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Psychological well-being in the workplace and educational environment is influenced not only by policies and facilities but also by psychological approaches that touch on individuals' mental, emotional, and spiritual aspects. This study aims to explain how psychological approaches can enhance well-being and motivation. The results of the study show that integrating Islamic educational values, mindfulness, and emotional intelligence can help individuals manage stress, increase self-confidence, and strengthen the meaning of life. In addition, adjusting learning materials to the needs of students also plays a role in supporting mental health. Individual motivation can be increased through approaches that align with psychological needs, such as fulfilling basic needs, providing rewards, and supporting autonomy and social relationships. The implementation of strategies such as open communication, good leadership, and a comfortable work environment also contributes to increasing motivation and performance. Thus, the psychological approach has an important role in creating a healthy, productive, and sustainable educational and organizational environment.

Dairi Regency is known as a regency that has a natural charm that can be a potential attraction that can attract many tourists. Puncak Sidiangkat is one of the destinations that is often visited because of its natural beauty which is still very beautiful and green. So this research was conducted with the aim of planning hotels and tourist areas using ecovillage design. Puncak Sidiangkat which has the opportunity to build hotels and glamping along with other tourist facilities, develops knowledge about the advantages of natural resources in Dairi Regency which blends directly with nature in an effort to achieve economic sustainability. The design of hotel and tourist areas is inseparable from how to design buildings that have a positive effect on the surrounding environment, especially the development of mountain tourism infrastructure and facilities as an environmentally friendly and energy-efficient tourism sector. This study also considers local cultural values, community participation, and the use of sustainable materials to ensure long-term environmental balance. Furthermore, the integration of renewable energy systems, proper waste management, and landscape conservation is emphasized to support eco-friendly tourism development. Through this approach, the project is expected to enhance tourist experience while preserving natural resources and improving the local economy.

Cholelithiasis is the formation of hardened bile deposits within the gallbladder due to an imbalance in the chemical composition of bile, which can cause symptoms ranging from abdominal pain to serious complications such as cholecystitis, biliary obstruction, and gallbladder infection. This study aimed to determine the relationship between patient characteristics and the length of hospital stay in cholelithiasis patients at Cut Meutia General Hospital. This study used an analytical observational design with a cross-sectional approach and a retrospective study, employing a total sampling technique with 50 patients. The results showed that most patients were female (52.0%), with the largest age group being late elderly (28.0%). The most common surgical technique was laparoscopic cholecystectomy (42.0%), and the majority of patients received surgical management (60.0%). Bivariate analysis using the Chi-Square test showed significant relationships between age (p=0.000), gender (p=0.044), surgical technique (p=0.029), and management (p=0.045) with the length of hospital stay in cholelithiasis patients. The conclusion of this study is that there is a relationship between patient characteristics and the length of hospital stay in cholelithiasis patients.

The rapid development of digital media, particularly YouTube, has encouraged personal branding practices among content creators in the gaming sector. This study analyzes how Tobias Justin constructs his personal branding through the Jess No Limit YouTube channel using Montoya's (2002) eight-component personal branding theory, namely specialization, leadership, personality, distinctiveness, visibility, unity, persistence, and goodwill. Employing a qualitative descriptive approach with a case study design, data were collected through online observation of 15 videos published between 2023 and 2025, digital documentation, and digital footprint analysis. Data were analyzed using Miles and Huberman's (1994) interactive model. Findings reveal that Tobias Justin's personal branding is built through consistent specialization in Mobile Legends gameplay, an authentic and humble personal narrative, a relaxed yet persuasive communication style, and sustained positive audience engagement. Audiences actively reinforce his image as a professional, inspiring figure, demonstrating that personal branding is a dialectical process involving creator presentation and collective audience validation. This study concludes that effective digital creator branding is shaped by value consistency, technical competence, and strategic audience relationship management, not mere popularity. Comparative research across gaming creators or platforms is recommended to extend generalizability.

