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1	Biomedical Sciences	ABS-11
LYCOPENE IN TOMATO AS ANTI NEPHROTOXIC AND ANTIINFLAMMATORY IN WELDING WORKERS EXPOSED TO CADMIUM Hernayanti, Sri Lestari, Saryono Hernayanti, Sri Lestari Faculty of Biology Unsoed Saryono , Faculty of Health Science Unsoed Abstract Lycopene in tomatoes is a potential antioxidant because it can reduce free radical compounds that enter the body. The power of lycopene in reducing free radicals is 20 times greater than vitamin C and 10 times greater than vitamin E. The aim of this study were to know the effect of administration tomato powder as anti nephrotoxic and anti inflammatory on welding workers exposed by Cd. This research use observational analytical with cross-sectional design. Research subject consisted of 30 welding workers in Purwokerto aged 25-55 years with a work period more than 3 years. Welding workers were given tomato powder at a dose of 30 g for consumption for 14 days. On the 0th and 15th day, blood was taken to examine kidney function and inflammatory parameters. These data analyzed by paired t-test. The results showed blood Cd levels, Metallotionein, Creatinine, β2-microglobuline, Tumor Necrosis Factor-α and Cyclooxygenase-2 levels after being given tomato powder were very significant difference compare to before given tomatoes . It can be concluded that the administration of tomato powder has an effect on improving kidney function. Tomatoes powder decrease in both blood Cd levels and pro inflammatory cytokines in welding workers exposed by Cd. Keywords: Cadmium, metallothionein, antinephrotoxic, antiinflammatory Share Link | Plain Format | Corresponding Author (HERNAYANTI HERNAYANTI)

2	Biomedical Sciences	ABS-270
Thyrotoxic Periodic Paralysis : A Treatable Presentation of Weakness Nor Hanan HAMZAH (1,3), Wan Norlina WAN AZMAN (1,3), Hanim Afzan IBRAHIM (1,2), Julia OMAR (1,3), Aniza MOHAMMAD JELANI (1,3), Nur Karyatee KASSIM (1,2*). 1) Department of Chemical Pathology, Hospital Universiti Sains Malaysia, USM Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. 2) Basic Sciences and Oral biology Unit, School of Dental Sciences, USM Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. 3) School of Medical Sciences, Universiti Sains Malaysia, USM Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. Abstract Introduction : Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism characterized by episodes of muscle weakness and hypokalemia. TPP is typically present in adolescent Asian male population. An assessment of renal potassium excretion, acid base status and thyroid function at presentation are very helpful in diagnosing TPP. During acute therapy, doses of Potassium Chloride (KCL) should be minimal to prevent rebound hyperkalemia, and non-selective --blocker may be alternative choice. Method: A 29 years old gentleman with no known medical illness presented with progressive whole body weakness for 2 days. During initial presentation, he was still able to ambulate however, on the day of admission, he was unable to move ambulate. The weakness is symmetrical, proximal and started at lower limb. There was no respiratory distress, no numbness, no loose stool, no vomiting, no headache or dizziness, and no chest pain. He had on and off history of palpitation and tremor of both hands. But no history of excessive sweating, irritability, heat intolerance or weight loss. He also gives history of similar episode 2 months before current attack. On examination, neck examination revealed diffuse thyroid enlargement. There was no ophthalmopathy. Respiratory and cardiovascular systems show no significant findings. Power was normal in both upper limbs but reduced in both sides of lower limbs. On the right side the power was 3/5 and on the left side was 2/5. Tone was normal in both upper and lower limbs. Reflexes were normal and both plantar responses were normal bilaterally. His sensation was intact. Cranial nerves examinations were normal. Results: Electrocardiography shows prolong QT complexes. His potassium level was 1.8mmol/L. Normal acid-base status together with urine spot potassium of <15mmol/L indicates that hypokalaemia is not due to renal potassium wasting. 2g KCL correction was done and the potassium rises to 1.9mmol/L. His thyroid function test showed biochemically hyperthyroid. Conclusion: In summary, the goal of therapy in TPP is to normalize thyroid function and avoid the precipitating factors for acute attack. Keywords: Thyrotoxic periodic paralysis, Hypokalemia, Potassium. Share Link | Plain Format | Corresponding Author (Nur Karyatee Kassim)

3	Biomedical Sciences	ABS-53
Characteristics of asthmatic subjects and Sensitization Profiles of Indonesian subjects to allergens the Most of Dermatophagoides pteronyssinus 1 Rahmaya Nova Handayani 2 Faisal Yunus 3 Iris Rengganis 4 Ermita Ilyas Ibrahim 1 Bachelor of Applied Nursing Anesthesiology Study Program The University of Harapan Bangsa Indonesia 2 Department of Pulmonology and Respiratory Medicine Faculty of Indonesia University Persahabatan Hospital Jakarta Indonesia 3 Department of Internal Faculty of Medicine Indonesia University Dr Cipto Mangunkusumo Hospital Jakarta Indonesia 4 Department of Medical Physiology Medicine Faculty of Indonesia University Jakarta Indonesia Abstract Keywords: Characteristic of subject sensitization allergen Share Link | Plain Format | Corresponding Author (Rahmaya Nova Handayani)

4	Biomedical Sciences	ABS-312
IDENTIFICATION OF MICROORGANISMS ON SURGICAL INSTRUMENTS AFTER AUTOCLAVE STERILIZATION Achmad Samsudin, Thatit Nurmawati* STIKes Patria Husada Blitar, jl. S.Suriyadi 168 Blitar *thatitnurmawati4[at]gmail.com Abstract Surgical wound infection is a complication of hospital treatment that is often found. Hospital instruments, operating room staff, operating room environment that is less sterile can be the cause of infection of surgical wounds. Efforts to prevent nosocomial infections using the autoclave sterilization method must be carried out. The purpose of this study was to identify instrument microorganisms after autoclave sterilization in Kanjuruhan Hospital District Malang. This type of research is quantitative with a descriptive approach to identifying microorganisms in basic surgical tool sets. The population in this study is the surgical instrument that is often used. The inclusion criteria for inclusion of tools have not been used for surgery and have been sterilized. The exclusion criteria are tools that have been dropped or touched by researchers or other things. Data collection by taking a sample (swab). Microorganism identification using Vitex. The results showed that the results of observation of the instrument after sterilization appeared on the IV day colony. Gram painting shows gram negative. the number of shears and tweezers colonies was 91% while the clamps were 87%. It is suspected that the stem bacterium is Sphingomonas paucimobilis. It is recommended to use the instrument no more than 3 days after sterilization. Keywords: Surgical instruments, microorganisms, autoclave sterilization Share Link | Plain Format | Corresponding Author (Thatit Nurmawati)

