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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 269 Documents
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Search results for , issue "No. 4 (2019)" : 269 Documents clear
LEADERSHIP SKILL AND MANAGEMENT PROCESS IN CENTER OF INFORMATION AND COUNSELING (CIC) AT UPPER SECONDARY SCHOOLS IN SOUTH JAKARTA CITY, INDONESIA Utut Septi Asrianti; Arisara Leksansern
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: Indonesian adolescent problems have increased from year to year based on data from the Indonesia Health Demographic Survey (IDHS). Center of Information and Counseling (CIC) is a non- formal education form which is established with particular purposes in order to help youth generation in the health and social sector. The high number of CIC does not guarantee the quality and the decreasing of adolescent health problems. This study is to examine the ability of leader and management implementation in CIC, to study problems that occurred in CIC, and find the best alternative solution to reduce these problems. Methods: The research used quantitative and qualitative method approach. Exploratory research design is used to analyze leadership skill and management in the Center of Information and Counseling. The number of population in this study is 117 students who are CIC members from 9 upper secondary schools. For the qualitative method, 13 students who are chairman and peer educator are selected to join in a focus group discussion (FGD). Results: Based on Pearson product-moment, there was a correlation between leadership skill and management process in significant level at 0.01 (r=.552). Technical skill and controlling function have the highest correlation compared with others. This finding is in line with the result of the focus group discussion. Some indicators have been founded that caused as obstacles. Some alternative solutions are given to overcome the problems and to increase the performance within CIC. Conclusion: Cooperation among all stakeholders both internal and external are needed in supporting dan developing the existence of the Center of Information and Counseling for youth generation.
A REVIEW OF THE BALANCED SCORECARD IMPLEMENTATION IN HEALTH SECTOR ORGANIZATION Silvia Tarigan; Adang Bachtiar
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. .
DETERMINANT OF CHRONIC ENERGY MALNUTRITION OF PREGNANT WOMEN AT KARANG BANDAR LAMPUNG HEALTH CENTER Mutiara Ayu Muthiatulsalimah; Sri Rahayu
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 most common nutritional problem experienced by pregnant women is Chronic Energy Deficiency (CED), which may be caused by nutritional intake consumed, socio-economic and history of disease / infection before becoming pregnant. But the cause of CED is not only a problem of lack of food but also due to the influence of lifestyle, workload and nutritional status of the mother during pregnancy. This study aims to determine the relationship between lifestyle during pregnancy, workload during pregnancy, nutritional status during pregnancy with Genesis CED in Pregnant Women. Methodology: Quantitative research method with cross sectional design. The population of this study were all pregnant women who checked their pregnancy at the Public Health Center Karang City Bandar Lampung. Sampling technique using total population sampling is as much as 40 people. Data was collected through primary (questionnaire) and secondary (KIA book) data collection. Data analysis was performed using chi-square test. Results: Results of this study showed that there was no significant relationship between lifestyle with the CED incidence in pregnant women. Meanwhile, the results showed that workload and nutrition were significantly associated with the CED incidence in pregnant women. Conclusion: This study recommends that there is a need for coordination between puskesmas and city health offices to provide supplementary food for pregnant woman and provide education to woman about the importance of nutrition during pregnancy before marriage, such as counseling in order to prevent CED occurrence during pregnancy.
