Indonesia Conference Directory

Corresponding Author
Ridho Tristantiningsih

Institutions
Jenderal Soedirman University

Abstract
Background: Hypertension is a health problem from non-communicable diseases that occurs a lot in praeldery in the Community Health Center Punggelan 1. Counseling is one of the interventions that can be applied to suppress the increase and reduce recurrence where this guidance is done by someone who is an expert to help overcome the problems experienced. This study aims to determine the effect of giving counseling to preliminary knowledge and attitudes about hypertension Methodology: This study uses a quasi-experimental design with pre and post test design with a control group. The sampling technique is simple random sampling. The number of samples was 32 respondents for two groups. The instrument uses a questionnaire. Statistical tests using paired t test and continued with Mann-Whitney. Results: The results showed that health counseling can improve knowledge and attitudes with the value of knowledge (p = 0,000) and attitudes (p = 0,002). Conclusions: Counseling can be applied to patients with hypertension in problem solving of knowledge and attitudes pra eldery about hypertension. Keywords: Counseling, Knowledge, Attitude, Hypertension.

Keywords
Counseling, Knowledge, Attitude, Hypertension

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/pR6D9XCyhrzG

Corresponding Author
Budi Aji

Institutions
School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Central Java, Indonesia

Abstract
Background: For nowadays the online mass media has prominent role in informing the public related to the certain issues such as public health concern to the audiences who have no direct knowledge or experience. Purpose: We conducted an online mass media analysis in Indonesia in order to explore one dimension of climate change impact issue for public health. Our focus was whether and how online mass media construct public awareness in response to the impact of climate change on human health. Methods: We developed a search strategy consisting of three progressively more delimited phases. First, we searched major publication for articles in online mass media in Indonesia published from 2009 to 2014. The list of online media was provided by the National Library of Indonesia. Second, we selected articles employing general and specific set of criteria. Lastly, we coded the selected articles to track article characteristics and identify common themes. Climate change articles with a human health focus were included. A media content analysis was applied to guide the interpretation of the data. Results: We identified that online media have limited information around the impact of climate change on human health. News reporting of climate change impact on human health has constructed uncertainty around the issue that led to disengagement in relation to possible changes in public behaviors in particular the adaptation and mitigation efforts. Moreover, the communication of climate change from scientists and policy-makers to the public via the online mass media has been a subject of major interest because of its implications for creating public awareness of a climate change impact issue on public health. Conclusion: Online mass media might help in the development of better informed public debate about climate change issue. It therefore needs efforts to create effective proactive-online media engagement strategies in making the public understand.

Keywords
Climate change, human health, online mass media, content analysis, Indonesia

Topic
Health Policy, Services and Economic

Link: https://ifory.id/abstract/6FwuCfh4mabP

Corresponding Author
Yonifia Anjanika

Institutions
Sport Science Department, Graduate School Program, Yogyakarta State University

Abstract
Background: Critical thinking is not only about people who always argue or give wrong assumption but also can give a solution from a problem and having the appropriate, rational, and careful basic so then it can effectively produce solutions to solve the problems. A critical thinking skill is the characteristic of divergent thinking in the high order thinking level which should be possessed by students in facing the industrial revolution era 4.0. Aim: This research aims to improve students- critical thinking skill through the modification of rhythmic activity in physical education at junior high school. Method: This research used classroom action research method in the form of collaborative action research. The source of data in this research was students of grade VIII SMP 2 Sentolo, Kulon Progo, Yogyakarta, academic year 2018/2019 which consisted of 28 students specifically 11 male students and 17 female students. The data collection technique used in this research was critical thinking test through the modification of rhythmic activity and observation. The technique of data analysis used in this research was descriptive-comparative technique which compares qualitative data from the condition of early study, cycle I and cycle II with the percentage. Result: This research shows that from the early condition, from 28 students only 9 students or 32,1% who are successful and in the cycle I was improved becoming 16 students or 57,1%, and in the cycle II was improved becoming 23 students or 82,1%. Conclusion: There are improvements in students- critical thinking skill through the rhythmic activity in physical education at Junior High School.

Keywords
Critical thinking, Rhythmic activity.

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/nauFL7xfrqNA

Corresponding Author
muhamad fareza

Institutions
1 Pharmacy Department, Universitas Jenderal Soedirman
2 Chemsitry Department, Universitas Padjajaran

Abstract
Background : The disscovery for new anticancer agents is one of the important research. This is because the existing chemotherapy drugs that are no longer effective, because its resistance and side effects, in treating cancer. Various approaches are carried out in finding new anticancer drug. One approach to obtaining these new active compounds as anticancer agent are from the plants.Chisocheton is a plant genus from Meliaceae familiy known as rich source of terpenoid compounds which potential ones as anticancer drug candidate. Methods : Isolation of sesquiterpenoid from stem bark of C. microcarpus were carried out by extraction and chromatographic methods. The determination of the compound structure were analyzed based on spectrum data of NMR (Nuclear Magnetic Resonance) and HRMS (High Resolution of Mass Spectroscopy). Cytotoxicity of this compound was evaluated with MTT assay. Results 10-hydroxyaromadendrane was isolated as colorless oil. Its molecular formula, C15H26O, was established from the quasi-molecular ion peaak at m/z 223.2064 [M+H]+ (calculated for C15H27O , 223.2062) in HR-ESI-MS spectrum. From 1H-NMR spectrum, its showed four methyl signal (δ 0.82, 0.89, 0.92, 1.04 ppm), four methylene signal (1.15, 1.29, 1.49, and 1.59 pp) , and five methine signal (0.01, 0.51, 1.69, 1.72 and 1.86 ppm). Its 13C-NMR spectrum indicated four methyl signal (δ 16.10, 16.30, 28.67 and 37.78 ppm), four methylen signal (δ 37.78, 29.11, 25.78, 18.81 ppm), five methine signal (δ 58.25, 39.74, 38.46, 28.57 and 22.32 ppm) and two quartener carbon signal at δ 74.60 (Cq-O) and 18.39 ppm (Cq). This compound showed cytotoxic activity against MCF-7 breast cancer cells with IC50 value of 597,13 µg/mL. Conclusion: A aromadendrane type-sesquiterpenoid has been isolated from the stembark of C. microcarpus. Based on the spectroscopic evidance, the compound was 10-hydroxyaromadendrane. This compound showed weak cytotoxicity against MCF-7 breast cancer cells with IC50 value of 597,13 µg/mL.

