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VISIKES
Published by Universitas Dian Nuswantoro
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Core Subject : Education,
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Articles 470 Documents
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The Implementation of ISO 14001 In Developed Countries: Literature Review Anggi Liani, Astisa; Dhiyaulhaq, Arifqah
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.13494

Abstract

Background: The implementation of ISO 14001 has become increasingly important in addressing global challenges related to sustainability and environmental management. Developed countries have demonstrated strong commitment to this standard as a means to enhance environmental performance, operational efficiency, and industrial competitiveness. Objective: This article explores the similarities and differences among various studies regarding the impact of ISO 14001 implementation, with a focus on both environmental and economic benefits. Methods: This study employed a qualitative descriptive method through a literature review guided by the PRISMA framework. Articles were sourced from Google Scholar using keywords related to ISO 14001, and were then screened and selected based on predefined inclusion and exclusion criteria. Out of 1,650 articles initially identified, 16 were selected for further analysis. Results: The findings indicate that ISO 14001 generally contributes positively to carbon emission reduction and profitability improvement, particularly in countries with high environmental awareness. These studies also emphasize the importance of contextual factors such as company size, market pressure, and national culture in determining the effectiveness of certification. Although most studies employed quantitative methodologies, there was variation in geographical and industrial focus, as well as in adoption motivations, ranging from export advantages to internal company improvements. Conclusion: The success of ISO 14001 implementation is not universal and depends on the specific conditions of each company and country. Therefore, a more tailored approach and adequate policy support are necessary to encourage broader and more effective adoption of this standard.
Analysis Of The Use Of Oral Antidiabetic Drugs In Type II Diabetes Mellitus Patients At X Hospital Semarang City Wibowo S, F.X. Sulistiyanto; A., Dhimas; C.S., Insania
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.13849

Abstract

Diabetes mellitus is a long-term condition marked by high blood sugar levels. It stems from metabolic endocrine disorders that may result from reduced insulin secretion, reduced insulin sensitivity, or both. Management of type II DM often includes antidiabetic treatment, which may consist of one medication or a combination. This research aims to describe patient characteristics, outline medication usage, report rates of Glucose Ad Random (GAR) reduction, and assess the efficacy of single versus combination antidiabetic drugs in type 2 DM patients admitted to X Hospital in Semarang City. The study uses an analytical observational approach with retrospective data collection and purposive sampling. Findings showed that 52.13% were women and 42.02% were aged 56-65 years (late elderly group). Also, 70.21% had Type II DM with complications, and 57.45% had hospital stays of 1-4 days. The most used single antidiabetic accounted for 53.19% of cases. Paired Sample T-Test results for both single and combination antidiabetics showed p <0.05, indicating both therapies effectively reduce GAR. Single antidiabetic therapy yielded a 22.46% reduction, while the combination led to a 45.36% decrease. The T-Test results further showed the combination was more effective, with an average GAR reduction of 111.2386 mg/dL. Hospitals are expected to continue using combination oral antidiabetics as per the hospital formulary to maintain blood sugar control. Diabetes Mellitus patients should monitor blood sugar routinely, take medications regularly, and follow a recommended diet, healthy lifestyle, and regular exercise. This helps prevent complications. Future researchers are encouraged to examine the relationship between laboratory data and other factors such as BMI, diet, and stress.
Overview of the Tuberculosis (TB) Case Overview of the Tuberculosis (TB) Case Management Program Management Program in Baubau City in 2024 Taswin, Taswin; Fahrin Amrullah, Muhammad; Fitriani, Fitriani; Wahyuddin, Wahyuddin; Dahmar, Dahmar; Endriana Amiruddin, Eky
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.13880

