Proceedings of Malikussaleh International Conference on Health and Disaster Medicine (MICOHEDMED) https://proceedings.unimal.ac.id/micohedmed <p style="text-align: justify;">Disaster management requires a lot of human resources from professional sectors, including doctors. Since it can affect many aspects of life, not just health and well-being. To reduce disaster risk, comprehensive and cross-sectoral efforts are needed.</p> en-US <p>n order for Proceedings of Malikussaleh International Conference on Health and Disaster Medicine (MICOHEDMED) to publish and disseminate research articles, we need non-exclusive publishing rights (transfered from author(s) to publisher). This is determined by a publishing agreement between the Author(s) and Proceedings of Malikussaleh International Conference on Health and Disaster Medicine (MICOHEDMED). 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Nat. dr. Maulana Ikhsan, M. Sc ) nasrulza@unimal.ac.id (Nasrul ZA, S.T., M.T.) Sat, 19 Nov 2022 14:54:20 +0700 OJS 3.3.0.12 http://blogs.law.harvard.edu/tech/rss 60 The Relationship Between Chemotherapy And Incidence Of Anemia In Breast Cancer Patients At Cut Meutia General Hospital, North Aceh https://proceedings.unimal.ac.id/micohedmed/article/view/1 <p style="text-align: justify;"><strong>Introduction: </strong>Chemotherapy is the most common treatment before and after surgery to treat breast cancer patients, anaemia is the most common side effect of chemotherapy, and transfusion is the most common side effect of chemotherapy treatment. The increase in the haemoglobin levels can be achieved quickly, but the side effects that may occur are also not small. This study aims to determine the relationship between chemotherapy and the incidence of anaemia in breast cancer patients at the Cut Meutia General Hospital, North Aceh <strong>Methods: </strong>The type of research is analytical, and the method uses a cross-sectional design carried out from October 2021 to March 2022. A total sample of 45 breast cancer patients was taken by total sampling that met the inclusion and exclusion criteria. <strong>Results: </strong>The results showed that there were 15 people (16.00) of chemotherapy drugs using the platinum base and antrasiklin for 30 people (26.50). Man Whitney test results obtained p &lt;0.007 indicates that the value (p) &lt;0.05 (p = 0.000).</p> <p style="text-align: justify;"><strong>Conclusion: </strong>So this study concludes that there is a relationship between chemotherapy and the incidence of anaemia in breast cancer patients at RSCM Aceh Utara.</p> Aya Sofia, Adi Rizka, Iskandar Albin Copyright (c) 2022 Aya Sofia, Adi Rizka, Iskandar Albin https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/1 Fri, 07 Oct 2022 00:00:00 +0700 Relationship Between Knowledge Levels About The Impact Of Smoking On Family Health And Smoking Behavior In The Community Of Dusun E Gampong Uteunkot https://proceedings.unimal.ac.id/micohedmed/article/view/3 <p><strong>Abstract:</strong> Smoking behaviour is a problem and a national priority in improving the health status of the Indonesian people because it involves various aspects of problems in life, namely economic, socio-political and especially health aspects. This can be seen in everyday life such as at home, on public transportation or in the office, almost every time people are found and found smoking. Smoking behaviour is not only found among adults but can also be found among adolescents. Although information and knowledge about the impact of smoking on the health of smokers as well as on the surrounding environment, especially families, is widely conveyed, this smoking behaviour is still carried out.</p> <p><strong>Purpose: </strong>The purpose of this study was to determine the relationship between the level of knowledge about the impact of smoking on family health and smoking behaviour in the Dusun E Gampong Uteunkot community</p> <p><strong>Patients and methods: </strong>This study is an analytic observational of 235 samples aged &gt; 17 years which were taken by purposive sampling. Measurements were made using a questionnaire consisting of knowledge about the impact of smoking on the health of oneself and one's family and smoking behaviour.</p> <p><strong>Results: </strong>The results of this study indicate that the majority of respondents who have a good level of knowledge about non-smoking behaviour are 36.1%. Data analysis using Chi-square. The results of statistical analysis showed p value &lt;0.05.</p> <p><strong>Conclusion: </strong>The conclusion of this study is that there is a relationship between the level of knowledge about the impact of smoking on family health and smoking behaviour in the Dusun E Gampong Uteunkot community.