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<![CDATA[The invisible killer ]]>
<![CDATA[Santosa, Agus]]>
<![CDATA[ MEDISAINS Vol 18, No 1 (2020) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v18i1.7194
<![CDATA[Viruses have been around for billions of years ago. They are everywhere, with varieties of shapes and sizes. They are microparasites with the ability to evolve and mutate. Some viruses can be so malignant and cause an outbreak that kills hundreds, and even millions, of people. What the world recently faces is one of those malignant viruses.]]>
<![CDATA[Distal Hypospadias, Treated or Untreated?: A Case Report ]]>
<![CDATA[Santosa, Agus]]>
<![CDATA[ Journal Of Nursing Practice Vol. 4 No. 1 (2020): Journal Of Nursing Practice ]]>
Publisher : <![CDATA[Institut Ilmu Kesehatan STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v4i1.100
<![CDATA[Background: Treatment for distal hypospadias is a controversy among the experts. Some argue that it does not require any surgery if it does not interfere with the patient's urinary and sexuality. Purpose: This study aimed to determine whether patients with distal hypospadias need treated or untreated.Methods: The method used is a case study. Participants in this study is a 10-year-old male with distal hypospadias—location of the study in Purwokerto city, Banyumas district, Central Java. Participants were interviewed and physically examined by a doctor and nurse. The results of interviews and physical examinations are recorded and analyzed based on a literature review to determine the decision, treatment, or untreated. Results: A 10-year-old patient with hypospadias and the pediatric urologist do not give surgery advice, because the urethral opening is still close to the glans penis, and there are no symptoms of urinary dysfunction. Conclusion: Patients with distal hypospadias may be untreated as long as they do not interfere with urinary function]]>
<![CDATA[Technique to open an ampoule with an “Ampoule Opener†tool ]]>
<![CDATA[Rahayu, Pujen Tri]]>;
<![CDATA[Asmiati, Dewi]]>;
<![CDATA[Santosa, Agus]]>
<![CDATA[ MEDISAINS Vol 18, No 3 (2020) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v18i3.8371
<![CDATA[Background: The incidence of scratched by ampoule fragments while preparing medicine could harm the nurse. It needs specific tools and techniques that are effective to minimize scratches when opening an ampoule.Technique: We compared a manual ampoule opening technique and another using a unique tool, the "ampoule opener" developed by research. The trial was carried out on 100 nurses in the health science faculty laboratory of the Muhammadiyah University of Purwokerto and at the Ajibarang Hospital. The safety and convenience variables were assessed to determine the effectiveness of the two techniques. The results showed that using the ampoule opener was proven to be more comfortable and safer from several techniques tested.Conclusion: The technique of opening the ampoule using the ampoule opener proved to be more comfortable and safer for a nurse.]]>
<![CDATA[Innovation limb splinting for intravenous cannulae in pediatric ]]>
<![CDATA[Sofiyawati, Estri]]>;
<![CDATA[Ayunitias, Imelda]]>;
<![CDATA[Santosa, Agus]]>
<![CDATA[ MEDISAINS Vol 19, No 1 (2021) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v19i1.8380
<![CDATA[Background: Currently, the splint used in the hospital is not yet practical; it still requires a long installation time and causes the child to experience anxiety when the infusion is installed. Thus, a limb splinting innovation is needed to ease nurses' inserting the needle infusion and reduce young patients' anxiety.Technic: This splint uses a wood material covered with foam, wrapped in a cotton fabric having cartoon printing, and it has an adhesive cloth at its bottom. It has a hole at the top to monitor the needle that goes into the vein.Conclusion: This innovative splint is proven to be easier to use to fix the infusions in children. It is safer and more comfortable. It indeed can reduce anxiety symptoms in children during the infusion.]]>
<![CDATA[Improper social distancing practices: sample cases in Indonesia ]]>
<![CDATA[Santosa, Agus]]>
<![CDATA[ MEDISAINS Vol 18, No 2 (2020) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v18i2.8415
<![CDATA[Social distancing is not always understood well by common people. The media's inaccurate information and the minimum of the government socialization create an excessive fear for specific groups. Then, the practices of social or physical distancing go beyond its real objectives]]>
<![CDATA[Vitamin D supplementation for COVID-19: is it necessary? ]]>
<![CDATA[Santosa, Agus]]>
<![CDATA[ MEDISAINS Vol 18, No 3 (2020) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v18i3.9332
<![CDATA[The development of the COVID-19 vaccine is currently quite encouraging amid increasing mortality and transmission of the COVID-19 virus in various countries. Apart from vaccination, the government also needs to consider vitamin D supplementation policies because it has a significant role in boosting the immune system.]]>
<![CDATA[Management of pemphigus vulgaris: case report ]]>
