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Abstract : Malaria remains the most prevalent parasite infection accountable for the high burden of disease and deaths in low-income countries. Approximately half of the global population lives in malaria-endemic areas, pregnant women and young children below the age of 5-years are considered as high-risk group for the transmission of malaria. A pilot study was conducted in Royal hospital, Enugu State, Nigeria. The health education intervention contents were prepared initially and pre-tested by piloting 30 pregnant women. The pre-test was done two times, with an interval of 10 days in order to evaluate the accuracy of the original findings with a retest. A total of 30 pregnant women participated in the study Majority of the pregnant women belong to Igbo ethic group 27(90%). All the pregnant women live in the city 30(100%). The result of this study reported that a total of 29 respondents had good knowledge of malaria prevention practice. Results proved that health education could be an effective if it is included in routine sessions provided to pregnant women in order to encourage them to practice the use of ITN. This could not only be beneficial in preventing malaria and reducing its burden of disease, it can also improve maternal morbidity and mortality among pregnant women.

Abstract : This study described the effectiveness of pancreas omentoplasty with sleeve gastrectomy on weight reduction, improving blood sugar levels and interleukin-6 in diabetic and obese rats. A randomized control group pretest-posttest study design was performed on 12 male Wistar rats aged 6 weeks induced with obesity and type 2 diabetes mellitus (DM) and grouped into sleeve gastrectomy (SG) group (P1) and SG group with pancreatic omentoplasty (P2). SG is done by partially removing the stomach in the major curvature and suturing it. Omentoplasty is performed by suturing the omentum to the pancreas. Body weight, fasting blood glucose levels, and interleukin-6 (IL-6) were examined before and 10 days after treatment. None of the rats experienced postoperative drop-out, and examination showed that they were obese with homogeneous body weight, blood glucose, and IL-6 levels. Data analysis showed body weight, blood glucose levels, and IL-6 after treatment were significantly decreased in both groups compared to levels before treatment. The improvement of these parameters was found to be significantly better in the group that received sleeve gastrectomy and pancreatic omentoplasty. In conclusion, sleeve gastrectomy with pancreatic omentoplasty significantly reduce body weight, blood sugar levels, and IL-6 better than sleeve gastrectomy procedure alone.

Abstract : Noise-induced hearing loss (NIHL) is a hearing loss that develops gradually due to prolonged exposure to excessive intensity noise and usually comes from the work environment. This study was a retrospective descriptive study using medical record data at Neurotology Clinic, Dr. Soetomo Hospital, Surabaya, Indonesia, from January 2016 to December 2020. Male patients with NIHL were more than female patients. The ratio of male to female patients was 1.92 :1. Most NIHL patients were in 41-50 years age group, as many as 12 patients (31.58%). NIHL patients as many as 18 patients (47.37%) had a chief complaint of tinnitus, while 20 patients (52.63%) had complaints of hearing loss. Most of the patients' occupations were traders of 8 patients (21.05%). The length of work of NIHL patients showed that those who worked for less than 10 years were 12 patients (31.58%). The mean notch frequency typical of NIHL patients was found in 15 patients (39.47%) with a frequency of 4000 Hz, and 23 patients (60.53%) with a frequency of 6000 Hz, with a decrease in intensity of 59.50 dB and 65.54 dB. The chief complaint was tinnitus, which was more common than hearing loss. Most of the patients' occupations was traders, with the majority of patients had been working more than 10 years. Most hearing loss was mild with a characteristic notch frequency occurring more at 6000 Hz than 4000 Hz.

Abstract : Marriage in Bali, which is predominantly Hindu, still adheres to the caste (wangsa) system. So that the marriage that can be called ideal by the Balinese people is a marriage with the same caste, and if a different caste marriage is still a polemic in Balinese society. Different caste marriages in Bali cause adjustment to the new environment in the husband's family. This case aims to show that there is a relationship between different caste marriages (nyerod) that occur in Balinese women and her psychological status. A 30 years old Balinese woman came with psychological problems after she was married with different caste. Based on in-depth psychiatric interviews, psychological and psychometric examinations, as well as dynamic psychotherapy approaches, it was found that she wanted to end her marriage but she was confused because she had married with a lower caste husband (nyerod) and felt that her family was not willing to accept herself back if she divorced. The need for premarital counselling is certainly crucial to explain to couples who are about to get married, especially those of different castes to know the consequences and adjustments that must be made if they are going to have a different caste marriage to prevent psychological disorder.

Abstract : Nursing services require an increase in the quality of health services and professionalism through work productivity. The phenomenon found is many nurses experience work fatigue because of several factors, such as inappropriate nutritional intake as well as lack of rest, which leads to the incidence of anemia. The impact of nutritional problems can cause decrease of work productivity, such as work fatigue and work capacity. This study aims to analyze the direct and indirect effects of nutritional status and hemoglobin levels on work productivity, through work fatigue as an intervening variable in nurses in hospitals. The research method used a cross-sectional study design. The research began in October 2022 at Regional General Hospital, Parepare. The samples used was 110 nurses using the accidental sampling technique. Nutritional status was obtained by examining the nurses' BMI through their height and weight, Hb levels were measured using HB Nesco Hemoglobin type NW-01, work fatigue was measured with the Reaction Speed application, and work productivity was measured by filling out a questionnaire. The results of multivariate tests with path analysis showed that there was a direct effect of nutritional status on work productivity (p<0.005), there was a direct effect of Hb levels on work productivity (p<0.005) and there was an effect of work fatigue on work productivity (p<0.005). The result showed that there was a direct and indirect effect of nutritional status and hemoglobin levels on work productivity through fatigue as an intervening variable. Future research is expected to examine other factors that can affect work productivity besides nutritional status and hemoglobin levels.