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This study aims to describe the psychological elements of the character Kinan based on the id, ego and superego in the novel Layangan Putus by Mommy asf, to describe the form of psychological problems in the character Kinan in the novel Layangan Putus by Mommy Asf, and to describe the form of conflict defense mechanisms in the character Kinan in the novel Layangan Putus by Mommy Asf. The research used a qualitative approach. While the method used is the content analysis method. The source of funds in this study is the text of the novel Layangan Putus by Mommy Asf published by RDM Publisher in 2020, the first printing. The data collection technique is a written documentation technique. The data analysis technique is a qualitative descriptive technique. The findings of this study are as follows: (1) Psychological elements of the Kinan character were found based on the id, ego and superego, namely there is an uncomfortable id, a pain id and an unfulfilled need id, there is an angry ego in the Kinan character and there is that there a high personal standard superego, (2) It was found were 5 psychological problems in the Kinan character, including: mood disorders based on subjective feelings consisting of feelings of sadness, anger and disappointment, there were anxiety disorders, stress disorders, somatoform disorders and personality disorders including: adventitious, borderline, obsessive-compulsive, histrionic and narcissistic.

The subject of Metal Welding Technology is one of the compulsory subjects in the Fabrication major. However, many students' learning outcomes remain below the assessment criteria. This is suspected to be due to the use of conventional or less varied teaching methods, which result in limited student understanding and practical skills. Therefore, the researcher applied the Project-Based Learning (PjBL) model in this study, which aimed to determine its effect on students' comprehension. The type of research used was a quasi-experimental design with a post-test only control group, involving two classes: an experimental class and a control class. The study involved 16 students in each class. Data were collected through a test. Based on the data obtained, there was a difference between the experimental and control classes. This was proven by the average post-test scores of the experimental class, which was 80.62, compared to the control class, which was 65. These results indicate that the experimental class scored higher than the control class. The final data analysis included tests for normality, homogeneity, and hypothesis testing using a t-test. The results showed a significant (2-tailed) value of 0.001 for the comprehension group, which is less than 0.05. This means that the use of the Project-Based Learning model had a significant effect on students’ understanding and can be classified as effective, as it improved their comprehension.

Post-operative pain after upper extremity ORIF is complex, involving tissue damage, inflammation and nociceptive mechanisms that require a comprehensive pharmacological approach. The intensity of post-ORIF pain typically ranges from moderate to severe in the first 48-72 hours and can affect early mobilisation, respiratory function and the patient's physiological stress response. Research objective: To determine the pattern of analgesic use for pain management after upper extremity ORIF surgery under general anaesthesia at Pandan Arang Boyolali Hospital. Research Methods: This is a qualitative research with case study approach. Data was collected using quota sampling technique. The sample in this study amounted to 5 patients with inclusion criteria: upper extremity orthopaedic surgery patients who will undergo ORIF in the Central Surgical Installation of Pandan Arang Boyolali Hospital in April 2025, patients with general anaesthesia Laryngeal Mask Airway (LMA). Results: Based on the results of observations, it was found that the pattern of use of pharmacological pain management in patients after upper extremity ORIF surgery with general anaesthesia at Pandan Arang Boyolali Hospital was the administration of 100 mcg fentanyl and 4 mg ondansentrone dripped in 500 ml Tutofusin infusion for surgery with a duration of > 1 hour and a large incision area.

Appendicitis ranks highest among emergency cases in the abdomen if not treated immediately will cause severe infection until the intestinal lumen can rupture. Pain will appear as a nursing problem for patients who have undergone appendectomy surgery because it is an act of removing the infected appendix through surgery. Pain can be minimized, one of which is with autogenic relaxation training. Activities start from measuring vital signs, pain scale, assessing anxious expressions, then autogenic relaxation training. Education is carried out to assess the knowledge of the community with a history of post-appendectomy surgery about autogenic relaxation and is carried out in collaboration with local village officials. The method used in this activity is counseling about autogenic relaxation training from a team of nursing lecturers and nursing students as many as 36 respondents. The results obtained from respondents before being given education were 36 people who stated that they did not know about autogenic relaxation training and the pain scale felt was above 6 after appendectomy surgery. The output of the PkM that has been implemented is expected to increase knowledge about autogenic relaxation training after autogenic relaxation training is implemented in the community.

