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:Abstract: The selection of pediatric cough medicine at Apotek Keluarga is currently subjective and highly dependent on the pharmacist's experience, which potentially leads to inconsistent recommendations for customers. This…
his research aims to develop a Decision Support System (DSS) using the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method to provide objective, fast, and accurate drug recommendations. The assessment criteria used in this system include cough type, side effects, age, and drug price, which are adjusted to clinical needs and consumer preferences. TOPSIS was chosen for its ability to rank drug alternatives based on their relative closeness to the positive ideal solution and the farthest distance from the negative ideal solution. The system development process involved problem identification, literature study, and data collection through interviews and direct field observations. The results indicate that the implementation of the TOPSIS method is effective in producing a list of cough medicine recommendations tailored to the specific conditions of pediatric patients. With this web-based system, the drug selection process becomes more transparent, systematic, and efficient, thereby enhancing the quality of pharmaceutical services at Apotek Keluarga.
Keywords: Decision Support System, TOPSIS, Pediatric Cough Medicine, Apotek Keluarga.
Abstrak: Pemilihan obat batuk anak di Apotek Keluarga saat ini masih bersifat subjektif dan sangat bergantung pada pengalaman apoteker, sehingga berpotensi menimbulkan ketidakkonsistenan dalam pemberian rekomendasi kepada pelanggan. Penelitian ini bertujuan untuk mengembangkan Sistem Pendukung Keputusan (SPK) menggunakan metode Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) guna memberikan rekomendasi obat secara objektif, cepat, dan akurat. Kriteria penilaian yang digunakan dalam sistem ini meliputi jenis batuk, efek samping, usia, dan harga obat, yang disesuaikan dengan kebutuhan klinis serta preferensi konsumen. Metode TOPSIS dipilih karena kemampuannya dalam meranking alternatif obat berdasarkan kedekatan relatif terhadap solusi ideal positif dan jarak terjauh dari solusi ideal negatif. Proses pengembangan sistem dilakukan melalui tahapan identifikasi masalah, studi literatur, serta pengumpulan data melalui wawancara dan observasi langsung di lapangan. Hasil penelitian menunjukkan bahwa penerapan metode TOPSIS efektif dalam menghasilkan urutan rekomendasi obat batuk yang paling sesuai dengan kondisi spesifik pasien anak. Dengan adanya sistem berbasis web ini, proses pemilihan obat menjadi lebih transparan, sistematis, dan efisien, sehingga mampu meningkatkan kualitas pelayanan farmasi di Apotek Keluarga.
Kata kunci: Sistem Pendukung Keputusan, TOPSIS, Obat Batuk Anak, Apotek Keluarga.
Abstract:Abstract: Babun Rizki Pratama Clinic is a business that operates in the health services sector. Pratama Babun Rizki Clinic is located in Haessa Air Genting Village Dusun IV, Air Batu District, Asahan Regency. The public…
always asks for quality medical services, but often these requests do not meet expectations, because the services provided to patients at Babunn Rizki Pratama Clinic are said to be less effective. The lack of staff at the Pratama Babun Rizki Clinic results in a long patient examination process, so that many patients receive less effective services and are at high risk of experiencing medical errors. These various problems can be overcome by using technology that carries the concept of service to patients using the Service Quality (SERVQUAL) method. The method used in this research is qualitative, where this research is carried out by distributing questionnaires to find out how respondents respond to the services provided. The results of service calculations using the Servqual method at Babun Rizki Pratama Clinic showed that 80% of respondents felt "Not Satisfied" and 20% felt "Very Satisfied". Of the total assessment, there were 20 data indicating "Not Satisfied" and 5 data indicating "Very Satisfied". From the results of this percentage, it can be seen that only 5 data stated "Very Satisfied".
