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Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease that can be prevented and treated, characterized by persistent and progressive airflow limitation. This condition causes patients to experience shortness of breath and decreased oxygen saturation, therefore requiring non-pharmacological interventions, one of which is the application of the Tripod Position to help improve patient oxygenation. This study used a case study design involving the application of Tripod Position therapy in three respondents diagnosed with COPD. The intervention was carried out for three consecutive days, with oxygen saturation levels being monitored before and after each intervention. The results of the Tripod Position application indicated an improvement in oxygen saturation in all respondents. Respondent 1 experienced an increase in oxygen saturation by 3%, respondent 2 by 1%, and respondent 3 by 3%. Overall, the application of the Tripod Position showed a positive effect in gradually increasing oxygen saturation among COPD patients. These findings suggest that the Tripod Position can be used as an effective non-pharmacological intervention in nursing care for COPD patients. Therefore, the Tripod Position is recommended to be applied as a simple, practical, and supportive therapy to improve oxygen saturation and respiratory function in COPD patients.  

Intracerebral Hemorrhage (ICH) is one of the types of stroke with the highest rates of mortality and morbidity. This condition is often accompanied by decreased levels of consciousness and hemodynamic instability, particularly in patients undergoing intensive care in the ICU. The application of murottal (Qur’anic recitation) therapy is expected to contribute to the stabilization of patients’ hemodynamic, physical, and physiological conditions. The purpose of this study was to explore the effect of Qur’anic murottal therapy on the hemodynamic stability of ICU patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This study used a case study design in the form of a nursing care report involving one patient diagnosed with ICH and a nursing problem of decreased intracranial adaptive capacity. The intervention consisted of listening to the recitation of Surah Ar-Rahman for 20 minutes once per shift over three consecutive days. The observed hemodynamic parameters included blood pressure, heart rate, respiratory rate, body temperature, oxygen saturation, and the Glasgow Coma Scale (GCS). The results showed that after the administration of the murottal therapy of Surah Ar-Rahman, the patient experienced improvement and stabilization in hemodynamic parameters, including blood pressure, pulse rate, respiration, and oxygen saturation. Qur’anic murottal therapy of Surah Ar-Rahman has a positive effect on the hemodynamic stability of ICH patients in the ICU at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This intervention has the potential to serve as a non-pharmacological approach to support holistic recovery and improvement in critically patients.

Intracerebral Hemorrhage (ICH) is one of the types of stroke with the highest rates of mortality and morbidity. This condition is often accompanied by decreased levels of consciousness and hemodynamic instability, particularly in patients undergoing intensive care in the ICU. The application of murottal (Qur’anic recitation) therapy is expected to contribute to the stabilization of patients’ hemodynamic, physical, and physiological conditions. The purpose of this study was to explore the effect of Qur’anic murottal therapy on the hemodynamic stability of ICU patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This study used a case study design in the form of a nursing care report involving one patient diagnosed with ICH and a nursing problem of decreased intracranial adaptive capacity. The intervention consisted of listening to the recitation of Surah Ar-Rahman for 20 minutes once per shift over three consecutive days. The observed hemodynamic parameters included blood pressure, heart rate, respiratory rate, body temperature, oxygen saturation, and the Glasgow Coma Scale (GCS). The results showed that after the administration of the murottal therapy of Surah Ar-Rahman, the patient experienced improvement and stabilization in hemodynamic parameters, including blood pressure, pulse rate, respiration, and oxygen saturation. Qur’anic murottal therapy of Surah Ar-Rahman has a positive effect on the hemodynamic stability of ICH patients in the ICU at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This intervention has the potential to serve as a non-pharmacological approach to support holistic recovery and improvement in critically patients.

This research is motivated by the complex problems of street children, vagrants, and beggars in Jambi City, which are influenced by poverty, urbanization, and weak social protection. This phenomenon not only impacts public order but also reflects the suboptimal social welfare system at the regional level. Although local governments have implemented various policies through social order and rehabilitation approaches, their effectiveness still faces various structural and cultural challenges. This study uses Bryson's Policy Implementation Mapping theoretical framework, which includes indicators of interests, resources, channels, potential participation, level of influence, implications, and actions as the main analysis. The research approach used is a qualitative case study design to understand the dynamics of policy implementation in depth. Data collection techniques were carried out through in-depth interviews, participant observation, and documentation, with informants selected using purposive sampling until data saturation was achieved. The results show that policy implementation mapping has been carried out through collaboration between the Social Service and the Public Order Agency (Satpol PP) with a structured preventive, repressive, and rehabilitative approach. However, implementation has not been optimal due to limited rehabilitation facilities, lack of coordination between agencies, low community participation, and high mobility of beggars from outside the region. Furthermore, there is a gap between high administrative achievements and the reality on the ground, which still shows a high rate of returning to the streets. This study concludes that mapping policy implementation requires a more holistic, sustainable approach based on economic empowerment and strengthened cross-sectoral coordination to address this social issue more effectively and effectively.

