Proceedings of the International Conference on Applied Science and Health
ISSN : 25794434     EISSN : -
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.
Articles
178
Articles
INTEGRATED REHABILITATION PROGRAM FOR PERSONNEL WITH DISABILITIES IN THE MINISTRY OF DEFENSE AND INDONESIAN NATIONAL ARMED FORCES

Wijayanti, Ari, Oktaminanti, Puput

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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Abstract

Background: In carrying out their main duties, soldiers are often confronted with risks that can cause them to have disabilities either when carrying out operational tasks or having accident in the service. Efforts to improve the life of persons with disabilities are empowered through integrated rehabilitation process for Personnel of The Ministry of Defense of the Republic of Indonesia and Indonesian National Armed Forces with disabilities. This research was aimed to describe and analyzing the integrated rehabilitation on persons with disabilities at the Ministry of Defense Rehabilitation Center, and describing the factors that support and inhibit the implementation of integrated rehabilitation. Methods: This research was a descriptive qualitative research with an in-depth interview as instrument to obtain data from informants who were the participants of integrated rehabilitation.With Triangulation the source was the instructor and the rehabilitation organizer. Results: Based on the results of interview analysis conducted, the researchers also have identified several supporting factors and inhibiting factors on the implementation of integrated rehabilitation program. The inhibiting factors are Resources: the limited number of instructors (human resources) that have sufficient competence and the lack of facilities for the accessibility of persons with disabilities this will hinder the implementation of rehabilitation. From the results of research indicates that communication, disposition and bureaucratic structure is a supporting factor in the implementation of integrated rehabilitation. Conclusions: Implementation of integrated rehabilitation has been running well although there are still inhibiting factors. Therefore, the Ministry of Defense Rehabilitation Center should continue to strive to become professional rehabilitator in order to create self-sufficient and productive persons with disabilities so as to improve their welfare. 

PERCEPTION OF MEDICAL DOCTORS ON CHEST TUBE THORACOSTOMY SIMULATION MODEL

Hlaing, Phone Myint, Nopparatjamjomra, Thasaneeya Ratanaroutai, Nopparatjamjomras, Suchai

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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Abstract

Background: Chest tube thoracostomy is a common procedure that offers in patients with medical emergency conditions. Severe complications or even death can occur to the patients if medical doctors do not well perform and skillfully. This study aims to find medical doctors’ perception of the realistic features of the chest tube thoracostomy simulation model, which was developed by researchers. Methods: Fifteen Myanmar medical doctors were voluntarily to enroll in a half-day, chest tube thoracostomy workshop. Data of medical doctors’ perception was collected using a 5-points Likert’s scale self-evaluation survey form. In addition, the participants were asked to write their comments or suggestions for the realistic features of the chest tube thoracostomy simulation model. Results: Medical doctors’ perception on the realistic features of the chest tube thoracostomy simulation model was positive by responding as agree and strongly agree. All experts perceived as strongly agree in cost effectiveness of the model (100%) and using the model in the procedural training (100%). The postgraduate doctors responded to similar human sensations and complying procedural steps as agree (92.3%) in both statements. All experts rated to self-confidence (100%) as agree whereas the postgraduate doctors responded to it as agree (84.6%). Participants preferred the structures of the simulation model and its educational values for the chest tube thoracostomy procedural skills training. They suggested to use this simulation model for training medical students. Conclusion: The perception of the medical doctors on the realistic features of the chest tube thoracostomy simulation model showed that this simulation model could use as an effective educational tool in the procedural skills training. 

PERFORMANCE ANALYSIS OF INPATIENT UNIT “ANGGREK PAVILION” AT RSAL DR. MINTOHARDJO IN 2014 - 2017 USING MANAGEMENT APPROACH

Eniraisa, Fidela, 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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Abstract

Background:. The increasing number of hospitals built by both private and government parties to make patients can choose the hospital they want, so that will lead to increased competition between hospitals. It requires a hospital to be ready to compete and be more creative in developing its services. One of the most important elements in a hospital is the management department who play an active role. This study aims to explain the relationship between the five M’s of management with the performance improvement of an inpatient unit ”Orchid Pavilion”. So the other hospital with a low performance may be more concerned with the five management factors at the hospital and this study can be a good example which can be applied by other hospitals. Methods: This research was conducted at inpatient unit “Orchid Pavilion”Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The research was conducted by qualitative method, that is to conduct in-depth interview with Head of Orchid Pavilion and Deputy Head of Orchid Pavilion, and study data obtained from Medical Administration Department Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. Results: The results show that there has been an improvement of performance in inpatient unit “Orchid Pavilion” and many improvement on the five M’s in management (Men, Money, Materials, Machines, and Method) resulting in significant increase of Bed Occupancy Ratio value in the room. Conclusions: Improvements in five M’s in management greatly affect the improvement of performance in inpatient unit “Orchid Pavilion” Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The five M’s in management (Men, Money, Materials, Machines, and Method) have a strong role in improving the performance of inpatient unit “Orchid Pavilion”. 

