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The implementation of the Health Workload Analysis (ABK Kes) method reveals both strengths and weaknesses, particularly regarding the suboptimal execution of core tasks such as filing and distributing medical records. This study aims to compare the workload of health human resources (SDMK) between primary and advanced healthcare facilities—specifically Banyudono 1 Public Health Center and Indriati Boyolali Hospital—both of which have implemented hybrid medical record systems. Using primary data collected through interviews and observations and analyzed via the ABK Kes method, the results indicate a need for 10 additional staff members in the Casemix Unit at Indriati Boyolali Hospital and 2 additional medical record practitioners at Banyudono 1 Public Health Center. The Available Working Time (WKT) at the Public Health Center was set at 75,000 based on the Minister of PAN-RB Regulation No. 1 of 2020, whereas the Hospital used real-time calculations. While the Public Health Center aligns its policies with Ministry of Health Regulation No. 19 of 2020, the Hospital adjusts its staffing needs based on the ABK Kes results. Given that this method focuses primarily on quantity, future research and development (R&D) should integrate Lean Thinking for process analysis, ABK Kes for capacity, Queueing Theory for dynamic analysis, and NASA-TLX for psychological evaluation to provide a more holistic assessment of staffing needs.

The high incidence of risky sexual behavior among adolescents is caused by several factors, such as the environment and low selfcontrol. Adolescents living in former red-light districts are at higher risk of risky sexual behavior due to environmental factors and a lack of self-control. Therefore, appropriate psychoeducational media are needed to help improve adolescents' selfcontrol so that risky sexual behavior can be prevented. This study aims to determine the content validity of the ‘SCOUPER’ self-control psychoeducation module as a preventive measure against risky sexual behavior among adolescents in former red-light districts. This study used the Research and Development (R&D) method with a 3D model (Define, Design, and Develop). The define stage analyzed the needs of adolescents, the design stage developed the self-control psychoeducation module, and the develop stage included validity testing with rating scores by experts or validators. The data analysis used in this study was descriptive analysis with Aiken's V formula and validator input. The validity test results showed that the SCOUPER self-control psychoeducation module scored between 0.75 and 1,00 in the high – very high category. Based on the validity test results, the SCOUPER module can be concluded to be valid for use with some suggestions and improvements from the validator. The SCOUPER self-control psychoeducation module is valid in terms of content, construct, and language, and has the potential to be used as a preventive medium in preventing risky sexual behavior among adolescents, especially in former red-light districts.

Air gaps between the probe and the skin surface can produce shadowing artifacts in the presented image. With the help of gel pad Artefact Shadowing can be minimized. However, in ultrasound examination Shoulder ultrasound examination performed with the patient sitting, it is possible that the gel pad is not stay consistently on the examined area. This is due to the pull of the earth's gravity, so the gel pad sheet model is still less supportive for this examination. support for this examination. The aim of this study was to develop a product design in the form of a Gel-based auxiliary applicator to optimize the examination of the Shoulder ultrasound examination, which has been tested for function based on the aspects of comfort and quality of quality of the resulting image. The Research and Development study was conducted with a multidimentional approach, resulting in a product that was tested for comfort by sonographers and tested for comfort by sonographers and image quality by radiologists. interpretation of radiologists. Data processing was done by conducting comparison of ultrasound examination of Supraspinatus Tendon in patients with body weight below 18.5 based on BMI calculation by using standard gel and by using the product, 30 samples each. The product design consists of gel pad and silicon rubber RTV-48. With the composition of the gel pad is gel wax and paraffin (5% of gel wax). Where silicon is designed with a thickness of 2 mm resembling the thickness of human skin. Product test results obtained that the comfort aspect is more optimal with the product than without using the product.

Background: The scheduling of work of health workers, especially radiographers in type B hospitals, is a complex challenge due to the variety of radiology modalities, variations in the number of human resources, and the provisions of working hours regulations from the Ministry of Health of the Republic of Indonesia. Manual scheduling that is still in use tends to cause workload inequality, conflicts between employees, and operational inefficiencies. Objective: This study aims to design and develop an Artificial Intelligence (AI)-based radiographer shift scheduling system that is able to prepare work schedules automatically, fairly, flexibly, and integratedly, in accordance with hospital service regulations and needs. Research Method: This type of research is Research and Development (R&D). The development process is carried out through the stages of needs analysis, designing Python and Flask-based systems, simulating tests on data, and expert validation then the data collected and described from the initial mapping and also mapping potential problem-solving. Results: The system successfully manages morning, noon, night, and holiday shift schedules based on competence, fair rotation, and maximum working hours provisions. By showing a significant difference between user perceptions before and after using the system, which reflects improved efficiency, fairness, and ease of access to schedules. Respondents expressed satisfaction with the override feature and integrated notifications. Conclusion: The development of an AI-based radiographer shift scheduling system has proven to be feasible and effective in overcoming managerial problems of work scheduling in hospitals. This system is able to increase efficiency, transparency, and user satisfaction, and has the potential to be widely applied to various types of hospitals in Indonesia.

