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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 271 Documents
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Tuberkulosis Paru Relaps Gina Sonia Rahmah; Puspa Rosfadilla
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.v2i1.1068

Abstract

Relapsing Pulmonary Tuberculosis is a patient with pulmonary TB who has received TB treatment and has been declared cured or finished treatment, then re-diagnosed as positive pulmonary TB through BTA examination or sputum culture by Mycobacterium tuberculosis. In high incidence settings, this figure is as high as 7850 cases/100000 person-years. A 66 year old patient came to the emergency room at Cut Meutia Hospital with complaints of coughing up blood which had been felt since 3 days SMRS, and worsened after 1 day SMRS, phlegm was fresh red, blood was mixed with phlegm when coughing. Previously the patient had been coughing up phlegm without blood since 2022 coughing felt to come and go. The patient also complained of chest pain on the right side, shortness of breath when doing activities, the patient also complained of night sweats that soaked clothes and bed, denied nausea, vomiting, defecation and urination. there were no complaints, the patient had a history of DM. On physical examination it was found that the patient's general condition appeared to be moderately ill, consciousness was compos smentis, blood pressure was 110/70 mmHg, pulse rate was 66x/minute, respiration was 22x/minute, with a body temperature of 36.7°C and SpO2 98% on room air. Auscultation revealed vesicular breathing sounds (+/+), rhonchi (-/-), wheezing (-/-). Blood laboratory examination: HB decreased (12.00), MCV decreased (76.78 fL), MCH decreased (23.2 pg), MCHC decreased (30.30 thousand/uL).
Pneumothoraks : Definisi Hingga Penatalaksanaan Khania Atika; Puspa Rosfadilla
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.v2i1.1071

Abstract

Pneumothorax is a condition where free air is present in the pleural cavity. Pneumothorax is a life-threatening respiratory emergency that requires immediate treatment. Pneumothorax is classified into 2, namely spontaneous pneumothorax and traumatic pneumothorax. Based on the mechanism of occurrence, namely, open pneumothorax and tension pneumothorax. In general, all types of pneumothorax have almost the same pathophysiological basis. Patients usually come with complaints of shortness of breath, which is sudden and localized in onset. In establishing a diagnosis, anamnesis, physical examination and fast and accurate supporting examinations are needed where the aim is for the management actions given to the patient. General management of pneumothorax is primary survey airway, breathing, circulation. Mortality due to pneumothorax is high if appropriate action is not taken.
Pengaruh Hidrogel Ekstrak Daun Binahong (Anredera Cordifolia(Ten.) Stennis) Terhadap Penyembuhan Luka Insisi pada Tikus Wistar Muhammad Hafizh Hilmi; Eko Krisnarto; Afiana Rohmani
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.v2i1.1083

Abstract

Background. The paradigm of treatment using herbal plants is still attached to the Indonesian people for wound healing. One of the plants that is often used for treatment and has the effect of accelerating wound, is the binahong plant (Anredera cordifolia). The aim of this study is to determine the effect of hydrogel of binahong leaf extract (Anredera Cordifolia(Ten.) Stennis) on the healing of incisional wounds in wistar rats. Method. This study uses a True Experimental research design with the Post Test Only Control Group Design method. The samples were 30 wistar Rattus norvegicus rats, divided into 5 groups, namely: K (control group), P1 (was given 10% puvidone iodine ointment), P2 (was given 5% binahong leaf extract hydrogel), P3 (was given 10% binahong leaf extract hydrogel), P4 (was given 20% binahong leaf extract hydrogel). The treatment was carried out for 14 days. Wound examination was carried out on days 1,3,6,9,12,14. The REEDA score parameter were used to assess wound healing. Result. The bivariate analysis using the Wilcoxon paired difference test in each experimental group showed a significant difference only in group P2 (was given 5% binahong leaf extract hydrogel) with group K (control group), group P1 (was given 10% puvidone iodine ointment) and group P2 (was given 5% binahong leaf extract hydrogel) during days 12 and 14. incision wound compared to groups P3 and P4 on the same day. The average score of the REEDA scale on days 1,3,6,9,12, and 14, the most significant incisional wound healing in wistar rats was given hydrogel binahong leaf extract with a concentration of 5%. Conclusion. There is an effectiveness of healing incision wounds in wistar rats by giving hydrogel binahong leaf extract. The hydrogel binahong leaf extract 5% is the most significant concentration assessed from the average REEDA scale score.
Trauma Tumpul Akibat Kekerasan Terhadap Anak Rizqi Uswatun Hasanah; Rahmadsyah Rahmadsyah
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.v2i1.1087

Abstract

Violence against children is any act against a child that results in physical, psychological, sexual, and/or neglect, misery or suffering, including threats to commit acts, coercion, or unlawful deprivation of liberty. Several factors contribute to violence against children, namely the personal factors of the perpetrator and victim of abuse, environmental conditions that support the perpetrator, and the culture they acquire. Blunt trauma (blunt force trauma) is a force injury caused by a blunt object on the surface of the body which results in injuries caused by objects that have a blunt surface such as stones, wood, hammers, fists and so on, which also includes falls from high places, traffic accidents and others. The results of the examination found bruises on the victim with a bluish color on the right upper leg with a length of four centimeters and a width of two point five centimeters, with a distance of nine centimeters above the knee and on the left upper leg on the front side with a length of four point five centimeters and a width of three. point five centimeters, with a distance of twelve centimeters above the knee.
Case Report : Diagnosis dan Tatalaksanan Pasien Perempuan 40 Tahun dengan Karsinoma Nasofaring di Rumah Sakit Cut Meutia Aceh Utara Faiza Ardianti; Rahmi Surayya
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.v2i1.1106