ASSOCIATION OF COMMUNITY BEHAVIOR AND CONDITION OF THE HOME EXPOSED TO VOLCANIC ASH WITH THE ACUTE RESPIRATORY INFECTION (ARI) AMONG VILLAGERS IN PERBAJI

Tarigan, Frida Lina

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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Abstract

Background: Volcanic dust from the eruption of Mount Sinabung causes the air condition to be bad and also disturbs the health of the surrounding population. This causes the occurrence of Acute Respiratory Infection (ARI), as well as various other diseases such as cough, runny nose, sneezing, sore throat. The purpose of this study is to determine the relationship between citizen behavior and the condition of the house exposed to volcanic ash with the incidence of ARI (Acute Respiratory Infection) to the residents of Karo Regency Perbaji Village in 2017. Methods: This research is a cross-sectional study involved the head of family who is domiciled and has a permanent population of 209 households in the village of Perbaji, Tiganderket District, Karo Regency, with a total sample of 68 families. Data analysis used in this research is univariate and bivariate analysis with Chi Square test. Results: The result shows that based on Chi Square test, there is a significant correlation between residents’ behavior exposed to volcanic ash with the incidence of ARI (p value = 0.000). It is noted also a significant correlation between the house condition exposed to volcanic ash and the ARI occurrence (p value = 0.000). Conclusion: The results suggested that the villagers of Perbaji Village to use masks if they are outdoors in the event of an eruption. For the poor housing conditions, it is expected that the residents will improve their houses, such as covering the holes that can be penetrated by volcanic ash using plastic or paper. It is needed to pay attention to the condition of Perbaji village residents who are exposed to volcanic ash by distributing masks, and giving free treatment. 

THE RELATIONSHIP BETWEEN HEALTH FINANCING MECHANISM AND MORTALITY RATE IN SANTA MARIA PEKANBARU HOSPITAL

Arifin, Arifin, Sjaaf, Amal Chalik

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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Abstract

Background: The main challenge of the health financing mechanism in Indonesia is the allocation of health spending which is still dominated by the private sector, whereas the largest proportion comes from out of pocket payments. The system are a significant barrier in accessing health services. Many individuals with chronis diseases postpone the search for medical services because of high health care cost. The consequences of the delay is the loss of opportunities to overcome chronic illness. This research was aimed to analyze the relationship between health financing mechanism and mortality rate (GDR and NDR) in Santa Maria Pekanbaru Hospital. Methods: This cross-sectional study involves GDR and NDR of patients using out of pocket payment and those using health insurance in the year between 2014 - 2017. Data analysis was performed by independent samples t-Test (significance level p < 0,05).Conclusion: The health service outcome in patients with out of pocket payment is lower than health insurance patients. The out of pocket payment financing mechanism is one of the major problems in the transition to Universal Health Covered. It is recommended that our government must increase the health budget which is at least in accordance with the rule of law and improve the allocation of public sector health funds at least 2/3 of the total health budget to reduce the proportion of out of pocket to total health expenditure. Health care providers should do efficiency in all areas to reduce the cost of health services. Patient who do not have health insurance will have to rearrenge the allocation of their household expense to pay premium insurance and implement the healthy life habits. 

EFFECTIVENESS OF WILLIAM FLEXION EXERCISE TO REDUCE PAIN INTENSITY ON LOW BACK PAIN (LBP) OF WOODCARVERS IN BALI, INDONESIA

Yundari, Istri Dalem Hana, Mas, Putu Puspita Wulandari

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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Abstract

Background: Previous study shown 8 of 10 woodcarver in Bali experience low back pain (LBP), a clinical syndrome with major symptoms of pain or discomfort sense in the lower back area. A William’s flexion exercise, an exercise program consisting of six kinds of movements, may decrease the pain by decreasing the lumbar lordosis (flexion). This study is to evaluate the effect of William’s Flexion Exercise in reducing pain intensity of LBP to woodcarvers in Bali, Indonesia. 

THE ASSOCIATION OF UNINTENDED PREGNANCY WITH STUNTING ON CHILDREN UNDER FIVE YEARS OLD: A SYSTEMATIC REVIEW

Maribeth, Annisa Lidra, Syafiq, Ahmad

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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Abstract

Introduction: One of the complex causes of stunting is an unintended pregnancy. Children from unintended pregnancies are at greater risk for stunting than children born from intended pregnancies. This study aims to analyze the association of intended pregnancies with stunting events in children under 5 years old. Methods: This systematic review used PRISMA-P protocol (Preferred Reporting Items for Systemic Review and Meta-Analysis Protocols) in 2009. Studies were collected through search in the source data Scopus, Google Scholar, PubMed from January 2015 through May 2018. Keywords search used PICO- S (Population Intervention Compare Outcome-Study design) technique. 278 studies were found and five studies were included in this study. Results: From the 5 studies reviewed, it was found that unintended pregnancies can be the cause of stunting in the range 1.25 to 2.19 times higher than the intended pregnancy. Conclusion: We found a significant relationship between unintended pregnancies among 5 countries (Bangladesh, Nepal, India, Northern Malawi, and Indonesia) with stunting in children under 5 years’ old. 

