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Proceedings of the International Conference on Applied Science and Health
ISSN : 25794434     EISSN : -     DOI : -
Core Subject : Health, Education,
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 135 Documents
Search results for , issue "No 4 (2019)" : 135 Documents clear
LEAN METHOD IMPLEMENTATION TO REDUCE OVERCROWDING IN THE EMERGENCY DEPARTMENT: A SYSTEMATIC REVIEW  Arieyani, Asti; Ayuningtyas, Dumilah
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: Throughout the world, emergency departments (ED) are characterized by overcrowding and excessive waiting times. Furthermore, the related delays significantly increase patient mortality and make inefficient use of resources to the detriment of the satisfaction of employees and patients. Lean thinking is a philosophy that focuses on eliminating waste or non-value added elements from the processes so that customers are given greater value. Therefore, many Emergency Departments have begun to apply lean as a way to fight against the problems of crowding, delays and medical incidents.Methods: Eligible studies for this systematic review constitute result summarized that lean method implementation was capable of reducing overcrowding in Emergency Departement. The journal employed in this systematic review sourced from ProQuest, Pubmed, and Google Scholar, whereas the analyzed journals were seven journals.Results: From the total of seven journals reviewed, the studies analyzed the result after implementing the lean method in the Emergency Department. In addition, all of the studies were reported successful in implementing lean intervention. Several studies explained that lean method implementation was capable of reducing waiting time, staying length, and the proportion of patients leaving without being seen in the emergency department. One study suggested that reducing radiography transportation time can reduce turnaround time and can help improve the Emergency Department flow.Conclusion: Lean method implementation can contribute to a decrease in waiting time, stay length, and the proportion of patients leaving without being seen. According to the results of the study, the lean implementation identifies that the lean is capable of decreasing waiting times, stay length, and the proportion of patients leaving without being seen. There must be a policy that governs the lean process. Lean can inspired changes to employee roles, staffing and scheduling, communication and coordination, expertise, workspace layout, and problem-solving.
UPDATE: METABOLIC DISORDERS OF PREECLAMPSIA A REVIEW Damayanti, Dian Aprilia; Mardiyono, Mardiyono
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: Preeclampsia is one of the contributors to the increased maternal morbidity and mortality rates in Indonesia. One of the disorders caused by the preeclampsia is metabolic disorders. The purpose of this study is to provide an overview of metabolic disorders that accompany preeclampsia.Methods: This was a literature review using electronic databases Science Direct and PubMed. Keywords used in searching literature were ?preeclampsia? and ?metabolism disorder of preeclampsia? with the year limit between 2010 and 2018. Articles published in English was chosen in this study.Results: The search found 3,823 articles, of which 14 articles were included in this study. Metabolic disorders that happened in the group of preeclampsia were higher RDW (Red blood cell distribution width), MTT (Biomarker), ADA (adenosine deaminase), CA-125 serum, triglycerides (TG), Angiotensin, cytokinin, CEC (Circulating endothelial cells), lipoprotein and cholesterol. Meanwhile, studies also found that preeclampsia caused the lower selenium serum, aromatase, and thiol-disulphide in the body.Conclusion: Preeclampsia proved causing the disorders of metabolic, mostly in the form of inflammation, endothelial cell damage and oxidative stress. Potential targets are needed for treatment of metabolic disorders in preeclampsia group both medically and non-medically especially for the lipid levels in preeclampsia.
THE IMPLEMENTATION OF CODE STEMI PROGRAM TO AFFECT THE QUALITY OF HEALTHCARE IN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) PATIENTS: A SYSTEMATIC LITERATURE REVIEW Ginanjar, Eka; Sjaaf, Amal C
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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Backgrounds: The Clinical importance of coronary artery disease manifests as Acute Coronary Syndrome with the highest mortality is known as ST-Elevation Myocardial Infarction (STEMI). Delay in STEMI management not only affect mortality and complications, but also healthcare quality. The CODE STEMI program was developed to shorten the time and reduce delay in treatments for STEMI patients. This study aims to review the effect of CODE STEMI program implementation on clinical outcome and healthcare quality in STEMI patients. Methods: This study was a systematic review of literature that used meta-analysis (PRISMA) protocol. Data obtained from Electronic databases Google Scholar, PubMed, and MEDLINE that published over several years and we began on May 2019. Assessment of healthcare quality was based on Donabedian theory that consists of 7 main components, efficacy, effectiveness, efficiency, optimality, acceptability, legitimacy and equity. Analysis between studies was reported as descriptive narration. Results: The search found 15 studies, of which 4 studies as the final results that are suitable for this literature review through the keyword findings CODE STEMI, STEMI, and quality of healthcare. Studies in several countries over the globe reported a decrease of door-to-balloon/ diagnosis-to-wire time. Some studies reported reduced mortality, complications, and cost after implementation of CODE STEMI program, while others only found insignificant trends. Conclusions: Implementation of CODE STEMI protocol made a better Quality of Healthcare. However, it needs further study to review and evaluate the effect of CODE STEMI implementation, especially on the quality of healthcare in STEMI patients.
