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Academia Open
Published by Universitas Muhammadiyah Sidoarjo
ISSN : -     EISSN : 27147444     DOI : 10.21070/acopen.11.2026.12985
Core Subject : Health,
Medicine & Pharmacology Public Health
Academia Open is published by Universitas Muhammadiyah Sidoarjo published 2 (two) issues per year (June and December). This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. This journal aims is to provide a place for academics and practitioners to publish original research and review articles. The articles basically contains any topics research or review. Academia Open is available in online version. Language used in this journal is Indonesia or English.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 2,389 Documents
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Perineal Massage with VCO Reduces Perineal Rupture in Labor: Pijat Perineum dengan VCO Mengurangi Risiko Robekan Perineum Saat Persalinan Nela Akhmalia; Rafhani Rosyidah; Hesty Widowati; Yanik Purwanti
Academia Open Vol. 10 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.8761

Abstract

ABSTRACTGeneral Background: Maternal mortality is associated with obstetric complications, including postpartum hemorrhage caused by birth canal trauma. Specific Background: Perineal rupture occurs in approximately 75% of vaginal deliveries in Indonesia and is associated with parity, maternal age, fetal weight, and perineal elasticity. Perineal massage using virgin coconut oil (VCO) is considered a nonpharmacological approach to maintain tissue flexibility. Knowledge Gap: Empirical evidence examining VCO-based perineal massage for preventing perineal rupture remains limited. Aims: This study evaluated perineal massage with VCO for preventing perineal rupture among pregnant women. Results: A quasi-experimental post-test only non-equivalent control group design involving 56 pregnant women at 34–38 weeks of gestation was conducted. The intervention group received weekly 10-minute massage. The intervention group showed 64.3% without rupture, while 70.4% of the control group experienced rupture, with a significant association (p = 0.021; OR = 0.234). Novelty: This study provides clinical evidence supporting VCO-based perineal massage as an antenatal preventive method. Implications: Integration of this technique into antenatal care may support safer vaginal delivery and reduce birth canal trauma. Highlights: Weekly Intervention Beginning at 34 Weeks Shows Lower Incidence of Birth Canal Tearing. Participants Receiving the Procedure Demonstrated Higher Rates of Intact Tissue During Delivery. Statistical Testing Identified a Significant Association Between Antenatal Manual Therapy and Tissue Integrity Outcomes. Keywords: Perineal Rupture, Virgin Coconut Oil, Antenatal Care, Birth Canal Trauma, Maternal Delivery Outcomes
Parity Dominates Preeclampsia Risk Among Third Trimester Pregnancies: Paritas Mempengaruhi Risiko Preeklampsia pada Kehamilan Trimester Ketiga Astutik ashari; Hesty Widowati
Academia Open Vol. 10 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.8770

Abstract

General Background: Preeclampsia remains a major contributor to maternal mortality and morbidity worldwide, particularly in developing countries, and continues to challenge antenatal health services. Specific Background: In Indonesia, the incidence of preeclampsia is substantial, and clinical observations indicate that maternal characteristics such as parity, body mass index (BMI), and antenatal care (ANC) attendance are frequently associated with its occurrence. Knowledge Gap: Previous findings have shown inconsistencies regarding the magnitude and pattern of associations between these maternal factors and preeclampsia, necessitating further contextual evidence from local healthcare settings. Aims: This study aimed to examine the relationship between parity, BMI, and ANC history with preeclampsia among third trimester pregnant women at a hospital in Sidoarjo. Results: Using a cross-sectional analytic design with 250 respondents selected through simple random sampling, chi-square analysis demonstrated statistically significant associations for parity (p=0.022), BMI (p=0.000), and ANC history (p=0.000). Primigravida mothers had 2.157 times higher odds of preeclampsia compared to multigravida, while obesity and incomplete ANC were also significantly associated.  Novelty: This study provides updated hospital-based evidence quantifying comparative odds across three maternal factors within a single analytic model. Implications: Strengthening antenatal surveillance, nutritional monitoring, and targeted counseling for first pregnancies may support maternal health strategies aimed at reducing preeclampsia-related complications. Highlights: First pregnancy status showed the highest odds ratio among examined maternal characteristics. Obesity category demonstrated a statistically significant association in chi-square testing. Incomplete pregnancy checkups were linked with higher occurrence proportions in the observed cohort. Keywords:Parity; Body Mass Index; Antenatal Care; Preeclampsia; Maternal Health
Preeclampsia Management: Advancements, Guidelines, and Emerging Perspectives: Manajemen Preeklampsia: Kemajuan, Pedoman, dan Perspektif yang Muncul Zainab Abdlkadhim Aboshnin; Safa Azhar Razzaq; Layla Hammody Hashem
Academia Open Vol. 9 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8793