Keywords: service quality (servqual); babun rizki pratama clinic; decision support system; ph; mysql
Abstrak: Klinik Pratama Babun Rizki merupakan salah satu usaha yang bergerak dalam bidang jasa kesehatan. Klinik Pratama Babun Rizki beralamat di desa Haessa Air Genting Dusun IV Kecamatan Air Batu Kabupaten Asahan. Masyarakat selalu meminta pelayanan medis yang berkualitas, namun seringkali permintaan tersebut tidak sesuai harapan, karena pelayanan yang diberikan kepada pasien di Klinik Pratama Babunn Rizki dikatakan kurang efektif. Kurangnya pegawai yang ada di Klinik Pratama Babun Rizki mengakibatkan lamanya proses pemeriksaan kepada pasien, sehingga banyak pasien yang mendapatkan layanan kurang efektif dan beresiko tinggi mengalami kesalahan medis. Berbagai permasalahan tersebut dapat diatasi dengan menggunakan teknologi yang mengusung konsep pelayanan kepada pasien dengan menggunakan metode Service Quality (SERVQUAL). Metode yang digunakan dalam penelitian ini adalah kulitatif, dimana penelitian ini dilakukan dengan cara menyebarkan kuisioner untuk mengetahui bagaimana tanggapan responden terhadap pelayanan yang diberikan. Hasil perhitungan pelayanan menggunakan metode Servqual di Klinik Pratama Babun Rizki menunjukkan bahwa 80% responden merasa "Tidak Puas" dan 20% merasa "Sangat Puas". Dari total penilaian, terdapat 20 data yang menunjukkan "Tidak Puas" dan 5 data yang menyatakan "Sangat Puas". Dari hasil persentasi tersebut dapat dilihat hanya 5 data yang menyatakan “Sangat Puasâ€.
Kata kunci: service quality (servqual); klinik pratama babun rizki; sistem pendukung keputusan; php; mysql
Abstract:Abstract: Cats are pets that are loved by humans, including people in Indonesia. People who keep cats need to pay attention to and maintain the health of cats to avoid all diseases. The Angora cat is one of the cat breeds…
s that has its own charm for cat lovers. In their care, not a few Angora cat owners do not understand how to take good care of Angora cats so that they can cause the animal to get sick. The lack of knowledge possessed by cat owners about the diseases experienced by their favorite animals can lead to misdiagnosis and inappropriate handling. Kianna Pet Shop and Animal Care is a veterinary clinic located on Jalan Imam Bonjol, Komplek Ruko Kota Mas, Kisaran, Asahan Regency. Kianna Pet Shop and Animal Care has many customers who trust Kianna Pet Shop and Animal Care to treat their pets. Kianna Pet Shop and Animal Care only has one veterinarian and one assistant. Angora cat diseases in general that are often treated at Kianna Pet Shop and Animal Care are fungus, FLUTD, feline calicivirus, fleas, cat flu, intestinal worms, hematoma (blood clots), chlamydiosis and diarrhea. To overcome these problems, an expert system was created using the Case Based Reasoning (CBR) method which will facilitate communication and consultation between veterinarians and Angora cat owners.
Keywords: expert system; CBR method; animal felis catus
Abstrak:Kucing adalah hewan peliharaan yang banyak digemari oleh manusia, termasuk masyarakat di Indonesia. Masyarakat yang memelihara kucing perlu memperhatikan dan menjaga kesehatan kucing agar terhindar dari segala penyakit. Kucing anggora salah satu ras kucing yang memiliki daya tarik tersendiri bagi pecinta kucing. Dalam perawatannya, tak sedikit pemilik kucing anggora yang kurang memahami bagaimana cara merawat kucing anggora dengan baik sehingga dapat menyebabkan hewan tersebut terserang penyakit. Kurangnya pengetahuan yang dimiliki oleh pemilik kucing tentang penyakit yang dialami oleh hewan kesayangannya itu dapat mengakibatkan kesalahan diagnosa serta penanganan yang tidak sesuai. Kianna Pet Shop and Animal Care memiliki banyak pelanggan yang memberikan kepercayaan terhadap Kianna Pet Shop and Animal Care untuk mengobati hewan peliharaannya. Kianna Pet Shop and Animal Care hanya memiliki satu orang dokter hewan dan satu orang asisten. Penyakit kucing anggora pada umumnya yang sering berobat di Kianna Pet Shop and Animal Care yaitu jamur, FLUTD, feline calicivirus, kutu, cat flu, cacingan, hematoma (pembekuan darah), chlamydiosis dan diare. Mengatasi permasalahan tersebut maka dibuat suatu sistem pakar menggunakan metode Case Based Reasoning (CBR) yang akan mempermudah komunikasi dan konsultasi antara dokter hewan dan pemilik kucing anggora.
