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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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Quality of Life in Patients with Knee Osteoarthritis: A Cross-Sectional Study in Baaquba City: Kualitas Hidup pada Pasien Osteoartritis Lutut: Sebuah Studi Cross-Sectional di Kota Baaquba Akram Abd Alsalam Najim; Ali Husain Faleh; Aqeel Abbas Noaman
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.9.2024.10279

Abstract

Background: Knee osteoarthritis (KOA) is a common degenerative joint disease that significantly impacts the quality of life (QoL) of elderly individuals, often leading to severe disability. Specific Background: KOA, a prevalent condition primarily affecting middle-aged women, is exacerbated by risk factors like obesity, genetics, and reduced physical activity. Knowledge Gap: Despite existing studies on KOA, there is limited research on its impact on QoL in the Iraqi context, particularly in Baqubah City. Aims: The study evaluated the quality of life (QoL) of KOA patients in Baqubah, Iraq, considering physical, psychological, social, and functional aspects, and identifying influencing factors. Results: Data were collected from 374 patients at Baqubah Teaching Hospital, using a structured and validated HRQOL questionnaire. The study revealed that KOA patients experienced a significantly reduced QoL, especially in the physical and functional domains. Females and those with a longer illness duration reported worse outcomes. Obesity and overweight were found to be common among patients, further exacerbating the disease. Novelty: This study evaluates KOA's impact on QoL in Baqubah, revealing high prevalence and significant negative effects on daily activities. Implications: The study highlights the need for targeted interventions to enhance the quality of life for KOA patients in Baqubah, focusing on weight management, physiotherapy, and improved public health strategies. Highlights: KOA severely impairs physical and functional quality of life in patients. Obesity and inactivity are key modifiable risk factors for KOA. Women and long-term sufferers face greater QoL challenges. Keywords: Knee Osteoarthritis, Quality of Life, Risk Factors, Obesity, Baqubah
Moderate Knowledge and Attitudes Toward Vitiligo Among University Students in Iraq: Pengetahuan dan Sikap Terhadap Vitiligo di Kalangan Mahasiswa di Irak Kadhim Jawad Awad
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.9.2024.10282

Abstract

Background: Vitiligo is a depigmenting skin condition characterized by the selective loss of melanocytes, leading to amelanotic, nonscaly, chalky-white macules with distinct borders. Despite its prevalence, public knowledge and attitudes toward vitiligo remain under-researched, particularly in educational settings. Knowledge Gap: There is limited research assessing the understanding and attitudes of university students toward vitiligo, particularly in Middle Eastern regions. Aims: This study aims to evaluate the knowledge and attitudes of students at Basrah University’s Bab Al-Zubair complex regarding vitiligo, using a cross-sectional descriptive design. Methodology: A random sample of 300 male and female students participated, responding to a closed-ended questionnaire created from a review of relevant literature. The survey, administered in Arabic, consisted of three parts: sociodemographic characteristics, 16 questions on knowledge, and 7 questions on attitudes toward vitiligo. A three-point Likert scale was used to evaluate responses. Results: The majority of participants demonstrated moderate knowledge of vitiligo, with similar findings in their attitudes, as assessed using an arithmetic mean. Expert validation of the questionnaire ensured the clarity and relevance of its content. Novelty: This study provides the first comprehensive evaluation of university students’ knowledge and attitudes toward vitiligo in Basrah, filling a significant gap in dermatological health education research in the region. Implications: Raising public awareness about vitiligo is crucial to improving the psychological well-being, social integration, and self-esteem of those affected by the condition. These findings highlight the need for educational interventions that can foster better understanding and reduce stigma surrounding vitiligo, particularly in academic settings. Highlights: Students showed moderate knowledge and attitudes toward vitiligo. Validated questionnaire assessed understanding and perceptions. Awareness crucial for social and psychological support of vitiligo sufferers. Keywords: Vitiligo, Knowledge, Attitudes, University Students, Public Awareness
Bridging the Knowledge Gap on Iron Deficiency Anemia Among Nursing Students: Menjembatani Kesenjangan Pengetahuan tentang Anemia Defisiensi Besi di Kalangan Mahasiswa Keperawatan Zahraa Mahmoud Hussain Al-Hejaj
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.9.2024.10283

