E-Journal UMSIDA (Universitas Muhammadiyah Sidoarjo)
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Optimizing Healthcare Quality Through ISO 9001:2015 and ISO 7101:2023 Standards: Mengoptimalkan Kualitas Layanan Kesehatan Melalui Standar ISO 9001:2015 dan ISO 7101:2023
General Background: Ensuring the quality and efficiency of healthcare services remains a fundamental priority in modern medical institutions. Specific Background: The integration of international standards, particularly ISO 9001:2015 and ISO 7101:2023, is essential in establishing robust quality management systems. Knowledge Gap: However, limited comparative analyses exist regarding the applicability and effectiveness of these standards within diagnostic and treatment institutions. Aims: This study aims to develop and implement a tailored "Quality Management System in Medical Institutions" based on both ISO 9001:2015 and ISO 7101:2023, assessing its impact on healthcare service quality and operational performance. Results: The system, comprising five principles and 53 specific requirements, was implemented at the ASMI Clinic, resulting in an increase in compliance from 45% to 75% over the course of 2023, with notable improvements in patient safety and staff competencies. Novelty: Unlike generic quality systems, the proposed model is uniquely adapted to the healthcare context, incorporating specialized principles and structured responsibilities. Implications: Despite challenges such as limited resources and employee adaptation, the findings support the strategic value of customized quality management frameworks in enhancing institutional performance and aligning with international best practices.
Highlights:
Compares ISO 9001 and 7101 standards in healthcare.
Improves service quality and staff performance.
Tailored system fits medical regulatory requirements.
Keywords: Healthcare Quality, ISO 9001:2015, ISO 7101:2023, Medical Institutions, Quality Management Syste
Nuclear Deformation Predicts Alpha Decay Behavior in Superheavy Elements: Deformasi Nuklir Memprediksi Perilaku Peluruhan Alfa pada Elemen Super Berat
General Background: Alpha decay is a dominant decay mode in superheavy elements (SHEs), offering critical insights into nuclear structure and stability. Specific Background: Elements with atomic numbers Z = 114–118 exhibit significant nuclear deformation, affecting their decay characteristics. Knowledge Gap: Existing models often assume spherical symmetry, leading to inaccurate half-life predictions due to neglecting deformation effects. Aims: This study quantifies the influence of nuclear deformation on alpha decay properties in SHEs, refining theoretical models for more accurate predictions. Results: By integrating deformation-dependent Woods-Saxon potentials and modifying the Geiger-Nuttall law within a WKB framework, the study achieved a 21.1% mean absolute error—improving prediction accuracy. Strong inverse correlations between quadrupole deformation (β₂) and half-life were observed; for example, Oganesson-294 (β₂ = 0.24) showed a 50% shorter half-life than spherical-based predictions. Novelty: The study combines deformation parameters (β₂, β₄), FRDM and WS4 models, and experimental validation from leading SHE laboratories, demonstrating the essential role of nuclear shape in decay behavior. Implications: These findings support the "island of stability" hypothesis near Z = 114–116 and underscore the necessity for deformation-inclusive models and advanced density-functional theory to enhance the understanding and synthesis of future SHEs.
Highlights:
Deformation lowers Coulomb barrier, increasing alpha decay probability.
Modified models improve half-life prediction accuracy.
Supports stability near Z = 114, N = 1
Keywords: Alpha decay, superheavy elements, nuclear deformation, half-life prediction, island of stabilit
Maternal Knowledge Levels on Risk Factors for Low Birth Weight: Tingkat Pengetahuan Ibu tentang Faktor Risiko Berat Badan Lahir Rendah
Background: Low birth weight (LBW), defined as less than 2,500 grams, remains a significant public health concern globally, with multiple maternal factors influencing neonatal outcomes. Specific Background: Although LBW neonates can survive and thrive, inadequate maternal knowledge about its risk factors can contribute to preventable cases. Knowledge Gap: Limited studies in Iraq assess maternal awareness regarding LBW causes, especially in the context of sociodemographic variables. Aims: This study aimed to evaluate mothers’ knowledge of LBW risk factors during pregnancy at the Maternal and Pediatric Hospital in Diwaniyah, Iraq. Results: Among 64 mothers aged 18–45, most demonstrated fair knowledge (mean = 1.92) regarding LBW risk factors. Notably, 40.6% exhibited good knowledge on daily activities, but 35.9% had low awareness of medication-related risks. Age showed a significant correlation with knowledge (p = 0.011), while academic achievement and economic status did not. Novelty: This study uniquely identifies age—not education or income—as a significant determinant of maternal knowledge on LBW, challenging traditional assumptions about health literacy. Implications: Findings underscore the need for targeted, age-sensitive educational interventions to improve maternal awareness and reduce LBW incidence, regardless of socioeconomic status or educational background.
