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Fulltext Quality of life of people with mental illness who lives in the community in Sarawak

Saloma P, Zabidah, P., Rekaya, V.B., Jane, B.

Malaysian Journal of Psychiatry, 2012;21(2):0-0.
MyJurnal

This study explores the quality of life, social integration and the effects of perceived stigma of people with mental illness living in the community. Adopting a complimentary mixed method, this study was represented by 165 people with mental illness in Kuching, Sibu and Miri. Findings indicated that the quality of life scale was poor, 49.67% and 78.43% often experienced stigma. Anticipated stigma 43.79%; 16.99% all the time and 4.58% never experienced stigma. Findings also noted that people with mental illness living in the community are still largely depending on and needed continuous support from their family members/carers for financial aid and their living arrangement for a “better” quality of life. Where treatment is concerned, follow up care at home by health care providers continue to play a significant role. In order to “erase” the perceived or stigma experienced, establishing therapeutic relationship, communication and creating awareness on “stigma discrimination paradigm” poses a phenomenal challenge in the current misrepresentations of mental health messages.
Fulltext Care demands-related concerns and perceived service needs of families of people with mental illness in the community

Saloma, P., Chan, K.G., Ong, M.F.

Malaysian Journal of Psychiatry, 2014;23(1):17-26.
MyJurnal

Owing to reduced inpatient stays, people with mental illness (PMI) were often discharged from the hospital in ‘acute’ conditions. During this transition period of fragility, the relocation of care from hospital to home has tremendous impact on every aspect of a family’s life as they need to face a challenging task of caring especially when they are ‘not ready’ and ‘ignorant’ about the chronicity and severity of the illness. Furthermore, where economic and psychological support is concerned, those who are undertaking this task may require significant professional guidance. Aims: This study examines the experiences of 100 families in caring for people with mental illness in the community. Methods: Qualitative interviews were conducted in their homes within three Malaysian states of Sabah, Sarawak and Johor in year 2013. Results: Three themes emerged from the findings of ‘care demands related concerns’ of these families. These include theme (1): care provision related concerns of families which were related to the needs of people with mental illness for continuing care provision, their non-compliance with medication and relapse, altered sleep pattern, limited self-care ability, behavioral problems and also social isolation. Theme (2): perceived availability of resources of service provision/support which were related to activities planned for the families before the discharge of the people with mental illness and theme (3): family members perceived service needs whereby they informed of their needs such as continual health care through home visit, provision of financial aid, job coach service, centre for care provision of PMI and rehabilitative programs.
Fulltext Effect of hanging white bedsheet around phototherapy unit on TSB level in neonatal jaundice: a comparative study

Chong Li Tsu, Shalin Lee Wan Fei, Chan Kim Geok, Saloma Pawi, Feryante Rintika, Drina Dalie

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):22-0.
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Introduction: Phototherapy is the primary treatment for neonatal jaundice and is evaluated via total serum bilirubin (TSB) level. Hanging white material around phototherapy unit can multiply energy delivery by many folds. This study is to evaluate the effect of hanging white bedsheet around phototherapy unit on the reduction of TSB level. Methods: Comparative interventional study was conducted in two public hospitals. 200 eligible neonates with hyperbiliru- binemia were recruited and assigned to intervention (n=100) and control group (n=100). Neonates assigned into intervention group were nursed under phototherapy with the addition of white bedsheet hanging around the unit while the control group were nursed under phototherapy with non-white curtains. Results: Mothers’ blood group (x = 3.75, p = .29), neonates’ blood group (x = 2.87, p = .41), birth weight (t = 1.41, p = .16), baseline total serum bilirubin (TSB) level (p = .08), baseline irradiance of phototherapy prior to the hanging of curtains (p = .13) and hours of phototherapy (p = .53). The mean for TSB level in intervention and control group at 24 hours was 235.82µmol/L and 208.67µmol/L respectively. The mean difference in TSB level between intervention and control group was sta- tistically significant at 24 hours (x = 27.15, t = 4.56, p < .001) and 48 hours (x = 19.27, t = 2.32, p = .02) after initi- ation of phototherapy. Conclusion: The baseline and demographic characteristics of the neonates and mothers were comparable between the intervention and control group. The TSB level at 24 hours and 48 hours were significantly lower in control group if compared to the intervention group. Therefore, hanging white bedsheet did not significantly hasten the reduction of TSB level when compared to ordinary non-white curtains.
Simulated electronic health documentation: A cross-sectional exploration of factors influencing nursing students' intention to use

