Research shows that nurses are one of the most vulnerable categories of professionals to develop stress and other problems due to the nature of their job. Thus the objective of this study is to describe the perceived stress experienced during the COVID-19 pandemic among Malaysian nurses. A cross-sectional study was conducted through an online form involving 319 randomly selected nurses from a teaching hospital on the east coast of Pahang, Malaysia, between January to December 2022. The perceived stress was measured using the Malay version 10-item Perceived Stress Scale, PSS-10 questionnaire. Descriptive and linear regression analysis was applied to measure the mean score of perceived stress and the association between perceived stress scores and other factors in this population. The study found that the total mean score of PSS-10 among the respondents was 19.1 ± 5.8. The three items with the highest mean scores were under the subscales “lack of self-efficiency” of the questionnaire (item-4, item-7, and item 5), while the item with the lowest mean scores belonged to subscales “perceived helplessness” (item-10). However, further analysis performed shows no significant association between perceived stress towards COVID-19 with sociodemographic and work-related factors among respondents. This study concluded that lack of self-efficiency was perceived as the main stress experienced by Malaysian nurses during the COVID-19 pandemic. Thus, it is pivotal that the nurse’s manager and higher authority of the organization focus on improving the efficiency of these nurses through targeted programs focusing on problem-solving, emotional and on-the -job management plan, along with accessibility to resources, a positive work environment and support.

MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images.

Prolonged and obstructed labor are the type of abnormal labor that may lead to maternal and fetal mortality. This study established the model for predicting prolonged and obstructed labor in East Nusa Tenggara. A health facilities-based case-control study was conducted in November 2017 among 570 women who gave birth at public health facilities in East Nusa Tenggara. Data were obtained by reviewing antenatal records, the mother's card, and partographs. In bivariate analysis, all variables with a p-value less than 0.25 determined by chi-square for categorical and independent t-test for numerical variables were included in multivariate analysis. Multivariate Adaptive Regression Splines (MARS) analysis was used to establish the final prediction model. The present study found that women <22, >26, and >34, with Hb levels of <12.5 gr%, and had nulliparity or multiparity (4 times) were reported as a higher risk of prolonged and obstructed labor. Meanwhile women with a fundal height of <34 cm, a height of >156 cm and >149 cm, a history of normal labor, presentation of the fetus behind the head, gestational weight gain of <12.3 kg, and pre-pregnancy BMI of <28.9 kg/m2 were identified as factors decreasing the risk of prolonged and obstructed labor. In conclusion, significant predictors of the outcome were maternal characteristics (age, parity, height, and history of labor method), maternal nutrition status (BMI pre-pregnancy, gestational weight gain, and hemoglobin levels), and fetal status (fundal height and fetal presentation).

The prevalence of DM disease in West Nusa Tenggara Province is not much different from that in Indonesia. DM cases in NTB are included in the ten most non-communicable illnesses suffered by the community and the incidence continues to increase from year to year. An increase in the levels of pro-inflammatory cytokines in the body is one of the causes of insulin resistance in cells which can further develop into type 2 diabetes. This study involved diabetic patients at the Mataram Community Health Center, who were assigned into 2 groups, namely the controlled diabetes group and the uncontrolled diabetes group and involved a standard group which was a group consisted of healthy people. Each group was examined for Fasting Blood Glucose (FBG) and HbA1c levels. The results of the examination in the standard group, controlled diabetes group and uncontrolled diabetes group obtained the FBG levels of 89.22 mg/dl, 110.0 mg/dl, and 245.80 mg/dl, respectively. Furthermore, the results of the HbA1c test in the standard group, controlled diabetes group and uncontrolled diabetes group were 5.44%, 6.03%, and 10.49%, respectively. The results of the examination of IL-6 levels in the standard group, controlled diabetes group and uncontrolled diabetes were 329.36 pg/ml, 331.52 pg/ml, and 320.33 pg/ml, respectively. The results of the IL-10 test in the standard group, controlled diabetes group and uncontrolled diabetes were 71.80 pg/ml, 116.60 pg/ml, and 128.10 pg/ml, respectively. Based on the results of the study, there was no significant difference in the levels of interleukin 6 and interleukin 10 between respondents with diabetes mellitus and healthy respondents (p>0.05). It can be concluded that there were no differences in interleukin 6 and 10 levels between healthy people with patients with controlled and uncontrolled diabetes.