 Chronic pain is pain that persistent and will continue beyond the proper healing time, there are two time points used in daily practice, namely 3 months and 6 months after the first injury. Sensitivity of peripheral nociceptive neurons and central underlying the process of transition from acute pain to chronic pain. There are several factors that influence the increasing incidence of postoperative chronic pain including preoperative, intraoperative and postoperative factors. Untreated acute postoperative pain also increases the risk of increasing chronic postoperative pain. In Asia, the prevalence of chronic pain varies widely, between 7% in Malaysia to 60% in Cambodia. The prevalence of postoperative chronic pain in adults is reported to be around 20% in developed countries. The incidence includes all ages with a higher incidence in women and the elderly. The purpose of this study was to describe the characteristics of postoperative chronic pain in outpatients in the surgical polyclinic and obstetrics and gynecology polyclinic at RSU Medan. The type of research used in this study was Observational with a Cross Sectional method approach. Based on the research that has been done, it was found that ages 26-35 years experienced the most chronic pain, namely as much as 29.8% and women experienced more chronic pain compared to men. Based on this study it was found that the majority of respondents experienced moderate pain intensity as many as 36 respondents (63.2%). There were descriptions of characteristics that were mostly 26-35 years old.

Sebuah organisasi memiliki tujuan untuk menentukan cara menjalankan operasinya agar dapat memiliki perkembangan yang baik sehingga dapat mencapai apa yang diinginkan pihak perusahaan. Penelitian ini bertujuan untuk mengetahui pengaruh kompensasi, pengembangan karir, dan komunikasi terhadap kinerja karyawan pada PT. Sango Ceramics Indonesia bagian painting. Pendekatan kuantitatif yang digunakan dalam penelitian ini dengan sampel yang digunakan adalah karyawan pada PT. Sango Ceramics Indonesia bagian painting berjumlah 90 karyawan. Data penelitian diperoleh dari hasil pengisian kuesioner dan dianalisis dengan menggunakan teknik analisis SEM PLS dengan bantuan program SmartPLS. Hasil dari penelitian ini, 1.) Kompensasi berpengaruh positif terhadap kinerja karyawan, 2.) Pengembangan karir berpengaruh positif signifikan lemah terhadap kinerja karyawan, 3.) Komunikasi berpengaruh positif terhadap kinerja karyawan

Community service has been carried out by the service team involving students from the Padangsidimpuan Midwifery Study Program, Poltekkes Kemenkes Medan. The community service activities carried out were to provide counseling and demonstrations about Endorphine massage which is a light touch or massage therapy that is quite important to be given to pregnant women, in the time leading up to and during childbirth. This massage can stimulate the body to release endorphin compounds which are pain relievers and can create a feeling of comfort. Endorphins in the body can be triggered through various activities, such as deep breathing and relaxation, and meditation. Endorphine massage should be done to pregnant women who are 36 weeks pregnant. Because endorphin massage can stimulate the release of the hormone oxytocin which can trigger the labor process (Kuswandi, 2014). This Community Service aims to demonstrate endorphin massage to reduce pain in mothers giving birth in the first stage in the Pintu Padang Health Center work area, South Tapanuli Regency. Target pregnant women in the third trimester, young couples, Participants 40, endorphin massage is expected to be implemented in the management of the first stage to reduce pain and speed up the labor process. The results of this community service are an increase in knowledge of 50% and skills of 87% about endorphin massage correctly applied when pregnant women later undergo the labor process. This community service is carried out in collaboration with partners used as the location of this activity, namely Kalurahan Pintu Padang, Batang Angkola District, South Tapanuli Regency and Health Cadres, Village Midwives at the local Health Center. This activity received a positive response from local participants, and as a follow-up, it can be carried out by Health Cadres and midwives at the Health Center to monitor the skills that have been obtained when pregnant women are in the labor process that will be undergone

Low back pain (LBP) is one of the most common musculoskeletal problems experienced by workers, especially those in professions that require prolonged static sitting, such as public transportation drivers. This condition not only impacts work productivity but can also disrupt daily activities and increase the risk of chronic health problems. This study aims to analyze factors associated with the incidence of LBP in public transportation drivers on the Latuhalat route at Mardika Terminal, Ambon City. The study design used an observational analytical approach with a cross-sectional approach. The study population consisted of 96 public transportation drivers, and 51 were selected as samples through a purposive sampling technique based on inclusion criteria. The independent variables in this study included driving position, driving duration, age, and length of service, while the dependent variable was low back pain. Data were collected using questionnaires and observation sheets, then analyzed using the Chi-square test. The results showed that all independent variables, namely driving position, driving duration, age, and length of service, had a significant relationship with the incidence of LBP (p < 0.05). Thus, ergonomic factors and workload significantly contribute to the occurrence of NPB in public transportation drivers. Therefore, ergonomic interventions, proportional work hour arrangements, and the implementation of occupational health programs are important steps in reducing the risk of NPB in drivers.