IMPROVING PATIENT SAFETY AND HOSPITAL SERVICE QUALITY THROUGH ELECTRONIC MEDICAL RECORD: A SYSTEMATIC REVIEW Muhammad Firdaus; Amal Chalik Sjaaf
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: Examines properly implementation of Electronic Medical Records (EMR) which associated with workflows, policies and health services in enhancing patient safety. The electronic medical records have benefit to the patients due to the efficiency in the healthcare process. Therefore, the aim of this study was to examine the literatures on patients safety reporting based on electronic system review and assess the implementation. Methods: Systematic review with Prisma at the literature published between 2010 – 2019 using three large database: Proquest, Oxford Academic Journals, and Scopus. The eligible articles in this review should show an effect of patient’ safety, and product quality in hospital in correlation on using EMR. It must include some effect on medication error, prescribing error, error in the use of EMR that potentially endanger patient safety. Results:The most important function of EMR implementation is to improve patient safety in hospital and to reduce the cost. EMR reduce excess cost of Hospital Acquired Condition (HAC) by 16%, reduce death due to HAC by 34%. Doctor and nurses believe that the quality of patient data would be better by using EMR as their daily routines. Conclusion: EMR can improve patient safety due to some skills in technology. Thus, it would not harm to the patients safety. However, the implementation of EMR requires the human skill resources in using technologies, computer and programs.
ANALYSIS OF MARKETING STRATEGIES ON MEDICAL TOURISM PROGRAMS IN DEVELOPING COUNTRIES HOSPITALS IN ASIA Ni Putu Indra Dewi; Dumilah Ayuningtyas
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: Recently medical tourism is a new form of niche tourism market, which has grown rapidly. The term of Medical Tourism describes tourists who travel to foreign countries to obtain health services and facilities such as medical, dental, surgical care, and so forth. It is necessary to hold a marketing strategy that is able to increase tourist interest in carrying out medical tourism activities in efforts to develop medical tourism. Therefore, the aim of this study was to analyze marketing strategies for medical tourism programs in hospitals. Methods: A systematic review through marketing strategy journals of medical tourism was conducted. Research articles accessed from the internet through databases namely: EBSCO, Emerald, Science direct, Neliti, and Research gate with the keywords medical tourism and medical tourism marketing strategy. The literature analysis from 2 journals with mix methods design, a journal with descriptive qualitative design, a journal with descriptive study design, a journal with SWOT analysis design, a journal with desk research methods design, and 2 journals with data analysis design. Results: The 11 articles that are considered to be in accordance with the objectives of the study. From 11 articles, then screening again based on feasibility according to inclusion and exclusion criteria obtained 8 articles for further review. This systematic review shows that the marketing concepts of segmentation, targeting, and positioning could compete competitively with other hospitals. The marketing strategy of a health service was able to increase the interest of tourists in conducting medical tourism activities in a country. Marketing efforts carried out by hospitals focus on domestic and foreign tourists. Conclusion: The existence of a marketing strategy can increase competitiveness between hospitals and increase the interest of domestic and foreign tourists to carry out medical tourism activities competitively.
UNIVERSAL PRECAUTION OF SECTIO CAESARIA IN SURGICAL ROOM Anindita Santoso; Prastuti Soewondo
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:Nosocomial infection is the presence of an infection seen in patients while in the hospital or while in other health facilities, currently this is are known as Health-care Associated Infections (HAI). One of useful strategy in controlling HAI is to improve the ability of health workers in the universal precautions method. To succeed in this strategy, we need a material briefing on universal precautions so that good knowledge is obtained between healthcare staff. Therefore it is necessary to know the relationship between knowledge about universal precautions with universal precautions attitude and safety skills on healthcare staff. Methods:Article research was limited to articles from internet databases, such as ASMR, Elsevier Journal, IJCMPH, Sage Journals with the keywords universal precaution, knowledge, safety skills, attitude, and healthcare staff. Inclusion criteria, such as English articles and published from 2008- 2018,were collected and reviewed. The searching process obtained 6 articles that met requirement for inclusion and exclusion criteria. Results: There were two articles that found positive correlation between knowledge of universal precautions and safety skills or attitude, but the others showed otherwise. It shows inconsistent findings in all articles. Conclusions:Knowledge of universal precaution is not the only factor that influences the safety skills or attitude of healthcare staff. It might be other factors that influence safety skill or attitude beside knowledge of universal precaution.
