International Seminar on Global Health

The Quality of Work-Life, Job Satisfaction and Workplace Violence Among Registered Nurses in Selected Tertiary Hospitals in Metro Manila, Philippines: An Explanatory Sequential Mixed Methods

Adrian N., Palma Palma — Sun, 01 Feb 2026 00:00:00 +0700

The goal of the study is to present workplace violence in the form of workplace bullying and how it has affected nurse’s quality of work-life and job satisfaction. The study is an explanatory sequential research design where Phase I of the study is a quantitative research design in descriptive cross-sectional correlational approach. It was further explored in the Phase II which is the qualitative research design in descriptive phenomenological approach. In the Phase I of the study, 210 respondents participated in an online survey consisted of questionnaires for workplace violence, quality of work-life and job satisfaction. It showed insignificant values with P>0.05 level, this means regardless of workplace violence experienced by some, the quality of work-life, and the job satisfaction of the staff nurses remains independent to each other. After analyzing the data, 15 respondents were interviewed to further explain the pragmatic philosophy in understanding the respondent’s perspectives and pursuit. Employing Colaizzi’s Method for data analysis, it has revealed 5 Major themes which are Predisposing factors on Workplace Violence, Actions of Workplace Violence, Resolution of the Victim, A Compassionate and Fulfilled Nurse, and Professional Growth and Career Stability. An interventional development variant was developed based on the 5 major themes entitled PreP for WV or the Prevention Plan for Workplace Violence. It is further recommended in the study for a program that focuses leadership and administrative program for managerial levels in nursing department to elevate prevention practices on workplace violence.

Mobilization and Massage as a Prevention Against Pressure Ulcers: Quasi Experimental Study

Lee Wan Ling, Musri Musri, Ritha Melanie, Putri Dwi N, Kiki Gustryanti — Sun, 01 Feb 2026 00:00:00 +0700

Bed rest is a condition in which a patient is unable to move and must lie down for about 24 hours. One negative physical impact is damage to skin integrity, commonly known as pressure sores or decubitus ulcers. Efforts to address this problem include mobilization and massage therapy. Mobilization involves changing the patient's position at specific intervals as part of nursing intervention, while massage improves blood circulation. These actions can prevent pressure ulcers. Research was conducted to determine the effect of mobilization and massage on the risk of pressure ulcers in bedridden patients at Dustira Hospital in Cimahi, Indonesia. This research design is a quasi-experiment with a nonequivalent control group. The population consists of all bedridden patients, and the total sample is 62 people. There are 31 patients in the intervention group and 31 patients in the control group. Purposive sampling was used for the sample selection. Pressure ulcer risk was assessed using the Braden scale. After testing the normality of the data using the Shapiro-Wilk test (p < 0.005), the results were analyzed using nonparametric tests namely the Wilcoxon and Mann-Whitney tests. After treatment, the mean score was 40.97 in the intervention group and 22.03 in the control group. The results showed a significant difference in pressure ulcer risk between the two groups after the intervention (p-value = 0.000). This study emphasizes the importance of incorporating pressure ulcer prevention for bedridden or immobilized patients into routine care in regular wards, intensive care units, and other settings where patients are bedridden for extended periods. This approach supports continuous care by addressing the physical and mental needs of patients. Additionally, the findings of this study will serve as the basis for evidence-based interventions to improve the quality of nursing services in hospitals. Furthermore, collaboration among healthcare teams, including doctors, nurses, nutritionists, and others, is essential to optimize care for bedridden patients, regardless of their underlying conditions.

