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The Metaanalysis of the Analgesic Effect of Electroencephalographic Neurofeedback for People with Chronic Pain

Elvina Zuhir, Desmawita Lestari, Reza Wahyudi, Aisya Raehan Fadhillah
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.

Hubungan antara Tingkat Stres dengan Siklus Menstruasi pada Wanita Usia Produktif yang Bekerja di Dinas Kesehatan Kabupaten Bondowoso Tahun 2025

Widyah Sariyantika, Muthmainnah Zakiyyah, Bagus Supriyadi
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,&#8230; 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.

Hubungan Dukungan Suami dengan Keputusan Penggunaan Kontrasepsi Suntik 3 Bulan di TPMB Ny. Sofi Rufiah

Siska Panggabean, Tri Iriyani, Bagus Supriyadi
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&#8230; 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.

Korelasi Durasi Pemberian ASI terhadap Klasifikasi Derajat Stunting pada Balita

Astrid Wiba Susanti, Iis Hanifah, Suhartin
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.&#8230; 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.

Pemanfaatan Bahan Ajar Digital Berbasis Android terhadap Motivasi Belajar Mahasiswa Universitas Terbuka

Wildoms Sahusilawane, Lilian Sarah Hiariey
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&#8230; 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.

Pengaruh Persaingan Jam Kerja dan Kebijakan Tarif pada Ojek Online terhadap Tingkat Pendapatan Mitra Driver Goride di Kota Denpasar

Marthen Rohi Riwu, Ni Made Yudhaningsih, Putu Budhiyasa
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&#8230; 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.

Peran Self Efficacy, Dukungan Sosial dan Optimisme Terhadap Grit pada Anggota Tamtama

Devi Ulfa Sari, Fitri Andriani
Abstract: This study aims to examine the effect of self-efficacy, social support, and optimism on grit in TNI-AD Private members who took the regular Secaba (National Military Commission) transfer test. This study used a quantitative&#8230; ive method with a correlational research design. The sample used was 50 randomly selected Private members. Data were collected through a questionnaire that measured the three independent variables (self-efficacy, social support, and optimism) and grit as the dependent variable. The results of the multiple linear regression analysis showed a significance value of 0.000, indicating that self-efficacy, social support, and optimism had a significant effect on grit. The results showed that social support made the largest contribution to increasing grit, followed by optimism and self-efficacy. Overall, the three variables contributed 75.4% to the grit level of TNI-AD Private members. This finding provides important insight that the combination of self-confidence, support from the surrounding environment, and an optimistic outlook can increase individual persistence in facing challenges, especially in the Secaba selection.

The Influence of Audit Fees on Audit Quality

Annisa Rizki Yanti, Elis Mediawati
Abstract: This study investigates how audit fees impact audit quality. The purpose of this study is to determine the relationship between the effect of audit fees on audit quality in companies listed on the Indonesia Stock Exchange&#8230; e which are categorized as LQ45. This study was conducted using the verification method. Researchers involved 225 LQ45 companies listed on the Indonesia Stock Exchange from 2016 to 2020. The data used comes from secondary data collected through the documentation method. In analyzing the data, this study uses panel data regression statistical testing with a random effect model. The findings of this study are that audit fees are positive to audit quality based on the calculation of panel data regression analysis conducted through the Eviews 9 program.

Peranan Aparatur Desa dalam Meningkatkan Pengembangan Sumber Daya Manusia di Desa Mattirowalie Kabupaten Bulukumba

Supriyanto
Abstract: The village apparatus is an element of village government organizers who work professionally and proficiently in helping village heads carry out government duties and community interests so that government runs smoothly,&#8230; especially in developing human resources in the village. Researchers want to know the role and performance of village apparatus in human resource development and identify factors that influence human resource development in Mattirowalie Village. With benefits, it can add better insight to the entire Mattirowalie Village apparatus. The qualitative research method is purposive sampling and the type of research is descriptive/survey with research informants as many as 8 village officials and 2 people from Mattirowalie Village. randomly selected and professional. Village apparatus data can be collected using observation, interview and documentation methods. This research shows the results that the role of village apparatus as organizers in the development of human resources (HR). The way of village apparatus in developing human resources in the village by implementing work discipline, improving education and good service to the community. Then there are 4 factors that affect the development of village apparatus resources: 1) Village head / leader, the village head is someone who has been directly selected by the community to be a good leader and is entrusted to be able to do good things that can be used as an example for the community. 2) Education, education is a process that can educate and improve the quality of human resources. 3) Training, training is a process of improving human resources by improving community skills. 4) Economy, economy is one of the drivers in increasing human resources in the village.

Pengaruh Penambahan Dekstrin dan Kulit Buah Naga Merah terhadap Karakteristik Fisiko Kimia dan Organoleptik Serbuk Mangga Gadung Klonal 21

Swasono, Muh. Aniar Hari, Diana, Tutik
Abstract: Mango Gadung Clonal 21 (Mangifera indica L.) is the result of crossbreeding between Gadung Mango and Arumanis, acknowledged as a native fruit of Pasuruan Regency. However, the sales of this fruit decline during the peak&#8230; harvest season, causing difficulties for farmers in processing ripe fruit. Therefore, technology is needed to enhance shelf life and create innovative products using Mango Gadung Clonal 21 (Mangifera indica L.) as the base ingredient, with the addition of antioxidants from red dragon fruit peel. The aim of this research is to assess the physicochemical and organoleptic characteristics and identify the best combination of adding dextrin and red dragon fruit peel to Mango Gadung Clonal 21 (Mangifera indica L.) powder. This study employed a randomized block design with two main factors: the addition of red dragon fruit peel extract (M) with 2 levels (15 grams and 20 grams) and the addition of dextrin (D) with 3 levels (15 grams, 20 grams, and 25 grams). The study was repeated three times, resulting in a total of 18 treatments. Analysis encompassed antioxidant activity, water content, solubility, as well as organoleptic evaluations of color, aroma, taste, and texture. The best results were observed in the M1D3 treatment (15 grams of red dragon fruit peel and 25 grams of dextrin), with an antioxidant activity of 58.96 mg/ml, water content of 9.15%, solubility of 79.31%, color rating of 3.56 (liked), taste rating of 3.8 (liked), aroma rating of 3.04 (somewhat liked), and texture rating of 3.76 (liked).   Keywords: Antioxidant, Clonal 21 gadung mango, Dextrin, Red dragon fruit skin