One of the cardiovascular diseases that can cause death is Unstable Angina Pectoris (UAP) Benson relaxation is a passive relaxation technique without using muscle tension so it is very appropriate to reduce pain. Benson relaxation is a development of the relaxation response method by involving the patient's belief factor, which can create a calm internal environment that can help patients achieve higher health and well-being. Method:Descriptive method in the form of case studies. Nursing care approach consisting of
from assessment, nursing diagnosis, planning, implementation, evaluation and documentation nursing. The subject of this study was one person. Results:Benson relaxation is a passive relaxation technique without using muscle tension so it is very appropriate to reduce pain. Conclusion: Benson Relaxation therapy in patients with Unstable Angina Pectoris (UAP) was carried out for 3 days. It was found that there was a decrease in the pain scale. This is evidenced by the results of the evaluation on the first day, March 1, 2024, the pain scale was 7 to 7. The second day, March 2, 2024, the pain scale was 7 to 5. The third day, March 3, 2024, the pain scale was 5 to 3.

This study examines the performance of a total of ten reinforced concrete T-beams, nine of which were made as hybrid beams by casting the web with LW concrete and the flange with HS concrete; the last beam was cast as a normal beam (entirely cast with HS concrete). All beams underwent testing under two-point loads following a 28-day period. The variables of the experimental program include the concrete grade within the web (46, 62, and 82 MPa) and stirrup distribution distances (100, 200, and 300 mm). The experimental program includes load-deflection curves and failure modes for hybrid and normal beams. The results showed that all the beams failed in shear-flexural mode. Also, increasing flange compressive strength increased shear. strength. Increasing stirrup distribution distance from 100 to 200 and 300 mm reduced the ultimate load capacity; specimens with stirrup spacing of 300 mm failed directly after yielding of steel due to crushing the concrete over the support and spalling concrete cover within the shear zone. The study also determined that reducing stirrup spacing to 100 mm did not alter the failure mode, as shear failure was dictated by the compressive strength of the lower layer of the hybrid beams (19 MPa compressive strength of LW concrete).

Background:Supplemental Feeding (PMT) is an activity of providing food in the form of safe and quality snacks along with other supporting activities by considering aspects of food quality and safety. There are two types of supplementary feeding, namely supplementary recovery feeding and supplementary counseling (PMT). Supplemental feeding (PMT) of local food is one of the strategies for handling nutritional problems in toddlers. The PMT activity needs to be accompanied by nutrition and health education for behavioral change, for example with support for breastfeeding, education and counseling on feeding, cleanliness and sanitation for families. Nutritional status is a state of the body as a result of food consumption and use of nutrients, where nutrients are needed by the body as a source of energy, growth and maintenance of body tissues, and regulators of body processes. Nutritional status is greatly influenced by nutritional intake. Objective: To determine the effect of providing local supplementary feeding (PMT) on the nutritional status of toddlers aged 12-59 months. Method: This type of research uses quantitative research using a pre-experimental design pretest-posttest research design. Results: Based on the results of the study, it was shown that a p-value of 0.41 (> 0.05) was obtained. Conclusion: Provision of Local Supplementary Food (PMT) Has No Relationship with Toddler Nutritional Status at UPTD Siriwini Health Center. Suggestion: It is expected that mothers who have toddlers pay more attention to the growth and development of toddlers.

Background: Traditional naval maintenance strategies rely on centralized supply chains and pre-manufactured spare parts, leading to long repair downtimes and logistical inefficiencies, particularly for vessels operating in remote maritime regions. Additive manufacturing (3D printing) offers a disruptive alternative by enabling on-demand production of spare parts, reducing dependence on external suppliers, and enhancing fleet self-sufficiency. However, material durability, operational feasibility, and cost-effectiveness remain underexplored for naval applications. Original Value: This research advances the study of AM in naval engineering, assessing its practical viability beyond theoretical potential. Unlike previous studies focusing on commercial maritime applications, this study evaluates 3D printing’s impact on naval fleet readiness, supply chain resilience, and sustainability. Objectives: The study investigates how 3D printing can optimize naval maintenance efficiency, specifically analyzing its feasibility, material performance, cost implications, and logistical advantages. Methodology: A qualitative-empirical approach was used, combining material performance testing, expert interviews, and operational case studies to evaluate mechanical durability, economic feasibility, and AM integration challenges. Results: Findings indicate that AM reduces repair downtime by 40%, lowers part procurement costs by 30–50%, and enhances supply chain resilience. However, material limitations and infrastructure readiness remain key adoption challenges. Conclusions: Hybrid AM adoption—where 3D printing supplements rather than replaces traditional manufacturing—offers the most practical near-term approach for naval fleets. Strategic investment in material research, onboard AM training, and fabrication infrastructure will enhance fleet efficiency, reduce environmental impact, and future-proof maritime maintenance strategies.