</p> Angga Wibatsu Karim, Cut Khairunnisa, Nina Herlina Copyright (c) 2022 Angga Wibatsu Karim, Cut Khairunnisa, Nina Herlina https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/3 Fri, 07 Oct 2022 00:00:00 +0700 Integration Of The Role Of Medical Students And Health Workers In Combating Pulmonary Tuberculosis In North Aceh District https://proceedings.unimal.ac.id/micohedmed/article/view/6 <p><strong>Abstract: </strong>Pulmonary tuberculosis is a health problem that occurs in almost all countries in the world, including Indonesia. Therefore, in overcoming it, the participation of various elements of society is needed.</p> <p><strong>Purpose: </strong>This study aims to create an integrated role for medical students and health workers in the prevention of tuberculosis in the North Aceh Regency.</p> <p><strong>Patients and methods: </strong>This study is a qualitative study using a Participatory Action Research design. The number of informants involved consisted of 30 people with TB, 20 medical students, and 4 health workers. Data collection was carried out through in-depth interviews, recording and measurement, and observation of documentation.</p> <p><strong>Results: </strong>The results showed that medical assistance by medical students and health workers has increased patient adherence to treatment by 90 percent and the success of TB treatment has also increased by 90 percent.</p> <p><strong>Conclusion: </strong>The integration of the role of medical students and health workers can increase the level of adherence and treatment success in pulmonary tuberculosis patients in the North Aceh District.</p> Cut Khairunnisa, Albiner Siagian, Fazidah Aguslina Siregar , Fikarwin Zuska Copyright (c) 2022 Cut Khairunnisa, Albiner Siagian, Fazidah Aguslina Siregar , Fikarwin Zuska https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/6 Fri, 07 Oct 2022 00:00:00 +0700 The Effect Of Nanoherbal Solanum Lycopersicum On Rat Induced Streptozotocin https://proceedings.unimal.ac.id/micohedmed/article/view/9 <p><strong>Abstract : </strong>Diabetes Mellitus (DM) has become a global health threat in the 21st century. DM sufferers are increasing, according to the International Diabetes Federation (IDF) in 2017, the number of DM sufferers in the world is 7.5 million people and is predicted to be 9.5 million in 2017. In 2045, Indonesia itself was ranked 7th out of 10 countries with the most DM at the age of 20-79 years and ranked 4th out of 10 countries with the largest population of undiagnosed. This study aim to determine the antihyperglycemia activity of Nanoherbal Extract of Solanum lycopersicum. This is an experimental study in which the research group was divided into seven groups, each including five rats weighing 200-250 grams. Which are (normal group, negative group, metformin, nanoherbal 25, 50, 100, and 200 mg/kgBW). Rats were induced by STZ 55 mg/kgBW + NCT 120 mg/kgBW until the blood glucose is above 200 mg/dL. The highest level of SOD is the control group 63.984 ± 2,065 ng/mL and the lowest is negative group is 18,173 ± 2,130 ng/mL. For group that given treatment show that the highest SOD level is in dose 200 mg/kgBW 77,603 ± 3,089 ng/mL and the lowest is in dose 25 mg/kgBW 33,612 ± 1,477 ng/mL and the group given metformin is 69,546 ± 3,128 ng/mL. The highest level of Insulin is the control group 305,573 ± 5,51ng/mL and the lowest is negative group is 48,5366 ± 2,44 ng/mL. For group that given treatment show that the highest insulin level is in dose 200 mg/kgBW 305,939 ± 4,999 ng/mL and the lowest is in dose 25 mg/kgBW 73,938 ± 4,38 ng/mL and the group given metformin is 300,176 ± 10,072 ng/mL. Nanoherbal of Solanum lycopersicum has antihyperglycemia activity by increasing the level of insulin and SOD.</p> Djohan Djohan, Bungaran Sihombing, Sahna Ferdinand, Hanjaya Hanjaya Copyright (c) 2022 Djohan Djohan, Bungaran Sihombing, Sahna Ferdinand, Hanjaya Hanjaya https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/9 Fri, 07 Oct 2022 00:00:00 +0700 Nanoherbal Ocimum Basilicium L Reduce Mda And Increase Sod Level In Wistar Rats Induced Stz https://proceedings.unimal.ac.id/micohedmed/article/view/22 <p style="text-align: justify;">One of the public health problems that is very serious and requires proper treatment for sufferers is diabetes mellitus (DM). An increase in plasma glucose levels that exceeds normal limits is one of the basics for diagnosing diabetes. This study aim to determine the antidiabetic activity of Nanoherbal Extract of <em>Ocimum Basilicum </em>L. This