Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan <p><img src="/public/site/images/fauzi0787/COVER_VIVA_MEDIKA_Maret_0011.png" width="240" height="318"></p> <p><strong>Viva Medika</strong>&nbsp;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.</p> <p>&nbsp;</p> <p>&nbsp;</p> Universitas Harapan Bangsa Purwokerto en-US Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan 1979-2026 <p>Submitted paper will be&nbsp; firstly reviewed by the editors to determine whether the paper meet the edition theme and submission guidelines. Papers which meet the theme and the guidelines will be assigned to selected reviewers for peer-reviews. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan is a double blind peer-reviewed journal which involves&nbsp; reviewers based on their experties relevant to the topic of the paper. Final decision of paper acceptance is solely decided by the editors according to reviewers' comment.</p> <p>Plagiarism and self-plagiarism are prohibited. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan uses PlagiarismCheckerX and iThenticate to scan papers for detecting plagiarism. Thus, Appropriate citation and quotation should be used</p> Hubungan Kondisi Fisik Rumah Dan Faktor Manusia DenganKejadian ISPA Pada Balita Di Wilayah Kerja Puskesmas Garuda Kelurahan Tangkerang Pekanbaru Tahun 2019 <p><em>ISPA is an acute respiratory disease with a variety of symptoms such as cough, runny nose, fever and breath sounds which last for 14 days. ISPA death in infants and toddlers is 20% -30% caused by ISPA. The purpose of this study was to determine the relationship between the physical condition of the house and human factors with the incidence of ISPA in infants in the Work Area of ​​the Garuda Public Health Center, Tangkerang Tengah Village, Pekanbaru in 2019. The method of this research is quantitative with Cross Sectional research design. The population in the study were all mothers who have toddlers in the Working Area of the Puskesmas Garuda Kelurahan Tangkerang Tengah Pekanbaru. The research sample was 100 respondents with the Stratified Random Sampling sampling technique. The analysis used was univariate and bivariate with the chi square test, the measuring instruments used were questionnaires, observation sheets, lighting gauges, tape meters and data processing using computers. The results showed that there was a significant relationship between ventilation value = 0.006 (alpha &lt;0.05), occupancy density value of 0.001 (alpha &lt;0.05), lighting value 0.029(alpha&lt;0.05), smoking habit value 0.002 (alpha &lt; 0.05), the temperature of Pvalue is 0.226 (alpha&lt;0.05), maternal knowledge is 0.024 (alpha &lt;0.05) with the incidence of ISPA. It is suggested that the health center can work with the community to conduct counseling about healthy homes and about ISPA so that it can increase the knowledge of the community, especially mothers who have toddlers</em></p> Elmia kursani Beny Yulianto Widya Safitri Ramadhani ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 1 19 10.35960/vm.v12i01.485 PREPARASI DAN ISOLASI MIKROKRISTAL DARI AMPAS TEBU (Saccharum officinarum L.) <p style="text-align: justify;"><span style="font-family: 'Times New Roman',serif;">Selulosa mikrokristal merupakan hasil isolasi dari alfa selulosa. Selulosa mikrokristal banyak digunakan dalam bidang farmasi. Salah satu bahan alam yang dapat dimanfaatkan untuk membuat selulosa mikkrokristal adalah ampas tebu. Ampas tebu mengadung 45,96% selulosa yang dapat diisolasi dengan tahapan delignifikasi menggunakan larutan basa, proses pemutihan serta hidrolisis alfa selulosa dengan pemanasan suhu tinggi menggunakan larutan asam encer. Rendemen selulosa mikrokristal dari ampas tebu 26,03%.</span></p> Desy Nawangsari Rani Pranbandari Fenny Permatasari ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 20 28 10.35960/vm.v12i01.487 ISOLASI DAN IDENTIFIKASI RIMPANG TEMULAWAK (Curcuma xanthorrohza Roxb.) DAN BUNGA LAVENDER (Lavandula angustifolia Mill.) <p><em>Essential oils are fragrance agents in plants. Essential oils have a volatile component in some plants with certain characteristics. At present, essential oils have been used as perfume, cosmetics, food additives and medicine. Empiric ethnopharmacology studies on aromatherapy plants show that Indonesia has 49 types of aromatic plants from 22 types of tribes, 12 of which are empirically used as aromatherapy with calming and refreshing effects (</em><em>Sangat</em><em> 1996 in Rahmawati, 2010). One example of aromatherapy used is the ginger rhizome (Curcuma xanthorrihza Roxb) and Lavender Flower (Lavandula angustifolia Mill.).