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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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Risk Factors of Preterm Labour Thi Qar Governorate Iraq Izdihar Nsaif Ali; Sara Salih Abdullah; Saja Kareem Kamil; Khadija Khalid Abdulhassan; Zahraa Shakir Waja’an; Mujtaba Khaleel
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.10.2025.11557

Abstract

Background: Preterm birth, defined as delivery between 24 and 37 weeks of gestation, remains a leading cause of neonatal morbidity and mortality. Specific Background: It can occur spontaneously or due to medical indications, with risk factors ranging from maternal age and infections to obstetric history. Knowledge Gap: Despite global recognition of these risks, limited data exist on the specific contributing factors in localized hospital settings within developing regions. Aims: This study aimed to identify the predominant factors associated with preterm birth among pregnant women at Bint Huda Hospital. Results: Among 80 women who experienced preterm birth, the majority were aged 20–30 years (66.3%), had primary education (70%), and lived in urban areas (55%). Urinary tract infection emerged as the most significant risk factor (82.5%), followed by premature membrane rupture (27.5%), preeclampsia (25%), and a history of previous preterm birth (25%). Most participants were multiparous (63.8%) and had received good antenatal care (85%). Cesarean section was the dominant mode of delivery (60%). Novelty: This study highlights the prominence of infections, especially urinary tract infections, over traditionally emphasized factors like maternal age or multiple gestations. Implications: The findings underscore the importance of targeted infection prevention and antenatal surveillance to reduce preterm birth rates in similar populations.Highlights: Urinary tract infection is the most prevalent risk factor. Most preterm births occurred in women with good antenatal care. Cesarean section was the leading mode of delivery. Keywords: Preterm Birth, Risk Factors, Urinary Tract Infection, Antenatal Care, Cesarean Delivery
Perceptions of Educated Women Through the Lens of the Intellectual Class Iqbal Kazim Issa
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.10.2025.11559

Abstract

General Background: The mental image held by society’s educated class plays a pivotal role in shaping perceptions of women, especially in transitional democracies. Specific Background: In Iraq, where historical, cultural, and political contexts intersect, the representation of educated women remains complex and often contradictory. Knowledge Gap: Despite their increasing visibility, there is a lack of analytical studies that explore how the educated elite perceive their female counterparts. Aim: This research investigates the mental image of the educated Iraqi woman as perceived by the educated class, focusing on her electoral role, professional competence, cultural awareness, and concept of freedom. Results: The study reveals a nuanced perception—educated women are largely viewed as intellectually capable and socially resilient, yet still challenged by prevailing stereotypes and traditional norms. Novelty: By employing a descriptive-analytical method and drawing from literary and media representations, this study offers a multidimensional analysis rarely addressed in prior Iraqi scholarship. Implications: These findings provide insight for media, policymakers, and educators seeking to reform public narratives and support the advancement of women's roles in intellectual and civic life. Highlights: Highlights how educated elites shape perceptions of women in Iraq. Explores media and literature's role in constructing gendered images. Offers insights for policy and narrative reform in transitional societies. Keywords: Educated Women, Mental Image, Iraqi Intellectuals, Gender Representation, Media Influence
Comparing Different Fuzzy Estimator of Hazard Rate for Quasi Lindely Distribution Inam Abdul Rahman Noaman
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.10.2025.11560

Abstract

General Background: Fuzzy estimation plays a vital role in enhancing the precision of statistical inference under uncertainty, particularly in reliability theory. Specific Background: Classical estimators often struggle with mixed probability distributions involving both continuous and vague components. Knowledge Gap: Despite the theoretical relevance, limited comparative analysis exists on fuzzy estimators within hybrid exponential-gamma models under varied risk functions. Aim: This study aims to derive and compare various fuzzy estimators for the risk function of a mixed continuous distribution formed by combining the exponential (θ) and Gamma (2,θ) distributions, with mixing proportions β/(β+1) and 1/(β+1), respectively. Results: We derive the corresponding probability density function (pdf), cumulative distribution function (CDF), reliability, and hazard functions. A fuzzy vagueness factor (k̃) is introduced into the hazard equation, and the r-th raw moment [μ′(r)] is formulated. Parameters θ and β are estimated via maximum likelihood, moments, and frequency ratio methods. Novelty: The integration of fuzzy theory into hazard modeling for a quasi-Lindley framework, coupled with comprehensive estimator comparison, offers novel insights. Implications: The findings enhance reliability analysis under fuzzy environments, enabling more robust decision-making in engineering and survival analysis contexts. Highlights: Introduces fuzzy estimation in hazard function modeling. Compares three estimation methods for mixed distributions. Derives complete reliability metrics from a hybrid model. Keywords: Maximum Likelihood, Moment Estimation, Fuzzy Estimator, Hazard Rate, Quasi-Lindley Distribution
Analysis of the Multiple Drug Resistance (MDR) Pattern Among Uropathogenic Klebsiella Pneumoniae Isolates from Immunocompromised Patients Alaa Abd Atia; Manal Mohammed Kadhim
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.10.2025.11562

