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91	Health, Medical, Pharmacy and Technology	ABS-127
The Optimalization of Family Health Care Function in Effort to Improve the Quality of Life for Tuberculosis Patients in Tasikmalaya City Lilis Lismayanti1, Nina Pamela Sari2, Miftahul Falah3, Mohammad Raju Sahrial Ilhami4, Erien Widyani5, Chelin Melinda6, Angga Riadi Permana7 Universitas Muhammadiyah Tasikmalaya Abstract TTuberculosis is an infectious disease can affect many people in Indonesia, especially in the middle to lower economic groups. The impact caused by tuberculosis is not only the occurrence of physical weakness, but also psychological, social, economic disorders, and even can cause stigma. It seems that the management of tuberculosis must involve various parties, especially the role of families who work together with tuberculosis patients on a daily life. One effort can be done is to optimize the role of the family through improving the function of family health care in management at home. The aim of this study was to determine the effect of education through the optimalization of the function of family health care to the quality of life for Tuberculosis patients in Tasikmalaya city. The study design used a quasi-experiment with one group pre and post-test design. The population in this study was 35 families of Tuberculosis patients actively went to Puskesmas Tamansari . The sampling technique in this study used purposive sampling, with total sample of 35 families. Data collection tool in this study used a questionnaire about gender, age, education, marital status, employment, income and quality of life of ^WHOQOL-BREF^. Data analysis was used Wilcoxon, the result showed the effect of education through optimizing the role of the family on the quality of life for tuberculosis patients with a p value of 0,000. The existence of an optimal family role, the patients feel not alone to deal with the disease, so they can improve their enthusiasm for life and try to comply with treatment and able to follow all the recommended procedures. Thus tuberculosis sufferers feel more meaningful and the quality of life is increasing. It is recommended that health workers always involve the family in carrying out their health care functions, especially for tuberculosis patients during treatment at home. Keywords: tuberculosis, health care function, family, quality of life. Share Link | Plain Format | Corresponding Author (Lilis Lismayanti)

92	Health, Medical, Pharmacy and Technology	ABS-132
Effect on The Range of Motion Extremities Seroma and Implications For Reduction of Pain After Modified Radical Masctectomy (MRM) in RS Kramat 128 Jakarta Indonesian Tioma Naibaho (a), Maria Astrid (b), Wilhelmus Hary Susilo (b) a) Hospital Kramat 128 jakarta Indonesia b) STIK SINT CAROLUS Jakarta Indonesian Abstract Breast cancer is the most common cancer that occurs in women. One of the management of breast cancer is surgery with a modified radical mastectomie (MRM). This study aims to analyze the effect of the range of limb extremities on seroma post Modified Radical Mastectomie at RS Kramat 128. The research method used is quasi experimental design with non equivalent control group pre test-posttest approach. The sample size was 81 respondents (71 respondents of the intervention group and 10 control group respondents) selected using random sampling. The results showed that there was a difference in serum expenditure before and after the range of motion of ekstermitas on post-MRM patients. There was a difference in the number of seroma expenditures after the range of extremity was performed on post MRM patients between the intervention group and the control group. There was no effect of age on the amount of serum expenditure in post MRM patients with indigo p = 0.360. There is an effect of education level on the number of seroma expenditures in post MRM patients with indigo p = 0.049. There was an effect of body weight on the number of seroma expenditures in post MRM patients with indigo p = 0.000. There was an effect of upper extremity motion on serum discharge rates in post MRM patients with a value p = 0.000. There was an effect of upper extremity motion on pain in post MRM patients with a value p = 0.000. There is a brewing age, level of education, weight and range of motion of the upper extremity simultaneously to the amount of seroma expenditure with a value of p = 0.000. This study recommends that the intervention of the upper extremity range of motion can be carried out in patients after MRM surgery because it can reduce pain and accelerate the healing process Keywords: Upper limb motion range, MRM, Seroma Share Link | Plain Format | Corresponding Author (Healthy Seventina)

93	Health, Medical, Pharmacy and Technology	ABS-133
EFFECT OF FAMILY TRIPLE SUPPORT (FTS) ON INFANT PAIN RESPONSE DURING PENTABIO IMMUNIZATION Nurlaila (a)*, Sri Wijayanti (b), Ning Iswati (c) a, c. STIKES Muhammadiyah Gombong Jl. Yos Soedarso No.461 Gombong Kebumen Jawa Tengah Indonesia 54412 *nurlaila[at]stikesmuhgombong.ac.id b. RSUD Prembun Jl. Slamet Riyadi No.53, Ngeposan, Prembun, Kebumen 54395 Abstract Background: There are still many infants and children who have never been immunized at all, due to maternal concerns resulting from side effects from such immunizations such as pain, heat, and often illness. Several studies have been conducted on techniques to reduce the pain felt by babies during immunization, one of them is Family Triple Support (FTS). FTS is an integrated intervention that involves the role of parents in overcoming pain problems during infant immunization procedures Aim: To determine the effect of family triple support (FTS) on infant pain response during pentabio immunization. Methods: This study used a quasi-experimental design with a nonequivalent posttest design only. Sample in this study were infants given pentabio immunization at Alian Health Center as many as 84 infants were taken randomly and single blind. Respondent was divided into 2 groups (42 treatment group and 42 control group). Pain assessment was performed during injection using the FLACC seen from video recordings by two people. Data were analyzed using the Mann Whitney U Test. Results: There was an effect of Family Triple Support (FTS) on infant pain response during pentabio immunization at Alian Health Center (p = 0.000). Most infantss were female (51.2%) and aged 2-3 months (34.5%). Most infants in treatment group showed moderate pain (59.5%) and all infants in control group showed severe pain (100.0%). Conclusion: The response of infant pain during immunization for pentabio group given triple family support treatment) is lower than the group of infants given hug treatment. Keywords: family triple support (FTS), pain, infants, immunization, pentabio Share Link | Plain Format | Corresponding Author (Nurlaila S.Kep., Ns., M.Kep)

