Publication Search

Abdominal pain is one of the main complaints frequently encountered in patients in emergency departments and inpatient wards. This condition may be caused by various factors, ranging from gastrointestinal disorders and inflammation to reproductive system problems. Poorly managed pain can affect the patient’s quality of life, reduce daily activities, and increase anxiety. This case study aims to describe nursing care for Mrs. U, who presented with abdominal pain at dr. Soeselo Hospital, Tegal Regency. The research method applied was a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed that the patient complained of lower abdominal pain with a pain scale of 5 (moderate), accompanied by nausea, weakness, and intermittent fever. The primary nursing diagnosis established was acute pain related to physiological injury agents. Interventions included pain management education, relaxation techniques, application of warm compresses, and collaboration in administering analgesics. The evaluation showed a decrease in pain intensity from a scale of 5 to 3, with the patient appearing calmer and showing improved sleep quality. This study emphasizes the crucial role of nurses in providing comprehensive care to reduce abdominal pain through both independent and the collaborative interventions with the medical team.

Equal access to education is a crucial issue in Islamic educational institutions in Indonesia. Ensuring that all students, without exception, have equal access to quality education is vital for the advancement of education in the country. In this context, Management Information Systems (MIS) play a crucial role in enhancing the efficiency, effectiveness, and transparency of educational services. The implementation of MIS can streamline administrative processes, improve decision-making, and facilitate more equitable access to educational resources. This research employs a literature study approach, relying on books and journal articles as primary sources. The findings indicate that the application of MIS provides significant benefits in terms of planning, management, and evaluation. By providing real-time data, MIS enables educational institutions to make better decisions, monitor student progress, and allocate resources more effectively. Additionally, MIS enhances the transparency of educational services, ensuring that all stakeholders—students, parents, and educators—have access to important information related to educational processes and outcomes. However, challenges in the implementation of MIS remain, such as technical barriers related to inadequate infrastructure and limited access to technology, as well as human resource issues like insufficient training. To address these challenges, the research recommends providing comprehensive training programs for educators and administrators, investing in technological infrastructure, and promoting data integration across educational institutions. Overall, while MIS offers many advantages in promoting equal educational access, addressing technical and human resource challenges is crucial to fully realizing its potential in Islamic educational institutions in Indonesia.

The 5-star hotel is full of beauty, futuristic design, and perfect service. One of the components that guests complain about at the Tentrem Hotel Yogyakarta is housekeeping negligence. The research method is qualitative, with data collection techniques including interviews, observations, and documentation. The results of the study show that the forms of negligence that occur in housekeeping services at Hotel Tentrem Yogyakarta are 3 (three) actions: first, negligence in cleaning guest rooms, errors in placing guests' personal belongings, and delays in providing additional requests (amenity delay). Housekeeping negligence affects guest satisfaction at Hotel Tentrem Yogyakarta by reducing the reliability and tangibles dimensions of service quality. Guests feel the hotel cannot be trusted to provide a comfortable stay experience, leading to a decrease in the empathy and assurance dimensions. Guests feel their privacy is violated, which may even lead to suspicion toward hotel staff. Efforts to improve the negligence occurring in housekeeping services at Hotel Tentrem Yogyakarta involve three actions: implementing an inspection checklist and supervisor verification before guests check-in, ensuring staff are well-trained, educated, and professional in their work, and adopting a digital logistics system to record guest requests and prioritize deliveries.

This study aims to analyze the influence of Human Resource Management and Good Manufacturing Practices on Improving Production Hygiene, with the research focused on employees of Bakpia Kukus Tugu Jogja. The problems that often occur are the ineffectiveness of implementing hygiene standards and weaknesses in the human resource management system which are the important basis for conducting this research. This study uses a quantitative approach with a survey method by distributing questionnaires to 102 respondents who are employees of Bakpia Kukus Tugu Jogja in the production and quality control divisions. Data analysis was carried out using multiple linear regression with the help of SPSS software version 25.

This article presents a review study that proposes a blended model combining actual programming techniques with queuing theory to improve the performance and service quality of service systems. The main objective is to design a system that is capable of serving customers as efficiently as possible, using solutions derived from queuing theory to regulate and optimize customer flow, while applying accurate programming methods to ensure that the system operates correctly and in accordance with established standards. The study discusses how these two approaches complement each other and demonstrates that integrating them provides a balance between operational efficiency and the quality of services delivered. To illustrate the effectiveness of this hybrid model, a case study is examined to highlight the practical impact and real-world implications of the proposed framework. Both mathematical formulations and experimental analyses were employed to evaluate the model’s effectiveness. Findings indicate that this combined approach not only enhances system reliability but also provides measurable improvements in customer satisfaction and service outcomes. By offering a structured way to integrate queuing solutions with precise programming, this research contributes to the development of more sustainable and effective service management strategies. The model therefore has significant potential for broader application in industries that rely heavily on service delivery and customer flow optimization.

