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 Toxic work environments are becoming an issue that is getting more and more attention in human resource management because of its destructive impact on the psychological well-being of employees and organizational stability. Unhealthy interpersonal relationships, authoritarian leadership, bullying, and recurrent disrespectful behavior create a work atmosphere full of stress and uncertainty. This condition not only triggers work stress, anxiety, and emotional exhaustion, it further exacerbates these challenges, as high work demands and a lack of work-life balance make employees, especially Generation Z, increasingly vulnerable to mental health disorders. This study aims to analyze the influence of toxic work environments on employees' mental health as well as its impact on the intention to quit their jobs. The method used is a literature study with a qualitative approach, analyzing relevant scientific articles. The results of the study showed that a toxic work environment characterized by violence, bullying, tyrannical leadership, unfriendliness, and exclusion had a significant effect on the increase in work stress, psychological pressure, work stress and intention to quit work. Toxic leadership is the main factor in forming an unhealthy work culture. Social support, especially from supervisors, plays a protective role as a protective factor that mediates these negative relationships. Generation Z was found to be more sensitive to injustice and rights violations in the workplace. The study concludes that organizations need to prioritize psychological safety, implement supportive leadership, and provide tangible organizational policies and support to maintain employees' mental health and reduce work stress rates for long-term organizational sustainability.

Primary dysmenorrhea frequently disrupts the academic and daily activities of adolescent girls. This study evaluated the effectiveness of a 5-minute warm compress application in reducing menstrual pain intensity. A quasi-experimental study with a one-group pretest-posttest design was conducted on 42 female students of SMAN 28 Batam selected through purposive sampling. Participants applied a warm compress (40–45 °C) to the lower abdomen for 5 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank test. Before the intervention, 42.9% of participants reported severe pain (NRS 7–10). After the 5-minute application, the severe pain category disappeared entirely (0%), with 57.1% of subjects shifting to the mild pain category (NRS 1–3). Statistical analysis showed a significant reduction in dysmenorrhea intensity (p < 0.001). A 5-minute warm compress application is a rapid and effective non-pharmacological intervention for relieving primary dysmenorrhea in adolescents. Its practicality makes this method a feasible self-care strategy to implement in school settings.

Vandalism is a social problem affecting public space quality, urban aesthetics, and the effectiveness of public facilities utilization. Karawang Regency, as a developing industrial area, faces challenges related to increasing acts of vandalism targeting public facilities, open spaces, and government and private assets. This study aims to analyze preventive efforts carried out by the Civil Service Police Unit (Satpol PP) of Karawang Regency using J. Salusu’s public sector strategic management perspective. This research employed a qualitative approach with a descriptive case study method. Data were collected through observation, interviews, and documentation involving Satpol PP officers and public facility users. Data analysis consisted of data reduction, data display, and conclusion drawing with source, technique, and time triangulation. The findings indicate that preventive strategies have been implemented through four strategic management phases. In the identification phase, Satpol PP recognized vandalism patterns but lacked systematic mapping of vulnerable locations. In the development phase, institutional strengths existed alongside limitations in resources and innovation. In the resolution phase, strategies focused on socialization, routine patrols, and cross-sector collaboration. In implementation and evaluation, preventive programs operated adaptively but still encountered limitations in personnel capacity and public participation. Strengthening technology utilization, human resources, and collaborative governance is necessary to improve long-term preventive effectiveness.

Multi Sari MSME, located in Pangkalan Batang Village, Bengkalis Regency, produces traditional local products such as fish crackers, shrimp crackers, and sago crackers. Despite having quality products, legal business permits, halal certification, and stable raw material availability, the enterprise still faced limitations in digital marketing practices, resulting in a limited market reach. This community service program aimed to improve the marketing capacity of the MSME through the implementation of digital marketing strategies. The methods employed included SWOT and STP analyses, Google Business Profile development, social media management, content calendar preparation, promotional content creation, and marketplace utilization. The program also involved mentoring and training activities to enhance the partner’s understanding of digital marketing tools and techniques. The results showed significant improvements in the partner’s knowledge and skills in utilizing digital platforms for marketing purposes. Furthermore, Multi Sari MSME now possesses more structured digital marketing channels, increasing product visibility and creating opportunities to reach a broader market. Therefore, digital marketing has proven to be an effective strategy for enhancing MSME competitiveness, business sustainability, and market expansion in the digital era.

