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INDONESIA
Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
ISSN : 30465192     EISSN : 30465184     DOI : 10.62383
Core Subject : Health,
sub rumpun Ilmu Kedokteran dan Kesehatan, Spesialis, Ilmu Kedokteran Akademik, Spesialis Kedokteran gigi dan mulut, Kedokteran Gigi Akademik.
Articles 271 Documents
Faktor-Faktor yang Berhubungan dengan Kunjungan K6 pada Ibu Hamil Trimester III di Puskesmas Hilimegai Kabupaten Nias Selatan Polius Ndruru; Juliandi Harahap; Razia Begum Suroyo
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3508

Abstract

Background: Maternal Mortality Rate (MMR) in Indonesia remains relatively high, and one strategy to reduce it is monitoring at least six antenatal care (ANC) visits (K6) during pregnancy. A preliminary survey at Hilimegai Health Center showed that K6 coverage declined from 45.4% (2019) to 19.7% (2021), indicating suboptimal utilization of complete ANC services among third-trimester pregnant women. Objective: this study aimed to determine internal factors (education, age, parity) and external factors (socio-culture, distance, transportation access, road infrastructure, facilities) associated with K6 visits among third-trimester pregnant women at Hilimegai Health Center, South Nias Regency. Methods: this study used a mixed methods design with a sequential explanatory strategy, a cross-sectional quantitative approach involving 41 third-trimester pregnant women (total population sampling), followed by in-depth interviews with 5 informants (head of the health center, MCH officer, and midwives). Data were analyzed using univariate and bivariate chi-square tests (α=0.05). Results: all eight variables examined were significantly associated with K6 visits: education (p=0.000), age (p=0.022), parity (p=0.013), socio-culture (p=0.000), distance (p=0.003), transportation access (p=0.005), road infrastructure (p=0.005), and facilities (p=0.004). Qualitative findings confirmed that long distances, limited transportation and road infrastructure, socio-cultural beliefs (including reliance on traditional healers), and low awareness of the importance of ANC were the main barriers to K6 visits. Conclusion: internal and external factors were consistently associated with K6 achievement among third-trimester pregnant women; strengthened health education, improved access, and community-based interventions (posyandu and health cadres) are needed to increase K6 coverage.
Pembuatan Gigi Tiruan Lengkap Resin Akrilik pada Pasien Full Edentulous: A Case Report Shafa Nur Novitasari; Indra Wijaya
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3512

Abstract

Complete tooth loss may cause impairment of mastication, phonation, esthetics, and comfort, requiring prosthodontic rehabilitation adapted to the patient’s anatomical and functional conditions. Complete dentures are one of the treatment options for patients with total edentulism to replace missing teeth and restore stomatognathic function. This case report aimed to describe prosthodontic rehabilitation using acrylic resin complete dentures in a patient with complete edentulism of both the maxillary and mandibular arches and to evaluate the treatment outcome. A 64-year-old male patient presented with discomfort during eating and speaking and requested complete denture treatment. Clinical examination revealed complete edentulism in both arches with residual ridge conditions considered supportive for complete denture treatment. Post-treatment evaluation included retention, stability, occlusion, comfort, and stomatognathic function. The treatment results showed adequate denture retention and stability, proper occlusal relationships, and satisfactory mastication and phonation without subjective complaints from the patient. Acrylic resin complete dentures can provide effective rehabilitation for patients with total edentulism when the anatomical conditions of the supporting tissues and functional relationships are appropriately considered to achieve comfortable and optimal treatment outcomes.
Hubungan Dukungan Sosial dan Persepsi Penyakit dengan Tekanan Darah pada Lansia Hipertensi di Puskesmas Madurejo Meka Sari; Eko Budi Laksono; Zuliya Indah Fatmawati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3514