is an experimental study in which the research group was divided into seven groups, each including five rats weighing 200-250 grams. Which are (normal group, negative group, metformin, nanoherbal 25, 50, 100, and 200 mg/kgBW). Rats were induced by STZ 75 mg/kgBW + NCT 120 mg/kgBW until the blood glucose is above 200 mg/dL. The highest level of SOD is the control group 63.984 ± 2,065 ng/mL and the lowest is negative group is 22,41 ± 2,06 ng/mL. For group that given treatment show that the highest SOD level is in dose 200 mg/kgBW 71,72 ± 0,90 ng/mL and the lowest is in dose 25 mg/kgBW 31,814 ± 1,11 ng/mL and the group given metformin is 68,52 ± 32,39 ng/mL. The highest level of MDA is in group control which given only STZ and NCT 37,522 ± 1,64 ng/mL and the lowest MDA level is in normal group 7.199 ± 1,415 ng/mL. however, after given extract show that MDA level decreases which show in the dosen 200 mg/kgBW 7,76 ± 1,64 ng/mL that nearly to the value of normal MDA level while the highest in the treatment group is 30,83 ± 0,961 ng/ml. In summary, Nanoherbal Extract of <em>Ocimum Basilicum </em>L has antidiabetic activity by increasing the level of insulin and antioxidant SOD level while reducing the MDA level</p> Hanjaya Hanjaya, Sahna Ferdinand, Bungaran Sihombing , Djohan Djohan Copyright (c) 2022 Hanjaya Hanjaya, Sahna Ferdinand, Bungaran Sihombing , Djohan Djohan https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/22 Fri, 07 Oct 2022 00:00:00 +0700 Diagnosis And Management Of Antithyroid Drug Induced Agranulocytosis https://proceedings.unimal.ac.id/micohedmed/article/view/27 <p style="text-align: justify;">Agranulocytosis as adversed effect of antithyroid drug (ATD) in patients with Graves disease is a rare complication but it can be serious and life threatening. The mortality rate 2-10% caused by severe infection as complications. Immediate diagnosis and management are essential for proper treatment and good prognosis. A 35-year-old female with Graves disease was complaining of fever and sore throat. She was initially treated with Thiamizole 1x20 mg for 2 weeks. Physical examination revealed leukoplakia and diffuse struma. Laboratory test : FT4 43 pmol/L, TSHs :0,005 uIu/mL, ANC &lt;100/ul. Patient is diagnosed with ATD induced agranulocytosis. Treatment includes meropenem, fluconazole and GCSFs. The clinical and laboratory parameter improved after two weeks of treatment. Agranulocytosis in Graves’ disease patient which had ATD is a rare occurrence, with an incidence 0,2- 0,5% (66,7% had severe infection). The diagnostic criteria for agranulocytosis caused by ATD are hyperthyroid patients who are confirmed with an increase T4 and/or T3, decrease in TSH, ANC of 1500/ul before receiving ATD, ANC &lt; 500/ul after initiation ATD and other causes of agranulocytosis have been excluded. In fact, most patients had ANC &lt;100/ul. There are no symptom difference with agranulocytosis caused by other cause. High fever and sore throat are the most common symptom. Initial management are to identify, immediately stop the drug use, broad spectrum antibiotics and GCSFs. The hyperthyroidism will continue and alternative therapies should still be given. The best prevention is to educate patient and to examine granulocyte count frequently.</p> Maulina Debbyousha, Hendra Zufry Copyright (c) 2022 https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/27 Thu, 10 Nov 2022 00:00:00 +0700 Effect Of Using Hallux Valgus Splint On Hallux Valgus Pain In https://proceedings.unimal.ac.id/micohedmed/article/view/19 <p style="text-align: justify;"><strong>Abstract:</strong> Female teachers often use high heels in their work activities, which causes musculoskeletal problems such as hallux valgus. Hallux valgus can cause pain around the first metatarsophalangeal joint. One of the treatments for hallux valgus is a hallux valgus splint which works as a big toe corrector. This study aims to determine the effect of using hallux valgus splints on pain due to hallux valgus on teachers and employees at public elementary schools in the Kemangkon district.</p> <p style="text-align: justify;"><strong>Purpose: </strong>The purpose of this study was to determine the effect of using a hallux valgus splint on pain due to hallux valgus in teachers and employees at State Elementary Schools in Kemongkon District.</p> <p style="text-align: justify;"><strong>Patients and methods: </strong>This research is a quasi-experimental research with one group pre and posttest design. The subjects in this study were teachers and employees at a public elementary school in the Kemangkon district as many as 22 people with hallux valgus pain. Subjects were given an intervention using a hallux valgus splint and pain measurements were made using a numeric rating scale (NRS).