Abstract:The phenomenon of infidelity within families constitutes a significant social issue, as it not only undermines spousal relationships but also leaves enduring psychological wounds on children who witness it, particularly…
women entering early adulthood when they begin to establish romantic relationships. This study focuses on how early adult women interpret their experiences of witnessing paternal infidelity and the implications of these experiences for trust, commitment, emotional dynamics, and partner selection processes. A qualitative approach with a phenomenological design was employed to explore the subjective experiences of three early adult women aged 20-22 who encountered such events during adolescence. The findings indicate that these experiences are interpreted as traumatic, giving rise to anxiety, fear of betrayal, and difficulties in developing trust, while simultaneously fostering heightened vigilance and selectivity in choosing partners, with an emphasis on loyalty, communication, and emotional security. The emerging psychological dynamics include trust issues, a tendency to avoid conflict, and a strong need for emotional stability, which are addressed through conscious efforts to build healthier relationships characterized by open communication and effective emotional regulation. The study concludes that the subjective meaning-making of paternal infidelity plays a crucial role in shaping relational patterns, perceptions of romantic relationships, and partner selection decisions among early adult women. The novelty of this research lies in its emphasis on the meaning-making dimension, which not only reveals psychological impacts but also highlights resilience and the transformation of traumatic experiences into a foundation for more adaptive and constructive relationships.
Abstract:This study examines the utilization of digital technology in counseling services as a response to the transformation of mental health service demands that require flexibility, efficiency, and broad reach. The research problem…
oblem focuses on the extent of e-counseling effectiveness, the level of service accessibility for the community, and the key challenges influencing its implementation. The study employs a qualitative approach using a systematic literature review method of 25 reputable scientific articles published between 2015 and 2025. The synthesis results indicate that e-counseling demonstrates a high level of effectiveness, reflected in service flexibility (92%), client openness (88%), cost efficiency (85%), satisfaction level (81%), and intervention success rate (76%), particularly for mild to moderate cases. The accessibility aspect also shows significant achievements, including ease of access (90%), expanded geographical reach (87%), and reduced social stigma (83%), thereby reinforcing the role of e-counseling as an inclusive alternative solution. Nevertheless, implementation still faces several challenges, such as limitations in nonverbal communication, data security risks, digital inequality, and low technological competence among counselors. The findings conclude that e-counseling is a strategic innovation that is both effective and adaptive; however, it requires adequate infrastructure support, improved digital literacy, and appropriate regulatory frameworks to ensure optimal and sustainable implementation. The novelty of this study lies in its integrative approach, which simultaneously examines effectiveness and accessibility alongside the technical, psychological, and structural factors influencing them, resulting in a more comprehensive analytical framework compared to previous studies that tend to be partial.
Abstract:Modern volleyball requires complex physical capacities, particularly explosive power and match-specific endurance that are closely associated with the performance of anaerobic and aerobic energy systems. Increasing performance…
rmance demands indicate that training programs alone are insufficient to produce optimal athletic performance; therefore, sports nutrition strategies become a crucial component in supporting athletes’ physiological adaptation processes. The research problem addresses how sports nutrition contributes effectively to improving the power and endurance of volleyball athletes based on recent scientific evidence. This study aims to systematically analyze the contribution of sports nutrition to enhancing the physical capacity of volleyball athletes through a scientific literature review approach. The research method employs a Systematic Literature Review (SLR) using the PRISMA framework to examine articles indexed in Scopus and SINTA published between 2015 and 2024. The identification process yielded 312 articles, followed by a rigorous screening and eligibility assessment that resulted in 22 articles meeting the inclusion criteria, with 10 core studies analyzed in depth to obtain a synthesis of relevant scientific findings. The results indicate that carbohydrate periodization of 6-8 g/kg body weight per day contributes to an improvement in vertical jump performance by approximately 3-6%, while optimal protein intake of 1.6-2.2 g/kg body weight per day increases peak power by about 4-8%. Creatine monohydrate supplementation of 3-5 g per day has been shown to enhance explosive power by 5-12%, whereas beta-alanine supplementation improves anaerobic work capacity by 8-14%. Hydration strategies and carbohydrate regulation also contribute to an increase in VO₂max by 2-5% and reduce the fatigue index by 6-10%. The findings confirm that sports nutrition functions as an essential mediator between training stimuli and the neuromuscular as well as metabolic adaptation responses of athletes. The novelty of this study lies in its conceptual synthesis that positions nutritional periodization as an evidence-based integrative strategy for sustainably optimizing the power and endurance of volleyball athletes.
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:Students in early adulthood often face academic, social, and personal pressures that cause fluctuations in mood and affect mental health and psychological well-being. The main issue addressed in this study is students’ low…
low ability to recognize, understand, and manage emotions adaptively, highlighting the need for effective strategies to enhance emotional awareness. This research investigates the effectiveness of self-reflection and journaling in improving students’ mood awareness. A combination of descriptive qualitative and quasi-experimental pretest-posttest designs was used, with instruments including mood scales, reflection guidelines, and students’ daily journals. Results showed a 32% increase in the average mood awareness score, a decrease in students with low awareness from 64% to 18%, and an increase in high awareness from 14% to 56%. Active participation was observed in 78% of students, while 85% consistently documented their emotional experiences, 88% reported feeling relieved, and 76% could identify recurring emotional patterns. The intervention also promoted the development of more adaptive self-regulation strategies, such as time management, adequate rest, and social support, increasing from 21% before the intervention to 69% afterward. Sustainability of practice was indicated by 61% of students intending to continue journaling independently and 57% integrating it into their daily routines. The novelty of this study lies in the integration of self-reflection and journaling as a practical, systematic, and sustainable approach to enhance emotional awareness and psychological well-being. The findings confirm that a simple yet structured intervention can create significant improvements in emotion management and adaptive behaviors among students.
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 advancement of information and communication technology has transformed learning paradigms in higher education, particularly through the implementation of flexible digital learning systems that emphasize student…
t learning autonomy. Higher education institutions providing distance education face challenges in delivering digital learning materials that are not only easily accessible but also capable of sustainably enhancing students’ learning motivation. The research problem addressed in this study focuses on the extent to which the utilization of Android-based digital learning materials influences the learning motivation of students at Universitas Terbuka. The purpose of this study is to analyze the effect of using Android-based digital learning materials on students’ learning motivation in the context of distance education. A quantitative approach was employed using a survey method as the research design. The research sample consisted of 97 Universitas Terbuka students from UT Ambon, UT Gorontalo, and UT Makassar, selected through simple random sampling. Data were collected using structured questionnaires, while data analysis was conducted through simple linear regression with the assistance of SPSS software. The results of the analysis indicate that the utilization of Android-based digital learning materials has a positive and significant effect on students’ learning motivation, as evidenced by a regression coefficient value of 0.442 and a significance value of 0.000, which is below the 0.05 significance threshold. These findings confirm that improvements in the intensity and quality of using Android-based digital learning materials are directly associated with increased student learning motivation. The novelty of this study lies in strengthening empirical evidence on the effectiveness of Android-based digital learning materials in a cross-regional distance education context, while also providing practical contributions to the development of digital learning strategies aimed at enhancing the learning motivation of Universitas Terbuka students.