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This study is a field research that attempts to see the extent of the application of the Al-Miftah Lil Ulum method in learning yellow books at the Tarbiyatul Aulad Sukadana Islamic Boarding School, Kayong Utara Regency. The success or failure of learning can be seen from the accuracy in choosing the method. This study aims to describe how the planning, implementation and supporting and inhibiting factors in the application of the Al-Miftah Lil Ulum method in learning yellow books at the Tarbiyatul Aulad Sukadana Islamic Boarding School, Kayong Utara Regency. The data collection methods used in this study are; observation , interviews and documentation. Data analysis was carried out through four stages, namely data collection, data reduction, data presentation, and drawing conclusions. The results of the study indicate that 1) The planning of the Al-Miftah Lil Ulum method in learning yellow books at the Tarbiyatul Aulad Islamic Boarding School includes a) the ustadz first reads the learning objectives in the Al-Miftah Lil Ulum method guidebook b) the ustadz first muthala'ah again the material to be delivered, c) the ustadz tells the students to memorize vocabulary and nadzhom imrithi and alfiyah related to the material to be studied. 2) The implementation of the Al-Miftah Lil Ulum method in learning yellow books at the Tarbiyatul Aulad Islamic Boarding School includes the following steps : Opening with Prayer and Intention, Introduction to Vocabulary (Mufradat), Gradual Understanding of Nahwu and Shorof Rules, Application of Rules Through Practical Exercises, Memorizing Vocabulary and Rules, Dialogue and Light Conversation (Muhadatsah), Reading and Translating Texts, Periodic Evaluation and Tests, Reinforcement with Yellow Books (Advanced Level) . 3) supporting factors: availability of competent Ustadz, structured and gradual curriculum, student discipline in memorizing and muthala'ah, supportive learning environment, inhibiting factors: differences in academic background of students, limited learning time, lack of supporting learning media, physical fatigue of students.

Fatigue can be caused by personal stress factors. Based on observations and interviews, it is known that 5 drivers at the Gas Distributor Company in Gresik experienced work fatigue. The drivers complained that working hours that exceeded capacity limits and the pressure to continue making deliveries caused fatigue and increased turnover rates in the company. This study aims to analyze the description of work duration and work period with work fatigue in drivers of the Gas Distributor Company in Gresik. This study uses a quantitative descriptive method. The number of samples in this study was determined by a total sampling of 30 drivers. The method of obtaining research data was carried out by filling out a questionnaire. Based on the results of the analysis of the description of work period with work fatigue, 21 people with a work period of ≥5 years were obtained 5 people had high work fatigue and 4 people had very high work fatigue and 21 people <5 years were obtained 20 people had high work fatigue and 1 person had very high work fatigue. Analysis of the description of work duration with work fatigue showed that 6 people who worked <8 hours were obtained 3 people had high work fatigue and 3 people had very high work fatigue. Then from 24 people who worked ≥8 hours, 22 people had high work fatigue and 2 people had very high work fatigue. Based on the results of the work period analysis, most drivers worked <5 years as many as 20 drivers and in the results of the work duration analysis, most drivers worked ≥8 hours as many as 22 drivers.    

CV. XYZ is a company that works in the service sector and produces sports gloves (golf, equestrian, etc.). From production data, the number of requests for gloves increased greatly in June-October, the number of requests was above 5000. Workers felt tired due to age, level of pattern difficulty, type of glove material and age of machines so that many employees experienced fatigue which resulted in a decrease in work productivity. The aim of this research is to find out how high or large the mental load faced by workers at CV. Cahaya Setia Mulia using the NASA-TLX method. In this research, the population is the tailors at CV. XYZ, totaling 16 people. Based on the research results obtained, of the 16 respondents there were 9 respondents in the very high category, 2 respondents in the high category, and 4 respondents in the somewhat high category. And of the 6 NASA-TLX indicators, the highest indicator is Physical Demands (PD) of 76.0 and the lowest is the Frustration (FR) indicator of 58.7. Proposed improvements include adding 5 tailors to the workforce of 5 tailors, 2 madome tailors, 1 zigzag tailor or increasing rest time to 1 hour and reducing working hours on Saturdays to 5 hours.