The area and distance between buildings at POLINELA Campus make the presence of adequate connector roads an important necessity to support the mobility of the academic community. This study aims to optimize the scheduling of flexible pavement construction for the POLINELA Connector Road using the Critical Path Method (CPM) based on Microsoft Project 2021. The research method used is descriptive quantitative by processing the Budget Plan (RAB) data into a project schedule consisting of 11 main activities. CPM analysis is used to determine the sequence of work, dependencies between activities, the critical path, and project completion time. The results show that the total project duration is 23 calendar days (May 11–June 6, 2026). CPM analysis identified 10 activities on the critical path with zero float, while embankment work is a non-critical activity with time flexibility. Applying a Start-to-Start (SS) relationship with a 3-day lag between excavation and embankment work allows parallel implementation, reducing the project duration by 4 days (14.8%) compared to the conventional Finish-to-Start (FS) scenario. These results indicate that implementing CPM through Microsoft Project 2021 can increase execution time efficiency, simplify schedule control, and support decision-making in road construction project management.

Submandibular Abscess is an accumulation of pus in the neck space resulting from the spread of infection, most commonly originating from dental infection. This condition requires surgical incision and drainage along with comprehensive nursing care to prevent serious complications. This study used a descriptive method in the form of a case study approach through the nursing process, aimed at describing nursing care for patients with Pre and Post Op Submandibular Abscess. Nursing diagnoses that emerged in Ny. T consisted of five diagnoses: Pre-op: Acute Pain related to physiological injuring agent and Anxiety related to situational crisis. Post-op: Acute Pain related to physical injuring agent, Risk of Infection evidenced by invasive procedures, and Knowledge Deficit related to lack of information exposure. Interventions provided included Pain Management, Relaxation Therapy, Infection Prevention, and Health Education. After nursing implementation for four days (February 12-15, 2026), out of the five diagnoses, two were fully resolved: anxiety and knowledge deficit, while three others were partially resolved due to time constraints, requiring continuous follow-up of nursing care.

Conflict is an inevitable phenomenon in educational environments due to differences in characteristics, interests, perceptions, and goals among school members. If not managed properly, conflict can disrupt the learning process, weaken social relationships, and negatively affect educational quality. This study aims to analyze the role of collaborative conflict management in improving the quality of education in madrasahs and schools. The research employed a qualitative approach using a library research method by reviewing various books, scientific journals, and relevant literature related to conflict management and education. The findings indicate that collaborative conflict management, implemented through effective communication, deliberation, discussion, negotiation, and cooperation, can facilitate constructive and sustainable conflict resolution. Furthermore, the application of collaborative conflict management contributes to strengthening cooperation among school members, creating a harmonious and conducive learning environment, and improving teacher performance as well as student learning outcomes. School principals play a strategic role as mediators and facilitators in guiding conflict resolution processes fairly and participatively. Therefore, collaborative conflict management can serve as an effective strategy for enhancing educational quality and fostering a positive educational climate in madrasahs and schools.

Dysphagia in extremely elderly patients represents a significant clinical challenge because it is frequently associated with frailty, malnutrition, and an increased risk of aspiration. Multifactorial etiologies and atypical clinical manifestations may complicate diagnosis and delay appropriate management. This study aimed to describe the diagnostic evaluation and clinical findings of dysphagia in an extremely elderly patient through a case report supported by a scoping review. A 105-year-old woman with chronic progressive dysphagia underwent comprehensive assessment, including physical examination, upper gastrointestinal endoscopy, histopathological evaluation, and chest radiography. Relevant literature on dysphagia in geriatric populations was reviewed to provide contextual understanding of diagnostic challenges and underlying etiologies. The evaluation revealed chronic active gastritis and a hamartomatous polyp in the gastroesophageal region without evidence of malignancy. Comprehensive assessment successfully excluded malignant and acute obstructive causes, emphasizing the complexity of dysphagia diagnosis in extremely elderly individuals with frailty and aspiration risk. These findings underscore the importance of endoscopic and histopathological examinations in distinguishing benign from malignant etiologies and support early recognition of multifactorial non-malignant causes to optimize clinical management and reduce the risk of adverse outcomes in this vulnerable population

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion, insulin action, or both. Uncontrolled diabetes can lead to various complications and decreased quality of life. Moringa oleifera leaves contain bioactive compounds, including flavonoids, vitamins A, C, and E, as well as selenium, which possess antioxidant properties and are believed to help reduce blood glucose levels. This study aims to determine the effect of Moringa leaf decoction on reducing blood glucose levels in patients with diabetes mellitus in Padaleu Village, Kambu District, Kendari City. The study employs a quantitative pre-experimental design using a one-group pretest-posttest approach. The population consists of 35 diabetes mellitus patients, with 17 respondents selected through purposive sampling. Blood glucose levels are measured before and after the administration of Moringa leaf decoction using a glucometer and observation sheets. Respondents receive 200 ml of Moringa leaf decoction daily for five consecutive days. Data analysis is conducted using paired statistical tests to determine differences in blood glucose levels before and after the intervention. The findings of this study are expected to provide scientific evidence regarding the effectiveness of Moringa leaf decoction as a non-pharmacological therapy for controlling blood glucose levels among diabetes mellitus patients. Furthermore, the results may contribute to nursing science development and serve as a reference for healthcare providers and future researchers in implementing complementary therapies for diabetes management.

