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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)
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INDONESIA
Proceedings of the International Conference on Applied Science and Health
ISSN : 25794434     EISSN : -     DOI : -
Core Subject : Health, Education,
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 56 Documents
Search results for , issue " No 3 (2018)" : 56 Documents clear
ANTENATAL CARE (ANC) VISIT FREQUENCY IN THE THIRD TRIMESTER AND PRETERM EVENTS IN PUSKESMAS PONDOH AND JUNTINYUAT IN INDRAMAYU REGENCY BETWEEN 2014-2016 Ameliana, Elinda; Nauphar, Donny; Maryam, Ruri Eka
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: World Health Organization (WHO) estimates that 15 million babies are born preterm every year and this number continues to increase. Several risk factors for preterm are identified as mother’s lifestyle such as smoking, malnutrition, weight gain during pregnancy, and drug use or other factors such as socioeconomic status. In 2015, WHO reported more than 300.000 women died from pregnancy-related causes and 2.6 million babies were still born worldwide with half occurring during the third trimester. Antenatal Care (ANC) in the third semester aims to identify fetal position and identify complication during pregnancy and screen for pre-eclampsia, infection of the reproductive organs and urinary tract, and plan for delivery. The ANC in the third semester is crucial in keeping pregnant mother healthy throught pregnancy and delivery. Aim: To find out the relationship between third trimester Antenatal Care (ANC) visit frequency and preterm birth event at Puskesmas Pondoh and Juntinyuat in Indramayu regency between 2014-2016. Methods: This was observational analytic study with cross-sectional approach. The sampling technique in this research was done by total sampling with 100 respondens. Data were collected from maternal cohort book and control card of pregnant women. The data were analyzed using Chi-square test and Prevalence Ratio. Results: This study found that the proportion of pregnant mothers with insufficient third trimester ANC was 38% and the number of mothers delivering preterm baby was 32%. Statistical analysis showed that there was a statistical significance between third trimester ANC visit frequency and preterm labor with p=0,000 (p<0,05) and women with insufficient ANC visit have 40 times higher risk of preterm baby compared to mothers who has sufficient ANC visit (PR=40,60; CI95%=11.699-140.8862) in Puskesmas Pondoh and Juntinyuat Indramayu District 2014-2016. Conclusion: Having less than 4 ANC visit in the third trimester may increase the risk of delivering preterm babies. Pregnant women are advised to do ante natal care monthly of a minimum 4 times during the third trimester. 
COST AND FINANCIAL ECONOMIC IMPACT IN CATHETER ASSOCIATED URINARY TRACT INFECTION (CAUTI): A SYSTEMATIC REVIEW Sarah, Fatimah; Puput, Oktaminati
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Catheter-associated urinary tract infections (CAUTI) was the first condition chosen for nonpayment because of its anticipated effect on large numbers of hospitalizations. The risk of CAUTI is mainly related to the duration of catheterization, occurring at a rate of 5% per day. This study is to identify the cost and financial economic impact of intervention and prevention including an indication of CAUTI, number of events, duration of urinary catheterization, length of stay, the cost for antibiotics and hospitalization cost in catheter-associated urinary tract infection (CAUTI) to reducing the rate and hospital payment. Methods: Systematic Review with PRISMA – P Protocol in 2009 method from a relevant database such as PubMed and ProQuest search engine in 2007 until 2017. Total document selected by full text is 10 article. Results: Based on literature search and screening article after using intervention and prevention strategy for CAUTI in the USA, UK and Thailand have a good impact in the duration of urinary catheterization, length of stay, the cost for antibiotic and hospitalization cost. Some article result that the change in the rate of CAUTI was not significantly different before and after the policy and validity in identifying CAUTI is limited. Conclusions: Cost impact in catheter-associated urinary tract infections (CAUTI) can preventable by reducing unnecessary urinary catheter use (appropriate indication), shortening catheter duration, bladder bundles intervention, supervision, and evaluation of the implementation. 
