Indonesia Conference Directory

Corresponding Author
Suyana Suyana

Institutions
Department of Medical Laboratory Technology Poltekkes Kemenkes Yogyakarta, Indonesia

Abstract
Bacterial growth media have a diversity of nutrients. Culture media is very important for isolation, testing the physical and biochemical properties of bacteria and for diagnosing a disease. The present study aimed to examine the effectiveness of soybean seed sprouts, green beans, red beans, and peanuts, whether it has the potential to grow the breed Gram positive and Gram-negative bacteria. The research method, nut bean seeds were washed, germinated, dried in an oven at 40oC, blended and sieved in term to obtain flour. Flour was extracted to obtain extract solution plus agar powder and broth was made in agar media in petri dishes as well as formulas and compositions on Nutrient Agar (NA) media as a comparison standard. Then the media planted with Staphylococcus aureus and Escherichia coli bacterias, it was incubated at 37oC for 1-3 x 24 hours, observed the growth of bacterial colonies, counted the number of colonies, and measured the diameter of the colony as research data. As a comparison, NA media was made and the same test bacteria were planted. The analysis of the percentage of the effectiveness of the growth of Staphylococcus aureus bacteria on various bean seeds media compared to Nutrient media: soybean medium 76.67% (less effective); mung bean 75.71% (less effective); red bean 101.79% (very effective); and peanut 99.53% (effective); whereas for Escherichia coli bacteria are: soybean 97.29% (effective); green beans 93.75% (effective); red beans 88.89% (quite effective) and peanuts 122.22% (very effective). In conclusion, various growth bean media can grow Gram-positive bacteria Staphylococcus aureus and Gram-negative bacteria Escherichia coli. Growth media of various bean seeds are effective in growing but not effective in breeding S. aureus bacteria. Growth media of various bean seeds are effective in growing and breeding E. coli bacteria which are capable of replacing Nutrient Agar (NA) media.

Keywords
alternative media, nut bean seed, bacterial growth, breeding, Staphylococcus aureus, Escherichia coli

Topic
MEDICAL LABORATORY TECHNOLOGY

Link: https://ifory.id/abstract/TmRcbE6Jt7wP

Corresponding Author
Siti Hani Istiqomah

Institutions
Jurusan Kesehatan Lingkungan
Poltekkes Kemenkes Yogyakarta, Jl. Tatabumi 3, Banyuraden, Gamping, Sleman, DIY 55293
email : sitihani.istiqomah[at]gmail.com

Abstract
Dengue fever is a dangerous disease, can cause death in a relatively short time. The disease is caused by dengue virus that enters the human body through the bite of Aedes sp. Gondokusuman sub-district is one of dengue endemic areas in Yogyakarta City. The purpose of this study to determine the environmental health conditions of Dengue Fever patients, efforts made, and the spread of the location of the incidence of patients in 2014, 2015 and 2016 with Geographic Information Systems (GIS). This research is an observational research which the result is analyzed descriptively and analytically. The subjects of the study were 172 patient homes, the samples were taken in total sampling. The data were collected and analyzed by SPSS using Pearson correlation test with 95% confidence level. Taking sample point using GPS then plotted and analyzed visually. Descriptively, there are 15 houses with larva, the effort made for the prevention of the existence of larvae divided into 3, good with 18 houses, enough with 23 houses and less with 131 houses. The form of the house is divided into 3 categories namely modern homes, houses and slum houses. Based on Pearson Correlation Test, with significance level 0,05, it was found that there was correlation between house condition of child-teenager and adult with prevention effort of larva in Gondokusuman sub-district, and there was no significant correlation between house condition of man and woman with efforts to prevent the presence of larva in Gondokusuman sub-district. Based on the analysis of the distribution of the location of Dengue Fever patients with Geographic Information System (GIS), the pattern of Dengue Fever spread is very high in Klitren. Based on the zoning level of prevention efforts and incidents that successively for 3 years concluded that Kelurahan Terban entered in Zone I is located on the edge of the Code river, zone there are RW areas that every year there are patients with Dengue Fever, less prevention efforts, and it is a densely populated settlement.

Keywords
Dengue fever, Disease spread pattern, Prevention effort

Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY

Link: https://ifory.id/abstract/fVDyhQxJRMqk

Corresponding Author
Nur Hidayat

Institutions
Poltelkkes Kemenkes Yogyakarta

Abstract
The prevalence of central obesity shows a tendency to always increase, 18.8% in 2007, 26.6% in 2013, and 31.0% in 2018. Individuals with central obesity tend to have higher carbohydrate consumption than non-obese individuals central. Consumption of staple foods as the main source of excess carbohydrates will be converted into fat by the liver. This fat will be stored by the body in unlimited quantities and will result in the emergence of central obesity. Objective: This study aims to determine the relationship between consumption of carbohydrate sources with the incidence of central obesity in households in Bantul Regency. This study is an observational study with a cross-sectional study design. This research was conducted in Bantul Regency in 2019. The population in this study was households with a sample size of 81 households. Data on staple food consumption was obtained by interview using a food list questionnaire, central obesity was obtained by measuring stomach circumference. Statistical analysis using Fishers Exact test with p value <0.05. As many as 76.5% of households had central obesity and households with staple food consumption exceeded the RDA of 82.8%. There was a significant relationship (p = 0.021). The proportion of central obesity events was greater in subjects with low physical activity at 51.3% and in female subjects at 62.2% and significant (p <0.05. carbohydrate consumption exceeds RDA especially in women and those with low physical activity are at risk of developing central obesity.

Keywords
Central Obesity

Topic
NUTRITION AND FOOD SAFETY

Link: https://ifory.id/abstract/a3Htyv2YxTDX

Corresponding Author
Maria Salestina Sekunda

Institutions
Department of Nursing Ende, Poltekkes Kemenkes Kupang

Abstract
Background: Disasters were conditions or events that threaten and disrupt the lives of people both caused by natural/non natural factors and human factors that cause victims environmental damage, property loss and psychological impact. Family was a major factor and the key to awareness in the face of disaster. Roles of Family were crucial in an effort to anticipate disaster situations. Aims: The aims of this research to analyze family behavior with awareness in the face of earthquake disaster in Tanjung village, Ende district. Methods: The research design was cross sectional with a large sample of 85 family heads. Data collection was done with interviews and observations. Analysis of the data used was bivariate analysis with a correlation test Spearman Rho. Results: The results showed that the knowledge average of respondents was 53.1 (± 50.7), the behavior average of respondents was 46.8 (± 50.7), and the awareness was 46.8 (± 50.7). There was relationship of knowledge and attitude to the awareness of the family in the face of disaster (OR 3.7; p = 0.043; 95%; CI 1.04-13.73); (OR 4.8; p = 0.04; 95%; CI 1.07-21.89). Conclusion: The family had less knowledge about earthquake disaster and a considerable behavior in the face of an earthquake disaster. The attitude and less knowledge of family affects family awareness in the face of disaster. It is necessary to have information about the preparation of tools and equipment in the face of earthquakes, periodically.

