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INDONESIA
Science Midwifery
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Articles 1,506 Documents
G-valley fusion coffee: The potential of golden valley dates (phoenix dactylifera) as an alternative antihypertensive coffee substitute Agusstya, Hilma; Sari, Muthia Aida; Jayanti, Meri Tri; Hajj, Reza Ahmad Al; Rizfanti, Shazia Mirza
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2336

Abstract

Hypertension remains one of the leading global health problems and is strongly associated with excessive caffeine consumption from conventional coffee, creating the need for safer alternative beverages with functional health benefits. This study aimed to analyze the potential of Golden Valley dates (Phoenix dactylifera) as a potassium-rich antihypertensive alternative beverage through the development of G-Valley Fusion Coffee. This experimental study employed laboratory testing and sensory evaluation methods. Laboratory analyses were conducted to determine potassium content, moisture content, ash content, and pH value, while organoleptic testing involved panelists aged 13–40 years to assess color, taste, aroma, and texture preferences across three formulations: 100% date seed (FA), 100% date flesh (FB), and a combination formulation (FC). The results showed that date flesh contained the highest potassium level (2141 ppm), indicating strong potential as a functional antihypertensive beverage ingredient. Sensory evaluation revealed that formulation FA achieved the highest acceptance levels in taste (93%), aroma (90%), texture (87%), and color (68%). These findings suggest that G-Valley Fusion Coffee has promising potential as an alternative functional beverage with antihypertensive benefits and acceptable sensory characteristics for consumers.
Outpatient satisfaction with the integration of primary health care services: A comparative study in Gowa Regency Safitri, Andi Afriyani; Satrianegara, Fais; Mallapiang, Fatmawaty
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2337

Abstract

The implementation of Primary Healthcare Integration aimed to address service fragmentation and improve the quality of health services in Indonesia. This study evaluated outpatient satisfaction with the integrated system compared to a conventional service model in Gowa Regency. A quantitative comparative research design was employed, involving 100 respondents from a health center implementing the integration and 97 respondents from a health center using the conventional model. Data were collected through questionnaires measuring five dimensions of service quality: reliability, responsiveness, assurance, empathy, and tangibles. Statistical analysis using the Mann-Whitney U test revealed a significant difference in satisfaction levels between the two groups (p < 0.001). The integrated system group showed a substantially higher mean rank of 144.08 compared to 52.53 in the conventional group. High satisfaction levels were observed across all dimensions in the integrated system, particularly in the empathy and tangible aspects. It was concluded that the lifecycle-based cluster approach within the integrated system significantly enhanced patient experience and satisfaction. These findings suggested that the transformation of primary health services effectively met community expectations and provided a more structured healthcare delivery model.
Formulation and characterization of nanostructured lipid carriers of curcumin and their development in topical gel preparations for drug delivery systems Jafar, Garnadi; Choerrunisa, Choerrunisa; Sukmawati, Ika Kurnia; Putriyanti, Al-fira
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2339

Abstract

Curcumin is a bioactive compound derived from Curcuma longa with anti-inflammatory and antioxidant activities; however, its topical application is limited due to poor solubility and stability. The development of nanoparticle-based delivery systems such as Nanostructured Lipid Carriers (NLC) can enhance drug stability and skin penetration. This study aimed to formulate curcumin-loaded NLC, evaluate its physicochemical characteristics, and develop a gel dosage form based on the optimized NLC formulation. The research methods included preliminary solubility testing of curcumin in various lipid and surfactant components, compatibility analysis using Differential Scanning Calorimetry (DSC), formulation of five NLC formulations using hot homogenization and probe sonication methods, and characterization including particle size, polydispersity index, zeta potential, entrapment efficiency, and morphology using Transmission Electron Microscopy (TEM). The selected NLC formulation was subsequently incorporated into a gel system and evaluated for pH, viscosity, and spreadability. The results demonstrated that the curcumin NLC exhibited nanoscale particle size with relatively uniform distribution, stable zeta potential values, and high entrapment efficiency. TEM analysis confirmed spherical particle morphology. The NLC-based gel formulation showed acceptable physicochemical properties, including skin-compatible pH, suitable viscosity, and optimal spreadability. In conclusion, curcumin was successfully formulated into an NLC system and further developed into a topical gel formulation with promising physicochemical characteristics as a lipid-based drug delivery system.
Resolving medical malpractice disputes through customary institutions: Between statutory law and local wisdom Afsari, Novi; Sari, Avy Permata; Adhimutiahara, Fatmasari Diahpermata Djajaputri; Wibawa, Ida Bagus Gede Adiguna; Kuntardjo, Carolina
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2340

