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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<![CDATA[ANALYSIS OF NUTRITIONAL CONTENT OF TORBANGUN (Coleus amboinicus Lour) LEAF BISCUIT ]]>
<![CDATA[Nababan, Donal]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: One of the local food ingredients that can be utilized as a complementary food is a torbangun leaf. Torbangun leaf is usually consumed in the form of torbangun leaf soup or served as vegetables with main meal. Torbangun is rich in iron, vitamin C, energy, protein, fat that is very beneficial for infant growth and is widely available in the market with cheap price. Torbangun leaves, especially when made into powder, can be processed into a wide range of food products such as biscuit, but needs several intervention trials to search its long shelf life with high energy density. Methods: The purpose of this research is to study the formulation of torbangun leaf biscuit and to analyze the nutrient content in meeting the nutritional requirements of child stunting aged 12-18 months. Organoleptic test was conducted with 5 point hedonic rating test. This study used Anova test to see the mean difference in the assessment of leaf biscuits torbangun. Results: With the addition of 10% (A), 20% (B), and 30% (C) torbangun leaf powder in every 100 gr biscuit, the organoleptic test showed that biscuit with 20% of torbangun flour had the highest organoleptic score on taste, flavor, texture and color. The biscuit contents energy and protein similar to the commercial fortified (PMT) biscuit with high content of iron and calcium. Compared with the PMT biscuits, the torbangun leaf biscuit meets the energy criteria (at least 400 kcal/100gr) but slightly having lower protein (less than 8gr/100gr). However iron content of torbangun biscuit equals the upper range of the PMT biscuit (4-7.5 mf/100gr) and very high calcium content (almost 10 times higher than the PMT biscuit). Consclusions: The selected biscuits with 20% torbangun leaf powder will be used in the following intervention study promoting complementary food recommendation with fortified biscuits. ]]>
<![CDATA[ELECTRONIC CIGARETTE USE AMONG ADOLESCENTS: A SYSTEMATIC REVIEW ]]>
<![CDATA[Junaidi, Edi]]>;
<![CDATA[Hidayat, Budi]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: The innovation of the cigarettes industry leads to evolved into an electric cigarette. US General Surgeon in 2016 reports that 13.5% of junior high school students, 37.7% of high school students and 35.8% of young adolescents in America have used electric cigarettes. This study aims to identify the use of electric cigarette among adolescent Methods: This study utilized systematic reviews using PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyzes) to identify all published literature using relevant keywords. The selection process is based on the literature of which the population is human, published in the last 5 years, and there is a complete text form, then selected back by title and abstract. The journal used is the selected journal based on the inclusion and exclusion criteria. Results: Electric cigarettes are used by adolescents influence through social media or commercial advertisement. One type of electric cigarette that is widely used is the Electronic Vapor Product (EVP) that can easily to obtain from retail stores, kiosks, malls, and the internet. Electric cigarette users were led to increasing the symptoms of bronchitis and asthma in adolescents. Conclusions: The use of electric cigarettes in adolescents has increased mainly among male adolescents. The current study revealed the use of electronic cigarette was influenced by the several factors: lifestyle, electric cigarette prices, and the teenagerâs pocket money. Therefore, serious efforts needed to control the factors that affected the teenage users of electric cigarette. Campaign on ruthless effects of the electric cigarette among adolescents should be implemented in the school, furthermore in several places related to teenagers. ]]>
<![CDATA[CURRENT STATE OF THE ART HEALTH POLICY IN INDONESIA: THE ROLE OF UNIVERSITY ]]>
<![CDATA[Bachtiar, Adang]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018 ]]>
<![CDATA[Suka, Muhammad Eriex Fornando]]>;
<![CDATA[Wibowo, Adik]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety. Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed. Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases. Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service. ]]>
<![CDATA[QUALITY OF SERVICE OF OUTPATIENT UNIT IN BA HOSPITAL, INDONESIA ]]>
<![CDATA[Suvonalya, Suvonalya]]>;
<![CDATA[Bachtiar, Adang]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
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<![CDATA[Background: The quality of healthcare services is crucial in the healthcare service organization to encourage every healthcare service organization to improve their healthcare service quality. This study aims to identify the description of the service quality of outpatient department in RSBA, East Jakarta, DKI Jakarta, Indonesia using the criteria of Malcolm Baldridge. Method: This research was a descriptive analytical study with cross-sectional study combined with qualitative and quantitative approaches (mix method). About 110 respondents were selected as sample. The data analysis employed were univariate, bivariate and multivariate analysis of multiple logistic regression test conducted by using SPSS statistic software for Windows. Result : There was a significatt influence of on workforce, and last focus on process and focus on the service quality of outpatient department of RSBA with p-value of < 0.05 and 9. In multiple logistic regression tests, the factors that had strong closeness were the leadership and the measurement analysis and knowledge management. Conclusion : The Healthcare quality of the outpatient department of RSBA needed improvement, especially on the focus on the customers and the process. The commitment of all elements in the hospital was requried. The well and correct service customers, appropriate to the medical treatment according to the standard operating procedures, the excellent service and the effort to meet the completeness of the hospital infrastructure were important aspects that should be undergone by RSAB to improve the hospitalâs service quality. ]]>
