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271	Medicine & Health Sciences	ABS-295
Exploring Recovery-Focused Health Worker For Advancing Mental Health: Literature Review Muhammad Khoirul Amin, Sambodo Sriadi Pinilih Universitas Muhammadiyah Magelang Abstract The recovery process for mental disorders does not only focus on medical treatment but also adapts to the sufferer^s needs. Recovery from mental disorders requires a comprehensive approach and a harmonious relationship between health services, caregivers and the community. Health workers occupy an important position in the treatment and recovery of patients. Health workers in providing services do not always run smoothly. Therefore, this research aims to find out the role and problems faced by health workers in the recovery of mental disorder patients. The method used in this writing is a literature review approach. Article searches were carried out through two electronic databases, namely PubMed and Scholar. The final result after screening was that there were 12 articles used as material in this literature. Based on existing literature, several themes were found related to recovery from mental disorders focusing on health workers, namely- The knowledge of health workers is still not optimal, so education and training are needed to improve it. Next is the stigma of health workers towards mental disorders and it turns out there are still those who have a stigma so intervention is needed to remove the stigma on these health workers. And next is the form of service provided to sufferers Keywords: recovery, mental illness, health workers Share Link | Plain Format | Corresponding Author (Muhammad Khoirul Amin)

272	Medicine & Health Sciences	ABS-52
Analysis of Self-Care Implementation in Patients with Diabetes Mellitus Ratna Agustiningrum (1), Dwi Noviatun (1), Sri Handayani (2*), Nur Wulan Agustina (3), Marwanti (3) 1) Nursing Study Program, Faculty of Health and Technology, Universitas Muhammadiyah Klaten, Jl. Ir Soekarno km 1 Buntalan Klaten, Indonesia 2) Health Administration Study Program, Faculty of Health and Technology, Universitas Muhammadiyah Klaten,Jl. Ir Soekarno km 1 Buntalan Klaten Indonesia *handa[at]umkla.ac.id 3) Associate Degree in Nursing Study Program, Faculty of Health and Technology, Universitas Muhammadiyah Klaten, Jl. Ir Soekarno km 1 Buntalan Klaten Indonesia Abstract Diabetes mellitus (DM) is a chronic condition that cannot be cured and can lead to complications, necessitating self-care. Correct self-care can improve the sufferer^s capacity to fulfill life^s demands independently, allowing them to control their illness and avoid complications. The purpose of this study was to examine how diabetes mellitus patients practice self-care. It employs a cross-sectional method by involving 71 respondents, using the SDSCA and the DMSES as instruments. The data were then analyzed by chi-square test. According to the findings, most of the patients had suffered from DM for 5 years with low self-efficacy and inadequate self-care behavior. Furthermore, the only self-care components that was considered good was medicine consumption behaviour. The findings also indicate that the duration of DM did not predict self-care behavior. Diabetes patients should practice more self-care in order to enhance their health and avoid further complications. Keywords: DM- self-care- self-efficacy Share Link | Plain Format | Corresponding Author (Sri Handayani)

273	Medicine & Health Sciences	ABS-316
Clinical Manifestation of digestive problems among children with COVID-19: a Review Septi Wardani Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang Abstract Digestive problems are one of the main symptoms in children suffering from Covid-19. This literature review is to describe the clinical manifestations of digestive problems in children infected with SARS-Cov-2. The literature search used two databases, PubMed and ScienceDirect, with the keywords children, Covid 19, digestive problems. The focus for selecting articles is original research, in English and published from 2019 to 2021, with the criteria of children, MIS-C, comorbidities and having digestive problems. The results of the literature review showed that children suffering from Covid-19, aged 0-16 years, were hospitalized because they had MIS-C and had comorbidities. The main clinical manifestations of digestive problems that appear are nausea, vomiting, abdominal pain and diarrhea. Diarrhea occurs due to direct viral attack on the digestive tract, as evidenced by the detection of viral nucleocapsid proteins in intestinal epithelial cells. This literature review shows that the main clinical manifestation related to digestive disorders in children infected with the corona virus is diarrhea. From diarrhea, it is very possible for the virus to spread through feces. Apart from nasopharyngeal swab examination, it is necessary to consider a rectal swab to determine RT PCR from fecal specimens. Keywords: children, covid 19, clinical manifestations of digestive problems Share Link | Plain Format | Corresponding Author (Septi Wardani)

274	Medicine & Health Sciences	ABS-63
Correlation between knowlegde and practice of traditional self-medication among people in Semarang Maria Caecilia Nanny Setiawati1,*, Siti Munisih2, Yustisia Dian Advistasari3, Evy Kurniawati4 1Magister Program of Pharmacy, Stifar Yayasan Pharmasi Semarang, Indonesia 2,3 Diploma 3 Program of Pharmacy, Stifar Yayasan Pharmasi Semarang, Indonesia 4Strata 1 Program of Pharmacy, Stifar Yayasan Pharmasi Semarang, Indonesia Abstract Selfmedication is a double-edged sword which is appreciated by the World Health Organization (WHO) since it can reduce the unnecessary pressure on the world health care system. However, selfmedication can lead to severe consequences if utilized inappropriately. This study aimed to determine the knowledge and practice of traditional medicine selfmedication in Semarang Methods: This cross sectional questionnaire based study included 100 subjects who buy traditional medicine in Pharmacy X in Semarang on July 2023. The data were analyzed with Spearman correlation using SPSS software (version 23). Results: Based on the findings, 53% of the subjects were men and got a bachelor degree (60%). Their age were 34,78 years .Advertising was the most source (80%) from which they know about traditional medicine. The most used branded traditional medicine were Tolak Angin and Antangin, 46% and 20% sequentially. The selection of these product was in accordance with the intended used, to restore health (42%) and to treat minor illnesses (40%). Out of the total 100 participants, 75% declared that they dont feel the side effects of traditional medicines. The main reasons for selfmedication of traditional medicine was their believed of its potency (45%), but if the symptom still remain, they would use the chemical medicine (30%). Their knowledge point is enough, good and less (47%, 39% and 14% respectively). Moreover, there was a correlation between gender and the knowledge (P=0.019) and their age with their purpose of using traditional medicine (P= 0,047) also their income with their purpose (0,016) Keywords: traditional medicine, knowledge, practice, self-medication, Semarang Share Link | Plain Format | Corresponding Author (Maria Caecilia Setiawati)