</em></p> <p><em>This study aims to isolate and identify the essential oils of Temulawak rhizome (Curcuma xanthorrihza Roxb) and Lavender Flowers (Lavandula angustifolia Mill.). The essential oil isolation step uses the Steam Water Distillation method, after which the essential oil obtained is identified to ensure its purity. The results showed that Temulawak essential oil and Lavender essential oil were carried out using the water distillation method, obtained levels of 2.3% and 1.8%. Essential oils in Temulawak were identified by testing their physical properties which include specific gravity, solubility in ethanol 90%, solubility in chloroform and oil in NaCl. The identification results obtained in the Temulawak rhizome and Lavender plants are specific gravity 0.9436 and 0.8221. Solubility in ethanol 90% with a volume ratio of 1: 3.7 mL and 1: 3.3 mL. solubility in chloroform of 1: 3.3 mL and 1: 3.3 mL. on the addition of NaCl in the oil oil reduction occurs.</em></p> rani prabandari desy Nawangsari Kukuh Yunianto Sumargo ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 29 39 10.35960/vm.v12i01.488 ANALISIS FAKTOR YANG MEMPENGARUHI KEJADIAN NEUROPATI DIABETIK PADA PASIEN DIABETES MELITUS TIPE 2 <p><em>Diabetic neuropathy is the most common complication in DM patients and can worsen the patient’s quality of life. Various studies produce different information about risk factors that cause diabetic neuropathy. This study aims to determine the dominant factors affecting the incidence of diabetic neuropathy between age, duration of diabetes, sex, HbA1c level and BMI. Rspondents were outpatient DM type </em>2<em> in Cilacap Pertamina Hospital. The number of samples </em>95<em> people taken with total sampling techniques. The incidence of diabetic neuropathy was measured using DNE scoring. Bivariate analysis used correlation test and t-test independent. Whereas multivariate analysis used multiple linear regression test. The results showed that HbA1c levels were the dominant factor influencing neuropathy diabetic (pv = </em>0,0005<em>). The regression equation obtained is diabetic neuropathy = </em>-10,8 + 0,09<em> age + </em>0,88<em> HbA1c level. The interpretation is diabetic neuropathy increases </em>0,1<em> times after controlling for variable HbA1c levels at each 1 year age increase. The incidence of neuropathy diabetic will be </em>0,8<em> fold higher in type </em>2<em> DM patients who experience an increase in HbA1c levels.</em></p> dewi prasetyani Dwi Martiningsih ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 40 49 10.35960/vm.v12i01.489 Praktik Penggunaan Herbal pada Ibu Menyusui di Kelurahan Karangklesem Purwokerto Selatan Purwokerto <p>&nbsp;</p> <p><strong><em>Abstract</em></strong></p> <p>The effect of herbal consumption on breastfeeding mothers is often associated with breast milk production and recovery of maternal stamina after giving birth. Herbs have a composition that helps the process of postpartum recovery and increase milk production. Herbal plants that have a positive influence in breastfeeding mothers and are allowed to be consumed include: long bean / violet leaves, banana heart, katuk leaves, palm juice, papaya leaves, bitter melon leaves, basil seeds, cumin seeds. The purpose of this study was to determine the practice of using herbal plants in nursing mothers in South Purwokerto District. Research methods: This study used descriptive research with a retrospective time approach. Total population of 40 mothers in Karangklesem South Purwokerto. Sampling technique with random sampling. Data analysis uses univariate frequency distribution analysis. The results showed that most breastfeeding mothers used herbs during lactation and types of herbs used included: turmeric, ginger, ginger, kencur, Javanese acid, papaya leaves, betel leaves, kemukus, katuk leaves. Conclusion most breastfeeding mothers use herbs during lactation.</p> <p><strong>Keywords:</strong></p> <p>The practice of using herbs, breastfeeding mothers</p> Sumarni - Tri Anasari ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 50 63 10.35960/vm.v12i01.497 Pengembangan Model Pembelajaran Asuhan Kehamilan Terintegrasi Pada Pendidikan Kebidanan <p><strong><em>Abstract</em></strong></p> <p>&nbsp;</p> <p><em>The midwifery care learning model that is currently underway does not answer the needs of women. Implementation of education by emphasizing learning that separates the presentation between one subject and other subjects will cause quite serious problems, especially for midwifery students who are expected to become professional midwives who are expected to play an active role in reducing the MMR and IMR. Competence is an underlying characteristic of a person related to the effectiveness of individual performance in his work or basic characteristics of individuals who have a causal relationship or as a cause and effect with criteria that are used as a reference, effective or excellent or superior performance at work or in certain situations, so that learning models are needed integrated ie a teaching or instructional model to help students develop in-depth and indirect understanding of a systematic set of knowledge simultaneously and practice critical thinking, involving several required subjects or disciplines so that boundaries between subjects can be abolished to provide a learning experience that is meaningful. One of the courses is pregnancy care integrated with aspects of women's needs, professional ethics, communication, religion, culture, and psychology to improve student competency in pregnancy care.