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Excessive workload can cause work stress among nurses, impacting their performance and the quality of healthcare services. Nurses in inpatient wards often experience this due to high job demands and a large number of patients. This study aims to analyze the relationship between workload and work stress levels among nurses in the inpatient ward of RSI Sultan Agung Semarang. This quantitative research employed a correlational design. A total of 100 nurses from the inpatient ward of RSI Sultan Agung Semarang were selected using total sampling. Data were obtained from a questionnaire measuring physical and psychological workload aspects and work stress indicators such as emotional exhaustion and decreased personal accomplishment. Data were analyzed using the Chi-Square test. The majority of respondents (82.8%) had a moderate workload, while most (76.8%) experienced moderate work stress. Bivariate analysis indicated a significant relationship between workload and work stress levels (< 0.05). A high workload significantly contributes to boost work stress levels among nurses in the inpatient ward of RSI Sultan Agung Semarang. Effective workload management strategies, such as adjusting nurse-to-patient ratios and providing stress management programs, are necessary to improve nurse well-being and enhance the quality of healthcare services

This study emphasizes the importance of mental health among students in Islamic boarding schools (pondok pesantren), who often face various academic and social pressures. According to the World Health Organization (WHO), mental health is defined as a state in which individuals feel happy and healthy, are capable of facing life's challenges, and maintain a positive attitude towards themselves and others. The objective of this research is to evaluate the effectiveness of stress management-based education on the mental health of students at Pesantren X. A quantitative pre-experimental design was employed, involving 28 students selected through purposive sampling. The DASS-42 questionnaire was utilized to assess mental health before and after the intervention. Results indicated that post-education, 64.3% of students exhibited normal levels of depression, 53.6% showed normal anxiety, and 67.9% reported normal stress levels. The Wilcoxon test yielded a p-value of 0.000 (p < 0.05), indicating a significant effectiveness of the educational program. The findings affirm that mental health education through stress management is effective in enhancing both the mental health and knowledge of students. Therefore, it is recommended that Islamic boarding schools incorporate this program into their curriculum to support the psychological well-being of their students.

Unhealthy lifestyle, stress, health problems, physical activity, hormonal imbalance, and nutritional status are all factors that contribute to irregular menstruation. Stress is a common cause of menstrual cycle disorders. It induces the pituitary gland to release ACTH (Adrenocorticotropic Hormone), which increases cortisol levels, disrupting the menstrual cycle. This study aims to investigate the relationship between stress levels and the occurrence of menstrual pain (dysmenorrhea) among adolescent girls at SMA Negeri 1 Kutalimbaru, Kutalimbaru District, in 2023. The research uses a cross-sectional design with an analytic survey approach. A sample of 45 adolescent girls was selected, consisting of two groups: case and control. Data were collected using a questionnaire, and data analysis was performed using univariate and bivariate analysis techniques. The results show that the majority of adolescents experience moderate stress (51.1%) and mild menstrual pain (48.9%). The analysis reveals a significant relationship between stress levels and the occurrence of dysmenorrhea, with a Spearman Rank correlation coefficient of 0.656 and a p-value of 0.000. This study highlights the importance of stress management in reducing menstrual pain among adolescent girls.

Facial expressions are primary indicators of human emotions, often providing deeper insights than words (Oliver & Alcover, 2020). This study focuses on Mood as a natural response to past experiences, emphasizing its importance for psychological well-being. Over the past five years, the Covid-19 pandemic has triggered a significant global mental health crisis, affecting facial expressions and leading to varying degrees of depression and anxiety. Generation Z, particularly students, have been severely impacted, experiencing declines in academic abilities such as attention and memory (Qorik et al., 2020; Uswatun et al., 2020).In the educational context, the online learning systems adopted during the pandemic have introduced new challenges for students, including technical issues, lack of direct interaction, and less effective delivery of material, all of which contribute to increased academic stress (Rahmayinita, 2020; Utami et al., 2020). Enhancing the affective aspects of online education is crucial to better simulate face-to-face interactions (Bloom et al., 1984; Marzano & Kendall, 2007). This research aims to detect the Mood of students in online learning environments using advanced technology. The system is designed to assist educators in recognizing the academic stress levels of their students, enabling them to develop more creative and responsive teaching strategies (Zulfikri et al., 2023).

