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271	Medicine and Health Sciences	ABS-339
Job demands, Leaders^ support and Burnout of Nurses in Indonesia Resty Avilia Pramana (a), Puguh Widiyanto (b), Heni Setyowati ER (c), Sri Hananto Ponco Nugroho (d) (a,b,c,d) Universitas Muhammadiyah Magelang Jl. Mayjend Bambang Soegeng KM5 Mertoyudan Magelang Abstract Background: One of the social service workers is a nurse who has a very demanding job. Job demands refer to the physical, psychological, social aspects of a job that require physical and psychological abilities on an ongoing basis which can lead to job stress, depression, and fatigue. Apart from being influenced by individual factors, burnout in nurses can be caused by external factors such as management, professionalism, social support, and the work environment and work demands. Objective: The aim of this study was to determine the relationship between job demands and leaders^ support with burnout of nurses in the inpatient room of Muntilan Regional Hospital, Magelang Regency. Methods: The research design used was quantitative with cross sectional survey data collection methods using a closed questionnaire. The three instruments used have validity and reliability values of more than 0.80. The sample in this study were 49 nurses in the inpatient room who were selected by random sampling. Data were analyzed statistically using the Spearmen Rank Test. Results: There was a significant relationship with a strong positive pattern between work demands and burnout (p = 0.001- &#945- = 0.05 with r = 0.490), meaning that the higher the work demands, the greater the burnout. Meanwhile, for leaders^ support for burnout, it is known that there is a significant relationship with a strong negative pattern between leadership support and burnout (p = 0.001- &#945- = 0.05 with r = -0.526) meaning that the more leaders^ support, the smaller the incidence of burnout. Conslusions: Increase leaders^ support to reduce nurse burnout through various activities such as clinical supervision of the head of the room, discussion of case reflections and increasing other work motivation. Keywords: Work demands, Leaders^ support, Nursing Burnout Share Link | Plain Format | Corresponding Author (Puguh Widiyanto)

272	Medicine and Health Sciences	ABS-86
Habits Correlation Of Vegetables and Fruit Consumption, Nutrition Intake, Physical Activity, and Family Support with Nutritional Status of Adolescents 16-18 Years Old Nanda Rizkha Heratama, Kusnandar, Suminah Science of Nutrition, Graduate School of Sebelas Maret University, Surakarta, Indonesia Abstract In the adolescence period, balanced nutritional intake should be fulfilled as a growth spurt of physic and change in body composition which significantly occurs in a short time. In case the consumption quality is inadequate, it would cause nutritional imbalances in the whole body, growth inhibition and triggers chronic diseases in the future such as overweight or obese. Therefore, this research aims to analyze habits correlation of vegetables and fruit consumption, nutrition intake, physical activity, and family support with nutritional status of adolescents. This method consists of proportional random sampling, questionnaire section, and data analysis using linear regression method. The result showed that fiber consumption and family support has significant positive relationship with body mass index/age. The final result of multivariate modeling analysis indicated that the independent variable was family support factor. This implies that each 1 point score increases in family support will enhance the body mass index/age score by 0.027 points. In conclusion that, the nutritional status of adolescents is most affected by the family support which indicated by a positive correlation with increased vegetables and fruit consumption. Hence, this research would be applicable to encourage better family nutrition in health education which created smart and healthy adolescents. Keywords: balanced nutrition-body mass index-linear regression analysis-obesity Share Link | Plain Format | Corresponding Author (Nanda Rizkha Heratama)

273	Medicine and Health Sciences	ABS-342
BIOPSYCHOSOCIAL IMPACT OF BREAST CANCER PATIENTS: A STUDY OF LITERATURE REVIEW Kartika Wijayanti, Suryo Ediyono Faculty of Health Nursing, Universitas Muhamamdiyah Magelang Faculty of Cultural Science, Universitas Sebelas Maret Abstract Introduction. The highest incidence of cancer in Indonesia in women is breast cancer. Central Java is one of the provinces with the highest incidence. Some of the causes are family history of breast cancer, physical activity/sports, obesity, age at first birth, history of offering breast feed, and age of menarche. Cancer is a terminal disease that causes various impacts, including biological/physical, psychological, and social impacts, here in after referred to as biopsychosocial impacts. It is important to examine the importance of biopsychosocial impacts through an in-depth study based on data based on a literature review, where this data is useful for identifying these impacts that will form the basis of appropriate interventions against these impacts. The purpose of this literature review is to see the biopsychosocial impact of breast cancer sufferers in Indonesia. The literature review method uses secondary data from previous research on the biopsychosocial impact of breasts cancer in Indonesia, which was searched using the Google Scholar search engine and Pubmed from 2015 to 2020. The results of the literature review stated that 20 journals show the biological/physical impact felt by sufferers cancer is pain, nausea, vomiting, weight loss, hair loss, skin discoloration, and decreased appetite. The psychological impact that is felt is fear of death, anxiety, shame, depression, even to the level of suicidal thoughts. Conclusion. The impacts that occur in breast cancer sufferers are in the form of biological/physical impacts, psychological impacts and social impacts that require intervention to overcome them. Suggestion: it is necessary to do non-pharmaceutical therapy to deal with client complaints so that it can support the patients current medical therapy. Keywords: Breast Cancer, Physical Impact, Psychological impact, Social Impact Share Link | Plain Format | Corresponding Author (Kartika Wijayanti)

274	Medicine and Health Sciences	ABS-346
EXPERIENCE OF HEALTH WORKERS IN THE IMPLEMENTATION OF ADOLESCENT FRIENDLY HEALTH SERVICES (AFHS) IN MAGELANG Rohmayanti, Suryo Ediyono 1. Faculty of Health Science, Universitas Muhammadiyah Magelang 2. Faculty of cultural science, Universitas Sebelas Maret Abstract Background:Adolescence is a time of crisis, physical, psychological, social changes that can cause a variety of serious health problems. The government developed the AFHS to encourage providers, especially health center, to provide comprehensive health services, to suit and meet the needs of adolescents. Every health center is obliged to implement this AFHS, and its implementers are health workers who are given the responsibility of holding the program and must be able to meet the increasing needs and demands of adolescent health. Purpose:to explore the experience of health workers in the implementation of AFHS in Magelang City. Method: qualitative research design phenomenology. Purposive sampling of 6 participants. Data is collected using semi-structured in-depth observations and interviews. The analysis was conducted using Colaizzi. Result: Health workers^ experience on the implementation of AFHS includes obstacles to AFHS implementation and the expectation of future implementation of AFHS. Emerging themes are internal barriers (limited and multiprogrammed implementing personnel, limited knowledge and capabilities as youth service officers, limited time implementing and reporting programs) and external barriers to AFHS implementation (limited funding, lack of cooperation in programs and sectors, inadequate service facilities for adolescents). The expectations of AFHS implementation include: budget increase, type of service focused on youth counseling, forming a special team of experts, services performed in school and outside the school, service facilities tailored to the needs of adolescents, the need for multimedia utilization in education, cross-program and sectoral involvement in implementation and monev resulting in policies that favor teenagers. Conclusion: The results of the study can be used as a reference in improving the quality of AFHS in health centers. Keywords: Experience, health workers, AFHS Share Link | Plain Format | Corresponding Author (Rohmayanti Rohmayanti)