Artificial Intellegence in Laboratory Health Care: Machine Learning in Bacterial Identification

Sun, 01 Feb 2026 00:00:00 +0700

Accurately identifying bacterial species is essential in diagnostic microbiology, where biochemical testing remains a primary method for classification. These tests assess how microorganisms metabolize specific substrates, producing measurable reactions that indicate species-level traits. Although automated systems have improved interpretation through probability-based scoring, misidentification still occurs due to the natural variability of bacterial phenotypes. To address this challenge, the study introduces PyBact, an open-source Python-based software designed to simulate realistic bacterial biochemical profiles for research and educational purposes. PyBact generates binary datasets representing biochemical test results by using probability values derived from authoritative microbiology references, including the Manual of Clinical Microbiology. For each species, the program creates a user-defined number of simulated strains and assigns positive or negative test outcomes based on known frequencies. This probabilistic method faithfully reflects biological diversity rather than relying on fixed, idealized profiles. The resulting data matrices are compatible with machine learning workflows. To evaluate the tool, researchers simulated 100 strains for each species in two datasets: 12 Vibrio species (1,200 strains) and 134 Enterobacteriaceae species (13,400 strains). These datasets were analyzed using Weka with three machine learning models—Decision Tree (J48), Naive Bayes, and SVM—under 10-fold cross-validation. The classifiers performed exceptionally well, achieving up to 100% accuracy for Vibrio and above 91% for Enterobacteriaceae. Overall, the study demonstrates that PyBact effectively produces biologically meaningful simulated datasets that support highly accurate machine learning–based bacterial identification. The software also serves as a valuable educational resource and is freely available under the Open Software License.

Ethical, Effective, Empowered: Policy and Practice for Tomorrow’s Health Professionals

Erin Ryan — Sun, 01 Feb 2026 00:00:00 +0700

As Artificial Intelligence (AI) rapidly expands across healthcare and higher education, universities face urgent questions about safety, ethics, and AI's impact on student learning and wellbeing. This presentation explores the real benefits and risks of AI adoption in health-profession programs, citing emerging global evidence of decreased peer connection, increased accuracy concerns, and student anxiety about academic integrity. These issues highlight the need for institutional leadership to develop clear, supportive AI policies—policies that safeguard learning while promoting innovation. Building on the seminar’s objectives and the broader theme of “Artificial Intelligence in Health Care Services,” this session examines practical policy models at the institutional, program, and course levels. The aim is to demonstrate how universities can balance academic freedom with shared ethical standards, while also addressing mental health pressures related to AI dependence and uncertainty. The session concludes with a skills-focused segment on effective prompting, showing how educators and students can use AI safely and productively and how improved prompting can enhance the policy development process itself. By linking risk awareness, wellbeing, and responsible innovation, this presentation offers a pathway for preparing future health professionals to use AI ethically, confidently, and grounded in human-centered care.

Artificial Intelligence in Healthcare Services through Big Data Research

Ronnell D. Dela Rosa — Sun, 01 Feb 2026 00:00:00 +0700

The rapid advancement of digital systems in healthcare has generated massive volumes of data, creating new opportunities for innovation through Artificial Intelligence (AI). This conference lecture examines how AI, powered by Big Data research, is transforming health services by enhancing clinical decision making, predicting disease risks, and improving patient outcomes. AI tools—such as machine learning, deep learning, and natural language processing—enable the analysis of complex health datasets from electronic health records, diagnostic images, wearable technologies, and population health systems. These technologies support early detection, personalized treatment, operational efficiency, and automated workflows. While the potential is significant, challenges remain related to data quality, interoperability, privacy, and ethical use. This lecture highlights current applications, emerging trends, and the need for robust governance frameworks to ensure responsible and equitable AI integration. Thus, AI-driven Big Data research is reshaping healthcare into a more proactive, efficient, and patient centered system.

Lemon Oil Aromatherapy Intervention on Anxiety in Children with Chemotherapy through a Combination Assessment of ZSAS and AI-Based Emotimeter

Nunung Nurjanah, Siti Dewi Rahmayanti, Chatarina Suryaningsih — Sun, 01 Feb 2026 00:00:00 +0700