Abstract

Hypertension is a major non-communicable disease and an important contributor to cardiovascular mortality worldwide, particularly among older adults. Social support and illness perception are psychosocial factors that may influence blood pressure control, but evidence examining their combined relationship remains limited in Indonesian primary health care settings. This study aimed to determine the relationship between social support, illness perception, and blood pressure among elderly patients with hypertension in the working area of Madurejo Primary Health Center, West Kotawaringin Regency, Central Kalimantan. A quantitative cross-sectional design was used involving 72 elderly hypertensive respondents selected through purposive sampling using the Slovin formula. Data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS), the Brief Illness Perception Questionnaire (B-IPQ), and direct blood pressure measurement with a digital sphygmomanometer. Data were analyzed using the Spearman Rank correlation test. The results showed that 61.1% of respondents had high social support, 51.4% had negative illness perception, and 59.7% had controlled blood pressure. Spearman analysis identified a significant negative relationship between social support and blood pressure (r = -0.304; p = 0.010) and a significant positive relationship between illness perception and blood pressure (r = 0.515; p < 0.001). These findings indicate that stronger social support and more positive illness perception are associated with better blood pressure control. Nurses and primary health care providers should strengthen family involvement and provide continuous health education to support comprehensive hypertension management among older adults. These interventions may improve adherence and long-term disease self-management.
Tinjauan Klinis dan Diagnostik Tumor Otak pada Pasien RSUD dr. Fauziah Bireuen Muhammad Farhandhany Napitupulu; Lailatul Fitri
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3516

Abstract

Brain tumors are abnormal tissue growths within the intracranial cavity that may cause mass effect, increased intracranial pressure, and neurological dysfunction. Space Occupying Lesion (SOL) cerebri refers to a mass or pathological process occupying space within the cranial cavity, resulting in structural and functional disturbances of the brain. The clinical manifestations of brain tumors vary depending on the location, size, type, and growth pattern of the tumor. Clinical symptoms may include headache, vomiting, papilledema, seizures, impaired consciousness, behavioral changes, and focal neurological deficits such as hemiparesis, aphasia, visual field disturbances, and sensory impairment. Localizing signs may assist in determining the location of a lesion; however, severe intracranial hypertension may produce misleading localizing signs due to displacement and compression of intracranial structures. The etiology of brain tumors is multifactorial, and in most cases the exact cause remains unknown. Potential factors associated with tumor development include genetic or hereditary factors, embryonic cell rests, radiation exposure, and certain carcinogenic substances. Diagnostic investigations, particularly Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), play an important role in determining the location, size, and characteristics of lesions, as well as detecting perifocal edema, hemorrhage, calcification, and mass effect. Definitive diagnosis of a brain tumor is generally established through histopathological examination. Understanding the anatomy, etiology, clinical manifestations, localizing signs, and diagnostic investigations is essential for supporting the diagnosis and management of patients with brain tumors.
Pengaruh Ekstrak Daun Balakacida (Chromolaena odorata) terhadap Jumlah Fibroblas pada Luka Pasca Pencabutan Tikus Wistar (Rattus norvegicus) Muhammad Fajrin Wijaya; Ardian Jayakusuma Amran; Sulfiana Sulfiana; Taufan Lauddin; A. Askia Ihda Surur Akhiruddin
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3517

Abstract

Dental and oral diseases remain a major health problem in Indonesia and frequently require tooth extraction procedures, which result in injury to the oral cavity tissues. The post-extraction wounds healing process involves several phases, including the proliferative phase, characterized by the critical role of fibroblast in new tissue formation. Wound healing can be hindered by various factors, therefore, agents capable of accelerating this process are needed. Balakacida leaf (Chromolaena odorata) are medicinal plants known to contain active compounds such as flavonoids, tannins, and saponins, which have the potential to accelerate wound healing. To determine the effect of Balakacida leaf extract (Chromolaena odorata) on fibroblast count in post-tooth extraction wounds of Wistar rats (Rattus norvegicus). This study uses an experimental method with a Post-Test Only Control Group Design. The research samples were male Wistar rats (Rattus norvegicus), aged 2–3 months, with body weights of 200–250 grams. The research data were processed and analyzed using the One-Way ANOVA test. There was no statistically significant difference in fibroblast counts between the control group and the treatment groups receiving Balakacida leaf extract at concentrations of 10%, 20%, and 30%. The administration of Balakacida leaf (Chromolaena odorata) extract at concentrations of 10%, 20%, and 30% is not yet effective in increasing the fibroblast count in post-tooth extraction wounds of Wistar rats.
Analisis Sanitasi Lingkungan dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Lampaseh Kota Mulyana K. S.; Pasyamei Rembune Kala; Ellianufara Ellianufara
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3519