The integration of Internet of Things (IoT) with cloud computing has revolutionized healthcare systems, offering scalable and real-time patient monitoring. However, optimizing response times and energy consumption remains crucial for efficient healthcare delivery. This research evaluates various algorithmic approaches for workload migration and resource management within IoT cloud-based healthcare systems. The performance of the implemented algorithm in this research, Hybrid Dynamic Programming and Long Short-Term Memory (Hybrid DP+LSTM), was analyzed against other six key algorithms, namely Gradient Optimization with Back Propagation to Input (GOBI), Deep Reinforcement Learning (DRL), improved GOBI (GOBI2), Predictive Offloading for Network Devices (POND), Mixed Integer Linear Programming (MILP), and Genetic Algorithm (GA) based on their average response time and energy consumption. Hybrid DP+LSTM achieves the lowest response time (82.91ms) with an energy consumption of 2,835,048 joules per container. The outcome of the analysis showed that Hybrid DP+LSTM have significant response times improvement, with percentage increases of 89.3%, 79.0%, 83.8%, 97.0%, 99.8%, and 99.94% against GOBI, GOBI2, DRL, POND, MILP, and GA, respectively. In terms of energy consumption, Hybrid DP+LSTM outperforms other approaches, with GOBI2 (3,664,337 joules) consuming 29.3% more energy, DRL (2,973,238 joules) consuming 4.9% more, GOBI (4,463,010 joules) consuming 57.4% more, POND (3,310,966 joules) consuming 16.8% more, MILP (3,005,498 joules) consuming 6.0% more, and the GA (3,959,935 joules) consuming 39.7% more. The result of ablation of the Hybrid DP+LSTM model achieves a 47.05% improvement over DP-only (156.57ms) and a 70.64% improvement over LSTM-only (282.41ms) in response time. On the energy efficiency side, Hybrid DP+LSTM shows 22.80% improvement over LSTM-only (3,671,51 joules), but 7.34% underperformance compared to DP-only (2,640,93). These research findings indicate that the Hybrid DP+LSTM technique provides the best trade-off between response time and energy efficiency. Future research should further explore hybrid approaches to optimize these metrics in IoT cloud-based healthcare systems.

Biomass is one of the materials that can be utilized as fuel. To ensure optimal quality, effective management of biomass is required to maximize its potential. One possible approach is the application of a biomass stove fueled by rubber wood pellets. By integrating a thermoelectric generator, data can be obtained to determine whether all aspects meet the established standards. This system is designed to generate electrical energy from combustion heat, supported by components such as a buck-boost converter and a 3V DC lamp. Testing was carried out using proximate and ultimate analyses on the fuel as well as the Water Boiling Test (WBT) on the stove, referring to SNI 8021:2020 and SNI 8021:2014 standards. The results showed that rubber wood pellets contained 7.64% moisture and had a calorific value of 4050 kcal/kg. The stove demonstrated an efficiency of 23.53%–37.28% and a fuel consumption rate of 0.61–0.77 kg/hour, both of which meet the requirements. In addition, the thermoelectric generator produced a voltage of 3.6 V and an electric current of 0.05 A, which are higher than those reported in previous studies (2.06 V and 0.01 A, respectively). Therefore, this thermoelectric biomass stove system is considered successful and feasible for further development as an alternative energy application.

Effective, efficient, and accountable public services are one of the fundamental pillars of good governance. At the village level, the success of these services is highly dependent on the performance of government officials, particularly in administrative services that directly address the community’s basic needs. This study aims to analyze employee performance in administrative services at the Maliran Village Head Office, Ponggok Subdistrict, Blitar Regency, and to identify obstacles faced during the service process. A descriptive qualitative research method was employed, with data collected through observation, interviews, and documentation. The findings indicate that employee performance can be categorized as fairly good based on ten performance indicators: work quality, work quantity, timeliness, effectiveness, independence, reliability, responsiveness, assurance, empathy, and tangible evidence. These aspects reflect that village officials are generally able to carry out their duties in meeting the administrative needs of the community. However, several obstacles remain, including reliance on digital technology that is not supported by adequate infrastructure, particularly the frequent occurrence of power outages which disrupts the continuity of services. The study highlights the importance of strengthening digital infrastructure, enhancing technical training for village officials, and ensuring the availability of backup systems to anticipate service interruptions. These efforts are essential to improve service delivery, strengthen public trust, and support the realization of good governance at the village level.