Abstract

Chronic elevation in blood pressure during gestation poses a significant risk for maternal mortality, particularly in the United States. Understanding the pathophysiology of preeclampsia, a specific form of gestational hypertension, has led to developments in management strategies aimed at improving outcomes for both mothers and babies. This abstract outlines the underlying mechanisms, international guideline-based management approaches, and newer perspectives in addressing hypertension during pregnancy. The goal is to balance risks and benefits effectively, enhancing the care of pregnant women with hypertension. Highlights: Understanding the pathophysiology of preeclampsia is crucial for effective management. International guidelines provide a framework for optimizing care for pregnant women with hypertension. Emerging perspectives offer insights into potential advancements in treatment strategies. Keywords: Hypertension, Preeclampsia, Eclampsia, Antihypertensive Drugs
Ephedrine Infusion Prevents Hypotension and Reduces Nausea in Cesarean Section Under Spinal Anesthesia: Infus Efedrin Mencegah Hipotensi dan Mengurangi Mual pada Operasi Caesar dengan Anestesi Tulang Belakang Maha Sabri Younis; Sumaya Alwan Salman; Eahab Nabeel Khamees
Academia Open Vol. 9 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8794

Abstract

In this study, we aimed to evaluate the efficacy of ephedrine infusion in preventing hypotension and minimizing nausea in healthy pregnant women undergoing elective cesarean sections with spinal anesthesia. Forty-four participants were included, with 20 receiving ephedrine infusion and 24 serving as controls receiving bolus injections. Results revealed a significant reduction in the incidence of hypotension (p > 0.1) and nausea (p < 0.001) in the infusion group compared to the controls. No instances of reactive hypertension were observed in the infusion group. Other variables including Apgar scores, fetal blood gas tensions, and onset of respiration remained comparable between the groups. These findings suggest that ephedrine infusion is not only safe but also preferable in mitigating adverse events during cesarean sections under spinal anesthesia in normal pregnancies. Highlights: Ephedrine infusion effectively prevents hypotension during cesarean sections under spinal anesthesia. Administration of ephedrine infusion significantly reduces the incidence of nausea compared to bolus injections. No instances of reactive hypertension were observed in patients receiving ephedrine infusion, highlighting its safety profile in this context. Keywords: Ephedrine Infusion, Cesarean Section, Spinal Anesthesia, Hypotension Prevention, Nausea Reduction
Knowledge, Attitudes, and Practice of Nursing Students about Insulin Therapy: A Cross-Sectional Study: Pengetahuan, Sikap, dan Praktik Mahasiswa Keperawatan tentang Terapi Insulin: Sebuah Studi Cross-Sectional Husham Hussain Abdul-Ra’aoof; Ali Malik Tiryag; Maher Abdulameer Atiyah
Academia Open Vol. 9 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8795

