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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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Clinical supervision on patient safety: A systematic literature review Disik, Betriani; Bunga, Asnet Leo; Kusumaningsih, Indriati
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1903

Abstract

Patient safety is at the heart of universal health coverage and should be a global health priority. Patient safety incidents can be reduced if the implementation of clinical supervision is exemplary and routine. Clinical supervision of patient safety is one form of improving the quality of health services in hospitals. The study aimed to systematically review the clinical supervision research literature on patient safety. The research method used is a systematic review based on article searches in the Ebsco and Google Scholar databases. The selection of studies is done by identifying journals starting from the title, abstract, full text, and feasibility of the study. Results: From the search results, 1,443 articles were identified, of which 35 met the review's inclusion criteria. Of the 35 articles, 19 used a cross-sectional design, 12 used Quasi-Experimental, 2 were qualitative studies, one was a cohort study, and one was a randomized controlled trial design. each journal discussed supervision related to patient safety. Several types of supervision models can be applied in supervision activities to improve patient safety, namely, 4S model supervision, reflective interactive supervision, proctor supervision, and supervision based on experiential learning. Conclusion: This literature review shows that clinical supervision has a positive impact on implementing nurses in implementing patient safety. Recommendation: Supervisors should carry out supervision activities with consistency and on a scheduled basis so that the implementation of patient safety can run in accordance with applicable standards and procedures.
Expressive writing and relaxation: Psychological interventions for anxiety in individuals with substance use disorder (SUD) Puspitosari, Warih Andan; Paramita, Cintya Al Zahra Wahyu; Wahyudi, Wahyudi
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1905

Abstract

Substance use disorder (SUD) is a global issue, with a high prevalence among laborers in Yogyakarta, Indonesia. Internal and environmental factors contribute to anxiety and disorientation, affecting mental health. This study aimed to evaluate the effectiveness of expressive writing therapy in reducing anxiety among laborers undergoing SUD rehabilitation. A quasi-experimental design with a non-equivalent control group was used, involving 36 outpatients at Dr. S. Hardjolukito Hospital, Yogyakarta, from June to November 2023. Participants were selected through purposive sampling based on specific criteria. The intervention group engaged in expressive writing and relaxation techniques, while the control group received standard treatment. Anxiety levels were measured using the HRS-A questionnaire before and after the three-month intervention. The Wilcoxon Signed Rank Test showed a significant reduction in anxiety in the intervention group (p = 0.000), while no significant change was observed in the control group (p = 0.513). These findings suggest that expressive writing therapy effectively reduces anxiety in laborers recovering from psychoactive substance use.
Analysis of the implementation of drug inventory control using the ABC-EOQ-ROP method at Sundari Hospital Medan Kaban, Lyta Imanti; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1907

Abstract

Pharmaceutical supplies are one of the resource elements that must be controlled in the operational management of a hospital to support hospital services in order to provide maximum health services. The study aims to analyze the Implementation of Drug Inventory Control with the ABC-EOQ-ROP method at Sundari Hospital, Medan. The research method used was descriptive qualitative which was carried out at Sundari Hospital, Medan in October-November 2024. Informants were the head of the pharmacy installation, pharmacy staff, and head of the room. Data were analyzed using interactive analysis. The results of the study showed that the availability of drugs before the implementation of the EOQ and ROP methods based on the type and quantity of drugs was not sufficient to meet the needs where there were still some drugs that could not be met in a timely manner. The availability of drugs after the implementation of the EOQ and ROP methods in the pharmacy warehouse when viewed based on the type and quantity of drugs was sufficient to meet the needs of the pharmacy installation in a timely manner. It is recommended that drug inventory control in this study only emphasizes the calculation of drug inventory control that requires greater management (category I) quantitatively.
Reconstruction of the auricular rupture: A case report of treatment of ear trauma Daniswara, Deoni; Widuri, Asti; Fakhriani , Rizka
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1909

Abstract

Auricular rupture is one of the most common ear defects caused by trauma on facial and head regions. Traffic accidents, accidents at home, fights, and human bites are common causes of ear injuries based on several epidemiological studies. In this study, we report a case of ear trauma auricular rupture, with appropriate treatment and the things to watch out for during treatment. A 19-year-old man came to the Emergency Department due to a traffic accident. The results of the vital signs examination were within normal limits, found an injury to the left auris; the wound penetrated the left auris from the Helix to the antihelix with a wound length of approximately 4 cm. Bleeding was controlled with a compression splint using gauze and ligature. The patient underwent elective surgery, which was successful and without complications. Ear trauma involves cartilage is a challenge to treat reconstruction for surgeons. The main treatment for auricular rupture is closure of the open cartilage, skin and prevent complications.
Comparison of cervical vertebrae MRI image information between axial T2 Fse and T2 propeller sequences Husna, Melati Amelia; Susanto, Fani; Fitriana, Lutfatul; Supriyadi, Supriyadi; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1910