275	Medicine and Health Sciences	ABS-91
EFFECTIVENESS OF QUERCETIN FROM KENIKIR LEAVES (Cosmos Caudatus Kunth) IN NANOEMULSION FORMULA AS AN ANTIOXIDANT USING RICE BRAN OIL Siti Hajir, Ratri Ariatmi Nugrahani, Ismiyati, Nurul Hidayati Fithriyah Master Program of Chemical Engineering, Faculty of Engineering, Universitas Muhammadiyah Jakarta Abstract This study was an effort to obtain high yield of quercetin extraction from Kenikir leaves employing several extraction methods, which were maceration, percolation, soxhlation, and reflux, using methanol as solvent followed by quercetin incorporation into a nanoemulsion system with Rice bran oil (RBO) as the oil phase. The resulting nanoemulsion was tested with antioxidant activity analyses using DPPH (1,1-diphenyl-2-picrylhydrazil) reagent. The nanoemulsion preparation was produced from Kenikir leaf powder at 20% concentration. The characterizations of formula consisted of organoleptic tests, analyses of pH, particle size, emulsion type, and determination of quercetin content absorbed in the nanoemulsion system, as well as antioxidant activity testing. The results showed that the highest quercetin yield of 14.26 ppm was produced from the soxhlation method for two hours. The nanoemulsion preparation with 20% Kenikir leaf extract and RBO oil phase was good and stable. The formulations also exhibited 6.3 pH, O/W emulsion type, and 176.8 nm particle size. The absorption of quercetin in the nanoemulsion showed an %EE value of 99.99%, indicating the formulation^s high capacity to absorb quercetin. The antioxidant activity testing using DPPH assay produced an IC50 value of 106.805 ppm. Keywords: Kenikir (Cosmos Caudatus Kunth), Nanoemulsion, Quercetin, RBO (Rice Bran Oil), Antioxidant Share Link | Plain Format | Corresponding Author (siti hajir)

276	Medicine and Health Sciences	ABS-93
FORMULATION OF VIRGIN COCONUT OIL (VCO) FROM CENTRIFUGATION AND SPONTANEOUS FERMENTATION PROCESSES WITH RICE BRAN OIL (RBO) FOR A FOOD SUPPLEMENT Upit Pitrianingsih, Ratri Ariatmi Nugrahani*, Tri Yuni Hendrawati, Nurul Hidayati Fithriyah Master Program of Chemical Engineering, Faculty of Engineering, Universitas Muhammadiyah Jakarta Jl. Otista III G 101 A RT 001 RW 002 cipinang cempedak atinegara Timur Abstract - Coconut (Cocos nucifera) is plant belonging to the Arecaceae family with a myriad of uses. Virgin coconut oil (VCO) is one of the products can be derived from this plant. The free fatty acid content, especially lauric acid, determines the quality of VCO. There are several methods of VCO production, depending on the raw material treatments and purification/separation processes. The common methods in use are centrifugation and fermentation to produce VCO that meets the Standard Nasional Indonesia (SNI/Indonesia National Standards). Those methods yield lauric acid contents at 45.1 - 53.2 %, and lauric acid is known to have antibacterial and antiviral potentials. This study aimed to produce VCO with lauric acid content that met SNI standards for food supplements to increase immunity by formulating it with Rice brand oil (RBO). RBO is known to contain vitamins, antioxidants, and fatty acids, such as linoleic acid, that are needed to boost the immune system and nutrient absorption. The coconuts used were choice fresh ripe fruits and prepared with the wet processing procedure. The research method included comparing centrifugation and spontaneous fermentation processes, with time of deposition and fermentation as the independent variable. The best yield of VCO was used in combination with RBO to generate nutritious food supplements. The centrifugation and spontaneous fermentation methods produced the best yields of VCO of 39% and 33% respectively after 24 hours of deposition. GC-MS (Gas chromatography-mass spectrometry) analyses were employed to determine the lauric acid contents in the resulting VCO. The results showed that the lauric acid contents were 52.1% for the centrifugation and 52.3% for spontaneous fermentation. The formulation of VCO and 5% RBO contained 46.519 grams lauric acid and 2.431 grams linoleic acid. Keywords: virgin coconut oil, lauric acid, rice brand oil, antivirus Share Link | Plain Format | Corresponding Author (Upit Pitrianingsih)

277	Medicine and Health Sciences	ABS-349
NANOGEL INNOVATION OF MANGROVE LEAF EXTRACT (ACANTHUS ILLICIFOLIUS) TO REDUCE LABOR PAIN heni setyowati esti rahayu, puspita septie dianita, kartika wijayanti, nasruddin Faculty of Health Science, Universitas Muhammadiyah Magelang, Indonesia Department of Medical Laboratory Science, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Indonesia Abstract Labor pain is the main problem felt by mothers with high intensity. If left untreated, labor pain will cause complications for both the mother and the fetus. One of the efforts to deal with pain by using preparations derived from plants (mangroves) which is currently not used by the community. This study aims to optimize the mangrove leaves formed in nanogel preparations as pain relievers in labor This study used a pre post test design with a control group. The sample was 60 women. The instrument used is the numeric rating scale and the hormone cortisol. The results showed that the mangrove leaf extract nanogels were effective in dealing with pain. There is a difference in the pain scale between the intervention group and the control group (p value <0.01). Nurses and midwives should use non-pharmacological therapies derived from plants such as mangroves (acanthus illicifolius) which are safe, effective and do not cause side effects to treat labor pain. Keywords: acanthus illicifolius- extract- labor pain Share Link | Plain Format | Corresponding Author (Heni Setyowati Esti Rahayu)

