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Background : One of the most prominent negative impacts in patients with kidney failure undergoing hemodialysis is fatigue. Breathing and range of motion exercises are therapies that can be applied to reduce fatigue in patients with chronic kidney failure. Objective: to provide breathing and range of motion exercise interventions in patients with chronic renal failure. Method: used in this study is a case study. Assessment of Mrs. S conducted for 3 consecutive days. Results: After the intervention for 3 days, the results showed that the level of fatigue and anxiety in Mrs. S decreased. Conclusions and suggestions: The interventions given have an effect on reducing the level of anxiety and fatigue of patients. It is expected that nurses can provide optimal nursing care to patients with chronic kidney failure to improve the quality of life of patients.

Sleep is a vital process for human recovery, occurring predominantly during rest. High-quality sleep is essential for the recovery process, helping to alleviate excessive fatigue, while poor sleep quality can lead to reduced immunity. One significant issue affecting young people today is sleep quality, which is influenced by various factors, including smartphone use. This study aimed to investigate the relationship between smartphone addiction and sleep quality among the youth of the GMIM "Eben Haezar" Kaaten. Conducted in August 2024, this cross-sectional study included all 173 youth registered in the GMIM Youth SIT, with a research sample consisting of 63 respondents. The study variables were smartphone addiction and sleep quality, analyzed using univariate and bivariate methods. Results showed that 36 respondents (57.1%) experienced a high level of smartphone addiction, while 28 respondents (44.4%) reported poor sleep quality. The study concluded a significant relationship between smartphone addiction and sleep quality, with a p-value of 0.010 and a significance level of α = 0.05.

Excessive physical, mental, or emotional exertion can lead to work fatigue, which is a decrease in almost all physical skills, including strength, speed, response time, coordination, balance, and decision making. Based on the previous pre-reset, it turned out that some employees at the Nutrition Installation of Mardi Waluyo Blitar Hospital were divided into three shifts where employees worked morning, afternoon, and night as a source of their complaints. This is possible because workers spend long hours and have a heavy workload, even though one person does many activities. This study aims to determine the relationship between fatigue factors in this example of work shifts and length of work at the Nutrition Installation of Mardi Waluyo Blitar Hospital with employee work fatigue. The method of this study is quantitative with a total sampling technique of total sampling on 32 respondents using Speareman Rank Collection analysis. The method of obtaining research data was carried out by field observation and filling out questionnaires. The results obtained were employees of the nutrition installation, especially in the processing division of Mardi Waluyo Blitar Hospital with the majority of female employees with a percentage (71.9%) or 23 out of 32 people. The majority of the age of the 32 samples observed was <25 years or (53.1%) The working mass of the majority of nutrition installation employees was <5 years with a percentage of (71.9%) or 23 people. Based on the results of statistical tests, there is a significant relationship between work shifts and work periods with complaints of work fatigue in nutrition installation employees, especially in the processing division of Mardi Waluyo Blitar Hospital. The conclusion that can be drawn is that there is a relationship between work shifts and work periods on work fatigue

Liver cirrhosis and nephrolithiasis are significant health problems with different pathophysiological mechanisms. Liver cirrhosis, the final stage of chronic liver disease, is characterized by fibrosis and regenerative nodules, leading to severe complications, including portal hypertension and liver failure. Nephrolithiasis, commonly known as kidney stones, is a common urological condition characterized by the formation of stones in the renal system. Although these conditions are distinct, metabolic and physiological changes in cirrhotic patients may predispose to nephrolithiasis.  It was reported that a man came to the emergency room of RSUD Dr. Suhatman MARS with complaints of left-sided low back pain that had been felt for 1 week. The complaint was accompanied by shortness of breath which was getting worse over time. The patient also felt cough, headache, nausea, fatigue, urine slightly coloured like tea, weight loss. The patient has a history of untreated kidney stones. The patient has a history of hepatitis 31 years ago. The main objective of investigating the coexistence of liver cirrhosis and nephrolithiasis is to understand the relationship between these two conditions and to develop effective management strategies that can address their combined impact on patients.      

