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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 128 Documents
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Search results for , issue "No. 1 (2017)" : 128 Documents clear
COST EFFECTIVENESS AND EFFICIENCY ANALYSIS OF HOSPITAL WASTEWATER TREATMENT PLANT: A SYSTEMATIC REVIEW Catherine Maname Uli Nainggolan; Vetty Yulianty Permanasari
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: Hospital waste management had become an international attention. One of the first meeting by Solid Hazardous Waste was related to domestic waste and medical waste. The previous study showed that nationally hospital solid waste expectedly reach 376.089 ton per day and the volume of wastewater was 48.985,70 ton per day. Aims: The purpose of this study is to examine the literatures on analysis of the cost effectiveness and efficiency hospital Wastewater Treatment Plant. Methods: This systematic review was based on Protocol Prisma. Literature searches were conducted using the electronic databases Google Scholar (2011 to present), SpringerLink, and Proquest.Over a total of 3.834 potential articles, 9 met all inclusion criteria. Results: Cost problems were founded due to there was no good financial planning, maintenance costs, and the wastewater quality supervision. The budget of wastewater treatment only focuses to the cost of damage, but only enough for one time laboratory examination. Moreover, we also highlighted another factors affected to effectiveness and efficiency where there was no regular training for sanitarian, and as the results, sanitarian cannot determine the best effective method, finally the budgets were only for authoritarian system. This paper also reviews methods and applications to reduce the cost in electrical, chemical, and maintenance, by new wastewater treatment alternatives. If compared the two techniques, extended aeration and sequencing batch reactors, evidently, sequencing batch reactor had lower cost than extended aeration. Conclusions: The cost effectiveness and efficiency of wastewater management can be achieved by good management systems, good knowledge about waste, and different methods result different efficiency too. 
EFFECT OF HEAT STRESS AND NUTRITION STATUS ON WORKER FATIGUE AT TRADITIONAL MUSIC GAMELAN INDUSTRY Lusi Ismayenti
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Industry of gamelanproduction is informal industry from motherhood heritage of Java. Making gamelan worker direct heat exposure and consume large man power, thus need good physic stamina especially in heatting process. Aims: This study aim to know the effect of heating stress and nutrition status on worker fatique. Method: This study conducted by observation, quesionare, documentation and measurement. Respondents were 30 gamelan-producing workers at forging process dan finising process from 105 populationwithpurposive sampling in Wirunvillage Sukoharjo Central Java Indonesia.Measurement of heating stress using area heat stress tool. Status of nutrition was measured by body weight weighing, while the fatique was measuded by timer reaction tool. Statistic analysis with linear regression. Results: Results showed that heating stress in forging process part has Wet Bulb Globe Temperature(WBGT) average 31oC (>threshold value) and and at finishing process part has WBGT average 27,9 oC (≤threshold value), that means in heatting process was more fatigue compared to in finishing process. Linear regression statistical test with p-value 0.008 (≤0,05) showed there is effect of heat stress on worker fatigue.There was relationship between nutrition status and work fatique, where worker with good status of nutrition have no fatique of 6.67 %, low fatique of 50%, and medium fatigue of 6.67 %. All of worker with low status of nutrition getting fatigue, whereas worker with excessive nutrition status also getting fatigue by medium fatigue of 20 % and high fatigue of 6.67%. Linear regression statistical test with p-value 0.04 (≤0,05) showed there is effect of nutrition status on worker fatigue. Conclusion: Workers in forging site more likely to experience work fatigue than workers in finisshing site. There is effect of heat stress on worker fatigue. There is significant association between nutritional status and work fatigue. 
