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Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 30465192     EISSN : 30465184     DOI : 10.62383
Core Subject : Health,
Health Professions Public Health
sub rumpun Ilmu Kedokteran dan Kesehatan, Spesialis, Ilmu Kedokteran Akademik, Spesialis Kedokteran gigi dan mulut, Kedokteran Gigi Akademik.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 210 Documents
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Laporan Kasus: Manajemen Anemia Hemolitik Autoimun (AIHA) pada Wanita Berusia 38 Tahun Berlie Kleinfelter Neonufa; Martino Handoyo
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2964

Abstract

Background: Autoimmune Hemolytic Anemia (AIHA) is a rare immunological condition that causes the destruction of red blood cells through autoantibodies. Case Presentation: This report discusses the case of a 38-year-old woman who presented with complaints of weakness and acute dizziness at RedaBolo, with a history of recurrent anemia over the past six months. Physical examination revealed clear signs of hemolysis, including icteric sclera and splenomegaly. Laboratory findings confirmed severe anemia (Hb 5.0 g/dL) with varied peripheral blood cell morphology (spherocytes, schistocytes, and teardrop cells). The diagnosis was supported by a positive Coombs test and hyperbilirubinemia.  Management: The therapeutic strategy focused on hemodynamic stabilization through transfusion of 4 units of packed red blood cells (PRC), immunosuppression with methylprednisolone 125 mg/day, and gastric protection. Conclusion: These interventions yielded satisfactory results, with the patient achieving significant clinical improvement and a hemoglobin level of 9.5 g/dL by the fourth day of treatment.
Prevalence of Anemia and Risk Factors of Anemia in Pregnant Women: A Cross-Sectional : Study at Saritani Community Health Center, Boalemo Siti Indrayani; Rani Safitri
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): April : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.2969

Abstract

Anemia in pregnant women is a public health problem that remains high in Indonesia and impacts maternal health and fetal development. This study aims to determine the prevalence of anemia and risk factors in pregnant women at the Saritani Community Health Center, Boalemo. The study used a cross-sectional design on 28 pregnant women selected by purposive sampling. Data were collected through interviews using a structured questionnaire and hemoglobin level examination (HemoCue). Descriptive and bivariate analyses using the Chi-Square test were performed, with p < 0.05 as the significance limit. The results showed a prevalence of anemia of 42.9 % . Factors significantly associated with anemia included education level (p = 0.041), adherence to Fe tablet consumption (p = 0.022), parity (p = 0.037), and pregnancy spacing (p = 0.049). Mothers with low education, non-adherence to Fe tablet consumption, high parity, or pregnancy spacing <2 years had a higher risk of developing anemia. Age and diet did not show a significant association.
The Relationship Between Family Socioeconomic Status and Feeding Patterns for Toddlers at the Saritani Community Health Center, Boalemo Sitti Hermawati S. Napu; Rani Safitri
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 1 (2025): Januari : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i1.2970

Abstract

Toddlers are a critical age group 0–59 months who require optimal nutritional intake to support physical and cognitive growth and development. The quality of toddler feeding patterns is influenced by family socioeconomic factors, including income, education, and parental occupation. This study aims to analyze the relationship between family socioeconomic status and toddler feeding patterns in the working area of the Saritani Community Health Center, Boalemo Regency. This study used an observational design with a cross-sectional approach and involved 40 respondents selected using purposive sampling. Data were collected through structured questionnaires, interviews, observations, and secondary data from the Community Health Center, then analyzed using the Chi-Square test with a significance level of p < 0.05 . Results: Most families have middle (45%) and low (40%) socioeconomic status. Good feeding patterns are received by 55% of toddlers, while 45% have inadequate feeding patterns. The analysis shows a significant relationship between family socioeconomic status and toddler feeding patterns (p = 0.043). Families with low incomes and limited maternal education tend to provide food with less than optimal variety and nutritional content. Conclusion: Family socioeconomic status has a significant influence on toddler feeding patterns in Saritani.
The Effectiveness Of Nutrition Education on Improving the Nutritional Status of Pregnant Women at the South Bulango Public Health Center Nur Fadhilah R. Husain; Raden Maria Veronika Widiatrilupi
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): April : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.2973

Abstract

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.
Laporan Kasus Penyakit Kusta Tipe Multibasilar (MB) on Therapy dengan Penekanan pada Health Seeking Behavior Pasien di Puskesmas Muara Batu Muhammad Farhan; Fury Maulina
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2979

