International Seminar on Global Health

THE EFFECT OF INCREASING QUICK OF BLOOD (QB) ON UREUM REDUCTION RATIO (URR) IN CLIENTS THAT ARE CONDUCTING HEMODIALYSIS IN DUSTIRA HOSPITAL CIMAHI

2021-12-20T00:24:58+07:00

Introduction: WHO states globally more than 500 million people experience chronic kidney disease. About 1.5 million people have to undergo dialysis in their lifetime. Based on the Data and Information Center of the Indonesian Hospital Association, the number of chronic kidney failure patients is estimated to be around 50 people per one million population, 60% of whom are adults and the elderly (IPDI, 2018). This study aims to determine the effect of increasing the quick of blood on the urea reduction ratio in clients undergoing hemodialysis which initially QB 200 ml/min as secondary data to 250 ml/min as primary data. Methodology: The design of this study used a Quasi Experiment conducted on 19 respondents who underwent hemodialysis. Univariate analysis using median and mean. Bivariate analysis using Wilcoxon. Research findings: The results showed that post urea with QB 200ml / min had a decrease of 64% whereas QB 250ml / min had a decrease in urea by 71%. The statistical test showed that there was a significant difference in urea before and after hemodialysis with an increase in QB (p = 0.001). Conclusions: The results of this study will become the hospital standard in determining the quick of blood (QB) so that the length of the hemodialysis process does not exceed the specified time and during the hemodialysis process it will be more effective.

GREEN GRASS JELLY AS ADJUNCT THERAPY ON PRE ELDERLY WOMAN WITH HIPERTENSION: QUASI EXPERIMENTAL STUDY

2021-12-20T00:30:58+07:00

Introduction. Women aged 45 years and over have a higher risk of developing hypertension. One of adjunct therapiy that can be used to lower blood pressure is green grass jelly. Objective: the purpose of this study was to determine the effect of green grass jelly on blood pressure in pre elderly women with hypertension.

Methodology. The method used was quasi experimental with a non equivalent control group design. The total of sample in this study were 30 samples obtained by purposive sampling technique.

The result finding. The results showed the t-dependent test results obtained ρ systolic and diastolic values in both groups of ρ value 0,001 and ρ value 0,004 (α ≤ 0,05), and the t-independent test results obtained ρ after systolic and diastolic values in both groups of 0,001 and ρ value 0,005 (α≤ 0.05). There showed the differences in systolic and diastolic blood pressure in the intervention group and the control group.

Conclusion. green grass jelly has been shown to reduce average blood pressure both systolic and diastolic for pre elderly people with hypertension.

THE EFFECTIVENESS OF HIGH FLOW NASAL CANNULE OXYGENATION THERAPY (HFNC) ON CHANGES IN OXYGEN SATURATION IN COVID-19 WAS CONFIRMED IN PATIENTS IN COVID-19 ICU AT DUSTIRA HOSPITAL LEVEL II IN CIMAHI

2021-12-20T00:43:33+07:00

COVID-19 is a unique variant of the Coronavirus Disease-19 virus. As of July 31, 2021, the world had verified 197,943,446 cases of COVID-19 and 4,222,934 associated causes of death, while Indonesia had confirmed 3,409,658 cases and 94,119 associated causes of death. COVID-19 symptoms can be classed as mild, moderate, or severe. Experts recommend the use of HFNC and NIV as a first-aid measure in patients with respiratory failure. HFNC is a nasal cannula that distributes 60 liters per minute of warm, moist air. The purpose of this study was to assess the oxygen saturation values of individuals with confirmed Covid 19 before and during treatment with a High Flow Nasal Cannula. The inquiry was conducted using a pre-experimental one-group pretest-posttest design. The study was done by measuring oxygen saturation before delivering HFNC therapy, followed by administering HFNC therapy and watching individuals for one hour. The sample size was twelve respondents. We used the paired-test parametric test to analyze univariate and bivariate data (dependent t-test). The average oxygen saturation value prior to and during HFNC treatment was 87.25 and HFNC administration was 91.33. The 0.000 p-values derived from bivariate data analysis revealed that HFNC oxygenation treatment is effective at increasing oxygen saturation. Hospitals should be able to extend health services and facilities in the critical care unit, notably additional HFNC devices to decrease the likelihood of patients being intubated.

