Academia.eduAcademia.edu

INTERNATIONAL EDITORIAL ADVISORY BOARD

Volume 20, Number 1 January-March 2020 Medico-Legal Update Editor-in Chief Prof. (Dr) R K Sharma Former Head, Department of Forensic Medicine & Toxicology All-India Institute of Medical Sciences, New Delhi-110029 E-mail: [email protected] ASSOCIATE EDITOR NATIONAL EDITORIAL ADVISORY BOARD 1. S.K. Dhattarwal (Professor) Forensic Medicine, PGIMS, Rohtak, Haryana 18. Dr. Vandana Mudda (Awati) (Associate Prof) Dept of FMT, M.R. Medical College, Gulbarga, Karnataka, India 2. Dr. Adarsh Kumar (Additional Professor) Forensic Medicine, AIIMS, New Delhi 19. Dr. HarishKumar. N. (AssociateProfessor) Dept.of ForensicMedicine, Sri Siddhartha MedicalCollege, Tumkur 3. Dr. Vijaynath V (Associate Professor) Forensic Medicine, Vinayaka Mission Medical college, Tamil Nadu 20. Dr. Gowri Shankar (Associate Professor) Forensic Medicine, SNMC, Bagalkot 4. Ms. Roma Khan, Forensic Sciences, INSAAF Mumbai 21. Dr. Manjunath Badni (Reader) Dept of Oral pathology Maharana Pratap college of Dentistry and Research Centre, Gwalior 5. Dr. Imran Sabri (Assistant Professor) Department of Bio-Medical Sciences.College of Medicine, King Faisal University,Saudi Arabia 22. Dr. L.Ananda Kumar (Associate Professor) Forensic Medicine, Rajiv Gandhi Institute of Medical Sciences, (RIMS), Kadapa INTERNATIONAL EDITORIAL ADVISORY BOARD 23. Dr. Ramesh Nanaji Wasnik (Associate Professor and Head) Forensic Medicine Late B.R.K.M. Govt. Medical college, Jagdalpur 1. B. N. Yadav (Professor) Forensic Medicine, BP Koirala Institute of Medical Sciences, Nepal 24. Dr. Sachin Sinha (Reader), Dept. of Oral Pathology & Microbiology Daswani Dental College & Research Centre, Rajasthan 2. Dr. Vasudeva Murthy Challakere Ramaswam (Senor Lecturer) Department of Pathology, International Medical University, Bukit Jalil, Kuala Lumpur. Malaysia 25. Dr. Sasi Kanth, Asst. Professor, A.C.S.R Government Medical College, 3. Babak Mostafazadeh (Associate Professor) Department of Forensic Medicine & Toxicology, Shahid Beheshti University of Medical Sciences, Tehran-Iran 4. Dr. Sarathchandra Kodikara (Lecturer) Forensic Medicine Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka NATIONAL EDITORIAL ADVISORY BOARD Nellore, Andhra Pradesh. Medico Legal Update is a scientific journal which brings latest knowledge regarding changing medico legal scenario to its readers. The journal caters to specialties of Forensic Medicine, Forensic Science, DNA fingerprinting, Toxicology, Environmental hazards, Sexual Medicine etc. The journal has been assigned international standard serial number (ISSN) 0971-720X. The journal is registered with Registrar of Newspaper for India vide registration 1. Prof. N.K. Agarwal (Professor) Forensic Medicine, UCMS, Delhi numbers 63757/96 under Press and Registration of Books act, 1867. The 2. P.K. Chattopadhyay, (Professor) Forensic Sciences, Amity University, Noida journal is also covered by EMBASE (Excerpta Medica Database) from 3. Dalbir Singh (Professor) Forensic Medicine, PGIMER, Chandigarh a half yearly peer reviewed journal. The journal has also been assigned 4. Dr. Harish Pathak, Mumbai E-ISSN 0973-1283 (Electronic version). The first issue of the journal was 5. J. Gargi (Professor) GGS Medical College, Faridkot published in 1996. 1997 and by INDEX COPERNICUS, POLAND. Medico legal update is Website: www.medicolegalupdate.org 6. P.C. Dikshit (Professor) Forensic Medicine, Jamia Hamdard Medical College, New Delhi 7. Anil Mittal (Professor) Forensic Medicine, Vardhman Mahavir Medical college, New Delhi 8. Balbir Kaur (Professor) Forensic Medicine, MM institute of Medical Sciences, Ambala 9. Mukesh Yadav (Professor) Forensic Medicine, School of Medical Sciences and research,Greater Noida 10. T.K.K. Naidu (Professor) Forensic Medicine, Prathima Institute of Medical Sciences Andhra Pradesh © All Rights reserved The views and opinions expressed are of the authors and not of the Medico Legal Update. The Medico Legal Update does not guarantee directly or indirectly the quality or efficacy of any products or service featured in the advertisement in the journal, which are purely commercial. Editor Dr. R.K. Sharma Institute of Medico-legal Publications 11. S. Das (Professor) Forensic Medicine, Himalayan Institute of Medical Sciences Dehradun Logix Office Tower, Unit No. 1704, Logix City Centre Mall, Sector- 32, Noida - 201 301 (Uttar Pradesh) 12. Col Ravi Rautji, Forensic Medicine, Armed Forces Medical College, Pune 13. Dr. Manish Nigam (Professor and Head) Department of Forensic Medicine & Toxicology Sri Aurobindo Institute of Medical Sciences, INDORE (M.P.) Printed, published and owned by Dr. R.K. Sharma Institute of Medico-legal Publications Logix Office Tower, Unit No. 1704, Logix City Centre Mall, Sector- 32, Noida - 201 301 (Uttar Pradesh) 14. Dr. Shailesh Kudva (Principal) Rajasthan Dental College and Hospital Jaipur-302026 15. Usmanganishah Makandar (Associate Professor) Anatomy, AIMS, Bhatinda 16. Dr. Pratik Patel (Professor and Head) Forensic Medicine, Smt NHL Municipal Medical College Ahmedabad 17. Basappa S. Hugar (Associate Professor) Forensic Medicine, Ramaiah Medical College, Bangalore Published at Institute of Medico-legal Publications Logix Office Tower, Unit No. 1704, Logix City Centre Mall, Sector- 32, Noida - 201 301 (Uttar Pradesh) I Medico-Legal Update CONTENTS Volume 20, Number 1 January-March 2020 Contents 1. An Autopsy Study of Cranio-Cerebral Injuries Due to Road Traffic Accidents ............................................... 1 Gandla Bala Maddileti, A.Dominic Infant Raj, Rajendra Kumar, Gajula Mahesh, Yamini.K 2. Estimation of Age from Shoulder Joint by Radiographic Assessment of Epiphyseal Fusion of Related Bones in Population of Chhattisgarh: A Cross Sectional Study ........................................................................ 7 Aloke Mazumder, Ninad Nagrale 3. 4. Original Research Article .................................................................................................................................. 7 Age Estimation from Radiological Evaluation of Epiphyseal Union of Related Bones Around Elbow Joint: A Cross Sectional Study from Central India (Chhattisgarh) ................................................................. 12 Aloke Mazumder, Ninad Nagrale 5. Manufacturers and Endorsers Liability: Shifting the Onus Approach ............................................................ 18 Amrita Mishra, Amruta Das 6. Crossword Puzzle: An Innovative Assessment Tool to Improve Learning of Students in Forensic Medicine23 Harish Kumar Agarwal, Aparna Singhal, Arvind Kumar Yadav 7. A Study to Assess the Patients Compliance to Medications among Hypertension Patients at Selected Areas in Kanchipuram District Tamilnadu ...................................................................................................... 28 M.Kalki, S. Mohana Priya, N.Thivya 8. Restrictions Imposed by Human Biology in Achievement of Gender Justice as Human Rights .................. 31 Parul Yadav, Komal Vig 9. Knowledge & Perception Of Medical Students Towards The LGBT (Lesbian, Gay, Bisexual & Transgender) Patients & Their Rights: A Cross Sectional Study .................................................................... 36 Ninad Nagrale, Pawan Wankhade, Bhupendra Gathe, A.P.Dongre 10. Causes and Factors in Road Traffic Accidents at a Tertiary Care Center of Western Uttar Pradesh.............. 43 Pradeep Kumar Agarwal, Pranav Kumar, Harnam Singh 11. Toxicological Trends of Poisoning in a Tertiary Care Center of Western Uttar Pradesh ............................... 47 Pradeep Kumar Agarwal, PranavKumar, Harnam Singh 12. A Study on the Cause of Death Due to Burn Cases and Histopathological Changes in North Indian Setting-A Cross Sectional Study .................................................................................................................... 51 Pradeep Kumar Yadav, Richa Choudhury, Anoop Kumar Verma, Mousami Singh , Raja Rupani, Sangeeta Kumari, Rajiv Ratan Singh II 13. Client Satisfaction and Preferences Towards Nonverbal Communication(NVC) of Health Care Providers in a Therapeutic Setting, Mangaluru ............................................................................................... 55 Sonia Sequeira, Precilla D’Silva 14. Querying the Dataset from the Developed Ontology for Swineflu Disease .................................................... 61 Radhika Pathi, Suresh Verma Penumatsha, Lakshmi Kalyani Neerukonda, P.Rama Krishna 15. Constitutionality of Attempt to Commit Suicide- Unlocking The Controversy” ............................................ 67 Smita Satapathy 16. Perspective on the Immorality of Honor Killings – A Review Article .......................................................... 71 Sneha.S, Smriti Sarathi, P.Sampath Kumar, Rajesh.R, Jagdish Kamal Chander.U 17. International Humanitarian Approach on ‘Identity Crisis’ of LGBTQ: A Global Perspective....................... 76 Amruta Das, Amrita Mishra 18. 19. Direction of Environmental Virtue an Epilogue: A Critical Analysis of 19th Century Case Laws ................. 81 A Study on Pattern of Intracranial Injuries in Cases of Fatal Head Injury ...................................................... 86 Arulmathikannan M, Jagdish Kamal Chander U., Priyadarshee Pradhan, Sneha.S, P. Sampath Kumar 20. A Post-mortem Observational Study of Suspicious Deaths in Married Females Aged 30 Years or Less ...... 90 J. P. Kachhadia, J. A. Tanna, V. R. Patil 21. Study of Various Osteometric Parameters of Human Mandible in Adult and Elderly Age Groups ............... 95 Priyamvada Kurveti, Dheeraj Singh Verma, Jayanthi Yadav, B.P. Dubey 22. Estimation of Stature from Footprint Length ................................................................................................ 100 Janarthanan. R , Muthamizh Selvan P 23. Assessment of Knowledge and Attitude of Adolescents Regarding Blood and Organ Donation in Selected Rural Areas of Shimla, Himachal Pradesh, India ........................................................................... 105 Non-Invasive Method of Measuring Blood Sugar in the Early Stage and Diagnose the Result Using Discrete Wavelet Transform .......................................................................................................................... 110 N.D Bobby, N.Prabhakaran, J.Thameema Begum, M.MuniReddy 24. 25. Knowledge about Legal Aspects of Medical Negligence in India among Dentists– A Questionnaire Survey ............................................................................................................................................................ 115 P.K.Uma, Pratibha Ramani, Herald. J. Sherlin, Gheena.S, Gifrina Jayaraj, K.R. Don, Archana Santhanam 26. Nasal Height as a Parameter for Stature Estimation & Sex Differentiation in Dehradun Region ................ 120 Jyoti Barwa, Rattan Singh 27. Study oof Suspicious Deaths in Middle Aged Married Females................................................................... 126 J. P. Kachhadia, S. B. Bhatt, V. R. Patil 28. Quality of Life among Patients with Hypertension at Selected Tertiary Hospital In Kelambakkam, Kanchipuram District, Tamil Nadu, India ..................................................................................................... 131 Lenin Ezhilarasu.J, Parasuraman. P, Sathiya priya.V 29. Effectiveness of Information Booklet on Knowledge, Practices and Willingness Regarding Recycling of Solid Household Waste Management among Residents ........................................................................... 134 Seeta Devi, Roya Nemati, Petronella Natah, Rehu Rajan, Sumit Rane III 30. A Study “To Assess the Level of Knowledge on Swine Flu Among Adults in Selected Area at Poonchery, Kanchipuram District, Tamilnadu .............................................................................................. 139 N.William Raj, R.Bhuvaneshwari, Shenbagapraba.N 31. The Effectiveness of Video Assisted Teaching on Fire Safety among School Children at Selected School, Kanchipuram District, Tamilnadu .................................................................................................... 142 Moses Rathnakumar, Shruthi P, L.Lakshmi 32. Lilliputian Neglected Happenings Call For Snafu: “Theory of Broken Windows” ...................................... 145 Shyamantak Misra,, Prabir Kumar Pattnaik 33. Self Determination and Indigenous People: The Fight For ‘Commons’ ....................................................... 148 Swati Mohapatra 34. A Descriptive Study to Assess the Knowledge on Fast Food Eating among Adults in Selected Urban Community Kanchipuram District Tamil Nadu ............................................................................................ 153 T. Yaazhini, K.Vishwanathan, N.S Shakthivel, M.Yagajeyanthi 35. A Three Year Study of Skull Fracture Patterns in Fatal Road Traffic Accidents in a Tertiary Care Hospital Mortuary in Imphal From 2015-2018 ............................................................................................. 156 Th. Meera Devi, Memchoubi Ph., Haobijam Rita Devi 36. Intracranial Meningioma Aggressivity Image and Level of Malignancy in Head Magnetic Resonance Imaging (MRI) ............................................................................................................................................... 162 Vony Tjandra, Sri Andreani Utomo, Ulinta Purwanti, Dyah Fauziah, Hari Basuki 37. Practice and Perceived Barriers among Health Care Workers to Control Infection in Dialysis Unit ........... 169 Jackline Prathibha, Daisy Josphine Lobo, Shalini G Nayak, Vandana KE 38. Profile of Medicolegal Autopsy Cases at Tertiary Care Centre in Belagavi, Karnataka. A One Year Retrospective Study ....................................................................................................................................... 174 Khaja Azizuddin Junaidi, Somashekhar S Pujar, Ravindra S Honnungar, Prasanna S Jirli, Vishal V Koulapur, Kashif Ali, Pushpa M.G 39. Accuracy of Demerjian Age Estimation Method in South India Kadapa [A.P] Population-A Cross Sectional Study .............................................................................................................................................. 