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Proceedings of the International Conference on Applied Science and Health
Published by Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)
ISSN : 25794434     EISSN : -     DOI : -
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public 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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Articles 58 Documents
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Search results for , issue "No 3 (2018)" : 58 Documents clear
THE EFFECT OF CLINICAL PATHWAY TOWARD HOSPITAL’S QUALITY AND COST IN “RSUS” HOSPITAL BANDAR LAMPUNG Himawati, Toki; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: One of the most appropriate policies to overcome the over budget is the quality control of cost control, the instrument is a clinical pathway, so that the hospital can perform service functions well and quality without experiencing financial loss. This research has a purpose to know how far is clinical pathway can be good as a tool of quality control of cost control at “RSUS” Hospital Bandar Lampung. Methods: The research used a qualitative research involved 35 informants comprised of shareholders, Board of Directors, Medical Committee, Provision of Care Services and Coder. Results: The results showed that in general, the informants agreed with the implementation of the clinical pathway because it can improve the quality of service, the certainty of procedures and can overcome the budget. Conclusion: RSUS Hospital has not fully use clinical pathway as a tool of quality control of cost control, thus over budget remains with low quality of service 
EFFECT OF TREE MARIGOLD (Tithonia diversifolia (HEMSL.) A. GRAY) LEAVES INFUSION AND ETHANOL EXTRACT ON BLOOD GLUCOSE LEVEL AND LIVER HISTOPATHOLOGY OF STREPTOZOTOCIN-INDUCED MALE WISTAR RATS Maulidiany, Rachma Ayu; Suhaeni, Eni; Sulistiyana, Catur Setiya; Sari, Ariestya Indah Permata
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Common Indonesians often use alternative therapy for Diabetes Mellitus (DM) due to its high prevalence. Tree marigold (Tithonia difersivolia (Hemsl.) A. Gray) leaves show its positive effect in decreasing blood glucose level. Thus, it is important to analyze the negative effect of consuming the proposing alternative including its toxicity level to vital organs. This study aims to observe the blood glucose level and liver histopathology in streptozotocin-induced diabetic male rats treated by infusion and ethanol extract of the tree marigold leaves. Methods: Pretest and posttest with control group design experiment was conducted to analyze effect on blood glucose level and posttest only with control group design was for determining liver histopathology. Twenty-four male white rats (Wistar strain) were randomly divided into 4 groups: normal control group (KN), positive control group (K+) treated with 0.45mg/kg of glibenclamid, treatment group 1 (P1) treated by 100 mg/kg of tree marigold leaves ethanol extract, and treatment group 2 (P2) treated by 1373 mg/kg of tree marigold leaves infusion. The rats at the groups of K+, P1, and P2 were induced by streptozotocin to reach hyperglycemic state. Comparison of blood glucose level effect between infusion and ethanol extract was analyzed by One-Way ANOVA continued by post-hoc test, while comparison of liver histopathology effect was determined by Kruskal-Wallis continued by Mann-Whitney test. Results: Significant differences of blood glucose level decrease were found in all groups. Group P2 significantly decreased blood glucose level more than P1 (p=0.000) as much as 124.97 mg/dl and 101.46 mg/dl respectively. Significant differences of liver histopathology were obtained between KN vs K(+), KN vs P2, K(+) vs P2, and P1 vs P2. Group P2 showed more severe of liver histopathology changes than P1 (p=0.025). Conclusion: Tree marigold leaves extract is more effective in lowering blood glucose level and has less toxic effect to liver histopathology than its infusion. 