Congestive heart failure (CHF) is a cardiovascular disease that frequently causes shortness of breath (dyspnea) and negatively impacts patients’ quality of life. The management of dyspnea involves not only pharmacological approaches but also nonpharmacological interventions, one of which is handheld fan therapy, which works by stimulating sensory receptors in the facial area. This study aims to describe the effect of handheld fan therapy on reducing shortness of breath in patients with CHF. This study employed a descriptive design using a case report method on a single 63-year-old female patient diagnosed with CHF. The intervention was conducted over four days, involving the use of a handheld fan for 10 minutes, held at a distance of 15–30 cm from the face and directed toward the nose and mouth. Measurements were taken before and after the intervention using respiratory rate and oxygen saturation as parameters. The results showed a gradual decrease in respiratory rate from 24 breaths/minute to 18 breaths/minute, as well as an increase in oxygen saturation from 91% to 96% during the intervention period. These findings indicate an improvement in breathing patterns and increased respiratory efficiency in the patient. Handheld fan therapy is effective as a nonpharmacological intervention for reducing shortness of breath and improving oxygenation in patients with CHF. This intervention is safe, easy to use, and can be implemented as a complementary therapy in nursing practice.

Micro, Small, and Medium Enterprises (MSMEs) play a crucial role in Indonesia's economy but face significant challenges in maintaining consistent and sustainable performance amidst changing market dynamics. This study aims to explore how self-efficacy and entrepreneurial motivation influence MSME performance in Malang City using an exploratory phenomenological qualitative approach. Twelve informants with at least two years of business experience and active operations were selected through purposive sampling. Data were collected through semi-structured interviews, analyzed using an inductive approach, and processed until data saturation was reached. The study found that MSME actors' self-efficacy is shaped by accumulated real experiences, including both successes and failures, which contribute to meaningful learning. Entrepreneurial motivation rooted in personal values was found to be stronger and more enduring than extrinsic motivation. The study identified a cyclical interaction between self-efficacy and motivation, reinforcing each other in fostering adaptive entrepreneurial behavior. Additionally, external factors such as family support, entrepreneurial communities, and government programs play a significant role in sustaining these psychological factors. This research contributes to entrepreneurship literature and offers practical recommendations for stakeholders to design more holistic MSME empowerment programs with tangible impact.

Head injury remains a leading cause of mortality, increasing intracranial pressure and requiring craniectomy. Postoperative patients on ventilators are at risk of respiratory distress due to secretion accumulation, which can lead to decreased oxygen saturation. This study aimed to determine the effect of suction on oxygen saturation in post-craniectomy patients on ventilators in the ICU of Dadi Regional General Hospital, South Sulawesi Province. This study used a quasi-experimental design with a one-group pretest-posttest approach. The sampling technique used purposive sampling. Oxygen saturation measurements were taken before and after suctioning and analyzed statistically. The results showed that the average oxygen saturation before suctioning was 94.14% and after suctioning increased to 99.81%. Most respondents experienced an increase in oxygen saturation after the intervention. The results of this statistical test indicate a significant effect between suctioning on increasing oxygen saturation (p = 0.000) with an effect size indicating a large impact. It is hoped that this action will be an effective intervention in increasing oxygen saturation in post-craniectomy patients who are on ventilators in the ICU.