Abstract

This study aims to assess the knowledge, attitudes, and practices of nursing students regarding insulin therapy. Conducted at the College of Nursing - University of Basrah, the research utilized a questionnaire to gather data from 200 participants over a six-month period. Results indicate a good overall level of knowledge about insulin therapy, a fair attitude towards it, and a medium level of suggested practice. Interestingly, while there was a significant correlation between participants' knowledge and gender, no discernible relationships were found between knowledge and other demographic variables, nor between attitudes and any demographic factors. This suggests the need for targeted educational interventions to improve attitudes and practices towards insulin therapy among nursing students. Highlights: Varied knowledge levels among nursing students. Positive attitudes towards insulin therapy. Need for tailored educational interventions. Keywords: Knowledge, Attitudes, Practice, Nursing Students, Insulin Therapy
Basic Prototype of Islamic Boarding School Enterprise System : Purwarupa Dasar Sistem Enterprise Pondok Pesantren Nova Andre Saputra; Darmanto Darmanto; Kevin Cornelius Septyanto
Academia Open Vol. 8 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.8.2023.8799

Abstract

The impact of Information Technology (IT) on the management of Islamic boarding schools (ponpes) is profound, yet administrative tasks often remain handled through traditional means, leading to inefficiencies. This research aims to address this gap by developing a basic prototype of an Islamic boarding school enterprise system, focusing on optimizing information management across various administrative domains. Employing the System Development Life Cycle (SDLC) prototype method, the study progresses through needs analysis, design, prototype construction, evaluation, implementation, and maintenance phases. The prototype system, tested at Darul Atsar Islamic boarding school, demonstrates significant improvements in academic, secretarial, student, financial management, and reporting processes. This study underscores the potential of IT integration to streamline routine tasks and enhance decision-making in Islamic educational institutions, contributing to broader discussions on educational technology adoption and management optimization. Highlights: Administrative efficiency: Enterprise system streamlines tasks across academic, secretarial, student, and financial domains. Data-driven decision-making: Prototype system empowers administrators with comprehensive reporting for strategic planning. Technological integration: IT solutions address traditional challenges, enhancing management practices. Keywords : Boarding School, Enterprise System, Prototype
Advancing Critical Force Determination in Reinforced Concrete Columns: A Practical Approach: Memajukan Penentuan Gaya Kritis pada Kolom Beton Bertulang: Sebuah Pendekatan Praktis Kulmirzayeva Gulrabo Abduganiyevna; Kosimov Turaboy Kosimovich
Academia Open Vol. 9 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8807

Abstract

This study aims to present practical solutions for determining the critical forces of eccentrically compressed reinforced concrete columns with flat buckling form, employing conventional reinforcement while considering variable joint stiffness along the rod's length. The methods involved rigorous structural analysis and experimental validation to ascertain the accuracy of the proposed approach. Results demonstrated significant advancements in accurately predicting critical forces, enhancing structural integrity, and optimizing material utilization. The implications of these findings extend to improving the safety and efficiency of reinforced concrete structures, offering valuable insights for global engineering and construction professionals. Highlights: Practical solutions for critical forces in reinforced concrete columns. Utilization of conventional reinforcement for cost-effectiveness. Consideration of variable joint stiffness for accurate predictions. Keywords: Critical Force, Eccentric Compression, Loss of Stability
Effective Sedation Strategies for Pediatric MRI: A Comprehensive Analysis: Strategi Sedasi yang Efektif untuk MRI Pediatrik: Analisis Komprehensif Ahmed Nooruldeen Abdulrahman; Wisam Adnan Mahmood; Zinah Noorulden Abdulrahman
Academia Open Vol. 9 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8825

Abstract

This study presents a structured sedation program for pediatric patients undergoing MRI, aiming to optimize safety and resource utilization. A total of 1857 children were included, with 48 admitted to the RCU, leaving 1809 for analysis. Children under 5 received oral sedation, while those 6 and older were assessed by referring physicians for sedation eligibility. The protocol involved chloral hydrate and paraldehyde, with a backup plan for intravenous sedation or general anesthesia overseen by an anesthetist consultant. Among 1039 scans, 597 were unsedated, and 442 were sedated successfully. Oral sedation failed in 50 cases (6.9%), predominantly in younger children (87% under 5 years). Notably, 2 out of 5 subjects using chloral hydrate experienced respiratory issues. This systematic approach led to efficient resource use and safe outcomes, highlighting the importance of tailored sedation protocols in pediatric imaging. Highlights: Reduced oral sedation failure rate to 6.9% in pediatric MRI. Anesthetist consultation enhances safety in MRI sedation procedures. Structured program optimizes resources and ensures safe outcomes in pediatrics. Keywords: Pediatric MRI, Sedation Program, Anesthetist Consultation, Oral Sedation, Resource Utilization
Nurses’ Knowledge and Attitudes toward Pacemaker: A Cross-Sectional Study: Pengetahuan dan Sikap Perawat terhadap Alat Pacu Jantung: Sebuah Studi Cross-Sectional Ali Malik Tiryag
Academia Open Vol. 9 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8845