179 Prem Kumar Moode, L Ananda Kumar, Ramesh Mittapelly 40. Iatrogenic Factors and Oral Health ................................................................................................................ 184 Asma Usmani, Chavi Bhati, Mayur Kaushik, Afzal Ahmad 41. Medical Malpractice in India: A Critical Analysis of Liability and Defense Framework ............................ 191 Hiranmaya Nanda, Amruta Das 42. The Prospect of Environmental Law to Achieve Healthy Environmental Development in Indonesia ......... 195 Absori Absori, Sigit Sapto Nugroho, Anik Tri Haryani, Sarjiyati Sarjiyati, Arief Budiono, Heru Santoso Wahito Nugroho, Rangga Jayanuarto 43. Measurement of Lipid Profile in Fasting Persons ......................................................................................... 200 Adhraa Baqir Hassan, Hayder L. F. AL-Msaid, Arshad noori ghani Al-dujaili, Haider Salih Jaffat 44. Legal Protection of Medical Records for Hospital Patients .......................................................................... 205 Agus Prihartono Permana Sidik, Rani Sri Agustina, Wafda Vivid Izziyana IV 45. Prevalence of Coronary Artery disease in Patients undergoing Non Coronary Cardiac Surgery: A Single Center Study ....................................................................................................................................... 209 Ahmed Moyed Hussein, Bahaa Abdullah Ali, Merah Subhi Mohammed 46. Incidence of Early Complications in Laparoscopic Total Thyroidectomy Vs Open Thyroidectomy Using Breast Approach in Simple Multinodular Goiter ................................................................................ 214 Alaa Jamel Hasin, Muslim Kandel Kadeem, Kasin Tream 47. Molecular Detection of Mutations in mtCOX1 Gene in Iraqi Patients with Aortic and Mitral Valve Diseases ......................................................................................................................................................... 219 Ali Jumaa Al-Hussona, Faizah A.W. Ahmed 48. Rubik Play Therapy Influence on the Level of Anxiety in Children Preoperative........................................ 225 Aprina, Meylani Anita Putri, Siti Fatonah 49. The Surgical Outcome of Distal Pancreatectomy for Distal Pancreatic Tumors .......................................... 230 Aqeel Shakir Mahmood,Waseem M shakir, Khalid Shakir kareem 50. Condition of Houses with Smoking Habits in Patients with Pulmonary Tuberculosis ................................. 236 Baharuddin Condeng, Muhammad Syafar, Saifuddin Sirajuddin, Furqaan Naiem, Azizah Saleh 51. Diode Laser & Conventional Surgery Treatment, A Comparative Study in Anal Diseases ......................... 241 Basim Ghaib Hussein, Jameel I. Azzawi, Rabah Ali Hussein 52. Hypertension Control in Diabetic Patients .................................................................................................... 247 Bilal Jamal Kamal, Shan Nadhmi Nadhim, Muhammed Ali Khalaf 53. The importance of Post-Mortem Computed Tomography (PMCT) as a Complementary Diagnostic Technique to Traditional Autopsy in a Case of Asphyxia Related-Death..................................................... 253 Del Fante Z., Di Fazio N., Quattrocchi A., Fazio V., De Matteis A., Arcangeli M., La Russa R., 54. The Effect of Soot Particulate towards MAPK Expression in the Mechanism of Cardiovascular System Disruption ......................................................................................................................................... 258 Synergy of Government and Regional Government Authority in Providing Health Guarantee for Communities in Indonesia ............................................................................................................................. 264 Fatkhul Muin, Rully Syahrul Mucharom, Wafda Vivid Izziyana 55. 56. Evaluation the Relation between School Bag Weight and Backache among Primary School Pupils in Tikrit City ...................................................................................................................................................... 269 Firas Tariq Ismaeel, Wheab Faraj Dawood, Nisreen Mohammed Ibraheem, Aya Fawaz Mawlood, Ranya Jamal Mahmood 57. Helicobacter Pylori Can Cause Vitamin B12 Deficiency .............................................................................. 275 Gufran Kadhim Abdulkareem, Wasan Najim Abdul-Sada , Haider Kadhim Abdulkareem 58. Detection of Parvovirus B19 Infection in Thalasemic Patients in Tikrit City, Serological Study ................ 278 Hala Mohamed Majeed 59. Evaluation of Titanium di oxide Nano-fillers Incorporation on Mechanical Properties of Heat Cured Acrylic Resin ................................................................................................................................................. 283 Hasanen A.Alnamel, Ali ShyaaThedan V 60. The effectiveness of Garcinia Mangostana L. Rind extract in Reducing Total Cholesterol Levels in Hypercholesterolemic Male White Mice ....................................................................................................... 289 Hasyim As’ari, Asnani 61. Role of MnSOD Val16Ala Gene Polymorphism in Changing the Level of Serum Metals in Workers Exposed to Heavy Metals in Al-Nasiriyah City ............................................................................................ 295 Hayder Hussein Jalood, Afrah Abid Maktoof, Rekaby 62. Seroprevalence of Hepatitis A Virus (HAV) in Mosul City ......................................................................... 301 Ismail I Daood , Radhwan Hussein Ibrahim 63. Prostate Health Index in a sample of Iraqi patients with Prostate Cancer and Benign Prostatic Hyperplasia .................................................................................................................................................... 306 Amal A. Hussein, Rayah S. Baban, Alaa G. Hussein, Saif H. Mohammed 64. The Effect of Buzz Group Modification Method on Exclusive Breastfeeding Against Self Efficacy in Pregnant Women: A Quasi Experiment ........................................................................................................ 313 Febyana Dwi Cahyantia, Lailatun Nimah, Retnayu Pradaniea 65. The Discovery of Comorbidity Deviation in the Cervical Cancer Patients Treated by the Intravenous Pyelography Examination and Clinical Examination (Based on Federation International de Gyneclogie et d’Obstetrique) ........................................................................................................................ 319 Kristina Puji Rahayu, Budi Laraswati 66. Analysis of Breastfeeding Factors: The Sunrise Model Approach ............................................................... 325 Meilina Azizah Nurhayatia, Ni Ketut Alit Armini, Tiyas Kusumaningrum 67. Comparative Study to Evaluate the Antimicrobial Effect of MTAD, 17% EDTA, and 3% NaOClAgainst Enterococcus faecalis in Primary Teeth for Root Canals Therapy (in Vitro Study) ...................... 331 Sarmad A. Hameed Sana’a Abdulrazzaq Ibrahim Suhad Al-Nasrawi 68. Iron Oxide Nanoparticles Reduced Biofilm Formation and Detection of lmb Genes in Streptococcus agalactiae Isolated From Patients with Diabetes Mellitus ............................................................................ 337 Sarween Omer Taha Rasul, Khadija Khalil Mustafa, Zirak Faqe Ahmed Abdulrahman 69. Correlation of Nitric Oxide (NO) Sputum Level and Lung Physiology of Indoor Parking Attendant ......... 343 Tati Sudiarti, Winariani 70. Indications and Adverse Outcomes of Emergency Lower Segment Cesarean Section at 1St and 2Nd Stages of Labor at Al-Elwiya Maternity Teaching Hospital ......................................................................... 349 Weqar Akram, Thikra N. Abdulla , Taghreed Mardan Abullah 71. The Determinants of the Occupational Diseases in Al-Nasiriyah Province at 2018 .................................... 355 Majeed MohanThajeel Al-Hamami, Mulim Nahi, Ali A. Saadoon, Safaa Kudhaier Abbas 72. Model of Women Participation in Supporting Government Policies Reducing Neonatal Mortality in Kupang District.............................................................................................................................................. 362 Maria Margaretha Ulemadja Wedho, Mintje Ratoe Oedjoe, David B.W. Pandie 73. Precision of 3D MSCT Scan Diagnostcs on Maxillofacial Trauma Compared to Stabilization and Instrumentation Operation Results ................................................................................................................ 367 Meitty Christina Hidayati, Anggraini Dwi Sensusiati, Hari Basuki VI 74. Breast Cancer Risk Trends of Iraqi Women .................................................................................................. 374 Minen Al-Kafajy 75. Colorectal Cancer in Nineveh: Five Years Survival Rate ............................................................................. 378 Moayad Aziz Alabdaly 76. Significance of Fingerprints in A Brutal Travel Bag Murder- A Case Report .............................................. 384 Mohammad Ahmad Abdullah Ahmad AlSuwaidi, Abdulrahman Mohammed Obaid Almehiri, Mohammed Thani Rashid Almarri, Jassim Mohammed Abdullah Rashid, Bhoopesh Kumar Sharma 77. Detect the Infection with Rubella Virus and Toxoplasmosis in Pregnancy Causes Suffering from Early Abortion by Using Real Time PCR ..................................................................................................... 388 Mohammed Ayyed Najm, Hadeel Abdelelah Abdel Razaak , HayfaaMahmood Fahad 78. Flexible Ureterorenoscopy Versus Extracorporeal Shock Wave Lithotripsy for Treatment of Lower Pole Renal Stones .......................................................................................................................................... 394 Mohammed B. Ismail, Hasanain F. Hasan Al-Timimi, Hayder H. Alwan 79. The Effect of Glutathione versus Co-Enzyme Q10 on Male Infertility Original Study............................... 400 Mohanned Hussam Mohammed Saeed Alkumait, Mohammed Mohsin Abdul-Aziz, Montadher Hameed Nima 80. Incidence and Variations of Aberrant Renal Arteries in Kidney Donors Cases............................................ 406 Mustafa AbdulMonamZainel, Suhelmawloodalnajjar 81. Evaluation of the Level of CXCL10 in Patients with Parainfluenza Virus Type III (HPIV3) ...................... 413 Noor Hameed Alkharsan, Siham Jasim Al-kaabi 82. Association between the Characteristics of Pre-Surgery Vascular Ultrasonography and the Successful Arterio-Venous Fistula Shunt Surgery as Hemodialysis Access to Patients with Kidney Disease Stage V . 420 Nurwanto, Prijambodo, Tri Wulan handarini, Windhu Purnomo 83. Prevalence of Childhood Disability in Basrah City Using the Ten Questions Too ...................................... 426 Hajer Salim AlMosawi, Sajjad S. Issa, Mohamad A. Akber 84. Expression of e-NOS in Human Placentas of Idiopathic Intra Uterine Growth Restriction at Term............ 431 Mohammed E. Ghanem, Samia A. Eleiwe 85. Characteristics of Multidrug Resistant Tuberculosis in Minia, Egypt .......................................................... 437 Shimaa Anwer Emam, Eman Mahfouz Kasem, Amany Edward Sedhom 86. Prevalence of Uncorrected Refractive Errors Among the Internally Displaced Schoolchildren in Iraq ....... 444 Rafea Allawi Fayyadh, Noor Hussain Abady 87. The Influence of Additional Food Hotong Porridge with Moringa Leaves Mixture on Improvement Nutritional Status of Children Nutritional Children ...................................................................................... 450 Rahma Tunny, Merryana Adriani, Bambang Wirjatmadi 88. The Stiffness Comparison of Four-Screw versus Six-Screw Short Segment Pedicle Posterior Stabilization Instrumentation in Cyclic Axial Compression ......................................................................... 456 Correlation of Aggressivity Papilloma Recurrent Respiratory Tract With Human Papillomavirus Types 6 And 11.............................................................................................................................................. 462 Rizka Fathoni Perdana, Sri Herawati, Bakti Surarso, E Bimo Aksono H 89. VII 90. Investigation of IL-17F (rs763780) gene Polymorphisms in cases with Iraqi renal failure patients ............ 468 Saja Mohammed Mohsen, Abbas Abood Farhan, Mohammed Abdul-Daim Saleh 91. A Descriptive Study to Assess the Problem Faced by the Adolecents of Alcoholic Parent ......................... 474 Saranbharati.B, Ramya.V, Rajalakshmi, Devaki. K 92. Demographic, Clinical and Hormonal Characteristics as Predicting Factors Affecting the Outcome of Laparoscopic Ovarian Drilling in Women with Poly Cystic Ovary Syndrome ............................................ 477 Shelan Omar Jaafar, Ghada Saadulla Alsakkal, Namir Ghanim Al-Tawil References 93. Stress Perception and Stress Response against Internet Psychological Addiction (IPA) on Adolescents (Psychoneuroimmunology Approach) ........................................................................................................... 485 Siti Nurul Fajriah, Suhartono Taat Putra , Yusti Probowati, Rika Subarniati T. 94. The Prevalence of Sperm Parameters for Infertile Males in Thi-Qar City .................................................... 491 Sumeya Ghanawy AL-Najjar 95. Awareness of Medico-Legal Issues among Medical College Health Professionals...................................... 496 Tabitha Elizabeth Thomas, Magendran.J 96. The Law and Tourism: The Policy of Health Service for Tourists in Lombok Island .................................. 501 Usman Munir, Khudzaifah Dimyati, Absori Absori, Harun Harun, Wafda Vivid Izziyana, Heru Santoso Wahito Nugroho 97. Effect of Antenatal Exercise Teaching Program on Neonatal Outcomes During Delivery in Erbil, Iraq..... 506 Warda Hassan Abdullah, Badia Mohammed Najib 98. Study of Dyslipidemia in Iraqi Hypertension Patients in Tikrit City ............................................................ 512 Zaidan Jayed Zaidan, Ahmed Moyed Hussein, Sheet Mutlak Ahmed 99. Isolating Some Pathogenic Bacteria from Packed Milk and Detecting of Formalin in its Components....... 