Keywords
behavior, preparedness, family, earthquakes

Topic
DISASTER AND ENVIRONMENTAL RISK MANAGEMENT

Link: https://ifory.id/abstract/97tUx6ruGgjV

Corresponding Author
AGUS WIJANARKA

Institutions
POLTEKKES KEMENKES YOGYAKARTA

Abstract
ABSTRACT Gayam seed is one of the native plan of Indonesia, has a high amylose content and is a good source of resistant starch (RS). The autoclaving-cooling cycle treatment is the physical modification to increase RS of starch. Resistant starch has a positive impact on health, such as preventing the increase in blood glucose levels significantly. The high resistant starch in gayam starch is needed for prevention of diabetes mellitus. This study aims to evaluate the antidiabetic properties (blood glucose and SCFA levels) of modified gayamstarchin vivo.The modified gayam starch were prepared by autoclaving-cooling 3 cycles. In vivo studies was prepared as isocaloric feed for three groups of diabetic Sprague Dawley rats induced streptozotocin-nicotinamide (STZ-NA) i.e (a) standar diet AIN 93 M (Control), (b) native gayam starch diet (NGS), and (c) modified gayam starch by autoclaving-cooling for three cycles diet (MGS).evaluation the in vivo effects on blood glucose and SCFA levels.The results showed the autoclaving-coolingcyclestreatment increasedseveral chemical properties i.e. moisture, carbohydrate and amilopectin content, but its decreased fat, starch and amylose content. In vivo studies in 28 days experiments showed that the intervention of modified gayam starch decreased blood glucose and increased SCFA content, were more significant in MGS than NGS diet.It was concluded that that the intervention of modified gayam starch decreased blood glucose and increased SCFA content, were more significant in MGS than NGS diet. Keywords: gayam, modified starch,autoclaving-cooling cycles, antidiabetic, in vivo

Keywords
gayam, modified starch,autoclaving-cooling cycles, antidiabetic, in vivo

Topic
NUTRITION AND FOOD SAFETY

Link: https://ifory.id/abstract/RdtNrPca3Dy2

Corresponding Author
Novi Indrayani

Institutions
Universitas Respati Yogyakarta, Jln. Raya Tajem KM 1,5 Maguwoharjo, Depok, Sleman, Yogyakarta
Program Studi DIV Bidan Pendidik, Fakultas Ilmu Kesehatan

Abstract
Background: Activities conducted at the Integrated Health Service Center (Ind. Pusat Pelayanan Terpadu [POSYANDU]) should cover the services of maternal and child health, family planning, immunization, nutrition, and prevention and treatment of diarrhea. However, in its implementation, POSYANDU Kanthil, Kamboja and Soka still focus only on weighing and supplementary feeding. The cadres in those three POSYANDU have not received maximum training related to health services at POSYANDU. The incomplete facilities and infrastructure have also become one of the obstacles for cadres to improve their service quality. Objectives: Knowing the difference in cadre knowledge knowledge before and after gain knowledge about improving the quality of posyandu services. Methods: Experimental design Used pre-test and post-test. Total sampling with number of samples is 19 respondents. The univariate analysis technique used percentages and bivariate analysis used paired samples test Results: Most respondents aged> 35 years is 15 (78.9%) respondents. High school / vocational education is 10 (52.6%) respondents. Eigtht (42.1%) respondents came from the “Kamboja” Posyandu. Cadres have tenure of 5-10 years which is 10 (52.6%). The average value of cadre knowledge on pre-test is 62.11 and the average value on post-test is 74.47. 0,000 value of Correlation coefficient. The average difference between pre-test and post-test is -12,368. The difference is between -16,647 to -8,090. Conclusions: There are differences of cadre knowledge before and after gain knowledge about improving the quality of posyandu services.

Keywords
Cadre, POSYANDU, Knowledge, Skills

Topic
MATERNAL, NEONATAL, AND CHILD HEALTH

Link: https://ifory.id/abstract/xF6KQRZXAncv

Corresponding Author
Cia Aprilianti

Institutions
Palangka Raya Health Polytechnic
Jalan G. Obos No. 30, 32, Palangka Raya 73111, Indonesia

Abstract
Background: Dysmenorrhea is pain that is felt during menstruation. In Indonesia the estimated incidence of 55% of productive women who experience dysmenorrhea. Risk factors for someone experiencing dysmenorrhea are calcium intake, menstrual duration, age of menarche, and stress level. Objective: To determine the relationship between calcium intake and the incidence of dysmenorrhea in adolescents at Palangkaraya Method: The study design was a case-control with 62 samples. Sampling is done by Proportionate Stratified Random Sampling. Data on sample characteristics, dysmenorrhea events, and risk factors were obtained by interview using a questionnaire and numeric rating scale. Data analysis using Chi-Square Test and Fisher Exact. Results: The results showed that there were (9.7%) students who had sufficient calcium had dysmenorrhea pain, here were (90.3%) who had dysmenorrhea. Chi-Square test results showed students who lack calcium have a risk of 9,664 times experience pain compared to students who have enough calcium (p-value = 0,000). While the results of multivariate analysis showed that the most dominant variable affecting the incidence of dysmenorrhea was calcium intake with a p-value = 0.002; OR = 9,664 (95% CI; 2,305-40,521) and age of menarche with p-value = 0.045; OR = 3,538 (95% CI; 1,026-12,202). Conclusion: Low calcium intake and menarche age influence the incidence of dysmenorrhea among adolescents girls.

