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Critically ill patients are individuals with unstable health conditions who require close monitoring of hemodynamic parameters. The high mortality rate among critically ill patients treated in intensive care units reaches 36.5% of 33,148 patients. Hemodynamic instability in critically ill patients can be influenced by underlying diseases, medical interventions, as well as physical and psychological stress responses during treatment. Therefore, in addition to pharmacological therapy, non-pharmacological interventions such as Asmaul Husna dhikr therapy are needed, as they can provide a relaxation effect and help stabilize hemodynamic parameters in critically ill patients. To determine the outcomes of the implementation of Asmaul Husna dhikr therapy. This study used a descriptive case study method involving two critically ill patients with unstable non-invasive hemodynamic parameters. Changes in non-invasive hemodynamic parameters were observed in both respondents after the implementation of Asmaul Husna dhikr therapy. In respondent 1, the hemodynamic status was initially categorized as increased and became stable after the intervention. Similarly, in respondent 2, the hemodynamic status changed from increased before the intervention to stable after the intervention. The implementation of Asmaul Husna dhikr therapy can be used as a complementary therapy to help stabilize hemodynamic parameters in critically ill patients.

This study aims to examine the effect of job stress and organizational support on employee performance at Bank Pembangunan Daerah Jambi, Sengeti Branch. This research uses a quantitative method with a survey approach. The population in this study consisted of all employees of Bank Pembangunan Daerah Jambi Sengeti Branch totaling 33 employees. Data were collected through questionnaires using a Likert scale. Data analysis was conducted using multiple linear regression analysis preceded by instrument testing (validity and reliability) and classical assumption tests including normality, multicollinearity, and heteroscedasticity tests. The results show that job stress has a positive and significant effect on employee performance with a significance value of 0.009 (< 0.05). Organizational support also has a positive and significant effect on employee performance with a significance value of 0.003 (< 0.05). Simultaneously, job stress and organizational support significantly influence employee performance with a significance value of 0.024 (< 0.05). The coefficient of determination (R²) value of 0.821 indicates that 82.1% of the variation in employee performance can be explained by job stress and organizational support variables, while the remaining 17.9% is influenced by other variables outside this study.

This study aims to understand the dynamics of self-awareness and transcendental experiences in high school students from the perspective of the psychology of religion. Adolescence is a developmental phase characterized by the search for identity, self-reflection, and increased spiritual awareness. This study used a qualitative approach with phenomenological methods to explore students' subjective experiences related to self-awareness and spiritual experiences. The study participants consisted of two high school students aged 15–18, selected using a purposive sampling technique. Data collection was conducted through in-depth semi-structured interviews supported by field notes. The data were analyzed using phenomenological analysis through the stages of phenomenological reduction, identification of key statements, grouping themes, and essential descriptions of experiences. The results indicate that spiritual experiences in worship practices foster a sense of closeness to God, encourage self-reflection, help students cope with stress, and foster awareness to improve behavior. These findings suggest that transcendental experiences play a significant role in the development of self-awareness and character formation in adolescents.

This study aims to analyze the difference in anxiety levels before and after the administration of Qur’anic murottal therapy among third-trimester pregnant women. The third trimester is often associated with increased physical discomfort and psychological stress, which may lead to higher anxiety levels. This research employed a pre-experimental design using a one-group pretest-posttest approach involving 25 respondents selected through purposive sampling. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS), and the data were analyzed using the Wilcoxon Signed Ranks Test. The findings showed that before the intervention, 48% of respondents experienced moderate anxiety and 52% experienced severe anxiety. After the intervention, 40% experienced mild anxiety, 48% moderate, and only 12% severe anxiety. The statistical test result indicated a Z value of -4.376 with a p-value of 0.000 (p < 0.05), which means there was a significant difference in anxiety levels before and after the intervention. These results suggest that murottal therapy is effective in reducing anxiety among third-trimester pregnant women and can be considered as a safe non-pharmacological intervention.