The application of technology-based human resource (HR) management in education is becoming increasingly important to enhance the quality of management and the development of teachers’ competencies. Technology, particularly through the use of Management Information Systems (SIM) and Learning Management Systems (LMS), enables more efficient data management and flexible professional development for teachers. However, its implementation faces key challenges such as limited infrastructure and low digital skills among some teachers. This study uses the Systematic Literature Review (SLR) method to analyze relevant sources in order to identify the role of technology in HR management in education and the challenges faced in its implementation. The findings show that the application of technology in HR management in education has a positive impact on efficiency and teacher competence. However, the biggest challenges are limited infrastructure and digital skills of teachers. Policies supporting infrastructure improvements and digital training for teachers are necessary to ensure that technology can be optimally used to improve the quality of education in Indonesia.

This research aims to determine how much influence Transformational Leadership Style and Workload have on Employee Performance with Job Satisfaction as an Intervening Variable at Bank Nagari Main Branch. The data collection technique uses a questionnaire filled in by 67 employees as respondents. The analytical method used is Structural Equalition Modeling (SEM) with Partial Least Square (PLS).The results of data analysis conclude (1) Transformational Leadership Style has a positive and significant effect on Job Satisfaction.  (2) Workload has a positive and significant effect on Job Satisfaction. (3) Transformational Leadership Style has a positive and insignificant effect on Employee Performance. (4) Workload has a positive effect on employee performance. (5) Job satisfaction has a positive and significant effect on employee performance. (6) Transformational Leadership Style has a positive and significant effect on Employee Performance through Job Satisfaction. (7) Workload has a positive and significant effect on employee performance through job satisfaction.

Optimizing the profit from coffee bean production is crucial in the coffee industry consider the competitive environment and the need for maximize revenue. The aim of this research is to use the Simplex linear programming method to determine and maximize profits from coffee bean production. This technique is used to ascertain the best combination of coffee bean production volumes while still considering a number of limitations, including scarce resources (labor, raw materials and machines) and market demand. The findings of this research show that by using the Simplex approach, companies can maximize the profit generated from coffee bean production while adhering to the existing constraints. The simulation conducted provides an optimal solution in terms of the precise production volume for each type of coffee product, contributing significantly to production planning and business strategy.

This study aims to determine the Influence of Asset Structure, Current Ratio, Firm Size and Sales Growth Relative to the Company's Capital Structure. The research population is a household appliance sub-sector manufacturing company listed on the Indonesia Stock Exchange. Sample selection using Purposive Sampling. The research period is 2019-2023. The data analysis technique used is multiple linear regression processed with IBM programs Statistical Package for Social Science (SPSS) Version 26. The results of the study show that the Asset Structure and Current Ratio have a negative and significant effect on the Capital Structure. Company Size and Sales Growth have no effect on the Capital Structure.

Electronic Health Records (EHRs) have become an important component in the digital transformation of the healthcare system in Indonesia. However, EHR implementation in many health facilities in Indonesia is still fragmentary and not fully integrated. The main challenges in integrating health data into the national health system are issues of interoperability, data security, and inter-institutional coordination. This study aims to identify and analyze the main challenges in integrating health data from various EHR systems into Indonesia's national health system and its impact on the quality of health services, operational efficiency, and data security. The research method used was a descriptive qualitative approach, which combined literature study and in-depth interviews with experts in the field of health information technology and health policy. A literature study was conducted to identify technical, operational, and policy challenges faced in EHR implementation in Indonesia. Expert interviews were used to validate the findings obtained from the literature and provide additional insights into the local context. Thematic analysis techniques were used to organize and interpret the data. The results showed that the lack of common data standards is a major obstacle in the integration of EHR systems in Indonesia.A total of 45% of healthcare facilities adopt HL7 standards, 30% adopt FHIR, and 25% use proprietary systems, leading to the inability to efficiently share data between institutions. In addition, data security issues are also a major concern, with many healthcare facilities yet to implement adequate security protocols. Limited coordination between health institutions also hinders wider integration. Nonetheless, EHR integration has the potential to improve operational efficiency, with up to 25% reduction in administrative time in institutions that have integrated their systems.

peningkatan sarana angkutan yang tidak diikuti peningkatan peningkatan jalan juga menambah kemacetan dan dampak lingkungan lain. Untuk tetap mendukung manusia dalam memenuhi kebutuhan hidupnya di tengah kondisi kemacetan, sarana transportasi yang perlu dikembangkan, yaitu transportasi yang dapat dicapai pada saat kondisi jalan yang padat dengan kendaraan. Transportasi online memberikan solusi alternatif transportasi di tengah padatnya kendaraan agar cepat dan dapat menjangkau tempat-tempat yang kemungkinan tidak dapat dicapai oleh kendaraan umum lainnya. Adapun tujuan dari penelitian ini adalah Untuk mengetahui apakah dengan adanya Ojek Online (Gojek) dapat mengurangi dampak kemacetan.Untuk mengetahui dampak apasajakah yang ditimbulkan oleh Ojek Online (Gojek) terhadap program Green Transportasi. Dan untuk mengetahui bagaimana pertimbangan atau kebijakan pemerintah Kota Semarang terhadap keberadaan pangkalan Ojek Online (Gojek). Berdasarkan penelitian dapat dikatakan bahwa persepsi masyarakat terhadap kontroversi sistem transportasi GO-JEK Online yang mengarah pada Transportasi Hijau di kota Semarang masih sangat rendah