Keywords
Chisocheton microcarpus, Aromadendrane, MCF-7

Topic
Pharmaceutical Sciences

Link: https://ifory.id/abstract/evkQbNfyZG6V

Corresponding Author
Okti Sri Purwanti

Institutions
1Department of Nursing, Universitas Muhammadiyah Surakarta, Indonesia
2Department of Public Health, China Medical University, Taiwan
Corresponding Author: Okti Sri Purwanti (okti.purwanti[at]ums.ac.id)

Abstract
Background: Indonesia is a country with endemic Dengue Hemorrhagic Fever (DHF) disease because it is located in the tropical region which is the living habitat of Aedes Aegepty mosquitoes. The existence of DHF disease in Indonesia makes this problem one of the things that need to be considered about health problems in Indonesia. Purpose: The purpose of this study was to explore the trend of DHF in Indonesia from 2010 to 2016. Methods: The design of this study was a retrospective study using secondary data available from The Ministry of Health report. The DHF disease data of 34 provinces were analyzed by temporal trend and comparative analysis. Results: The result showed that there were two peaks of DHF disease incidence from 2010 to 2016, in 2010 and 2016. The number of DHF disease case in 2016 was 204,171 and 156,086 in 2010. After an outbreak marked the high incidents of dengue fever in 2010, the following year (2011) the cases of dengue fever decreased significantly. This only lasts one year, then in 2012-2016 DHF incident showed an increasing trend. Bali Province was listed as the province with the highest incidence rate of DHF disease during the period 2010-2016 except in 2012. Java Island with high population density was the most significant contributor to DHF cases in Indonesia Conclusion: There is an increasing trend of DHF case in Indonesia. This study recommends taking take into account to monitor the report of DHF case each province for preventive measure.

Keywords
Dengue Hemorrhagic Fever, DHF, outbreak, incidence, tropical disease

Topic
Nursing

Link: https://ifory.id/abstract/TF7Q9nDMwPLh

Corresponding Author
Siwi Pramatama Mars Wijayanti

Institutions
1) Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University
2) Department of Public Health, Ahmad Dahlan University, Yogyakarta, Indonesia

Abstract
Background: Continous surveillance of DENV tranmission pattern is undoubtedly important to provide proper input to the dengue prevention and control programme. However, the DENV transmission pattern in outbreak event is still under research. This information is crucial for dengue outbreak preparedness, particularly in dengue endemic area Purpose: This study interested to analyse the spatio temporal distribution of dengue cases during outbreak event in the area of study Methods This is cross sectional study which conducted in Banyumas Regency, Central Java Indonesia. 404 of dengue cases coordinates during 2016 outbreak in Banyumas Regency, Indonesia were collected. Data was analysis using overlay technique spatial analysis, consist of analysis of point pattern method, Nearest Neighbour Index, convex hulls and cluster analysis of illness date with SatScan software. Results: Two clusters area were identified during outbreak, with the initial place of outbreak is surprisingly occured in the border area, assuming that human movement and imported cases might play role in dengue outbreak event. Based Nearest Neighbour Index analysis, distribution pattern of outbreak in the study area is clustered. This could be as consequence of limited flight range of Aedes sp mosquito, high density population and breeding site of mosquitoes. Conclusion: Information from our study highlighted where and when public health resources should be concentrated to control dengue transmission. Our study also suggested that besides the hotspot area, we need to aware other areas with high risk of imported cases such as border area.

Keywords
dengue virus, spatial, temporal, aedes

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/7xt3nuaMYTFZ

Corresponding Author
JERRY VILLARUEL MANLAPAZ, RN, EdD, PhD

Institutions
1, 2, 3,4,5,6,7,8,9 Senior High School, University of Santo Tomas, Manila, Philippines

Abstract
Background: Dengue has always been a major public health problem in the Philippines and is endemic in all regions of the country. Because of the growing number of incidence of dengue in the country, many were convinced to vaccinate their children with anti-dengue vaccine. Dengvaxia is an anti-dengue vaccine licensed and approved for use by the government in December 2015. However, the second quarter of 2016 saw uproar and issues about the vaccine, causing panic and fear among parents of the vaccinees. Immediate suspension of the vaccine was ordered due to the multiple controversies following the Dengvaxia issue. Purpose: The main purpose of the study was to identify and describe the experiences of the parents who have children vaccinated with Dengvaxia. Methods: The study utilized a qualitative Hermeneutic phenomenological research design. Using a semi structured interview guide questionnaire, a total of 14 parents of Dengvaxia-vaccinated children were purposively selected and interviewed. Data were analyzed using Colaizzi-s phenomenological method in data analysis. Results: The experiences of the parents revealed four themes and fifteen categories. These themes are as follow: drives for participation, emotional disequilibrium, damage controls, and the phenomenon aftermath. Conclusion: Parents experienced difficult times emotionally, psychologically and physically especially at the height of the controversy while focusing on the health and well-being of their children. The mental trauma faced by the parents due to the fear for their children-s lives was an adversity that they had to hurdle through. The entire experience put uncertainties towards the immunization programs of the government but the lessons learned from the experience exhibited every family-s resilience in the midst of the controversy.

