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People with diabetes often experience ongoing anxiety due to concerns about possible complications. This condition can have a negative impact on physical, psychological, and social health. This anxiety can develop into depression. This study aims to determine the factors associated with the risk of depression in elderly people with diabetes mellitus in the Bandar Baru Health Center Working Area, Pidie Jaya Regency. The type of research used is analytical with a cross-sectional approach, while data analysis used univariate and bivariate. The population in this study amounted to 473 elderly people and the sample was 83 people with a purposive sampling technique. Based on the results of the study, it is known that the majority of respondents experienced a risk of severe depression (48.2%), there is a significant relationship between the level of family support (p value = 0.000), family function (p value = 0.000), and family role (p value = 0.000) to the level of depression in elderly people with diabetes mellitus in the Bandar Baru Health Center Work Area, Pidie Jaya Regency, so it can be concluded that family support, family function and family role are related to the risk of depression in elderly people with diabetes mellitus in the Bandar Baru Health Center Work Area, Pidie Jaya Regency.    

Hotel booking cancellations pose significant challenges to the hospitality industry, affecting revenue management, demand forecasting, and operational efficiency. This study explores the application of machine learning techniques to predict hotel booking cancellations, leveraging structured data derived from hotel management systems. Various classification algorithms, including Random Forest, XGBoost, and LightGBM were evaluated to identify the most effective predictive model. The findings reveal that XGBoost model outperforms other models, achieving F2-score of 0.7897. Key influencing factors include deposit type, total number of special requests, and marketing segment. The results underscore the potential of predictive modeling in optimizing hotel revenue strategies by enabling proactive measures such as dynamic pricing, targeted customer engagement, and improved overbooking policies. This study contributes to the ongoing advancements in data-driven decision-making within the hospitality industry, offering insights into how machine learning can mitigate financial risks associated with booking cancellations.

For a woman, pregnancy is a phase of life that is full of significant physical, emotional, and psychological changes. Pregnancy also affects psychological and emotional aspects, which are often associated with the psychological health of the mother. Sexuality is an important part of human life, and is influenced by hormonal, physical, and psychological changes during pregnancy, but is often overlooked in research on maternal well-being. To find out the relationship between sexual well-being and psychological health in pregnant women in the Kuningan Bandarharjo sub-district area. Quantitative cross-sectional, the sample used purposive sampling of 77 respondents. The correlation test used is the contingency coefficient. Most respondents are 25-30 years old. The results of the Somers test "obtained a value (ρ-Value) of 0.000, it can be concluded that there is no significant relationship between the relationship between sexual well-being and psychological health in pregnant women in the Kuningan Bandarharjo sub-district area, The correlation value obtained was 0.781, it can be interpreted that the strength of the relationship between sexual well-being and psychological health of pregnant women in the Kuningan Bandarharjo sub-district area is strong.

At present, little is known in Nigeria and globally about the association between stress and cortisol secretion in normotensive and preeclamptic pregnant women. Preeclampsia is a pregnancy complication that involves high blood pressure and organ damage, and it has been associated with various physiological alterations. This study aims to determine the comparative levels of cortisol, a stress marker, in preeclamptic pregnant women in the third trimester of pregnancy. Cortisol levels are known to fluctuate in response to stress, and altered levels may indicate an underlying pathophysiological process. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples were collected and spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes. The plasma was stored frozen in plain sample bottles and analyzed for cortisol levels using the enzyme-linked immunosorbent assay (ELISA) method. The data obtained were analyzed using GraphPad Prism 9 software. Results were expressed as mean ± SEM, and a P-value of ≤ 0.05 was considered statistically significant. The study found that cortisol levels significantly increased from 226.4 ± 36.53 nmol/L in normotensive women to 370.7 ± 36.47 nmol/L in preeclamptic women (p<0.05, <0.0081). This increase was statistically significant, suggesting that elevated cortisol levels in preeclamptic women may be linked to stress and potentially to oxidative stress cascade activation. These findings contribute to the understanding of stress-related physiological changes in preeclampsia and may offer insights for future diagnostic or therapeutic approaches.

Alkaline Phosphatase (ALP), Alanine Transaminase (ALT), Aspartate Transaminase (AST), and Gamma-Glutamyl Transferase (GGT) are liver enzymes commonly associated with liver dysfunction, and increased or decreased levels of these enzymes may be implicated in the pathophysiology of preeclampsia. This study aims to evaluate the levels of liver enzymes (ALP, ALT, AST, and GGT) in preeclamptic pregnant women in the third trimester of pregnancy. By analyzing these enzymes, the research seeks to identify potential early indicators of preeclampsia. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples were spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes, after which plasma was collected and stored frozen in plain sample bottles to be analyzed for liver enzymes (ALP, ALT, AST, and GGT) levels using the spectrophotometric method. Data obtained from the study were analyzed using Graph Pad Prism 9. Results were expressed as mean ± SEM, and a P-value of ≤ 0.05 was considered statistically significant. The present study showed a statistically significant increase in ALP, and a statistically significant decrease in liver enzymes such as ALT and AST were observed in preeclamptic women compared to normotensive pregnant women, indicating various underlying pathophysiological processes such as liver dysfunction.

