Abstract

Isolated Systolic Hypertension (ISH) is an increase of systolic blood pressure (BP) without diastolic BP common in old age. ISH may develop from a history of chronic essential hypertension or result from arterial stiffness in normotensive person. Secondary causes of arterial stiffness are type 1 diabetes, osteoporosis with calcification, atherosclerosis, peripheral vascular disease, thyrotoxicosis and aortic disorders. Implementation of family medicine and evidence based medicine by identifying risk factors, clinical problems and management based on a patient centered and family approach. This study is a case report. Primary data were obtained through history taking, physical examination and home visit. The assessment based on the holistic initial diagnosis, process and final diagnosis by in-depth interviews, observation and notes. The patient complained of intermittent headaches and blurred vision since 1 week ago. Complaints for the first time and never been treated. The patient's concern with the complaint interferes with his activities and rest. The patient's expectation of complaints is reduced and not worsen. Patients' perceptions of complaints occur due to certain lifestyles causing diseases that are not known for sure by patient and their family. The patient was diagnosed with grade II ISH. The patient's father had history of hypertension and heart disease. The patient's treatment pattern is curative, rarely has light physical activity, lack of knowledge about the disease, inappropriate diet and eating habits, elderly age and lack of family knowledge about the disease and its complications. Functional degree 2. After the intervention shows clinical improvement and changes in behavior. ISH in the elderly with insufficient knowledge about risk factors, drug use and adherence to BP control can cause acute and advanced complications.
Seorang Laki-laki 25 Tahun dengan Trauma Tertutup Bola Mata: Laporan Kasus Novita, Dhea; Muhammad Yusran
Medula Vol 11 No 1 (2021): Medula (continous)
Publisher : Lakuna

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Ocular trauma is one of ophthalmologic emergency cases. Trauma to the eye that is not treated immediately can leads to various eye injuries such as visual impairment that can leads to blindness. Mr. AM, 25 years old was admitted to hospital due to blurry vision on the left eye since 6 days ago after fell from height of 5 meters on his workplace. The patient also complaints pain, difficulty to open the left eye and headache. The ophthalmological status obtained anisocoria pupil, visual acuity was 6/60 on the right eye and 3/60 on the left eye. Examination on the right eye revealed superior and inferior palpebral hematoma and conjunctival injection. Examination on the left eye revealed ptosis, superior palpebral hematoma, and abrasion on inferior palpebral. Examination of the extra ocular movements revealed limit eye movement to superior, superolateral, medial, inferior, inferomedial and inferolateral of the left eye. Funduscopy examination shows normal findings. Orbital CT Scan result showed multiple fractures of medial wall of the orbit, frontal bone, and left temporal bone with left frontal intracerebral hematoma, left temporal subdural hematoma, intrasinus hematoma at maxillary, left ethmoid, sfenoid, and frontal sinus. The treatment given to this patient are bed rest with 30 degrees head elevation and warm compresses and the medication taken are ranitidin 2 x 50 mg and metilprednisolon 4 x 250 mg.
Diabetes Mellitus akibat Anti Psikotik pada Pasien Skizofrenia Danang hafizfadillah; Rasmi Zakiah Oktarlina
Medula Vol 10 No 4 (2021): Medula
Publisher : Lakuna

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Abstract

Schizophrenia is a mental illness with complex pathophysiology and covers various aspects such as behavioral, nerve, perception, and senses that can affect social life even disfunction at work. Schizophrenia requires a long-term treatment with anti-psychotic. The use of antipsychotics among adults and older has increased. Recent information regarding the use of antipsychotics in schizophrenic patients is associated with risk factors of cardiovascular and metabolic syndrome such as obesity, hypertension, insulin resistance, low HDL levels and high triglyceride levels. Diabetes mellitus is a syndrome of metabolic diseases characterized by chronic hyperglycemia either because the body does not produce enough insulin or because the cells do not respond to the insulin that has been produced. The numbers of type 2 diabetes mellitus is estimated to be two to three times higher in people with schizophrenia than in the general population, with a prevalence of 10% to 15%. The risk of diabetes is caused by antipsychotics which cause chronic effects of weight gain and systemic inflammation that will lead to insulin resistance, the direct effect of antipsychotic drugs on insulin action and drug-induced apoptosis of pancreatic beta cells. This article is a literature study to discuss the effects of using antipsychotic drugs in schizophrenic patients who have a role in the development of diabetes mellitus, direct and indirect effect of antipsychotics on the incidence of diabetes mellitus.
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 : Lakuna

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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).
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 : Lakuna

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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.
Tatalaksana Anestesi pada Pasien Cedera Otak Traumatik Berat Rani Tiara; Bambang Eko Subekti
Medula Vol 9 No 4 (2020): Medula
Publisher : Lakuna

