Indonesia Conference Directory

Corresponding Author
Anita Faradilla Rahim

Institutions
UNIVERSITAS MUHAMMADIYAH MALANG

Abstract
Overweight adalah akumulasi lemak abnormal atau berlebihan yang dapat mengganggu kesehatan, yang terjadi akibat ketidakseimbangan energi dimana energi yang masuk lebih besar dibandingkan dengan energi yang dikeluarkan (WHO, 2017) sehingga terjadi penumpukan cadangan energi yang disimpan dalam jaringan adiposa (Sherwood, 2016). Akumulasi jaringan adiposa dan peningkatan massa tubuh yang berlebih dapat menyebabkan penurunan massa otot, sehingga menghasilkan gangguan respon otot dan hilangnya mekanisme stabilitas tubuh (Greve et al., 2008). Tujuan penelitian ini adalah mengetahui perbedaan core stability exercise dan ankle proprioceptive exercise dalam meningkatkan keseimbangan dinamis perempuan dewasa muda overweight. Hasil yang didapat sebelum latihan pada kelompok satu (K1) 58,9±9,46 dan kelompok dua (K2) 58,2±4,18,. Rata-rata setelah latihan kelompok satu (K1) 92,1±4,15 dan kelompok dua (K2) 91,0±3,47. Kesimpulan dari penelitian ini adalah tidak ada perbedaan antara latihan Core stability exercise dan Ankle proprioceptive exercise dalam meningkatkan keseimbangan dinamis perempuan dewasa muda overweight.

Keywords
Core stability exercise, ankle proprioceptive exercise, keseimbangan dinamis, perempuan dewasa muda, overweight

Topic
Community Health

Link: https://ifory.id/abstract/kAaFyGDL3cfT

Corresponding Author
Ahmad Shobrun Jamil

Institutions
University of Muhammadiyah Malang

Abstract
Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui kandungan senyawa metabolit sekunder fraksi etanol daging buah Limonia acidissima secara kualitatif dan menguji aktivitas antimikrobanya pada Eschericia coli, Staphylococcus aureus dan Candida albicans. Metode Penelitian: Skrining fitokimia dilakukan dengan mengeluasi ekstrak pada silika gel dengan eluen n-heksan : etil asetat. Plat KLT hasil eluasi kemudian disemprot dengan penampak noda; Alkaloid: Pereaksi Dragendorff; Terpenoid: Pereaksi anisaldehida-asam sulfat. Plat dipanaskan dengan suhu 100°C; Flavonoid: Pereaksi H2SO4 10%; Polifenol dan tanin: Pereaksi FeCl3 10%; Antrakuinon: Pereaksi KOH 10% dalam metanol. Adapun uji antimikroba dilakukan dengan metode difusi cakram dengan konsentrasi 50 mg/ml, 75 mg/ml dan 100 mg/ml dengan kontrol nistatin dan Kloramfenikol. Hasil dan Kesimpulan Hasil skrining fitokimia fraksi etanol Limonia acidissima dapat dideteksi kandungan alkaloid, terpenoid, antraquinon, dan saponin. Hasil uji antimikroba diperoleh data bahwa fraksi etanol Limonia acidissima memiliki aktivitas hambat yang semakin meningkat dari 50 mg/ml, 75 mg/ml, dan 100 mg/ml.

Keywords
antimikroba, fraksi etanol, Limonia acidissima, skrining fitokimia

Topic
Pharmaceutical Science

Link: https://ifory.id/abstract/rEH9yCR3JAzY

Corresponding Author
Nita Rusdiana

Institutions
a) School of Energy, Bandung Institute of Technology
Jalan Ganesha 10, Bandung 40132, Indonesia
*nita.rusdiana270[at]gmail.com

Abstract
Based on data from Indonesian Health Ministry and National Agency of Drug and Food Control, there are more than 7,200 Household and 165,000 cosmetic products items registered in Indonesia consisting of 20 cosmetic and 7 household product categories. These products contain different chemicals ingredients, including surfactants, dyes, bleaching agent, preservative/antimicrobial agent and various excipients to which consumers may be exposed. As a part of risk assessment, the aim of this research was to obtain general pattern of cosmetic and household products uses by consumers relevant to describe possible exposure to chemicals contained in those products. The research was conducted by means of data collection officially published by Indonesian Health Ministry and National Agency of Drug and Food Control and questionnaire survey method. The survey was performed by participant observation technique and questionnaires were delivered to respondents via online application. The respondents are Indonesian citizen having official identity living in Indonesian territory with the age of at least 20 years old. The survey results revealed that all cosmetic product categories (100%) and 99% of household product categories were used by respondents. This high exposure potency could in turn may cause negative impact to public health. However, the risk of this possible negative health impact can only be quantitatively characterized by means of exposure assessment of hazardous substances may present in the two product categories to public.