AN OVERVIEW OF LABORATORY EXAMINATION RESULTS ON FARMER THAT EXPOSED BY PESTICIDES

2021-12-20T03:35:13+07:00

Introduction: Pesticides are all chemicals and other substances used to eliminate or prevent pests and diseases that damage crops, crop parts or agricultural products and turn off leaves and prevent unwanted growth. Exposure to pesticides on the human body will affect blood components. The liver is one of the target organs of pesticides. The increase in the enzyme aspartate amino transferase (AST) or serum glutamate oxaloacetate transaminase (SGOT) and alanine amino transferase (ALT), or serum glutamate pyruvate transaminase (SGPT) is an indicator of liver damage. Serum levels of AST and ALT increase when tissue damage occurs. Pesticides such as organophosphate (OP), carbamate, and pyrethroids show inhibitions in the organization and development of leukocytes by inducting apoptosis or cell cycles and disrupting the immunological function of each immune cell. Methodology: used is Literature Review. Data collection using electronic databases namely Google Schoolar and SINTA. Data analysis is done by discussing and compiling various supporting sources of literature. Research findings: of Five studies showed there was the abnormalities in the value of biochemistry, hematology, and immunology in farmers who are exposed to pesticides. Conclusion: Pesticides exposure affected on the laboratory examination results.

THE EFFECT OF GROUNDING TECHNIQUE THERAPY TOWARDS Reducing THE Anxiety LEVEL OF STUDENTS IN THE FINAL LEVEL OF MASTER OF NURSING JENDERAL ACHMAD YANI UNIVERSITY CIMAHI

2021-12-20T03:40:34+07:00

Introduction: Final Study Experienced by Final Year Students In 2017 to 2018 Suicide Cases Occurred a Result of Unfinished Final Assignment With a Pre-determined Time Limit So Experiencing Severe Anxiety. Grounding Or One Of The Body's Psychotherapists, Enhances Grounding Ground's With The Levels Of Physical And Emotional Support, Or The Ability To Be Grounded. The purpose of this study was to determine the effect of applying technique therapy to grounding anxiety problems in the graduate student environment of a nursing master's degree. Method Research Design Using Quasi Experimental / Quasi Experiment With Pretest-Posttest. The sample in this study were 33 respondents. Statistical analysis of pre-test and post-test anxiety used in this study were the marginal and test the test homogeneity Mcnemar. Research result Anxiety Rates Before (Pretest) And After (Posttest) Given Grounding Therapy Interventions, The Value of Moderate Anxiety Levels Initially 27.3% (9 people) After being given the intervention, it became 6.1% (2 people), mild anxiety which was originally scored 54, 5% (18 people) after the intervention was given a score of 24.2% (8 people), and for no anxiety the previous value was 18.2% (6 people) to 69.7% (23 people). Conclusion of Research Results Reduction in Anxiety Levels Experienced by Nursing Masters Students in Compiling Final Projects Before and After Giving Grounding Technique Therapy. There is a change in the decrease in anxiety levels that are obtained after the intervention is given. Suggestions for Nursing Application of Facilities, Especially Psychosis Therapy in Psychiatric Nursing, so that it cannot only reduce anxiety, but can also be used for other psychotic problems.

WORKING WOMEN'S EXPERIENCE IN GIVING EXCLUSIVE BREASTFEEDING

2021-12-14T05:42:25+07:00

Introduction: Exclusive breastfeeding occurs during the baby's age 0-6 months without any food or drinks other than breast milk. The current phenomenon is a decrease in exclusive breastfeeding coverage because many mothers work outside the home. The purpose of this study was to explore how the experience of working women in providing exclusive breastfeeding. Methodology: This is a qualitative research with a descriptive phenomenological approach to describe the experience of working women in providing exclusive breast milk. The sampling method is purposive sampling to select five participants, with the criteria of working women who have experience providing exclusive breastfeeding in the working area of Taman Baru Kota Cilegon Village. Data collection conducts by in-depth interviews equipped with field records at previously agreed places. The recorded interview was then transcript verbatim and analyzed using the Colaizzi method. Research finding: The research produces five themes; 1. Knowledge of mothers on exclusive breastfeeding, 2. Support for nursing mothers, 3. Efforts made by nursing mothers, 4. Barriers experienced by nursing mothers, 5. Response in breastfeeding. Conclusions: Mothers' motivation and support from the closest environment, such as family and workplace, are essential factors in the process and success of mothers in exclusive breastfeeding.The results of this research are to be considerations to increase the number of breast milk coverage.