278	Medicine and Health Sciences	ABS-350
The Correlation Between Work Fatigue And Menstrual Cycle in Formal Sector Female Workers in Magelang Region in 2020 Dwi Ayu Rahmawati1, Heni Setyowati Esti Rahayu2, Kartika Wijayanti3 Faculty of Health Science, Universitas Muhammadiyah Magelang Abstract Workers in Indonesia are dominated by women. Female workers have multiple roles so they are at risk of experiencing fatigue. Work fatigue effect from heavy activity can caused hipotalamus dysfunction which can caused problem on GnRH secretion. It can also make menstrual cycle dysfunction. The aim of this research is to knowing the correlation between work fatigue and menstrual cycle. This research is quantitative survey with cross sectional. Samples are women workers of formal sector which include in inclusion criterias that are 103 peoples. Data analized with Spearman. Most of the respondents (36.9%) experienced heavy work fatigue. Most of the respondents (67%) experienced menstrual cycle disorders such as polimenorrhea (51.5%), oligomenorrhea (12.6%), and secondary amenorrhoea (2.9%). There is a relationship between work fatigue and the menstrual cycle among female formal sector workers (p = 0.001- r = 0.384). The company is expected to be able to consider worker rest periods to minimize work fatigue. Formal sector women workers are expected to notice their physical condition by managing their work fatigue, such as stretching during times work. Keywords: female worker-menstrual cycle-work fatigue Share Link | Plain Format | Corresponding Author (Heni Setyowati Esti Rahayu)

279	Medicine and Health Sciences	ABS-355
The sister village program : Evaluation of refugee camp in Deyangan village, Magelang for preparedness of Merapi Eruption Margono1, Priyo 2, Akhmad Liana Amrul Haq 3 Faculty of Health, University of Muhammadiyah Magelang1 Faculty of Health, University of Muhammadiyah Magelang2 Faculty of Psychology and Humanities, University of Muhammadiyah Magelang Abstract Merapi eruption is unpredictable and can happen anytime. Thus, in mitigation process, Magelang^s Goverment is implemented a program, called the sister village program. The concept of this program is a village in disaster area has a sister village in safe area. Deyangan village is one of village that includes in the sister village program. It is a sister village for Krinjing village and also prepared a refugee camp for Krinjing^s villagers. One of the most important in disaster management is the readiness of refugee camp. This study aim was explored the preparedness of the sister village and determined the preparedness in evacuating refugees. This study was a mixed method study using survey and Focus Group Discussion (FGD). For the survey, evaluation for the planning documents and the readiness of evacuation area was be done. After the survey, FGD was be done and involved the posko administrators, refugees and the village government. This research was conducted in Deyangan Village from October to November 2020. The result from the survey showed that between the contingency plan and the readiness of the sister village showed the suitability. The evacuation area was be provided in sufficient amount for the vulnerable groups from the village in the disaster prone area. For the logistics, the preparation was good but the management wad not optimal. For the education, there were an activity program and run well. But, in the economic and livestock programs, the preparation was not be done yet. The results from the FGD supported that the contingency plan was good. However, it was needed to prepare the sister village in the economic and livestock area. Result of this study can be used for the preparedness and evacuation program for Merapi Mountain. Thus, the loss of property and life from victims could be avoided with a good management. In addition, survivors could do their daily activities in the refugee camp as same as they did in their origin. Keywords: Sister village- Magelang- merapi Share Link | Plain Format | Corresponding Author (Margono Margono)

280	Medicine and Health Sciences	ABS-359
Nutritional Education Media, Isi Piringku Berbasis Pangan Lokal, in Helping the Increase of Mothers^ Knowledge in Wonosobo District to Understand the Guideline of Balanced Nutrition Mohamad Samsudin (a*), Hastin D Kusumawardani (a), Slamet Riyanto (a), Yusi Dwi Nurcahyani (a), Ina Kusrini (a), Cati Martiyana (a), Marizka Khairunnisa (a), Diah Yunitawati (a), Ismi Setyaningsih (a), Candra Puspitasari (a), Deni Juwantoro (a), Cicik Harfana (a) a) Magelang Health Research and Development Center Kapling Jayan Borobudur Magelang 56553, Indonesia Abstract The government has tried to accelerate the reduction in the prevalence of stunting children through Isi Piringku program, which is a movement to encourage public awareness, especially mothers, of the importance of regulating patterns and portions of food according to the needs of children. Isi Piringku Program, which has a balanced nutritional message, was designed to raise local wisdom. This study aims to examine the nutritional acceptibility through media of book, Isi Piringku Berbasis Pangan Lokal, to increase the maternal knowledge in understanding the guidelines of balanced nutrition. Study design is a quantitative study with a quasi-experimental approach. Study location is in Locus Stunting. Data collection was through interviews using a structured questionnaire. The process of analyzing data was by statistical tests. Knowledge, attitudes, and practices (KAP) of mothers of toddlers towards the concept of balanced nutrition and Isi Piringku are generally still lacking. There is an increase in knowledge, which most respondents have sufficient knowledge and good knowledge about the concept of balanced nutrition and Isi Piringku after one month getting counseling from the officers and nutrition counseling media in the book form, Isi Piringku Berbasis Pangan Lokal, both in the treatment and control groups, but an increase in knowledge is higher in the treatment group (p<0.05). The same thing happened with the attitude and practice variables, statistically it is significantly different (p<0.05). Nutrition education along with educative media (nutrition guidelines in the book form, Isi Piringku Berbasis Pangan Lokal, had a better result in increasing the knowledge, attitude and practice of toddler^s mother. The innovation of nutitional promotion by making a prototype of nutritional education media in the form of games is needed to facilitate the understanding and infomation acceptibility about the concept of Balanced Nutrition and Isi Piringku. Keywords: local food, local wisdom, balanced nutrition, contents of my plate, stunting Share Link | Plain Format | Corresponding Author (Yusi Dwi Nurcahyani)