Keywords
Household product, cosmetic, exposure, risk characterization

Topic
Environmental Health

Link: https://ifory.id/abstract/RnbJvBwg962G

Corresponding Author
Eva Monica

Institutions
(a)Department of Chemistry, Faculty of Science and Technology, Universitas Ma Chung, Villa Puncak Tidar N-01, Malang 65151, East Java, Indonesia
(b)Department of Chemistry, Faculty of Science and Technology, Universitas Ma Chung, Villa Puncak Tidar N-01, Malang 65151, East Java, Indonesia
(c)Ma Chung Research Center for Photosynthetic Pigments, Universitas Ma Chung, Villa Puncak Tidar N-01, Malang 65151, East Java, Indonesia

Abstract
Sunlight consists of ultraviolet (UV) light and based on its wavelength, the UV light could be categorized into UVA, UVB, and UVC. UVA has the longest wavelength of 320-400 nm and causes skin cancer in the epidermal layer. On the other hand, UVB with a wavelength of 290-320 nm gives an effect on the epidermis and dermis layer causing the skin to burn. Organic Ultraviolet (UV) filters can be found in plants and fruits which have orange-red or pink colours, such as watermelon, tomato, secang (Caesalpinia sappan), carrot, dragon fruit, faloak (Sterculia quadrifida R.Br), strawberry, papaya, and rosella. Most of these plants contain active compounds such as carotenoids and anthocyanin. Determination of the effectiveness of the extracts as potential sunscreen was carried out by determining the Sun Protecting Factor (SPF) value in vitro by UV spectrophotometry. Maceration technique was used for the extraction process by using ethanol with a ratio of 4:1. Each of dried extract (100 mg) was then mixed well in the ethanol (96%, 50 mL) until all the extract was dissolved and then filtered. The absorbance of each extract was measured in the wavelength range of 290-320 nm and the interval was set at 5 nm. The SPF values were determined by the Equation of Mansur. It was observed that all of the red pigmented extracts showed UV protection capabilities, with secang extract gave the highest SPF value of 18.490. Therefore, the secang extract would have good potential to be developed as one of the ingredients in the sunscreen cream. Sunscreen cream combination between secang extract and ZnO showed good quality and significant SPF value than ZnO and extract secang sunscreen cream.

Keywords
SPF; red pigment; natural extract; organic UV filter; secang, ZnO

Topic
Pharmaceutical Science

Link: https://ifory.id/abstract/vR4ewfnYDKCH

Corresponding Author
Muhammad Rosyidul -Ibad

Institutions
Nursing Studies, Faculty of Health Sciences, Muhammadiyah University of Malang

Abstract
Patients with hemodialysis therapy will undergo lifelong therapy to maintain their health while undergoing therapy the patient will experience burnout, stress, and feel the side effects of therapy. Coping mechanisms that occur in hemodialysis patients are not always adaptive, they also tend to maladaptive coping mechanisms such as denial, denial, and even avoidance. Social support is needed to change the mechanism of maladaptive coping into adaptive. The purpose of this study was to identify the relationship of social support to the ability of coping mechanisms of hemodialysis patients. The study was conducted on 30 HD patients and analyzed using Chi-Square. The result is a significance value of less than alpha of 0.050 which means that there is a relationship between social support and coping mechanisms at an error rate of 5 percent.

Keywords
Social Support, Coping Mechanisms, Hemodialysis

Topic
Psychiatric Health

Link: https://ifory.id/abstract/HjNAVhQBPf6e

Corresponding Author
Atika Yulianti

Institutions
Muhammadiyah University of Malang

Abstract
A child who experiences problems of excessive nutritional value when he is an adult will cause dangerous diseases such as cardiovascular disorders, and diabetes. Being overweight can also affect a childs intelligence. In children with overweight status, intelligence can experience a decrease due to a decrease in creativity and limitation when doing activities due to body conditions that are not free to move so that makes children lazy to do something. Rhythmic exercise (Senam Irama) increases the ability of muscles to produce energy aerobically and undergoes a metabolic process whose source of energy comes from burning fat. The purpose of this study was to determine the effect of rhythmic exercise training on decreasing body mass index of RA Muslimat Tarbiyatunnasi-in Paculgowang students in Jombang. The research design used was the One Group Pre-test Post Test Design with a sample of 22 people, then BMI was measured using BMI / U and the nutritional status was obtained using the Z-score formula. This research was tested with Wilcoxon test and obtained a significance value smaller than 0.05 (0.00 <0.05) this means that H0 is rejected and H1 is accepted. Conclusion: There is an effect of rhythmic exercises on the decrease in body mass index. Keywords: Body Mass Index, Rhythmic Exercise, RA Muslimat Tarbiyatunnasyi-in.

Keywords
Rhythmic Exercise, Senam irama, Weight Loss, Preschool

Topic
Pediatric Health

Link: https://ifory.id/abstract/43wGPjpnaQhF

Corresponding Author
Risa Herlianita

Institutions
School of Nursing, University of Muhammadiyah Malang

Abstract
Background: Hypertension is called the silent killer because this disease is a deadly disease, this disease can give up anyone, both young and old. Risk factors for hypertension include age, gender, family history, obesity, diet, smoking habits, alcohol consumption, and physical activity. The purpose of this study was to determine risk factors related to hypertension to employees of the University of Muhammadiyah Malang. Research Method: This study used a descriptive research design using a cross sectional approach. The sample amount to 60 respondents was taken by the purposive sampling technique. Analysis using the Spearman Rank Correlation test with significance level (α) = 0.05. Result: The results of the study Showed that risk factors for hypertension include age 18-29 years (46.7 %), gender was male (56.7%), family history (51.7%), body mass index in the normal category (55%), fruit diet and vegetables 1-2 servings (88.3%, 75%), smoking in the never smoking category (58.4%), alcohol consumption in the never consuming alcohol category (93.4%), physical activity in the category of High Level (63.3%). The results of the statistical tests show that there is a relationship between risk factors of blood pressure and p value = 0.732. Conclusion: Risk factors for hypertension in Employees of the University of Muhammadiyah Malang were smoking, diet, physical activity and age.

