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Stress among early adolescent girls in junior high school is an increasing health concern due to academic demands, social pressure, digital exposure, and menstrual related discomforts. Complementary interventions such as deep-breathing techniques offer a simple method that can be implemented in school settings to rapidly reduce stress. This study aimed to examine the effect of deep-breathing techniques on menstrual related stress among ninth-grade female students at SMPN 2 Rambutan, Banyuasin Regency.  A pre-experimental one-group pretest–posttest design was used. The sample consisted of 60 students selected from the ninth-grade population. Stress levels were measured using the Perceived Stress Scale (PSS-10) focusing on stress during menstruation before and after a single deep-breathing session. Data were analyzed using the Wilcoxon test. The results showed a significant reduction in stress scores after the intervention (p < 0.001). The proportion of students in the high-stress category decreased from 20% to 6.7%, while those in the low-stress category increased from 10% to 30%. The mean stress score decreased from 21.35 ± 4.82 to 15.42 ± 4.11. This study concludes that deep-breathing techniques are effective in reducing menstrual-related stress in female students within a single session and can be recommended as a complementary strategy that is easy to implement in schools for adolescent menstrual stress management.

This study aims to analyze and test the mediating role of job satisfaction in the relationship between career development and job stress on employee loyalty at BPR Agung Sejahtera. This study used a quantitative methodology to collect primary data from 90 employees of BPR Agung Sejahtera through questionnaires. Partial Least Squares (PLS) with Structural Equation Modeling (SEM) was used to test the relationship between latent variables. Data testing included validity, reliability, bootstrapping , Adjusted R-Square, Path Coefficient, and Specific Indirect Effects . The results showed that career development had a positive and significant effect on job satisfaction. Conversely, job stress was found to have a negative and significant effect on job satisfaction. Career development also had a positive and significant effect on employee loyalty. Job stress had a negative and significant effect on employee loyalty. Job satisfaction had a positive and significant effect on employee loyalty. However, the mediating role of job satisfaction in the relationship between career development and job stress on employee loyalty proved to be insignificant. This finding indicates that employee loyalty is more influenced by good career development and low levels of job stress than the mediating role of job satisfaction. Overall, these findings conclude that managing career development and work stress through job satisfaction is crucial for increasing employee loyalty. It is hoped that these research findings will help BPR Agung Sejahtera's management better manage its human resources to achieve the company's goals.

This research aims to analyze the public's perception of career women's efforts in achieving work-life balance, as well as its impact on the dual role experience. The research focus includes the view of society, obstacles experienced by women, and the social implications of the dual role of women. The results of the study based on the questionnaire showed that 74,94% of the people had a positive perception of career women and judged that the balance of work and life can be achieved through time management and family support, while 25,06% had a neutral to negative perception that considered that career women were not optimal in carrying out domestic roles, thus causing social pressure and role conflicts. This perception contributes to stress levels, emotional fatigue, and difficulties in achieving work-life balance. This finding also reveals that education factors, working experience with women, family roles, and social environment affect the formation of perceptions. This research is expected to contribute in increasing public understanding and encouraging policies that support women's careers both in social and work.

This study examines the role of teachers as Islamic counselors in addressing various psychological problems experienced by students, such as learning anxiety, academic stress, low self-confidence, difficulty controlling emotions, and social problems such as bullying. Teachers serve not only as instructors, but also as murabbi, mursyid, and moral role models in guiding students' spiritual and emotional development. The study used a qualitative method with a library study approach, where data were obtained through relevant literature related to Islamic counseling, Islamic education, and student psychology. The results of the study indicate that the implementation of Islamic counseling through strategies such as mau'izhah hasanah, tazkiyah an-nafs, prayer and dhikr, empathy development, and collaboration with guidance and counseling teachers and parents has been proven to reduce students' anxiety and stress levels, increase learning motivation, strengthen morals and character, and provide spiritual peace. Thus, teachers play a strategic role in creating a holistic educational environment and supporting students' psychological well-being. In addition, the implementation of Islamic counseling also plays a role in building students' mental resilience in facing academic and social pressures. In the long term, this will strengthen the Islamic values ​​applied in students, while creating a more resilient and noble generation.