HEALTH LITERACY ON COVID-19 AMONG FIRST YEAR NURSING STUDENT

2021-12-20T03:43:40+07:00

Introduction: Health literacy is a person's ability to be able to obtain, process, and understand basic health information and service needs needed for making appropriate health decisions. One way to improve health literacy is through access to health information on the internet. Student as agent of change has the obligation to help the community in applying new habit adaptation to prevent COVID-19 transmission. The purpose of this study is to identify the relationship between the frequency of internet use and health literacy in first year nursing students. Methodology: This research is descriptive and correlational using a cross-sectional approach. Total sampling is used in this study with 148 students as respondent. The instruments used in the study were the respondent's check list form of internet usage and the Short-Form Health Literacy Survey Tool (HLS-SF-12). Research findings: 47,3% student was using the internet several times per week, while 44,6% student level of health literacy is high. Further analysis revealed that there is no correlation between frequency of internet usage with health literacy p-value >0,05 (0,232). Conclusions: The use of the internet for health purposes does not have a significant relationship with health literacy in first year nursing students. Therefore, it is recommended to integrate health literacy into the learning process, such as in health promotion courses.

AN OVERVIEW OF THE IMMUNITY OF HEALTH WORKERS AFTER COVID-19 VACCINATIONS

2021-12-20T03:47:36+07:00

Introduction: Health workers currently have a very important role in dealing with the Covid-19 pandemic, the need for vaccines to prevent and reduce the spread of Covid-19 among health workers needs to be increased along with the decline in antibody titers after the vaccine, it is necessary to give a booster vaccine of three doses to health workers based on the recommendation of Komite Penasihat Ahli Imunisasi Nasional (ITAGI). This research aims to determine the description of the immunity of health workers after the Covid-19 vaccination. Methodology : The research method is a cross sectional study and statistical descriptive data analysis, the research sample was taken by quota sampling technique on 30 health workers who had received a minimum of the second dose of vaccine. Anti-SARS-CoV2 antibody titers were measured using the SARS CoV-2 IgG ELISA Quantitative diagnostic kit. Research findings : The results showed that the average antibody titers of health workers who received the third dose of vaccine were higher than those who received the second dose of vaccine. The majority of respondents in this study were in the age group 19-30 years, women, received the sinovac vaccine, received the second dose of vaccine and experienced KIPI symptoms.

SYSTEMATIC LITERATURE REVIEW : BACTERIOLOGICAL PROFILE OF SEPSIS IN HOSPITALIZED PATIENTS

2021-12-20T04:40:53+07:00

Introduction: Sepsis is an organ dysfunction due to impaired regulation of the body's response to infection. This disease is one of the world biggest health problem. Sepsis caused by bacterial infection is one of the main causes of high disease morbidity and mortality. Therefore, the management of sepsis must be fast and accurate to improve the prognosis of septic patients. Blood culture prior to the administration of specific antibiotics is one of the managements of sepsis. Research Objective: This study aims to determine the description and types of bacteria that cause sepsis in hospitalized patients. Methodology: The research method used is Literature Review. Data collection uses electronic databases, namely Google Scholar and Research Gate where the literature reviewed consists of 2 international journals. Data analysis was carried out by conducting discussions compiled with various supporting literature sources. Research findings: The results of 2 literatures relating to the description of bacteria that cause sepsis with the same research criteria, namely adult patients >18 years who have 2 or more SIRS criteria, showed the same results, namely the presence of bacterial growth in blood cultures of septic patients. Conclusions: It was concluded that Gram negative and Gram positive bacteria were found, where Escrichia coli and staphylococcus aureus were the most common types of bacteria found in hospitalized septic patients.

