The performance of health workers who are in dr. Soepraoen Hospital is supervised by the leadership and carried out byinternal supervision. The purpose of writing this journal is to determine the effectiveness of the leadership and internal supervision carried out by the hospital on the performance of health workers. This research used quantitative with a cross sectional study approach. The location in this study is the Kindergarten Hospital. II dr. Soepraoen Malang which is located atJl. S. Supriadi No.22, Sukun, Kec. Sukun, Malang City, East Java 65112. The study was conducted from October to November 2020. Research The population in this study were all health workers who served in Kindergarten Hospitals. II dr. Soepraoen Malang at the time of the research, the number of health workers was 59 people. Samples were taken using total sampling. Data processing was performed using the SPSS for Windows application. Based on the research that has been done, it can be concluded that there is a positive and significant effect of leadership partially on health workers' performance, there is a positive and partially significant effect of partially internal supervision on health workers' performance, there is a simultaneous positive and significant effect of ethics leadership and internal supervision on health workers performance.

Telemedicine, the use of digital technology and communication for remote healthcare services, has seen rapid development and offers potential improvements in accessibility and efficiency in healthcare services. However, the adoption and implementation of telemedicine also face various challenges, including data privacy and security, technological infrastructure readiness, and legal and regulatory barriers. This study aims to evaluate the effectiveness, efficiency, and patient satisfaction in the use of telemedicine based on existing scientific evidence. This study employs a systematic review methodology of related telemedicine studies. The results of this review are summarized and form the basis for further discussion about the effectiveness of telemedicine, challenges in its implementation, and its implications for the healthcare sector and further research. Recommendations are provided based on the findings of this review for future research or practice focusing on enhancing the effectiveness, efficiency, and patient satisfaction in the use of telemedicine and overcoming challenges in its implementation.

Background: Adolescents undergo changes where In Indonesia, the incidence of LBW is still relatively high, this is evidenced by the presence of data which shows that the birth rate of babies with normal weight is still below the expected rate. The global prevalence of LBW is 15.5%. A total of around 20 million LBW are born every year and 95.5% of them come from developing countries. The infant mortality rate (IMR) in Indonesia increased in 2012 from 19 per 1,000 live births to 22.23% per 1,000 live births (SUPAS, 2015). Based on the results of the East Java National Socio- Economic Survey (Susenas) 2011–2013, the infant mortality rate (IMR) in East Java in 2013 was 27.23% per 1,000 live births (East Java Province Health Profile, 2014). Purpose: This study aims to determine the factors that influence the incidence of low birth weight babies. Method: This type of research is analytic observational. With the analytical design of the case study study (case study) and using a retrospective approach. The sample used in this study was an accidental sample of all babies born at Bangil Hospital, Pasuruan Regency with birth weight less than 2,500 grams, as many as 34 babies. Result: From the results of research conducted at Bangil Hospital, Pasuruan Regency, the results of the factors that influence the occurrence of low birth weight in Bangil Hospital, Pasuruan Regency, namely, the nutritional factors of pregnant women with a result of 58.8%, Parity of a mother who experiences pregnancy> 4 times tends to experiencing low birth weight with a percentage of 29.4%, followed by maternal age as much as 14.7%. Conclusion: It is expected that pregnant women with high risk factors for pregnancy in the categories of pregnant women <20 years, parity of pregnant women> 4x, and nutritional status (LILA <23.5cm) can reduce the incidence of low birth weight at Bangil Hospital, Pasuruan Regency.
 
 

The child's relationship with his parents is very important and influences the child's development, including how his mental health. In Indonesia in 2011, toddlers who usually temper tantrums this in one year, 23 - 83% of children aged 2 to 4 years. From the preliminary study results obtained population of research is 65 couples parents and children. Purpose: This study aims to determine whether there is a Parent Parenting Relationship Against Temper Tantrum In Pre-School Children In TK PGRI 2 Malang. Method: This research is analytic research and research design that used is cross sectional research design. Sampling technique in this research is using purposive sampling technique, using questionnaire instrument with sample 55 people. This research uses non parametric data analysis method with statistical test used Chi square table and degress of freedom (DF). Result: From statistic analysis using SPSS calculation with Chi square table and degress of freedom (DF) with 5% significance level(13,341 ? 3,481) so that H0 in rejected means there is relation between parenting parenting with temper tantrum in pre school children in TK PGRI 2 Malang City Year 2017. Conclusion: Increase knowledge about parenting parenting and temper taantrum in children through  follow counseling, reading books, brochures and leaflets.

Recording death certificates involves documenting various diseases or conditions that lead to a series of deaths, accidents, injuries, and death. RSUD dr. perinatal age, but also the quality of statistical reporting of perinatal infant deaths in hospitals. The aim of carrying out this research is to produce a special electronic-based perinatal death certificate form format at Dr. Soedomo Trenggalek Regional Hospital which can provide a more complete picture regarding the identity of the baby, the baby's mother, diagnosis and other items provided by the doctor in order to increase the accuracy of recording. death at perinatal age. This research method is a qualitative type using data collection techniques in the form of observation, interviews, documentation and brainstorming by exploring 3 variables in the form of physical aspects, anatomical aspects and content aspects. Based on the research results, it can be concluded that the design of the general death certificate at Dr. Soedomo Trenggalek still does not contain more detailed information regarding the baby's condition before death so that it can cause errors in determining UCOD (Underlying Cause of Death) according to ICD 10. Therefore, the preparation of this special perinatal death certificate has three main aspects, namely the physical aspect, the anatomy, and content aspects according to user filling needs. In its implementation, the design of this perinatal death form will be designed electronically so that the information contained in it will be integrated electronically through the hospital's SIMRS to support the transition period towards RME (Electronic Medical Records).

