Universitas Malahayati

Dyslipidemia is a major metabolic disorder and a key risk factor for atherosclerotic cardiovascular disease (ASCVD), particularly in the geriatric population. Elderly patients frequently present with multiple comorbidities, such as hypertension and hyperuricemia, which complicate clinical management and substantially increase cardiovascular risk. Moreover, acute conditions, including trauma-related injuries, may further disrupt metabolic control, functional capacity, and adherence to long-term therapy. This case report describes a 70-year-old male patient (RE) who presented to a primary healthcare center with swelling and intermittent pain in the right lower extremity following a fall. The patient had a known history of dyslipidemia, hypertension, and hyperuricemia. Laboratory investigations revealed elevated total cholesterol (242 mg/dL), borderline fasting plasma glucose (102 mg/dL), and uric acid level of 6.6 mg/dL. Physical examination was unremarkable except for edema and localized tenderness in the affected limb, consistent with a soft tissue injury. A holistic management approach was implemented, integrating pharmacological and non-pharmacological interventions. Statin therapy was initiated to address dyslipidemia, antihypertensive treatment was optimized, and analgesic therapy combined with limb elevation was provided to manage acute pain and edema. Non-pharmacological strategies included comprehensive lifestyle modification, encompassing dietary counseling (low saturated fat, low salt, and low purine diet), gradual resumption of physical activity following injury recovery, and structured patient–family education to improve adherence and prevent recurrent falls. Follow-up evaluation demonstrated clinical improvement, including resolution of edema, improved functional mobility, and better metabolic control. The novelty of this case lies in demonstrating how acute trauma in geriatric patients can act as a critical entry point for integrated chronic disease management within primary care settings. This case emphasizes that holistic, biopsychosocial–spiritual management not only improves lipid and blood pressure control but also enhances functional outcomes and quality of life in elderly patients with complex comorbidities.

Introduction: Nephrolithiasis represents a significant global health burden with increasing prevalence. Although hyperuricemia has been implicated in kidney stone pathogenesis, evidence from Indonesian populations remains heterogeneous and has not been systematically synthesized. This systematic review aims to comprehensively evaluate the relationship between uric acid levels and kidney stone risk, quantify the strength of association, identify modifying factors, and address existing research gaps regarding population-specific evidence. Methods: A systematic review was conducted following standardized screening protocols. Eight electronic databases were searched for observational studies examining the association between serum/blood uric acid or dietary uric acid intake and kidney stone formation. Studies were included if they involved adult human participants (≥18 years), reported quantitative measures of association, and examined kidney stones broadly. Data were extracted regarding study design, population characteristics, uric acid measurement methods, kidney stone definition, effect estimates, and modifying factors. Results: The proportion of kidney stone patients with elevated serum uric acid ranged from 55.3% to 66%, with mean levels between 6.7–7.3 mg/dL. Case-control studies demonstrated strong positive associations between high uric acid consumption and kidney stone risk (OR=6.756; 95% CI: 2.156–21.163; p=0.001). Dietary purine intake showed the strongest effect (OR=13.417; 95% CI: 3.042–59.171). The systematic review identified a dose-response relationship wherein nephrolithiasis risk increases progressively with rising serum uric acid levels. Age (p=0.050) and blood pressure (p=0.050) demonstrated significant associations with hyperuricemia in stone patients. Acidic urinary pH (<7) was observed in 77.1% of patients. Three studies reported no significant association, attributable to different stone type populations (calcium oxalate) versus uric acid nephrolithiasis. Discussion: This review provides the first synthesized evidence from Indonesian populations confirming hyperuricemia as a significant, dose-dependent risk factor for kidney stones, particularly among middle-aged males with metabolic comorbidities. The six- to seven-fold increased risk associated with high purine intake exceeds effect sizes reported in Western populations, suggesting possible population-specific genetic or dietary susceptibility. The dissociation between serum uric acid and urinary crystal excretion identified in one study challenges the adequacy of serum measurement alone as a risk stratification tool. Conclusion: Elevated uric acid levels are significantly associated with increased kidney stone risk in Indonesian populations, with dietary purine intake representing the strongest modifiable risk factor. Routine serum uric acid screening is recommended for adults with metabolic syndrome or family history of nephrolithiasis. Future prospective cohort studies with standardized uric acid measurement and stone composition analysis are urgently required.

