Indonesia Conference Directory

Corresponding Author
Eryati Darwin

Institutions
Department of Histology Medical Faculty of Andalas University, ² Department of Cardiology Medical Faculty of Andalas University, ³ Department of Internal Medicine Medical Faculty of Andalas University

Abstract
Background: Dyslipidemia is a medical condition that refers to an abnormal of blood lipids level, most common is hyperlipidemia. Elevation of blood lipid such as cholesterol, triglycerides, LDL cholesterol, or a low HDL cholesterol level induces disturbance of endothelial function. Endothelial dysfunction in dyslipidemia is in large part due to a reduced bioavailability of nitric oxide (NO) which is synthesized by endothelial nitric oxide synthase (eNOS) which will trigger the development of atherosclerosis, and increases the risk of coronary heart disease Purpose: The purpose of this study was to determine the relationship of lipid profiles of dyslipidemia with eNOS levels in coronary heart disease (CHD) patients Methods: This study design was a cross-sectional study. The sample in this study were 25 patients which diagnosed as coronary heart disease of outpatients in Department of Cardiology of a regional general hospital and fulfilled the inclusion and exclusion criteria. Fifteen healthy individuals who come for the general check-up were included as a control group. Blood samples were collected for measurements of eNOS levels and lipid profiles that carried out according to laboratory standards. Statistical analyses were conducted using ANOVA and Shapiro-Wilk-test. Results: The results of this study showed that eNOS levels in the group of CHD patients (24,174±7,136 ng/ml) were significantly lower (p < 0.05) than those in the control group (72,092±30,065 ng/ml). The mean of triglycerides and HDL levels has a weak correlation with the level of eNOS (p > 0,05). The mean of LDL level has moderately positive correlation with eNOS, while cholesterol has a moderate negative correlation with the level of eNOS (p > 0.05) Conclusion: High cholesterol levels and low LDL levels in dyslipidemia condition were correlated with endothelial nitric oxide synthase (eNOS), which has a protective function in coronary heart disease.

Keywords
Coronary heart disease, dyslipidemia, endothelial nitric oxide synthase

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/wF32kfv9hMTq

Corresponding Author
Marselina Mole

Institutions
Jenderal Soedirman Of University

Abstract
Background: Perineal rupture occur in almost all births. The mayor complications of perineal rupture is infection. Perineal wound infection can be prevented by good perineal wound care, balanced nutrition, and adequate rest. Objective: This study aims to determine the relationship between the level of knowledge about vulva hygiene and abstinence during childbirth with the long healing of postpartum maternal perineal wound at BKMIA Kartini Purwokerto. Method: The design in this study was descriptive correlation with a cross sectional approach. The sample in this study were 34 respondents using convenience sampling technique. Data analysis in this study used Chi square test. Results: The result of this study were mostly respondents had good knowledge as 55.9%. Respondents who did not have food abstinence as 61.8%. Most respondents had behavior abstinence as 64.7% and had rapid perineal wound healing as 55.9%. Chi square test results showed that there was a relationship between the level of knowledge about vulva hygiene and abstinence during postpartum with the long healing of postpartum maternal perineal wound with a value (p <0.05). Conclusion: There was a significant relationship between the level of knowledge about vulva hygiene and abstinence during postpartum with the long healing of postpartum maternal perineal wound

Keywords
knowledge, perineal care, abstinence, postpartum

Topic
Others

Link: https://ifory.id/abstract/2R4Kxr9f3CLu

Corresponding Author
Meirina Dwi Larasati

Institutions
Nutrition Department, Health Polytechnic of Ministry of Health Semarang, Indonesia