<![CDATA[SOCIODEMOGRAPHIC CHARACTERISTICS, WORK VENUE, KNOWLEDGE, AND CONDOM USE WITH CLIENTS AMONG INDIRECT FEMALE SEX WORKERS IN DENPASAR, BALI, INDONESIA ]]>
<![CDATA[Putra, I Gusti Ngurah Edi]]>;
<![CDATA[Phuengsamran, Dusita]]>;
<![CDATA[Jampaklay, Aree]]>;
<![CDATA[Thammawijaya, Panithee]]>;
<![CDATA[Januraga, Pande Putu]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Introduction: Female sex workers (FSWs) remain an important key population affected by HIV&AIDS in Indonesia. Indirect FSWs, in particular, are exposing to higher risk comparing to direct FSWs due to their characteristics and working conditions that could be barriers to safe sex or consistent condom use. This study aimed to identify association between sociodemographic characteristics, work venue, and knowledge on HIV&AIDS toward condom use among indirect FSWs. Methods: This was a cross-sectional study using secondary data from a survey on indirect FSWs conducted by Center for Public Health Innovation (CPHI), Udayana University, Indonesia during August to October 2017. About 171 indirect FSWs were eligible for this analysis. The dependent variable in this study was consistent condom use during the last month. Independent variables consisted of socio-demographic characteristics, work venue, and knowledge on HIV&AIDS. Data were analysed using univariate and multivariate analysis. Results: About half of indirect FSWs (50.17%) reported using condom consistently with their clients during the last month. Indirect FSWs were more likely to use condom consistently if they completed senior high school or higher (OR=3.49; 95%CI=1.42-8.57), but less likely to use condom if they were currently or ever married compared to single ones (OR=0.23; 95%CI=0.06-0.82). Those who worked in karaoke, cafe, and bar were less likely to use condom consistently compared to those in massage parlor, spa, and beauty salon (OR=0.09; 95%CI=0.03-0.26). Conclusions: Level of consistent condom use was low, indicating the need to intensify HIV prevention to indirect FSWs. Significant determinants of consistent condom use included marital status, educational level, and work venue. This study informed that providing HIV&AIDS information and improving negotiation skill that fit with characteristics of indirect FSWs and giving institutional support at workplace is crucial to ensure consistent condom use among indirect FSWs. ]]>
<![CDATA[INTEGRATED REHABILITATION PROGRAM FOR PERSONNEL WITH DISABILITIES IN THE MINISTRY OF DEFENSE AND INDONESIAN NATIONAL ARMED FORCES ]]>
<![CDATA[Wijayanti, Ari]]>;
<![CDATA[Oktaminanti, Puput]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: In carrying out their main duties, soldiers are often confronted with risks that can cause them to have disabilities either when carrying out operational tasks or having accident in the service. Efforts to improve the life of persons with disabilities are empowered through integrated rehabilitation process for Personnel of The Ministry of Defense of the Republic of Indonesia and Indonesian National Armed Forces with disabilities. This research was aimed to describe and analyzing the integrated rehabilitation on persons with disabilities at the Ministry of Defense Rehabilitation Center, and describing the factors that support and inhibit the implementation of integrated rehabilitation. Methods: This research was a descriptive qualitative research with an in-depth interview as instrument to obtain data from informants who were the participants of integrated rehabilitation.With Triangulation the source was the instructor and the rehabilitation organizer. Results: Based on the results of interview analysis conducted, the researchers also have identified several supporting factors and inhibiting factors on the implementation of integrated rehabilitation program. The inhibiting factors are Resources: the limited number of instructors (human resources) that have sufficient competence and the lack of facilities for the accessibility of persons with disabilities this will hinder the implementation of rehabilitation. From the results of research indicates that communication, disposition and bureaucratic structure is a supporting factor in the implementation of integrated rehabilitation. Conclusions: Implementation of integrated rehabilitation has been running well although there are still inhibiting factors. Therefore, the Ministry of Defense Rehabilitation Center should continue to strive to become professional rehabilitator in order to create self-sufficient and productive persons with disabilities so as to improve their welfare. ]]>
<![CDATA[PERCEPTION OF MEDICAL DOCTORS ON CHEST TUBE THORACOSTOMY SIMULATION MODEL ]]>
<![CDATA[Hlaing, Phone Myint]]>;
<![CDATA[Nopparatjamjomra, Thasaneeya Ratanaroutai]]>;