Project scheduling is a critical aspect of ensuring the successful implementation of construction projects, particularly bridge projects that involve a high degree of complexity. Poor schedule quality may result in project delays, inaccurate critical path identification, and inadequate project control. This study aims to evaluate the schedule quality of a pile slab bridge project using the Defense Contract Management Agency (DCMA) 14-Point Schedule Assessment method, supported by Oracle Primavera P6 software. The study employed a quantitative descriptive method with a case study approach applied to an existing baseline schedule. The assessment results indicate that several parameters have satisfied the DCMA standards, including relationship type, hard constraints, soft constraints, negative float, large duration, and invalid progress. Conversely, several parameters remain non-compliant with the established standards, namely network logic, positive lag, large float, resources/cost, and the Baseline Execution Index (BEI). This study concludes that the project schedule has not fully adhered to the principles of a network-driven schedule and continues to function primarily as an administrative time schedule. The findings of this study offer practical contributions to construction project management by providing recommendations that encompass the refinement of network logic relationships, reduction of excessive lag usage, implementation of resource and cost loading, and progress updates based on the established baseline, thereby enabling the schedule to serve as a more effective, reliable, and integrated project control tool

Introduction: Febrile seizures are seizure episodes that occur due to an increase in body temperature above 38°C without evidence of central nervous system infection such as meningitis or encephalitis. In Indonesia, the prevalence of febrile seizures is approximately 2–5% among children aged 6 months to 3 years, and around 30% of these cases experience recurrence or recurrent febrile seizures. Therefore, an appropriate nursing care plan is required to manage patients with febrile seizures. Methods: This scientific paper employed a descriptive narrative method to illustrate the provision of nursing care to patients through the nursing process approach. The general objective of this study was to understand and implement nursing care for patients with febrile seizures. Results: The nursing diagnoses identified in patients with febrile seizures were hyperthermia, risk for injury, and knowledge deficit. Nursing interventions included hyperthermia management, safety management, and health education. Conclusion: After two days of nursing implementation, two nursing diagnoses were resolved and one was partially resolved. Discharge planning included monitoring the patient's condition, particularly for seizure signs, maintaining a safe environment, educating the family about injury prevention during seizures, and encouraging family members to continuously supervise the patient.

Stroke is a neurological condition caused by disruption of blood flow to the brain due to blockage or rupture of blood vessels, leading to nerve cell death. WHO (2022) recorded more than 12 million new stroke cases annually, with a prevalence in Brebes Regency reaching 27.83 per mil. The high incidence of stroke accompanied by physical mobility impairment and the family's lack of knowledge about its management highlights the importance of comprehensive family nursing care. This study aims to apply a complete nursing care process including assessment, diagnosis, intervention, implementation, and evaluation to the family of Mr. K with a stroke case. The method used is descriptive with a case study approach through family nursing care. Assessment findings revealed that the patient had experienced stroke for approximately 7 years with a history of hypertension, weakness of the right extremities, decreased muscle strength, blood pressure of 160/90 mmHg, and the family did not understand how to care for stroke at home. Two nursing diagnoses were established: ineffective health maintenance in the family and impaired physical mobility. Interventions included health education about stroke, Range of Motion (ROM) exercises, and rubber ball grip therapy involving the family as caregivers. After 2 days of implementation, both nursing diagnoses were resolved: ineffective health maintenance in the family was resolved and impaired physical mobility was resolved.

Nutritional problems among school-age children remain an important challenge in human resource development in Indonesia. Adequate nutritional status is essential for supporting physical growth, cognitive development, learning achievement, and future productivity. Schools play a strategic role in promoting children's health through nutritional monitoring and educational interventions, particularly during the implementation of the Free Nutritious Meal Program (MBG). This community service activity aimed to monitor students’ nutritional status and strengthen awareness of the importance of nutrition as a foundation for human resource development. The activity was conducted on April 5–6, 2026, at SD Negeri 09 Jambi City and involved 261 students from grades I to III. A school-based assistance approach was implemented through anthropometric measurements, including body weight and height assessments, followed by balanced nutrition education. The findings revealed that 77.0% of students had normal nutritional status, while 8.8% were undernourished, 9.6% were overweight, and 4.6% were classified as obese. The activity also increased school awareness regarding the importance of continuous nutritional monitoring and evidence-based health management. These findings suggest that school-based nutritional monitoring can support the implementation of the Free Nutritious Meal Program and serve as an initial effort to strengthen human resource development by fostering healthier, more productive, and higher-quality future generations.