518 Zainab Alag Hassan, Ali Aboud Shareef, Majid Ahmed Kadhim, Abdulameer Abdullah Al-Mussawi 100. Screening Study for Some Strains of E. Coli Collected from Five regions in Kurdistan-Iraq for its Sensitivity, Resistance and MDR against Thirteen Antibiotics .................................................................... 522 Asma Sumiea Afram Karomi 101. The Role of Silver (Ag) Nanoparticles synthesis by Penicillium spp against the Toxicity of Echinococcus Granulosus in Adult Albino Male Rats ................................................................................ 528 Ahmed Hamad Saleh Hussein A.R. Abbood 102. Characteristics of Lower Back Pain in Pregnant Ladies in Thiqar-Iraq ........................................................ 534 Ihsan Oudah Yasir, Suaad Rodan Shoelef 103. Thyroid Dysfunction in Iraqi Patients with Acromegaly .............................................................................. 537 Selman Nihad A, Rahma Abbas M, Ali Atheer Y 104. Simulation of poly (ADP-ribose) polymerase (PARP) Enzyme with BAI compound in the for Thyroid cells ................................................................................................................................................................ 545 Hasan Tuhmaz Hamd VIII 105. Advantage of Application of Topical Hyaluronic Acid in Reducing Post Tonsillectomy Pain; Cross Sectional Comparative Study ........................................................................................................................ 551 Ahmed Kareem Shiaan Al-Baidhani, Muthanna Saleem Abdulameer 106. Atherogenic Index of Plasma among Type2 Diabetic Patients Cross-Sectional Study In Iraq ................... 556 Dalal Abd Al-Sattar Asaad, Ali Shalash Sultan, Zaid Naji Hassan 107. The relation between Serum Vitamin C and D, Calcium Intake With Obese Type 2 Diabetic Patients....... 561 Yasamin Abdul - amer Kadhum; Shaimaa D. Salman, Sabah Abdel- Hameid Abdel- Rahman, Najat Sabah A. Hameid 108. Assessment of Anti-Mullerian Hormone and Anti Ovarian Antibody in the Sera of Patients with Polycystic Ovarian Syndrome in AL-Najaf Al-Ashraf Province .................................................................. 566 Abbas Sahib Fakhar Al-Naffakh, Farhan Abood Risan 109. Cervical Spinal Stenosis and Risk of Pulmonary Dysfunction: Case Control Study .................................... 575 Post graduate Student Esraa Hammadi Fahad, Zainab H. Hashim, Ihssan S. Nema 110. Molecular Study of spy1258 gene in Streptococcus Pyogenes Isolated from Pharyngitis Patients in Fallujah City .................................................................................................................................................. 581 Nada Zaidan Khalaf, Laith Moslih Najeeb, Asraa Adnan Abdul-Jalil 111. Design in line LMA-10 Photonic Crystal Fiber MZI for Detection and investigation of Beta Thalassemia 587 Layla M. Alameri, Tahreer S. Mansour, Fareed F. Rashid, Sara J. Belal 112. The effect of oral magnesium supplements on lipid profile and oxidative stress in adult albino female rats ................................................................................................................................................................ 592 Khder Najem Abdulla Muneef S. Ahmed, Saleh Mohammed R 113. Evaluation of Amateur and Professional Tattoo Removal by the Q Switched Nd:YAG Laser .................... 596 Nibras A. A. Hindy 114. Serum Levels of Novel Biochemical Marker (Irisin) in Relation to the Duration of Type 2 Diabetes & in Cases of Type 2 diabetes with Coronary Artery Disease in Iraqi Patients Aged (40- 60 year) ................ 602 Dunia Tahseen Nema Al-Aridhi , Khalid I.H. Allehibi , Zainab A. Razak Al-Sharifi, Muthanna Al Quraishi 115. Study the Effect of Temperature Variable on the Patient with Jaundice Stay Period inside the Incubator . 609 Husam Yahya Naser, Auns Q. Al-Neami, Yasser Ibrahim 116. The Role of Global Longitudinal Strain in Early Detection of Doxorubicin Induced Cardiotoxicity in Breast Cancer Patients .................................................................................................................................. 614 Wisam Abbas Hasan, Shokry faaz Al-saad, Hassan Salim Aljumaily 117. Personal Hygiene and Safety among governmental Hospitals Nurses Staff in Mosul City ......................... 620 Rami Ramadan Allo, Tameem Thamir Mayouf , Munther Natheer AL-Fattah 118. Molecular Detection for Nosocomial Pseudomonas aeruginosa and its Relationship with multidrug Resistance, Isolated from Hospitals Environment. ........................................................................................ 627 Wathiq Abbas Hatite Al-Daraghi, Mohammed Sattar Abdulkadhim Al-Badrwi 119. Knowledge Assessment of Working Women Regarding Breast Cancer / Control and Prevention in Kirkuk Technical Institute ............................................................................................................................. 633 IX 120. Colorectal Cancer in Nineveh: Five Years Survival Rate ............................................................................. 640 Moayad Aziz Alabdaly 121. The Effect of Esomeprazole on Cell Line Human Cervical Cancer.............................................................. 646 Azal H. Jumaa, Ahmed Sami Jarad, Wissam Sajid Hashim Al Uboody 122. Evaluation of Salusin β in Patients with Prediabetes and Type 2 Diabetes Mellitus .................................... 653 Sabah Hussein dayekh, Mohammed Imran Hamzah, Jelal Abid Ateaai 123. Vitamin D and its Association with the Severity and / or the Control of Asthma among Adult Iraqi Asthmatics ..................................................................................................................................................... 657 Haider Abdulhameed Alqaraghuli, Hashim Mahdi Hashim, 124. Determination Enterococcus faecalis in Asymptomatic Urinary Tract Infection Associated with Diabetes Type 2 Patients in Suwayrah General Hospital-Iraq ...................................................................... 663 Ibtisam H. Al-Azawi, Mohammed H. Abbas 125. Oral Desmopressin as an Add-on Therapy for Men with Benign Prostate Hyperplasia they Suffering from Persistent Nocturia ................................................................................................................................ 669 Firas Alquraishi Saif H. Mohammed, Yasser Al-Hakeem 126. The Practicing and Attitude of Some Medical Students at Al-Nahrain College of Medicine Towards Cosmetic Rhinoplasty .................................................................................................................................... 674 Nibras Alaa Hussain Qais Ismaeel Kadhem, Ashraf MA Hussain 127. The Level of Serum Progesterone on the day of HCG Administration in Assisted Reproduction Cycles .. 679 Adnan A.H. Albdairi, Hanan Khudheir Hussein 128. Protective Role of Quercetin plus Vitamin C on Infection of Rats with Klebsiella pneumoniae and Pseudomonas aeruginosa ............................................................................................................................ 685 Shaimaa Khazaal Waad, Wurood M. Al-Silaykhee, Hekmet B. Alhmadi, Aiad Gaber Arean 129. Study The Role of Selenium in The P-Selectin and E-Cadherin Serum Levels in Women with Preeclampsia .................................................................................................................................................. 690 Aysel A. Ahmed, Raid J. Al-Timimi, Enas Adnan Abdulrasol 130. Histological Sections of Pancreas and Serum Biochemical Changes in Rats after Dexamethasone and Zinc Oxide Nanoparticles Injection ............................................................................................................... 696 Ruaa M. Ali, Nada K. Abbas, Amal K. Abbas, Lamia K. Abbas 131. Study the Role of Trichomoniasis in In Vitro Fertilization (IVF) Failure .................................................. 702 Huda Dhaher Al-Marsomy, Faten Ahmed Hassan 132. Unexpected Adverse Medical & Surgical Health Conditions in Neonates after Elective Cesarean Sections within the Context of the Influence of Local Socidemographic Factors in Babylon .............. 708 Sijal Fadhil Farhood Al-Joborae, Ihab Raad Abbas Abid Ali; Fadhil Farhood Mekki Al-Joborae 133. Isolation of MRSA from Drinking water Supplies in Al-Anbar Province, Iraq.................................... 715 Shirin Yasin Bdewi, Mohammad Hamid Kareem, Mohammed Mosleh Shwaish, Mustafa Salah Hasan 134. The Predictive Value of Red Cell Distribution (RDW) in Patients with Type 1 and Type 2 Diabetes Mellitus .......................................................................................................................................................... 719 Huda Jabbar Dibby, Radhi Farhod Shlash X 135. Histopathological Changes Associated with Cutaneous Leishmaniasis in Patients with Baghdad Boil/ South of Iraq .................................................................................................................................................. 724 Amal Khudair Khalaf 136. Serum Anti-Mullerian Hormone Concentration and Function of The Pituitary-Gonadal Axis in Iraqi Patients with Chronic Kidney Disease .......................................................................................................... 729 Athraa K. Falhi, Noori M. Luaibi, Ali J. Alsaedi) 137. Infection Control Measures for Nurses Staff Concerning with Hepatitis B and C at Hemodialysis Unit in Hilla Hospitals ........................................................................................................................................... 735 Ahmed Mohammed Jasim Shlash , Nada KhazalKadhim Hindi , Mohammed Malih Radhi , Baqer Abdulameer Abod Alshemari , Duaa Salman Abd Ali Albaghdadi , Hanan Hassan ZoghairAlmohamadawi, Hajar Sahib Mahdi Mohammed 138. Gingival and Salivary Changes in Correlation with Multiple Sclerosis ........................................................ 741 Esra Hassan Abd Ali, Suzan M. Abdul Raheem 139. Impact of Caring Child with Diabetes Mellitus Type1 upon Mothers at Specialized Center for Endocrinology and Diabetes in Baghdad City .............................................................................................. 748 Khamees Bandar Obaid 140. Measures Self-Esteem among Undergraduate Nursing Students .................................................................. 756 Safi Alzeyadi, Saja H. Mohammed 141. Patterns of Haemoglobinopathies Diagnosed by High Performance Liquid Chromatography in Karbala Population and Correlations between Different Hematological Parameters ................................... 761 Enass Abdul Kareem Al-Saadi, Duha Maithem Hassan, Wafaa Redha Al-Sabbagh 142. Risk Factors of Acute Otitis Media among Infants Children in Kerbala Pediatric Teaching Hospital: A Case-Control Study .................................................................................................................................... 768 Hassan Abdullah Athbi , Haider Nawaf Abed-Ali 143. The impact of L-carnitine Supplement on Semen Variables and the Levels of Sexual Hormones (Serum LH, FSH, Testosterone, and Inhibin) in Males with Infertility ........................................................ 774 Azzawi M.Hadi, Yassir Ismael Abbass, Mazin Anwar Yadgar 144. Assessment of the Understanding of Medical Ethics Subject among Anbar Medical Group Students ........ 779 Waleed AT Al-Ani, Ahmed K. Al-Delaimy 145. Isolation and Identification of Facultative Anaerobic Bacteria from Feces of Pet Dogs .............................. 785 SMA AL-Kubaisi, Omar-Althani Shareef Saed, Jassim Mohamed Suleiman, Mustafa Salah Hasan, Maher Saber Owain, Ahmed Sami Jarad 146. Molecular characterization of Eae and Stxs genes for E. coli O157:H7 isolates from Calves ...................... 790 Jassim Mohamed Suleiman , Omar-Althani Shareef Saed, SMA AL-Kubaisi, Mustafa Salah Hasan , Maher Saber Owain , Mohammed Ali Hussein , Ahmed Sami Jarad 147. Estimation of Serum Cystatin-C as early marker of Kidney Dysfunction in correlation with Serum Ferritin among β- Thalassemia Major Patients.............................................................................................. 794 Mohammed Abdulrazzaq XI 148. Comparative Assessment of Patients’ Satisfaction in Secondary and Tertiary Outpatients of Marjan Medical City in Babil Across Sectional Study .............................................................................................. 800 Qais Ismaeel Kadhem, Ameer Kadhim Al-Humairi, Ashraf MA Hussain, 149. High Levels of Tumor Necrosis Factor-Alpha and Interferon-Gamma in Patients with Gingival Recession ....................................................................................................................................................... 806 Sura Dakhil Jassim , Luma Jassim Witwit, Fatima Malik Abood 150. Efficiency of Aspergillus Species to Produce the Lipase Enzyme from Various Types of Oil Seeds .......... 811 Thakra Ahmed Hamada(), Raghad Saad Abdulkreem(), Hadeel Mizher Younus () 151. Seroepidemiology of Toxoplasma gondii Infection in Drivers Involved in Road Traffic Accidents in Baghdad City ................................................................................................................................................. 816 Dunya N. Ahmed, Salwa. S. Mushin, Mamdooh AR.Mohsin 152. Therapeutic Evaluation of the Partial Movement of the Center of the Nerve Bundle .................................. 822 Imad Kadem Yasser, Ahmed Atshan abdalreda, Abbas mohsin Oleiwi 153. Investigating the Level Of Vitamin E, C and Superoxide Dismutase in Patients with Allergic Asthma and Allergic Asthma with Helminths Infection ............................................................................................. 826 Narjis Abdul Rahman Oudah, Ahmed A. Mohammed, Kareem S. Chead Al-Teea 154. The Role of Cytomegalovirus (CMV) and Vitamin D in Multiple Sclerosis (MS) ...................................... 833 Juman Khaleel Al-Sabbagh 155. Potential Factors Associated with Epilepsy among Epileptic Patients Attending Middle Euphrates Neurosciences Center - Al-Najaf City ........................................................................................................... 