Abstract

Background: Multidrug-resistant (MDR) Klebsiella pneumoniae is a major causative agent of urinary tract infections (UTIs) and represents a growing therapeutic challenge, particularly in immunocompromised patients. The purpose of this study was to determine the prevalence of MDR in K. pneumoniae isolates from immunocompromised patients with UTIs. Methods: Urine samples were collected from 597 immunocompromised patients with UTIs. K. pneumoniae was isolated and identified, and the isolates were subjected to susceptibility testing against 25 antibiotics. Results: Fifty-two (12.2%) K. pneumoniae isolates were isolated from 427 positive urine samples. The results showed a high prevalence of MDR (73.1%) with specific resistance patterns associated with certain antibiotic classes. The relationship between MDR and patient demographic and clinical variables was also analyzed, and statistically significant associations were found between the presence of the pattern and length of hospital stay (P=0.0238), prolonged infection duration (P=0.0026), use of indwelling urinary catheter (P= 0.0014), and history of antibiotic treatment (P = 0.0019). Conclusion: The prevalence of MDR K. pneumoniae was higher in immunocompromised patients, and its occurrence was associated with a longer length of stay, prolonged infection, catheter use, and a history of antibiotic treatment. Highlights: 73.1% of K. pneumoniae isolates were multidrug-resistant. MDR linked to longer hospital stays, catheter use, and prior antibiotics. Serious concern for treating UTIs in vulnerable patients. Keywords: Multidrug Resistance, Klebsiella Pneumoniae, Urinary Tract Infection, Immunocompromised Patients, Antibiotic Resistance
User Perceptions Toward Gamification in Digital Sharia Savings: Persepsi Pengguna Terhadap Gamifikasi dalam Tabungan Syariah Digital Muhammad Andreansyah Ilham Sembiring Andre; Sri Ramadhani; Muhammad Syahbudi
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.10.2025.11563

Abstract

General Background: The rapid digital transformation in Indonesia's Islamic banking sector aims to improve service quality and financial inclusion through mobile applications. Specific Background: Despite technological advancements, user engagement with digital Islamic savings remains low, highlighting a need for innovative strategies. Knowledge Gap: Limited research exists on the role of gamification in enhancing engagement with Sharia-based digital financial products, especially outside Java. Aims: This study investigates user perceptions of gamification elements—such as daily missions, challenges, and progress bars—on engagement with Bank Jago Syariah's mobile savings platform in Medan. Results: Using the Technology Acceptance Model, findings from 30 users show that perceived enjoyment (score: 85), usefulness (82), and intention to use (81) are all rated highly. Qualitative insights confirm that gamification motivates users and improves satisfaction. Novelty: This research offers a regional perspective from Medan, filling a geographic and thematic gap by integrating Sharia values with gamification design. Implications: The results suggest that interactive, Sharia-compliant gamification features can effectively boost user loyalty and should be strategically implemented in Islamic fintech development.Highlight : Gamification such as daily missions and progress bars were shown to increase user motivation and engagement. Perceived Enjoyment scored the highest, indicating fun to be a key factor in feature adoption. Customization of features with Shariah values and user-friendly interfaces are recommended to increase loyalty. Keywords : Gamification, Tabungan Syariah Digital, Keterlibatan Pengguna, TAM, Bank Jago Syariah
Keratinization and Muscular Variation in the Abdominal Esophagus of Rabbit and Guinea Pig Noora Kadhim Sheriff; Bassim Abdullah Jassim
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.10.2025.11564