Bronchopneumonia is a lower respiratory tract infection that remains a major health problem, especially in children, which can cause impaired gas exchange and ultimately decrease oxygen saturation. This condition, if not immediately treated, can lead to hypoxia and improve the patient's clinical condition. One intervention frequently administered in the emergency room is nebulizer therapy, which functions to help widen the airways, reduce secretion production, and improve pulmonary ventilation. This study aims to determine the effect of nebulizer therapy on increasing oxygen saturation in bronchopneumonia patients in the emergency room of Dr. Dody Sardjoto Air Force Hospital. This study used a quasi-experimental design with a one-group pretest-posttest approach. The study sample was bronchopneumonia patients who received nebulizer therapy intervention in the emergency room. The results showed an increase in oxygen saturation after nebulizer therapy with a p-value of 0.000 (p < 0.05), indicating a significant effect. Thus, nebulizer therapy is proven effective in increasing oxygen saturation and can be used as a treatment intervention in the management of oxygenation disorders in bronchopneumonia patients.  

The progressive consolidation of navigational instruments into Integrated Bridge Systems (IBS) has fundamentally transformed the sensory and cognitive architecture of modern maritime watch-keeping, creating a paradox of technological sophistication: while IBS enhances navigational efficiency under nominal operating conditions, it simultaneously generates profound human factors vulnerabilities when sensor inputs degrade, fail, or are intentionally disrupted. Despite the safety-critical nature of this vulnerability, empirical human factors research specifically addressing deck officer situational awareness under degraded IBS sensor conditions — particularly in the context of GPS spoofing, radar shadowing, and AIS anomalies — remains insufficiently developed in the maritime research literature. This study investigates the human factors dimensions of IBS situational awareness degradation among deck officers at Sekolah Tinggi Ilmu Pelayaran (STIP) Jakarta, Indonesia, examining how officers perceive, respond to, and recover from degraded sensor scenarios in simulator-based environments. Employing a qualitative research design, data were generated through semi-structured interviews with senior deck officers, navigation simulation instructors, and maritime human factors experts, supplemented by structured observation of IBS simulator degradation scenario sessions. Analysis proceeded through thematic analysis, cross-group comparison, and narrative synthesis. Findings reveal four critical human factors failure patterns under degraded IBS conditions: automation complacency, cross-verification skill atrophy, alert saturation mismanagement, and manual navigation competency erosion — all of which are systematically underprepared for within current STCW-aligned deck officer training curricula. The study proposes a competency-based degraded operations training framework as a principled response to these findings, with direct implications for maritime simulator curriculum design and STCW competency standard revision.

Soil strength characteristics are strongly influenced by its physical and mechanical properties, one of which is shear strength. Soil shear strength is affected by cohesion (c), internal friction angle (ϕ), and soil moisture conditions. In open-pit mining conditions, soil moisture content is greatly influenced by rainfall and water seepage, which can increase the degree of saturation within the soil mass. An increase in the degree of saturation generally leads to a rise in pore water pressure, thereby reducing the effective normal stress and resulting in a decrease in soil shear strength. This study aims to determine the effect of the degree of saturation on soil shear strength. This research employs a quantitative method to analyze the influence of the degree of saturation under three conditions (natural, dry, and saturated) on soil shear strength through laboratory testing using the direct shear test. The tests conducted include soil physical properties testing in accordance with SNI 1965-2008, specific gravity testing based on SNI 1964-2008, and soil shear strength testing following SNI 3420-2016. The results indicate that the average degree of saturation under natural conditions is 64.63% with a cohesion value of 7.4 kN/m², under dry conditions is 33.18% with a cohesion value of 8.2 kN/m², and under saturated conditions is 83.08% with a cohesion value of 3 kN/m². It can be concluded that a higher degree of saturation or more saturated soil samples result in lower cohesion values, whereas a lower degree of saturation or drier soil samples lead to higher cohesion values.

Hypertension is a major non-communicable disease burden in rural Acehnese communities. Family support plays a critical role in long-term blood pressure control; however, the lived experiences of families caring for hypertensive members in Posbindu PTM settings remain underexplored. This study aimed to explore the meaning and forms of family role and social support in hypertension management among Posbindu PTM participants in Meunasah Timu Village, Aceh. Methods: A descriptive phenomenological design using Colaizzi's method was employed. Twelve family members of hypertensive patients were recruited purposively from Posbindu PTM, Desa Meunasah Timu. In-depth face-to-face interviews were conducted until data saturation. Trustworthiness was ensured through member checking, peer debriefing, and audit trail. Results: Three themes emerged: (1) Emotional and instrumental family support as a cornerstone of hypertension control; (2) Cultural and religious values as mediators of caregiving behavior; and (3) Barriers to consistent family involvement including knowledge deficits and caregiving fatigue. Conclusion: Family support is multidimensional and culturally embedded in hypertension management. Community health nurses and Posbindu PTM programs should integrate family-centered interventions that address knowledge gaps and caregiver well-being to optimize blood pressure control outcomes.