839 Sahar Adham Ali , Hayder Ibrahim Ali , Hasan Alwan Baiee 156. Acute Infective Bloody Diarrhea in Children Below Five Years Admitted to Children Welfare Hospital in Medical City - Baghdad During 2015 ......................................................................................... 843 Maral F. Thabit, Radhwan R Hussian 157. Comparison between Hypertensive and Non-Hypertensive Individuals in the Value of Response to Salt Administration ........................................................................................................................................ 849 K.A Al-hilali, Layth Ibrahim AL-Shibbani, Ali Ayad Jabbar 158. Effect of Lactic Threshold Exercises using us Ginseng in the Development of Some Functional Variables of the Lungs and Lactic Tolerance and the Performance of Complex Offensive Skills in Basketball Youth ........................................................................................................................................... 853 Rasha Abdul Ameer Jawad, Rana Fadhil , Hussein Menati Saget , Jaafer Ahmed Mahdi 159. Preoperative Anxiety and Fears among Adult Surgical Patients in Baghdad Teaching Hospital, Iraq......... 860 Kawther Salman Dawood 160. The Prevalence of Parasitic Infection in Domestic Chicken: A Review ....................................................... 866 Yassir Dakheel Kremsh Alasadiy, Arshad Naji Alhasnawi , Farhan AlaAllah Eabaid 161. Nutritional Status of Primary School Children in Babylon Governorate .................................................... 1026 Ali Jaleel Asser , Hussein Jaseem Mohammed XII 162. Prevalence Rate of Depression among Ischemic Heart Diseases Patients in Al-Diwaneya Province / Iraq1033 Abdul Zahra Mohammed Alkafaji , Assel Hamid Risun 163. Deposition of Ta2O5 Film on Commercial Pure Titanium Disk by Modified Reactive Plasma Sputtering Technique ................................................................................................................................... 1039 Hassan Jawad Farhan, Raghdaa Kareem Jassim, L.Thair 164. Evaluation of the Effect of Endoscopic Sinus Surgery with Medialization of Middle Turbinate............... 1045 Ahmed Adhab Mayan Alzubiadi, Laith ali Altimimi, Farah Salih Alaamiri 165. Determination Knowledge of Nurses’ Concerning Measurement of Blood Pressure in Emergency Department at Al –Hussein Teaching Hospital in Al-Nasiriya City ........................................................... 1051 Amer Muhasin Naser, Qassim Jawell Odah Abed 166. Thermal Effects of Laser Assisted Endodontic Treatment on The External Root Surface of Deciduous Teeth (in vitro study) ................................................................................................................................... 1056 Husam Turki Abbas, Hasanain Ibrahim Khaleel, Inam Oleiwi Murad, Ali Imad Al-Khassaki, Ammar Saleh Alalawi 167. Effect of Some Alcoholic Extracts in Reducing the Fat Content of the Liver Tissue in Rat ...................... 1061 Mohammed Hayder Hamad, Nahla Al-Bakri , Abdul- Razak Labi, Duha Adnan Mahmood 168. Knowledge, Attitude and Practice of Mothers to Neonatal Jaundice .......................................................... 1068 Aalan Hadi Al-Zamili, Zainab Allawi Saadoon 169. Measurements of Horizontal condylar inclination by using Cadiax compactII in patients with TMJ clicking before and after different treatments modalities ............................................................................ 1074 Hayder Mahdi Idan, Fawaz D. Al-Aswad 170. DCGAN for Handling Imbalanced Malaria Dataset based on Over-Sampling Technique and using CNN1082 Liqaa M.Shoohi, Jamila H.Saud 171. Seroprevelance of Toxoplasmosis Gondii Infection among Pregnant Women in Karbala Governorate 2014-2017 .................................................................................................................................................... 1089 Radha. M. Lefta, Enaas K. AL-Khalide, Murtadha Kanim A.AL-Jebory 172. Fasting Versus Non-Fasting in Assessing Lipid Profile and Complete Blood Picture ............................... 1094 Wasan A.Wahab Alsiadi, Abed Sultan Hassan, Malak A. Al-yawer 173. Zinc Deficiency is Associated with Meprin a in Iraqi Patients with Crohn’s Disease ................................ 1100 Fatima A.Mohammad, Fatin Fadhel Alkazazz, Sura A.Abdlusattar 174. Knowledge Attitudes and Barriers of Undergraduate Medical StudentsTowards Research in University of Babylon ................................................................................................................................................... 1106 Nadia Hussein Sahib, Hasan Alwan Baiee, Hadi Mohammad Ali Al mosawi, Zaid Amjed Al-husseini 175. Macrophage Migration Inhibitory Factor (MIF) Gene Polymorphism of Urothelial Carcinoma Patients in Iraq ........................................................................................................................................................... 1113 Ishraq Abdul Ameer Salih 176. Study Impact of Hyperuricemia on the Occurrence of Atrial Fibrillation in Patients Admitted to CCU in Al-Diwaniyah Teaching Hospital ............................................................................................................ 1117 Mazin Zamel Al-Shibani, Hend Saddam Asmaaeel XIII 177. Quality of Life of Parents Having Cancer and Non-cancer Children: A Comparative Study..................... 1122 Awayi Ghazy Abdulkareem , Zhian Salah Ramzi, Jamal Ahmad Rashid 178. Sleep habits and Physiological Penal Gland Calcification (A Magnified Topographical Evolution Study)1127 Sattar R. AL-Esawi, Ashwan Abdulzahra Hashim, Zhraa Ayad Jabber, Riyadh W. AL-Esawi 179. Investigation of Microbial and Mineral Contamination of Imported Meat ................................................. 1134 Haider Mashkoor Hussein 180. The Distribution of Hepatitis C Virus Genotypes, Viral Load and Antibody Titer among Iraqi Chronic Hepatitis Patients ......................................................................................................................................... 1139 Abdel Wahab A. R. Alshaikhly, Zaidoon A. Musa, Ban J. Qasim, Haider F. Ghazi, Wisam J. Mohammed 181. In Vitro Cytotoxicity of Total Alkaloid Extract from Peganum Harmala L. Seeds .................................... 1146 Hala M. N. Al- Saily, PRabab Omran 182. Psychological Factor Affecting on Performance Thinking among the Pupils: Mentally or Spiritually Concerned with the Aspects in Students’ Acquisition ................................................................................ 1151 Huda Salem Abdul Hussein, Khaled Rahi Hadi, Saad Hassan Alawi 183. Determination of the Critical Care Nurses Knowledge Toward Enteral Tube Feeding in AL-Hilla Teaching Hospitals (Interventional study) .................................................................................................. 1156 Kathreen Mohammed Aziz, Sahar Adham Ali 184. Comparison between hypertensive and non-hypertensive individuals in the value of response to salt administration .............................................................................................................................................. 1161 K.A Al-hilali, Layth Ibrahim AL-Shibbani, Ali Ayad Jabbar 185. Molecular Detection of Pathogenic Entamoeba histolytica based on Amoebapore C Gene in Fecal Samples of Camels from Babylon Province, Iraq ....................................................................................... 1166 Qassim Jawad Ameer, Nawras Abdul Bari Madlol 186. The Role of Hyperglycemia and Coexisting Hypertension in The Development of Diabetic Nephropathy in Type II Diabetes Mellitus .................................................................................................. 1169 Prof.Dr. Kadhim Abbas Al-Hilali , Mosa Jaafar Mosa , Ahmed Ali Hussein 187. Risk Factors for Congenital Anomalies in Neonatal Intensive Care Unit in Baghdad City........................ 1176 Khatam M. Al-Musawi, Adraa H. Shawq, Zainab Majeed, Shahad Zaid, Huda Ibraheem 188. Genetic Polymorphisms of Catalase Enzyme with Hypertension Patients in Babylon Governorate .......... 1183 Hussam Abbas Dawood , Farah A. Al-marzook , Rabab Omran 189. Comparison Study of Major Thalassemia, Thalassemia Intermedia of Iraqi Patients and Control Groups for Effectiveness of Liver Enzymes................................................................................................ 1189 Shatha H. Jwaid, Abbas Mehsen Gata 190. Prevalence of stress and coping behaviors among medical students at University of AL-Qadisiyah......... 1193 Mohammed AL-Zobaidy, Adyan Mostafa, Zahraa Hussien, Mariem Humed Redah, Tagreed Adnan, Haneen Mohammed 191. Assessment of Self-Esteem among Patients with Major Depressive Disorder in Sulaimani City .............. 1199 Taha Ahmad Faraj , Salwa Shakir Muhsin XIV 192. Evaluation of an Education Program for Elementary School Teachers Regarding Post-Traumatic Stress Disorder among Pupils in Mosul City............................................................................................... 1206 Nawaf Mohammed Dhahir, Saja Hashem Mohammed 193. Histological Changes in Liver Tissue Resulting from Hydatid Cyst Infection: Comparison between Sheep and Cattle in Iraq............................................................................................................................... 1213 Intidhar Mohammed Mnati, Baydaa Hussain Mutlak, Noora Dhyaaldain Abed 194. The Effect of Special Exercises by Using Training Methods to Assist in the Development of Some Motor Abilities and Handstand Skill of Still Rings for Young People ....................................................... 1219 Anmar Atshan Khargan, Sadeq Yyousif Muhammad, Hekmat Abdul Sattar Alwan 195. Psychological Analysis of Jenang Kutei Judges in Delivering a Verdict of Matai Bilai and Cuci Kampong (Purification Ritual) in Rejang Lebong Regency, Bengkulu Province, Indonesia .................... 1225 Emma Ellyani , Khudzaifah Dimyati, Absori Absori , Kelik Wardiono, Arief Budiono 196. Mechanism of Family-coping in Treating Patient with Schizophrenia Viewed from Factors that Affected it at Public Health Center of Balowerti, Kediri ............................................................................ 1230 Byba Melda Suhita, Prima Dewi Kusumawati, Heri Saputro, Ahmad Yusuf 197. Effectiveness of Stress-Adaptation and Cognitive Behavior (SACB) Model for Independent Health Recovery for Clients with Coronary Heart Disease in the Community ...................................................... 1236 Heni Nurhaeni, Ratna Aryani, Suryati B., Ani Nuraeni 198. The Influence of Massage Therapy on Children Body Temperature which Fever...................................... 1243 Lia Herliana, Ai Cahyati 199. Celiac Disease in Children with Short Stature (Incidence and Morphometric Study) ................................ 1249 Mohammed Abdul-Aziz. Hayawi 200. Association of Periventricular Edema Thickness and Optical Perineal Thickness in Hydrocephalus Non Communications by Magnetic Resonance Imaging Examination ....................................................... 1256 Noor Anita Humaira, Sri Andreani Utomo, Hari Basuki 201. Outcome of Open Intraperitoneal Dual Mesh Versus on–Lay Mesh for Incisional Hernia Repair ............ 1261 Jassim Mohammed Auib Al Taha 202. Teachers’ Knowledge Regarding Attention-Deficit Hyperactivity Disorder between Pupils at Elementary Schools in Mosul City .............................................................................................................. 1267 Mohammed Ahmed Sultan Al-Wily, Luay Amjed Mahmood Al-Waly, Radhwan Hussein Ibrahim , 203. Prevalence of Childhood Disability in Basrah City Using the Ten Questions Too .................................... 1273 Hajer Salim AlMosawi, Sajjad S. Issa, Mohamad A. Akber 204. Antibacterial Properties of New Cement Based Capping Material Prepared from Egg Shell and Biopolymer (Chitosan) ................................................................................................................................ 1278 Hemn M. Sarmamy, Dara H. Saeed 205. Bow tie Model of Palliative Care as an Early Approach to Providing care for Patients with Heart Failure1285 Hossein Jafarizadeh, Yaser Moradi, Alireza Rahmani, Amir Mohammad Amini 206. Community Acquired Pneumonia; Chest X-Ray Findings in Three Different Times ................................ 1289 Kosar Mohamed Ali XV 207. Flexible Ureterorenoscopy Versus Extracorporeal Shock Wave Lithotripsy for Treatment of Lower Pole Renal Stones ........................................................................................................................................ 1296 Mohammed B. Ismail, Hasanain F. Hasan Als-Timimi, Hayder H. Alwan 208. Expression of e-NOS in human placentas of idiopathic Intra Uterine Growth Restriction at term ............ 1302 Mohammed E. Ghanem, Samia A. Eleiwe 209. Demographic, Clinical and Hormonal Characteristics as Predicting Factors Affecting the Outcome of Laparoscopic Ovarian Drilling in Women with Poly Cystic Ovary Syndrome .......................................... 1308 Shelan Omar Jaafar, Ghada Saadulla Alsakkal, Namir Ghanim Al-Tawil 210. Characteristics of Multidrug Resistant Tuberculosis in Minia, Egypt ........................................................ 1316 Shimaa Anwer Emam, Eman Mahfouz Kasem, Amany Edward Sedhom 211. Variation of Alkalinephosphatase and Transaminases Levels in Different Trimesters of Pregnancy Iraqi Women ................................................................................................................................................ 1323 Tariq Hafdhi Al-khayat and Rawaa Muayad Al-Quzweny 212. Based Assistance Continuum of Care Can Increase Family Independence in Overcoming Health Problems Pregnant-Women ......................................................................................................................... 1329 Rita Yulifah 213. Overweight and Obesity Associated Factors among High School Students: A Cross Sectional Study in Erbil ......................................................................................................................................................... 