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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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Musculoskeletal disorder (MSDS) risk factors in construction workers at PT. Aluphi Hijau Lumina Dhoho Kediri International Airport Project in 2024 Mardian, Okbi; Ariyanto, Januar; Putri, Aragar; Purnamawati, Dewi
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.v13i2.1968

Abstract

Musculoskeletal disorders (MSDs) are a major contributor to disability worldwide, being the leading cause of disability in 160 countries. A review of 9,482 workers in 12 regions found that MSDs were the leading impact on workers in 16%. To analyze the most important factors on the risk of MSDs in construction workers of PT. Aluphi Hijau Lumina at the Dhoho Kediri International Airport Project in 2024. Analytical observational research with a cross-sectional study approach. aims to see the relationship between independent variables and dependent variables, namely individual characteristics (age, length of service, BMI/body mass index, smoking), ergonomic factors such as work posture (Total Back Exposure Static, Total Back Exposure Moving, Shpulder Arm Exposure, Wrist & Hand Exposure, Neck Exposure, Driving Exposure, Vibration Exposure, Work Pace Exposure, & Stress Exposure), workload, and duration of work time on complaints of musculoskeletal disorders (MSDs). The results of the study showed no relationship between individual characteristics (Age, Length of Service, BMI and Smoking Status) with MSDs complaints in Construction workers with P Value of age = 0.110; length of service = 0.597; BMI = 0.228; smoking status = 0.451. There was no relationship between ergonomic factors of body posture (Total Back Exposure Static, Total Back Exposure Moving, Total Wrist Hand Exposure, Total Driving Exposure, Total Vibration Exposure, Total Work Pace Exposure, Total Stress Exposure) & duration of work of construction workers with MSDs complaints in Construction workers of PT. Lumina Green Aluphi with p value Total Back Exposure Static = 0.960; Total Back Exposure Moving = 0.286, Total Wrist Hand Exposure = 0.344; Total Driving Exposure = 0.512; Total Vibration Exposure= 1,000, Total Work Pace Exposure= 1,000, Total Stress Exposure= 0.316. There is a significant relationship between Total Shoulder Arm, Total Neck Exposure, & Workload of construction workers with MSDs complaints in construction workers of PT. Aluphi Hijau Lumina with Total Shoulder Arm p value= 0.005, Total Neck Exposure p value= 0.040, & Workload p value= 0.005. The most influential variable on MSDs complaints is neck exposure with a P value of 0.026, OR = 6.9. The risk of experiencing pain complaints in construction workers' activities with neck positions is 7 times more at risk of experiencing MSDs complaints. There is a need to be modified of work equipment with a working position with a bent neck condition, which can be done with engineering control on changes to work stations or work methods or setting the time for work exposure with an awkward position that is too long.
Formulation and evaluation of thin film nanoemultion from rose flower ethanol extract (rosa hybrida hort.) and antidiabetes mellitus type 2 activity test using in vitro enzyme Gustana, Erick Kurniawan; Jafar, Garnadi; Aligita, Widhya; Nurfaiza, Putri; Hanaya, Cicia Rosa; Salsabilla, Syifa
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.v13i2.1969

Abstract

Diabetes mellitus is a chronic disease with a rising global prevalence. Natural antidiabetic agents derived from plant bioactive compounds offer a promising therapeutic alternative. Rose flowers (*Rosa hybrida Hort*) contain flavonoids such as kaempferol, known for their antidiabetic activity. However, poor solubility and bioavailability limit their therapeutic potential. This study aimed to develop and characterize a nanoemulsion of rose flower extract to enhance the stability and bioavailability of its active compounds. The extract was obtained by maceration using 96% ethanol and analyzed using Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS). Nanoemulsion formulations were developed using various types and concentrations of nonionic surfactants. Characterization included particle size, polydispersity index (PDI), zeta potential, and morphology. The optimal nanoemulsion showed a particle size <300 nm, PDI <0.5, and zeta potential around ±20 mV, indicating good stability. Transmission Electron Microscopy (TEM) revealed uniformly distributed spherical globules. LC-MS/MS confirmed the presence of kaempferol as the main active compound. The formulated nanoemulsion was successfully incorporated into an oral thin film, exhibiting favorable characteristics such as appropriate particle size, PDI, zeta potential, morphology, and satisfactory evaluation results including organoleptic properties, moisture content, pH, weight uniformity, film thickness, folding endurance, and disintegration time.
Social support and elementary school girls' readiness in facing menarche in the digital era Khomsiah, Nurul Fitri; Amalia, Rize Budi; Utomo, Budi
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.v13i2.1971

