The implementation of Electronic Medical Records (EMR) in outpatient services aims to improve the efficiency, accuracy, and accessibility of clinical information. However, the effectiveness of such systems is highly dependent on user satisfaction. This study evaluated the satisfaction of health personnel using outpatient EMR at Sultan Fatah Regional Hospital, Indonesia, by employing the End User Computing Satisfaction (EUCS) model. The research addressed issues related to incomplete data, low system responsiveness, and interface usability that may affect the quality of service delivery. A qualitative descriptive method was used, involving in-depth interviews, direct observations, and document analysis from 21 informants selected purposively across multiple service units. The EUCS dimensions—content, accuracy, format, ease of use, and timeliness—were used to assess user experience. The findings indicate that users encountered problems such as incomplete patient data and duplicate records (accuracy), non-intuitive interfaces (format and ease of use), and delays in accessing medical information (timeliness). Observations and documentation review further revealed a reliance on manual backups and inconsistencies between digital and physical records. Overall, the study highlights the need for better data integration, enhanced user training, interface redesign, and system infrastructure upgrades to ensure real-time and comprehensive EMR usage. The study concludes that addressing technical and human factors through the EUCS model can enhance user satisfaction and system utilization in outpatient healthcare settings.

Non-formulary drug utilization in Harapan Kita Children’s and Mother’s Hospital presents a substantial challenge in healthcare cost management, especially for patients enrolled in the BPJS health insurance program. Given its status as a national referral hospital, Harapan Kita Children’s and Mother’s Hospital encounters a high prevalence of complex maternal and child health cases requiring the use of medications beyond the scope of the national formulary. This research endeavor seeks to examine the patterns and consequences of non-formulary drug use within this context. This study adopted a quasi-experimental design, incorporating both quantitative and qualitative methods, to evaluate the impact of an sosialisation intervention and audit clinic on physician compliance with formulary drug use. A pre-test and post-test design was employed to measure changes in non-formulary drug utilization. Findings indicated a statistically significant decrease in non-formulary drug use from 18% to 13% post-intervention. The integration of a clinical pathway and tailored physician training was instrumental in achieving improved formulary adherence. Given these results, it is recommended to broaden training and surveillance programs, strengthen technological support through the implementation of formulary information systems, and undertake longitudinal research to assess the long-term sustainability of the intervention's effects..

Type 2 diabetes mellitus is a long-term or chronic disease that needs to be managed properly. One of the biggest challenges for people with type 2 diabetes mellitus is their ability to control their weight. This cross-sectional study aims to determine the ability to control their weight in people with type 2 diabetes mellitus and the factors that influence it. Respondents in this study were 96 respondents using a purposive sampling technique. The independent variables were factors related to the ability to control their weight, while the dependent variable was the ability to control their weight. Data collection used a questionnaire, and statistical testing was carried out using Spearman's rho with a significance level of 0.05. The results of the study showed that most respondents (71.9%) used oral diabetes medication, almost all respondents (37.5%) used insulin diabetes medication, most respondents (59.4%) had suffered from diabetes for 1-2 years, most respondents (52%) were committed to maintaining their weight in the sufficient category, and most respondents (62.5%) had the ability to control their weight in the fairly good category. The Spearman rho statistical test results showed a relationship between the duration of diabetes (p-value: 0.027) and commitment (p-value: 0.039) with the ability to control weight, while there was no relationship with other factors. The relatively good ability to control weight in patients newly diagnosed with type 2 diabetes mellitus may be due to the patient's awareness and motivation that creates a commitment to control their health condition to prevent worsening conditions. It is hoped that patients with type 2 diabetes mellitus can maintain the ability to control their weight so that glucose levels remain under control.

The implementation of Electronic Medical Records (EMRs) in hospital emergency units is essential to improve the speed, accuracy, and quality of services. However, various challenges hinder optimal system utilization. This study aimed to assess the adoption of EMR at the Emergency Unit of RSUD A.M Parikesit Tenggarong using the Human-Organization-Technology Fit (HOT-FIT) framework. A qualitative descriptive approach was employed involving seven purposively selected informants, including health professionals, administrative staff, and IT personnel. Data were collected through interviews, observations, and document reviews, then analyzed using the Miles and Huberman interactive model. The findings indicate that from the human aspect, the system was considered easy to use (85%), though user satisfaction remained moderate (67.14%) due to system errors and incomplete CPPT data entries. Organizationally, the hospital provided adequate infrastructure and support, though some policies require stronger enforcement. Technological aspects revealed limitations in system stability, lack of pharmacy integration, and low service quality due to frequent downtime. The study concludes that EMR implementation in the Emergency Unit has not yet achieved full effectiveness across all HOT-FIT domains. Improvements are needed in system reliability, information consistency, and inter-unit integration to optimize EMR benefits and enhance patient care delivery in critical settings.