94	Health, Medical, Pharmacy and Technology	ABS-134
BEHAVIOR RELATIONSHIP OF SELF CARE WITH DIABETES SELF-MANAGEMENT EDUCATION ON DIABETES MILLITUS PATIENTS OF TYPE 2 Fadli (a*), Arsyad (b), Sitti Herliyanti Rambu (c), Irma (d), Suparta (e) (a*) Study Program of the Nurse Profession, STIKES Muhammadiyah Sidrap fadlietri[at]gmail.com (b) Study Program of Dental Health STIKES Muhammadiyah Sidrap (c) Study Program of Nursing, STIKES Amanah Makassar (d) Study Program of Nursing, University Indonesia Timur Makassar (e) Nene Mallomo Hospital, Sidrap Regency Abstract Diabetes mellitus type 2 is a disease caused by disruption of insulin secretion and insulin resistance. One aspect that plays an important role in the management of this disease is diabetes self-management education because it is the first step to controlling blood sugar by being independent of the patient in the treatment process. Good self-care behavior will control diabetes management and prevent complications and make the quality of life better. The purpose of this study was to determine the effect of self-care behavior and the magnitude of the influence of knowledge, patient motivation, family support, and self-efficacy on diabetes self-management education for patients with diabetes mellitus of type 2. The method used in this research is a quantitative approach using cross sectional method. The sample used was 115 patients with diabetes mellitus of type 2 in Sidrap Regency. The analytical method used is the Structural Equation Model (SEM) using Amos 2.0 and SPSS 20 (IBM Corp). The findings of the study showed that the self-care behavior in diabetes mellitus patients of type 2 was influenced by knowledge factors by 89%, motivation factors by 82.8%, family support by 84.9%, and self-efficacy factors by 78.4%. Meanwhile, diabetes management on diabetes mellitus patients of type 2 was influenced by treatment factors by 75.5%, blood sugar control factors by 88.1%, dietary factors by 60.9%, physical activity factors by 87.3%, and foot care factors by 53,8%. The structural model of this study explains the variable self-care behavior with self-care management of 47.5%. Therefore, the management of diabetes mellitus must be more active in providing education to sufferers so that their knowledge or family members can increase and understand how to carry out diabetes management properly. Keywords: diabetes self-management education- self-care behavior- diabetes mellitus of type 2 Share Link | Plain Format | Corresponding Author (Fadli Fadli)

95	Health, Medical, Pharmacy and Technology	ABS-135
The Effect of Positive Affirmation Therapy on Self-Concept in Stroke Patients Tri Sumarsih (a) *, Tika Meriyanti (b), Sawiji (c) a) Department of Nursing, Muhammadiyah Gombong Health Science Institute, Jl. Yos Sudarso No. 461, Gombong, Kebumen, Jawa Tengah, Indonesia, *tris.smile[at]gmail.com b) PKU Muhammadiyah Gombong Hospital, Kebumen, Jawa Tengah, Indonesia c) Department of Nursing, Muhammadiyah Gombong Health Science Institute, Gombong, Kebumen, Jawa Tengah, Indonesia Abstract Psychologically, post-stroke sufferers have changes and limitations in moving, communicating, and thinking. Patients will feel disabled and this disability causes disrupt of self-concept. Positive affirmation therapy may increase the self-concept of stroke patients. Study in this field has never been carried out at PKU Muhammadiyah Gombong hospital. To examine the effect of positive affirmation toward self-concept among stroke patients at PKU Muhammadiyah Gombong hospital. This study used a quasi-experimental pre-and posttest one group design. A total of 82 respondents were recruited by simple random sampling at PKU Muhammadiyah Gombong hospital in Kebumen Regency, Central Java Province, Indonesia. Self-Concept Scale consisted of 25 items were used to measure self-concept (p value= 0.01) to validity score and 0.962 for reliability score. Wilcoxon Signed Rank Test was used for analyzing the data. This study showed that after the intervention, all respondents had positive self-concept (100%) increase from mean 4.30 before therapy to mean 20.87 after therapy. There was a significant difference before and after positive affirmation therapy in increasing self-concept among stroke patients at PKU Muhammadiyah Gombong hospital (p-value= 0.000). Positive affirmation therapy may effective to increase self-concept among stroke patients. Keywords: self-concept, stroke, positive affirmation therapy Share Link | Plain Format | Corresponding Author (TRI SUMARSIH)

96	Health, Medical, Pharmacy and Technology	ABS-137
FORMULATION OF HAND BODY LOTION ROBUSTA GREEN COFFEE EXTRACT (Coffea canephora var. Robusta) WITH TRIETANOLAMINE AS EMULGATOR Marlina Indriastuti, Silvia NR, Via Fitria, Anna Yusuf, Davit Nugraha STIKes Muhammadiyah Ciamis, Jl KH. Ahmad Dahlan No.20 Ciamis West Java Abstract Hand body lotion is a cosmetic preparation that is applied to the hands and body. One of the active substances contained in hand body lotion is antioxidant compounds. Robusta green coffee beans (Coffea canephora var. Robusta) have high antioxidant properties because they contain alkaloid compounds, flavonoids, tannins, saponins, triterpenoids, steroids, and phenols. The purpose of this study was to make a hand body lotion from robusta green coffee bean extract and to determine the evaluation of the resulting hand body lotion. This research used experimental methods, the formulation of robusta green coffee bean extract hand body lotion using triethanolamine concentration variations of 1%, 2.5%, and 3.5% as an emulgator. Evaluation of the lotions made includes organoleptic tests, acidity (pH), viscosity, dispersibility, adhesion and determination lotion type. The research data were analyzed statistically using SPSS One Way Anova and Kruskal Wallis Test to determine the effect of variations in triethanolamine concentrations on each test, seen from the significant value in formulas I, II and III. The results showed that robusta green coffee bean extract can be formulated in hand body lotion, all formulas met the requirements. For the best formula from the test results, namely formula II with organoleptic test results in thick form, distinctive smell of coffee, and green color, homogeneity test obtained a homogeneous preparation, viscosity test with an average value of 3866.66 Cps. Spread with an average value of 5.7cm, pH test with an average value of 6.25, adhesion test with an average value of 1.04sec and the type of oil-in-water lotion. The conclusion of this study is formula II is the best and meets the evaluation requirements of hand body lotion with a triethanolamine concentration of 2.5%. Keywords: Lotion, robusta green coffee bean extract, triethanolamine Share Link | Plain Format | Corresponding Author (Marlina Indriastuti)

97	Health, Medical, Pharmacy and Technology	ABS-139
In Vivo Potential Anti-Inflammatory activity of extracts from Elaeocarpus ganitrus Roxb Leaves Naelaz Zukhruf Wakhidatul Kiromah, Ari Purnomo Aji, Muchromin Departement of Pharmacy, STIKES Muhammadiyah Gombong Abstract Elaeocarpus ganitrus Roxb. (EG) is the king of herbal medicines which belongs to family Elaeocarpaceace. It is commonly known as Rudraksha and is populary used in Ayurverda, Siddha and Unani sytem of medicine. Elaeocarpus ganitrus Roxb had been reported to exhibit its extensive use to treat pain and inflammation. Therefore, the objective of this study was to evaluate the anti-inflammatory activity of EG leaves. The methanol,ethanol and aqueous extracts (ME, EA, AE) were investigated for their anti-inflammatory potential againts adjuvant carrageenan-induced hind paw edema in rats and using diclofenac sodium (27 mg/kg body weight) as a standard drug. The anti-inflammatory activity was found to be dose dependent in carrageenan-induced paw edema model. The results demonstrated that Elaeocarpus ganitrus Roxb EG extracts had significant anti-inflammatory activity where AE at the doses 100 mg/kg p.o (p<0.05) had the best significant reduction and inhibition of paw edema 80.28% on 3th hour. These results indicate that it could be suggested as contributory effects to use of Elaeocarpus ganitrus Roxb leaves in the management of inflammation and pain conditions. Keywords: Anti-inflammatory activity, Elaeocarpus ganitrus Roxb leaves, paw edema Share Link | Plain Format | Corresponding Author (Naelaz Zukhruf Wakhidatul Kiromah)