Mothers who give birth tend to experience increased anxiety which can result in psychological disorders including anxiety, depression (Denis,2021). Postpartum psychological health disorders increase the risk of postpartum blues. The underlying factors are limited access to health services, lack of social support from various parties, and concerns about the health of herself and her baby that will be ignored by the mother. Social support helps postpartum mothers deal with stressors (Adli, 2022). This research method uses Quasi experimental with two groups pretest posttest research design. The sampling technique uses purposive sampling. The sample size consists of 30 participants divided into 2 groups with 15 respondents each. The intervention group received dhikr sholawat treatment while the control group only received slow deep breathing (SDB) treatment. The intervention lasted for 14 days. The measurement of depression levels carried out was a measurement using the Edinburgh Postnatal Depression Scale (EPDS) instrument form. The results of the study P value 0.023 (> 0.05) so it is concluded that there is a difference between the effectiveness of providing Dzishol intervention and SDB intervention. Based on the comparison of the median value after the intervention in the group, it is known that the median value in the Dzishol group (score 11) is smaller than the SDB group (score 9) so it can be concluded that providing Dzishol intervention on anxiety levels is more effective than SDB intervention.

Liver damage induced by hepatotoxic compounds such as N-acetyl-p-aminophenol (N-APAP) remains a significant global health concern. Hepatotoxicity caused by N-APAP, particularly in cases of overdose or prolonged use, can lead to a reduction in glutathione levels in the liver, resulting in oxidative stress and cellular damage. This condition contributes to an increased incidence of liver diseases, including toxic hepatitis and acute liver failure, which can lead to serious complications and even death. Although various pharmacological therapies, such as N-acetylcysteine (NAC), are available to address N-APAP-induced liver damage, limitations such as side effects, high costs, and variable efficacy have driven the search for safer and more affordable therapeutic alternatives. Therefore, research on natural hepatoprotective agents, such as extracts from the rhizomes of fingerroot (Boesenbergia rotunda), has become increasingly relevant in addressing this issue. The aim of this study was to evaluate the hepatoprotective potential of ethanol extract from fingerroot rhizomes (Boesenbergia rotunda) in protecting the liver from N-acetyl-p-aminophenol (N-APAP)-induced damage. Specifically, this research focuses on measuring glutathione levels as a key indicator of the liver's protective mechanism against oxidative stress. In this study, 30 male White rats were randomly divided into six groups, each consisting of five rats. All rats were orally administered the extract at predetermined doses for 10 consecutive days, except for the negative and positive control groups. On the 10th day, all groups (except group 1) were treated with paracetamol (800 mg/kg body weight) to induce liver damage. Twenty-four hours after induction, the rats were sacrificed and liver samples were collected. Glutathione levels were measured using the ELISA immunosorbent assay. Statistical analysis showed that administering the ethanol extract of Fingerroot rhizomes (EERTK) for 10 days prior to N-APAP induction significantly increased the average antioxidant enzyme GSH-Px levels in the liver homogenate of rats in the EERTK 250 mg/kg BW (43.36 ± 1.34 U/mg protein), EERTK 500 mg/kg BW (55.70 ± 2.15 U/mg protein), and 750 mg/kg BW (53.14 ± 2.57 U/mg protein) group compared to the negative control group (N-APAP 800 mg/kg BW), which had the lowest average antioxidant enzyme GSH-Px level (33.86 ± 3.52 U/mg protein).