Abstract

Background: The esophagus exhibits species-specific structural adaptations related to diet and function, particularly in its abdominal segment. Method: Samples from adult rabbit and guinea pig esophagi were processed using routine histological techniques and stained with hematoxylin and eosin. Measurements of epithelial height and muscularis thickness were statistically analyzed (P ≤ 0.05). Results: Significant histomorphometric differences were observed between the two species in epithelial and muscular thickness, with the exception of the submucosal layer. Aims: To compare the histological architecture of the abdominal esophagus in adult rabbits and guinea pigs, focusing on epithelial keratinization and muscular organization. Findings: Both species showed keratinized stratified squamous epithelium, but the degree of keratinization and muscle layer arrangement varied. The rabbit showed partial keratinization and a thicker muscularis externa, while the guinea pig had full keratinization and complex muscular layering. Novelty: This study provides the first direct comparative analysis of the abdominal esophageal segment between these two rodent species, highlighting structural distinctions potentially linked to dietary habits. Impact: The findings offer valuable insights for veterinary anatomy, comparative histology, and may inform experimental models involving the gastrointestinal tract in small mammals. Highlights: Species Comparison: Highlights structural differences in the esophagus between rabbits and guinea pigs. Keratinization Pattern: Shows variation in epithelial keratinization linked to species-specific function. Veterinary Insight: Provides data useful for experimental and anatomical studies in small mammals. Keywords: Esophagus, Rabbit , Histology, Histochemical.
Optimizing Healthcare Service Efficiency Through Lean Healthcare and Root Cause Analysis: Meningkatkan Efisiensi Layanan Kesehatan Melalui Lean Healthcare dan Analisis Penyebab Utama Difa Nur Pratiwi; Sumiati Sumiati
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.10.2025.11570

Abstract

General Background: Healthcare service quality plays a crucial role in ensuring patient satisfaction and operational efficiency. However, primary healthcare centers in Indonesia often experience inefficiencies, particularly related to long waiting times. Specific Background: Puskesmas X recorded the highest outpatient visits with significant delays in the general clinic, indicating potential waste in its service process. Knowledge Gap: Despite numerous studies on lean implementation in hospitals, limited evidence exists regarding its systematic application in community health centers using integrated Lean Healthcare and Root Cause Analysis (RCA). Aims: This study aims to identify dominant waste factors in healthcare services and propose improvement strategies to enhance service efficiency. Results: Using Value Stream Mapping (VSM) and RCA, findings reveal that the total service time decreased from 5626 to 2583 seconds, with value-added activities increasing by 18.6% and non-value-added activities reduced by 27.2%. Novelty: The integration of Lean Healthcare with RCA provides a structured analytical model for identifying, prioritizing, and addressing waste in public health service settings. Implications: The proposed improvements—digital queue systems, process standardization, and staff training—demonstrate significant potential to improve patient flow efficiency and enhance service quality at primary care facilities. Highlights: Identifies dominant waste types and their root causes in healthcare services. Demonstrates efficiency improvement through Lean Healthcare and RCA integration. Proposes practical digital and procedural solutions to reduce waiting time. Keywords: Lean Healthcare, Root Cause Analysis, Waste Reduction, Service Efficiency, Primary Healthcare
Competence, Workload, Incentives, and Their Link to Driver Satisfaction and Performance: Kompetensi, Beban Kerja, Insentif, dan Kaitannya dengan Kepuasan dan Kinerja Pengemudi Erlangga Eka Taruna; Minto Waluyo
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.10.2025.11571