</p> <p style="text-align: justify;"><strong>Results: </strong>Hypothesis testing using paired sample t-test showed that the use of hallux valgus splint could reduce hallux valgus pain p = 0.000 (p &lt;0.05), statistically there was an effect.</p> <p style="text-align: justify;"><strong>Conclusion: </strong>It can be concluded that there is an effect of using a hallux valgus splint on pain due to hallux valgus on teachers and employees at public elementary schools in Kemangkon District</p> Muh. Syaiful Akbar , Dwi Setyawan, Humaidah Azzahra Copyright (c) 2022 Muh. Syaiful Akbar , Dwi Setyawan, Humaidah Azzahra https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/19 Fri, 07 Oct 2022 00:00:00 +0700 Association Between Vitamin D Levels With Mdr-Tb Patients With Household Contacts And Healthy People As Comparison https://proceedings.unimal.ac.id/micohedmed/article/view/20 <h1>Abstract</h1> <p><strong>Background</strong>: The high incidence of pulmonary tuberculosis (TB) progressing into multidrugresistant TB (MDR-TB) has become a serious concern and caused a high mortality rate. The incidence of MDR-TB was 3.3% of new cases and 20% of cases of recurrent treatment. Low levels of vitamin D is a predisposing factor of MDR-TB, and family members in contact with the patient also show risk of infection. Currently, there is no study that compares vitamin D levels between MDR-TB patients and their household contact.</p> <p><strong>Method</strong>: This is a case control study, with the number of samples of each group (MDR-TB patients, household contact, healthy controls) 40 subjects, respectively. Each member of each group were checked for vitamin D levels using enzyme-linked immunosorbent assay (ELISA) technique.</p> <p><strong>Result</strong>: Mean levels of vitamin D in MDR-TB patients are 32.21, contact families 31.7 and healthy controls 26.86. There is a significant relationship between vitamin D levels and MDR-TB incidence (p=0.006).</p> <p><strong>Conclusion </strong>: There was no significant association between vitamin D deficiency level with MDRTB. Vitamin D insufficiency was a protective factor for MDR-TB than in healthy control.&nbsp;&nbsp;</p> Nina Herlina, Bintang Yinke Magdalena Sinaga, Parluhutan Siagian, Erna Mutiara Copyright (c) 2022 Nina Herlina, Bintang Yinke Magdalena Sinaga, Parluhutan Siagian, Erna Mutiara https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/20 Fri, 07 Oct 2022 00:00:00 +0700 Effectiveness Of Black Garlic Extract Against Various Organs: A Review https://proceedings.unimal.ac.id/micohedmed/article/view/21 <p>Black garlic is a fermented form of garlic (Allium sativum) which is obtained by heating (60-90 ͦ C) and humidity of 70-90% for a certain period of time. Black garlic, which is rich in functional compounds, is certainly very beneficial, especially for several organs in the body, such as cardiovascular, respiratory, hepatobiliary, kidney, gastrointestinal tract organs, and others. The study used is a literature review study using in vitro, in silico research articles and literature review articles. The results showed that the effectiveness of black garlic extract was mainly attributed to its antioxidant, immunomodulatory, anti-inflammatory, digestive system protective, hepatoprotective, cardiovascular protection, neuroprotective, and nephroprotective compou</p> Nora Maulina, Indra Zachreini, Gholib Gholib, Muslim Akmal Copyright (c) 2022 Nora Maulina, Indra Zachreini, Gholib Gholib, Muslim Akmal https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/21 Fri, 07 Oct 2022 00:00:00 +0700 Case Report: One Left Sinonasal Mass Suspect Benign https://proceedings.unimal.ac.id/micohedmed/article/view/5 <h1>Abstract</h1> <p>Neurofibromas are benign peripheral nerve sheath tumors. They arise from schwann cells and fibroblasts of the connective tissue of the endothelium. Of the 25% to 45% neurofibromas that&nbsp; arise in the head and neck region, only 4% involve the nasal cavity and paranasal sinuses. Here we report one such case in a 18 years old male who presented to us with complaints of swelling n his left cheek since a year ago which often felt to shrink and then enlarge again and also complains of several other symptoms like watering of the left eye frequently, nasal obstruction, and also crooked tooth. The mass was histologically confirmed to be a neurofibroma, but Computer tomography and panoramic image leads it to dentigerous cyst.