This search intended to speculate the role of lavender ethanolic extract by reducing the toxicity of manganese in male rats. 32 white male Norwegian rats were divided into 4 equal groups. Group 1: as a control group left without treatments (only 1 ml of distilled water/ animal/ day). Group 2: were dosed manganese chloride at a concentration of 100 mg/ kg b.w. / day. Animals in Group 3 and Group 4 were dosed Manganese chloride at a concentration of 100 mg/kg b.w. then lavender ethanolic extract at a concentration of 200 and 400 mg/kg respectively, all by oral gavages and treated daily for six weeks. Then the next criteria were investigated: Neurotransmitters (dopamine and Ach (acetylcholine) in the mid brain) serotonin in serum. Oxidation indicators (glutathione and malondialdehyde in the brain and superoxide dismutase and catalase in serum). The results exhibited in both groups 3 and 4 there were a significant decrease in the concentrations of Ach accompanied by a significant increase in levels of dopamine and serotonin, also return levels of MDA (Malondialdehyde) to normal, as well as a significant increase in GSH (Glutathione) concentrations in rats mid brain. Moreover, the significant rising of SOD (Superoxide dismutase) and CAT (Catalase) levels in serum of rats in these groups indicated a noticeable improvement was achieved by lavender ethanolic extraction as compared to group 2. Conclusion, the antioxidant and antitoxic activity of lavender ethanolic extract promises in grate achievement in various health fields, including medicine, food industries and cosmetics.

This study examines the effective role played by corporate governance in promoting e-marketing strategies, through an applied study conducted on Al-Rasheed Bank - Palestine Street Branch. In light of the rapid developments in the digital field, organizations are increasingly relying on e-marketing tools to improve their performance, making it necessary to apply governance principles to ensure the highest levels of efficiency, transparency, and credibility. The study aims to illustrate how governance can contribute to improving the performance of e-marketing in financial institutions, With a focus on Al-Rasheed Bank as an applied model. The study seeks to achieve several objectives, including analyzing the impact of governance mechanisms on e-marketing strategies, and knowing the extent to which the application of governance is related to achieving institutional goals and improving marketing efficiency. It also aims to study how governance contributes to building a transparent and secure relationship between the organization and its customers, which enhances loyalty and expands the customer base. In addition, the study highlights the challenges that organizations may face in applying governance to e-marketing and proposes solutions to address them. The study showed that there is a strong relationship between corporate governance and e-marketing, as governance helps in defining the goals and vision of the organization, which ensures that e-marketing strategies are compatible with the general directions of the organization. Enhancing transparency and accountability also contributes to building customers' trust in the organization, which increases their positive interaction with its marketing strategies. Moreover, governance helps ensure compliance with legal and ethical standards, which enhances the organization's reputation in the market and reduces the legal risks it may face. The study relied on the descriptive and analytical approach to analyze the relationship between governance and e-marketing, with a focus on data related to Al-Rasheed Bank - Palestine Street Branch. A simple random sample of 50 employees from different departments within the bank was selected. Statistical analysis was also used to measure the impact of governance on the efficiency of e-marketing within the organization. The results of the study showed that 84% of employees believe that corporate governance plays a key role in the success of digital marketing campaigns, reflecting a broad awareness of the importance of regulatory frameworks and corporate policies in guiding digital marketing operations. 73% of employees also confirmed that there are clear governance policies within the bank, which enhances confidence in the corporate system. With regard to customer trust, 79% of employees indicated that governance contributes to improving the level of trust in the electronic services provided by the bank, while 73% of them believe that governance positively affects the process of strategic decision-making in e-marketing. Also, 71% of employees reported that there is an effective system to monitor the performance of digital marketing campaigns, which helps to evaluate performance and improve strategies based on the results achieved. However, the study noted that there are some challenges facing the implementation of governance in the field of e-marketing. 33% of employees indicated that there is a lack of regular training programs on governance practices, which may negatively affect the effectiveness of their implementation. 38% of respondents also showed weakness in the mechanisms for evaluating the effectiveness of governance in improving e-marketing. In addition, 45% of employees indicated that there are gaps in communication between the governance department and the e-marketing department, which calls for improving channels Communication to ensure the integration of efforts between different departments. Based on these results, the study provided a set of recommendations aimed at improving the application of governance in e-marketing. Among these recommendations is the need to organize training workshops to familiarize employees with governance practices and their importance in improving marketing performance. The study also recommended the use of key performance indicators (KPIs) to conduct periodic evaluations and improve marketing strategies based on the results of these evaluations. In addition, the study stressed the importance of strengthening coordination between governance and e-marketing departments to ensure the integration of efforts and achieve Better results. It also recommended updating governance policies to keep pace with developments in the field of e-marketing, in order to contribute to supporting innovation and creativity in digital marketing strategies. In conclusion, the study confirmed that corporate governance plays a vital role in improving the efficiency of e-marketing, which contributes to enhancing customer confidence, achieving regulatory compliance, and increasing the effectiveness of marketing campaigns in financial institutions, especially in Rasheed Bank. She also stressed the importance of developing periodic training and evaluation strategies to ensure the optimal application of governance principles, in a way that enhances the performance of institutions in the changing digital environment.

