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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 951 Documents
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STORIES OF MOTHERS WITH INTELLECTUAL DISABILITY CHILDREN IN WEST SUMATERA, INDONESIA Liza Merianti; Dona Amelia; Ade Srywayuni; Sari Afma Yuliane
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: Children with intellectual disability are rejected not only by other individuals around them but also by their own family. Even though they need support from the mother to achieve accurate conformity. The form of mother social support can be in the form of emotional support, appreciation, instrumental and informative. However, the parents of Children with intellectual disability often refuse the presence of their children. The purpose of this study was to obtain qualitative data on the experience of mothers who have intellectually disabled children Methods: This study is a qualitative research conducted by interview using the semi-structured interview method. The participants were selected by using purposive sampling technique. The data were qualitative analyzed by employing Collaizi model. The participants in this study were 6 mothers who have children with intellectual disability Results: Participants have a positive perception about the educational needs of children with intellectual disability. However, due to financial issues, participants do not provide education for their intellectually disabled children. They mentioned that if their intellectually disabled children were properly, they would be able to take care of themselves and would no longer depend on others. Conclusion: In this study, the researchers found five themes of mothers’ stories with intellectual disability child in West Sumatera, Indonesia, including (1) their unawareness of their intellectually disabled children condition; (2) disappointment as the initial response knowing their children status; (3) anxiety and worry about their children future; (4) financial issues as a factor in obstructing education, and (5) religious worship as a source of strength. The results of this study can be used in nursing practice so that families can maintain the sources of strength to accept the fact that they have children with intellectual disabilityand that education is very important for children with intellectual disability. Keywords: Intellectual Disability, Education, Mothers’ Experience, Mothers' stories
ANTIMICROBIAL STEWARDSHIP STRATEGY TO REDUCE LENGTH OF STAY AND COST OF ANTIBIOTIC CONSUMPTION: A SYSTEMATIC REVIEW Anak Agung Istri Agung Sri Stuti Damayanti; Ida Bagus Nyoman Maharjana; Atik Nurwahyuni
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: 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. Keywords: Antimicrobial stewardship, length of stay, cost of care
PATIENTS SAFETY CULTURE DEVELOPMENT IN JAMBI PUBLIC HOSPITAL Anastasia Yekti Heningnurani; 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: Patient safety is a serious issue in a healthcare organization. Building a patient safety culture is the first step in the improvement of safety. As patient safety culture is an inherent component of organizational culture; therefore, a study of organizational culture is required to develop it. This study aims to analyze the patient safety culture and identify the profile of the organizational culture in the hospital to find strategies to improve the patient safety culture. Methods: This study was used the quantitative study using a cross-sectional research method, followed by a qualitative method to get descriptive information. This research conducted in Jambi Public Hospital, Indonesia with 128 respondents. Data were obtained from a survey by the HSOPSC (Hospital Survey on Patient Safety Culture) questionnaire and OCAI (Organizational Culture Assessment Instrument. Focus Group Discussion was conducted to identify obstacles and expectations in the implementation of patient safety culture. Results: The highest positive perceptions are organizational learning and continuous improvement (90.6%) and teamwork within units (78.91%). While "staffing" (39.25) and "non-punitive responses to errors" (38.54 %) are the weakest dimension of patient safety. The most dominant type of organizational culture, followed by a hierarchy with a minimal score difference. This cultural assessment serves as a guide for changes with a quality strategy of clan culture and hierarchy culture were decided in the development of patients safety culture in this hospital. Conclusion: The patient safety culture belongs to the moderate culture category, the reporting culture dimension is the weakest. A management’s commitment and staff empowerment, as well as system development, are all needed on the development of a patient safety culture. Further research is required to investigate various factors to develop the reporting culture. Keywords: Patient Safety Culture, Organizational Culture, Hospital
FACTORS AFFECTING MEDICAL DOCTOR TURNOVER IN THE HOSPITAL: A SYSTEMATIC REVIEW Angesti Drea Habsari; Jaslis Ilyas
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: Among others, healthcare professional is one of the main drivers in the hospital. Medical doctor plays an important role in patient-centered care system in the hospital, leading health services to patients, cooperating with other healthcare professionals. Medical doctor shortage and high turnover in the hospital has become a problem in many countries. High turnover of medical doctor can lead to an inadequate supply of health services, thereby compromising people’s access to health care and endangering the quality of patient care and safety. The objective of this study is to get an overview of the factors that affect medical doctor turnover in the hospital. Methods: A systematic review of articles published between 2014 and 2019 that contain information from all relevant published articles were extracted and analyzed. Results: The literature search and screening process resulted in 9 (nine) studies. From the selected studies, overtime, job satisfaction, and work stress are among the things that affect the turnover of medical doctor in the hospital. Conclusions: Consequences of high medical doctor turnover in the hospital are including financial loss, low patient satisfaction, and poor organizational practices. Factors affecting medical doctor turnover in the hospital are long work hours, job satisfaction, work stress, workplace condition, and hospital management. Keywords: medical doctor; physician; turnover; hospital.