Academic stress is one of the common problems students face due to various learning demands, such as piling up assignments, pressure to achieve, and difficulty managing study time. This study aims to describe the concept of handling academic stress in students at SMA Negeri 1 Panyabungan through Islamic guidance and counseling. The research uses a qualitative descriptive approach with data collection techniques in the form of interviews with teachers involved in guidance and counseling services at the school. The results of the study show that academic stress in students is marked by decreased concentration in studying, frequent lateness, not completing assignments, and a lack of motivation to study. The dominant contributing factors are lack of rest, academic pressure, and suboptimal self-management skills. Handling this is done through giving Islamic advice, study motivation, religious coaching, as well as guidance from both guidance counselors and teachers. The handling is done through giving Islamic advice, study motivation, religious guidance, and support from school counselors and religious teachers. The Islamic guidance and counseling approach is considered able to help students gain peace, increase study motivation, and form more positive behaviors in facing academic demands.

This study aims to examine the effect of village apparatus capacity on accountability in village fund management, with the village financial system (SISKEUDES) as an intervening variable in Letti District, Southwest Maluku Regency. The research assessed whether the competence, knowledge, and administrative ability of village officials can improve transparent and accountable fund management. This study employed a quantitative approach using a saturated sampling technique, involving all 42 apparatus members as respondents. Data were collected through questionnaires and analyzed using multiple regression and the Sobel test to examine direct and indirect effects. The findings show that village apparatus capacity has a positive effect on village fund management accountability. This indicates that human resource capacity can support responsible planning, implementation, reporting, and evaluation of village funds. However, the village financial system does not significantly affect village fund management accountability. In addition, SISKEUDES does not function as an intervening variable in the relationship between village apparatus capacity and accountability. These results imply that strengthening human resource capacity remains more decisive than system use.

Waste is a growing environmental issue, particularly in residential areas lacking effective waste management systems. This community service activity aims to improve environmental literacy through a waste management education program implemented in collaboration with the Ija Plastic Gang community. The methods used include outreach, participatory education, household-based waste management training, and ongoing mentoring. The results of the activity indicate an increase in community understanding regarding waste types, sorting methods, and simple recycling practices. Furthermore, the formation of new habits in waste management is an indicator of the program's success. The activity also fostered a sense of collective responsibility among community members toward maintaining a clean and healthy living environment. Through consistent mentoring and hands-on practice, participants demonstrated greater confidence in applying waste reduction strategies at the household level. The collaboration with the Ija Plastic Gang community proved instrumental in accelerating behavior change, as peer-to-peer engagement strengthened motivation and accountability. Ultimately, this initiative highlights the importance of integrating environmental education into community development programs to achieve long-term ecological sustainability.

Ventricular septal defect (VSD) is a congenital heart defect characterized by a gap in the interventricular septum, with a prevalence of 20–30% of all cases of congenital heart disease. Based on their location, VSD is divided into perimembrane, muscular, and subarterial. This case report discusses a patient who came to the emergency room of Cut Meutia Hospital with good consciousness (GCS E4M6V5) and complained of shortness of breath, cough, nausea, and chest pain spreading to the neck and hands. The anamnesis showed chronic symptoms in the form of coughing up phlegm for two weeks, accompanied by throbbing headaches, dizziness, flatulence, and sleep disturbances. Physical examination showed vital signs of TD 140/90 mmHg, HR 86 x/min, RR 23 x/min, SpO₂ 37%, and temperature 37°C.  Supporting examinations in the form of chest X-rays showed cardiomegaly of the pulmonary segment, while ECG showed rhythmic sinuses with LAD axis, T-inverted in AVL, V1, V2, RsR' in V2, positive Cornell criteria, anterolateral myocardial infarction, RBBB, and LVH. Echocardiography shows the presence of a bidirectional shunt with a dominant right-to-left shunt. This case confirms the importance of comprehensive diagnosis through clinical and supporting examinations to determine optimal management in patients with VSD, as well as prevent further complications.

Inguinal hernia is a common abdominal hernia occurring in the groin region and generally requires surgical management, with postoperative pain control being an important aspect of patient recovery. This case reports a 55-year-old male presenting with a left groin mass for 6 months, which was initially reducible but subsequently became difficult to reduce, accompanied by severe pain and activity limitation. Physical examination revealed a left inguinal mass measuring approximately 3.03 × 2.17 cm, with firm consistency, well-defined borders, immobility, and tenderness, while ultrasonography demonstrated dilation of the left inguinal canal after provocation; based on these findings, a diagnosis of left inguinal hernia with ASA physical status II was established. The patient was managed with herniorrhaphy under regional anesthesia using a subarachnoid block, followed by ultrasound-guided ilioinguinal and iliohypogastric nerve blocks with levobupivacaine and pehacain for postoperative analgesia. Intraoperatively, the patient remained hemodynamically stable, and postoperatively, pain intensity decreased gradually from a VAS score of 6 to 2 within 24 hours and reached 0 on the second postoperative day without significant complaints. This case demonstrates that regional anesthesia combined with ultrasound-guided peripheral nerve block may support postoperative pain control after herniorrhaphy, maintain clinical stability, and improve patient comfort during recovery.