Introduction: Gadgets are electronic devices that are specialized for certain purposes, which are around us such as cellphones, tablets, computers. Among the many gadgets available, children spend their time playing with cellphones, tablets, or excessive use of gadgets can cause eye health problems such as eye fatigue and social interaction. Objective: To determine the relationship between the level of excessive gadget use and eye fatigue and changes in children's social interactions among students at Cinere 03 State Elementary School. Method: This research is a quantitative study with a cross sectional design on a sample of 97 students with total sampling using the Spearman rank correlation analysis test. Results: The research results showed that the majority of respondents were female, 50 students (51.5%), the majority of respondents were 12 years old, 48 students (49.5%), the level of gadget use in the medium category was 63 students (64.9%) , 49 students (50.5%) experienced eye fatigue in the no category, 73 students (75.3%) experienced social interaction in the sufficient category. The results of the analysis using Spearman rank correlation in the first hypothesis obtained a value of 0.295 (p>0.05), and the second hypothesis obtained a value of 0.939 (p>0.05). Suggestion: For children who are at risk of eye fatigue symptoms, this can be done by using the technique of working in front of a gadget or computer for 20 minutes, then looking at an object about 20 feet or meters away for 20 seconds and looking away from the screen.  

Breast cancer is when cells lose their ability to run mechanisms as they should and function normally. The global prevalence of breast cancer is 2.3 million women diagnosed with the disease. The side effects of treatment and the cancer itself often cause fatigue, one of the most common complaints of breast cancer patients. The most common management is a non-pharmacological therapy of Benson relaxation and lavender aromatherapy to manage fatigue. This quasi-experimental research determined the influence of Benson relaxation and lavender aromatherapy on fatigue in breast cancer patients with a one-group pretest-posttest approach. This study involved a total of 31 breast cancer patients, selected through a purposive sampling technique. The Wilcoxon test found a p-value of 0.014 (<0.05), indicating the effect of Benson relaxation and lavender aromatherapy collaboration toward fatigue in breast cancer patients. Nurses anticipate the application of this research to manage patients' fatigue levels, while non-pharmacological therapeutic research could potentially lower fatigue rates in other chronic diseases by incorporating new variables and extending therapy duration for a more substantial impact.

Work fatigue is a condition caused by physical and mental activities that exceed capacity. According to National Safety Council data, > 60% of work accidents are caused by fatigue. In Indonesia, the agriculture, fisheries, plantation, and forestry sectors occupy the second position in the cause of work accidents. Work fatigue can be caused by both internal and external factors. Fatigue caused by external factors causes changes in the body's biochemical processes so that lactic acid builds up in the muscles. Initial survey on PT. X is located in Kampar Regency, information was obtained that there were cases of work accidents in harvesters which were mostly caused by work fatigue. Objective To determine the relationship between lactic acid levels and work fatigue in palm oil workers in PT. X Kampar Regency Methods This study was conducted using observational analytical methods, cross sectional research design. The sampling technique uses total sampling, as many as 114 samples have met the inclusion criteria. Bivariate analysis uses the Spearman test. Result p-value = 0.000; r = 0.607 with strong correlation strength and positive direction Conclusion There is a relationship between lactic acid levels and physical fatigue in harvesters

Fibromyalgia is a chronic disorder characterized by widespread muscle pain and fatigue, often accompanied by psychological symptoms such as anxiety and depression. Medication adherence is crucial for managing this condition, yet many patients struggle to follow prescribed regimens. This study aims to explore the role of self-efficacy in medication adherence among fibromyalgia patients through a systematic review and meta-analysis. The researcher conducted a literature search in major electronic databases to identify relevant studies published between 2015 and 2023. Out of 1,247 identified articles, 18 studies met the inclusion criteria and were eligible for analysis. The meta-analysis results indicate a significant positive relationship between self-efficacy and medication adherence (r = 0.42, 95% CI [0.35, 0.49], p < 0.001). Moderator analysis revealed that this relationship is stronger among patients receiving self-efficacy-based interventions compared to those receiving standard care. These findings underscore the importance of integrating self-efficacy enhancement strategies into fibromyalgia management to improve medication adherence, ultimately leading to better patient health outcomes.