275	Medicine & Health Sciences	ABS-325
Ovarian Cysts treatment and recovery using herb medicine Mirah Rejeki Dept of Hospital Management Universitas Kusuma Husada Abstract Ovarian cysts are abnormalities in women with the main complaint of menstrual pain, or when during intercourse. Cysts form during menstruation and are benign, can disappear over time. In some cases cysts may be cancerous and harm health. Especially if the sufferer is an unmarried woman, it is feared that there will be problems in the reproductive organs. Symptoms that often appear are pelvic pain, frequent urination, flatulence, pain during sexual intercourse, feeling full or heavy in the abdomen, uncontrolled enlarged abdomen. According to a demographic survey the prevalence of ovarian cysts in Indonesia is 37.2% or as many as 23,400 where 13,900 people were recorded passing away. Examination of ovarian cysts is mostly found during ultrasound examination. Cysts that have a large enough size can cause pelvic pain. Young women especially experience acute abdominal pain associated with benign ovarian cysts. Treatment of ovarian cysts has a variety of management, ranging from observation to performing surgery to remove cysts such as laparoscopy or laparotomy. This is determined by the size of the ovarian cyst and the degree of malignancy. However, in this research, management with herbs in Indonesia was applied, where side effects are small and without surgery that will reduce the financial burden in the treatment process. Keywords: Ovarian Cysts, cancerous, treatment, recovery, herb medicine Share Link | Plain Format | Corresponding Author (Mirah Rejeki)

276	Medicine & Health Sciences	ABS-88
Potential as Photoprotective, Antioxidant and Anti-inflammatory of Flavonoid Isolate from Okra Fruit (Abelmoschus esculentus L.)t Christina Astutiningsih1*, Herni Setyawati2, Ali Rahmat3, Faidliyah Nilna Minah4 1 Semarang Pharmaceutical College, Semarang, 50192, Indonesia 2 Universitas Anwar Medika, Sidoarjo, 61253, Indonesia 3 Badan Riset dan Inovasi Nasional, Indonesia 4 Institute Teknologi Nasional, Malang, Indonesia Abstract Article Title : <Potential as Photoprotective, Antioxidant and Anti-inflammatory of Flavonoid Isolate from Okra Fruit (Abelmoschus esculentus L.)> 1. Authors : <Christina Astutiningsih1*, Herni Setyawati2, Ali Rahmat3, Faidliyah Nilna Minah4> 2. Corresponding Email : christinaastutiningsih@gmail.com 3. Affiliation : <1 Semarang Pharmaceutical College, Semarang, 50192, Indonesia 2 Universitas Anwar Medika, Sidoarjo, 61253, Indonesia 3 Badan Riset dan Inovasi Nasional, Indonesia 4 Institute Teknologi Nasional, Malang, Indonesia > 4. Introduction : < Long-term exposure to UV radiation can induce skin disorders, such as cancer and photo-allergic reactions. Natural products are being considered for their potential as non-irritating and effective sunscreen resources, owing to their UV absorption, antioxidant, and anti-inflammatory properties.> 5. Purpose : < This study aimed to assess the level of quercetin and investigate the in vitro ultraviolet radiation protection, antioxidant activity, and anti-inflammatory potential of isolated flavonoids from Okra Fruit (Abelmoschus esculentus L.). > 6. Method : <Isolation is carried out by TLC Preparative and recrystallization methods. UV Protection, antioxidant and anti-inflammatory test using spectrophotometer Shimadzu U-1700.> 7. Main Finding : < In UV protection testing, at a concentration of 100 ppm, the SPF value was measured at 15.08. Furthermore, the antioxidant activity test of the okra fruit flavonoid isolate yielded an IC50 value of 25.67 ppm. The isolated compound inhibited protein denaturation at 50 ppm, with an inhibitory efficacy of 50.65%. > 8. Implication : < Based on these findings, it can be concluded that the isolated compound possesses anti-inflammatory activity. There is a strong positive correlation between SPF effectiveness, antioxidant activity, anti-inflammatory effects, and and flavonoid content > 9. Keywords : <Photoprotective, antioxidant, anti-inflammatory, flavonoid, okra fruit > Keywords: Photoprotective, antioxidant, anti-inflammatory, flavonoid, okra fruit Share Link | Plain Format | Corresponding Author (Christina Astutiningsih)

277	Medicine & Health Sciences	ABS-359
Analysis Of Active Male Participation In Family Planning Programme In Central Java Rohmayanti, Soetrisno, Agung Wibowo, Haryani Saptaningtyas Universitas Muhammadiyah Magelang, Universitas Sebelas Maret Abstract Active participation of men in family planning programmes is still low, at less than 5%. Similarly, there was a significant decline in Central Java in 2019 during the Covid-19 pandemic. This study aims to provide an overview of the percentage of active male participation in family planning programmes in Central Java in 2018-2020. Data collection uses secondary data, namely data from the Central Java Provincial Statistics Agency for 2018-2020. The data was processed using Excel to get a percentage with the following formula: n = (value 1/comparator value) * 100%. Value 1 is the number of male family planning participants (condoms and vasectomy), the comparison value is the number of PUS participating in active family planning. Results: the percentage at the Central Java Province level has decreased from 3.4% in 2018 to 3.1% in 2020. Regarding the percentage of male family planning participants in districts and cities in Central Java in 2018, the highest percentage was 13.34% in Surakarta City and the lowest was 0.60% in Brebes Regency. In 2019, the highest percentage was Surakarta City at 5.97% and the lowest was Brebes Regency at 0.33%. In 2020, the highest percentage was in Magelang city at 15.54% and the lowest was Brebes district at 0.90%. Conclusion: In general, the percentage of active male participation in family planning in Central Java is still low. It is necessary to intervene in districts or cities where the percentage is still below 5%. Keywords: family planning, male participation, family planning programmes, condoms, vasectomy Share Link | Plain Format | Corresponding Author (rohmayanti rohmayanti)

278	Medicine & Health Sciences	ABS-361
Literature Review on the Prevalence of Vision Impairment and Age-Related Eye Diseases Raudhatuzzahra Kesuma, Andjar Prasetyo 1 Rumah Sakit Pusat Angkatan Laut dr. Ramelan Surabaya, East Java Province, Indonesia 2 Regional Development Planning Agency of Magelang City, Central Java Province, Indonesia Abstract This article presents a literature review addressing the prevalence of vision impairment and age-related eye diseases in Indonesia. While not specifying a particular year, the primary focus of this research is to provide a comprehen-sive understanding of ophthalmic epidemiology in Indonesia. The analysis encompasses risk factors associated with vision impairment, including age, gender, family history, lifestyle, biological factors, and environmental expo-sures within the Indonesian context. The study delves into posterior segment eye diseases, including age-related macular degeneration and diabetic reti-nopathy, which stand as the leading causes of irreversible vision impairment among the elderly population in Indonesia. Critical aspects highlighted in-clude challenges in public awareness and limitations in accessing age-related eye care. Various obstacles, such as the aging population and unequal access to care across different regions, are identified. While offering valuable in-sights, this article underscores the need for further research in Indonesia to aid in policymaking and more effective preventive efforts concerning vision impairment. Keywords: Vision impairment, Age-related eye diseases, Epidemiology, Public health. Share Link | Plain Format | Corresponding Author (Andjar Prasetyo)