Abstract

Examinations performed on MRI of cervical vertebrae take a long time and cause patients to feel uncomfortable during the examination. FSE is a technique that can be used to produce fast examination times. Patient discomfort can also cause movement during the examination, which can cause artifacts in the resulting images. These movements can be minimized with the PROPELLER technique. This study is quantitative using an experimental method with a sample size of 15 volunteers who were each scanned with T2 FSE and T2 PROPELLER sequences. This study was conducted using a questionnaire in which each image produced was evaluated by 2 radiology specialist observers using the visual grading analysis (VGA) method to assess each anatomy of the corpus vertebrae, intervertebrae disc, spinal cord, CSF, intraforamen structure, nerve root and artifacts. The statistical results showed that the image quality of T2 FSE and T2 PROPELLER sequences had ap value of 0.000 (p<0.05). The sequence has a difference, namely T2 PROPELLER produces more detailed image quality on anatomy and pathology, and can reduce the occurrence of artifacts due to movement in the cervical area, and T2 FSE produces less informative image quality due to artifacts. In addition, there are differences in MRI scanning time of cervical vertebrae T2 FSE sequences which are faster than T2 PROPELLER and T2 PROPELLER is good at reducing artifacts.
Comparison of anatomical information of lumbar T2 TSE MRI images with nex variation between use and without sense Safitri, Ara Novita; Susanto, Fani; Rahardian, Arga Pratama; Oviyanti, Pradana Nur; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1911

Abstract

Due to the long scan time, patients often report pain and discomfort during lumbar MRI examination. NEX and SENSE are two parallel imaging parameters that affect scan time. However, the resulting image information is also affected by NEX and SENSE. Therefore, this study examines the information between NEX variations with and without SENSE on anatomical images and their relationship with scan time on lumbar T2 TSE MRI examinations. This study is quantitative and uses an experimental method. The sample in this study was 10 volunteers who would be given 6 treatments, namely NEX 1 variation without SENSE, NEX 1 with SENSE, NEX 2 without SENSE, NEX 2 with SENSE, NEX 3 without SENSE, and NEX 3 with SENSE on Lumbar T2 TSE MRI examinations in January 2025. Using the Visual Grading Analysis (VGA) method, two radiology specialist observers analyzed the image results. Then the Cohen's Kappa consistency test was carried out and the Friedman test was used to verify the questionnaire results statistically. This study shows that there is a significant difference in the value of image information between NEX 1 variations of vertebral body anatomy with and without SENSE. While in the anatomy of the Intervertebral Disc, Ligament, Spinal Cord, and Spinal Stenosis did not show a significant difference in each variation of NEX with and without SENSE. For scan time, with NEX variations using SENSE requires a shorter scan time compared to without the use of SENSE.
Comparison of image quality between flexible coil and special purpose coil sagittal section on mri manus digit 2-3 Verina, Alya; Utami, Hernastiti Sedya; Susanto, Fani; Hidayat, Fathur Rachmat; Syafi’ie, Mochammad; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1912

Abstract

MRI examination of the manus has a challenge in obtaining optimal image quality. Good image quality depends on four characteristics, one of which is the Signal to Noise Ratio (SNR). SNR can be affected by the use of appropriate radiofrequency (RF) coils so that it can increase the SNR value. This study aims to analyze the impact of using different coils on SNR and CNR values, especially in sagittal sections of Proton Density Fat Sat scans. This study is a quantitative study using 10 volunteer samples in the period of February 2025. The results of the study show that the SNR value in the overall anatomy has a p-value <0.05 which means there is a significant difference using flexible coils and special purpose coils. While the SNR value in per-anatomy manus digits 2-3 has a significant difference except for the volar plate anatomy with a p-value = 0.121 meaning there is no significant difference. And compared to flexible coil, the use of special purpose coil in this study has a higher CNR value, especially in the anatomy of the Distal Interphalangeal Joint - Middle Phalanges with an average value of 1221.200. This study provides evidence that the selection of the right coil greatly affects the quality of the resulting image, and the use of special purpose coil is considered to produce better image quality. Therefore, the author recommends the use of special purpose coils in MRI examinations of the manus digits 2-3.
Gallus domesticus egg-white gel accelerate wound healing after tooth extraction Puspita, Sartika; Putri, Anggun Kharisma; Mahanani, Erlina Sih
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1913