Leadership is often associated with symbols, one of which is the rank insignia worn by regional leaders in Indonesia. This symbol is believed to provide legitimacy and authority to leaders; however, its effectiveness remains debatable, especially when compared to regional leaders in other countries who do not wear rank insignia. This study analyzes rank insignia from the perspectives of Christian theology and leadership psychology to understand its impact on performance, competence, and public perception of leadership. From a Christian theological perspective, ideal leadership emphasizes service over symbolic authority. Meanwhile, in psychological studies, rank insignia can enhance a leader’s confidence but may also create psychological distance from the public and increase mental pressure. This study compares the effectiveness of regional leadership with and without rank insignia, considering factors such as competence, transparency, and public participation. The analysis reveals that the substance of leadership is more important than visual symbols such as rank insignia. These findings provide implications for developing leadership based on performance and inclusivity, while also encouraging further research on the psychological impact of leadership symbols in modern governance.  

This study explores the potential and challenges of the Treasury Single Account (TSA), which the cur-rent government of Nigeria has recently fully implemented to drive economic growth and development. The government aims to close gaps and plug leaks in government funds while ensuring a robust finan-cial management system to guarantee transparency and efficiency in the administration of public fi-nancial resources. The paper provides a conceptual understanding of TSA and discusses its anticipated benefits to Nigeria’s economy, particularly in the context of financial management and control. Key benefits include reducing the cost of government borrowing, ensuring optimal utilization of govern-ment financial resources, and consolidating various government accounts into one unified account. The study also examines the structure of the TSA system and its various accounts, including the TSA pri-mary account. In addition, the paper highlights the goals of the TSA, such as improving accountability and reducing corruption. After discussing the potential and challenges associated with implementing the TSA, the study concludes that political will, integrity, and commitment are crucial for overcoming these challenges. Successful implementation of the TSA system requires addressing identified obstacles to realize the anticipated benefits, which would significantly enhance the efficiency of financial man-agement in Nigeria.

In the current digital era, digital Islamic pawnshops have emerged as increasingly relevant financial solutions for society, despite encountering challenges such as inadequate infrastructure, low levels of digital literacy, and technical difficulties. This study aims to examine the obstacles and advantages of digital Islamic pawnshops in promoting financial inclusion in Indonesia. Using a qualitative approach through literature analysis, this research identifies legal and technical issues associated with the implementation of digital Islamic pawnshops. The results highlight that while these pawnshops offer time and cost efficiency, challenges like limited internet accessibility, poor technological awareness, and security vulnerabilities must be resolved. Recommendations include enhancing digital infrastructure, providing comprehensive education, and strengthening security measures to broaden access and improve the quality of digital Islamic pawnshop services.  

Digital lifestyle has become an integral part of university students' daily lives, involving the use of social media, digital devices, and digital content consumption. The development of digital technology has positive impacts, facilitating easy access to information and social interactions. However, excessive use can lead to digital stress, which negatively affects students' mental health. This study aims to identify the key factors influencing students' digital lifestyles and analyze their relationship with stress levels. A quantitative approach with a survey method was employed, using a questionnaire to measure digital lifestyle, including social media usage frequency and digital device interaction duration, along with the Perceived Stress Scale (PSS) to measure students' stress levels. The factor analysis results show that social media usage and prolonged interaction with digital devices are significant factors contributing to students' stress. Furthermore, sleep disturbances and social anxiety were identified as other significant factors associated with increased stress. The multivariate regression analysis confirmed that students who spent more time on social media reported higher stress levels, associated with social anxiety and sleep disturbances caused by digital addiction. This study suggests the importance of managing digital device usage and raising students' awareness of the negative impacts of excessive social media use. The findings imply the need for support from universities and mental health organizations to provide interventions that help students manage their digital lifestyles, reduce stress, and improve their mental well-being.

Breakfast is important for school students, especially teenagers because schools are full of activities that require a large amount of energy that can impact concentration. This study aims to determine the relationship between macronutrient intake during breakfast and the concentration of students of SMA Negeri 1 Grogol, Kediri. The design of the study is descriptive analytics with a cross-sectional research design including a total of 88 students. The sampling technique is simple random sampling. Breakfast data collected using food recall and concentration levels used Grid Concentration Test sheets. The data analysis technique used Somers’d. The result showed there is a significant relationship between carbohydrate (p = 0,017; r = 0,219) and protein intake (p = 0,008; r = 0,266) consumed at breakfast and student concentration, the relationship between the two variables was quite weak, but there was no significant relationship between intake of fat consumed at breakfast and student concentration (p = 0,220; r = 0,112). The conclusion of this study is that carbohydrate and protein intake consumed at breakfast is associated with student concentration.

