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Melyana Nurul Widyawati
KEMENKES POLTEKKES Semarang
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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THE EFFECT OF LOVING TOUCH STIMULATION THERAPY FOR INFANTS' WEIGHT GAIN Fatatu Malikhah; Melyana Nurul Widyawati; Sutarmi Sutarmi; Siti Kistimbar; Taryatmo Kusmini
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Low Birth Weight (LBW) is one of the risk factors that have a high contribution to infant mortality. Increasing the baby's weight is used as an indicator to determine LBW growth. In LBW babies, touch therapy is a form of stimulation to increase endurance, digestive function activities, and vagus nerve activity. Objective: This study aims to determine the effect of Loving Touch Therapy (LTT) as one of the effective non-medical methods to increase body weight in LBW that can be done by parents during home care. Method: This study was a quantitative study using an experimental design and Randomized Controlled Trial (RCT) design. This research conducted in 15 respondents in the intervention group with four weeks' LTT and 15 respondents in the control group who were given Tactile Kinesthetic Stimulation (TKS). Data were obtained from measurements of body weight before and after the intervention then the data were analyzed using independent t-test with significance level p-value <0.05 and multivariateanalysis using linear regression. Results: 19 respondents female (63.3%) and 11 respondents male (36.6%) was participated in this research by the frequency distribution of the gender. It was a significant increase in body weight in LBW with LTT carried out by his mother for 28 days compared with TKS stimulation. The differences in the average weight gain are 197 grams. The difference is statistically significant. Conclusions: It can be concluded that LTT is more effective in increasing body weight in LBW posthospital care because the technique is simple and sequential from the front to the back of the baby's body which makes it easier for parents to understand and physiologically doesn't lose much an energy. Keywords: Low Birth Weight Baby, Loving Touch Stimulation Therapy, Male and Female Body
ACUPRESSURE AND YOGA COMBINATION CAN REDUCE ANXIETY DURING PREGNANCY: A SYSTEMATIC REVIEW Ida Ayu Putu Dewi Adnya Suwari; Melyana Nurul Widyawati; Ni Putu Dian Ayu Anggraeni
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Untreated anxiety during pregnancy causes the health problems among mothers and the fetus. Complementary and Alternative Medicine (CAM) such as acupressure and yoga is seen as the alternatives to deal with this anxiety. This study aims to determine if the combination of acupressure and yoga is effective to reduce anxiety during pregnancy. Method: This study was a systematic review using the guidelines of the PRISMA. Articles were obtained from electronic databases Scopus, Science Direct, and PubMed by identifying published articles from January 2013 to March 2019. Articles were identified using keywords ‘acupressure’, ‘prenatal yoga’, and ‘anxiety in pregnancy’. All articles included in this study were only those who used intervention research design in the form of an RCT and pilot study. Results: Ten of 1186 articles met the intended criteria in this study. The results showed that acupressure and yoga have significant benefits in reducing anxiety among pregnant women. It was also found that this combination potentially prevented the postpartum depression. Conclusion: Acupressure and yoga interventions can be combined as non-pharmacological therapy to reduce anxiety during pregnancy. Further research with more specific interventions is needed to provide evidence of reducing anxiety during pregnancy. Keywords: acupressure, prenatal yoga, anxiety during pregnancy
COMPREHENSIVE THERAPY FOR POLYCYSTIC OVARY SYNDROME: KEY POINTS TO IMPROVE QUALITY OF LIFE Noviyati Rahardjo Putri; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder that affects the hypothalamus, pituitary, and ovary. PCOS prevalence has increased from 4 –6% to 8 –10%. This syndrome results in both physical illnesses and psychological disorders. Women with PCOS tend to be more prone to psychological disorders compared to healthy women. PCOS increases the risk of anxiety by 7 folds. This study aims to analyze measures to reduce psychological disorders caused by PCOS based on numerous psychological disorder parameters and hormonal biomarkers with psychological therapies. Methodology: This study is based on the PRISMA protocol guidelines. The literature review was performed by accessing ScienceDirect, PubMed, Sage Publications and Google Scholar. The inclusion criteria for the articles are full-text papers written by English