This study aims to examine the relationship between family support and depression levels among the elderly in Pejuang Village, Bekasi City, through a descriptive-narrative literature review. The review analyzed relevant scientific articles discussing family support, social support, and depression in older adults. Literature was selected based on the suitability of the elderly population, the presence of family or social support variables, and the measurement of depressive symptoms or depression levels. The analysis compared each article’s objectives, research design, respondent characteristics, instruments, findings, and conclusions. The results indicate that most studies found a relationship between family support or social support and depression among the elderly. Adequate family support, including emotional, instrumental, informational, and appraisal support, helps older adults feel cared for, valued, secure, and better able to adapt to the aging process. Preliminary findings at the Elderly Posyandu in Pejuang Village also show variations in family support and depression levels among elderly participants. Conversely, limited family support may increase loneliness, psychological distress, and depressive symptoms. Therefore, family support functions as a protective factor in reducing depression risk among older adults. Strengthening the involvement of families, health workers, and elderly posyandu cadres is necessary as a promotive and preventive strategy to maintain psychological well-being through education, early detection, and sustainable community-based assistance for vulnerable elderly groups living in community and family environments.

This study aims to examine the simultaneous and partial effects of the work environment and work-life balance on employee work stress at Hotel X. The research design is causal quantitative, with multiple linear regression analysis using SPSS 26.0 for Windows. The sample was obtained through purposive sampling (non-probability) of 120 respondents. The research subjects were employees working in shifts. The analysis results show that, (1) both variables simultaneously have a negative and significant effect on work stress, (2) the work environment has a negative and significant effect (sig. 0.002), and (3) work-life balance has a negative and significant effect (sig. 0.000). The work-life balance variable dominates its influence compared to the work environment, as seen from the lower significance value. These findings confirm that improving work-life balance and the work environment effectively reduces stress, especially for shift workers who are vulnerable to time imbalance. Based on the results, organizations are advised to optimize human resource management by maintaining a balance between job demands and employee conditions, as well as ensuring a proportional workload. Improvement in work-life balance can be achieved through flexible leave policies, adequate breaks between shifts, no overtime days except in emergencies, and minimizing personal time interruptions. These steps are expected to enhance employee well-being, retention, and productivity in the hospitality sector. Further research is recommended to explore different variables and methods, including comparing non-shift employees with the same variables, for more comprehensive insights.

The objective of this study is to analyze the impact of work-related stress and the physical work environent on employeee perfornance at the Abdul Karim Medika Center Clinic. The reseearch method employed a quantittative aproach using a causal-associiative study design. The population consisted of 52 employees, while the selected sample conprised 46 employees chosen through simple random sampling. Data were collected through questionnaires, observations, and docunentation. It was found that work-related stress had a negative and significant impact on employee performance (R² = -0.340 and Sig. = 0.002 < 0.05). Meanwhile, the physical work environnent had a positive and significant impact on employee performance (R² = 0.528 and Sig. = 0.000 < 0.05). Concurrently, work stress and the physical work environment had a significant impact on employee perfornance (F calculated 30.621 and Sig. 0.000 < 0.05). The results of the coefficient of determination revealed that 68% of the variation in employee performance was explained by work stress and the physical work environment, while the remaining 32% was attributed to other factors.

Regular physical activity is known to play an important role in maintaining overall health, including improving immune system function and mental health. Lack of physical activity remains a public health issue, making it important to understand the impact of physical activity on the immune system and mental health. This study aimed to review the effect of regular physical activity on the immune system and mental health using a literature review method. The literature sources were obtained from publications within the last five years using databases such as Google Scholar, PubMed, and ScienceDirect. The articles were then screened and selected based on inclusion and exclusion criteria, resulting in nine relevant articles for analysis. The selection results indicate that regular physical activity can increase the mobilization and activity of immune cells such as lymphocytes, neutrophils, and natural killer cells, and also modify the adaptive immune system through changes in T cells and B cells. In addition, physical activity also improves mental health through neurobiological mechanisms such as increased endorphin, dopamine, and serotonin levels, which can reduce stress, anxiety, and depression, as well as improve sleep quality and psychological well-being. Therefore, regular physical activity has a positive effect on the immune system and mental health and can be used as a promotive and preventive strategy to maintain overall health.