Study procrastination is the deliberate postponement of tasks to the point of subjective discomfort. This study aims to provide useful insights for educators, counselors, and practitioners in designing effective interventions to help individuals overcome study procrastination associated with internet addiction, thereby improving their academic performance and psychological well-being. The hypothesis of this study is to see whether most internet addicts have a high level of study procrastination or not. The research population is 2021 psychology students, Campus V UNP Bukittinggi. The research sample amounted to 11 students. The sampling technique used was purposive sampling. The data collection tool used is the Procrastination Assessment Scale-Students scale (16 valid items). Data analysis using descriptive statistics. The results of data analysis show that there is a significant relationship between internet addiction and study procrastination in students at a high level of study procrastination (63,6%)

Background: Duration of labor is a key determinant of childbirth outcomes and may influence the mother’s physiological and psychological state. Prolonged labor is often associated with increased maternal fatigue and emotional stress, which can delay the establishment of early maternal-infant bonding during the taking-hold period. Methods: This study employed a cross-sectional design with a quantitative approach. A total of 80 postpartum women who delivered vaginally at hospitals and maternity clinics were recruited through purposive sampling. Data were collected using an observation sheet for labor duration and the Maternal Postnatal Attachment Scale (MPAS). Statistical analysis was performed using Pearson’s correlation test with a significance level of p < 0.05. Results: The findings revealed a significant negative correlation between labor duration and maternal-infant bonding scores (r = -0.432; p = 0.002). Mothers who experienced labor longer than 12 hours demonstrated lower emotional closeness with their infants compared to those with shorter labor (<8 hours). Conclusion: Prolonged labor tends to hinder the development of early maternal-infant bonding. Emotional support and midwifery assistance during the labor process are essential to enhance bonding and psychological well-being in the postpartum period.

Hypertension is one of the health disorders that can be fatal and is a leading cause of death worldwide, both in developed and developing countries. In Indonesia, hypertension ranks among the top ten causes of death, contributing 5.3%. According to the 2021 Riskesdas, the prevalence of hypertension in Indonesia is 34.1%, with 8.8% diagnosed and 13.3% undiagnosed. Health screening (MCU) results from workers at PT. X in 2023 showed that 13% of 138 workers had hypertension, and in May 2024, the prevalence increased to 20% among 120 workers. Although the increase is not significant, hypertension remains the second most common disease in the top ten list at PT. X in 2024. This study aims to identify factors associated with the occurrence of hypertension among office workers at PT. X in 2024. This is a quantitative study with a cross-sectional design. The sample size used in this study is 90 workers, selected using a system random sampling technique. Data collection was performed using secondary data obtained from the MCU results in 2024. Data were analyzed using the chi-square test, which showed a significant relationship between age (p=0.000), family history (p=0.000), body mass index (BMI) (p=0.000), and stress (p=0.000) with the incidence of hypertension among office workers at PT. X. Based on the findings of this study, it is recommended that the company strengthen its health education efforts for all workers, especially those with a family history of hypertension, and enhance prevention programs by educating healthy lifestyle practices, maintaining an ideal weight according to BMI, and conducting monthly blood pressure checks.

Autism Spectrum Disorder (ASD) is often associated with challenges in aspects of social interaction and communication. Art Therapy, which utilizes the creative process in art as a therapeutic medium, is believed to help improve social and emotional skills in individuals with ASD. This research aims to explore the effectiveness of the Art Therapy approach in improving social interaction behavior in individuals with autism at the Art Therapy Center Widyatama Bandung. This study uses qualitative methods with a descriptive approach to assess the impact of Art Therapy on participants' social behavior. Data was collected through direct observation, interviews with therapists, alumni and parents. The results of the study show that Art Therapy can contribute significantly to changing the social interaction behavior of people with autism, with visible behavioral changes in self-expression, non-verbal communication, and skills.