281	Medicine and Health Sciences	ABS-107
PHARMACIST^S KNOWLEDGE, PERCEPTION AND PRACTICE ABOUT ANTIBIOTIC STEWARDSHIP: a survey in Indonesia Heni Lutfiyati1,2, Zullies Ikawati 3, Jarir At Thobbari 4,5,6, Nanang Munif Yasin 3 1. Doctoral Program in Pharmaceutical Sciences, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia. 2. Department of Pharmacy, Faculty of Health Science, Universitas Muhammadiyah Magelang, Magelang, Indonesia 3. Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia. 4. Clinical Epidemiology and Biostatistic Unit, FMPHN, Universitas Gadjah Mada, Yogyakarta, Indonesia 5. Cochrane Indonesia, FMPHN, Universitas Gadjah Mada, Yogyakarta, Indonesia. 6. Department of Pharmacology and Therapy, FMPHN, Universitas Gadjah Mada, Yogyakarta, Indonesia. Abstract Antimicrobial resistance has become a world health problem, with various detrimental effects that can reduce the quality of health services. The contribution of Pharmacists in antibiotic control has been proven effective, therefore pharmacists need to expand their role to be directly involved in patient care. The aim of this study to evaluate the knowledge, perceptions and practices of pharmacists in antibiotic stewardship The study was cross sectional design, by collecting data in August-September 2020 from pharmacists. Data were analysed using the Mann-Whitney and Kruskal-Wallis test with SPSS version 20.0. Of the 186 pharmacist average score of knowledge 4.25 SD 0.39, perception 4.32 SD 0.38 and practice 42.96 SD 6.36. Results show that 59.68% have good knowledge, 79.57% good perception and 99.46% good practiced on antibiotic stewardship. The Mann Whitney test showed a significant difference on the level of knowledge based on educaton level and the Kruskal-Wallis test showed a significant difference on the level of knowledge, perception and practice by workplace This study is useful in the field of clinical and community pharmacy and higher education pharmacy Keywords: Pharmacist- knowledge- perception- practice- antibiotic stewardship Share Link | Plain Format | Corresponding Author (Heni Lutfiyati)

282	Medicine and Health Sciences	ABS-364
Communication Model for Pharmacists and Patients in the Chronic Disease Management Program in Magelang Regency Annis Azhar Suryaningtyas, Setiyo Budi Santoso Universitas Muhammadiyah Magelang Abstract The Chronic Disease Management Program (Prolanis) is a health care system and a proactive approach to health care for patients suffering from chronic diseases. The first objective of this program is to encourage couples with chronic diseases to achieve an optimal quality of life with an indicator of 75%. Second, prolanic patients at the First Level Faskes have ^good^ results on specific examinations of Type 2 DM and Hypertension according to the Clinical Guidelines (sumbr: Prolanis BPJS practical guide book). Prolanis is also carried out at the Primary Level Fasks in Magelang Regency. One of the supporting factors for the success of this program is patient compliance in taking medication. This is evidenced by the existence of a consultation program on monitoring adherence to taking medication into prolanis activities at the First Level Health Center. When viewed from the point of view of communication science, this activity creates a health communication context. Therefore, communication skills of pharmacy personnel are needed to convey explicit educational messages in such short conversations. However, the form of communication that occurs between the pharmacist and the patient takes the form of a formal conversation. Delivery of drugs between pharmacists and patients. Thus it is important to conduct research to identify and provide an overview of the model of health communication patterns that occur in the prolanis program between pharmacists and patients. So that one of the goals of prolanis is to create patient compliance in taking medication. In this study, the phenomena above will be explored using the theory of Patient-Centered Communication by Debra Roter and Judith Hall. Patient-Centered Communication describes a patient-centered communication model that includes four key elements, namely data gathering, patient education and counseling, partnership-building communication, emotional responsiveness. Meanwhile, the method used in this study is a qualitative Keywords: Communication model, Patient-Centered Communication, Prolanis Share Link | Plain Format | Corresponding Author (Setiyo Budi Santoso)

283	Medicine and Health Sciences	ABS-115
THE PSYCHOLOGICAL DISORDER WITH COPING MECHANISM IN PATIENTS RENAL FAILURE CHRONIC WHO UNDERWENT HEMODIALYSIS IN MUHAMMADIYAH GOMBONG HOSPITAL Ike Mardiati Agustin, Nur Iffany Chairunissa, Sawiji 1,2,3Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong, Kebumen Regency, Central Java, Indonesia Abstract Introduction.Kidney failure chronicle is a disorder in the kidney which one symptoms found urium in the blood. Chronic diseases this causes the emergence of a psychological disorder that can affect their koping mechanism. Purpose Finding out the information of psychological disorder and mechanism coping in patients renal failure chronic who underwent hemodialysis in Muhammadiyah Gombong Hospital. Method This research was descriptive analytic with the methods cross sectional .The subject this study were patients with kidney chronic failure who underwent hemodialysis in Muhammadiyah Gombong Hospital. The technique of collecting sample using random sampling with samples 75 person. The research instruments used Hospital Anxiety and Depression Scale questionnaire, Anxiety and Depression Stress Scale questionnaire and coping mechanism questionnaire. The results of psychological disorders anxiety from most experienced mild anxiety as much as 36 person (48.0%), in the form of a disturbance depression at the most do not have depression or depression normal as much as 37 person (49.3%), in the form of psychological disorders stress most often not subjected to stress or stressed normal as much as 35 person (46.7%) and at coping mechanisms at the most experienced the coping mechanisms adaptive as much as 61 person (81.3%). Implication This research is recommended for improved psychological aspect in people with renal chronic failure who underwent hemodialysis and their coping mechanism in nursing care. Keywords: Psychological, Coping Mechanism, Hemodialysis, renal chronic failure Share Link | Plain Format | Corresponding Author (Ike Mardiati Agustin)

284	Medicine and Health Sciences	ABS-371
LITERATURE REVIEW: SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) THERAPY IN STRESS AND TRAUMATIC MANAGEMENT DURING THE COVID-19 Retna Tri Astuti, Suryo Ediyono Faculty of Health Science University of Muhammadiyah Magelang, Faculty of cultural science University of Sebelas Maret Abstract The Covid-19 that occurred in Indonesia had an impact not only on physical, economic aspects but also resulted in psychological problems such as stress and traumatics on society. It is necessary to make efforts to prevent and control stress and traumatic disorders. Spiritual Emotion Freedom Teqnique (SEFT) is a therapy developed from spiritual therapy and psychotherapy that can be used to manage stress and traumatic stress. The purpose of this literature review is to provide a description regarding the development of Spiritual Emotional Freedom Technique (SEFT) therapy as a stress and traumatic management therapy during the Covid-19 . Database searches via ScienceDirect, Pubmed and GoogleScholar. The keywords used in the search for this article were Spiritual Emotional Freedom Technique (SEFT), Stress, Traumatic, Covid-19 by getting 40 articles and only 6 articles used were used through objective analysis, topic suitability, research method used, size. samples, research ethics, the results of each article, and the limitations that occur. There are effective results of using Spiritual Emotional Therapy Fredom Technique in dealing with stress and traumatics during the Covid-19. Keywords: Spiritual Emotional Freedom Teqnique (SEFT), Stress, Traumatic, Covid-19 Share Link | Plain Format | Corresponding Author (Retna Tri Astuti)

