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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 116 Documents
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Search results for , issue "No. 3 (2018)" : 116 Documents clear
THE RELATIONSHIP BETWEEN HEALTH FINANCING MECHANISM AND MORTALITY RATE IN SANTA MARIA PEKANBARU HOSPITAL Arifin Arifin; Amal Chalik Sjaaf
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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Background: The main challenge of the health financing mechanism in Indonesia is the allocation of health spending which is still dominated by the private sector, whereas the largest proportion comes from out of pocket payments. The system are a significant barrier in accessing health services. Many individuals with chronis diseases postpone the search for medical services because of high health care cost. The consequences of the delay is the loss of opportunities to overcome chronic illness. This research was aimed to analyze the relationship between health financing mechanism and mortality rate (GDR and NDR) in Santa Maria Pekanbaru Hospital. Methods: This cross-sectional study involves GDR and NDR of patients using out of pocket payment and those using health insurance in the year between 2014 - 2017. Data analysis was performed by independent samples t-Test (significance level p < 0,05). Result:The result of independent samples t-test analysis indicated that there was a significant difference between GDR and NDR of patients using out of pocket payment and health insurance patients (p < 0,05). GDR score of patients using out of pocket payment was 9.58 times higher than health insurance patients. The NDR score of patients with out of pocket payment 6.79 times higher than health insurance patients. Conclusion: The health service outcome in patients with out of pocket payment is lower than health insurance patients. The out of pocket payment financing mechanism is one of the major problems in the transition to Universal Health Covered. It is recommended that our government must increase the health budget which is at least in accordance with the rule of law and improve the allocation of public sector health funds at least 2/3 of the total health budget to reduce the proportion of out of pocket to total health expenditure. Health care providers should do efficiency in all areas to reduce the cost of health services. Patient who do not have health insurance will have to rearrenge the allocation of their household expense to pay premium insurance and implement the healthy life habits.
COMPARISON OF EFFECTIVENESS BETWEEN CELERY JUICE (Apium graveolens L.) AND 2% MICONAZOLE TOWARDS THE GROWTH OF Malassezia furfur Ronaa Hammada; Witri Pratiwi; Shofa Nur Fauzah; Donny Nauphar; Amanah Amanah
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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Introduction: Pityriasis versicolor is caused by the fungi Malassezia furfur with a worldwide prevalence of 50%, including tropical countries, second only to dermatitis in Indonesia. Pityriasis versicolor is difficult to treat and requires long-term treatment. The disease has high recurrence risk and may cause drug resistance. 2% Miconazole is known to have long-term side effects; therefore, alternative treatment is needed. Several studies suggested that celery (Apium graveolens L.) contains active substances with anti-fungal properties. This paper aims to investigate the comparison of effectiveness between celery juice and 2% Miconazole towards the growth of Malassezia furfur. Methods: This is an in-vitro experimental study with post-test only control group design. The subjects were split into 5 groups which were given celery juice in 10% DMSO with the concentration of 10%, 20%, 30%, 40%, and 50%. A negative control group was given only 10% DMSO and the positive control group was given 2% Miconazole. The data were then analyzed using Kruskall-Wallis followed by Mann-Whitney test. Results: The Kruskall-Wallis test showed all concentration of celery juice had antifungal effect with p=0.000 (p<0.05) and were effective in inhibiting the growth of Malassezia furfur. The Mann-Whitney test showed that the 50% celery concentration was as effective as 2% Miconazole in inhibiting the growth of Malassezia furfur (p=0.495). Conclusion: Celery juice (Apium graveolens L.) was effective in inhibiting the growth of Malassezia furfur with 50% concentration as the most effective concentration.