During working hours, Sales Promotion Girl (SPG) is standing in a shopping center, which can cause work fatigue. The objective of this study was to examine the work fatigue of SPG who wore high heels in various variations. The research design was cross-sectional, with the research subjects being 60 employees from the SPG in Pontianak Indonesia Mall. The L 77 reaction timer was employed to measure fatigue before and after work. The findings revealed that workers who wore 7 cm heels experienced higher levels of fatigue than those who wore 5 cm or 3 cm heels. The study results revealed no significant difference in fatigue before and after working various variations of high heels (p ≤ 0.001). When wearing high heels, the average level of fatigue increases. However, there was no statistically significant difference in heel height variation on fatigue level (p=0.173). When working in a standing position, wearing shoes with low heels increases comfort and reduces worker fatigue. The results of this study can be used as a starting point for future research by other researchers. Moreover, the findings of this study can also serve as a starting point for other researchers to conduct additional research.      

At RSUD Sidoarjo, it was discovered that 44% of nurses experienced fatigue. Fatigue occurs due to several factors, one of which is the physical workload. The objective of this study is to examine the physical workload and characteristics of nurses on night shifts on the fatigue of inpatient tulip nurses at RSUD Sidoarjo in 2022. The number of samples was 30 respondents with the sampling technique encompassing all of population of nurses on night shifts. The results demonstrated that there was no influence between physical workload on work fatigue with a value of 0.717, as well as characteristics incorporating age, length of service and gender which had no effect on work fatigue with a value of 0.636, respectively; 0.747 and 0.235. The result of the study indicates that workload, age, working period, and gender of nurses have no effect on nurses' work fatigue. The conclusion is there was no influence between physical workload and characteristics of nurses on night shifts on the fatigue of inpatient tulip nurses at RSUD Sidoarjo in 2022. It is recommended that future researchers will conduct research on nurse fatigue employing various variables such as mental workload on nurses, hospital physical environment, distance of residence, and marital or family status.

The bite of the Aedes sp mosquito causes nearly 0 million people to be infected with the dengue virus annually, one of areas declared as an endemic area is East Nusa Tenggara Province. 5669 cases and 58 deaths due to dengue hemorrhagic fever (DHF) were found in East Nusa Tenggara Province in 2020 (CFR 1.02%). Highly influential external factors include the availability of clean water, the crisis of drinking water and clean water, and poor condition of water container that do not meet the requirements. This study aims to manage Larvitrap installation movement and abatezation of the water containers in the community/households in Kupang City. This was a observational study with survey design regarding the installation of Larvitrap tool. The density of mosquito larvae was measured based on the House Index (HI), Container Index (CI), and Breteau index (BI). 383 families were involved as the study samples who were selected using the accidental sampling technique. The results showed that there were 866 units of water resevoir (47.8%). Fatululi Village had the highest percentage of indoor water container by 15.7% (140 units), and Oesapa Village had the highest percentage of outdoor water container by 15.5% (143 units). The highest percentage of positive indoor water container was found in TDM and Kelapa Lima by 30.4%, while the highest percentage of positive outdoor water container was found in TDM village by 48.4%. Aedes aegypti larvae and Aedes albopictus larvae were identified in the indoor and outdoor water containers in TDM Village, while that were only aedes aegypti larvae found in six other villages. The positive larvitrap larvae found in Oebufu Village was 15%, 10% was found in Oesapa Village, while there were no larvae found in 5 other villages. The flick density index obtained the highest House Index (HI) in Kelapa Lima village by 58.33%, the highest Container Index (CI) was found in TDM village by 44.03% and the highest Breteau Index (BI) was found in TDM village by 218.75%. It can be concluded that it is necessary to conduct education on mosquito larvae control that involves active community participation and supervision towards weekly draining of community water containers. In addition, abate sprinkling and dengue vector control activities should be carried out simultaneously throughout Kupang City at the beginning of the rainy season, at the peak of case incidence and at the end of the rainy season.      