Based on the International Labour Organization (ILO), two million workers die each year due to work accidents due to fatigue. Work accidents experienced have a significant relationship with work fatigue. Finally, it results in decreased work capacity and individual physical endurance. The purpose of this study is specifically to determine the factors related to work fatigue with TKBM. In general, it is to determine the relationship between age, nutritional status, education level, insight, medical history, length of service and manual material handling on work fatigue of TKBM Tanjung Emas Port, Semarang. The type of research applied is quantitative using a correlation approach. The design applied is cross-sectional. After analyzing the data and conducting statistical tests using the Chi Square test, the results obtained were age (p-value = 0.002); nutritional status (p-value = 0.143); education level (p-value = 0.135); insight (p-value = 0.018); medical history (p-value = 0.041); length of service (p-value = 0.031); manual material handling (p-value = 0.007). The conclusion that can be drawn from this study is that there is a relationship between age, insight, medical history, length of service and manual material handling with work fatigue, and there is no relationship between nutritional status and level of education with work fatigue.

Stress and burnout among healthcare workers represent a global crisis with significant implications for psychological and physical health, job performance, and interpersonal skills. These conditions are linked to anxiety, depression, suicidal ideation, substance use, poor quality of life, digestive disorders, and cardiovascular diseases. Burnout is characterized by emotional fatigue, depersonalization, and reduced personal accomplishment, often caused by chronic workplace stress. Factors such as demographics, fatigue, and resilience influence its development and severity. Traditional stress management interventions, such as counselling and leave, often prove insufficient in addressing these challenges. Recent advancements in Artificial Intelligence (AI) provide innovative tools for stress and burnout management, including mobile applications offering mindfulness, meditation, and self-care resources. AI systems like IBM Watson and Google DeepMind are being tested to enhance accessibility and effectiveness in stress management. Additionally, Stress Inoculation Training (SIT), involving methods such as meditation, yoga, cognitive-behavioural therapy, and biofeedback, has been recognized as a proactive approach to mitigating stress. This review explores the factors contributing to stress and burnout in healthcare workers and evaluates interventions aimed at improving well-being and productivity, emphasizing the potential of AI and SIT in preventing and managing these conditions.

COVID-19 and pleural effusion are respiratory diseases which are currently still a matter of public concern due to their progression which can cause death if not treated quickly and appropriately. COVID-19 is a pandemic disease that was first reported to have appeared at the end of 2019. Even though the status of COVID-19 has now changed to an endemic disease, transmission is still occurring globally so it will continue. Symptoms that appear in patients with COVID-19 generally include shortness of breath, dry cough, fever and fatigue. Pleural effusion is a condition of fluid accumulation that exceeds normal limits in the pleural cavity between the parietal pleura and the visceral pleura. This fluid can be in the form of transudate or exudate fluid. This buildup of fluid can occur due to an imbalance between the production and excretion of fluid in the pleural cavity. Symptoms that arise due to pleural effusion are shortness of breath, chest pain, coughing or pleuritic chest pain.  Pleural effusion is also a complication of COVID-19. There has been an increase of 404 new infections in COVID-19 in Indonesia as of January 2024 according to the latest epidemiological data, but there are no published figures for pleural effusion in Indonesia.

