Proceedings of the International Conference on Applied Science and Health
Proceedings of the International Conference on Applied Science and Health is a conference collection of technical papers freely accessible to scholars over the world. Articles featured vary areas of efforts to develop health and well-being for better society such as factors of illness, epidemiology, health promotion, health policy, nutrition, environmental health and safety, nursing and midwifery, and other sciences related to health development.
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PREGNANT WOMENS PERCEPTION ON HIGH-RISK PREGNANCY
Rosmawati, Rosmawati;
Wijaksanah, Eka;
Sarliana, Sarliana
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: Central Java province is one of the contributors to maternal mortality rate (MMR) in Indonesia which reached 126 per 100.000 live births. The cause of death of pregnant women can be predicted based on the risk factors posed by the mother during pregnancy. In 2014 the number of high-risk pregnant women in Semarang City is 2.904 people and this number increased in 2015. Aims: To explore the perception of pregnant women about high risk pregnancy at Bandarharjo Health Center Semarang City. Methods: This is a qualitative research study with phenomenology approach. The sampling technique used is purposive sampling and the sample criteria in this study were the third-trimester pregnant women and did not have a high-risk pregnancy, living in work area of health center of Bandarharjo Semarang City, doing a pregnancy check up at Bandarharjo Semarang health center, and willing to become an informant. The sample in this study amounted to 7 participants, consisting of 4 informants and 3 triangulation. Triangulation in this research is a midwife at Health Center Bandarharjo Semarang City and another pregnant women who does not become an informant and live in working area of Bandarharjo Health Center Semarang City. Data collection techniques for both informants and triangulation used in-depth interviews. Results: All the informant understand that high-risk pregnancies is a condition in which maternal pregnancies at high risk for both mother and baby. The information about high-risk pregnancy obtained from health workers, the public, reading books, and media. Midwives play as an important source when pregnant women looking for the information about high risk pregnancy. Most of informants revealed they never wished to be in high-risk pregnancies, but they know about the impact of high risk pregnancy. The informants also agreed if they have to go health facilities if they get a high risk pregnancy. Conclusion: Overall pregnant women already understand about high-risk pregnancies. Midwives play an important role in the welfare of mothers and babies so that the information provided is very beneficial for pregnant women. Therefore, it is expected that cooperation from various parties refers to the government, health workers, community and individual pregnant women themselves in conducting activities such as counseling that can provide benefits, especially in the prevention of pregnancy with high risk.Â
HEALTH EDUCATION TO PREVENT DIABETES; A STUDY AMONG STUDENTS WITH PREDIABETES IN SURAKARTA, INDONESIA
Permadani, Agista Delima;
Oktafian, Bayu Cahyo
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: Pre-diabetes is a condition where blood glucose above normal, called as a pre-diagnosis diabetes. Without any effort to prevention, pre-diabetes will become diabetes within 5-10 years. From the preliminary study, there are 61 students in Nursing Program of Health Polytechnic Surakarta diagnosed with high blood glucose level. Early prevention with health education on the prevention of diabetes, namely physical activity and diet. Aim: The purpose of this study is to determine the effect of health education to prevent diabetes among students with high blood glucose level. Method: This research employed a quasi-experimental design with one group pretest and posttest. The fasting blood glucose (FBG) was measured before and after health education. A total of 30 students, with pre-diabetes risk, from Nursing Program of Health Polytechnic Surakarta, selected by purposive sampling, was involved before and after the program. The blood glucose level was measured using blood glucose meter, with three replications. Health education was given using SAP (Events Unit Extension), leaflet and power point slides. Material of the health education program on primary prevention of DM was provided for 20 minutes only 1 time. Paired T-Test was used to find the significant differences of average levels of fasting blood glucose levels before and after given health education. Results: The level of fasting blood glucose levels respondents before being given health education was 95.30 ± 2.67 mg/dL. While after given health education, the glucose level decreased 1.52 mg/dL to the level of 93.77 ± 2.94 mg/dL. Through paired T-test, it is noted that the decline was significant (p value = 0.014). However, the drop of fasting blood glucose levels among students diagnosed with pre-diabetes cannot ensure the level to the non-diabetes risk. Conclusion: This results supports the provision of health education on the prevention of diabetes. It suggest the need of providing health education for early prevention.Â
