Science Midwifery

Characteristics of radiology: Giant bullous emphisematous compare pneumothorax

Ana Majdawati — 2025-05-16

Background: Giant Bullous Emphysematous (GBE) or Vanishing Lung Syndrome is developed from bullous lung parenchyma diseases and can have multiple causes. The Images between GBE with pneumothorax are similar and difficult to differentiate bullae from pneumothorax. Case Presentations. A 27-year-old-man to emergency room with dyspnoea. Respiratory rate 32 and coarse upper breath sounds and diminished breath sounds in the right lung. Chest Computed Tomography (Chest CT) and Chest Smaller such bullous lesions are also seen in the left upper lobe. Discussion. Characteristics Chest CT and CXR GBE compare pneumothorax are: 1) the location of lesions: GBE contained within the lung and pneumothorax is collection of air in pleural space; 2) The shape of the lesions: GBE, oval, thin walled-less than 1 mm may be formed by pleura, septa or compressed lung tissue. Pneumothorax: with linear density outlining distinctive luscent area with bronchovascular markings are absent; 3) Complications: GBE caused minimal mediastinal line shifts and spontaneous pneumothorax. Pneumothorax with large areas caused greater mediastinal shift line. Summary. Chest CT and CXR are important to determine the diagnosis of GBE with pneumothorax: the location of lesions, The shape of the lesions and complications. They are important because both are cases of emergency that diagnosis can be implemented immediately so that handling can be rendered optimally.

The relationship between service quality and effective communication with patient satisfaction in the outpatient installation of Tangerang City Hospital

O.U. Taty Damayanty — 2025-05-16

Patient satisfaction is a key indicator of the standard of a health facility. Hospitals must be able to provide quality services supported by medical personnel who have competence in the form of effective communication skills. Analyze the relationship between service quality and effective communication with patient satisfaction at the Outpatient Installation of Tangerang City General Hospital. Quantitative method with descriptive research design and cross sectional approach. The sample used was 337 patients, the sampling technique in this study used non probability sampling with a purposive sampling approach. Bivariate data analysis in this study used chi square, while multivariate analysis with multiple logistic regression tests. The results showed that 54.0% of the service quality was good, 49.6% of communication was effective and 58.8% were satisfied with the service at the Tangerang City Hospital Outpatient Installation. All dimensions in the quality of service have a poor presentation of almost 50%. Likewise, the dimension of effective communication has a 50% less effective presentation. The quality of service and effective communication are simultaneously related to patient satisfaction. The most dominant variable related to patient satisfaction in the Outpatient Installation of Tangerang City Hospital was effective communication with an ap value of 0.003 and an OR value of 2.120 (95% CI 1.295-3.470). Service quality and effective communication are associated with patient satisfaction at the Outpatient Installation of Tangerang City General Hospital. Improve responsiveness in the form of response to patient complaints, certainty of service time clearly informed to patients, assurance of reliable medical personnel and empathy to patients, and improve the quality of communication effectively.

Analysis of differences in anatomical information in magnetic resonance cholangiopancreatography (MRCP) examinations between the use of the mouth breath hold technique and trigger technique

Sahrul Rahmawan — 2025-05-17

MRCP is a non-invasive imaging method used to visualize the biliary system and detect abnormalities in the bile ducts or gall bladder. In taking images, there are two techniques, namely the mouth breath hold (MBH) technique and the trigger technique, where the MBH technique is carried out by the radiographer giving instructions directly related to the patient's respiratory movements, while the trigger technique uses respiratory gating to detect breathing patterns and minimize image blur due to organ movement. At Department of Radiology SMC Telogorejo Semarang both techniques are used in MRCP examinations by looking at the condition of each patient. So the author is interested in comparing the results of anatomical information from the two techniques. Methods: This research uses a quantitative design with an experimental approach. Data was collected from 10 patients who underwent MRCP examinations at the Department of Radiology SMC Telogorejo Semarang in August–September 2024. The scanning procedure was carried out using a T2 HASTE coronal section sequence twice for each patient using the MBH and trigger technique. Anatomical information was assessed by means of visual grading analysis by 3 radiologists on the structure of the cystic duct, intra-hepatic duct, common hepatic duct, common bile duct, pancreatic duct, and gallbladder (gallbladder) using a questionnaire with a scale (1–4). Then the data was analyzed using SPSS to determine whether there were differences in image information from the two techniques using the Wilcoxon difference test. This research has passed the ethical test number: KEPK/UMP/170/I2025. Results: Based on the results of the Wilcoxon test, both for the entire anatomy and for each anatomy, it shows a p-value < 0.05. This indicates that there are significant differences in the anatomical information produced by the two techniques. Based on the mean rank value, the most optimal technique for displaying anatomical information is MBH. This advantage is due to its ability to reduce movement artifacts through the breath-hold method, resulting in clearer and more detailed anatomical images compared to the trigger technique. The MBH technique is more effective in improving MRCP anatomical information, especially in patients with respiratory instability. It is hoped that these results can be a reference in determining the optimal method for MRCP examination.