POTENTIAL CHEMOPREVENTIVE AGENT: STUDY OF APOPTOSIS IN THE EXTRACTS OF SPONGE-ASSOCIATED FUNGI FROM YOGYAKARTA AGAINST CERVICAL CANCER HeLa CELL LINE Eka Ramadhani; Fajar Priyambada; Abrory Agus Cahya Pramana; Aditya Nur Subchan; Gian Aditya Pertiwi; Raden Aditya Aryandi Setiawibawa; Hendy Eka Putra; Nur Rofika Ayu Shinta Amalia; Nastiti Wijayanti
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Cervical cancer is one of the leading-cancers affecting women. Cancer drugs that do not originate from natural ingredient, chemotherapy drugs, have side and resistant effects. Thus study about the natural products treating cancer cells is needed. Secondary metabolites isolated from sponge-associated fungi are expected to have a potency to fight cancer cells. In addition, the production of anticancer compounds from microorganisms has several advantages, including rapid growth and can be manipulated to increase productivity. The isolation and testing cytotoxicity against 3 fungal isolates from Yogyakarta have been done on the previous research. All three isolates have a potential candidate as anticancer drug. Aims: The purpose of this advanced study was studying bioactive compounds induced apoptosis pathway of sponge-associated fungi against cervical cancer HeLa cells. Methods: This study has been carried out for approximately 5 months. The method conducted in this research including the sponge cultivation (covers growth and isolation of secondary metabolites), the mycelium extraction of fungi, the cytotoxicity assay against HeLa cells using MTT Assay and Apoptosis Staining was to see the induction of apoptosis pathway. Results: Based on the research showed that ethyl acetate extract from mycelium is 0.22 grams. The cytotoxicity assay from mycelium extract showed IC50 value of 164 μg/mL against HeLa cell line. Conclusion: The findings is carrying to a possibility to develop the extracts of sponge-associated fungi as candidate of anti-cancer compound. By apoptosis staining, showed the cells coloured green are still alive, and cells undergoing apoptosis have nucleus that appears orange to red. We assuming that the apoptosis was caused by the possibility of peptide compounds that induce apoptosis through the mitochondrial pathway, by increasing the activity of the protein expression of apoptosis, which are Bcl-2 and Bcl-xl. 
THE BENEFITS OF AUTOMATED DISPENSING MACHINE AS SOLUTIONS FOR HOSPITAL PHARMACY IN INDONESIA: A SYSTEMATIC REVIEW Haryman Utama Suryadinata
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Pharmacy as the main core of hospital is responsible for the quality and safety of medicines.Yet the numbers of medication errors are still high. Automated Dispensing Machine (ADM) is one of the solutions to reduce the dispensing errors in pharmacy. Many countries had studied and proved that the use of ADM gives more benefit than liability. However, ADM is considered as something new, a “nice to have” product. Aims: This study will explain the benefits of ADM especially in Indonesian hospital pharmacy. Methods: Systemic Review with PRISMA method uses 5 databases as Scopus, Springerlink, Google Scholar, Science Direct and ProQuest, with keywords Automated Dispensing Machine, Automated Dispensing Device, Automated Dispensing System, Automated Drug Dispensing System, or Robotic Dispensing System. The inclusion criteria are all the studies that showed any impact in minimum of one aspect ofADM in hospital. Results: There are 13 studies that explained ADM benefits such as increase staff satisfaction for the nurse and pharmacist, reduce dispensing errors about 35% or up to reducing all dispensing errors, time saving until 50% in peak hours and cost analysis and effectiveness. The cost anaylsis such as inventory stock reduction, increases the cost saving. Conclusion: In Indonesia, it needs many considerations to implement ADM but it had already installed in 1 Indonesia Hospital. This hospital had proved that ADM can reduce dispensing errors and can solve some pharmacy problem such as the human resources problems and the long waiting time.With the proven benefits of ADM, it is justified for Indonesian hospital to implement ADM and information system in their pharmacy. The effectiveness will perceive the pharmacy andpositively affect to all related departments in hospital. 
