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This regulation, which requires all healthcare facilities to implement EMR by December 31, 2023, stemmed from the emergence of Health Ministerial Regulation No. 24 of 2022. Santosa Hospital, Bandung Kopo, has implemented EMR, but no research has been conducted on it. This study aimed to determine the effect of EMR implementation on service quality in the emergency unit at Santosa Hospital, Bandung Kopo. The research methods used were descriptive verification analysis and multiple linear regression analysis. Data collection used a questionnaire distributed to all emergency unit staff. The results of the descriptive analysis were generally considered very good. The results of the verification analysis, both partially, showed a negative and insignificant effect on system quality and service quality, while information quality and use statistics showed a positive and significant effect. Simultaneously, these positive and significant effects were proven, and the researchers recommend maintaining and further improving them.

This study aims to develop a web-based Electronic Medical Record (EMR) application to improve the efficiency and accuracy of patient data recording at Elopada Community Health Center. The research adopts a system development approach using the waterfall model, including requirements analysis, system design, implementation, and testing. Data were collected through observation, interviews, and documentation. The developed system was evaluated using Black Box Testing to verify the conformity between input and output without considering internal program structures. The results indicate that the EMR system enhances data processing speed, improves recording accuracy, and facilitates access to patient information. These findings are consistent with prior studies showing that EMR implementation improves the quality and efficiency of clinical documentation . Therefore, the proposed system is considered feasible to support the advancement of digital healthcare services.

This study aims to examine the influence of employee engagement and intrinsic motivation on employee performance, and examine employee engagement and intrinsic motivation on organizational learning, as well as examine employee engagement and intrinsic motivation on employee performance through organizational learning. The population used in this study was 84 employees of the Department of Industry, Trade, Cooperatives, and Micro, Small, and Medium Enterprises (MSMEs) of Pekalongan Regency.The data analysis techniques used in this study were descriptive and inferential analysis. Seven hypotheses were tested using Structural Equation Modeling Partial Least Squares (PLS).The results of the study showthere is a positive and significant influenceemployee engagementon employee performance, intrinsic motivation has a positive and significant effect on employee performance, employee engagementpositive and significant influenceon organizational learning, intrinsic motivation has a positive and significant effect on organizational learning, employee engagement has a positive and significant effect on employee performance through organizational learning, intrinsic motivation has a positive and significant effect on employee performance through organizational learning.

The growing number of alleged medical malpractice cases in Indonesia, particularly physicians’ misdiagnosis resulting in patient death, underscores the need for stronger legal certainty and accountability in healthcare services. Physicians are professionally obligated to conduct diagnosis and medical treatment in accordance with professional standards, service standards, and standard operating procedures; however, negligence may occur and lead to severe harm. This study aims to analyze the legal provisions governing physicians’ liability for misdiagnosis causing patient death and to examine the forms of legal responsibility that may be imposed. The research applies a normative juridical method using a case approach and literature review, relying on primary legal materials such as the Indonesian Civil Code, the Criminal Code, the Medical Practice Law, the Hospital Law, and Law Number 17 of 2023 on Health, supported by secondary and tertiary sources. The findings indicate that physicians may be held liable under civil, criminal, and administrative law if the essential elements of medical negligence are proven, namely duty of care, breach of duty, harm (including death), and a causal relationship between the misdiagnosis and the fatal outcome. Moreover, liability may extend to hospitals under the doctrines of vicarious liability, hospital liability, and strict liability. This study implies the importance of strengthening professional competence, reinforcing disciplinary mechanisms, and ensuring balanced legal protection for both patients and healthcare professionals within Indonesia’s health law framework.

This study aims to develop a Christian Religious Education learning model based on Tongkonan values to strengthen the spiritual identity of Toraja youth amid identity crisis caused by globalization. Using qualitative method with literature study, this research analyzes the integration of Tongkonan philosophical values such as karapasan, kasiuluran, and kasianggaran with theological principles of Christian Religious Education through contextual learning approach and narrative theology. The results show that Tongkonan values have strong resonance with Christian teachings and can be integrated into a learning model comprising five components: theological-cultural foundation, contextual curriculum design, experience-based learning strategies, the role of three educational centers, and authentic evaluation. Implementation of this model has significant implications for strengthening spiritual identity through formation of solid self-identity, authentic moral value internalization, and development of spiritual resilience. This Tongkonan values-based Christian Religious Education learning model bridges the dichotomy between modernity and tradition, making Christian Religious Education more relevant and meaningful for Toraja students by equipping them with a holistic identity as Toraja people who are also followers of Christ.  