Abstract

Nasopharyngeal Carcinoma (NPC) is a squamous cell carcinoma (SCC) originating from the nasopharyngeal epithelium. In Indonesia, NPC is the 4th most common malignancy after breast cancer, cervical cancer, and lung cancer. A 40-year-old woman came to the Emergency Room of Cut Meutia Hospital with complaints of left-sided nosebleeds for approximately 2 weeks before entering the hospital. The results of the physical examination found hair that was easily pulled out, then from the results of the supporting examination in the form of a non-contrast head CT-Scan, an expansion of the mass in the nasopharynx was found. Based on the anamnesis, physical examination and supporting examinations, the patient was diagnosed with nasopharyngeal carcinoma. The management that can be given to patients is non-drug, namely consuming nutritious food, and managing stress and sleep patterns, in addition the patient is also given symptomatic management.
Case Report : Pasien Laki-Laki Usia 48 Tahun dengan Sirosis Hepatis Stadium Dekompensata Relatif Hepatitis B Najwa Zakiyya; Irwandi Irwandi
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.v2i1.1110

Abstract

Liver cirrhosis is a pathological condition that describes the end stage of progressive hepatic fibrosis. More than 40% of cirrhosis patients are asymptomatic. Based on research, 4% of patients with fatty liver will develop non-alcoholic steatohepatitis, and 0.3% of these patients will end up experiencing liver cirrhosis. A 48 year old man came to the emergency room at Cut Meutia Hospital with complaints of an enlarged stomach accompanied by pain since ± 2 weeks. The patient also complained of swelling in both legs. The results of the physical examination of the abdomen revealed icteric sclera (+/+), shifting dulness and leg edema (+/+). Based on laboratory examinations, it appeared that there was an increase in liver function, then the ultrasound examination showed the impression of ascites and liver cirrhosis. Based on the history, physical examination and supporting examinations, the patient was diagnosed with hepatic cirrhosis, relative decompensated stage of hepatitis B + CHD. Non-medical management is carried out in the form of bed rest, balanced nutrition and consumption of a low sodium diet. Then the patient's medical management consists of a 500ml hepatic Aminofuscin infusion, symptomatic management and antiviral treatment for the hepatitis he is suffering from.
Anak Usia 17 Tahun Dengan Diabetes Mellitus Tipe 1 dan Disertai Riwayat Penurunan Kesadaran Febry Caesariyanto Safar; Elly Kusumayati
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.v2i1.1114

Abstract

Diabetes mellitus (DM) is a chronic disease with increasing incidence worldwide. This disease not only affects adults, but also children. Diabetes mellitus is characterized by increased blood sugar levels due to impaired insulin production, impaired insulin function, or both. A patient with An. DM came with complaints of shortness of breath and a history of decreased consciousness. The patient also experienced weakness 1 week earlier. From the anamnesis and physical examination, the patient was diagnosed with type 1 DM. Type 1 DM can cause various complications. Children with type 1 DM not only face short-term complications such as hypoglycemia and diabetic ketoacidosis (DKA) which both have significant risks of morbidity and mortality. Children with DKA have life-threatening complications when first diagnosed and are associated with poor metabolic control.
Faktor Penyebab Nyeri Punggung Bawah pada Ibu Hamil Trimister II dan III di Puskesmas Sumarorong Kabupaten Mamasa Tahun 2024 Vinny Alvionita; Nunung Erviany; Nopina Palin; Andi Sri Hastuti Handayani Usman
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.v2i1.1156

Abstract

Lower back pain is a complaint that often occurs in pregnant women in the second and third trimesters. Back pain occurs due to changes in pregnancy hormones which increase levels of the hormone relaxin, this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause discomfort. Based on a preliminary study at the Sumarorong Community Health Center, it was found that the number of pregnant women in the second trimester was 72 and 70 in the third trimester in the working area of ​​the Sumarorong Community Health Center, Mamasa Regency. From this data, there were 22 (30%) pregnant women in the second trimester who experienced back pain, and there were 35 (30%) pregnant women in the second trimester. 50%) third trimester pregnant women experience back pain. Researchers are interested in conducting research on the factors that cause lower back pain in pregnant women in the second and third trimesters in the work area of ​​the Sumarorong Community Health Center, Mamasa Regency in 2024. The research method used is a cross-sectional study. Conducted at the Sumarorong Community Health Center, Mamasa Regency in July – August 2024. The population in this study was all 138 pregnant women in the second and third trimesters at the Sumarorong Community Health Center with a total sample of 57 pregnant women. The results of the study showed that there was a significant relationship between age, education, occupation and gestational age with back pain with each p value = 0.000.
Asuhan Keperawatan pada Tn. I dengan Diagnosis Medis Efusi Pleura di Rumah Sakit Umum Pusat H. Adam Malik : Case Report Syah Fara Dillasani Sirait; Mula Tarigan; Dina Afriani
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.v2i1.1164

Abstract

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.
Literature Review: Pola Asuh Orang Tua terhadap Pertumbuhan Emosional Anak Anisah Nur Asidah; Miftahul Janna; Rika Septiani; Teresia Suminta Rotua Situmoran
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.v2i1.1165

Abstract

Children's emotional development during childhood is a very important basis in forming attitudes, values ​​and behavior in the future. Parenting styles play a very important role in the formation and emotional development of children. This research examines various types of parenting patterns applied by parents and their impact on children's psychological well-being. Based on literature analysis from ten journals, it was found that positive parenting styles, such as authoritative, can support the development of children's emotional regulation and self-confidence. On the other hand, authoritarian or permissive parenting can actually hinder a child's ability to express emotions in a healthy way. The results of this study show that early social experiences and a positive family environment greatly influence children's emotional development, which ultimately has an impact on their success in the future. This research highlights the importance of parental attention in implementing parenting patterns that support children's emotional

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