Each year, 176.000 children are diagnosed with cancer. Chemotherapy is a common treatment. Chemotherapy has both physical and psychological effects. One psychological impact is anxiety. Anxiety in children increases an exaggerated response to painful stimuli and can lead to refusal of treatment, thus impacting the treatment. Anxiety in children can be treated with lemon oil aromatherapy. Lemon oil aromatherapy is a non-pharmacological technique aimed at preventing anxiety in children. The aim of this study was to determine the effect of lemon oil aromatherapy intervention on the anxiety of school-aged children undergoing chemotherapy at a private hospital in Bandung. The study used a quasi-experimental design. The sample consisted of school-aged children. Consecutive sampling was used, with 21 children selected. Data collection involved administering aromatherapy through a diffuser as much as 2 drops of lemon oil dissolved in 100 ml of water, given once before and after chemotherapy for 15 minutes. Anxiety was measured before and after the intervention using the Zung Self-Anxiety Rating Scale (ZSAS) questionnaire, combined with an artificial intelligence based emotimeter to analyze facial expressions more accurately. Data analysis used marginal homogeneity test, found that anxiety before the intervention was mostly severe anxiety (60-74) and after the intervention changed to normal (<45). The statistical test yielded a p-value of 0.001, indicating that the lemon oil aromatherapy intervention had an effect on children's anxiety. Pediatric nurse should provide non-pharmacological interventions, such as aromatherapy, to treat anxiety in children undergoing chemotherapy and using appropriate measurement tools to assess anxiety.

The Relationship between Long suffering and medication adherence with Quality-of-Life in Patients with Type 2 Diabetes Mellitus

Dyan Kunthi Nugrahaeni, Novie Elvinawaty Mauliku, Teguh Akbar Budiana — Sun, 01 Feb 2026 00:00:00 +0700

Type 2 diabetes mellitus (T2DM) is a long-term condition that cannot be completely cured, it can affect health and quality of life (QOL). This study aims to determine the relationship between long suffering and medication adherence with quality of life among patients with T2DM. Research design used cross sectional study, samples are patients with T2DM at Cibereuem and Cigugur Tengah Public Health Center, Cimahi West Java, as many as 115 patients. The independent variables were long suffering measures in years since diagnosis, medication adherence using MMAS-8, while the dependent variable is QOL for diabetes used the Diabetes Quality of Life-Brief Clinical Inventory (DQOL-BCI). Data analysis using chi-square, the p-value was as a significant test, with a significance level (alpha)=0.05. The result of this study showed that the variables were significant with quality-of-life patient T2DM are long suffering (p value= 0.01; OR= 3.54, (5%CI: 1.40-8.92), medication adherence (p value= 0.01; OR= 3.54, (5%CI: 1.40-8.92). The results highlight the importance of addressing long-term illness duration and promoting adherence to medication to enhance patients’ quality of life. Interventions targeting patients with T2DM who have been living with the disease for more than five years should focus on improving medication adherence to achieve better QOL outcomes.

The Relationship Between Viral Load and Neutrophil Lymphocyte Ratio in HIV Patients Receiving Antiretroviral Therapy

Gina Rifa’atul Mahmudah, Rina Rina, Patricia Gita Naully — Sun, 01 Feb 2026 00:00:00 +0700

Human Immunodeficiency Virus (HIV) is a virus that attacks the immune system and can progress to Acquired Immune Deficiency Syndrome (AIDS). Currently, HIV/AIDS remains incurable; however, viral replication can be controlled through Antiretroviral (ARV) therapy. The effectiveness of ARV is typically monitored through viral load testing. Several studies have also highlighted the Neutrophil Lymphocyte Ratio (NLR) as a biomarker that may reflect the severity of viral infection. This study aimed to examine the relationship between viral load and NLR in HIV patients undergoing ARV therapy, as well as to assess the influence of ARV therapy duration on these parameters. A quantitative approach with a cross-sectional design was employed, involving 50 HIV patients receiving ARV therapy at Bayu Asih Regional General Hospital, Purwakarta Regency. Viral load data were obtained from laboratory testing using the GeneXpert Rapid Molecular Test, while NLR was derived from complete blood count results measured with the Yumizen H500 Automatic Hematology Analyzer. Data analysis was conducted using the Chi-Square test. The results demonstrated a significant relationship between viral load and NLR (p = 0.000). In contrast, no significant relationship was found between viral load and the duration of ARV therapy (p = 0.246) or between NLR and the duration of ARV therapy (p = 0.078). Therefore, it can be concluded that an increase in viral load is associated with an increase in NLR, suggesting that NLR may serve as an inflammatory marker in HIV patients undergoing ARV therapy, whereas the duration of ARV therapy does not appear to affect these parameters.