Abstract

Based on data from the Baubau City Health Service, in 2021 there were 334 cases and in 2022 there were 532 cases. The Case Notification Rate (CNR) for all TB cases in Baubau City is 138 per 100,000 population. This shows that among 100,000 residents there were 138 new patients found. The aim of the research is to find out an overview of the implementation of the Tuberculosis Case Management Program in Baubau City. The type of research used is quantitative with a descriptive approach. The entire population used as a sample was 35 people. The sampling technique uses total sampling. The research was conducted in May-June 2024. Data analysis was carried out univariately using SPSS. The research results showed that the human resource variable was sufficient for 30 respondents (85.7%) and less for 5 respondents (14.3%). The variable of adequate drug availability was 22 respondents (62.9%) and 13 respondents (37.1%) were lacking. The variables of sufficient facilities and infrastructure were 27 respondents (77.1%) and 8 respondents (22.9%) were lacking. The conclusion in this research is that Human Resources in the program for handling TB cases are quite good, namely 85.7%, Availability of Medicines is quite good, namely 62.9%, and Facilities and Infrastructure in the program for handling TB cases are quite good, namely 77.1%.
Factors Associated with Stunting in Toddlers in The Ropang District of Sumbawa Lestari, Ana; Yuliastuti, Luh Putu Sri; Wahyu Tarikawati, Atri
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.13912

Abstract

Stunting is a critical public health issue that impairs physical and cognitive development in children, particularly in underserved areas. This study aimed to analyze the relationship between parental nutritional knowledge, parenting practices, and feeding patterns with the stunting status of children under five in Ropang Subdistrict, Sumbawa. A cross-sectional design was used, and total sampling was applied to 24 respondents including 12 respondents of mother and 12 respondents of toddlers. This study used a small sample size because it focused on children who were already classified as stunted. Data were collected through structured questionnaires and analyzed using the chi-square test, Likelihood Ratio, and Fisher’s Exact Test. The results showed no significant relationship between parents’ nutritional knowledge and the stunting status of children (p = 0.310). However, there was a significant relationship between parenting practices and stunting (p = 0.023), as well as a very strong association between child feeding patterns and stunting status (p < 0.001). Children with poor feeding patterns were more likely to experience severe stunting. These findings emphasize the importance of practical parenting strategies and proper feeding behavior in addressing stunting. Effective interventions should therefore focus on improving daily caregiving and feeding practices, rather than relying solely on increasing parental knowledge, to enhance child health outcomes in rural communities.
How Social Factors Shape the Mental Health Impact of Social Media Among High School Students: Systematic Literature Review Handayani, Lina; Rizkiyah Assyukru, Faatih; Nisa Novianti, Tria
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.14272

Abstract

Adolescent mental health has emerged as a pressing global concern, particularly in light of the growing and intensive use of social media among high school students. While social media platforms offer avenues for communication and self-expression, they also contribute to adverse psychological outcomes, including anxiety, stress, and depression. This study explores the role of social determinants—such as socioeconomic status, family dynamics, peer support, and digital literacy—in shaping the mental health effects of social media use among adolescents. Employing a literature review methodology, the study analyzed 25 relevant national and international journal articles sourced via Google Scholar using the keywords: “social determinants,” “social media,” “mental health,” and “adolescents.” The findings reveal a strong correlation between frequent social media engagement and heightened mental health disorders, exacerbated by contextual factors such as inadequate parental supervision, limited emotional support, and peer norms that prioritize online validation. These insights underscore the urgent need for integrated, cross-sectoral interventions involving families, schools, and community stakeholders. Strengthening adolescents’ psychosocial resilience through targeted digital literacy education and robust social support systems is essential to mitigate the negative impacts of social media and promote overall mental well-being.
Transformation Of The Geographic Information System For The Distribution And Monitoring Of Stunting Children Using Epicollect5 At Nuangan Community Health Center Harikedua, Vera T.; Pascoal, Meildy Esthevanus; Sambuaga, Joy V.L
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.11637

