Abstract:Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic respiratory disease that has become a global health concern due to its high morbidity and mortality rates and its impact on patients’ quality of life.…
e. In acute exacerbation conditions, impaired oxygenation becomes a major problem that may be influenced by various factors, including hemoglobin levels as the primary component of oxygen transport in the blood. However, the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD remains inconsistent, particularly in populations exposed to high environmental risk factors. This study aimed to determine the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD hospitalized at RSUD dr. Suhatman MARS Dumai, Kota Dumai. This research employed an analytic observational design with a cross-sectional approach involving 73 patients selected through total sampling based on medical record data. Bivariate analysis using the Spearman correlation test showed no significant relationship between hemoglobin levels and oxygen saturation (r = 0.098; p = 0.412), indicating a very weak and statistically insignificant correlation. The study concluded that hemoglobin levels do not directly influence the oxygenation status of patients with acute exacerbation COPD, where impaired oxygenation is more strongly affected by respiratory factors such as ventilation-perfusion imbalance and structural lung damage. The novelty of this study lies in its empirical evidence demonstrating the limited role of hemoglobin as a predictor of oxygenation in patients with acute exacerbation COPD within a population with specific environmental characteristics, thereby providing a basis for developing more comprehensive clinical approaches in monitoring and managing COPD patients.
Abstract:Menstruation is a physiological process experienced by women; however, disturbances in the menstrual cycle may increase the risk of reduced fertility among women of reproductive age. The prevalence of menstrual cycle disorders,…
orders, which reaches approximately 45%, indicates a reproductive health issue that requires attention, particularly in relation to psychological factors such as stress. This study aims to analyze the relationship between stress levels and menstrual cycle regularity among reproductive-age women working at the Bondowoso District Health Office. A quantitative design with a correlational approach and cross-sectional method was employed, involving a population of 112 individuals and a sample of 53 respondents selected through random sampling. Data were collected using a standardized questionnaire and analyzed using the Chi-Square test. The results showed that the majority of respondents had normal stress levels, accounting for 25 individuals (47.2%), and normal menstrual cycles, accounting for 31 individuals (58.5%). Statistical analysis revealed a significant relationship between stress levels and menstrual cycle regularity with a p-value < 0.05, indicating that the research hypothesis was accepted. The findings confirm that stress levels are significantly associated with menstrual cycle regularity among working women. The novelty of this study lies in its specific focus on female workers in a regional health institution with distinct workload characteristics, providing empirical contributions to the development of stress management interventions aimed at maintaining women’s reproductive health.
Abstract:Stunting is a chronic nutritional problem that remains a serious challenge to child health because it is associated with impaired physical growth, cognitive development, and the quality of human resources in the future.…
This condition is influenced by inadequate nutritional intake, particularly during the first 1,000 days of life, which plays a critical role in determining the quality of child growth. Exclusive breastfeeding is considered an important factor that contributes to meeting nutritional needs and strengthening the immune system of children. The research problem focuses on the relationship between breastfeeding practices and the degree of stunting among children aged 1-5 years in the working area of Sempol Community Health Center, Bondowoso Regency, in 2025. The study employed a quantitative approach using an analytic survey design with a population consisting of all stunted toddlers in the area. A sample of 75 respondents was selected using a proportionate stratified random sampling technique. Data were collected through questionnaires and observation sheets that assessed breastfeeding practices and the level of stunting based on the height-for-age (HFA) indicator. The results show that 72% of children received exclusive breastfeeding, while the remainder received partial breastfeeding or were not exclusively breastfed. The distribution of stunting severity indicates that 57.3% of children experienced mild stunting, 34.7% moderate stunting, and 8% severe stunting. The Chi-Square statistical test produced a p-value of 0.003 (p < 0.05), indicating a significant relationship between breastfeeding practices and the degree of stunting. These findings demonstrate that the nutritional quality and antibodies contained in breast milk play an important role in supporting optimal child height growth. The novelty of this study lies in its analysis of the relationship between breastfeeding practices and the severity of stunting within the specific context of a local community health center area that has rarely been examined in detail. The findings emphasize the importance of health education for mothers and strong family support to strengthen exclusive breastfeeding practices as a strategic effort to prevent stunting.