Keywords
dysmenorrhea, calcium intake, adolescents girls

Topic
ADOLESCENT AND REPRODUCTIVE HEALTH

Link: https://ifory.id/abstract/3PwpqFt9zkY2

Corresponding Author
khambali wongsorejo

Institutions
poltekkes jogja
poltekkea surabaya

Abstract
Abstract Based on the program that had been implemented with community empowerment approach through triggering activity, the progress result of STBM (Community Based Total Sanitation) has not yet reached the target (62,5%, in 2015), and also still far from the 100% target of sanitation universal access in 2019. This is due to the slowness of behavior change of open defecation free (ODF). Results of monitoring and evaluation of post-triggering activity from some areas showed that the “traditional” existing triggering concept which is used by governments as the effort for changing community-s defecation behavior, in fact needs relatively long time to give effect. Therefore, a more comprehensive strategy is needed for implementing the alternative solution on that problem, especially for ODF as the first pillar of STBM. This study proposed an alternative of triggering model, which is called CREATE, abbreviation for Creative Resources Essentials and Tools for Emergencies. The model is a creative idea rooted from the community itself (and subsequently is perfected by facilitators), in the forms of professional creations (poster, leaflet, t-shirt, song, etc) and a commitment that is developed from mutual agreement. The objective of the study was to understand the influence of CREATE triggering model on the improvement of ODF behavior and willingness. The study employed randomized post-test only control group design, with 180 respondents as the study sample, taken from three areas, i.e. Muntilan, Surabaya, and Jambi, which were chosen purposively. The study results shows that CREATE triggering model affects and improves ODF behavior and willingness, even though could not yet reach 100%. Based on the study results, the government and STBM facilitators are advised to implement CREATE triggering model for STBM activities, as well as to develop the model for other health programs

Keywords
Keywords: triggering model, ODF, creative resources essentials and tools for emergencies

Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY

Link: https://ifory.id/abstract/JbZQw6trTPCg

Corresponding Author
Dwi Agustiana Sari

Institutions
(a & c) STIKES Guna Bangsa Yogyakarta
(Jl. RingRoad Utara, Condong Catur, Depok, Sleman, Yogyakarta)
(b) Nursing Departmen, Gadjah Mada University, Yogyakarta
(Jl. Farmako, Sekip Utara, Yogyakarta)

Abstract
Background : Prevalence of cervical cancer in DIY ranks highest in Indonesia. Riskesdas (2013). The major risk factor is a having sex at a young age. The number of cervical cancers in Indonesia is caused by lack of knowledge about cervical cancer so that public awareness for early detection is still low. Aim : To describe adolescents- knowledge about cervical cancer prevention and the relation between age, tribe, residence, source of information and knowledge about cervical cancer at SMK PI Ambarrukmo 1 Depok. Method : Quantitative descriptive method, used cross sectional design. The research was conducted at SMK PI Ambarrukmo 1 Depok which consisted of 60 students. The sampling technique which is used was total sampling and the instrument which is used was questionnaire. Data analysis was conducted by Chi Square analysis. Result : Some of the respondents have a good knowledge that was 53.3%. From the item aspect of the respondents answer showed that some of the adolescents knowledge about symptom and management were still less that was 47.3%. There was a relation between tribe, residence, and source of information with the knowledge (p= <0.05). There was no relation between age and knowledge. Conclution : Some of the respondents have a good knowledge. There was a relation between tribe, residence, and source of information with the knowledge. There was no relation between age and knowledge.

Keywords
Knowledge, adolescent, cervical cancer prevention

Topic
ADOLESCENT AND REPRODUCTIVE HEALTH

Link: https://ifory.id/abstract/ZDWzNfb8Xkq4

Corresponding Author
ARWAN SETYO NUGROHO

Institutions
a) Master student of Epidemiology Faculty of Public Health Universitas Airlangga, Surabaya, Indonesia
b) Department of Epidemiology Faculty of Public Health Universitas Airlangga, Surabaya, Indonesia
*email : erniastutik[at]fkm.unair.ac.id

Abstract
Background of the study : As we get older, the prevalence of hypertension in Indonesia is increasing. Hypertension is often at the age of 45-65 years because at that age many people can not do a healthy lifestyle. Goal : This study aims to determine the factors associated with hypertension in the elderly in Indonesia. Method : This study uses secondary data from Indonesia Family Life Survey (IFLS) 5 data with cross sectional study design. The number of samples was 5401 with the inclusion criteria of respondents aged (45-59 years) who had complete data on the variables studied namely: age, gender, smoking habits, consuming fast food, physical activity and BMI. Data were analyzed using multiple logistic regression. Result : The results showed that age (AOR (54-54) - (45-49) = 1.36, 95% CI 1.16-1.60 p = 0.000 AOR (55-59) - (45-49) = 1 , 62, 95% CI 1.37-1.92 p = 0.000), women (AOR = 1.75, 95% CI 1.42-2.14 p = 0.000), smoking status (AOR ever smoked = 1, 98, 95% CI 1.48-2.66 p = 0,000 AOR Never Smoking = 1.49 95% CI 1.19-1.87 p = 0,000) Obesity (AOR = 1.96, 95% CI 1.62-2.38 p = 0.000) has a significant relationship with the incidence of pre-elderly hypertension in Indonesia. Conclusion: There is a need for a hypertension prevention program carried out by the ministry of health to the community through existing health workers. And it is necessary to strengthen the delivery of information related to health promotion about the prevention of hypertension in the pre-elderly in the community.

Keywords
Hypertension, IFLS, Indonesia, Pre-elderly

Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES

Link: https://ifory.id/abstract/KWfUgXrAGxaE

Corresponding Author
Suharyono suharyono

Institutions
Poltekkes Kemenkes Yogyakarta

Abstract
Baraille form buklets as learning media are printed media groups. This baraille form buklet is a quarto-sized book, no more than 30 sheets containing braille and little drawings written specifically for blind children. Especially this braille buklet is made in quarto size because a normal braille font needs to be in place. Blind people are children who have abnormalities in losing their visual acuity in such a way that their vision cannot be used to carry out daily activities, including school, so special education services are needed and have difficulty learning, communicating, and socializing and caring for themselves especially brushing their teeth blind children are prone to tooth decay and dental support networks. Blind children cleaning their teeth (OHIS status) are neglected because the surrounding environment including old people who are too busy do not pay attention. The buklet that contains ways to care for teeth, especially how to brush teeth, can be used as a guideline for treating teeth for children with visual impairments in SLB and the availability is very minimal, and there is none at all so that a teacher is still very wide open developed. Availability of braille buklets containing how to brush teeth in Bantul N 1 SLB and Yogyakarta City SLB as a medium as well as a guide for teachers or parents of blind children to guide good and correct brushing. Research methods to achieve goals namely Quasi Experiments or quasi experiments with fishbone diagram designs. Pre-Post Test with control design. The population in this study were blind children in Yogyakarta. The results of the examinations were recorded in OHIS format, then collected and analyzed using the T-test statistical test Using the parametric sample Paired Sample T-Test there were significant differences in the OHIS score after using the buklet p <0.05 so it can be stated that the buklet can affect dental hygiene (OHIS score) blind children in Yogyakarta

