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.

Stress is a common mental health problem among medical students due to academic demands. Physical activity is known to reduce stress through physiological and psychological mechanisms. This study aims to examine the relationship between physical activity and stress levels among medical students at Tarumanagara University class of 2022–2023. This research employed an analytical cross-sectional design. A total of 123 respondents who met the inclusion criteria completed the physical activity (Baecke Questionnaire) and stress level (Perceived Stress Scale-10) questionnaires. Bivariate analysis was conducted using the chi-square test. The results showed that 95.1% of respondents experienced moderate to severe stress, while only 15.4% regularly exercised. A significant relationship was found between physical activity and stress level (p = 0.000). The odds ratio of 13.600 indicates that students who exercised regularly were 13 times more likely to experience lower stress compared to those who did not. This study highlights the role of regular physical activity as a protective factor in managing stress among medical students

Stunting and undernutrition remain serious public health issues among under-five children, particularly in developing countries. Community-based nutrition interventions are considered effective in integrating both specific and sensitive approaches to address these challenges. This study aims to review the effectiveness of various community-based nutrition interventions in preventing stunting and undernutrition among under-five children. A narrative review approach was employed to analyze six peer-reviewed articles published in the last five years (2021–2025), selected from PubMed, ScienceDirect, and Google Scholar using relevant keywords and inclusion criteria. The findings demonstrate that community-based nutrition interventions positively impact stunting reduction and improve child nutritional status. The most effective interventions included family-based nutrition education, growth monitoring, supplementary feeding, lipid-based nutrient supplementation, and innovative programs such as child-owned poultry. Active community participation, engagement of health cadres, and multi-sectoral collaboration were critical to the success of the programs. Community-based nutrition interventions are effective strategies to improve child nutrition and prevent stunting, particularly when implemented participatively and sustainably. These findings provide a basis for community nursing practices and the formulation of contextually appropriate and impactful nutrition policies.

Poverty is a complex social issue, particularly in underdeveloped areas like Karangpatihan Village, which is known as the "Kampung Idiot" due to the high number of residents with intellectual disabilities. This study aims to explore the role of social support in poverty alleviation in the village. A qualitative research method with a case study approach was used, involving interviews with the village head, the head of the community empowerment group, and the residents. The findings show that the community of Karangpatihan receives various forms of social support, such as emotional, instrumental, informational, and friendship support, which encourage their participation in productive economic activities. The role of local institutions, particularly the village government and Rumah Harapan Karangpatihan, has proven significant in creating a social environment that supports empowerment. This study reveals that the transformation of habitus from dependency to independence can be achieved through sustained social support, which has important implications for more effective and inclusive poverty alleviation.

This study aims to identify the academic stress levels and coping mechanisms used by 2024 cohort students of the Statistics Study Program at Universitas Negeri Medan. A descriptive quantitative method was applied, involving questionnaires and interviews. Data were collected from 50 randomly selected respondents. The instrument was tested for validity and reliability, with all items showing item-total correlations > 0.2787 and a Cronbach’s Alpha score of 0.619, indicating acceptable reliability. The findings revealed high levels of academic stress, particularly in indicators such as feeling overwhelmed by deadlines (mean 3.82; 66%), exam anxiety (3.7; 66%), and lack of rest (3.6; 60%). The most dominant coping strategy was self-soothing (mean 4.44; 90%), followed by junk food consumption (3.5; 60%) and seeking help (3.42; 46%). In contrast, proactive strategies such as creating a to-do list were less commonly used (3.14; 38%). These results highlight the importance of adaptive coping training and psychological support to promote healthier stress management among students.

This research aims to identify the role of home and preschool environments on the socioemotional development of early childhood. Through an observation and assessment approach using validated instruments, this study found that the social environment, both at home and at school, has a significant influence on the development of children's ability to recognize, express, and manage emotions, as well as build healthy social relationships. The results show that children who receive positive support from their environment tend to have better socioemotional development, characterized by the ability to recognize emotional expressions, apply politeness values, and show good moral behavior. This research emphasizes the importance of the role of family and school in shaping children's character and emotional intelligence from an early age