Keywords
Keywords: Dengvaxia, experiences, parents

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/AUg8znXGdvDP

Corresponding Author
Niko Sutrisno

Institutions
(a)Student of Nursing Department, Faculty of Health Sciences, Jenderal Soedirman
University
(b),(c)Nursing Lecturer, Faculty of Health Sciences, Jenderal Soedirman University

Abstract
Abstract Background: Nursing sees humans as complex creatures and different from one another. Consists of biological, social, cultural, psychological and spiritual dimensions. Knowledge, perceptions and attitudes are the basis of nurses in applying spiritual nursing care provided to patients optimally. Methodology: The type of this research is quantitative research with cross sectional approach, sample selection with total sampling technique, the number of respondents is 248 people. Data collection using a questionnaire. Data are analyzed univariately using frequency distribution and concentration values. Research Results: Respondents indicated a working period of between 1 to 10 years with a majority of tenure of more than 10 years, education of respondents between D3 to S2 with the majority of D3 education, female sex respondents more than men, respondents aged between 25 to 56 years with a majority of ages 26-35 years and the median value obtained is in the form of knowledge, perceptions and attitudes after being converted from a range of 0-100 all three are in the score of 64. Conclusion: Knowledge, perceptions and attitudes of nurses about the implementation of nursing care at Arjawinangun Hospital at level 64 from a range of 0-100 so that it can be interpreted as not optimal. While for optimal values in the range of 75-100.

Keywords
attitudes, knowledge, perceptions, spiritual nursing

Topic
Nursing

Link: https://ifory.id/abstract/LhDTndkKVx2G

Corresponding Author
Theresia Theresia

Institutions
a) Asisstant Lecturer Faculty of Nursing Universitas Pelita Harapan
theresia.fon[at]uph.edu

b) Lecturer Faculty of Nursing Universitas Pelita Harapan
c) Profession Student Faculty of Nursing Univesitas Pelita Harapan

Abstract
Background: The incidence of tuberculosis (TB) in Indonesia, both new and recurrence cases in 2015 was significant, there are 395 cases per 100,000 peoples per year (The Join External TB Monitoring Mission, 2017). A phenomenon that needs to be considered from epidemiological data is the follow-up mechanism for the treatment of TB patients. The National TB program shows that the success rate of treatment in Puskesmas is higher than in private health services. Return planning / discharge planning in TB patients is important in the continuation of the treatment regimen. Nurses are part of health workers who carry out patient return planning. Discharge planning must be carried out by nurses in a structured manner starting from the assessment when the patient enters the hospital until the patient returns home. Knowledge of nurses is needed in order to provide good understanding in planning patient return. Objective: The purpose of this study is to provide an overview of the level of nurse knowledge about discharge planning of pulmonary tuberculosis patients with anti-tuberculosis drugs. Method: This research used descriptive quantitative research design. This research had 23 samples from inpatient and outpatient room in one of Central Indonesia Private Hospital with sampling technique was total sampling and instrument used was questionnaire. Result: 10 (43.5%) respondents have high knowledge and 13 (56.5%) of respondents have medium knowledge about discharge planning patient of pulmonary tuberculosis with anti-tuberculosis drug. Recommendation : Researchers recommend that further research is about factors that influence the success of pulmonary tuberculosis discharge planning with anti-tuberculosis drugs.

Keywords
Tuberculosis, Discharge planning, Nurse knowledge

Topic
Nursing

Link: https://ifory.id/abstract/BMzKPnm9utpw

Corresponding Author
GINANJAR LAKSANA

Institutions
a) Nursing Student Department of Nursing Faculty of Health Sciences University of Jenderal Soedirman
b) Lecturer at the Department of Nursing Faculty of Health Sciences University of Jenderal Soedirman

Abstract
Background: The role of the family is very important in the treatment of disease. Families have a therapeutic role in order to provide postoperative wound care. The existence of family roles needed to care for family members. Objective: The purpose of this study was to describe the role of the family in the postoperative wound care. Methodology: Type of quantitative research with descriptive method using cross sectional approach design. The study population was families who accompanied postoperative patients during control at the poly surgical Hospital Dr. Soedirman. Sample of 56 respondents were selected with consecutive sampling technique. Collecting data using quastionnaires filled out by respondents. Result: Based on the dominant characteristics of the respondents are in the middle adult age range (31-54 years old), female, high school education level, employment status, and income > Rp 1.56 million. The family carries out the family role in the postoperative wound care quite well. Conclusion: Correlation test shows the relationship between education (r=0.622 and p=0.000), employment (r=-0.269 and p=0.031), and income per month (r=0.591 and p=0.000) with the role of the family in postoperative wound care.

Keywords
Family; Maintenance Role; Wound Postoperative

Topic
Nursing

Link: https://ifory.id/abstract/FT49VKt7M6Q2

Corresponding Author
Martina Pakpahan

Institutions
1 Lecturer Of Faculty Of Nursing And Allied Health Science, Universitas Pelita Harapan
2 Lecturer of Public Health Faculty-Universitas Indonesia
Indonesia

Abstract
Non-communicable diseases and infectious diseases closely associated with unhealthy behaviors. The current disease development trend throughout the world is non-communicable disease. According to Basic Health Reasearch of Indonesia (Riskesdas) in 2013, the proportion of household healthy behavior nationally was 32.3%, North Sumatera was 24.6%, while in Samosir district 14.7%. This study aims to analyze the determinants of household healthy behavior in Samosir district in 2016. The research was conducted in three sub-districts; Pangururan, Simanindo and Ronggur Nihuta. The research used quantitative and qualitative research methodologies (mixed method) but in this study only discusses the quantitative research. This study used the cross-sectional design. The sample were 187 housewives with multistage random sampling technique. The results showed health behavior of households in Samosir district was 12.8%. Variables that have a meaningful relationship with household healthy behavior were attitude (p value=0.001; OR=8.79), income (p value=0.001; OR=7.92), and the availability and affordability of health facilities (p value = 0,049; OR=3.32). Attitude is the dominant variable. Health promotion strategies need to be applied as whole to resolve the determinants of household healthy behavior.