ANTENATAL CARE (ANC) VISIT FREQUENCY IN THE THIRD TRIMESTER AND PRETERM EVENTS IN PUSKESMAS PONDOH AND JUNTINYUAT IN INDRAMAYU REGENCY BETWEEN 2014-2016 Elinda Ameliana; Donny Nauphar; Ruri Eka Maryam
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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Background: World Health Organization (WHO) estimates that 15 million babies are born preterm every year and this number continues to increase. Several risk factors for preterm are identified as mother’s lifestyle such as smoking, malnutrition, weight gain during pregnancy, and drug use or other factors such as socioeconomic status. In 2015, WHO reported more than 300.000 women died from pregnancy-related causes and 2.6 million babies were still born worldwide with half occurring during the third trimester. Antenatal Care (ANC) in the third semester aims to identify fetal position and identify complication during pregnancy and screen for pre-eclampsia, infection of the reproductive organs and urinary tract, and plan for delivery. The ANC in the third semester is crucial in keeping pregnant mother healthy throught pregnancy and delivery. Aim: To find out the relationship between third trimester Antenatal Care (ANC) visit frequency and preterm birth event at Puskesmas Pondoh and Juntinyuat in Indramayu regency between 2014-2016. Methods: This was observational analytic study with cross-sectional approach. The sampling technique in this research was done by total sampling with 100 respondens. Data were collected from maternal cohort book and control card of pregnant women. The data were analyzed using Chi-square test and Prevalence Ratio. Results: This study found that the proportion of pregnant mothers with insufficient third trimester ANC was 38% and the number of mothers delivering preterm baby was 32%. Statistical analysis showed that there was a statistical significance between third trimester ANC visit frequency and preterm labor with p=0,000 (p<0,05) and women with insufficient ANC visit have 40 times higher risk of preterm baby compared to mothers who has sufficient ANC visit (PR=40,60; CI95%=11.699-140.8862) in Puskesmas Pondoh and Juntinyuat Indramayu District 2014-2016. Conclusion: Having less than 4 ANC visit in the third trimester may increase the risk of delivering preterm babies. Pregnant women are advised to do ante natal care monthly of a minimum 4 times during the third trimester.
POTENTIAL ACCELERATING EFFECT OF Ageratum conyzoides L. LEAVES EXTRACT ON FIBROBLASTS DENSITY OF INCISION WOUND OF MALE WHITE MICE (Mus musculus) Mega Ayu Lestari; Ariestya Indah Permata Sari; Amanah Amanah
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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Background: Wound treatment using traditional medicine has been known widely in various countries in the world. Ageratum conyzoidesL. is commonly known by the ancient people to treat wound due to its potential anti-inflammatory effect. This study aims determine the effect of Ageratum conyzoidesL. leaves extract on fibroblast density of incision wound of male white mice (Mus musculus). Methods: This post-test only control group design experimental study used 35 male white mice which were randomly divided into five groups, i.e. negative control group K(-), positive control group K(+) (10% povidone iodine), and treatment group P1, P2, and P3 that were each given billy-goat weed leaf with increasing dose (15%, 30%, and 45% respectively). On each day, the length of the incision was measured by a ruler. After 7 days, the mice were terminated to obtain wound tissue which were used to prepare H&E stained histopathological sections to observe fibroblast density. Non-parametric analyses using Kruskall-Wallis and Mann Whitney test were used to compare the wound length and fibroblasts density. Results: Lengths of incision wound between all pairs of groups at the 7th day are significantly different (p< 0.05) with group P3 showed the shortest one. Significant differences were also observed in fibroblasts density between group K(-) and K(+), K(-) and P1, K(-) and P2, K(-) and P3, K(+) and P3, P1 and P3, P2 and P3 (p< 0.05) with group P3 showed the highest density among all groups. Conclusions: Ageratum conyzoidesL. leaves extract 45% has more potential effect than povidone iodine 10% in accelerating healing process by enhancing fibroblasts density.
SOCIODEMOGRAPHIC CHARACTERISTICS, WORK VENUE, KNOWLEDGE, AND CONDOM USE WITH CLIENTS AMONG INDIRECT FEMALE SEX WORKERS IN DENPASAR, BALI, INDONESIA I Gusti Ngurah Edi Putra; Dusita Phuengsamran; Aree Jampaklay; Panithee Thammawijaya; Pande Putu Januraga
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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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.
PROGNOSIS OF INHALATION INJURY IN SEVERE BURN PATIENTS ON EMERGENCY PHASE Ida Ayu Agung Laksmi
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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Background: Inhalation injury in severe burns is a serious problem cause mortality and morbidity. Survival prognosis of severe burn is most important for patients and family in the emergency phase. The purpose of this study is to analyze the impact of inhalation injury in severe burn patient during emergency phase in Sanglah Hospital, Bali, Indonesia. Methods: This study was a cohort retrospective design of the 78 samples of medical records at Sanglah Hospital in a period of 2 years, from March 2014 until March 2016. Results: The results of logistic regressions with mediation show that inhalation injury is a predictor factor of patient’s survival (p = 0.000) that mediated by respiratory rate. The equation obtained y” = -6.608 + (5.589) (Inhalation Injury) + (1.942) (RR). The probability for patient with severe burn to die in the first 48 hours if the patient has an inhalation injury and has a respiratory rate in the first 8 hours after fluid resuscitation of more than 24 x/m is 71.4%. Conclusions: Patient with inhalation injury on severe burn has better prognosis if respiratory rate on first 8 hours is less than 24 cycles per minute.