Advances in in vitro fertilization (IVF) technology have expanded the scope of reproductive interventions, from simply addressing infertility to enabling genetic selection of embryos through preimplantation genetic testing (PGT). This advancement not only enables the detection and prevention of severe genetic diseases, but also opens up opportunities for the selection of non-medical traits such as intelligence potential, physical characteristics, or specific polygenic scores, giving rise to the phenomenon of “designer babies.” This development presents complex bioethical issues related to human dignity, social justice, biological safety, and the right of children to have an open future. This paper aims to analyze the ethical issues of selecting non-medical characteristics of embryos in modern IVF through a literature review using a biomedical ethics framework, including the principles of autonomy, beneficence, non-maleficence, and justice. The findings show that the application of technology for non-medical purposes is still fraught with scientific risks, biological uncertainties, the potential for commercialization of humans, and the threat of socio-biological inequality. This analysis emphasizes the need to restrict the use of technology to clear medical indications, increase regulation and governance, and involve the public in policy formulation. Thus, advances in reproductive technology must be accompanied by strict ethical considerations so as not to sacrifice individual dignity and the value of justice in society.

Weight gain can be a concern for some women, with some considering a body conforming to specific beauty standards as an ideal or desired goal. The use of progesterone hormone injections, which affect the appetite control center in the hypothalamus, can increase appetite and potentially lead to weight gain. This research employs a descriptive-analytical method with a quantitative approach conducted at the Independent Midwife Practice in the working area of the Kragilan Serang Community Health Center, Banten, using secondary data from medical records. Data collection involved 96 respondents divided into 48 samples of 1-month injectable contraceptive (KB Suntik) users and 48 samples of 3-month injectable contraceptive users. The total research sample size is 96 respondents, with the majority falling in the 20–40 age group and the remainder aged >40 years. The results indicate that among the 48 respondents using the 1-month injectable contraceptive, the average weight gain is 0. 938 kg, while for the 3-month injectable contraceptive, the average weight gain is 4. 251 kg.

Informed consent constitutes a fundamental legal and ethical requirement in healthcare services, ensuring that every medical action is performed with the patient’s full awareness and voluntary approval. In Indonesia, the obligation to obtain informed consent is firmly regulated under the Health Law No. 17 of 2023, the Minister of Health Regulation on Medical Consent, and provisions on medical records. This paper examines the essential role of informed consent as a protective instrument for both patients and healthcare providers within the clinical and legal framework. Informed consent guarantees patients’ rights to information, autonomy, and decision-making, while providing legal safeguards for medical practitioners by documenting the process of explanation, acceptance, or refusal of medical treatment. Proper documentation within medical records ensures accountability, continuity of care, and serves as crucial evidence when medical disputes arise. Medical disputes often stem from dissatisfaction, communication gaps, or misunderstandings about risks inherent in medical procedures. Therefore, informed consent functions not merely as an administrative requirement but as a mechanism for preventing conflict, clarifying responsibilities, and distinguishing unavoidable medical risks from professional negligence. By strengthening the implementation of informed consent, healthcare providers can enhance transparency, improve service quality, and reduce the likelihood of medical litigation.  