Waste management is a major challenge in environmental conservation in Indonesia. One innovative approach that can be implemented is the use of informative waste signs as a visual educational medium for the public. Waste signs are information boards placed in strategic locations to provide knowledge about the types of waste, their environmental impacts, and the decomposition time of various materials. The Community Service Program (KKN) of Padang State University (UNP) has implemented this concept by creating educational boards containing information on waste decomposition time, ranging from waste that decomposes in 50–100 years to waste that does not decompose at all. This article aims to examine the concept, benefits, and effectiveness of waste signs as a community-based environmental education instrument. The methods used include field observation and a qualitative descriptive approach. The results of the study indicate that waste signs can increase public awareness of the importance of proper waste management. Thus, this medium has the potential to be a simple yet effective educational tool in supporting sustainable environmentally friendly behavior.

Taxes are a primary source of state revenue and play a crucial role in supporting national development. However, increasing tax revenue still faces several challenges, particularly the lack of public awareness in fulfilling tax obligations. This study aims to examine the role of public awareness in improving taxpayer compliance and its impact on state revenue. The approach used in this research is qualitative, reviewing literature from various previous studies. Research findings indicate that tax awareness, understanding, and knowledge have a positive impact on taxpayer compliance. Other economic factors such as inflation, population, and economic growth also play a role in influencing tax revenue. However, external factors such as socialization and tax sanctions show inconsistent results. Consequently, increasing public awareness through tax education is a key strategy for sustainably improving the country's performance. In addition, transparent tax management and effective government communication are important factors in strengthening public trust and encouraging voluntary taxpayer compliance. Therefore, collaboration between the government and society is needed to create a sustainable and effective taxation system that supports national economic growth.

The implementation of Hospital Management Information Systems (HMIS) has become a strategic imperative to enhance operational efficiency amidst the ongoing global digital health transformation era. This study aims to analyze the determinants of successful HMIS implementation and its impact on service efficiency and patient outcome quality. Employing a narrative review approach with thematic synthesis of literature from PubMed, Scopus, and ScienceDirect databases between 2016-2026, the study evaluates the relationship between technology investment and organizational performance. The synthesis results indicate that while HMIS significantly reduces administrative burdens and medication errors, a "digital paradox" exists where technical efficiency may disrupt interpersonal interactions between healthcare providers and patients if systems are not user-centered. Key success factors include data interoperability (HL7/FHIR standards), human resource readiness, and governance policy support. This study concludes that a patient-centered efficiency model is the fundamental basis for ensuring technology investments yield sustainable added value within the healthcare delivery system.

This study aims to analyze the strategic management evaluation of the Sundanese Language Subject Teacher Forum (MGMP) in improving teacher performance at public senior high schools in Tasikmalaya City. The study focuses on leadership management, member participation, institutional support, and program relevance to teachers’ professional development needs. This research employed a qualitative descriptive approach. Data were collected through observations, in-depth interviews, and documentation involving MGMP administrators, member teachers, school principals, and supervisors. Data analysis used the Miles and Huberman interactive model, including data reduction, data presentation, and conclusion drawing. The findings revealed that the MGMP management has generally functioned effectively as a professional learning community. Participatory leadership patterns encouraged collaboration among teachers in designing learning tools and solving classroom problems. However, several challenges were identified, including inconsistent program evaluation, limited technological integration, unequal member participation, and insufficient funding support. The study also found that MGMP programs significantly contributed to improving teachers’ pedagogical competence, especially in lesson planning and instructional implementation. Nevertheless, assessment and evaluation competencies still require further strengthening. This study concludes that strategic management, sustainable evaluation, and institutional support are essential in optimizing MGMP functions to improve teacher performance and the quality of Sundanese language learning.