Keywords
Buklet, Blind Child, OHIS Score

Topic
DENTAL HEALTH

Link: https://ifory.id/abstract/Wk2ujmERXcra

Corresponding Author
Retno Ayu Hapsari

Institutions
a) Health Polytechnic of Health Ministry Palangka Raya
Jl. G. Obos No. 32, Palangka Raya 73112, Indonesia
*retno[at]hapsari.com
b) RSUD dr. Doris Sylvanus Palangka Raya

Abstract
Adequate and appropriate nutritional support for malnourished hospitalised patients plays an important role in reducing the effects of malnutrition in patients and improving patients immunity to accelerate the healing process and shorten hospital stay. The purpose of this study was to determine differences in nutrient intake and weight changes in malnourished patients received High Energy High Protein (HEHP) diet with and without nutritional support. This study was a quasi-experimental, pre-post-test design with a control group. In total, 40 malnourished hospitalised patients at RSUD dr. Doris Sylvanus Palangka Raya were allocated to either an intervention (HEHP diet + nutritional support 2 x 100 ml of milk) or a control (usual HEHP diet) group evenly. Data were collected at baseline and within three days of intervention. The changes in patients weight, energy and protein intake between the control and intervention groups were assessed using two independent sample t-test. Of 40 malnourished patients, mean BMI and age were 16,7 ± 1,4 and 31,2 ± 9,3 years respectively with an even sex distribution of 50% each. The average energy and protein intake of the intervention group were 2129,64 ± 392,20 kcal and 104,85 ± 31,76 grams respectively while in the control group were 1894,58 ± 544,45 kcal and 82,80±26,76 grams respectively. The intervention group experienced weight gain by 1.11 kg within 3 days. In contrary, the control group had slightly increased in weight by 0.32 kg. No significant difference was found in energy intake (p = 0,054). However, there were significant differences found in protein intake (p = 0,022) and changes in weight (p = 0,048). The results show that additional nutritional support use of milk into the usual HEHP diet for malnourished patients is an effective option for improving protein intake and weight gain.

Keywords
Nutritional support; Nutrient intake; Weight changes

Topic
NUTRITION AND FOOD SAFETY

Link: https://ifory.id/abstract/BDq7QzwjENyU

Corresponding Author
Tesa Gurit Kartika Wiyati

Institutions
Politeknik Kesehatan Yogyakarta

Abstract
Background: HIV increases susceptibility to various types of infections, cancer, other diseases and can cause death. Sleman is the highest case of HIV in Province DIY. Sleman Health Office records HIV/AIDS cases increased in 2015(1.038 cases) to 2016 (1.220 cases). WHO defines quality of life as an individual-s perception of their position in the cultural context and value system Research Objectives : to find out the correlation between the duration of diagnosed HIV with the quality of life (QOL) of people living with HIV/AIDS (PLWHA) at Yayasan Victory Plus in 2019. Research Methods: This study used a retrospective cohort design. Consecutive sampling used tofound 38 samples of respondents with HIV/AIDS at Yayasan Victory Plus. The research instrument was a questionnaire. Data analyzed by chi square and logistic regression. Results: The results of the Chi-Square test showed that duration of diagnosed HIV (p = 0.017) has significantly correlation with the quality of life PLWHA. Age, education, occupation, duration of ARV therapy, and income did not have a significant correlation. The results of multivariate analysis showed that the duration of diagnosed was the most influential factor of quality of life PLWHA (p-value = 0.002, RR = 96.404). Conclusion: Diagnosed duration of HIV has a significant correlation with the quality of life PLWHA. Respondents who were diagnosed for longer had the chance to have a poor quality of life. 8.3% PLWHA who are diagnosed longer and ≥ 30 years old have a poor quality of life.

Keywords
Keywords: Duration of diagnosed HIV, quality of life, HIV/AIDS

Topic
ADOLESCENT AND REPRODUCTIVE HEALTH

Link: https://ifory.id/abstract/3QvrfPmHNnBW

Corresponding Author
Sari Arlinda Arlinda

Institutions
Politeknik Kesehatan Kemenkes Padang
Politeknik Kesehatan Kemenkes Padang
Politeknik Kesehatan Kemenkes Padang
Politeknik Kesehatan Kemenkes Padang
Universitas Indonesia Depok

Abstract
Smoking behavior in adolescents is caused by one of the environmental factors (external) including family or parents, siblings or peers who smoke and advertise cigarettes in the mass media.(1,2) The prevalence of active smokers for boys aged 10-14 years was 3.7% in 2013 or increased 12 times compared to 1995.(3) The purpose of this study is to look at the effect of the environment on students resistance to not smoking. This study used quantitative research with cross sectional study design, held in public high schools in the city of Padang. The method was Multistage random sampling for selecting high schools (5 selected high schools), the sample size used the formula survival study, with 220 students.4 Data were collected using a valid and reliable questionnaire, the data were processed, and analyzed by survival analysis.(4,5) The results of the study show that the proportion of adolescent endurance to not smoking until the age of 19 is 41%, the youngest age to ever smoke is 7 years and the oldest age is 19 years, Parental behavior is a factor that is highly correlated with adolescent endurance not to smoke., Iit is recommended that relevant officials should conduct health education in accordance with the phases of development of children and adolescents. Thus, we need to Conduct health education in an informal environment and break the chain of distribution of cigarettes.

Keywords
Cigarettes, mass media, peers, parents, middle school students

Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY

Link: https://ifory.id/abstract/n98Yag4RNqky

Corresponding Author
Dewi Maidika Ambarwati

Institutions
Universitas ‘Aisyiyah Yogyakarta
Jalan Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta, Telp (0274) 4469199 Fax (0274) 4469204
dewi.maidika[at]gmail.com

Abstract
Background : Exclusive breastfeeding provides short-term and long-term benefits for babies and their mothers. This is related to the risk of reducing morbidity and mortality in infants, and improving maternal health. This support was obtained by mothers from two parties, namely family and health workers. The purpose of this systematic literature review is to determine the effect and effectiveness of husband and care provider support for exclusive breastfeeding. Methods: The five stages of the Systematic Literature Review method are identifying problems, determining priority problems and research questions, compiling a framework of inclusion and exclusion critical data using PICOC, searching for literature using the PubMed database with a period of 2008-2018, conducting a critical appraisal to determine quality from an article, data extraction analysis and literature mapping. Results: There were 8 articles selected using quantitative research methods with various types of study designs such as quasi-experimental, case control, randomized control trial (RCT), and cross sectional study. There are 3 articles that provide an explanation of the effectiveness of family support, 4 articles that provide an explanation of the effectiveness of care provider support, 1 article finding that provides an explanation of workplace support for exclusive breastfeeding and 3 articles that provide an explanation of family support and care providers for duration of breastfeeding. Conclusion: Support from family and care providers turned out to have many benefits. The influence that can be received is the existence of motivation from the family itself, namely from the husband and grandmother of the baby. Then the task of the care provider itself can provide support through direct counseling to nursing mothers and families especially baby husbands and grandmothers to continue to provide support to mothers.