LITERATURE REVIEW: SENSITIVITY AND SPESIFICITY OF qRT PCR METHOD IN DETECTING SARS-COV-2 IN 3 TYPES OF SPECIMEN

2021-12-20T04:45:13+07:00

Introduction: At the end of December 2019, the world was shocked by the emergence of a new virus originating from the city of Wuhan, China. This virus was given the name by the World Health Organization (WHO) namely Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and the name of the disease as Coronavirus disease (COVID-19). Until now, there is no specific therapy for SARS-CoV-2 and other anti-coronaviruses. The gold standard method for the examination of SARS-CoV-2 is the Quantitative Reverse Transcription-Polymerase Chain Reaction (qRT-PCR) method. The qRT-PCR method has sufficient sensitivity to detect early infection. Methodology: This study used the Systematic Literature Review (SLR) method with 2 journals related to the sensitivity and specificity of the qRT-PCR method in detecting SARS-CoV-2. Literature search is done by tracing the results of scientific publications through the PubMed database. Research findings: Clinical samples that were positive for 24 non-SARS-CoV-2 respiratory viruses when tested with the Real Time SARS-CoV-2 test were negative for SARS-CoV-2. The results of nasal swabs samples obtained sensitivity and specificity of 100%, for throat swabs samples obtained sensitivity of 97% and specificity of 100%, for sputum samples had a sensitivity of 94% and specificity of 100%. Conclusions: The sensitivity of the qRT-PCR method is 96% and the specificity of the qRT-PCR method is 100%.

ANALYSIS OF ATTITUDE AND KNOWLEDGE OF EDUCATION OF BREAST EXAMINATION (BEST SELF-EXAMINATION) TO DIPLOMA OF MIDWIFERY STUDENTS JENDERAL ACHMAD YANI CIMAHI UNIVERSITY

2021-12-20T04:48:13+07:00

Introduction: Breast cancer is one of the most frightening types of cancer, especially for women around the world. In Indonesia, in 2018, the incidence of breast cancer was 42.1 per 100,000 population. In West Java, breast cancer in West Java is 26 per 100,000 women. This means that in 100,000 women in West Java, 26 cases of breast cancer were found. In Cimahi, in 2018, the incidence of breast cancer was 17 cases. In order to reduce the incidence of breast cancer, according to the 2018 National Guidelines for Breast Cancer Management Medical Services, prevention is necessary with early detection. One of the early detections that can be done to detect breast cancer is BSE on a regular basis. The purpose of the study was to determine the relationship between knowledge, attitudes and information exposure with breast self-examination (BSE) in Diploma of Midwifery student at STIKES Jendral Achmad Yani Cimahi.

Methodology The research design used was cross sectional. The sample of this research is Diploma Midwifery student who have never received infomation about BSE as many as 79 people. Data collection was carried out using a questionnaire. Data analysis was carried out in two stages, namely univariate to see the frequency distribution and bivariate to see the relationship (chi square).

Research findings The results showed that there was no relationship between knowledge (p value = 0.400), exposure to information (p value = 0.154) and there was a relationship between attitude (p value = 0.002) and BSE.

Conclusions In this study, it means that there is a relationship between attitudes and the implementation of BSE and there is no significant relationship between knowledge dan exposure education of the implementation Breast Self-Examination (BSE).

PRENATAL YOGA AGAINST PREGNANCY ANXIETY: EFFORTS TO REDUCE PREGNANT WOMEN’S ANXIETY BEFORE LABOR DURING THE COVID-19 PANDEMIC LITERATUR REVIEW