Educational financing management plays an important role in improving the quality of education in primary schools. However, limited school operational funds often become an obstacle to achieving optimal educational outcomes. This study aims to analyze the efficiency of educational financing as a strategy for improving education quality at SDN Mekarjaya, Tasikmalaya Regency. The research employed a qualitative descriptive approach with a case study design. Data were collected through interviews, observations, and documentation studies involving the principal, teachers, and school financial documents. The findings indicate that the implementation of data-based planning, priority-scale budgeting, digital financial administration through the ARKAS application, and collaboration with various stakeholders contributed positively to improving school quality. Financing efficiency supported literacy programs, teacher competency development, learning effectiveness, and school management improvement. Although the school still faced challenges related to limited funding sources and administrative constraints, efficient financial management enabled the school to optimize available resources effectively. This study concludes that efficient, transparent, and accountable educational financing management can serve as a strategic instrument in supporting sustainable improvement in the quality of primary education.

This research is motivated by the low level of awareness among some students regarding maintaining a clean school environment and proper waste management. SMP IT Khairunnas,Bengkulu City, implemented a clean environment program as an effort to build students'environmental awareness through cleaning activities, waste sorting, and environmental management.school actively. This study aims to analyze the process of the environmental cleanup program in exploring students' awareness of waste management, identifying supporting and inhibiting factors of the program, and explaining the impact of the program on students' daily behavior in maintaining a clean school environment. This study uses a qualitative approach with fieldresearch. Data collection techniques were carried out through observation, interviews, and documentation. The primary data sources in this study were the principal, teachers, and students of SMP IT Khairunnas, Bengkulu City.Data analysis used the Miles and Huberman model which includes data reduction, data presentation, and conclusion drawing. Data validity was carried out through technical triangulation and source triangulation. The results of the study indicate that the environmental cleanup program at SMP IT Khairunnas, Bengkulu City was implemented through class duty activities, mutual cooperation, sorting organic and inorganic waste, waste banks, and environmental education activities.

Background: The management of hemorrhagic shock in obstetrics typically involves aggressive fluid resuscitation, often leading to iatrogenic fluid overload and pulmonary edema. Implementing a timely fluid de-escalation (deresuscitation) strategy is critical to facilitate ventilator weaning and achieve early extubation. Case Illustration: A 31-year-old female (G5P3A1) was admitted to the ICU following emergency Re-Cesarean Section due to Grade IV hemorrhagic shock caused by postpartum hemorrhage (PPH) and placenta previa totalis. Intraoperative aggressive resuscitation triggered iatrogenic fluid overload, manifesting as bilateral pulmonary edema and severe gas exchange impairment (initial AaDO2 of 459 mmHg and lactate level of 2.8 mmol/L). Management and Results: Following initial hemodynamic stabilization, an active fluid de-escalation strategy was initiated on Post-Operative Day 1 (POD 1) using continuous furosemide infusion at 10 mg/hour targeting a negative fluid balance. The patient achieved a negative fluid balance of -1485 mL within 24 hours, accompanied by a significant increase in urine output (7.8 mL/kg/hour). This approach successfully reduced the AaDO2 to 162 mmHg and improved lactate clearance to 1.8 mmol/L without compromising hemodynamic stability. The patient was successfully extubated within 18 hours of ICU admission. Conclusion: Early transition from resuscitation to fluid de-escalation, guided by perfusion targets (lactate) and oxygenation markers (AaDO2), is safe in critical obstetric cases. This strategy effectively resolves pulmonary edema and accelerates early extubation.