Diabetic nephropathy is a chronic complication resulting from hyperglycemia, which triggers oxidative stress and inflammation, leading to progressive structural and functional kidney damage. Orange peel and Aloe vera contain bioactive compounds with antioxidant and antifibrotic properties that may protect the kidneys from diabetes induced injury. Nanoemulsion delivery systems can enhance the bioavailability of these extracts in the body. This experimental study aimed to analyze the nephroprotective effects of orange peel and Aloe vera nanoemulsion in a diabetic nephropathy rat model, including glomerular morphology and kidney function. A post-test only control group design was used on Wistar rats divided into five groups: positive control, negative control, and three treatment groups receiving varying nanoemulsion doses. Glomerular structure was evaluated by assessing the number of glomeruli exhibiting synechiae and analyzed using the Kruskal–Wallis test due to non-normal data distribution, yielding p=0.2387 (p>0.05), indicating no significant differences among groups. Urea levels were elevated above normal, whereas creatinine levels remained within normal limits. Although not statistically significant, the treatment groups demonstrated nephroprotective tendencies, shown by improvements in glomerular synechiae in the diabetic nephropathy model.

This study, titled “Happiness According to Hamka and Its Relevance to Efforts to Overcome Mental Distress,” is motivated by the increasing mental strain experienced by modern society, which is reflected in rising levels of stress, anxiety, loss of life meaning, and various forms of depression. These symptoms indicate a deeper spiritual and emotional imbalance that cannot be resolved solely through clinical approaches, but requires insights from philosophical and religious thought. The purpose of this research is to reexamine Hamka’s concept of happiness and identify its relevance in supporting efforts to reduce mental distress in contemporary life. Using a qualitative-descriptive method with a library research approach, this study reviews Hamka’s key writings such as Tasawuf Modern, Falsafah Hidup, and Lembaga Budi alongside literature on psychology and mental health. Through a hermeneutic-philosophical analysis, the study finds that Hamka defines happiness as inner tranquility rooted in faith, sincerity, and spiritual connection with God, rather than material satisfaction or outward pleasures. He emphasizes that true happiness is achieved when intellect, emotion, and faith interact harmoniously, allowing individuals to manage desires, accept destiny, and uphold moral awareness. This perspective is highly relevant for addressing mental distress today, as Hamka highlights the importance of spiritual strengthening and purification of the soul as forms of internal healing capable of fostering resilience and emotional stability.

This study aims to analyze the effect of work stress and work discipline on the effectiveness of human resources (HR) in employees of the Communication and Information Service (Diskominfo) of Ciamis Regency. The effectiveness of human resources is crucial for the success of government agencies in public services and information technology management, where the optimal performance of employees is influenced by stress management and discipline levels. This study adopted a quantitative-descriptive method by distributing questionnaires to 40 respondents who were selected through random sampling techniques. The data testing included validity, reliability, and multiple linear regression analysis tests to test the relationship of independent variables (work stress $X_1$ and work discipline $X_2$) to bound variables (HR effectiveness $Y$). The results of the analysis show that work stress and work discipline simultaneously have a significant effect on the effectiveness of human resources. Partially, work stress has a negative influence, indicating that increased work stress tends to reduce the effectiveness of human resources. On the contrary, work discipline has been shown to have a positive effect, showing that the higher the employee's discipline, the more their work effectiveness will increase. Therefore, the conclusion emphasizes that increasing the effectiveness of human resources requires the implementation of effective work stress management and the establishment of a consistent work discipline culture. This effort is important to create a conducive work environment, increase productivity, and strengthen the performance of the state civil apparatus in supporting an electronic-based government system and digital public services.

This study aims to analyze the influence of entertainment content consumption on TikTok toward the stress levels of university students. TikTok has become one of the most frequently used social media platforms among young adults, offering entertainment, distraction, and emotional relief. Meanwhile, academic stress is a common issue among students due to heavy coursework, deadlines, and pressure to perform. This research uses a quantitative method with a survey distributed to 100 active university students aged 18–24 who own a TikTok account and consume entertainment content such as comedy, challenges, and viral videos. Data were analyzed using descriptive statistics and simple linear regression. The results show that the overall frequency of using TikTok for entertainment is very high (mean = 4.26), while the level of academic stress also falls into the high category (mean = 4.06). Regression analysis indicates that TikTok entertainment content significantly affects students’ stress levels (p < 0.001). Result found is positive, meaning higher TikTok usage is associated with higher stress. The significance value based on the simple linear regression coefficient table is 0.000 < 0.05, so it can be concluded that the variable Use of TikTok Entertainment Content (X) has an effect on the variable Stress Levels Among Students (Y).