The Healthy Indonesia Program through a family approach seeks to encourage community independence to live a healthy life. This effort requires the involvement of various parties, including health cadres as intermediaries/liaisons between the community and health workers. Health cadres are community members who are selected and provided with health skills through training by health service facilities or local health centers. Health cadres also need to be given training on fatigue management because every individual can experience fatigue which will be a source of health problems for both individuals and families. Fatigue is a common symptom of many mild to serious medical conditions, even leading to death. The purpose of this community service activity is to provide fatigue management training to health cadres. The specific target of this PKM activity is the implementation of health education and training on fatigue management for health cadres in RW 13 Beringin Village. The method used is training, including providing health education on fatigue management, training cadres to carry out non-pharmacological fatigue therapy and assistance in the application of non-pharmacological fatigue therapy, evaluation of activities carried out by giving pre and posttest questionnaires on fatigue management. The results of community service most of the participants, 60%, have good knowledge, participants are able to demonstrate autogenic relaxation correctly and apply it in everyday life and inform residents during posbindu activities.

Employee performance is the quality and quantity of work results achieved by an employee in carrying out it in accordance with the responsibilities given. Efforts to improve employee performance include paying attention to the level of workload experienced by employees. Is there a relationship between the mental workload between age and the length of time working for Daily Check employees and is there a relationship between the level of fatigue between age and the length of time working for Daily Check employees? What management efforts can be made to reduce the mental workload and fatigue levels of DC employees? This research aims to determine the mental workload and fatigue levels of daily inspection employees using the DRAWS Method and SOFI Method. The research also wanted to find out whether there was a relationship between mental workload, age and length of service for daily check employees. The results obtained by the research show that the mental workload of daily check employees is included in the overload category. The level of physical fatigue of employees is at a moderate level. There is a strong negative relationship between work mental load and age and length of service. Recommendations for reducing the mental workload of daily check employees are to provide training, time management, stress management skills, recognition, appreciation and regular evaluation.    

A thalassemia is a group of inherited blood disorders characterized by decreased or absent production of hemoglobin. Symptoms of thalassemia vary greatly from patient to patient but may include anemia, fatigue, and susceptibility to infections that can plague their quality of life. Therefore, a detailed evaluation of the serum biomarker profile in thalassemia patients is necessary to elucidate its effects on the body. This study was performed to define the serum biomarker profile. This study aimed to evaluate the serum marker levels among 100 thalassemic patients and compare them with their physiological ranges. Blood urea (B.UREA), serum creatinine (S.CREAT), aspartate aminotransferase (AST), alanine aminotransferase (Alt), alkaline phosphatase (ALP), total serum bilirubin (TSB), serum uric acid (S.U.A), triglycerides (TG), cholesterol (CHOL), albumin (Alb), serum calcium (S.CA) and Carbohydrate Antigen 15-3 (CA15.3) were analyzed comprehensively as key indicators in this study. The test showed that B. UREA's mean number was 24.33±0.8805, which was safe within normal limits. So, no abnormal results were found for this indicator in our tests despite the fact that others showed irregularity. The means of the values measured by S.CREAT, AST, AlT, AlP, TSB, S.U.A, TG, CHOL, AlB, S.CA, and CA15.3 were respectively, 0.8109±0.2007, 28.93±3.325, 26.1±2.698, 101±13.64, 3.261±1.978, 12.78±8.951, 146.8±87.2, 147.5±22.89, 67.94±44.7. This study makes valuable contributions to the field by elucidating the serum biomarkers of individuals with thalassemia and presenting changes in some markers compared to normal levels. However, further research is required in order to investigate the clinical significance of such alterations.2, 9.392±0.4079, and 42.08±7.275.

The process of identifying the ripeness level of cayenne peppers is an important step in cultivation and post-harvest handling. Dependence on the quality factors of farmers, such as visual diversity and differences in ripeness perception, results in subjective harvest outcomes. This manual process is also prone to inconsistent results, as humans have time limitations, fatigue, and sometimes lack concentration when sorting for long periods. To minimize these issues, technological intervention is needed to mechanically classify the ripeness level of cayenne peppers. This research aims to develop a classification model for the maturity level of cayenne pepper plants. This research proposes the use of the CNN method for feature extraction and KNN for data classification based on the features extracted by CNN. From the test scenarios carried out, the classification carried out by KNN based on CNN feature extraction got the best accuracy of 99.33%, while the CNN classification model got the best accuracy of 87.33%.