279	Medicine & Health Sciences	ABS-367
Effect of Immersing Heat Cured Acrylic Resin Material in Avocado Seed Extract on Transversal Strength Nova Adrian(1), IGA Ratih Utari Mayun(1), Thesya Dhyah(2) 1. Prosthodonsia Departement, Universitas Trisakti, Faculty of Dentistry, DKI Jakarta, Indonesia 2. Student, Universitas Trisakti, Faculty of Dentistry, DKI Jakarta, Indonesia Abstract Introduction : Heat cured acrylic resin is a material that is often used as a base for removable dentures. Heat cured acrylic resin materials are still often used because they have the advantage of being non-toxic to tissue, having good physical and aesthetic properties, being relatively cheap, being easy to manipulate and manufacture, and being able to be repaired. However, removable dentures made from heat cured acrylic resin also have disadvantages, namely that they break easily and have micro cavities which can become a place for food debris and plaque accumulation to stick, so that if they are not cleaned they will cause denture stomatitis for the user. The use of special chemicals to clean dentures has been recommended, such as a disinfectant solution by immersing the denture, however, repeated use of this disinfectant can cause physical changes in the denture base material, one of which is transverse strength. Research has been carried out on natural ingredients in dentistry, one of which is avocado seed extract, which contains phytochemicals containing antibacterial and anti-fungal substances, so it is hoped that it will be an alternative to chemical denture cleaners that do not change the physical nature of the denture material. Purpose : The aim of this research is to determine whether there is an effect of soaking heat cured acrylic resin material in avocado seed extract on transverse strength. Method : Making avocado seed extract with various concentrations, namely avocado seed extract with concentrations of 100%, 50%, 25%, 12.5% and 6.25%, then making 24 acrylic plates using Vertex brand resin. The samples were divided into 6 groups, one of which was the control group using distilled water, then the sample treatment for each group was soaked in avocado seed extract for 10 days at room temperature or 25oC. Every day the extract solution was replaced. After 10 days of immersion, flexural strength measurements were carried out to measure transverse strength using Torsee^s Electronic System Universal Testing Machine. The tool will press the middle part of the acrylic resin plate until a fracture occurs in the plate and the final value of the compressive strength of the machine is recorded. Main Finding : Data testing began with a normality test with Shapiro Wilk with results p < 0.05, which means the data is not normal. Followed by the Kruskal Willis test with results p > 0.05, which means the data is not significantly different. The results showed that there was no effect of immersing acrylic resin material in avocado seed extract on changes in transverse strength Implication : This research was used to look for alternative natural denture cleaning materials that are useful in the field of dentistry, especially prosthodontics Keywords: Heat cured acrylic resin, natural ingredients, Avocado Seed Extract Share Link | Plain Format | Corresponding Author (Nova Adrian)

280	Medicine & Health Sciences	ABS-368
^Diabetes Islamic Spiritual Class^ is effective in increase behavior Self-care in the Diabetes Community in Ponorogo Sulistyo Andarmoyo, Saiful Nurhidayat, Rika Maya Sari Universitas Muhammadiyah Ponorogo Abstract Abstract: The incidence of Diabetes Mellitus in Indonesia is increasing, one of the causes is associated with inadequate self-care. One effort that can be made to improve diabetes self-care is a diabetes class which is expected to provide adequate information on controlling diabetes. This research aims to determine the effectiveness of the ^Diabetes Islamic Spiritual Class^ on self-care behavior in the community of Diabetes Mellitus sufferers in Ponorogo. This research method is quasi-experimental research using a pre and post-test design approach. The research involved 180 respondents who were confirmed to be suffering from Type 2 Diabetes Mellitus who were registered as participants in the Chronic Disease Management Program (Prolanis) in Pororogo district. Respondents were divided into two groups, namely the intervention group and the control group (90 respondents each). The research sample was determined using purposive sampling technique. The intervention group was given three intervention sessions in a ^Diabetes Islamic Spiritual Class^. The measuring tool uses the Summary Diabetes Self-care Activity (SDSCA) questionnaire. The results of the ANOVA test showed that there was a significant difference in the mean scores of each self-care group. The intervention group had significantly higher scores than the control group. This research concludes that the ^Diabetes Islamic Spiritual Class^ is effective in improving self-care for Type 2 Diabetes Mellitus patients. Keywords: Diabetes Islamic Spiritual Class, Diabetes Mellitus, Self-care Share Link | Plain Format | Corresponding Author (Sulistyo Andarmoyo)

281	Medicine & Health Sciences	ABS-371
The Role of Parents in Child Development: literatur review Reni Mareta, Endang Sutisna Sulaeman, Retno Setyowati, Dwiningtyas Padmaningrum Universitas Muhammadiyah Magelang Universitas Sebelas Maret Surakarta Abstract Introduction: A child is someone aged 0-18 years. Children are assets for the family and the country which will later become human capital whose needs must be met in order to grow into quality human beings. Meeting the child^s needs is entirely the responsibility of the parents. Parents have a strategic role in educating and helping children^s growth and development. The number of early childhood children according to the Central Statistics Agency (BPS) in 2022 is 30.73 million people or the equivalent of 11.21% of Indonesia^s total population. This article is a form of literature review using data sources from Pubmed and Google Scholar. The literature search began in 2019-2023. The topic chosen was the role of parents in children^s growth and development. Searching using Pupmed got 138 articles which were then filtered again according to the criteria and found suitable articles and using Google Scholar got 19,300 articles which were then also filtered 2 according to the inclusion criteria, so that 4 suitable articles were filtered out. The results of the literature review show that parents play a very important role in children^s growth and development. Keywords: Role of parents, child growth and development Share Link | Plain Format | Corresponding Author (Reni Mareta)

282	Medicine & Health Sciences	ABS-372
Analysis of diabetes mellitus foot sensitivity disorders in Magelang Regencyn increasing foot sensitivity Sigit Priyanto 1, Agus Kristiyanto 2, Kusnandar3, Anik Lestari4 1: Faculty Health Science UNIMMA 2,3,4: Sebelas Maret of University Abstract Background: The increasing population of diabetes mellitus (DM) sufferers has an impact on increasing the incidence of diabetic ulcers as a chronic complication of DM, as many as 15-25% of DM sufferers will experience diabetic ulcers in their lives (Singh et al., 2005). Diabetic foot exercises are activities or exercises carried out by people who suffer from diabetes mellitus to prevent injuries and help improve blood circulation in the feet (Suriadi, 2004). Objective: to analyze foot sensitivity disorders in people with diabetes mellitus in Magelang Regency. Method: quantitative descriptive. based on Regional Health Research data (Riskesdas 2018) Magelang Regency. Results: The percentage of diabetes mellitus incidence in Central Java Province has increased from 0.9% based on the 2013 Riskesdas, and increased to 1.33 based on the 2018 Riskesdas. There was an increase of 0.43% compared to the 2013 Riskesdas results. Conclusion: people who have diabetes mellitus are at risk of experiencing impaired foot sensitivity. Suggestion: provide health promotion and diabetic foot exercises to manage diabetes mellitus. Keywords: diabetic foot exercises, foot sensitivity Keywords: diabetic foot exercises, foot sensitivity Share Link | Plain Format | Corresponding Author (Sigit Priyanto)