Keywords
risk factors of hypertension, hypertension, employees

Topic
Medical and Surgical

Link: https://ifory.id/abstract/dEveWQzaukh4

Corresponding Author
La Banudi

Institutions
Health Polytechnic Kendari, Ministry of Health of the Republic of Indonesi and High School of Health Sciences Mandala Waluya Kendari

Abstract
Basic Health Research of Indonesia "Riskesdas" in 2013 noted the prevalence of cancer in Indonesia was 1.4 per 1000 population or around 347,792 people and is the number 7 cause of death (5.7%) of all causes of death. The incidence of cancer in Southeast Sulawesi was 0.5 ‰ with an estimated absolute number of 590 cases. This research was analytic survey research with a case-control study approach. The population in this study were women aged 15-65 years who were diagnosed with breast cancer. The sample amounted to 100 respondents divided into 50 case samples and 50 control samples. The test analysis used was the odds ratio. The odds ratio test results indicated that a history of menarche was a risk factor for breast cancer, a history of breastfeeding was a risk factor for breast cancer incidence. Family history was a risk factor for breast cancer incidence. A history of hormonal contraception was a risk factor for breast cancer. The age of giving birth to a first child was not a risk factor for breast cancer, smoking history was a risk factor for breast cancer.

Keywords
Breast Cancer, Menarche, Breastfeeding History, Family History, Hormonal Contraception, Smoking History.

Topic
Community Health

Link: https://ifory.id/abstract/ZQ4eg87pPwqu

Corresponding Author
Anggraini Dwi Kurnia

Institutions
1Community Nursing Departement, Faculty of Health Science, University of Muhammadiyah Malang, Indonesia
2 Nurse Practicioner, Public Health Center of Ciptomulyo, Malang, Indonesia

Abstract
Background: To reduce complications in people with diabetes mellitus is self management dietary behavior. It was included in one of the Ministry of Healths programs, CERDIK. CERDIK has meaning, periodic health check, get rid of cigarette smoke, diligent physical activity, healthy and balanced diet, adequate rest, and manage stress. Purpose: The aim of this study was to identify self management dietary behavior among diabetes mellitus type 2 in indonesia. Methods: This study used a cross sectional approach. The sampling technique used is nonprobability sampling type of purposive sampling. The number of samples were 69 people with diabetes mellitus in the working area of Ciptomulyo Health Public Center. Results: Self management dietary behavior of patients with diabetes mellitus ranges from 54-101 with an score of 72.17±8.50. Self management dietary behavior scores classified as good (> 73) and bad (<72). Approximately, 50.7% of respondents have good dietary behavior, and as many as 49.3% have poor dietary behavior. Conclution: Dietary behavior among tuberculosis patient still need to be improved to avoid complication.

Keywords
Self management, dietary behavior, diabetes mellitus

Topic
Community Health

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

Corresponding Author
Nur Lailatul Masruroh

Institutions
Nursing Science Study Program, Faculty of Health Sciences,
University Muhammadiyah Malang

Abstract
Background: A mother play important role to protect her children from any dangerous substances. This includes protecting her child from cigarette smoke exposure that contribute to the series of health problem. Self-efficacy of a mother allows her to take a particular action needed in the difficult situation, one of which is avoidance behavior of cigarette smoke exposure around her and her children. Objective: The aim of this study was to explore the relationship between self-efficacy with avoidance behavior of cigarette smoke exposure among mothers with toddlers. This was a cross sectional study of 73 mothers with toddlers who live in a house together with active smoker, it selected using purposive sampling. Spearman rank analysis were perform to explore the relationship between variables. Results: Of the 73 mothers, 90.4% had a high self-efficacy and 82.2% had high levels of avoidance behavior. Spearman rank test showed sig. (2-tailed) value of 0.005. Correlation Coefficient obtained was 0.324, it means that there were a positive relationship between self-efficacy and avoidance behavior, with the strength of the relationship is in the moderate level. Conclusion: The more higher the level of self-efficacy is accordance with the level of avoidance behavior of cigarette smoke exposure. The experiences of mothers with toddlers in applying avoidance behavior from cigarette smoke exposure are very meaningfull to maintain the health of their children.

Keywords
Self-Efficacy, Avoidance Behavior, Cigarette Smoke Exposure, Mother, Toddler.

Topic
Community Health

Link: https://ifory.id/abstract/8y69VFmEJpkb

Corresponding Author
Nur Melizza

Institutions
Nursing Department, Faculty of Health Sciences, University of Muhammadiyah Malang

Abstract
Abstract Background: Many students have been accustomed to smoking, including those majoring at health sciences. Theoretically, they are supposed to be the ones who are actively aware of some possible health damages caused by smoking habit. Thus, people around them play an essential role in taking control of someone-s pattern through social support, especially over those who are highly motivated to quit smoking. Method: This research is categorized as observational-descriptive one, with the use of accidental sampling technique to recruit as many as 63 students of faculty of health sciences who were defined as active smokers. The data, furthermore, were collected by means of a questionnaire. At last, a statistical-descriptive analysis was used to evaluate the data. Results: Most of the involved respondents were shown to have a moderate trend of smoking (65%). On the other hand, the majority of the respondents had been supported through some types of social support with relatively high percentage, to name appraisal support (indicating 71%), tangible support (indicating 87%), self-esteem support (indicating 97%), and belonging support (indicating 92%). Moreover, most of the respondents were equipped by the high level of quittance motivation from smoking, signifying 71%. Conclusion: This research had indicated that the level of smoking habit perceived by the respondents was moderate. In short, appraisal support was defined as high, tangible support low, self-esteem support high, and belonging support high. In addition, some of the respondents had demonstrated a high level of quittance motivation from smoking.