Background: Decreased kidney function which causes metabolic waste and fluids in the body to accumulate can disrupt the body's homeostatic balance and this is known as chronic kidney failure. One of the treatments that can be done is hemodialysis/dialysis. One of the side effects of hemodialysis is fatigue, this is because the kidneys cannot carry out their function of producing the hormone erythropoietin so the number of red blood cells is low. The physical exercises that can be done to overcome fatigue are range of motion exercises: Range of Motion (ROM). Objective: To analyze nursing care for CKD on HD patients by implementing Range of Motion (ROM) physical exercise interventions on fatigue levels. Method: The application of EBP is a case study using a pre-experimental method and a One group pretest-posttest design approach with a sample of 3 respondents, the instrument uses a questionnaire sheet. Range of Motion (ROM) intervention was carried out during the first 2 hours of intradialysis for 20 minutes. Results: After applying it for 3 times, there was a decrease in the level of fatigue in the three respondents can be concluded that there is a change in the level of fatigue before and after the Range of Motion (ROM) intervention. Suggestion: The results can provide motivation and a source of information for patients undergoing Hemodialysis who can apply Range of Motion (ROM) independently as an effort to reduce fatigue levels.

This research aims to analyze the influence of the full day school system on learning motivation and character formation of students at SD Nasima Semarang.  The research method used is descriptive quantitative with data collection through questionnaires given to students and teachers.  The research results show that the implementation of the full day school system has a positive impact on student learning motivation, which is characterized by increased interest and participation in learning activities.  Apart from that, this system also plays a significant role in forming student character, such as discipline, responsibility and cooperation.  However, there are several challenges that need to be considered, such as student fatigue and the need for varied teaching methods.  In conclusion, the full day school system at SD Nasima Semarang generally has a positive influence on students' learning motivation and character formation, although improvements and adjustments are still needed to optimize the results achieved.

Changes that occur during the postpartum period, both physiologically and psychologically, are often experienced by mothers, namely fatigue, changes in roles, and anxiety. One of the factors that causes anxiety in postpartum mothers is trauma caused during childbirth which causes anxiety. Handling anxiety in postpartum mothers can be done non-pharmacologically, namely with jasmine aromatherapy candles. This research aims to determine how giving jasmine aromatherapy candles reduces anxiety in postpartum mothers using qualitative research with case studies and data sources and types of data using interviews, examinations and observations. The implementation technique was carried out by Mrs. L by giving jasmine aromatherapy candles for approximately 10-15 minutes a day and giving aromatherapy to Mrs. L 6 times. The use of aromatherapy candles recommended to Mrs. L is done at night by placing an aromatherapy candle next to the bed so that the postpartum mother can inhale it. Giving jasmine aromatherapy candles to Mrs. L for 6 days, the results showed that Mrs. L felt more relaxed than before he was given the jasmine aromatherapy candle, as indicated by the mother feeling less anxious about caring for her baby and being mildly anxious, so giving the jasmine aromatherapy candle had an impact on reducing Mrs. L's anxiety. L.

Background: Work fatigue experienced by intensive care room nurses shows several symptoms that are often experienced when nurses are tired, namely drowsiness, difficulty concentrating and physical fatigue. The sleepiness experienced by the nurse was indicated by frequent yawning and wanting to lie down. The aim of this research is to determine the factors that influence the level of work fatigue of nurses at Mitra Medika Amplas General Hospital in 2022. This research is a type of quantitative research with a cross-sectional approach. The population in this study were all nurses at the Mitra Medika Amplas General Hospital in 2022. The sample in this study was 93 people, using purposive sampling, namely taking samples according to the wishes of the researcher. Data was collected using questionnaires and interviews, then processed computerized. Quantitative data analysis was carried out in 3 stages, namely univariate, bivariate and multivariate analysis using Chi-Square, if p ≤ 0.05 then there is an influence between the dependent and independent variables. Statistical test results: age (p value 0.001), gender (p value 0.002), BMI (p value 0.005, education (p value 0.001), sleep patterns (p value 0.001), length of service (p value 0.001), physical work ( p value 0.009), length of work (p value 0.008), it can be concluded that there is a relationship between age, gender, BMI, education, sleep patterns, length of service, length of work, and the level of work fatigue of nurses at Mitra Medika Amplas General Hospital. 2022. The conclusion of this research is that there is a relationship between age, gender, BMI, education, sleep patterns, length of service, length of work, and the level of work fatigue of nurses at Mitra Medika Amplas General Hospital in 2022. It is recommended that Mitra Medika Amplas General Hospital be able to improve health services as well as existing infrastructure in hospitals

This research was conducted because of the many problems associated with intensive reading in the digital era, where children often read but do not understand the information they read. The aim of this research is to understand the factors that cause difficulties with intensive reading in the digital era in elementary school children, as well as the solutions proposed by researchers. The research method used is descriptive qualitative with a case study approach. The subjects of this research were fifth grade elementary school students and students. Data collection techniques include observation, interviews and documentation. The research results show that one of the factors causing difficulty in intensive reading in elementary school children in the current digital era is difficulty in maintaining focus when reading using digital media. Staring at a cellphone screen for a long time can cause eye fatigue and reduce focus when reading.  