Keywords
Husband Support, Care Provider, Exclusive ASI, Breastfeeding Mothers

Topic
MATERNAL, NEONATAL, AND CHILD HEALTH

Link: https://ifory.id/abstract/AKUDXm9qHJxk

Corresponding Author
Anik Nuryati

Institutions
Politeknik Kesehatan Yogyakarta

Abstract
ABSTRAK The growth of microorganisms in the media is influenced by physical factors and chemical factors. Growth media must contain nutrients such as proteins and carbohydrates. Nuts, have a source of protein for the growth of fungi. Reshuffle bean material into simpler compounds through extrasi and germination are compounds that are good for the growth of fungi. The aim of research to determine the effectiveness of media Extraction And Soybean Sprouts Against fungus growth, and determine an effective medium. An experimental study by measuring the diameter of fungal growth for 5 days at a concentration of 2, 3, 4, 5 and 6% media seed extract and soy bean sprouts. The implementation was carried out at the Yogyakarta Health Analyst Health Laboratory, from May to September 2018. Subjects were Candida albicans, Sacharomyces cerevicea, Rhizopus Oligophorus and Aspergillus flavus, 24 hours old. The research object of local soybeans is of good quality, whole seeds, not rancid, not grained. Results, 5% soybean extraction medium was effective for the growth of Rhizopus oligosporus filamentous fungi, and 4% concentration was effective for the growth of fungi Aspergillus flavus. Media soya bean sprouts 3% effective concentration for pertumbhan fungi colonize namely Saccharomyces sereviceae, and concentration 6%, effective for the growth of the fungus Candida albicans. In conclusion, the extraction medium and soybean sprouts can be used as a substitute for the median SDA for fungi growth

Keywords
medium, extracts, sprouts and mushrooms

Topic
MEDICAL LABORATORY TECHNOLOGY

Link: https://ifory.id/abstract/wkY2TNxUbKy6

Corresponding Author
Emma Kamelia

Institutions

1Department of Oral Health Therapy, Tasikmalaya Health Polytechnic, West Java, Indonesia.
2Department of Neurosurgery, Faculty of Medicine, Hasanuddin University Makassar, Indonesia
3Molecular Biology and Immunology Laboratory for Infection Diseases, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
4Midwifery Study Program, Medistra Health Higher school, Jakarta, Indonesia

Abstract
The objective this study is to analyze f2-isoprostane levels in the serum of a Wistar rat model of Alzheimers disease (AD) treated with Musa paradisiaca-Linn (MPL) ethanol extract or banana extract (BE). Twenty wistar rats were randomized into five groups: K0, without AD induction and no BE; K1, AD induction, no BE; K2, AD induction + BE 250 mg/kg body weight (BW); K3, AD induction + BE 500 mg/kg; and K4, AD induction + BE 1000 mg/kg. Alzheimer-s disease (AD) induction was performed by Aβ1-42 (0.2 ug) injection at the intracerebroventricullary area. F2-isoprostane level measurements were performed by Elisa kit. Paired t-test analysis showed no significant differences of f2-isoprostane serum level before Aβ induction among 5 groups (p > 0.05). At 6 weeks post- Aβ induction, there was significant increased f2-isoprostane in all groups except K0 (p < 0.05). Notably, after 3 weeks of BE administration, f2-isoprostane serum level was significantly decreased in all BE-treated groups; in the K1 placebo group, f2-isoprostane level increased. The maximum decreased f2-isoprostane level was in group K4 (-BE 1000 mg/kg BW), and minimum was in group K2 (BE 250 mg/kg BW). The results revealed that the ethanol extract of MPL fruit could decrease f2-isoprostane level in AD rat serum.

Keywords
Keywords: Alzheimer-s disease (AD), Oxidative stress, Wistar rat, F2-isoprostane, Musa paradisiaca-L (MPL)

Topic
MEDICAL LABORATORY TECHNOLOGY

Link: https://ifory.id/abstract/we7j6zfHGVMq

Corresponding Author
Michael Bhadi Bia

Institutions
Poltekkes Kemenkes Kupang; Politeknik Bina Husada Kendari

Abstract
Background: The highest case of malaria in NTT Province is Lembata District. The use of Artemisinine Combination Therapy (ACT) combined with Primakuin (PQ) in the treatment of vivax malaria aims to prevent treatment failure. The development of drug resistance and recurrence has been reported in some areas by Plasmodium falciparum. For Plasmodium vivaks no resistance has been reported to the given regimen. Evaluation of the efficacy of Dihydroartemisinin piperaquine (DHP) combined with Primakuin (PQ) has never been done. Aims: To evaluate the efficacy and side effects of DHP + PQ in the treatment of Vivax malaria in Wulandoni District, Lembata District. Methods: The subjects were vivaks malaria patients who met the inclusion criteria as stated in the WHO antimalarial drug resistance test. Clinical manifestations and side effects are monitored during the evaluation. Results: A total of 52 respondents followed the study. The age of the patients involved ranged from 2 to 76 years consisting of toddlers, children, productive and elderly (≥ 46 years). From the Mann-Whitney test results obtained p value <0.05 is a group of toddlers with productive age, a group of toddlers with old age, children with productive age and productive age with old age can be concluded there are differences in parasite density between these groups. Conclusion: There was a treatment failure as evidenced by blood tests found parasites at H3 were caused by the patient not taking medication completely. Clinical symptoms of vivax malaria patients are fever, chills and sweating accompanied by additional symptoms such as nausea, vomiting, diarrhea, headache, anorexia, aches and coughs. Side effects of DHP + PQ drugs are still in the mild category. Parasitological and clinical conditions and age have no relationship at all.