Keywords
smoking habit, adolescent, support, motivation, quittance from smoking

Topic
Community Health

Link: https://ifory.id/abstract/wLm8NTun9xaf

Corresponding Author
Riza Fikriana

Institutions
STIKes Kepanjen Malang

Abstract
Introduction: Hypertension is a risk factor for cardiovascular disease. The blood pressure control through regular physical activities is necessary to prevent complications. Social support is one of the factors that affect the physical activities of people with hypertension. This study aims to identify the correlation between social support and physical activities of people with hypertension. Method: This study used correlational method with the cross-sectional approach. 110 people were chosen as participants using simple random sampling technique. A questionnaire asking about support from family, health workers, and peers, as well as International Physical Activity Questionnaire were used to collect the data. The statistical test conducted was Gamma Correlation Test. Results: Results show that there was no relationship between family support, health worker support, and peer support with physical activities among people with hypertension aged 45 years and above indicated by the p-value for each variable: 0.655, 0.055, and 0.857. Based on the three p-values, the support from health workers had a p-value close to 0.05. Conclusion: No correlation between social support and physical activities of the people with hypertension signifies that social support has not yet been able to be given adequately to the people with hypertension. Family, health workers, and peers are expected to strengthen their role in controlling the blood pressure of the people with hypertension through physical activities.

Keywords
Social support, physical activities, hypertension

Topic
Medical and Surgical

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

Corresponding Author
Edi Purwanto

Institutions
School of Nursing, Faculty of Health Science, University of Muhammadiyah Malang

Abstract
Background: Collaboration influences the quality of healthcare; therefore, collaboration skills must be owned by every member of the healthcare team. The knowledge about competencies and role of each profession must be understood, so can avoid overlap of competencies, role, and responsibilities between professions. One of the learning methods can improve collaboration skill is Interprofessional Education (IPE), so that every member of healthcare can learn and discuss the case based on the competencies of each profession. Aim and Method: this study to know the perception of Interprofessional Education student of medical, pharmacy, and nursing science. This study used the IEPS questionnaire to measure the student-s perception of IPE. This study also used a pre-experimental design Factorial Design. This research was followed by medical, pharmacy and nursing students of the University of Muhammadiyah Malang. Result: Showed that perception and readiness of IPE before and after IPE was good, for pre-test perception (85,95%) and post-test (94,60. Results from the Wilcoxon Test (p <0.05) showed no significant changes in perception on IPE (0.068> 0.05). However, the results of the analysis of each domain in IEPS for measure perception found a significant change in the competence and autonomous domain (0.000). Conclusion: This study shows that IPE can improve perceptions of competence, autonomy, and cooperation of IPE.

Keywords
Inter-professional Education, Perception, Collaboration, Nursings Student

Topic
Basic Health Science

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

Corresponding Author
OLLYVIA FREESKA DWI MARTA

Institutions
a*) Basic Science Nursing Department, Faculty of Health Science, Universitas Muhammadiyah Malang
*ollyvia[at]umm.ac.id
a) Basic Science Nursing Department, Faculty of Health Science, Universitas Muhammadiyah Malang
b) Rumah Sakit Islam Aisyiyah Malang

Abstract
Background: Nowadays, the demand for quality in health service were higher. Patient satisfaction is one of measure of hospital quality. However, the association between outpatient satisfaction and the causes of control compliance is lacking to be explored. Objectives: To examine the association of outpatient satisfaction and the causes of control compliance in the Rumah Sakit Islam Aisyiyah Malang. Design: A cross-sectional study design was employed. Settings: This study was conducted in the Rumah Sakit Islam Aisyiyah Malang. Participants: A total of 30 outpatient clinic patients (13 males; 17 females) were included. Methods: Data pertaining to the bio-socio-demographic characteristics and RATER (responsiveness, assurance, tangible, empathy, and reliability) questionnaire were collected in June, 2018. We conducted the interview to seek the patient-s control compliance. A Spearman Rank test was used for data analyses. Results: The majority of the respondent was female and the age of respondents was 56-65 years old. The outpatient satisfaction was categorized as 33% very satisfied and 66% moderately satisfied. For the aspect of outpatient satisfaction, 80.9% respondents were satisfied by the assurance aspect as well as 76.7% by the tangible aspect. The participants were considered as high compliance by the prevalent 86.7%. There was non-significant correlation between outpatient satisfaction and the causes of control compliance. Conclusions: The majority of the patient were satisfied by the health service and higher in control compliance. The correlation of outpatient satisfaction and the causes of control compliance were remaining insignificant. We recommend to the health care providers to patiently serve the patient, have a good communication skill, and empathy. Nurses are also required to promote their caring habits to the patients.

Keywords
Outpatient satisfaction; control compliance; outpatient clinic

Topic
Basic Health Science

Link: https://ifory.id/abstract/QqNudncAKa3y

Corresponding Author
Juwita sari

Institutions
1Department of Nursing, Faculty of Health Science, University of Muhammadiyah Malang,
2Department of Public Health, Brawijaya University school of medicine,
3Department of Anatomy, Brawijaya University school of medicine.

Abstract
Children with autistic disorder may lead to more severe tooth caries worse than normal people. Tooth caries is a chronic regressive process which begins with the dissolve of email minerals, destruction, and then emergence of cavitation. Autistic people experience a complex brain development disorders, therefore how old age of people with autism spectrum disorder, not guarantee the ability to keep oral and tooth hygiene will increase. The aim of this research is to find out the correlation between tooth health care with number of tooth caries case in autistic students at elementary and junior high school for disabled students Bhakti Luhur Malang. This reseach uses observational analysis design with cross sectional method. Collection of data is carried out using Total Sampling technique upon 24 students who fulfill inclusion requirements. The result shows that all autistic students suffering tooth caries. Students with bad tooth health care relatively have mild caries as shown by 7 students (29,17%). Students with usual tooth health care have mild caries as shown by 6 students (25%) and light caries as shown by 12 students (50%). Students with good tooth health care relatively have light caries as shown by 5 students (20,83%). Based on Spearman Correlation test, there is a significant correlation between tooth health care with number of caries in autistic students at elementary and junior high school for disabled student Bhakti Luhur Malang. It is suggested to improve tooth care in caries prevention with involvement of parents, teacher, and health care providers.