5	Biomedical Sciences	ABS-94
Lowering Endogenous Nitric Oxide In Circulating Mature Progenitor Cells as The Stress Effect of Tobacco Smoking Habbit Titin Andri Wihastuti(a*), Wiwit Nurwidyaningtyas (b), Fibe Yulinda Cesa (c), Cholid Tri Tjahyono(d), Teuku Heriansyah(e) a) Department of Biomedical Nursing Science, Faculty of Medicine, Brawijaya University, Malang, Indonesia *titinwihastuti[at]gmail.com b) Department of Biomedical Nursing Science, STIKES Kendedes, Malang, East Java, Indonesia c) Master Program in Biomedical Science, Faculty of Medicine, Brawijaya University, Malang,East Java, Indonesia d) Department of Cardiology, Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia; e) Department of Cardiology and Vascular Medicine, School of Medicine, Syiah Kuala University/Zainoel Abidin General Hospital, Banda Aceh, 23111, Indonesia Abstract Background and objective. Nitrix oxide (NO) has important role in maintain cellular viability which can be altered by long term exposure of oxidative stress. NO reduction referred to effect the number of circulating endothelial progenitor cells (EPCs). Nicotine, highly toxic compound of tobacco exposure induced marked cell death, but there are still limited data regarding the effect to endogenous NO in circulating mature progenitor cells. The present study investigated the in vivo effect of tobacco smoking to the NO level in mature EPCs. Methods. Pheriperal Blood Mono Nuclear Cells (PBMNCs) were isolated from 5 mL blood with Ficoll-based gradient centrifugation. endogenous NO was measure with NO-FCM orange dye positive cells in double marked CD41 and Cd62E. Targeted cells were enriched by the technique of fluorescense cell separation BD FACS Melody Cell Sorter. This study was support by 30 participants with history of 5 years of smoking more than 10 cigarettes per day. Result.Our data demonstrated that mean NO level in the tobacco smoker is 9.7percent (\pm 1.9percent SD) lower than NO level in non-smoker participant in range 12.3percent (\pm 0.7percent SD). The resulting negative NO stained cell population contained 90.3percent (\pm 3.7percent SD) higher in the tobacco smoker. Conclution. Our result show that tobacco smoking has effect to endogenous NO in mature EPCs swiftness in response to high nicotine exposure, may influence proportion of viable mature EPC in circulation. Keywords: Nitric oxide, endothelial progenitor cells, tobacco smoking Share Link | Plain Format | Corresponding Author (TITIN ANDRI WIHASTUTI)

6	Biomedical Sciences	ABS-140
Bioinformatics Study of 6-Shogaol as Anti-Invasion Agent For Breast Cancer Maitsaa Rihhadatul Aisy1, Joko Setyono2, Sarmoko3* 1Student, Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University, Indonesia 2Lecturer, Laboratory of Biochemistry, Faculty of Medicine, Jenderal Soedirman University, Indonesia 3Lecturer, Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University, Jl. Dr. Soeparno, Karangwangkal, Purwokerto, Central Java, Indonesia, Email: sarmoko[at]unsoed.ac.id (corresponding author) Abstract Background: 6-shogaol, an active compound of ginger (Zingiber officinale), has been reported for its anti-invasion and anti-metastatic effect on cancer. However, the data of molecular mechanisms as a cancer anti-invasion is limited. Purpose: This study aims to identify the potential target and mechanism of 6-shogaol action to inhibit breast cancer cell invasion by bioinformatics analysis. Methods: Protein targets affected by 6-shogaol were obtained from STITCH and PubChem. The data were compared with the genes involved in breast cancer invasion, resulting in 69 protein as protein targets. The 69 proteins were further analyzed with STRING-DB v11.0 to find protein-protein interaction and over-representation enrichment analysis from the Web-Gestalt to find gene ontology and KEGG pathway. In addition, we determined the top 10 protein-protein interactions based on the highest degree score with cytoHubba plugin at Cytoscape. Results: The result showed that 6-shogaol affected apoptotic signaling pathway that leads to breast cancer cell death. The potential protein targets in that process were CASP8, MAPK1, and CASP3. Conclusion: We concluded that 6-shogaol may has an anti-invasion effect on breast cancer cells employing apoptotic molecular mechanisms. Keywords: 6-shogaol, bioinformatics, anti-invasion, apoptotic Share Link | Plain Format | Corresponding Author (Maitsaa Rihhadatul Aisy)

7	Biomedical Sciences	ABS-174
Pregnancy Increases The Expression of Prostaglandin-2 in The Sacroiliac Joint (Study in-vivo Rattus Norvegicus Strain Wistar) Author: Ika Oktaviani 1,2- Bambang Rahardjo 3,4, Endang Sri Wahyuni 6, Maya Devi Arifiandi 5,6, Titin Andri Wihastuti 7* 1. Student, Doctoral program of Medical Science, Faculty of Medicine, University of Brawijaya, Malang, Indonesia 2. Senior Lecture, Midwifery Study Program, Tanjungkarang Ministry of Health Polytechnic 3. Senior Lecture, Faculty of Medicine, University of Brawijaya, Malang, Indonesia 4. Assistant Professor, Department Obstetrics and Gynaecology, Syaiful Anwar Hospital, Malang, Indonesia 5. Assistant Professor, Department Obstetrics and Gynaecology, University Brawijaya Hospital, Malang, Indonesia 6. Lecture, Department of Midwifery, Faculty of Medicine, University of Brawijaya, Malang, Indonesia 7. Professor, Department of Nursing, Faculty of Medicine, University of Brawijaya, Malang, Indonesia *Corresponding author : email titinwihastuti[at]gmail.com, official address: Medical Faculty University of Brawijaya Jalan Veteran Malang Indonesia Abstract Abstract Background: Increased uterus weight during pregnancy moves down of gravity forward, increasing lumbar lordosis, excessive mechanical emphasis on pelvic, which is frequently causing pain. 1 in 5 pregnant women (20-30%) felt pain around the sacroiliac joint (SIJ), affecting the gait, and even being severe disability 8%. Mechanical emphasis on SIJ triggered local injury and PGE-2 are thought to be produced. PGE-2 enriched in injured tissue directly sensitizes nociceptors to cause central and peripheral sensitization, it also potentiates sensitizing effects of other pain mediators.. Purpose: This study aims to prove an increasing expression of PGE-2 in SIJ on pregnancy. Methods: The research used a post-test only with a control group design. Animal experiments were 12 rats strain-wistar. The first stage of this study was the impregnating process through synchronization of the estrous phase. The next step was taking SIJ cartilage on day 19 of gestational age for the pregnant rat^s group and homogeneous age for the non-pregnant group. Analyze of data used independent t-test. Results: the study found there was significant difference in the expression of PGE-2 on SIJ between pregnant and nonpregnant rats p-value 0,018 (< 0,05). Mean Indeks Remmele Score pregnants rats 6,16 0,833 (mean standard error of mean) were higher than nonpregnant rats 3,16 1,602 (CI 95% 0,640-5,360). Trauma to fibrous tissue and cartilage triggers the activation of silent nociceptors in the joints, and pro-inflammatory cytokines. Each of these can stimulate increased prostaglandins in SIJ. Conclusion: pregnancy can increases PGE-2 expression in the fibrous tissue and cartilage of the sacroiliac joints Keywords: PGE-2, pregnancy, rats, SIJ Share Link | Plain Format | Corresponding Author (TITIN ANDRI WIHASTUTI)