Type 2 diabetes mellitus is a chronic condition marked by elevated blood glucose levels resulting from insulin resistance and decreased insulin secretion. Effective glycemic control is crucial to prevent complications, and HbA1c is commonly utilized as an indicator of long-term blood glucose levels. This study aimed to examine the relationship between HbA1c levels and blood glucose levels among patients with type 2 diabetes mellitus at Tilamuta Community Health Center, Boalemo Regency, Gorontalo Province. This study employed an analytical cross-sectional design using a total sampling method, involving 557 patients. Data were collected from laboratory records and analyzed through descriptive statistics, the Shapiro-Wilk test for normality, Spearman correlation, and chi-square test. The findings indicated that the average HbA1c level was 7.39%, while the mean blood glucose level was 205.85 mg/dL. A significant and very strong positive correlation was found between HbA1c and blood glucose levels (p=0.000; r=0.862). Furthermore, medication adherence showed a significant association with HbA1c status (p=0.000). These results underscore the role of HbA1c as a dependable marker for assessing glycemic control and highlight the importance of medication adherence in optimizing the management of type 2 diaType 2 diabetes mellitus is a chronic condition marked by elevated blood glucose levels resulting from insulin resistance and decreased insulin secretion. Effective glycemic control is crucial to prevent complications, and HbA1c is commonly utilized as an indicator of long-term blood glucose levels. This study aimed to examine the relationship between HbA1c levels and blood glucose levels among patients with type 2 diabetes mellitus at Tilamuta Community Health Center, Boalemo Regency, Gorontalo Province. This study employed an analytical cross-sectional design using a total sampling method, involving 557 patients. Data were collected from laboratory records and analyzed through descriptive statistics, the Shapiro-Wilk test for normality, Spearman correlation, and chi-square test. The findings indicated that the average HbA1c level was 7.39%, while the mean blood glucose level was 205.85 mg/dL. A significant and very strong positive correlation was found between HbA1c and blood glucose levels (p=0.000; r=0.862). Furthermore, medication adherence showed a significant association with HbA1c status (p=0.000). These results underscore the role of HbA1c as a dependable marker for assessing glycemic control and highlight the importance of medication adherence in optimizing the management of type 2 diabetes mellitus.betes mellitus.  

This study was conducted to analyze and examine the influence of individual characteristics, career development, and the quality of human resources on employee performance at PT. Prima Vista Solusi using a quantitative approach through a survey method. Data were collected by distributing questionnaires to 70 respondents who are employees and were analyzed using multiple linear regression with the assistance of SPSS software. The results show that individual characteristics and the quality of human resources have a significant effect on improving employee performance, while the career development variable does not have a significant effect on performance. This indicates that although the career development system has been well implemented, it has not yet become a primary factor in improving performance. Therefore, the company is advised to place greater focus on human resource management policies aimed at enhancing employees’ competencies, skills, and professionalism so that performance can be continuously improved in a sustainable manner.  

This study aims to analyze the management of Ikhwanul Ikhlas Wisata Travel in Medan in terms of pilgrim recruitment processes, manasik guidance patterns, assistance systems in the Holy Land, as well as indicators and evaluation of customer satisfaction. The background of this study is based on the increasing competition among Umrah travel agencies, which requires professional, transparent, and customer-oriented services to build trust and loyalty. In this context, Ikhwanul Ikhlas Wisata becomes an interesting case due to its consistency in guiding pilgrims from the initial stage to post-return.This research employs a qualitative approach with a descriptive method. Data were collected through in-depth interviews with three key informants representing management, the company director, and marketing personnel. Data analysis was conducted through data reduction, data display, and conclusion drawing to obtain a comprehensive understanding of Umrah travel management practices.The findings reveal that Ikhwanul Ikhlas Wisata implements a recruitment system that emphasizes transparency in package information, costs, facilities, and departure schedules. Manasik guidance is conducted through both theoretical and practical sessions on a regular basis and supported by competent tour leaders and mutawwif. Customer satisfaction is measured through indicators such as repeat participation, recommendations to family or relatives, and post-return testimonials. The evaluation of satisfaction is utilized as a foundation for continuous improvement in recruitment strategies, guidance patterns, and service quality.

Diabetes mellitus type 2 is a chronic metabolic disorder that frequently affects elderly patients and is often accompanied by multiple comorbidities. The increasing prevalence of diabetes in the aging population contributes to higher morbidity and mortality, especially when complicated by geriatric syndromes, electrolyte imbalances, and infections such as pneumonia. This study aims to present a case of type 2 diabetes mellitus in an elderly patient with associated geriatric problems, electrolyte disturbances, and pneumonia. The method used is a descriptive case report based on clinical findings, laboratory examinations, and radiological assessment. A 76-year-old male presented with generalized weakness, weight loss, decreased appetite, respiratory symptoms, and functional decline. Physical examination and laboratory findings revealed uncontrolled diabetes, electrolyte imbalance, hypoalbuminemia, and signs of infection. Chest radiography confirmed pneumonia. Management included pharmacological therapy such as antibiotics, fluid and electrolyte correction, and supportive care, along with non-pharmacological interventions including dietary regulation and monitoring. The findings highlight the complexity of managing elderly patients with multiple comorbid conditions, emphasizing the need for a comprehensive and multidisciplinary approach. Early detection and appropriate management are essential to improve clinical outcomes and prevent further complications in geriatric patients with diabetes mellitus.