98	Health, Medical, Pharmacy and Technology	ABS-141
THE CORRELATION OF SPIRITUAL WELL-BEING WITH QUALITY OF LIFE IN WOMEN WITH CERVICAL CANCER Herniyatun 1*, E Riyanti 1, D Astutiningrum 1, E Purwanti 1, Sarwono 1, 1) Muhammadiyah Health Sciences Collage of Gombong, Yos Soedarso Street No.461 Gombong Kebumen Regency, Central Java 54412 *herni_yatun76[at]yahoo.com Abstract Keywords: Quality of Life, Spiritual Well-Being, Cervical Cancer Share Link | Plain Format | Corresponding Author (Herniyatun Herniyatun)

99	Health, Medical, Pharmacy and Technology	ABS-144
OVERVIEW OF THE IMPLEMENTATION OF COMPLEMENTARY THERAPY ACUPRESSURE TO HYPERTENSION Eli Kurniasih, S.Pd. S.Kep. Ners. MKM Institute of Health Science Bakti Tunas Husada Tasikmalaya Abstract OVERVIEW OF THE IMPLEMENTATION OF COMPLEMENTARY THERAPY ACUPRESSURE TO HYPERTENSION Eli Kurniasih, S.Pd. S.Kep. Ners. MKM Institute of Health Science Bakti Tunas Husada Tasikmalaya Kurniasih_eli@yahoo.co.id Abstract. Background: The number of hypertension sufferers in Indonesia is clearly unknown but it is estimated that it will continue to increase along with the development of world hypertension, were suffered by the elderly aged 45 to 70 years. There are many complementary therapies in Indonesia, it^s just that the role of nurses is not very visible. Complementary and alternative therapies are therapies in a broad scope covering health systems, modalities, and practices related to theories and beliefs in an area and at a certain time / period. Complementary therapy can be used as single therapy when it is used to improve health. Objective: of this study was to describe the application of Acupressure complement therapy to clients with hypertension. Methods: using a pre-experimental design with pre and post test without control design. All samples are checked first whether they need to be improved or not, if agreed in advance, what is needed in accupressure theraphy. The sample consisted of 43 people with hypertension. The study was conducted in 2017, the study was conducted for five consecutive days. Results: The results showed that the subjects experienced a decrease in blood pressure by 23 (54%), there was an increase in blood pressure by 4 (9%), and there was no change in blood pressure by 16 (37%) subjects. Conclusion It is known that blood pressure after and before acupressure therapy shows that respondents experience changes in blood pressure. This research suggestion should be for future researchers to examine whether the subject regularly uses drugs pharmacologically or not Keywords: hypertension, Acupressure Share Link | Plain Format | Corresponding Author (Eli Kurniasih)

100	Health, Medical, Pharmacy and Technology	ABS-146
ISOLATION AND CHARACTERIZATION OF STARCH AND MALTODEXTRIN OF LIMUS SEEDS (Mangifera foetida Lour) Vera Nurviana*, Ade Yeni Aprilia, Farha Lestari, Dinia Mutiara Arti Faculty of Pharmacy, STIKes Bakti Tunas Husada Cilolohan Street No. 36, Tasikmalaya, 46115. West Java, Indonesia *veranurviana[at]stikes-bth.ac.id Abstract Starch is source of carbohydrate reserves in kind of plants that have storage such as tubers, rhizomes, and seeds. Maltodextrin as a result of starch hydrolysis contains the dextrose equivalent (DE) < 20. One of the starch source that can be used as the raw materials of maltodextrin production is Limus seed (Mangifera Foetida Lour). The aim of this research is to isolate starch and maltodextrin of Limus seeds and to identifiy their characteristics according to valid quality standard. The starch isolation is applied by the alkaline steeping method. Starch modified by hydrolysis method using the catalyst acid will produce maltodextrin. The result of this research shows the yield of Limus seed starch is 10,19% with its characterize bring out the broken white color, sparingly soluble in cold water, the index expands and the solution is as well as thick fused, the ash content amounts 0,15%, humidity 9,80%, loss of dry 10,14% and the Total Plate Count (TPC) is 9x10^{5} colonies with the amylopectin content amounts 83,98%. The Maltodextrin outcome is white powder that odorless and tasteless with the percentage values 92,36%, contain 5,00% humidity, 0,03% ash content, bulk density 0,66%, pH 5,57%, and dekstrose equivalent (DE) 13,26. According to this research, can be concluded that the starch characterization and maltodextrin of Limus seed is appropriate to quality standard. Keywords: Isolation, Limus Seeds, Mangifera foetida Lour, Starch, Maltodextrin. Share Link | Plain Format | Corresponding Author (Vera Nurviana)

101	Health, Medical, Pharmacy and Technology	ABS-147
MERIDIAN MASSAGE THERAPY TO REDUCE HAND EDEMA ON STROKE PATIENT Teti Agustin 1*, Soni Hersoni 1 1 D-III Nursing Study Program, STIKes Bakti Tunas Husada Tasikmalaya *agustinteti[at]yahoo.co.id Abstract Meridian massage is a therapeutic touch to consciously include the use of distraction impact by stimulating cutaneous general body through the channel system consisting of longitudinal and transverse channels which spread throughout the body like forming a regular mesh. It has the effects to accelerate blood circulation and peripheral nerve-endings. This study aim to know the effects of meridian massage toward hand edema reduction in stroke-patients. The research was conducted from May 1 to September 1 2020. The research location in the Rumah Sakit Umum Daerah Kota Tasikmalaya, Jawa Barat, Indonesia. This research method is a true experimental design with pre-test and post-test approach control group design. The Sample was 36 patients, divided into two groups: an experimental group of 18 patients, 18 patients for control group. Every stroke patients who experienced edema of the hand is given meridian massage treatment. Meridian massage is done for six days , first beginning with pre-test and ending by post-test . Assessment instruments for edema used observation sheet edema scale levels. The results of stroke patients who experienced edema in his hands after the meridian massage treatment decrease edema (p = 0,016). Stroke patients who experienced edema in his hands after the meridian massage for 10 minutes 1 time per day for 6 days decreased edema, it means the meridian massage techniques are very effective to implement in patients with edema in his hands. Keywords: Stroke, Edema, Meridian Massage Share Link | Plain Format | Corresponding Author (TETI AGUSTIN)