Wanita memiliki banyak masalah  pada  area  vagina.  Kebanyakan  kasus  yang  terjadi  adalah  keputihan.  Keputihan  atau  dalam bahasa  medis  disebut  dengan  flour  albus  merupakan  keluarnya  cairan  yang  berlebihan  dari vagina  yang  bukan  darah  haid. Pengobatan  keputihan  non  farmakologis  dapat  dilakukan  dengan  perubahan  tingkah  laku  personal  hygiene,  psikologis,  serta menggunakan daun sirih. Daun sirih telah terbukti secara ilmiah dapat menghambat pertumbuhan Candida albicans pada berbagai konsentrasi (20-100%).  Berdasarkan  data  yang  didapat  di  Desa Majungan Kecamatan Pademawu kabupaten Pamekasan  pada  tanggal  18  Juli  2025  terdapat remaja usia reproduktif yang mengalami keputihan sejumlah 8 orang, rata –rata usia 18-22 tahun. Berdasarkan data yang didapat di Desa Majungan Kecamatan Pademawu Kabupaten Pamekasan pada tanggal 18 Juli 2025 terdapat remaja usia reproduktif yang mengalami keputihan sejumlah 8 orang dari 35 remaja lainnya,  rata –rata  usia  18-22  tahun  wanita  usia  reproduktif  di  Desa Majungan Kecamatan Pademawu Kabupaten Pamekasan ini belum pernah mengetahui banyak manfaat pada daun sirih hijau, sehingga tim  pengabdian  kepada  Masyarakat  tertarik  untuk  melakukan  Pendidikan  Kesehatan dalam  bentuk  penyuluhan  terkait  manfaat  air  rebusan  daun  sirih  terhadap  fluor  albus pada wanita usia reproduktif di Desa Majungan Kecamatan Pademawu.

Hipertensi merupakan salah satu kondisi medis yang dapat menyebabkan berbagai komplikasi serius, seperti penyakit jantung koroner, stroke, dan gagal ginjal . Manajemen perawatan diri (self-care management) menjadi faktor penting dalam mengontrol tekanan darah pada penderita hipertensi . Self-care management mencakup regulasi diri, kepatuhan terhadap pengobatan, pemantauan tekanan darah, serta interaksi dengan tenaga medis . Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif korelasional dan metode cross-sectional . Sampel penelitian berjumlah 159 pasien hipertensi yang berobat di RS Islam Sultan Agung Semarang. Dari analisis univariat, mayoritas responden berada dalam rentang usia 45-59 tahun, berpendidikan terakhir SD, bekerja sebagai wiraswasta, serta memiliki tekanan darah tinggi selama rata-rata 3 tahun. Hasil analisis bivariat menunjukkan terdapat hubungan signifikan antara self-care management dan tekanan darah sistolik (p = 0,035) serta tekanan darah diastolik (p = 0,041) . Kesimpulannya terdapat hubungan antara self-care management dengan tekanan darah pada pasien hipertensi . Dengan meningkatkan self-care management, pasien dapat mengelola tekanan darah secara lebih efektif.

Menulis artikel ilmiah seringkali menjadi tantangan tersendiri bagi mahasiswa. Beberapa kesulitan yang dihadapi mahasiswa dalam menulis diantaranya membuat parafrase kalimat, menyajikan dan menjelaskan data hasil penelitian, terbatasnya referensi, hingga rendahnya motivasi dalam menulis. Oleh karena itu, diperlukan kegiatan pelatihan penulisan artikel ilmiah bagi mahasiswa dengan tujuan memberikan pengetahuan dan pemahaman (edukasi) serta melatih keterampilan  menulis artikel ilmiah dengan baik agar menghasilkan publikasi ilmiah yang berkualitas serta bermanfaat. Kegiatan pelatihan penulisan artikel ilmiah bagi mahasiswa tingkat akhir di Politeknik Yakpermas Banyumas diselenggarakan dalam 2 hari. Hari pertama yaitu penyampaian materi tentang artikel ilmiah, kemudian dilanjutkan hari kedua yaitu asistensi penulisan artikel ilmiah. Pelatihan ini diikuti oleh 85 mahasiswa tingkat akhir yang berasal dari tiga program studi yaitu D-III Keperawatan, D-III Rekam Medis dan Informasi Kesehatan, dan D-IV Teknologi Laboratorium Medis. Sebanyak 5 orang peserta dengan artikel ilmiah terbaik diberikan apresiasi berupa penerbitan artikel pada Journal of Nursing and Health.