Abstract

Leprosy remains a significant public health problem in various developing countries, including Indonesia. This disease is caused by Mycobacterium leprae, which attacks the skin and peripheral nerves and can cause long-term physical, psychological, and social impacts if not treated early and adequately. Health-seeking behavior in leprosy patients is also influenced by structural factors such as the availability of health facilities, distance, transportation costs, and the quality of communication between health workers and patients. Research in various endemic countries confirms that friendly, accessible primary health care services that provide comprehensive education can improve early detection and therapy adherence. Patient SA, an 11-year-old child diagnosed with multibacillary (MB) leprosy and has been undergoing treatment for four months. The progression of the disease to MB indicates limitations in early symptom recognition and the family's health-seeking behavior, which may be influenced by low perceptions of disease susceptibility and severity, lack of knowledge, and barriers to accessing health services. However, after the diagnosis was confirmed and education provided by health workers, positive behavioral changes occurred, indicated by the patient's adherence to routine therapy as recommended.
Pemanfaatan Program Makan Bergizi Gratis Berdasarkan Teori ABC : Studi Kasus Siswa yang Tidak Memanfaatkan MBG di SD Negeri 100 Kendari Dhea Sakila; Hartati Bahar; Putu Eka Meiyana Erawan
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2985

Abstract

The issue of nutrition among school children remains a public health challenge in Indonesia. As an effort to improve the nutritional status of students, the government launched the Free Nutritious Meal program (MBG) in educational units. However, in its implementation, there are still students who do not take advantage of the program. This study aims to identify the reasons why students do not utilize the Free Nutritious Meal (MBG) program based on the (ABC) theory of antecedent, behavior, consequence at SD Negeri 100 Kendari. This research uses a qualitative method with a case study approach. The number of informants to be studied is 6 people selected through Purposive Sampling, consisting of students, the principal, teachers, SPPG officers, and parents. Data collection is conducted through in-depth interviews, recording, observation, and documentation. The data are analyzed through the stages of data reduction, data presentation, and drawing conclusions. Research results show that the antecedent of students' knowledge about the MBG program is at the level of knowing to understanding, the application of the provided menu has been in accordance with balanced nutrition principles, and the program policy is supported by various parties. Students' behavior shows rejection of the program influenced by negative experiences, perceptions of the halalness of food containers, and parental prohibitions. The consequence of students not participating does not directly have a negative impact on their learning conditions or physical health, because nutritional needs are still met from other sources. Therefore, students have no motivation to utilize the program. In conclusion, students who do not take advantage of the MBG program are influenced by perceptions, experiences, and parental restrictions. Therefore, it is necessary to improve education, strengthen communication, and enhance the quality of program implementation to increase the utilization of the MBG program.
Manajemen Pasien Kejang Demam Kompleks di Ruang Rawat Inap Anak RSUD Cut Meutia Aceh Utara M. Doli Reza Lubis; Mauliza Mauliza
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2994

Abstract

Febrile seizures are seizure episodes that occur in association with an elevation in body temperature (rectal temperature >38°C) caused by an extracranial process. Febrile seizures are classified into two types: simple febrile seizures and complex febrile seizures. The World Health Organization (WHO) estimated that in 2019 there were 18.3 million cases of febrile seizures worldwide, with approximately 154,000 resulting in death. This case report discusses a patient, An YZ, a 1 year and 5-month-old female, who was brought to the emergency department of Cut Meutia Hospital with a chief complaint of seizures. The seizures began two days prior to hospital admission, characterized by generalized tonic stiffening and clonic movements involving the entire body. Each episode lasted approximately 5 minutes. The seizures occurred twice, initially at 7:00 PM and subsequently at 9:00 PM. The patient was diagnosed with complex febrile seizures associated with morbilli and very mild microcytic hypochromic anemia due to iron deficiency anemia. Pharmacological management included cefotaxime, ranitidine, ondansetron, paracetamol, ambroxol, cetirizine, diazepam (Stesolid), and vitamin D. After three days of hospitalization, the patient showed clinical improvement and was discharged.
Pengaruh Aromaterapi Sebagai Alternatif Terapi Stress dan Kecemasan Pada Ibu Hamil Maulia Azda; Afrina Zulaikha
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.2995