</em></p> <p><em>Keywords: integrated learning model, pregnancy care.</em></p> Fitria Pranbandari ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 64 85 10.35960/vm.v12i01.499 Efektivitas Biaya Penggunaan Omeprazole Dan Ranitidin Pada Pasien Gastritis <p><strong>ABSTRACT</strong></p> <p>Gastritis is an inflammation of the gastric mucosa caused by various factors such as <em>Helicobacter pylori</em> infection which can occure acute or chronic. The use of ranitidine therapy in gastritis patients is greater than omeprazole. The aim of the study was to analyze the cost-effectiveness of treating inpatient gastritis patients using omeprazole or ranitidine. The study was an observational <em>cross-sectional</em> method according to the hospital's perspective using secondary data in January-December 2016 period regarding the treatment of 65 BPJS class-III gastritis patients.The data includes demographic data, length of stay and total costs. A total of 32 patients&nbsp; class III BPJS use omeprazole and 33 patients use ranitidine. Patients age ranged from 17-65 years. Statistical used <em>independent t-test</em>. The results showed female (72.31%), aged 17-38 (60%) and length of stay 3-4 days (56.9%). Average total cost of omeprazole therapy Rp. 544,802.59&nbsp; and ranitidine Rp. 557,563.12, with probability 0,696 &gt; 0,05, so the result was not significantly different. Omeprazole therapy was more effective than ranitidine with percent of effectiveness 59,38% and 51,41%. ACER value of omeprazole therapy Rp. 9.234,06/1% recovery was more less than ranitidine Rp. 10.932,61/1% recovery. So omeprazole more cost-effective than ranitidine</p> <p><strong>Keyword </strong>: Cost Effectiveness Analysis, gastritis, omeprazole, ranitidine</p> Sunarti Sunarti Nur Aminatus Sholihah Oetari Oetari ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 86 96 10.35960/vm.v12i01.498 Hubungan Antara Status Gizi Balita Dengan Kejadian Ispa (Infeksi Saluran Pernapasan Akut) Pada Balita Di Puskesmas Karanglewas <p><strong><em>Abstract</em></strong></p> <p><em>Age toddlers are the most vulnerable groups with&nbsp;respiratory infection. Mortality survey conducted by the Subdit Tract Infection&nbsp;Acute Respiratory&nbsp; put Tract Infection&nbsp;Acute Respiratory /Pneumonia as a cause of infant mortality in the spread Indonesia with a percentage of 22.30% of all under-five deaths. This disease is influenced by several factors such as nutritional status. Status Nutrition is one of the indicators that describe the level of&nbsp;welfare of the community.&nbsp;</em><em>The purpose of this research was to</em><em> determine the </em><em>Relationship Between Nutritional Status Of Toddlers With The Incidence Of Tract Infection&nbsp;Acute Respiratory On Toddlers In Puskesmas </em><em>Karanglewas. </em><em>This research uses a survey analytic methods with retrospectivecase control design approach. This research&nbsp; is done at the Puskesmas </em><em>Karanglewas</em><em>. The population is all children aged 1-5 years who suffer&nbsp;Tract Infection&nbsp;Acute Respiratory is 1501 cases and 232 do not suffer from Tract Infection&nbsp;Acute Respiratory&nbsp;as controls. The sample is comparable to the 94 for cases and&nbsp; 94&nbsp;for control. The technique of sample collection is by using purposive sampling and simple random sampling technique. The data analysis with chi-square test. </em><em>The analysis result is </em><em>the majority of children under five suffering from malnutrition Tract Infection&nbsp;Acute Respiratory&nbsp;A total of 40 infants (42.6%). Statistical calculation results show&nbsp;value p-value = 0.000 while the value of α= 0.05 so that the p-value &lt; 0.05&nbsp;which means that there is a relationship between the nutritional status of toddlers with the incidence of Tract Infection&nbsp;Acute Respiratory on toddelrs.&nbsp;Conclusion there are a relationship between the nutritional status of toddlers with the incidence of Tract Infection&nbsp;Acute Respiratory on toddlers in Puskesmas </em><em>Karanglewas</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords:</em></strong><em> nutritional status toddler, </em><em>Tract Infection&nbsp;Acute Respiratory</em></p> Misrina Retnowati ##submission.copyrightStatement## 2019-12-12 2019-12-12 13 01 97 106 10.35960/vm.v12i01.500