2021-12-20T04:50:48+07:00

Introduction: Changes that occur during pregnancy are not only physical, but psychological. The COVID-19 pandemic has an impact on the psychological health of the community, especially pregnant women. The results showed that during the COVID-19 pandemic, 75% of pregnant women in Baturraden District experienced anxiety from a mild-moderate to severe scale (Yuliani & Aini, 2020). Increased anxiety of pregnant women during the COVID-19 pandemic is one of the problems that needs special attention. Prenatal yoga is one way to reduce anxiety before childbirth. Methodology: This study is a Literature Review from several journals (Google Scholar and PubMed) with a time span of 2019 to 2021. Research findings: Increased anxiety of pregnant women during the Covid-19 pandemic is caused by social restrictions including health services. Many restrictions on almost all routine services including maternal and neonatal health services such as pregnant women being reluctant to go to the puskesmas or other health care facilities for fear of contracting the COVID-19 virus (Veftisia et al., 2020). There is only one psychological problem for pregnant women in this study, namely anxiety. So do not analyze other psychological problems. Conclusions: Some of the anxiety factors for pregnant women facing childbirth in the COVID-19 pandemic era are work status, knowledge, maternal age, economic status, fear of being infected with the COVID-19 virus, and concerns about pregnancy itself and childbirth. To reduce maternal anxiety in the midst of the current pandemic situation, interventions that can be carried out even within the limitations of the COVID-19 pandemic situation are needed, one of which is prenatal yoga.

FACTORS AFFECTING BREASTFEEDING SELF-EFFICACY AND IT IS ROLE ON THE BREASTFEEDING DURATION

2021-12-20T04:54:03+07:00

Introduction: Breastfeeding is an effort to provide optimal nutrition for newborns through breast milk. Breast milk is the best food that helps optimal growth and development of children and protects against disease. Breastfeeding Self-Efficacy (BSE) has a role in determining breastfeeding duration. Methodology: The literature review is carried out using an online literature search was conducted in PubMed, NCBI, ProQuest, and Cochrane Database of systematic reviews. The articles used are 10 articles published in the last 10 years. Research findings: Factors that influence BSE based on literature review include the type of mother’s experience, experience the success of others, verbal persuasion, spouse postpartum support, physiological and emotional factors which are significantly associated with BSE. BSE is significantly related to the duration of breastfeeding and the success of exclusive breastfeeding. The BSE-SF score can be assessed from the time of pregnancy to identify the level of continuity of the mother is breastfeeding her baby Conclusions: The Breastfeeding Self-Efficacy Scale instrument is considered valid in measuring BSE. BSES can be applied in midwifery clinical practice and midwifery care communities as a screening for the risk of early cessation of breastfeeding so that efforts to anticipate and improve the quality of care in assisting breastfeeding mothers can be optimized. However, there are still other factors that are potentially related to the breastfeeding process, such as the personality characteristics of the mother, as well as an in-depth exploration about breastfeeding and the reasons for early cessation of breastfeeding that have not been studied qualitatively.

LITERATURE REVIEW: IMPLEMENTATION A BIRTH PLAN AS AN EFFORT TO PREPARE FOR NORMAL DELIVERY AND CHILDBIRTH EXPERIENCES

2021-12-20T04:56:38+07:00

Introduction: Pregnancy and childbirth are important processes that occur in a woman's life. Everyone would want the birth process to be a beautiful moment that deserves to be remembered. Childbirth with minimal trauma can be realized through good preparation and planning for childbirth. World Health Organization recommends the use of a birth plan that emphasizes a normal delivery process without intervention. Birth plans are created as an approach for pregnant women to present their wishes in labor and delivery of the baby. The experience of giving birth is an important psychological phenomenon after childbirth whose psychological effects can have impact on health. The aim of this literature review study is to find out how the role of the birth plan is in the delivery experience. Methods: This article uses literature review method from scientific journal with the theme Birth Plan. The journals reviewed in this article are from American Journal of Nursing Science, International Journal of Environmental Research and Public Health and Journal of Education and Practice. Result: Implementation of a birth plan has a significant effect on delivery outcomes (duration of labour, maternal and neonatal). Birth plans have a positive influence on the delivery experience and increase client satisfaction. Conclusion: Birth planning provides an overview of childbirth that is desired by a woman for normal delivery and minimal trauma. It is important for a midwife to be able to educate every pregnant woman that they can make a birth plan and prepare together so that childbirth is realized as planned.