SCOURING-RUSH HORSETAIL’S (Equisetum hyemale) CAPABILITY TO REDUCE DETERGENT, COD AND PHOSPHAT (PO4) LEVELS OF LAUNDRY WASTEWATERIN PURWOKERTO IN 2016 Hari Rudijanto Indro Wardono; Sugeng Abdullah; Zaeni Budiono
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: There will be an increasing demand for goods and services as a result of rapid economic growth and development, increasing activities in the society, and also with the establishment of universities. This has caused the emergence of some laundry business that aims to alleviate the burden on society. The emergence of the laundry business may cause environmental pollution, especially in the levels of detergent, if the waste generated is not treated before it is discharged. Therefore, it is necessary to find a method to treat waste efficiently. One of the ways is to employ phytoremediation using scouring-rush horsetail (Equisetum hyemale). Aims: The purpose of this study is to analyze the scouring-rush horsetail media’s ability in decreasing the levels of detergent, Phosphate (PO4), and COD of laundry waste. Methods: This type of research is called true experiment with design randomized control group pretest-posttest. The data is analyzed using Analysis of Covariance (ANCOVA) statistical test. Results: The results of the analysis showed that there are influences from the residence time, the scouring-rush horsetail’s (Equisetum hyemale) ability and the continuous process by reducing the levels of detergent (88.9%), COD (99.5%), and PO 4 (63.4%). Scouring-rush horsetail media has an average efficiency of COD reduction (90%), PO 4 (51%), and Detergents (86%). The value of Detergents, COD, and PO4 level in laundry wastewater after treatment by using scouring-rush horsetail (Equisetum hyemale) with a residence time (0 day, 1 day, 3 days and 7 days) based on Government Regulation No. 82 of 2001 on the Management of Water Quality and Water Pollution Control has been under NAB. Conclusion: It is necessary to make additional acclimatization time in the study using a scouring- rush horsetail to reduce the levels of COD, phosphate and detergent. It is advisable to plant the scouring-rush horsetail in the tub as high as 30 cm, thus the water can be pooled. 
FACTORS RELATED WITH HOSPITAL INFORMATION SYSTEM (HIMS) POOR PERFORMANCE FROM USER’S EVALUATIONS THOROUGH MALCOLM BALDRIGE CONCEPT IN KERTHA USADA HOSPITAL SINGARAJA-BALI I Wayan Parna Arianta
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Hospital is developing not only as social entity also for business. As business entity the hospital must gain the profit. To have profit the hospital must increase the productivity and keep the level of patients visit. The hospital should keep the patients and employees satisfaction, with the efficiency within. Use hospital information management system (HIMS) will be helping. HIMS must have good performance to make satisfy the users, either internal or external. Factors related are: strategic planning which is involve all of the stakeholders, practice and accompaniment while implementation, benefit for business process (quality control, integration, monitoring & evaluation, with full support from the hospital management. This study wants to see the entire factor by qualitative study associated with Malcom Baldrige Concept. Aims: This study is aimed to find out factors related with HIMS poor performance from Malcom Baldrige concept including leadership, strategic planning, focuses on patients-customer and markets, measurement-analyze and knowledge management, work-force focus, process management, and result. Methods: This study was done by a qualitative study to find out entire factors related with Kertha Usada HIMS poor performance thorough Malcom Baldrige Concept. Results: The key informant reveals the factors related with Kertha Usada HIMS poor performance are: difficult to operate, inadequate training and accompaniment, couldn’t integrated, didn’t gave benefit on works, no incentive, and less support from the management. Conclusion: The hospital should have good hospital governance in the used of Hospital Information Management System. 
POSTPARTUM CARE IN CENTRAL JAVA TRADITION Ita Rahmawati
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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The puerperal period is a critical period. 60% of maternal deaths occur after delivery and 50% of them occur in the first 24 hours. The high rate of maternal and child mortality in Indonesia is closely related to social and cultural factors, particularly the Java community. During the postpartum, Abstinence / or postnatal care suggestion is usually associated with the physical condition of the recovery process.
BODY WEIGHT EFFECT ON JOINT SPACE WIDTH AND TIBIO FEMORAL ANGLE OF KNEE JOINT MEASUREMENT FOR OSTEOARTHRITIS DETECTION USING IMAGEJ Agung Nugroho Setiawan; Suryono Suryono; Sugiyanto Sugiyanto; Fatimah Fatimah; Gatot Murti Wibowo
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Radiograph of knee joint with Kellgren and Lawrence classification system is the gold standard for assessing knee osteoarthritis. However, these grades are still obstacles. It is sometimes not appropriate to assess the progress of osteoarthritis and very long time to see the results of such progress. Osteoarthritis diagnosis and classification have been relying on qualitative visual interpretation by a radiologist. Probably difficult to determine whether there OA in the knee or not. Image quantification of digital radiography is done by measuring the joint space width and tibio femoral angle of the knee joint using the ImageJ software, with body weight variance as one factor that could affect it. Aims: This research aims to get information of body weight effect on the measurement of the joint space width and tibio femoral angle of knee joint in OA detection. Methods: This is a cross-sectional study. Subjects were digital images of the knee joint anteroposterior (AP) projection using Computed Radiography (CR) from 21 respondents with specific criteria. Image is then quantified using ImageJ software to measure the joint space width and tibio femoral angle. Print out of examination visually evaluated by one radiologist to confirm the diagnosis of OA of the knee joint. Results: The value of the right knee joint space width lateral and medial (3.81 ± 1.18 and 2.42 ± 0.77), while the left lateral and medial (3.49 ± 1.11 and 2.69 ± 0.83). Tibio femoral angle range 168.44 to 178.39 with the average tibiofemoral angle right knee 175.18 ± 2.04 and 173.80 ± 2.44 left knee. Body weight has a significant correlation to the tibiofemoral angle of knee joint (p value < 0,03). Conclusion: The joint space width values that taken from digital quantificationcan be baseline data of respondents, especially for those respondents who had grade 2 or indicated osteoarthritis, to be observed or compared in the next examination.The tibio femoral angle can be addition information in relation with knee pain to detect osteoarthritis. 