1336 Sarhang Qadir Ibrahim , Tariq S. Al- Hadithi, Kameran Hassan Ismail 214. The Influence of Disaster Counseling with Animation Video on Preparednes Students in Elementary School in Palu .............................................................................................................................................. 1342 Imtihanah Amri, Ansariadi , Ridwan Amiruddin, Sukri Palutturi, Anwar Mallongi, Rosmala Nur, Nur Endang Sari 215. The Influence of Breathing Ball Technique on Length of Labor in Phase I Active in Independent Practice, Midwifery Sriwati ......................................................................................................................... 1347 Muliani, Hastuti Usman, Aspia Lamana, Abd Farid Lewa, Andi Ritna Marumu, Nasrul, Anwar Mallongi 216. Cardiac Emergency Prevention Through Personal and Environmental Factors ......................................... 1352 Bambang Guruh Irianto, Loetfia Dwi Rahariyani 217. Investigation of cpa. and zpx. Genes in Cronobacter sakazakii Isolation from Clinical Specimens in Thi-Qar Province and .................................................................................................................................. 1358 Karrar Khalaf Al-aawadi , Qasim Hassan Weda’a 218. Comparison of Hemorrhoidectomy by Ligasure with Conventional Milligan Morgan’s Hemorrhoidectomy ...................................................................................................................................... 1364 Raisan Mahdi Shoramah Aljabery 219. Women’s Reactions and Health Disorders Caused by Abuse During the Pregnancy-Postpartum Period .. 1369 Rosmala Nur, Siti Ika Fitrasyah, Anwar Mallongi 220. The Culture and Age of First Marriage on Female Teenagers in West Marawola...................................... 1375 Rosmala Nur, Muh. Asep Dwitama, Muh. Fadly Nurhaya S Patui, Sitti Radhiah, Elvaria Mantao, Anwar Mallongi XVI 221. Mother’s Behavior in Pregnancy-Puerperal Treatments and Reproductive Health Disorders .................... 1381 Rosmala-Nur, Sulaeman Mamar, Indah Puspasari Kiay Demak, Elli Yane B, Radiah, Muh.Rusydi, H , Erina Thursina R, 222. The Influence of Wedge Sea Hare (Dolabellaauricularia) Extract and Papaya Juice on Hemoglobin (Hb) and Feritin Levels of Mice Strain (Balb / C) with Anemia ................................................................. 1387 Sultan Akbar Toruntju, La Banudi, Purnomo Leksono, Mochammad Rahmat, Wa Ode Salma 223. The Relation between Psychological Empowerment and Job Satisfaction among Nurses ......................... 1393 Rifaie Yaseen Hameed Al-Hussein 224. Estimation the Level of Follicular Fluid Follistatin in Women Undergoing Intracytoplasmic Sperm Injection ....................................................................................................................................................... 1400 Baydaa Lateef Hameed , Mutaz Sabah Ahmeid , NihadKhalawe Tektook , Hashim Abdulsattar Jabar 225. Serum α-Klotho Level in the Patients Subjected to Hemodialysis in Association with Lipid Profile ........ 1406 Hibah Hasan Ibrahim, Mutaz Sabah Ahmeid, NihadKhalawe Tektook, Hashim Abdulsattar Jabar 226. Molecular detection of some antibiotic resistant genes of bacteria isolated from bloodstream infections of hemodialysis patients .............................................................................................................................. 1413 Najlaa Bakr Shaker 1, Khalid Omar Mohammed Ali2 227. Assessment of Butchers Attitudes and Practices Toward Food Safetyin Thi-Qar governorate in Iraq ...... 1419 Sameeha Naser Abed, Zahraa Zuhir 228. Nutritional Status for Patients with Hypertension in Hemodialysis Units at Baghdad Teaching Hospital. 1426 Shaymaa M. Hussein 229. Relation of Epstein Barr virus with Interleukin-6 Level among Women with Breast Cancer in Ramadi City .............................................................................................................................................................. 1433 Arkan AbdullahAbbas, Israa Hashim Saadoon 230. Assessment of Nutritional Status of Under Five Years Children in Relation to Their Birth Space in Shirqat City .................................................................................................................................................. 1439 Enas AbdulahYaseen, Nahid Ahmed Hassan 231. Detection of blaCTX-M gene in Klebsiella sp. Causing UTIs in Al-Yarmouk Teaching Hospital ............ 1444 Marwan Majeed Ibrahim, Ammar Hameed Howaidy,Omar Mahmood Shakir 232. Alterations in Antioxidants and Trace Element with Interleukin 6 Level in β Thalassemia Major Patients......................................................................................................................................................... 1450 Janan I. Mohammed, Shihab A. Al-Bajari, MotazA.AL.Akashe, Alaa N. Totanjee 233. Overweight BMI with and without Regular Exercise in Secondary School Students in Tikrit City .......... 1456 Athraa Essa Ahmed, Shaimaa Essa Ahmed 234. Genotyping diversity of Echerichia coli isolated from UTI in Iraqi patients ............................................. 1461 Tabarek Saeb Sabri, Amal A.Kareem 235. Evaluation of the use of HbA1c in the Diagnosis of Impaired Fasting Glucose ......................................... 1468 Raid D. Hashim; Israa Nathir ; Shayma Salman Ali XVII 236. Evaluation the Serum Level of Melatonin in Iraqi Patients with Polycystic Ovarian Syndrome ............... 1474 Ahmed Abduljabbar Hameed, Mutaz Sabah Ahmeid 237. Relation of Some Heavy Metals with Male Infertility ................................................................................ 1480 Hussein M. Ali, Qater, Al-Nada A. Kanaem, Mohammad Oda Selman 238. Immunological role of TLR-7 , IL-17A and IL-10 In a Sample of Iraqi Chronic Renal Failure Patients .. 1486 Asaal Abdul-Ghani Shyeaa, Mohammed Abdul-Daim Saleh; Nihad Khalawe Tektook 239. Protective Immunity against Virulence Uropathogenic Escherichia Coli in Mice...................................... 1492 Hussam Sami Awayid, Saif Ali Mohammed, Adnan Kamel Shebeeb 240. Serological and Immunological Determination of Auto-Antibodies Against Myositis-Associated Antigens in Systemic Lupus Erythematosus Patients Using A Novel Immunoblot Assay ......................... 1499 Alaa Younis Mahdy Al-Hamadany; Manal Dheyaa Mohammed ; Hussein Abid Sharqi AL-luhaibi , Zainab Adnan Hassan Hadeed 241. The Effects of HIV/AIDS Education on Knowledge, Attitude, and Satisfaction for AIDS Prevention Self Massage on College Students in Korea ................................................................................................ 1506 Ji Min Lee, Sung Jung Hong, Eun Hee Kim 242. The Study on the Empathy of Nurses and the Quality of Nursing Provided to Hospitalized Children Perceived by Nursing Students .................................................................................................................... 1512 Bo-Yun Huh, Jae-Woo Oh, Mi-Ran Kim 243. Relationship between Attitudes to Child Nursing College Students Perceived Punishment, Child Abuse Awareness and Knowledge .............................................................................................................. 1518 So-Ja Jeon, Jae-Woo Oh 244. Reorganization of Learning Objectives Using Ontology Technique .......................................................... 1524 Myung Mi Shin, Su-Jin Han, Hye-Sook Choi 245. Study on the Relationship Trend between Chronic Diseases and Oral Health according to Diabetes Treatment: Focusing on the Local Health Survey for 2015, 2016 and 2017............................................... 1530 Hye-jeong Hwang, Kwon-Seob So, Kisang Kwon, Kyung-hee Kang 246. The Effects of Dialectical Behavior Therapy(DBT) Skill Training on Depression and Alcohol Abstinence Self-efficacy of Patients with Alcohol Use Disorder................................................................ 1537 Jung-hee Park, Se-jin Ju, Gyun-Young Kang 247. The Effect of Parenting Attitudes and Major Satisfaction on Career Decision Making Self-Efficacy in undergraduate Students................................................................................................................................ 1544 Kyung Sook Kim 248. Changes in Chemical Structure of Iopamidol Contrast Agents According to Radiation and Environmental Conditions ........................................................................................................................... 1551 Beom-Hee Han, Cheong-Hwan Lim, Seung-Hun Jeong 249. Factors affecting the post-anesthetic recovery score and length of stay in the recovery room in elderly patients with hypertension ........................................................................................................................... 1556 Sunmi Kim, Myoungjin Kwon XVIII 250. Influencing Factors on Happiness of Nurses in General Hospitals ............................................................. 1563 Sung-Yun Ahn, Myoung-Jin Kwon 251. Cancer Screening Findings in Korean People with Disabilities: 2016-2017 .............................................. 1569 Soo-Kyung Bok, Youngshin Song, Ga-Won Seo, Yeon-Yong, Kim, Seongjun Ha 252. National Health Screening Program Non-Participation Rates Among Koreans with Brain InjuryBased Disabilities: 2016–2017 .................................................................................................................... 1573 Youngshin Song , Miyoung Lee, Soo-Kyung Bok , Ancho-Lim, Yeon-Yong Kim, Seongjun Ha 253. Comparison of Ventilation Volume and Airway Pressure of an Advanced Airways in Virtual Reality Ambulance Simulation ................................................................................................................................ 1580 Sang-Gyun Roh, Jee-Hee Kim 254. Effects of Social Support and Life Stress of Women in Climacterium on Meaning of Life....................... 1587 Ji-Woo Han 255. The Effect of Adult Attachment Types, Gender Role Attitude on the Heterosexual Relationship Satisfaction in University Students.............................................................................................................. 1592 Hee Jeong Kim 256. The Effects of Economic Stress, Career maturity and Major Satisfaction on the Job Stress in Third and Fourth Grade Students of University ........................................................................................................... 1598 Hee Jeong Kim 257. Major Factors Having Influence on the Subjective Happiness of Korean Youth; From the 13th KAHBOS Data ............................................................................................................................................ 1604 Weon-Hee Moon, Myoungjin Kwon 258. Effects of Intervention on Home-Based Environmental Counselling for Children with Severe Allergic Diseases ....................................................................................................................................................... 1611 Chae-Bong Kim, In-Soon Kang, Hyo-Sun LEE 259. Differences of Emotional Intelligence, Self-Effectiveness and Job Stress Levels by ambulance worker Personal Characteristics ............................................................................................................................... 1618 Sang-Gyun Roh, Keun-Hee Kim, Jee-Hee Kim 260. Influence of Job Satisfaction and Burnout on Nursing Service Quality in Long-Term Care Hospitals...... 1623 Hyojin Won, Sung-Yun Ahn, Young-Ju Kim 261. Antimicrobial Effect of Cinnamon Oil Against Oral Microorganisms ...................................................... 1629 Yeo-Jin Jeong, Jun-Seon Choi 262. Study on Admission Motivation and Institution Selection Intention of Elderly Residing in Long-Term Care Institutions ........................................................................................................................................... 1633 Yun-Jeong Kim, Boo Hwan Ahn, Kyong Ja Im 263. The Effect of New Nurse’s Peer Satisfaction and Educational Satisfaction on Clinical Performance ....... 1640 Myoungjin Kwon, Sun Ae Kim 264. Diagnostic Performance of Multiparametric MR Imaging According to the Location of Prostate Cancer 1647 Jihae An, Keum Won Kim, Jae Young Seo, Young Joog Kim, Min Jae Yoon, Dong Hyun Oh XIX 265. A Study on the Awareness of Community Public Health Project among the Employees in The Public Health Center ............................................................................................................................................... 1653 Bo-Woo Lee 266. The Health Care Needs of Local Residents in Korea .................................................................................. 1660 Misoon Jeon 267. Health Care Needs According to the Life-Cycle of Community Residents ................................................ 1666 Misoon Jeon 268. Patients and Guardians’ Perception on Comprehensive Nursing Care Services ......................................... 1672 269. Study on the Subjectivity of Medical Professionals Towards Pet Robots .................................................. 1679 Sunyoung Jang 270. Study on the Relationship between Major Satisfaction, Career Resilience and Career Decision-Making Level ............................................................................................................................................................ 1684 Kihun Ye, Soonyoung Yun, Shinhong Min 271. Manufacture and Useful Evaluation of Educational Mammography Phantom ........................................... 1690 Dong-Hee Hong 272. The Effects of Hypertension, Dyslipidemia, Myocardial Infarction, and Angina Pectoris on Stress by Cardiovascular Diseases .............................................................................................................................. 1696 Yoon-Ho Lee, Hae-Ryoung Park, Sang-Sub Park 273. An Analysis of the Risk of the Infection Disasters by Legal Infectious Disease Outbreak in South Korea1703 Gwang-Seok Kim, Hae-Ryoung Park, Sang-Sub Parks 274. Factors Affecting Nursing Work Performance of Medium Sized Hospital Nurses .................................... 