Pulmonary tuberculosis is a chronic infectious disease that can cause impaired gas exchange due to lung tissue damage, increased mucus production, and decreased lung elasticity. This condition may lead to shortness of breath, decreased oxygen saturation, and ineffective breathing patterns. Non-pharmacological nursing interventions such as pursed lip breathing exercise and body positioning are needed to improve respiratory function. The combination of pursed lip breathing exercise and the high Fowler position is expected to enhance alveolar ventilation and improve oxygenation in patients with pulmonary tuberculosis.Method: This study is a quantitative research with a pre-experimental/quasi-experimental design using a pre-test and post-test approach. The sample consists of pulmonary tuberculosis patients who experience impaired gas exchange and meet the inclusion criteria. The intervention provided is a combination of pursed lip breathing exercise and the high Fowler position. Gas exchange is measured by assessing oxygen saturation and respiratory rate before and after the intervention. Data will be analyzed using appropriate statistical tests to determine the effect of the intervention.Results: The expected results of this study are an increase in oxygen saturation and improvement in respiratory rate after the application of the combination of pursed lip breathing exercise and the high Fowler position in patients with pulmonary tuberculosis.Conclusion: The combination of pursed lip breathing exercise and the high Fowler position is expected to have a positive effect on improving gas exchange in patients with pulmonary tuberculosis and can be applied as an independent nursing intervention in clinical practice.

This article proposes Marketing 0.0 as a fundamental conceptual repositioning of marketing theory rooted in the Trust Economy framework. Unlike mainstream marketing theory, which positions trust as an outcome of communication, persuasion, or brand reputation, cross-disciplinary studies in economics, sociology, and neuroscience suggest that trust functions as a pre-decisional condition that precedes market exchange. This research employs a conceptual-theoretical methodology, synthesizing transaction cost theory, social capital, neuroeconomics, and contemporary trust literature. The article's primary contribution is formalizing the shift in trust's position from a dependent variable to an ontological gateway in marketing decision-making. Marketing 0.0 is positioned not as a stage in marketing evolution, but rather as a conceptual ground zero that enables continuous tactical adaptation without reliance on pseudo-novelty. The article concludes with theoretical and practical implications for the development of marketing science in an era of uncertainty and information saturation.

Traffic performance on urban road segments is strongly affected by vehicle volume and travel time, particularly during peak periods. This study analyzes the relationship between travel duration and the total number of vehicles passing along Otto Iskandar Road as an illustration of urban traffic conditions. Data were collected through field surveys, focusing on two main variables: average vehicle travel time and total traffic volume. Statistical analysis was performed using IBM SPSS Statistics, including normality testing and the Wilcoxon Signed Rank Test to identify potential differences between the observed variables. The results show a difference in average values between travel duration and vehicle volume; however, this difference is not statistically significant at the 95% confidence level (p = 0.180). These findings indicate that increases in traffic volume do not always lead to proportional increases in travel time, although they can still influence the stability and efficiency of traffic flow. The results are consistent with previous studies, such as Halim (2021), who reported that U-turn movements affect speed and traffic performance, and Handayani et al. (2024), who found that parking activities and vehicle maneuvers reduce road capacity. Other studies also highlight the impact of side friction and traffic flow variations on speed and saturation levels. Overall, this study emphasizes the importance of managing vehicle flow and monitoring travel time in urban transportation planning and traffic management.

Increasing traffic activity at unsignalized intersections often results in congestion and delays. The intersection of Jl. Imam Bonjol and Jl. Daya Nasional experiences these conditions, making performance evaluation necessary. This research tends to scrutinize the intersection performance under existing conditions and five-year projected conditions and to identify appropriate improvement measures. The analysis was carried out using the 2023 Indonesian Road Capacity Guidelines (PKJI 2023) and PTV VISSIM microsimulation software. Data on intersection geometry, vehicle speed, and traffic volume were collected through CCTV observations on weekdays and weekends. The results show that under existing conditions, the degree of saturation reached 1.170 with an average delay of 33.75 seconds (LOS D). In the five-year projection, the degree of saturation increased to 1.239 with an average delay of 53.69 seconds (LOS E). These findings indicate a decline in intersection performance, highlighting the need for alternative traffic management measures to improve operational performance and service levels.    