As technology develops, technology also has an impact on every aspect of life, including the psychology of every human being. The imbalance created by excessive social media use is of great concern to parents, researchers, and society regarding the mental health of individuals experiencing anxiety. Social media is ubiquitous among teens, who are also at high risk for anxiety disorders. This research aims to conclude that social media has an effect on anxiety disorders. This research uses a systematic review and meta-analysis using PICO. Population: teenagers. Intervention: social media. Comparison: not social media. Outcome: anxiety. The articles used in this research come from 1 database, namely Google Scholar. The keywords of the article are “teenager” AND “social media” AND “anxiety” AND “multivariate”. The articles included in this research are full paper articles, cross-sectional study design, publication year range 2017-2024 and the magnitude of the Adjusted Odds Ratio relationship. Articles were analyzed using the Review Manager 5.4 application. Five cross-sectional studies showed that social media can increase the risk of anxiety disorders by 1 times greater than not using social media, and the results were statistically (aOR=1.00; 95% CI= 0.63 to 1.57; p= 0.01). Teenagers who use social media increase anxiety disorders.

According to data from the Maternal Perinatal Death Notification (MPDN), the maternal death recording system of the Ministry of Health, the number of maternal deaths increased from 4,005 cases in 2022 to 4,129 cases in 2023. The objectives of this research are:Identify Variable Relationships: To assess how staff training, technology usage, and data integration affect the accuracy and efficiency of recording and reporting.Evaluate Direct and Indirect Effects: To analyze the direct and indirect impacts of these variables on the outcomes of the recording and reporting system. Provide Improvement Recommendations: To develop recommendations for enhancing the recording and reporting system based on the analysis results. Research Methodology Path analysis is required to evaluate the relationships between various factors that influence the recording and reporting system.Steps in Path Analysis: Data Collection, Path Analysis Model, Statistical Analysis, Interpretation of Results. Staff Training (X1): Data Accuracy (Y1): ? = 0.45 (p < 0.01).Reporting Efficiency (Y2): ? = 0.40 (p < 0.05), Technology Usage (X2):Data Accuracy (Y1): ? = 0.35 (p < 0.05)Reporting Efficiency (Y2): ? = 0.55 (p < 0.01), Data Integration (X3):Data Accuracy (Y1): ? = 0.50 (p < 0.01), Reporting Efficiency (Y2): ? = 0.45 (p < 0.01). Path analysis reveals that staff training, technology usage, and data integration have a significant impact on the recording and reporting system at Ardimulyo Health Center. Improvements in these three variables can enhance the accuracy and efficiency of reporting. Recommendations for improvement include investing in staff training, implementing better technology, and enhancing data integration.

Patient registration services are a crucial component in providing a positive experience for patients in healthcare facilities.This study aims to transform the outpatient registration services at RSAU Dr. M. Munir through a quality management approach, focusing on improving efficiency, data accuracy, and patient satisfaction. The methods used include initial observation, interviews, SWOT analysis, and the implementation of a pilot project involving an online registration system and staff training. The study results show that the interventions successfully reduced registration time from an average of 15 minutes to 8 minutes, improved patient data accuracy by 30%, and increased patient satisfaction levels from 65% to 85%. The evaluation also highlights the importance of regular staff training and community involvement in ensuring the success and sustainability of the changes implemented. The conclusion of this study is that effective quality management implementation can transform patient registration services into a more efficient and patient-friendly process. The recommendations include expanding the implementation of the online registration system, developing regular training programs, and enhancing supporting facilities to strengthen the patient experience. These findings are expected to contribute significantly to the development of healthcare services that focus on quality and patient satisfaction at RSAU Dr. M. Munir and other healthcare facilities.

Telemedicine, penggunaan teknologi digital dan komunikasi untuk layanan kesehatan jarak jauh, telah mengalami perkembangan pesat dan menawarkan potensi peningkatan aksesibilitas dan efisiensi dalam layanan kesehatan. Namun, adopsi dan implementasi telemedicine juga menghadapi berbagai tantangan, termasuk privasi dan keamanan data, kesiapan infrastruktur teknologi, dan hambatan hukum dan regulasi. Studi ini bertujuan untuk mengevaluasi efektivitas, efisiensi, dan kepuasan pasien dalam penggunaan telemedicine berdasarkan bukti ilmiah yang ada. Penelitian ini menggunakan metode review sistematis dari studi-studi terkait telemedicine. Hasil review ini dirangkum dan dijadikan dasar untuk diskusi lebih lanjut tentang efektivitas telemedicine, tantangan dalam implementasinya, serta implikasinya bagi sektor kesehatan dan penelitian lebih lanjut. Saran diberikan berdasarkan temuan review ini untuk penelitian atau praktik mendatang yang berfokus pada peningkatan efektivitas, efisiensi, dan kepuasan pasien dalam penggunaan telemedicine serta penyelesaian tantangan dalam implementasinya.