Keywords
Tooth Health Care, Autistic Student, Caries Accumulation

Topic
Pediatric Health

Link: https://ifory.id/abstract/fa6gb8CYxt9p

Corresponding Author
Safun Rahmanto

Institutions
Professional Program & Physiotherapy Study, University of Muhammadiyah Malang

Abstract
The Correlation Of Work Loads And Work Positions On Risk Occurrence Of Low Back Pain Myogenic On Sand Mining Safun Rahmanto1, Ali Multazam2, Anggun Retno Muninggar3 Professional Program & Physiotherapy Study, University of Muhammadiyah Malang *Correspondence: savun7@gmail.com1 azzamphysio@yahoo.com2 anggunretno11@gmail.com3 ABSTRACT Background: Low Back Pain is a condition of pain that is felt in the lower back area, usually felt between rib bones to the lower fold of buttocks and can reduce human work productivity. Workload and work position are the factors of concern in the incidence of Low Back Pain. Research Method: This research was observational analytic using cross sectional method, the study was conducted from 25-27 February 2019. Respondents in the study were sand mining workers in Kalimujur Lumajang Regency as many as 63 respondents. The technique of taking respondents uses purposive sampling. Result: Based on the results of the spearman correlation calculation (α <0.05) the workload relationship with the risk of back pain is below p value 0,000 then H0 is rejected. The results of the spearman correlation calculation work relationship with the risk of back pain below p value 0,000 then H0 is rejected. From these results it can be concluded that there is a relationship between workload and work position on the risk of low back pain in Kalimujur sand miners in Lumajang Regency. Conclusion: There is a relationship between workload and work position to the risk of low back pain in sand miners in Kalimujur Lumajang Regency. Keywords: Low Back Pain, Workload, Work Position, Sand Miners, Kalimujur. 1 Professional Program & Physiotherapy Study, University of Muhammadiyah Malang 2 Professional Program & Physiotherapy Study, University of Muhammadiyah Malang 3 Physiotherapy Study Program The University of Muhammadiyah Malang BACKGROUND Lumajang district is one of the areas in East Java Province. Lumajang Regency has an area of 1,790.90 km2 and has 1,006,458 inhabitants. The majority of the people in the Lumajang area work as sand miners to meet the needs of their families. Sand miners in the Lumajang area, at the time of work many of them did not use machines, but instead used simple methods, namely with hoes or shovels to collect sand (Central Statistics Agency, 2016). In Lumajang the mining industry is one of the industries that is prioritized by the government of Lumajang Regency, where Lumajang Regency is known as one of the best sand-producing industries in Indonesia (Central Statistics Agency, 2016). Based on a preliminary study conducted by researchers at the Kalimujur sand miner in Lumajang Regency, which amounted to 73 active miners through interviews as many as 8 respondents stated experiencing low back pain. Low back pain is a pain that is felt in the lower back area, in the form of local pain or radicular pain or both pain. Pain that is usually accompanied by pain radiates to the legs and feet. Pai

Keywords
Keywords: Low Back Pain, Workload, Work Position, Sand Miners, Kalimujur.

Topic
Musculosceletal Health

Link: https://ifory.id/abstract/gWG9PzqF8w4N

Corresponding Author
Titik Agustiyaningsih

Institutions
1Lecturer of Faculty Of Health Science University of Muhammadiyah Malang
2Lecturer of Faculty Of Nursing, Airlangga University
3Lecturer of Faculty Of Nursing, Airlangga University

Abstract
Background: COPD patients will experience increased airflow resistance, air trapping, and pulmonary hyperinflation. This condition causes a decrease in FEV1 and symptoms of shortness will occur earlier. The purpose of this study was to explain the effect of autogenic training with pursed lips breathing on anxiety and FEV1 of COPD patients. Method: This research used Quasy Experiment with Pre-Post approach of control group design. The population of this research were PPOK patient in RSUD Kanjuruhan Kepanjen Malang Regency and RST dr.Soepraoen Malang. Sampling was done by Simple Random Sampling technique according to inclusion criteria with total of 40 patients. The autogenic training intervention with pursed lips breathing had done 3 times a week for 4 weeks. So the total exercise as much as 12 times. Instruments used to measure anxiety are Zung-Self Rating Anxiety Scale (SAS / SRAS) and FEV1 using spirometry. Data analysis using Paired t test, Wilcoxon and Multivariate Manova test. Result and Analysis: Multivariate test result Manova got significance value 0,021 (α 0,05). This means that autogenic training with pursed lips breathing is effective in reducing anxiety and increasing the value of FEV1 in COPD patients. Conclusion and Discussion: Autogenic training with pursed lips breathing can reduce anxiety and increase FEV1 values if done regularly and continuously. This suggests that the role of nurse as Nursing Agency in providing nursing care in patients with COPD.