283	Medicine & Health Sciences	ABS-377
THE PSYCHOLOGICAL EFFECT OF PREGNANCY LOSS AMONG MOTHERS AND CHILDFREE WOMEN Retna Tri Astuti (a*), Rohmayanti (b) a*) Departement of Psychiatric Nursing, Universitas Muhammadiyah Magelang email correspondence: retnatriastuti[at]unimma.ac.id b) Departement of Maternity Nursing, Universitas Muhammadiyah Magelang Abstract Introduction:Miscarriage is a common issue experienced by pregnant women, affecting 10-25% of clinically recognized pregnancies in developed countries. This can lead to sadness, grief, depression, and trauma, leading to involuntary childless experiences. Aim: This study aimed to identify the psychological impact of women who have miscarriages and those without children. Method: The research was conducted using a literature review method, identifying 234 articles from 2018-2023. Database used Scopus, Science Direct, Google scholar.The keywords in this review literature are adjusted to Medical Subject Heading (MeSH) and consist of the following ^the psychological effect of pregnancy loss, woman childfree, Mental health of pregnancy loss among women, psychological effects of miscarriage on mothers, women without children, mental health impact on mothers who miscarry^ Results: The results showed that women who lost children or did not want children experienced psychological problems such as depression, sadness, and traumatic experiences. Conclusion: The study concluded that women without children experience fear and traumatic experiences related to pregnancy and childbirth, influenced by various factors, including reproductive problems, which are the biggest stressors for women. Keywords: the psychological effect of pregnancy loss,woman childfree, Mental health of pregnancy loss among woman Share Link | Plain Format | Corresponding Author (Retna Tri Astuti)

284	Medicine & Health Sciences	ABS-122
Local Stability Analysis Of Dynamic Model On Dengue Transmission Arista Fitri Diana (1), Lathifatul Aulia (2), Zakaria Bani Ikhtiyar (3) Department of Actuarial Science, Faculty of Sciences and Technology, Institut Teknologi Statistika dan Bisnis Muhammadiyah Semarang, Jl. Prof. Dr. Hamka No. KM. 1, Ngaliyan, Semarang, 50185 *Corresponding author email: arista.fitri[at]itesa.ac.id Abstract Abstract. Dengue fever transmission in Indonesia has an advanced amount. In this article, dynamic model of interaction between human and Aedes aegypti mosquitos is learned. The SEIRRD (Susceptible, Exposed, Infected, Recovery, Deceased) model is used in this article. The prurpose in this model is to describe the stability of dengue transmission, so that we can analyze the developed of epidemic model in mathemtic field. Using NGM method to analyze basic reproduction number and applying Routh-Hurwitz criteria method to show the local stability of model. Then, two equilibrium points, called endemic and non-endemic equilibrium points, are obtained. The result of basic reproduction number is described the stability analysis. If basic reproduction number less then one, the endemic equilibrium point is locally asymptotically stable and otherwise. Local stability analysis at the equilibrium point is determined through parameter analysis. Furthermore, numerical simulations are carried out by fitting the data to obtaine the result of the parameters. The results of numerical simulations explaine the spread of dengue transmission Keywords: Dynamic Model, Epidemic Model, Equilibrium Point, Local Stability, Routh Hurwitz Share Link | Plain Format | Corresponding Author (Arista Fitri Diana)

285	Medicine & Health Sciences	ABS-129
Green Innovations in Medical Imaging: A Pathway to Eco-Friendly Diagnostics Nurul Huda(a*)- Deden Istiawan(b)- Ika Safitri Windiarti(c)- a,b) Faculty of Science and Technology,Institut Teknologi Statistika dan Bisnis Muhammadiyah Semarang Jl Prof Dr Hamka KM 1 Ngaliyan Semarang nurul.huda[at]itesa.ac.id c) Department oof Information Technology, Universiti Muhammadiyah Malaysia. Abstract 1. Introduction:The carbon footprint of medical imaging varies widely across modalities- for instance, echocardiograms emit 2 kg of CO2 equivalent, while 3 Tesla MRI emits 200-300 kg. Abdominal CT produces 6 kg, and abdominal MRI produces 20 kg of CO2 equivalent per examination. In 2016, MRI and CT emissions accounted for 0.77% of global emissions across 120 countries, and medical imaging contributes approximately 1% to the 5-10% carbon footprint of global healthcare. 2. Purpose : Efforts can be made to promote climate-neutral choices in medical imaging. AI can assist in optimizing imaging protocols, reducing the need for excessive or unnecessary imaging tests, and minimizing the associated carbon footprint. By improving the accuracy of image analysis and diagnosis, AI can help avoid repeat imaging tests, reducing both costs and environmental impact 3. Method: Deep learning techniques, specifically Convolutional Neural Networks (CNN), are employed for image analysis and identification, with the model trained on the compiled dataset. The study then turns its focus to assessing the environmental impact by quantifying the carbon emissions associated with the CNN-based medical image identification process 4. Main Finding: The research aims to provide insights into the dual aspects of accuracy in medical image identification and the environmental implications of employing deep learning techniques on specific hardware configurations 5. Implication: This research finds that CNN models used for identifying and analyzing medical images produced carbon emissions average 0.00868 kg. Keywords: Green technology, medical imaging, eco-friendly diagnostics, sustainability, carbon footprint. Share Link | Plain Format | Corresponding Author (NURUL HUDA)