Abstract
HIV infection is closely related to nutrition. Decreasing food intake and nutritional status in people with HIV-AIDS is multifactorial. Diet therapy and nutritional knowledge play an important role in healing HIV-AIDS. The purpose of this study is to determine the relationship between nutritional knowledge and attitudes toward food intake and nutritional status of people with HIV-AIDS. This study is an observational study with a cross sectional design in 45 people with HIV-AIDS. Nutritional knowledge and attitudes are collected by interview using a questionnaire. Food intake (energy, protein, fat and carbohydrate) is collected by interview using SQFFQ. Nutritional status is obtained from measurements of body weight and height and then BMI calculation is performed. The statistical analysis used is the chi square test. There is a significant relationship between knowledge and energy intake (p<0.05) and there is no significant relationship between knowledge with protein, fat and carbohydrate intake (p>0.05). There is no significant relationship between attitude and food intake (p>0.05). There is no significant relationship between knowledge and attitude with nutritional status (p>0.05). Low nutritional knowledge risks of experiencing low energy intake and 2.8 times suffering from malnutrition

Keywords
knowledge, attitudes, food intake, nutritional status, HIV-AIDS

Topic
Nutrition and Functional Food

Link: https://ifory.id/abstract/R26UP8pg7Ywm

Corresponding Author
Martini Martini

Institutions
1Department of Epidemiology, University of Diponegoro, Indonesia

Abstract
Background: Kaligesing sub district is a malaria endemic area which Annual Parasite Incidence (API) was not reach the National target (2,07%). That problem was caused the increase of chemical vector control in long time could be affected to the mosquitoes- resistance. Purpose: The aim of this study was to know the resistance status of Anopheles spp to Lambdacyhalothrin 0,05% insecticide in Kaligesing Purworejo district. Methods: The design of this study was an experiment, using static group comparison design. The number of samples was 150 mosquitoes, for 4 treatment and 2 control. To know the use of bed net by residence of the village, we did interviewing 100 respondents in six malaria endemic villages. The data was collected by laboratory experiment and survey using questionnaires. Data analyzed by descriptive statistic. Result : The study showed that Anopheles spp were resistant to Lambdacyhalothrin 0,05% with an average of knock down on 60 minutes exposure with four times repetition were 20 mosquitoes (80%). The death average in 24 hours post holding were 17,5 (70%). The results of interviews with 100 respondents showed that 61% of respondents using insecticide-treated bed nets, 30% of respondents using mosquito repellent, and 70% of respondents homes had been carried out by the IRS. Conclusion: Anopheles spp in Kaligesing Purworejo have already had resistant status to Lambdasyhalothrin. This study recommends to health district should do the monitoring and evaluation periodically related to controls and rotation of pesticide use

Keywords
Anopheles spp, Lambdacyhalothrin, Sipermethrin, impregmated paper, mosquitoe

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/ecupRMdDAVy9

Corresponding Author
Maryam Habib Shodiq

Institutions
Magister of Midwifery, ‘Aisyiyah University Yogyakarta, Indonesia

Abstract
Background: Death and illness are still serious health problems in developing countries, the Maternal Mortality Rate (MMR) in the world is 289,000. Some countries have high MMR, such as Sub-Saharan Africa 179,000, South Asia 69,000 and Southeast Asia 16,000 (WHO, 2014). The cause of maternal death is dominated by low public awareness about the health of pregnant women. In addition, other import ant factors that influence maternal mortality include the not-so-good empowerment of women, educational background, family socio-economic, which one example of low womens empowerment is the lack of attention from men to pregnant and childbirth women. The male attention in the form of the husbands role in pregnancy and pregnancy outcomes affects the delivery process which can reduce the negative impact of maternal health behavior psychologically. Research Objectives: To assess or review whether the literature we are going to use can be used as a reference for future research. Data Source: Data sources were obtained from Pubmed, science direct. Inclusion Criteria: Husbands with a normal maternal history, Husbands who play a role during normal labor. Appraisal studies and synthesis methods: Appraisal studies use CASP, and the synthesis method uses PEOS modification. Results: the labor experienced is a joint process for couples. The involvement of a husband or father during labor, working with a midwife and being involved in support and care for her partner can reduce pain and anxiety. Conclusions and Implications of the Results: information, roles, expectations, experiences, and challenges especially during pregnancy and childbirth are very important to promote the involvement of a husband or father to maternal health problems. Future research is expected to be able to identify the needs of husbands or fathers to carry out their roles.