CORRELATION BETWEEN PRENATAL YOGA AND DELIVERY PROCESS AMONG MOTHERS IN INDEPENDENT MIDWIFE CLINIC âHARTI MUSTAQIM SUMOWONOâ, SEMARANG, INDONESIA
Sarwendah, Dian Febri;
Sari, Dian Nirmala;
Rosalina, Rosalina
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: Childbirth is the culmination of a human pregnancy with the emergence of a newborn infant from its motherâs uterus. Factors that may extend or influence the duration of labor are uterine contraction, pelvic bone, pelvimetry, and presentation. Focusing on muscle control, breathing techniques, relaxation, and peace of mind, yoga played a key role in preparing the delivery process. Aims: The purpose of this study is to determine the relationship of prenatal yoga with the delivery process among mothers at Independent Midwife Clinic âHarti Mustaqim Suwonoâ, Semarang, Indonesia. Methods: The research method was correlative analytical with cross sectional approach. A total of 43 mothers who follow prenatal yoga in Independent Midwife Clinic âHarti Mustaqim Suwonoâ was involved in this study. Respondents were asked to fill the registration book for their visiting at the prenatal yoga facility, and their delivery process. The collected data was then analyzed statically using the Chi-square test. Result: Among the 43 pregnant mothers who registered yoga class at Harti Mustaqim Suwono clinic, the majority (81.4%) attended the class regularly, and 38 mothers experienced normal delivery. Among the mothers who join the class routinely, only 2.9% mothers were giving birth by cesarean section. The data shown the possibility requiring C-sections for delivery increased when the pregnant mothers skipped the class. From 8 mothers who not regularly presented in the prenatal yoga class, only 50% of them experienced normal delivery. The Chi-square test shows that the correlation between prenatal yoga and delivery process among mothers in Independent Midwife Clinic âHarti Mustaqim Sumowonoâ, Semarang, Indonesia, was significant (p value = 0.003). Conclusion: The results highlight that attending yoga class routinely will affect significantly to the delivery process. Mothers who practiced prenatal yoga are more likely to experience normal labor. The study suggested the needs of yoga practice during the pregnancy and childbirth.Â
THE CORELLATION BETWEEN AGE AND PARITY TO THE INCIDENCE OF PREECLAMPSIA OR ECLAMPSIA IN LABOUR
Fatimah, Fatimah;
Nurulita, Nurulita;
Arniah, Arniah
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: Based on Indonesian Health Demographic Survey 2007 maternal mortality rates are 228 per 100.000 live births. In East Kalimantan, maternal mortality was recorded at 90 cases, one of death caused by pre-eclampsia/eclampsia. In 2011, from 923 women in labor in Panglima Sebaya General Hospital there are 307 had pre-eclampsia/eclampsia. Pre-eclampsia or eclampsia be influenced by several risk factors such as primigravidae and ages. Aims: The purpose of this study is to know the correlation of age and parity with pre-eclampsia/eclampsia on women in labor, in Panglima Sebaya, General Hospital. Methods: This study used cross sectional design. Sampling methods used purposive sampling, the number of samples is 340 cases. Data analysis using SPSS for Windows Release 16.0 programmes. Bivariate analysis used chi-square test and multivariate analysis used regress logistic test. Result: chi-square test for primigravidae has p-value(0.002) < 0,05 and Ratio Prevalence (RP) = 1.988 (95% CI 1.296 â 3.079). variabel of ages p-value(0,000) < 0.05 RP = 2.661 (95% CI 1.656 â 4.116). and for regress logistic test for variable of primigravidae the result is p-value(0,003) < 0.05 and coefficients regress 0.665, variable of ages has p-value(0.000) < 0.05 coefficients regress 0.938, and R square 0.99. Conclusion: Primigravida and age have a correlation with the incidence of preeclampsia/eclampsiaÂ
HEALTH PROMOTION IN LOW AND MIDDLE INCOME COUNTRIES: âYOUTH CHAMPIONSâ AS AGENTS OF CHANGE
Mukisa, Ronald;
Macnab, Andrew J;
Stothers, Lynn