Background: Preterm labor (PTL) remains a major global health concern, contributing significantly to neonatal morbidity and mortality. Asymptomatic bacteriuria (ASB), has been implicated as a predisposing factor to PTL. This research investigates association between ASB and PTL, emphasizing inflammatory mediators such as high-sensitivity C-reactive protein along with tumor necrosis factor- α. Methods: This observational case-control study was conducted at Tikrit Teaching Hospital, Iraq, involving 100 pregnant women (50 PTL cases and 50 full-term controls). Demographic, clinical, and laboratory data were collected. Urine cultures identified bacterial isolates. In addition, levels of TNF-α and hs-CRP in serum were measured using ELISA. Statistical analyses were performed using SPSS.  Results: ASB was significantly associated with PTL, with 30% from PTL cases having a positive urine culture compared to 8% in controls (p = 0.009). Escherichia coli was the predominant pathogen (53%). TNF-α and hs-CRP levels were significantly elevated in PTL cases (p < 0.001), suggesting an inflammatory pathway in PTL pathophysiology. Conclusions: ASB is a significant risk factor for PTL, likely mediated by systemic inflammation. Routine ASB screening and targeted antimicrobial therapy may reduce PTL risk. Further study is required to explore the mechanistic connections amongst microbial infection and inflammatory responses in PTL. 

The quality of education is currently the main consideration in this study. The quality of education is generally associated with the highest level of performance indicated by the ability of students to achieve high scores in exams and their ability to learn and do assignments. The importance of the quality of education is due to the fact that this quality also greatly affects the development of the country. Therefore, almost every country in the world is trying to improve the quality of education as a means to improve the standard of living of the general public, good and quality education is created from the performance of a quality teacher as well. Therefore, this study aims to determine the effect of motivation and work discipline on teacher performance. This study uses a quantitative method, through a questionnaire distribution process involving 4 private vocational schools across Ulu II, Palembang City with a total of 93 teachers, the results of the study indicate that motivation and work discipline simultaneously have a significant effect on teacher performance. The conclusion of this study recommends the importance of motivation and work discipline on teacher performance, it is recommended that schools carry out teacher development programs that focus on increasing motivation and discipline.

The smoking habit among teenagers has become a serious health issue, with prevalence continually increasing. Smoking at a young age is associated with various health risks, including cancer, heart disease, and chronic obstructive pulmonary disease. One of the main contributing factors is peer influence and social environment. To reduce smoking habits, innovative approaches are needed, one of which is using innovative candies as an alternative to cigarettes. This study aims to analyze the potential of innovative candies in reducing smoking habits among teenagers. The method used is qualitative research with a literature review, collecting relevant scientific journal articles. The results indicate that candies such as Xylitol chewing gum, milk candy, cinnamon extract, and Vernonia cinerea extract can effectively reduce the frequency of smoking by providing a similar sensation without the negative effects of nicotine. Additionally, these candy products also have added benefits, such as improving oral and respiratory health. In conclusion, innovative candies can be a creative and effective solution to reduce smoking habits among teenagers, but further research is needed to assess their sustainability and long-term effects.

The frequency of floods in Central Java is the highest with 54 incidents. This study aims to analyze what factors are associated with flood disaster mitigation knowledge of students with special needs in SLB X in Semarang City. This research design uses cross sectional. The population in this study amounted to 32 respondents with total sampling technique so that the number of samples in this study was 32 respondents. The results showed that age (p=0.02) and education level (p=0.004) were related to the level of flood mitigation knowledge. 

The advent of autonomous shipping is poised to revolutionize global maritime transport by enhancing efficiency, safety, and sustainability. This study investigates the current state and future prospects of autonomous vessels in the shipping industry. The primary objective is to analyze the technological advancements, regulatory challenges, and economic implications associated with the integration of autonomous ships. A mixed-methods approach, combining qualitative and quantitative research, was employed, including a review of relevant literature and case studies of existing autonomous shipping projects. The findings reveal that while autonomous ships offer significant benefits such as reduced operational costs, lower emissions, and fewer human errors, there are challenges related to legal frameworks, cybersecurity, and public acceptance. The implications of this research highlight the need for international cooperation and the development of new regulations to support the widespread adoption of autonomous shipping technologies. This transformation could lead to a more efficient, environmentally friendly, and cost-effective global maritime transport system.

Tourism is an activity in which a person travels for recreation or vacation. Tourism is also associated with the need for stopovers and overnight accommodations. Not only for overnight needs, meeting rooms, sports halls and restaurants are now mandatory facilities in a hotel and are needed according to the type of hotel. The hotel restaurant provides catering services, in this case it must also meet hygiene requirements. Food hygiene is the prevention of disease by maintaining high standards of hygiene and the quality of the food itself. Personal hygiene is the human way of self-care to maintain good health. Food and personal hygiene of food workers in the food processing process is very important because applying good hygiene can minimize the possibility of food contamination. The application of food health and personal hygiene can be influenced by one's knowledge about it in the workplace. Lack of food health knowledge and personal hygiene can be improved by providing information and education through counseling or training. The training held was a collaboration between IHGM DPD Central Java partners and the team proposing Dian Nuswantoro University through a community service or community partnership program whose implementation was in the form of training on Food Hygiene and Personal Hygiene for hotel employees in the city of Semarang