Abstract

Stunting remains a critical manifestation of chronic linear growth impairment in under-five children, frequently tied to environmental sanitation conditions. This cross-sectional study analyzed the association between household sanitation indicators healthy latrine ownership, solid waste management, domestic wastewater disposal, and clean water access and stunting incidence among children aged 0–59 months in the Lampaseh Kota Public Health Center area, Banda Aceh. Using a purposive sampling method, 88 children were selected from a total population of 726. Primary data were gathered via structured questionnaires, field observations, and standard anthropometric assessments (height/length-for-age). Data analysis employed descriptive statistics alongside Chi-square and Fisher’s Exact tests. Among the sample, 48 children (54.5%) were identified as stunted. Bivariate analysis indicated no statistically significant associations between stunting incidence and environmental sanitation indicators, including latrine ownership (p=0.301), solid waste management (p=0.918), wastewater disposal systems (p=0.248), or access to clean water sources (p=1.000). While these specific environmental factors demonstrated no direct statistical link to linear growth outcomes in this cohort, effective stunting mitigation demands a comprehensive strategy encompassing nutritional support, infection control, maternal care, socio-economic factors, and broader hygiene infrastructure.
Efektivitas Diaphragmatic Breathing Exercise terhadap Peningkatan VO2Max pada Remaja di BINJAS Vira Prakasa Yudha Rafif Aydin Maheswara; Syurrahmi Syurrahmi; Maya Triyanita
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3520

Abstract

Kebugaran kardiorespiratori merupakan komponen penting dari kesiapan fisik pada remaja yang mengikuti pelatihan fisik terstruktur. Studi ini bertujuan untuk menentukan efektivitas latihan pernapasan diafragma dalam meningkatkan VO2Max pada remaja di BINJAS Vira Prakasa Yudha. Studi ini menggunakan desain kuasi-eksperimental satu kelompok pra-uji dan pasca-uji. Lima puluh remaja berusia 18–21 tahun yang memenuhi kriteria inklusi dan eksklusi berpartisipasi dalam studi ini. VO2Max diperkirakan menggunakan lari bolak-balik multistage 20 m (tes bleep). Latihan pernapasan diafragma diberikan tiga kali seminggu selama empat minggu, dengan 20 pengulangan di setiap sesi. Analisis deskriptif, pengujian normalitas Shapiro–Wilk, dan uji t sampel berpasangan dilakukan. Rata-rata VO2Max meningkat dari 38,75 ml/kg/menit pada pra-uji menjadi 42,10 ml/kg/menit pada pasca-uji. Distribusi pra-uji dan pasca-uji memenuhi kriteria normalitas (p=0,060 dan p=0,156, masing-masing). Uji t sampel berpasangan menunjukkan perbedaan yang signifikan secara statistik antara nilai pra-uji dan pasca-uji (p<0,001). Temuan menunjukkan bahwa program latihan pernapasan diafragma selama empat minggu dikaitkan dengan peningkatan estimasi VO2Max pada kelompok ini. Karena penelitian ini tidak menyertakan kelompok kontrol, besarnya efek spesifik intervensi harus ditafsirkan dengan hati-hati. Temuan ini mendukung potensi penggunaan latihan pernapasan terstruktur sebagai komponen pelengkap program kebugaran kardiorespirasi, sementara studi terkontrol diperlukan untuk memperkuat kesimpulan kausal.
Hubungan Frekuensi Konsumsi Fast Food dengan Kejadian Hipertensi pada Dewasa Akhir Meitha Putri Rahwani; Citra Dewi Anggraini; Amalina Rizma
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3521