Keywords
Determinants, Healthy Behavior, Household, Samosir, Health Promotion Strategies

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/U4D98AjZfa6P

Corresponding Author
Md. Aminul Haque

Institutions
Department of Population Sciences, University of Dhaka

Abstract
Background: Multimorbidity among elderly is a major public health problem in most of the developing countries including Bangladesh where the population is moving towards aging. Little is known about multimorbidity in Bangladesh. The aim of the study was to identify the determinants of multimorbidity. Methods: A cross-sectional study was conducted in two tertiary level hospitals in Bangladesh with a sample of 572 adult-s age 60 years and older. The presence of chronic conditions was collected from medical examination reports at the hospital and data on socio-demographic factors was collected using structured questionnaire through an in-person interview. Multimorbidity was defined as the co-occurrence of at least two chronic diseases in one person whether as a coincidence or not.Age, sex, body mass index (BMI), marital status, place of residence, educational level, occupation, economic dependence, smoking, have been hypothesized as potential determinants for multimorbidity.Chi-square test, t-test, multiple linear regression, and multivariable logistic regression models were used to assess the association and the determinants of multimorbidity with the predictor variables where appropriate. Result: The overall prevalence of multimorbidity among elderly was 56.5% and the prevalence was higher among females (64.18 %) than males (54.17 %). The most prevalent conditions were hypertension (33%), diabetes (27.6%), ischaemic heart disease (12.0%), and chronic obstructive pulmonary disease (9%). The risk of multimorbidity increased with the increasing of age (OR: 1.03, CI: 1.04-1.06). Patients from rural areas (OR: 3.25, CI: 2.08-5.06), and economically dependent (OR: 3.82, CI: 2.38-6.13) had a higher risk of having multimorbidity than the patients from urban, not economically dependent patients, respectively. Conclusion: The study suggests that there is an urgent need to develop geriatric health care services by gender, educational status, place of residence. Urgent policy initiatives are needed to address gender, educational status and place of residence specific multimorbidity of the countries with similar socio-eeconomic situation to reduce the burden of multi-morbidity.

Keywords
Multimorbidity; Elderly; Functional Status; Psychological Distress; Health-Related Quality of Life.

Topic
Others

Link: https://ifory.id/abstract/GYkJPBe4X3ra

Corresponding Author
ngadiman mistar

Institutions
Universitas Jenderal Soedirman

Abstract
Abstract National Sport System Law states that district governments are required to manage at least one leading sport branch with national or international level, therefore the regional superior sports development system is a very strategic approach. The purpose of this study is to determine the superior sports areas that prioritize the potential of the region. While the innovative special target of this research is to determine the superior sport as a priority sports development achievement through a development strategy based on local wisdom. This study used an observational design with a field survey approach. The source of data comes from all the stewardship of sports branches in the area of Cilacap regency, Central Java. The variables of this research include the elements of sports performance development that is; trainers, clubs, training, infrastructure, competition, championship, training centers, science and technology, information systems, funding, awards, environment and culture. The results showed that the top five leading sports in the area of Cilacap regency were; (82), archery (76), sepak takraw (52), pencak silat (32), and swimming (25).

Keywords
region, superior, sport

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/mJ8QbfvnTcCa

Corresponding Author
Lanny Hartanti

Institutions
), Angela Sima Nariswari(2), Galuh Nawang Prawesti(1)

Abstract
Oral

Keywords
(a)Pharmacy Faculty, Widya Mandala Catholic University Surabaya, Indonesia
(b)Medicine Faculty, Widya Mandala Catholic University Surabaya, Jalan Raya Kalisari Selatan No.1, Surabaya, Indonesia

Topic
Corresponding author: lanny.hartanti@ukwms.ac.id

Link: https://ifory.id/abstract/84qnPhNdJfQE

Corresponding Author
Nor Azwany Yaacob

Institutions
1Department of Community Medicine, 2 Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia.

Abstract
Background: Readiness to change behaviour is important to ensure effectiveness of therapeutic lifestyle change advice. Readiness to change diet and exercise was observed to be different in same individual. Purpose: This study aimed to develop and validate a questionnaire to assess readiness level to change diet and exercise. Methods: This is a cross sectional community based study. The questionnaire was developed based on Trans-theoretical model and literature reviews. READI questionnaire consists of two parts, readiness to change diet habit and to do exercise. Each set of self-administered questionnaire consist of 12 items; with 4 items for each behaviour change stage as subdomain; pre-contemplation, contemplation and action. Three response choice of “do not agree”, “less agree” and “agree” was used. Validity study was conducted at health community program on 100 villagers. Confirmatory factor analysis was done to assess construct validity for each questionnaire. Reliability was tested using Raykov-s Rho. Result: The factor loading range of both set was acceptable ranging from 0.22 to 0.81 for exercise questionnaire and 0.30 – 0.89 for diet, respectively. Raykov-s Rho for READI-Diet were 0.71, 074 and 0.83 while READI-Exercise were to 0.68, 0.62 and 0.72 for pre-contemplation, contemplation and action subdomain respectively. Conclusion: The READI questionnaire is a potential tool to assess readiness to change diet and exercise for a Malay speaking population.

Keywords
Readiness to change, Questionnaire, diet, exercise

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/uZG3kpybrnm7

Corresponding Author
Dian Susmarini

Institutions
Nursing Department, Jenderal Soedirman University, Indonesia

Abstract
Background: baby-led weaning is a new method of introducing solids in babies aged six to 12 months besides traditional weaning which has been practiced for ages. In feeding babies, maternal infant-feeding style reflects how mothers manage amount of food, feeding times and feeding pace. A study regarding maternal infant-feeding style is needed to identify the difference of maternal infant-feeding style in mothers following baby-led weaning and traditional weaning as a basic assessment of baby-led weaning field. Aim: This research was aimed to identify differences of maternal infant-feeding style among mothers following baby-led weaning and traditional weaning. Method: This study was a comparative research. Population was mothers of six to 12 months old babies in Indonesia. Respondents (n=316) were recruited using consecutive sampling technique through online survey in one month period. Results: There was a significant difference of maternal infant-feeding style among mothers following baby-led weaning and traditional weaning (p=0.000). Almost all traditional weaning group were categorized as authoritative and authoritarian which means mothers have more control over feeding the babies. Meanwhile, majority of mothers following baby-led weaning were in authoritative category. Authoritative is described as mothers have less both control and anxiety over babies feeding. Conclusion: This research supports the existing opinion that mothers following baby-led weaning give more independence to babies during solids introduction compared to traditional weaning mothers. This in accordance with characteristics of baby-led weaning mothers who let babies eat at their pace.