Exclusive breastfeeding (EBF) is essential for infant growth and immunity during the first six months of life. Despite its benefits, many primiparous mothers face challenges in maintaining EBF due to lack of experience, stress, and insufficient support. Husband support has been identified as a crucial social factor that can influence a mother’s confidence and success in breastfeeding. This study aimed to examine the relationship between husband support and the success of exclusive breastfeeding among primiparous mothers in the Kalibaru Public Health Center area. A cross-sectional correlational design was employed, with 90 primiparous mothers selected through purposive sampling. Data were collected using structured questionnaires measuring husband support, including emotional, informational, and instrumental dimensions, and exclusive breastfeeding practice, following the World Health Organization (WHO) definition. Descriptive statistics summarized participants’ demographic characteristics and levels of support, while inferential analysis using the Chi-square test and Pearson correlation determined the association between husband support and EBF success. The results indicated that higher levels of husband support were significantly associated with successful exclusive breastfeeding among primiparous mothers (p < 0.05). Among the types of support, emotional and informational support were particularly influential in enhancing maternal confidence and overcoming breastfeeding challenges. These findings suggest that encouraging husband involvement through prenatal education, counseling, and family-based interventions can improve EBF rates. In conclusion, husband support plays a vital role in the successful practice of exclusive breastfeeding among first-time mothers. Health programs should actively involve fathers to provide emotional, informational, and practical support, thereby promoting optimal breastfeeding outcomes and infant health in the community.

Bullying is a psychosocial hazard that can occur in the school environment and may negatively affect students’ mental health, social interactions, and learning processes. Bullying can take various forms, including physical, verbal, and psychological actions that occur repeatedly and cause victims to experience emotional distress, decreased learning motivation, and feelings of insecurity at school. This Community Service Program (PKM) aimed to increase high school students’ knowledge and awareness regarding the dangers of bullying and its prevention through the principles of Occupational Safety and Health (OSH). The methods used in this activity included delivering educational materials through lectures, conducting question-and-answer sessions to assess students’ initial understanding, and facilitating interactive discussions to encourage active participation. Monitoring and evaluation were also conducted to assess the effectiveness of the activity. The results of the program indicated a significant improvement in students’ understanding and awareness of the forms, impacts, and prevention strategies related to bullying in the school environment. Students also demonstrated a more critical attitude toward bullying behavior and a greater awareness of the importance of creating a safe, healthy, and respectful school environment. The application of an OSH-based approach in bullying prevention is expected to strengthen the safety culture in schools and support the development of a conducive learning environment for all students.

Dysmenorrhea or menstrual pain, is a common health issue among adolescent girls, often disrupting daily activities and quality of life. Effective management of dysmenorrhea is strongly influenced by the level of knowledge and attitudes of adolescent girls toward this condition. This literature review aims to analyze the relationship between knowledge and attitudes regarding the management of menstrual pain among adolescent girls. Various studies indicate that while adequate knowledge about dysmenorrhea is important, the correlation between knowledge and attitude is not always significant. Some research finds that good knowledge does not necessarily translate into a positive attitude towards pain management, as other factors such as stress, anxiety, and reluctance to take action also play a role. However, there are studies that show a positive relationship between increased knowledge and better attitudes toward dysmenorrhea management,  although the strength of this association is very weak. Most adolescents tend to choose non-pharmacological management, such as rest and warm compresses, but many still ignore menstrual pain due to a lack of knowledge and information. Therefore, educational interventions and counseling in schools are essential to improve knowledge and foster positive attitudes in managing dysmenorrhea among adolescent girls. These efforts are expected to help adolescent girls manage menstrual pain more effectively and enhance their quality of life.

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.