Abstract

Adolescent girls have wide access to menarche-related information in the digital era; however, the validity of the information they receive may vary and lead to unpreparedness in facing these changes. In this context, social support from parents, peers, and the surrounding environment becomes an important aspect in shaping adolescents' readiness to face menarche. This study aimed to determine the relationship between social support and adolescents’ readiness to face menarche in the digital era. This research used an observational analytic design with a cross-sectional approach. The study involved 102 female students from grades IV to VI at an elementary school in Surabaya, selected through a proportional random sampling. Data were collected using a questionnaire and analyzed using the chi-square test. The results showed that the majority of respondents (70.6%) received social support, especially informational support (78.4%), with mothers being the primary source of support (65 respondents), and TikTok as the most popular digital platform (39 respondents). Most respondents (79.4%) were categorized as ready to face menarche, with the readiness of pre-menarche students (83.1%) being higher than those who had already menstruated (73.0%). The chi-square test showed a significant relationship between social support and adolescents’ readiness to face menarche, with a p-value of 0.005 (p < 0.05). Social support plays an important role in increasing adolescents’ readiness to face menarche in the digital era. Therefore, the role of families, schools, and the social environment in providing education and emotional support is essential to help adolescents face menarche with greater confidence.
OSH training and workplace accidents at garment industry company sewing unit Riyani, Tiyas Windi; Mahawati, Eni; Yuantar, MG. Catur
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.v13i2.1973

Abstract

This study aims to analyze the relationship between OSH training and work accidents in the Sewing Unit of Garment Industry Company. The research employed a quantitative approach with a cross-sectional design, analyzing work accident data from 2022-2024. The research sample consisted of 36 work accident cases occurring during this period. Data collection was conducted through accident record documentation and OSH training records. The results showed that 97.2% of cases fell under the Minor Injury (CR) category, with one case (2.8%) resulting in temporary absence. Statistical analysis revealed a significant relationship between OSH training frequency and workplace accident rates (Risk Ratio = 0.45, 95% CI: 0.28-0.72). Workers attending at least two OSH training sessions annually demonstrated lower injury risks compared to those attending only one session. The anatomical distribution of injuries showed concentration on the left index finger (41.7%) and right index finger (16.7%). This study concludes that increased OSH training frequency positively correlates with reduced workplace accident rates. Key recommendations include implementing more intensive OSH training programs and developing specialized modules focusing on finger injury prevention and ergonomic practices.
Improving critical response in ndonesian hospitals through martha’s rule Asnaningsih, Ambar
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.v13i2.1976

Abstract

Delays in recognizing and responding to clinical deterioration remain a leading cause of preventable harm in hospitals, particularly in systems where patients and families lack the authority to escalate care concerns. While the United Kingdom’s introduction of Martha’s Rule has provided a model for patient- and family-initiated escalation systems, the feasibility of implementing such frameworks in middle-income countries like Indonesia remains uncertain. This study conducted a structured narrative review of international literature from 2014 to 2024, analyzing activation rates, timeliness of response, patient satisfaction, and outcome improvements across ten health systems. Results show that countries with institutionalized escalation policies—such as New Zealand, Australia, and the UK—demonstrate measurable improvements in clinical responsiveness and trust. By contrast, Indonesia exhibits low utilization, hindered by regulatory gaps, workforce limitations, and cultural barriers. However, pilot programs in private hospitals suggest that family escalation systems can be successfully adapted. This review concludes that while Martha’s Rule offers a valuable pathway for improving patient safety, its success in Indonesia will depend on phased implementation, cultural alignment, staff training, and strong policy support.
Challenges in diagnosing schwannoma mimicking thyroid neoplasms on frozen section Ramadhani, Rahmi; Mayorita, Pamelia; Asri, Aswiyanti; Mulyani, Henny; Novianti, Hera
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.v13i2.1977

Abstract

Schwannoma is a benign soft tissue tumor of the nerve sheath, composed of neoplastic cells with Schwann cell differentiation. It predominantly arises from peripheral nerves in the head, neck, and extremities, with a peak incidence in the fourth to sixth decades. Schwannoma is typically a solitary and sporadic lesion, affecting individuals of all ages, with an incidence rate of 4.4-5.23 cases per 100,000 people. The prevalence is around 7% of all primary nervous system tumors, often occurring in the head and neck (20-50%) and affecting cranial nerves such as N. Vagus and N. Sympathetic. This case report involves a 50-year-old female patient presenting with a right neck lump that had been present for 23 years, initially small but growing rapidly in the last 10 years with occasional pain. Initial imaging suggested a thyroid complex cyst, but further investigation, including a CT scan and intraoperative frozen section examination, raised suspicion for a malignant thyroid tumor. However, histopathological analysis confirmed the diagnosis of Schwannoma, distinguishing it from other potential malignant lesions, such as Anaplastic Thyroid Carcinoma (ATC). This case highlights the importance of intraoperative cytology and frozen section techniques for diagnosing Schwannoma. Although Schwannomas share morphological similarities with other tumors, particularly in the thyroid region, a multidisciplinary approach combining clinical, radiological, and histopathological findings is essential for an accurate diagnosis. This case also underscores the need for careful differential diagnosis in nerve sheath tumors located in the neck.
Post-cardiac ring insertion impact on oral and periodontal health: Review Hari, Febria Desi Kriswulan; Indrawati, Dwi Wahyu
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.v13i2.1978