286	Medicine & Health Sciences	ABS-132
Anti-inflammatory Effectivity and Physical Stability Test of Nanoemulgel Containing Marjoram (Origanum majorana L.) Essential Oil Ungsari Rizki Eka Purwanto1*, Mighfar Syukur2, Tris Harni Pebriani3, Ika Puspitaningrum4 1,3Department of Pharmaceutical Technology, Stifar Yayasan Pharmasi Semarang, Semarang, Indonesia 2Department of Pharmaceutical Chemistry, Stifar Yayasan Pharmasi Semarang, Semarang, Indonesia 4Department of Pharmacology and Clinical Pharmacy, Stifar Yayasan Pharmasi Semarang, Semarang, Indonesia Abstract Introduction : The ability of marjoram essential oil (MEO) to reduce pro-inflammatory agents, C-reactive protein (CRP), is gaining attention these days. The nanoemulgel development is needed to increase permeation of the active components. Furthermore, proving the anti-inflammatory effectiveness and stability of MEO nanoemulgel is the key to the success of the formulation. Purpose : To formulate and perform anti-inflammatory and physical stability studies on a nanoemulgel formulation containing MEO. Method : MAE (Darjeeling CAS 8015-01-8) nanoemulgel was prepared. The edema volume formation with carrageenan is a method used for anti-inflammatory test. The stability studies used are accelerated methods and cycling tests. Main Finding : MEO nanoemulgel shows anti-inflammatory activity, where 2% MEO nanoemulgel produces a better anti-inflammatory effect compared to 1% MEO because it has a greater reduction in edema volume and CRP levels. Independent T-test results show that there are no significant differences in all physical preparation parameters, before and after stability test. Implication : MEO nanoemulgel has the potential to be developed into a topical anti-inflammatory preparation. Further phase 1 clinical trials are needed to determine its anti-inflammatory effectiveness in humans. This research can be useful in the fields of Pharmaceutical Technology and Pharmacology, especially in the development of natural ingredient-based pharmaceutical preparations. Keywords: marjoram- origanum- nanoemulgel- antiinflamatory- stability Share Link | Plain Format | Corresponding Author (Ungsari Rizki Eka Purwanto)

287	Medicine & Health Sciences	ABS-136
THE EFFECT OF TELANG FLOWER EXTRACT ON THE HEPAR CATALYST ENZYME OF MICE EXPOSED TO CIGARETTE SMOKE Agus Suprijono, A. Ariani Hesti W, Endang Setyoningsih Teaching Staff at the Semarang Pharmacy Foundation College of Pharmacy, Semarang, Indonesia Abstract Introduction : Cigarettes contain more than 4000 chemicals and around 200 of them are harmful to health. Some components of cigarette smoke are gases, such as carbon monoxide (CO), carbon dioxide (CO2), hydrogen cyanide (HCN), and nitrogen oxide (NOx) which have the potential to cause free radicals. Several other components of cigarette smoke are solid particles, such as nicotine, phenol, tar and cadmium. Continuous exposure to cigarettes results in decreased levels of the body^s antioxidants and causes oxidative stress. Butterfly/Telang flower extract has antioxidant properties. With the presence of these antioxidants, it can reduce the number of free radicals formed from the lipid peroxidation process. The catalase enzyme, which is one of the antioxidant enzymes, is used to determine antioxidant levels in mice exposed to cigarette smoke Purpose :This research aims to analyze the effect of butterfly/telang flowers extract ons mice hepatic catalase enzyme that exposed to cigarette smoke. Method : Sample of this research was 20 mice divided into 4 groups. Normale group (N) given standard feed, control negative group (K0) given cigarette smoke, K1 group given cigarette smoke and telang flowers extract 200 mg/kgBB, and K2 group given cigarette smoke and telang flowers extract 400 mg/kgBB Treatment was carried out for 10 days and continued with measuring hepatic catalase enzyme levels. Main Finding : All samples given cigarette smoke responded to increased oxidation and when given telang extract was able to have a significant effect. The results of the Anava test showed significant differences between all groups. Implication : The benefits of this research can be used as a reference for the use of butterfly pea/telang flowers as antioxidants, both in the fields of chemistry and pharmacology Keywords: cigarette smoke- telang flowers- catalase enzyme Share Link | Plain Format | Corresponding Author (Agus Suprijono -)

288	Medicine & Health Sciences	ABS-141
Use of Virtual Reality as Educational Tool for Pregnant Women: A Systematic Review Muhammad Anas, Desi Arsitawati, Mohammad Rizal Arief, Eko Nursucahyo Universitas Muhammadiyah Surabaya Abstract Objective: To know the benefit of using Virtual Reality as education for pregnant women Methods: Using four search tools with inclusion and exclusion criteria in electronic database of PubMed, Scopus, Google Scholar, and SINTA. Results: Based on the research results from 12 of 19.148 article selected, it was found that VR has been used in various fields, especially for education. Conclusion: The use of VR is beneficial for mothers, as training and simulations increase understanding in helping to reduce risks, pain, and anxiety during childbirth and adverse events. Keywords: Virtual reality, Education, Maternal Share Link | Plain Format | Corresponding Author (Muhammad Anas)

289	Medicine & Health Sciences	ABS-400
Soursop Leaf Extract Gel: A Promising Solution for Skin Bacterial Infections Nuniek Nizmah Fajriyah1, Urmatul Waznah2, Dwi Bagus Pambudi2, Eko Mugiyanto2*, Kusnul Khotimah3, Eka Jamilatur Rosyidah4, Khusnul Khotimah4, Ahmad Samsudin4, Nurul Hidayati5 1Department of Nurse, Universitas Muhammadiyah Pekajangan Pekalongan, Indonesia- 2Department of Pharmacy, Universitas Muhammadiyah Pekajangan Pekalongan, Indonesia- 3 RSUD Kraton Pekalongan, Indonesia- 4 RSI PKU Muhammadiyah Pekajangan Pekalongan, Indonesia 5 RSUD Kajen Pekalongan, Indonesia Abstract In many developing countries, including Indonesia, inadequate diagnostic facilities and limited pathogen epidemiology data hinder effective diagnosis and treatment of infectious diseases. Staphylococcus aureus is a prevalent pathogen causing skin infections, demanding attention.The purpose of this study was to determine the antibacterial activity of a topical-gel-formula containing ethanol-extract of soursop leaves against the growth of Escherichia coli and Staphylococcus. The soursop leaf was extracted using the maceration method, and then it was transformed into a topical gel with concentrations of 1%, 5%, and 10%. A test for microorganisms was performed using the well diffusion method. By measuring the inhibitory zone and comparing it to no extract as a negative control and povidone iodine as a positive control, the antibacterial activity was evaluated. The ANOVA test was employed to assess whether antibacterial power was effective, with a p-value of 0.05. The main finding reveals that a topical gel formulated with soursop leaf ethanol extract exhibits significant antibacterial activity against Escherichia coli and Staphylococcus aureus. Despite being less potent than the positive control (povidone iodine), the study highlights the potential for enhancing effectiveness, suggesting further investigation and potential formulation optimization. Implications include the potential development of effective, natural skincare products for tropical skin infections using soursop leaf extract. This study motivates ongoing efforts in pharmaceuticals and research to innovate safe, affordable, and sustainable antibacterial therapies. Keywords: Soursop leaf extract, Topical gel, Antibacterial activity, Escherichia coli, Staphylococcus aureus Share Link | Plain Format | Corresponding Author (Nuniek Nizmah Fajriyah)