Keywords
baby-led weaning, maternal infant-feeding style, traditional weaning

Topic
Nursing

Link: https://ifory.id/abstract/mkbT89YyqzFc

Corresponding Author
Arif Imam Hidayat

Institutions
1Department of Nursing, Health Sciences Faculty, Universitas Jenderal Soedirman, Indonesia
2Faculty of Nursing, Prince of Songkla University, Thailand.

Abstract
Background: Majority mortality cases in Intensive Care Unit (ICU) happen after decision making. Nurses as an inseparable part of End of Life decision making in ICU have unique experience and condition as lived experience. Understanding Muslim nurses- lived experience can provide insights for increase quality of care during End of Life decision making in ICU. Muslim nurses- thoughts and feelings while delivering care in EOL decision making have not been described and understood. This study was conducted to described the meaning of Muslim nurses- lived experience in involvement at the EOL decision making in ICU. Purpose: To describe the meaning of the lived experience of Muslim nurses during their involvement in End of Life decision making in ICU. Methods: Hermeneutic phenomenological study was used to underpin this study. Fourteen nurses who work in ICU in Indonesia met the inclusion criteria: Muslim nurses and have been working in ICU for at least 3 years. Data were collected using in-depth individual interviews. Data transcription were analyzed by using van Manen-s hermeneutic phenomenological approach. Lincoln and Guba-s criteria were followed to established trustworthiness. Results: Four major thematic categories reflecting the four life worlds were identified: “feeling dilemma”, “being in uncertain time”, receiving overwhelming role”, and “evade from the process”. Conclusion: This study provides further knowledge regarding the meanings of the lived experience of Muslim nurses during their involvement in End of Life Decision making in ICU.

Keywords
end of life, decision making, intensive care unit, phenomenology

Topic
Nursing

Link: https://ifory.id/abstract/8YRr2FJc6W3C

Corresponding Author
Eri Wahyuningsih

Institutions
1Dept. of Public Health, Jenderal Soedirman University
2,4Faculty of Medicine, Public Health and Nursing, Gadjah Mada University
3Dept. of Sociology of Social and Political Sciences, Jenderal Soedirman University
5Dept. of Bioethic of Medical Faculty, Jenderal Soedirman University

Abstract
Background Migration is known of its contribution to overcome poverty. The remittance elevates a family access to education and health services. Despite the benefits, migrated parent(s) who leave their childrenn behind, create a new shape of public health problem: adolescent problem behavior, i.e smoking, early sexual activities, unhealthy diet, poor physical activity, violence and criminal. Purpose This ongoing research aims to define the relationship of parent-s or caregiver-s gender and the length of working period of parent(s) overseas, to adolescent problem behavior. Methods This observational survey use cross-sectional design, involves 100 repsondents of adolescent in Gumelar sub-district, part of Banyumas District in Central Java, Indonesia. Four villages are choosen to represent the sub-district situation. Data collected will be analysed in bivariate and multivariate test. Results Result will be presented on June 2019. Conclusion We look forward to a clear explanation whether parent-s or caregiver-s gender and the length of working period of parent(s) overseas have any relations to adolescent problem behavior in Indonesian migrant worker families left behind.

Keywords
adolescent, behavior, parent, migrant worker

Topic
Others

Link: https://ifory.id/abstract/FVpkKrD8Ynwe

Corresponding Author
Faizah Hamzah

Institutions
Agricultural Industry Technology Studies program, Department of Agricultural Technology, Faculty of Agriculture, University of Riau

Abstract
The purposes of this study were to obtain the effect of drying time on antioxidant activity and to obtain the best quality herbal tea fragrant pandan leaves (Pandanus amarylifollius Roxb.,). This study used a completely randomized design with 5 treatments and 3 replications. The treatments used were herbal tea fragrant pandan leaves are P1 (drying 110 minutes), P2 (drying 130 minutes), P3 (drying 150 minutes), P4 (drying 170 minutes) and P5 (drying 190 minutes). Data were analyzed statistically using ANOVA and DNMRT at 5% level. The results showed that the drying time significantly affected the moisture content, ash content, antioxidant activity and sensory assessment (descriptive and hedonic). The treatment chosen from the results of this research was the treatment P3 (Drying 150 minutes). Treatment of P3 had a water content of 5,17%, ash content of 3,30% and antioxidant activity (IC50) of 5,68 ppm. Rate sensory descriptive and hedonic herbal tea fragrant pandan leaves treatment P3 had the colour of powdered tea that was green and the colour of brewed tea was a little green, the aroma of tea powder was scented fragrant pandan leaves and the aroma was brewed tea was a little scented fragrant pandan leaves, taste steeping tea was a little astringent. The overall assessment of herbal tea steeping fragrant pandan leaves was slightly favored and tea powder was too slightly favored by the panelists.

Keywords
herbal tea, pandan fragrance, antioxidant activity and drying time.