102	Health, Medical, Pharmacy and Technology	ABS-148
Hypertension Gymnastic Frequency That Can Decrease Blood Pressure Chita Widia (a*), Annisa Pratiwi Abdurahman (b) Nursing Diploma Program STIKes Bakti Tunas Husada Tasikmalaya Abstract Data from the World Health Organization in 2011 said that there were up to one billion people in the world experiencing hypertension and two-thirds of them were in developing countries with low to moderate-income. Furthermore, data from the Ministry of Health Republic of Indonesia in 2013 explains that hypertension is the third condition that causes death, after stroke and tuberculosis. This research identifies the concept, theory, and research results on hypertension gymnastic frequency which can decrease blood pressure. The research method which is used is the Literature Review with a narrative review type. The research results proved that five from ten literature reviewed, stated that gymnastic hypertension can decrease blood pressure by doing it twice a week in thirty minutes regularly. Keywords: Frequency, Hypertension Gymnastic, Blood Pressure Share Link | Plain Format | Corresponding Author (Chita Widia)

103	Health, Medical, Pharmacy and Technology	ABS-149
Minor Disorders and Anxiety Levels During Pregnancy Etty Komariah Sambas 1, Enok Nurliawati 1 Nursing Study Program, STIKes Bakti Tunas Husada Tasikmalaya, Indonesia ekasambas.73[at]gmail.com Abstract A woman^s pregnancy can be a happy period as well as cause anxiety regarding her physiological and psychological adaptations. The anxiety that is not eliminated immediately during pregnancy can further lead to depression and adversely affect fetal development and maternal health. Objective: to identify the correlation between the level of anxiety and minor disorders during pregnancy. Methods: Research design used a descriptive correlational analytic with a cross-sectional approach. The sampling technique used purposive sampling with normal pregnancy as inclusion criteria. The sample size was 95 people. Data analysis used univariate and bivariate using chi-square test. Results: The study showed that there was a significant correlation between the level of anxiety and the type of minor disorders in pregnant women (p <0.05). However, there was no correlation between the level of anxiety and the management of minor disorders during pregnancy (p >0.05). It is important to minimize anxiety during pregnancy. Efforts are needed through increasing maternal knowledge through counseling by health workers regarding antenatal care, types and management of minor disorders during pregnancy, and various ways to reduce anxiety during pregnancy Keywords: Anxiety, Minor disorders, Pregnancy Share Link | Plain Format | Corresponding Author (ETTY KOMARIAH SAMBAS)

104	Health, Medical, Pharmacy and Technology	ABS-150
Quantitative Structure-Activity Relationship of Fungicide 1,2,4-Thiadiazolin Derivatives Using the AM1 Method Dichy Nuryadin Zain*, Saeful Amin, Indra Prodi Farmasi, Sekolah Tinggi Ilmu Kesehatan Bakti Tunas Husada Tasikmalaya, Jalan Cilolohan No.36 *dichynuryadinzain24[at]gmail.com Abstract An analysis of the quantitative structure activity relationship (QSAR) of fungicides from 1,2,4-Thiadiazolin derivatives has been carried out based on the calculation of the physicochemical properties of the compound. The physicochemical properties were compiled from the results of calculations using the semi empirical AM1 molecular modelling method, while the compound activity was expressed as a logarithmic value of 50% effective concentration (pEC50) and was secondary data obtained from the literature. Analysis of the relationship between fungicidal activity and physicochemical properties was carried out based on the multilinear regression relationship (Multiple Linear Regression) and run with the SPSS program. The results of the QSAR analysis provide the best relationship model as follows: pEC50 = -0,34350 + 1,45924 (ELUMO) - 0,74026 (EHOMO) + 0,00043 (Etot) + 0,00045 (Ee) - 0,00422 (Hf) + 0,01608 (&#956-) - 3,28944 (LogP) + 2,68404 (ClogP) + 0,15687 (MR) R=0,89081- R2=0,79354- Fhitung/Ftabel=1,209226- PRESS=0,600179 Keywords: QSAR, Fungicide, Thiadiazoline, pEC50 Share Link | Plain Format | Corresponding Author (Dichy Nuryadin Zain)

105	Health, Medical, Pharmacy and Technology	ABS-154
CORRELATION OF THE QUALITY OF SERVICE DIMENSIONS AND THE SATISFACTION OF BPJS PARTICIPANTS AS ASSISTANCE FEE RECIPIENTS IN THE FIRST FACILITY SERVICE AT CIPEDES PUBLIC HEALTH CENTER (PUSKESMAS) TASIKMALAYA CITY Enok Nurliawati*1, Etty Komariah Sambas2 1*2Sekolah Tinggi Ilmu Kesehatan Bakti Tunas Husada Tasilmalaya Abstract This study aimed to determine the correlation of the quality of service dimensions and the satisfaction of BPJS participants as the recipients of assistance fee in the first facility service at Cipedes Public Health Center (Puskesmas) Tasikmalaya city. The research method used a cross-sectional approach. The sampling technique used accidental sampling with the inclusion criteria of patients having made visits using BPJS PBI, had received complete services, and were willing to become research participants. The number of samples was 100 people. Collecting data using a questionnaire that has been tested for validity and reliability. The results showed that the dimensions of service quality that had a relationship with the satisfaction of BPJS participants who received assistance fee were staff reliability with p-value = 0.000 and OR 22.667, direct evidence of officers with p-value = 0.038 and OR = 2.600, employee empathy with p-value = 0.000 and OR = 65,333, staff reliability with p-value = 0,000 and OR = 5,971, while the dimensions of officer guarantee are not related to service satisfaction where p-value = 0.210 and OR = 0.554. The results of this study can be used as a basis for developing the competence of service personnel at Cipedes Public Health Center, especially in increasing the ability to empathize with patients. Keywords: Service quality, Satisfaction Share Link | Plain Format | Corresponding Author (Enok Nurliawati)