This research aims to determine the effect of using biochar and guano fertilizer on the growth and resistance of pakcoy to drought stress and it is hoped that this research will add information for the development of pakcoy plant cultivation techniques that are more adaptive to dry land. The method used in this research was a 2 factorial completely randomized plan. The first factor is providing Biochar (B) which consists of 4 levels: B0= Control 0 tons/ha, B2= Biochar 5 tons/ha, B3= Biochar 10 tons/ha, B4= Biochar 15 tons/ha. The second factor is the application of Guano fertilizer (G) which consists of 4 levels: G0= control 0 tons/ha, G2= Guano 5 tons/ha, G3= Guano 10 tons/ha, G4= Guano 15 tons/ha. . Based on the level of treatment used, 16 combinations were obtained, BOGO, BOG2, BOG3, BOG4, B2GO, B2G2, B2G3, B2G4, B3GO, B3G2, B3G3, B3G4, B4GO, B4G2, B4G3, B4G4, which were repeated 3 times so that there were 48 experimental units. The parameters observed include plant height, number of leaves and stem diameter. The results of the research showed that there was an interaction between plant height at 7 dap, 14 dap, 21 dap, 28 dap, number of leaves at 7 dap, 14 dap, 21 dap and stem diameter at 14 dap and 28 dap. Treatment with biochar rates of 10 tons/ha, 15 tons/ha and guano fertilizer 10 tons/ha, 15 tons/ha gave good growth results in plant height, number of leaves and stem diameter. This combination of two treatments can increase the efficiency of good nutrient uptake for optimal vegetative plant growth and can increase the soil's capacity to retain air and nutrients, while guano fertilizer provides essential nutrients that support the development of pak choy plants.

This study aims to explore the influence of social media on mental well-being, focusing on a quantitative analysis using simple linear regression. Social media has become an integral part of daily life, affecting various aspects of individual life, including mental well-being. This study collected data from an online survey participated by respondents from diverse demographics, measuring social media usage and mental well-being indicators such as stress levels, anxiety, and life satisfaction. Through simple linear regression analysis, this study examined the relationship between social media usage duration and changes in mental well-being. Preliminary findings indicate a significant correlation between social media usage intensity and increased stress and anxiety levels, as well as decreased life satisfaction. These findings are expected to provide insights for policymakers and mental health practitioners to develop more effective strategies in managing the negative impacts of social media and enhancing mental well-being in society.

This study aims to analyze the relationship between physical activity and students' mental health. This study uses a survey method involving 200 students from various universities in Indonesia. The results showed that students who regularly engaged in physical activity experienced lower stress levels, had better sleep quality, and showed improved emotional well-being compared to students who were less physically active.

This study aims to analyze the role of work-life balance in reducing work stress and improving hotel employee productivity in Semarang Regency. Using a quantitative approach and explanatory research design, the study involved 271 hotel employees selected through proportionate stratified random sampling. Data were collected using questionnaires and analyzed using path analysis with AMOS 26. The results showed that work-life balance had a significant negative effect on work stress (β = -0.542, p < 0.01) and a significant positive effect on work productivity (β = 0.384, p < 0.01). Work stress was proven to partially mediate the relationship between work-life balance and work productivity, with a mediation proportion of 39.6% confirmed through the Sobel test (z = 4.876, p < 0.01). These findings imply the importance of developing policies and programs that support hotel employees' work-life balance to increase productivity through reduced work stress levels.