Penyakit Paru Obstruktif Kronik (PPOK) merupakan masalah kesehatan global yang dapat menyebabkan kecacatan hingga kematian. Banyak kasus PPOK tidak terdiagnosis, terutama di layanan kesehatan primer, karena gejala yang ringan atau tidak muncul sama sekali. Kuesioner PUMA adalah alat skrining sederhana dan efektif untuk mengidentifikasi individu dengan risiko tinggi PPOK. Selain itu, pengukuran fungsi paru menggunakan peak flow meter dapat mendukung deteksi dini. Penelitian ini bertujuan untuk menggambarkan skor kuesioner PUMA dengan hasil pengukuran laju ekspirasi puncak (APE) pada petugas keamanan di RSUD Dr. H. Abdul Moeloek. Sebanyak 63 orang menjadi partisipan dalam studi kuantitatif dengan desain potong lintang ini. Data dikumpulkan melalui kuesioner PUMA dan pemeriksaan APE menggunakan peak flow meter. Hasil menunjukkan bahwa 32 orang (50,8%) memperoleh skor 1 pada kuesioner PUMA, 21 orang (33,3%) skor 2, 8 orang (12,7%) skor 3, dan 2 orang (3,2%) skor 4. Berdasarkan APE, sebanyak 24 orang (38,1%) memiliki nilai normal, 2 orang (3,2%) memiliki nilai 50% dari normal, dan 37 orang (58,7%) berada pada kisaran 50%–80% dari nilai normal. Temuan ini menunjukkan bahwa sebagian besar petugas keamanan berisiko mengalami gangguan fungsi paru, sehingga penting dilakukan skrining dan pencegahan sejak dini pada kelompok pekerja beresiko.

Preeklampsia merupakan komplikasi kehamilan serius dan masih menjadi penyebab utama kematian ibu dan bayi baru lahir di dunia, termasuk di Indonesia. Sindrom ini umumnya terjadi setelah usia kehamilan 20 minggu dengan tanda hipertensi dan proteinuria. Penelitian ini bertujuan untuk mengetahui hubungan antara usia ibu dan kejadian preeklampsia di Rumah Sakit Bintang Amin Bandar Lampung tahun 2022–2024, khususnya pada kelompok usia ibu lanjut. Penelitian menggunakan desain observasional cross-sectional dengan pendekatan kuantitatif. Sampel terdiri dari 69 ibu hamil trimester kedua atau ketiga yang menjalani pemeriksaan antenatal (ANC) dan bersalin di rumah sakit tersebut. Analisis univariat digunakan untuk mendeskripsikan karakteristik responden, sedangkan analisis bivariat dengan uji Chi-Square dilakukan untuk menguji hubungan antara usia ibu dan kejadian preeklampsia. Hasil penelitian menunjukkan bahwa ibu hamil berusia 35 tahun memiliki risiko preeklampsia lebih tinggi secara signifikan dibandingkan usia 22–35 tahun, dengan odds ratio (OR) 4,103 (p=0,014). Sebanyak 78,0% ibu hamil 35 tahun mengalami preeklampsia, sementara pada kelompok usia lebih muda hanya 46,4%. Hasil ini mengonfirmasi adanya hubungan yang signifikan antara usia ibu dan kejadian preeklampsia. Oleh karena itu, deteksi dini dan pemantauan kehamilan yang lebih intensif pada kelompok usia berisiko tinggi diperlukan untuk menurunkan angka kejadian dan komplikasi preeklampsia.

This study aims to determine the influence of financial literacy, socioeconomic status, and pocket income on student financial management. The method used is a qualitative approach with semi-structured interview techniques and an open questionnaire to 50 students of the Accounting Study Program Class of 2023 at Malahayati University Bandar Lampung. The results of the study show that these three variables have an influence on student financial management behavior. Students with good financial literacy tend to be able to budget and manage expenses wisely. The socioeconomic status of the family also shapes the financial stability of students through the financial support provided. In addition, a sufficient allowance income encourages students to plan their finances better, although the amount of allowance does not necessarily guarantee effective management skills. The limitations in this study lie in the limited scope of respondents and have not considered other variables such as lifestyle or the influence of the social environment. This research contributes to enriching the understanding of factors that affect student financial management and can be an input for the campus and parents in supporting the financial literacy of the younger generation.