Keywords
husband role, experience, labour, childbirth.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/QUzmvnbaEB47

Corresponding Author
Nikie Astorina Yunita Dewanti

Institutions
Faculty of Public Health, Universitas Diponegoro

Abstract
Background: Immunization is the basic right for children to provide immunity to babies and children avoiding certain diseases. Immunization was optimally beneficial when given complete within the specified time period. The facts showed many parents do not immunize their children on schedule and tend delayed. The indicators of immunization program also only emphasize completeness rather than on timeliness immunization. Purpose: The study objectives was analysing the timeliness of complete basic immunization for children aged 12 to 23 months. Methods: An observational study with mix-method design and cross-sectional approach. Population are all children aged 12-23 months in Semarang City, and sample of 689 children randomly determined from all PHC. Information about reasoning for incomplete and inaccurate immunization was carried out by in-depth interviews with six mothers as key informants. Immunization status was obtained from MCH Handbook. Result: As many as 98.25% children have received basic immunization, although not all complete. Measles immunization was the most immunization that has not been received by children (13.35%), followed Polio-4 (8.27%) and DPT / HB / HiB-3 (7.4%). Immunization of HB-0 was a most timely immunization given (96.28%), followed by DPT / HB / HiB-3 (90.13%) and Polio-4 (85.44%). Measles immunization was the least timely (56.96%), followed by BCG (38.50%). Parents consider late immunization was no matter compared to not immunization. The source of information about immunization was generally obtained from health workers and cadres. Conclusion: Factors of understanding and socio-cultural were related to practicing of children immunization.

Keywords
timeliness, complete immunization, children aged<2 years old

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/mNZB3arHucwM

Corresponding Author
Lia Kartika

Institutions
a) Faculty of Nursing, Universitas Pelita Harapan
Jl. Boulevard Jenderal Sudirman No. 15, Lippo Karawaci, Tangerang 15811, Indonesia
*sarah.kartika[at]uph.edu

Abstract
Background One of the main problems of public health in the world is malnutrition in children. Lack of education and knowledge about nutrition is one of the factors that cause the problem of malnutrition. Smartphone and computer-based educational games, which nowadays children familiar with, are few forms of technological advancements used in the health sector. Purpose This literature review aimed to explore articles about the use of technology in raising awareness of nutrition needs in the pediatric area. Method The searching process involved two databases; the e-resources page of the National Library of the Republic of Indonesia and Google Scholar in the 2012-2019 period. Keywords used in the literature search include children, nutrition, dietary behavior, technology, and nutrition learning. From 278 articles obtained and through the selection process, 5 articles were found that were in accordance with the inclusion and exclusion criteria. Results Thematic analysis revealed five themes: the changes of children behavior in choosing food, various application forms, the knowledge improvement amongst children, the increase of the children-s participation, and the enhancement of children-s attitude in learning about nutrition. Conclusion Finally, nurses are expected to have curiosity and the willingness to accept technological developments in the intervention of providing education to children and families. The latest evidence-based technology can be used by health care educator as a new strategy in an effort to improve the nutritional status of children. The recommendation from this literature review is to conduct research to identify the factors that influence the effectiveness of games and application in increasing the awareness of the essential nutrition in children.

