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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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Urban Rivers: Catalysts for Sustainable Cityscapes: Sungai Perkotaan: Katalisator untuk Lanskap Kota yang Berkelanjutan Yousif Abbas Yousif; Khaled Abdulwahab
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.9.2024.8850

Abstract

This study investigates the impact of urban rivers on city identities, focusing on their dual nature as both natural and constructed elements. By applying Kevin Lynch's theoretical framework to riverfronts in Iraq, we uncover how these areas, despite their strategic importance, are often overlooked in urban planning. Our methodology combines a literature review with a case study analysis to explore the distinctive attributes of riverfronts that contribute to the mental image of cities. The findings reveal that riverfronts not only enhance the visual and experiential quality of urban environments but also suggest that they could serve as key components in strategies aimed at improving urban sustainability and quality of life. This research highlights the potential of riverfronts to transform urban planning paradigms, emphasizing the need for greater integration of these spaces in city development initiatives. Highlights: Riverfronts blend natural and urban elements, shaping city perceptions. Often neglected, riverfronts hold central economic potential. Strategic enhancement improves sustainability and urban quality of life. Keywords: Urban Sustainability, Riverfront Development, Mental Image, Urban Planning, Environmental Design
Determinants of Delayed Inpatient Claims in an Indonesian Hospital: Faktor-faktor yang Mempengaruhi Penundaan Klaim Pasien Rawat Inap di Rumah Sakit di Indonesia Apvinia May Savitri; Resta Dwi Yuliani
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.10.2025.8854

Abstract

General Background: Hospital reimbursement under national health insurance systems relies on complete medical records, accurate clinical coding, and timely administrative processing to ensure continuity of health service financing. Specific Background: Preliminary findings at Siti Fatimah Tulangan Hospital Sidoarjo revealed pending inpatient claims caused by inaccurate diagnosis coding, discrepancies between clinical documentation and medical resumes, and coder workload issues. Knowledge Gap: Limited qualitative evidence exists regarding how behavioral, organizational, and procedural factors jointly contribute to claim delays in hospital settings using the INA-CBG payment system. Aims: This study sought to identify determinants of delayed inpatient claims using the Multiple Criteria Utility Assessment method within a descriptive qualitative framework. Results: Data from interviews and observations involving a coder, a medical record officer, and a nurse indicated that delays were associated with predisposing factors (coder attitude, education background, limited training, and coordination barriers with physicians), enabling factors , and reinforcing factors  Novelty: The study integrates behavioral health theory components—predisposing, enabling, and reinforcing factors—with MCUA prioritization to analyze administrative claim delays in a hospital context. Implications: Addressing communication gaps, strengthening procedural dissemination, and improving organizational support mechanisms are necessary to reduce pending claims and maintain hospital financial stability. Highlights: Incomplete clinical documentation after patient discharge frequently prolonged reimbursement processing. Independent troubleshooting by coding staff occurred without sufficient coordination with responsible physicians. Organizational support and procedural dissemination were insufficient despite existing formal guidelines. Keywords: Inpatient Claims; Medical Coding; INA-CBG; Hospital Administration; Qualitative Study
Assessing Cardiovascular Knowledge Gaps in Iraq Nursing Students: Menilai Kesenjangan Pengetahuan Kardiovaskular pada Mahasiswa Keperawatan Irak Khadija Mohammed Jassim
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.9.2024.8860

Abstract

Cardiovascular disease (CVD) is the principal cause of death globally, yet there is a noticeable gap in literature regarding the knowledge of nursing students about this critical health issue. This study aimed to assess the understanding of CVD among students at a nursing college and to explore the association between their knowledge levels and socio-demographic characteristics. Employing a descriptive cross-sectional design, the research involved a random sample of 100 nursing students, using a standardized questionnaire validated by experts and tested for reliability (alpha correlation coefficient of 0.70). Statistical analysis was conducted using SPSS version 26, revealing that 59% of participants had a moderate level of knowledge about CVD. Based on these findings, we recommend the incorporation of more frequent educational sessions on cardiovascular health in nursing curricula to enhance student knowledge. Future research should expand on these findings to foster a deeper understanding of educational impacts on healthcare outcomes. Highlights: Moderate Knowledge: 59% of students have moderate CVD knowledge, indicating room for educational improvements. Reliable Assessment: The study used a validated questionnaire ensuring accurate knowledge assessment. Educational Recommendations: Suggests more frequent lectures to enhance student understanding of cardiovascular health. Keywords: Nursing Education, Student Awareness, Health Outcomes, Cardiovascular Disease, Knowledge
Heating Duration and Stabilizers Determine Red Dragon Fruit Marmalade Quality: Durasi Pemanas dan Stabilisator Menentukan Kualitas Selai Buah Naga Merah Anastasya Virnanda; Syarifa Ramadhani Nurbaya
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.10.2025.8878