285	Medicine and Health Sciences	ABS-374
THE EFFECTIVENESS OF MOTIVATED SPALK ON CHILDREN^S ANXIATION ASSESSED FROM SCIENCE DEVELOPMENT STUDY Reni Mareta , Suryo Ediyono, Indri Chrisvianti Universitas Muhammadiyah Magelang (UNIMMA) Abstract Background: spalk or splint is a tool used to prevent bone deformity, stabilizes the infusion from shifting, prevents movement of the bone if there is a fracture. Spalk undergoes changes in shape according to the times and continues to change. This change can be accepted as a scientific development. Spalk with a new motif can also add a new atmosphere by giving the child the motif that is desired by the child. Giving this motive is proven to reduce the anxiety of the child being put on an IV while being treated in the hospital. Anxiety is a feeling that is often experienced by every human being when they feel afraid to face something. The incidence rate based on preliminary studies shows that out of 20 respondents, the highest frequency of children experiencing severe anxiety was 14 respondents (70%) and the lowest frequency of children experiencing moderate anxiety was 6 respondents (30%). Purpose: to determine the effectiveness of using patterned spalk on the level of anxiety in children who have an IV in the children^s ward at RSUD Muntilan Methods: The method used in this study was a quasi-experimental study using 2 groups of pres test and post test with a control group and an intervention group. Respondents in this study were 52 child respondents in the children^s ward at RSUD Muntilan, by using purposive sampling technique. The measuring instrument used to measure the level of anxiety of children aged 1 to 6 years uses the SCAS (Spance Children^s Anxiety Scale) and the observation sheet. Result: there is a significant effect on the level of anxiety of the child who is given. The act of using spalk is patterned in the intervention group with p value = 0.000 (p <0.05). Conclusion: there was a positive effect on the children who were attached with patterned spalks, the children looked happy and the anxiety decreased compared to the children who only wore plain spalk wrapped in gauze. Keywords: Key words: anxiety, patterned spalk, scientific development Share Link | Plain Format | Corresponding Author (Reni Mareta)

286	Medicine and Health Sciences	ABS-119
AL QUR^AN HEALING THERAPY INCREASES LETDOWN REFLEX IN BREASTFEEDING MOTHERS Intan Mutiara Putri(1*) Fitria Siswi Utami (2) 1Faculty of Health Sciences^ Aisyiyah University Yogyakarta Indonesia 2Faculty of Health Sciences^ Aisyiyah University Yogyakarta Indonesia *Coresponding author^s email: intan.mutiaraputri[at]unisayogya.ac.id Abstract Every mother is obliged to provide breast milk except for mothers or babies who have special conditions such as a dead baby or a mother who is separated from her baby. This shows that breast milk is the right of every baby born, it is known that breast milk is the best food source for the baby^s growth and development. However, in practice, not all mothers provide exclusive breastfeeding for up to 6 months for various reasons, including the reduced of breast milk production. One technique that can be used to increase breast milk production is to stimulate the mother^s body^s decline reflex. The relaxation method used is non-pharmacological therapy, which theoretically is a method that can be used to stimulate breastfeeding reflexes to increase milk production. This study aims to determine the effect of Al-Quran Healing relaxation therapy on Letdown Reflex in breastfeeding mothers. This research method was a quasi-experimental one group pre-posttest design. Purposive non-probability sampling technique was used for sample selection. The research samples used were 15 breastfeeding mothers. The first data collection tool was a questionnaire on the demographic data of the respondents and the second was about the Letdown Reflex assessment. Al-Quran Healing therapy intervention was given for three days with a Letdown reflex assessment before and after the intervention administration. Letdown reflex assessment before the intervention showed that there were 5 respondents (33.3%) with a poor category and 10 respondents (66.7%) with a good category. After the intervention, it was found that all mothers, that were 15 respondents (100%), had a good Letdown reflex assessment. The results of the Wilcoxon test analysis showed a p-value of 0.001 (<0.005), which meant that there was an effect of giving Al-Quran Healing therapy on the frequency of Letdown Reflex. There was a difference between the letdown reflex before and after the intervention. Healing Qur^an therapy affects the let Keywords: Therapy, Al-Quran Healing, Letdown Reflex, breastfeeding mothers. Share Link | Plain Format | Corresponding Author (Intan Mutiara Putri)

287	Medicine and Health Sciences	ABS-377
An evaluation of dehydration assessment and zinc administration in children with acute diarrhea in hospitals in Indonesia septi wardani (1*), Sri Hananto Ponco Nugroho (2), Setiyo Budi Santoso (3) Universitas Muhammadiyah Magelang Abstract Improper management of diarrhea, either at home or in hospital, is one of the main causes of death in children with diarrhea. The problems that arise in the management of diarrhea in children in the hospital are the unclear classification of degrees of dehydration, parents do not know the administration of zinc tablets and the unclear discharge planning. The purpose of this study was to investigate how the assessment of dehydration and zinc administration in children with acute diarrhea in hospital in Magelang, Indonesia. The method used is a case study. Subjects in this study were nurses who managed acute diarrhea. Data collection was carried out by means of observation, documentation and interviews. The results showed that the assessment of dehydration was not specific, the duration and dose of zinc had been given correctly but education on zik administration had not been carried out properly. In conclusion, we found several strengths and weaknesses in the assessment of dehydration and zinc administration in acute diarrhea children in hospital. Keywords: Children, acute diarrhea, management, dehydration assessment, zink administrtation Share Link | Plain Format | Corresponding Author (septi wardani)

288	Medicine and Health Sciences	ABS-380
The Effect of Finger Hold and Music Therapy to Insomnia in Elderly Annisa Nur Septiyana1, Sigit Priyanto2, Priyo3, Suryo Ediyono4 1,2, 3:Faculty Health Science UNIMMA 4: Sebelas Maret of University Abstract Background : Insomnia is one of the complaint felt by the elders. In Indonesia, prevalence rate of insomnia in Indonesia is arround 67 percent. Insomnia increases in women up to 40 percent at the age of fourty-fifty years old. The one of pharmacological therapy for insomnia is given finger hold and music therapy. Finger hold therapy will stimulate the release of the hormone melatonin and music will produce &#946- endorphin and encephalin substances, both of which can make the body relax, calm, reduce pain and cause feelings of pleasure. Purpose: To know the effect of finger hold and music therapy to insomnia in elderly at Ngadiharjo Village Borobudur Distric, Magelang Regency. Method: The research method used is quasy experiment with two group pre and post with control group. The sample used was 46 people and separted to the group there is 23 people. Sample technique used was proportional random sampling. Result: The differences in insomnia level after finger hold and music therapy in intervention group and control group is < 0,05 with p value 0,000. Conclusion: There is an influence of finger hold and music therapy on the level of insomnia in the elderly in Ngadiharjo Village, Borobudur Distric, Magelang Regency in 2019. Suggestion: Such therapy can be used as alternative therapy or complementary therapy to overcome insomnia the elderly. Keywords: insomnia, finger hold and music therapy, elderly Share Link | Plain Format | Corresponding Author (Sigit Priyanto)