This study examines the impact of electromagnetic radiation exposure from Extra High Voltage Overhead Transmission Lines (EHV OTL) on human health in the Banten region, Indonesia. SUTET, which operates at a voltage of 500 kV, generates an electromagnetic field that can affect the health of the surrounding community. The research was conducted through in-depth interviews with 30 respondents, consisting of residents around the SUTET, medical personnel, and health experts. The interview results showed that 70% of respondents were concerned about the health impacts of SUTET, with the most common complaints including headaches (45%), sleep disturbances (30%), and chronic fatigue (25%). In addition, the majority of respondents felt they did not receive sufficient information regarding the safe exposure limits to electromagnetic fields. Nevertheless, the public's knowledge about the long-term effects of electromagnetic fields is still limited. The thematic analysis found a gap in information between the public and existing regulations. This research implies the need for better educational measures from the government and related institutions regarding the dangers of SUTET and electromagnetic radiation. Furthermore, it is recommended that further research be conducted to establish safe exposure limits to electromagnetic fields in Indonesia, as well as to formulate more effective policies to protect public health around SUTET transmission lines.

This study examines the effectiveness of hybrid learning for RPL (Recognition of Prior Learning) students at Panca Marga University. Hybrid learning, which combines face-to-face and online instruction, addresses scheduling challenges faced by working students. Using a quantitative approach and survey methods, the study evaluates the impact of hybrid learning on learning flexibility, engagement, and academic outcomes. Results show that hybrid learning enhances flexibility, allows students to balance work and study, and improves learning outcomes by 15% compared to conventional methods. However, challenges such as internet dependence and digital fatigue remain significant. The study highlights the need for technological infrastructure and faculty training to optimize hybrid learning implementation.  

Work fatigue in the pharmaceutical sector is a condition that needs to be treated. In Indonesia, on average, there are 414 work accidents every day, 27.8% are caused by quite high fatigue, approximately 9.5% or 39 people experience physical disabilities due to exposure to chemical, physical, biological and other hazards. The aim of the research to be conducted is to determine the factors associated with work fatigue in the pharmaceutical sector. This type of research is quantitative research with a cross sectional research design with a sample of 60 respondents. The sampling technique used is simple random sampling. The instruments used were questionnaires and interviews, weight and height weighing tools to determine nutritional status, oymeters to measure workload, and PVT application tools used to measure the level of work fatigue carried out on respondents at PT X. The data analysis used was chi-square test. Univariate results: old age, namely 39 people (65%), obesity nutritional status, namely 30 people (50%), female gender, namely 45 people (75%), no history of disease, 58 people (96.7%), long working period namely 45 people (75%), heavy workload, namely 19 people (31.7%), night shift work, namely 22 people (36.7%), heavy work fatigue, namely 28 people (46.7%). Bivariate analysis shows that there is a relationship with each variable if p<0.05, which from the research shows that the variables age, nutritional status, work period, workload, work shifts have a positive relationship with work fatigue.

The selection of agricultural and plantation products often relies on human perception of fruit color. Manual identification through visual observation has several drawbacks, such as time consumption, fatigue, and varying perceptions of quality. Digital image processing technology enables automatic sorting of products. This study applies the Perceptron learning method to identify tomato ripeness. Tomato images are captured using a webcam, analyzed through color histograms, and identified using artificial neural networks. The identification success rate reaches 43.33%, with outputs categorized as Unripe (10%), Half-Ripe (6.66%), and Ripe (26.66%).

The increasing number of motor vehicles in Indonesia produces repetitive mechanical loads on road surfaces that are rarely converted into useful energy. This study designs and evaluates a piezoelectric energy-harvesting speed bump intended to support low-power street lighting. The prototype integrates 25 piezoelectric discs (50 mm diameter) connected in series, an AC–DC bridge rectifier, a 2.7 V/500 F supercapacitor for short-term storage, and a DC–DC step-up converter to charge a 12 V battery. Field tests used a motorcycle at speeds of 5, 10, and 15 km/h with rider masses of 48, 70, and 79 kg; each condition was repeated ten times and averaged. Output voltage, current, and electrical energy per pass were measured after rectification. Results indicate that higher speed and mass increase electrical output, with a peak energy of 0.021 J at 15 km/h and 70 kg and an estimated conversion efficiency of about 0.20%. After repeated charging cycles, stored energy powered a 12 V/20 W LED lamp for several minutes. The proposed integration of series piezoelectric elements with supercapacitor buffering and step-up regulation demonstrates a feasible micro-energy harvester for traffic-dense areas and provides a basis for durability and scaling studies. Future work addresses packaging, fatigue, and multi-vehicle loading.