106	Health, Medical, Pharmacy and Technology	ABS-155
The Influence of Exclusive Milk Water to The Event of Acute Breathing Infection in Artificial Infants in 6-12 Months Soni Hersoni STIKes Bakti Tunas Husada Tasikmalaya Abstract Abstract- Objectives: Detemination of this study was to determine the effect of exclusive breastfeeding on the incidence of ARI in infants aged 6-12 months in the RAB RSUD dr. Soekardjo Tasikmalaya City in 2014. This type of research is case control. The power of the relationship of exclusive (independent) breastfeeding to ARI events. The population in study were infants aged 6 to 12 months who v ere in the RSAB of Tasikmalaya City Hospital. Acute Respiratory Infection (ARI) is a disease that many children experience children and is the most common cause of death in de eloping countries. WHO (2003) estimates that around 4 million of the 15 million children under 5 years of age die from ARI each year and as many as two-thirds of these deaths occur in infants. As many as 40% - 60% of the number of visits to the Puskesmas is ARL The purpose of this study was to determine the effect of exclusive breastfeeding on the incidence of ARI in infants aged 6-12 months in the RAB RSUD dr. Soekardjo Tasikmalaya City in 2014. This type of research is case control. The power of the relationship of exclusive (independent) breastfeeding to ARI e ents. The population in lesson were infants aged 6 to 12 months who were in the RSAB of Tasikmalaya City hosspital. Statistical test results obtained p alue <0.05 means that there is a significant influence between exclusi e breastfeeding with the incidence of obesity. OR value of 32,738. (95% CI: 11 951-89 684) means that infants aged 6-12 months who are not given exclusive breastfeeding are 32.738 times more to have an Akl event than the Non-ARI group. Of th 9 extraneous dtermination analyzed only 4 variables have statistical significance. which has a P value <0.05 Le ... (1) mother^s education (2) economic status (3) nutritional status, (4) house ventilation. As a precautionary measure it is hoped that the community can, ork together to create an en ironment and healthy li ing behaviors (not smoking indoors, exclusi e breastfeeding for tod Keywords: Malnutrition in Toddlers, breastfeeding, Feeding, care for underweight children Share Link | Plain Format | Corresponding Author (Soni Hersoni)

107	Health, Medical, Pharmacy and Technology	ABS-156
Discharge Readiness to Stroke Patients in Room X Dr. Soekardjo Hospital Tasikmalaya Asep Robby (1*) Hana Ariyani (2) 1Diploma Nursing Program, Sekolah Tinggi Ilmu Kesehatan Bakti Tunas Husada, Tasikmalaya, West Java, Indonesia 2Health Science Faculty, Universitas Muhammadiyah Tasikmalaya, Tasikmalaya, West Java, Indonesia Abstract Stroke is an acute brain functional disorder caused by obstruction of cerebral blood flow due to bleeding (hemorrhagic) or blockage (ischemia) which can lead to death or permanent disability. Based on WHO 13.7 million people have had a stroke and around 80 million people are living in a post-stroke condition [12]. Patients with stroke need comprehensive management starting from physical, psychological aspects, restoring roles and functions in life, and adequate support. The success of recovery in all aspects of stroke patients can be influenced by the quality of discharge planning from health personnel, so that it is expected to provide good readiness, especially for patients undergoing post-stroke maintenance. This study aims to determine the description of the patient^s readiness level in facing discharge in room X RSUD dr. Soekardjo Tasikmalaya. This research is a descriptive study with a sample of 27 people. The results showed that Personal Status was categorized as Level 1 (R1), Knowledge was categorized as Level 1 (R1), Coping Ability was categorized as Level 2 (R2), Expected Support was categorized as Level 2 (R2). Based on these results, it is suggested that the nurse should carry out discharge planning in a gradual and more structured manner to stroke patients in that place. Keywords: Discharge readiness, stroke, discharge planning Share Link | Plain Format | Corresponding Author (Asep Robby)

108	Health, Medical, Pharmacy and Technology	ABS-157
COMPARISON OF EUCALYPTUS OIL (Melaleuca leucadendra L.) CONCENTRATION ON HEAD LICE (Pediculus humanus capitis) MORTALITY IN VITRO Rudy Hidana 1, Algi Arga Firdaus 2 STIKes Bakti Tunas Husada, Tasikmalaya Indonesia Abstract Eucalyptus oil is a natural ingredient produced from the Melaleuca leucadendra (L) plant and has potential as a pediculoside, at this time many different types of eucalyptus oil are produced. This study aims to determine the ratio of variations in the concentration of eucalyptus oil on the mortality of head lice (Pediculus humanus capitis). Terpenoids group in essential oil. Pure eucalyptus oil is compared to ^X^ brand eucalyptus oil by varying the concentration of 12.5%, 25%, 50%, 75%, and 100% which is diluted using virgin coconut oil. The comparison used is a commonly used pediculoside. Based on the results of a comparative study of variations in the concentration of eucalyptus oil to adult head lice (Pediculus humanus capitis) in vitro, it can be concluded that pure eucalyptus oil has a faster effect time than eucalyptus oil with ^X^ brand, the higher the concentration, the faster Killing power against lice, at the lowest concentration of 12.5%, the yield ratio was 7 minutes 56 seconds for eucalyptus oil brand ^X^ and 3 minutes 57 seconds for pure eucalyptus oil. Thus, pure eucalyptus oil is more effective than ^X^ brand eucalyptus oil with a time difference of 3 minutes 59 seconds. Keywords: Comparison, Eucalyptus oil, Mortality, Head lice. Share Link | Plain Format | Corresponding Author (Rudy Hidana)

109	Health, Medical, Pharmacy and Technology	ABS-158
Formulation And Evaluation Of Natural Hair Tonic Preparations From Kale Extract As Anti-Dandruff Fajar setiawan 1* Lusi Nurdianti 1 1 STIKes Bakti Tunas Husada Tasikmalaya * fajarsetiawan[at]stikes-bth.ac.id Abstract Having beautiful and healthy hair is something that many people, both women and men, crave. The challenge of dandruff hair is a significant complaint that is often felt by everyone, so to avoid this challenge, many hair treatments are carried out to get healthy, clean, dandruff-free and robust hair. One way to provide nutrition for hair is to use Hair Tonic. Water spinach is a type of herbaceous plant that is abundant in almost all regions because it is easy to grow and does not require less complicated treatment, where the secondary metabolites contain flavonoids, polyphenols and quinones which have the potential to be antibacterial and anti-fungal. According to previous research, the microorganism that plays an essential role in causing dandruff is the fungus Pityrosporum ovale. Pityrosporum ovale is a lipophilic fungus belonging to the genus Malassezia which is the normal flora of the skin. This study aims to develop natural hair tonic preparations from kale extract with various extract concentrations of 10% and 15%. Then, the practice is evaluated, and the stability test is carried out for 30 days of storage. Based on the results of the evaluation of the preparation, the kale extract can be formulated in hair tonic preparations and has good stability during storage at room temperature. From the results of the anti-fungal activity test on Pityrosporum ovale, the 15% concentration of practices was able to inhibit the growth of dandruff-causing fungi with an inhibitory diameter of 16.4 +- 0.05 mm with intense activity but smaller when compared to products on the market. Keywords: dandruff hair, kale extract, hair tonic, flavonoids. Share Link | Plain Format | Corresponding Author (Fajar Setiawan)