289	Medicine and Health Sciences	ABS-126
REVISED TRAUMA SCORE (RTS) AS A PREDICTOR MORTALITY SEVERE HEAD INJURY PATIENTS IN THE HOSPITAL PKU MUHAMMADIYAH GOMBONG Isma Yuniar1, Evi Suwarsih2, Endah Setianingsih3 Muhammadiyah Gombong Health Institute Abstract Article Title : REVISED TRAUMA SCORE (RTS) AS A PREDICTOR MORTALITY SEVERE HEAD INJURY PATIENTS IN THE HOSPITAL PKU MUHAMMADIYAH GOMBONG 1. Authors : Isma Yuniar1, Evi Suwarsih2, Endah Setianingsih3 2. Corresponding Email : ismayuniar@gmail.com 3. Affiliation : 4. Introduction : The phenomenon of high head injury and a large mortality rate are in the spotlight. Knowing the prognosis of head injury by conducting an initial assessment or accurate system scoring is very important to know the progress, worsening of the patient^s condition. Revised Trauma Score (RTS) is a trauma scoring system that assesses physiological functions capable of predicting the death of head injury patients. PKU Muhammadiyah Gombong Hospital in identifying trauma patients has not used trauma scoring specifically for trauma. Analyzing and identifying using only the observation sheet has not been able to show the severity of the injured or traumatized patient. 5. Purpose : The purpose of this study was to determine whether RTS was effectively used to predict mortality in severe head injury patients. 6. Method : This research method is a type of descriptive correlation research using a retrospective cohort study approach by taking medical record data from 2015 to 2019. Retrieval of data using observation sheets was carried out on April 20, 2020 at PKU Muhammadiyah Gombong Hospital. The study sample consisted of 87 patients with severe head injury according to the inclusion and exclusion criteria 7. Main Finding : Test Results of the ^Statistics Test^ known that Asymp.Sig. (2-tailed) on the Fisher^s Exact Test of (0.683> 0.05). Thus the Revised Trauma Score (RTS) statistical test is not effective against the Predictors of death in severe head injury patients at PKU Muhammadiyah Gombong Hospital. 8. Implication : In order to be a consideration in conducting trauma assesment, so that it is effective and can be used for immediate follow-up in the management of CKB so that the mortal Keywords: Mortality, severe head injury patient, RTS Share Link | Plain Format | Corresponding Author (Isma Yuniar)

290	Medicine and Health Sciences	ABS-137
PHYSICAL PROPERTIES AND ANTIBACTERIAL ACTIVITIES OF SPRAY FOOTSANITIZER COMBINATION OF COFFEE SEED AND GINGER EXTRACT WITH VARIATION OF STIRRING SPEED Wilda Amananti1*, Dairoh2 Politeknik Harapan Bersama Abstract Foot odor is one of the most common body odor problems. This physical disorder is one of the habitual disorders of apocrine sweat and has the term Bromhidrosis, Bromhidrosis is a condition where a person^s body odor is excessive than normal due to the secretion of apocrine sweat glands located in the armpits, scalp, soles of the feet, between the fingers, and genitals. (Siskawati, 2014).Prevention efforts can start from cleaning the feet using antibacterial soap and changing socks that are dirty or smelly. (Amananti, 2020). However, these efforts are considered impractical. So it is necessary to have a more practical foot deodorizing innovation, namely Footsanitizer Spray. Footsanitizer Spray in the market contains 70-95% alcohol. The active ingredient contains alcohol as an antibacterial because it has the highest effectiveness against bacteria. Excessive use of alcohol and chemicals can have health effects and irritant effects on the skin. Therefore, its use needs to be reduced by adding active ingredients from natural ingredients that can act as antibacterials, namely coffee beans and jehe rhizome. The formulation of Footsanitizer Spray, a combination of coffee bean extract and ginger root, has been successfully formulated. Based on organicoleptic testing, all Footsanitizer Spray formulas are liquid, light brown in color, have a distinctive aromatic odor and have a soft taste. The Footsanitizer Spray preparation also has good clarity and homogeneity. The results of the specific gravity test of the three formulas, namely formula 1, formula 2 and formula 3 respectively, are 1,043 grams / ml, 1,060 grams / ml, and 1,067 grams / ml. while the viscosity values were 1.91 cp, 1.63 cp, and 1.58 cp, respectively. formula 3 with stirring 1500 rpm has better antibacterial activity compared to other formulas. Keywords: Footsanitizer Spray, Physical Properties And Antibacterial Activities Share Link | Plain Format | Corresponding Author (Wilda Amananti)

291	Medicine and Health Sciences	ABS-144
Kaligesing Goat Productivity by Giving Fermented Animal Herbal Medicine R.E. Mudawaroch, Zulfanita Animal husbandry, Agriculture, Universitas Muhammadiyah Purworejo, Jl. K.H.A Dahlan 3a Purworejo 54111. Indonesia Abstract Keywords: Productivity, Kaligesing Goad, Fermented Animal Herbal Medicine Share Link | Plain Format | Corresponding Author (Roisu Eny Mudawaroch)

292	Medicine and Health Sciences	ABS-167
An Analysis of Women Center Care Needs in Midwifery Service Fitria Siswi Utami (a*), Intan Mutiara Putri (b) a,b) Faculty of Health Sciences, Universitas ^Aisyiyah Yogyakarta Jalan Siliwangi No.63, Nogotirto, Gamping, Sleman, Yogyakarta, Indonesia *fitriasiswi[at]unisayogya.ac.id Abstract A biopsychosicialcultural service concept in midwifery service is a growth concept in order to increase the midwifery quality services. Generally, present condition imaging a physical focus in midwifery services. The study was conducted to get the information about the needs of women center care as a concept to produce a biopsychosocial and spiritual side of every women. A qualitative study was conducted to get the data. The results show that a comprehensive service in midwifery setting is need to built and improved. Most of midwives as informans in this study provide information that they need more information about the concept and the way to practice during giving the service in order to provide an excellent and valuable services. Keywords: women center care- midwifery Share Link | Plain Format | Corresponding Author (Fitria Siswi Utami)