290	Medicine & Health Sciences	ABS-149
Formulation and Physical Characteristics Test of Chlorophyll-c Emugel Preparation from Brown Seaweed (Sargassum polycystum) Lia Kusmita*, Dinara Safina Firdaus Syifa^, Mutmainah Stifar Yayasan Pharmasi Semarang, Letjend Sarwo Edhie Wibowo KM 1 Plamongansari Pucanggading Semarang *email: lia_kusmita[at]yahoo.com Abstract The abstract should summarize the contents of the paper in short terms, i.e. 150-250 words Brown seaweed (Sargassum polycystum) contains a distinctive pig-ment, chlorophyll-c. Chlorophyll is known to exhibit strong antibacterial activity against gram-positive bacteria. Emulgel is one of the topical preparations that of-fers several advantages, including being non-greasy, easy to spread, easy to clean, soft, easy to wash, having a longer shelf life, transparent and comfortable when used. The purpose of this study was to formulate chlorophyll-c isolate in the form of an emulgel preparation to be tested for physical characteristics, anti-oxidant activity, and irritation tests on rabbits. The research was conducted by isolating chlorophyll-c using column chromatography and preparative thin layer chromatography (PTLC) methods. Emulgel dosage formulations were created with different chlorophyll-c content as the active substance, consisting of FI 0.2%, FII 0.4%, and FIII 0.6%. The results showed that there was an influence of chlorophyll-c concentration on the characteristics of the emulgel preparation. The higher the concentration of chlorophyll-c, the greener the color of the emulgel, the pH decreases, the spreadability decreases, but the viscosity and stickiness increase. Testing of chlorophyll-c emulgel on antioxidant activity showed that the higher the concentration of chlorophyll-c, the greater the antioxi-dant activity. Giving chlorophyll-c emulgel to rabbits causes very mild irritation with the appearance of erythema or redness and edema that is not very clear. Keywords: chlorophyll c, emulgel, Sargassum polycystum Share Link | Plain Format | Corresponding Author (Lia Kusmita)

291	Medicine & Health Sciences	ABS-407
Descriptive correlational research: The experience of being a victim of bullying as a predisposing factor for post-traumatic stress disorder (PTSD) Eka Budiarto (a), Nur Intan Kusuma (b*), Nurul Aktifah (c), Rita Rahayu (d) a) Program Studi Sarjana Keperawatan dan Pendidikan Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Pekajangan Pekalongan b) Program Studi Kebidanan Program Sarjan dan Pendidikan Profesi Bidan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Pekajangan Pekalongan c) Program Studi Sarjana Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Pekajangan Pekalongan d) Program Studi Sarjana Keperawatan, STIKes Sukabumi Abstract Unpleasant experiences become a predisposing factor for the emergence of psychosocial problems. The increase in cases of bullying among adolescents raises the threat of psychosocial problems that can occur in victims of bullying. Psychosocial problems in victims of bullying may occur for a long time, namely post-traumatic stress disorder (PTSD) which is manifested in psychological discomfort. This study aimed to analyze bullying victims as a predisposing factor for PTSD. This research was a descriptive correlational study with a cross-sectional approach. The sample was college students in Pekalongan, has never been a victim of a natural disaster, and has not experienced physical limitations due to an accident. Sampling was carried out using simple random sampling with a total sample of 322 respondents. Data collection used a checklist questionnaire to measure history of bullying victims and the Self-Reporting Questionnaire ( SRQ )-29 to measure PTSD. The data obtained has fulfilled the requirements of the Chi-Square test. The research results showed that 73.6% of research respondents were female, 55.6% were 18 years old with an average age of 18.29 years. The age range of respondents was between 17-25 years. It has been proven that the experience of being a victim of bullying is a predisposing factor for PTSD (p value = 0.0001). Respondents who have been victims of bullying are at risk of experiencing PTSD by 43.5% compared to those who have never been victims of bullying. Therefore, to prevent cases of bullying and the impact of bullying, especially PTSD, assertive attitudes and behavior must be cultivated so that unpleasant situations and experiences can be perceived as part of life. Keywords: Bullying- Psychosocial Problems- PTSD- Self-Reporting Questionnaire- Stress Share Link | Plain Format | Corresponding Author (Eka Budiarto)

292	Medicine & Health Sciences	ABS-415
Pregnant Women^s Perception of Psychoeducation Services by Midwives: ^I feel stronger and accept my pregnancy^ Leila Nisya Ayuanda (a*), Nur Intan Kusuma (a), Nur Izzah (b), Nur Chabibah (a) (a) Program Studi Kebidanan Program Sarjana dan Pendidikan Profesi Bidan, Fakultas Ilmu Kesehatan, Universtas Muhammadiyah Pekajangan Pekalongan (b) Program Studi Sarjana Keperawatan dan Pendidikan Profesi Ners, Fakultas Ilmu Kesehatan, Universtas Muhammadiyah Pekajangan Pekalongan Abstract During the Covid-19 pandemic, pregnant women became a vulnerable group, so pregnant women were worried about their pregnancy. Pregnant women required special attention and services related to preventing anxiety so that it did not manifest in more severe psychological disorders. In this case, midwives have a role in preventing psychological disorders in pregnant women through psychoeducation services. However, there was no evidence regarding the benefits of this service for pregnant women. The aimed of this research was to determine the perceptions of pregnant women regarding psychoeducation services by midwives. The method of this study was a qualitative research with a case study approach. The informants in this study were 6 pregnant women. Data collection uses online interviews (synchronous and asynchronous) and the WhatsApp platform using an instrument in the form of a semi-structured interview guide with a previous audit trail. The data was analyzed using thematic analysis with the Miles and Huberman framework. Five themes were obtained, namely the psychological condition of pregnant women, perceptions of pregnant women about psychoeducation, the benefits of psychoeducation for pregnant women, the psychological needs of pregnant women, and the efforts to prevent anxiety in pregnant women. By psychoeducation, the family, especially the husband, can play more of a role in the mother^s pregnancy, besides that the mother feels closer to the midwife so that the midwife^s services are more optimally received. So, it is necessary to improve and develop psychoeducation services for pregnant women which can be integrated into integrated ANC services. Keywords: midwife- perception- pregnant- psychoeducation Share Link | Plain Format | Corresponding Author (LEILA NISYA AYUANDA)