Keywords
vivaks malaria, Dihydroartemisinin Piperaquin, side effects

Topic
MEDICAL LABORATORY TECHNOLOGY

Link: https://ifory.id/abstract/vdWecfN3UhDE

Corresponding Author
Tintin Sumarni

Institutions
Diploma III Nursing Solok, Padang Health Polytechnic, Jl. Tembok Jaya Laing, Solok, Indonesia

Abstract
Disruption of functional activity is the biggest impact on stroke patients. To maintain, develop, restore motion, stimulate circulation, we need Range of Motion (ROM) and collaborate with Physiotherapists using Microwave Diathermy/Infra Red Ray. This study aims to determine the effect of Range of Motion (ROM) and Microwave Diathermy/Infra Red Ray on upper limb muscle strength in stroke patients in the neurology room of M.Natsir Regional Hospital in 2019.The study design was a Quasi One-Group Pre-Post Test Design experiment, the intervention was carried out for six days with a once-daily treatment Range of Motion (ROM) and Microwave Diathermy/Infra Red Ray therapy. The population in this study was a stroke patient of 40 respondents with a data collection method with purposive sampling, measurement of muscle strength before and after an intervention using a manual Muscle Testing instrument. Data analysis uses Paired t-test statistics. The results obtained, the age of the respondents ranged from 30-50 years, female sex, long suffered from 1-5 years of stroke. Paired t-test test results. Obtained Pvalue 0,000 with α = 0.05 (p <α) There is an influence between Range of Motion (ROM) and Microwave Diathermy/Infra Red Ray on muscle strength in stroke patients because each respondent experienced an increase in muscle strength scale after being given training and Microwave Diathermy/Infra Red Ray. Recommend the results of this study to conduct Range of Motion (ROM) and collaboration with physiotherapists using Microwave Diathermy/Infra Red Ray as a nursing intervention for stroke patients who experience weakness of the upper limb

Keywords
ROM, Stroke, Microwave Diathermy/Infra Red Ray

Topic
NURSING

Link: https://ifory.id/abstract/J4UMH6pxbaTn

Corresponding Author
Rina Nursanti

Institutions
¹ Department of Midwifery Poltekkes Ministry of Health Palembang, Indonesia
² Department of Midwifery Poltekkes Ministry of Health Palembang, Indonesia
³ Department of Health Analysis Poltekkes Ministry of Health Palembang, Indonesia

Abstract
Every pregnant woman is waiting for her childbirth moment. However, anxiety, fear, and pressure are often occurred during labor. They cannot escape the anxiety. These anxiety and fear can cause the uterus and may be obstructed so that labor can be interrupted. When labor is settled calmly and comfortably, the body naturally will release a soothing hormone. The purpose of this study is to delve into the anxiety of pregnant women facing this stage in the Hypno Prenatal Class. The study was using qualitative methods. The data collection techniques were using in-depth interviews and observations, then the data were analyzed by the NVivo 12 program. The interviewees were Primigravida pregnant women who attended the Hypno Prenatal Class. The conclusion is, they were too fearful to face the labor process. Because they got several negative informations about childbirth, no companions during the labor, difficulty in pregnancy and fear of giving birth to a disabled baby. The interviewees also felt the benefits of the Hypno Prenatal Class., because they had been looking for ways to overcome anxiety and get positive information about the delivery process.

Keywords
woman pregnant; anxiety; hypno prenatal class

Topic
MATERNAL, NEONATAL, AND CHILD HEALTH

Link: https://ifory.id/abstract/cXUCyTHx3tG7

Corresponding Author
SRI ARINI WINARTI RINAWATI

Institutions
Poltekkes Kesmenkes Yogyakarta

Abstract
Background : Job stress arising from the work it receives can have an impact on ones performance. One of the work stresses that occur in anesthetist nurses can have an impact on work negligence, such as a medication error, a medication dosage error. Negligence caused in work in the operating room can have a serious impact on the patient, so that there will be unwanted events (KTD), near-injury events (KNC), potential injury events (KPC) and non-injury events (KTC). The things that cause work stress are the workload that they receive, the amount of salary earned, the rewards obtained from their performance, and the encouragement from within themselves and from outside to improve their performance. Purpose : To find the factors that effect the stress of anesthetist nurses work in the operating room. Methods : This study used an observational analytic method with a cross sectional design. This research was conducted in February - April 2019. The sample of this study was 32 respondents with quota sampling technique. The results showed that there was an effect of workload, reward and motivation on work stress with. And there is no effect of work period and educational on work stress. Conclusion : There is an effect of workload, reward, and motivation on the stress of anesthetist nurse work in the operating room. There was no effect on work period and education on the stress of anesthetist nurses work in the operating room.

Keywords
Work stress; Work stress factors; Anesthesia nurse.

Topic
NURSING

Link: https://ifory.id/abstract/L89VtxjU7vwn

Corresponding Author
Siti Nuryani

Institutions
Poltekkes Kemenkes Yogyakarta

Abstract
Guava leaves are used as medicine, among others, for burns and wounds that blister, overcome ulcers, and overcome colds. Red guava leaf extract 40 mg / ml / day and 80 mg / ml / day can reduce the number of spermatids in male white mouse models. The effect on spermatogenesis is caused by the content of guava leaf extract namely alkaloids, flafonoid, tannin, essential oil, avicullarin, oleanolic acid, saponin and beta-sitosterol. Saponins have an effect especially on cells that develop like during spermatogenesis and oogenesis. The study aimed to determine the effect of guava leaf extract on the process of oogenesis, especially on primary, secondary, degraf and atresia follicles. Method : pre-experimental study used guava leaf extract 4mg / ml which was given orally every day to adult female mice for 4 weeks. A total of 10 mice were divided into 2 groups of 5 each. The two groups were K for control and P for treatment. Each of the mice was sacrificed for their ovaries. The tissue processed by the Paraffin method was then prepared and stained with Hematoxylin Eosin. to be assessed for the number of primary follicles, secondary , degraf and atresia follicles. The data analyzed descriptively The results of the study are as follows: the average number of follicles in normal animals without treatment is as follows primary 58, secondary 18, degraf 4 and atresia 48. Animals treated (P) average primary follicles 38, secondary 24, degraf 2 and atresia 61 Conclusion: The administration of methanol extract of guava leaves with a dose of 4mg / ml daily for 4 weeks affected the number of primary follicles, secondary, degraf, and atresia follicle

Keywords
methanol extract, guava leaves (Psidium guajava L.), oogenesis

Topic
MEDICAL LABORATORY TECHNOLOGY

Link: https://ifory.id/abstract/MxbdFvkHnPhB

Corresponding Author
HARMILAH HARMILAH

Institutions
POLTEKKES KEMENKES YOGYAKARTA

Abstract
ABSTRACT Background: The disease of Diabetic if uncontrolled can cause fatal complications and severe effect such as coronary heart disease, kidney failure, blindness, infections due to ulcer until amputated the affected part ulcers and can lead to death. Approach to psychotherapy is expected can provide solutions to overcome the problems of handling diabetic comphrehensively in order to achieve more satisfying treatment. Objective: To determine the effect of guidance of pray book towards improvement coping mechanism among diabetes mellitus patients in Yogyakarta. Methods: This research conducted with experimental approach prepost with control design. Samples were taken by simple random sampling after selected that met the inclusion criteria such as composmentis, good communication and hearing, no complications. Obtained 60 sample of people and divided into two groups, the intervention group of 30 people and control group 30 people. Result: The coping mechanism before was only 12 (40%) in the adaptive category, increased after the intervention namely in the adaptive category of 21 people (70%), the Z value was 2.073 with p= 0.031. Social ability and social support are part of situation-oriented coping which is the ability to communicate and behave according to the norms prevailing in the community which includes supporting the fulfillment of information and emotional needs provided to individuals from the support of parents, family, friends and the environment surrounding diabetes mellitus Conclusion: Guidance of pray book to improve coping mechanism among diabetes mellitus patients at Yogyakarta. There is an effect of the accompanying prayer guide on the improvement of coping of diabetes mellitus patients