Traditional herbal medicine MSMEs face challenges in increasing the appeal of their products among the younger generation who prefer fresh and modern drinks. To overcome this, innovation in the presentation of herbal medicine is needed to make it more practical, hygienic and attractive. One solution is the manufacture of a microcontroller-based portable box cooler that can maintain the freshness of herbal medicine at an optimal temperature. This box cooler is equipped with an automatic cooling system controlled by a microcontroller, ensuring the jamu stays fresh and high quality for a longer period of time. A temperature sensor monitors and adjusts the cooling conditions as needed, so that the herbs remain at their best when served. In addition, the automatic dispenser system helps regulate the volume of herbs dispensed precisely, reducing wastage and maintaining flavour consistency. With its portable and efficient design, this box cooler is perfect for use in various locations such as bazaars, cafes, offices, or community events. This innovation not only improves the efficiency and competitiveness of MSMEs, but also reinforces the image of jamu as a modern and contemporary healthy drink, making it more attractive to young consumers.

The Student Evaluation of Lecturers (EDOM) at the Faculty of Engineering, Universitas Dr. Soetomo has historically been conducted via Google Forms and processed manually, resulting in slow response times, repetitive recap procedures, and insufficiently documented reporting validity. This study aims to design, build, and evaluate a web-based EDOM system using the Prototype Model (MODEL PROTOTYPE) to improve data collection efficiency, recap accuracy, and the effectiveness of feedback for teaching quality assurance. The development method comprises requirements elicitation with the Quality Assurance Unit through a review of SPMI documents and brief interviews, architectural and interface design (Laravel, MVC pattern, and MySQL), staged prototyping, and rapid iterations based on stakeholder feedback until functional conformity is achieved. The resulting system provides authentication and role-based authorization (Admin, GPM, Lecturer, Student), odd/even period management, a question bank employing a Likert scale, anonymous questionnaire submission, score recap per lecturer and per category (pedagogical, professional, personal, social), dashboard visualizations, and report export to support governance needs. Functional evaluation was conducted through black-box testing on core scenarios (login, period scheduling, submission, recap, and export) and indicated conformance to specifications. User acceptance evaluation employed the Technology Acceptance Model (TAM) to examine perceived usefulness, perceived ease of use, attitude toward use, and behavioral intention; the results indicate positive acceptance and potential for operational adoption. Practically, the prototype approach accelerates requirement alignment, reduces the risk of mis-specification, and facilitates change control, while the Laravel-based implementation supports maintainability, role-based access security, and further feature development. The study is limited to a single faculty; future work may include SSO integration, audit trails, and longitudinal, cross-semester analytics for more comprehensive monitoring of lecturer performance.

This study aims to examine the effect of work discipline, work motivation, and work environment on employee performance at PT. Yara Berkah Semesta Kediri. The research employed a quantitative approach with a survey method by distributing questionnaires to 50 employees, who were selected as the sample using a census technique. The data analysis techniques used in this study included validity and reliability tests, classical assumption tests, multiple linear regression analysis, t-test, and F-test, with the assistance of SPSS software. The results revealed that, partially, work discipline and work motivation did not have a significant effect on employee performance, while the work environment had a positive and significant effect. Simultaneously, work discipline, work motivation, and work environment had a positive and significant effect on employee performance, with an F-value of 32.586 and a significance level of 0.000. These findings indicate that employee performance improvement is more strongly influenced by a supportive and comfortable work environment. Therefore, the company is advised to reconsider its strategies for enhancing discipline and motivation, while maintaining a conducive work environment to support productivity. The practical implications of this study suggest that organizations should prioritize creating and maintaining a positive work environment as a fundamental strategy to boost performance. Additionally, companies need to design interventions that strengthen employee discipline and motivation, such as recognition programs, training, and clear performance management systems, while ensuring that these efforts are integrated with improvements in the work environment.