293	Medicine & Health Sciences	ABS-416
Formulation and Antioxidant Activity of Purple Sweet Potato (Ipomoea batatas L.) Extract In Jelly Candy Mentari (a), Neni Sri Gunarti (b*), Eko Sri Wahyuningsih (c), Ainun Mar^atus Putri Warsito (d), Dyah Kharisma Ariyanti (e), Dinda Dinanti (f), Dhavid Twua Mangunsong (g) a, b, c, d, e, f, g) Faculty of Pharmacy, Buana Perjuangan Karawang University, Indonesia *neni.gunarti[at]ubpkarawang.ac.id Abstract Purple sweet potato is a plant that having a purple pigment which is an anthocyanin pigment that functions as antioxidant. Antioxidants themselves are compounds that can inhibit free radicals. With that potential, it can be used as a source of functional ingredients, like jelly candy. The purpose of this riset did formulation of jelly candy using purple sweet potato extract which has antioxidant activity. The method is purple sweet potato extract used maseration method. Then, put extract in candy jelly, then did tested using UV-Vis spectrophotometer for antioxidants activity. The main finding, firstly the phytochemical screening of purple sweet potato extract with results that extract are positive alkaloid, flavonoid, saponin and tannin. Then, mix jelly candy^s formula with that extract. After the jelly candy is formed, tested the jelly candy by UV-vis spectrophotometer with result that sample contained antioxidants of 51.17% inhibition. The implication of this riset, with the antioxidant activity in jelly candy can be used as a functional food because it is in great demand by public because it can be consumed easily. Keywords: Purple Sweet Potato- Jelly Candy- Antioxidant Share Link | Plain Format | Corresponding Author (Mentari Mentari)

294	Medicine & Health Sciences	ABS-417
Formulation of Tomato Fruit (Lycopersicum esculentum Mill) Kombucha Patch with Erosivity Test and Teeth Brightness Level Tia Laelasari (a), Neni Sri Gunarti (b*), Eko Sri Wahyuningsih (c), Aliffia Dwi Rahma (d), Dinda Revalina Putri (e), Tiurdia Pandiangan (f), Zahra Adisty Rahma (g) (a,b,c,d,e,f,g) Faculty of Pharmacy Buana Perjuangan Karawang university, Indonesia *neni.gunarti[at]ubpkarawang.ac.id Abstract Kombucha is one of the probiotic fermented drinks produced through a consortium of bacteria and yeast known as Scoby (Symbiotic Culture/Colony Bacteria &- Yeast) as an initial culture that helps in the fermentation process. Kombucha also contains organic acids, one of which is ascorbic acid where ascorbic acid is also present in Tomatoes that can help whiten teeth. The purpose of this riset was to see the level of tooth brightness as whitening and reduce the effect of erosion on tooth specimens after applying tomato kombucha patch preparations. This research was conducted using the dependent variable and independent variable methods. With the independent variable in the form of variations in the length of fermentation time for kombucha and tomato fruit kombucha in the preparation of teeth whitening patches and the dependent variable is evaluation before the patch is formed and evaluation after the patch is formed. The results of the tomato kombucha patch formulation after the application process can increase the brightness of the teeth but in the erosivity test the tomato patch formulation has a smaller erosion effect than the tomato kombucha patch formulation seen from the results of the SEM (Scanning Electron Microscope) characteristic test. The implication of this riset is the formulation of the tomato kombucha patch only has the potential to increase the brightness of teeth because the ascorbic acid content produced after the combination process of fermenting kombucha tea with tomatoes increases significantly. Keywords: Tomato- Patch Formulation- Kombucha tea Share Link | Plain Format | Corresponding Author (Tia Laelasari)

295	Medicine & Health Sciences	ABS-419
The Effect of Prenatal Yoga on Discomfort in the Third Trimester of Pregnancy Nur Chabibah- Rini Kristiyanti- Wahyu Ersila- Lia Dwi Prafitri- Siti Rofiqoh Universitas Muhammadiyah Pekajangan Pekalongan Abstract Pregnancy is a period where pregnant women experience physiological and psychological changes. There are several factors that influence the emergence of discomfort in pregnant women, for example gestational age, hormones, and the mother^s condition during pregnancy. The discomfort of pregnant women in the third trimester can be overcome by doing pregnancy exercises, which play a role in strengthening contractions and maintaining the flexibility of the muscles in the pelvic floor area, making the mind relaxed and providing a sense of comfort and making the mother more prepared and calm to face the birthing process. The purpose of the study is to know the effect of yoga prenatal on discomfort in third trimester pregnant women This study was a cohort, true experimental study with pre-test and post-test one group design to identify the effectiveness of yoga on discomfort in pregnancy. Research subjects were observed twice, namely before the intervention and after the intervention. The intervention was carried out with 30 minutes of prenatal yoga. The research participants were 39 pregnant women. Prenatal yoga activities for 30 minutes carried out in one week showed a 5,789 reduction in the potential risk of third trimester pregnancy discomfort (p-value = 0.0008- CI = 1.796 - 20,359). Complaints that decreased significantly were vaginal discharge, swelling in the battery and shortness of breath. Prenatal Yoga can be one of the recommended physical activity options to reduce discomfort in the third trimester. Keywords: Pregnancy- Yoga Prenatal- Third Trimester Share Link | Plain Format | Corresponding Author (Nur Chabibah)

296	Medicine & Health Sciences	ABS-426
Evaluation of Medical Record Data Utilization for Marketing Information Systems at PKU Muhammadiyah Hospital Temanggung Min Adadiyah, Isnaini Qoriatul Fadhilah Akademi Kesehatan Muhammadiyah Temanggung (AKMT) Abstract Electronic medical records become one big data source. Well-managed data can provide information needed in marketing management, especially for private hospitals. PKU Muhammadiyah Temanggung Hospital has implemented electronic medical records starting with the use of billing system in 2014. The data managed includes patient demographics. It is necessary to evaluate the use of these data in terms of man, materials, machine, method, money and markets. The study was descriptive qualitative. The data collection process is carried out by conducting interviews and observations. The marketing information system designed by IT team. The team uses the waterfall method where system designers complete their concepts by going through a library review process and taking inspiration from various CRM (Customer Relationship Management) models. The results showed that electronic data of medical records has been used as material for marketing information systems. The readiness of man and money makes it easy to build a menu bar of the marketing information system. The system is possible to be developed in terms of materials and machines. The method of data utilization is transforming from manual to digital gradually. Data users become part of the marketing information system developer. Keywords: Menu Bar, Marketing, Data, Electronic Medical Records Share Link | Plain Format | Corresponding Author (Min Adadiyah)