Abstract

Pregnancy is a period marked by significant emotional challenges for expectant mothers, with stress and anxiety being common issues that may adversely affect maternal well-being and fetal development. The limited availability of safe treatment options for pregnant women, particularly concerning pharmacological interventions, has prompted the exploration of more natural and non-invasive therapeutic alternatives. One increasingly popular method is aromatherapy, which utilizes essential oils to stimulate the limbic system in the brain, thereby promoting relaxation and reducing anxiety. This study aims to explore the effects of aromatherapy in lowering stress and anxiety among pregnant women through a literature review. The method employed involves collecting and analyzing findings from previous studies regarding the use of aromatherapy in pregnancy. Based on the available evidence, aromatherapy—particularly with lavender essential oil—has been proven effective in lowering levels of stress and anxiety in pregnant women. Several studies report a reduction in anxiety levels of up to 40% following the inhalation of lavender oil. However, factors such as the type of essential oil used, the method of application, and individual sensitivity may influence therapeutic outcomes. Despite its potential benefits, the safety of aromatherapy use remains a concern, particularly regarding essential oils that may be unsafe for use during pregnancy.
Diabetes Melitus Tipe 2 dengan Masalah Geriatri, Gangguan Elektrolit, dan Pneumonia pada Pasien Lansia Inna Dwi Raisa; Maulina Debbyousha
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.3008

Abstract

Diabetes mellitus type 2 is a chronic metabolic disorder that frequently affects elderly patients and is often accompanied by multiple comorbidities. The increasing prevalence of diabetes in the aging population contributes to higher morbidity and mortality, especially when complicated by geriatric syndromes, electrolyte imbalances, and infections such as pneumonia. This study aims to present a case of type 2 diabetes mellitus in an elderly patient with associated geriatric problems, electrolyte disturbances, and pneumonia. The method used is a descriptive case report based on clinical findings, laboratory examinations, and radiological assessment. A 76-year-old male presented with generalized weakness, weight loss, decreased appetite, respiratory symptoms, and functional decline. Physical examination and laboratory findings revealed uncontrolled diabetes, electrolyte imbalance, hypoalbuminemia, and signs of infection. Chest radiography confirmed pneumonia. Management included pharmacological therapy such as antibiotics, fluid and electrolyte correction, and supportive care, along with non-pharmacological interventions including dietary regulation and monitoring. The findings highlight the complexity of managing elderly patients with multiple comorbid conditions, emphasizing the need for a comprehensive and multidisciplinary approach. Early detection and appropriate management are essential to improve clinical outcomes and prevent further complications in geriatric patients with diabetes mellitus.
Degradation of Pesticide Residues Cherizeb and Emacel in Chili Washing Water using ZnO/Zeolite Catalyst through Photolysis Zilfa; Safni; Benny Damas Putra
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.3014

Abstract

Chili (Capsicum annuum L) ) is one of the most important horticultural commodities widely consumed in Indonesia and has high economic value. To maintain productivity and prevent pest attacks, farmers commonly apply chemical pesticides intensively. However, excessive and improper pesticide application can leave harmful residues on the surface and within the tissues of chili fruits. The accumulation of these residues not only poses health risks to consumers but also contributes to environmental pollution, particularly in wastewater generated from chili washing activities. This study aims to reduce pesticide residues of Cherizeb and Emacel in chili washing water using the photolysis methodassisted by a ZnO/zeolite catalyst. Zinc oxide (ZnO) acts as a photocatalyst activated by ultraviolet (UV) light to produce reactive hydroxyl radicals (•OH) capable of decomposing complex organic compounds into simpler compounds such as CO₂ and H₂O. Meanwhile, zeolite is used as a catalyst support due to its large surface area and high adsorption capacity, allowing adsorption and photocatalytic processes to occur simultaneously. The results showed that the photolysis method using the ZnO/zeolite catalyst significantly reduced pesticide residues, with optimum degradation efficiencies of 85.66% for Cherizeb using 0.8 g ZnO/zeolite under UV irradiation for 60 minutes, and 83.97% for Emacel using 0.8 g ZnO/zeolite under UV irradiation for 75 minutes. The samples were characterized using Fourier Transform Infrared Spectroscopy (FTIR) to identify functional groups, indicating the disappearance of specific organic functional groups. Pesticide residues on chili samples were analyzed using UV-Vis spectrophotometry to determine concentrations before and after treatment. X-Ray Diffraction (XRD) analysis confirmed that the crystalline structure of the catalyst remained stable after the photolysis process. Based on these findings, the ZnO/zeolite catalyst is proven to be effective in reducing pesticide residues through photocatalytic degradation and has the potential to be applied as a safe, efficient, and environmentally friendly post-harvest technology to improve the quality of agricultural products.

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