Determinants of diabetic wound healing in patients at the Cipadu Community Health Center, Tangerang City

Any Ernawati — 2025-05-17

Diabetes mellitus (DM) is a common chronic disease with serious complications including diabetic wounds. DM complications result in chronic wounds that require specialized care and considerable time. The prevalence of diabetic wounds continues to increase globally, including in Indonesia, where this complication accounts for the majority of lower limb amputation cases. To know the determinants of wound care on the healing of diabetes in patients at Cipadu Community Health Center. This study uses a cross-sectional study design by collecting medical record data from DM patients who underwent treatment or care at Cipadu Community Health Center from January 2022 to December 2022. There are 65 patients in the study population who met the inclusion and exclusion criteria. The data were analyzed descriptively using statistical methods such as the chi-square test and logistic regression to identify relationships between variables. The study results show that a regular wound care schedule and a combination of modern traditional wound care have significant effectiveness in the healing process of diabetic ulcers. Multivariate analysis revealed that wound care is the healing of diabetic wounds while the wound care schedule is a control variable. Factors such as age, gender, and wound stage did not show a significant relationship with wound healing.

Mothers' antenatal care visits in Padang lawas regency: A qualitative investigation

Putri Ayu Yessy Ariescha — 2025-05-17

Pregnant women should pay close attention to their health and the health of their fetuses. To prevent maternal and infant mortality, antenatal care visits are one of the actions that must be adhered to by pregnant women. This study aims to explore the perspectives of pregnant women in antenatal care visits in Padang Lawas Regency. The study was qualitative with a grounded theory approach. This study involved five mothers using purposive sampling. Data was collected through in-depth interviews and analyzed by content analysis. The results emerged namely: 1) support from husband and family, 2) accessibility, 3) health providers, and 4) mother’s behavior. Health providers play a very important role in making antenatal care visits a success routinely and completely.

Article review: Gastroretentive drug delivery system (GRDDS) in captopril

Siti Sutiyah — 2025-05-22

Captopril is an antihypertensive drug that belongs to the Angiotensin Converting Enzyme Inhibitor (ACE-Inhibitor) class and is widely applied for first-line therapy. This drug has a pharmacokinetic profile with a short half-life of about 2-3 hours, is easily soluble in water, and is stable under acidic conditions (pH 1.2). However, its stability decreases as the pH increases, making it susceptible to degradation. Absorption of captopril in the stomach does not take place completely due to the low gastro retention time (GTR), causing its bioavailability to be low (around 65%). To increase drug effectiveness, reduce degradation, and improve patient compliance, various drug delivery systems have been developed. One promising approach is the Gastroretentive Drug Delivery System (GRDDS), which is a sustained release drug delivery system deliberately designed to maintain the drug longer in the stomach. This review article aims to examine GRDDS methods that can be applied to captopril, including modification of the matrix and polymer used, in order to obtain a better drug release profile and improve drug characteristics. The literature review was searched using databases namely PubMed, Google Scholar, and Science Direct, with publication year coverage from 2014 to 2024. The keywords used included: “Gastroretentive Drug Delivery System (GRDDS)”.