Kata kunci: expert system; CBR method; hewan felis catus
Abstract:Abstract : Dental and oral health is an important part of your overall health and well-being. Maintaining healthy teeth and gums is a lifelong commitment. The earlier you learn proper oral hygiene habits such as brushing,…
, flossing, and limiting sugar intake, the easier it is to avoid expensive dental procedures and long-term health problems. One of the Community Health Centers located in Sijabut Village has problems in serving people who experience oral and dental diseases due to the lack of medical personnel, especially dental and oral specialists to provide accurate diagnoses regarding the types of oral and dental diseases suffered. Another reason is that the doctors who work at Zihad Insani Clinic are mostly general practitioners who may not understand about oral and dental diseases so that the services received by the community are not satisfactory. Therefore, in supporting the success of services at the Zihad Insani Clinic, a system is needed that can assist in providing effective services to provide effective diagnoses based on the understanding and knowledge of specialist doctors or dental and oral experts designed in an Expert System.
Keywords: Expert System; Oral Disease; Certainty Factor
Abstrak : Kesehatan gigi dan mulut adalah bagian penting dari kesehatan dan kesejahteraan Anda secara keseluruhan. Menjaga kesehatan gigi dan gusi adalah komitmen seumur hidup. Semakin dini Anda mempelajari kebiasaan kebersihan mulut yang tepat seperti menyikat gigi, flossing, dan membatasi asupan gula , semakin mudah untuk menghindari prosedur gigi yang mahal dan masalah kesehatan jangka panjang. Salah satu Pusat Kesehatan Masyarakat yang berada di Desa Sijabut memiliki kendala dalam melayani masyarakat yang mengalami penyakit mulut dan gigi disebabkan kurangnya tenaga medis khususnya dokter Spesialis Gigi dan mulut untuk memberikan diagnosa yang akurat mengenai jenis penyakit mulut dan gigi yang diderita. Penyebab lainnya karena dokter yang bertugas di Klinik Zihad Insani tersebut sebagian besar dokter umum yang mungkin kurang memahami mengenai penyakit mulut dan gigi sehingga pelayanan yang diperoleh oleh masyarakt kurang memuaskan. Oleh sebab itu dalam menunjang keberhasilan pelayanan pada Klinik Zihad Insani diperlukan sebuah sistem yang dapat membantu dalam memberikan pelayanan yang efektif untuk memberikan diagnosa yang efektif berdasarkan pemahaman dan keilmuan dari dokter spesialis ataupun pakar gigi dan mulut yang dirancang dalam suatu Expert System.
Kata Kunci : Expert System; Penyakit Mulut; Certainty Factor
Abstract:Abstract : Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin production and/or function. The prevalence of DM in Indonesia continues to rise, posing a significant…
nt public health concern, particularly due to its complications such as peripheral neuropathy, which may lead to diabetic foot ulcers. This community service activity aimed to improve patients’ knowledge and preventive practices through an educational and participatory approach focusing on diabetic foot care and screening. A total of 21 participants enrolled in the Prolanis program at St. Carolus Paseban Primary Clinic were involved in this activity. Data analysis showed that most participants were male (52.4%), aged 65–74 years (57.1%), and had a duration of DM of less than 4 years (57.1%). The majority had no history of foot ulcers (81%) and did not perform regular physical exercise (57.1%). The results of diabetic foot screening indicated that most participants were categorized as very low risk (57.1%). Based on these findings, recommendations and follow-up actions were provided according to the screening protocol. It is expected that participants will be able to regularly monitor their blood glucose levels and implement appropriate foot care practices to prevent the occurrence of diabetic foot ulcers
Keywords: Diabetes Mellitus; health education; foot screening