After bleeding, hypertension is the second leading cause of maternal death.  Hypertension is caused by a combination of factors, including increased stress and a low level of albumin. All of these changes will cause complications and necessitate long-term medication therapy. As a result, complementary therapies such as family roles and yoga are required. Many people are unfamiliar with yoga movements, so this study provides innovation by incorporating yoga into a smartphone application. The objective of the study is to determine the differences in the implementation of the Go-Yoga smartphone application and the role of the family in pregnant women in the III trimester on blood pressure and albumin levels. This type of research is quasi-experimental involving 60 pregnant women in the third trimester. In Group I, 20 pregnant women practiced yoga with books; in Group II, 20 pregnant women exercised yoga with the Go-Yoga app without their families; and in Group III, 20 pregnant women practiced yoga with their families. The study's results revealed significant blood pressure, with the third group having the highest average (p = 0.000 1). Pregnant women who utilize the Go-Yoga app with their families have lower blood pressure than other groups. Furthermore, pregnant women who employ the Go-Yoga app with their families have higher albumin levels than other groups. Therefore, this study suggests employing the Go-Yoga application with the family prevents hypertension in pregnancy.

A typical image of the Thorax CT Scan as a sign of the early stages and development of Covid-19 is the finding of Ground Glass Opacities (GGO). GGO is an insignificant increase in the density of the lungs without occlusion of blood vessels and bronchi. In mild cases, GGO tends to be difficult to identify and requires high-resolution CT scanning. In this study, we intend to improve the resolution of the Thorax CT Scan image through filter settings, to analyze the difference in the variations of filters B50s, B70s, and B90s towards the quality of the CT Scan image and obtain the optimal use of filter in the Thorax CT Scan examination among Covid-19 cases. This was a quantitative analytical study conducted at one of the Regional General Hospital in Jakarta on March-April 2022. The samples were secondary data derived from 10 patients by using MSCT Siemens Somatom Perspective 128 slices. Data were collected through observation and experiment. The images collected were further analyzed using Image j software to find values of Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR). Furthermore, the values were compared by assessing the anatomical image information through various filters. The results of this study indicated that there were differences in the SNR and CNR values of the three filters. The higher resolution of the filter used, the more capable it was to sharper and more detailed the image but the noise level was also higher. Thorax CT Scan examination should be carried out using the B70s very sharp filter that was able to produce images with the optimal information and fairly low noise level. A very thin GGO image in the early stage of the manifestation of Covid-19 could be identified in the Thorax CT Scan examinations for diagnosis of Covid-19 case.

Oral hygiene is an indicator of oral and dental health which can be assessed based on the presence or absence of organic deposits, such as pellicle, materia alba (dental deposit), food residue, calculus, and dental plaque. Plaque is the cause of tooth decay among the world's population. Plaque on the tooth surface can be used as an indicator of oral hygiene. Poor cleaning can lead to stickier plaque and tartar after calcification. The thin plaque is almost the same as the color of the teeth, so that plaque cannot be seen with the naked eye. The presence of plaque that is formed from contact with oral fluids can be detected by using certain dye. This study aims to determine the Effectiveness of Purple Sweet Potato Extract and Disclosing substance for Plaque Identification among the children in Aisyah Orphanage, Tilatang Kamang Sub-District, Agam District. This was a quasi-experimental study with a post-test-only design. The samples of this study were 30 children at Aisyah Orphanage, Tilatang Kamang Sub-District, Agam District, with the inclusion criteria of children with permanent teeth and index teeth. The samples were selected through total sampling technique. The results showed that after applying purple sweet potato extract to the children at Aisyah Orphanage in Bukittinggi City, most of them had the Patient Hygiene Performance index (PHP) in the moderate criteria (50%). Furthermore, after applying disclosing substances to the children at Aisyah Orphanage in Bukittinggi City, most of them had the PHP index in the poor criteria (56.7%). The t-test independent statistical test results obtained a p-value of 0.000 (p <0.005), indicating a significant difference between sweet potato extract and disclosing substance. Disclosing substance was more effective than purple sweet potato extract in identifying plaque on the tooth surface. Further study is recommended to apply purple sweet potato extract with different concentrations as an alternative ingredient to identify plaque on the tooth surface.