METHODS: A voluntary sample of 600 participants, aged 15 to 29, was recruited. Data were analyzed using Partial Least Squares-Structural Equation Modeling (PLS-SEM) to examine the relationships between variables.
RESULTS: The analysis revealed that all three intrinsic needs-competence, autonomy, and relatedness-along with social media algorithms and source credibility, positively correlated with fitness-related health information use behaviors among youth. Additionally, social media algorithms moderated the relationship between the need for relatedness and fitness-related health information behavior.
DISCUSSION: These findings provide new insights into developing health communication strategies on social media, particularly targeted toward the youth demographic, enhancing our understanding of effective health information dissemination in digital environments.
METHODS: Forty-eight patients with hand fractures were recruited over a period of 15 months. Twenty-one patients had undergone fracture fixation under GA, whereas another 27 patients had the surgery under WALANT. Parameters including vital signs (heart rate and systolic blood pressure), surgery duration, estimated blood loss, visual analog scale, and quick disabilities of the arm, shoulder, and hand (QuickDASH) questionnaire were evaluated.
RESULTS: Wide-awake local anesthesia no tourniquet group had significantly higher systolic blood pressure values and higher estimated blood less than GA group. Wide-awake local anesthesia no tourniquet group also documented shorter surgical time compared with GA group, but the difference was not significant. In terms of clinical outcomes, WALANT group recorded significantly lower visual analog scale score at 2 hours and 2 weeks postsurgery. However, WALANT has a comparable QuickDASH score with GA group except at 3 months postsurgery.
CONCLUSIONS: Wide-awake local anesthesia no tourniquet surgery for hand fracture fixation provides a similar analgesic effect and comparable QuickDASH score except at 3 months postsurgery compared with GA.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IIb.
METHODS: We conducted 20 in-depth interviews with stakeholders, including government officials, community members, and representatives of non-governmental organisations (NGOs), using a qualitative methodology. The data were analysed using thematic analysis to identify key themes surrounding public participation, policy challenges, and successful community-led flood mitigation initiatives.
RESULTS: The findings highlight the critical role of public involvement in improving flood preparedness and resilience. Communities that actively participated in mitigation efforts, such as early warning systems and nature-based solutions, demonstrated enhanced resilience. However, significant challenges remain, including inadequate funding, outdated infrastructure, and bureaucratic delays. Public awareness and education on flood preparedness, especially in rural areas, were found to be insufficient, hindering the effectiveness of flood management strategies.
CONCLUSIONS: The study concludes that while CBFM initiatives in Malaysia show promise, their success depends on stronger policy enforcement, increased public engagement, and sustained investments in both green and grey infrastructure. Greater collaboration between local communities, NGOs, and government agencies is essential for improving flood risk management and building long-term resilience, particularly in the face of increasing climate-driven disasters.
MATERIALS AND METHODS: A cross-sectional study was conducted among students (N = 364) from six sciences schools at International Islamic University Malaysia via an online survey, which contained three main parts; socioeconomic status, mental well-being assessment using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS), and assessment of mental help-seeking attitude using the General Mental Help-Seeking Attitude Scale (MHSAS). Data were analysed using SPSS, version 29.0.
RESULTS: Only 7.1% of the students have positive mental well-being, while 44.8% scored positive mental help-seeking attitude. There were no significant differences (P > 0.05) in students' mental well-being and any of SES components. There was a significant association between students' year of study and mental help-seeking attitude (P = 0.029), in addition, WEMWBS and MHSAS scores showed a positive correlation (P < 0.01).
CONCLUSION: Future studies are essential to find out the contributing factors, prevention, and intervention that can be done to help the student in need.
OBJECTIVE: The study aimed to develop and evaluate a mhealth application for healthcare providers that offers quick access to updated recommendations, evidence-based guidelines, and protocols for managing patients with HCAIs.
METHOD: The study included the development of the app, followed by a pilot test of its usability among physicians and nursing staff by using the Mobile Application Usability Questionnaire (MAUQ).
RESULTS: The mhealth application, named HCAI Shield, was developed with four main menus. The menu includes HCAI's care bundle: hand hygiene, personal protective equipment, and standard precautions. The information has been gathered following standards established by both national and international organizations. Twenty-one participants took part in the evaluation, and the mean score for the application's usability was 5.28 ± 0.38. The areas of "ease of use," "interface and satisfaction" received high mean scores.
CONCULSION: The HCAI Shield app provides convenient access to evidence-based guidelines and standards for HCAI management. Further evaluation is recommended.
MATERIAL AND METHODS: All patients with biopsy-proven GCT, involving either the distal femur or proximal tibia, and treated with either curettage with bone grafting (CBG), curettage with bone cementation (CBC), or curettage combined with grafting and cementation (the Sandwich technique) were included. They were further classified according to Campanacci grading. Patients were followed for a minimum of two years, and all complications were recorded.
RESULTS: The three groups showed a statistically significant difference in terms of persistent pain after surgery (p=0.03), development of long-term arthritis (p=0.01), as well as overall complications (p=0.005). There was no significant difference in terms of the overall recurrence rate between each group (p>0.05). For Campanacci Grade II lesions, there was a statistically significant difference in terms of local recurrence (p=0.01), with lower recurrence rates observed after cementation procedures.
CONCLUSION: The study indicates that the Sandwich technique was associated with a lower rate of complications compared to CBG or CBC. Patients in the CBG group reported persistent pain, while those in the CBC group exhibited early arthritic changes within five years of the index surgery. Although there was no overall difference in recurrence rates, cementation procedures had a significantly lower rate of recurrence in Campanacci Grade II lesions.
MATERIAL AND METHODS: This experimental research included 27 samples of hydroxyapatite derived from clam shell waste (CSW-HAP), hydroxyapatite derived from eggshell waste (ESW-HAP), and commercial synthetic hydroxyapatite, with nine samples of each. The calcination method was used to process clam shell waste and eggshell waste into hydroxyapatite, which was then compared with synthetic hydroxyapatite from Bongros® for calcium and phosphate content. Scanning electron microscopy was used to compare their morphological structures.
RESULT: The mean calcium levels in the CW-HAP, EW-HAP, and control groups were 41.3±2.9%, 41.5±2.3%, and 39.6±5.0%, respectively. According to One Way ANOVA, there was no significant difference between the CW-HAP or EW-HAP groups and the control group (p=0.49). The mean phosphate levels in the CW-HAP, EW-HAP, and control groups were 8.1±1.2%, 8.1±1.3%, and 9.4±2.0%, respectively. The results were also not significant (p=0.146).
CONCLUSION: Clam shell waste and eggshells can be an alternative source of hydroxyapatite substitution, as demonstrated by the structural and porous formation of hydroxyapatite obtained from these sources (CW-HAP and EW-HAP) when compared to commercial synthetic hydroxyapatite.