8	Biomedical Sciences	ABS-180
Comprehensive Genomic and Prognostic Analysis of the ADCY3 Genes in Gastric Cancer Genta Hafied Naga Samudra (1), Muhamad Salman Fareza (2), Sarmoko (3*) 1) Student, Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University, Indonesia 2) Lecturer, Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University, Indonesia 3) Lecturer, Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University. Dr. Soeparno street, Karangwangkal, Purwokerto, Central Java, Indonesia, 53123. Email: sarmoko[at]unsoed.ac.id (corresponding author) Abstract Background: Adenylate cyclase, an essential enzyme in cell signaling. Adenylate cyclase comprises 12 isoforms, one of them is ADCY3. The previous study shows that ADCY3 expression was specifically altered in gastric cancer samples. However, the data of ADCY3 expression and prognosis on gastric cancer is still limited. Purpose: To show prognosis and pathway of ADCY3 in gastric cancer by bioinformatics analysis. Methods: The genetic mutations and expression were investigated using the Oncomine and cBioPortal databases. The prognostic value was assessed by the Kaplan-Meier plotter. Protein-protein interaction was investigated using STRING and Cytoscape. Gene Ontology and KEGG pathways were analyzed by using the Webgestalt database. Results: The Oncomine analysis indicated that the expression level of ADCY3 in gastric adenocarcinoma was higher compared with normal tissue. By cBioportal analysis showed that gene amplification of ADCY3 occurred. High expression of ADCY3 correlated to worse overall survival in gastric cancer patients. Further analysis using KEEG and GO showed that ADCY3 involved in the relaxin pathway, apelin pathway, and chemokine pathway implicated in gastric cancer development. Conclusion: In summary, high expression of ADCY3 correlated to worse overall survival in gastric cancer patients. The relaxin pathway, apelin pathway, and chemokine pathway implicated in gastric cancer development. Keywords: gastric cancer, adenylate cyclase, Oncomine, Kaplan Meier plot, chemokine pathway Share Link | Plain Format | Corresponding Author (Genta Hafied Naga Samudra)

9	Biomedical Sciences	ABS-188
Predicting Anti Migratory Mechanism of Cucurbitacin E on Breast Cancer Cell : in Silico Analysis Inas Haidar1, Joko Setyono2, Muhamad Salman Fareza1, Sarmoko1* 1Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University 2Laboratory of Biochemistry, Faculty of Medicine, Jenderal Soedirman University * Dr. Soeparno street, Karangwangkal, Purwokerto, Central Java, Indonesia, 53123. Email: sarmoko[at]unsoed.ac.id Abstract Breast cancer is the second most commonly diagnosed cancer worldwide. Invasion and metastasis are the main cause responsible for more than 90% of mortality. Several studies indicate that cucurbitacin E, an active compound of pumpkins, inhibits lung metastasis and blocks breast tumor cell migration and invasion. However, to date, no study has thoroughly investigated the functional mechanisms underlying the cucurbitacin E effects on the anti-migration of breast cancer cells. The goal of this study is to uncover the potential target and molecular mechanism of cucurbitacin E in inhibiting breast cancer migration. The bioinformatics approach by using STRING, STITCH, and PubMed was used to collect data containing possible target gene of cucurbitacin E. Genes affected by the cucurbitacin E retrievied from STITCH and PubChem were then compared with genes involved in breast cancer migration. A total of 31 possible therapeutic target genes of cucurbitacin E were found, then were further analyzed for gene ontology and KEGG pathway. The gene ontology data showed that these 31 protein targets participated in the biological processes of cell migration in response to chemokine through the sphingolipid signaling pathway. Taken together, we identified the potential mechanism of cucurbitacin E that may inhibit breast cancer cell migration. Keywords: cucurbitacin E, breast cancer migration, sphingolipid signaling pathway Share Link | Plain Format | Corresponding Author (Inas Haidar)

10	Biomedical Sciences	ABS-197
Analysis the Role of ARHGAP35 in Breast Cancer by the Bioinformatics Approach Dicky Rizky Febrian (a), Nur Amalia Choironi (a), Sarmoko (a*) (a) Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University Dr. Soeparno street, Karangwangkal, Purwokerto, Central Java, Indonesia, 53123. *sarmoko[at]unsoed.ac.id Abstract Breast cancer is the second most common cause of cancer-related deaths worldwide after lung cancer. Rho GTP-ase activating protein 35 (ARHGAP35) is known to be implicated in breast cancer growth and migration. This study aims to analyze the role of ARHGAP35 in breast cancer by the bioinformatics approach. Oncomine was used to analyze gene expression, GEPIA was used to analyze overall survival, STRING and WEBGESTALT were used to analyze protein-protein interaction, gene ontology and KEGG were used to analyze the biological pathway. The expression of ARHGAP35 in several types of breast cancer showed higher expressions than in normal cells. The patients with high expression of ARHGAP in invasive breast carcinoma have lower overall survival. We found that ARHGAP35 interacted with RHOA, RHOB, RHOC, RHOD, RAC1, RND1, RASA1, FYN, SRC, and CDC42. Furthermore, ten protein was analyzed and they involved in some biological process such as maintenance of cytoskeleton polarity, regulation of cell shape, actin fillament process, and regulation of cell morphogenesis via adherens junctions, axon guidances, platelet activation, focal adhesion, regulation of actin cytoskeleton, tight junction, and sphingolipid signaling pathway. Taken together, ARHGAP35 has many roles in growth and migration of breast cancer with several pathways. Keywords: ARHGAP35, breast cancer, overall survival, gene ontology, KEGG pathway Share Link | Plain Format | Corresponding Author (DICKY RIZKY FEBRIAN)

11	Biomedical Sciences	ABS-203
Identification Behavior Changes of Mice (Mus musculus) as Effect of Noise Exposure Utari Rahma Almira1, Dr.dr.Amel Yanis 2, Dr.dr.Aisyah Elliyanti*3 1.Faculty of Medicine, Universitas Andalas, Padang, Indonesia 2. Department of Psychiatry, Faculty of Medicine, Universitas Andalas, Padang, Indonesia 3. Department of Medical Physics, Faculty of Medicine, Universitas Andalas, Padang, Indonesia Abstract Background : Noise is an unwanted sound that has an effect on health and the environment. Purpose : To identify the effect of noise exposure on the behavior changing of mice (Mus musculus). This study was a true experimental study with a post-test only control group design. Subjects are 32 of mice with a bodyweight of 20-40 grams and aged 8-12 weeks. They were divided into two groups, namely a control group (C) and a treatment group (T). The noise exposure intensity was 100 dB for four hours/days for 15 days. Behavior changes were identified indirectly by calculating the behavior change of each mouse based on ethogram behavior from CCTV recordings observation. Data analysis using independent sample T-test and Mann-Whitney U test. Results: Behaviours changing by increasing locomotion, grooming, resting, social, foraging, exploration, drinking, and nesting activities. An increase of locomotion, resting, exploration, and foraging behaviors significantly in the treatment group (p<0.05) compare to the control. Feeding behavior mean was decreased in the treatment group compared to the control group (p>0.05). Based on sex, we found an increase of locomotion, resting, foraging, drinking, and nesting building behavior in female mice, and an increasing of grooming, social and exploration in male mice (p>0.05). A decreasing of feeding behavior on both male and female, and grooming. behaviors only on females (p>0.05). Conclusion: We identified the changing of mices behavior as an effect of noise exposure. Responses of mice toward noise are different between male and female ones. Keywords: Grooming, resting, feeding, foraging, exploration Share Link | Plain Format | Corresponding Author (AISYAH ELLIYANTI)