Chronic kidney failure in the end stage requires kidney replacement therapy in the form of haemodialysis. Haemodialysis is not to cure but as a replacement therapy for kidney function to clean the blood from various substances that cannot be excreted naturally by the kidneys which must be done for life. Chronic kidney failure patients undergoing haemodialysis can cause life changes that will affect the patient’s quality of life. This study aims to determine the relationship between the duration of haemodialysis therapy and age and the quality of life in chronic kidney failure patients at PKU Muhammadiyah Gamping Hospital. This study employed a descriptive correlation study with a cross-sectional method. The study population was 165 patients with a sample of 115 respondents. The instrument to determine the quality of life was the Kidney Disease Quality of Life (KDQOL) Questionnaire and interviews were done to determine the age and duration of haemodialysis therapy. The results of statistical tests using the Kendall Tau test showed a p-value> 0.05, which is 0.059 for the test of the duration of haemodialysis therapy with quality of life. Thus, it can be concluded that there is no significant relationship between the duration of haemodialysis therapy and quality of life in chronic kidney failure patients at PKU Muhammadiyah Gamping Hospital. Statistical tests for age with quality of life using the Kendall Tau test showed a p-value> 0.05, which is 0.694. Therefore, it can be concluded that there is no significant relationship between age and quality of life in chronic kidney failure patients at PKU Muhammadiyah Gamping Hospital.

The Next-Gen Global Health 6.0 initiative offers an integrative model employing genomics, nano-immunotherapies, and artificial intelligence (AI) to address the escalating complexity of global health issues, particularly the convergence of infectious and chronic diseases. This framework advances precision medicine by integrating real-time genomic surveillance with AI algorithms, enabling timely prediction and response to outbreaks, as well as tailored therapeutic approaches. Nano-immunotherapies play a critical role in modulating immune responses with high specificity, especially in chronic infections and diseases resistant to conventional treatments. Through these synergistic technologies, the Next-Gen Global Health 6.0 approach aims to transcend traditional healthcare boundaries, offering scalable, data-driven interventions that are adaptable to varying resource levels worldwide. Emphasizing accessibility and equity, this framework highlights the necessity for innovative health policies and interdisciplinary collaboration to optimize deployment in underserved regions, ultimately contributing to sustainable, resilient healthcare systems prepared for evolving global health challenges.

Mothers who give birth tend to experience increased anxiety which can result in psychological disorders including anxiety, depression (Denis,2021). Postpartum psychological health disorders increase the risk of postpartum blues. The underlying factors are limited access to health services, lack of social support from various parties, and concerns about the health of herself and her baby that will be ignored by the mother. Social support helps postpartum mothers deal with stressors (Adli, 2022). This research method uses Quasi experimental with two groups pretest posttest research design. The sampling technique uses purposive sampling. The sample size consists of 30 participants divided into 2 groups with 15 respondents each. The intervention group received dhikr sholawat treatment while the control group only received slow deep breathing (SDB) treatment. The intervention lasted for 14 days. The measurement of depression levels carried out was a measurement using the Edinburgh Postnatal Depression Scale (EPDS) instrument form. The results of the study P value 0.023 (> 0.05) so it is concluded that there is a difference between the effectiveness of providing Dzishol intervention and SDB intervention. Based on the comparison of the median value after the intervention in the group, it is known that the median value in the Dzishol group (score 11) is smaller than the SDB group (score 9) so it can be concluded that providing Dzishol intervention on anxiety levels is more effective than SDB intervention.

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.

Waste that arises from health care activities, including diagnosing, preventing, and treating diseases, is known as Medical waste, and it poses threats to human and environmental health if adequately addressed. Objectives: This study aimed to identify HCWs' knowledge, attitude, and practice concerning MWM at Al-Imammein Al-Kadhimein Teaching Hospital in Iraq. Patients and methods: An exploratory quantitative descriptive survey was administered to 300 randomly selected healthcare personnel and included questions on knowledge, attitude, and practice about MWM. Results: All statistical analysis was done using SPSS-25 with significance testing done at p-value ? 0.05 using the Pearson Chi-square test (X2-test). The cross-tabulation analysis by percentage showed that 55.7% of respondents had good knowledge, 25.3% had moderate knowledge, and 19% had poor knowledge of MWM. In this case, the positive attitude of the participants was 57. 7%, while the negative attitude was 42.3%. While comparing the practices, 46.7% followed good practices, and 53.3% followed poor practices.Conclusions: Overall knowledge, attitude, and practice regarding medical waste management showed average responses from the included participants, necessitating implication for training programs to raise the healthcare personnel's knowledge.

A peel-off facial mask is a cosmetic preparation in the form of a gel, which is applied to the skin of the face and left to dry so that a transparent film is formed that is elastic and easy to remove. One of the factors that influences the characteristics of peel-off gel face masks is the gel-forming ingredients which have different characteristic properties. The aim of this research was to determine the effectiveness of loaded red bracts of Kepok banana flowers (Musa paradisiaca L.) which were formulated into peel-off face maks with varying gelling agent concentrations. This research was carried out experimentally in the laboratory, including: taking plant samples using purposive sampling, sample processing and plant determination, making extracts using ultrasonic waves, making peel-off face mask preparations with gelling agent concentrations, physical evaluation of the preparations and stability test.  The research results showed that the physical preparation of the peel-off face mask loaded with red bracts of Kepok banana flowers (Musa paradisiaca L.) was brownish red in color, odorless, gel texture, transparent, sticky, thick, non-synergic and homogeneous. The stability results show that there is a change in pH before and after test.