Analysis of workforce needs in the medical records unit at Esthomihi Hospital Medan using the queuing theory approach

Sopianita Healthy Ginting — 2025-05-24

Medical records are important records that contain all information related to services that have been provided to patients. The less than optimal process of implementing medical records can be due to a lack of human resources, training, or supporting facilities and infrastructure. This study aims to analyze the need for workers in the medical records department of the hospital with a theoretical approach (queueing theory) at Esthomihi Hospital Medan. This type of research is quantitative with an analytical observational approach. The research design used is cross sectional. This study was conducted at Esthomihi Hospital in December-January 2025. In this study were all health workers related to the implementation of medical records consisting of doctors, nurses, medical records officers and pharmacists at Esthomihi Hospital Medan as many as 252 people. The sample in this study were all doctors, nurses, medical records officers and pharmacists related to patient medical records at Esthomihi Hospital Medan as many as 252 people. Data analysis was carried out univariately, bivariate and multivariate. The results of the study indicate that there is an influence of the level of patient arrivals, the level of patient service, the number of patient servers, and the system capacity. The most influential variable on the need for manpower in hospital medical records affairs with a theoretical approach (queueing theory) at Esthomihi Hospital Medan is the variable number of patient servers with ap value of 0.000, OR = 125.571 (95% CI = 25.114-627.866) meaning that respondents who stated that the number of patient servers was lacking a 125.571 times less chance compared to respondents who stated that the number of patient servers was good n It is expected to be able to improve, expand, develop, experience and knowledge directly regarding the need for manpower in hospital medical records affairs with a theoretical approach (queueing theory) at Esthomihi Hospital Medan.

The effectiveness of lavender aromatherapy in managing labor pain

Sirajul Muna — 2025-06-03

Labor pain is one of the most intense forms of acute pain experienced by women and can have significant physical and psychological impacts. Although pharmacological methods such as epidural anesthesia are effective in relieving pain, their use is associated with potential side effects and limitations in resources, particularly in healthcare facilities with restricted access. This study aims to evaluate the effectiveness of lavender aromatherapy in managing labor pain, as well as to review the methods of application, timing of administration, and associated psychological effects based on empirical evidence from various studies. This literature review analyzed 17 scientific articles employing various research designs, including randomized controlled trials (RCTs), quasi-experimental studies, comparative studies, and systematic reviews. Data sources were derived from both national and international journals relevant to the topic of lavender aromatherapy and labor pain. The findings indicate that lavender aromatherapy consistently reduces labor pain intensity, particularly when applied during the active phase of the first stage of labor. Additionally, it has anxiolytic effects that help alleviate maternal anxiety. Its combination with other techniques such as effleurage massage enhances analgesic efficacy by stimulating beta-endorphin production. Lavender aromatherapy also offers flexibility in its application methods, including inhalation, topical massage, and ambient diffusion. Lavender aromatherapy is a safe, effective, and easily implemented non-pharmacological approach to holistic labor pain management. It supports both the physical and emotional well-being of mothers throughout the childbirth process.

The effectiveness of educational media in preventing anemia among adolescent girls

Iin Fitraniar — 2025-06-03

Anemia is a prevalent health issue among adolescent girls, particularly in developing countries, with serious consequences for growth, cognitive function, and overall well-being. As this group undergoes critical physical development and prepares for future reproductive health, effective prevention strategies are essential. Health education has been widely recognized as a key intervention to improve awareness, knowledge, and behavioral changes related to iron intake and nutrition. This study systematically reviews 18 eligible articles published between 2013 and 2024 that examine the effectiveness of various educational media in preventing anemia among adolescent girls. A comprehensive literature search was conducted using Google Scholar and PubMed with relevant keywords in both English and Bahasa Indonesia. The included studies utilize different methodologies, such as quasi-experimental designs, participatory action research (PAR), and media development. Various educational media were analyzed, including leaflets, posters, videos, mobile applications, and interactive tools like educational games. The findings consistently demonstrate that educational interventions, particularly those utilizing digital and interactive media, effectively enhance knowledge, foster positive attitudes, and promote healthier behaviors. Approaches that actively involve participants, such as PAR, further improve engagement and personal responsibility for health. To maximize effectiveness, future programs should expand the use of digital platforms, such as social media and gamified learning tools, which have been shown to sustain attention and motivation. Additionally, integrating culturally relevant and community-based educational strategies can further enhance the long-term impact of anemia prevention efforts among adolescent girls.