12	Biomedical Sciences	ABS-210
Molecular Docking 6-shogaol and BCL11A for Beta Thalassemia Sekar Cahyo Nurani(a), Joko Setyono (b), Salman Fareza (a), Sarmoko(*a) (a)Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University (b) Department of Medicine, Faculty of Medicine, Jenderal Soedirman University * Corresponding author: Jl. Dr. Soeparno, Karangwangkal, Purwokerto Utara, Central Java, Indonesia 53122. Email: sarmoko[at]unsoed.ac.id Abstract Beta thalassemia, a hereditary genetic disease, is characterized by low of beta-globin chain production. This study aims to predict the interaction between 6-shogaol and BCL11A (PDB ID 5VTB) protein by these steps: protein preparation, validation methods, and docking. The protein structure was prepared with removing the water molecules in AutoDockTools v.1.5.6. The validation step was performed by separating protein from native ligands in new PDB files. Further, the protein was docked with native ligands to obtain grid box coordinates on Vina, results in several conformations. The best conformation with low energy binding from the validation process was compared with the native ligand conformation in the PyMOL Molecular Graphics System and result in RSMD value 2.006 A. 6-shogaol was docked to protein using AutoDockTool with coordinates of the validation results. The lowest energy showed the best conformation of the compound in protein, which binding affinity was -5.9 kcal/mol. The best conformation was visualized 2D with Discovery Studio. 6-shogaol binds to BCL11A by hydrogen bond at the benzene\cdots hydroxyl group to 231 glutamic acid residue and 277 asparagine residue. We concluded that 6-shogaol have potential interaction with BCL11A. 6-Shogaol may inhibit BCL11A to increase HbF in beta- thalassemia. Keywords: BCL11A, beta thalassemia, molecular docking Share Link | Plain Format | Corresponding Author (Sekar Cahyo Nurani)

13	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-262
A Literature Review: Hospital Emergency Nurses Preparedness in Facing Disasters Ranti Ayodya Garini (a*), Ridlwan Kamaluddin (b) a) Nursing Departement Student, Health Sciences Faculty, Jenderal Soedirman University Jl. Dr. Soeparno Karangwangkal, Purwokerto 53123, Indonesia b) Disaster, Emergency and Critical Care Nursing Departement, Health Sciences Faculty, Jenderal Soedirman University Jl. Dr. Soeparno Karangwangkal, Purwokerto 53123, Indonesia Abstract Background: Nurse has turned to be a profession with the largest number in the health system and their existence is important as a first responder. Nursing activities are required, including prevention, preparedness, response, recovery, and reconstruction or rehabilitation. Especially, when a disaster occurs. Purpose: To review some literature on hospital emergency nurses preparedness in dealing with disasters. Methodology: This systematic review was carried out in June 2020 by searching in databases including Google Scholar, PubMed, and Science Direct. The keywords used for research articles were "emergency preparedness for nurses in facing disasters", "emergency nurses", and "disaster preparedness". Discussion: The results showed that the level of preparedness of hospital emergency nurses in facing disasters as a whole was at a moderate level. This was because of knowledge, skills, self-awareness, interests, intellectuals, collaboration, and motivation needed to be prepared to support disaster management. The preparedness of emergency nurses in facing disasters was certainly not the same from one another. Nurse preparedness may be influenced by various factors. Among them were the age factor, length of work factor, education factor, and the amount of ability or training that has been followed. Keywords: nurse preparedness; emergency; disaster; literature review Share Link | Plain Format | Corresponding Author (Ranti Ayodya Garini)

14	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-8
Effect of Use Wool Fabric to Maintain Temperature 39 Celcius Degree Crystalloid Ringer Lactic at Room Temperature 18 Celcius Degree Helna Fitriana (a*), Abdurahman Wahid (a), Tina Handayani Nasution (a), Gia Eka Negara (b) a. School of Nursing, Faculty of Medicine, Lambung Mangkurat University, Indonesia b. School of Physics, Faculty of Math & Science, Lambung Mangkurat University, Indonesia Abstract Warm fluid resuscitation is one of the main therapies for hypovolemic (hemorrhagic) shock patients to prevent complications. In this time we already have tools to keep the fluid warm, but this tools still have a lack function in some conditions, like in a disaster condition. To determine the effectiveness of woolen cloth used against RL 39 celcius degree crystalloid fluid temperature at cooling the room temperature exposure 18 celcius degree. This study uses a pre experiment, with a static group comparison approach, with a sample of fluid RL 4 pieces divided into 2 groups, groups using wool fabric and which does not use wool fabrics. Data was collected through observation sheet. Data were analyzed using Mann Whitney test. The result obtained obtained p value smaller than 0,05. Conclusion from these values there were significant differences between the use of wool cloth and without use wool fabrics. Wool fabric so effective to slow the decline in crystalloid fluid temperature 39 celcius degree RL on exposure to air conditioning temperature 18 celcius degree. Differences RL crystalloid fluid temperature change is influenced by several things including humidity, ambient temperature, as well as additional materials that are used. Keywords: RL crystalloid fluid 39 celcius degree- woolen cloth- drop in temperature Share Link | Plain Format | Corresponding Author (Helna Fitriana Haryudi)

15	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-19
The Effect of Negative Pressure of Open Suction Endotracheal 20 and 25 kPA on the Hemodynamics indices Patients Sri Suparti(a*), Asiandi(a), Rasiman(b) a) Lecturer of Nursing Departement of Muhammadiyah University of Purwokerto, Central Java, Indonesia, 53181, Indonesia srisuparti[at]ump.ac.id b)Intensive Care Unit Nurse of Prof. Dr. Margono Soekarjo Hospital, Central Java, Indonesia, 53181, Indonesia Abstract Bacground: In general, patients treated in the Intensive Care Unit (ICU) require the installation of endotracheal tubes (ETT) and ventilators. Suction is an intervention to prevent airway obstruction and maintain airway patency. ETT suction caused haemodynamic problems in critically ill patients if the procedure is not appropriate, including pressure regulation and duration of suction. Objective:The purpose of this study was to determine the effect of negative suction pressure on hemodynamic indices of patients. Methods:This study is a pre-experimental study with a cross-over design involving 40 respondents (n = 40) taken by consecutive sampling technique. Data collection was using patient observation sheets, medical records, and treatment records. Inclusion criteria were adult patients &#8805;15 years old, using ETT and ventilator and patients with a diagnosis of pneumonia and incomplete observation were study exclusions. Statistical analysis using paired and independent t-test with a significance of 5%. Results: The paired t-test showed a significant diffrence in the mean of SpO2, RR, HR and MAP, before and after suction with p value < 0.05. There was no significant difference between negative pressure suction of 20 kPA and 25 kPA (duration of suction 7 to 10 seconds) on all hemodynamic indicators of patients (SpO2, RR, HR, and MAP), p >0.05. Discussion and Conclusions: Both of these pressures are safe to use in open ETT suction, because the increase in hemodynamics is within the safe limits, however suction must be carried out according to procedure and monitored properly. Keywords: Open Suction, Negative pressure, ETT, Hemodynamics Share Link | Plain Format | Corresponding Author (Sri Suparti)