&nbsp;</p> Nurfadilla Nurfadilla Copyright (c) 2022 Nurfadilla Nurfadilla https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/5 Fri, 07 Oct 2022 00:00:00 +0700 School Strategy In Preventing Bullying At SMPN Negeri Arun Lhokseumawe https://proceedings.unimal.ac.id/micohedmed/article/view/7 <table> <tbody> <tr> <td width="44">&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </tbody> </table> <p><br><strong>Abstract: </strong><em>The purpose of this study is to have a picture of school strategy in preventing bullying at SMP Negeri Arun Lhokseumawe and challenges in apply it. The method that used in this study was a qualitative method with case study type by using purposive sampling techniques. The subject in this study consist of 13 participants, that are 6 teachers, 3 students and 2 parents. The results of this study indicate that strategy that used in preventing&nbsp; bullying behavior at SMP Arun were; (1) Identifying the root of the&nbsp; bullying, (2) Discipline; having the role and consequences,(3) Creating a community of group study or role play, (4) Providing education information about bullying, (5) Providing counselling service for victims and perpetrators by school counselor, (6) giving reward, (7) Do Monitoring, (8) prompting response action from teacher, (9) Build up relationship with parents. However, the obstacles finding in preventing bullying behavior are: (1) Student afraid to repot the case to the teacher, (2) Inconsistency and low of commitment of teacher in applying the role, (4) Communication problem between school and parent. As conclusion the commitment and consistency in applying the role of school strategy is very crucial to prevent bullying at school. The strategic become effective when the role applies comprehensively.&nbsp; </em></p> <p><em>&nbsp;</em></p> <p><strong>Purpose: </strong>Describe the school strategy in preventing bullying and challenges of school in applying the role strategy in Arun State Middle School, Lhokseumawe</p> <p><strong>&nbsp;</strong></p> <p><strong>Patients and methods: </strong>teachers, parents and students of bullying victims and bullies. <strong>&nbsp;</strong></p> <p><strong>&nbsp;</strong></p> <p><strong>Results:</strong> The results of this study indicate that strategy that used in preventing&nbsp; bullying behavior at SMP Arun were; (1) Identifying the root of the&nbsp; bullying, (2) Discipline; having the role and consequences,(3) Creating a community of group study or role play, (4) Providing education information about bullying, (5) Providing counselling service for victims and perpetrators by school counselor, (6) giving reward, (7) Do Monitoring, (8) prompting response action from teacher, (9) Bu<em>ild up relationship with parents</em>&nbsp;</p> <p>&nbsp;</p> <p><strong>Conclusion:</strong> SMP Arun has applied the strategy to prevent bullying at school. However, to executes the strategy become effective, the commitment and consistency of school is important to ensure the role applied. Furthermore, build up a good communication between school and parents as well as teach student to become assertive will help to prevent cases of bullying.</p> Nursan Junita, Raudhatul Amimi Copyright (c) 2022 Nursan Junita, Raudhatul Amimi https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/7 Fri, 07 Oct 2022 00:00:00 +0700 The Differences Of Self-Control In Adolescent Male And Female In Preventing Pre-Marriage Sexual Behavior https://proceedings.unimal.ac.id/micohedmed/article/view/8 <p>This study aims to look at the differences in self-control in adolescent boys and girls in preventing premarital sexual behavior. This study uses a quantitative approach to the type of comparative research and uses a <em>cluster sampling technique. </em>The subjects in this study were 240 adolescents, consisting of 120 boys and 120 girls. The data collectionmethod used a self-control scale compiled by the researcher which consisted of 50 items. Data analysis using <em>independent samples t-test. </em>The results of this study indicate that there are differences in self-control of male and female adolescents in preventing premarital sexual behavior. The self-control of boys is low, in this case boys rarelythink about the impact of what they do. While the self-control of female adolescents is high, in this case female adolescents are able to guide and regulate the right way to behave.