Highlighhts:
Low birth weight linked to maternal knowledge gaps.
Assess mothers’ awareness of LBW risk factors.
Most mothers had fair knowledge; age influenced awareness.
Keywords: Assessment, Mothers, Knowledge, Risk Factors, Pregnancy, Low Birth Weight
 
PASH-BRAINS: Psychometric Validation of an Instrument Integrating Neurobiological and Spiritual Dimensions of Executive Function
While spirituality has increasingly been recognized as a vital component of holistic health, the scientific measurement of its neurobiological underpinnings remains underdeveloped. This study aims to test the construct validity of an innovative instrument measuring both Conventional Executive Function (CEF) and Transcendental Executive Function (TEF) using Confirmatory Factor Analysis (CFA). Data were collected from 795 ethnically and religiously diverse participants across five Indonesian cities. Results revealed strong construct validity, with 88% of items demonstrating adequate factor loadings (≥0.4). The TEF dimensions had better measurement qualities, showing excellent fit with the model (RMSEA=0.020, CFI=0.999, TLI=0.999, SRMR=0.010) than the CEF dimensions. The Transcendence (0.315-0.925), Decision Making (0.642-0.857), and Meaning of Life (0.596-0.948) dimensions showed very strong relationships, which supports the idea that spiritual and transcendent thinking is linked to measurable brain activity. These findings question the usual separation between rationality and spirituality, indicating that both are connected parts of how the brain works, which affects mental health treatments, psychospiritual evaluations, and our understanding of the connections between mind, brain, and spirit
ABO Blood Groups Associated with Cancer Type Distribution in Iraqi Patients: Golongan Darah ABO Terkait dengan Distribusi Jenis Kanker pada Pasien Irak
Background: Cancer remains a major global health challenge, characterized by the uncontrolled proliferation of abnormal cells. Specific Background: Emerging research suggests that ABO blood types may influence individual susceptibility to various cancers through immunological mechanisms. Knowledge Gap: However, limited studies have investigated the distribution and association of ABO blood groups with specific cancer types in the Iraqi population. Aim: This study aims to examine the relationship between ABO blood types and cancer risk among patients in Mosul, Iraq. Results: Data from 317 cancer patients revealed that blood group O was most prevalent among individuals with breast and colon cancer, while blood group A showed higher frequencies in lung and stomach cancers. Among leukemia cases, type O was predominant, especially in acute lymphocytic leukemia. Novelty: This study is one of the first in Iraq to explore the correlation between ABO blood groups and a spectrum of malignancies, providing region-specific insights into cancer epidemiology. Implications: Findings support the potential role of blood type as a biomarker for cancer susceptibility, offering a foundation for risk-based screening and personalized intervention strategies. Further genetic and longitudinal studies are warranted to clarify underlying mechanisms and enhance cancer prevention efforts.
Highlights:
Blood type O linked to breast and colon cancer cases.
Type A more common in lung and stomach cancer.
ABO typing aids early cancer risk identification.