Mother's Knowledge of MP-ASI by Early MP-ASI Giving to Mothers Who Have Babies 0-12 Months in the Working Area of the Padasuka Cimahi Health Center: Study Corellation

Dyna Apriany, Siti Dewi Rahmayanti, Ai Setianah — Sun, 01 Feb 2026 00:00:00 +0700

Complementary foods are foods and drinks other than breast milk that are given to infants when they are 6 months old. Giving food and drink other than breast milk to babies before 6 months of age is called early complementary feeding. Knowledge is the things that a person gets that have been captured through the five senses by that person. The prevalence of infants who have been given early complementary foods in Cimahi city is 40%. The purpose of this research was to see the description of mothers knowledge, early complementary feeding, and the relationship between mothers knowledge and early complementary feeding in the working area of Padasuka Cimahi Health Center. This study uses Analytical Survey research method with Cross Sectional design. The sample technique used was Total Sampling. The sample in this study were mothers who had babies aged 0-12 months totaling 92 mothers in the Padasuka Cimahi Health Center working area. Univariate analysis used frequency distribution and bivariate using Chi Square analysis. Data collection methods using questionnaires. The results of this study indicate that there is a relationship between maternal knowledge about complementary foods and early complementary feeding with the results of the Chi Square test with a p-value of 0.001 <0.05. It is suggested that local health services can increase health promotion about complementary foods in the area to be used as additional information for mothers who are preparing to give complementary foods and who have given complementary foods to their babies, so that mothers can increase their knowledge of complementary foods.

Risk Factors Associated with Mental Health among Construction Workers at PT PP (Persero) Tbk in the KH Mohammad Thohir Regional General Hospital Project, Lampung

Erna Wahyuni Andawati, Novie E. Mauliku, Gurdani Yogisutanti — Sun, 01 Feb 2026 00:00:00 +0700

This study investigates the risk factors associated with mental health among construction workers at the RSUD KH Mohammad Thohir project, Lampung. A cross-sectional approach was applied involving 135 workers selected through total sampling. Data were collected using validated questionnaires, including Job Demands–Resources indicators and the Self-Reporting Questionnaire (SRQ-20). Univariate, bivariate, and multivariate analyses were performed to identify the relationship between job demands, job resources, work duration, working hours, and mental health status. The results showed that more than half of the workers (51,9%) experienced mental health problems. Job demands demonstrated a significant relationship with mental health (p = 0,001), where workers with high job demands had a higher proportion of psychological distress (68,9%). Job resources were also significantly related to mental health (p = 0,000), with low job resources increasing the likelihood of mental health issues. Working hours and work duration showed borderline and significant associations, respectively. Multivariate analysis indicated that education, job resources, and job demands were the most influential predictors of mental health. The study concludes that psychosocial work conditions play an essential role in influencing workers’ psychological well-being, underscoring the need for targeted interventions to improve mental health outcomes among construction workers.

The Relationship Between Service Quality and BPJS Outpatient Satisfaction at Al Ihsan Regional Hospital, West Java Province

Neti Sitorus, Tri Ardayani, Ade Syaiful Rohman — Sun, 01 Feb 2026 00:00:00 +0700

RSUD Al Ihsan, as a major regional referral hospital in West Java, has reported recurring issues related to service quality in its outpatient department, including long waiting times, administrative inefficiencies, and communication challenges, which affect BPJS patient satisfaction. This study aimed to analyze the relationship between service quality, measured through the SERVQUAL dimensions, and outpatient satisfaction among BPJS patients at RSUD Al Ihsan. A quantitative cross sectional design was employed involving 140 BPJS outpatients selected through purposive sampling based on predetermined inclusion criteria. Data were collected using a validated SERVQUAL questionnaire with a 5 point Likert scale, and statistical analysis was performed using SPSS with Chi-square tests. Ethical approval for this study was granted by the Health Research Ethics Committee of RSUD Al Ihsan. The findings showed that 95.7% of respondents rated all five dimensions of service quality, tangibility, reliability, responsiveness, assurance, and empathy, as good, and 95% reported being satisfied with the services received. The Chi-square test demonstrated a significant association between service quality and patient satisfaction (p < 0.001), indicating that higher perceived service quality strongly influences satisfaction levels. In conclusion, service quality plays a critical role in shaping the satisfaction of BPJS outpatients at RSUD Al Ihsan, highlighting the importance of improving administrative flow, responsiveness, and facility support to enhance patient experience and strengthen trust in public healthcare services.