Anxiety in patients undergoing preoperative vitrectomy can have a significant impact on biological, psychological, social, and spiritual aspects, manifesting as increased blood pressure, pulse rate, respiratory rate, and sleep quality disturbances that can affect physiological and psychological balance. Blood pressure is influenced by the autonomic nervous system, making anxiety and sleep quality important factors related to cardiovascular stability. This study aims to explain the relationship between sleep quality and anxiety with blood pressure in preoperative vitrectomy patients. The research design used was a cross-sectional correlation study involving 108 respondents. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, the Zung Self-Rating Anxiety Scale (ZSAS) to assess anxiety, and blood pressure measurements before surgery. The analysis used the Spearman test. The results showed that most respondents were in the early elderly age category (34.3%), had a high school education (54.6%), and were employed (57.4%). Most experienced mild sleep disturbances (81.5%) and mild anxiety. The average systolic blood pressure of respondents was 133.50 mmHg (SD 11.569) and diastolic blood pressure was 84.29 mmHg (SD 11.081). Spearman's test showed a relationship between sleep quality and systolic blood pressure (r=0.237; p=0.014) and diastolic blood pressure (r=0.428; p=0.001), as well as between anxiety and systolic blood pressure (r=0.502; p=0.001) and diastolic blood pressure (r=0.326; p=0.001). It was concluded that there was a relationship between sleep quality and anxiety with the blood pressure of patients undergoing preoperative vitrectomy. Nurses are advised to conduct early screening and simple interventions to reduce anxiety and improve the sleep quality of patients

The Department of Education and Culture of Situbondo Regency is a government agency responsible for providing administrative services to schools within its jurisdiction. However, based on field survey results, the current system still faces significant challenges due to its lack of integration. For instance, the process of collecting physical documents and tracking application status remains inefficient, leading to various obstacles such as service delays, risks of data loss, inconvenience for applicants, and limited transparency and accountability in data management. To address these issues, this study proposes the design of a web-based school administrative service information system. The system development process employs the Structured Systems Analysis and Design Method (SSADM), which emphasizes systematic and structured procedures to ensure functionality and efficiency. The results of this study highlight the importance of adopting information technology within government institutions, particularly the Department of Education and Culture of Situbondo Regency, as a means of supporting administrative activities. The proposed web-based system is expected to streamline administrative processes, improve service delivery, and enhance transparency in managing school-related data. Moreover, by integrating digital solutions into governance, the system can contribute to strengthening the quality of education management and supporting better decision-making processes. Ultimately, the design of this information system demonstrates the potential of technology to transform public sector services and foster accountability in education governance.

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.

The rapid development of information technology has encouraged government institutions to transform the way they manage data and deliver public services. The Protocol and Leadership Communication Division (Prokopim) of Situbondo Regency plays a strategic role in managing the schedules of regional leaders and documenting each official activity as a form of accountability. Currently, these processes are still managed manually, which causes obstacles in recording, searching, and reporting data. Such limitations reduce efficiency and transparency, indicating the urgency of a structured, accessible, and integrated web-based information system. This research aims to design a web-based system that integrates employee data, leadership agendas, and documentation records into a single platform. The research method combines field observations, interviews with Prokopim staff, and literature studies to analyze user requirements. The system design adopts the Waterfall model, which includes requirement analysis, database design, user interface design, and system modeling using Unified Modeling Language (UML) diagrams such as use case, activity, and sequence diagrams. Database structures are represented through class diagrams, while user interface designs are developed using prototyping. The findings of this study produce a system blueprint that provides a structured framework for digitalizing agenda and documentation processes. The proposed design improves accessibility, accuracy, and efficiency in managing leadership activities. Furthermore, this system can be considered as a practical model for applying digital transformation in government institutions, supporting better accountability and service quality in the public sector.

The rapid development of information technology has had a significant impact on various aspects of life, including the decision-making process that requires precision and objectivity. One of the problems often faced is product selection with various complex criteria, for example in selecting a quality drum. Drums as a percussion instrument have many variations in terms of sound quality, material, design, price, and durability, so a system is needed that can assist users in making a more rational choice. This study aims to develop a website-based Decision Support System (DSS) using the Weighted Product (WP) method to provide recommendations for drum selection. The WP method was chosen because it is able to perform calculations by considering the weight of each criterion so that the recommendation results are more objective. The system implementation is carried out through the design of a user-friendly web-based interface, making it easier for users to access, compare alternatives, and obtain recommendations without having to perform manual assessments that are time-consuming and potentially subjective. System testing was carried out by comparing the results of the system's recommendations with expert assessments, which obtained an accuracy level of 95%. These results indicate that the developed system has a high level of reliability and is suitable for use as an aid in decision-making in selecting quality drums. With this system, it is hoped that users, both beginners and professionals, will find it easier to choose drums that suit their needs and preferences.