Topic
Nutrition and Functional Food

Link: https://ifory.id/abstract/VT3MwvCDQt2U

Corresponding Author
Tuti Sri Suhesti

Institutions
Department of Pharmacy
Faculty of Health Sciences
Jenderal Soedirman University,

Abstract
Most free drugs are characterized by high liposolubility, but they often have limited clinical applications because of poor dissolution and poor bioavailability. The purpose of present study was to evaluate commercial preparations of Acetaminophen tablets with respect to drug release, Pharmaceutical formulations often require additional materials (excipients) in addition to the active ingredient itself. The use of excipients in tablet formulations is expected to produce a quality tablet of Acetaminophen which meets the requirements of the physical properties of tablets and is able to provide good drug release. The result showed that commercial preparations of Acetaminophen vary widely in their dissolution behavior in dissolution run experimentation. Identifying this behavior of the products was essential as an in vitro tool for screening a good and a bad formulation. Parameter test drug levels observed were dissolved at t = 30 min (C30) with default parameters standard C 30 shows the results should not be less than 80% of drug levels. The different dissolution profiles of 8 samples were showing the results of dissolution with C30 are eligible (> 80%).

Keywords
bioavailability, release, dissolution, acetaminophen

Topic
Pharmaceutical Sciences

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

Corresponding Author
Haryati Haryati

Institutions
1Medical Faculty of Halu Oleo University, Kendari, South East of Sulawesi, Indonesia
2Nursing Concentration of Medicine Faculty of Halu Oleo University, Kendari, South East of Sulawesi, Indonesia

Abstract
Background: Wounds are injuries to parts of the body, when the skin and underlying tissue lose their tissue continuity. Antimicrobial preparation such as povidine iodine is commonly used to reduce the risk of infection in minor injuries, but it can cause side effects. Lemongrass is one of the grass plants often used as a medicine. It has broad indications as analgesic, antiseptic, antiemetic, antitussive, antirheumatic, and anticonvulsant. Lemongrass is also used as an antibacterial, anti-inflammatory, and antioxidants that can affect the wound healing process. Purpose: This study aims to determine the effectiveness of lemongrass extract (Cymbopogon citratus) 30%, 60 and 80% compared with negative control and positive control group on incised wound healing in white mice. Methods: This study is a true experimental research with post-test only control group design using complete randomized. This research used 25 white mice divided into 5 groups: 30% lemongrass extract, 60% lemongrass extract, 80% lemongrass extract, negative control (Aquades) and positive control (Bioplacenton). Result: Analysis of Shapiro Wilk normality test data show p value > 0.05. Levenes Test homogeneity test was obtained p = 0.730 (p> 0.05), it showed that homogeneous data. Based on One Way ANOVA test showed result with p value > 0.05 (0.881). It means no difference the healing of incision wound. But for the average wound healing time it is known that lemongrass extract 60% is more effective in healing wounds in white mice compared to the concentration of lemongrass extract 30% and 80%, where total wound healing occurred on day 14 in the 60% lemongrass extract. Conclusion: There is no difference in effectiveness of lemongrass extract (Cymbopogon citratus) 30%, 60% and 80% compared with negative control groups and positive control on incision wound healing in white mice.

Keywords
incision wound, lemongrass extract, white mice, wound healing

Topic
Pharmaceutical Sciences

Link: https://ifory.id/abstract/Xnwp6tAeQKxk

Corresponding Author
Indah Setyowati

Institutions
General Soedirman Of University

Abstract
Background: Care for LBW babies in the intensive room causes separation with parents who influence bonding attachments. Mother involvement in the process of baby care is a way to strengthen bonding attachments. Knowledge and skills of mothers who do not make mother and baby attachment bonding needs difficult to fulfill. This study aims to determine the effect of audio visual bonding attachment media on the knowledge and skills of LBW mothers. Methodology: This research was a quasi experiment by using consecutive sampling with 34 respondents, divided into 17 respondents and 17 respondents. The intervention group was given health education through audio visual. The research instrument used a knowledge questionnaire and a bonding attachment observation sheet. Statistical tests using paired t test, independent t test, Wilcoxon and Mann Whitney Results: There were differences in the increase in knowledge (p = 0.001) and improvement in skills (p = 0,000) bonding attachments that were significant in the intervention group before and after the intervention was given. Conclusion: There is the influence of the use of audio visual bonding attachment media on the knowledge and skills of LBW mothers.

Keywords
audio visual, bonding attachments, LBW babies, knowledge, skills.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/UZmXQwahvR2V

Corresponding Author
Rauza Sukma Rita

Institutions
1)Department of Biochemistry, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Jalan Perintis Kemerdekaan No.94 Jati, Padang, Indonesia
*Corresponding author : (rauzasukmarita[at]med.unand.ac.id)
2) Department of Public Health and Community Medicine, Faculty of Medicine, Universitas, Padang, Indonesia
3) Department of Biology, Faculty of Mathematics and Natural Sciences, Universitas Andalas, Padang, Indonesia
4) Department of Histology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia

Abstract
Background : Hyperglycemia in diabetes melitus may leads oxydative stress and complications, either acute and chronic complications. Management of hyperglycemia is important to prevent bad effect of diabetes condition. Cathechin isolates from gambir (Uncaria gambir Roxb) consists of high amount of antioxidant and may help to prevent hyperglycemia. Purpose : This study aim to examine the effect of catechin isolates from Gambir (Uncaria gambir Roxb) on fasting blood glucose and glucagon serum level in rat induced-by alloxan. Methods : This study was an experimental research with Post Test Only Control Group Design and conducted on 35 male rats. Rats were divided into 5 groups. First group was considered as negative control group. Second group was considered as positive control group and induced by alloxan (150 mg/kg BW). Third, fourth, and fifth groups were considered as treated group 1, 2, and 3 (T1, T2, T3), also induced by alloxan, and were treated with different doses of catechin isolates for each group (10 mg/kg/day, 20 mg/kg/day, and 40 mg/kg/day). Catechin isolates were administered orally for 2 weeks. In the last day of experiment, fasting blood glucose and glucagon serum level were measured. Results : Catechin isolates decreased fasting blood glucose and glucagon serum level in rat induced-by alloxan significantly, but not in a dose dependent manner. Conclusion : Catechin isolates decreased blood glucose level by inhibiting glucagon serum level.