Abstract

General Background: Red dragon fruit (Hylocereus polyrhizus) is rich in bioactive compounds but has high moisture content and limited shelf life, necessitating processing into semi-wet products such as marmalade. Specific Background: The quality of marmalade is closely related to thermal processing conditions and the use of stabilizing agents that govern gel formation, consistency, and sensory acceptance. Knowledge Gap: Limited information is available regarding how variations in heating duration and stabilizer type jointly determine the organoleptic characteristics of red dragon fruit marmalade. Aims: This study aimed to determine the combined role of heating time (20, 40, and 60 minutes) and stabilizer type (CMC 0.4%, pectin 0.4%, carrageenan 0.4%) on sensory properties of the product. Results: Factorial randomized block analysis revealed a significant interaction on texture and spreadability, while color, aroma, and taste showed no statistically significant differences across treatments.  Novelty: The study provides comparative organoleptic evidence for three commonly used hydrocolloids under controlled thermal regimes in red dragon fruit marmalade processing. Implications: These findings offer practical guidance for food technologists and small-scale processors in selecting appropriate heating conditions and stabilizers to obtain desirable sensory characteristics while utilizing perishable tropical fruit resources. Highlights: Interaction of processing variables was significant for texture and ease of spreading. Visual appearance, aroma perception, and flavor acceptance remained statistically similar across treatments. Longer thermal exposure produced firmer gel structure and darker product appearance. Keywords:Red Dragon Fruit; Marmalade; Heating Time; Stabilizer Type; Organoleptic Properties
Vanishing Green and the Loss of Iraq's Ecological Balance Due to Urban Expansion: Menghilangnya Lahan Hijau dan Hilangnya Keseimbangan Ekologi Irak Akibat Perluasan Kota Ahmed Abbas Kadhim; Laith Zaid Abbas
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.9.2024.8906

Abstract

This study examines the impact of rapid urbanization on the green spaces of Baghdad, highlighting the environmental, economic, and social challenges posed by unplanned urban sprawl in developing countries. Using historical and descriptive methodologies, along with comparative analysis of urban growth, the research reveals that increased migration and weak governmental oversight have significantly reduced green areas, transforming potential parks into residential and commercial zones. The findings underscore the need for stringent urban planning and policy reforms to preserve and expand green spaces, aligning with global sustainability standards to enhance urban quality of life and ecological balance in Baghdad. Highlights: Urban Expansion: Baghdad's rapid growth has significantly reduced its green spaces. Weak Oversight: Lack of strict regulations has led to the conversion of green areas into urban developments. Sustainability Strategies: Urges policy reforms and sustainable planning to enhance urban green spaces. Keywords: Urbanization, Basic Design, Green Spaces, Overpopulation, Land Use
Nurses’ Knowledge Regarding Management of Hypovolemic Shock: A Cross-Sectional Study: Pengetahuan Perawat Mengenai Manajemen Syok Hipovolemik: Sebuah Studi Cross-Sectional Maher Atiyah
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.9.2024.8925

Abstract

Hypovolemic shock, a common post-surgery complication, poses significant challenges globally, particularly in trauma-related fatalities. Understanding nurses' knowledge of hypovolemic shock management is crucial for improving patient care and reducing mortality rates. However, research assessing nurses' knowledge in this area remains limited, especially in specific hospital settings. This cross-sectional study aimed to evaluate nurses' knowledge of hypovolemic shock management at Al-Basrah Teaching Hospitals. Data from 120 nurses were collected using a questionnaire-based survey and analyzed using SPSS version 26. Results indicated that most nurses demonstrated good knowledge (58%), while 39% had moderate knowledge and 3% had inadequate knowledge. This study highlights the need for targeted educational interventions to enhance nurses' understanding of hypovolemic shock management, potentially leading to improved patient outcomes and reduced mortality rates. Highlight: Comprehensive assessment: Nurses' knowledge evaluated at Al-Basrah Teaching Hospitals. Knowledge distribution: Majority of nurses showed good understanding of shock management. Practice implications: Highlight importance of targeted educational interventions for nurses. Keywoard: Hypovolemic Shock, Nurses' Knowledge, Management, Al-Basrah Teaching Hospitals, Patient Care
Dexamethasone in Indonesian Surgery Lowers Post-Op Pain Medication Use: Deksametason dalam Pembedahan di Indonesia Menurunkan Penggunaan Obat Nyeri Pasca Operasi Mohammed Qasim Taha; Aseel Nabeel Ibrahim; Ahmed Mejbel Hasan
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.9.2024.8927