This study investigates the effectiveness of green-space–based interventions in reducing eco-anxiety among urban adolescents, a population increasingly vulnerable to climate-related psychological distress. Eco-anxiety, characterized by persistent worry, cognitive overload, and emotional tension in response to environmental change, has emerged as a significant mental-health challenge. The intervention examined in this research involved structured exposure to natural environments combined with guided reflective activities over multiple sessions. Quantitative results showed a substantial reduction in eco-anxiety symptoms, with participants experiencing approximately a 30% decrease in climate-related worry after the intervention. Improvements were also observed in emotional resilience, including enhanced self-regulation, greater cognitive clarity, and improved coping capacity. Qualitative findings reinforced these outcomes, revealing that participants reported deeper emotional calm, stronger feelings of agency, and an increased sense of connectedness with nature. They described green spaces as restorative environments that helped reduce overthinking, clear mental fatigue, and create psychological grounding. These experiences appear to activate mental-restoration processes consistent with environmental psychology, suggesting that nature engagement can serve as both a preventive and therapeutic mental-health strategy. A comparison with conventional counseling approaches indicated that while standard psychological support aids emotional regulation, it often fails to address the specific ecological concerns driving eco-anxiety. In contrast, green-space exposure offers a more targeted and holistic benefit, combining physiological relaxation with meaningful emotional reassurance. The study concludes that expanding access to green spaces, incorporating nature-based therapeutic elements into public-health programs, and promoting balanced climate literacy may enhance adolescent well-being in a time of intensifying environmental challenges.

Moving on from the reality found in the field, based on the results of preliminary observations in the SMP Negeri 2 Airmadidi school environment, some students do not master and have good physical condition components. The level of physical fitness of the students is not yet known. Therefore, it is necessary to conduct an internal survey through the implementation of tests and measurements carried out correctly and thoroughly. Lack of attention and coaching to the physical fitness level of students. Students have not shown a good level of physical fitness, these symptoms are shown when teaching and learning activities take place students quickly experience fatigue, lack of concentration, lack of passion and enthusiasm and motivation in participating in the teaching and learning process. The research method used in this research is descriptive quantitative. The final results in the form of physical fitness categories are obtained based on a combination of 5 (five) test items as listed in Table 4.13, where it can be seen that most of the physical fitness of male students is in the Moderate category or around 87.50% while the physical fitness of female students is in the less category or around 95%.

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

The development of digital technology has brought about significant changes in various aspects of life, including one’s faith and how the church functions. In this article, we discuss the concept of Missio Dei (God’s mission) in the context of the digital age. We also explore how this concept can be applied to the church’s strategies and roles, particularly those of specialised ministers. This article identifies the challenges and opportunities facing the church as it proclaims the Gospel in the digital space, including the risks of digital fatigue, the spread of false teachings, and excessive reliance on media. Specialised ministers play a crucial role in maintaining theological integrity and ethical standards while bridging the Gospel message with digital culture. Conversely, digital media opens new doors for creative ministry, global evangelism, and the formation of bold faith communities. It is added that digital ethics are essential for maintaining the integrity of the Gospel and the dignity of the congregation. Overall, this research asserts that the technological era is not an obstacle to the church’s purpose. Rather, it is a new field that requires faith, wisdom, and innovation to be utilised.  

Hyperthermia is a condition characterized by symptoms such as dehydration, muscle spasms, dizziness, weakness, nausea, vomiting, and fatigue, which can harm the patient's condition. The causes of hyperthermia can vary, ranging from lack of fluids to excessive physical activity. RSU Putri Bidadari has doctors who are experts in treating various diseases, including hyperthermia. However, several obstacles often occur in the direct consultation process, such as long queues, long distances, limited time, and costs. Therefore, a technology-based system is needed that is able to manage hyperthermia symptom data and help diagnose the disease early, so that patients can get information and early treatment quickly. This method is used to manage the symptoms selected by the patient to determine the possibility of the disease with a high level of confidence. Based on the analysis of the selected symptoms, this system is able to produce the most accurate diagnosis with the case of hyperthermia type Heat exhaustion, with a confidence level of 50.26%.