<![CDATA[Rahmaningsih, Widi]]>;
<![CDATA[Santosa, Agus]]>
<![CDATA[ MEDISAINS Vol 19, No 2 (2021) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v19i2.11237
<![CDATA[Background: Pemphigus Vulgaris is an autoimmune disease attacking the skin and mucous membranes. This disease is considered a rare disease. Epidemiological data for Pemphigus Vulgaris in Indonesia remains limited, correspondingly, nursing management in this disease. This study aims to describe nursing management in patients with Pemphigus Vulgaris.Case presentation: a case of Pemphigus Vulgaris in a 28-year-old male was reported, with complaints of blisters all over his body appearing since 2019 and have not been completely recovered at the Banyumas General Hospital, Central Java, Indonesia.Conclusion: A combination of wound care, nutrition, vitamins, and pharmacology can accelerate the recovery of patients with Pemphigus Vulgaris]]>
<![CDATA[Respiration Status of Asthma Patients Who Get Nebulisation Using Jet Nebulizer Compared to Nebulizer Using Oxygen ]]>
<![CDATA[Agus Santosa]]>;
<![CDATA[Endiyono Endiyono]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 38, No 4 (2018) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v38i4.19
<![CDATA[Background: Some of regional hospitals still provide oxygen gas for nebulizer to therapies in astma patiens. The study was aimed to observe the effectiveness of jet nebulizer vs oxygen as a driving gas for nebulizer on respiratory parameters of asthma patients which is breath pattern, respiration rate (RR), breath sound, oxygen saturation (SpO2), peak expiratory flow rate (PEF}. Method: The research was an experimental with a combination design, pre-post test with control group and post test only with control group in RSUD dr. R. Goeteng Taroenadibrata Purbalingga consisted of 60 respondents selected by proportional stratified random sampling. Data analysis used was independent t-test and fisher’r exact test. Result: There was no difference in the respiratory pattern variables between jet nebulizer and oxygen as a driving gas nebulizers (p> 0.05). The jet nebulizer was better in reducing RR in asthma patients than the oxygen as a driving gas nebulizer (p]]>
<![CDATA[Risk factor for phlebitis in a patient with peripheral intravenous catheters: a cohort study ]]>
<![CDATA[Eka Vivtin Agustiani]]>;
<![CDATA[Agus Santosa]]>
<![CDATA[ Proceedings Series on Health & Medical Sciences Vol. 1 (2020): Proceedings of the 1st International Conference of Health Science Faculty Universitas ]]>
Publisher : <![CDATA[UM Purwokerto Press ]]>
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DOI: 10.30595/pshms.v1i.28
<![CDATA[Phlebitis is one of nosocomial infections that frequently occurred in hospitals. Phlebitis is mainly related with infusion and therapy. Many risk factors can cause phlebitis. The purpose of this study was to predict the prevalence of phlebitis in patients based on the causal factors in Banyumas Regional Hospital. The design of this study was an analytic survey of cohort approach, with a sample of 218 by using consecutive sampling. The study was conducted from November to December 2019 using checklist of observation sheets. The results demonstrates 5 phlebitis risk factors associated with the occurrence of phlebitis, namely the type of fluid (P = 0.011), nutritional status (P = 0.001), catheter size (P = 0.002), injection therapy (P = 0.027) and comorbidities (P = 0.003). The probability of 5 risk factors for the occurrence of phlebitis (88.28%) with nutritional status being the dominant factor (b = 3.928) with probability of (13.48%). To minimize the prevalence of phlebitis, the medical personnel may conduct initial phlebitis screening to determine accurate and appropriate preventive measures.]]>
<![CDATA[Wound care using metronidazole in a patient with diabetic foot ulcer: a case report ]]>
<![CDATA[Agus Santosa]]>;
<![CDATA[Okta Fajar Silviana]]>;
<![CDATA[Neneng Khasanah]]>
<![CDATA[ Proceedings Series on Health & Medical Sciences Vol. 1 (2020): Proceedings of the 1st International Conference of Health Science Faculty Universitas ]]>
Publisher : <![CDATA[UM Purwokerto Press ]]>
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DOI: 10.30595/pshms.v1i.59
<![CDATA[The control of infection in diabetic foot ulcers is essential to prevent injuries from getting worse. Infection in diabetic foot ulcers is generally caused by bacteria existence in the wound. Antibiotics may not be orally able to exterminate bacteria rapidly in the wound area, so antibiotics are needed directly and topically to the wound to reduce the infection process. This case describes wound care intervention using gauze added by antibiotic metronidazole as a wound compress in a 46-year-old male patient with diabetic foot ulcers treated at Cempaka Ward Banyumas Regional Public Hospital. This case is interesting because the medical intervention given to patients is rarely implemented in clinical practice. The conclusion is that a metronidazole antibiotic used to compress wounds in patients with diabetic foot ulcers can reduce the wound infection process.]]>