THE REBORN OF EXCLUSIVE BREASTFEEDING METHOD: ANTENATAL BREAST EXPRESSION (ABE) : A LITERATURE REVIEW Aida Amalia Nur Ramadhian; Sheyla Najwatul Maula; Ulfah Musdalifah
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: Antenatal Breast Expression (ABE) is believed as a potential method to improve colostrum secretion upon labor which the complex content of colostrum can prevent the infection, obesity, diabetes and malignant diseases among newborns. This study aims to to analyze and provide detailed description on the practice of ABE to support the exclusive breastfeeding program. Method: Literature review was conducted in this study using the PRISMA protocol guidelines. Data were obtained by accessing electronic resources from Science Direct, Sage Publications, PubMed, and Google Scholar with ‘antenatal breast expression’, ‘antenatal milk expression’, and ‘colostrum secretion’ as the keywords. The articles analyzed in this study were published from 2009 to 2018 and written in English. Results: There were eighty articles recorded, of which eight articles were included in the systematic review. ABE was performed every day when the pregnancy reaches 37 weeks. The average secretion time of this practice was 5-10 minutes each for 1-4 times a day, preferably during showers. The ABE affected babies in that it allowed them to get timely nutritional intake in order to stabilize blood sugar and to prevent icterus. Even though the practice of ABE was viewed differently among women ofreproductive age, it nonetheless helped to improve self-confidence among breastfeeding mothers, to reduce transition interval from Early Initiation of Breastfeeding (EIB) to full lactation, to improve lactation performance, and to induce natural delivery. However, it was not yet widely practiced as it was still under consideration by the International Board Certified Lactation Consultant (IBCLC). Conclusion: ABE has proven to benefit both mothers and babies, despite existing pros and cons. Therefore, there is a need for more systematic review using other keywords and methods on the safety and efficacy of ABE practice to ensure its benefit for breastfeeding. Keywords: Antenatal breast expression, colostrum secretion, exclusive breastfeeding
THE EFFECT OF MUSIC THERAPY FOR PREGNANT WOMEN : A LITERATURE REVIEW Aisyah Aisyah; Triana Sri Hardjanti
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: Psychological problems among pregnant women such as anxiety and depression potentially have an impact on the fetus and are associated with a risk of preeclampsia. One of therapy to decrease psychological problems during pregnancy is music therapy. The aim of this study was to identify and summarize the benefits of music therapy for decreased psychological problems among pregnant women. Methods: This was a literature review using several documents obtained from some databases, including Science Direct, Pubmed, Proquest, Taylor and Francis, Garuda Ristekdikti and Google Scholar. The literature search was conducted using keywords “music therapy in pregnant women” and literature published from 2008 to 2019 were selected. Results: Out of 263 published literature identified, only 10 were included in this literature review. The music therapy was observed with positive impacts on pregnant women. Music therapy serves as relaxation for pregnant women which helps reduce anxiety, depression, blood pressure, and psychological stress. Conclusion: Music therapy has several benefits for pregnant women’s health, particularly on reducing psychological problems and blood pressure. Keywords: Music Therapy, Anxiety, Blood Pressure, Pregnant Women
THE EFFECTIVENESS OF ACUPUNCTURE ON WOMEN WITH POLYCYSTIC OVARY SYNDROME: SYSTEMATIC LITERATURE REVIEW Andriana Andriana; Sri Sumarni
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: Women with polycystic ovary syndrome (PCOS) experience metabolic disorders and hyperandrogenism. The acupuncture is an alternative medicinal treatment and complimentary for the women with PCOS. The aim of this research was to identify acupuncture effectiveness for metabolism problem and hyperandrogenism for the women with PCOS. Methods: This was a systematic review using several published literature obtained from direct electronic data of science, PubMed, and other sites through the PRISMA method using the Boolean operator's system (AND). The inclusion criteria consisted of the studies with Randomized controlled trial (RCT) published in 2009 to 2019, women with PCOS aged 18 to 45 years old as the subjects, the intervention using all of the kind of acupuncture that was compared to placebo, physical training, sham,and medicines. Meanwhile, exclusion criteria were studies with systematic review and meta-analysis, focusing on intervention, medicines, and physical training by using experimental animals. The measurement value of HOMA-IR, LH, FSH, ratio LH/FSH, TT, FT, SHBG, and DHEA-S. Results: The search resulted in 509 studies, of which a total of 6 studies were included in this systematic review. The acupuncture has effects on metabolism problem and hyperandrogenism for the women with PCOS, such as the decrease of HOMA-IR (3 studies) and LH tense (2 studies), LH/FSH ratio reduction (3 studies), as well as, the decline of TT tense (4 studies) and FT tense (4 studies), but the increase of SHBG tense (3 studies), and the decrease of DHEA-S (2 studies). However, the tense of LH had nosignificant change in all of the studies. Conclusions: The acupuncture can be effective in solving the metabolism problem and hyperandrogenism of women with PCOS. Keywords: Acupuncture, Polycystic Ovary Syndrome (PCOS), Hormone, Alternative medicinal treatment