293	Medicine and Health Sciences	ABS-197
The Effects of Oral Supplementation of Bitter Melon (Momordica charantia L.) Leaves Extract on the VEGF serum Level in Diabetic Foot Ulcers: Randomized Controlled Trial Fahrun Nur Rosyid (a*), Tomy Adi Prasetyo (b), Muhtadi (c), K Heri Nugroho HS (d) a,b) Department of Medical Surgical Nursing, School of Nursing, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia *fnr100[at]ums.ac.id c) Professor, Faculty of Pharmacy, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia d) Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia Abstract Objective: This study aims to study the oral supplementation of Bitter Melon (Momordica charantia L.) leaves extract on VEGF serum level in diabetic foot ulcers. Materials and Methods: Study used the randomized, double blinded, placebo-controlled trial. Thirty patients with diabetic foot ulcer (DFU) with the score of PEDIS 1-8 fulfilling the criteria were divided into two groups: 15 patients in the treatment group were given the bitter melon leaves extract per oral at the dosage of 6 g/day- while other 15 patients in the control group obtained the placebo. The intervention was conducted for 4 weeks and the VEGF serum level was measured on the baseline and in the end of treatment. Data were analyzed using the paired t test and independent t test. Results: after 4 weeks of treatment, there was a decline in the baseline of VEGF serum level in the treatment group from 431.5 plus minus 248.5 pg/ml into 236.9 plus minus 158 pg/ml. Meanwhile, in control group, there was a decline from 382.4 plus minus 351.4 pg/ml into 191.6 plus minus 121.9 pg/ml. The results of the analysis on the effect of the oral supplementation of the Bitter Melon leaves extract on VEFG serum level were found insignificant alpha = 0.39. Conclusion:The oral supplementation of bitter melon leaves extract was not proven to increase VEFG serum level to the DFU patients. Keywords: Bitter Melon, Diabetes Mellitus, diabetic foot ulcer, Momordica charantia L., VEGF Share Link | Plain Format | Corresponding Author (Fahrun Nur Rosyid)

294	Medicine and Health Sciences	ABS-199
ADHERENCE TO FLUID RESTRICTION AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC KIDNEY FAILURE Fajar Agung Nugroho, Dewi Ayu Rahmawati, Hendri Tamara Yuda STIKES Muhammadiyah Gombong Abstract Background: Patients with chronic kidney disease should restrict the amount of liquid during their life. If they cannot control it, their body gets fluid overload and have harmful effects such as difficulty breathing and swelling. These problems can cause major changes in patients^ lifestyle and their quality of life. Aim: find out the relationship of adherence to fluid restriction and quality of life in patients with chronic kidney failure. Method: This research used a descriptive correlation design with a Cross-Sectional approach. The sample of this study was 40 patients undergoing hemodialysis in PKU Muhammadiyah hospital of Gombong. It was conducted in March-April 2020. The respondents were selected by purposive sampling technique. Adherence to fluid restriction questionnaire and quality of life questionnaire were used as research instruments. Data were analyzed descriptively using the Spearman rank test. Results: Patients take control of fluid intake during the hemodialysis process in the adherence category (67,5%). Patients had a good quality of life category (65,0%). There was a significant relationship between adherence to fluid restriction with quality of life in patients with chronic kidney failure undergoing hemodialysis (p = 0.001). Conclusion: Patients had adherent to fluid restriction during underwent hemodialysis that they had a good quality of life. Recommendation: further study expected can measure knowledge of patients with chronic kidney failure about how to do fluid restriction when undergoing hemodialysis and at their home. Keywords: adherence, fluid restriction, hemodialysis, quality of life, chronic kidney failure Share Link | Plain Format | Corresponding Author (Fajar Agung Nugroho)

295	Medicine and Health Sciences	ABS-213
Family Characteristics and Parenting Quality in Relation with Secondhand Smoking Exposure at Home on Infants and Breastfeeding Mothers Leny Latifah, Arif Musoddaq, Marizka Khairunnisa, Diah Yunitawati Balai Litbangkes Magelang Abstract Abstract- Second Hand Smoking (SHS) exposure had a great impact on health, especially among vulnerable group like breastfeeding mothers and infant. No previous research found on the risk of lower parenting quality in relation to the risk of SHS exposure among infants. This research aimed to analyze the prevalence of SHS exposure at home in breastfeeding mothers and their infants in relation to family characteristics and parenting quality. A cross sectional study conducted in Magelang with 213 household which had infant as household member. SHS exposure at home and family characteristics assessed with questionnaire and parenting quality assessed with HOME-SF. Prevalence of SHS at home were 81.2%. Family characteristics related were higher sum of children (t=-1.990- p=0.048), shorter birth spacing (t=-3.692- p=0.002), younger age of mother (t=-3.407- p=0.001) and father (t= -3.527- p=0.001), and shorter years of father education (t=-2.766- p=0.006), and also lower cognitive stimulation (F=2.705- p=0.046). Several family characteristics and also quality of parenting identified as factors associated with infant SHS exposure at home. The high prevalence need attention for intensive health promotion and consistent implementation of smoke-free legislation to protect infant and breastfeeding mothers from SHS exposure at home. Keywords: secondhand smoking exposure, infants, breastfeeding mother, parenting quality Share Link | Plain Format | Corresponding Author (Leny Latifah)

296	Medicine and Health Sciences	ABS-220
How Do People Manage Their Medicines At Home? Ni Made Ayu Nila Septianingrum*, Fitriana Yuliastuti, Widarika Santi Hapsari Universitas Muhammadiyah Magelang Abstract The management of drugs especially expired and damaged drugs in the community is important to pay attention to, because drug waste that is dumped carelessly can provide opportunities for irresponsible persons to reprocess drugs that have been discarded into fake/illegal drugs, so they can endanger others and the environment. This study aims to determine how the people in Magelang manage drugs especially damaged and expired drugs. This research is an observational study using a simple random sampling method. Questionnaires containing drug disposal sites, types of drugs stored, beliefs about where to dispose of drugs and who should be responsible for drug waste were distributed using google form and directly visited people in the Magelang. Respondents who took part in this study amounted to 202 people. The results obtained in this study were that most people kept tablets/capsules (63.87%) as drug supplies (66.80%) with indications for colds and coughs (28.81%). The public believes (54%) that unused drugs can be disposed of in the trash (61.80%). The conclusion of this study is that many people (65%) have never received socialization about how to properly dispose of drugs so that many people dispose of drugs such as disposing of household waste in general, and people agree (43.1%) if the medicine/container those that are not used are returned to the health facility. By disposing of drug waste in health facilities will prevent counterfeit drugs, illegal drugs and environmental damage Keywords: Dispose of Drugs, Expired Drugs, Manage Medicine at home Share Link | Plain Format | Corresponding Author (Ni Made Ayu Nila Septianingrum)