</p> Mauliani Mauliani, Rini Julistia Copyright (c) 2022 Mauliani Mauliani, Rini Julistia https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/8 Fri, 07 Oct 2022 00:00:00 +0700 Alienation In Adolescents: The Role Of Self Determination https://proceedings.unimal.ac.id/micohedmed/article/view/10 <p><strong>Abstract: </strong>&nbsp;</p> <p><strong>Purpose: </strong>This study aims to see the relationship between self determination and alienation in adolescents</p> <p><strong>&nbsp;</strong></p> <p><strong>Subject&nbsp; and methods: e : </strong>This study uses a quantitative research design with the type of correlation. The number of research samples as many as three hundred and seventy six students obtained based on simple random sampling method that has certain criteria. Data was collected using an alienation scale and a self-determination scale.</p> <p><strong>&nbsp;</strong></p> <p><strong>Result:</strong> The results showed that there was a negative correlation between self determination and alienation in adolescents which reached 42.2%. When viewed based on the aspect correlation between aspects of the alienation variable and self determination, the highest aspect is the aspect of normlesness, while the lowest is the aspect of powerlessness. The correlation between the aspects of the self determination variable and alienation shows that the relatedness aspect has the highest correlation, while the lowest is the competence aspect.</p> <p>&nbsp;</p> <p><strong>Conclusion: </strong>There is a correlation between self determination and alienation in adolescents. Alienation is influenced by intrinsic motivation, namely self determination.</p> Rahmawati Rahmawati, Widi Astuti Copyright (c) 2022 Rahmawati Rahmawati, Widi Astuti https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/10 Fri, 07 Oct 2022 00:00:00 +0700 Bacterial Vaginosis https://proceedings.unimal.ac.id/micohedmed/article/view/11 <h1>Abstract</h1> <p><strong>Introduction:</strong> The vagina is normally inhabited by a number of organism, including Lactobacillus acidophilus, diphteroids, Candida and others. Normal vaginal flora contains aerobic and anaerobic bacteria, such as Lactobacillus species being the prominent microorganism with number more than 95% of the total bacteria present. Vaginal discharge can be classified into physiologic and pathologic discharge. <strong>Discussion:</strong> Bacterial vaginosis is a clinical syndrome caused by the alteration of Lactobacillus Sp that producing hydrogen peroxide with anaerobic bacteria that caused the disruption of the normal flora balance. Risk factors of bacterial vaginosis are sexual activity, vaginal douching, genetic, vaginal manipulation, smoking and using the intrauterine device. Diagnosis of bacterial vaginosis can be enforced by the gram staining and the calculation of Nugent score (positive diagnosis of bacterial vaginosis if nogent score 7-10). Amsel score can also be conducted if the Nugent score examination cannot be performed. Amsel score criteria consists of white homogen vaginal discharge, fishy odor (positive Whift test), pH &gt; 4.5, and the finding of clue cell. The discovery of 3 citeria of Amsel can confirm the diagnosis of bacterial vaginosis. Treatment of bacterial vaginosis including systemic and topical therapy. Systemic antibiotic such as metronidazole and clindamycin is effective against the anaerob bacteria<strong>. Conclusion:</strong> bacterial vaginosis in an abnormal condition in the vagina caused by the overgrowth of anaerobic bacteria replacing the Lactobacillus hominis that caused the change of normal acidic pH vagina into alkaline.</p> <p>Amsel criteria and Nugent score can be requested to confirm the diagnosis of bacterial vaginosis. Proper diagnosis and treatment with metronidazole and clindamycin can improve the disease.&nbsp;</p> Wizal Putri Mellaratna, Della Vega Nisha Ayuna Copyright (c) 2022 Wizal Putri Mellaratna, Della Vega Nisha Ayuna https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/11 Fri, 07 Oct 2022 00:00:00 +0700 Stress Coping Behavior Of Workers Layoffs During The Covid-19 Living In Babalan District, Langkat Regency https://proceedings.unimal.ac.id/micohedmed/article/view/13 <p><em>This study aims to examine in depth about the stress coping behavior of workers who experience job cuts (layoffs) during COVID-19. This research uses a qualitative approach with case study methods. Selection of location and research subjects using purposeful sampling techniques. The subjects numbered three people, namely workers who experienced job cuts (layoffs) during the COVID-19 period who lived in Securai Village babalan district of Langkat regency. The data collection methods in this study used interviews, observations and documentation. The data analysis techniques used are data collection, data reduction, data display, and inference. The study also used all three triangulation of resources, technique, and