110	Health, Medical, Pharmacy and Technology	ABS-159
The Relationship between The Nutritional Status of Breastfeeding Mothers (Seen From the Body Mass Index / BMI) and The Weight of Infants Aged 3-6 Months (Seen from The Chart of KMS) Who Received Exclusive Breastfeeding at The Posyandu, Kahuripan Village, Tasikmalaya City in 2019 Evi Irmayanti Program Studi D.III Keperawatan STIKes Bakti Tunas Husada Tasikmalaya Jalan Cilolohan Nomor 36 Abstract The World Health Organization (WHO) and the United Nations International Children^s Emergency Fund (UNICEF) recommend: early initiation of breastfeeding within 1 hour of birth- exclusive breastfeeding for the first 6 months of life- and introduction of adequate nutrition and safe complementary (solid) foods at 6 months along with continued breastfeeding for up to 2 years. The mother^s nutritional condition during breastfeeding must be good so that it didn^t bring negative impacts on the nutritional status of the mother along with the length of time to breastfeed, if accompanied by inadequate food intake. This study aims to determine the relationship between the nutritional status of breastfeeding mothers (seen from the Body Mass Index / BMI) and the body weight of infants aged 3-6 months (seen from the Card Towards Health / KMS chart) who receive exclusive breastfeeding at Posyandu, Kahuripan, Tasikmalaya City. 2019. The research design used an analytic observational (non-experimental) method with a cross sectional approach. The results of the Pearson product moment correlation test showed that there was no significant relationship between maternal nutritional status (BMI) and infant nutritional status. The test results showed a positive correlation but not statistically significant. (r = 0.254- p = 0.141), so that of this study indicate that there is no relationship between maternal nutritional status and infant body weight. This is related to the nutritional status of mothers who are dominated by normoweight with the lowest maternal BMI of 18.75, where the quantity and quality of breast milk produced remains constant and can meet the nutritional needs of infants adequately. This will differ in the quantity and quality of breast milk for severe underweight mothers (BMI <16), which will significantly reduce the amount and therefore the baby^s nutritional needs are not sufficient. Keywords: Breastfeeding, Nutritional Status, Infants^ Weight Share Link | Plain Format | Corresponding Author (Evi Irmayanti)

111	Health, Medical, Pharmacy and Technology	ABS-160
^FAMILY SUPPORT AND DIABETES SELF-MANAGEMENT PROGRAM FOR TYPE 2 DM: SYSTEMATIC REVIEWS^ anih kurnia STIKes Bakti Tunas Husada Tasikmalaya Abstract Abstract Diabetes mellitus is a global health problem and is the 7th leading cause of death worldwide. Self-management has become a central concept for diabetics who are in families. The purpose of this to review and describe the impact of family support and self-management programs by involving families with health behavior outcomes in patients, namely self-management behavior, psychological results, and clinical outcomes consisting of body mass index, blood pressure, cholesterol levels, and sugar control. blood. Searches were made on three databases, Science Direct, Google Scholar, and Pub Med from 2010-2020. In total, 23 studies met the inclusion criteria. Results: Twenty-three articles examined the impact of self-management programs on diabetes with family involvement. Based on this literature review, engagement using a collaborative approach can influence the patient^s self-management behavior so that it changes the patient^s health behavior and changes the clinical outcome in an optimal state. They experience obstacles due to the lack of information they have. The follow-up strategy is considered effective in measuring the success of the intervention. Conclusion, from this review, that diabetes self-management programs with family support can improve health outcomes in patients with controlled blood sugar levels. Keywords: family support, self-management program, diabetes mellitus type 2 Share Link | Plain Format | Corresponding Author (Anih Kurnia)

112	Health, Medical, Pharmacy and Technology	ABS-161
Formulation of Anthocyanin Purple Sweet Potato Powder as Food Coloring: antioxidant activity and characterization Siti Rahmah KR, Yanti Srinayanti STIkes Muhammadiyah Ciamis Abstract Anthocyanins are water soluble pigments including alkaloid groups that are responsible for the color of the plant indicated by various color variations such as red, purple and blue. The color difference is caused by changes in the structure of anthocyanins due to changes in pH. The 3-glucoside form of anthosianidin is the most widely available anthocyanin in nature. This research aims to formulate and characterize anthocyanins in purple sweet potatoes as food coloring. Samples of purple sweet potato tubers taken from farmers in Ciamis, Tubers are extracted by ethanol 96% and isolated with column chromatography, then identified the anthocyanin content. Determination of anthocyanin levels in purple sweet potato extract is calculated by differential pH method Anthocyanin levels are obtained at 8.3 mg/L. Antioxidant activity using DPPH has antioxidant activity with an IC50 value of 33.38 mg/L. Furthermore, powder dosage formulations are carried out on three pH variations there are ph 4,5, pH 7 and pH 10. From the resulting formulation obtained anthocyanin powder using a maltodextrin base 30%. Highest color intensity obtained in acidic pH. Keywords: Formulation, Anthocyanins, Antioxidant, Food Coloring Share Link | Plain Format | Corresponding Author (Siti Rahmah Kurnia Ramdan)

113	Health, Medical, Pharmacy and Technology	ABS-162
ANTIFERTILITY EFFECT OF PAPAYA LEAVES EXTRACT ETHANOL (Carica papaya L.) TO SPERM NORMALITY Nur Laili D.H. , Diva Rachma Octavia, Ingeu Sri Fadilah Departemen of Pharmasi, Sekolah Tinggi Ilmu Kesehatan Bakti Tunas Husada Tasikmalaya Abstract This aim of this research as determine the effect of antifertility ethanol extracts of papaya^s leaves (Carica papaya L.) to sperm normality Twenty-four male white rats Sprague Dawley strain were adapted for 7 days, then divided into 4 groups, each group was treated as follows: normal control was given aquadest- dose 1 was given papaya leaf ethanol extracts (0.04 g / 200 g WB rat)- dose 2 (0.08 g / 200 g WB rat)- dose 3 (0.16 g / 200g WB rat ). The test preparation was administered orally for 20 days. The parameters observed were sperm normality examination, then analyzed by SPSS. The results showed that the administration of papaya leaves ethanol extract had an anti-fertility effect by significantly reducing the sperm normality with the greatest dose of activit was dose 3 (0.16 g / 200 g WB rat) as much as 72%. Keywords: Antifertility, Papaya (Carica papaya L.) leaves, sperm normality. Share Link | Plain Format | Corresponding Author (Nur Laili Dwi Hidayati)