16	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-291
The Effectiveness of Large-Scale Social Restrictions (PSBB) in Preventing or Overcoming Covid-19 Tiana Dewi and Ridlwan Kamaluddin Jenderal Soedirman University Abstract Background Large scale social restrictions are carried out by encouraging or appealing to the community to place restrictions on activities in certain sectors, including emphasizing the community to postpone activities that are gathering a lot of people. Objective The purpose was to analyze the effectiveness of large scale social restrictions based on journals obtained from various platforms so that they can help in understanding whether large scale social restrictions are effective in preventing or overcoming COVID 19. Method This literature review used the PICO method and took 3 articles which then be analyzed. The population in this literature review was the area with the implementation of the PSBB. Results Based on 3 articles that have been obtained, PSBB was effective in preventing the dissemination of COVID 19. Judging by the SIR model it was estimated that COVID 19 will stop in June. According to the implementation of large scale social restrictions such as studying at home, working at home and worshiping at home, the spread of COVID 19 can be reduced because it restricted people to be in the crowd who have a risk for contracting the COVID 19 virus. Besides, the association of PSBB with the 1945 Constitution of the Republic of Indonesia was still seen to be less effective, especially concerning the states responsibility for public health and medical personnel, especially in Article 28 H paragraph (1) and Article 33 paragraph (3). Conclusion Large-scale social restrictions were effective in preventing the widespread distribution of COVID 19, but in its application, it must be balanced with community compliance and government sensitivity to the conditions of the community due to the implementation of the PSBB. Keywords: Large scale social restrictions, COVID 19 Share Link | Plain Format | Corresponding Author (Tiana Dewi)

17	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-55
Prevention of COVID-19 Spread Management in Various Countries: Comparation with Indonesian Case Study Anisya Wardianti, Saryono Saryono Nursing Department, Faculty of Health Sciences, University of Jenderal Soedirman Abstract Background: In December 2019, there was a discovery of a new strain of coronavirus originated in Wuhan, China. The Virus spreads fastly inter-human by droplets. As due to its rapid spread to many countries, WHO declares the Covid to be a global pandemic. Many countries began to devise a mitigation plan to curb the spread, lowering the new cases found, and eventually, lowering the mortality rate. The purpose of this literature review is to analyze each countries mitigation plan for Covid-19, and how the Indonesian response in particular. Method: the search for articles and journals will be conducted via web browsing, using the database such as Science direct, PubMed, and Google Scholar. The applied keywords will be the Prevention Spread of Covid-19 and Covid-19 management model. As many as 6 related articles are match with the inclusion and exclusion criteria. Result: several countries applied the prevention model of Covid-19 virus spread. There are several countries which are successful in lowering down the spread of virus and there are also vice versa. Many factors make the results different in each country, such as the speed of the enactment of policies, lack of vigor in medical protocol enforcement to the citizen, or the lack of risk awareness by the people themselves. Conclusion: the prevention measures in which are enacted by various countries are properly conducted, but the study shows that the effectiveness of all prevention measures can be traced back to the speed of the policy enactment, the force to enforce the medical protocol, limiting access to a certain region, and finally a massive screening for Covid diagnosis. Keywords: prevention of spread, covid-19, health protocol Share Link | Plain Format | Corresponding Author (Anisya Wardianti)

18	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-56
The effect of listening Quran recitation on the stress and pain of critical patients at ICU Iwan Purnawan (a*), Eman Sutrisna (b), Arif Imam Hidayat (a), Sidik Awaludin (a), Ridlwan Kamaludin (a), Galih Noor Alivian (a), Ikit Netra Wirakhmi (c) a) Department of Nursing, Faculty of Health sciences, Jenderal Soedirman University *iwan.purnawan[at]unsoed.ac.id b) Faculty of Medicine, Jenderal Soedirman University c) Department of Nursing, Faculty of Health sciences, Harapan Bangsa University Abstract Stress and pain are the key issues that ICU patients need to be handled seriously. Handling using drugs as standard therapy has not been able to overcome optimally as it focuses only on the physical. That is why there needs to be another holistic therapy. One way to do this is to listen to Quran recitation. Objective: This study aims to determine the effect of listening Quran recitation on the stress and pain of critical patients in the ICU. Method: This research was a quasi-experimental design with pre-and post-control group design. The number of respondents was 40, divided into two groups, namely the control group (n = 20) and the treatment group (n = 20). The ICU patient stress was measured using salivary cortisol levels, while the Critical Pain Observation Tool (CPOT) score was used to measure pain. Results: Age and sex were homogeneous in both groups. The paired t-test showed differences in mean salivary cortisol levels before (58.8 + 19) and after intervention (42.4 + 9) in the control group with p-value = 0.010. The Wilcoxon test in the control group showed that the levels of cortisol did not differ significantly with p = 0.85 before (49.6; 14.5-89.3) and after (49.2; 18.7-95.5). The unpaired T-test showed a significant difference in mean decrease in salivary cortisol levels between the control group (12 + 1.9) and the treatment group (47.8 + 1.3) where the p-value was 0.001. Both control and treatment groups experienced a decrease in pain intensity before and after treatment. There was no significant difference between control and treatment groups in the decrease in pain intensity. Conclusion: Listening to the Quran recitation may reduce stress, but not the intensity of pain. Keywords: Critical care; Stress; Pain; cortisol; ICU; Quran Recitation; Koran Share Link | Plain Format | Corresponding Author (Iwan Purnawan)

19	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-57
Capability Of Thermos to Maintain The Temperature of Ringer Lactate and Normal Saline 0.9% at 18C : An Alternative to Maintain The Temperature of The Resuscitation Fluid Rifda Nur Achriyana Arif 1, Abdurahman Wahid 1, Ifa Hafifah 1, Gian Eka Negara 2 1. School Of Nursing, Faculty Of Medicine, Lambung Mangkurat University, Indonesia 2. School Of Physics, Faculty Of Math & Science, Lambung Mangkurat University, Indonesia Abstract Background: Fluid resuscitation is needed to treat hemorrhagic shock patient, but cold fluid resuscitation can cause hypothermia, so that efforts are needed to provide 39C fluids. One of the media to maintain temperature is a thermos. Purpose : The purpose of this research is to determine the capability of using the flasks in maintaining the temperature of 39C crystalloid fluids (Ringer Lactate and normal saline 0.9%) at 18C. Method : The method was pre-experimental research design with One Shoot Case Study type. 12 bottle crystalloid liquid was warmed to 39C, then put into 2 rice flasks, and temperature changes were measured for 6 hours at AC temperature 18C. The study was conducted on 30 November 2019. Result : The results there was a decrease temperature in 6 bottles of RL liquid by 6.8 - 7.4C and decrease temperature in 6 bottles of NS 0,9% liquid by 5.3C - 6.4C. Thermos has the ability to maintain a temperature of 39C for about 1 hour, and is able to prevent hypothermia from reaching 36C for about 3 hours. Statistical results using the Mann-Whitney p-value is 0,000, it was concluded that there was a significant difference between changes in temperature of lactate Ringers fluid and normal saline 0,9%. Conclusion : This flasks is able in maintaining the temperature of 39C crystalloid fluids and certainly can be applied to patients with hemorrhagic shock who come to the emergency room to facilitate mobilization and do not need to use electric. Keywords: Crystalloid fluids, flask, hemorrhagic shock, temperature. Share Link | Plain Format | Corresponding Author (Rifda Nur Achriyana Arif)

