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Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan
Published by Universitas Harapan Bangsa Purwokerto
ISSN : 19791034     EISSN : 26561034     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Viva Medika Is a journal that publishes articles or research results relating to health, nursing and midwifery issues. Viva Medika is published by Harapan Bangsa University twice a year (September and February). The mission of the Journal of Viva Medika is to disseminate and discuss scientific writings on midwifery, nursing, and various issues within the scope of health problems. This journal is intended as a medium of communication for lecturers and people who have attention to health, obstetrics, nursing.
Arjuna Subject : -
Articles 571 Documents
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Analysis of Risk Factors for Stunting at Semanding Public Health Center, Tuban, Indonesia Valentino Christianto; Adji Prayitno; Sylvi Irawati; April Nuraini
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1347

Abstract

Stunting is a health problem in all developing countries. Stunting causes low intellectual capacity in children, lowers competitiveness, and reduces the quality of human resources in the future. The purpose of this study was to determine the factors causing stunting that can be used as a measure for stunting prevention. A descriptive analysis was conducted using an observational method with a case-control design at the Semanding Community Health Center, Tuban Regency. Sampling was carried out using a total sampling technique with 130 respondents, divided into two groups: mothers with stunted toddlers (65 respondents) and mothers with non-stunted toddlers (65 respondents) from October to December 2023. Bivariate and multivariate data analyses were performed. Significant differences were found in the median maternal age at delivery (p=0.044), child's age when starting complementary foods in addition to breastfeeding (p=0.019), and timing of breastfeeding initiation after birth (p=0.025). The relationship between child characteristics that statistically significantly influenced the incidence of stunting was early initiation of breastfeeding (p=0.027). Early initiation of breastfeeding tended to influence the incidence of stunting
Analysis of Antidiabetic Drug Utilization at Cilacap Regional General Hospital in 2022 Using ATC/DDD and DU90% Methods Irma Nur Oktavina; Sunarti; Galih Samodra
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1349

Abstract

Diabetes mellitus is a chronic disease caused by metabolic disorders characterized by elevated blood glucose levels or hyperglycemia. The aim of diabetes mellitus treatment is to control blood glucose levels within the normal range, eliminate accompanying clinical symptoms, and reduce the risk of acute complications. To achieve therapeutic goals, pharmacological therapy can be administered using antidiabetic drugs. This research is an observational study involving retrospective data collection of outpatients with type 2 diabetes mellitus who used antidiabetic drugs. The prescribed antidiabetic drugs were then analyzed using the Anatomical Therapeutic Chemical (ATC) and Defined Daily Dose (DDD) methods. Data on antidiabetic drugs were collected and entered into the Microsoft Excel program to calculate the DDD/1000 KPRJ value and the 90% Du segment. The results showed that there were 7 antidiabetic drugs used, namely glimepiride, gliquidone, gliclazide, metformin, acarbose, vildagliptin, and pioglitazone, with glimepiride having the highest DDD value of 445.92 DDD/1000 KPRJ and gliquidone having the lowest DDD value of 128.70 DDD/1000 KPRJ. Meanwhile, glimepiride and metformin were the antidiabetic drugs included in the 90% Du segment.
Microbiological Examination of Imported Cosmetic Products in the Kurdistan/Iraq Market: A Comprehensive Analysis Yousif Hamed Mohamed-sharif; Bizhar Ahmed Tayeb; Farhad Ramadhan Choli; Hivi Salim Khamo; Mohammed Mahmood Ibrahim
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The presence of diverse nutrient levels in cosmetics can facilitate microbial proliferation. Typically, bacteria such as Staphylococcus, Pseudomonas, and Klebsiella spp. are implicated in the contamination of cosmetic products. It is highly plausible that the microorganisms identified in cosmetic items emanate from contaminated water sources. The primary aim of this study was to perform a comprehensive microbial analysis of specific brands of cosmetics frequently utilized in Iraqi communities. The scrutinized products encompassed a range of items, including hair shampoo, hair conditioner, skin cream, wet wipes, toothpaste, liquid soap, and baby shampoo. Within the scope of this investigation, 84 cosmetic products were examined, revealing a contamination rate of 7.14%. Predominantly, bacterial contamination was identified, with an absence of fungal contamination. Notably, hair shampoo exhibited the highest level of contamination among the examined products categories. The recovery of total viable bacterial counts was observed across all contaminated samples, including coliforms, Staphylococcus, and Pseudomonas sp. The findings of the microbial investigation indicate an elevated concentration of total viable microorganisms in all samples. Consequently, these compromised products pose substantial health risks to consumers
Drug Utilization Analysis in Stroke Patients at Cilacap Regional Public Hospital Using the ATC/DDD Method and DU 90% Argi Asih; Sunarti; Khamdiyah Indah Kurniasih
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1353