Epilepsy, or apoplexy, is a chronic disease characterized by recurrent seizures and impaired consciousness due to disorders of the central nervous system. In developing countries, including in RSU Putri Bidadari, epilepsy management is often hampered by high consultation costs, resulting in suboptimal quality of treatment and patient recovery. To overcome this challenge, a system is needed that can facilitate the diagnosis and treatment of epilepsy more efficiently. By using this method, RSU Putri Bidadari can improve the precision of epilepsy diagnosis and determine more appropriate treatment steps, despite limited resources. The Bayes method, as a statistical approach, offers a potential solution to improve the accuracy of diagnosis through data-based probability estimation of diseases and symptoms reported by patients such as frequent hunger, thirst, urination, weight loss, vaginal infections, easy fatigue, tingling legs, and blurred vision. The analysis results of the system show an estimated probability of 73% for patients suffering from generalized epilepsy. The Bayes method-based system is expected to help RSU Putri Bidadari in providing more effective treatment and improving the overall quality of life of epilepsy patients.

Thalassemia is a congenital blood disorder characterized by an abnormal amount of globin chain synthesis, due to a lak of globin chain synthesis (caused by the bone marrow being unable to form the protein needed to produce Hb), resulting in damage to red blood cells, so that a person suffers from anemia (Kemenkes, 2022). The purpose of this writing is to find out and provide nursing care to An.H with hematological system disorders: thalassemia in the Anggrek ward I RSUD dr. Soeselo Kabupaten Tegal in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that An.H’s main complaint was weakness. There were three diagnoses found, namely ineffective peripheral perfusion, fatigue and knowledge deficit. Interventions are prepared based on the theory of SDKI, SIKI and SIKI as well as on the client’s condition and can be implemented.

Typhoid is an acute febrile condition caused by infection with Salmonella enterica bacteria, especially the Salmonella typhi variant. Typhoid fever or what we usually know as typhoid fever. However, this disease can also be caused by other types such as Salmonella paratyphi A, Salmonella typhi B, and Salmonella paratyphi C. Typoid fever or typhus abdominalis is an acute infectious disease of the small intestine with symptoms of fever for one week or more accompanied by disorders of the intestinal tract. digestion and with or without impaired consciousness. Bayes' theorem is a theory of probability conditions that takes into account the possibility of an event (hypothesis) depending on other events (evidence). Future events can be predicted if previous events have occurred. Bayes' theorem is a mathematical equation used in probability and statistics to calculate conditional probabilities. In other words, it is used to calculate the probability of an event based on its relationship to other events. Based on the weight value given by the expert to each patient's typhoid symptom data, from the results of the analysis carried out with the diagnosis results from the consultation, the symptoms are High fever (lasting up to two weeks), Headache, Chills, Skin rash, Muscle and joint pain, Extreme fatigue, Dry cough, Confusion or delirium, Nausea and vomiting, Swollen spleen, Abdominal pain with predicted results for Epidemic Typhus with a value of 76.26%.

Background : One of the most prominent negative impacts in patients with kidney failure undergoing hemodialysis is fatigue. Breathing and range of motion exercises are therapies that can be applied to reduce fatigue in patients with chronic kidney failure. Objective: to provide breathing and range of motion exercise interventions in patients with chronic renal failure. Method: used in this study is a case study. Assessment of Mrs. S conducted for 3 consecutive days. Results: After the intervention for 3 days, the results showed that the level of fatigue and anxiety in Mrs. S decreased. Conclusions and suggestions: The interventions given have an effect on reducing the level of anxiety and fatigue of patients. It is expected that nurses can provide optimal nursing care to patients with chronic kidney failure to improve the quality of life of patients.