Abstrak : Diabetes Mellitus (DM) adalah penyakit kronis yang ditandai dengan kadar gula darah tinggi akibat gangguan produksi atau kerja insulin. Penyakit ini semakin meningkat di Indonesia dan menjadi salah satu masalah kesehatan utama karena dapat menimbulkan salah satu komplikasi serius yaitu neuropati perifer yang menyebabkan timbulnya ulkus diabetes pada kaki. Oleh karena itu perlu dilakukan upaya promotif dan preventif untuk meningkatkan kesehatan pasien DM dengan pendekatan edukatif dan partisipatif. Adapun tindakan yang dilakukan adalah pemberian edukasi kesehatan terkait perawatan kaki dan pemeriksaan atau skrining kaki DM. Peserta dalam kegiatan ini adalah pasien yang tergabung dalam Prolanis di Klinik Pratama St. Carolus Paseban sejumlah 21 peserta. Hasil analisis data pada kegiatan tersebut adalah mayoritas peserta laki laki (52,4 %), berusia 65 s.d 74 thn (57,1)dengan lama sakit DM adalah kurang dari 4 tahun (57,1 %). Selain itu mayoritas peserta tidak memiliki riwayat luka pada kaki (81%) dan tidak melakukan olahraga (57,1 %). Dari hasil skrining kaki DM yang dilakukan oleh tim Pengabdian Masyarakat didapatkan bahwa mayoritas peserta memiliki risiko sangat rendah yaitu sejumlah 57,1 %. Hasil yang diperoleh pada kegiatan pengabdian masyarakat ini adalah pemahaman peserta Prolanis yang meningkat tentang cara perawatan kaki dan pencegahan ulkus kaki diabetic. Selain itu juga terjadinya perubahan perilaku peserta Prolanis untuk melakukan pemantauan gula darah dan skrining ulang ke klinik pratama sebagai upaya pemeliharaan kesehatan.
Kata Kunci: diabetes Mellitus; edukasi kesehatan; skrining kaki
Abstract:Technological developments in various fields continue to increase, one of which is in the health sector, namely the use of applications to provide initial diagnoses of dental and oral diseases. Lack of public awareness and…
nd knowledge in maintaining oral health can give rise to various kinds of diseases, some of which can be cured with proper treatment. One way that can be done to prevent this disease is by providing education to the public by using a web-based application. The PKM team held activities at Ins Dental Care. The method used in this activity is training in the use of applications for early diagnosis of dental and oral diseases with the participants being doctors and nurses. The aim of this service activity is to provide knowledge to participants about applications that can be used by participants to provide initial diagnoses of dental and oral diseases so that later participants can easily obtain information about dental and oral diseases. With this application, Ins Dental Care can easily provide education to the public about dental health and reach local communities to provide education about dental health and dental disease. By utilizing a web application for early diagnosis of dental and oral diseases, people can obtain information on diagnosing dental diseases independently without having to come to the clinic.
Keywords: training; application; diagnosis; dental and oral diseases
Abstract:Abstract: Mental health issues, particularly depression among young adult university students, are often detected late due to stigma and reluctance to seek medical consultation. The objective of this study is to develop…
an early screening model employing machine learning techniques, specifically the random forest algorithm, on a dataset of 268 students (aged 17-29 years; consisting of 98 males and 170 females) within a multicultural educational setting. The principal challenges associated with this dataset are class imbalance and the potential for data leakage from clinical scores. This study implements a rigorous feature selection approach that involves the elimination of depression score features and the utilization of the Synthetic Minority Over-sampling Technique (SMOTE) to balance the training data distribution. Furthermore, a Threshold Tuning strategy is employed to prioritize detection sensitivity (Recall). The findings indicate that reducing the decision threshold to an optimal value of 0.25 led to a substantial enhancement in the recall value, increasing it from 36% (baseline) to 77%. A feature importance analysis was conducted, the results of which indicated that Total Social Connectedness (ToSC) is the most dominant predictor. In summary, the present study corroborates the notion that optimizing sensitivity through threshold tuning is of paramount importance for medical screening. Furthermore, social isolation factors emerge as more significant indicators of depression risk than demographic attributes.