EFFECTIVENESS OF ‘FAST’ STROKE CAMPAIGN FOR FAST STROKE RECOGNITION AND RESPONSE: A SYSTEMATIC REVIEW Sudirman, Herpani; Yuliyanti, Citra; Sari, Andrea Indra
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: FAST campaigns help people recognize the signs and symptoms of stroke rapidly to bring the patient to the hospital or emergency department immediately. However, the effectiveness is still be questioned. This present study is to evaluate the effectiveness of the campaign of early detection in stroke patients to reduce the risk of disability. Methods: A systematic review of articles published between 2010 and 2017 examining the effectiveness of FAST campaign using interventions was conducted along with narrative synthesis and review of intervention development. Information from all relevant published articles that determine how the intervention was developed and evaluated for measuring the effectiveness of FAST campaign were extracted and analyzed. Results: Eleven studies were included, six studies report the effectiveness of FAST campaign, but the other five studies report that the campaigns still do not hit the target. The professionals claim that FAST campaign has been promoted internationally as a great success, but some studies report that the FAST campaign still do not have any significant impact in promoting swift response for Emergency Medical Services (EMS). Conclusions: Campaigns aimed at the public may raise awareness of signs of stroke, but have limited impact on behavior. Thus, new campaigns of FAST should survey the principles of good design and be intensely evaluated for the effectiveness of the implementation. 
THE IMPLEMENTATION OF LEAN STRATEGY TO ALLEVIATE OVERCROWDING IN EMERGENCY ROOM: NARRATIVE REVIEW Oryza, Yani; Ilyas, Jaslis
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Emergency Room (ER) of hospital worldwide undergoes significantly challenging problems; overcrowding patient leads to block the access, causes discomfort and increases demands to be served by medical personnel immediately. To overcome these problems, the ER needs to implement lean strategies. This study presents a narrative review aimed to identify whether there is a positive impact of the lean implementations in overcoming the overcrowded ER or not. Methods: This narrative review explores the current literature from an online database and highlights the lean strategies adopted by several ER to reduce overcrowding and delaying and to streamline patient flow. Literatures without data on waiting time, length of stay (LOS), and untreated patients leaving the ER, will be excluded from this review. The types of intervention were grouped into team triage, streaming, fast track, point-of-care test (POCT), and nurse-requested x-ray. Results: The evidence of lean intervention is beneficial in reducing patients’ waiting time and length of stay (LOS). Fast track reduces the length of waiting time, LOS, and the number of untreated patients by physician. Team triage consisting of appointed doctors and nurses also has a positive impact on shortening the waiting time. There is not enough evidence to suggest that streaming, POCT early in arrival, and x-rays by nurses can reduce waiting times and LOS.Conclusions: The implementations of lean strategy have a positive impact in shortening the waiting time and LOS, and help speed up the patients’ flow and access to other supporting units. 
ANALYSIS OF NUTRITIONAL CONTENT OF TORBANGUN (Coleus amboinicus Lour) LEAF BISCUIT Nababan, Donal
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: One of the local food ingredients that can be utilized as a complementary food is a torbangun leaf. Torbangun leaf is usually consumed in the form of torbangun leaf soup or served as vegetables with main meal. Torbangun is rich in iron, vitamin C, energy, protein, fat that is very beneficial for infant growth and is widely available in the market with cheap price. Torbangun leaves, especially when made into powder, can be processed into a wide range of food products such as biscuit, but needs several intervention trials to search its long shelf life with high energy density. Methods: The purpose of this research is to study the formulation of torbangun leaf biscuit and to analyze the nutrient content in meeting the nutritional requirements of child stunting aged 12-18 months. Organoleptic test was conducted with 5 point hedonic rating test. This study used Anova test to see the mean difference in the assessment of leaf biscuits torbangun. Results: With the addition of 10% (A), 20% (B), and 30% (C) torbangun leaf powder in every 100 gr biscuit, the organoleptic test showed that biscuit with 20% of torbangun flour had the highest organoleptic score on taste, flavor, texture and color. The biscuit contents energy and protein similar to the commercial fortified (PMT) biscuit with high content of iron and calcium. Compared with the PMT biscuits, the torbangun leaf biscuit meets the energy criteria (at least 400 kcal/100gr) but slightly having lower protein (less than 8gr/100gr). However iron content of torbangun biscuit equals the upper range of the PMT biscuit (4-7.5 mf/100gr) and very high calcium content (almost 10 times higher than the PMT biscuit). Consclusions: The selected biscuits with 20% torbangun leaf powder will be used in the following intervention study promoting complementary food recommendation with fortified biscuits. 