The influence of psychological factors on breast milk production among breastfeeding mother

Lia Lajuna — 2025-06-03

Breast milk production is a physiological process strongly influenced by maternal psychological conditions such as stress, anxiety, emotional exhaustion, and sleep quality. Psychological disturbances have been shown to interfere with hormonal reflexes essential for lactation—particularly oxytocin and prolactin—thereby affecting both the smoothness and volume of milk production. This study employs a systematic review method to analyze scientific articles published between 2013 and 2024 in both Indonesian and English, focusing on the psychological factors affecting breastfeeding. Articles were sourced from Google Scholar and PubMed, screened using defined inclusion criteria, and analyzed descriptively. The findings indicate that most studies report a significant negative correlation between stress, anxiety, and breast milk production, especially during the early postpartum period. However, some studies report inconsistent results, likely due to moderating factors such as social support, prior breastfeeding experience, employment status, and maternal coping mechanisms. In addition, sleep quality, breastfeeding behavior, and physical comfort also contribute to breastfeeding success. These results highlight the need for a holistic approach in maternal health services, including psychosocial interventions, behavioral education, and support from family and workplaces, to address psychological barriers that hinder successful breastfeeding.

The effectiveness of reflexology on blood pressure in pregnant women

Emilda AS — 2025-06-03

High blood pressure during pregnancy, such as gestational hypertension and preeclampsia, is a serious complication that can pose risks to both the mother and fetus. Foot reflexology has emerged as a promising non-pharmacological intervention to help manage blood pressure. This study aimed to systematically review the effectiveness of reflexology therapy in reducing blood pressure among pregnant women. A systematic review was conducted using 18 scientific articles published between 2013 and 2024, retrieved from Google Scholar and PubMed databases. The selected articles included both quantitative and qualitative studies focusing on the use of reflexology as an intervention for managing blood pressure during pregnancy. The data analyzed covered research design, sample size, intervention protocols, and blood pressure outcomes. The findings indicate that foot reflexology consistently reduces both systolic and diastolic blood pressure, especially in pregnant women with gestational hypertension. The mechanism of reflexology involves stimulating specific reflex points related to the cardiovascular and endocrine systems, as well as activating the parasympathetic nervous system to promote relaxation and stress reduction. Reflexology has also been shown to be safe, as it does not induce uterine contractions, and can be effectively combined with other non-pharmacological therapies such as warm foot soaks and aromatherapy for optimal results. Although further research with stronger study designs is needed, current evidence supports the use of reflexology as a complementary therapy in managing blood pressure during pregnancy.

Analysis of the management of heatlh operasional assistance funds on the achievement of minimum service standards in the productive age sei agul community health center, Medan city

Risky Andreansyah — 2025-06-05

Health is an important aspect for both individuals and the wider population. WHO (World Health Organization) is the largest health organization in the world which covers world health by distributing health aid funds to policies which will later become a reference for various countries to implement. The aim of this research is to determine the Management of Health Operational Assistance Funds (BOK) towards the Achievement of Minimum Service Standards (SPM) in the Productive Age Service Sector at the Sei Agul Community Health Center, Medan City. This research is qualitative research with an in-depth case study approach. This research involved four informants who understand, know and understand, namely the Head of the Community Health Center, the BOK Treasurer, the productive age program implementer, and the person in charge of the productive age program. The data analysis used in this research is case study analysis with data processing using a qualitative data processing application, namely Nvivo version 14. Management of BOK funds at the Sei Agul Community Health Center, Medan City has obstacles, namely adjusting the Community Health Center program with the Health Service program. In its implementation there are obstacles, namely the slow realization of the BOK budget and a less active community. Reporting has obstacles, namely too many reporting files and too short a time. In the evaluation, there were solutions to obstacles to program implementation that were not followed up.

Analysis of the dimensions of health service quality towards the satisfaction of outpatient BPJS patients at the Plus Perbaungan Health Center, Serdang Bedagai Regency

Dellya Silfani — 2025-06-05

The problems of BPJS health services that are often complained about until now are the rejection of BPJS patients and long service times, unfriendly doctor and nurse services, and drug administration services that are still long when compared to non-BPJS patients. The purpose of this study was to analyze the dimensions of health service quality on the satisfaction of BPJS outpatients at the Perbaungan Plus Health Center in Serdang Bedagai Regency. This study is a quantitative study using a cross-sectional study design. This study was conducted from January to March 2025. A total of 95 BPJS outpatients at the Perbaungan Plus Health Center were selected as respondents through accidental sampling techniques using the slovin formula. Data were collected through questionnaires and analyzed using Chi Square. The results of the chi square statistical test showed that there was a relationship between responsiveness and patient satisfaction p-value 0.01, empathy with patient satisfaction p-value 0.04. Then, the variables reliability, assurance and tangible were not related to patient satisfaction in BPJS outpatients at the Perbaungan Plus Health Center. The dimensions of health service quality that most dominantly influence the intention of repeat visits of BPJS outpatients at the Perbaungan Plus Health Center are the responsiveness dimension and the empathy dimension with a p-value <0.05.