1710 Ji-Hyeon Jeon, Sung-Ju Park 275. Effects of Applying Flipped Learning to Simulation Training in Nursing Students................................... 1717 Hyun-Jung Kim, Dahye Park 276. Development of multifunctional cosmetic products with anti-photoaging effect ....................................... 1723 Eun-Suk Kim, Hye-Jin Kwon 277. A Study on Improvement of Quality of Care-givers to Long Term Care Old Age ..................................... 1729 Do-Young Lee, Joo-Young Lee 278. Factors Affecting the Clinical Competency of Nursing Students in Pediatric Nursing Clinical Practice... 1736 Sung-Yun Ahn, Young-Ju Kim 279. Development Strategy for National Fitness Award 100 via comparison and Analysis of the Korean Government’s Health Policy Projects.......................................................................................................... 1742 Mi-Suk Kim*, Sang-Wan Jeon** 280. The Factors affecting Burnout of the Small and Medium Hospital Nurses ................................................ 1747 HyunMee Park, KyungSook Kim 281. Self-efficacy Mediating Effect inHealth Communication Campaign.......................................................... 1754 Jin-Woo Lee XX 282. The Dual Mediating Effects of Self-esteem and Hope in the Relationship between Boss’s Incivility and Life Satisfaction .................................................................................................................................... 1760 Yeoun Kyoung Hwang, Dong Hyun Yoon, Chang Seek Lee 283. Study on Minimum Transmission Dose forEstablishing X-Ray Imaging ................................................... 1766 Sinyoung Yu 284. The Effect of Verbal ad Non-verbal Violence Experienced at Clinical Training Institutions on Major Satisfaction ofDental Hygiene Students ...................................................................................................... 1772 Jung-Eun Ha, Ki-Hun Ye 285. The Claim State of Dental Institutions forPayment from the NHIC ........................................................... 1777 Bo-Kyung Oh, Eun-MiYoo, Min-Young Kim, Hye-Sook Choi 286. Measurement and Analysis of Exposure Dose According to Radiological Survey Films of Dental Hygiene Students inOral Imaging Practice ................................................................................................. 1783 Kam Ji Young, Yamaguchi Tokutaro, Lim kun Ok 287. The Effect of Action Observation Training Combined with Intrinsic Muscle Stimulation on the Upper Limb of Function in Stroke Patients ............................................................................................................ 1788 Ha-Na Kim, Bo-Kyoung Song, So-Young Han, Jung-Woo Jeong 288. Recognition of Health and Non-Health Care Related College Students on the Safety Management of Dental Radiography ..................................................................................................................................... 1793 Sun-Mi Lee, Jung-Eun Ha, Min-Ji Kim 289. Relationship between Pain-induced Temporomandibular Joint Pain According to Cell Phone Use Frequency .................................................................................................................................................... 1799 Sun-Mi Lee, Jung-Eun Ha, Min-Ji Kim 290. The Effects of Nursing Ethics and Major Satisfaction on Patient Safety Management Activities of Nursing Students.......................................................................................................................................... 1804 Eun-Ju Kim, Seung-Ju Kang 291. The Effects of Maternity Video and Simulation Based Education on Critical Thinking, Interpersonal Relationship, Self Leadership and Major Satisfaction ................................................................................ 1810 Seung-Ju Kang, Eun-Ju Kim 292. Differences of Muscle Activities of Various Bridge Postures Using Thera-band on the Stable Surface ... 1816 Seol-Ah Kang, Soo-Jeong Kwon, Dong-Yoep Lee, Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim 293. A Comparison of Muscle Activity Depending on Shoulder Joint Flexion Angle When Conducting Kettle Bell Swing......................................................................................................................................... 1821 Ha-Young Baek, Su-Jeong Seol, Dong-Yoep Lee, Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim 294. Change in Lower Extremity Muscle Activity with Visual and Noises During Walking ............................ 1826 Eun-Hye Kim, Da-Hyun Lee, Su-Bin An, Dong-Yoep Lee, Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim 295. Immediate Changes of Shoulder External Rotation Exercise of Various Angle on the Distance of Subacromial Space ...................................................................................................................................... 1831 Da-Young Choo, Hae-Young Lee, Seung-Hee Jang,Dong-Yoep Lee, Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim XXI 296. Effects of Balance Training Using a Wii Fit Balance Board on Balance, Gait and Activities of Daily Living in Patients with Parkinson Disease: A Pilot, Randomized Controlled Trial.................................... 1837 Jong-Hoon Moon, Jin-Hwa Jung, Hwi-Young Cho 297. Antibacterial Activity of Essential Oils AgainstStreptococcus Mutans ...................................................... 1842 Young-Soon Choi, Seoul-Hee Nam 298. A Study on the Emotional Intelligence of Optometrist ............................................................................... 1848 Ki-Hun Ye, Jung-Eun Ha 299. The Effect of Cardiac Arrest Simulation Training Using Mechanical CPR Device on Chest Compression Quality of Paramedics in Pre-Hospital .................................................................................. 1854 Ji-Won Ahn, Byung-Jun Cho 300. Actual Pressure Ulcer Awareness of a Person inCharge of Pressure Ulcer Management .......................... 1860 Ji-Hoon Choi, Cheong-Hwan Lim, Seung-Hun Jeong 301. The factors affecting on Turnover Intention of Nurses ............................................................................... 1865 Sung-Ja Yoon 302. Three-dimensional Evaluation of Maxillary Sinus Volume inDifferent Sex Groups Using ConebeamComputed Tomography ...................................................................................................................... 1871 Eun-Young Jeon, Jeong-Hyun Lee, Sa-Beom Park, Jong-Tae Park 303. Development of Personal Safety Education Program for Nursing Students Using Hybrid Application .... 1876 Sang-Mee Koo, Rae-Eun Kim 304. Development and Evaluation of Educational Program to Prevent Cervical Cancer among Vietnamese Immigrant Women ....................................................................................................................................... 1882 Tae-Im Kim, Sang-Mee Koo 305. A Study on the Effect of Eclipta Prostrata Extract and MTS on the Improvement of Scalp Health and Prevention of Hair Loss for Workers in Their 20s and 30s ......................................................................... 1888 Chang-Seok Lee, Joo-A Kang, Gyeong-yeon Kim, Gyu-Ri Kim 306. A Study on the Selective Strengthening Exercise of the Quadriceps Muscle According to Various Squat Types ................................................................................................................................................. 1895 Ga-Ram Jeon, Yi-Won Yu, Motomi To,Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim, Dong-Yeop Lee 307. Change of Serratus Anterior Muscle Thickness According to Knee Flexion Angle During Knee-Push Up Plus Exercise on Sling ................................................................................................................................. 1901 Yun-Ji An, Ye-Ji An, Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim, Dong-Yeop Lee 308. A Study on the Recognition of Child Abuse and Countermeasures............................................................ 1907 Shinhong Min 309. Influencing Factors on Mid-Life Well-Being .............................................................................................. 1912 Hae-Kyung Chang 310. Effectiveness of Virtual Reality Based Cognitive Rehabilitation on Cognitive Function, Motivation and Depression in Stroke Patients ............................................................................................................... 1918 Chang-Hyung Lee, Ye-Soon Kim, Jin-Hwa Jung XXII 311. Development of a Phantom for Low Dose Mammography ........................................................................ 1925 Chang- Gyu Kim 312. Medication Supportive Behavior of Mothers withChildren with ADHD: A Structural Equation Model ... 1931 Myeong-hui Choe, Hyunju Park 313. Comparison of the Effects of Standardized Patient-based Simulation Education and Clinical Practice Education for Preoperative Nursing Care for High-risk Pregnant Women ................................................. 1938 Juhee Hwang, Hyunju Park 314. Antimicrobial Activity of Coptischinensis Extract against Dental Caries .................................................. 1945 Yu-Ri Choi, Jung-Ok Choi, Seoul-Hee Nam 315. Analysis of Depression and Stress Trends of Families Receiving Basic Life Support for Dementia Patients: Based on the Community Health Survey in 2015, 2016 and 2017 ............................................... 1951 Kyung-hee Kang, Hye-jeong Hwang 316. A Study on the Adjustment to the College Life:Focusing on Mediated Effect of Self-Differentiation ...... 1958 Weon-Hee Moon, Jeong-Yeon Kim 317. Study on the Oral Health Attitude and Behaviour and the Changes in Dental Plaque According to the Use of Qraycam ........................................................................................................................................... 1964 Hyun-Kyung Kang 318. Differences of Passive Ankle Stiffness in Post-Stroke Hemiplegia by Varying Angular Velocity between theParetic and Non-Paretic Side .................................................................................................... 1969 Dae-Yeon Lee, Wan-Young Yoon 319. Factors Affecting Subjective Health Status in Adult Male Workers with Metabolic Syndrome Using Seventh Korean National Health and Nutrition Examination Survey (KNHANES, 2016-2018) ............... 1974 Lee Kyongeun 320. Factors Influencing Self-rated Health Status in Middle-aged Women with Osteoporosis: Based on the 7th Korea National Health and Nutrition Examination Survey .................................................................... 1981 Kyongeun Lee 321. A Study on Factors Affecting Communication Ability of Korean Nursing Students ................................. 1987 Young Hee Jeong, Mi Jin Kim 322. The Effects of ICT-based Public Health Center Mobile Health Care Project on Adult Health Risk Factors ......................................................................................................................................................... 1993 Young Ju Lee 323. A Study on the Subjectivity of Organ Donation for Adults ........................................................................ 1999 Hye-Won Jeon, Dong-Hee Seo 324. Attitude about Advanced Directives amongMiddle-aged Using QMethodology ....................................... 2004 Mi-Young Chon, Hye-Won Jeon 325. Effects of Smartphone Addiction on Radiology Students’ Interpersonal Satisfaction................................ 2009 Yuxin Huang, Hong-Ryang Jung, Cheong-Hwan Lim XXIII 326. Effects of Cognitive Exercise Therapy on Tactile Sensations of the Hands and Activities of Daily Living in Stroke Patients ............................................................................................................................. 2014 Jong-Hoon Moon, Jin-Hwa Jung, Hwi-Young Cho 327. Effects of Voice Quality Improvement Program forProfessional Voice Users with Functional Voice Disorders ...................................................................................................................................................... 2019 Jingren Wang, Hyunju Park 328. The Study of the Correlation between Cognition Function and Quality of Sleep in the Elderly ................ 2024 Ju-Young Park, Yeong-Ae Yang 329. Effects of Acute Exercise Intensities on Blood Lipid and Growth Factors in Middle School Students with Intellectual Disabilities ........................................................................................................................ 2028 Hong-Young Jang, Mihyun Lee 330. Comparison of Blue Light Blocking Effects of Tips andTinted Lenses for Dental Light Curing Machines ...................................................................................................................................................... 2035 Sook-Jeong Lee 331. Difference of Health Consciousness According to Living Environment and Economic Level of the Elderly in theUrban-Rural Complex Area ................................................................................................... 2040 Do-Jin Kim, Jong-Hyuck Kim, Il-Young Cho 332. Effects of 8-Week High Intensity Combined Exercise on Body Composition, Blood Lipid and CRP in Obese Middle Aged Men ............................................................................................................................. 2046 Do-JinKim, Jong-Hyuck Kim, Gyu-Ri Kim 333. Effects of Lower Body Muscle Exercise onBlood Lipids and Homocystein .............................................. 2052 Do-Jin Kim, Jong-Hyuck Kim 334. Anticariogeniceffect of Sambucuswilliamsii var. Coreana NAKAI (S. Williamsii) Extract on Against Streptococcus Mutans .................................................................................................................................. 2058 Seoul-Hee Nam 335. This Development of a Medical Phantom toEvaluate the Function of Low Dose 3D MDCT.................... 2063 Chang- Gyu Kim 336. A Study on the Optometrist’ Images betweenMajor Students and Non-major Students ............................ 2069 Ki-Hun Ye, Jung-Eun Ha 337. The Study of Swedish Massage on Anxiety Situation andPPT in Stressed Office Workers....................... 