from 2009 to 2018. The keywords used to find suitable articles are “anxiety, stress, distress, depression, and quality of life management in polycystic ovary syndrome”. Nine articles were subsequently reviewed. Results: Psychological therapies that can be applied for PCOS include holistic yoga, acupuncture, spiritual guidance, mindfulness stress management, relaxation, and guided imagery, progressive muscle relaxation and administration of herbal, probiotic and selenium medication. Those therapies have proven to lower anxiety, stress, depression, and psychological fatigue as they were measured using instruments of Montgomery Åsberg Depression Rating Scale (MADRS-S), Brief Scale for Anxiety (BSAS),Swedish Short-Form36 (SF-36), PCOS Questionnaire (PCOSQ), Beck Depression Inventory, DASS 21 and STAI. Meanwhile, observed biomarker responses include lower levels of cortisol, adrenalin, testosterone, and malondialdehyde (MDA) and a higher level of endorphin. Conclusion: Psychological therapies for PCOS have proven to lower psychological disorders as measured by numerous parameters and biomarkers. Therefore, psychological therapies have to be further developed to decrease psychological disorders because of Polycystic Ovary Syndrome. Such as symptoms of anxiety and prevent deterioration of social mental health. Keywords: Anxiety, stress, distress, depression, and quality of life management in polycystic ovary
METHODS OF POSTPARTUM BLOOD LOSS MEASUREMENT IN INDONESIA SHOULD BE MODIFIED FOR BETTER ACCURACY: A LITERATURE REVIEW Siska Febrina Fauziah; Melyana Nurul Widyawati; Tecky Afifah Santy Amartha
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: Assessment of blood loss after delivery is important because intervention in the “golden hour” is crucial to prevent maternal morbidity and mortality. In fact, the biggest obstacle in overcoming postpartum blood loss are symptom recognition, accuracy, and timely diagnosis. Aims: The objective of this study was to analyze the strengths and weaknesses between visual estimation and quantification of blood loss measurements. Methods: Literature review was conducted using the electronic databases Science Direct, Pubmed, and Google Scholar. Measurement of blood loss and postpartum hemorrhage was used as keywords in searching strategy. A total of 23 from 17.200 of publications range from 2010 until May 2017 and presented in English language were included in this review. Results: Many studies show that quantification of blood loss method is better than visual estimation. Visual estimation of blood loss was imprecise, tend to underestimate blood loss, and thus to delay diagnosis of PPH, whilst quantification of blood loss more accurate and objective. Nonetheless, quantification methods not used routinely due to their unavailability, more time consuming,complicated, costly, and analyst workload increases. Conclusions: Modified measurement method and its existing protocol needed to overcome blood loss during postpartum.
COMPARING EFFECTIVENESS OF PALM DATES AND OXYTOCIN MASSAGE IN STIMULATING BREASTMILK PRODUCTION OF POST PARTUM MOTHER Siti Roudhotul Jannah; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: The coverage of exclusive breastfeeding in the world is still low. It is influenced by the limited number of breastfeeding counselors, the lack of education, advocacy and coaching breastfeeding support groups, maternal health and physiological factors (prolactin and oxytocin hormones). Dates contains oxytocin and many chemical elements which are good for breastfeeding mothers. Regular oxytocin massage therapy is also shown to increase the production of the oxytocin hormone. Aims: To compare the effectiveness of palm dates and oxytocin massage in stimulating breastmilk production of postpartum mothers. Methods: it is a literature review study, using keywords breastfeeding, palm dates and oxytocin massage from national and international journals. Results: The results shown that palm date and oxytocin massage have been proven to increase the oxytocin hormone that is influential on the smoothness of breastfeeding in postpartum mothers. Some studies noted that the palm dates contain potuchin hormone that serves spur blood vessel contractions around the breast spurring mammary gland to produce milk. In addition, there is the hormone oxytocin can help stimulating the contractions of the muscles of the uterus to facilitate childbirth. While oxytocin massage can increase milk production and the baby's weight and also to drive a contraction in the veins surround the breast and spurring the milk glands to produce milk. Conclusion: The results of several studies suggest that the oxytocin massage is more effective applied to increase oxytocin than the consumption of palm dates.
