Loneliness is a problem that is often experienced by adolescents. Many factors can influence the occurrence of loneliness in adolescents. This systematic literature review aims to explore what factors influence adolescent loneliness. Journal searches were conducted using Scopus and Google Scholar databases with the keywords “loneliness in adolescents and young adulthood”. A total of 6 studies that fit the inclusion and exclusion criteria were then analyzed to identify the factors that cause loneliness in adolescents. These factors included gender, friendship quality, social media use, social relationships with peers, self-esteem and social acceptance. The results of this study are expected to provide a deeper understanding of the factors that cause loneliness in adolescents so that its negative impact can be anticipated and prevented.

Elderly is the end of the human life process which causes decreased activity. The stress that arises during the aging process can cause three types of changes, namely changes in self-perception, changes in relationships with other people, and philosophical changes regarding priorities, perseverance, and spirituality. Apart from that, spirituality can also help someone develop their awareness. Stress can be avoided if a person has a high level of spirituality, spirituality can be understood as a relationship between a person and God. The aim of this research is to determine the relationship between spirituality and the stress level of elderly people in Social Service Homes. This study used a cross-sectional design. The sample in this study was 105 respondents using purposive sampling. Spirituality data was collected using the SAS questionnaire and Stress Levels using the DASS questionnaire. This research shows a high level of spirituality of 52.4%, moderate spirituality of 40%, low spirituality of 7.6% and a level of severe stress of 24.8%, a level of moderate stress of 58.1%, a level of light stress of 17.1%.

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.

Electronic Health Records (EHRs) have become an important component in the digital transformation of the healthcare system in Indonesia. However, EHR implementation in many health facilities in Indonesia is still fragmentary and not fully integrated. The main challenges in integrating health data into the national health system are issues of interoperability, data security, and inter-institutional coordination. This study aims to identify and analyze the main challenges in integrating health data from various EHR systems into Indonesia's national health system and its impact on the quality of health services, operational efficiency, and data security. The research method used was a descriptive qualitative approach, which combined literature study and in-depth interviews with experts in the field of health information technology and health policy. A literature study was conducted to identify technical, operational, and policy challenges faced in EHR implementation in Indonesia. Expert interviews were used to validate the findings obtained from the literature and provide additional insights into the local context. Thematic analysis techniques were used to organize and interpret the data. The results showed that the lack of common data standards is a major obstacle in the integration of EHR systems in Indonesia.A total of 45% of healthcare facilities adopt HL7 standards, 30% adopt FHIR, and 25% use proprietary systems, leading to the inability to efficiently share data between institutions. In addition, data security issues are also a major concern, with many healthcare facilities yet to implement adequate security protocols. Limited coordination between health institutions also hinders wider integration. Nonetheless, EHR integration has the potential to improve operational efficiency, with up to 25% reduction in administrative time in institutions that have integrated their systems.

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.

This study aims to analyze the relationship between gadget usage and sleep quality among high school students at SMA Pertiwi Medan. Excessive gadget use, especially before bedtime, is often associated with sleep pattern disturbances that can affect students' sleep quality. This research employs a quantitative method with a descriptive correlational approach. Data were collected through questionnaires involving 100 students selected using random sampling techniques. The results show a significant relationship between the duration and frequency of gadget use and students' sleep quality. The higher the intensity of gadget use, the lower the quality of sleep experienced by students. Factors such as usage time, types of activities on gadgets, and sleep duration also influenced the findings. These results provide important implications for students, teachers, and parents to regulate gadget usage

The National Health Insurance Program (JKN) organized by BPJS Health aims to improve access and quality of health services for all levels of Indonesian society. This research examines the effectiveness of the JKN program, with a focus on the use of the JKN mobile application, program implementation in health facilities, and factors that influence service quality. Based on case studies in several regions, the research results show that the JKN mobile application makes it easy for participants to access health-related services and information, although there are still obstacles such as a lack of public understanding of the application and technical problems. Apart from that, health services in hospitals and community health centers still face challenges such as a shortage of medical personnel, delays in services, and timeliness in administrative processes. Although the JKN program has expanded access to services, challenges in equal distribution of service quality and health resources still need to be overcome. Overall, the JKN program plays an important role in improving people's health and welfare, but improvements are needed in terms of community understanding, infrastructure and service efficiency to achieve more optimal and equitable health goals throughout Indonesia.

Gadgets greatly impact the pattern of human life both in terms of mindset, taste patterns and behavior patterns. The use of gadgets in everyday life does not only have an impact on the thoughts, feelings and behavior of adults, but children are also not spared from its impact. Child attachment early in life can be directed at someone who has nothing to do with child rearing, but it can happen tosomeone the child chooses as the object of attachment. The purpose of this study was to find out whether there is a correlation between people's attachment to early childhood gadget addiction at Early Childhood Education. This research is a descriptive research. Total population of 30 people. A sample of 30 people was taken by total sampling technique. The research instruments used were the IPPA questionnaire and the smartphone addiction test questionnaire for mobile motoring. Bivariate analysis using the Chi Square Statistical Test. The results showed that the respondents had high attachment to their parents, namely 16 children (53.3%), moderate attachment of 7 children (23.3%), and low attachment of 7 children (23.3%). From the results of the smartphone addiction test questionnaire for mobile motoring, it was found that 15 children (50.0%) were not dependent on gadgets, 4 children had mild dependence (13.3%), 3 children were moderately addicted (10.0), and 8 children were addicted. (26.7%). Based on the Chi Square test, it is known that the P Value is 0.004 with ? 0.05. Because the significance value is < ?, H0 is rejected and H1 is accepted, which means that there is a correlation between parents and early childhood attachment to gadget addiction at PAUD Intan, Asembagus village kraksaan. It is hoped that the results of this research can be used as input for parents regarding the importance of accompanying children so that children do not experience gadget addiction.

Iron anemia is the biggest macro nutritional problem in Indonesia, which occurs in toddlers, pregnant women and adolescent girls. Adolescent girls with anemia are at risk of giving birth to LBW babies (<2500 grams), giving birth to premature babies, neonatal infections and death in the baby's mother during delivery. The aim of this study was to analyze the relationship between screen time and sleep quality with hemoglobin levels in adolescent girls.  This research method uses quantitative observational research with a cross-sectional design and a sample size of 76 respondents using a purposive sampling technique. The results of this study show that 55 respondents (72.4%) had normal hemoglobin levels and 21 respondents (27.6%) had poor hemoglobin levels. The bad screen time category was 40 respondents (52.6%) and the good one was 36 respondents (47.4%). And the category of poor sleep quality was 57 respondents (75.0%) and good sleep quality was 19 respondents (25%). The results of this study showed that there was no relationship between screen time and sleep quality and hemoglobin levels in young women at SMA Karya Bakti and SMKN 6 Palu.
 

Abstract.Hypertension is one of the main risk factors for heart problems. Apart from causing heart failure, hypertension can also result in kidney failure and cerebrovascular disease. This disease is often called the silent killer because there are no symptoms and without realizing it, sufferers experience complications in vital organs. This study aims to assess factors influencing adherence to taking anti-hypertensive medication in hypertensive patients at the Pekkae Community Health Center. This research presents the characteristics of respondents, Univariate data analysis of each variable to see the relationship between the Independent Variable and the Dependent Variable using the Chi-Square test. Based on the results of research conducted in the Pekkae Community Health Center working area, it was found that there was a relationship between predisposing factors including knowledge, beliefs, values ??and attitudes towards compliance with taking antihypertensive medication for hypertension sufferers at the Pekkae Public Health Center, Barru Regency.