114	Health, Medical, Pharmacy and Technology	ABS-163
THE EFFECT OF PAPAYA LEAF ETANOL EXTRACT (Carica papaya L.) ON SGOT AND SGPT LEVELS OF MALE WISTAR MICH WHICH INDUCTED BY PARACETAMOL TOXIC DOSAGE Nur Rahayuningsih 1*, Yusuf Azis Fauzan 1, Tresna Lestari 1 1 Departemen Farmakologi dan Farmasi Klinik Prodi S1 Farmasi, Sekolah Tinggi Ilmu Kesehatan Bakti Tunas Husada Tasikmalaya. *nur.rahayuridwan[at]gmail.com Abstract Liver damage due to the use of paracetamol is a serious health problem that can lead to death. Hepatotoxicity that occurs due to paracetamol is due to the excessive production of N-acetyl-para-benzokuinone imine NAPQI, if NAPQI acts with fatty acids in liver cells, it will cause fragility. cell walls, damage to cell structures, impaired liver function, and trigger various diseases. Papaya leaves (Carica papaya L.) contain secondary metabolites that function as antioxidants, compounds that have antioxidant activity are flavonoids. Flavonoids themselves have a hepatoprotector effect by acting as an antidote to free radicals that bind to reactive oxygen species (ROS) and increase activity. antioxidants present in the body. The purpose of this study was to determine the hepatoprotector activity in the ethanol extract of papaya leaves (Carica papaya L.), and to determine the most effective dose of papaya leaf extract (Carica papaya L.). The results of SGOT and SGPT levels showed that the ethanol extract of papaya leaves (Carica papaya L.) at a dose of 60 mg / 200gBB for rats and 120 mg / 200gBB for rats could reduce SGOT levels, while the SGPT levels at doses of 30, 60, and 120 mg / 200gBB rats can reduce SGPT levels. The dose that was most effective in reducing SGOT and SGPT levels was 120 mg / 200gBB of rats Keywords: Hepatoprotectos- Papaya leaf- Paracetamol Share Link | Plain Format | Corresponding Author (Nur Rahayuningsih)

115	Health, Medical, Pharmacy and Technology	ABS-164
FORMULATION AND EVALUATION OF TOOTHPASTE GEL EXTRACT OF FRUIT SEED PINING BAWANG (HORNSTEDTIA ALLIACEA) Firman Gustaman 1*, Anna Yuliana 1, Hera Megautami1 1 Program Studi Farmasi, STIKes BTH Tasikmalaya *firmangustaman23[at]gmail.com Abstract Background: (Hornstedtia alliacea) have a metabolite compound that is flavonoid which can inhibit bacterial activity, so it can be used to make toothpaste gel. Bacteria used are Streptococcus mutans bacteria which are gram-positive bacteria. Streptococcus mutans bacteria can cause dental caries. Objective: To find out the formulation and evaluation of Hornstedtia alliacea extract toothpaste gel, and study the antibacterial activity of various plants based on literature studies. Methodology: Hornstedtia alliacea seeds were extracted by multilevel maceration method and gel toothpaste were made in three formulas with varying concentrations Na-CMC and sorbitol. Results: The results showed that Hornstedtia alliacea extracts could be used to make toothpaste gel. Where the three formulas use different concentrations of Na-CMC as a gelling agent and sorbitol as a humectant. The evaluations included organoleptic tests, homogeneity tests, dispersion tests, foam height tests, pH tests, and hedonic tests. Conclusion: Extracts of Hornstedtia alliacea can be used to make toothpaste gel and the results of evaluations carried out by the requirements, but for the dispersion test in formula A it does not meet the requirements. Keywords: Fruit Seed Pining Bawang (Hornstedtia alliacea)- toothpaste- antibacterial Share Link | Plain Format | Corresponding Author (Firman Gustaman)

116	Health, Medical, Pharmacy and Technology	ABS-166
MODEL OF SPIRITUAL THERAPY TO REDUCE ANXIETY AND DEPRESSION IN HEMODIALYSIS PATIENTS Wawan Rismawan 1*, Siti Sa^adah Mardiah 2 1 Prodi Keperawatan, STIKes BTH 2 Poltekes Kemenkes Tasikmalaya * wawan_rismawan[at]stikes-bth.ac.id Abstract Background: the prevalence of chronic renal failure patients who should to hemodialysis treatment had experienced depression is 61.9% male and 38.1% female, 47.5% mild anxiety, 48.75% moderate and severe anxiety, 3.75% nothing anxiety. Objective: to determine the effectiveness of spiritual healing on depression and anxiety in hemodialysis patients. Methods: quasi-experimental research design, numerical comparative, 105 respondents, purposive sampling, using HDRS and HARS instruments, univariate and bivariate analysis used Wilcoxon test, Results: characteristics of respondents based on gender are mostly male 55 respondents (52.4%), age Most respondents were early elderly (46-55) 19 respondents (31.7%), most education was SMA / SMK 41 respondents (39%), most jobs were entrepreneurial / self-employed 31 respondents (29.5%), most respondents had the most dialysis duration 1- 3 years 38 respondents (36.2%), the most respondents ^level of depression was moderate depression 43 respondents (41%), the most respondents^ anxiety level was moderate 46 respondents (43.8%), 100% carried out spiritual healing, after spiritual healing did not experience depression 86 respondents (81.9%) and no anxiety 89 respondents (84.8%), 104 respondents with depression decreased, 1 depressed person increased, 95 decreased anxiety and 10 remained anxious. The correlation test between depression and anxiety yields a value of P = 0.001, the Spearman correlation value is 0.315 which indicates that there is a significant relationship between depression and anxiety, and both have a positive correlation, where anxiety increases, depression increases. Conclusion: spiritual healing can reduce depression and anxiety. Suggestion: continue with predictive multivariate research and make the research results for intervention in the Hemodialysis Room. Keywords: Hemodialysis- Spiritual Therapy- Anxiety- Depression Share Link | Plain Format | Corresponding Author (wawan rismawan)