Herpes zoster is a skin infection caused by the reactivation of the varicella-zoster virus, characterized by unilateral skin lesions corresponding to dermatome distribution and complaints of pain or itching. This disease is more common in adults and the elderly, especially in individuals with reduced immunity due to stress or work overload. A case was reported of a 40-year-old woman who worked as a nurse and came to a primary health care facility complaining of itching and red spots on her right breast area that had spread to the surrounding area two weeks before the examination and had worsened in the last few days. Physical examination revealed unilateral red skin lesions in a dermatomal pattern without crossing the midline of the body, consistent with the early phase of herpes zoster. Management was comprehensive, including medication, patient education about the disease and skin care, prevention of complications, and family support. A holistic approach is necessary to improve the success of therapy and the patient's quality of life.

Higher education management at the master's level currently faces urgent challenges, namely learning fatigue and low engagement among professional students, especially in Prior Learning Recognition (RPL) classes. Currently, lecturers still tend to apply conventional learning methods based on static presentations that fail to accommodate andragogical characteristics due to a lack of dynamic interaction. Therefore, this study aims to evaluate the effectiveness of the “Humanistic Digital Andragogy” approach through the integration of gamification (Kahoot) and visual thinking (Whimsical) in the Strategic Human Resource Management course. The researchers used a descriptive qualitative design with thematic analysis and collected data through feedback from students in the Master of Management Program (Semarang and Sorong classes). The results revealed that technology served as a double catalyst: Whimsical visualization effectively reduced the cognitive load of complex strategy material, while competition in Kahoot triggered positive adrenaline (eustress) that increased attention. These findings confirm that the success of technology is highly dependent on the role of lecturers as humanistic facilitators (high-touch). This synergy has been proven to change students' perceptions of HRM from merely administrative to strategic partners, as well as creating learning satisfaction that is relevant to the world of work.

This study aims to analyze the effect of digital financial literacy and economic stress on household financial management quality, with self-control as an intervening variable. This research adopts a quantitative approach using Partial Least Square–Structural Equation Modeling (PLS-SEM). Data were collected through questionnaires distributed to household respondents and analyzed using SmartPLS. The results indicate that digital financial literacy has a positive and significant effect on household financial management quality and self-control. In contrast, economic stress does not have a significant effect on either self-control or household financial management quality. Furthermore, self-control does not mediate the relationship between digital financial literacy and economic stress on household financial management quality. These findings highlight the importance of enhancing digital financial literacy to improve household financial management in the digital era.

The most valuable asset of a company is its employees due to their performance. The performance of PT. XYZ in recent times has tended to decline due to the heavy workload on Group A non-organic employees, which has resulted in reduced employee productivity. This study aims to determine the workload value and the level of fatigue experienced by Group A non-organic employees at PT. XYZ using the SOFI and SDS methods. It also aims to recommend efforts to reduce the workload and stress levels for Group A non-organic employees at PT. XYZ. This study is a descriptive qualitative research using interview methods and distributing questionnaires to 18 non-organic employees of group A. The results of the study indicate that the analysis of workload (fatigue) measurement using the SOFI method obtained a physical fatigue level among non-organic employees of group A at PT. XYZ with an average total score of 4.61, which means that the employees experienced a workload (fatigue) level categorized as moderate. Meanwhile, the analysis of work stress measurement using the SDS method obtained an average total score of 14, indicating that the stress level among non-organic employees of group A at PT. XYZ falls in the moderate category.

The most valuable asset of a company is its employees due to their performance. The performance of PT. XYZ in recent times has tended to decline due to the heavy workload on Group A non-organic employees, which has resulted in reduced employee productivity. This study aims to determine the workload value and the level of fatigue experienced by Group A non-organic employees at PT. XYZ using the SOFI and SDS methods. It also aims to recommend efforts to reduce the workload and stress levels for Group A non-organic employees at PT. XYZ. This study is a descriptive qualitative research using interview methods and distributing questionnaires to 18 non-organic employees of group A. The results of the study indicate that the analysis of workload (fatigue) measurement using the SOFI method obtained a physical fatigue level among non-organic employees of group A at PT. XYZ with an average total score of 4.61, which means that the employees experienced a workload (fatigue) level categorized as moderate. Meanwhile, the analysis of work stress measurement using the SDS method obtained an average total score of 14, indicating that the stress level among non-organic employees of group A at PT. XYZ falls in the moderate category.