HOW TO ENGAGE A COMMUNITY AND IMPROVE CHILDRENS ORAL HEALTH

Macnab, Andrew John, Mukisa, Ronald

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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Abstract

Background: Globally, gingivitis (gum inflammation) and dental caries (tooth decay) have a negative impact on the health and quality of life of children. Those from disadvantaged populations suffer disproportionally from poor oral health, yet much of the pathology and associated pain and suffering is preventable if children are taught simple and inexpensive practices that can improve their oral health. The World Health Organization (WHO) has called for more programs to improve children’s oral health worldwide. Aims: To summarize how readily implemented school-based programs can provide knowledge and teach health practices that promote behaviors that can enable children to improve their oral health through better hygiene and a reduced incidence of gum disease and caries. Results: The WHO Health Promoting School (HPS) program model is well suited to address poor oral health. The model begins with community dialogue to establish understanding of the cause, adverse effects and approaches to prevention. Next teachers are helped to establish, sustain and evaluate an intervention in the local school. Intervention is based on the two core components of WHO HPS programs; first, teachers add health-related curriculum and visual aid production to classroom activities, and second, opportunities are added for children to participate in health-related practices while at school, for example tooth brushing or tooth stick sessions to clean their teeth after the lunch break. Conclusions: Poor oral health is an example of a worldwide public health issue of central importance to children where school-based intervention has been shown to have benefits, through changes in behaviors achieved through teaching a combination of simple factual knowledge and inexpensive health practices.

DETERMINANTS OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINE (TCAM) CHOICES : A SYSTEMATIC REVIEW

Abidin, Zainal, Soewondo, Prastuti

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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Abstract

Background: Traditional, complementary, and alternative medicine (TCAM) is one of the treatment methods that have existed for a long time. The use of TCAM as treatment is increasing in many countries. Extensively, TCAM is used to treat various diseases, especially patients with two or more chronic diseases. TCAM as treatment is chosen by the community based on their HBM (Health Belief Model). This study aims to look at the reasons patients choose to seek treatment at TCAM. Methods: Systematic review with journal tracking through 3 database source, ProQuest, Scopus and Springer Link. We use the keywords “determinants” AND “traditional, complementary, and alternative medicine” for journals published in the last five years. Then we conduct critical appraisal of the selected journals. Results: From the five selected studies , we found that health satisfaction variables are the strongest reason in TCAM choice as treatment. They visit health modalities to improve their well-being or health status. Some believe and agree that TM is more safety, more convenient, more effective, cheaper, and easier to use. The use of TCAM is related to patient satisfaction, TCAM knowledge, outsides influence, positive perception, higher education, and more than 1 chronic illness. All these factors explain the model of peoples belief to health services. Conclusions: Patient satisfaction was strongly predictor of TCAM choices. Their well-being have perceived more better after using TCAM services. The socio-demographic and socioeconomic variables are modifying factors that doesn’t always influence patient decision. All these determinants enrich the HBM theory as follows patient satisfaction, patient knowledge, socio-demographic, socioeconomic, and distrust as barrier. 

PROGNOSIS OF INHALATION INJURY IN SEVERE BURN PATIENTS ON EMERGENCY PHASE

Laksmi, Ida Ayu Agung

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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Abstract

Background: Inhalation injury in severe burns is a serious problem cause mortality and morbidity. Survival prognosis of severe burn is most important for patients and family in the emergency phase. The purpose of this study is to analyze the impact of inhalation injury in severe burn patient during emergency phase in Sanglah Hospital, Bali, Indonesia. Methods: This study was a cohort retrospective design of the 78 samples of medical records at Sanglah Hospital in a period of 2 years, from March 2014 until March 2016. Results: The results of logistic regressions with mediation show that inhalation injury is a predictor factor of patient’s survival (p = 0.000) that mediated by respiratory rate. The equation obtained y” = -6.608 + (5.589) (Inhalation Injury) + (1.942) (RR). The probability for patient with severe burn to die in the first 48 hours if the patient has an inhalation injury and has a respiratory rate in the first 8 hours after fluid resuscitation of more than 24 x/m is 71.4%. Conclusions: Patient with inhalation injury on severe burn has better prognosis if respiratory rate on first 8 hours is less than 24 cycles per minute.