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All Journal Jurnal Persada Husada Indonesia
Joao Manuel Correia Ximenes
Faculty of Health Science, Universidade de Dili, Dili, Timor Leste
Health Professions Nursing Public Health

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Acute Diarrhea Disease (ADD) Outbreak Investigation at Kebumen, Central Java, Indonesia : Bayu Satria Wiratama, Tutik Inayah Susilaningsih, Yusrizal, Muhammad Fadhil, Akhmad Mukhibin, Joao Manuel Correia Ximenes Bayu Satria Wiratama; Tutik Inayah Susilaningsih; Yusrizal; Muhammad Fadhil; Akhmad Mukhibin; Joao Manuel Correia Ximenes
Jurnal Persada Husada Indonesia Vol 13 No 2 (2026): Jurnal Persada Husada Indonesia
Publisher : STIKes Persada Husada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56014/jphi.v13i2.497

Abstract

Research Objective: On January 21, 2022, an increasing number of ADD with one infant death was reported from rural area Karangtanjung village, Kebumen district. An investigation was initiated to confirm, describe, and recommend measures for control. Methodology: A 1:4 unmatched case-control study was conducted. Cases were defined as person who had three or more loose watery stools per day in Karangtanjung between January 16 and 29, 2022. Controls were people who had no diarrhea symptoms. Clean water source samples were collected for bacteriological testing. Stools samples were no longer available during the investigation. The risk factors and environmental data were obtained through interviews and observation using questionnaires. The data were analyzed using logistic regression for multivariate. Results: There were a total of 100 participants, 20 cases and 80 controls. Most of the cases (55%) were female, three children hospitalized (15%), and one infant death. The median age was four years old. Infants have the highest attack rate (AR =100%). While in control groups, 55% were male, the median age was 36.5 years old. Of the four clean water source samples, 3 (75%) were positive for faecal coliform and exceeded the standard quality of clean water sources. From multivariate analysis with logistic regression, only the 0–5 years age category (OR 14.33; 95% CI: 1.14–179.71) was significantly related to ADD. Conclusion: An outbreak of ADD was confirmed in Karangtanjung and was likely associated with a clean water source contaminated by groundwater. The 0-5 years age category was a significant risk factor for ADD. Several protective measures could be prepared, such as promoting hygiene and sanitation practices also recognizing early symptoms of diarrhea. Providing chlorine (calcium hypochlorite) 65% was recommended for control.
Kepuasan Pengguna terhadap Implementasi Rekam Medis Elektronik Menggunakan Metode EUCS: Tinjauan Literatur Adi Prabowo; Sinta Novratilova; Amalia Putri Ramadhani; Amalia Sepnesia; Aulia Febiyanti; Bunga Elka Setianingsih; Joao Manuel Correia Ximenes
Jurnal Persada Husada Indonesia Vol 13 No 3 (2026): Jurnal Persada Husada Indonesia
Publisher : STIKes Persada Husada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56014/jphi.v13i3.495

Abstract

Research Objective: This study aimed to describe user satisfaction with electronic medical record (EMR) implementation across the five End User Computing Satisfaction (EUCS) dimensions and to identify commonly reported implementation barriers. Methodology: A structured descriptive literature review was conducted using Google Scholar in April 2026. Searches combined the terms “electronic medical record” OR “rekam medis elektronik,” “End User Computing Satisfaction” OR “EUCS,” and “hospital” OR “rumah sakit.” Indonesian-language, full-text hospital-based studies published from 2022 to 2026 were eligible. Of 1,600 records identified, 5 studies met the criteria and were narratively synthesized. Results: The included studies generally reported favorable satisfaction across content, accuracy, format, ease of use, and timeliness. Nevertheless, recurring concerns were reported for ease of use and timeliness, including difficult workflows, unstable networks, server disruption, system errors, limited user skills, and duplicate data entry. Conclusion: The reviewed evidence suggests that EMR user satisfaction is associated with both system characteristics and implementation conditions. Improvements should prioritize usability, network and server reliability, workflow simplification, and periodic user training.
Efektivitas Nipple Puller pada Puting Flat Ibu Postpartum Sectio Caesarea: Studi Kasus: Nina Sunarti, Wanda Diasti Ningrum, Joao Manuel Correia Ximenes Nina Sunarti; Wanda Diasti Ningrum; Joao Manuel Correia Ximenes
Jurnal Persada Husada Indonesia Vol 13 No 1 (2026): Jurnal Persada Husada Indonesia
Publisher : STIKes Persada Husada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56014/jphi.v13i1.470

Abstract

Post sectio mothers face greater breastfeeding obstacles than normal delivery, this occurs due to surgical pain, limited mobility, difficulty in breastfeeding positions, delays in early breastfeeding initiation can worsen the condition of flat nipples. This condition can interfere with the success of exclusive breastfeeding. The purpose of the study was to evaluate the effectiveness of nipple puller exercises in improving nipple eversion and the quality of breastfeeding attachment in postpartum sectio caesarean mothers with flat nipples. The research design used a case study with a nonpharmacological intervention-based approach to maternity nursing care conducted prospectively to evaluate the effectiveness of nipple puller exercises using the modified syringe method according to standard procedures, which were performed on three postpartum mothers on days 1 - 4 of the year for 2–3 times a day in 4 days of treatment. Data collection methods included interviews, direct observations, documentation of nipple shape changes, attachment success and effective breastfeeding ability. Evaluation was carried out through observation of changes in putting conditions, the success of baby attachment, the ability of the baby to breastfeed effectively, and the comfort of the mother while breastfeeding. The results showed that all three patients experienced significant improvements in nipple eversion and improvement in attachment quality after consistent Nipple Puller exercises. All mothers reported increased breastfeeding comfort and reduced barriers in the lactation process. Changes are characterized by the appearance of adequate nipple protrusion and an improvement in the quality of the baby's attachment, characterized by effective suction, the absence of significant pain in the mother, and a reduced incidence of detachment of attachment during breastfeeding. In conclusion, the Nipple Puller (Syringe Method) exercise is effective as a simple, safe, cheap and easy-to-apply intervention to help overcome flat nipples in postpartum caesarean section mothers in supporting the success of lactation, so it has the potential to be recommended in the practice of lactation services in health facilities.
Co-Authors Adi Prabowo Akhmad Mukhibin Amalia Putri Ramadhani Amalia Sepnesia Aulia Febiyanti Bayu Satria Wiratama Bunga Elka Setianingsih Muhammad Fadhil Nina Sunarti Novratilova, Sinta Tutik Inayah Susilaningsih Wanda Diasti Ningrum Yusrizal