Chan KG, Pawi S, Ong MF, Kowitlawakul Y, Goy SC

Nurse Educ Pract, 2020 Oct;48:102864.
PMID: 32920369 DOI: 10.1016/j.nepr.2020.102864

The aim of this study was to investigate factors influencing nursing students' intention to use a simulated web-application 'Integrated Nursing Education System' for practicing electronic health documentation. The cross-sectional study was conducted at a Malaysian University that provides undergraduate nursing degree program. A total of 133 undergraduate nursing students in their year 2 to year 4 of the program were recruited. They had accessed the simulated web-application as part of the teaching-learning activities during the academic year 2016/2017. Technology Acceptance Model was used to guide the study. Validated questionnaires were used to measure the students' perceived ease of use, perceived usefulness, attitudes and intention to use the application. Data collection was done at the end of the semester. Data analysis was done using SPSS (19.0) and AMOS (23.0). Perceived usefulness was the most influential factor of the students' intention to use the simulated web-application. Perceived ease of use influenced their perceived usefulness significantly. Nurse educators should explain the usefulness of the simulated web-application before assigning students to access it to practice electronic health documentation. The availability of a stable internet access and IT support is important to influence students' perceived ease of use and intention to use the application.
Waste Mineral Wool and Its Opportunities-A Review

Yap ZS, Khalid NHA, Haron Z, Mohamed A, Tahir MM, Hasyim S, et al.

Materials (Basel), 2021 Oct 02;14(19).
PMID: 34640174 DOI: 10.3390/ma14195777

Massive waste rock wool was generated globally and it caused substantial environmental issues such as landfill and leaching. However, reviews on the recyclability of waste rock wool are scarce. Therefore, this study presents an in-depth review of the characterization and potential usability of waste rock wool. Waste rock wool can be characterized based on its physical properties, chemical composition, and types of contaminants. The review showed that waste rock wool from the manufacturing process is more workable to be recycled for further application than the post-consumer due to its high purity. It also revealed that the pre-treatment method-comminution is vital for achieving mixture homogeneity and enhancing the properties of recycled products. The potential application of waste rock wool is reviewed with key results emphasized to demonstrate the practicality and commercial viability of each option. With a high content of chemically inert compounds such as silicon dioxide (SiO2), calcium oxide (CaO), and aluminum oxide (Al2O3) that improve fire resistance properties, waste rock wool is mainly repurposed as fillers in composite material for construction and building materials. Furthermore, waste rock wool is potentially utilized as an oil, water pollutant, and gas absorbent. To sum up, waste rock wool could be feasibly recycled as a composite material enhancer and utilized as an absorbent for a greener environment.
Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review

Ong MF, Soh KL, Saimon R, Myint WW, Pawi S, Saidi HI

Int J Nurs Pract, 2023 Aug;29(4):e13083.
PMID: 35871775 DOI: 10.1111/ijn.13083

AIMS: The aim of this study is to evaluate an evidence-based fall risk screening tool to predict the risk of falls suitable for independent community-dwelling older adults guided by the World Health Organization's International Classification of Functioning, Disability and Health (WHO-ICF) components, and to examine the reliability and validity of the fall risk screening tool to predict fall risks, and to examine the feasibility of tools among independent community-dwelling older adults.
METHODS: A systematic literature search guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was performed using the EBSCOHost® platform, ScienceDirect, Scopus and Google Scholar between July and August 2021. Studies from January 2010 to January 2021 were eligible for review. Nine articles were eligible and included in this systematic review. The risk of bias assessment used the National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies. The WHO-ICF helped to guide the categorization of fall risk factors.
RESULTS: Seven screening tools adequately predicted fall risk among community-dwelling older adults. Six screening tools covered most of the components of the WHO-ICF, and three screening tools omitted the environmental factors. The modified 18-item Stay Independent Brochure demonstrated most of the predictive values in predicting fall risk. All tools are brief and easy to use in community or outpatient settings.
CONCLUSION: The review explores the literature evaluating fall risk screening tools for nurses and other healthcare providers to assess fall risk among independent community-dwelling older adults. A fall risk screening tool consisting of risk factors alone might be able to predict fall risk. However, further refinements and validations of the tools before use are recommended.
Fulltext Applying polygenic risk scoring for psychiatric disorders to a large family with bipolar disorder and major depressive disorder

de Jong S, Diniz MJA, Saloma A, Gadelha A, Santoro ML, Ota VK, et al.