Decoction water betel leaf is a traditional Balinese medicine containing the active compound hydroxychavikol, has antioxidant and antidyslipemic activity. From the results of the study it was reported that decoction water of betel leaf contains the active compound hydroxycavicol (HC). The active compound hiroksikavikol has activity as an antioxidant and antidyslipidemia. As an anti-oxidant, it can scavenge ROS and inhibit the activity of free radicals. As an antidyslipidemia, it can normalize lipid metabolism by lowering total cholesterol, triglyceride, LDL and VLDL levels and increasing blood serum HDL levels. Oxidative stress and dyslipidemia are major risk factors for heart disease caused by atherosclerosis. Atherosclerosis is the occurrence of plaque formation in the lumen of blood vessels triggered by oxidative stress through endothelial cell dysfunction, inflammation and lipid peroxidation. Oxidative stress causes endothelial cell dysfunction, increased contractility, VSMC growth, monocyte invasion and lipid peroxidation, inflammation and increased deposition of extracellular protein matrix. Based on these things, it was concluded that HC loloh boiled water of betel leaf has antioxidant and antidyslipidemic activity to prevent heart disease.

Stress is a psychological condition that can affect nutritional status through changes in eating patterns and body metabolism. This study aimed to analyze the relationship between stress levels and nutritional status among final-year medical students at the Faculty of Medicine, University of Lampung. The study was conducted from November 2024 to January 2025 using a cross-sectional approach. The population consisted of final-year medical students in the 2024 academic year. A total of 141 students were selected using a simple random sampling technique. Data analysis was performed using the gamma correlation test. Stress levels were assessed using the Medical Student Stressor Questionnaire (MSSQ), while nutritional status was measured through anthropometric assessments. The results showed that 34.8% of respondents had an overweight or obese nutritional status, and 44.7% experienced moderate stress levels. Bivariate analysis revealed a significant relationship between stress levels and nutritional status (p = 0.033, p < 0.05) with a weak positive correlation (r = 0.260). This positive correlation indicates that higher stress levels are associated with an increased risk of being overweight or obese. In conclusion, this study demonstrates a significant relationship between stress levels and nutritional status among final-year medical students. These findings highlight the importance of effective stress management to prevent the risk of excessive weight gain and its potential contribution to degenerative diseases.

Introduction: stress is a condition of a person due to stimulation or pressure. Women are susceptible to emotional disorders or stress. Many factors affect irregular menstrual patterns, including stress. Irregular menstrual cycles can have serious impacts on women's health which will affect the metabolic, fertility, sexual, and reproductive systems. The inability to reproduce naturally can cause shame, guilt, and low self-esteem. These negative feelings can cause various levels of depression, anxiety, stress, and poor quality of life. This article aims to determine the effect of stress on women's menstrual cycles and fertility. Research method: a literature review with narratives from various research results related to stress and the menstrual cycle, as well as women's fertility. Data sources: from national and international journals indexed from 2017 to 2023. Results: increased production of CRH and cortisol causes decreased ovulation. This decreased ovulation will affect the length of the proliferation and secretion period, thereby affecting the menstrual cycle. Stress affects menstrual cycle disorders and women's fertility. Conclusion: stress influences changes in women's menstrual cycles and fertility so women need counseling and support during therapy.

Middle adulthood is a critical stage in life characterized by significant transformations in physical, psychological, and social aspects. During this period, individuals often face a decline in certain physical and mental capacities while also having opportunities to achieve greater levels of maturity. Challenges such as health issues, changing social roles, and increasing family responsibilities are commonly encountered. The complexity of fulfilling physical, emotional, and social needs increases, significantly impacting overall well-being. Addressing these needs involves various efforts, including maintaining good health, managing stress, and fostering meaningful social connections. Support from the surrounding environment plays a crucial role in helping individuals meet these needs. Therefore, a deep understanding of the challenges faced during middle adulthood is essential for improving their quality of life. The ability to manage physical and psychological changes while sustaining positive social relationships is key to achieving a balanced and fulfilling life during this phase.