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: Health promotion includes a wide range of social and environmental interventions that enable people to increase control over their own health. The aim is to achieve health literacy, where people have the knowledge they need to make healthy choices and the skills and daily practices necessary to improve their health, and can access information that helps to reduce the risk of illness or injury. Health promotion programs traditionally use adult experts or teachers to deliver the information and practices promoted, but in school-based programs WHO advocates the involvement of youth to make program content and delivery relevant and interesting to school children. Aims: To summarize how youth leaders (âchampionsâ) can contribute to school and community based programs through their involvement in the design of school-based health promotion and by engaging and motivating the target population. Methods: Summary of the HPS literature and experience of youth involvement in our school programs in Africa Results: Schools are settings where important health knowledge and behaviours can be promoted. Teachers have a central role in creating an environment that fosters health learning, but the efficacy of health promotion is improved when youth are included in program design and delivery. Youth champions have a special ability to connect with the target audience in schools and by using the pupils âlanguageâ and idioms make the knowledge and practices being shared relevant and accessible. Trained youth can champion individual messages or take on a variety of roles in health promotion initiatives. Youth champions have contributed to the success of programs that have promoted hand washing, oral health, improved nutrition, malaria prevention, sexual health and HIV/Aids prevention Youth involved as champions have an important opportunity to learn as well as to contribute; potentially, many educators, health care providers and leaders of tomorrow will emerge from among them.. Conclusion: Youth who act as champions and peer to peer counsellors have a unique contribution to make in school-based health promotion. As measured by long term retention of knowledge and sustained changes in behavior, school-based health promotion is improved when youth are included as âmessengersâ and pupils help select the âmessagesâ promoted.Â
THE EFFECT OF GUIDED IMAGERY RELAXATION TOWARDS PAIN LEVEL OF POST-SURGICAL CAESAREAN SECTION PATIENTS IN GENERAL HOSPITAL MUHAMMADIYAH SITI AMINAH BUMIAYU, INDONESIA
Rahma, Khusana
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: Pain is one of the diagnostic study found in the post-surgical phases, including sectio caesaria. Sectio caesaria surgery causes tissue and cell damage that result in the release of painful substances such as bradykinin, lactic acid and prostaglandins. These substances cause nociceptor impulses and lower the pain threshold, causing the sensitivity of pain receptors. One of the interventions that can be done to relief the pain is through the use of guided imagery relaxation techniques. This method was one of the non- pharmacological treatments to lessen the pain by using words and positive imagination. Aim: To compare the pain level of the patients with post operation of sectio caesaria, before and after guided imagery relaxation. Methods: The research design was pre-experimental with one pre-test group of 30 patients. The population in this study were post-operative patients of sectio caesaria at Muhammadiyah General Hospital Siti Aminah Bumiayu, where in October 2014 the number of cure patients treated in the Marwah Room were 55 patients. The respondentsâ samples were taken from their surgical procedures of sectio caesaria. The sampling technique was purposive sampling. Conclusion: Guided imagery relaxation had a significant effect towards the levels of post-operative sectio caesariaâs pain. Nurses can apply guided imagery relaxation as an intervention and develop the related standard operational procedure (SOP) to ease the patientsâ pain problem.Â
THE EFFECTIVENESS OF "FLASH CARD" IN IMPROVING MOTHERSâ KNOWLEDGE ON PREGNANCY
Pipitcahyani, Tatarini Ika;
Safitri, Citra Adityarini
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Aims: To know the effectiveness of using flash cards as a method to educate the expecting mothers during pregnancy counselling class. Methods: The study used pre-experimental pre-test and post-test control group designed with the intervention using flash card. This study was conducted from January to September 2016 with a population of 40 pregnant women and sampling by means of accidental sampling with 10 respondent. The research was designed by using Quasi-Experiment Wilcoxon statistical techniques. Results: From Wilcoxon test, the results demonstrate a level of knowledge in the control group with a score of 0.59 sig (p>0.05). In the treatment group sig 0.05 (p>0.005) indicates a significant difference between the group using flip charts and the flash card group. From the Mann-Whitney test, the results yield sig 0.002 (p>0.005) which shows that flash card proved to increase the level of knowledge of pregnancy. Conclusion: Counselling using a flash card is an effective method to educate the expecting mothers to better understand the knowledge of pregnancy health.Â