Commun Biol, 2018;1:163.
PMID: 30320231 DOI: 10.1038/s42003-018-0155-y

Psychiatric disorders are thought to have a complex genetic pathology consisting of interplay of common and rare variation. Traditionally, pedigrees are used to shed light on the latter only, while here we discuss the application of polygenic risk scores to also highlight patterns of common genetic risk. We analyze polygenic risk scores for psychiatric disorders in a large pedigree (n ~ 260) in which 30% of family members suffer from major depressive disorder or bipolar disorder. Studying patterns of assortative mating and anticipation, it appears increased polygenic risk is contributed by affected individuals who married into the family, resulting in an increasing genetic risk over generations. This may explain the observation of anticipation in mood disorders, whereby onset is earlier and the severity increases over the generations of a family. Joint analyses of rare and common variation may be a powerful way to understand the familial genetics of psychiatric disorders.
Fulltext Interaction of Geopolymer Filler and Alkali Molarity Concentration towards the Fire Properties of Glass-Reinforced Epoxy Composites Fabricated Using Filament Winding Technique

Hashim MFA, Faris MA, Mydin MAO, Ghazali CMR, Daud YM, Abdullah MMAB, et al.

Materials (Basel), 2022 Sep 19;15(18).
PMID: 36143805 DOI: 10.3390/ma15186495

This paper aims to find out the effect of different weight percentages of geopolymer filler in glass-reinforced epoxy pipe, and which can achieve the best mechanical properties and adhesion between high calcium pozzolanic-based geopolymer matrices. Different weight percentages and molarities of epoxy hardener resin and high calcium pozzolanic-based geopolymer were injected into the glass fiber. By manually winding filaments, composite samples were produced, and they were then allowed to cure at room temperature. To determine how well the geopolymer matrices adhere to the fiber reinforcement, the microstructure of the composites' surfaces and perpendicular sections were examined. Maximum values of compressive strength and compressive modulus were 94.64 MPa and 2373.58 MPa, respectively, for the sample with a weight percentage of filler loading of 30 wt% for an alkali concentration of 12 M. This is a relatively wide range of geopolymer weight percentage of filler loading from 10 wt% to 40 wt%, at which we can obtain high compressive properties. By referring to microstructural analysis, adhesion, and interaction of the geopolymer matrix to glass fiber, it shows that the filler is well-dispersed and embedded at the fiber glass, and it was difficult to determine the differences within the range of optimal geopolymer filler content. By determining the optimum weight percent of 30 wt% of geopolymer filler and microstructural analysis, the maximum parameter has been achieved via analysis of high calcium pozzolanic-based geopolymer filler. Fire or elevated temperature represents one of the extreme ambient conditions that any structure may be exposed to during its service life. The heat resistance or thermal analysis between glass-reinforced epoxy (GRE) pipe and glass-reinforced epoxy pipe filled with high calcium pozzolanic-based geopolymer filler was studied by investigating burning tests on the samples, which shows that the addition of high calcium pozzolanic-based geopolymer filler results in a significant reduction of the melted epoxy.
Fulltext Pathogen genomic surveillance status among lower resource settings in Asia

Getchell M, Wulandari S, de Alwis R, Agoramurthy S, Khoo YK, Mak TM, et al.

Nat Microbiol, 2024 Oct;9(10):2738-2747.
PMID: 39317773 DOI: 10.1038/s41564-024-01809-4

Asia remains vulnerable to new and emerging infectious diseases. Understanding how to improve next generation sequencing (NGS) use in pathogen surveillance is an urgent priority for regional health security. Here we developed a pathogen genomic surveillance assessment framework to assess capacity in low-resource settings in South and Southeast Asia. Data collected between June 2022 and March 2023 from 42 institutions in 13 countries showed pathogen genomics capacity exists, but use is limited and under-resourced. All countries had NGS capacity and seven countries had strategic plans integrating pathogen genomics into wider surveillance efforts. Several pathogens were prioritized for human surveillance, but NGS application to environmental and human-animal interface surveillance was limited. Barriers to NGS implementation include reliance on external funding, supply chain challenges, trained personnel shortages and limited quality assurance mechanisms. Coordinated efforts are required to support national planning, address capacity gaps, enhance quality assurance and facilitate data sharing for decision making.