OPTIMIZATION OF R-FACTOR AT GRAPPA PARALLEL ACQUISITION TECHNIQUE ON THE IMAGE INFORMATION T2 AXIAL BRAIN MRI Saifudin Saifudin; Hermina Sukmaningtyas; Rini Indrati; Aris Santjaka
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: GRAPPA or Generalized Auto-calibrating Partially Parallel Acquisitions is a parallel acquisition technique which can reduce the scan time in MRI examination. Aims: This study aims to investigate the effect of the R-factor variation of GRAPPA on image anatomical information quality and to determine the optimization value of GRAPPA e-factor to fasten the scan time with acceptable image information quality. Methods: Eight respondents will perform T2 axial Brain MRI examination with various values of GRAPPA R-factor (1 to 7), evaluation was conducted with questionnaire which was given to 3 radiologists to assess the anatomical structure of the lateral ventricle, thalamus, caudate nucleus, lent form nucleus, internal capsule and background area. Data from respondents were then tested with Spearman test and Friedman test. Results: Statistics test showed that there was significant effect of GRAPPA parallel acquisition technique on the anatomical image information quality of T2 axial Brain MRI (p value of 0,001<0,05) and the correlation direction was negative, in which the higher the value of r-factor GRAPPA used, the lower the quality of anatomical image information. Based on the result of mean rank, image with optimal image anatomical information quality was image with GRAPPA R-factor of 1 (mean rank = 6.01), but image anatomical information quality with GRAPPA R-factor of 3 was acceptable with fast scan time (opinion of 75 % of all radiologists). Conclusion: R-factor at GRAPPA parallel acquisition technique could reduce scan time, but the higher the value of r-factor GRAPPA used, the lower the quality of image anatomical information. 
RELATIONSHIP BETWEEN EARLY MOBILIZATION AND FIRST URINARY ELIMINATION ON MOTHER POSTPARTUM Fulatul Anifah; Rizki S Emilia; Syuhrotut Taufiqoh; Nurul F Hidayati
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Early mobilization presents the ability to move freely on postpartum woman less than 4 hours postpartum with the motion of sitting, standing, and then get up to bed.However, in fact generally, postpartum mothers tend to hold urine to avoid pain in wounds on birth canal. Meanwhile, the first urine can be done with early mobilization Aims: This is to analyse the relationship between early mobilization with the first elimination urine on mothers postpartum. Methods: This was a cross-sectional study that involved 48 respondents, selected through a purposive sampling method. Data collection was done using observation sheet and fisher’s exact test for statistical analyse. Result: Of the 29 puerperal women who show early mobilization less than 4 hours postpartum, there were 23 puerperal women (53.5%) with normal urinary elimination (≤ 6 hours postpartum). While from 14 postpartum mothers who did early mobilization ≥ 4 hours postpartum mothers there are 10 (23.25%) with abnormal urinary elimination (≥ 6 hours postpartum. By fisher’s exact test we found a relationship between early mobilizations with first urinary elimination on mothers postpartum (p value = 0.002) Conclusion: It can conclude the faster the first postpartum mothers mobilise, the faster the mothers can do urinary elimination. Otherwise, the longer postpartum mothers did early mobilization lasts longer than the first urinary elimination. 

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