Panti Wreda Catur Nugraha di Kabupaten Banyumas merupakan lembaga sosial yang merawat sekitar 30 lansia dengan berbagai kondisi kesehatan. Pencatatan rekam medis yang masih dilakukan secara manual menyebabkan data rawan hilang, sulit dianalisis, dan kurang efisien. Tim Pengabdian kepada Masyarakat dari STIKOM Yos Sudarso Purwokerto menyelenggarakan pelatihan pembuatan laporan rekam medis berbasis digital dengan memanfaatkan Google Forms untuk pengumpulan data dan Microsoft Word untuk penyusunan laporan. Kegiatan ini diikuti oleh 20 pengasuh dan karyawan panti. Metode yang digunakan meliputi penyuluhan, demonstrasi, praktik langsung, serta evaluasi melalui pre-test dan post-test. Hasil pelatihan menunjukkan adanya peningkatan kemampuan peserta dalam menggunakan komputer, terbukti dari kenaikan nilai rata-rata dari 47 pada pre-test menjadi 60,5 pada post-test, dengan dua peserta mencapai nilai sempurna. Pelatihan ini berhasil meningkatkan literasi digital peserta dan diharapkan dapat diterapkan secara berkelanjutan untuk mendukung peningkatan mutu dokumentasi kesehatan lansia di Panti Wreda Catur Nugraha.

A tumor is a collection of abnormal cells that develop due to excessive and uncontrolled cell division (Angkotasan & Vioneery, 2022). Currently, tumors are considered one of the leading causes of morbidity and mortality worldwide (Maryati, 2023). The purpose of this study is to provide an in-depth understanding and description of nursing care for Mr. T, a patient with a medical diagnosis of post-operative soft tissue tumor (STT) in the right arm, who was treated in Room Mawar 2 at RSUD dr. Soeselo, Tegal Regency, in accordance with standardized nursing care guidelines. This study employed a descriptive case study method, with data obtained through interviews, observations, physical examinations, and documentation reviews. Based on the case analysis, the patient’s main complaint was severe pain following surgery. Three priority nursing diagnoses were identified: acute pain, knowledge deficit related to the disease and its management, and risk of infection due to post-surgical wound. Nursing interventions were planned and implemented according to SDKI (Standar Diagnosa Keperawatan Indonesia), SIKI (Standar Intervensi Keperawatan Indonesia), and SLKI (Standar Luaran Keperawatan Indonesia), adapted to the patient’s condition. The interventions included pain management techniques, health education, wound care, and infection prevention strategies. The results showed that after the nursing care was carried out, the patient reported a decrease in pain intensity, demonstrated increased knowledge regarding his condition, and exhibited no signs of infection. This study highlights the importance of systematic nursing care in post-operative soft tissue tumor patients to reduce complications, promote recovery, and improve quality of life. The findings are expected to contribute as a reference for nursing practice and further research on tumor management in clinical settings.

Pneumonia ialah penyakit Infeksi Saluran Pernapasan Bawah yang bersifat akut pada parenkim paru meliputi alveolus dan jaringan interential yang dikarenakan mikroorganisme seperti jamur, virus dan bakteri. Mikroorganisme yang masuk ke saluran pernafasan bagian bawah dapat mengganggu proses pernapasan serta membuat saluran pernapasan tidak berfungsi secara optimal, sehingga proses keluar masuk oksigen juga terhambat dan mengakibatkan gangguan pada pola napas. Beberapa permasalahan lain yang ditimbulkan dari pneumonia seperti adanya penumpukan sputum, otot bantu pernapasan, penurunan ekspansi thoraks dan juga nyeri dada. Dalam perawatanya, tenaga medis berperan dalam pemberian antibiotik selama 8 jam setelah pasien mengalami perawatan serta fisioterapi berperan dalam pemberian intervensi penyinaran Infrared, Chest physiotherapy, dan Myofascial release. Penelitian ini bersifat studi kasus yang mengangkat satu kasus pasien serta mengumpulkan data melalui proses fisioterapi. Intervensi fisioterapi dilakukan sebanyak 4 kali pertemuan di Rumah Sakit dr. Ario Wirawan, Salatiga dengan menggunakan Infrared, Chest physiotherapy yang meliputi Postural Drainage, Clapping, Vibrasi, Latihan Batuk Efektif, Pursed Lip Breathing dan Myofascial release. Setelah menjalani 4 kali terapi, diperoleh hasil kondisi pasien yang mengalami penurunan nyeri dada, penurunan tingkat sesak napas, peningkatan ekspansi thoraks, berkurangnya spasme otot bantu pernapasan dan retensi sputum.