PREVALENCE OF INTESTINAL PARASITE AND RELATED FACTORS AMONG SCHOOL CHILDREN IN SUAN PHUENG SUBDISTRICT, RATCHABURI, THAILAND Kyaw, Pyae Phyo; Paratthakonkun, Chirawat; Yaicharoen, Rapeeporn; Nilkote, Reongwit; Soonthornworasiri, Ngamphol; Prangthip, Pattaneeya; Maneekan, Pannamas; Zaw, Aung Phone; Thu, Sai Wai Yan Myint; Arthan, Dumrongkiet
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Intestinal parasitic infections are still regarded as the major public health problems in Thailand, especially in rural areas. The presence of intestinal parasites in school children is a well- accepted indicator of poor personal hygiene and low economic standards. This study aimed to determine the prevalence of intestinal parasitic infections and its associated risk factors among primary school children (Grade 4 to 6) in Suan Phueng sub-district, Ratchaburi, Thailand, where is located at Thai-Myanmar border areas. Methods: A cross-sectional study was conducted at three selected governmental primary schools. A total of 252 school children (130 boys, 51.6% and 122 girls, 48.4%) were recruited in this study. Intestinal parasites were detected from their stool samples by using formalin ethyl-acetate concentration technique. Socio-demographic status and personal hygiene were assessed by a validated structured questionnaire. Results: An overall prevalence of intestinal parasitic infection was 19%. Poly-parasitism was found in 4% of school children. The most common parasite was Entamoeba coli (6.4%) followed by Ascaris lumbricoides (4.5%), Endolimax nana cyst (4.0%), and Giadia lumbria (1.8%). Additionally, family income, drinking water sources from school and home, hand-washing habit after using toilet, anal cleansing after defecation, and parents’ education level were significantly associated with intestinal parasitic infections. Conclusions: High prevalence of intestinal parasitic infections was found in primary school children at Suan Phueng sub-district, Ratchaburi, Thailand. Therefore, health promotion, modern health education, water sanitation, and hygiene (WASH) programs are crucial for prevention of intestinal parasitic infections in primary schools, particularly in Thai-Myanmar border areas. Reducing the prevalence of parasitic infections in school children may be of immense benefits on child growth, development, and educational outcomes. 
THE EFFECTS OF SECTION CAESAREA TO EARLY BREASTFEEDING INITIATION: A SYSTEMATIC REVIEW Fauziyah, Nur Annisa; Helda, Helda
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: The early breastfeeding initiation is one of the crusial process for successful in exclusive breastfeeding, unfortunately based on UNICEF, globally only 45% of newborns were put to the breast within the first hours of life. The other condition, nowdays caesarean sections have become increasingly common in both developed and developing countries, research showed that mothers who delivered their baby section caesarea have a higher percentage failure of early breastfeeding initiation than mother with vaginal delivery, from that condition his research aims to analyze effects section caesarea to early breastfeeding initiation. Methods: This study used systematic review based on the Prisma (Preferred Reporting Items For Systematic Reviews & Meta-Analyses) Protocol to identify all the published literature using relevant keywords. The initial screening was conducted by human population, the year of publication (5 years) and free full text, then reading the titles, abstracts than assessed for eligibility founded 6 articles, those studies included in this review after selected using inclusion and exclusion criteria. Inclusion are journal from rearch reported in english, has no accompanying disease or health problem as cardiac disease, cancer, herpes, HIV/AIDS, obesity ect. The baby is normal, baby can drink orally. Exclusion: the articles published less than 2013, after sectio caesarea mother and infant require special therapy. Results: The studies showed there were effects of section caesarea to early breastfeeding initiation, the mothers who birth their babies with caesarea most of them failure to initiate early breastfeeding. Conclusions: The way to Improve the rates of early breastfeeding initiation with giving antenatal breastfeeding education to all mothers especially who known to be having a cesarean section and health care professionals must support. All of the hospitals must apply baby friendly hospital initiative to support success of early breastfeeding initiation 
DELAYED CLAIM PAYMENT AND THE THREAT TO HOSPITAL CASH FLOW UNDER THE NATIONAL HEALTH INSURANCE SCHEME IN INDONESIA Yuliyanti, Citra; Thabrany, Hasbullah
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Indonesia commits to ensure health care access for all population through the National Health Insurance (JKN) managed by the BPJS Health. By February 2018, the JKN covered 193 million people (73% of the total population). To ensure health delivery, 2,104 public and private hospitals are contracted by the BPJS and prospective payment using Case-mix Based Group (CBG) that changes hospital managements. Hospitals become more dependent on payments by BPJS. Delay in claim payment will have serious impact on hospital managements. This study aims to identify current practices in timely payment to hospitals and finding factors correlate with delay in payments. Methods: This study used trend analysis of the secondary claim data of BPJS with the total sample of 57,475 bundles of claims. Total claim population was used in this study. In addition, qualitative study via in-depth interview with six informants consisting of members of National Social Security Council, hospital director of three different classes, and BPJS. Results: This study found 60% of claims were paid within one month (N-1) of claim submission, below the target of 100%. There were tendencies of delays in claim settlements since November 2017. Informants believed that late payments were correlated with non-compliance of doctor to complete medical records, incompetence coders, inadequate management information system, and financial condition of BPJS. There were three main problems faced by hospitals as a result of delay in payments: 1) disturbed drug availability, 2) decreased performance of doctors, 3) poorer maintenance of medical equipment. Conclusion: Delayed in claim payments were occurred and led to a threat of decreasing quality of care to patients. The study suggests the government should fix the problems to protect patients from decreasing quality of care. Hospitals should provide reserve funds to protect them from financial hardship when delays occur. 