Keywords
Awareness; Child; Nutrition; Technology

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/N2ZrFqHefx4Q

Corresponding Author
Leni Apriani

Institutions
a) Penjaskesrek FKIP Universitas Islam Riau, Pekanbaru 28284, Indonesia, *leniapriani[at]edu.uir.ac.id, jonialpen[at]edu.uir.ac.id

Abstract
Based on observations during the learning process of handball courses some students were less able to practice playing by throwing and catching the ball. Students look very stiff when throwing and catching, students still need a direction movement assistance direction from teaching staff when throwing and catching. Students look awkward and stiff when throwing and catching, students have not been able to maintain a balance on him after doing throwing movements and catch. In addition, the child still seems hesitant in throwing or catching the ball and lacks confidence in their own abilities so that the motivation of the teaching staff is very influential on the students themselves. Researchers will conduct classroom action research on "Efforts to improve the ability to throw a handball through frisbee game for students of art and craft ". So the sample of this study is all students of Penjaskesrek 2016/2017 academic year fifth semester at 120 students. Based on data analysis in this study obtained from the analysis of skills and learning outcomes. The ability of throwing a handball through fresbee playing in a class of students is an average of the ability of students in the first cycle of handball ability to throw the ability of students with the category " fair " with an average of 57, while in the second cycle the ability of students is categorized as "Good" with an average of 71. Based on the results of processing data and information above, a conclusion can be drawn that students achieve the success of handball catching skills.

Keywords
Throw Cacth, Handball, Player Frisbee

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/LKb74rgnW8DP

Corresponding Author
Anggita Bunga Anggraini

Institutions
(1) Center for Health Resources and Service Research and Development, National Institute of Health Research and Development, Ministry of Health Republic of Indonesia
*anggita_ba[at]yahoo.com

Abstract
Background: Irrational use of medicines has become a problem in health services, both in developed and developing countries.Treatment of Acute Respiratory Tract infections (ARTI) is not only dependent on antibiotics, but only with supportive treatment for cases caused by viruses. Purpose: This study aimed to determine treatment patterns for children under-five with ARTI in hospitals in Bogor, Indonesia. Methods: A cross-sectional study was conducted using medical records of patients under-five with ARTI in a government and a private hospital in Bogor in the period of January 1st through December 31st, 2015. Analysis was performed using Chi-square test. Results: There were 105 medical records collected from both hospitals. The pattern of ARTI-s outpatient treatments (n= 32) at private hospital were mucolytic (81.3%), decongestants (56.3%), antipyretic (43.8%), and antibiotics (6.3%). Meanwhile, the government hospital (n=8) used antibiotics (75%), antipyretics (50%) and mucolytic (50%). The pattern of ARTI-s inpatient treatments in private hospitals (n=27) were antibiotics (85.2%), antipyretic (63%), corticosteroids (33.3%), and mucolytics (25.9%). Otherwise, the government hospital (n=38) used antibiotics ( 92.1%), antipyretic (89.5% ), corticosteroids (31.6%) and mucolytics (71.1%). Factors affected outpatient treatment could not be traced because it lacked of clinical information and laboratory test results. Meanwhile, antibiotic use for inpatients in both hospitals were not related to blood leukocytes level and body temperature. Conclusion: This study showed that antibiotic use for ARTI in government hospital was relatively higher than private hospital. Antibiotics use for ARTI should consider clinical guideline to prevent antibiotic resistance.

Keywords
Acute respiratory tract infections, antibiotics, children, treatment

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/UaxGCd9XM8pW

Corresponding Author
Rani Aulia Imran

Institutions
(a) Department of Industrial Engineering, Universitas Jenderal Soedirman, Indonesia
*raniauran14[at]gmail.com
(b) Department of Sport Science, Universitas Jenderal Soedirman, Indonesia

Abstract
Banyumas of Central Java is one of regencies that produces more than 20.000 ton productions per year of palm sugar. The number of palm sugar farmers in 2017 was 20.293 farmers, therefore coconut sugar products occupy the first position of processing type agro-industry in Banyumas. However, these numbers of farmers continue to decrease because of the safety and work safety of sugar farmers is not guaranteed. The purpose of this study was to analyze biomechanical posture of palm sugar farmers while climbing. Videographs of 42 secondary data of palm sugar farmers climbing videos were collected. Each representative frame was analyzed to identify climbing postures and literature review been done to find references. Result was showed that climbing a tree climbing was a high-risk occupation in biomechanical approach. Future research needed to assess musculoskeletal system contributed in tree climbing activities and its suggestion to reduce occupational risk, increase palm sugar farmers health and wellbeing