Berdasarkan data dari World Health Organization (WHO) sekitar 29% orang dewasa di seluruh dunia diperkirakan akan menderita hipertensi pada tahun 2025, yang berarti peningkatan dari sekitar 1 miliar orang menjadi 1,5 miliar orang. Hipertensi disebabkan oleh kombinasi faktor gaya hidup seperti konsumsi garam tinggi, obesitas, kurang olahraga, merokok, konsumsi alkohol, dan stres, serta faktor medis seperti penyakit ginjal, gangguan hormonal, dan sleep apnea. Penelitian ini bertujuan untuk membutikan secara signifikan efektivitas konsumsi black garlic terhadap penurunan tekanan darah pada penderita hipertensi. Penelitian ini merupakan jenis penelitian kuantitatif menggunakan metode observasional dengan pendekatan pre-test post-test with control grup untuk membandingkan efektivitas black garlic sebelum dan sesudah mengkonsumsi 1 kali sehari dengan efektivitas black garlic sebelum dan sesudah mengkonsumsi 2 kali sehari. Diketahui perbandingan antara kedua kelompok menunjukkan bahwa konsumsi black garlic dua kali sehari secara statistik lebih efektif dibandingkan satu kali sehari, baik untuk tekanan darah sistolik (p = 0,001) maupun diastolik (p = 0,010).

Provinsi Daerah Istimewa Yogyakarta merupakan wilayah dengan indeks risiko bencana sedang (119, 56) tahun 2022. Erupsi gunung berapi dapat menimbulkan kerusakan fisik dan korban jiwa yang tinggi, terutama jika penanganan darurat tidak dilakukan dengan cepat dan tepat. Salah satu keterampilan penting dalam situasi darurat adalah Resusitasi Jantung Paru (RJP), yang dapat menyelamatkan nyawa korban henti jantung sebelum bantuan medis tiba. Tujuan penelitian ini untuk mengkaji pengaruh simulasi bencana letusan gunung berapi terhadap keterampilan resusitasi jantung paru (RJP) siswa SMA Negeri 1 Cangkringan. Penelitian ini menggunakan metode pra-eksperimen dengan one-group pretest-posttest design . Pengambilan sampel menggunakan teknik simple random sampling dengan jumlah responden sebanyak 30 orang. Responden diberikan intervensi berupa simulasi bencana letusan gunung berapi dan pertolongan pertama pada korban henti jantung. Instrumen penelitian berupa lembar observasi keterampilan CPR berdasarkan pedoman American Heart Association (AHA) 2020. Analisis data dilakukan menggunakan uji Wilcoxon . Hasil uji statistik menunjukkan adanya peningkatan keterampilan RJP siswa secara signifikan setelah mengikuti simulasi, dengan nilai p sebesar 0,000 (p<0,05). Hal ini menunjukkan bahwa simulasi bencana letusan gunung berapi efektif dalam meningkatkan keterampilan RJP siswa. Harapanya simulasi ini diterapkan secara sistematis dalam program Satuan Pendidikan Aman Bencana (SPAB) di sekolah.

Infeksi Saluran Pernapasan Akut (ISPA) merupakan masalah kesehatan utama di Kabupaten Tegal, terutama menyerang anak-anak dan lansia, dengan 25.273 kasus tercatat pada Januari–Juni 2025. Faktor seperti kepadatan penduduk, polusi udara, dan sanitasi buruk mempersulit analisis konvensional dalam mengidentifikasi wilayah berisiko tinggi. Penelitian ini bertujuan mengembangkan Sistem Informasi Geografis (SIG) berbasis web untuk memetakan dan memantau kasus ISPA secara akurat menggunakan pendekatan spasial. Metode Waterfall digunakan dalam pengembangan sistem, meliputi analisis kebutuhan, perancangan, implementasi, pengujian, dan pemeliharaan. Data spasial (koordinat lokasi) dan non-spasial (usia, jenis kelamin, jumlah kasus) dikumpulkan dari Dinas Kesehatan dan dianalisis menggunakan teknik kepadatan titik dan klaster untuk mengidentifikasi pola sebaran. Sistem ini dibangun dengan framework Laravel sebagai backend dan Leaflet.js untuk visualisasi peta interaktif. Hasilnya, SIG ini mampu memvisualisasikan sebaran kasus ISPA per kecamatan, mendukung Dinas Kesehatan dalam mengalokasikan sumber daya medis secara efisien dan mengidentifikasi wilayah prioritas seperti Dukuhwaru dan Tarub. Bagi masyarakat, sistem ini meningkatkan akses informasi digital, mendorong kesadaran pencegahan, dan mendukung edukasi kesehatan. Sistem ini terbukti efektif sebagai alat strategis untuk pengambilan keputusan berbasis data, mempercepat respons terhadap ISPA, dan menjadi fondasi untuk pengembangan SIG dalam memantau penyakit lain di masa depan.