Background: Mental health during pregnancy is influenced by multiple factors, including the social environment. Family support, peer interactions, and community engagement are critical determinants of psychological well-being, yet their impact local community health settings remains underexplored. Objective: This study aimed examine the influence the social environment the mental health pregnant women Tilongka Billa Community Health Center. Methods: A quantitative correlational study was conducted with 70 pregnant women selected through purposive sampling. Data were collected using structured questionnaires assessing demographic characteristics, social support (family, peer, and community), and mental health status (Perceived Stress Scale and Edinburgh Postnatal Depression Scale). Descriptive statistics summarized the participants’ characteristics, while Pearson Spearman correlation tests analyzed relationships between social environment factors mental health outcomes (p < 0.05). Results: The results indicated that family support had the highest mean score (4.1 ± 0.7), followed by peer support (3.8 ± 0.8) and community involvement (3.5 ± 0.9). Mental health assessments revealed moderate stress levels (18.2 ± 5.0) and mild depression risk (9.5 ± 4.3). Correlation analysis showed significant negative relationships between social support and mental health indicators, with family support exhibiting the strongest correlation with reduced stress (r = -0.48, p = 0.002) and depression (r = -0.52, p = 0.001). Conclusion: The study demonstrates that supportive social environment, particularly family and peer support, plays crucial role in reducing stress and depressive symptoms among pregnant women. Strengthening social support networks through counseling, peer groups, and community engagement programs may enhance maternal mental health and promote positive pregnancy outcomes.

This study analyzes pronunciation learning activities in the English class at SDN 060877 through direct classroom observation techniques. The research aims to understand how teachers organize pronunciation instruction, the strategies applied during learning sessions, and the level of student participation in practicing correct sounds, stress patterns, and intonation. Using a qualitative descriptive approach, data were collected through on-site observations focusing on teaching procedures, interaction patterns, learning media, and students’ responses. The findings indicate that pronunciation learning is integrated into reading and speaking activities, where the teacher models sound, guides repetition drills, and provides corrective feedback. Students demonstrate varied levels of confidence, with some actively engaging in pronunciation tasks while others rely heavily on teacher prompts. Environmental factors, such as limited audio-media tools and large class size, affect the intensity and effectiveness of practice sessions. Despite these challenges, classroom interactions show that learners gradually improve their sound accuracy and rhythm through continuous modeling and peer practice. This study concludes that direct observation provides comprehensive insights into real classroom dynamics, revealing both the strengths and areas needing improvement in pronunciation teaching. Recommendations are offered to enhance instructional techniques, learning materials, and student engagement.

Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Mental health has become a major global issue, particularly after the COVID-19 pandemic, which significantly increased the prevalence of psychological disorders. Early detection of stress and other mental health problems remains a major challenge, as traditional methods are generally subjective and unable to provide real-time results. This study aims to design and test a wearable sensor based on Heart Rate Variability (HRV) as a physiological indicator for detecting stress levels. The research employed an experimental approach through the development of a wearable sensor prototype equipped with a stress detection algorithm based on HRV analysis, including both time-domain and frequency-domain parameters. The prototype was tested on 100 respondents with varying stress levels under controlled conditions. Instruments used in this study included the HRV sensor prototype, psychological questionnaires, and standard validation devices. Data were analyzed by comparing the sensor detection results with respondents’ psychological data and calculating prediction accuracy. The findings showed that the wearable sensor was able to predict stress conditions with an accuracy rate of 80%. The distribution of sensor detection results was generally consistent with psychological data, especially in the low-stress category, although slight deviations were observed in moderate and high-stress categories. These results demonstrate that an HRV-based wearable sensor can serve as a practical and non-invasive tool to monitor mental conditions in real time. The implications of this research highlight the potential of wearable technology as an innovative solution for mental health monitoring, both for individual use and as support for healthcare systems. Therefore, this study contributes to the development of adaptive and responsive health technologies in addressing global mental health challenges.

