Proceedings of the International Conference on Applied Science and 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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<![CDATA[NURSESâ ROLES IN HEALTH PROMOTION PRACTICE: A SYSTEMATIC REVIEW ]]>
<![CDATA[Widiyanto, Budi]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 1 (2017) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Promoting public health is applied by health care professionals including nurses. The focus of health promotion by nurses traditionally has been on disease prevention and changing the client behavior with respect to their health. In fact, the role as promoters of heath by nurses is not as simple as we perceive. It is because they have experience and multi-disciplinary knowledge of health promotion in their nursing practice. Aims: This study presents a systematic review aimed at examining the findings of existing research studies (2001-2016) of health promotion roles by nurses. Methods: A systematic search of databases using EBSCOhost, ProQuest, and Science Direct were conducted. The 353 articles included were extracted and verified and a new interpretation of the concepts extracted was generated. Results: 12 research articles met the inclusion criteria and included in this review. Nurses play an important role in relation to health promotion in any setting like hospital, community, primary care and home care. Conclusion: This review need to be confirmed by well-designed large studies which engage validated procedures of nursesâ role in health promotion practice and involve multivariate analyses to make sure the real role of nurses regarding health promotion practice. ]]>
<![CDATA[THE EFFECTIVENESS OF "FLASH CARD" IN IMPROVING MOTHERSâ KNOWLEDGE ON PREGNANCY ]]>
<![CDATA[Pipitcahyani, Tatarini Ika]]>;
<![CDATA[Safitri, Citra Adityarini]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 2 (2017) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Aims: To know the effectiveness of using flash cards as a method to educate the expecting mothers during pregnancy counselling class. Methods: The study used pre-experimental pre-test and post-test control group designed with the intervention using flash card. This study was conducted from January to September 2016 with a population of 40 pregnant women and sampling by means of accidental sampling with 10 respondent. The research was designed by using Quasi-Experiment Wilcoxon statistical techniques. Results: From Wilcoxon test, the results demonstrate a level of knowledge in the control group with a score of 0.59 sig (p>0.05). In the treatment group sig 0.05 (p>0.005) indicates a significant difference between the group using flip charts and the flash card group. From the Mann-Whitney test, the results yield sig 0.002 (p>0.005) which shows that flash card proved to increase the level of knowledge of pregnancy. Conclusion: Counselling using a flash card is an effective method to educate the expecting mothers to better understand the knowledge of pregnancy health. ]]>
<![CDATA[DELAYED CLAIM PAYMENT AND THE THREAT TO HOSPITAL CASH FLOW UNDER THE NATIONAL HEALTH INSURANCE SCHEME IN INDONESIA ]]>
<![CDATA[Yuliyanti, Citra]]>;
<![CDATA[Thabrany, Hasbullah]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[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. ]]>
<![CDATA[THE RELATIONSHIP BETWEEN FAMILY SUPPORTS TOWARDS THE EARLY COMPLEMENTARYFEEDING FOR 0-6 MONTHS BABIES IN PUBLIC HEALTH CENTER, SEWON I BANTUL, INDONESIA ]]>
<![CDATA[Tiasna, Apriani]]>;
<![CDATA[Astutik, Dhesi Ari]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 1 (2017) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Early Complementary Feeding (ECF) is a critical period in which the babyâs digestive system is not perfect yet. If an inappropriate food is being given, the food wonât be digested well and will cause digestive problems. The high intensity of complementary food is one of the causes occurs by family support. Research Purpose: The research purpose was to identify the correlation between family support and complementary food feeding in 0-6 months babies in Public Health Center, Sewon I Bantul, Indonesia. Research Method: The researchers usedanalytical survey method with Cross Sectional time approach. The subjects of the research were mothers who have 7-12 months babies with 34 respondents and used Non-Probability Sampling with total sampling