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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. Ultrasoundwaves 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. Keywords: Ultrasound, Health, Wastewater, Treatment, Cavitation

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. Keywords: Skilled Birth Attendants, Postnatal health check mothers, Hlaing-Tharyar, Myanmar

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 makesmokers 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 smokingeven 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. Keywords: Perception, Picture Health Warning, Smoking Behavior, Students

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. Keywords: Iron deficiency, Anemia, Exclusive breastfeeding, 6-month-old infants.

STRATEGY FORMULATION FOR HOSPITALS IN REMOTE AREAS: CASE STUDY OF X HOSPITAL, WEST BORNEO PROVINCE, INDONESIA, 2019 Dewi Citra Puspita; 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: Located in remote area, X Hospital is facing various challenges as a private non-profit class C hospital. Therefore, it needs to develop an appropriate strategic plan for the year 2020-2024 to overcome challenges and achieve its vision. This study is aimed at identifying the strengths, weaknesses, opportunities and threats from internal and external strategic factors, determine strategic positioning, and formulate alternative strategies for X Hospital. Method: This is a preliminary study with qualitative - exploratory design. Data were collected through in-depth interviews, group discussions and observation. The interviews were conducted with 7 key informants holding strategic management positions. This study was conducted in two in-depth stages using Consensus Decision Making Group (CDMG) method to avoid bias. Data were analyzed using Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE) matrixes at the input stage and Internal External (IE) and Threat Opportunity Weakness Strength (TOWS) matrixes at the matching stage. This study was conducted at X Hospital, West Borneo Province, Indonesia, from March to April 2019. Results: The IFE final score was 2.38 with strength (1.68) greater than weakness (0.70) and EFE score of 2.16 with threats (1.10) greater than opportunities (1.06). Such input stage results indicate that X Hospital has average response in utilizing its internal and external strategic factors where strengths are more prominent than weaknesses but the threats are still overshadowing its opportunities. Consequently, the results of matching stage place X Hospital on the position of hold or maintain strategies and formulate 11 alternative strategies that focus on market or product development. Conclusions: X Hospital is currently on a strategic position to develop its services as the basis for the five-year strategic planning. A new policy should be made to encourage the establishment of a network with private hospitals to promote healthcare in remote areas. Keywords: strategic plan, remote area, hospital, IE matrix, TOWS matrix

LEAN METHOD IMPLEMENTATION TO REDUCE OVERCROWDING IN THE EMERGENCY DEPARTMENT: A SYSTEMATIC REVIEW Asti Arieyani; 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: 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. Keywords: Lean, hospital, emergency department, crowds

HALAL FOOD SUPPLY MOTIVATION FOR MUSLIM PATIENTS Elsa Primasari; Wahyu Sulistiadi
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 obligation of consuming halal food for muslims as a religious requirement. Unfortunately in Indonesia not all hospital provide health service that are capable of providing halal food and offering Halal certification food. This might cause patient to feel distrust and discomfort. Therefore, all reliable stakeholder are expected to have the motivation and commitment to guarantee halal food in the hospital services. This study aimed to analyze the providers’ (hospitals’) motivation to provide halal food for their Muslim patients according to Islamic rule. Methods: This study employed a systematic review to observe articles related to halal food awareness and halal food certification in Indonesia and other countries that serve Muslim consumers, which have been published online in the accredited journal, such as Scopus journals, ProQuest journals, and Google Scholar. The inclusion criteria employed in this study were halal Food, certification, academic journals, and full papers. This searching was limited to articles in the last ten years, except the articles which are not related to the theme. PRISMA method was implemented to assess the selected articles critically. The article searching was based on Halal Food keywords in ProQuest, Scopus, and Google Scholar. The full inclusion tests resulted in one thousand three hundred seventy articles; however, after conducting the inclusion and exclusion, the researcher obtained five articles. Results: The researchers found that hospitals, both in the Muslim majority and minority places, were not fully aware of halal food services. Nevertheless, few Islamic hospitals have Halal Assurance certification in providing their food due to the Sharia accreditation requirement. The low interest in obtaining the Halal Guarantee certification was due to several problems, such as lack of knowledge about halal, financial problems, and government support. Conclusions: The need of awareness of hospital as a health service provider to provide a halal food for muslim patient by participating in the implementation of Halal Food Guarantee Certification. Keywords: halal food, certification, motivation