Exploring the impact of family health care implementation on family resilience: Insights from friedman’s structural-functional theory

Ressa Andriyani Utami — 2025-06-05

Background The family plays a crucial role in maintaining the health and well-being of its members. One of its essential functions is health care, including disease prevention, caregiving, and health-related decision-making. This function becomes particularly important during times of crisis or illness. Family resilience refers to the ability of a family to adapt, recover, and grow stronger in the face of adversity. A strong health care function within the family may contribute positively to building this resilience. However, the direct relationship between family health care function and family resilience remains underexplored, especially in the Indonesian context. Understanding this relationship is important for developing family-based interventions to promote health and resilience. Therefore, this study aims to examine the correlation between family health care function and family resilience. Objectives This study aims to determine the relationship between the implementation of family health care functions and family reliability. Methods The design of this study is a correlation study with the type of analytical correlation research through a cross sectional study approach Results The results of the bivariate analysis can be concluded that there is a significant relationship between health care function and family resilience in respondents (p = 0.001). The results of the multivariate analysis can be concluded that respondents who have a high income have a 15,897 times chance of having good family reliability compared to those who have a low income. Conclusion The family needs to improve the function of family health care where the family must recognize health problems experienced by family members.

Ethnopharmacological study on traditional medicinal plants of the anak dalam tribe in Bukit Dua Belas, Jambi Province as a treatment for diarrhea and antibacterial test

Febby Ola Yolandari — 2025-06-05

The Anak Dalam Tribe or Orang Rimba is one of the tribes that live on the island of Sumatra, precisely located in Jambi Province. The Anak Dalam Tribe utilizes plants as a necessity in their lives, one of the benefits of plants used by the Anak Dalam Tribe community as a cure for a disease. This study aims to examine the potential of plants as a cure for diarrhea in the Anak Dalam Tribe, Bukit Dua Belas. This type of research is descriptive research with qualitative methods and snowball sampling techniques through open-ended interviews with 5 informants as Temenggung or tribal chiefs, and 1 informant who is a shaman using interview guidelines. Based on the results of the interview, 14 types of single plants and 4 types of plants in the form of potions were obtained which were used as diarrhea medicine. The plant organs that are utilized include roots, leaves, sap, mushrooms, tubers. The processing method is boiled, squeezed, burned, grated. While its use is by eating, drinking and, sticking to the part of the body that is sick. In the treatment process in the Anak Dalam Tribe, Bukit Dua Belas still uses spiritual methods by relying on the help of Dewo or supernatural powers. In the bacterial inhibition test, the average clear zone results were wider than the others in the test with 96% ethanol extract with Escherichia coli bacteria, the widest clear zone was found in the Lelisau plant at 14.1 mm, in Staphylococcus aureus bacteria, the widest clear zone was in the Mempalas plant at 10.7 mm so that it was included in the strong category. Testing the diameter of the inhibition power using water extract tested with Escherichia coli bacteria, the widest clear zone was found in the Lelisau leaves at 12.35 mm, in Staphylococcus aureus bacteria, the widest clear zone was in the Water Apple plant at 10.6 mm so that it was included in the strong category.

Research trends and clinical evidence: A comparison of surgical vs. conservative approaches for chronic pelvic pain syndrome – a systematic review and bibliometric analysis

I Gede Agus Rio Saputra — 2025-06-09

Chronic Pelvic Pain Syndrome (CPPS) is a complex medical condition that affects patients' physical, emotional, and social quality of life. Its management involves two main approaches: surgical and conservative. However, there are significant differences in the effectiveness, risks, and long-term impacts of each approach. This study aims to evaluate the effectiveness of surgical and conservative approaches in managing CPPS through a systematic review and bibliometric analysis, focusing on pain reduction, improvement in quality of life, and risk of complications. This research employs the Systematic Literature Review (SLR) method, following the PRISMA guidelines to search, screen, and evaluate relevant literature from databases such as PubMed, Scopus, and the Cochrane Library. The quality of the relevant studies is assessed using standardized appraisal tools. Quantitative data are analyzed through bibliometric analysis to identify differences in effectiveness between surgical and conservative approaches. The results indicate that the surgical approach is more effective in reducing severe and refractory pain compared to conservative therapy, but it is associated with a higher risk of complications. Conversely, the conservative approach provides benefits for mild to moderate symptoms with minimal risk and lower cost. In the context of Indonesia, the conservative approach is more suitable to be implemented as the first-line treatment for CPPS, with surgical options considered for cases that do not respond to initial therapy.