Keywords: ABO blood group, cancer risk, leukemia, tumor classification, personalized medicin
Adjunct Constructions in Modern German: Shaping Narrative and Subjectivity in Discourse: Konstruksi Adjektiva dalam Bahasa Jerman Modern: Membentuk Narasi dan Subjektivitas dalam Wacana
General Background: Modern German syntax is undergoing a transformation, influenced by broader shifts in language use, with an increasing focus on subjectivity and expressiveness in written discourse. Specific Background: Among these changes, adjunct constructions have gained prominence as devices that enhance emotional nuance and communicative depth, reflecting the speaker's intentionality and facilitating pragmatic interaction with the listener or reader. Knowledge Gap: Despite their stylistic and grammatical exploration, the communicative-syntactic functions of adjunct constructions—especially in conveying the author's egocentric viewpoint and pragmatic intentions—remain underexplored. Aims: This study investigates how adjunct constructions in contemporary German function as communicative-syntactic tools, highlighting their role in shaping narrative perspective, affecting meaning, and interacting with both linguistic and extralinguistic factors. Results: The findings reveal that adjunct constructions are multifunctional elements with descriptive, expressive, and evaluative roles, enhancing the emotional and intellectual impact of texts. They support postmodern narrative features like fragmentation and spontaneity. Novelty: This research offers a fresh cognitive-communicative lens on syntax, focusing on the interaction between speaker subjectivity and reader engagement. Implications: The study contributes to linguistic theory, stylistic analysis, and German language pedagogy, advancing the understanding of pragmatics and syntax in literary discourse.
Highlights:
Adjunct constructions enhance emotional depth and narrative perspective.
They convey the author's subjective viewpoint and pragmatics.
The study explores syntax-pragmatics interaction in modern German discourse.
Keywords: Modern German syntax, adjunct constructions, narrative perspective, pragmatics, emotional nuance
Convenience, Trust, Sharia Literacy, and Features in Gopay Usage Decisions
General Background: The rise of digital financial services has transformed consumer behavior, particularly among younger demographics. Specific Background: Among Muslim students, the adoption of e-wallets like GoPay is influenced not only by general usability factors but also by alignment with Islamic financial principles. Knowledge Gap: However, limited research explores the integration of sharia financial literacy with other adoption drivers in the context of digital wallets. Aims: This study investigates the influence of convenience, trust, sharia financial literacy, and service features on the decision to use the GoPay e-wallet among students at FEBI UINSU. Results: Using a quantitative method with multiple linear regression analysis and a purposive sample of 85 respondents, the study found that all four variables significantly and positively affect GoPay usage decisions, with regression coefficients of 0.373 (convenience), 0.245 (trust), 0.275 (sharia financial literacy), and 0.316 (service features). The adjusted R² of 0.759 indicates that these factors explain 75.9% of the variation in usage decisions. Novelty: This research uniquely integrates Islamic financial literacy into the model of technology adoption in a Muslim student population. Implications: The findings suggest that increasing awareness of sharia-compliant financial practices and enhancing service features may boost digital financial inclusion among Muslim users.
Highlights:
Integrates Islamic financial literacy into e-wallet adoption analysis.
Identifies key drivers: convenience, trust, features, and sharia literacy.
Explains 75.9% of usage decision variation among FEBI UINSU students.
Keywords: GoPay, Sharia Financial Literacy, E-Wallet Adoption, Muslim Students, Digital Financ
Anti-Leishmanial Activity of Iraqi Plant Gundelia Tournefortii and Isolation of Beta-Sitosterol
Background: Herbal medicine remains a significant focus in contemporary pharmacological research due to its therapeutic benefits and low side effects. Specific Background: Gundelia tournefortii is recognized for its medicinal potential, yet its anti-leishmanial properties are underexplored. Leishmaniasis, particularly caused by Leishmania donovani, remains a critical health challenge with no available vaccines and limited treatment options. Knowledge Gap: Despite the ethnobotanical use of G. tournefortii, its phytoconstituents, especially beta-sitosterol, have not been thoroughly investigated for anti-leishmanial activity. Aims: This study aimed to isolate beta-sitosterol from the oil extract of Iraqi G. tournefortii and evaluate the anti-leishmanial efficacy of two different extracts against Leishmania tropica and Leishmania donovani, in comparison to the standard drug, pentostam. Results: Beta-sitosterol was successfully isolated via HPLC at a concentration of 98.08 ppm. The oil extract showed superior efficacy, with IC₅₀ values of 0.042 mg/ml for L. tropica and 0.00127 mg/ml for L. donovani. Novelty: This research represents the first report on the isolation of beta-sitosterol from Iraqi G. tournefortii and its significant anti-leishmanial activity. Implications: The findings support the potential of G. tournefortii oil extract as a natural source for developing new anti-leishmanial therapies, particularly due to its sterol and triterpene content.