EFFECT OF ULTRASOUND TECHNOLOGY ON WASTEWATER TREATMENT EMPHASIZING ON HEALTH ISSUE Nasser Mehrdadi; Farshad Golbabaei Kootenaei
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: Wastewater and sludge have huge pathogenic substances. So far, various physical and chemical processes have been used for disinfection, including chlorination, ozone and ultraviolet radiation. The use of this type of disinfectants is currently decreasing due to the hazards that they pose such as byproducts of disinfection, including carcinogenic Trihalomethanes. Nowadays, researchers have begun to use other processes that create less risks such as ultrasound technology. Ultrasound waves by breaking the cell wall causes reducing pathogenic populations and eliminating the risk of disinfection byproducts and are one of the newest methods for disinfection in water and wastewater treatment plants. For physical, chemical and biological effects of ultrasound waves on plants, ultrasound radiation results in the rotational movement of the protoplasm in individual cells and affects the growth rate of plants. In humans, the hypothesis is that exposure to ultrasound causes subsequent electrolytic balance changes in the nerve tissue and increases blood glucose levels. Ultrasound waves cause bacterial colony damage and thinning of the cell wall and the release of the cytoplasmic membrane. Mechanical effects of ultrasound waves can be used for water and wastewater disinfection. Methods: This research is a descriptive-analytic study that was carried out in a batch experiment. The goal of this research is to investigate the effect of ultrasonic waves on disinfection in South Tehran wastewater treatment plant. Results: The results showed that by increasing the time and density of the ultrasound, the rate of removal of E.coli increased. Also, the optimal sonification time was 30 minutes and the optimal ultrasound density was 2.5 watts per milliliter at a frequency of 20 kHz. E.coli removal rate in these conditions was more than 99%. Conclusion: According to the results of this study, the use of ultrasound waves has a significant effect on the elimination capacity of Escherichia coli and can be used as an appropriate alternative for stabilization and disinfection in wastewater treatment plants.
FACTORS INFLUENCING DELIVERY BY SKILLED BIRTH ATTENDANTS AND POSTNATAL HEALTH CHECK AMONG MOTHER IN HLAING-THARYAR TOWNSHIP, MYANMAR Aye Thi Khaing; Sirinya Phulkerd; Amara Soonthorndhada; Ayesandar Mon; Pojjana Hunchangsith
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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Introduction: Complications during pregnancy and childbirth are the leading cause of death among women of reproductive age in Myanmar. It is generally believed by women in developing countries that pregnancy is a natural phenomenon and a part of women's reproductive functions. Problems or complications during pregnancy are also considered by such women as being natural to pregnancy. Low coverage of institutional deliveries, giving deliveries at homes without skilled provider and delays to reach to the health facilities are leading towards the vast majority of maternal deaths in Myanmar. Methods: The purpose of this study is to identify percentage of skilled birth attendant’s utilization among ever-married women (15-49 years) in Hlaing-Tharyar Township, Yangon, Myanmar. A quantitative cross-sectional survey was conducted. A total of 300 ever-married women who had delivered at least one child were selected by simple random sampling and face to face interviews were performed to them by using a pre-tested structured questionnaire. The structured questionnaire including socio-demographic background, history of last pregnancy, accessibility of health services, women’s autonomy and male involvement during pregnancy. Results: The study found that 65 percent of the sample used skilled birth attendants (SBAs) at delivery and the association between mother’s education, place of residence, parity, number of antenatal care visits, women’s autonomy and male involvement were significantly related with using skilled birth attendant at delivery and postnatal health check. About one-third (35%) were received care from non- SBAs during delivery and the postpartum period in that township. Accessibility to health services and availability of health care personnel were not significantly associated with the use of skilled birth attendants in the delivery and postpartum of the last child. Conclusions: Findings from this study highlighted that the majority of SBAs were providing reproductive healthcare services with a certain level of quality within the limited resource setting at the study area. There was a need to increase health education activities by SBAs for the pregnant and lactating mothers especially for utilization of maternal health care services. Awareness raising activities on the contraceptive method used should also be enhanced for all lactating women.