The area of Pasir Putih beach is a recreational place for the people in Lampung province. Visitors to Pasir Putih Beach who bring vehicles can cause conflicts of delay that may lead to long queues on the Trans Sumatra Highway. This research aims to determine the performance of the Trans Sumatra road concerning the influence of the Pasir Putih Beach tour ist attraction using an unsignalized deviation approach caused by the impact of vehicle activities entering and leaving teh Pasir Putih Beach tourist spot.This is analyzed through road capacity regarding the degree of sautration (DS) and delay time (D) values of vehicles causes by the activities of vehicles entering and exiting at the Pasir Putih Beach tourist attraction. The results of the survey conducted in the field and the analysis of calculations obtained a saturation degree value on regular days of 0,59 and delay time value of 11,34 seconds/smp.

The purpose of this study is to analyze the extent to which work discipline and the physical work environment influence employee performance at CV X. The research was conducted using a quantitative approach involving all 45 production employees, with a saturation sampling method to ensure that every member of the population was represented. Data were collected through a structured questionnaire using a five-point Likert scale, while hypothesis testing was carried out using the SEM-PLS method to obtain more accurate estimates of the relationships among variables. The results reveal that both work discipline and the physical workplace contribute significantly to performance improvement. The physical work environment shows a positive and meaningful effect on employee performance, as indicated by a path coefficient of 0.464, a T-statistic of 2.309, and a P-value of 0.002. Similarly, work discipline also demonstrates a constructive influence, supported by a path coefficient of 0.403, a T-statistic of 2.786, and a P-value of 0.006. Based on the R-square value of 0.701, the two variables collectively explain 70.1% of the variance in employee performance. These findings highlight the importance of fostering disciplined work behavior while simultaneously enhancing environmental conditions in the workplace. Improving the physical layout, comfort, and safety, along with reinforcing consistent adherence to organizational rules, can substantially elevate performance outcomes at CV X.

Acute respiratory tract infections (ARTIs) indicate a higher prevalence among children compared to other infections, contributing to over 870,000 deaths of children under five years of age each year, or approximately 2,320 children every day. Eucalyptus oil contains chemical compounds such as eucalyptol, cineole, linalool, and terpineol, which produce a warming sensation when applied to the skin. Inhaling eucalyptus oil can relieve respiratory problems because the vapor acts as a decongestant, helping reduce nasal congestion, ease breathing, thin mucus for easier expulsion, and maintain moisture in the respiratory mucosa.The purpose of this study was to analyze nursing care for children with acute respiratory tract infections (ARTIs) experiencing ineffective airway clearance using the intervention of warm water vapor and eucalyptus oil inhalation. The method used was a case study, with data collected through interviews with the patient’s family, observation, physical examination, and nursing documentation.The coloring therapy intervention was given once daily for three consecutive days during the implementation phase. After the administration of warm water vapor and eucalyptus oil therapy to patient An.D, who had an acute respiratory tract infection with ineffective airway clearance, there was an observable improvement in cough intensity and mucus expulsion. The patient’s respiratory rate decreased from 42 breaths per minute to 30 breaths per minute, and oxygen saturation (SpO₂) returned to normal.It can therefore be concluded that warm water vapor and eucalyptus oil therapy has a positive effect on children with acute respiratory tract infections (ARTIs) who experience ineffective airway clearance.

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    

This study aims to analyze in more depth the influence of work-life balance and job stress on employee performance at PT Cipta Wahana Persada Surabaya. The study employed a quantitative method with a survey approach, enabling researchers to obtain objective data based on real-world conditions. The study sample consisted of 38 employees selected through a saturation sampling technique, as the entire population was used as respondents. Data processing was conducted using SPSS version 29.0, with a series of stages including instrument testing, classical assumption testing, multiple linear regression analysis, and hypothesis testing to determine the influence of each variable. The results indicate that work-life balance and job stress simultaneously have a significant effect on employee performance. Partially, work-life balance has been shown to have a positive and significant impact on performance, while job stress also has a significant effect, albeit with a negative effect on productivity. These findings emphasize the importance of maintaining a balance between work and personal life and managing stress effectively to enable employees to perform optimally. Therefore, companies need to pay attention to these two factors to improve organizational performance and productivity.