ELECTRONIC CIGARETTE USE AMONG ADOLESCENTS: A SYSTEMATIC REVIEW Junaidi, Edi; Hidayat, Budi
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: The innovation of the cigarettes industry leads to evolved into an electric cigarette. US General Surgeon in 2016 reports that 13.5% of junior high school students, 37.7% of high school students and 35.8% of young adolescents in America have used electric cigarettes. This study aims to identify the use of electric cigarette among adolescent Methods: This study utilized systematic reviews using PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyzes) to identify all published literature using relevant keywords. The selection process is based on the literature of which the population is human, published in the last 5 years, and there is a complete text form, then selected back by title and abstract. The journal used is the selected journal based on the inclusion and exclusion criteria. Results: Electric cigarettes are used by adolescents influence through social media or commercial advertisement. One type of electric cigarette that is widely used is the Electronic Vapor Product (EVP) that can easily to obtain from retail stores, kiosks, malls, and the internet. Electric cigarette users were led to increasing the symptoms of bronchitis and asthma in adolescents. Conclusions: The use of electric cigarettes in adolescents has increased mainly among male adolescents. The current study revealed the use of electronic cigarette was influenced by the several factors: lifestyle, electric cigarette prices, and the teenager’s pocket money. Therefore, serious efforts needed to control the factors that affected the teenage users of electric cigarette. Campaign on ruthless effects of the electric cigarette among adolescents should be implemented in the school, furthermore in several places related to teenagers. 
CURRENT STATE OF THE ART HEALTH POLICY IN INDONESIA: THE ROLE OF UNIVERSITY Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018 Suka, Muhammad Eriex Fornando; Wibowo, Adik
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
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Background: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety. Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed. Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases. Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service. 
QUALITY OF SERVICE OF OUTPATIENT UNIT IN BA HOSPITAL, INDONESIA Suvonalya, Suvonalya; Bachtiar, Adang
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
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Background: The quality of healthcare services is crucial in the healthcare service organization to encourage every healthcare service organization to improve their healthcare service quality. This study aims to identify the description of the service quality of outpatient department in RSBA, East Jakarta, DKI Jakarta, Indonesia using the criteria of Malcolm Baldridge. Method: This research was a descriptive analytical study with cross-sectional study combined with qualitative and quantitative approaches (mix method). About 110 respondents were selected as sample. The data analysis employed were univariate, bivariate and multivariate analysis of multiple logistic regression test conducted by using SPSS statistic software for Windows. Result : There was a significatt influence of on workforce, and last focus on process and focus on the service quality of outpatient department of RSBA with p-value of < 0.05 and 9. In multiple logistic regression tests, the factors that had strong closeness were the leadership and the measurement analysis and knowledge management. Conclusion : The Healthcare quality of the outpatient department of RSBA needed improvement, especially on the focus on the customers and the process. The commitment of all elements in the hospital was requried. The well and correct service customers, appropriate to the medical treatment according to the standard operating procedures, the excellent service and the effort to meet the completeness of the hospital infrastructure were important aspects that should be undergone by RSAB to improve the hospital’s service quality. 
SOCIODEMOGRAPHIC CHARACTERISTICS, WORK VENUE, KNOWLEDGE, AND CONDOM USE WITH CLIENTS AMONG INDIRECT FEMALE SEX WORKERS IN DENPASAR, BALI, INDONESIA Putra, I Gusti Ngurah Edi; Phuengsamran, Dusita; Jampaklay, Aree; Thammawijaya, Panithee; Januraga, Pande Putu
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
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Introduction: Female sex workers (FSWs) remain an important key population affected by HIV&AIDS in Indonesia. Indirect FSWs, in particular, are exposing to higher risk comparing to direct FSWs due to their characteristics and working conditions that could be barriers to safe sex or consistent condom use. This study aimed to identify association between sociodemographic characteristics, work venue, and knowledge on HIV&AIDS toward condom use among indirect FSWs. Methods: This was a cross-sectional study using secondary data from a survey on indirect FSWs conducted by Center for Public Health Innovation (CPHI), Udayana University, Indonesia during August to October 2017. About 171 indirect FSWs were eligible for this analysis. The dependent variable in this study was consistent condom use during the last month. Independent variables consisted of socio-demographic characteristics, work venue, and knowledge on HIV&AIDS. Data were analysed using univariate and multivariate analysis. Results: About half of indirect FSWs (50.17%) reported using condom consistently with their clients during the last month. Indirect FSWs were more likely to use condom consistently if they completed senior high school or higher (OR=3.49; 95%CI=1.42-8.57), but less likely to use condom if they were currently or ever married compared to single ones (OR=0.23; 95%CI=0.06-0.82). Those who worked in karaoke, cafe, and bar were less likely to use condom consistently compared to those in massage parlor, spa, and beauty salon (OR=0.09; 95%CI=0.03-0.26). Conclusions: Level of consistent condom use was low, indicating the need to intensify HIV prevention to indirect FSWs. Significant determinants of consistent condom use included marital status, educational level, and work venue. This study informed that providing HIV&AIDS information and improving negotiation skill that fit with characteristics of indirect FSWs and giving institutional support at workplace is crucial to ensure consistent condom use among indirect FSWs. 

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