technique. The data were analyzed using Chi Square correlation test. Research Result: The results were obtained from 34 respondents, who provide early complementary feeding with 21 respondents (61,76%), and the majority of women who have a high level of support that provide early complementary feeding with 10 respondents (8,6%). Conclusion: The research showed that there is a correlation between early complementary food feeding and family support with the significance value p value = 0.012 (α < 0.05). Information sharing with family about the importance of motherâs support especially in feeding the breast milk is very essential so that mothers could give a good and adequate nutrition for their babies. ]]>
<![CDATA[ACHIEVEMENT OF COMMUNITY HEALTH CENTER SEEN THROUGH ACCREDITATION RESULTS: CASE STUDY IN PUSKESMAS "X", IN SURABAYA ]]>
<![CDATA[Qulsum, Meily Arovi]]>;
<![CDATA[Sari, Kurnia]]>;
<![CDATA[Bachtiar, Adang]]>;
<![CDATA[Taufiq, KM]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Accreditation and recognition of a Community Health Center (Puskesmas) are given by an independent accredited organization, established by the Minister of Health after comply the accreditation standards. The accreditation achievement in East Java is at most of main level 76.7%. Puskesmas "X" is one of Puskesmas in Surabaya which has been accredited with basic level of status in 2015. This study aims to provide a comprehensive overview of the issues affecting the achievement of Puskesmas accreditation. Methods: This research is a qualitative descriptive study with in-depth interview and document searching using an accreditation instrument standard. Results: Based on accreditation results, the planning of the health centre was less appropriate because it was not based on identification of need and expectation. The mobilization and implementation was not working well due to lack of human health resource. Monitoring, control, and performance appraisal of the health centre have not been done. Conclusions: The accreditation of the health center, the Puskesmas X, in Surabaya is not only assessed by the document but also by the processes and system implementation activities. Achievement of Puskesmas accreditation status represents as a description of Puskesmas management and the result will have an impact on Puskesmas performance, and service quality. ]]>
<![CDATA[CARROTS JUICE FOR DYSMENORRHEA ]]>
<![CDATA[Hastuti, Puji]]>;
<![CDATA[Aini, Fajaria Nur]]>;
<![CDATA[Sumiyati, Sumiyati]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 2 (2017) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: The incidence of dysmenorrhea (menstruation pain) was reported at a moderate level (64.25%), ranged from 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. Most Indonesian women used herbs to reduce the pain, yet, only few who understood that carrots can be used. Carrots contains a lot of beta carotene, flavonoids and saponins that works as analgesic and anti- inflammatory effect. It inhibits the enzyme phospholipase and lipooksigenase enzymes that would inhibit prostaglandin release. Aims: The objective of this research is to analyze the effect of carrots juice to reduce dysmenorrhea in midwifery student. Method: this research employed pre-experimental design, with pretest-posttest one group design. The carrot-free varieties of water was set as independent variable, whilst different levels of dysmenorrhea pain as dependent variable. Twenty five female students was selected randomly as sample from 172 studentsâ population. Prior to treatment, respondents were asked to fill out a questionnaire about the degree of pain experienced, then given carrot juice made from 250 grams of carrots, 100 cc of water and 2 tablespoons of sugar and drink 2 times (morning and evening). After administering carrot juice, respondents again filled out questionnaires about the level of dysmenorrhea pain. Results: Prior to the intervention, 72% participant experienced mild pain whilst 20% suffered from moderate pain and 8% felt severe pain. After the provision of carrots juice, the vast majority experienced no pain (68%), 24% mild and 8% felt moderate pain. No participants reported suffered from severe pain. The results of Wilcoxon Match Paired Test analysis shows that there is influence of giving of carrots juice to various level of dysmenorrhea in student with p = 0.001. Conclusion: There is an effect of giving carrots water to various levels of dysmenorrheal pain in the students. So it is advisable for teenagers or adults to increase knowledge related to dysmenorrhea and to provide carrot juice as an alternative to overcome dysmenorrhea pain. ]]>