This study aimed to determine the effectiveness of a Mindfulness -based psychotherapy intervention in reducing academic stress levels experienced by college students. The study used a pretest–posttest design without a control group, involving 10 active college students purposively selected based on moderate to high levels of academic stress. The intervention was implemented over two days and included reflective exercises and guided experiences focused on the application of the seven Mindfulness  principles according to Kabat-Zinn (2015): non-judgment using personal standards, patience, a beginner's mind, trust, effortlessness, acceptance, and letting go. Data were collected using an academic stress scale that measures four aspects: coursework pressure, demands for satisfactory grades, time management for studying, and social support. Data were analyzed quantitatively using a paired-samples t-test. The results showed a significant decrease in academic stress levels from an average score of 73.1 to 58.5, indicating that this intervention was effective in helping students manage academic stress more consciously, calmly, and adaptively. This condition suggests that psychotherapy intervention through Mindfulness  training can be a strategy to support students' psychological well-being in academic environments. Keywords: Mindfulness , academic stress, psychotrophic intervention, students

The prevalence of hypertension in the elderly continues to increase and is a major cause of morbidity and mortality. Uncontrolled blood pressure can lead to serious complications such as heart disease, stroke, and kidney failure. Anxiety, which is often experienced by the elderly, also plays a role in worsening hypertension through activation of the sympathetic nervous system and increased stress hormones. This study aims to determine the relationship between anxiety levels and the incidence of hypertension in the elderly at the Kuta Alam Community Health Center in Banda Aceh City. The study used a quantitative method with a cross-sectional analytical design. The study population consisted of 145 elderly people with hypertension, with a sample of 59 people selected through a purposive sampling technique. The study was conducted from April 28 to May 8, 2025. Anxiety levels were measured using the Geriatric Anxiety Inventory (GAI) questionnaire, and blood pressure was measured using a digital sphygmomanometer. Data analysis was carried out univariately and bivariately using the Chi-square test. The results showed that the majority of respondents experienced panic anxiety (39.0%) and Grade III hypertension (44.1%). There was a significant relationship between anxiety levels and the incidence of hypertension in the elderly (ρ = 0.000; ρ < 0.05). In conclusion, anxiety influences the severity of hypertension, so psychological aspects need to be considered in elderly health services at the Kuta Alam Community Health Center.

Type 2 Diabetes Mellitus is a chronic disease that not only causes physical disorders, but also has an impact on the patient's psychological condition, especially increased stress levels. Unmanaged stress can worsen medical conditions, decrease adherence to treatment, and negatively impact the patient's quality of life. Social support is known to have an important role as a protective factor in helping patients cope with psychological burden. This study aimed to analyze the relationship between social support and stress levels in patients with Type 2 Diabetes Mellitus. The research design used was descriptive correlation with a cross-sectional approach, involving [number of respondents] patients selected with the [mention sampling technique]. The research instrument used a validated social support questionnaire and stress scale. The data were analyzed by the Pearson/Spearman correlation test according to the data distribution. The results showed that there was a significant relationship between social support and stress levels in patients with Type 2 Diabetes Mellitus (p < 0.05), with a negative correlation direction, which means that the higher the social support received by the patient, the lower the level of stress experienced. These findings confirm the importance of the role of family, health workers, and the social environment in supporting patients to manage stress and improve quality of life. This study recommends the need for social support-based interventions in diabetes management programs in health services.

This study aims to determine the contribution of self-efficacy to teachers' work stress at SLB Negeri 1 Harau, the only public special school in Harau District. Teachers at SLB face complex challenges in dealing with students with special needs, which has the potential to cause work stress. The study used a quantitative approach with a correlational method to test the relationship between self-efficacy and work stress. The research population is all teachers at SLB Negeri 1 Harau as many as 20 people, with a total sampling technique. The research instrument was in the form of a questionnaire on self-efficacy and work stress which was compiled based on the Likert scale. The results of the analysis showed a correlation value of 0.795** with df = 18 and r table = 0.443, which means that there is a significant and strong relationship between self-efficacy and work stress. The regression test using SPSS version 29 produced an Fcount of 21.974 > a Ftable of 3.28, so that H₀ was rejected and Hₐ was accepted. These findings show that self-efficacy contributes significantly to teachers' work stress. Teachers with high levels of self-efficacy tend to have better ability to manage work pressure and respond to learning challenges positively. This research provides important implications for the development of psychological intervention programs and self-efficacy improvement training for educators in an inclusive education environment.