Students’ limited interest in reading English texts is often associated with low levels of reading comprehension. This study aimed to improve students’ reading comprehension through the implementation of the Index Card Match strategy in an English classroom. The research adopted a classroom action research design based on the Kemmis and McTaggart model, consisting of two cycles, each comprising planning, action, observation, and reflection stages. Data were collected through observation sheets, field notes, interviews, reading comprehension tests, and student questionnaires. The quantitative findings demonstrated a progressive improvement in students’ reading comprehension across the research cycles. The proportion of students meeting the predetermined achievement criteria increased from 44% in the pre-test to 70% in Cycle I and further to 91% in Cycle II. Qualitative data supported these results, indicating increased student engagement, enjoyment, and motivation during reading activities. The findings suggest that the Index Card Match strategy is effective in enhancing students’ reading comprehension and creating a more interactive learning environment. Therefore, it is recommended that English teachers consider integrating this strategy into reading instruction, while future studies may explore its application in different educational contexts or through alternative research designs. Keywords : Index Card Match; Reading Comprehension; Class Action Research

Background: Fractures are a common health problem caused by trauma, particularly traffic accidents. Post-operative hand fracture patients commonly experience pain, which, if not properly managed, can interfere with the healing process. Pain management still focuses largely on analgesic medications, while non-pharmacological therapies such as finger holds can be an alternative. Purpose: To determine the effect of finger hold therapy on reducing pain intensity in post-operative hand fracture patients. Method: This quantitative study used a quasi-experimental one-group pretest and posttest design. A sample of 30 respondents was selected using purposive sampling technique according to inclusion criteria. The research instruments used an observation sheet and a Numeric Rating Scale (NRS). Data were analyzed using univariate and bivariate methods using the dependent t-test. Results: The mean and SD of pain intensity before intervention was 6.17 ± 1.020, while after finger hold therapy it decreased to 3.70 ± 1.643. The dependent t-test showed a p-value = 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention. Conclusion: Finger hold therapy is effective in reducing pain intensity in post-operative hand fracture patients. This study suggests that finger hold therapy may be applied as a non-pharmacological intervention alongside analgesics in hospital pain management. Results: The average pain intensity before finger-hold therapy was 6.17±1.020, and after the therapy, it decreased to 3.70±1.643. The dependent t-test yielded a p-value of 0.000<0.05, indicating a significant difference in pain intensity before and after the intervention. Conclusion: Finger-hold therapy is effective in reducing pain intensity in post-hand fracture surgery patients. Therefore, it is recommended that finger-hold therapy be used as a non-pharmacological intervention alongside analgesics in pain management in hospitals. Keywords: Finger-hold; Fracture; Pain Intensity; Post-Operative. Pendahuluan: Fraktur merupakan masalah kesehatan yang banyak terjadi akibat trauma, khususnya kecelakaan lalu lintas. Pasien post operasi fraktur tangan umumnya mengalami nyeri yang jika tidak ditangani dengan baik dapat mengganggu proses penyembuhan. Penanganan nyeri masih banyak berfokus pada obat analgesik, sementara terapi non-farmakologis seperti finger hold dapat menjadi alternatif. Tujuan: Untuk mengetahui pengaruh terapi finger hold terhadap penurunan intensitas nyeri pada pasien post operasi fraktur tangan. Metode: Penelitian kuantitatif dengan desain quasi experimental one group pretest and posttest design. Sampel berjumlah 30 responden yang dipilih dengan teknik purposive sampling sesuai kriteria inklusi. Instrumen penelitian menggunakan lembar observasi dan Numeric Rating Scale (NRS). Analisis data dilakukan secara univariat dan bivariat dengan uji t-dependen. Hasil: Nilai rata-rata intensitas nyeri sebelum diberikan terapi finger hold adalah 6.17±1.020 dan setelah diberikan terapi menurun menjadi 3.70±1.643. Hasil uji t-dependen diperoleh p-value 0.000<0.05 yang menunjukkan terdapat perbedaan signifikan intensitas nyeri sebelum dan sesudah intervensi. Simpulan: Terapi finger hold berpengaruh dalam menurunkan intensitas nyeri pada pasien post operasi fraktur tangan sehingga disarankan agar terapi finger hold dapat dijadikan intervensi non-farmakologis pendamping analgesik dalam manajemen nyeri di rumah sakit. Kata Kunci : Fraktur; Finger Hold; Intensitas Nyeri; Post Operasi.