2075 Jae-Gun Seo, Su-Hee Choi, Dong-Yeop Lee 338. Effects of Interest Inducing Activities Programs on the Attention and Self-efficacy of School-aged Children ....................................................................................................................................................... 2080 So-Young Han, Ha-Eun Choi, Min-Ji Kang, So-Hee Kim, Sang-Hee Moon,Su-Jeong Yoon, GeunHyung Choi, Jung-Woo Jeong, Ha-Na Kim, Bo-Kyoung Song 339. Comparison of Nurse Teachers and General Teachers andNurses Happy Planet Index ............................. 2085 Oe-Nam Kim, Na-Rae Oh, Su-Yeon Seo XXIV 340. Cognition and Behavior of Oral Health in Preschool Parents ..................................................................... 2091 Su-Jung Lee, Hong-Ryang Jung, Cheong-Hwan Lim, Jong-Hwa Jang 341. Big Data Analysis for Child Well-being on Academic Research................................................................ 2096 Jung-ho Bae, Eunae Burm 342. Effect of Sanitizers and Disinfectants inStaphylococcus Saprophyticus .................................................... 2101 Jung-ok Choi, Yu-hee Lee 343. The Effect of Task-based upper Limb Training onActivities of Daily Living and Upper Limb Function inChronic Stroke Patients ............................................................................................................................ 2107 Bo-Kyoung Song, So-Young Han, Jung-Woo Jeong, Ha-Na Kim 344. The Effects of Task-oriented Mirror Therapy on theUpper Extremity Function and Brain Activation inChronic Stroke Patients ............................................................................................................................ 2112 Kyung-ju Lee, Man-Seok Han 345. An Effect of Communication Training Program on Communication Skills and Empathic Ability............ 2117 Seon-Ju Sim, Su-min Hong 346. A Study on the Standardization of the6-Minute Walking Test for Elderly Koreans................................... 2123 Sang Woong Park, Se-Youn Kim, Hae-In Kim, Dong Jun Sung, Wonjong Yu 347. Study on the Relationship between General Health andOral Health According to Diabetes...................... 2128 Hye-jeong Hwang, Kyung-hee Kang 348. Analysis of Factors Affecting the Depression andQuality of Life in the Family Taking Care of Dementia Patients ........................................................................................................................................ 2135 Kyung-hee Kang, Kwon-Seob So, Hye-jeong Hwang 349. Effects of Low-Dye Taping Applied toChronic Stroke Patients on Gat Speed .......................................... 2142 Eun-Ja Kim, Dae-hun Kim, Shin-Jun Park 350. The Effect of Participation in Mentoring Program on Adjustment to College Life, Major Satisfaction, and Interpersonal Relationship Skill in the Nursing Students ..................................................................... 2147 Eun-Hee Shin, Gyun-Young Kang 351. Evaluation of Effective Sound Insulation Method forNoise Generated by MRI ........................................ 2153 Jung-Hoon Lee 352. Impact of Trademark Rights on a Company’s Financial Performance: Focusing on Pharmaceutical Industry inSouth Korea ................................................................................................................................ 2158 Myung-Sun Na, Kwan-Sik Na, Inchae Park 353. The Effect of Recognition Level of Korean Elderly Long-Term Care Insurance System on Effectiveness Recognition .................................................................................................................................................. 2164 Hye-yeong Do, Yun-Jeong Kim 354. The Effect of Power of Agility ofCore Stabilization Exercise by the Musical Type .................................. 2170 Myung-Chul Kim, Hae-In Kim XXV 355. Policy Roadmap for Development Process and Re-establishing Women Friendly City Policy in Korea- Focusing on the Case of Dangjin City ............................................................................................. 2176 Yun-Jeong Kim, Hyun-Jung Kang, Min-Jung Kim,Sun-Young Seo, Sang-Jin Lee, Jun-Ho Lim, Jin-Ah Chung 356. Effectiveness of Video Recording and Self-Evaluation forSkill Training in Undergraduate Nursing Education ..................................................................................................................................................... 2181 Mi-Ran Eom, Sun Kyung Kim, Mi-Hyeon Park 357. The Effects of Depression and Anxiety on Psychological Well-being of College Students: Focusing on theEmotional Perception Clarity ............................................................................................................ 2187 Young Joo Lee 358. A Comparative Study on Life Satisfaction on theDisabled Elderly and the Disabled Middle Aged .......... 2193 Da-Yeon Shim, Su-Sun Park 359. Evaluation of Chest Compression Quality and Appropriateness in the Pediatric Cardiopulmonary Resuscitation ................................................................................................................................................ 2199 Jin-Hwa Kim,, Jee-Hee Kim, Hyun-Jung Kim 360. Factors Influencing Internet Game Addiction inMiddle School Students ................................................... 2205 Eun Young Do, Yeon Ran Hong 361. Factors Influencing on-line Game Addiction of Children ........................................................................... 2211 Yeon Ran Hong, Eun Young Do 362. A Study on the Factors Affecting Depression of theDisabled People in Korea .......................................... 2217 Da-Yeon Shim, Su-Sun Park 363. A Study on the Status and Improvement ofPhysical & Mental Health for Middle-aged People ................ 2223 Sung-hui Cho, Su-Sun Park, Kyoung-Ran Hwang 364. Skin Care Behaviors for Wellaging in Male Adults .................................................................................... 2228 Jae-Young Park, Myung-Sun Lee 365. Relationship between Body Image, Growth Mindset, Grit, and Successful Aging in Korean Elderly: Moderated Mediation Effect of Hope .......................................................................................................... 2234 Yeoun Kyoung Hwang, Chang Seek Lee 366. Effects of Various Deadlifts on the Muscle Activity of theTrunk and Lower Extremity ........................... 2241 Byoung-Hyoun Moon, Young-Jin Lim, Ji-Won Kim 367. Factors Influencing Nursing Performance of Clinical Nurses: Focusing Communication Competency and Job Satisfaction ..................................................................................................................................... 2246 Hyo-Suk Song, Sung-Hwan Bang, Byung-Jun Cho, So-Hee Lim 368. The Effects of Domestic Abuse Experience and Stress on Depression of Adolescents: The Moderated Mediation Effect of Teacher Relations ........................................................................................................ 2252 Chang-Seek Lee, Eun-Kyung Ryu 369. The Effect of Workers’ Smartphone Addiction on Depression: Dual Mediation of Growth Mindset and Impulsiveness........................................................................................................................................ 2259 Chang-Seek Lee, Ha-Young Jang XXVI 370. Perceived Health Status, Psychological Well-Being andHealth Promotion Behavior of College Students 2265 In-Sook Park, Tae-Kyung Kim 371. Risk Analysis of Metabolic Syndrome Affecting Osteoarthritis: Focused on the 6th Korean National Health and Nutrition Survey ........................................................................................................................ 2271 Jin-Hee Kim, Weon-Hee Moon 372. The Effects of Critical Thinking Disposition, Perception of Others and Empathy on Communication Competency among Students Majoring in Nursing .................................................................................... 2276 Hyea-Kyung Lee, Eun-Hee Shin 373. Changes in the Health-related Quality of Life amongKorean Adults: Data Comparison between 2007 and 2017 ...................................................................................................................................................... 2283 Myoung-Hee Kim 374. Effects of VR-based Rehabilitation Video for Visual Vertigo on Autonomic Nervous System and Subjective Immersion and Interest in the Elderly ....................................................................................... 2290 Chung-Yoo Kim, In-Bae Kim, Jong-Ho Kang2 375. Factors Affecting Health-related Quality of Life forSubjects with Breast Cancer ..................................... 2296 Myoung-Hee Kim 376. The Influence of Self-Efficacy, Self-Esteem, Aging Anxiety on Successful Aging in Middle-Aged Women......................................................................................................................................................... 2303 Jin-Hui Cho 377. The Influence of Social Network and Depression on Successful Aging in the Elderly .............................. 2309 Yeon-Sook Kim, Jin-Hui Cho 378. The Effect of Healthcare Service of Employees at a Workplace Using Mobile ......................................... 2315 Byung-Hyun Noh, Mi-Joon Lee, Seong-Gu Kwon, Byoung-Ki Kim 379. Actor and Partner Effects of Self-Efficacy and Social Support on the Colorectal Cancer Screening Behavior of Husbands and Wives: Based on the Actor-Partner Interdependence Model ........................... 2321 Jisun Lee 380. The Correlation of the Star Excusion Balance test, Star Excusion Balance Test, Visual Feedback Balance Test ................................................................................................................................................ 2326 Young-Jin Lim, Byoung-Hyoun Moon Ji-Won Kim 381. Study the Association between the Thyroid Autoimmunity Markers and Polycystic Ovary Syndrome in Euthyroid Women ................................................................................................................................... 2331 Nassrin Malik Aubead 264 Medico-legal Update, January-March 2020, Vol.20, No. 1 Synergy of Government and Regional Government Authority in Providing Health Guarantee for Communities in Indonesia Fatkhul Muin1, Rully Syahrul Mucharom1, Wafda Vivid Izziyana2 1 Faculty of Law, Universitas Sultan Ageng Tirtayasa, 2Faculty of Law, Universitas Muhammadiyah Ponorogo Abstract The main idea of the government was to form a special institution to handle social security for the community in 2004, which was through the Social Security System Act. With the provisions of this law, in 2011, the Republic of Indonesia Law No. 24 of 2011 concerning the Social Security Organizing Agency (BPJS) and implementing regulations. On another aspect, the social security system is certainly difficult to implement if the system is not integrated between the central government and regional governments. With an integrated system, a social security system in the health sector will be built, this is in line with Law No. 23 of 2014 concerning Regional Government, where one of the concurrent affairs in the health sector. The purpose of this research is to analyze the synergy of the authority of the government and regional governments in implementing social security in the health sector by using qualitative methods and normative juridical approaches. Keywords: Health Insurance, Synergy, Government Introduction Social and economic development as one of the implementation of national development policies has produced a lot of progress, including increasing the welfare of the people. The welfare must be enjoyed sustainably, fairly and equally to reach all people. (1) In opening the 1945 Constitution of the Republic of Indonesia it was mandated that the aim of the state was to improve the welfare of the people. In the Fourth Amendment to the 1945 Constitution of the Republic of Indonesia, the objective was further emphasized by developing a social security system for the welfare of all people.(2) One form of social security provided in the health sector. In order to improve health protection for the people of Indonesia, it is necessary to review the health service system, where health services are a mandatory part of responsibility Country given to the community. Health service is one of the fundamental rights of the Corresponding Author: Fatkhul Muin E-mail: [email protected]) Address: Jl. Raya Serang - Jakarta, Panancangan, Cipocok Jaya, Serang City, Banten 42124 community whose provision must be carried out by the government as mandated in the 1945 Constitution article 28 H paragraph (1) Every person has the right to live in physical and spiritual prosperity, to live and have a good and healthy living environment and has the right to receive health services. Service is an activity that is invisible (cannot be touched) that occurs as a result of interactions between consumers and caricatures or other things provided by service providers that are intended to solve the problems of consumers or customers.(3) In the administration of government, which is based on the provisions of Law No. 21, 2014 regarding Regional Government, in general, the administration of health in the field of health is carried out jointly between the government and regional government, then jointly between the government and regional government, making the obligation for the government and local governments to fulfill the health of every citizen, especially for the poor. In the provisions of Chapter II Determination of Criteria and Data Collection of the Poor and Poor People. Section 2: (1) The criteria for the poor and disadvantaged are determined by the Minister after coordinating with the Medico-legal Update, January-March 2020, Vol.20, No. 1 minister and / or leaders of the relevant institutions. (2) Criteria for the Poor and Poor People as referred to in paragraph (1) shall be the basis for the institutions conducting government affairs in the field of statistics to conduct data collection.” Section 3 “The results of the data collection of the poor and disadvantaged people carried out by institutions that carry out government affairs in the field of statistics are verified and validated by the Minister to be integrated data.” With an integrated system, it is expected that the management of the health service system can be carried out significantly by the State. Research Methodology In research, the object of research is one of the instruments that needs to be the basis for efforts to determine the research method to be carried out by a researcher. In general, the research method used is doctrinal with normative juridical approaches. Findings and Discussion Fulfillment of the constitutional rights of every State in the field of health is an attempt by the State to carry out its obligations. Law Number 24 of 2011 which stipulates that social security is administered by the Social Security Assistance Agency (BPJS) consisting of BPJS Health, which is implemented from January 1, 2014, the National Health Insurance (JKN) as a health insurance system for all Indonesian citizens is carried out throughout health service agents ranging from hospitals to puskesmas aimed at all levels of society.