Factors Influencing Antihypertensive Medication Adherence Among Elderly Patients: A Cross-Sectional Study in Sesayap Hilir, North Kalimantan

Eka Shofinah, Ayu Laili Rahmiyati, Dyan Kunthi Nugrahaeni — Sun, 01 Feb 2026 00:00:00 +0700

Hypertension is a chronic condition frequently accompanied by low medication adherence in older adults, contributing to elevated risks of cardiovascular complications. This study aimed to identify the factors influencing medication adherence among elderly patients with hypertension in the working area of the Sesayap Hilir Public Health Center, Tana Tidung Regency. A cross-sectional design was applied involving 258 participants selected through purposive sampling. Data were collected using the 8-item Morisky Medication Adherence Scale (MMAS-8) and a structured questionnaire with researcher developed items to evaluate predisposing, enabling, and reinforcing factors, and were analyzed using chi-square tests and factor analysis. Most participants demonstrated low adherence (81%), had primary level education, reported family income below the regional minimum wage, and had lived with hypertension for at least three years. No significant associations were found between medication adherence and education level (p = 0.388), employment status (p = 0.364), family income (p = 0.082), or hypertension duration (p = 0.657). In contrast, knowledge (p < 0.001), family support (p < 0.001; PR = 24.65), and motivation (p < 0.001; PR = 21.93) were strongly associated with adherence. Factor analysis identified two significant components: psychosocial resources (knowledge, family support, motivation) and demographic–disease factors (education, occupation, illness duration), which together explained 64.45% of the total variance. These findings indicate that psychosocial resources are the predominant determinants of medication adherence among elderly patients with hypertension. Interventions at the primary care level should therefore prioritize strengthening health literacy, enhancing family involvement, and maintaining patient motivation to support long-term treatment adherence.

The Effect of Combined Consumption of Iron Tablets with Vitamin C (Ascorbic Acid) Tablets and Guava Fruit on Hemoglobin Levels in Adolescent Girls with Anemia at the As-Saruniyah Health Center in Cianjur Regency in 2025

Rani Sumarni, Dini Marlina, Yura Aisyiaturrohmah — Sun, 01 Feb 2026 00:00:00 +0700

Anemia often affects adolescent girls due to psychological conditions that often cause stress, menstruation, or unhealthy lifestyles, especially in terms of nutritional needs. The purpose of this study was to determine the effectiveness of consuming iron tablets combined with vitamin C and guava fruit in increasing hemoglobin levels in adolescent girls with anemia at the As-Saruniyah Health Center in Cianjur Regency. The research method used was quasi-experimental (Quasi Experimental Design), with a Nonequivalent Control Group Design. The sample size was 30 adolescent girls, divided into an intervention group and a control group, selected using purposive sampling. The research was conducted in August 2025. Data analysis was performed using univariate and bivariate analysis with the Paired T Test (T Dependent) and the Difference Test using the independent T-test. The results showed an average increase in Hb of 1.24 g/dL, with a statistical test result of P-value 0.0001 < α (0.05) in the guava group and an average increase in Hb of 1.18 g/dL, with a statistical test result of P-value 0.0001 < α (0.05) in the vitamin C group. Meanwhile, the difference test results showed an average difference of 0.13 g/dL. The statistical test results showed a P-value of 0.768 > α (0.05), indicating that there was no significant difference between the effects of the combination of iron tablets with guava and vitamin C. It is hoped that this study can provide an alternative way of consuming iron tablets.