Keywords
cathecin isolates, alloxan, fasting blood glucose, glucagon, diabetes melitus

Topic
Communicable and Non Communicable Diseases

Link: https://ifory.id/abstract/VyKU9xjnXYED

Corresponding Author
Yuyun Ardisa

Institutions
Sport Science Department, Graduate School Program, Yogyakarta State University

Abstract
Background: Strength is the most important qualities rugby player fundamental reasons. Specific positions in rugby require strong and powerful players. In fact, these highly regarded qualities are not separate identities but rather, they are interlinked abilities. Aim: The research aims at determining the different effect between Training Program of Circuit Training A and Circuit Training B from Bompa and Claro and different effect of men and women given the training program of Circuit Trainin.g A and Circuit Training B from Bompa and Claro Method: The experimental research type was quasi-experimental. Research subjects were 11 rugby athletes in Special Region of Yogyakarta. The instruments used of this research were wall seat, sit up, and push up. Data analysis technique employed hypothesis test with t test analysis. Result: Results of the analysis from entire t test result was taken t calculate of 0.05, the result is concluded that there is no significant difference between the effect of Circuit training. Results of the analysis of difference between men and women given treatment the Circuit Training A Training Program is found to be the most value of t calculate of 0.05, the result is concluded that there is no significant difference between men and women given treatment with Circuit training A training program. While result of the analysis of the difference between men and women treated by Circuit Training B training program is known to be mostly t-calculate> t table, and p < value of 0.05. Conclusion: Research result is concluded that there is significant difference between men and women treated by Circuit training B training program.

Keywords
Circuit Training, Sex, Strength, Rugby

Topic
Sport Sciences and Physical Education

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

Corresponding Author
Yolanda Montessori

Institutions
UNIVERSITAS AISYIYAH YOGYAKARTA

Abstract
Background: One of the side effects of hormonal contraception is sexual dysfunction. Sexual dysfunction can cause serious problems such as depression, emotional disorders, mental health disorders, dissatisfaction in husband and wife relationships, decreasing harmony and reducing the quality of life for women. Purpose: The purpose of this study was to determine the effect of hormonal contraception on the sexual function of women who became family planning recipients. Method: Systematic literature review used search engines in the PubMed, Proquest and Science Direct databases from 2008 to December 2018. Results: The cause of sexual dysfunction in female hormonal contraceptive acceptors was hormonal changes. Factors that influence included age, race, parity, socioeconomic status, education level, depression, health conditions, body mass index (BMI), partner ownership, interpersonal, socio-cultural, alcohol consumption, pregnancy and smoking. The impact of sexual dysfunction in women covered depression, emotional disturbances, mental health disorders, physical health problems, anxiety and fear that affected the satisfaction of marital relationships. Conclusion: It is expected that health workers provide counseling regarding the long-term side effects of hormonal contraceptive use and become a consideration for policy makers to promote family planning programs for men.

Keywords
Female sexual dysfunction, hormonal contraceptive, Depo-Medroxyprogesterone Acetate, combined oral contraceptives, Dyspareunia

Topic
Others

Link: https://ifory.id/abstract/kGZ9baYc4QmE

Corresponding Author
Mutiara Solechah

Institutions
Universitas Aisyiyah Yogyakarta

Abstract
Background: Malnutrition is increasingly recognized as common and important health problem in many developing countries, as it has a serious long-term consequences for the child and the negative effects on their development. The most common form of malnutrition is iron deficiency, especially among children. Lack of iron is one of the most widespread nutritional disorder in developing countries and developed, so that a global health problem. Anemia can affect cognitive progress, performance in school, physical growth and behavior, and the ability of your childs immunity to disease. Meeting the needs of nutrition and micronutrient is especially important in childrens development and their growth. Objective: Systematic this review is to conclude on the effect of malnutrition with the incidence of anemia in children in ASIA. Methods: Systematic Literature Review uses 3 databases are Pubmed, One Search and Proquest the 2008-2018 time period. Results: Great influence on the incidence of malnutrition, anemia in children by 41% -70%. Conclusion: Malnutrition is one of the causes of anemia in children in developing countries in ASIA, and is also influenced by other factors, such as household socioeconomic status, type of fuel used in household and sanitary facilities, education level mother, children younger age, number of siblings and fever, ASI and IMD, Gender, Diarrhea in 2 weeks, anemia status of breastfeeding mothers.

Keywords
malnutrition, anemia, child, Southeast Asia

Topic
Nutrition and Functional Food

Link: https://ifory.id/abstract/BxyT6Vbq3YQz

Corresponding Author
Arni Amir

Institutions
Department of Biology, Faculty of Medicine, Universitas Andalas

Abstract
Propoxur is classified as bad actor because of its high toxicity. If inhaled or absorbed the body can obscure vision, excessive sweating, dizziness, headache, and weak body. Propoxur also decreases the activity of enzymes that play a role in nerve transmission, and adversely affects the liver and reproduction. Propoxur is a middle class poison. If inhaled or absorbed by the human body can obscure vision, excessive sweating, dizziness, headache, and weak body. Propoxur can also reduce enzyme activity which plays a role in nerve transmission, and adversely affects the liver and reproduction. Study aimed to determine the effect of propoxur exposure toward estradiol level and estradiol receptors in Rattus novergicus female. The experimental rats were divided into 4 groups, namely: the first group of control groups as many as 8 groups were not given treatment, the second group was the treatment group (P1) this group was given propoxur 1 spray for 30 minutes, the third group (P2) this group was given propoxur 2 spray for 60 minutes, and the third group (P3) is given propoxur 3 times the spray for 90 minutes, the estrus cycle is examined every time estrus. Collection of serum and ELISA examination on hormone levels of estradiol and its receptors Results showed there were significant differences between the control group and the treatment group exposed to Propoxur for 30 minutes (19.5869 ± 4.9731), 60 minutes (20.0920 ± 5.7529), and 90 minutes (25.8703 ± 4.0753). There was a long-standing effect of Propoxur toward Estradiol hormone (p = 0.000). There were also significant differences of estradiol receptor (p = 0.008) between the control group and the treatment group exposed to Propoxur for 30 minutes (1.8489 ± 0.9017), 60 minutes (2.3844 ± 1.4296), and 90 minutes (3.1634 ± 0.9936). Based on statistical tests, it concluded that there is a long-standing effect of Propoxur. The longer exposure to Propoxur the higher the level of estradiol receptors.