<![CDATA[PERIODONTITIS IN PREGNANCY AS RISK FACTORS OF PREECLAMPSIA : A LITERATURE REVIEW ]]>
<![CDATA[Fitriyah, Nur]]>;
<![CDATA[Widyawati, Melyana Nurul]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 2 (2017) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Periodontitis may indicate the presence of chronic endotoxin inflammatory disease and cytokines, which are considered as risk factors for systemic diseases such as cardiovascular disease, atherosclerosis, and cerebrovascular ischemia. Maternal periodontitis substitutes a potential microorganism that can penetrate the circulation, directly or indirectly has the capacity to affect the health of the mother and fetus. Preeclampsia is associated with an abnormal maternal cytokine response, such as elevated tumor necrosis tumor (TNF)-α, interleukin (IL)-1 and 6 levels that cause endothelial damage to the placenta. Aims: Reviewing epidemiological associations between periodontitis and preeclampsia Methods: The method used in this paper is literature review. Literature searches were conducted using the electronic databases Science Direct and Google Scholar. Results: Many studies showed that periodontitis is a risk factor for the occurrence of preeclampsia. Periodontal disease is known to cause systemic inflammation early in pregnancy through increased IL-6 mechanism and increased systemic CRP, during pregnancy the increased progesterone hormone causes greater vascular permeability, stimulates the production of prostaglandins that can cause inflammation, and can decrease the regulation of interleukin-6 production that is less resistant to bacterial inflammation. Conclussion: The guidance of maintaining the dental and oral health of pregnant and under-five mothers published by the government can be developed into a strategic and innovative program to increase community interest to regularly check the health of teeth to health facilities. ]]>
<![CDATA[HOME BASED CARE BY PROVIDING PREVENTION OF MOTHER- TO-CHILD TRANSMISSION (PMTCT) HANDBOOK ON WOMENâS PERCEPTION OF HIV/AIDS PREVENTION IN MOTHER TO CHILD IN PURWOKERTO ]]>
<![CDATA[Walin, Walin]]>;
<![CDATA[Sulistyowati, Dina Indrati Dyah]]>;
<![CDATA[Mardiyono, Mardiyono]]>;
<![CDATA[Ratifah, Ratifah]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 1 (2017) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Previous research, surveillance, and epidemic data of HIV/AIDS in Indonesia show the number of women and infants infected HIV/AIDS increases. Pregnant women with HIV/AIDS may transmit to their child. This is known as mother to child transmission (MTCT). Women with HIV/AIDS face several problems, such as physical, psychological, cognitive, social, cultural, and spiritual problems. Previous literatures, home based on care is a family approach to care for women with HIV/AIDS and handbook of preventive MTCT helps women improve their perception of HIV/AIDS prevention in mother to child. Aims: The research aimed to evaluate womenâs perception of HIV/AIDS prevention in mother to child in Banyumas District in intervention and control group. Methods: The research was a two group pre-post quasi-experimental design. The research was conducted in Margono Soekarjo hospital and âMandiriâ shelter of HIV/AIDS in Purwokerto. The samples were recruited by purposive sampling method. The number of samples were 30 subjects; 15 subjects in intervention group in the shelter and 15 subjects in control group in the hospital. Home Based Care with PMTCT handbook was applied for a month with twice visit. Data were collected with Questionnaires of Perception of HIV/AIDS prevention in mother to child at pre and post intervention. Data were analyzed by paired and independent t-test. Results: The findings show that the scores of perception of HIV/AIDS prevention in mother to child within intervention increased significantly (p<0,00). There were significant differences of perception scores of HIV/AIDS prevention in mother to child between intervention and control group (p<0,00). The Home Based Care with PMTCT handbook could improve womenâs perception of HIV/AIDS prevention in mother to child. Conclusion: The Home Based Care with PMTCT handbook can be implemented in home care or public health center and women with HIV/AIDS can follow the handbook to prevent infection from mother to child. ]]>