Abstract

General Background: The online transportation industry is becoming increasingly competitive, necessitating a deeper understanding of factors that affect workforce sustainability. Specific Background: Within algorithm-driven gig platforms, driver-partners operate under flexible yet demanding conditions, influencing their performance and well-being. Knowledge Gap: Despite the growing literature on digital labor, limited research has examined how individual factors like competence, workload, and incentives impact job satisfaction and performance in such decentralized systems. Aims: This study investigates the effects of competence, workload, and incentives on job satisfaction and how these in turn influence the performance of driver-partners in an online food delivery platform. Results: Using Structural Equation Modeling (SEM) with AMOS and data from 100 respondents, findings reveal that only workload significantly affects job satisfaction. Competence and incentives showed no significant relationship, nor did job satisfaction or the examined factors significantly impact performance. Novelty: The study challenges traditional assumptions by showing that in platform-based work environments, personal variables may not directly drive performance outcomes.Implications: These results suggest a shift in managerial focus—from individual optimization to systemic interventions—better suited for digital labor ecosystems governed by algorithms and flexible task structures. Highlights: Only workload significantly influences job satisfaction. Competence and incentives do not directly impact satisfaction or performance. System-level strategies are more effective than personal improvements. Keywords: Job Satisfaction, Driver Performance, Online Food Delivery, Workload Impact, Digital Labor
Implementation of Environmental Accounting in a Halal Manufacturing Company: Implementasi Akuntansi Lingkungan di Perusahaan Manufaktur Halal Sunni Syahputra; Yenni Samri Juliati Nasution; Hendra Harmain
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.10.2025.11572

Abstract

General Background: The halal industry is expanding globally, driven by increasing awareness of ethical, hygienic, and spiritually aligned production standards. Specific Background: In Indonesia, as a key player in the halal economy, the integration of Islamic values into business practices is emphasized, including environmental accountability. Knowledge Gap: However, practical implementation of sharia-based environmental accounting remains limited, especially in halal manufacturing sectors. Aims: This study investigates the application of environmental accounting at PT Kimia Farma in the Medan Industrial Area, focusing on the integration of maqashid sharia principles. Results: Findings show that while the company implements environmental initiatives—such as waste treatment, energy efficiency, and CSR—it lacks a formal environmental accounting framework grounded in Islamic accountability. Novelty: Using stakeholder theory and Islamic accountability theory, the research presents empirical insights into the gap between normative values and structured sharia reporting, highlighting both institutional strengths (halal certification, managerial commitment) and constraints (lack of technical guidance, limited human resource capacity). Implications: The study underscores the urgency of developing sharia-compliant environmental reporting models to strengthen ethical governance in halal industries, offering strategic insights for policymakers, regulators, and halal enterprises seeking sustainability through faith-based accountability.Highlight : The study explores environmental accounting implementation in the halal industry using a case study of PT Kimia Farma. Findings show the absence of a structured sharia-based reporting system despite internal Islamic values. Key barriers include lack of technical guidelines and limited literacy in maqashid shariah among staff. Keywords : Environmental Accounting, Halal Industry, Maqashid Shariah, Islamic Accountability, PT Kimia Farma
Religious Moderation as a Strategy for Student Competence Formation in Multicultural Schools: Moderasi Beragama sebagai Strategi Pembentukan Kompetensi Siswa di Sekolah Multikultural Roni R Dabutar; Wahyudin Nur Nst; Mohammad Al Farabi
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.10.2025.11582

Abstract

General background: In a multicultural society like Indonesia, education plays a pivotal role in fostering tolerance and preventing radicalism. Specific background: SMA Negeri 1 Sidikalang, with its diverse religious and cultural composition, serves as a strategic setting to implement religious moderation in education. Knowledge gap: However, studies on how religious moderation is operationalized in rural multicultural public schools remain limited. Aims: This study aims to examine how values of religious moderation are integrated into Islamic and Christian Religious Education to shape students’ competencies holistically. Results: Using a qualitative-descriptive approach, findings show that moderation is embedded through curriculum design, teacher role modeling, inclusive extracurricular activities, and community collaboration, resulting in students’ enhanced empathy, tolerance, and respect for diversity. Novelty: This study uniquely maps the enabling and inhibiting factors of religious moderation in a rural public high school, revealing its positive influence across spiritual, social, and academic domains. Implications: The research underscores the importance of institutional support, experiential learning, and interfaith dialogue in building inclusive educational environments aligned with the values of Pancasila and the Merdeka Curriculum.Highlight : Religious moderation is integrated into teaching through contextual and dialogic learning. Teachers serve as role models, promoting tolerance and empathy across religious lines. School activities and institutional policies support inclusive values and multicultural harmony. Keywords : Religious Moderation, Religious Education, Tolerance, Contextual Learning, Student Competence

Page 156 of 239 | Total Record : 2389

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