Analysis and Design of Dashboard Information System Results of Nutrition Status Monitoring Year 2016 As a Supporter of Community Nutrition Policy

The availability of data and information presented comprehensively and easily understood is still very limited until it has not been able to fully support the process of decision making and the formulation of appropriate policies for the organization. A dashboards information system is an application that provides information about key indicators of organizational activity at a glance in a single screen. Dashboards can be a tool to present summaries of data and information in an easily understandable visual form. This study aimed to analyze and design the dashboard information system based on Nutrition Status Monitoring surveys conducted in 2016 by the Ministry of Health. Nutrition Status Monitoring is a survey that produces an overview of nutritional status and indicators of community nutrition program performance outcomes in 514 districts/cities in 34 provinces in Indonesia. The method used in this research was the development of a methodology for the construction of an information dashboard with a focus on the activity of requirement identification, planning, and design of the prototype. The output of this research was the design of the dashboard information system that processes and presents data/information on the results of Monitoring of Nutritional Status of 2016 in the form of easy-to-understand visualization. With this information system, it could be an effective means to measure the performance of the organization and support relevant stakeholders in the process of taking actionintervention and policy formulation to improve the nutrition of the community. Keywords: dashboard, Nutrition Status Monitoring, information system, community nutritio

Correlation Between Hormonal Contraceptives Use and Age of Menarche with Breast Cancer Among Women in Indonesia: A Systematic Review

Cancer is one of the leading causes of death worldwide. According to GLOBOCAN, International Agency for Research on Cancer 2012, it is known that breast cancer is cancer with the highest percentage of new cases, at 43.3%, and percentage death due to breast cancer by 12.9%. Although the incidence of breast cancer in Asia remains lower than in North America, Western Europe, and Oceania, the rates have been increasing rapidly during the past few decades, and Asian countries now account for 40% of breast cancer cases diagnosed worldwide. Southeast Asian countries have moderate rates for breast cancer, with a higher incidence of one in Indonesia. Breast cancer morbidity and mortality increased among Indonesian women. These increased rateswere associated with higher prevalence of breast cancer risk factors such as hormonal contraceptive use and age of menarche. The purpose of this study was to determine the correlation between hormonal contraceptives use and generation of menarche with breast cancer among women in Indonesia. This study used a systematic review made by PRISMA. Searching for literature sources through online databases such as Science Direct, JSTOR, and Proquest, additional records identified through Google Scholar by using relevant keywords adjusted by inclusion and exclusion criteria. Five studies included in this review. All studies discussed breast cancer among women in several regions in Indonesia. There was a significant correlation between hormonal contraceptives use and age of menarche with breast cancer among women in Indonesia. Women may be more careful in determining the duration of hormonal contraceptive use and avoiding a lifestyle that can accelerate menarche. Keywords: Hormonal contraception, Age of menarche, Breast cancer, Indonesi

Cause of Death of Indonesia Hajj in Armenia, Saudi Arabia 2015

This study aimed to describe a cause of death among Indonesian Hajj Pilgrims in Armenia at hajj implementation 2015. This research conducted an observational study. The subjects were 213 of Indonesian hajj pilgrims who died in Armenia in Hajj pilgrims 2015. Data were processed from secondary data and analyzed quantitatively. The cause of death Indonesian Hajj was Respiratory Disease were 130 cases (61%), circulation 54cases (25%) and symptoms, signs and abnormal clinical 23 cases (11%). Hajj pilgrims in 2015 undertook at summer. The temperature at the field Arofah was around 52 degrees Celsius. At Mina, the temperature which was between 47-48 degrees, crowdedness at Mina to Jamarat, and long distance route to Jamarat for Indonesian hajj which was around 2-7.5 KM resulted in some health problems including; unusual physicaltiredness and exhaustion (physical stress). This condition became more serious for Hajj pilgrims with high risks disease. The high risk of Indonesian Hajj wasas much as 92,609 (60.90%) from 167,609 pilgrims. Physical activities and mobility that exceeded health condition, lack of nutrition supply and dehydration became the cause of the death. The death of Indonesian pilgrims 2015 in Armenia was three times higher than the previousyear. On Hajj Implementation 2015 stampede occurred on Thursday, September 24th 2015 in Mina at the intersection of streets 204 and 223 leading up to Jamaraat Bridge. Pilgrims died from that incident were 1,470, 125 of them were from Indonesia. Keywords: Cause of death; hot sun exposure; physical stress; stamped