THE EFFECT OF ELECTRIC BREAST PUMP IN INCREASING BREASTMILK PRODUCTION Sheyla Najwatul Maula Maula; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Breastfeeding for 2 years has been recommended by WHO and CDC, so that breastfeeding has become an integral part that determines the quality of human resources in the future as well as solutions for social, environmental and the economic problems faced by every nation around the world. This study was conducted as a preliminary study, the first step in the production of portable electric breast pumping equipment. One of the innovations in modifying electric breast pumping equipment that is more useful effective and efficient in various activities. Breast pumping equipment is a step in the transformational breastfeeding process because it can improve breastfeeding sustainability in the activity performed. Aims: To observe the effect of electric breast milk pump to the effectiveness and satisfaction in breast milk production in breastfeeding women in Semarang 2017. Methods: Preliminary study results were tested by statistical analysis test of independent sample T-Test and chi-square. Independent variable in this study is electric breast pump and dependent variables are effectiveness and satisfaction. This study was carried out by testing the electric breast milk Spectra 9+. The data were collected from 10 respondents. Results: The analysis test results showed the significance value P> 0.05 which meant that there was no significant difference between the effectiveness and satisfaction of breast milk production by using the electric breast pump. Conclusion: The electric breast pumping equipment have no effectiveness and satisfaction in milk production. Modification of electric breast milk pumping equipment should be expected to improve the use by postpartum women to breastfeed in various activities.
THE EFFECT OF IRON POLYMALTOSE COMPLEX TABLET ADMINISTRATION TO INCREASE HEMOGLOBIN LEVEL AMONG PREGNANT WOMEN WITH ANEMIA Cahyaning Puji Astuti; Melyana Nurul Widyawati; Sri Endang Pujiastuti
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Anemia is a major cause of bleeding due to iron deficiency. Iron tablets which contain 60 mg of Ferrous Sulphate and 0.25 mg of folic acid did not show good results in changing the body’s iron level and there are many perceived side effects. However, there is now exists an oral iron tablets in the form of available salt compounds of ferrous fumarate, ferrous sulphate, and ferrous gluconate. These tablets contain iron hydroxide polymaltose complex (III) or better known as IPC (Iron Polymaltose Complex) and have minimal side effects. Aims: To understand the effect of IPC tablets in increasing the hemoglobin level in pregnant women with anemia. Methods: This study used quantitative study with pre-experimental design, or experiments that have not been applied in real terms. This study used non-probability sampling technique and purposive sampling for the selected sample. The sample were 35 people based on the inclusion criteria. The design used was one group pre-test – post-test approach without the control group. The subjects undertook the anemia examination on the first day (pre-test) and afterwards were administered 100mg IPC tablets daily for the next 30 days. In the end of the intervention, the subjects were re-examined and the results were compared (post-test). Results: The study showed that there is a significant increase of hemoglobin level in pregnant women with anemia with p value = 0.023 (p<0.05) after the intervention in the form of IPC tablet administration was conducted for 30 days. Conclusion: The intervention performed in administration of IPC tablets for pregnant women with anemia showed a significant increase of hemoglobin level before and after the provision of IPC tablets.
RISK FACTORS ASSOCIATED WITH PRECANCEROUS LESION Lutfiana Kusumaningrum; Sa’adah Mujahidah; Melyana Nurul Widyawati; Bahiyatun Bahiyatun
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Visual inspection acetic acid (VIA) can be a substitute method for early detection of Precancerous lesion of cervical cancer. Therefore, efforts should be made for prevention to increase community awareness in recognizing the risk factors of cervical cancer so that it can determine the steps of prevention and early detection. Aims: This research is to determine the risk factors associated with precancerous lesion, a study casecontrol in Health Center of Semarang City Year 2016). Methods: This research is an observational analytic study with case-control design with retrospective study. The sample selection was using a simple random sampling method. The number of respondents is 98 people from 474 people doing the VIA inspection in January 2016 to December 2016, which passed the inclusion and exclusion criteria and divided into two groups, 13 people in case and 86 people in control group. Results: There is a relationship between the results of the examination of the precancerous lesion with the risk factor of the number of respondent marriages (P- 0.038), husband historical marriage (P-0.000), smoking exposure (P-0.000). Conclusion: Risk factors associated with the results of the examination precancerous lesion are the number of responden marriages, husband historical marriage, smoking exposure.
