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  1. Pocock NS, Chan Z, Loganathan T, Suphanchaimat R, Kosiyaporn H, Allotey P, et al.
    PLoS One, 2020;15(4):e0231154.
    PMID: 32251431 DOI: 10.1371/journal.pone.0231154
    BACKGROUND: Cultural competency describes interventions that aim to improve accessibility and effectiveness of health services for people from ethnic minority backgrounds. Interventions include interpreter services, migrant peer educators and health worker training to provide culturally competent care. Very few studies have focussed on cultural competency for migrant service use in Low- and Middle-Income Countries (LMIC). Migrants and refugees in Thailand and Malaysia report difficulties in accessing health systems and discrimination by service providers. In this paper we describe stakeholder perceptions of migrants' and health workers' language and cultural competency, and how this affects migrant workers' health, especially in Malaysia where an interpreter system has not yet been formalised.

    METHOD: We conducted in-depth interviews with stakeholders in Malaysia (N = 44) and Thailand (N = 50), alongside policy document review in both countries. Data were analysed thematically. Results informed development of Systems Thinking diagrams hypothesizing potential intervention points to improve cultural competency, namely via addressing language barriers.

    RESULTS: Language ability was a core tenet of cultural competency as described by participants in both countries. Malay was perceived to be an easy language that migrants could learn quickly, with perceived proficiency differing by source country and length of stay in Malaysia. Language barriers were a source of frustration for both migrants and health workers, which compounded communication of complex conditions including mental health as well as obtaining informed consent from migrant patients. Health workers in Malaysia used strategies including google translate and hand gestures to communicate, while migrant patients were encouraged to bring friends to act as informal interpreters during consultations. Current health services are not migrant friendly, which deters use. Concerns around overuse of services by non-citizens among the domestic population may partly explain the lack of policy support for cultural competency in Malaysia. Service provision for migrants in Thailand was more culturally sensitive as formal interpreters, known as Migrant Health Workers (MHW), could be hired in public facilities, as well as Migrant Health Volunteers (MHV) who provide basic health education in communities.

    CONCLUSION: Perceptions of overuse by migrants in a health system acts as a barrier against system or institutional level improvements for cultural competency, in an already stretched health system. At the micro-level, language interventions with migrant workers appear to be the most feasible leverage point but raises the question of who should bear responsibility for cost and provision-employers, the government, or migrants themselves.

  2. Ng FL, Jaafar MM, Phang SM, Chan Z, Salleh NA, Azmi SZ, et al.
    Sci Rep, 2014;4:7562.
    PMID: 25531093 DOI: 10.1038/srep07562
    The search for renewable energy sources has become challenging in the current era, as conventional fuel sources are of finite origins. Recent research interest has focused on various biophotovoltaic (BPV) platforms utilizing algae, which are then used to harvest solar energy and generate electrical power. The majority of BPV platforms incorporate indium tin oxide (ITO) anodes for the purpose of charge transfer due to its inherent optical and electrical properties. However, other materials such as reduced graphene oxide (RGO) could provide higher efficiency due to their intrinsic electrical properties and biological compatibility. In this work, the performance of algae biofilms grown on RGO and ITO anodes were measured and discussed. Results indicate improved peak power of 0.1481 mWm(-2) using the RGO electrode and an increase in efficiency of 119%, illustrating the potential of RGO as an anode material for applications in biofilm derived devices and systems.
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