Abstract

Despite the critical role of pacemakers in managing symptomatic atrioventricular and ventricular conduction abnormalities, there remains a significant gap in the knowledge and attitudes of nurses towards these devices. This study assesses the understanding and perceptions of pacemakers among nurses in Al-Basrah Governorate hospitals, exploring associations with demographic factors such as age, gender, educational level, years of experience, and training. Employing a descriptive methodology, a non-probability sample of 200 nurses from five hospitals (Abi Al-Khasib General Hospital, Umm Qasr General Hospital, Al-Zubair General Hospital, Al-Shifaa Hospital, and Al-Mawani Teaching Hospital) was surveyed from October 15, 2022, to August 15, 2023. Content validity was ensured by engaging eleven professionals, while reliability was assessed using Cronbach's Alpha. Results indicate a concerning deficiency in pacemaker-related knowledge, with 79.5% of nurses demonstrating poor knowledge, 18% showing intermediate knowledge, and only 2.5% exhibiting high knowledge. Similarly, attitudes were predominantly negative, with 81.5% of nurses expressing low enthusiasm towards pacemakers, while 11% and 7.5% displayed intermediate and high attitudes, respectively. These findings highlight the need for targeted educational interventions aimed at enhancing nurses' competence and attitudes concerning pacemakers to improve postoperative care and management outcomes for patients with these devices. Highlights: Knowledge Gap: A significant 79.5% of nurses show insufficient knowledge of pacemakers, indicating a critical need for improved medical education. Attitudinal Barriers: Over 81% of nurses have negative attitudes towards pacemakers, which may affect patient care quality. Training Requirement: There's a clear need for specialized training programs for nurses on pacemakers to enhance their knowledge and attitudes, ultimately improving patient care. Keywords: Pacemaker Knowledge, Nursing Attitudes, Educational Interventions
Bridging the Gap: Enhancing Open Fracture Care in Emergency Nursing: Menjembatani Kesenjangan: Meningkatkan Perawatan Fraktur Terbuka dalam Keperawatan Gawat Darurat Ali A. Ahmed Al-Iedan; Mohamad A. Akber; Sundus Baqer Dawood; Ahmed Ibrahim Habib Alobaidi; Sajjad S. Issa; Husham Hussain Abdul Raaoof; Ahmed Ziarra Khalaf; Ali Malik Tiryag
Academia Open Vol. 9 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.8847

Abstract

This study assesses the knowledge and practices of emergency department nurses regarding the care of open fractures, highlighting significant disparities in competence. Conducted across five hospitals, the descriptive, cross-sectional survey included 103 nurses, analyzed using SPSS with results expressed through frequencies, percentages, and Chi-squared tests. Findings reveal that 42.7% of nurses, predominantly females, lack adequate knowledge and care skills, whereas 57.3%, mostly males, are proficient. The study suggests an urgent need for focused training programs to standardize and elevate emergency care for open fractures, aiming to improve patient outcomes through enhanced nursing education. Highlights: Discrepancy in Knowledge: Significant variations in the knowledge and care practices for open fractures among emergency nurses, with nearly 43% lacking sufficient skills. Gender Differences: A notable gender-based disparity in knowledge, with a higher proficiency observed among male nurses compared to female nurses. Need for Training: The urgent requirement for specialized training programs to address gaps and improve overall patient care in emergency situations. Keywords: Open Fractures, Emergency Nursing, Knowledge Gap, Nurse Training, Patient Outcomes

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