ACHIEVEMENT OF COMMUNITY HEALTH CENTER SEEN THROUGH ACCREDITATION RESULTS: CASE STUDY IN PUSKESMAS "X", IN SURABAYA Qulsum, Meily Arovi; Sari, Kurnia; Bachtiar, Adang; Taufiq, KM
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Accreditation and recognition of a Community Health Center (Puskesmas) are given by an independent accredited organization, established by the Minister of Health after comply the accreditation standards. The accreditation achievement in East Java is at most of main level 76.7%. Puskesmas "X" is one of Puskesmas in Surabaya which has been accredited with basic level of status in 2015. This study aims to provide a comprehensive overview of the issues affecting the achievement of Puskesmas accreditation. Methods: This research is a qualitative descriptive study with in-depth interview and document searching using an accreditation instrument standard. Results: Based on accreditation results, the planning of the health centre was less appropriate because it was not based on identification of need and expectation. The mobilization and implementation was not working well due to lack of human health resource. Monitoring, control, and performance appraisal of the health centre have not been done. Conclusions: The accreditation of the health center, the Puskesmas X, in Surabaya is not only assessed by the document but also by the processes and system implementation activities. Achievement of Puskesmas accreditation status represents as a description of Puskesmas management and the result will have an impact on Puskesmas performance, and service quality. 
HOUSEKEEPING GENES ANALYSIS OF FOODBORNE PATHOGENIC BACTERIA Vibrio parahaemolyticus ISOLATED FROM AQUATIC BIRDS IN THAILAND Tamboon, Eakapong; Ekchariyawat, Peeraya; Suthienkul, Orasa; Muangnapoh, Chonchanok
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Vibrio parahaemolyticus is one of the leading causative agent of foodborne disease. Infection is caused by consumption of undercooked contaminated seafood. V. parahaemolyticus is commonly found in crustacean species and marine environment. Presence of this organism in avian host has been previously reported, however genetic analysis of avian V. parahaemolyticus is required for molecular epidemiological study of this organism. The aim of this study was to determine genetic profile of V. parahaemolyticus isolated from fecal aquatic bird samples by modified Multilocus Sequence Typing (MLST) method. Methods: Three housekeeping genes fragments (dnaE, gyrB and pntA) of total 18 V. parahaemolyticus isolates from fecal aquatic bird samples at Bangpoo resort, Samut Prakarn province, Thailand, during 2016-2017, were amplified by using conventional PCR for nucleotide sequencing. Nucleotide sequences were analyzed and phylogenetic tree were constructed by MEGA 7.0 software. Comparative genetic analysis of avian isolates from Thailand and worldwide isolates were performed by using information from MLST database of V. parahaemolyticus ( https://pubmlst.org /vparahaemolyticus/). Results: Three housekeeping genes of 18 isolates were successfully amplified and purified for nucleotide sequencing. Phylogenetic tree analysis of concatenated nucleotide sequences indicated that 18 Thai avian isolates were genetically diverse. Five isolates (MUVP 9, 11, 22, 23 and 24) represented identical genetic profile with clinical isolates from China, India, Japan and Peru. Other examined isolates were closely related to environmental isolates from China and United Kingdom. These results showed that aquatic birds are natural reservoir of V. parahaemolyticus strains with multiple genetic background. Conclusion: This study indicated that aquatic birds possessed potentially pathogenic V . parahaemolyticus and may play a role in transmission of this organism across the countries. 
EFFECT OF PHYSICAL ACTIVITY AND FAST FOOD CONSUMPTION FREQUENCY ON OVERWEIGHT LEVEL AMONG HIGH SCHOOL ADOLESCENT Harlianti, Lita; Pratiwi, Witri; Nauphar, Donny; Suhaeni, Eni
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Obesity was believed to be one of the risk factors of degenerative diseases, such as diabetes mellitus, hypertension, and coronary heart disease. Obesity occurred gradually that started with overweight. Risk factors for overweight are lack of physical activity, and consumption of high caloric fatty food which may cause accumulation of fats inside the body. This research aims to examine the effect of physical activity and fast food consumption frequency on overweight level among high school adolescent in Cirebon. Methods: It was a cross-sectional study conducted among 262 high school students aged 15-17 years using stratified random sampling. Results: The result based on Spearman correlation test showed negative correlation between physical activity and overweight level with p= 0,001 (p< 0,05) and correlation coefficient of -0,627. There was positive correlation between consumption fast food frequency with overweight with p=0,037 (p=0,05) and correlation coefficient of 0,423. Conclusions: Physical activity and fast food consumption frequency have effects on overweight level in high school adolescent in Cirebon. 

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