PERCEPTION OF PICTORIAL HEALTH WARNING ON CIGARETTE PACKS, SMOKING BEHAVIOUR AND WANT TO QUIT SMOKING AMONG STUDENTS UNDERGRADUATE OF STATE ISLAMIC UNIVERSITY OF NORTH SUMATERA, INDONESIA Fauziah Nasution; Azhari Akmal Tarigan; Putra Apriadi Siregar; Watni Marpaung
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: Pictorial health warning on cigarette packs has been implemented since 2014, but smokers in Indonesia increase every years. Pictorial health warning on cigarette packs must be continuously evaluated regarding its effectiveness in reducing smoking behavior in Indonesia. Regulated about Regulations of pictorial health warning on cigarettes packs are expected to make smokers to quit smoking and regulations that have been in effect since 2014 should have been evaluated to see pictorial health warning on cigarettes packs that can change the behavior of smokers or prospective smokers in adolescents. This study aims to describe perceptions of pictorial health warning on cigarette packs and smoking behavior and intention to quits smoking of undergraduate student of state Islamic University of North Sumatra. Methodology: This research was conducted to students of the Islamic University of North Sumatra as many as 215 students. The study was conducted in March 2019 using a structured questionnaire that had been prepared. The data in this study will be presented in the form of frequency distributions and then the results are presented in the table. Results: The results of this study indicate that the respondents felt not fear with pictorial health warning on cigarette packs as many as 165 people (76.7%). For the smoking behavior of students it was found that as many as 147 people (68.4%) stated that they had not smoking and respondents who stated smokers as many as 68 people (31.6%), wanted to stop smoking after seeing picture health warning on cigarette packaging as many as 28 people (41.2%). Respondents who said they would continue smoking even though they had seen pictorial health warning on cigarette packs as many as 40 people (58.8%). Conclusion: The majority of students undergraduates of the North Sumatra State Islamic University (UIN SU) were not afraid when they saw pictorial health warning on cigarette packs and students undergraduates have smoking behaviour. Those who smoke said they wanted to stop smoking after seeing pictorial health warning on cigarette packs especially when looking at ppictorial health warning on cigarette packs related to smoking resulting in lung cancer.
RISK FACTORS FOR IRON DEFICIENCY ANEMIA IN INFANTS AGED 6 MONTHS IN TEGAL REJO PUBLIC HEALTH CENTER, YOGYAKARTA, INDONESIA Yuni Kusmiyati; Siti Tyastuti; Yulita Rizky Supriyati; Nirmala Sari
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: Anemia is a global public health problem affecting both developing and developed countries with major consequences on human health as well as social and economic development. Anemia resulting from iron deficiency that may adversely affects the infants’ cognitive and motor development. The objective of this research was to find out the risk factors of iron deficiency anemia (IDA) in 6 months old infants.Methods: This was an observational research with case-control design. Population was all 6 months old infants having been examined for their hemoglobin levels in Tegalrejo public health center in Yogyakarta from 2017 to 2018. 164 samples were taken with random sampling contained of 82 infants with anemia diagnosis in case group and 82 infants with normal hemoglobin levels for control group. Dependent variable was iron deficiency anemia (IDA) assessed based on hemoglobin level less than 11 gr% and independent variables were IDA risk factors (birth weight, sex, maternal education, maternal occupation, and maternal age) obtained from medical records and direct interviews. Data were analyzed by using logistic regression. Results: the risk factor influencing IDA was exclusive breastfeeding (p<0.05). Infants who did not receive exclusive breastfeeding had 2.16 folds higher risk of having IDA than those who received exclusive breastfeeding. Other risk factors such as birth weight, sex, maternal education, maternal occupation, and maternal age did not correlate significantly to iron deficiency anemia (IDA). Conclusion: Exclusive breastfeeding was the significant risk factor toward iron deficiency anemia in 6 months old infants after controlling other risk factors. Therefore, these finding can be implemented by maternal and child health practitioners to make iron deficiency anemia prevention program by eliminating or minimizing its risk factor.

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