Lawang Sewu is one of the historic buildings that has become an icon in the city of Semarang that presents a blend of classical and modern architectural styles. Lawang Sewu is located in the center of Semarang City, precisely at Jalan Pemuda No. 160, Sekayu, Semarang Tengah District, Semarang City, Central Java. The Lawang Sewu area is one of the historic areas of the Dutch Colonial heritage. The Lawang Sewu building in Semarang displays a blend of classical architectural styles that can be seen in the building structure, elements such as typical Javanese carvings, and the use of materials such as teak wood, while the blend of modern architectural styles can be seen in the renovation and addition of modern elements such as white paint on the concrete pillars. Lawang Sewu has succeeded in uniting classical and modern architectural elements, thus creating an attractive building impression. This blend provides added value to this historic building, making it a tourist icon for visitors.

The knee is the largest joint in the human body. Like other joints, the knee consists of several structures, such as muscle cartilage, ligaments, tendons, and nerves. Almost all leg movements depend on the knee joint. Therefore, the Knee Brace or Health Knee Brace is a tool designed to provide stability support and reduce knee pain. The purpose of this study was to design and build an Arduino-based knee pain therapy tool and to test the safety and effectiveness of the tool in reducing knee pain. This tool is designed using Arduino Mega as a microcontroller, using a DS18b20 sensor that functions as a temperature reader on the Knee support which has a heater pad as a heat generator, a Vibration Motor as a vibration effect giver on the tool and a 2.4 TFT LCD Touch Screen as a display and a 12V adapter on this tool. According to the analysis of the tool made by the researcher, based on the results of the function and performance tests, the Arduino-based Knee Pain Therapy tool can function properly and safely.

Postherpetic neuralgia (PHN) is a chronic neuropathic pain complication following herpes zoster infection. PHN often leads to persistent pain and facial muscle dysfunction, affecting patients' quality of life. This study aimed to evaluate the physiotherapy management using electrical stimulation and facial exercises in a case of facial PHN. A case report design was used to observe a 36-year-old male patient presenting with facial pain and muscle weakness after herpes zoster infection. The physiotherapy intervention, consisting of electrical stimulation and facial exercises, was conducted over three sessions within two weeks. Assessment tools included NPRS, MMT, and Ugo Fisch Scale. There was a significant reduction in pain from NPRS 5/10 to 0, and improvement in frontal muscle strength from MMT 0 to 3. The Ugo Fisch score increased from 62 to 66, indicating functional improvement of facial muscles, though not yet optimal. Electrical stimulation and facial exercises were effective in reducing pain and improving facial muscle function in a PHN patient. Further research with larger samples is needed to validate these findings.

Many individuals, including those who profess faith, often struggle to endure the various forms of suffering encountered in life, primarily because it is difficult for human beings to accept pain and trials as part of their earthly journey. As a result, some fail to attain the promise of eternal happiness at the culmination of their lives. According to the Christian faith, true and lasting happiness is not achieved through worldly comfort but is reserved only for those who consistently read and meditate on the Scriptures, whether privately or in communal settings, who strive to preserve holiness in their daily lives, who remain faithful in following Jesus even until death, and who demonstrate obedience to God’s Word. Such believers will not experience eternal death but are granted the privilege to enter the holy city and participate in the joyous banquet of Christ. The purpose of this research is to explore the pathway toward attaining genuine happiness, both in earthly life and ultimately in the holy city of God, which requires a willingness to endure even physical suffering, potentially unto death. To ensure reliable findings, the study employs a qualitative methodology with a grammatical-textual approach combined with interviews. The findings indicate that believers who comprehend the meaning of the Greek concept “μακάριος” (makarios) as it appears in the Book of Revelation will gain firm confidence to endure suffering, maintaining faith and perseverance, even if that perseverance leads to martyrdom for the sake of Christ Jesus.