Keterbatasan pemahaman tentang akuntansi dan rendahnya kesadaran tentang kewajiban pajak masih menjadi hambatan utama dalam pengelolaan keuangan UMKM, termasuk pada UMKM Cahaya Roti di Kemiling, Bandar Lampung. Hal ini menyebabkan efisiensi ekonomi menurun dan berpotensi memicu risiko fiskal. Penelitian ini bertujuan meningkatkan efisiensi ekonomi dengan memberikan edukasi mengenai akuntansi sederhana dan pemahaman mengenai kewajiban perpajakan bagi pelaku UMKM. Metode yang digunakan adalah bentuk pengabdian kepada masyarakat melalui pelatihan langsung, penyampaian materi, diskusi interaktif, praktik pencatatan keuangan dasar, serta simulasi pelaporan pajak. Hasil kegiatan menunjukkan bahwa peserta mengalami peningkatan pemahaman mengenai cara memisahkan keuangan pribadi dan usaha, cara membuat pencatatan transaksi, serta kemampuan mengenali kewajiban pajak sesuai aturan yang berlaku. Selain itu, pelaku UMKM mampu menyusun laporan keuangan sederhana dan memahami manfaat kepatuhan pajak dalam mendukung kelangsungan usaha. Temuan tersebut menunjukkan bahwa pendekatan edukasi berbasis praktik dapat memperkuat literasi keuangan dan kesadaran fiskal, sehingga mendorong efisiensi operasional serta mengurangi risiko administrasi perpajakan. Secara keseluruhan, kegiatan ini berkontribusi pada peningkatan kemampuan manajerial UMKM melalui integrasi akuntansi dan perpajakan sebagai fondasi penting dalam pengelolaan usaha yang lebih efektif dan berkelanjutan. Kata kunci : UMKM (Usaha Mikro Kecil dan Menengah), Literasi Keungan, Kepatuan Pajak, Akuntansi Sederhana, Efisiensi Ekonomi.

Sanitation is an important aspect in the fish feed industry to ensure product quality, product safety, and employee health. PT. CentralPertiwi Bahari is a fish feed industry that has implemented sanitation as part of its product quality assurance system. This study aims to examine the implementation of sanitation at PT. CentralPertiwi Bahari to obtain an overview of the implementation of sanitation based on Permenkes No. 70 of 2016. This study uses a qualitative descriptive method carried out in January-February 2025. Data collection was carried out through observation, interviews, document reviews and scientific literature. Aspects studied include external environmental sanitation, factory environmental sanitation, building sanitation, production process sanitation, raw material sanitation, and employee sanitation. The results of the study indicate that PT. CentralPertiwi Bahari has implemented sanitation in accordance with the provisions of Permenkes No. 70 of 2016 as indicated by clean environmental and building conditions, the availability of good sanitation facilities, proper management of raw materials, and employee sanitation that is consistently implemented. The implementation of sanitation at PT. CentralPertiwi Bahari has supported efforts to maintain quality and occupational health. However, conditions requiring attention, such as water pooling outside the factory during rainy seasons, require remedial measures to optimize sanitation implementation. The results of this study are expected to serve as a basis for company evaluation and a reference for similar industries in improving sustainable sanitation practices.

Obesitas merupakan akumulasi lemak berlebih yang berisiko terhadap kesehatan dan sering dikaitkan dengan pola konsumsi makanan tak sehat, termasuk junk food. Studi ini bertujuan menganalisis hubungan antara konsumsi junk food dengan kejadian obesitas pada mahasiswa Program Studi Pendidikan Dokter Universitas Malahayati Bandar Lampung angkatan 2021, 2022, dan 2023. Studi ini ialah studi kuantitatif dengan desain observasional analitik dan pendekatan cross-sectional. Studi ini memakai 211 sampel yang diambil dengan teknik purposive sampling. Data didapatkan melalui kuesioner tingkat konsumsi junk food dan pengukuran indeks massa tubuh (IMT). Hasil penelitian menunjukkan bahwa mayoritas responden tergolong obesitas (52,6%) dan konsumsi junk food terbanyak berada pada kategori rendah (45,0%). Uji chi-square menunjukkan adanya hubungan yang sangat signifikan antara tingkat konsumsi junk food dengan status obesitas (p = 0,000). Distribusi data memperlihatkan bahwa seluruh responden dengan konsumsi junk food tinggi tergolong obesitas, sedangkan responden dengan konsumsi rendah mayoritas tidak obesitas. Temuan ini mengindikasikan bahwa konsumsi junk food memperbesar risiko obesitas di kalangan mahasiswa kedokteran, yang dapat menjadi perhatian dalam upaya promosi gaya hidup sehat pada kelompok usia produktif.