Abstract

Background: Iron deficiency anemia (IDA) is a prevalent nutritional disorder characterized by a significant reduction in the body’s iron stores, affecting oxygen transport and leading to various health complications. Specific Background: The understanding of IDA among nursing students is underdeveloped, especially regarding the differences between morning and evening study cohorts. Knowledge Gap: Understanding nursing students' knowledge of IDA is critical for enhancing educational strategies and improving patient care, yet limited studies have assessed this demographic's awareness of the condition and its management. Aims: This study aims to evaluate nursing students' knowledge about IDA and to compare the levels of knowledge between morning and evening students at the College of Nursing, University of Basrah, over a six-month period from November 2023 to March 2024. Results: A descriptive cross-sectional study was conducted involving 145 students (72 morning and 73 evening) who completed a questionnaire. Results indicated that 40.2% of morning students and 53.4% of evening students suffered from iron deficiency. While 86.1% of morning students had prior knowledge of IDA compared to 67.1% of evening students, the mean knowledge levels were deemed good for both groups, with no significant statistical difference between them. Novelty: This research contributes to the existing literature by highlighting knowledge levels of IDA among nursing students in Iraq, revealing that both morning and evening cohorts possess substantial understanding yet exhibit slight discrepancies. Implications: The findings underscore the necessity for targeted educational interventions to bridge the knowledge gap regarding IDA, ultimately enhancing nursing students' competencies in managing this condition in clinical settings. Highlights: IDA Prevalence: 40.2% morning students and 53.4% evening students affected. Knowledge Difference: 86.1% morning vs. 67.1% evening students aware of IDA. Educational Need: Targeted interventions required for improved IDA management in nursing education. Keywords: Iron deficiency anemia, nursing students, knowledge assessment, educational interventions, Iraq
Identification of Carbapenem-Resistant Bacterial Species Clinically Isolated From Patients: Identifikasi Spesies Bakteri yang Resisten terhadap Karbapenem yang Diisolasi Secara Klinis dari Pasien Aliea K. Al-Masoodi; Ahlem Bdioui
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.9.2024.10284

Abstract

Background: The global rise of antibiotic-resistant Gram-positive and Gram-negative bacteria, particularly Enterobacterales, has become a significant health concern, particularly carbapenem resistance due to carbapenemase production. Knowledge Gap: While the global threat of carbapenem-resistant bacteria is well-recognized, there remains a need for localized studies that provide detailed insights into the prevalence and characteristics of these resistant strains, particularly in developing regions. Aims: This study aims to identify carbapenem-resistant isolates in various clinical samples and explore phenotypic methods for carbapenemase production. Methods: 100 bacterial isolates from Batool Teaching Hospital were collected for identification, antibiotic susceptibility, colony morphology, Gram staining, biochemical reactions, and carbapenemase production, following CLSI guidelines. Results: The most frequent isolate was Escherichia coli (36%), with 24.5% showing carbapenem resistance. Other significant isolates included Staphylococcus aureus (17%), Pseudomonas aeruginosa (11.5%), and Proteus mirabilis (7%). Carbapenem resistance was higher in females (53%) compared to males (47%), with the age group 21-45 showing the highest resistance rates. Novelty: This study provides one of the first region-specific profiles of carbapenem-resistant strains in this area, highlighting significant gender and age-related trends. Implications: The findings underscore the urgent need for stricter antibiotic stewardship and infection control measures to prevent the further spread of carbapenem-resistant organisms, which pose a critical risk to both patients and the wider community. Highlights: Escherichia coli had the highest carbapenem resistance at 24.5%. Females showed higher resistance (53%) than males (47%). Highest resistance observed in ages 21-45. Keywords: Carbapenem resistance, antibiotic-resistant bacteria, clinical isolates, Escherichia coli, carbapenemase production
Understanding Burn Management For Nursing Students: Memahami Manajemen Luka Bakar Untuk Mahasiswa Keperawatan Afkar Fadhial Kareem
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.9.2024.10285

Abstract

Background: Managing burn injuries, particularly in mass-burn scenarios, requires immediate first aid and early care, which are critical for improving outcomes. The quality of burn treatment is highly dependent on the knowledge and practical skills of nursing students, particularly those assigned to burn units. Knowledge Gap: Despite the critical nature of burn care, limited research has been conducted on the level of knowledge nursing students possess in this area, especially in regions like Basra, Iraq. Aims: This study aimed to assess the knowledge of burn management among nursing students at Basrah University, identifying gaps and correlations with sociodemographic factors. Methodology: A descriptive cross-sectional study was conducted among 150 nursing students at Basrah College of Nursing. Data was collected using a structured questionnaire divided into two sections: (1) sociodemographic information, and (2) burn management knowledge, assessed through a standardized 3-point Likert scale. Results: The majority of respondents (78% female, 22% male) were aged 19-28 years. The results revealed that students demonstrated a good level of knowledge regarding burn management. Furthermore, there was a highly significant correlation between the academic stage of the students and their test scores, suggesting that academic progression improves burn management understanding. Novelty: This study provides one of the first comprehensive assessments of burn care knowledge among nursing students in southern Iraq, highlighting the critical role of academic progression in enhancing practical burn care skills. Implications: The study suggests that incorporating practical burn care training into nursing education can significantly improve clinical outcomes in mass-burn scenarios. Highlights: Knowledge of burn care improves with academic progression among nursing students. Majority of participants were female, aged 19-28 years. Enhanced burn care training is essential in nursing education curricula. Keywords: Burn management, Nursing students, Knowledge assessment, Basrah University, Cross-sectional study
Lactobacillus, Bifidobacterium and Streptococcus, Probiotic Bacteria Supplements, Induce DNA Repair of Local Breast Cancer Cell Line AMJ13: Lactobacillus, Bifidobacterium dan Streptococcus, Suplemen Bakteri Probiotik, Menginduksi Perbaikan DNA pada Garis Sel Kanker Payudara Lokal AMJ13 Afak Rasheed Salman Zaidi; Luma Al-Abdulwahid; Susan Abdul Raheem 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.9.2024.10286