Abstract

Background: Tooth extraction is an action taken to prevent or treat the onset of a disease. However, there are still many complications after tooth extraction, such as a wound healing process that runs slowly and even causes excessive bleeding which can cause death. Gallus domesticus egg-white gel is a medicament that has growth factors that can help the wound healing process run smoothly. Purpose: To determine the number of inflammatory cells involved in the wound healing process after tooth extraction by the application Gallus domesticus egg-white gel. Methods: This research is an experimental laboratory in vivo involving 32 male Sprague dawley rats divided into 4 groups: treatment group (egg-white gel), positive control group (iodine glycerin), negative control group (gel base and saline). Each group will have the left mandibular central incisor extracted under ketamine. All samples were sacrificed on day 3 and 7 for histopathological examination. Results: The Kruskal-Wallis test showed a significance value of 0.00 (p <0.05) meaning that there was a significant difference in the number of inflammatory cells on the 3rd and 7th day. The significance value between treatment groups was 0.320 (p>0.05), which means there was no significant difference between groups. Conclusion: There was a decrease in the number of inflammatory cells in the wound healing process after tooth extraction by application of Gallus domesticus egg-white gel histologically to iodine glycerin on the 3rd and 7th day, but statistically there was no significant difference (p>0.05).
Reproductive and developmental effects of carbon nanotube exposure: A systematic review Arianti, Santi Febri
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1914

Abstract

Carbon nanotubes (CNTs) are nanoscale materials widely utilized in medical and industrial fields due to their unique physicochemical properties. However, growing exposure to CNTs—particularly during pregnancy—has raised concerns about their potential impact on reproductive health and fetal development. This review aims to identify and evaluate scientific evidence on the effects of CNT exposure on reproductive systems, pregnancy outcomes, and fetal development in both humans and animals, while also exploring the underlying biological mechanisms. A systematic review was conducted in accordance with the PRISMA 2020 guidelines. Literature searches were performed across PubMed, Scopus, Web of Science, and Google Scholar using combinations of keywords related to CNTs, pregnancy, fertility, and toxicity. Articles that met the inclusion criteria were screened and analyzed narratively according to thematic outcomes. Study quality was assessed using the SYRCLE and Newcastle-Ottawa Scale tools. A total of 43 studies were included. CNT exposure was associated with disrupted reproductive cycles, reduced sperm quality, miscarriage, placental dysfunction, and fetal developmental abnormalities. The primary mechanisms involved oxidative stress, inflammation, hormonal disruption, and epigenetic alterations with transgenerational effects. CNTs have the potential to adversely affect reproductive health and fetal development. This review highlights the urgent need for awareness, protective regulations, and further research in human populations to reduce risks to maternal and child health in the context of expanding nanotechnology applications.
Analysis of differences in anatomical information in magnetic resonance cholangiopancreatography (MRCP) examinations between the use of the mouth breath hold technique and trigger technique Rahmawan, Sahrul; Fitriana, Lutfatul; Hidayat, Fathur Rachman; Samudra, Alan
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1915

Abstract

MRCP is a non-invasive imaging method used to visualize the biliary system and detect abnormalities in the bile ducts or gall bladder. In taking images, there are two techniques, namely the mouth breath hold (MBH) technique and the trigger technique, where the MBH technique is carried out by the radiographer giving instructions directly related to the patient's respiratory movements, while the trigger technique uses respiratory gating to detect breathing patterns and minimize image blur due to organ movement. At Department of Radiology SMC Telogorejo Semarang both techniques are used in MRCP examinations by looking at the condition of each patient. So the author is interested in comparing the results of anatomical information from the two techniques. Methods: This research uses a quantitative design with an experimental approach. Data was collected from 10 patients who underwent MRCP examinations at the Department of Radiology SMC Telogorejo Semarang in August–September 2024. The scanning procedure was carried out using a T2 HASTE coronal section sequence twice for each patient using the MBH and trigger technique. Anatomical information was assessed by means of visual grading analysis by 3 radiologists on the structure of the cystic duct, intra-hepatic duct, common hepatic duct, common bile duct, pancreatic duct, and gallbladder (gallbladder) using a questionnaire with a scale (1–4). Then the data was analyzed using SPSS to determine whether there were differences in image information from the two techniques using the Wilcoxon difference test. This research has passed the ethical test number: KEPK/UMP/170/I2025. Results: Based on the results of the Wilcoxon test, both for the entire anatomy and for each anatomy, it shows a p-value < 0.05. This indicates that there are significant differences in the anatomical information produced by the two techniques. Based on the mean rank value, the most optimal technique for displaying anatomical information is MBH. This advantage is due to its ability to reduce movement artifacts through the breath-hold method, resulting in clearer and more detailed anatomical images compared to the trigger technique. The MBH technique is more effective in improving MRCP anatomical information, especially in patients with respiratory instability. It is hoped that these results can be a reference in determining the optimal method for MRCP examination.

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