Abstract

The transformation of medical dispute resolution in Indonesia reveals a critical paradox: while Law No. 17 of 2023 on Health mandates non-litigation mechanisms, the existing framework remains entrapped within a state-centric legal paradigm that systematically marginalizes customary institutions which have long served as accessible, socially legitimate, and restoratively-oriented dispute forums across diverse Indonesian communities. A fundamental research gap persists in the prevailing legal monism approach, which creates a normative vacuum by failing to recognize customary institutions operationally within health law, thereby forcing communities to choose between legally certain but inaccessible formal mechanisms and socially accepted but legally uncertain customary processes — a justice gap that disproportionately burdens economically vulnerable populations. This study employs a normative-prescriptive legal methodology integrating legislative, conceptual, and comparative approaches to reconstruct the positional framework of customary institutions within medical dispute resolution. The findings reveal that customary institutions hold strong constitutional legitimacy under Article 18B(2) of the 1945 Constitution yet operate within a normative vacuum in the medical domain, and introduce a Two-Tier Integrative Model positioning customary institutions as relational mediation forums at the first tier and MKDKI as technical verifier at the second tier, connected through a court homologation mechanism. This study provides a strategic normative blueprint recommending explicit revision of Law No. 17 of 2023 to accommodate customary institutions within the national medical dispute resolution system.
Legal liability of nurses in adverse events: A normative-empirical analysis of patient safety governance at RSUD dr. Soeroto Ngawi Widyastuti, Melita; Astuti, Sri Ayu; Ropii, Imam; Putra, Marsudi Dedi; Kuntardjo, Carolina
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2341

Abstract

Adverse events pose a serious threat to patient safety in hospitals. Data from RSUD Dr. Soeroto Ngawi reveal fluctuations in medical incident cases over 2021–2024 (n=354), with procedural and medication errors dominating patient safety reports. A critical research gap persists regarding inconsistent SOP implementation and a blame culture that suppresses transparent incident reporting — gaps unaddressed through an integrated legal-empirical lens. This study aims to analyze forms of nursing negligence, construct a legal accountability framework, and identify barriers and resolution efforts at a regional public hospital. An empirical legal approach was employed, combining case-based and statutory analysis. Data were collected through in-depth interviews with eight key informants, observation, and document review, then analyzed using descriptive qualitative methods with legal triangulation. Results indicate that nursing negligence primarily occurs in patient identification and clinical communication during handover. Nurses' accountability is manifested through immediate clinical responses, IKP system reporting, and root-cause investigations under Law No. 17 of 2023 on Health. Accountability nonetheless remains hindered by psychological barriers and structural workload imbalances. The scientific contribution of this study is the Dual-Layer Accountability Model, which proportionately assigns legal liability between individual professional conduct and institutional systemic failures — a framework absent from prior Indonesian health law scholarship. It is recommended that hospital management adopt a non-punitive just culture, digitize incident reporting, and strengthen clinical risk management training to ensure legal certainty for nurses while advancing patient safety.
Formulation and antibacterial activity of black mulberry fruit (Morus nigra L.) extract cream against cutibacterium acnes and staphylococcus epidermidis Putri, Yola Desnera; Munawaroh, Lisna; Ledianasari, Ledianasari; Andriyannto, Adit
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2338

Abstract

Acne vulgaris is an inflammatory disorder of the pilosebaceous unit characterized by sebum overproduction, abnormal keratinization, microbial proliferation, and inflammation, with Propionibacterium acnes and Staphylococcus epidermidis as key contributing bacteria. To reduce the side effects associated with conventional acne therapies, natural ingredients have been explored as alternative approaches. Black mulberry (Morus nigra) fruit is one such natural source known to contain bioactive compounds, including flavonoids, tannins, and terpenoids, which possess antibacterial properties. This study aimed to develop and evaluate a topical cream formulation containing ethanolic extract of black mulberry fruit and to assess its antibacterial activity and physicochemical stability. The extract was obtained through 96% ethanol maceration and formulated into creams at concentrations of 1.25%, 2.5%, and 5%. Antibacterial activity was evaluated using the agar well diffusion method, while cream quality was assessed through organoleptic properties, homogeneity, pH, viscosity, spreadability, and centrifugation stability. The results showed that the extract exhibited strong antibacterial activity against both tested bacteria. All concentrations demonstrated inhibition zones categorized as strong, with a concentration-dependent increase in activity. At 1.25% inhibition zones against P. acnes were 11.7 ± 0.25 m, while against S. epidermidis were 11.9 ± 0.20 mm at day 28. All formulations showed acceptable physicochemical characteristics and remained stable during 28 days of storage. The novelty of this study lies in the development of a stable topical cream formulation of M. nigra extract with confirmed antibacterial activity, providing a potential plant-based alternative for anti-acne therapy.

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