The Relationship of Giving Informed Consent with Anxiety Levels of Preoperative Sectio Caesarea Patients in the Surgical Room at Immanuel Hospital Bandung

Arfian Christianto Askam, Linda Hotmaida, Henni Purnasari — Sun, 01 Feb 2026 00:00:00 +0700

Sectio Caesarea is a medical procedure performed to assist childbirth when normal delivery is not possible due to maternal health issues or fetal conditions. This surgery can cause significant physical trauma and carries a risk of mortality, leading to psychological effects such as anxiety. Providing informed consent to preoperative Sectio Caesarea patients can reduce anxiety levels. This study aimed to determine the relationship between giving informed consent and anxiety levels in preoperative Sectio Caesarea patients in the surgical room at Immanuel Hospital Bandung. This study utilized a correlational descriptive design. The population comprised patients scheduled for a cesarean section, with a sample size of 57 respondents determined through purposive sampling. The variables examined were informed consent and anxiety levels, measured using the HARS questionnaire and an informed consent questionnaire. Data were analyzed using univariate and bivariate techniques. The results indicated that the majority of informed consent provisions for preoperative Sectio Caesarea patients were adequate (70.2%), and nearly half of the respondents (43.9%) experienced mild anxiety. The Spearman Rank statistical test showed a p-value of 0.001, indicating a significant relationship between giving informed consent and anxiety levels in preoperative Sectio Caesarea patients. The findings suggest that there was a correlation between the provision of informed consent and anxiety levels in preoperative Sectio Caesarea patients.

Nature's Filter: Improving Water Quality with Coconut and Rice Husk Bio-Char

Agus Riyanto, Ayu Laili Rahmiyati — Sun, 01 Feb 2026 00:00:00 +0700

The quality of well water is poor along the riverbanks because the river is polluted with solid and liquid waste. The effects of consuming low-quality well water include decreased bone density, tooth decay, anemia, and kidney disorders. The purpose of this study is to examine the effectiveness of coconut shells and rice husks in improving well water quality. This research design is a pretest-posttest with a control group, water samples from dug wells along the riverbank in Cimahi City. This study used three sample groups: 9 samples were given coconut shells, 9 samples were given rice husks, and 9 samples were in the control group. Each sample group used 10 liters of well water. Turbidity, TDS, TSS, Fe, Mn, pH, DO levels were measured before and after the intervention. Data analysis using dependent t tests and ANOVA tests. The results of the study on turbidity, TDS, TSS, Mn, pH, and DO of well water before and after filtration using coconut shell charcoal and rice husks showed significant differences (p<0.05), while Fe did not show significant differences (p>0.05). There were significant differences in turbidity, TDS, TSS, pH, and DO between the coconut charcoal group and the rice husk group (p< 0.05), while there were no significant differences in Fe and Mn between the coconut charcoal group and the rice husk group (p>0.05). The results of this study indicate that coconut shell charcoal is more effective at improving well water quality than rice husk charcoal.

The Effect Educational Activity Book on Fine Motor Development Of 4-5 Years Old Children at Paud Tunas Harapan Subang District In 2024

Giani Nuri Puspariani, Nanik Cahyati, Mega Dewi Lestari — Sun, 01 Feb 2026 00:00:00 +0700

Children aged 4-5 years are included in the preschool age and are called the golden period. The Subang Regency Health Office in 2023 stated that there were 77.94% of children who were given stimulation with as many as 4 children experiencing fine motor development disorders. one of the factors that affect children's fine motor development is due to the lack of stimulation provided. To optimize children's fine motor skills can be done by using educational game tools that can stimulate fine motor skills, one of which is through busy book media. The purpose of this study was to determine the effect of Busy Book on Fine Motor Development of 4-5 Year Old Children at PAUD Tunas Harapan Subang Regency in 2024. This study used quasi experimental with one group pretest-posttest research design. The sample amounted to 25 children aged 4-5 years at PAUD Tunas Harapan Subang Regency with sampling techniques using simple random sampling by drawing. Data collection techniques in the form of observation sheets of fine motor skills of children aged 4-5 years. The administration of busy book media was carried out four times for 4 days. Data were analyzed using paired t-test. The results of statistical tests using paired T-test obtained a p-value = 0.000 (p <0.05) which means that there is an effect of using Busy Book on Fine Motor Development of 4-5 Year Old Children at PAUD Tunas Harapan Subang Regency in 2024.