117	Health, Medical, Pharmacy and Technology	ABS-169
Risk Factors of Complaints of Musculosceletal Disorders (MSDs) among Rice Mill Workers E. Egriana Handayani,1* Lambang Satria Himawan,1 Ucu Wandi Somantri,1 Heny Sasmita,1 Heni Fariatul Aeni,2 Siti Nur Ramdaniati,1 1. Public Health Department, Faculty Sains Pharmacy and Health, Universitas Mathla^ul Anwar Banten, Pandeglang, Indonesia 2. Public Health Department, Sekolah Tinggi Ilmu Kesehatan Cirebon, Indonesia *pegol394[at]gmail.com Abstract Skeletal muscle complaints occur due to excessive muscle contraction as a result of freight hauling by relying on human power or MMH (Manual Material Handling) caried out by workers such as in rice mill. If this activity is carried out repeatedly over a long distance and with a heavy load, it has the risk of the development of Musculeskeletal Disorders (MSDs). This study aims to determine the risk factors for compliants of Musculoskeletal Disorders (MSDs) among in rice mill workers in Pulosari Sub-district, Pandeglang District in 2020. This was a quantitative study with a cross sectional design. The data collection was conducted by interviewing using a questionnaire and observation. Population and samples were colelcted using total sampling namely all rice mill workers in Pulosari Sub-district as many as 170 people. The statistical test used the chi square test with a confidence level of 95% (p value <= 0.05). Chi square test results showed that there was a relationship between years of service and musculoskeletal disorders (MSDs) complaints with p value = (0.00), while there were no relationships between age with p value = (0.649), length of work with p value = (0.744), workload p value = (0.285), and BMI with p value = (0.079) with complaints of musculoskeletal disorders (MSDs) among rice mill workers. Keywords: Musculoskeletal Disorders (MSDs), Age, Years of Service, Length of Work, Workload, Body Mass Index (BMI) Share Link | Plain Format | Corresponding Author (Heni Fariatul Aeni)

118	Health, Medical, Pharmacy and Technology	ABS-171
THE EFFECT OF BUERDER ALLEN EXERCISE ON CIRCULATION OF UNDER EXTREMITY IN MEILLITUS TYPE II DIABETES IN KUNINGAN, WEST JAVA, 2020 Healthy Seventina Sirait , Awis Hamidani, Awaludin Jahid Abdillah, R.Nur Abdurahkman, Cecep Supriayadi, Lin Herlina Sekolah Tinggi Ilmu Kesehatan Cirebon YPIB Majalengka Abstract Diabetes mellitus is a complex, chronic disease that requires continuous medical treatment with multifactorial, risk reduction strategies beyond glycemic control. The purpose of this study was to determine the effect of Buerder Allen Exercise on lower limb circulation in patients with type II diabetes. This type of research is a Quasy Experimental Design with a Pretest-Posttest approach with Control Group. The population in this study were diabetes mellitus patients with a total sample of 42 respondents divided into 21 intervention groups 21. control group Sampling using purposive sampling. The instruments used were the vascular doppler and spygmomanometer. The bivariate data analysis used was the Wilcoxon test.. This type of research is a Quasy Experimental Design with a Pretest-Posttest approach with Control Group. The population in this study were diabetes mellitus patients with a total sample of 42 respondents divided into 21 intervention groups 21. control group Sampling using purposive sampling. The instruments used were the vascular doppler and spygmomanometer. The bivariate data analysis used was the Wilcoxon test. Buerder Allen exercise has a positive impact on improving circulation in the lower extremities in diabetes mellitus patients. This Buerder Allen exercise can be done independently to improve circulation in the lower extremities. Keywords: Lower Extremity Circulation, Diabetes Mellitus Patients, Buerder Allen Exercise Share Link | Plain Format | Corresponding Author (Healthy Seventina)

119	Health, Medical, Pharmacy and Technology	ABS-172
DETERMINING ETANOL EKSTRAK ANTIOXIDANT ACTIVITY OF MANGROVE LEAVES ( Sonneratia alba Sm) WITH THE DPPH METHOD (1,1- diphenyl-2-picrylhydrazyl) Diana Sri Zustika 1*, Fahira 1, Ade Yeni Apriliani 1 1 Pharmacy Study Program STIKes BTH Tasikmalaya *srizustikadiana[at]gmail.com Abstract Mangroves are plants that live in muddy soils, high tide areas, areas around the coast, and shallow waters. Has secondary metabolite compounds flavonoids which are thought to have antioxidant activity. This study aims to determine the antioxidant activity of the ethanol extract of mangrove leaves (Sonneratia alba Sm) using the DPPH method. Methods: Characteristics of the quality of simplicia, extraction using reflux method with ethanol solvent, Test for antioxidant activity using DPPH (1,1-diphenyl-2-picrylhydrazyl) Research results: simpilisa meets the quality standards of simplicia based on Farmakofe Herbal Indonesia, contains flavonoids, folipenols, saponins , tannins, quinones. The test results of antioxidant activity of vitamin C and ethanol extract seen from the IC50 values were 1.89 ppm and 34.23 ppm. Keywords: Mangrove leaves- ethanol extract- antioxidant activity test- IC50 Share Link | Plain Format | Corresponding Author (Diana Sri Zustika)

120	Health, Medical, Pharmacy and Technology	ABS-176
The Use of Digital Partograph on the Motivation to Fill Out Midwifery Documentation in Industry 4.0 Rifatun Nisa, Ika Choirin Nisa, Agi Yulia Ria Dini, Heny Puspasari, Ira Faridasari Doctoral Program, Faculty of Public Health, Diponegoro University, Semarang, Indonesia Midwifery Department, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, Indonesia Nursing Departement, Sekolah Tinggi Ilmu Kesehatan Cirebon, Cirebon, Indonesia Abstract Early detection of childbirth complications is a kind of implementation of the role and function of midwives as executors with the aim of implementing safe and responsible midwifery practices in various health service settings so that it is expected to reduce maternal mortality rate (MMR). In the era of industry 4.0 midwives are not only required to provide quality and safe services, but midwives are also required to adapt quickly to the changes that have occurred in the era of industry 4.0. Thus, it is important for midwives to master and improve their skills in the digitalization era, including digitizing midwifery documentation. This study aims to determine the effect of the use of digital partograph on the motivation to fill out midwifery documentation in Industry 4.0. This was a quantitative study with a cross sectional approach. The population in this study was all midwives in the work area of Wanasari Community Health Center, Brebes with a total sample of 42 midwives, who were taken with total sampling technique. The statistical test used here was Chi Square. The results of the study obtained a p-value of 0.000 < a (0.05). Thus, it can be concluded that there was a significant effect on the use of digital partograph on the motivation to fill out midwifery documentation in Industry 4.0. It is expected that Digital Partograph can be used as an alternative to digitizing midwifery documentation in Industry 4.0 so that it can facilitate and streamline the work of midwives in providing health services. Keywords: Digital Partograph, Motivation, Midwifery Documentation Share Link | Plain Format | Corresponding Author (Rifatun Nisa)

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