Abstract

Dexamethasone is commonly used to prevent postoperative nausea and vomiting, but its analgesic effects remain uncertain. This study aims to investigate the efficacy of intraoperative dexamethasone in reducing postoperative pain after inguinal hernia repair surgery. Methods: A randomized double-blind, placebo-controlled trial was conducted on eighty ASA class I patients aged 15–30 years at Al-Yarmouk Teaching Hospital in Baghdad, Iraq. Patients received varying intravenous doses of dexamethasone or normal saline during surgery. Pain levels were assessed using verbal analogue pain ratings, and the time to first analgesic consumption was recorded. Results: Analysis revealed that the dexamethasone group had significantly lower postoperative discomfort compared to the control group, with higher doses showing greater efficacy. Specifically, a single intravenous dose of dexamethasone administered at the onset of anesthesia significantly reduced the need for postoperative analgesia. Implications: This study highlights the potential of intraoperative dexamethasone as an effective adjunct for postoperative pain management in inguinal hernia repair surgery. Further research is warranted to optimize dosing strategies and confirm these findings in larger and more diverse patient populations. Highlight: Efficacy of Dexamethasone: Demonstrated significant reduction in postoperative pain. Intraoperative Administration: Single dose at anesthesia onset proved effective. Clinical Implications: Potential for dexamethasone as adjunct in pain management strategies. Keywoard: Dexamethasone, Postoperative Pain, Inguinal Hernia Repair, Analgesia, Randomized Controlled Trial
Update About The Changes In Bacterial Resistance For Multiple Antibiotic In Patients With Urinary Tract Infection In Kerbala: Pembaruan Tentang Perubahan Resistensi Bakteri Untuk Beberapa Antibiotik Pada Pasien Infeksi Saluran Kemih Di Kerbala Kawther Mohammed Radah Ali
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.9.2024.8928

Abstract

Urinary tract infections (UTIs) caused by Escherichia coli (E. coli) are common and recurrent, particularly among females. Treatment often involves various antimicrobial agents, but rising resistance poses challenges. We conducted a study in Al-Hussein Medical City, Kerbala, enrolling 520 UTI patients from April 2022 to February 2023. Urine samples were tested for antimicrobial susceptibility. Results showed high resistance to most agents, except meropenem and levofloxacin. Our findings emphasize the urgent need for strategies to combat antimicrobial resistance in UTIs. Highlights: High resistance in UTI treatment observed. Urgent need for antimicrobial resistance strategies. Study reveals E. coli resistance patterns in Kerbala's medical setting. Keywords: Urinary tract infections, Escherichia coli, Antimicrobial resistance, Al-Hussein Medical City, Kerbala
Wireless Incubators and Photodynamic Therapy Enhance Premature Infant Care: Inkubator Nirkabel dan Terapi Fotodinamik Meningkatkan Perawatan Bayi Prematur Yusur Jawad Kadhim
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.9.2024.8929

Abstract

This study addresses the critical health challenges faced by premature infants by developing an innovative, wirelessly controlled incubator using Arduino technology. By maintaining optimal environmental conditions (37°C and 50% humidity), similar to a mother's womb, and utilizing photodynamic therapy with a 400nm wavelength light to treat jaundice, our system reduces the risks associated with traditional wired setups and operational costs. The results demonstrate effective regulation of temperature and humidity, as well as a reduction in bilirubin levels, suggesting that this technology has significant potential to enhance neonatal care for premature infants. Highlights: Wireless control systems in incubators improve safety and reduce the complexity and cost associated with traditional wired setups. Photodynamic therapy effectively reduces bilirubin levels, addressing jaundice in premature babies. Maintaining optimal incubator conditions of 37°C temperature and 50% humidity mirrors the environment of a mother’s womb, enhancing survival rates. Keywords: Premature Infants, Wireless Technology, Incubator, Photodynamic Therapy, Neonatal Care
Evaluation Effect of COVID -19 Vaccines on Alopecia Areata: Efek Evaluasi Vaksin COVID -19 pada Alopecia Areata Marwah S. Kadhim; Layth Hussein Hadi Alshaibah; Roaa Abid Jaythoom
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.9.2024.8931

Abstract

This study investigates the impact of COVID-19 vaccination on Alopecia Areata (AA) severity, particularly focusing on gender differences. Data from 65 AA patients (30 vaccinated, 35 unvaccinated) and 1,602,596 healthy controls were analyzed. Physical examinations, laboratory tests, and Severity of Alopecia Tool (SALT) scores were used. Results showed a significant increase in AA severity among vaccinated individuals, especially males, with Pfizer's vaccine having a stronger effect post-second dose. These findings highlight the need for continued research and monitoring of AA post-COVID-19 vaccination. Highlight: Severity Rise: COVID-19 vaccination linked to increased Alopecia Areata severity, especially in males. Pfizer's Impact: Second dose shows stronger Alopecia Areata association than AstraZeneca. Continued Monitoring: Emphasizes need for ongoing research on vaccine-autoimmune disorder interactions. Keyword: Alopecia Areata, COVID-19 Vaccination, Gender Differences, Severity, Monitoring

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