time. The results of the Depression Anxiety Stress Disorder (DASS 42) questionnaire showed that all three subjects experienced mild stress with an assessment of roughly 18. The stress experienced by the three subjects in the form of sadness, upset, anxious, confused and discouraged when experiencing job cuts (layoffs). The results showed that all three subjects did the coping process, the first initial assessment, secondary assessment, and reassessment and decision. This aims to find out the cause of the problem that occurs, then the three subjects do stress coping. The three subjects used both forms of stress coping, namely problem focused of coping and emotion focused of coping. This can facilitate the process of handling the source of the problem that causes stress. As for a new findings from all three research subjects, the concept of self that affects coping stress is physical, social, moral and psychological</em></p> Annya Tauzahra, Yara Andita Anastasya Copyright (c) 2022 Annya Tauzahra, Yara Andita Anastasya https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/13 Fri, 07 Oct 2022 00:00:00 +0700 Readiness Of Flood Disaster Preparedness In High Risk Area Communities In North Aceh District https://proceedings.unimal.ac.id/micohedmed/article/view/14 <p><strong>Abstract:</strong> Indonesia is a country prone to floods. Flood disasters can occur anytime and anywhere. Aceh Province has a very large disaster potential, this is influenced by geographical, geological, hydrological, and demographic conditions. One of the areas in North Aceh that is often hit by floods every year, therefore it is important for the community to have good preparedness in dealing with flood disasters.</p> <p><strong>Purpose: </strong>This research is to find out the description of flood disaster preparedness in the community.</p> <p><strong>Patients and methods: </strong>This study is a descriptive study with a <em>cross-sectional approach</em>. The sampling technique used is <em>stratified random sampling</em>, with a total of 98 respondents residing in the North Aceh Regency. Data collection was done by distributing questionnaires.</p> <p><strong>Results: </strong>The results showed that most of the community had a level of preparedness in the good category (56.1 %), then the community in the sufficient category (25.5%), and the community with a low level of preparedness (18.4%).</p> <p><strong>Conclusion: </strong>this research is most of the community has a level of preparedness to face flood disasters in high-risk areas in North Aceh Regency in the good category.</p> Yuziani Yuziani , Cut Sidrah Nadira , Harvina Sawitri , Irfanul Aulia Copyright (c) 2022 Yuziani Yuziani , Cut Sidrah Nadira , Harvina Sawitri , Irfanul Aulia https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/14 Fri, 07 Oct 2022 00:00:00 +0700 Anesthetic Management In Patient With Laparoscopic Cholesistectomy https://proceedings.unimal.ac.id/micohedmed/article/view/15 <h1>Abstract</h1> <p>Cholelithiasis is one of the most common diseases. One of the treatments that can be done is a laparoscopic cholecystectomy. This action is one type of minimally invasive procedure that aims to minimize trauma from the process, which aims to minimize trauma from the surgical process but with satisfactory results. Laparoscopy is a minimally invasive surgical procedure by introducing CO2 gas into the peritoneal cavity to create a space between the anterior abdominal wall and the viscera, thereby providing endoscopic access into the peritoneal cavity. Anesthesia induction was performed under general anesthesia with intubation. The procedure was successful and the patient returned to the ward in good condition. &nbsp;</p> Zaki Fikran, Anna Millizia, Arief Kresna Copyright (c) 2022 Zaki Fikran, Anna Millizia, Arief Kresna https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/15 Fri, 07 Oct 2022 00:00:00 +0700 Relationship Of Self-Acceptance With Quality Of Life In Chronic Kidney Failure Patients https://proceedings.unimal.ac.id/micohedmed/article/view/17 <p>This study aims to see whether there is a relationship between self-acceptance and quality of life in patients with chronic kidney failure. This study uses a quantitative approach with a <em>random sampling technique</em>. The research subjects were 130 people with chronic kidney failure. The data collection method used a self-acceptance scale that was compiled by the researcher himself based on the aspect of self-acceptance from Bernard which consisted of 39 items and the quality of life scale which was compiled by the researcher himself based on the quality of life aspect of