Keywords
prayer guide, coping mechanism, DM

Topic
NURSING

Link: https://ifory.id/abstract/FYp9Bey2VwuU

Corresponding Author
Sari Arlinda Arlinda

Institutions
1 Politeknik Kesehatan Kemenkes Padang
sariarlinda80[at]gmail.com
2 Politeknik Kesehatan Kemenkes Padang
3 Politeknik Kesehatan Kemenkes Padang

Abstract
Farmers and pesticide are two sides that are difficult to separate. Improvement of agricultural products is the hope of Farmers. Pesticides are chemicals used to eradicate pests that can increase farmers yields. The use of pesticides by farmers is increasingly growing, but not matched by the increase in understanding of the use of pesticides. The impact of the use of pesticides is the pollution of water, soil, air, and impacts on the health of farmers, family farmers and consumers. This research is quantitative research with cross-sectional design (cross-sectional), the samples were selected by simple random sampling conducted interviews and collection of samples of blood to 114 farmers in the agricultural area Alahan Panjang Farmers aged 19 to 49 years with an average of 28 years. High level of 63.2% knowledge, experience good skills 59.6%, and a good pesticide handling practices 71.9%. But are not included with the use of Personal Protective Equipment (PPE) which is 12.3% complete in the implementation of pesticide spraying. Adequate nutrition status 64.9% and a high activity of the enzyme cholinesterase 87.7% impact to lower health disorders consist of 22.8% 15.4% 84.6% cancer and gastrointestinal disorders. Analysis using logistic regression that nutritional status (OR = 3.7) and cholinesterase enzyme activity (OR = 6.6) is the main factor that impacts health problems to farmers. Higher education and a culture of using a complete PPE are important factors in overcoming the adverse effects of pesticides on farmers health

Keywords
Farmer, Pesticides

Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY

Link: https://ifory.id/abstract/V8ubrGHy6Y4E

Corresponding Author
Ida Mardalena

Institutions
Department of Nursing Poltekkes Kemenkes Yogyakarta

Abstract
Background. Preoperative anxiety in patients has an impact on several perioperative aspects. The need for premedication and analgesic drugs is greater at the time of induction, the dose of anesthesia maintenance medication is greater, including the need for postoperative analgesic abortion also increases in addition to the impact of the extended recovery phase so that it can increase the length of treatment which has the effect of increasing the cost of hospitalization. The incidence of preoperative anxiety from various studies around the world varies greatly from 60% to 90%. Indonesia does not have data on the incidence of preoperative anxiety in patients undergoing elective surgery. The incidence of preoperative anxiety in Indonesia is thought to be quite high. Objective. To developed valid and reliable preoperative patient anxiety assessment instruments Methods. Conduct preoperative anxiety measurement instruments from literature studies, conduct psychometric test instruments on respondents. The instrument that was tested was used to measure the anxiety of 65 respondents then their validity and reliability were assessed. The results of measuring anxiety with INPOAS compared to the HAM-A anxiety instrument were then tested by the Kappa agreement. Result. Respondents involved as many as 65 people, 0.011 determinant test results that indicate each statement is interrelated. All statements on the INPOAS scale are valid with Corrected Item-Total Correlation r total: 0.989> 0.254. All items have a Cronbach Alpha value> 0.70 with an overall Cronbach Alpha value of 0.812 Conclusions. Indonesian Preoperative Anxiety Scale (INPOAS) is a valid and reliable instrument for measuring preoperative anxiety.

Keywords
Preoperative anxiety, INPOAS, validity, reliability

Topic
NURSING

Link: https://ifory.id/abstract/gRhwZrzxFY6B

Corresponding Author
Rosa Delima Ekwantini

Institutions
Poltekkes Kemenkes Yogyakarta

Abstract
Post-spinal anesthesia hypotension is the most common incident, approximately 15 - 33% with each spinal anesthetic injection (Mercier et al., 2013).Post – spinal anesthesia hypotension was influenced by several factors, there were sympathetic block nerve height, patient position, Body Mass Index, length of operation, prehydration fluid, location of stabbing, and used of vasopressor. The aim of study to investigated the factors that most influence of hypotension in patients with spinal anesthesia.This retrospective study was carried out 80 medical records with purposive sampling at Soeradji Tirtonegoro Hospital Klaten, Center of Java. The data collected includes symphatetic block nerve height, patient position, Body Mass Index, length of operation, prehydration fluid, location of stabbing, and used of vasopressor. Data were analyzed using Chi-Square test and Logistic Regression test. Incidence of hipotension in patient with spinal anesthesia was 56.25%. Factors influencing hypotension were sympathetic block height (OR = 3.391; 95% CI = 1.121-10.262), BMI (OR = 4,166; 95% CI = 1,625-10,676), prehydrated fluid (OR = 0.339; 95% CI = 0.135 -0,850), location of stabbing (OR = 0,136; CI 95% = 0,016-1,145) and use of vasopressors (OR = 0,303; CI 95% = 0,116-0,789) with p <0,05, while position factors and duration of operation have no effect . The factors that most influenced incidence of hypotension in patients with spinal anesthesia are prehydration fluids with a significance value of 0.002 and Exp (B) 8.221. Factors that influence the incidence of hypotension in patients with spinal anesthesia were namely sympathetic block height, BMI, prehydration fluid, location of stabbing, and use of vasopressors.