Abstract:This study aims to analyze the influence of shipping cost efficiency and freight forwarder quality on export delivery performance at PT Sinar Sawit Sentosa, a palm oil exporting company facing challenges related to rising…
g logistics costs and increasing demands for delivery timeliness. The research problem focuses on the extent to which shipping cost efficiency and the quality of freight forwarder services can improve export delivery performance in a measurable and sustainable manner. A quantitative approach was applied by collecting survey data from the company’s logistics managers and export managers to capture perceptions and experiences related to the research variables. Data analysis was conducted using structural equation modeling to examine the causal relationships among shipping cost efficiency, freight forwarder quality, and export delivery performance. The results indicate that shipping cost efficiency has a positive and significant effect on export delivery performance through reduced operational costs, improved logistics coordination, and smoother export processes. Freight forwarder quality is also proven to have a positive and significant effect through enhanced service reliability, documentation accuracy, and delivery timeliness. The conclusion confirms that the combination of cost efficiency and logistics service quality constitutes a strategic factor determining the success of corporate export delivery. The novelty of this study lies in integrating the measurement of cost efficiency and freight forwarder quality using a SEM approach applied to the Indonesian palm oil export industry, a context that has received limited empirical attention. This contribution provides empirical evidence for the development of export logistics management and strategic decision-making, enriches the academic logistics literature, and offers practical implications for improving national export competitiveness, formulating corporate policies, and managing long-term logistics partnerships based on measurable performance and efficiency orientation. The findings are expected to serve as a reference for future research and professional practice in agribusiness sectors oriented toward global markets with high logistics risks and intense competition that demand continuous, data-driven managerial innovation grounded in reliable and context-specific empirical evidence for the future of national industries.
Abstract:This study presents the results of a systematic literature review highlighting the effectiveness of game-based badminton learning approaches as a relevant instructional strategy in physical education. A review of eight selected…
elected articles indicates that the integration of game-oriented activities can enhance students’ fundamental technical skills, tactical understanding, and enthusiasm throughout the learning process. An in-depth analysis of the findings reveals that learning models that position students at the center of activity are able to facilitate more meaningful learning experiences through game situations that closely resemble real on-court conditions. Furthermore, the interaction patterns created through game activities contribute to the development of psychomotor skills and increase students’ readiness to engage confidently in competitive scenarios. Evaluation of various forms of implementation suggests that game-based learning innovations, whether through structured models or application-based media, hold significant potential to improve the quality of badminton instruction. Nevertheless, this review also identifies several challenges, including limited long-term studies, research concentration at specific educational levels, and insufficient exploration of affective and cognitive variables. These findings emphasize the need for further research with broader coverage to gain a deeper understanding of how game-based approaches can be implemented sustainably and deliver optimal benefits for students’ competency development across diverse physical education contexts in Indonesia.
Abstract:This study investigates the critical determinants of export success in the traditional ceramics industry of Plered, using the Dodol Badebah home enterprise as a case study. The research specifically analyzes the effects…
of product quality, marketing strategy, and external institutional support on export performance. A quantitative research design was adopted, utilizing structured questionnaires distributed to 60 consumers of Plered ceramics. The data were analyzed using multiple linear regression to assess the influence and significance of each independent variable on export outcomes. Findings indicate that product quality exerts a significant and positive effect on export success, particularly through attributes such as design innovation, material strength, aesthetic value, and compliance with international standards. Conversely, marketing strategy and external support did not demonstrate statistically significant effects, suggesting the need for strategic realignment and more targeted institutional engagement. These results highlight the dominant role of internal capabilities, especially quality control and product development, over external promotional or governmental interventions in driving export readiness and sustainability. The study contributes to the growing body of literature on micro and small enterprises in developing economies by offering empirical evidence on export determinants in cultural and creative industries. Practically, the findings recommend prioritizing product excellence as a core strategy for global market penetration, while simultaneously improving the effectiveness of marketing channels and policy support mechanisms. Future research should explore digital transformation, international consumer preferences, and long-term impacts of policy shifts on export growth in artisanal sectors.