Abstract

Coronary stent insertion is a medical procedure that aims to enhance coronary heart disease patients' cardiac blood flow. However, some studies suggest that this procedure can affect the health of the oral cavity's soft tissues and periodontals. Side effects can be caused by physiological changes after medical procedures as well as the consumption of medications such as antiplatelets and anticoagulants prescribed after the insertion of the ring. The purpose of this study is to investigate how heart ring insertion affects the condition of the oral cavity's soft tissues and periodontal by analyzing the available research results. The method used in this study was a literature review from various sources that discussed changes in the state of the mouth following the placement of a heart ring. The results showed that patients after heart band insertion were more prone to disorders such as xerostomia (dry mouth), recurrent canker sores, oral candidiasis, as well as a higher chance of developing periodontal disorders, including gingivitis and periodontitis. The main factors that contribute to this condition are the side effects of medications taken regularly, changes in the body's immune response, as well as the connection between cardiovascular disease and periodontal disease that deteriorates the patient's general health. The conclusions of this review emphasize the importance of a multidisciplinary approach between cardiologists and dentists in monitoring the oral health of patients undergoing heart ring placement. Prevention and education about oral and dental health care need to be provided to minimize the risk of further complications.
Midwives and prenatal yoga: An analysis of anowledge and interest in its application Bara, Farida Tandi; Nopiyanti, Nopiyanti; Nata, Sri Ayu; S, Hartati; Wahdaniyah, Mughni
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.v13i2.1979

Abstract

Prenatal yoga is one of the non-pharmacological interventions that has been proven to be useful in supporting the physical and psychological health of pregnant women, as well as preparing for a more comfortable delivery. This study aims to determine the relationship between midwife's knowledge and interest in the application of prenatal yoga in midwifery services in Pangkep Regency. Design an analytical cross-sectional research with a sample of 74 midwives selected through inclusion criteria. Data were collected through an online questionnaire and analyzed univariate and bivariate using Chi-Square test. Most midwives have moderate knowledge (75.7%) and high interest (62.2%), but the application of prenatal yoga is still low (66.2%). There was no significant relationship between knowledge and application (p=0.375), but interest was significantly related (p=0.021). The main barriers include lack of training (70.7%) and absence of instructors (49.3%). Conclusion: Knowledge alone is not enough to encourage the prenatal application of yoga. Increased interest, practical training, and policy support are necessary for effective integration.
Management of acute pseudomembranous candidiasis with angular cheilitis in diabetic patient Winias, Saka; Hadi, Priyo; Prasetya, Shakira Garini; Sinaga, Angelica Joyce Yokhebeth
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.v13i2.1980

Abstract

Diabetes mellitus (DM) is being increasingly documented even in developing countries. C. albicans infection is frequently found in diabetic patients. Diabetics and the ‘poorly controlled patients are considered as immunocompromised, though it is not easy to characterise the immunologic deficiencies clearly. Since infection is mostly preceded by colonization. The risk factors that increased the risk of Candida carriage in diabetic patients with DM were a higher age and a higher HbA1c level (poor regulation of DM). The purpose of this study is to report the management of Acute Pseudomembranous Candidiasis with Angular Cheilitis in diabetic patients. A 51-year-old lady complained of dryness and pain in the corner of the mouth, recurrence within 2 years after she had been diagnosed diabetic, which had worsened in the last two weeks. The corner of the mouth showed a fissure with reddish area. Oral mucosa showed multiple yellow-white pseudomembranous. The patient was prescribed antiseptic mouthwash and an antifungal oral suspension, which should be applied to the lesion 3-4 times daily. Ketoconazole, as a systemic antifungal, was given 200 mg/day. The laboratory test showed an increase in leucocytes cells count, monocytes, and ESR. A direct mycological examination and culture observation Candida albicans was performed. Referral to an internist to manage her systemic condition. This study concludes that immune dysfunctions in diabetics is contribute to the pathogenesis of Oral Candidiasis and Angular Cheilitis, which may lead to optimum treatment.
Analysis of carotene content in CPO to assess the quality of RBD palm olein (cooking oil) Lestari, Puji; Silalahi, Yosy Cinthya Eriwaty; Yusuf, Faisal
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

Abstract

Fresh fruit bunches (FFBs) from oil palms serve as the primary raw material for crude palm oil (CPO) production. Among various quality parameters, the Deterioration of Bleachability Index (DOBI) and carotenoid content—particularly β-carotene—are critical indicators of CPO quality. A higher DOBI value generally reflects a lower concentration of oxidized carotenes, which facilitates the bleaching process, as the color imparted by oxidized carotenoids is more difficult to remove through conventional heating. The samples are CPO were randomly collected from production facilities located in North Sumatra. Range DOBI is 2.27 – 2.66 and range carotene 401 – 492 ppm. Average DOBI is 2.44 is showing that the quality of CPO is fair and can be used to processed as cooking oil.

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