Keywords
Spinal Anesthesia, Hypotension, Influence Factors

Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES

Link: https://ifory.id/abstract/Yfw2bAzun7EL

Corresponding Author
Agus Sarwo Prayogi

Institutions
Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta

Abstract
Diabetes mellitus is a clinical syndrome of metabolic disorders, characterized by hyperglycemia caused by defects in insulin secretion, insulin working defects or both. In the world, the number of people with DM is estimated at 171 million and this condition is predicted to continue to rise to 366 million by 2025. The aim of this study is to prove that prodiabetica bitter syrup can reduce blood sugar levels in experimental animals Method: experimental research in laboratory using randomized group design with 5 variations of experimental animals groups. Measurement of blood sugar levels (mg / dL) was carried out 4 times, namely the measurement of initial Blood Glucose Levels after rats were given Streptozotosin (STZ) people with diabetes (P1).Measurement of blood glucose levels were carried out in the second week (P2), and measurement Blood Glucose Levels were carried out in the third week ( P3). The researcher gave Prodiabetic bitter melon syrupwith raw materials, which were bitter melon which had been boiled and then mashed, and then made syrup. The research samples were 25 wistar strain white rats which were divided into 5 groups with 5 groups each. Analysis using General Linear Model with significance level (α = 0.05) or CI = 95%. The results : there were differences in the mean difference between the administration of glibenclamide 0.09 mg/200 gram weigth (40.77 mg/dL), administration of bitter melon syrup 0.27 ml/200 gram weigth (34.19 mg/dL) and combination of administration glibenklamid 0.09 mg / 200 gram weigth and administration of bitter melon fruit 0.27 ml / 200 gram weigth (51.17 m /dL). There were significant differences between the 5 treatment groups with a pvalue = 0,000. Conclusion: there is a significant difference between the combination of Prodiabetic bitter melon syrup and glibenclamide to decrease blood sugar levels in experimental animals.

Keywords
Prodiabetic bitter melon syrup, glibenklamid, Blood Glucose Levels

Topic
NURSING

Link: https://ifory.id/abstract/dYxhjzaGKr6B

Corresponding Author
Heni Puji Wahyuningsih

Institutions
Poltekkes Kemenkes Yogyakarta

Abstract
Background : Stunting is a problem of chronic malnutrition caused by insufficient nutrition in a long time due to the provision of food that is not in accordance with nutritional needs. So that, stunting causes development of the motor system which is one important aspect because motor development is the beginning of the intelligence and emotional behavior-s children. The purpose of this study was to determine the stunting relationship with the development of emotional behavioral problems in children aged 36-72 months in the Community Health Center. Method : This study is an observational study, with a retrospective cohort study design. This study used a purposive sampling technique, with a total sample of 128 respondents. The instrument of this study used the Emotional Behavior Problem Questionnaire (KMPE). The study analysis used chi-square and logistic regression analysis, with a confidence level of 95%. Results : Based on logistic regression analysis, it was known that stunting, child sex, maternal occupation, and family income had a significant relationship with the problem of developing emotional behavior. Stunting is the most related variable because it has the lowest p-value and largest Exp (B) (p-value 0,000, RR 11,662, 95% CI (2,318-13,393)). Thus, the chance of developing emotional behavior problems in stunting children, male sex, working mothers, and income less than MSE is 78%. Conclusions : This study concluded that there was a significant relationship between the development of emotional behavior in children aged 36-72 months and at a risk of 11,662 times than children who were not stunting.

Keywords
relationship; stunting; children-s development

Topic
MATERNAL, NEONATAL, AND CHILD HEALTH

Link: https://ifory.id/abstract/KdrpWeP32z8w

Corresponding Author
Yustin Nur Khoiriyah

Institutions
Politeknik Kesehatan Tanjungkarang

Abstract
The increase in the palm oil industry in Indonesia is followed by an increase in oil palm empty fruit bunches (EFB/EFB) solid waste. Various EFB waste management efforts have been carried out by utilizing it as raw material for bioethanol production, briquette making, compost making, particleboard manufacturing, Biomass power plant, pulp and paper production, and biogas production. During this time the EFB management is carried out individually and has different environmental, economic and social impacts. For that reason, in this study the author developed an integrated system of managing EFB waste that are more environmentally friendly, economical and provides a better social impact to the community by utilizing some existing processing technology. The purpose of this study was to determine the potential for mushroom cultivation using the EFB planting media which was carried out in an integrated and environmentally friendly manner, thus providing many benefits to the community and supporting a sustainable palm oil industry. The method used in this study is an experimental method and literature study that produces observational data in the form of tables and graphs that were analyzed descriptively. The results obtained in integrated EFB management (mushroom production, biogas, compost and liquid organic fertilizer) have high economic feasibility with an investment of Rp. 1,334,468,908, - IRR of 65%, B / C ratio of 2.07 and PBP for 1.5 years. Management of every ton of EFB with an integrated business concept can produce 90 kg of mushroom mushrooms, 11.14 m3 of biogas, 73.5 kg of dry compost, and 1.0 m3 of liquid organic fertilizer. Integrated management is also environmentally friendly because it is able to reduce greenhouse gas emissions by 436.02 kg CO2e with energy consumption of 120.17 MJ (economic value of energy 1 MJ / ton of EFB = Rp. 35,515, -) and provide an economic value of EFB of Rp. 4,267,885. Integrated EFB waste management can be used as a superior program for the responsibility of palm oil mill companies to the surrounding environment (CSR).

Keywords
Oil palm empty fruit bunches, mushroom cultivation, integrated system

Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY

Link: https://ifory.id/abstract/j9X3QVfnHubR

Corresponding Author
FURAIDA KHASANAH

Institutions
Poltekkes Kemenkes Yogyakarta

Abstract
Examining the Activated Partial Thromboplastin (APTT) and Plasma Protrombin Time (PPT) is sort series of examining homeostasis which is conducted in order to have screening test for homeostasis disorder. This examination used plasma sample in which there where solidification factors which could be influenced by thrombocyte existence. The centrifuging of citrate blood sample which was conducted too fast or too slow would cause plasma condition with the number of thrombocyte. Practical in some laboratories were not yet been uniformed, mainly in centrifuging of citrate blood to obtain citrate plasma with less thrombocyte contents. To identify the value of Kappa by compatibility test between two methods PRP and PPP to examine PPT and APTT. This experiment is true experiment with post test research design without control. Citrate plasma sample was obtained from 10 sample of students- blood which had one pair, 2 treatments; by centrifuging 3000 rpm for 10 minutes for PPP and centrifuging 1000 rpm for 10 minutes for PRP. Then, both methods (PPP and PRP) were examined by using PPT and APTT parameter. In the result of PPT examination in the sample of PRP plasma, the average value was 11.6 seconds. In the sample of PPP, the average value was 11.0 seconds. The result of APTT examination in PRP sample, the average value was 34.27 seconds while in PPP sample was 33.18 seconds. There were compatibility in the result, either PPP method and PRP for PPT and APTT examination (Kappa = 1).

Keywords
PRP, PPP, APTT, PPT, Kappa.

Topic
MEDICAL LABORATORY TECHNOLOGY

Link: https://ifory.id/abstract/h9XPKVrzWCNG