Thalassemia is an inherited hemolytic anemia caused by genetic abnormalities in chromosomes 11 and 16 that impair globin chain production, leading to insufficient hemoglobin and red blood cells. This study aims to describe nursing care for An. W with thalassemia at the Anggrek 2 Ward of RSUD dr. Soeselo, Tegal Regency. The method used was a descriptive approach through anamnesis, documentation, observation, and literature review. Nursing care was carried out over two days (January 13–14, 2026). Physical examination results on January 12, 2026 showed a pale face, anemic conjunctiva, weakness, CRT >3 seconds, decreased skin turgor, weak peripheral pulse, cold extremities, and laboratory hemoglobin of 5.9 g/dL, with vital signs of pulse 111x/minute, temperature 36.7°C, and respiration 22x/minute. Two nursing diagnoses were established: ineffective peripheral perfusion related to decreased hemoglobin concentration (D.0009), and activity intolerance related to weakness (D.0056). Nursing interventions included circulatory care (I.02079) and energy management (I.05178). Nursing implementation was carried out according to plan. Evaluation on January 14, 2026 showed that both nursing diagnoses were resolved; the patient's hemoglobin improved to 10.7 g/dL after two blood transfusions, and the patient was declared fit for discharge. It is recommended that hospitals establish support groups for thalassemia patients to provide adequate emotional and social support.

This study analyzes the implementation of the Central Papua One-Stop Service Information System (Sipersateng) at the Central Papua Provincial Secretariat as a model for administrative innovation in the New Autonomous Region (DOB). The main focus of the study is to explore how a region with extreme infrastructure limitations can leapfrog or institutionalize towards an agile and transparent digital bureaucracy. Using a qualitative descriptive-analytical method with a case study approach, this research involved in-depth interviews, participant observation, and documentation studies to capture the dynamics of the transition from manual to digital systems. The results show that Sipersateng successfully reduced administrative process time by up to 60%. This success was driven by three main dimensions: institutional legitimacy through strong leadership commitment, technical resilience through offline-syncing features to address internet signal fluctuations, and significant changes in work culture. Adaptation strategies such as peer-mentoring methods for senior officials and mandatory policies through gubernatorial instructions proved effective in breaking down organizational cultural resistance. This study concludes that Sipersateng is not merely a technical tool, but rather a manifestation of Frontier Digital Bureaucracy that is able to mitigate the risk of maladministration and build public accountability in the newly formed province. This innovation demonstrates that geographic limitations are not a major barrier to achieving clean governance if supported by inclusive and adaptive system design. These findings provide a theoretical contribution to the public management literature on digitalization in regions with high structural challenges.

This study aims to examine the role of teachers in developing emotional intelligence among adolescent students at SMP Kesatrian Surakarta. Emotional intelligence is an essential aspect that supports academic achievement, social relationships, and character development. This research employed a qualitative approach using a case study method. Data were collected through in-depth interviews with 15 teachers teaching grades VII to IX, participant observations in classroom settings, and analysis of relevant school documents. The findings reveal that teachers play a strategic role in fostering students’ emotional intelligence through three primary approaches: emotional modeling by demonstrating appropriate emotional management (45%), facilitating emotion-based learning activities (30%), and evaluating students’ emotional intelligence development (25%). These roles significantly contribute to improving students’ self-awareness, self-regulation, empathy, and social skills. Supporting factors include emotional intelligence training programs provided by the local education authority and the school’s commitment to creating a supportive learning environment. However, major challenges consist of high administrative workloads among teachers (70%) and limited counseling facilities (50%). This study recommends continuous teacher training, the integration of emotional intelligence modules into lesson plans, and collaboration with school psychologists to ensure long-term monitoring and development of students’ emotional competencies. The findings contribute to the enrichment of emotional intelligence literature within the context of Indonesian secondary education.