Abstract

In the era of rapid development of digital technology, digitalisation has become a key driver of transformation in various sectors of life. In particular, in the context of health, digitalisation offers great potential to improve access, efficiency and quality of health services. On the other hand, health literacy is a critical aspect to ensure people can optimise the benefits of technological developments. This research aims to build a Geographic Information System for mapping the distribution of stunting and improving the ability of cadres in handling and preventing stunting based on digital android. The research method used involves field surveys, health data collection, and the use of GIS technology to analyse the spatial distribution and risk factors for stunting. The results with this system are able to provide a geographic information system for the distribution in each sub-district and village by providing prevalence information and in handling it provides a forecasting feature for predicting the distribution of stunting in the next period, in order to anticipate the increase in stunting rates in Nuangan District. Conclusion: The process of reading data visualisation on the map of spatial analysis results can help cadres and health workers in understanding stunting problems in the community.
A Literature Review on Risk Factors for Pneumonia in Toddlers Sapridha Pulungan, Nanda Sapridha Pulungan; Sulistyorini, Lilis; Azizah, R
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.12444

Abstract

Background: Pneumonia leading morbidity and mortality in <5 years old children, with high incidence rates in developing countries, so a deep understanding of its health determinants is crucial in prevention efforts. Factors such as nutritional status, immunization status, home ventilation conditions, occupancy density, and ambient temperature have been reported to contribute to the incidence of pneumonia, but findings between studies show variations that require a comprehensive synthesis study. Objective: analyze the main risk factors on pneumonia in toddlers through a systematic review of accredited studies. Method: literature review was used by selecting articles from Scopus Q1–Q5 and SINTA 1–SINTA 5 indexed journals obtained through keyword-based searches on Google Scholar and ScienceDirect. Result: of the study showed that poor nutritional status, incomplete immunization, inadequate ventilation, high occupancy density, and sub-ideal room temperature were consistently associated with an increase in pneumonia incidence in toddlers. Conclusion:, pneumonia is a multifactorial disease requires an evidence-based holistic prevention approach. Novelty: this study lies in the presentation of a comparative synthesis of various recent accredited sources, thus providing an integrative picture of the dominant risk factors relevant to public health interventions.
Risk Analysis of CO and CO₂ Exposure Before and After Practicum Widiyaristi, Dessy; Apriani, Gita; Fanessa, Tria Ivanda; Raihana, Jasmine
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.12516

Abstract

Laboratory air quality is an important factor affecting the health of laboratory users. The Chemistry Department of FMIPA UNSRI consist of biochemistry, analytical chemistry, physical chemistry, organic chemistry, and inorganic chemistry laboratories. This study aimed to evaluate the potential hazards caused by exposure to carbon monoxide (CO) and carbon dioxide (CO2) among the laboratory users in the Chemistry Study Program at FMIPA UNSRI. This study was an observational study using the Environmental Health Risk Analysis (EHRA) method. Measurements were taken before and after the practicum. The study was conducted in 5 laboratories within the Chemistry Study Program at FMIPA UNSRI. The concentrations of CO and CO2 showed that the conditions after the practicum were higher than before the practicum, CO reached 2.07 ppm and CO2 reached 631.69 ppm with the risk quotient (RQ) for both CO and CO2 both showing RQ > 1. Based on the EHRA calculation, it shows that the accumulation of CO and CO2 gases after the practicum suggest that continuous exposure for 8 hours per day over 5 consecutive days may have adverse health effects on laboratory users, including lecturers, students and analysts at FMIPA environment. Therefore, it is recommended to implement risk management, monitoring and use Personal Protective Equipment (PPE) whenever entering the laboratory. Laboratory air quality is an important factor affecting the health of laboratory users. The Chemistry Department of FMIPA UNSRI consist of biochemistry, analytical chemistry, physical chemistry, organic chemistry, and inorganic chemistry laboratories. This study aimed to evaluate the potential hazards caused by exposure to carbon monoxide (CO) and carbon dioxide (CO2) among the laboratory users in the Chemistry Study Program at FMIPA UNSRI. This study was an observational study using the Environmental Health Risk Analysis (EHRA) method. Measurements were taken before and after the practicum. The study was conducted in 5 laboratories within the Chemistry Study Program at FMIPA UNSRI. The concentrations of CO and CO2 showed that the conditions after the practicum were higher than before the practicum, CO reached 2.07 ppm and CO2 reached 631.69 ppm with the risk quotient (RQ) for both CO and CO2 both showing RQ > 1. Based on the EHRA calculation, it shows that the accumulation of CO and CO2 gases after the practicum suggest that continuous exposure for 8 hours per day over 5 consecutive days may have adverse health effects on laboratory users, including lecturers, students and analysts at FMIPA environment. Therefore, it is recommended to implement risk management, monitoring and use Personal Protective Equipment (PPE) whenever entering the laboratory.
The Relationship Between Patient Satisfaction in Independent Dental Practices and the Rate of Repeat Visits in Cikoko Pancoran: Indonesia Hayana, Nanda Bella; Hastono, Sutanto Priyo
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.14822