Highlights:
First isolation of beta-sitosterol from Iraqi G. tournefortii.
Oil extract shows high efficacy against L. donovani.
Potential for developing plant-based leishmaniasis treatment.
Keywords: Gundelia Tournefortii, Leishmania Tropica, Leishmania Donovani, Pentostam, IC5
Determining Indicators of Medical Care Quality in Private Health Institutions
General Background: In recent years, non-state medical institutions have become integral to healthcare delivery systems in Uzbekistan, spurred by national reforms aimed at improving service accessibility and diversity. Specific Background: Despite their growing presence, concerns persist regarding the consistency and safety of services in the non-state sector. Knowledge Gap: Limited empirical data exist comparing the quality of care in public and private health institutions, especially within transitional economies such as Uzbekistan. Aims: This study aims to assess and compare the quality of inpatient and outpatient care between a private clinic (TJS-MED) and a public healthcare facility (Vabkent District Medical Association) in Bukhara region using defined quality indicators. Results: Findings revealed that while the private clinic excelled in service speed and patient comfort, it exhibited notable deficiencies in clinical-pathological diagnostic consistency and fulfillment of medical conditions. Overall, the quality coverage score was 86%, deemed “excellent,” though gaps in physician qualifications and technological application were identified. Novelty: The study introduces a structured indicator-based assessment tool tailored to the Uzbek healthcare context, allowing quantifiable comparisons across sectors. Implications: The results advocate for enhanced regulatory oversight, standardized clinical protocols, and investment in medical personnel training to ensure quality equity across healthcare providers.
Highlight :
Quality Variability – Non-state clinics often offer faster service but show inconsistency in clinical standards and staff qualifications.
Evaluation Tools – A mixed-methods approach using surveys, records, and expert interviews helps assess quality indicators effectively.
Policy Implication – There is an urgent need for regulatory reforms and standardized clinical guidelines to ensure patient safety.
Keywords : Non-State Medical Institutions, Medical Care Quality, Healthcare Indicators, Patient Satisfaction, Regulatory Oversigh
Optimizing School Operational Support Fund Management to Support Teacher Performance Improvement: Optimalisasi Pengelolaan Dana Bantuan Operasional Sekolah untuk Mendukung Peningkatan Kinerja Guru
General Background: Education quality is closely linked to how financial resources are managed, particularly in public schools. Specific Background: BOS (School Operational Assistance) funds are crucial in Indonesia's educational framework, yet their effectiveness in improving teacher performance remains underexplored at the micro level. Knowledge Gap: Few studies have examined how structured fund management influences teacher performance through school-based planning and implementation. Aims: This study aims to analyze the management of BOS funds at SMP N 62 Muaro Jambi, focusing on four administrative aspects—planning, organizing, implementation, and evaluation—and how these influence teacher performance. Results: Using a qualitative descriptive approach with inductive analysis, findings indicate that BOS fund management follows a systematic process led by a designated team. Effective allocation supports teacher development through improved facilities and professional training. Novelty: The study highlights the role of strategic planning and stakeholder coordination in maximizing limited resources while addressing challenges like delayed disbursement. Implications: Strengthening internal coordination and improving fund disbursement mechanisms can significantly enhance educational outcomes by empowering teachers, suggesting that governance reforms at the school level may yield broader systemic benefits.
Highlights:
Structured Management: BOS funds are managed through planning, organizing, implementation, and evaluation.
Performance Impact: Effective fund use enhances teacher performance via training and facilities.
Challenge & Solution: Delays and limited funds are tackled through improved coordination and planning.
Keywords: BOS Fund Management, Teacher Performance, Educational Quality, School Governance, Resource Allocation