Analysis of completeness factors for filling inpatient discharge summaries H. Hanafie regional hospital Muara Bungo Jambi 2024

Veita Astrianda — 2025-06-10

Although the discharge summary is essential for ensuring continuity of patient care, supporting clinical decision-making, and enabling administrative processes such as BPJS insurance claims, RSUD H. Hanafie Muara Bungo continues to face challenges in achieving complete and standardized medical documentation. This study analyzes the factors influencing the completeness of inpatient medical resumes at RSUD H. Hanafie using the 5M framework: Man, Method, Machine, Material, and Money. A qualitative descriptive approach was employed, with data collected through document review, observation, and interviews with Responsible Doctors (DPJP) and the Head of the Medical Records Installation. A total of 100 medical resumes were selected using simple random sampling, based on the Slovin formula with a 10% margin of error. Data were analyzed through data reduction, presentation, conclusion drawing, and validation using triangulation. Results showed that the patient identification component achieved 100% completeness, while important reporting, authentication, and recording reached 98%, 95%, and 77%, respectively. Key influencing factors included limited routine training and discipline (Man), absence of SOPs and weak monitoring (Method), suboptimal form design (Material), insufficient devices and system disruptions (Machine), and budget constraints (Money). To address these issues, a comprehensive strategy involving health worker collaboration, system support, and strong management commitment is essential to ensure that the clinical, legal, and administrative functions of medical resumes are fulfilled.

Case report of asymptomatic situs inversus totalis with dextrocardia in primigravida: Is cesarean section necessary?

Erina Arifia — 2025-06-10

Introduction: Situs inversus, a congenital anomaly, is defined by the transportation of thoracic and abdominal organs. A variety during pregnancy this condition has often a challenge for obstetricians, gynecologists, and midwives as there is concern about cardiovascular dysfunction, leading to recommendations for cesarean section. Case Report: A 28-year-old primigravida at 40 gestational weeks. She was admitted arrival at the emergency room. Dextrocardia was already present, as was sinus inversus totalis and antenatal assessment relevealed no abnormalities. Patient underwent a spontanous vaginal delivery of a healthy male infant with normal birth weight. Discussion: Situs inversus totalis with dextrocardia does not compromise organ function or the typical physiological changes of pregnancy including cardiovascular system. Therefore, routine cesarean section is not indicated for these patients unless other obstetric factor necessitate it, as this condition does not independently contribute to increased maternal or fetal complications. Conclusion: Delivery of a pregnancy, dextrocardia, and situs inversus totalis via vaginal delivery is feasible without any significant cardiovascular risks. Cesarean section was not necessary unless other obstetric indications.

Analysis of determinants of work accidents in fabrication workers in the steel structure workshop area at PT X in 2024

Sukriyadi Sukriyadi — 2025-06-12

Accidents are unexpected, undesirable events and can cause material and life losses. Accident prevention must be carried out based on the control hierarchy and the root causes of the accident. Purpose: The aim of this research is to know the determinants of work accidents among fabrication workers in the steel structure workshop area at PT X in 2024. The research method uses a cross sectional design. The sample was 58 respondents from a population of 112 workers at PT Data were collected using a questionnaire. The data was tested using the chi square test. The research results showed that of 58 respondents, 26 (44.8%) had experienced work accidents. Variables are age (P=0.126), education level (P=1.000), length of service (P= 0.126), length of work (p=0.029; OR 11.143), OHS knowledge (P=0.290), use of PPE (P=0.003; OR=5.971). There is a significant relationship between length of work and use of PPE and the incidence of work accidents among fabrication workers in the steel structure workshop area. The conclusion is that there is a relationship between compliance with the use of PPE and length of work with work accidents, while the factors age, education, length of service, OHS knowledge have no relationship with the incidence of work accidents. Suggestions are to regulate employee working hours so that there is no overtime in work progress and to increase compliance with the use of PPE for fabrication workers in the steel structure workshop area of PT.