THE EFFECTIVENESS OF ACUPUNCTURE ON WOMEN WITH POLYCYSTIC OVARY SYNDROME: SYSTEMATIC LITERATURE REVIEW Beniqna Maharani Besmaya; Runjati Runjati; Ari Suwondo; Siti Nurharisah
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: Women with polycystic ovary syndrome (PCOS) experience metabolic disorders and hyperandrogenism. The acupuncture is an alternative medicinal treatment and complimentary for the women with PCOS. The aim of this research was to identify acupuncture effectiveness for metabolism problem and hyperandrogenism for the women with PCOS. Methods: This was a systematic review using several published literature obtained from direct electronic data of science, PubMed, and other sites through the PRISMA method using the Boolean operator's system (AND). The inclusion criteria consisted of the studies with Randomized controlled trial (RCT) published in 2009 to 2019, women with PCOS aged 18 to 45 years old as the subjects, the intervention using all of the kind of acupuncture that was compared to placebo, physical training, sham, and medicines. Meanwhile, exclusion criteria were studies with systematic review and meta-analysis, focusing on intervention, medicines, and physical training by using experimental animals. The measurement value of HOMA-IR, LH, FSH, ratio LH/FSH, TT, FT, SHBG, and DHEA-S. Results: The search resulted in 509 studies, of which a total of 6 studies were included in this systematic review. The acupuncture has effects on metabolism problem and hyperandrogenism for the women with PCOS, such as the decrease of HOMA-IR (3 studies) and LH tense (2 studies), LH/FSH ratio reduction (3 studies), as well as, the decline of TT tense (4 studies) and FT tense (4 studies), but the increase of SHBG tense (3 studies), and the decrease of DHEA-S (2 studies). However, the tense of LH had nosignificant change in all of the studies. Conclusions: The acupuncture can be effective in solving the metabolism problem and hyperandrogenism of women with PCOS. Keywords: Acupuncture, Polycystic Ovary Syndrome (PCOS), Hormone, Alternative medicinaltreatment
ANTIMICROBIAL ACTIVITY OF KERSEN (Muntingia calabura L.) LEAVES: A SYSTEMATIC REVIEW Diah Ulfa Hidayati; Runjati Runjati
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: Many kinds of antibiotics are being used for treating the infections, but bacterial resistance is a main therapeutic problem. Medicinal plants are one of sources of therapeutic aid for relieve human illness. Muntingia Calabura is a medicinal plant that might have pharmacological value. Muntingia Calabura, is called throughout the world as “Jamaican cherry” and in Indonesia, it is known as “Kersen” or “Talok”. This study aims to analyze the antimicrobial activity of Muntingia calabura leaves. Methodology: This systematic review was conducted from December 2018 to February 2019 using PRISMA reporting guidelines. Literature has been retrieved from MEDLINE, Science Direct, Google Scholar, PubMed, Springer Link, and IEEE Xplore, use key words Muntingia calabura, phytochemical, pharmacological, and antimicrobial. The articles written by English. Results: From 9 studies, the antibacterial test for Muntingia calabura leaves was carried out on 18 types of microorganisms. Muntingia calabura leaves proved to be effective against S. aureus and P. aeruginosa bacteria. 4 studies showed negative results use Muntingia calabura in certain types of bacteria. Conclusion: Therefore, this plant can be used for treatment of bacteria. This study is also presented to help guide researchers to plan their future studies related to this plant for preventing the bacterial infection, especially in obstetrics and gynecology. Keywords: Muntingia calabura, antimicrobial activity, pharmacological activities
UPDATE: METABOLIC DISORDERS OF PREECLAMPSIA A REVIEW Dian Aprilia Damayanti; Mardiyono Mardiyono
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: Preeclampsia is one of the contributors to the increased maternal morbidity and mortality rates in Indonesia. One of the disorders caused by the preeclampsia is metabolic disorders. The purpose of this study is to provide an overview of metabolic disorders that accompany preeclampsia. Methods: This was a literature review using electronic databases Science Direct and PubMed. Keywords used in searching literature were ‘preeclampsia’ and ‘metabolism disorder of preeclampsia’ with the year limit between 2010 and 2018. Articles published in English was chosen in this study. Results: The search found 3,823 articles, of which 14 articles were included in this study. Metabolic disorders that happened in the group of preeclampsia were higher RDW (Red blood cell distribution width), MTT (Biomarker), ADA (adenosine deaminase), CA-125 serum, triglycerides (TG), Angiotensin, cytokinin, CEC (Circulating endothelial cells), lipoprotein and cholesterol. Meanwhile, studies also found that preeclampsia caused the lower selenium serum, aromatase, and thiol-disulphide in the body. Conclusion: Preeclampsia proved causing the disorders of metabolic, mostly in the form of inflammation, endothelial cell damage and oxidative stress. Potential targets are needed for treatment of metabolic disorders in preeclampsia group both medically and non-medically especially for the lipid levels in preeclampsia. Keywords: Preeclampsia, metabolic disorders

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