This study aims to analyze the impact of overtime work on physical and mental fatigue of the crew of the MV ship. Manalagi Tisya, by identifying the causal factors and consequences that may arise due to additional working hours. In this study, the researcher will apply a qualitative research method with a descriptive approach. This research was conducted by the author on the MV ship. Manalagi Tisya owned by PT Pelayaran Manalagi which is a subsidiary of PT Salam Pacific Indonesia Lines, with the ship call sign "YBTL2" and a total load capacity of 52201 MT. Data collection techniques in this study used observation, interviews and documentation. Data analysis techniques used data reduction, data presentation, drawing conclusions. Testing the validity of this research data used source triangulation, technical triangulation, and time triangulation. Based on the results of the study, it explains that the Overtime Pattern: The crew of the MV ship. Manalagi Tisya experienced an average of 4.5 hours of overtime per day, with the Engine Department experiencing the highest overtime (an average of 5.2 hours). Overtime most often occurs during loading and unloading at the port (35%) and when facing bad weather (27%), Physical Impact: Continuous overtime causes significant physical impacts in the form of sleep disturbances (80%), back and waist pain (70%), and muscle pain (60%), Mental Impact: As many as 85% of crew experience moderate to severe mental fatigue due to overtime, with the main symptoms being difficulty concentrating (75%), irritability (65%), and decreased decision-making ability (60%). Safety: There is a strong positive correlation (r = 0.82) between the duration of overtime and the frequency of safety incidents. The risk of incidents increases by 28% for every additional 2 hours of overtime, Work Performance: Overtime has an impact on decreased work performance, especially in problem-solving skills (45%), compliance with procedures (41%), and effective communication (37%), Overtime Management: The most effective overtime management strategies are task rotation and fatigue management training, but their implementation is still not optimal. Limited number of personnel and operational demands are the main obstacles in minimizing overtime, Regulatory Compliance: Average working hours of MV ship crew. Keywords: Overtime Work, Physical Fatigue, Mental Crew.

Chronic pain is pain that persistent and will continue beyond the proper healing time, there are two time points used in daily practice, namely 3 months and 6 months after the first injury. Sensitivity of peripheral nociceptive neurons and central underlying the process of transition from acute pain to chronic pain. There are several factors that influence the increasing incidence of postoperative chronic pain including preoperative, intraoperative and postoperative factors. Untreated acute postoperative pain also increases the risk of increasing chronic postoperative pain. In Asia, the prevalence of chronic pain varies widely, between 7% in Malaysia to 60% in Cambodia. The prevalence of postoperative chronic pain in adults is reported to be around 20% in developed countries. The incidence includes all ages with a higher incidence in women and the elderly. The purpose of this study was to describe the characteristics of postoperative chronic pain in outpatients in the surgical polyclinic and obstetrics and gynecology polyclinic at RSU Medan. The type of research used in this study was Observational with a Cross Sectional method approach. Based on the research that has been done, it was found that ages 26-35 years experienced the most chronic pain, namely as much as 29.8% and women experienced more chronic pain compared to men. Based on this study it was found that the majority of respondents experienced moderate pain intensity as many as 36 respondents (63.2%). There were descriptions of characteristics that were mostly 26-35 years old.

This article examines the representation of Islamic culture through historical collections at the Sri Baduga Maharaja Museum in Bandung. It aims to analyze how artifacts such as momolo, Islamic glass paintings, and manuscripts like Serat Yusuf, Babad Banten, and Babad Cirebon reflect the process of Islamization and cultural acculturation in the Sundanese region from the 16th to early 20th century. This study employs historical methods with a qualitative approach, supported by interviews, direct observation, and literature review. The findings reveal that these collections not only hold historical value but also symbolic and educational significance, illustrating how Islamic values were integrated into local cultural frameworks in a peaceful and organic manner. Nevertheless, the curatorial interpretation of Islamic collections still requires improvement to better convey historical narratives and Islamic meanings in a contextual way to visitors.  

Product packaging training is a crucial effort to empower the community, especially the PKK mothers in RW 4, Dukuh Sutorejo Village. This training aims to enhance participants' skills and knowledge in packaging fashion products to make them more attractive and increase their market value. The training focuses on creative packaging techniques tailored for fashion products produced by the UKM Yuliart Collection Fashion Art and Painting. The methods used include theoretical instruction and hands-on practice with a participatory approach. The results indicate a significant improvement in the participants’ understanding and ability to create appealing and functional product packaging. Consequently, this training is expected to improve the competitiveness of UKM products in local markets and strengthen the economic welfare of the participant families.