Musculoskeletal disorder (MSDS) risk factors in construction workers at PT. Aluphi Hijau Lumina Dhoho Kediri International Airport Project in 2024

Okbi Mardian — 2025-06-12

Musculoskeletal disorders (MSDs) are a major contributor to disability worldwide, being the leading cause of disability in 160 countries. A review of 9,482 workers in 12 regions found that MSDs were the leading impact on workers in 16%. To analyze the most important factors on the risk of MSDs in construction workers of PT. Aluphi Hijau Lumina at the Dhoho Kediri International Airport Project in 2024. Analytical observational research with a cross-sectional study approach. aims to see the relationship between independent variables and dependent variables, namely individual characteristics (age, length of service, BMI/body mass index, smoking), ergonomic factors such as work posture (Total Back Exposure Static, Total Back Exposure Moving, Shpulder Arm Exposure, Wrist & Hand Exposure, Neck Exposure, Driving Exposure, Vibration Exposure, Work Pace Exposure, & Stress Exposure), workload, and duration of work time on complaints of musculoskeletal disorders (MSDs). The results of the study showed no relationship between individual characteristics (Age, Length of Service, BMI and Smoking Status) with MSDs complaints in Construction workers with P Value of age = 0.110; length of service = 0.597; BMI = 0.228; smoking status = 0.451. There was no relationship between ergonomic factors of body posture (Total Back Exposure Static, Total Back Exposure Moving, Total Wrist Hand Exposure, Total Driving Exposure, Total Vibration Exposure, Total Work Pace Exposure, Total Stress Exposure) & duration of work of construction workers with MSDs complaints in Construction workers of PT. Lumina Green Aluphi with p value Total Back Exposure Static = 0.960; Total Back Exposure Moving = 0.286, Total Wrist Hand Exposure = 0.344; Total Driving Exposure = 0.512; Total Vibration Exposure= 1,000, Total Work Pace Exposure= 1,000, Total Stress Exposure= 0.316. There is a significant relationship between Total Shoulder Arm, Total Neck Exposure, & Workload of construction workers with MSDs complaints in construction workers of PT. Aluphi Hijau Lumina with Total Shoulder Arm p value= 0.005, Total Neck Exposure p value= 0.040, & Workload p value= 0.005. The most influential variable on MSDs complaints is neck exposure with a P value of 0.026, OR = 6.9. The risk of experiencing pain complaints in construction workers' activities with neck positions is 7 times more at risk of experiencing MSDs complaints. There is a need to be modified of work equipment with a working position with a bent neck condition, which can be done with engineering control on changes to work stations or work methods or setting the time for work exposure with an awkward position that is too long.

Formulation and evaluation of thin film nanoemultion from rose flower ethanol extract (rosa hybrida hort.) and antidiabetes mellitus type 2 activity test using in vitro enzyme

Erick Kurniawan Gustana — 2025-06-13

Diabetes mellitus is a chronic disease with a rising global prevalence. Natural antidiabetic agents derived from plant bioactive compounds offer a promising therapeutic alternative. Rose flowers (*Rosa hybrida Hort*) contain flavonoids such as kaempferol, known for their antidiabetic activity. However, poor solubility and bioavailability limit their therapeutic potential. This study aimed to develop and characterize a nanoemulsion of rose flower extract to enhance the stability and bioavailability of its active compounds. The extract was obtained by maceration using 96% ethanol and analyzed using Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS). Nanoemulsion formulations were developed using various types and concentrations of nonionic surfactants. Characterization included particle size, polydispersity index (PDI), zeta potential, and morphology. The optimal nanoemulsion showed a particle size <300 nm, PDI <0.5, and zeta potential around ±20 mV, indicating good stability. Transmission Electron Microscopy (TEM) revealed uniformly distributed spherical globules. LC-MS/MS confirmed the presence of kaempferol as the main active compound. The formulated nanoemulsion was successfully incorporated into an oral thin film, exhibiting favorable characteristics such as appropriate particle size, PDI, zeta potential, morphology, and satisfactory evaluation results including organoleptic properties, moisture content, pH, weight uniformity, film thickness, folding endurance, and disintegration time.