SPECIAL DENTAL CASE SHEET AS A MEDICAL AND FORENSIC COMMUNICATION TOOL Irin Kirana; Wahyu Sulistiadi; Tjen Dravinne Winata
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 implementation of the International Classification of Diseases, Tenth Edition (ICD-10 codes) in the medical records serving as the humanitarial tools for practitioners is to establish treatment procedures for re-admitted patients in a hospital. Medical records serves as a tool in determining the appropriate treatment for each patient. But in reality, has never the ICD-10 been applied to the Electronic Medical Record Management. For it to be used as a humanitarian tool, it has first to be used as legal evidence in the court as a written legal system in Indonesia. However, the implementation by the lawyers and relevant officers is under the progress. The result of the previous research showed on the Dental Professionals’ Medical Record Form in 2014 at FKG Usakti [29] had determined the need for special dental case sheets as a humanitarian tool between practitioners and dentists. The Special Sheet should meet the specific requirement to be utilized in a class A hospital and it also needs to be standardized with the Indonesian National Police. Methods: In this Systematic Review, the researchers conducted a Proquest database published from January 2012 to June 2019. 10 relevant studies of the medical records were selected as a humanitarian tool in Disaster Victim Identification (DVI) done by the dentist. Results: From 10 present studies and previous studies [29] conducted by the researcher, it had succesfullyidentified the importance of medical record management as a humanitarian tool between practitioners and dentists in hospitals. Conclusion: Special Dental Case Sheet is required for the implementation of collective information which serve as a general humanitarian tool among health professionals. It is required as a comparative data in the identification process if the related patients are the disaster victims. Keywords: Medical Record, Humanitarian Tool, Health Professionals, Dental Professional Teaching Hospital

ANALYSIS EFFECTIVITAS RELATING TO THE WAITING TIME IN CT SCANNING PROCEDURE BASED ON THE MALCOM BALDRIDGE APPROACH ON OUTPATIENT TREATMENT PATIENTS AT THE RADIOLOGY INSTALLATION OF THE CENTRAL POLICE HOSPITAL R. SAID SUKANTO Leti Ratna Kusumawati; Munir Munir; 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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Introduction: Hospitals have the mission to provide excellent, comprehensive and standardized medical services in the context of improving people’s health conditional through among others reduced waiting time. Waiting time is the time used by a patient to receive health services beginning from at the registration counter to the doctor’s examination room. Method: This research used the Qualitative study. The research was conducted from April 2019 through May 2019 at the Outpatient Treatment Unit of the Radiology Installation of the Central Police Hospital R. Said Sukanto Jakarta The informants in this research were chosen based on the principle of suitability and sufficiency namely 8 informants; they were head of the Radiology Installation, a radiologist, a senior supervisor or radiographer, a registration counter officer, a nurse and 3 selected patients. The data collected in this study was primary data namely through in-depth interviews and direct observation, while secondary data was obtained through document reviewing. Analysis using Malcolm Baldrige framework Results: The result of this study indicates that the waiting time in CT Scanning procedures average 3 hours 1 minute and 25 seconds, which exceeds the standard stipulated by the Ministry of Health of the Republic of Indonesia the standard time ≤ 3 hours. Assessment aspect of Malcolm Baldrige the best is aspect organization profile, leadership and customer/ patient focus, an aspect have substantial effect on the waiting time in CT Scanning procedures. Mismatch between the theory and the result of this study may be caused by limitation in the research. Conclusion: In principle, services are already good except for few matters that need improvement namely on customer/patient care, strategic planning, measurement of analysis and management of knowledge as well as results in the organization. Keywords: Malcolm Baldrige criteria, CT Scanning procedure, waiting time

THE ROLE OF HOSPITAL MARKETING MIX TO THE SELECTION OF THE HOSPITAL CONSUMER Mardiah Mardiah; Sulistiadi Wahyu
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 significant growth of hospital both of private and public hospital, additions requiring productive marketing strategy to sustained and increase consumers. Concept of 7p was developed from concept of 4p to create transparent communication between hospital and its customers. The given information will become the reason for customers to make their health related decision. This review is to see the role of each 7p concepst (person, place, promotion, physic, price, product and proses) in marketing and maintaining of hospitals. Methods: Full articles available at PubMed and Google Scholar, published from 2010-2018, and the student thesis were considered to explore the hospital marketing with mix marketing approach. Results: Of 412 full articles available at the searching tools, 10 articles have been selected for further discussion and analysis. From the results, it is noted that the 7p concepts of the costumer satisfactions present significant effects to the customers’ trust to the hospital. Conclusion: This systematic review even only answer four out of seven P concept including proses, promotion, person and product, the findings may present the references to the hospital marketing in delivering the significant result for increasing customers’ satisfaction. Keywords: Marketing mix, hospital marketing, customers’ satisfaction.

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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

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info@inschool.id

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Journal Mail Official
icash@inschool.id

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Location
Kota semarang,

Jawa tengah

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email info@inschool.id

Phone -

Journal Mail Official icash@inschool.id

Editorial Address -

Location Kota semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email
info@inschool.id

Phone
-

Journal Mail Official
icash@inschool.id

Editorial Address
-

Location
Kota semarang,

Jawa tengah

INDONESIA