PERIODONTITIS IN PREGNANCY AS RISK FACTORS OF PREECLAMPSIA : A LITERATURE REVIEW Nur Fitriyah; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Periodontitis may indicate the presence of chronic endotoxin inflammatory disease and cytokines, which are considered as risk factors for systemic diseases such as cardiovascular disease, atherosclerosis, and cerebrovascular ischemia. Maternal periodontitis substitutes a potential microorganism that can penetrate the circulation, directly or indirectly has the capacity to affect the health of the mother and fetus. Preeclampsia is associated with an abnormal maternal cytokine response, such as elevated tumor necrosis tumor (TNF)-α, interleukin (IL)-1 and 6 levels that cause endothelial damage to the placenta. Aims: Reviewing epidemiological associations between periodontitis and preeclampsia Methods: The method used in this paper is literature review. Literature searches were conducted using the electronic databases Science Direct and Google Scholar. Results: Many studies showed that periodontitis is a risk factor for the occurrence of preeclampsia. Periodontal disease is known to cause systemic inflammation early in pregnancy through increased IL-6 mechanism and increased systemic CRP, during pregnancy the increased progesterone hormone causes greater vascular permeability, stimulates the production of prostaglandins that can cause inflammation, and can decrease the regulation of interleukin-6 production that is less resistant to bacterial inflammation. Conclussion: The guidance of maintaining the dental and oral health of pregnant and under-five mothers published by the government can be developed into a strategic and innovative program to increase community interest to regularly check the health of teeth to health facilities.
EFFECT OF AMBON BANANA CONSUMPTION TO DECREASE BLOOD PRESSURE IN PREGNANT WOMAN WITH PREECLAMPS Ira Pujiani; Ima Nurapriyanti; Melyana Nurul Widyawati; Elisa Ulfiana
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Preeclampsia greatly affects maternal and fetal mortality and morbidity being dependent on gestational age at the time of preeclampsia. Maternal mortality in Indonesia is still marked by three major causes of death: haemorrhage, hypertension in pregnancy (HDK) and infection.This study aims to determine the effect of giving bananas ambon(ambon bananas?) in pregnant women with preeclampsia. Method: This research used analytic survey method with experimental research design. The research design used prepost control design. The sample used was 20 pregnant women with pre-eclampsia, of which 10 were treated and 10 were controls. Result: The result of T-Test paired showed that the effect of the use of ambon banana in the systolic blood pressure treatment group was 0.0001 (P <0.05) and diastole was 0. 031 (p <0.05). Similarly, in systole the effect of banana utilize on the decrease in systolic blood pressure in groups was 0.101 (p>0.05) and in diastole 0.445 (p>0.05). Conclusion: Provision of bananas in pregnant women is quite influential in the blood pressure pistol both systole and diastole with a difference of 10 mmHg.
