Abstract:Chronic pain represents a major global health burden and often remains resistant to conventional pharmacological treatment, prompting the exploration of alternative therapeutic strategies. Electroencephalographic (EEG) neurofeedback…
eurofeedback has emerged as a non-invasive neuromodulatory intervention that enables patients to self-regulate brain activity and potentially alleviate persistent pain symptoms. This systematic review addresses the research problem of inconsistent evidence regarding the clinical efficacy and underlying mechanisms of EEG-based neurofeedback for chronic pain management in adults. A comprehensive analysis of 80 studies involving adults with chronic pain lasting at least three months was conducted, examining neurofeedback protocols, clinical pain outcomes, neurophysiological changes, secondary benefits, and methodological quality. Findings revealed heterogeneous results, with several studies reporting statistically significant and clinically meaningful pain reduction, particularly in conditions such as chemotherapy-induced neuropathy, fibromyalgia, and chronic back pain. Observed neurophysiological changes, including increased alpha power and modified connectivity in pain-related brain regions, were sometimes associated with clinical improvement, alongside reported benefits in sleep quality, mood, and overall well-being. However, evidence from sham-controlled randomized trials showed no significant differences between intervention and control groups, highlighting methodological limitations and challenges in blinding procedures. The review concludes that EEG neurofeedback is a safe and feasible intervention with potential therapeutic value for chronic pain, although current evidence remains inconsistent. The novelty of this study lies in its integrative evaluation of clinical outcomes, neurophysiological mechanisms, and protocol-specific effects, while emphasizing the need for personalized approaches, biomarker identification, and rigorous experimental designs to clarify efficacy and optimize treatment implementation.
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:Infant sleep quality is a fundamental biological need that plays a crucial role in growth and neurological development; however, sleep disturbances remain common among infants aged 3-6 months and are often overlooked by…
parents. This condition poses risks to physical health, emotional well-being, and overall infant development. This study aims to analyze the effect of baby massage on sleep quality among infants aged 3-6 months at Babycare Bondowoso and to identify differences in sleep quality before and after the intervention. The study employed a quantitative approach with a quasi-experimental one-group pretest-posttest design involving 40 infants selected through total sampling. Data were collected using questionnaires and observation sheets, then analyzed using the Wilcoxon test. The results showed that prior to the intervention, 87.5% of infants experienced poor sleep quality, whereas after the intervention, all infants (100%) demonstrated improvement to good sleep quality. Statistical analysis indicated a p-value of 0.00, which is lower than 0.05, confirming a significant effect of baby massage on infant sleep quality. These findings demonstrate that baby massage effectively improves sleep duration, comfort, and stability through physiological relaxation mechanisms. The novelty of this study lies in providing empirical evidence of the effectiveness of baby massage as a non-pharmacological intervention that is simple, safe, and can be independently applied by parents while offering holistic benefits for infants. The findings are expected to serve as a basis for developing health education and improving infant care practices.
Abstract:Menstruation is a physiological process that can cause regular iron loss in adolescent girls, thereby potentially reducing hemoglobin levels and increasing the risk of anemia if not balanced with adequate iron intake. The…
e research problem focuses on whether the consumption of iron supplementation tablets affects hemoglobin levels during menstruation among adolescent girls at SMK Maesan. This study aims to analyze the effect of iron supplementation on changes in hemoglobin levels using a quasi-experimental design with a control group pretest-posttest approach. The sample consisted of 30 respondents selected through purposive sampling based on inclusion criteria. Hemoglobin levels were measured using the cyanmethemoglobin or Sahli method, accompanied by standard procedures for administering iron supplements. The results of the Wilcoxon statistical test showed a p-value of 0.000 with α<0.05, indicating that the null hypothesis was rejected and the alternative hypothesis was accepted, meaning that there was a significant effect of iron supplementation on increasing hemoglobin levels during menstruation. These findings confirm that the intervention of iron supplementation is effective in improving hemoglobin levels in menstruating adolescent girls. The novelty of this study lies in emphasizing the effectiveness of controlled iron supplementation interventions among vocational high school adolescents using a pretest-posttest approach, thereby providing practical contributions to anemia prevention efforts from an early age through structured and sustainable school health programs.