Diabetes Mellitus merupakan salah satu penyakit kronis yang jumlah penderitanya terus bertambah setiap tahunnya, termasuk di wilayah Puskesmas Brebes. Banyaknya pasien dengan kondisi klinis yang beragam mendorong perlunya suatu metode untuk mengelompokkan pasien berdasarkan tingkat keparahannya. Penelitian ini bertujuan untuk menerapkan algoritma K-Means dalam proses pengelompokan pasien Diabetes Mellitus dengan menggunakan beberapa parameter klinis, yaitu Gula Darah Puasa (GDP), kadar HbA1c, Kolesterol Total (CHOL), serta tekanan darah sistolik dan diastolik. Pendekatan yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan metode data mining berbasis algoritma K-Means. Data yang digunakan diperoleh dari rekam medis Puskesmas Brebes. Proses klasterisasi menghasilkan tiga kelompok, yaitu kategori risiko rendah, sedang, dan tinggi. Hasil penelitian menunjukkan bahwa algoritma K-Means mampu melakukan pengelompokan data pasien secara akurat sesuai tingkat keparahan. Hasil tersebut kemudian divisualisasikan melalui sistem berbasis web yang bertujuan untuk mempermudah pihak puskesmas dalam menganalisis kondisi pasien serta mendukung pengambilan keputusan medis yang lebih efektif.

Expository learning is a teaching strategy that emphasizes direct, systematic, and structured delivery of content from teacher to students. Although it is considered efficient in conveying factual and procedural knowledge, its effectiveness in supporting 21st-century learning demanding active participation and critical thinking is still debated. This study aims to critically examine the effectiveness of expository learning through a literature review of national journals published between 2017 and 2025. The method used is library research with a descriptive-qualitative approach and content analysis technique. The findings reveal that expository learning is effective across educational levels for conceptual material, but its weakness lies in limited student engagement. Supporting factors such as teacher competence, instructional media, and student readiness significantly influence its success. This study also finds that expository learning remains relevant when combined with interactive methods such as discussions and projects. Practically, teachers are encouraged to design more adaptive expository learning to maintain its effectiveness in today’s educational context.

Community health services are the most important part of supporting community health. Puskesmas is a health institution that is very close to the community. Therefore, it is important to pay attention to supporting facilities and infrastructure in the medical records work unit such as work equipment, work procedures, work processes or systems, work environment, employee physiology and psychology so that medical records officers more productive at work. Based on observations made at the West Baktiya Community Health Center, it was found that the area of the medical records unit was 5 x 5 m2 with a ceiling height of 3 m, using a white ceramic floor, there were 6 windows, 1 door, 2 staff work desks and 3 cupboards for Save correspondence and other important documents. Lighting in the medical records unit room is 259 lux, noise is 53.3-62.0 dB, temperature in the medical records unit room is 33.1oC and humidity is 70%. In the medical records unit room there are no chemical substances in solid, liquid or gas form, and there are also no vectors or disease-carrying animals such as flies, mosquitoes, cockroaches and rats. The aim of this activity is to provide outreach regarding ergonomics in the medical records work unit at the West Baktiya Community Health Center. The implementation method consists of planning, implementation actions, evaluation and activity report preparation stages. The result of this service is that it can increase the knowledge of medical records officers and other healt