Abstract

General Background: Breast cancer is the most prevalent cancer affecting women, with increasing incidence worldwide. Specific Background: Recent research has focused on the role of epigenetic changes in DNA damage, repair mechanisms, and the potential therapeutic effects of probiotics. Probiotics have shown promise in promoting tissue regeneration and DNA repair. Knowledge Gap: However, the precise impact of probiotics on DNA repair in cancer cells, specifically breast cancer cells, remains underexplored. Aims: This study aimed to evaluate the effects of probiotics on DNA damage repair in AMJ13 Iraqi breast cancer cells and assess the cytotoxic effects of probiotics on these cells. Results: Using the comet assay, we found significant increases in DNA damage repair in AMJ13 cells treated with Lactobacillus plantarum (T1) and a combination of eight probiotic strains (T2). Exposure to T1 for 48 hours resulted in significant increases in tail DNA (P≤0.001), head DNA (P≤0.001), and tail moment (P<0.001), while T2 showed similar significant increases at 72 hours (P<0.05). Image analysis further supported the DNA repair potential of probiotics, as indicated by a small tail curve for treated cells. Novelty: This study provides novel insights into the therapeutic potential of probiotics in breast cancer treatment by demonstrating their capacity to enhance DNA repair mechanisms in cancer cells. Implications: The findings suggest that probiotic therapy may be a promising adjunct treatment in breast cancer, offering a new avenue for cancer management through the enhancement of DNA repair and reduction of DNA damage. Highlights: Probiotics significantly repaired DNA damage in breast cancer cells. T1 and T2 enhanced DNA repair within 48-72 hours. Probiotics offer potential as breast cancer adjunct therapy. Keywords: Breast cancer, probiotics, DNA repair, AMJ13 cells, cytotoxicity
Interference Between S. Aureus and P. Aeruginosa Clinical Isolates: Interferensi Antara S. Aureus dan P. Aeruginosa Isolat Klinis Aghadeer Sarmad Najeeb; Nagham Mohamed Khalaf; Israa Salim Kamil
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.9.2024.10289

Abstract

General Background: Understanding microbial interactions between Pseudomonas aeruginosa and Staphylococcus aureus is crucial for clinical infections, as they often coexist and influence each other's growth and virulence. Specific Background: Both organisms are known for their ability to form biofilms and exhibit multidrug resistance (MDR), complicating treatment strategies in hospitalized patients. Knowledge Gap: Previous studies have explored the virulence of P. aeruginosa and S. aureus, but there is limited understanding of their direct in vitro interactions, particularly in protease and lipase production. Aims: The study examined the interaction between P. aeruginosa and S. aureus isolates in hospitalized patients' sputum, urine, and blood samples, focusing on virulence factors, biofilm formation, and antibiotic resistance patterns. Results: In Diyala, Iraq, 50 clinical isolates showed P. aeruginosa as protease producers, lipase producers, and biofilm producers, with significant MDR phenotypes in both species. Novelty: This study highlights the ability of P. aeruginosa to produce staphylolysin, offering novel insights into the antagonistic mechanisms that may suppress S. aureus in co-infections. Implications: The study emphasizes the significance of understanding microbial interactions in clinical infections, particularly in biofilm-associated MDR infections, to improve treatment outcomes and guide more effective therapeutic approaches. Highlights: P. aeruginosa staphylolysin inhibits S. aureus growth in vitro. Both bacteria produce biofilms and exhibit multidrug resistance. Microbial interactions impact infection severity and treatment strategies. Keywords: Microbial interactions, Pseudomonas aeruginosa, Staphylococcus aureus, Biofilm, Multidrug resistance
Preventive Measures of Ventilator-Associated Pneumonia among Intensive Care Unit Nurses: Tindakan Pencegahan Pneumonia Terkait Ventilator di antara Perawat Unit Perawatan Intensif Saja Kareem 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.9.2024.10291