The management of household waste remains a major challenge in society, especially in densely populated rural and urban areas. The practice of open burning of waste is still often carried out because it is considered quick and practical, despite its negative impacts on health and the environment. The smoke from burning can trigger respiratory diseases, reduce air quality, and accelerate global warming. In light of this issue, the 2025 KKN-T 23 UMSIDA students initiated a community service program by introducing an innovation in the form of an environmentally friendly waste bin that can reduce the practice of waste burning. This waste bin is designed with a system for separating organic and inorganic waste and special ventilation that accelerates the natural decomposition process. Through a participatory approach, students involve the community in the planning, creation, and testing of the innovative trash bins. The results of the activities show an increase in community awareness in sorting waste, a decrease in the habit of burning waste, and an improvement in the quality of the surrounding environment. This program has also successfully fostered collaboration between students, village officials, and residents in creating a greener and healthier environment. This trash bin innovation is hoped to be a sustainable model that can be implemented in various areas as a simple yet effective solution for community-based waste management.

Healthcare workforce management has become increasingly critical in determining organizational economic performance and long-term sustainability. This systematic review examines the relationship between human resource strategies in healthcare settings and their impact on economic outcomes, with particular attention to the effectiveness of workforce planning, recruitment optimization, employee retention, and performance management systems. The objective of this review is to synthesize current evidence on healthcare workforce management practices and their influence on economic performance indicators across various healthcare organizations. A systematic literature review was conducted using multiple academic databases, including PubMed, Scopus, and Web of Science. Studies published between 2019 and 2024 that focused on healthcare workforce management and its association with economic performance were selected based on predefined inclusion and exclusion criteria. A total of 45 peer-reviewed articles met the eligibility requirements and were included in the final analysis. The findings reveal that strategic human resource management practices significantly correlate with improved economic outcomes in healthcare organizations. Institutions implementing comprehensive workforce management approaches demonstrated a 15–25% improvement in cost-effectiveness, resource utilization, and operational efficiency. Moreover, effective healthcare workforce management was shown to directly enhance organizational performance by reducing staff turnover costs, improving employee productivity, and strengthening service delivery quality. This review concludes that integrated and evidence-based human resource strategies are essential for healthcare systems aiming to achieve sustainable economic growth and resilience in the face of evolving healthcare challenges.

This community service initiative aims to apply biopore infiltration hole technology as a community-based flood mitigation solution in Labuhan Ratu District, Bandar Lampung City. This area faces major problems in the form of a high risk of waterlogging caused by low soil absorption, predominance of watertight surfaces, and suboptimal drainage systems. The program is carried out with a project-based community empowerment approach, where as many as 50 local residents are involved in each stage of the activity. These stages include environmental awareness campaigns, technical training on making biopore infiltration holes, providing equipment, and direct practice in the field. A total of 100 strategic points in the Dasawisma Palapa 6 environment are the locations for the implementation of biopores. The results of the activity show that this simple technology effectively improves the soil's ability to absorb water and reduce surface runoff, so that the risk of inundation can be reduced. In addition, this activity also encourages the formation of community groups that are tasked with maintaining biopores, in order to ensure the sustainability of long-term benefits. This program not only has a positive impact on the quality of the physical environment, but also strengthens the capacity of citizens to manage natural resources based on appropriate technology. The active participation of the community has proven to be the key to success, as it creates a sense of belonging while increasing ecological awareness at the local level. These findings confirm that the integration of simple technological innovations and community empowerment is an effective strategy in building sustainable environmental solutions, especially in the face of urban flood challenges.

The fisheries sector plays a vital role in the national economy and represents a significant potential source of foreign exchange. The development of this sector must be strategically designed to address future challenges, which include anticipating changes in both production and consumer systems (markets), as well as shifts in resource potential. This study aims to identify and analyze effective business development strategies for UMKM Bandeng Sultan to expand its market reach. The research methodology includes both primary and secondary data collection through interviews and field observations, analyzed qualitatively using a descriptive approach. Data were collected directly from interviews and on-site observations to gain relevant insights into the current conditions of the Bandeng Sultan business. The results indicate that the SWOT coordinate score (0.6: 0.57) places the business in a favorable position, supporting the adoption of an aggressive growth strategy. Recommended strategic actions include enhancing digital and e-commerce marketing, expanding into the Java market and exploring export opportunities, diversifying product offerings and innovating flavor varieties, as well as improving product quality and hygiene standards. These findings demonstrate that UMKM Bandeng Sultan possesses strong internal capabilities and promising external opportunities for growth. Therefore, the implementation of aggressive strategies was considered appropriate to increase competitiveness and ensure long-term business sustainability in a highly competitive market environment.