Keywords: data mining; depression; imbalanced data; random forest; smote; threshold tuning
Abstrak: Masalah kesehatan mental, khususnya depresi di kalangan mahasiswa dewasa muda, sering terdeteksi terlambat akibat stigma dan enggan mencari konsultasi medis. Tujuan studi ini adalah mengembangkan model skrining dini menggunakan teknik machine learning, khususnya algoritma random forest, pada dataset 268 mahasiswa (usia 17-29 tahun; terdiri dari 98 laki-laki dan 170 perempuan) dalam lingkungan pendidikan multikultural. Tantangan utama yang terkait dengan dataset ini adalah ketidakseimbangan kelas dan potensi kebocoran data dari skor klinis. Studi ini menerapkan pendekatan seleksi fitur yang ketat, yang melibatkan eliminasi fitur skor depresi dan penggunaan Teknik Over-sampling Minoritas Sintetis (SMOTE) untuk menyeimbangkan distribusi data pelatihan. Selain itu, strategi Penyesuaian Ambang Batas diterapkan untuk memprioritaskan sensitivitas deteksi (Recall). Hasil penelitian menunjukkan bahwa mengurangi ambang batas keputusan ke nilai optimal 0,25 menyebabkan peningkatan signifikan dalam nilai recall, dari 36% (dasar) menjadi 77%. Analisis pentingnya fitur dilakukan, hasilnya menunjukkan bahwa Total Social Connectedness (ToSC) adalah prediktor yang paling dominan. Secara ringkas, studi ini membenarkan bahwa mengoptimalkan sensitivitas melalui penyesuaian ambang batas sangat penting untuk skrining medis. Selain itu, faktor isolasi sosial muncul sebagai indikator risiko depresi yang lebih signifikan daripada atribut demografis.
Kata kunci: penambangan data; depresi; data tidak seimbang; hutan acak; smote; penyesuaian ambang batas
Abstract:Abstract: Inventory management of consumable medical devices and drugs plays a crucial role in maintaining the continuity of healthcare operations. However, Jelita Dental Care still faces challenges in recording and controlling…
rolling stock due to manual procedures, which can lead to data inaccuracy, procurement delays, and the risk of stockouts. To address these issues, this study aims to develop a web-based Electronic Supply Chain Management (E-SCM) system that integrates stock monitoring and procurement processes. The Reorder Point (ROP) method is applied to determine the optimal reorder point based on average demand, lead time, and safety stock. This system was built using the PHP programming language and MySQL database. The results show that the JelitaMed system is able to improve the effectiveness and accuracy of inventory management, simplify the structured procurement submission process between the admin, owner, and supplier, and support decision-making in maintaining the availability of consumable medical devices and drugs. Thus, the implementation of E-SCM combined with the ROP method is a practical solution to improve inventory control in small-scale health clinics.
Keywords: e-scm; inventory; information system; medical supplies; reorder point.
Abstrak: Pengelolaan persediaan alat dan obat medis habis pakai memiliki peran penting dalam menjaga keberlangsungan operasional layanan kesehatan. Namun, Jelita Dental Care masih menghadapi kendala dalam pencatatan dan pengendalian stok akibat prosedur manual, yang dapat menyebabkan ketidaktepatan data, keterlambatan pengadaan, serta risiko kekurangan persediaan. Untuk mengatasi permasalahan tersebut, penelitian ini bertujuan mengembangkan sistem Electronic Supply Chain Management (E-SCM) berbasis web yang mengintegrasikan pemantauan stok dan proses pengadaan. Metode Reorder Point (ROP) diterapkan untuk menentukan waktu pemesanan ulang yang optimal berdasarkan permintaan rata-rata, lead time, dan safety stock. Sistem ini dibangun menggunakan bahasa pemrograman PHP dan database MySQL. Hasil penelitian menunjukkan bahwa sistem JelitaMed mampu meningkatkan efektivitas dan akurasi pengelolaan persediaan, mempermudah proses pengajuan pengadaan secara terstruktur antara admin, owner, dan supplier, serta mendukung pengambilan keputusan dalam menjaga ketersediaan alat dan obat medis habis pakai. Dengan demikian, penerapan E-SCM yang dikombinasikan dengan metode ROP menjadi solusi praktis untuk meningkatkan pengendalian persediaan pada klinik kesehatan skala kecil.
Kata kunci: alat medis; e-scm; persediaan; reorder point; sistem informasi