<![CDATA[ANTIDIABETIC EFFECT OF COMBINED Muntingia calabura L. LEAF EXTRACT AND METFORMIN ON RATS ]]>
<![CDATA[Nugroho, Adhy]]>;
<![CDATA[Primanagara, Risnandya]]>;
<![CDATA[Basyir, Pahmi Budiman Sahputra]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Diabetes mellitus is a disease that causes blood glucose levels to increase. There are several therapies that can be done to reduce blood glucose levels in diabetes such as metformin, biguanides medicine and kersen (Muntingia calabura L.) leaves as an alternative. Treatment with combination of both is expected to further reduce blood glucose levels. This study aims to measure the effectiveness of the combination of metformin and Muntingia calabura L. leaf extract on blood glucose levels. Methods: This was an experimental research with pretest-posttest control group. The samples were 24 Sprague-Dawley rats divided into 4 groups, first group (K1) negative control was given only aquadest, second group (K2) positive control (+) was given 45 mg/kgBW metformin, third group (K3) was treated with 300 mg/kgBW Muntingia calabura leaf extract, and the fourth group (K4) was given the combination of 300 mg/kgBW Muntingia calabura leaf extract and 45 mg/kgBW metformin. Blood glucose levels were measured and analyzed using paired t-test and one-way ANOVA. Results: The combination of 300 mg/kgBW of Muntingia calabura extract and 45 mg/kgBB of metformin reduces 131.77 ± 3.57 mg/dl of blood glucose levels (p<0.05). This result is better than only metformin (92.68 ± 3.10 mg/dl) or only Muntingia calabura leaf extract (91.70 ± 4.40 mg/dl). There is a possibility that the synergistic effect of Muntingia calabura leaf extract and metformin caused the increased effectivity in reducing blood sugar level.Conclusion: The combination of Muntingia calabura and metformin is more effective in reducing blood glucose levels compared to a single dose of metformin or Muntingia calabura L. extract alone.]]>
<![CDATA[ANTIMICROBIAL STEWARDSHIP STRATEGY TO REDUCE LENGTH OF STAY AND COST OF ANTIBIOTIC CONSUMPTION: A SYSTEMATIC REVIEW ]]>
<![CDATA[Damayan, Anak Agung Istri Agung Sri Stuti]]>;
<![CDATA[Maharjana, Ida Bagus Nyoman]]>;
<![CDATA[Nurwahyuni, Atik]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 4 (2019) ]]>
Publisher : <![CDATA[Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance) ]]>
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<![CDATA[Background: Reducing the cost of care and length of stay for patient in hospital are important to monitor the benefits of implementing an antimicrobial management program. An antimicrobial management program is a strategy to decrease Antimicrobial Resistance (AMR) that affect to the treatment of the patient. One of the antimicrobial management programs is Antimicrobial Stewardship Programs (ASP). This study aims to determine the appropriate strategies in the application of Antimicrobial Stewardship Programs (ASP) that can reduce the length of stay and cost of antibiotic consumption for patient in hospital.Methods: This study was a systematic review that used PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Data obtained from Electronic databases ProQuest and Medline (PubMed) that published five years times span. By using keywords such as antimicrobial stewardship, antimicrobial resistance, length of stay, length of the hospital and patient cost to find the relevant journal. Results: The search found 3,541 studies, of which 26 studies were included in the systematic review. After excluded the article review, there were 9 studies that used quasi-experimental, observational cohort studies and Randomized Control Trial (RCT). These studies conducted majority in Europe and USA, only 1 study that conducted in Asia. Analysis of the studies found out that 6 of 9 studies mentioned if ASP can reduce the length of stay of the patient in hospital. Only 3 of 9 studies that examined the effect of ASP in cost of care and these 3 studies mentioned ASP can reduce the cost of care. Conclusion: This study showed that implementing ASP can reduced the length of stay and antibiotics consumption among patient in hospital by manage the antimicrobial use, conduct audits and feedback in an appropriate step, and intravenous to oral switch program.]]>