Determinants of Latent Tuberculosis in Bandung, West Java

Background: TB remains a leading cause of morbidity and mortality in developing countries, including Indonesia. About 7% of all deaths in developing countries are attributed to TB. Latent tuberculosis infection (LTBI) is a state of persistent immune response to stimulation by Mycobacterium tuberculosis antigens without evidence of clinically manifested active TB. This study aimed to examine the determinants of latent tuberculosis in Bandung, West Java. Subjects and Method: This was a cross-sectional study conducted in Bandung, West Java. A total of 252 peoples were selected for this study, consisting of latent tuberculosis cases and controls. The dependent variable was latent tuberculosis. The independent variables were age, nutrition status, BCG scar, and smoking. The data were collected by laboratory test and questionnaire. The data was analyzed by a multiple logistic regression. Results: The risk of latent tuberculosis increased with occasional smoking (OR= 9.34; 95% CI= 4.23 to 20.67), frequent smoking (OR= 12.99; 95% CI= 2.49 to 67.94), poor nutrition status (OR= 2.64; 95% CI= 0.49 to 14.31), but decreased with BCG scar (OR= 0.45; 95% CI= 0.21 to 0.95). Conclusion: The risk of latent tuberculosis increases with occasional smoking, frequent smoking, poor nutrition status, but decreases with BCG scar. Keywords : latent tuberculosis, smoking, nutrition status, BCG scar

A Scoping Review on Biopsychosocial Predictors of Mental Health among Older Adults

This review aims to map the available evidence on biopsychosocial predictors of elderly mental health. The articles were independently screened in three selected databases, namely Pubmed, Proquest and Google Scholar. The stages consist of identifying the research questions, seeking and selecting relevant evidence, mapping data, and concluding and reporting results. The PRISMA flowchart was used to show the PEOS evidence search flow. A total of 23,722 articles were obtained from all databases during the initial search, where 458 titles fulfilled the eligibility criteria at the title screening stage. Furthermore, 383 articles passed through abstract screening, where 75 met the inclusion criteria and were included for full-text screening. Based on the full-text screening stage, 28 articles were excluded and the remaining 47 articles that matched the search process were included for data extraction. This review creates biopsychosocial variables related to the mental health of the elderly. The biological factors consist of age, biomarkers, female, health conditions, chronic diseases, and physical function. Variables related to psychological factors are affect, personality traits, and subjective well-being. Meanwhile, social factors include smoking, sleep quality, physical activity, daily living, social support, marital status, loneliness, religiosity, spirituality, and early life conditions

The Improvement of Student Competency in a Clinical Study in Indonesia: What Factors Played An Important Role?

Background: The improvement of nursing student competency currently is still an issue for the majority of nursing education institutions in Indonesia. This is due to their partnership with hospitals having not been supported by adequate policies and other factors. Objectives: The purpose of this study is to identify the appropriate model for improving student competency in a clinical study. The design used in this study was an observational study with cross-sectional approach. Methods: The research design used a cross-sectional approach involving five hospitals and five Universities. Three hundred and eighty-four participants were recruited from these sites. The data was analysed using multiple logistic regression. Results: The results showed that the partnership contributed 3.36 times, the patient variations 2.96 times, the job description of the clinical educator 2.30 times, a role model 2.28 times, and the expertise of the faculty educator 2.08 times towards the achievement of student competency in the clinical study. Conclusions: It can be concluded that the partnership aspect, patient variation, job description of the clinical educator, role model, the expertise of the faculty educator, and the level of education has a significant role to improve the achievements coming from the level of student competency in the clinical study. The results of this study can be used by nursing educational institutions, hospitals and the government to organise a nursing education model for the more optimal achievement of the student's competencies

The Improvement of Student Competency in a Clinical Study in Indonesia: What Factors Played an Important Role?

Background: The improvement of nursing student competency currently is still being an issue for the majority of nursing education institutions in Indonesia. This is due to partnership with hospitals has not been supported by adequate policies and other factors. Objectives: The purpose of this study was to identify the appropriate model in improving student competency in a clinical study. Design used in this study was observational study with cross-sectional approach. Methods: The research design used cross-sectional approach with involving five hospitals (Fatmawati Jakarta Hospital, Hasan Sadikin Bandung Hospital, Kariadi Semarang Hospital, Sardjito Yogyakarta Hospital, Soetomo Surabaya Hospital) and five universities namely Muhammadiyah Jakarta University, Padjajaran Bandung University, Gadjah Mada Jogjakarta University, Diponegoro Semarang University,  Airlangga Surabaya University. Three hundred and eighty-four participants were recruited from these sites. Data were analyzed  using multiple logistic regression. Results: The result showed that partnership contributed 3,36 times, the patient variations 2,96 times, job description of clinical educator 2,30 times, a role model 2,28 times, expertise of faculty educator  2,08 times, toward the achievement of student competency in clinical study. Conclusions: It can be concluded that partnership aspect, the patient variation, job description of clinical educator, role model, expertise of faculty educator, and level of education have significant role to improve the achievement of student competency in clinical study. The results of this study can be used by nursing educational institutions, hospitals and government to organize nursing education model that has been present for more optimal achievement of student competencies