Abstract:The enactment of Law Number 3 of 2024, as the second amendment to Law Number 6 of 2014 concerning Villages, has introduced new challenges in the governance of village administration, particularly in the legal accountability…
ity of village heads in managing village finances. Although the law outlines the authority of village heads, it does not explicitly stipulate provisions for criminal or civil sanctions in cases of abuse of power. This normative gap poses potential risks of harm to village communities due to the weak legal accountability mechanisms. This study aims to examine and analyze the legal implications of the normative vacuum in village regulations and to emphasize the urgency of establishing more specific and binding implementing regulations. Employing a normative juridical research method through statutory and conceptual approaches, this study analyzes relevant legislation and supporting legal literature. The findings reveal that the absence of clear legal sanction provisions in the Village Law creates a legal grey area that can be exploited for administrative misconduct and corruption. Therefore, regulatory reform is required in the form of amendments or the formulation of implementing regulations that explicitly define the types of sanctions and legal accountability mechanisms for village heads. The novelty of this study lies in its systematic identification of legal loopholes that have received limited attention in existing village law literature, as well as its concrete proposals for regulatory reformulation aimed at strengthening accountability and transparency in village financial management.
Abstract:This article examines the importance of pragmatic equivalence in translating humor, a crucial yet often challenging aspect due to humor’s deep reliance on cultural context, implicature, and audience interpretation. Pragmatic…
gmatic equivalence emphasizes the conveyance of implicit meaning through communication principles such as those proposed by Grice, where coherence takes precedence over mere lexical and grammatical cohesion. In humor translation, coherence refers to the interconnectedness of meaning based on shared context and knowledge between the author and the audience, rather than simply the structure of sentences. However, humor is inherently ambiguous and open to multiple interpretations, making its meaning not always directly transferable. A single mistranslated element can alter the entire comedic effect, as humor is often highly culture-specific. In this case, the translator’s role extends beyond language transfer to bridging the knowledge gap that the target audience might have, sometimes at the cost of the humor’s spontaneity. This challenge creates a dilemma between preserving natural comedic effect and delivering accurate meaning. As a result, humor translation often leans toward either overly literal or overly liberal approaches, each with the risk of losing essential nuance. Therefore, pragmatic equivalence involves more than just finding corresponding meanings; it also requires sensitivity to the social and cultural contexts that shape audience responses. The novelty of this study lies in its focus on the unique complexity of humor translation, making it a valuable contribution to the fields of literary studies, linguistics, and translation studies.
Abstract:Electricity has become an essential need in daily life and is a primary resource that supports various economic activities. Along with the growth of the population, technological advancements, and increased investments,…
the demand for electricity supply is projected to continue rising. In Indonesia, PLN (Perusahaan Listrik Negara) is the main electricity provider, but it often faces challenges in meeting this demand, especially with frequent power outages that disrupt industrial and societal activities. To address this issue, many companies have turned to using generator sets (gensets) as an alternative solution to ensure a stable energy supply. Although the use of gensets provides energy independence, it requires a significant investment. Therefore, an in-depth analysis of the efficiency and economic feasibility of using gensets is necessary. This study aims to analyze the use of gensets at PT. Teladan Prima Agro Bukit Permata Mill, located in Kaubun, East Kutai, focusing on technical-economic aspects such as Present Value (PV), Future Value (FV), Net Present Value (NPV), Internal Rate of Return (IRR), and Break Even Point (BEP). Data collected directly from the field includes genset specifications, electricity load, energy consumption, fuel usage, and genset operations. The analysis results indicate that the 455 KVA genset is capable of meeting the factory's electricity needs with an initial cost of IDR 649,649,996. The NPV calculation shows a value of IDR 880,380,813, with an IRR of 6.63%. The BEP is achieved in the 12th month with a profit of IDR 109,645,114. Based on these results, the operation of the genset at PT. Teladan Prima Agro Bukit Permata Mill is considered feasible and profitable in the long term.
Abstract:This paper analyzes the application of madrasah principal management to Arabic language learning in improving the quality of student graduates at MAN Tanjungpinang. This research method is a qualitative field research method…
thod that is carried out holistically. The approach used is phenomenology. The results of this study are to improve the quality of student graduates at MAN Tanjungpinang, Riau Islands through Arabic language learning, then it can use madrasah principal management, namely through; a) planning, b) organizing, c) implementing, and e) supervising. Planning includes needs analysis, short and long term goals, and relevant curriculum development. Organizing by setting a clear organizational structure with specific assignments and responsibilities for each Arabic language teaching staff. Implementation by actively implementing an innovative Arabic language curriculum, ensuring that Arabic language learning materials are always up-to-date and relevant to student needs. Supervision by conducting periodic monitoring of the Arabic language learning process to ensure that the curriculum and teaching methods are implemented according to plan.