Abstract

Stroke is a serious medical condition in which the blood supply to the brain is disrupted, leading to the death of brain cells. The use of stroke medications aims to prevent and treat thromboembolism, and the increased use of stroke medications reflects the high global morbidity and mortality rates. This study aims to describe the utilization of drugs for stroke in patients treated at Cilacap Regional Public Hospital in 2022. The research method used was a descriptive study with a retrospective approach, referring to medical record data. A total of 167 samples were taken by purposive sampling, and the samples were evaluated using the ATC/DDD method and DU 90%. The results showed that the highest DDD/100 bed days value was for oral Acetylsalicylic Acid at 128124.19, and the lowest DDD/100 bed days value was for intravenous Phytomenadione at 6.73. The stroke medication included in the DU 90% was the ischemic stroke drug, oral Acetylsalicylic Acid, with a DU% value of 97.61%. The stroke medications in the 10% segment were the ischemic stroke drugs, namely oral Clopidogrel, oral Cilostazol, and oral Warfarin, as well as the hemorrhagic stroke drugs, intravenous Tranexamic Acid and intravenous Phytomenadione. The DDD per 100 bed days value for stroke medications exceeded the WHO's appropriateness criteria.
Characterization of Pregelatinized, Pentanol and Acetylated Modified Primary Starch Desy Nawangsari; Rani Prabandari; Dina Febrina
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1354

Abstract

Tablets are pharmaceutical preparations consisting of active ingredients and excipients. One of the commonly used excipients is starch. (Colocasia esculenta (L). Schott var, Pratama) is a plant that contains a high source of starch. The use of natural starch in tablets has limitations in the form of less fast flow and poor compressibility. The purpose of this study was to modify natural starch by pregelatinization, pentanol and acetylation. This research was conducted using laboratory experimental methods, starting with sorting the starch tubers of (Colocasia esculenta (L). Schott var, Pratama), starch isolation, modification and characterization of the resulting starch. The characterization results showed that the flow rate of natural starch, pregelatinized, pentanol and acetylated sequentially was 1.9 ± 0.19; 2.15 ± 0.37; 1.35 ± 0.15; and 1.95 ± 0.14 g/s with an angle of repose of 20.49 ± 1.99; 17.12 ± 1.99; 22.92 ± 1.18 and 20.06 ± 1.97°, while the compressibility value is 20.23 ± 5.31; 15.47 ± 3.03; 21, 09 ± 2.8 and 19.09 ± 2.05%.
The Relationship between Knowledge Level and Medication Adherence Among Hypertensive Patients in Pekuncen Village Zulfa Rofiqoh; Pramesti Dewi; Siti Haniyah
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1356

Abstract

Hypertension is a non-communicable disease that is sometimes encountered in healthcare services and can cause problems in the health sector. A common problem is non-adherence of patients to taking medications due to a lack of knowledge. The purpose of this study was to determine the relationship between knowledge level and medication adherence among hypertensive patients in Pekuncen Village. This quantitative study utilized a correlational research design with a cross sectional approach and purposive sampling technique with a sample of 71 hypertensive patients. Data was collected using a knowledge questionnaire and the MMAS-8. This study showed that the knowledge level was moderately adequate (45.1%) and medication adherence was moderate (40.8%). Analysis using the Spearman rank statistical test resulted in an r value of 0.661 indicating a strong relationship between the two variables. The p value was <0.001, meaning there is a relationship between knowledge level and medication adherence among hypertensive patients in Pekuncen Village.
The Correlation between Quality of Work Life and Job Satisfaction Among Nurses at RSU Dadi Keluarga Purwokerto Hospital Utami, Pambajeng; Tri Sumarni; Pramesti Dewi
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1357