20	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-65
Effect Of Therapeutic Communication Intervention Towards Anxiety and Depression Symptoms among Cardiovascular Disease Patients Sri Suparti (a*), Susana Widyaningsih (a), Jebul Suroso (a) Rusmono (b), Wahyu Sri Utami (c) a) Lecturer, Faculty of Health Sciences, Universitas Muhammadiyah Purwokerto, Central Java, Indonesia, 53181 b) Intensive Cardiology Care Unit Nurse of Prof. Dr. Margono Soekarjo Hospital, Central Java, Indonesia, 53181 c)Student, Faculty of Health Sciences, Universitas Muhammadiyah Purwokerto, Central Java, Indonesia, 53181 Abstract Background: Patients with cardiovascular disease often suffer from anxiety symptoms and depression, which can further affect their heart disease. Therapeutic communication is considered very imperative to lessen the complications of anxiety and depression on the patients. Therapeutic communication is an approach in providing nursing care. Objectives: to determine the effect of therapeutic communication to reduce anxiety and depression symptoms in patients with cardiovascular disease in the Intensive Coronary Care Unit (ICCU) Methods: This study was a quasi experiment with pre and post test without control group, 40 respondents were recruited using consecutive sampling. Therapeutic communication intervention were given to patients by 15 nurses when they were treated in the ICCU standards. The nurses were blindly assessed by two observers to ensure the implementation of appropriate therapeutic communication. Anxiety and depression were measured using the Hospital and Depression Scale for anxiety (HADS) questionnaire. The data were analyzed using paired t-test. Results: The results showed that there was a significant decrease mean (SD) score of anxiety symptoms on participants from 11.88 (3,539) to 7.95 (3.809).Moreover, depression mean (SD) score among patients with cardiovascular disease also significantly decreased from 11.45 (3.609) to 8.72 (3.412), with p-value < 0.001. Conclusions: The application of therapeutic communication interventions is effective in reducing symptoms of anxiety and depression in patients in the ICCU room. Screening for symptoms of anxiety and depression should be done when the patient enters the ICCU room and before the patient goes home. Keywords: therapeutic communication, nurse, ICCU, anxiety, depression Share Link | Plain Format | Corresponding Author (Sri Suparti)

21	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-325
EFFECTS Of LIGHT MASSAGE ON BLOOD PRESURE And SpO2 IN PATIENTS WITH HEART FAILURE IN RSUD PROF. DR. MARGONO SOEKARDJO PURWOKERTO 1 Galih Noor Alivian, 2 Nursalam, 3 M. Hasinuddin, 4 Arif Imam Hidayat, 5 Iwan Purnawan 1,4,5 School of Nursing, Health Sciences Faculty of Jenderal Soedirman University 2 Faculty of Nursing, Universitas Airlangga 3 Stikes Ngudia Husada Madura Abstract Introduction: Heart disease is the number one cause of death in the world. The problem that often arises in patients with heart failure is hemodynamics instability. Early detection and recognition of characteristics quickly can help prevent deterioration and maximize the healing process. One of the measures to recognize these characteristics is monitoring blood pressure and SpO2. Rapid blood presure and SpO2 changes are caused by mobilization and stimulation of the patient^s body and require periodic blood presure and SpO2 monitoring. The purpose of this study was to determine the effect of light massage to blood presure and SpO2 in patients with heart failure. Methods: This study used quasy-experiment pretest posttest with control group design, in 5 hospital wards Prof. Dr. Margono Soekarjo. Samples were recruited using proportional random sampling technique, consisting of 30 respondents taken according to inclusion criteria, research variables were: giving light massage given 2 times daily for 5 days during treatment. data were collected using structured questionnaires and observations, and they were analyzed with Pairet T-Test and MANOVA. Results and Analysis: The results showed that between the treatment and control group on the blood presure and SpO2 variables is light massage p <0.05, MANOVA hypothesis test result obtained p <0,05. Discussion and Conclusion: Light massage have positive effect on blood presure and SpO2 in patients with heart failure in RSUD Prof.Dr. Margono Soekardjo Purwokerto. Keywords: heart failure- light massage- blood presure and SpO2 Share Link | Plain Format | Corresponding Author (Galih Noor Alivian)

22	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-328
NURSES^ SPIRITUAL DISTRESS DURING END OF LIFE DECISION MAKING : A PHENOMENOLOGICAL STUDY Arif Imam Hidayat 1, Waraporn Kongsuwan 2, Kittikorn Nilmanat 2 Adiratna Sekar Siwi 3 1 (Nursing Program. Faculty of Health Sciences. Jenderal Soedirman University). 2Faculty of Nursing. Prince of Songkla University. Thailand 3School of Nursing. Faculty of Health. Harapan Bangsa University. Abstract Objectives: This study describes the meaning of Muslim nurses^ lived experience during their involvement in End of Life (EOL) decision making in Intensive Care Unit (ICU) Methods: This study was conducted in an ICU of a government hospital in Central Java, Indonesia. Fourteen nurses were recruited as participants after they met the inclusion criteria: Muslims, working at least three years in the ICU, and willing to share their experience. Data were collected using in-depth interviews. Van Manen^s hermeneutic phenomenological approach was used to analyse the data transcription. Results: Experiences of nurses^ involvement in EOL decision making revealed four thematic categories. Feeling spiritual distress, understanding family^s feelings as a killer, respecting privacy, and continuing time of caring. These themes reflecting van Manen^s four lived world of body, time, relation, and space. Conclusions: This study described the meaning of Muslim nurses^ EOL decision making in ICU and influence nursing policies regarding education in EOL decision making in ICU settings. Keywords: hermeneutics, terminal care, decision making, Islam Share Link | Plain Format | Corresponding Author (Arif Imam Hidayat)