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:Population growth that continues to increase has generated various social and health problems due to the imbalance between population size and the quality of human resources. This condition encourages the government to strengthen…
trengthen the implementation of the Family Planning Program as a strategic effort to control fertility among couples of reproductive age. The success of this program is influenced not only by access to health services but also by family support, particularly the husband’s support in decisions related to contraceptive use. This study aimed to analyze the relationship between husband’s support and the decision to use three-month injectable contraception among family planning acceptors. The research applied a quantitative approach with a correlational design and a cross-sectional research type. The population consisted of all family planning acceptors at TPMB Ny. Sofi Rufiah totaling 109 individuals, while the sample included 86 respondents selected through a random sampling technique. Data were collected using a structured questionnaire and analyzed statistically using the Chi-Square test through SPSS software. The results showed that the majority of respondents received support from their husbands, totaling 60 individuals (69.8%), while the use of three-month injectable contraception was reported by 49 respondents (57%). Statistical analysis indicated a significant relationship between husband’s support and the decision to use three-month injectable contraception with a significance value of p < 0.05, meaning the research hypothesis was accepted. These findings confirm that husband’s support is an important factor influencing women’s decisions in selecting contraceptive methods. The novelty of this study lies in emphasizing the role of husband’s support as a social determinant contributing to the successful use of three-month injectable contraception at the level of independent midwifery practice services. The results are expected to provide a foundation for strengthening family-based family planning education strategies.
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:The rapid growth of the online transportation sector in Indonesia has driven a significant transformation in urban mobility systems, including in Denpasar City. One of the impacts of this development is the increasing competition…
mpetition among driver-partners, which directly affects fluctuations in their income. This study aims to empirically analyze the influence of competition level, working hours duration, and fare policies on the income of GoRide partners in Denpasar City. A quantitative approach was used in this research, with the population consisting of all active GoRide driver-partners in the area. The sample was determined using the Slovin formula with a 10% significance level, resulting in 67 randomly selected respondents. Data were collected through the distribution of structured questionnaires and analyzed using multiple linear regression methods to examine the effect of each independent variable on income as the dependent variable. The results show that the competition variable has a significant negative effect on partner income, indicating that the higher the level of competition, the lower the income earned. Conversely, working hours have a positive and significant effect, indicating that increased working duration directly contributes to higher income. Meanwhile, fare policy shows a positive but insignificant effect, meaning that although there is a statistically positive relationship, the effect is not strong enough to significantly impact income. These findings highlight the importance of efficient management of working hours and strategic adaptation to competition levels as efforts to maintain the economic sustainability of driver-partners. In addition, platform providers are advised to periodically review fare policies to ensure they remain aligned with market dynamics and partner needs, in order to maintain a sustainable income balance.
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:This study aims to comprehensively investigate the influence of Social Media Marketing and Lifestyle on consumer Purchase Decisions, with Brand Awareness serving as a mediating variable that plays a pivotal role in the consumer…
onsumer decision-making process. The research adopts a causal-quantitative design, intended to identify and test the causal relationships among the predetermined variables. Primary data were collected through the distribution of questionnaires to 130 respondents, consisting of customers of CW Coffee in Pontianak City, West Kalimantan. Data analysis was conducted using the Structural Equation Modeling (SEM) technique based on Partial Least Squares (PLS), operated through SmartPLS 4 software, which facilitates simultaneous evaluation of both the measurement model (outer model) and the structural model (inner model). The model estimation results indicate that both Social Media Marketing and Lifestyle exert a positive and statistically significant effect on Brand Awareness, and contribute both directly and indirectly to Purchase Decisions. Furthermore, Brand Awareness is empirically validated as a partial mediator that reinforces the relationship between the independent variables and the dependent variable. The theoretical implications of these findings underscore that enhancing brand exposure through strategic social media engagement and contextually understanding contemporary consumer Lifestyles are critical determinants in shaping strong brand perceptions and driving purchase intention and realization. Consequently, this study offers practical contributions for business practitioners in formulating digital marketing strategies based on the integration of consumer values and the optimization of digital communication channels, thereby enhancing market penetration effectiveness and fostering long-term customer loyalty.