297	Medicine and Health Sciences	ABS-242
Maternal Mental Health and Risk of Children Diarrhea and ARI in Indonesia Diah Yunitawati1, Yusi Dwi Nurcahyani1, Leny Latifah1, Prihatin Broto Sukandar1 Center for Health Research and Development of Magelang, Ministry of Health, Indonesia Abstract Introduction. There are between 4.4 and 3.6% of the world^s population who experience depression and anxiety. Data on Basic Health Research shows that the proportion of Indonesian people suffering from emotional mental disorders fell from 11.6 to 6% in 2013. Maternal mental health can affect children^s growth and development. Purpose. To investigate the relationship between maternal mental health and the risk of children^s diarrhea and ARI in Indonesia. Method. Data comes from the Indonesian Basic Health Research in 2013. The analyzed variables using logistic regression are the history of acute respiratory infection (ARI) and diarrhea, child and maternal characteristics. Findings. The prevalence of high common mental disorders (CMD) is 4.6%. ARI has a higher incidence compared to the incidence of diarrhea (40.6% and 11.9%). The analysis shows that maternal CMD is related to ARI history (OR= 2.12- 95% CI: 1.87-2.40) and diarrhea history (OR=2.36- 95% CI: 2.03-2.74). Implication. Maternal CMD is associated with the incidence of child illness and increases the risk of ARI and diarrhea. The intervention to increase the maternal mental health status needs to get more attention because it contributes to the child^s health status. Keywords: ARI, children, diarrhea, mental health Share Link | Plain Format | Corresponding Author (Diah Yunitawati)

298	Other Related Topics	ABS-45
ANDROID BASED INFORMATION SYSTEM AND SMS GATEWAY TO IMPROVE PMI Donors Jatmiko Indriyanto, Miftakhul Huda dan Qirom Politeknik Harapan Bersama Abstract Researchers conducted research at PMI (Indonesian Red Cross) in Tegal City. After visiting PMI, the researchers found that PMI often held blood donor activities in various places. However, the efforts made are still unable to cover the blood needs that are needed each month. PMI has made efforts to send text messages manually to blood donors who have been donors before, but because there are thousands, so many are often missed. Therefore, an automatic sms system is needed, or often called an sms gateway based on existing donor databases, and data. that has been sent can be seen on android. The sequence of research methods, data collection, system analysis, problem identification, application design, application development and application implementation. With the existence of an Android-based information system and an SMS gateway, it certainly makes it very easy for PMI to raise blood donors, it can even increase the number of blood donors. With the Android-based information system and SMS gateway, it will certainly make it easier for PMI Tegal City to collect blood donors. This research succeeded in bringing in donors to donate blood regularly. Keywords: PMI, blood donation, sms gateway Share Link | Plain Format | Corresponding Author (Jatmiko indriyanto)

299	Other Related Topics	ABS-48
Synthesis of acetin: bio-based additive for low sulfur petrodiesel R. Arizal Firmansyah (2),(3), R. Y. Perry Burhan(1),(2*), Puspa Ratu (1), Yulfi Zetra (2), Aditya Dharmawan (1) 1)Politeknik Energi and Mineral Akamigas, Jl Gajah Mada no 38, Cepu 58315, Indonesia 2)Department of Chemistry, Institut Teknologi Sepuluh Nopember, Kampus ITS Keputih, Surabaya, 60111, Indonesia *pburhan[at]chem.its.ac.id 3)Department of Chemistry Education, Faculty of Science and Technology, UIN Walisongo, Semarang, 50185, Indonesia Abstract Valorization of glycerol as a by-product of biodiesel production is the main reason researchers to synthesis acetin. It is known as a cold flow improver and emission CO reducer of petrodiesel. Generally, it can be applied as a supplement to diesel and biodiesel. Another route to synthesis it is trans-esterification of glycerol with ethyl acetate. In this work, the product has been synthesized by simple reflux methods. The conversion of glycerol to the product of acetin was 85.82%. Although the result is not significant, this research revealed that acetin are potentially synthesized from renewable feedstock using a simple method. Keywords: Bio-additive- acetin- low sulfur diesel Share Link | Plain Format | Corresponding Author (R. Arizal Firmansyah)

300	Other Related Topics	ABS-69
Synthesis of Bio-additive for Low Sulfur Fuel Diesel: Transesterification of Soybean Oil and Ethylene Glycol using K2CO3 Catalyst Rhiby Ainur Basit Hariyanto1), R. Arizal Firmansyah 1,3), R.Y Perry Burhan1,2*), Yulfi Zetra1) 1. Department of Chemistry, Faculty of Science and Data Analytics, Institut Teknologi Sepuluh Nopember, Surabaya, Indonesia. *pburhan[at]chem.its.ac.id 2. Politeknik Energi dan Mineral Akamigas, Jl Gajah Mada no 38, Cepu 58315, Indonesia 3. Department of Chemistry Education, Faculty of Science and Technology, Uin Walisongo, Semarang, Indonesia. Abstract The development of the transportation industry has an impact on increasing the consumption of fuels such as diesel fuel. The increase in diesel fuel consumption has an impact on increasing exhaust emissions such as SO2 gas which can cause acid rain. The solution offered to this problem is by reducing the sulfur content in diesel fuel. However, the desulphurization of diesel fuel can have an impact on reducing its lubricity properties. Therefore, it is necessary to add an additive compound that can increase the lubricity properties of the diesel fuel. In this research, 2-hydroxyethyl ester (HEE) was synthesized as an additive to increase the lubricity of diesel fuel. This compound was synthesized through the transesterification reaction of soybean oil and ethylene glycol with K2CO3 as the base catalyst. The composition of the synthesized additives was analyzed using the Gas Chromatography-Mass Spectrometry (GC-MS) instrument. Based on the results of GC-MS spectrum analysis, it is known that the 2-hydroxyethyl ester compound has been formed with a yield of 66.5% (relative to the area of the chromatogram peak). The HEE compound obtained is a mixture of 2 hydroxyethyl palmitate, 2 hydroxyethyl linoleate, 2 hydroxyethyl stearate, 2 hydroxyethyl arachidonate, 2 hydroxyethyl nervate, and 2 hydroxyethyl behenate. Keywords: Low Sulfur Diesel- Lubricity Improver- bio additive- transesterification Share Link | Plain Format | Corresponding Author (Rhiby Ainur Basit Hariyanto)

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