<![CDATA[Nopparatjamjomras, Suchai]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Chest tube thoracostomy is a common procedure that offers in patients with medical emergency conditions. Severe complications or even death can occur to the patients if medical doctors do not well perform and skillfully. This study aims to find medical doctorsâ perception of the realistic features of the chest tube thoracostomy simulation model, which was developed by researchers. Methods: Fifteen Myanmar medical doctors were voluntarily to enroll in a half-day, chest tube thoracostomy workshop. Data of medical doctorsâ perception was collected using a 5-points Likertâs scale self-evaluation survey form. In addition, the participants were asked to write their comments or suggestions for the realistic features of the chest tube thoracostomy simulation model. Results: Medical doctorsâ perception on the realistic features of the chest tube thoracostomy simulation model was positive by responding as agree and strongly agree. All experts perceived as strongly agree in cost effectiveness of the model (100%) and using the model in the procedural training (100%). The postgraduate doctors responded to similar human sensations and complying procedural steps as agree (92.3%) in both statements. All experts rated to self-confidence (100%) as agree whereas the postgraduate doctors responded to it as agree (84.6%). Participants preferred the structures of the simulation model and its educational values for the chest tube thoracostomy procedural skills training. They suggested to use this simulation model for training medical students. Conclusion: The perception of the medical doctors on the realistic features of the chest tube thoracostomy simulation model showed that this simulation model could use as an effective educational tool in the procedural skills training. ]]>
<![CDATA[THE IMPLEMENTATION OF LEAN STRATEGY TO ALLEVIATE OVERCROWDING IN EMERGENCY ROOM: NARRATIVE REVIEW ]]>
<![CDATA[Oryza, Yani]]>;
<![CDATA[Ilyas, Jaslis]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Emergency Room (ER) of hospital worldwide undergoes significantly challenging problems; overcrowding patient leads to block the access, causes discomfort and increases demands to be served by medical personnel immediately. To overcome these problems, the ER needs to implement lean strategies. This study presents a narrative review aimed to identify whether there is a positive impact of the lean implementations in overcoming the overcrowded ER or not. Methods: This narrative review explores the current literature from an online database and highlights the lean strategies adopted by several ER to reduce overcrowding and delaying and to streamline patient flow. Literatures without data on waiting time, length of stay (LOS), and untreated patients leaving the ER, will be excluded from this review. The types of intervention were grouped into team triage, streaming, fast track, point-of-care test (POCT), and nurse-requested x-ray. Results: The evidence of lean intervention is beneficial in reducing patientsâ waiting time and length of stay (LOS). Fast track reduces the length of waiting time, LOS, and the number of untreated patients by physician. Team triage consisting of appointed doctors and nurses also has a positive impact on shortening the waiting time. There is not enough evidence to suggest that streaming, POCT early in arrival, and x-rays by nurses can reduce waiting times and LOS.Conclusions: The implementations of lean strategy have a positive impact in shortening the waiting time and LOS, and help speed up the patientsâ flow and access to other supporting units. ]]>
<![CDATA[PERFORMANCE ANALYSIS OF INPATIENT UNIT âANGGREK PAVILIONâ AT RSAL DR. MINTOHARDJO IN 2014 - 2017 USING MANAGEMENT APPROACH ]]>
<![CDATA[Eniraisa, Fidela]]>;
<![CDATA[Hidayat, Budi]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
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<![CDATA[Background:. The increasing number of hospitals built by both private and government parties to make patients can choose the hospital they want, so that will lead to increased competition between hospitals. It requires a hospital to be ready to compete and be more creative in developing its services. One of the most important elements in a hospital is the management department who play an active role. This study aims to explain the relationship between the five Mâs of management with the performance improvement of an inpatient unit âOrchid Pavilionâ. So the other hospital with a low performance may be more concerned with the five management factors at the hospital and this study can be a good example which can be applied by other hospitals. Methods: This research was conducted at inpatient unit âOrchid PavilionâRumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The research was conducted by qualitative method, that is to conduct in-depth interview with Head of Orchid Pavilion and Deputy Head of Orchid Pavilion, and study data obtained from Medical Administration Department Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. Results: The results show that there has been an improvement of performance in inpatient unit âOrchid Pavilionâ and many improvement on the five Mâs in management (Men, Money, Materials, Machines, and Method) resulting in significant increase of Bed Occupancy Ratio value in the room. Conclusions: Improvements in five Mâs in management greatly affect the improvement of performance in inpatient unit âOrchid Pavilionâ Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The five Mâs in management (Men, Money, Materials, Machines, and Method) have a strong role in improving the performance of inpatient unit âOrchid Pavilionâ. ]]>