Background: Low back pain (LBP) is one of the most common musculoskeletal problems that affect the quality of life and productivity of individuals. LBP lasting more than 12 weeks is categorized as chronic LBP and often has no specific cause. Core stability exercise (CSE) is one of the effective rehabilitation methods in managing pain and disability in chronic LBP patients. Objective: This review aims to evaluate the effectiveness of CSE in reducing pain in patients with chronic LBP based on a literature review. Methods: This study used the literature review method by reviewing various relevant studies related to CSE and chronic LBP. Data sources were obtained from databases such as PubMed, ScienceDirect, Google Scholar, and PEDro. Articles used had inclusion criteria in the form of randomized controlled trial (RCT) studies published in the last 10 years (2014-2024), in English, and involving patients with non-specific chronic LBP. Article quality assessment was conducted using the PEDro scale. Results: From the analysis of eight articles that met the inclusion criteria, it was found that CSE has significant effectiveness in reducing pain in patients with chronic LBP. The mean visual analogue scale (VAS) score showed a greater reduction in the group undergoing CSE compared to the control group or other therapeutic methods. Moreover, the combination of CSE with adjunctive therapies such as pain neuroscience education (PNE), interferential therapy (IFC), and myofascial release technique (MRT) showed better results in reducing pain and improving postural stability and physical function. Conclusion: CSE can be an effective rehabilitation method to reduce pain and improve core muscle stability in patients with chronic LBP. Combination with other therapies may provide more optimal results.

This study aims to examine the effect of appliying the Recovery Ice Bath on reducing fatigue in female outdoor hockey athletes of Universitas Negeri Surabaya. The research employes a pre-experimental method with a One Group Pretest- Posttest Desing. A total of 12 female athletes from Universitas Negeri Surabaya were selected as the study sample. Data were collected through RPE (Rate of Percevied Exertion) quistionnaires, Vas (Visual Analogue Scale) questionnaires,and heart rate meassurements. The analysis of pretest and posttest heart rate values yielded a significant result (0,000 <0,05). Indicating a statistically significant effect of the Recovery Ice Bath. Similarly, the RPE and VAS questionnaire results showed significant values (0,002<0,05 for RPE and VAS), suggesting a substantial impact of the Recovery Ice Bath on reducing fatigue levels and pain in female outdoor hockey athletes at Universitas Negeri Surabaya.  In conclusion, the application of the Recovery Ice Bath significantly influences fatigue reduction in outdoor hockey athletes.athletes who underwent ice baths experienced a faster decline in physical fatigue and muscle soreness. Moreover, ice baths proved effective in accelerating muscle recovery, as evidenced by the reduced Delayed Onset Muscle Soreness (DOMS) after engaging in intense physical activity.

Cesarean section (Sectio Caesarea) is a surgical procedure performed by making an incision in the anterior wall of the uterus to assist the childbirth process. This study aims to examine the application of Benson relaxation technique in reducing the intensity of pain scale in post-cesarean section mothers at Bengkalis Regional General Hospital (RSUD Bengkalis). This research is a quantitative study using a quasi-experimental design. The study was conducted from November to December 2024, involving a sample of 15 respondents. Data were analyzed using univariate and bivariate analysis, with the Chi-Square test applied. All respondents were post-cesarean section mothers. The findings showed that before the intervention, all 15 respondents (100%) experienced severe pain. After receiving the Benson relaxation intervention for 10–15 minutes, a decrease in pain scale was reported. The data indicated that the majority of respondents (86.7% or 13 respondents) experienced a reduction from severe to moderate pain. The statistical test results yielded a p-value of 0.000, indicating a significant effect of Benson relaxation therapy on pain reduction in post-cesarean section patients in the Mawar Ward of RSUD Bengkalis. It is recommended that RSUD Bengkalis consider adopting this technique as an innovation in health services, particularly in nursing care, to help reduce pain in post-cesarean section mothers.

Suffering is a condition where a person experiences pain or difficulty in living their life. Paul's words about "fulfilling what was lacking in Christ's suffering" raise the question that whether Christ's suffering on the cross was incomplete? And it is as if Christ's suffering was ineffective and limited so that redemption had to be completed or completed through Paul's suffering. However, Christ's suffering on the Cross was perfect, sufficient to atone for human sins and did not need to be fulfilled again. The thing that needs to be accomplished or fulfilled is suffering for the sake of preaching the Gospel, about Christ who was incarnated as a human, died as a ransom sacrifice and was resurrected from the dead. So everyone can know God through His power and resurrection. This research uses descriptive qualitative methods. The purpose of this study is first to "deliver a theological answer regarding the meaning of "filling up in my flesh what is lacking in the sufferings of Christ" Second, to provide an important meaning that every believer must truly live in Christ, because the perfect redemption of Jesus Christ has been done to save mankind. The final result of the study on Colossians 1:24 provides the meaning that every believer is called to fill up what is lacking in the sufferings of Christ, namely, the suffering related to the challenges of preaching the gospel. Like Paul who was never free from suffering when preaching the gospel, but Paul remained joyful, and continued to preach the gospel. Likewise, we as believers should follow Paul's example so that the gospel can be spread throughout the face of the earth.