Nutritional problems among toddlers remain a public health issue in Indonesia, including in the Central Lampung region. A mother’s knowledge, as the primary caregiver, plays a crucial role in determining a child’s nutritional status. Good knowledge can help mothers provide balanced nutrition for their children. This study aimed to determine the relationship between mothers’ knowledge of toddler nutrition and the nutritional status of toddlers at Posyandu Tanjung Jaya, Bangun Rejo Subdistrict, Central Lampung. This research used an analytic design with a cross-sectional approach and was conducted from January to February 2024. The respondents were 75 mothers with children aged 1–5 years who visited Posyandu Tanjung Jaya. Mothers’nutritional knowledge was collected through questionnaires, while data on children’s nutritional status were obtained from Posyandu records. Analysis was performed using Fisher’s Exact Test. The results showed that most mothers (93.8%) had good nutritional knowledge, and 94.7% of them had children with good nutritional status. Statistical analysis showed a significant relationship between maternal knowledge and toddler nutritional status (p < 0.001; PR = 11.29). Mothers with good knowledge were 11 times more likely to have well-nourished children. These findings highlight the importance of continuous nutrition education as a preventive effort against toddler malnutrition.

Daun meniran dan daun kenikir adalah tanaman herbal yang bermanfaat dalam menyembuhkan luka sayat. Manfaat tersebut didukung senyawa yang terkandung didalam daun meniran dan daun kenikir yaitu saponin, flavonoid, alkaloid, tannin, steroid, terpenoid. Penelitian bertujuan untuk melihat kecepatan proses penyembuhan luka sayatan dengan menggunakan gel kombinasi ekstrak daun meniran dan daun kenikir. Hewan percobaan yang digunakan berupa tikus putih jantan, berjumlah 25 ekor dengan masing-masing kelompok perlakuan berjumlah 5 ekor yaitu kelompok kontrol positif (Bioplacenton®), kontrol negatif (basis), dan kelompok perlakuan variasi kombinasi ekstrak daun meniran : daun kenikir (10%:15%,15% :10%,20%:5%). Pengamatan dilakukan selama 14 hari, kemudian data yang didapatkan diolah dengan One Way Anova dan post hock test tukey. Hasil yang didapatkan dalam penelitian menunjukkan formula yang mampu memberikan kesembuhan luka paling cepat adalah formula 1 dengan variasi konsentrasi ekstrak daun meniran : daun kenikir 10%:15%, yaitu pada hari ke 4.

Mining roads play an important role in supporting the smooth running of mining activities, especially in the process of transporting materials. The bearing capacity of the soil as a road subgrade greatly affects the stability and resistance of the road to heavy equipment loads. This study aims to analyze the effect of the plasticity index and compaction parameters on the California Bearing Ratio (CBR) value, as well as to determine the thickness of the road layer based on the laboratory CBR value. Testing was carried out at the South Pit of PT. Bina Sarana Sukses site PT. Baramulti Suksessarana with a field test method using the Dynamic Cone Penetrometer (DCP) and laboratory tests such as proctor tests, Atterberg limit tests, and CBR tests on various variations of clay and sand soil mixtures. The results showed that increasing the plasticity index decreased the CBR value, while increasing the maximum dry density and decreasing the optimum water content increased the CBR value. Based on the laboratory CBR value, recommendations were obtained for the appropriate road layer thickness to ensure optimal bearing capacity for heavy equipment passing through the research area.

Internal combustion engines generate thermal energy through the combustion of an air-fuel mixture. The incoming air must be filtered, as it contains impurities and particles. While air filters are commonly made from paper, they can also be developed using organic waste materials such as sugarcane bagasse and rice husk. This study aims to analyze the effect of biocomposite air filters on engine power, torque, and specific fuel consumption (SFC), by varying the material composition and the number of pleats, and comparing the results with those of a standard air filter. The method used is a quantitative experimental approach involving dyno testing on a 150 cc motorcycle engine. The tested material compositions include 50:50, 40:60, 30:70, 60:40, and 70:30 (sugarcane bagasse\:rice husk), with pleat counts of 28, 26, and 24. Results showed that the biocomposite filter with 28 pleats and a 30:70 composition delivered the best performance, producing 18.47 Hp and 16.66 Nm of torque—higher than the standard filter’s 17.98 Hp and 15.52 Nm. In terms of fuel efficiency, the 26-pleat filter with a 50:50 composition recorded the lowest SFC at 41.90 g/kWh, significantly better than the standard filter’s 53.03 g/kWh. Conversely, the 60:40 composition resulted in the highest SFC due to increased airflow resistance.