Sirgy which consisted of 29 items. Data analysis using <em>Product Moment correlation technique. </em>The relationship between self-acceptance variables and quality of life in patients with chronic kidney failure is accepted. This means that the higher the self-acceptance of patients with chronic kidney failure, the higher their quality of life. Conversely, the lower the self-acceptance of patients with chronic kidney failure, the lower their quality of life</p> Cut Mutia Zuhra, Zurratul Muna Copyright (c) 2022 Cut Mutia Zuhra, Zurratul Muna https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/17 Fri, 07 Oct 2022 00:00:00 +0700 Improvement of Public Health Through Waste Bank Schematic Design https://proceedings.unimal.ac.id/micohedmed/article/view/24 <p><strong>Abstract:</strong>&nbsp;The community health public in Indonesia needs to be improved to elevate the quality of life. The waste bank is an activity of a non-governmental program to maintain environmental health by separating the household waste into organic and non-organic categories. The waste bank is managed using a system such as banking conducted by officers. It was proven that waste bank activity has a positive impact on declining waste volume to improve sanitation. However, waste banks are still carried out in volunteering houses, public service houses, and residential paths. Waste banks have many potencies to support either ecotourism or eco-green planning. This study was performed by waste generation and characterization sampling to determine the required size of the waste bank schematic design. The result shows a schematic design model of the Waste Bank building by researching society’s needs for better environmental health.</p> <p><strong>Purpose: </strong>This research is to design a waste bank based on public health needs</p> <p><strong>Patients and methods: </strong>This study is a descriptive study with a <em>cross-sectional approach</em>. The sampling technique used is <em>stratified random sampling</em>, with 98 respondents residing in Lhokseumawe city. Data collection was done by 8 days of sampling.</p> <p><strong>Results: </strong>The results showed that there is no waste bank building that meets the public health building requirements. There is a schematic design to propose.</p> <p><strong>Conclusion:</strong><em>&nbsp;</em>There is an urgency to have a requirement to waste bank building design to improve sanitation and public health.</p> Arief Funna, Machfuzah Machfuzah , Sofyan Sofyan3, Deassy Siska, Savira Ersa Copyright (c) 2022 https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/24 Sat, 08 Oct 2022 00:00:00 +0700 Duration Of Hypertension And Quality Of Life Of People With Hypertension In Aceh, Indonesia https://proceedings.unimal.ac.id/micohedmed/article/view/53 <p><strong>Abstract:</strong>&nbsp;Hypertension has affected on a person's quality of life, particularly on elderly people, including their social life, mental health, and psychological function. As a result, the elderly's quality of life will suffer, as will their life expectancy.</p> <p><strong>Objectives: </strong>This study aimed to determine the relationship between the duration of hypertension and the quality of life of those who have hypertension.</p> <p><strong>Patients and methods: </strong>A descriptive study with a cross-sectional survey was conducted with participants from the Management of Chronic Diseases Program (Prolanis) in primary care in Muara Dua, Lhokseumawe, Aceh, Indonesia. We employed a total sampling technique (35 participants) and collected data through guided interviews using WHOQOL-Bref questionnaires.</p> <p><strong>Results: </strong>We discovered that participants with hypertension for less than five years were 45.7%, while those with hypertension for more than five years were 54.3%. Physical domain (57.1%), psychological domain (57.1%), and environmental domain (51.4%) all fall into the "good" category of life quality measurement. Meanwhile, social relationship were in the moderate category (42.9%). The following p values demonstrate the association between the duration of hypertension and quality of life: 0.460; 0.719; 0.635; and 0.975.</p> <p><strong>Conclusion: </strong>There is no significant relationship between hypertension duration and quality of life among hypertensive patients enrolled in the Prolanis Program in Aceh, Lhokseumawe.</p> Harvina Sawitri, Fury Maulina, Yuziani Yuziani Copyright (c) 2022 Harvina Sawitri, Fury Maulina, Yuziani Yuziani https://creativecommons.org/licenses/by-sa/4.0 https://proceedings.unimal.ac.id/micohedmed/article/view/53 Mon, 19 Dec 2022 00:00:00 +0700