Abstract

Hypertension is a health problem that requires particular attention among older adults, as it is associated with an increased risk of cardiovascular disease. An unhealthy dietary pattern is one of the modifiable risk factors, including the habit of consuming fast food, which generally contains high amounts of sodium and saturated fat. The research aimed to determined the relationship among fast food consumptio requency and the occurrence of hypertension among older adults aged 46059 years. An observational analytic study with a cross-sectional approach was applied in the Sei Langkai Public Health Center, Batam City. Atotal of 105 participants were picked used purposive sampling based on prefetermined inclusion and exclusion criteria. Information on fast food consumption frequency was collected used a food frequency questionnaire (FFQ), hhile blood pressure was measured used a sphygmomanometer. The data were analyzed using the pearson correlation test. The outcomes revealed 89,5% of participants were categorizes as frequent fast food consumers during the purvious month. The most commonly consumed food were fried food and padang rice dishes, each accounting for 52.4%, followed by instant noodles at 51,4%. Based on blood pressure measurements, 32.4% of respondents were classified as prehypertensive ande 30.4% as having stage 1 hypertension. The pearson correlation test yielded a p-value 0f 0.440, no significant relationship among fast food consumption frequency and the occurrence of hypertension. Prevention of hypertension should nevertheless be encouraged by limiting high-sodium foods, increasig fruit and vegetable intake, and undergoing reguler blood pressure checks.
Hubungan Durasi Merokok dan Paparan Asap Rokok dengan Kejadian Tuberkulosis pada Keluarga di Puskesmas Kuta Alam Banda Aceh Mursida Mursida; Khairuman Khairuman; Fadhul Ihsan
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3523

Abstract

Indonesia ranks second globally for tuberculosis (TB) cases, and TB remains a major public health problem. Smoking behavior and exposure to secondhand smoke at home are suspected to reduce respiratory immunity, thereby increasing susceptibility to TB infection. This study aimed to analyze the relationship between smoking duration and exposure to secondhand smoke at home with the incidence of tuberculosis among family members in the working area of Kuta Alam Public Health Center, Banda Aceh City. This quantitative analytical study used a cross-sectional design and was conducted from May to July 2026. The population consisted of all TB patients registered at Kuta Alam Health Center in 2024–2025, totaling 40 respondents, all of whom were included as the sample using a purposive sampling technique. Data were collected using a structured questionnaire and analyzed univariately and bivariately using the Chi-Square test (α = 0.05). Univariate analysis showed that most respondents had a smoking duration of less than 10 years (75.0%) and were exposed to cigarette smoke at home every day (40.0%), while 35.0% of respondents experienced tuberculosis. Bivariate analysis showed a significant relationship between smoking duration (p = 0.001) and exposure to secondhand smoke at home (p = 0.001) with the incidence of tuberculosis among family members. This study concludes that smoking duration and exposure to secondhand smoke at home are significantly associated with the incidence of tuberculosis. Strengthening education on smoking behavior control and establishing smoke-free home environments are needed as family-based efforts to prevent TB transmission.
Asuhan Kebidanan Berkesinambungan pada Ny. A di Praktik Mandiri Bidan Puji Kota Batam Ayu Agustin; Desi Pramita Sari
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 4 (2026): Oktober: 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.v3i4.3524

Abstract

Continuity of midwifery care provides an opportunity to monitor maternal and infant conditions throughout successive stages, from pregnancy to contraceptive selection. This case study involved Mrs. A, a 27-year-old G1P0A0H0 woman who experienced back pain during the third trimester without accompanying warning signs. Care was provided at PMB Puji, Batam City, using the SOAP management approach and referring to midwifery service standards. The care period extended from February 4 to April 20, 2026, covering pregnancy, childbirth, newborn care, postpartum care, and family planning. During pregnancy, the mother underwent regular assessments and no complications were identified. Labor progressed spontaneously without obstruction, resulting in the birth of a healthy male infant with an APGAR score of 9/10. Postpartum monitoring indicated satisfactory recovery, although the mother initially reported limited breast milk production. Breastfeeding education and oxytocin massage were provided as part of the care. Across three newborn assessments, the infant remained in good condition, with body weight increasing from 3,600 grams to 4,400 grams. For family planning, the mother selected a three-month injectable contraceptive after receiving counseling and reported no complaints during the subsequent evaluation. The sequence of care demonstrates the implementation of continuous midwifery services according to the maternal and infant conditions and needs at each stage. Consistent follow-up is necessary to identify changes in maternal and infant conditions at an early stage and to determine appropriate management.