Keywords
biomechanics; sugar palm farmer; climbing

Topic
Environmental and Occupational Health

Link: https://ifory.id/abstract/UZNmF7ARCY2P

Corresponding Author
Firda Yanuar Pradani

Institutions
1) LokaLitbangKes Pangandaran,National Institute Health of Research and Development
2) Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Abstract
Currently, several problems raised from the frequent application of chemical insecticide for dengue control such as insecticide resistance and environmental health issues. This fact supporting the need of the alternative active ingredients which are natural and could not develop insecticide resistance. This study aims to find out the potential of Pyrethrum (Chrysanthemum cinerariifolium (Trevir.) Vi) and Neem (Azadirachta indica A. Juss) as biolarvacide against Aedes aegypti. This is a quasi-experimental study using several combinations of Pyrethrum and Neem extracts. Larval deaths were observed every hour until 24 hours and a number of dead larvae were calculated. Results of this study showed that almost all formulations caused death of larvae in the first hour except formulation 5 (2 ml Pyrethrum + 1 ml DMSO + 24 ml liquid parrafin + 24 ml chitin), formulation 8 (49 ml neem + 1 ml Tween 20) and formulation 11 (49 ml neem + 1 ml DMSO). These results emphasized the potential of a formulation containing Pyrethrum and neem as biolarvacide against Aedes aegypti.

Keywords
dengue, Pyrethrum, neem, larvacide

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/RVPCeTkq62FZ

Corresponding Author
Rani Tiyas Budiyanti

Institutions
Faculty of Public Health, Universitas Diponegoro

Abstract
Background: Maternal and Children Health (MCH) Handbook contained various information related to maternal and child health since pregnancy until toddlers. One of the information recorded are child immunization. However, MCH Handbook rarely used as the information sources for mother even though it has been given to all of the mothers in their early pregnancy. Purpose: The study objectives was analyzing utilization of maternal and children health handbook as information sources related to immunization in Temanggung District. Methods: A descriptive observational study with cross-sectional approach. Population are all mothers of children aged 12-23 months old, and sample were 520 mothers selected by cluster sampling based on PHC. Inclusion criteria were mother-s who have the MCH Handbook. Result: The main information sources related to immunization obtained from health care worker (93.7%) and health cadres (69.8%). There were 95.4% mothers able to show their MCH Handbook however, there were 93.8 mothers which keep the book by themselves. Only 68.3% mothers read the information in the MCH Handbook. However, they only read about the immunization schedule. Others important information related to immunization were unread. Most of mothers only understand that immunization are good for their children health. Conclusion: Utilization of MCH Handbook as an information source for mother of children aged 12-23 months old not optimal. It is needed to optimized cadres and health care workers role to socializing benefit of MCH Handbook as an information sources related to maternal and child health especially immunization.

Keywords
Maternal and children health handbook, Information Sources, Immunization

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/mJ6WyTUeHE8C

Corresponding Author
Antonius Tuan Tana Ruron

Institutions
Yogyakarta State University, Indonesia

Abstract
Background: The aim of the study was to examine the validity of the content of alternative assessments for rhythmic activity in Physical Education (PE) learning. Method: The research method used a method of evaluating the subject of document research. Data collection technique used the Delphi technique of 6 experts. Data analysis applied a formula of Content Validity Ratio (CVR) technique developed by Lawshe. Result: The results of the study showed the items of validity of alternative assessment instruments, which were the indicator of the level of difficulty of rhythmic movement, the accuracy of the rhythmic movement and enthusiasm showing all CVR values above 0.50 Conclusion: All alternative assessment items had high content validity