Abstract

The level of patient satisfaction can influence revisit behavior, which in turn is related to the sustainability of practice and the improvement of healthcare service quality. This study aims to determine the relationship between patient satisfaction and revisit rates in private dental practices and to analyze healthcare service quality based on the five dimensions of healthcare service quality in private dental practices. This research employs a cross-sectional design. The sample was selected using convenience sampling. The research method used is a mixed method with an explanatory sequential design. The quantitative approach was conducted first to measure the level of patient satisfaction and the number of patient visits, followed by a qualitative approach to explain the quantitative findings, particularly the factors influencing patient satisfaction. The analysis was performed using the chi-square test to examine the relationship between patient satisfaction and revisit rates. The study found a significant link between patient satisfaction and revisit rates ($p < 0.05$). Highly satisfied patients were more likely to return. Thus, patient satisfaction is key to increasing revisit rates and improving service quality and patient loyalty in private dental practices.
AR-MUSCLE Mobile Augmented Reality Innovation for Interactive Learning of Musculoskeletal Anatomy and Physiology in Health Science Students Abiyasa, Maulana Tomy; Syah, Riska Muzakki; Ernawati, Dyah; Utami, Rinta Martha; Mustaqim, Nurudin Wafiq; Ardiansyah, Muhammad Fauzi
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.14850

Abstract

The implementation of clinical coding for musculoskeletal disorders requires comprehensive knowledge of human anatomy and physiology. The advancement of Augmented Reality (AR) technology provides an effective approach to addressing students’ learning difficulties in health sciences, particularly in understanding the musculoskeletal system. This study aims to develop a mobile-based Augmented Reality application called AR-MUSCLE, designed as an interactive learning medium for health science students. The research background stems from the difficulty students face in mastering complex anatomical and physiological concepts through conventional learning media limited to 2D illustrations and static models. The research employed a Research and Development (R&D) design using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The application integrates interactive 3D visualization of the human musculoskeletal system, structured learning modules, and evaluation quizzes. The development process involved needs analysis, system design using the Unified Modeling Language (UML), 3D model creation, AR system integration via Unity Engine, and prototype evaluation. Functional testing (Black Box Testing), usability testing, and user satisfaction assessments were conducted to ensure reliability and effectiveness. The results showed that all application features functioned properly and responsively as designed. The usability testing yielded a very low error rate (<5%), indicating that users could easily navigate and operate the application. The user satisfaction survey demonstrated very high ratings, averaging above 95% across four dimensions: learnability, responsibility, satisfaction, and accuracy. Nevertheless, improvements are required in the system responsibility aspect since the mobile-based application depends heavily on stable internet connectivity and adequate device specifications to support the interactive 3D rendering process. In conclusion, AR-MUSCLE proves to be an effective Augmented Reality-based interactive learning tool that enhances students’ conceptual understanding, motivation, and engagement in learning musculoskeletal anatomy and physiology. This research contributes to strengthening digital learning innovation in health education and supports the transformation toward technology-integrated teaching and learning models.

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