297	Medicine & Health Sciences	ABS-429
CORRELATIONS OF EXPRESSION OF KLF5, FHIT, AND DLG2 WITH CERVICAL CANCER Alvionita Kogoya (a), Monica Dwi Hartanti (a*, b, c) a) Department of Biology, Faculty of Medicine, Universitas Trisakti Jl. Kyai Tapa No.260, West Jakarta, Indonesia *mdhartanti[at]trisakti.ac.id b) Center for Artificial Intelligence and Advanced Technology, Universitas Trisakti Jl. Kyai Tapa No.1, West Jakarta, Indonesia c) Center for Biomedical Research, The Research Organization for Health, National Research and Innovation Agency Jl. Raya Jakarta - Bogor KM 46, Cibinong, West Java, Indonesia Abstract Cervical cancer is the fourth most frequent cancer in women cause by Human Papilloma Viruses. Previous studies have shown that several genes including KLF5, FHIT and DLG2 can play a role in the process of cervical cancer progression. This study aims to analyze the correlation between the KLF5, FHIT, DLG2 genes in cervical cancer tissue. Cancer tissues were obtained using biopsy. The cDNA samples were collected through RNA isolation, nanophotometer and PCR. All samples were analyzed with qPCR. The genes expression of KLF5, FHIT and DLG2 were not significant to cervical cancer (p>0.05). Based on Spearman^s correlation test analysis, it showed that there was no significant correlation between genes expression of KLF5, FHIT, DLG2 on cervical cancer progression. This study can be a reference in biomedical science for delving deeper into genes associated with cervical cancer progression. By expanding the sample size, the FHIT, DLG2 and KLF5 genes can still be developed as cervical cancer biomarkers. Keywords: KLF5- FHIT- DLG2- HPV- Cervical Cancer Share Link | Plain Format | Corresponding Author (Monica Dwi Hartanti)

298	Medicine & Health Sciences	ABS-431
Acupressure at the celiao (BL 32) and saninjao (SP 6) points reduces the intensity of labor pain Dini Rahmawati, Heni Setyowati Esti Rahayu, Rohmayanti, Kartika Wijayanti Faculty of Health Sciences, Universitas Muhammadiyah Magelang Abstract The main problem felt by mothers giving birth is pain. If the pain is not treated, it will increase the intensity of the pain, increase anxiety and worsen contractions of the uterine muscles resulting in prolonged labor which can cause harm to the mother and fetus. Acupressure is a non-pharmacological technique that can overcome labor pain but needs to be studied further. The aim of this study was to determine the effect of acupressure on pain intensity. The design of this research is a pretest-posttest control group design. The sample in the study was determined using two means so that 34 mothers were required to give birth, divided into two groups, namely 17 people as the intervention group and 17 people as the control group. Acupressure was performed at the celiao (BL 32) and saninjao (SP 6) points for 30 minutes. Pain intensity was measured using the Numeric Rating Scale. The results showed that there was a difference in pain intensity before and after acupressure was carried out in the two groups (p < 0.001). The conclusion of this study is that acupressure at the celiao (BL 32) and saninjiao (SP 6) points reduces pain intensity Keywords: acupressure- celiao (BL 32)- saninjiao (SP 6)- labor pain- numerical rating scalePlease Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (Dini Rahmah Fitriyani)

299	Medicine & Health Sciences	ABS-217
Factors Relating to Stunting Prevention Behavior based on Health Promotion Model Theory Ira Purnamasari, Dede Nasrullah, Firman, Idham Choliq, Uswatun Hasanah Universitas Muhammadiyah Surabaya Abstract Introduction: Stunting is still a major nutritional problem for children under two years of age. The consequences of stunting are increased morbidity and mortality, decreased learning capacity, increased risk of infection and non-communicable diseases in adulthood, decreased productivity and economic capacity. One of the reasons for the high stunting rate is influenced by family behavioral factors regarding child rearing patterns. Purpose: This study aims to analyze factors related to stunting prevention behavior based on the health promotion model theory (HPM). Method: The research design is cross-sectional. The population is mothers who have children aged 6-24 months. The sample taken was 147 people using purposive sampling technique. Data was collected using a questionnaire and analyzed using the logistic regression test &#945-<0.05. Main finding: A total of 115 people (78.2%) had stunting prevention behavior. Independent factors related to stunting prevention behavior are prior related behavior (p=0.00), perceived benefits to action (p=0.00), perceived self-efficacy (0.01), personal influences (0.01). Meanwhile, those that do not have a relationship are personal factor (0.07), perceived barrier to action (0.07), activity related affect (0.06). Implication: The benefits of the research can be used as material for developing pediatric nursing knowledge related to stunting prevention behavior in children aged 6-24 months, and developing family nursing knowledge related to the role of parents in implementing good parenting patterns for children. Keywords: behavior- health promotion model- prevention- stunting Share Link | Plain Format | Corresponding Author (Ira Purnamasari)

300	Medicine & Health Sciences	ABS-224
Virtual reality in the Philippines: Facilitators and perceived barriers of virtual reality as a therapeutic tool in the clinical setting Brent Adams S. Eliasos1, Betina Alexandra N. Decada1, John Paul R. De Guia1, Julian D. Rafanan1, Virginie Mae I. Inuman1, Aira Jannelle I. Revuelto1, Maybelle Anne Zamora1, Justine Vincent DT. Ramos2, Maritoni M. Pablo3, Arthur SP Calces4, Angelica T. Fernandez5 Our Lady of Fatima University Abstract Background: Virtual Reality (VR) is an emerging therapeutic intervention in physical therapy practice in the Philippines. This study aims to explore the perceived barriers and limitations of a handheld virtual reality as a physiotherapeutic tool. Methodology: The study employed a qualitative phenomenological study using a semi-structured interview conducted using Zoom platform. A snowball sampling was utilized to gather informants in the study. Coding was utilized to classify themes and subthemes after data transcription. Codes were analyzed using Collaizi Method through QDA Miner Lite. Theoretical triangulation was utilized to support the themes from the answers of the informants. Results: Ten licensed physical therapists who have previous experiences in using handheld virtual reality devices (such as the Nintendo Wii, Xbox, etc.) participated. Data saturation was reached after the sixth interview. Nine out of ten (90%) informants believed that the primary barrier to VR use is the high cost of the console and the setup required for the VR room. The following themes likewise emerged: barriers (expensiveness, atypical practice), limitations (short-term functional effect, level of comprehension required to understand VR), and advantages (entertaining and usefulness to neurological and musculoskeletal cases). Furthermore, majority of participants held the opinion that, in order to stay up with the rapidly advancing field of healthcare technology, the healthcare industry^s present practices need to integrate technology more. Discussion: The clinical impact of VR is already established from the currently available research. The demands of the patients and therapists, however, take precedence above the ease of technological adaptation. These must be addressed in order to lessen the differences between their problem and the characteristics of this exciting technology. Additionally, lawmakers and healthcare administrators must support rehabilitation medicine in their ef Keywords: Barrier- physical therapy- virtual reality Share Link | Plain Format | Corresponding Author (Maybelle Anne Lim Zamora)

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