ADOLESCENTS' PROBLEM RECOGNITION, CONSTRAINT RECOGNITION AND LEVEL OF INVOLVEMENT IN REPRODUCTIVE HEALTH INFORMATION SEEKING AND PROCESSING Ricky Alexander Samosir; Hendriyani Hendriyani
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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Background: As social and sexual being, adolescent have rights to exchange, seek and process information regarding their sexual and reproductive health. However, many adolescent in Indonesia did not seek and process information about reproductive health due to some barriers. Using situational theory of publics in the context of adolescent reproductive health in Indonesia, this study aimed to determine the effect of problem recognition, constraint recognition and level of involvement on information seeking and information processing. Methods: This cross-sectional study was conducted in September until December 2013 among 124 high school students in SMA Angkasa 1 Lanud Medan. Results: This study found that problem recognition, constraint recognition and level of involvement has 14% effect on information seeking with constraint recognition as the independent variable that has the biggest effect (12.1%). Problem recognition, constraint recognition and level of involvement has 9.8% effect on information processing with constraint recognition as the independent variable that has the biggest effect (8.1%). Conclusions: Realizing that constraint recognition had the highest effect both on information seeking and information processing, researcher recommend health communication campaign manager has to reduce adolescent’s constraint recognition in reproductive health, so adolescent can have higher information seeking and processing in reproductive health.
EFFECTIVENESS OF ‘FAST’ STROKE CAMPAIGN FOR FAST STROKE RECOGNITION AND RESPONSE: A SYSTEMATIC REVIEW Herpani Sudirman; Citra Yuliyanti; Andrea Indra Sari
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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Background: FAST campaigns help people recognize the signs and symptoms of stroke rapidly to bring the patient to the hospital or emergency department immediately. However, the effectiveness is still be questioned. This present study is to evaluate the effectiveness of the campaign of early detection in stroke patients to reduce the risk of disability. Methods: A systematic review of articles published between 2010 and 2017 examining the effectiveness of FAST campaign using interventions was conducted along with narrative synthesis and review of intervention development. Information from all relevant published articles that determine how the intervention was developed and evaluated for measuring the effectiveness of FAST campaign were extracted and analyzed. Results: Eleven studies were included, six studies report the effectiveness of FAST campaign, but the other five studies report that the campaigns still do not hit the target. The professionals claim that FAST campaign has been promoted internationally as a great success, but some studies report that the FAST campaign still do not have any significant impact in promoting swift response for Emergency Medical Services (EMS). Conclusions: Campaigns aimed at the public may raise awareness of signs of stroke, but have limited impact on behavior. Thus, new campaigns of FAST should survey the principles of good design and be intensely evaluated for the effectiveness of the implementation.
DELAYED CLAIM PAYMENT AND THE THREAT TO HOSPITAL CASH FLOW UNDER THE NATIONAL HEALTH INSURANCE SCHEME IN INDONESIA Citra Yuliyanti; Hasbullah Thabrany
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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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.
PERFORMANCE ANALYSIS OF INPATIENT UNIT “ANGGREK PAVILION” AT RSAL DR. MINTOHARDJO IN 2014 - 2017 USING MANAGEMENT APPROACH Fidela Eniraisa; Budi Hidayat
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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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 M’s of management with the performance improvement of an inpatient unit ”Orchid Pavilion”. 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 “Orchid Pavilion”Rumah 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 “Orchid Pavilion” and many improvement on the five M’s in management (Men, Money, Materials, Machines, and Method) resulting in significant increase of Bed Occupancy Ratio value in the room. Conclusions: Improvements in five M’s in management greatly affect the improvement of performance in inpatient unit “Orchid Pavilion” Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The five M’s in management (Men, Money, Materials, Machines, and Method) have a strong role in improving the performance of inpatient unit “Orchid Pavilion”.

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