23	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-81
THERMOS ABILITY IN MAINTAINING CRYSTALOID LIQUID TEMPERATURE (RINGER^S LACTATE AND NORMAL SALINE 0,9%): AN ALTERNATIVE TO KEEP RESUSITATION FLUID TEMPERATURE Ninda Saputri 1, Abdurahman Wahid 1, Tina Handayani Nasution 1, Gian Eka Negara 2 1. School of Nursing, Faculty of Medicine, Lambung Mangkurat University, Indonesia 2. School of Physics, Fakulty of Math & Science, Lambung Mangkurat University, Indonesia Abstract Management of hemorrhagic shock, which is performing fluid therapy with a temperature of 39C, is highly recommended to prevent hypothermia. Required methods for maintaining intravenous fluids, including the use of rice flasks. This study aims to determine the effect of using a flask to maintain the temperature of 39C crystalloid fluids (ringer^s lactate and normal saline 0,9%) at room temperature 25C. This research method is quantitative experimental (pre-experimental) with the type of one-shot case study design. 6 bottles of ringer^s laktate liquid and 6 bottles of normal saline 0,9% were warmed to 39C, then stored in a rice flask in a room temperature of 25C and temperature changes were measured for 6 hours. Measurements were made using a digital thermometer, data were analyzed with the Mann Whitney test. The study was conducted on December 1, 2019, the results of the study decreased the average temperature of ringer^s lactate fluid 4,6C and normal saline 0,9% 4,3C. Test data with Mann Withney p-value of 0,000, there is a significant difference in temperature changes in ringer^s laktate fluid and nomal saline 0,9%. The results of the study were rice flasks were able to maintain the temperature of ringer lactate liquid 39C 96 minutes and normal saline 0,9% 78 minutes, while to prevent hypothermia (36C) ringer laktate fluid for 4 hours 59 minutes and normal saline 0,9% during 4 hours 55 minutes. Keywords: Hemorrhagic shock, ringer^s laktate, normal saline 0,9%, thermos, temperature. Share Link | Plain Format | Corresponding Author (NINDA SAPUTRI)

24	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-92
Description of Knowledge of Public Safety Center (PSC) Nurses Banyumas District about Cardiopulmonary Resusitation in Adults (a) Wiji Pangestu, (b) Endiyono Faculty of Health Science Universitas Muhammadiyah Purwokerto Abstract Backround : Cardiac arrest is one of the emergencies that can occur suddenly, so it must get a fast and appropriate treatment. Appropriate help in handling emergency cases in this case is the action of Pulmonary Resuscitation (RJP). Pulmonary Resuscitation (CPR) is a collection of interventions aimed at restoring and maintaining vital organ function in victims of cardiac arrest and respiratory arrest. This intervention consisted of giving chest compression and breathing assistance. Objective : To find out the Public Safety Center (PSC) Nurse Knowledge Description about Cardiopulmonary Resuscitation in adults. Research Methodology : This study uses a quantitative descriptive method through a cross-sectional approach. The sampling technique uses total sampling with a sample size of 35 respondents who fit the inclusion and exclusion criteria. Results : The results showed that the majority of respondents aged 31-40 years were (48.5%). Most of the sexes are female as many as 24 people (68.5%), the most recent education is the Nursing Diploma as many as 25 people (71.4%). The level of knowledge of nurses about Cardiopulmonary Resuscitation as many as 10 people (28.5%) is lacking, 22 people (62.8%) are sufficient, 3 people (8.5%) are good. Conclusion : The level of knowledge of public safety center nurses is mostly in the moderate category. Keywords: Knowledge,Nurse, Cardiac Arrest, Cardiopulmonary Resusitation Share Link | Plain Format | Corresponding Author (Endiyono Endiyono)

25	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-104
The Effect of Abdominal Massage on Abdominal Disfunction Among Patients in Intensive Care Unit (ICU) Karina Denggani Rebeka Cibro (a), Saryono (b) a)Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto b)Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto Abstract Introduction About 60% of ICU patients have increased gastrointestinal (GI) dysfunction. One non-pharmacological intervention that can be performed in ICU patients with gastrointestinal dysfunction is abdominal massage. This study aims to identify and analyze previous studies regarding the intervention of the abdominal massage for abdominal dysfunction of ICU patients. Methods Articles was taken from the Google Scholar Research Gate, and the Elsevier search engine with the keywords abdominal massage in ICU patients, ICU massage, ICU abdomen, ICU abdomen massage, and ICU massage. Inclusion criteria were published in 2015 to 2020, in Indonesian and English, accessible in full text form, research with ICU patients who are bound to NGT and receiving abdominal massage intervention. Articles that found are selected based on the criteria and found 10 relevant journals to be analyzed and compared. Result Analysis of 10 research journals shows that the abdominal massage has a positive effect on digestive function, such as decreasing GRV output, reducing abdominal distension, the risk of constipation, the incident of vomiting and VAP. Conclusion The results of this literature review show that abdominal massage have a positive effect on improving digestive function in ICU patients. Keywords: abdominal massage, digestive dysfunction, abdominal distention, GRV, Ventilator Associated Pneumonia Share Link | Plain Format | Corresponding Author (Karina Denggani Rebeka Cibro)

26	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-121
EFFECTS OF LIMITED PERSONAL PROTECTIVE EQUIPMENT (PPE) ON NURSES PREFERENCE AND ATTITUDE ON COVID-19 CARE Sr Anita Sampe(a*) ,Mery Sambo(b) , Siprianus Abdu(b) , Rosdewi(b) a. College of Nursing of Stella Maris. Jalan Maipa No 19, Makassar, 90112, Indonesia *sranithasjmj[at]gmail.com b. Departement of Nursing, College of Nursing of Stella Maris, Makassar, Indonesia. Abstract Background: Nurses are at high risk of contracting COVID 19 (Corona Virus Disease 19) through nosocomial transmission. sufficient Personal Protective Equipment (PPE) is needed as a prevention of COVID 19. However, the number of supply of PPE provided for the nurses in Indonesia is limited thus threatening their safety when treating COVID 19 patients. Purpose: This study is conducted to find out the PPE supply provided for the nurses, to investigate the effects pf PPE suffered by the nurses, to investigate their behaviors towards the limited PPE supply, and to correlate the sufficient PPE supply and with their behaviors in treating the COVID 19 patients. Methods: This study employed a cross sectional design. A sample of 211 respondents were taken through snowball sampling technique. Data analysis uses Cross Sectional to find out the influence between variables. Results: Most nurses (80%) had not been provided with N95 mask type PPE. Nurses action (71%) to anticipate the limited PPE supply was to refrain themselves from releasing PPE during shifts. The following effects were observed that some nurses (86%) suffered from nasal blister due to prolonged PPE use, and 78,7% of the nurses demonstrate good behavior in responding to the limited PPE supply. There is a relationship between the limited PPE supply and the nurses behavior at p=0,004 Conclusion: The supply of PPE is limited, close monitoring on the use and replacement of the PPE, and modify the policy on the reuse of PPE in according with the standard and risk assessments. Keywords: Limitations of Personal Protective Equipment, Nurses preference, COVID-19 care Share Link | Plain Format | Corresponding Author (Sr Anita Sampe)