This research was conducted because of the many problems associated with intensive reading in the digital era, where children often read but do not understand the information they read. The aim of this research is to understand the factors that cause difficulties with intensive reading in the digital era in elementary school children, as well as the solutions proposed by researchers. The research method used is descriptive qualitative with a case study approach. The subjects of this research were fifth grade elementary school students and students. Data collection techniques include observation, interviews and documentation. The research results show that one of the factors causing difficulty in intensive reading in elementary school children in the current digital era is difficulty in maintaining focus when reading using digital media. Staring at a cellphone screen for a long time can cause eye fatigue and reduce focus when reading.  

Mood or mood is an important part of a person's psychological well-being. Several studies show that physical exercise can positively influence mood. One of the factors that influences an athlete's mental and emotional readiness is mood. Mood Profile for Weightlifting athletes is an important factor that needs to be analyzed. This research aimed to determine the relationship between athletes' moods and the success rate of snatches in weightlifting athletes at PABSI Jatim Surabaya before PORPROV 2025. This qualitative research used mixed methods. Mixed methods is a research approach that combines or associates qualitative and quantitative forms. A research method that uses qualitative data and is described descriptively. The Total Sample Method is a sampling method with the number of samples equal to the population. The sample was taken using total sampling because the population was less than 100 and the entire population was used as the research sample (Masturoh & Anggita, 2018). The sample that can be used is the population sample taken from Provincial Weightlifting athletes (aged 13 - 23 years) totaling 8 people and is only limited so that they can be used as one training group by filling in a mood profile questionnaire and recording the snatch technique. Of the 8 respondents who took the snatch test, all appeared confident. However, when holding and doing the snatch, there is a feeling of doubt and anxiety about whether or not you can accept the weight of the snatch if it is already above. However, after doing the snatch test, he also felt happy by releasing endorphins in his body. The results of the before and after research show that the "Medium" category with the highest percentage is the anger indicator (AMR) of 71.43% and 42.86%, and the confused mood indicator (SSB) of 53.57% and 71%. Indicators with moderate percentages include full energy indicators (PNT) of 85.71% and 75%, self-assessment (PDR) of 80.36% and 80%, and depression (DPS) of 44.64% and 63%. The percentage of fatigue indicators (KLH) was 53.57% and 42.85% and tension indicators (KTG) were 57.14% and 50%. The conclusion of the research on the analysis of the relationship between athlete's mood and the success rate of snatches in weightlifting athletes at PABSI East Java, Surabaya is in the "Medium" condition. Negative mood conditions in the "Medium" category such as fatigue, anger, tension, confusion, and depression indicate that athletes are not feeling stressed mentally and physically. Meanwhile, positive mood conditions in the "Medium" category make athletes have a good mood, such as being full of energy and self-confidence. This is possible because the training portion is good and the conditions leading to PORPROV 2025 are still quite long. So there are still many athletes who experience good mood conditions so the presence of this athlete's mood also supports the athlete's successful performance both during training and during competitions.      

Chronic Obstructive Pulmonary Disease (COPD) is a lung condition characterized by persistent and typically progressive respiratory symptoms and airflow limitation. This disease is associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to exposure to harmful gases or particles. The objective of this study is to evaluate the changes in oxygen saturation and activity tolerance in COPD patients before and after performing home-based walking exercises, pursed lips breathing, and effective coughing. The research method used a descriptive design in the form of a case report with a nursing process approach. The instruments used included assessment sheets and oximetry to measure oxygen saturation. The study subjects were patients with COPD. The results showed that before the intervention, the patient's (Mrs. E) oxygen saturation was 96%, and she reported difficulty engaging in activities due to fatigue and shortness of breath. After three days of intervention, her oxygen saturation increased to 99%, and she was able to perform outdoor activities without experiencing shortness of breath. In conclusion, home-based walking exercises, pursed lips breathing, and effective coughing can improve oxygen saturation, increase activity tolerance, and reduce dyspnea and fatigue