Improper water management in rice cultivation can lead to water stress, which reduces productivity. Conventional monitoring has limitations on large-scale lands, necessitating more efficient remote sensing technologies. This study aims to develop a water stress identification system for rice plants in the late vegetative phase using multispectral drone imagery integrated with an Artificial neural network (ANN). The research method employs an experimental approach with six water availability levels in Karyamukti Village, Sumedang. Field reference data were obtained through soil moisture sensors converted into Available Water (AW) values. Image processing stages included orthomosaic reconstruction, leaf object segmentation, and transformation of vegetation indices (NDVI, NDRE, GNDVI, etc.) as model inputs. The results show that the ANN model with a four-hidden-layer architecture achieved training and validation accuracies of 94–95%. In the independent testing phase, the model produced an accuracy of 94.60% with an F1-Score of 93.33%. Spatial visualization of the prediction results indicates a consistent water condition distribution across rice plots. In conclusion, the integration of multispectral drones and ANN provides an accurate non-destructive solution for spatial monitoring of water availability in rice plants.

This research investigates thermal material properties and performance characteristics for high-speed vessel components subjected to extreme thermal stress during sustained high-speed operations. High-speed vessels including patrol boats, fast ferries, and naval craft experience elevated thermal loads from high-power density propulsion systems, aerodynamic heating, and sustained operational intensities creating demanding conditions for structural and mechanical components. Through qualitative analysis involving naval architects, materials engineers, high-speed vessel operators, and component manufacturers, this study examines how material thermal properties affect component durability, performance, and safety while identifying optimal material selections for critical applications. Results demonstrate that advanced thermal materials including high-temperature aluminum alloys, titanium alloys, ceramic composites, and thermal barrier coatings can extend component service life by 40-70%, improve thermal management effectiveness by 25-45%, and enhance operational reliability compared to conventional materials. Key implementation challenges include material cost premiums of 150-300%, manufacturing complexity, limited operating experience, qualification testing requirements, and supply chain constraints. Findings reveal that strategic thermal material selection for critical components represents essential enabling technology for high-speed vessel performance, reliability, and operational availability supporting defense, commercial, and emergency response applications requiring sustained high-speed capabilities. This research contributes to marine materials engineering literature by providing evidence-based frameworks for thermal material selection applicable to diverse high-speed vessel applications.

Pyrolysis is a biomass conversion method into fuel through heating at high temperatures under oxygen-limited conditions. The main factors influencing the pyrolysis process include temperature, residence time, pressure, particle size, reactor design, and the type of pyrolysis employed. This study aims to design an auger-type fast pyrolysis system based on previous research. The design and modeling of the fast pyrolysis equipment were carried out using Autodesk Inventor 2021 software. Based on the calculation and design results, a fast pyrolysis reactor with a multi-stage configuration and a capacity of 5.2 kg was developed. The system consists of a three-stage reactor made of Stainless Steel 304. The reactor is equipped with a screw conveyor for material transport, which is driven by an electric motor. Biomass heating inside the reactor is provided by a clamp heater with an electrical power requirement of 611 W, while biomass cooling is performed using a condenser with a cooling water capacity of 15.586 liters. Based on the structural simulation results, the maximum von Mises stress obtained was 35.4 MPa, the maximum displacement was 0.0528 mm, and the safety factor was 6.07 under loading conditions including an internal reactor pressure of 0.32 MPa, a torsional moment of 1,130 kg·mm, and an operating temperature of 700 °C. These values are within the allowable limits of the material, indicating that the designed reactor is structurally safe and feasible for use.