27	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-137
Students Knowledge and Attitude with the Intention towards Earthquake at One of University Buildings in West Indonesia Christina Yolanda Putri Eklesia (a), Julia Sinthya Ansar (a), Maryati Octafia Simatupang (a), Lia Kartika (a*), Dwi Yulianto Nugroho (a) a) Faculty of Nursing, Universitas Pelita Harapan, Jl. Boulevard Jenderal Sudirman No. 15, Banten 15810, Indonesia *sarah.kartika[at]uph.edu Abstract Background: Earthquakes experienced by building occupants at one of university buildings in west Indonesia on January 23, 2018 and August 2, 2019 could harm the building occupants. Based on the preliminary study we conducted in the form of interviews with 20 students who were in the building when those earthquakes occurred, it was found that 19 students did not understand about the earthquake and self-protection techniques. Purpose: This study was aimed at determining the relationship between the knowledge and attitudes of students with the intention towards earthquake at one university building in west Indonesia. Methods: We used a quantitative descriptive correlational design with a cross-sectional approach. The population of the study was all the students who have classes in the university building. The study involved 314 respondents taken using simple random sampling techniques. The instrument of this study was a questionnaire about knowledge from Dewita in 2011 and a questionnaire about attitude and earthquake intention from Lubis in 2017. Results: Chi-square analysis showed a significant relationship between students knowledge with intention towards earthquake events (p= 0,011) and there was a relationship between the attitude of students with the intention towards earthquakes (p= 0,028). Conclusion: Residents of the building need to be given information about how to save themselves during an earthquake. Furthermore, the collaboration between the educational institution and building management is needed to enhance self awareness in earthquake disaster mitigation. Further study can analyze the factors that affect low knowledge and negative attitudes towards earthquakes. Keywords: Attitude; Earthquake; Intention; Knowledge Share Link | Plain Format | Corresponding Author (Dwi Yulianto Nugroho)

28	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-149
Nurses Perception on Influence of Technology on Nursing Practice in China Yinglan Li (a), Waraporn Kongsuwan (b*) a).Student, Faculty of Nursing, Prince of Songkhla University, Hat Yai, Songkhla, Thailand b*).Associate Professor, Department of Adult and Elderly Nursing, Faculty of Nursing, Prince of Songkhla University, Hat Yai, Songkhla, Thailand 90112, E-mail: waraporn.k[at]psu.ac.th; waraporn_kongsuwan[at]yahoo.co.uk Abstract Recently, numerous technologies are using in healthcare system which bring a revolution in healthcare system, especially in ICU where is an advanced technological environment. Influence of technology is the nurses attitude and view of the effect of using technology on caring for critically ill patients. However, there is no study found for the influence of technology on caring among Chinese ICU nurses. This study purposed to examine the perception of ICU nurses on influence of technology on their nursing practice and the relationship between demographic data and ICU nurses perception on influence of technology. This descriptive study was conducted in ICU in tertiary hospitals of Guizhou Province, China. The convenience sample of 224 ICU nurses of tertiary hospitals in Guizhou province were completed the demographic questionnaire and Influence of Technology Questionnaire (ITQ) in this study. The descriptive statistics and spearman rank-order correlation were utilized to analyse the data. The result of this study showed that the overall mean score of nurses perceptions on influence of technology on nursing practice was moderate level (M= 3.35, SD= .33). Majority of participants (67%) held high level of perception on positive aspects of influence of technology (M= 3.01, SD= .64). While majority of participants (76.3%) held moderate level of perception on negative aspects of influence of technology. However, there is no relationship between ICU nurses age, work experience, educational level, continuing education and training and their perception on influence of technology (p > 0.05).The study showed that ICU nurses had a moderate perception on influence of technology on their nursing practice. It provided baseline data for expanding research regarding in high-tech environment based on context of China. Keywords: Influence of technology; technological environment; ICU; nursing practice Share Link | Plain Format | Corresponding Author (Yinglan Li)

29	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-165
EXPLORATION OF HEALTH CADRES IN DISASTER RISK REDUCTION IN VOLCANIC DISASTER-PRONE AREAS: A QUALITATIVE STUDY Ridlwan Kamaluddin (*), Eva Rahayu, Arif Imam Hidayat, Lita Heni Kusumawardani Faculty of Health and Sciences, Jenderal Soedirman University, Purwokerto, Indonesia Abstract Disaster Preparedness and Response is an important issue for everyone to be involved since the incidence of natural disasters has increased. Village health cadres as an essential part of the community have an important role in disaster risk reduction. The purpose of this study is to explore the role of village health cadres during disaster risk reduction in volcano prone areas in Banyumas Regency, Central Java, Indonesia. This research is a qualitative study with an in-depth interview approach and focuses group discussion. 10 Village Health Cadre were involved as participants in this study. Implementation of in depth interviews and focuses group discussion was guided by researchers and recorded with a tape recorder. The results were transcribed and analyzed with verbatim analysis. A total of six themes reflecting village health cadre experience in disaster risk reduction in volcanic disaster-prone are gathered from this study. The six themes are cadres feeling when there are signs of volcano Slamet, disaster activities that have been followed by village health cadres, activities that have been carried out by village health cadres in disaster risk reduction, skills needed during disaster risk reduction, lack of special disaster training for health cadres, and gender bias in disaster management. The village health cadres have the responsibility to prepare an effective service not only before the disaster, but also during and after the disaster. Keywords: Calamity Training- Disaster Preparedness and Response- Health Cadres. Share Link | Plain Format | Corresponding Author (Ridlwan Kamaluddin)

30	Disaster, Emergency, Intensive and Critical Care Nursing	ABS-200
Literature Review: Management of Cardiopulmonary Resuscitation (CPR) in Cardiac Arrest Covid-19 Patients Dina Linda Pratiwi, Sidik Awaludin, Ridlwan Kamaluddin Faculty Of Science Jenderal Soedirman University Abstract Background: Cardio Pulmonary Resuscitation (CPR) which is done well and correctly will increase the chance of life three times. However, there is concern that medical workers will contract acute coronavirus 2 (SARS-CoV-2) or Covid-19 respiratory syndrome when performing CPR. The Aim: purpose of writing an article is to provide information based on clinical evidence related to the CPR strategy recommended during the Covid-19 pandemic in order to minimize transmission of infection from patients to health care workers. This systematic review was carried out in June 2020. Design: observasional study, Single-centred, and cohort retrospective. Data Sources: By searching databases including Google Scholar, PubMed, Science Direct, and Proquest. Keywords used: "CPR", "Covid-19", "Cardiac Arrest", "Management", "Safety" and "Nurse". Result: The results showed that the Covid-19 virus transmission occurred in nurses who performed CPR using a complete PPE, through droplets or aerosols from patients who were in the air and entered through gaps that were formed accidentally by health workers when correcting positions, starting positions, wiping sweat or occurring when opening protective clothing. Changes in CPR sequence by ignoring airway assessments provide opportunities to minimize transmission. Chest compressions using assistive devices are highly recommended until the patient arrives at the hospital or can be given breathing aids. Conclusion: CPR during the Covid-19 pandemic is recommended to be carried out in pronated positions and by using the CAB method and to reduce the duration of CPR administration. Keywords: cardio pulmonary resuscitation, covid-19, literature review Share Link | Plain Format | Corresponding Author (Dina Linda Pratiwi)

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