Oxidative stress-induced apoptosis and chromatin instability are usually associated with male infertility and undermine the sperm DNA integrity. Recently, Vitamin K₂ (menaquinone) became a bioactive compound whose regulation action can be found in both apoptosis and transcriptional signaling. This study examines how Vitamin K₂ can be protective in the regulation of apoptotic pathways and stability in sperm chromatin by an integrative experimental and in silico analysis. Vitamin K₂ levels, DNA fragmentation level of infertile men's serum and semen samples (Aniline Blue), and the expression levels of apoptosis-associated genes (BAX, BCL-2, and CASP-3) in the samples were examined by qRT-PCR. The characterization of Vitamin K₂ binding affinity to apoptotic proteins was done using dynamics simulations. Findings showed that high levels of Vitamin K₂ had a significant positive correlation with reduced levels of DNA fragmentation and good control of apoptotic genes with reduced BAX and CASP-3 and increased expression of BCL-2. In general, the results indicate Vitamin K₂ as a potential regulator of sperm death and chromatin integrity that provides new therapeutic understanding on how male infertile patients can be treated.

Student mental health is an important issue in higher education, yet many students remain reluctant to utilize counseling services. Several factors are suspected to influence students’ willingness to participate in counseling, including stress levels, social support, public stigma, and self-stigma. This study aimed to determine the relationship between stress level, social support, public stigma, and self-stigma with students’ intention to engage in mental health counseling. The research used a quantitative design with a cross-sectional approach. A total of 202 first-year nursing students from Campus I of Poltekkes Kemenkes Semarang were selected using a total sampling technique. The research instrument was a questionnaire that had been tested for validity and reliability, and data were analyzed using Spearman’s rho correlation test. The results showed that most students had a moderate level of stress (52.8%), adequate social support (58.1%), moderate public stigma (53.7%), and moderate self-stigma (55.3%). Students’ willingness to seek counseling was also in the moderate category (63.4%). Statistical analysis indicated a significant relationship between stress level (p=0.000), social support (p=0.002), public stigma (p=0.000), and self-stigma (p=0.000) with the intention to engage in mental health counseling. These findings highlight the importance of promotive and preventive approaches from educational institutions to enhance students’ awareness and access to mental health counseling services.

Fasting as a spiritual and health practice has been practiced for thousands of years in various religious and cultural traditions around the world. In the last decade, researchers have shown increasing interest in the health aspects of fasting, not only from a physiological but also a psychological perspective. This phenomenon is interesting to study further, especially in the context of modern society which often faces stress, anxiety, and various mental disorders. The approach used in this study was a qualitative approach with a literature study method that analyzed in depth various reference sources related to the mental impact of fasting. The results of the review of several studies show that fasting has been proven to have an effect on mental health because it has a significant impact on overall mood improvements, with reduced anxiety levels and increased feelings of calm. Furthermore, another important aspect of mental health is cognitive function, which includes attention, concentration, memory, and executive function. It was found that cognitive alertness is generally maintained during short- to medium-term fasting, but begins to decline after longer fasting durations. Fasting also has an impact on extraordinary psychological resilience and good mental health despite advanced age. Researchers attribute this extraordinary mental resilience to the consistent practice of long-term fasting, which may have induced significant neuroplastic and psychological adaptations.

Pregnancy can trigger a maturity crisis that can cause stress. Stress in pregnant women is related to stress during pregnancy, childbirth, and postpartum. The purpose of this study was to examine factors related to stress levels in pregnant women facing childbirth. This type of research was an analytical survey with a cross-sectional approach conducted in the Lubuk Buaya Community Health Center Work Area from April 25 to May 7, 2022. The population was all pregnant women who visited the Lubuk Buaya Community Health Center Work Area in Padang in 2022, totaling 178 people, with a sample of 64 people, using an accidental sampling technique. Data were collected using a questionnaire with a validity analysis result of r>0.267 and a reliability test with a Cronbach's Alpha value>0.7. They were processed manually, using univariate and bivariate analysis with the chi-square test. The results of the study showed that 26.6% experienced moderate stress, 37.5% had poor family support, 37.5% had poor husband support, 40.6% had trauma, 46.9% had a personal readiness level in the unprepared category, and 46.9% had a heavy activity level. There is a relationship between family support and stress levels, there is a relationship between husband support and stress levels, there is a relationship between traumatic experiences and stress levels, there is a relationship between personal readiness levels and stress levels, and there is a relationship between activity levels and stress levels.