Background: Good sleep quality is one of the factors for maintaining physical and mental health, especially in the elderly. As they age, many seniors experience changes in sleep patterns and decreased sleep quality. One of the factors that contribute to sleep problems can arise from various sources, such as health problems, loss of a loved one, or changes in lifestyle. Ongoing stress can affect an individual’s ability to sleep, which in turn can have a negative impact on overall health. Objective: This literature review aims to determine the relationship between stress and sleep quality in the elderly. Research method: Search for article data sources was carried out throught inclusion study design using Literature Review. Results: Based on the results of the analysis of ten journals, several things can be found related to stress levels and sleep quality. In general, it was found that there was a relationship between stress and the sleep quality of the elderly.Conclusion: Based on the results of the literature review, it shows that there is a significant relationship between stress and sleep quality in the elderly, where both influence each other and can have an impact on overall health. Elderly people who experience high levels of stress tend to experience sleep disorders.

This study conducts an exploratory data analysis combined with machine learning techniques to identify early signs of student depression. We investigated various factors affecting mental health among students, including sleep duration, dietary patterns, history of suicidal thoughts, family history of mental illness, and their relationships with depression across age groups and academic pressure. The study also examined the influence of gender on academic stress levels. Three machine learning models such as Random Forest, Support Vector Machine (SVM), and K-Nearest Neighbors (KNN) were utilized to predict depression. The performance of these models was evaluated, achieving accuracy rates of 84.97% for Random Forest, 84.85% for SVM, and 81.16% for KNN. The findings highlight the effectiveness of these models in predicting student depression and underscore the importance of targeted mental health interventions based on key factors influencing mental health among students.

Hypertension is a disease that is most commonly suffered by Indonesian people and can occur due to one of the problems that often arises from changes in lifestyle, such as consuming foods with high salt levels, obesity and stress. This study aims to determine the relationship between family support and adherence to a low salt diet in hypertensive patients at GB3 Murmur Memorial Hospital Medan. This research design uses descriptive correlation research with a cross sectional study approach. The data collection technique was carried out using total sampling with a total of 48 patients as respondents. The instrument used to collect data is a questionnaire. From the results of data processing using the Rank Spearman statistical test in SPSS For Windows 27 with a significance level of 95% (α = 0.05), a positive correlation value of 0.375 was obtained and a significant value of 0.009 (p<0.05). The conclusion of this study is that there is a significant relationship between family support and adherence to a low salt diet. For future researchers to make more samples and add independent variables such as knowledge, education, attitudes or motivation, the role of health worker.

Background: Stress is a major health threat. According to the 2022 adolescent mental health survey, 15.5 million (34.9 percent) adolescents experience mental problems and 2.45 million (5.5 percent) adolescents experience mental disorders. The results of a survey at the University of Indonesia showed that 50% of students who were doing their thesis experienced stress. This can be overcome with non-pharmacological therapy using peppermint incense aromatherapy to reduce stress levels when preparing a thesis for "X" University students. Method: The research design used in this study was quasi-experimental with a pre-test-post-test approach with a control group. The sampling technique used was probability sampling with a simple random sampling method and obtained 58 respondents. Results: Based on analysis using SPSS 24.0, the average value (mean) of the reduction in stress levels in the experimental group was 2.76, while the reduction in stress levels in the control group was 0.00. Apart from that, the results of the paired t test in the experimental group obtained a value of Pv = 0.000 ( alpha = 0.05) which shows the influence of peppermint incense aromatherapy on reducing stress levels when preparing a thesis for students at "X" University, while in the control group the value Pv = 1,000 (alpha=0.05) which indicates there is no effect on the control group. Apart from that, the results of the Man Whitney test obtained a value of Pv = 0.000 (alpha = 0.05) which shows that there are differences between the experimental group and the control group. Conclusion: Based on the research above, it can be concluded that there is an influence of incense aromatherapy.