Keywords
propoxur, estradiol hormone and estradiol reseptor

Topic
Health Technology and Medical Treatment

Link: https://ifory.id/abstract/rRmfu6xAHvwP

Corresponding Author
Mukhadiono, SST, MH

Institutions
1 Departement of Mental Health Nursing, Semarang Health Polytechnic of Ministry of Health Republic of Indonesia

Abstract
Background: Schizophrenia is a split personality, between thoughts, feelings, and behavior. Individuals with schizophrenic disorders show an increased risk of violent behavior. One of type of cognitive therapy that can be applied for patients with violent behavior is Rational Emotive Behavior Therapy (REBT). REBT is a method for understanding and overcoming emotions and behavior found on patients with violent behavior. Purpose: The purpose of the study was to determine the effect of REBT againts coping and aggressiveness of patients with violent behavior. Methodes: The design of this study was quasy experimental pre posttest with control group. The total sample for this study was 60 patients, that divided by 30 patients into the intervention group and 30 patients into the control group. Statistical analysis was using Paired T Test and McNemar Test. Results: The results showed that aggressiveness value before and after REBT were significantly difference with p value 0.000 (< 0.05). There was a significant difference in the mean difference aggressiveness scores between the intervention and control group with p value 0.000 (< 0.05). There was significant differences in coping changes in patients with violent behavior in the intervention group who received REBT (p value 0.000 < 0.05). Whereas in the control group there was no significant difference in coping changes before and after (p value 0.062 > 0.05). Conclusion: Rational Emotive Behavior Therapy (REBT) has a significant effect on reducing scores of aggressive and coping on patients with violent behavior.

Keywords
Violent Behavior, Rational Emotive Behavior Therapy (REBT), Coping, Aggressiveness

Topic
Nursing

Link: https://ifory.id/abstract/NqYmQ4vBfjaU

Corresponding Author
GUPO MATVAYODHA

Institutions
Posgraduate Program Of Yogyakarta State University, Indonesia

Abstract
Background: The preliminary study found that the ball dribbling skills of the soccer school (SSB) students of Gelora Karya were still not sufficient because the school has not implemented the proper methods to conduct the training of shuttle run, squat thrust and zig-zag run and that the training program was still not effective. Moreover, the students still experienced lack of mastery of basic dribbling techniques that was apparent due to poor feet coordination when carrying the ball and inability to avoid impacts with other players. Lack of intensity of dribbling drills was also to blame. Purpose: This study aims to investigate the effect of shuttle run and zig-zag run using a ball on the ball dribbling skills of the Gelora Karya soccer school students in Jambi. Method: This is an experimental study which was conducted in Gelora Karya soccer school in the city of Jambi. The research participants were 20 students. Results: The study found that the first hypothesis testing obtained tcount = 10.036 and ttable = 1.860, meaning that tcount is higher than ttable. On the other hand, the second hypothesis testing obtained tcount = 7.421 and ttable = 1.860, meaning that tcount is higher than ttable. Lastly, based on the results of the third hypothesis testing, t¬count was 12.647 and ttable was 1.860 which means that tcount is higher than ttable. These results indicated that there was an effect of shuttle run and zig-zag run drills using a ball on the students- soccer dribbling skills. Conclusion: There is a different extent of effect of shuttle run and zig-zag run drills with a ball on the soccer dribbling skills of the SSB Gelora Karya students in Jambi.

Keywords
Exercise shuttle run, run zig-zag, ball dribbling skills

Topic
Sport Sciences and Physical Education

Link: https://ifory.id/abstract/ewzACKJndYv2

Corresponding Author
elia nur ayunin

Institutions
Faculty of Health Sciences, University Muhammadiyah Prof Dr Hamka (UHAMKA), Jakarta

Abstract
Background: Low Birth Weight (LBW) in Boyolali still be serious problem. In 2013 LBW incidence was reached 15.3 per 1000 live births, plus exclusive breastfeeding coverage was 51.3% still below national target 80%. Therefore, midwives roles required to resolve these problems. Midwives were necessary to improve their capacity through a combination of lactation management and KMC training. Purpose: The purpose of this study was to evaluate effectiveness of combination training using primary data and compared with secondary data (Data Perinasia in 2010-2014). Methods: Design of this study used qualitative approach with quacy experiment design study one group pretest and post-test with time series measurement. This study using two data sources, primary data obtained in combination training and secondary data from PERINASIA. Primary data collection uses knowledge questionnaire at pretest, 1st post-test, and 2nd post-test which filled by respondents independently. While secondary data was obtained from Perinasia training-s data, it was pretest and post-test value in lactation management and KMC training in period 2010 – 2014. Secondary data was selected based on suitability characteristics in training participants, that is similarity of education, age and residence. Data analysis involved univariate and bivariate analysis. Bivariate analysis used paired t-test, independent t-test and correlation analysis, because all data are normally distributed. Results: The learning evaluation result showed that overall knowledge score of lactation management and KMC were increased. Comparative result of secondary data showed there were signicant difference in knowledge score between the combination training and the lactation management training only. Conclusion: Overall training this succefully increased knowledge and midwives skill releated of lactation management and KMC.

Keywords
Effectivisness training, Midweves, Lactation Management, KMC

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/kUxubrq6t9EM