(4) With this institution, it is expected to be able to provide maximum health services to the community,(5) so that the level of community welfare can be achieved. The existence of BPJS Health as an Implementing Body is a public legal entity formed to organize a health insurance program for all Indonesians. The purpose of the implementation of the National Health Insurance program is to meet the proper public health needs provided to everyone who has paid contributions or whose contributions have been paid by the Government. With the Law No. 40 of 2004 concerning the National Social Security System, in 2011 PT Askes (Persero) was officially appointed as the Health Social Security 265 Administering Board (BPJS) which covers the health insurance of all Indonesians as stipulated in Law No. 24 of 2011 concerning BPJS. The National Health Insurance Program (JKN) organized by BPJS Health has started to be implemented since January 1, 2014.(6) This period is the period of integration of the health system in Indonesia organized by the government through the Social Security Management Agency (BPJS) and the Regional Government through its Regional Stuan Organization Organization, namely the Health Office. In the period of 2015 the implementation of the National Health Insurance Program in Indonesia has been carried out, but for 1 Year 3 months the implementation of JKN there are still a lot of homework that must continue to be addressed by the government and all parties involved. To achieve the National Social Health Insurance (JKSN / AKN) for all residents a comprehensive mapping is needed covering aspects of regulation, membership, health services, benefit packages, service networks, funding, management, and other resources. In the end, the progress of the JKN program will highly depend on public confidence in the performance of the BPJS as the main implementer of the JKN program. Complaints from participants, doctors, and other health facilities must also be accommodated. (6) By accommodating the interests of all, it is expected to be able to provide health services based on public service standards and synergize government and local government policies.(7) Law No. 40 of 2004 concerning the National Social Security System (SJSN) is the effort of the Republic of Indonesia in the field of legislation in ensuring the fulfillment of the right to health for the entire population. The law states that the government is responsible for the availability of services, the availability of access to both facilities and information, the availability of equal resources, and the seeking of feasibility and affordability in the health sector. Furthermore, the government is also responsible for administering health insurance through the national social health insurance system for each of its citizens. Sustainability of Law No. 40 of 2004 concerning SJSN is the issuance of Law of the Republic of Indonesia No. 24 of 2011 concerning the Social Security Organizing Agency (BPJS). The law explains BPJS consists of BPJS Health and BPJS Employment. BPJS Health is a government policy program to organize National Health Insurance. BPJS Health has been implemented since January 1, 2014. In the implementation of the BPJS program, there are many 266 Medico-legal Update, January-March 2020, Vol.20, No. 1 obstacles faced by one of them the potential funding deficit which increases every year. Based on data from the Health BPJS in 2014 the BPJS experienced a deficit of 1.94 Trillion, at the end of 2015 the BPJS had a deficit of 5.85 Trillion and according to the Director of Development Planning BPJS Mundiharno the potential for deficit in 2016 was around 9.2 Trillion.(8) In implementing the SJSN Law and the BPJS Law, the government implemented its policies through Government Regulations and Presidential Regulations, one of which is Presidential Regulation No.12 / 2013 on Health Insurance which experienced three changes, the first change being Presidential Regulation No. 111 of 2013, the second amendment to Presidential Regulation No. 19 of 2016 concerning Health Insurance and the third amendment to Presidential Regulation No. 28 of 2016 concerning Health Insurance. The second amendment to Presidential Regulation No. 19 of 2016 was carried out with the spirit to improve the conditions of the implementation of the National Health Insurance, among others, to meet the adequacy of contributions, regulate membership, regulate fines, regulate fraud prevention. However, in its implementation only within a period of not more than thirty days the Presidential Regulation was changed to Presidential Regulation No. 28 of 2016. Presidential Regulation No.19 of 2016 concerning Health Insurance has not yet had time to be implemented, it has been changed to Presidential Regulation No.19 of 2016 concerning Health Insurance. In the system theory described by Easton, a policy-making process begins with an input process that describes all requests that require a problem-solving solution, resources and support from the existing environment, all variables in the input process will be processed in a process to make a policy where in the process there will be dynamics of the policy making process and the interaction of the various actors involved2 and produce its output in the form of a solution that becomes public policy. A policy analysis needs to be done to be able to see why the output of the policy change is happening so fast, because this process can perfect these National Health Insurance policies and can be implemented properly and in accordance with the constitutional and statutory mandates. The purpose of this study is to analyze the rapid changes in JKN policy; Presidential Regulation No. 19 of 2016 concerning Health Insurance becomes Presidential Regulation No. 28 of 2016 concerning Health Insurance.(8) In essence, social security in the health sector, began to be developed. Countries in the world through international health agencies WHO has agreed to achieve Universal Health Coverage (UHC) in 2014. UHC is a health system that ensures every citizen in the population has fair access to services quality promotive, preventive, curative and rehabilitative health at an affordable cost that includes two core elements in it namely access to fair and quality health services for every citizen, and protection of financial risks when citizens use health services where the Indonesian state is currently located in the transition to coverage of universal health services. (9) With this system, public health can be achieved. In Indonesia the understanding and capability of the regions in managing Jamkesda are still different from one another, especially in the framework of achieving Universal Health Coverage, as evidenced by only 4 provinces that have achieved Universal Health Coverage (UHC). The number of provinces that only guarantee non-Jamkesmas poor participants reached 27 provinces (81.81%), and 2 provinces (6.06%) using SKTM (Certificate of Disability).(10) In order to provide health protection to the community through the Indonesia Health CardHealth Insurance Program (JKN-KIS), the role of the Regional Government is expected to be present in efforts to improve the quality of the JKN-KIS program in accordance with the mandate of Law Number 40 of 2004 concerning the National Social Security System. At present the Regional Government integrating the regional health insurance program (Jamkesda) into the JKN-KIS Program has increased and it is hoped that all Regional Governments can do the same, in addition to many other things that can be done by the Regional Government in supporting the implementation of the JKN-KIS Program continuous. “BPJS Health together with local and regional governments and other stakeholders can work together to achieve 100% participation or targeted universal coverage to be realized on January 1, 2019. At present the coverage of JKN-KIS participants in Indonesia has reached 170.9 million or around 70%. The local government can optimize the Jamkesda budget and be integrated with the JKN-KIS Program. The legal basis or Jamkesda integration policy (population registered by the Regional Government) is clear, in accordance with, Presidential Regulation No. 12 Number 111 of 2013, Presidential Regulation Number 74 of 2014 concerning Guidelines for the Preparation of a Social Security and Employment Sector Road Map, Perpres Number 19 Year 2016 jo. Perpres 28 of 2016 concerning Health Insurance, Letter of the Minister of Medico-legal Update, January-March 2020, Vol.20, No. 1 Home Affairs number 440/3890 / SJ dated October 19, 2016. The number of Jamkesda integration participants as of November 2016 is 15,151,350 people. Of the 34 provinces 32 provinces have integrated part or all of the District / City Jamkesda in their regions. There are 15 provinces that contribute through sharing of contributions / participants in Jamkesda integration financing with varying patterns, for example 40% of contributions are paid by the provincial government, 60% by Pembab / Pemkot. The 15 provinces are Aceh, North Sumatra, Riau, West Sumatra, Bengkulu, Bangka Belitung, Jakarta, Banten, Central Java, West Java, Central Kalimantan, NTB, West Sulawesi, Gorontalo, South Sulawesi. Referring to BPJS Health data, 378 Jamkesda districts / cities have been integrated into the JKN-KIS program. Then, there are 4 provinces which can be categorized as Universal Health Coverage (UHC) or JKN-KIS membership of the population> 95%, namely DKI Jakarta Province, Aceh Province, West Papua Province, Gorontalo Province.(11) A good management system for social security institutions in the form of BPJS Health is as an effort to provide protection to the community in the health sector. Conclusion The social security system established is to provide social protection to the community. Law No. 40 of 2004 concerning SJSN is the issuance of Law of the Republic of Indonesia No. 24 of 2011 concerning the Social Security Organizing Agency (BPJS). The law explains BPJS consists of BPJS Health and BPJS Employment. BPJS Health is a government policy program to organize National Health Insurance. Being an effort to create a social security system in the health sector, synergy efforts are needed, therefore concurrent affairs in the health sector can be carried out jointly between the government and the regional government and the Health Social Security institutions formed based on legislation. In this case, there are certainly many elements that must be addressed, so that in order to realize effective and efficient improvements, it may be necessary to take action steps based on scientifically determined priority sequences, for example based on difficulty and usefulness.(12) Ethical Clearance: Yes Conflict of Interest: No 267 Source of Funding: Author References 1. Government of Republic of Indonesia. Explanation of the Law of the Republic of Indonesia Number 40 of 2004 concerning the National Social Security System. Jakarta: Government of Republic of Indonesia; 2004. 2. Government of Republic of Indonesia. Explanation of the Law of the Republic of Indonesia Number 24 of 2011 concerning the Social Security Organizing Agency. Jakarta: Government of Republic of Indonesia; 2011. 3. Suprianto A, Mutiarin D. Evaluation of the Implementation of National Health Assurance (Study of the Relationship of Stakeholders, JKN Funding and Outcome Model in Bantul Regency, Special Province of Yogyakarta). 2017;4(1):250272. 4. Kusuma AI, Farid M. Understanding of Information on the National Health Insurance Program (BPJS) of Health and Its Utilization among Communities in Maros Regency. Journal of Communication KAREBA. 2016;5(2):300-311. 5. MoH-RI. National Health Insurance Exposure Material in the National Social Security System. Jakarta; Ministry of Health of the Republic of Indonesia; 2013. 6. Irwandy. Literature Review: Evaluation of the Implementation of the National Health Insurance Program in Indonesia. Journal of Indonesian Health Policy. 2016;5(3):200-111. 7. Anonymous. Health Insurance Management Agency, Jamkesda Integration in Optimizing JKN Program. Inf.BPJS-Kes. 2014;July:3. 8. Simanjuntak J, Darmawan ES. Analysis of Policy Changes to Presidential Regulation No. 19 of 2016 concerning Health Insurance to Presidential Regulation No. 28 of 2016 concerning Health Insurance. Indonesian Health Policy Journal. 2016;5(4):256-195. 9. Aulia P. Polemic on the Integration of Regional Health Insurance Policies into the National Health Insurance System. Andalas Community Health Journal. 2014;94. 10. MoH-RI. Data and Reports from the Directorate General of Health Efforts. Jakarta: Ministry of Health Republic of Indonesia: Directorate General 268 Medico-legal Update, January-March 2020, Vol.20, No. 1 of Health Efforts; 2016. 11. Health Social Security Organizing Agency (BPJS-Kes). Importance of the Role of Local Government in the JKN-KIS Program [Internet]. 2016 [cited 2019 Jan 12]. Available from: https://bpjskesehatan.go.id/bpjs/dmdocuments/ b9ccbef06824476445e0f106ae7aa667.pdf. 12. Nugroho HSW, Sillehu S, Handoyo, Suparji, Sunarto, Subagyo, Sunarko B, Bahtiar. Difficultness-Usefulness Pyramid (DUP) as New Method to Select Elements Prioritized in Management of e-Learning in Health. Indian Journal of Public Health Research & Development. 2018;9(2):206-2011.