DESCRIPTIVE STUDY OF DIETARY PATTERNS AND PHYSICAL ACTIVITIES AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS IN COMMUNITY HEALTH CENTER OF KESUNEAN, CIREBON Haidaryafi, Hanif; Sanif, Muhammad Edial; Wirandoko, Ignatius Hapsoro
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: The prevalence of Diabetes Mellitus (DM) remains high in Indonesia. The Basic Health Research of Indonesia in 2018 revealed that 2% of 250 million population were diagnosed of DM. Unbalanced dietary patterns and lack of physical activities contributed as the risk factors of DM type 2. Particularly, this study wants to find out the description of dietary patterns and physical activities among patients in the community health center of Kesunean, Cirebon.Methodology: This descriptive study used 89 people with DM type 2 aged 45-65 years as the respondents. Consecutive sampling was used as the sampling technique, while recall questionnaire of 24-hour food consumption and food frequency for diet and Baecke questionnaire for physical activity were used as data collection techniques.Results: The results of frequency distribution analysis showed that 64 (71.9%) respondents had unbalanced diets, while 25 (28.1%) of them had balanced diets. Regarding physical activities, 51 (57.3%) respondents had low intensity of physical activities and 38 (42.7%) patients had moderate intensity of physical activities.Conclusion: Most of the respondents with DM type 2 had unbalanced diets and low intensity of physical activities. Community Health Center of Kesunean should provide communication, information and communication about the importance of balanced diets and physical activities in order to prevent the incidence of DM type 2.
STORIES OF MOTHERS WITH INTELLECTUAL DISABILITY CHILDREN IN WEST SUMATERA, INDONESIA Merianti, Liza; Amelia, Dona; Srywayuni, Ade; Yuliane, Sari Afma
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:  Children with intellectual disability are rejected not only by other individuals around them but also by their own family. Even though they need support from the mother to achieve accurate conformity. The form of mother social support can be in the form of emotional support, appreciation, instrumental and informative. However, the parents of Children with intellectual disability often refuse the presence of their children. The purpose of this study was to obtain qualitative data on the experience of mothers who have intellectually disabled childrenMethods: This study is a qualitative research conducted by interview using the semi-structured interview method. The participants were selected by using purposive sampling technique. The data were qualitative analyzed by employing Collaizi model. The participants in this study were 6 mothers who have children with intellectual disabilityResults: Participants have a positive perception about the educational needs of children with intellectual disability. However, due to financial issues, participants do not provide education for their intellectually disabled children. They mentioned that if their intellectually disabled children were properly, they would be able to take care of themselves and would no longer depend on others.Conclusion: In this study, the researchers found five themes of mothers? stories with intellectual disability child in West Sumatera, Indonesia, including (1) their unawareness of their intellectually disabled children condition; (2) disappointment as the initial response knowing their children status; (3) anxiety and worry about their children future; (4) financial issues as a factor in obstructing education, and (5) religious worship as a source of strength. The results of this study can be used in nursing practice so that families can maintain the sources of strength to accept the fact that they have children with intellectual disability and that education is very important for children with intellectual disability.
KARUNGUT MUSIC REDUCES ANXIETY OF ADOLESCENT PREGNANT MOTHER Riyanti, Riyanti; Legawati, Legawati
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: Adolescent pregnancy is being a problem in Indonesia. Adolescent pregnancy can bring problem not only to the baby?s health but also the mother?s health as well. It can cause problem in society too. The pressure from family and society towards adolescent who got pregnant, especially if they get pregnant without marriage can lead the mother to face anxiety during the pregnancy. The anxiety during pregnancy can bring negative impact to the baby and mother. This study aims to determine the effect of Karungut music to the anxiety level among pregnant adolescent in Kapuas Regency, Indonesia. Methods: This study was an analytical study with a quasi-experimental. Totally 60 respondents were recruited in this study used simple random sampling. 30 respondents were chosen to be experimental group meanwhile the rest as control group. The data was analyzed in univariate and bivariate analysis. binary logistic regression was used to analyze in multivariate level. Results: Majority of the respondents in this study were did the Antenatal Care regularly (55%), had high motivation for pregnant (51.7%), got families support (71.7%) but not from the health workers (83.3%). The multivariate analysis showed that heard Karungut music can reduce the anxiety level among pregnant adolescent (OR= 3.33) after controlling other variables. Conclusion: Listening Karungut music during pregnancy can reduce the anxiety among pregnant woman. It can be considered as an alternative way to improve the health status among pregnant adolescent by reducing one of risk factor that can affect to the pregnancy. Supporting from family and health workers also important during pregnancy to reduce the anxiety.
THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE AND BEHAVIOR OF BREASTFEEDING AND INTAKE OF COMPLEMENTARY FEEDING WITH NUTRITIONAL STATUS OF CHILDREN AGED 6-24 MONTHS AT KESUNEAN HEALTH CENTER CIREBON Ardhiya, Mauli; Hapsoro, Ignatius; Fauzah, Shofa Nur
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: The insufficient nutrient intake in the certain time may affect physical growth and development of children. The percentage of babies with exclusive breast feeding are only 37.3%. It is still under the national target. This research aims to examine the correlation of knowledge, attitude, and behavior of breastfeeding and intake of complementary feeding with nutritional status in 6-24 months old children at kesunean health center in Cirebon.Methodology: This study was a cross-sectional research conducted in Kesunean Health Center Cirebon City. Totaling 100 mothers of children aged 6 to 24 months was selected by consecutive sampling. The nutritional status was calculated based on weight of age whereas the predictors (knowledge, attitude, behavior) was asked by 31 questions. The statistical analysis used Spearman test.Results: The univariate result showed that more than a half of children?s mothers was in aged 26 to 35 years and 48% graduated  from senior high school.  Additionally, 63%  of  the children had a good nutritional status. The bivariate analysis found that knowledge (p=0.001 and r=0.561), attitude (p=0.001 and r=0.498), and behavior (p=0.001 and r=0.606) had a correlation with nutritional status.Conclusions: Knowledge, attitude, and behavior of mother had correlation with nutritional status. Public health center should promote the importance of breastmilk and provide the counseling to the mother. Keywords: Breastfeeding, intake of complementary feeding, nutritional status of children.
A REVIEW OF THE BALANCED SCORECARD IMPLEMENTATION IN HEALTH SECTOR ORGANIZATION Tarigan, Silvia; Bachtiar, Adang
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: Several studies reported that performance measurement using balanced scorecard is better than using traditional performance measurements. Balanced scorecard approach has been used in many health service sectors, both profit and non-profit, including hospitals, health service system, center for mental health, pharmacy services and health insurance company. This study aims to review the balanced scorecard implementation in health sector organization of the published literature from 2012 to 2019. Methods: This study was used literature review method by collecting data of the Balanced Scorecard in the health care sector and draws on the 6 years of published literature to January 2019. The literature were found from a search on Google Scholar as well as Thomson Reuters Web of Knowledge. The search terms were used ?Balanced Scorecard?, ?Health Balanced Scorecard? and ?BSC? on English language only. The papers were classified by topics, research settings and research methods and data analysis techniques. Results: From 1465 papers were examined, 12 pieces of literature met inclusion criteria. From 12 pieces of literature have been reviewed, were used case study research method, eleven papers with qualitative research and one paper using the Delphi method. Based on 12 papers found that The balanced scorecard in health sector organization has been implemented in ICO, primary health care, hematology department, hospitals, home care nursing, health facilities, health systems, nutritional therapy company and clinical nutrition. Moreover, the Balanced Scorecard approach was used for health service budgeting, developing key performance indicators, improving hospital performance, assessing the baseline status, as an indicator in conducting evaluations. Conclusion: This study found that several studies consistently proved that Balanced scorecard is essential for performance and evaluation measurement in the health sector. .
WHAT HAPPENS IF THE BROMELAIN IN Ananas comosus L. Merr. GIVEN TO PEOPLE LIVING WITH HIV/AIDS (PLWHA) ? : A REVIEW Hariyanti, Reni; Sumarni, Sri
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: Human immunodeficiency virus /Acquired immunodeficiency syndrome (HIV/AIDS) is a global problem that requires serious treatment. Antiretroviral therapy (ART) has the potential to cause side effects and drug resistance for people living with HIV/AIDS (PLWHA). Alternative therapies using combination of bromelain and ART to maintain and improve immunity of PLWHA. The objective of the study was to describe the potential of bromelain in pineapple (Ananas comosus (L.) Merr) to increase the immune system of people living with HIV/AIDS. Methodology: The research method used a systematic literature review. The literature that this study used was search through in the Science Direct and Google Schoolar database. The article search used the keyword Ananas comosus (L.) Merr, HIV/AIDS healing pathway or bromelain enzyme healing pathway HIV/AIDS and Pineapple "bromelain enzyme" for HIV/AIDS. Obtained 4 articles from 219 articles published between 2010 until 2019. The article used in this study written in English and Indonesian. Results: The results showed that the bromelain enzyme in pineapple have proteolytic properties that can destroy the protein layers of the HIV viruses. The other benefit are immunomodulators that can increase the immune system of PLWHA by increasing CD4 counts or maintaining the stability of the CD4 count and reducing viral load levels even undetectable. Conclusion: The conclusion of this study is bromelain in pineapple can be used as an alternative cure for PLWHA which do not have side effect and can destroy the HIV virus protein layer and increasing the immune system of PLWHA as well.
TRANSLATING FUTURE MILLENNIAL: STRUCTURING DISRUPTIVE HEALTHCARE Bachtiar, Adang
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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