Keywords
Keywords: Autogenic training, relaxation, pursed lips breathing, anxiety, FEV1, and COPD

Topic
Medical and Surgical

Link: https://ifory.id/abstract/yZuCW9kfFQhP

Corresponding Author
Zaqqi Ubaidillah

Institutions
(a) University of Muhammadiyah Malang
(b) University of Muhammadiyah Malang

Abstract
The prevalence of blood glucose control problem is higher in Indonesia. Orally administered antihyperglycemic agents (OHAs) has various side effects and it can-t control blood glucose level by single doses. Diabetes management used complementary therapies as a support the administration of OHAs can help to control blood glucose level. Caesalpinia Sappan Linn wood have substances high antioxidant and anti-hyperglycemic, that can be used to as a support therapies in stabilizing blood glucose level. This study used pretest-posttest control group design. Thirty-two subject were recruited using a purposive sampling method. T-Independent test analysis was employed (p <0,05). The result showed the provision of stew Caesalpiniasappan linn wood as a support of OHAs therapy gave a significant effect of 54.51% compared with control (p = 0,010). Caesalpiniasappan linn has a brazillin content as a transporter that helps the pancreas work in insulin secretion. Diabetics with uncontrolled blood sugar can take of drinks Caesalpinia Sappan Linn as a supporting the consumption of OHAs

Keywords
Type II Diabetes, Blood Glucose, Caesalpiniasappan linn Wood

Topic
Medical and Surgical

Link: https://ifory.id/abstract/2EPUKA8YcQnw

Corresponding Author
Zahid Fikri

Institutions
Nursing Science, Faculty of Health Sciences, University of Muhammadiyah Malang, Malang City, East Java, Indonesia
Islamic Hospital Aisyiyah Malang, Malang City, East Java, Indonesia

Abstract
Workload felt by a worker is not only a physical workload, but a collection of physical workload, mental workload and social workload. Patient safety is one of the principles of nursing practice. in providing services where nurses are required to have high professionalism, professionalism is impacting workload. A mental workload is one burden that a nurse must responsibility and can have an effect on his actions. The study objective was to analyze the influence of mental workload of nurses on patient compliance risk prevention fall. There were significant influence between mental workload of nurses on patient compliance risk prevention fall P = 0.000. The burden of mental work of nurses under moderate conditions this proves the nurse is able to control the amount of pressure that is not only physically but also mentally so it can still provide quality nursing care to patients, as evidenced by compliance risk prevention patient falls that are in most categories are enough.

Keywords
Mental workload, risk prevention, patient falls

Topic
Basic Health Science

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

Corresponding Author
Faizatur Rohmi

Institutions
Stikes Kepanjen

Abstract
Auditory hallucination is a dangerous type of mental disorder. because it has various impacts, lead to suicide, violent behavior and threaten the environment. The purpose of this study was to identify the effect of nursing care on clients with sensory perception disorders: auditory hallucinations in Bantur village. The design used is One Groups Pretest-Posttest Design, with a simple random sampling technique. The sample in this study amounted to 48 respondents. Analysis of the data used in this study used the Wilcoxon test. Based on the test resulted with Wilcoxon p value <0.05, which mean there was a difference in nursing care to decrease the signs of client symptoms with sensory perception disorder: auditory hallucinations. This study concludes that nursing care has proven to be effective in reduced the signs of symptoms in patients with auditory hallucinations. The implication of nursing in this study is that nursing care becomes an important and essential thing that must be given to people with mental disorders

Keywords
Keywords: Nursing Care, Auditory Hallucination

Topic
Psychiatric Health

Link: https://ifory.id/abstract/W86v3pBGRDcH

Corresponding Author
Nurul Aini Rahmawati

Institutions
a) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Brawijaya University/Saiful Anwar General Hospital, Malang, Indonesia
b) Master Program of Biomedical Science, Faculty of Medicine, Brawijaya University, Malang, Indonesia

Abstract
Background: Hyperglycemia on Diabetes is one of risk factor for cardiovascular disease. High glucose induced increases of Reactive Oxygens Species (ROS) Production. High free radical can induce oxidative stress, and endothelial dysfunction in atherosclerosis. In Previous studies, PsP of Ganoderma lucidum has been proven as an antioxidants, anti endothelial dysfunction and no toxicity in animal model. Aim: This study aims to prove the effect of PsP of Ganoderma lucidum as a potent protective endothelial vascular, and antioxidant in STEMI and STEMI patients with diabetes as a risk factor. Method: This clinical trial study conducted to 50 patients according that diagnosed STEMI, NSTEMI and Diabetes, with pre- and post-test control group design. The parameters are MDA, SOD, CEC, and EPC counts. The patients were given PsP 750 mg/day in 3 divided dose for 90 days. Patients divided into two group randomized, one group were given PsP Ganoderma lucidum, and another group were given placebo. Dependent T-test was performed for normally distributed data and Wilcoxon test was performed for abnormally distributed data with significance level of p≤0.05. Results: MDA level significantly decreased with P=0,03 in PsP group patients, SOD significantly increased with P=0,000 in PsP group patients, EPC count significantly increased with P=0,016 in PsP group patients, CEC count significantly decreased in PsP group patients with P= 0,02. Conclusion: Ganoderma lucidum polysaccharide peptides is a potent protective endothelial vascular, and antioxidant against pathogenesis of atherosclerosis in STEMI and NSTEMI patients with diabetes as a risk factor.