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Anesthetic management in 40-year-old men, body weight 60 kg, height 172 cm. Patient brought to the emergency department due to a traffic accident, fell from a motorcycle. In the emergency department, initial management was management by evaluating the clear airway, breathing with breath rate 20-24x /min, and circulation with blood pressure 90/60 mmHg and pulse rate 64x /min, with patient GCS E3V1M3. Patients diagnosed with intracerebral hemorrhage and subdural hemorrhage who need perform hematoma evacuation with craniotomy procedure, with ASA III in patient physical status. Surgery is performed under general anesthesia, with the specific procedure remaining to stable and maintaining intracranial pressure in optimal condition. Hemodynamics stabilitations by maintaining MAP 70-100 mmHg. The operation held for 2.5 hours, after the operation, the patient was moved to the recovery room and received for further treatment in the surgical care room. Faster management of head injuries, resuscitation with cerebral protection and management of intensive therapy can improve the outcome of patients.
Seorang Laki-Laki Usia 27 Tahun dengan Gangguan Panik Kadek Aryati; Cahyaningsih Fibri R
Medula Vol 9 No 4 (2020): Medula
Publisher : Lakuna

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Panic disorder is an ongoing public health problem. Panic disorder is an unexpected experience of panic attacks followed by persistent fears about the possibility of repeated attacks or changes in behavior in daily life as a result of these attacks. Women 2-3 times more suffer from this disorder than men. there are very anxiety episodes, their duration is short, repetitive, and unpredictable, followed by typical clinical manifestations. Factors that influence biological, genetic or psychosocial factors. Management with pharmacotherapy and psychotherapy. In this case, a 27-year-old man with complaints of fear and anxiety that occurred suddenly and did not know the cause since 6 months ago. Feelings of fear and anxiety come at any time and in any situation.
Manajemen Anastesi pada Laminektomi pada Cedera Vertebra Servikal V-VI di RSUD Dr. H. Abdul Moeloek, Bandar Lampung Fairuz Nabila Afia; Bambang Eko Subekti
Medula Vol 9 No 4 (2020): Medula
Publisher : Lakuna

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Cervical spinal cord injuries can occur directly or inderectly that can cause neurological disorder or death. Cervical injuries occur 2-3% of all cedera events and 8,2% of all cederas that cause of death. Symptoms of cervikal cedera can be partial or loss of limb movements and / or sensation that can be in calssified as complete or incomplete. A 40 year-old man with complaints of weakness and tingling in all four limbs since 3 days before entering the hospital, patient had history of motorcycle accidents. Resuscitation and protection of cervical vertebrae have been carried out, which aim to preventing or minimize other damage to the nervous system after servikal injury , increase the patient's recovery and planning specifically during perioperative, including airway management, induction, general anesthesia, and recovery phase. The purpose of this case report is to find out the anesthetic management in the form of planning, description of clinical problems, identifying the risk factors that cause and providing the best management for patients.
Potensi Isoflavon Genistein Sebagai Terapi Suportif Imunonutrisi Pada Pasien Kanker Payudara Regina Triswara; Ahmad Farishal; Bintang Abadi Siregar
Medula Vol 9 No 4 (2020): Medula
Publisher : Lakuna

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Breast cancer is a malignancy in breast cells that grow out of control with a variety of mechanisms and risk factors. Breast cancer can be started from the ducts or lobular breasts. Breast cancer has a high incidence and high mortality in the Asian region due to various things, especially the process of early detection and therapy. Prevention stage is preferred over surgical or chemotherapy therapy. The condition of breast cancer patients must have a strong and tough immune system to supply cancer cells so that the need for proper nutrition is very much needed. Soybeans are rich in isoflavones known as antioxidants, antibacterial and most recently have anticancer potential. Genistein isoflavones in soybeans will be more active after the fermentation process and show the potential of cancer cell inhibitors by changing the phase of carcinogenesis with hormone receptor pathways and Nf-Kb-Akt signaling. Genistein is also proven as an inhibitor of angiogenesis in cancer cells. Further clinical trials need to be carried out on safety and the right dosage to be applied as immunonutrition in breast cancer patients.
Penatalaksanaan Holistik pada Remaja Laki-Laki dengan Urtikaria Kronik Tanpa Angioedema et causa Rangsangan Fisik Veronica Debora; Reni Zuraida
Medula Vol 9 No 4 (2020): Medula
Publisher : Lakuna

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Urticaria is skin disease characterized by the sudden appearance of wheals and/or angioedema. Chronic urticarial is characterised by the recurrence of hives/angioedema for >6 weeks. The disease is a common and important clinical problem in care and treatment so that it becomes a diagnostic and therapeutic challenge. This study is a case report. Primary data obtained through history taking, physical examination, and home visits. Secondary data were obtained from the patient's medical record. At the first visit, the patient’s complaints were obtained which appeared reddish bumps on the neck, chest, back, both arms and thighs. Internal risk factors in patients are the lack of patient knowledge about the disease they are experiencing, as well as the causes/factorsat influence it and how to prevent the disease, curative treatment patterns, lifestyle: frequent swimming in the river during the day, bathing habits that are less clean and irregular . External risk factors for patients are families seeking medical treatment if complaints are already disturbing (hygiene around the outside of the house is lacking), neighborhoods and playgrounds in dense residential areas surrounded by rice fields. The second visit was an intervention with a family conference method using pictorial leaflet media. The third visit showed complaints of redness and red itching due to the patient taking loratadine 10 mg and dexamethasone 0.5 mg. Patients already have better lifestyle patterns such as maintaining personal hygiene and the environment. There is an increase in patient knowledge about the disease experienced, as well as the causes / factors that influence it and how to prevent the disease experienced, characterized by an increase in post-test scores by 6 points.

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