Preeclampsia is one of the leading causes of maternal mortality and may result in various complications during pregnancy and childbirth. In Tegal Regency, preeclampsia contributed to 27% of maternal deaths in 2024; therefore, studies on childbirth characteristics among mothers with this condition are needed. This study aimed to identify the characteristics of childbirth events in mothers with preeclampsia at Dr. Soeselo Slawi Regional Hospital, Tegal Regency. A descriptive design with a retrospective approach was used by reviewing the medical records of 202 mothers who delivered with preeclampsia during 2025. Data were analyzed univariately and presented as frequency distributions and percentages. The results showed that most mothers underwent operative delivery (62.38%), while spontaneous and induced labor accounted for 37.13% and 0.50%, respectively. Most deliveries occurred at preterm gestational age (62.38%), followed by term (36.14%) and postterm (1.49%) deliveries. Maternal and obstetric complications included bleeding (6.93%), fetal distress (4.95%), eclampsia (1.49%), and HELLP syndrome (0.99%). Most neonates had normal birth weight (82.18%) and did not require NICU care (95.05%), although low birth weight (17.82%) and NICU admission (4.95%) were still identified. The maternal clinical condition was dominated by blood pressure of 140–159/90–109 mmHg (75.74%). Proteinuria was found in 46.53% of respondents, with moderate proteinuria (+2) as the predominant category (38.30%). In conclusion, childbirth among mothers with preeclampsia was dominated by operative and preterm deliveries. These findings emphasize the importance of early detection and optimal management of preeclampsia to reduce maternal and neonatal complications and improve the quality of maternal-infant health services overall.

Background: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively due to structural or functional disorders, commonly manifesting as dyspnea, fluid retention, and peripheral edema. Globally, cardiovascular disease is the leading cause of death, with CHF affecting more than 55-65 million people worldwide. Objective: To perform comprehensive nursing care on patient Ny. A with cardiovascular system disorder: Congestive Heart Failure (CHF) in the Mawar I Ward of RSUD dr. Soeselo, Tegal Regency. Methods: This study used a descriptive method through a case study approach. Data were collected via interview, observation, and physical examination. Results: Four nursing diagnoses were identified: ineffective breathing pattern, hypervolemia, activity intolerance, and knowledge deficit. Interventions included respiratory monitoring, hypervolemia management, energy management, and health education on disease process. After two days of nursing implementation, three diagnoses were resolved and one (hypervolemia) was partially resolved. Conclusion: Nursing care for Ny. A with CHF was carried out through assessment, nursing diagnosis, intervention, implementation, and evaluation. Continued interventions are recommended, including fluid balance monitoring, diuretic collaboration, and edema and ascites monitoring.

Background: Congestive Heart Failure (CHF) is a condition characterized by the inability of the heart to pump blood optimally, resulting in the accumulation of fluid in the lungs and other organs. This condition frequently causes ineffective airway clearance due to hypersecretion of the airway. Objective: This study aims to describe the comprehensive nursing care provided to Ny. R with Cardiovascular System Disorder: Congestive Heart Failure (CHF) with the main nursing problem of ineffective airway clearance at the Melati Ward of RSUD Banyumas. Method: This study used a descriptive method through a case study approach. Data were collected through interviews, physical examination, observation, and documentation. Results: Two nursing diagnoses were identified: (1) ineffective airway clearance related to airway hypersecretion, and (2) activity intolerance related to an imbalance between oxygen supply and demand. Nursing interventions included airway management and energy management. After two days of implementation (January 27–28, 2026), the first diagnosis was resolved and the second was partially resolved, with continued interventions recommended including monitoring of physical and emotional fatigue, advising bed rest, and monitoring vital signs. Conclusion: Comprehensive nursing care with appropriate interventions can effectively address ineffective airway clearance in CHF patients.

This study aims to analyze the effect of homework load and extended study hours on students’ learning stress levels. The background of this research is based on increasing academic demands that may affect students’ psychological conditions. This study employs a qualitative approach with data collected through observation and interviews. The results indicate that excessive homework load and prolonged study duration significantly contribute to higher levels of learning stress. Students tend to experience physical and mental fatigue, decreased motivation, and difficulty managing time between study and rest. In addition, pressure to achieve high academic performance further exacerbates stress levels. Other factors such as lack of environmental support and less varied teaching methods also influence students’ stress. Furthermore, students often report feelings of anxiety and emotional exhaustion when academic tasks accumulate without adequate rest periods. This condition not only affects their psychological well-being but also reduces concentration and learning effectiveness in the classroom. Therefore, balanced learning load management, appropriate task distribution, and more effective and humanistic teaching strategies are needed to reduce learning stress and improve the quality of education. Schools and educators are encouraged to consider students’ cognitive capacity and mental health in designing assignments and study schedules to create a more supportive learning environment.