Keywords
Diabetes, atherosclerosis, endothelial dysfunction, antioxidant, Ganoderma lucidum

Topic
Pharmaceutical Science

Link: https://ifory.id/abstract/DQgPEqv3yfVe

Corresponding Author
Nur Aini

Institutions
Faculty of Health Sciences, University of Muhammadiyah Malang

Abstract
Introduction : The problem faced by sick human are not only physical problems but also psychological and spiritual patients will experience imbalances. The purpose of this study was to determine the effect of psychospiritual interventions on the spiritual level of patients. Methods: This was a one-group pre-test post-test study conducted in May 2018 at the Aisyiyah Islamic Hospital in Malang. Samples of 15 inpatients were taken by purposive sampling technique. A socio-demographic questionnaire, the DSES (Daily Spiritual Experiences Scale) was utilized for data collection. This intervention was carried out 4 days (4 meetings) for 30-60 minutes each. The data were analyzed using Wilcoxon test in SPSS. Results: The majority of the spiritual level of patients at pre was 13 people (86.7%) and low 2 (13.3%), after intervention 14 people (93.3%) had a high level and 1 (6.67 %) medium. p-value (0.001) <α (0.05), which means there is a spiritual level difference before and after intervention. Conclusion: The psychospiritual interventions is very effective in improving the spiritual quality of care patients. Thus, have a positive impact on patient health. Therefore, it is recommended that nurses not only focus on physical aspects but provide holistic care in all aspects, especially spiritual.

Keywords
Intervention psychospiritual, level of spiritual, inpatient, holistic

Topic
Basic Health Science

Link: https://ifory.id/abstract/HYeCAc3N4w7b

Corresponding Author
Dian yuliartha Lestari

Institutions
(a) Pathology Anatomy Department, Medical Faculty, University of Muhammadiyah Malang
dianyuliarthalestari[at]gmail.com
(b) Medical Student, University of Muhammadiyah Malang

Abstract
Background: Allergy is a hypersensitivity induced by exposure to certain antigens that cause dangerous immunology reactions on the next exposure. There is a new innovation as antiallergy, one of them is apple because it contains quercetin. Quercetin are believed to have an influential effect on human health, that of antiallergy and anti-inflammatory activity. Mast cells are part of the connective tissue that has the pseudopod to mobilize one to lung tissue. Objective: To determine the effectiveness of Malang Apple Cider (Malus sylvestris) on decreasing the number of mast cells in the lung of an allergic induced rat. Method: Experimental research using Post Test Control Group Design. Samples were white male Wistar strain rats which were divided into 5 groups, each group contains 5 rats. The positive control group was induced with ovalbumin through intraperitoneal and inhalation. Besides ovalbumin induction, treatment groups were also given apple cider with doses of 15%, 20%, and 25%. Lung tissue was taken and then paraffin blocks were created and stained using Methylene blue staining and evaluated with the microscope in 40 x magnification. Data was analyzed using One Way Anova. Results and discussion: Statistical results showed there were no significant (p = 0,079 > or p 0.05). This decline is due to the levels of Quercetin in apple cider can prevent Unfortunate degranulasi cell mast. However, the decrease was not significant occurs due to several factors, including the strength of apple cider, the absorption in the intestine, stress factors, and environmental circumstances. Conclusion: the unfortunate Apple Cider (Malus sylvestris) were not effective in decreased the number of mast cells in the rat lung induced allergen.

Keywords
Malang Apple Cider, Mast Cell, Ovalbumin, Allergic Reaction

Topic
Pharmaceutical Science

Link: https://ifory.id/abstract/Pf24VkYrdvcL

Corresponding Author
Tri Lestari Handayani

Institutions
Fakultas Ilmu Kesehatan
Universitas Muhammadiyah Malang


Jalan Bendungan Sutami 188 A Malang Jawa Timur

Abstract
The research is intend to analyze the physical violence, psychological, economical, and sexual influence on the pregnancy period to the baby – mother interaction on the early post partum period. The research method of which applied is quatitative by operating control cases design. The total sample which is gathred on the research is 100 handeled care mothers post partum patients at RSUD Koja and RSUP Fatmawati both are in Jakarta. The data gathred technique used observation sheet and quesionare. Approving the violence implication with the baby – mother interaction is exercised with applying Chi Square technique test. Based on the finding analyses on α 5% known that there are no physical violence, psychological, economical, and sexual implication on the pregnancy period to the baby – mother interaction on the post partum period. Confounding variabel on the marital ages, pareties, and pregnancy program both are not influencing the baby – mother interaction. The useful suggestion to the nurses is that they are should be deep concerned to the mother-s violence experience whom are victimize on the perinatal period. Besides, the nurses must be supported the baby – mother interaction as early as possible.

Keywords
Violence during pregnancy, Mother – Baby interaction

Topic
Maternity Health

Link: https://ifory.id/abstract/R4YrE7v9zHG3

Corresponding Author
Sunarsih Sunarsih

Institutions
a) Mandala Waluya Institute of Health Science Kendari
Jl. Jend. AH. Nasution, Kambu, Kendari, Southeast Sulawesi
*saraswatisuri8[at]gmail.com
b) Mandala Waluya Institute of Health Science Kendari
Jl. Jend. AH. Nasution, Kambu, Kendari, Southeast Sulawesi