CARROTS JUICE FOR DYSMENORRHEA
Hastuti, Puji;
Aini, Fajaria Nur;
Sumiyati, Sumiyati
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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Background: The incidence of dysmenorrhea (menstruation pain) was reported at a moderate level (64.25%), ranged from 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. Most Indonesian women used herbs to reduce the pain, yet, only few who understood that carrots can be used. Carrots contains a lot of beta carotene, flavonoids and saponins that works as analgesic and anti- inflammatory effect. It inhibits the enzyme phospholipase and lipooksigenase enzymes that would inhibit prostaglandin release. Aims: The objective of this research is to analyze the effect of carrots juice to reduce dysmenorrhea in midwifery student. Method: this research employed pre-experimental design, with pretest-posttest one group design. The carrot-free varieties of water was set as independent variable, whilst different levels of dysmenorrhea pain as dependent variable. Twenty five female students was selected randomly as sample from 172 studentsâ population. Prior to treatment, respondents were asked to fill out a questionnaire about the degree of pain experienced, then given carrot juice made from 250 grams of carrots, 100 cc of water and 2 tablespoons of sugar and drink 2 times (morning and evening). After administering carrot juice, respondents again filled out questionnaires about the level of dysmenorrhea pain. Results: Prior to the intervention, 72% participant experienced mild pain whilst 20% suffered from moderate pain and 8% felt severe pain. After the provision of carrots juice, the vast majority experienced no pain (68%), 24% mild and 8% felt moderate pain. No participants reported suffered from severe pain. The results of Wilcoxon Match Paired Test analysis shows that there is influence of giving of carrots juice to various level of dysmenorrhea in student with p = 0.001. Conclusion: There is an effect of giving carrots water to various levels of dysmenorrheal pain in the students. So it is advisable for teenagers or adults to increase knowledge related to dysmenorrhea and to provide carrot juice as an alternative to overcome dysmenorrhea pain.Â
PERIODONTITIS IN PREGNANCY AS RISK FACTORS OF PREECLAMPSIA : A LITERATURE REVIEW
Fitriyah, Nur;
Widyawati, Melyana Nurul
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health
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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.Â
ANALYSIS OF PREDISPOSITION FACTORS ON PREMATURE RUPTURE MEMBRANES IN POSTPARTUM MOTHERS
Daniyati, Asri;
Putri, Pramita
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: Early rupture of membranes is one of the most common pregnancy complications. The incidence of premature rupture of membranes ranges from 5-10% of cases. Preterm premature rupture of membrane occurs in 1% of all pregnancies, 70% of cases of premature rupture of the membranes occur in term pregnancy. In West Nusa Tenggara, 45% of maternal deaths occurred due to bleeding, 14% due to preeclampsia, 1% of prolonged labour (old or stalled openings), 4% infections and 36% of other cases. Aims: The purpose of this study is to analyse some predisposition factors of premature rupture membranes in Maternity Room of General Hospital of West Nusa Tenggara Province in 2012. Methods: This study is observational analytic with cross-sectional design. The population in this study were all maternal mothers at West Nusa Tenggara Provincial Hospital in January - December 2012 with 1027 births and the sample used were 576 samples consisting of 288 case samples and 288 control samples, using systematic random sampling technique. Results: From the result, the age group of 20-35 years old as much as 154 samples (53.5%). The most parity 220 sample (76 .4%), in work mother of 149 samples (51.7%). The result of multivariate analysis using logistic regression showed that age is the most dominant influence which cause the incidence of early rupture of membrane (wald = 20.209) Conclusion: Multivariate analysis showed that there was one variable that proved to have an effect on the incidence of premature rupture of membrane, i.e. mother age with p = 0,000 with OR = 3.441 mean maternal mother with age <20 and> 35 had 3.44 times risk of premature rupture of membranes. Therefore, it is imperative that women are educated in the risk factors and the signs and symptoms of premature rupture of membranes so that in case of membrane breaks, they can seek for immediate treatment.