Co-Authors Admini Admini Admini Admini Admini Admini Agustina Catur Setyaningrum Aida Amalia Nur Ramadhian Aini, Fajaria Nur Ainur, Syafrida Alvin Alvani Tresna A Amalia, Dhanty Nurul Amartha, Tecky Afifah Santy Amartha, Tecky Afifah Santy Ananti Setya Primawati Anita Widiastuti Annisa Amalia Hanifa Aquarista, Nita Ari Suwondo Ariawan Soejoenoes Aris Santjaka Arwani Arwani Asiswari, Asiswari Asmaul Husna Asmawati, Lilik Astri Yulia Sari Lubis Astuti, Cahyaning Puji Ayi Tansah Bahiyatun Bahiyatun Bahiyatun Bahiyatun Bahiyatun Bahiyatun, Bahiyatun Bambang Sutomo, Bambang Bedjo Santoso Bedjo Santoso Kadri Beniqna Maharani Besmaya Bina Kurniawan Cahyaning Puji Astuti Cahyaning Puji Astuti Desiska Pricilia Dewi Mayangsari Dewi Mayangsari Dhanio, Yeyen Wulandari Diki Retno Yuliani, Diki Retno Diksi Laksmita Dewi Dilla, Tasya Nurlaila Diyah Fatmasari Djamaluddin Ramlan, Djamaluddin Djoko Priyatno Donny Kristanto Mulyantoro Durrotun Munafiah Dwi Suryanti Wahyuningsih Dyah Lustika Rahayu edy susanto Eka Setyowati Elisa Ulfiana Elisa Ulfiana Endah Aryati Eko Ningtyas Endah Kumala Dewi Entan Afriannisyah Eny Retna Ambarwati Ery Hadiyani Puji Astuti Estuasih Dyah Pertiwi, Estuasih Dyah Fachry Abda El Rahman Fatatu Malikhah Fathonah, Yayuk Fauziah, Siska Febrina Fitriyah, Nur Hajrianti, Siti Hesti Kurniasih Hulfa Ahadian Haryanti I Komang Leo Triandana Arizona Ida Ayu Putu Dewi Adnya Suwari Ihsanti Indri Fajriya Ika Rahmawati Ima Nurapriyanti Imam Djamaludin Mashudi Intan Nugraheni Hasanah Intanwati Intanwati Ira Pujiani Isnu Kurnia Nugrahaeni Istiqomah, Nursita Iswanto, Rery Kurniawati Danu Jannah, Marichatul Juniartati, Erni Krisdiana Wijayanti Kumorwulan, Suryati Kurnianingsih Kurnianingsih, Kurnianingsih Kurnianingsih, - Kurniati Devi Purnamasari Kusmini, Kusmini Kusumaningrum, Lutfiana Lailatul Hidayah Lailatul Hidayah Laili Nurul Ngaziz Leny Latifah Lestari, Tri Endah Widi Lia Mulyanti Lieni Lestari Lucky Herawati Lucky Herawati Lutfiana Kusumaningrum Maghfirotunnisa, Ridha Maigoda, Tony Cortis Malikhah, Fatatu Mardiyono Mardiyono Mardiyono, Mardiyono Marsum Marsum Marsum Marsum Masruroh, Maya Latifatul Maula, Sheyla Najwatul Maya Latifatul Masruroh Meika Jaya Rochkmana Muhammad Hilman Fatoni Mujahidah, Sa’adah Munafiah, Durrotun Muriana, Eviyati Aini Muryasari, Ika Nanang Qosim Nani Yuningsih, Nani Naomi Christina Hutabarat Nasution, Naimah Nggusual, Rili Ronia Ni Putu Dian Ayu Anggraeni Nina Indriyawati Noviyanti, Aldila Nur Fitriyah Nur Syahria Nurapriyanti, Ima Nurlaili, Siti Nurul Aeni Octaviani, Dhita Aulia Oktavia, Jinhan Nur Oktavia, Sari Oktaviani, Nur Hilda Panglukies Ratna Agustie Permatasari, Chyntia Punky Pramana, Cipta Pricilia, Desiska Pujiani, Ira Pujiyani, Honesty Putri, Noviyati Rahardjo Putri, Winda Astria Retno Kusuma Dewi Reza Indra Wiguna Rili Ronia Nggusual Rohmatun Nazilah Roza, Safni Mulia Rr. Sri Endang Pujiastuti Runjati Rusmini Rusmini Sa'adah Mujahidah Sa’adah Mujahidah Septiani, Camilla Sheyla Najwatul Maula Maula Shinta Wurdiana Rhomadona Siska Febrina Fauziah Siti Kistimbar Siti Kistimbar Siti Roudhotul Jannah Siti Roudhotul Jannah, Siti Roudhotul Solly Aryza Sri Endang Pujiastuti Sri Endang Windiarti Sri Rahayu SRI RAHAYU Sri Sumarni Sudirman Sudirman Sudiyono Sudiyono Suhartono Suhartono Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Supriyadi Supriyadi Supriyana Supriyana Suryati Kumorowulan Suryono Suryono Susmiyati, Susmiyati Sutarmi Sutarmi Sutarmi, Sutarmi Suwari, Ida Ayu Putu Dewi Adnya Syafrida Ainur Syafrida Ainur Syahria, Nur Syarief Taufik Syarief Thaufik Syarief Thaufik H Taryatmo Kusmini Taryatmo, Taryatmo Tasya Nurlaila Dilla Tecky Afifah Santy Amartha Tiara Widiatami Toifah, Umi Tri Arief Sardjono Tuti Tuti Uning Sulistiarini Veryal, Veryal Vita Triani Adi Puteri Wahyuningsih, Dwi Suryanti Walin Walin, Walin Wibowo, Mufti Agung Widodo Widodo Wijayanti, Krisdianan Wulan, Suryati Kumoro Wulandari, Agnhes Jesyika Wulandari, Kharismana Umia Wulandari, Tesa Yulike Yeyen Wulandari Dhanio Yuliatri, Risa Yunita Dyah Fitriani Yustiza, Non Rachmani