Abstract

Job satisfaction is an important focus in healthcare services as it can affect patient satisfaction levels. Nurses feel satisfied when they experience good quality of work life, as job satisfaction itself is influenced by the level of quality of work life they undergo. The purpose of this study was to identify the relationship between quality of work life and job satisfaction levels at Dadi Keluarga Purwokerto Hospital. This research was conducted using quantitative methods and a cross-sectional approach. All 44 nurses at the hospital were made research subjects using total sampling technique. The job satisfaction measurement tool used was the Minnesota Satisfaction Questionnaire (MSQ), while quality of work life was measured through a Quality of Work Life questionnaire. The results showed that 77.2% of nurses had moderate levels of job satisfaction, while 81.8% had fairly good quality of work life. Spearman Rank analysis resulting in a p-value of 0.00 (<0.05) meant that the null hypothesis (Ho) was rejected and the alternative hypothesis (Ha) was accepted, with a correlation coefficient of 0.588 indicating a strong relationship between quality of work life and job satisfaction among nurses at  Dadi Keluarga Purwokerto Hospital. This study advises nurses to further improve their quality of work life to determine strategies to enhance job satisfaction. Future researchers are recommended to examine other aspects such as commitment, work stress, work culture in relation to nurses' quality of work life and job satisfaction. Dadi Keluarga Purwokerto Hospital is also advised to establish a supportive work environment to achieve good quality of work life and job satisfaction.
Evaluating the Triple Elimination Screening Program for Pregnant Women in Rokan Hilir District, Indonesia Riauni Syaputri; Budi Hartono; Azzah Rawani
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1358

Abstract

The Triple Elimination program aims to prevent mother-to-child transmission of HIV, hepatitis B, and syphilis during pregnancy. This qualitative phenomenological study evaluated the implementation of the Triple Elimination program among pregnant women at the Rokan Hilir District Health Office in Indonesia. Five informants were purposively selected for in-depth interviews and document reviews. Data were analyzed using fishbone and SWOT analyses. Major barriers included limited knowledge and motivation among pregnant women due in part to inadequate midwife competencies in conducting screenings, insufficient health promotion infrastructure and activities, budget constraints, limited involvement of community stakeholders, and lack of supportive policies. Recommendations encompass enhancing midwife competencies, garnering policymaker support, optimizing community health cadres' roles, employing mobile health education strategies, and fostering partnerships through a Pentahelix approach. This streamlined abstract concisely summarizes the key aspects of the study including aims, methods, findings, and conclusions in clear language appropriate for an international audience
The Relationship between Self-Awareness Behavior and Nurses' Ability to Implement Patient Safety Titania Nur Rizkya; Supratman
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1359

Abstract

The nurse's self-awareness behavior and ability play a very important role in patient safety. The nurse's behavior and ability play a very important role in patient safety performance. The purpose of this study was to determine the relationship between nurses' self-awareness behavior in carrying out patient safety at Dr. Moewardi Surakarta Hospital. This research is a quantitative research with a cross sectional design. The sample in this study amounted to 99 nurses. The study was conducted in January 2024 at Dr Moewardi Hospital Surakarta. The research instrument uses questionnaires developed by researchers. The results showed that the majority of respondents who had good self-awareness behavior also had good patient safety implementation as many as 71 people (80.7%). Meanwhile, respondents who had poor self-awareness behavior also had poor patient safety implementation as many as 6 people (2.6%) and obtained a significance value of 0.026. The results of the study can be concluded that there is a relationship between nurses' self-awareness behavior and patient safety at Dr. Moewardi Surakarta Hospital.
Analysis of Factors Associated with Neonatal Mortality Syarifah; Mayetti; Defrin
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1361

Abstract

Neonatal mortality remains a leading cause of infant death despite being a key factor in child health and survival. This study analyzed factors related to neonatal mortality at Rokan Hulu District General Hospital using a quantitative, retrospective case-control approach. The 68 respondents (34 cases, 34 controls) were selected through purposive sampling. Data analysis used a logistic regression model. Prematurity emerged as the most influential variable (p=0.019), carrying a 4.344 times higher risk of neonatal death versus full-term births, after controlling for low birth weight and respiratory distress syndrome.

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