Abstract
Background: The results of interview to 60 childbearing aged couples about the reason of men join the family planning program (Vasectomy), each selected 5 respondents in 12 Districts showed that 16 respondents (26,67%) said fear of disruption of household harmony,13 respondents (21,67%) said that family planning is the women-s affairs, 12 respondents (20%) said Vasectomy is the same as castrated, 10 respondents (16,67%) not supported by the wife, 5 respondents (8,33%) expressed fear about the surgery (medical devices), and 3 respondents (5%) stated that there was an embarrassment of family planning and 1 respondent (1,64%) stated the high cost of operations. The objective of this research was to determine the influence of counseling methods in the changes of behavior of childbearing aged couple in a Vasectomy program in Samaturu District, Kolaka Regency. Method: The typeof researchused is quantitative research, which is a quasi-experimental study with a pre-post test group design. The population in this study amounted to 540 with a sample of 66 respondents with simple random sampling technique. Result: The results in this study indicate that the value of the statistical test results show the value of P Value is 0.031 <0.05 with the highest difference value is by using the Focuss Group Discussion (FGD) + Motivator methodwhich is 9.23 so that it can be concluded counseling with the Focuss Group Discussion method (FGD) +Motivators are the most effective method of attitudes of men of fertile age couples (PUS) in the vasectomy program in Samaturu District, Kolaka Regency, so that H0 is rejected and Hais accepted. It can be concluded that there is an influence of counseling methods on changes in the behavior of Childbearing Aged Couple in the Vasectomy Program in Samaturu District, Kolaka Regency. Conclusion: Related institutions are recommended to be scientific references so that the policy approach in the study program is the development of operational models for the implementation of Focuss Group Discussion (FGD) + Motivator continuity and integrated methods through the support of competent stakeholders, in addition to the development of Information and Education Communication (IEC) through theleaflet methodand slide shows/audio visuals so that they can be designed more innovatively to make it more attractive to the public to participate in the Vasectomy program.

Keywords
Behavior, Childbearing Aged Couple, Counseling, Vasectomy

Topic
Community Health

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

Corresponding Author
Erwin Azizi Jayadipraja

Institutions
1College of Mandala Waluya Health School, Kendari, Indonesia
2Health Departement of Southeast Sulawesi Province, Kendari, Indonesia
3Fajar University, Makassar, Indonesia

Abstract
The society in Kendari city are using drinking water have a source of drinking water refill depots. The drinking water should qualify the physical, chemistry and microbiology rules and regulations. The population in this study is the whole drinking water depots in Kendari city that card carrying by Dinas Kesehatan Kota Kendari in January 2018 as many as 87 depots. The number of sample as many as 36 drinking water depots. Sampling technique is proportionate random sampling. The result of this study is finding that from 36 depots obtaining as many as 91,7% water resources (water standard) is unqualified (contains coliform and Fe). After processed by drinking water depots the water quality is re-test and obtaining as many as 16,7% the water fickle by drinking water depot is unqualified (contains coliform and Fe). There are still drinking water depots that the preparation system of drinking water are unqualified by the health regulation of Republic Inonesia. So that evaluation and supervision is necessary in term the implementation so it does not fazing health.

Keywords
Drinking Water Refill Depots. Drinking Water Quality, Coliform, Fe

Topic
Environmental Health

Link: https://ifory.id/abstract/K7tXDvqCGL3Y

Corresponding Author
Tasnim Tasnim

Institutions
Sekolah Tinggi Ilmu Kesehatan Mandala Waluya Kendari

Abstract
Objectives: Currently, there are huge fast food traders in Indonesia, including in Kendari City. However, there are a few of fast food traders who are supervised by environmental staff in Health Center in Kendari city, including in Poasia Health Center. This is because there are only some environmental staff in Poasia Health Center compared to numbers of fast food traders. Hence, community participation in fast food control is necessary. Therefore, this study aimed to identify communities who can participate in fast food control in Poasia Health Center in Kendari City. Methods: This study was conducted in Poasia Health Center in Kendari City from April to October 2018. There were 17 cadres who were recruited in this study and they controlled 39 fast food traders. This study applied Quasi experiment with The One-Group Pretest-Post test Design. Cadres- age is independent variable and fast food traders- hygiene and sanitation behavior become dependent variable. Data analysis used linear regression. Main findings: This study found that cadre-s age significant associated with fast food traders- hygiene and sanitation behavior (p-value=0.000< 0.05). The younger cadres (<45 years) tended to change fast food traders- hygiene and sanitation behavior towards better behavior to manage their fast food, compared to the older cadres (>45 years). Cadres who aged under 45 years have high mobilization and intensity to control fast food trader. Conclusion: Volunteer community such as cadres can participate to control the fast food traders in Poasia Health Center in Kendari City. The younger cadres are effective to help environmental staff in Health Center to increase food hygiene and sanitation.

Keywords
Community; Fast Food; Participate; Control; Hygiene and Sanitation

Topic
Community Health

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

Corresponding Author
Indah Dwi Pratiwi

Institutions
University of Muhammadiyah Malang

Abstract
Background: Students- perception of learning method may be influenced by students- diversity, educational facility and tools, students- expectation, and other school-s conditions. Meanwhile, students- perception was not widely researched in terms of the use of the learning method, student-s worksheet, for example. Objectives: To identify students- perceptions of the use of learning media (students- worksheet), academic performance, and their correlation. Method: The design of this study was an observational, descriptive study with a cross-sectional approach. A total of 82 students completed a self-administered questionnaire which contains ten statements using a 5-Likert scale. The main predictor variables were the students- perception and academic performance. Descriptive statistics and Spearman Rho test were used for data analysis. Results: Of 82 respondents, the majority (85, 4%) had positive perceptions of student worksheets in the Emergency Nursing subject. More than half of them (59, 8%) had above-average academic performance, and there was also a significant relationship between students perceptions with academic achievement (p-value = 0.000). Conclusion: This present research has portrayed findings regarding how nursing students in an Indonesian nursing school perceive the learning method. The current study suggests that the lecturers should modify their learning method creatively to improve students- capabilities in active learning.

Keywords
Perception, students, academic performance, worksheet

Topic
Emergency

Link: https://ifory.id/abstract/yuHXL6WcjrM4