Examinations in radiology installations have increased annually, resulting in a higher risk of radiation hazards to staff, particularly in interventional, conventional X-ray, and CT-Scan environments. Furthermore, not all hospitals are equipped with radiation survey meter monitoring devices. Therefore, an innovative radiation exposure monitoring system based on the Internet of Things (IoT) was developed. This study aims to: (1) develop an IoT-based radiation exposure monitoring system, (2) evaluate the device’s performance, and (3) assess the effectiveness of the system. The research method used was research and development (R&D), which included preliminary information gathering, product planning and development, expert validation, device performance testing, effectiveness testing, and final outcomes. This system was developed for real-time radiation dose monitoring.  The product development involved a Geiger-Muller M4011, an ESP32 microcontroller, and a Node-Red web application. Performance testing of the IoT-based radiation exposure monitoring device and a standard survey meter in CT-Scan and conventional X-ray rooms used the T-Test and Mann-Whitney tests. The results showed p-values > 0.05, indicating no significant difference between the two devices. Effectiveness testing through pre-test and post-test questionnaires demonstrated improved usability—namely flexibility, operability, learnability, and understandability—with an N-Gain value of 78.95%, indicating effectiveness. In conclusion, the IoT-based radiation exposure monitoring system proved effective and feasible for real-time radiation dose monitoring in radiology installations, offering advantages in IoT-based data integration, ease of access, and structured data recording. In addition to performance testing, the system was evaluated in terms of its integration with hospital infrastructure. It was designed to provide real-time radiation dose monitoring, automatically updating the dose data and sending alerts when safe exposure levels are exceeded. The system also enables remote monitoring, making it easier for radiology departments to oversee radiation safety without the need for direct physical checks.

A healthy lifestyle is an important issue that needs to be instilled early in life, especially during adolescence. Adolescents living in hinterland areas often face greater challenges in accessing adequate health information and facilities. Therefore, efforts to promote healthy lifestyles among adolescents, especially in hinterland areas, are very important to prevent health problems and improve quality of life. One potentially effective approach to improve the motivation and healthy lifestyle behavior of adolescents in hinterland areas is the Peer Empowerment program. This program utilizes the strong influence of peers in motivating and encouraging positive behavior change among adolescents. This research will use the research and development (R&D) method with an experimental approach. The results of this study are useful for providing recommendations for effective health promotion methods for healthy lifestyle changes in adolescents.

Nutritional status is a health condition that occurs as a result of a comparison between needs and the fulfillment of nutritional substances. There are several factors that can influence a person's nutritional status, namely suitability of needs with food intake, physical activity, increased nutritional needs due to various diseases, and other factors such as social and economic background. The nutritional status of adolescents can be described through measuring BMI/U. The prevalence of underweight in adolescents aged 13-15 years, based on research and development data from the Ministry of Health in 2013, is 11.1% (3.3% very thin and 7.8% thin) while for obese people aged 13-15 years was 10.8% (2.5% very obese and 8.3% obese). Data was obtained by interviews regarding identity, student age, weight and height measurements, exercise and physical activity habits, eating patterns and interpretation of nutritional status on Z-Score BMI according to Age. The results of this study showed that 59.5% of students had good nutritional status, 15.7% of students had overweight nutritional status, 13% of students have poor nutritional status, 10.3% of students have poor nutritional status, 1.6% students have obesity nutritional status.

Personal hygiene is the improvement of health through the implementation of hygiene measures carried out during menstruation with the aim of maintaining individual cleanliness and health so as to obtain physical, psychological well-being and increase the degree of welfare. The purpose of this study is to find out how the procedure for developing audio-visual media with youtube and to find out the feasibility of audio-visual media through assessments from experts and respondents. This research is included in Research and Development (R&D) with reference to the research model from Borg & Gall. The results of this study show that the average value of the validation test for material experts is 95% with the category of very feasible and 95% of media experts with the category of very feasible. The feasibility test of the product with student validation was 86.2% with the category of very feasible. The conclusion that this audio-visual media received a good response to be used as an educational medium on how to maintain personal hygiene during menstruation.

Excessive fat accumulation is called obesity. Obesity occurs at all ages, but is most common in the first year of life, at school age and in adolescence. The main behavioral and risk factors for obesity include an unhealthy or unbalanced diet, lack of beneficial activities, such as smoking, and lack of fiber, such as vegetables and fruit. Therefore, preventing and controlling obesity is very important. Nutrition education is an educational approach that functions to increase teenagers' knowledge, attitudes and behavior towards nutritional problems. Education can be done using media, one of which is posters. Posters are a type of media that contain health information with a combination of clear visuals to attract readers' attention. Posters as a health promotion media have the advantage of increasing awareness, trust and attitudes towards health. The aim of this research is to develop poster media for obesity prevention for students at Senior High School 5 Surakarta. This research method uses Research and Development (R&D), with the ADDIE model being developed in 5 stages, namely (Analysis, Design, Development, Implementation, Evaluation). The results of this research showed that the assessment of poster media from stage 1 material experts was 59% inadequate, stage 2 material experts were 62% with decent results, and stage 3 material experts were 76% with decent results. Stage 1 media experts were 88% very decent results, and stage 2 and 3 media experts were 100% very decent. The media aspect got a percentage result of 91%, the media usefulness aspect was 89% which was very feasible. Overall, the average final assessment score was 89.9%, a very decent category. And a field trial was carried out which was attended by 30 students, producing results of 85% from the media aspect and 84% from the media usefulness aspect, including the very feasible category, so it can be concluded that the media developed is "very suitable" for use in preventing obesity in teenagers in Senior High School 5 Surakarta.