Keywords
Alternative Assessment, Content Validity, Rhythmic Activities

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/bDtrEVPNKBZ7

Corresponding Author
Ayu Rizky Febriani

Institutions
PJKR
FIKES
UNSOED

Abstract
A few games can be done in water as an effort to stimulate aquatic learning activities that have a PAIKEM principle (Boyke Mulyana, 2018). Water activity is a very enjoyable activity and has a good impact on cardiorespiratory endurance if applied systematically and structured. This research aims to determaine that water activities can be increase the cardiorespiratory endurance. This research is Quasi Experimental with one group pre-post-test research design, where treatment was given treatment for 12 weeks. The population in this reaserch were students who attended the aquatic learning course. Consists of two classes; A and B totaling 74 students. The sample was taken by purposive sampling, total samples in this study were 42 students who had passed the inclusion and exclusion criteria. Inclusion: a). Male students b). Willing to follow the research process c). Age 18-20 years. Exclusion: Students in physical health. The independent variable in this reaserch is water activity carried out in before process of aquatic learning, while the dependent variable is cardiovascular ability of male students. Analysis passed the data normality test and paired T test. Be based on the results of the paired sample t test obtained a value of t = -7,634 and significance = 0,000 <0,05, it can be stated that there is a significant effect on water activity against Cardiorespiratory Endurance. The model of water activities applied with the right composition can be means of methods for increasing cardiorespiratory endurance of PJKR man students.

Keywords
WATER ACTIVITY, CARDIORESPIRATORY, ENDURANCE

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/Rqr2TWKQPcYA

Corresponding Author
Rahmi Setiyani, S.Kep., Ns., MN

Institutions
Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University
*rahmi.setiyani[at]unsoed.ac.id

Abstract
Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in family structure. Objectives: The purpose of this study is to examine adult children-s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. A self-administered questionnaire was used to examine the choice of future living arrangement for parents and characteristics of adult children, parents and families. Descriptive statistics and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) wanted parents to live at home with children and/or grandchildren (82.3%). Only 2.7% respondents saw nursing home as a choice. Even though majority of respondent agreed that decision regarding living arrangement should be made together (80.7%), none of adult children, parents, and families characteristics was found to influence the decision. Conclusions: Living in multi-generational household still became a favorable option of living arrangement for elderly parents. Living in nursing home seems not yet considered to be an alternative for elderly care. Further researches are needed to investigate other factors possibly influencing the choice of elderly living arrangement.

Keywords
Adult children, extended family, elderly, intergeneration, well-being

Topic
Nursing

Link: https://ifory.id/abstract/gvjKQaq9G4Em

Corresponding Author
Evi Diliana Rospia

Institutions
Universitas ‘Aisyiyah Yogyakarta

Abstract
Background: Continuity of midwifery care is a treatment that starts in early pregnancy and continues to delivery until six weeks after delivery. Continuity of care is very important for women to get services from the same midwife or one team of midwives. This is to monitor the development of womens conditions at all times. On the other hand, the women will trust and open to the caregivers because they already know them. This study aims to find out women-s experience in continuity of midwifery care and their experience when they were referred from primary to secondary health services. Methods: This Systematic Literature Review employed database from PubMed, Proquest and Sciencedirect during 2007-2018. There were 549 initial articles identified. Eight (8) articles that fitted to the inclusion and exclusion criteria were selected for final review. Result: Two sub-themes that discussed womens experiences in continuity of midwifery care were interpersonal relationships between the woman and the midwife and togetherness. Nine sub-themes discuss women-s experience when they were referred from primary to secondary services were ideal delivery, disappointment to referral decisions, anxiety, referral travel, autonomy, handover, the presence of midwives, non-continuous care and collaboration between health workers. Conclusion: Continuous midwifery care from the early pregnancy to postpartum contributed to a positive birth experience for women. In the case of referral from primary to secondary facilities, the women expected to receive continuous care.

Keywords
Continuity of care, midwife, women-s experience

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/FmcpUn7LVNhk