Abstract

General Background: Ventilator-associated pneumonia (VAP) significantly prolongs intensive care unit (ICU) hospitalizations, elevating healthcare costs and increasing mortality risk. Specific Background: Despite existing knowledge of VAP's impact, there is limited research on the preventative practices of ICU nurses, a critical factor in mitigating this condition. Knowledge Gap: This study explores ICU nurses' preventive measures for VAP and their correlation with demographic characteristics, highlighting a gap in literature. Results: Conducted from November 1, 2023, to April 10, 2024, at Basrah hospitals, the study involved 93 purposively sampled ICU nurses. The findings revealed that 48.4% of participants exhibited moderate preventive behavior, while 39.8% displayed poor preventive behavior. Notably, a significant relationship was found between the preventative behavior scores and the education level, as well as years of service in the ICU. Novelty: The study provides valuable insights into the current VAP prevention practices among ICU nurses, highlighting demographic factors that influence these behaviors. Implications: The study highlights the need for educational interventions to improve ICU nurses' preventative practices, potentially reducing VAP incidence and improving patient outcomes in intensive care settings. Higlights: Moderate Preventive Behavior: 48.4% of ICU nurses showed moderate VAP prevention practices. Demographic Relationships: Education level and service years influence preventive behavior scores. Training Necessity: Targeted education needed to improve VAP prevention among ICU nurses. Keywords: Ventilator-associated pneumonia, ICU nurses, preventive practices, demographic characteristics, patient outcomes.
A Study of Diabetes Correlated Emotional Distress among Patients with Type 2 Diabetes Mellitus: A cross Sectional Study: Sebuah Studi tentang Tekanan Emosional yang Berkorelasi dengan Diabetes di antara Pasien dengan Diabetes Melitus Tipe 2: Sebuah Studi Cross Sectional Saja Kareem Jassim; Zahraa Abbass; Ali Malik Tiryag
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.9.2024.10292

Abstract

Background: Diabetes distress (DD) is a significant concern for individuals with type 2 diabetes, marked by emotional strain related to disease management and support, distinct from general psychological distress. Specific Background: Addressing DD can improve self-care practices and glycemic control, yet limited research exists on the relationship between emotional distress and sociodemographic factors in this population. Knowledge Gap: This study aims to fill this gap by exploring how sociodemographic traits influence emotional distress among type 2 diabetes patients. Aims: The primary objectives are to identify the correlation between emotional distress and diabetes and to determine the impact of sociodemographic characteristics on this distress. Results: A descriptive cross-sectional study conducted at the Endocrinology and Diabetes Center in Al-Basrah City included 150 patients aged 50–65 years, with a significant proportion of men (63.3%). The findings revealed a mean emotional distress score of 3.81, indicating high distress levels, with physician-associated distress at 3.32 and regimen-related distress at 3.48. Novelty: This research highlights the strong correlation between emotional and diabetes-related distress, particularly across different age and gender demographics, thus emphasizing the need for tailored interventions. Implications: The study emphasizes the importance of incorporating psychological assessments into diabetes management and policymakers' consideration of emotional dimensions in health program designs to improve patient self-management and quality of life. Highlights: Diabetes distress impacts self-care and glycemic control. Socio-demographics influence emotional distress levels in patients. Psychological assessments are crucial in diabetes management strategies. Keywords: diabetes distress, emotional distress, type 2 diabetes, sociodemographic factors, healthcare interventions
Directions for Increasing Green Energy Capacity of Uzbekistan: Petunjuk untuk Meningkatkan Kapasitas Energi Hijau Uzbekistan Toshboyev Bekzod Bakhtiyorovich
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.9.2024.10294

Abstract

General background: The global transition to renewable energy is essential for mitigating climate change and ensuring energy security, and Uzbekistan, with its abundant natural resources, holds significant potential. Specific background: Despite progress, Uzbekistan still relies heavily on fossil fuels, and challenges remain in integrating renewable energy into the national grid. Knowledge gap: Previous studies have focused on the technical and economic benefits of green energy, yet there is limited research on the interplay between market reforms and renewable energy adoption in developing nations like Uzbekistan. Aims: This research aims to assess the current renewable energy policies and propose strategies to enhance Uzbekistan’s capacity, particularly in solar and wind energy. Results: The findings reveal that while Uzbekistan has made strides, substantial reforms in market liberalization and increased investment are necessary to meet its 2030 green energy targets. Novelty: This study offers new insights by integrating a market-based approach to energy reforms with the need for targeted subsidies and international investment, filling a critical gap in the literature on green energy transitions in developing economies. Implications: The results suggest that further policy adjustments, enhanced international cooperation, and financial incentives are vital for accelerating Uzbekistan’s green energy transition, providing a model for similar economies. Highlights: Uzbekistan needs substantial market reforms to increase green energy capacity. Solar and wind energy are key to meeting the 2030 renewable energy goals. Targeted subsidies and international investment are essential for sustainable energy development. Keywords: Solar Energy, Wind Energy, Energy Subsidies, Energy Investments, Market Liberalization

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