LITERATURE REVIEW : OVERVIEW OF MEAN PLATELET VOLUME AND COUNT PLATELET IN PATIENTS WITH DIABETES MELLITUS TIPE II

2021-12-20T05:00:05+07:00

a deficiency of insulin secretion. Type II Diabetes Mellitus is characterized by decreased insulin sensitivity. In type II diabetes mellitus, there is an acceleration of thrombopoiesis and an increase in platelet turnover. This study aims to determine the description of MPV (Mean Platelet Volume) and platelet count in patients with type II Diabetes Mellitus. Methodology : The research design used is the Literature Review method . Data collection uses electronic databases, namely Google Scholar, Pubmed and Researchgate, both national and international journals. Research findings : Data collection was carried out through 3 analyzed journals. Where in the three journals analyzed, the results of the platelet count varied, while the MPV increased in patients with type II diabetes mellitus. Conclusions : Based on the results of a literature review that has been carried out by researchers, it can be concluded that there are variations in the description of the platelet count in type II diabetes mellitus, there is a decrease in the platelet count and the result in the platelet count in the normal range (254,550-284,210 cells/mm3). However, the value of MPV increased in patients with type II diabetes mellitus in the range (7.4 – 9.91 fL).

LITERATUR REVIEW : THE RELATIONSHIP OF EARLY BREASTFEEDING INITIATION TO NEONATUS: EFFORT TO IMPROVE BOUNDING ATTACHMENT AS A MEAN OF IMPROVING PHYSICAL AND PHYCHICAL HEALTH IN NEONATUS

2022-03-22T08:24:45+07:00

Introduction: Early Breastfeeding Initiation is the first step to allow the baby to breastfeed from an early age, namely in the first minutes within one hour after the baby is born by allowing direct skin contact between mother and baby until the initial breastfeeding process ends within one hour. or more. According to the theory, attachment occurs when an infant becomes close to a person or object that provides oral gratification. Thus, early initiation of breastfeeding has met the requirements for the formation of the baby's attachment to the mother. In addition, early initiation of breastfeeding can also improve physical and psychological health which affects child growth and development and reduces the risk of infant mortality and plays an important role in maternal health. Methodology: literature review from a collection of several journals (Google Scholar and Mendeley) in the period 2017-2021. Research findings: A good breastfeeding process from an early age will strengthen the bond between mother and baby (bounding attachment) which is important for the emotional, physical and psychological development of children in the future. Conclusions: Early Initiation of Breastfeeding (EIBF) is the first step to allow the baby to suckle on its own immediately after birth and be breastfed for an hour or more. The principle of EIBF itself is to provide direct contact between the mother's skin and the baby's skin. This EIBF is very helpful for the release of colostrum which is very beneficial for the baby's immune system and it has been proven that babies who are given the opportunity to breastfeed within the first hour and allow direct contact between the baby and the mother, can reduce 22% infant mortality in the first 28 days.

THE USE OF BELLY BINDING TO REDUCE DIASTASIS RECTI ABDOMINIS ON POSTPARTUM MOTHER

2022-03-22T08:38:46+07:00

Introduction: The provision of care during the postpartum period is an important indicator in improving the quality of life of a good mother. Currently in developing countries, 70% of postpartum mothers do not receive postpartum care and the most common complaints are back pain, pain in the symphysis area, and a drooping abdomen. These complaints arise due to the condition of Diastasis Recti Abdominis (DRA) which is not handled properly. The impact of excessive DRA can cause urinary incontinence, fecal incontinence, pelvic organ prolapse, and other conditions related to pelvic area repair. Various kinds of treatment techniques and therapeutic exercises have been carried out to treat DRA, one of which is the use of belly binding as a non-pharmacological therapy to treat DRA. The purpose of this study was to determine the effectiveness of belly binding to reduce diastasis recti abdominis in postpartum mother. Methodology: This study was Quasi Experimental with One group Pretest Posttest Design. Thirty postpartum mothers at Anya Justianingrum, Amd.Keb were taken the Purposive Sampling technique on March-November 2020. DRA was measured using palpation of the degree of abdominal muscle stretch before and after treatment. Univariate, Bivariate analysis used T Dependent Test in order to meet the aim of study. Research findings: The results showed that belly binding effective in reducing DRA on postpartum mothers (p value = 0.000). Conclusions: It is recommended to use belly binding and abdominal exercises to treat DRA on postpartum mother.