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Seroprevalence of leptospiral antibodies among market workers and food handlers in the central state of Malaysia

Samsudin S, Sakinah SNS, Malina O, Norliza BA, Noh MA, Fairuz A, et al.

Trop Med Int Health, 2018 03;23(3):327-333.
PMID: 29356240 DOI: 10.1111/tmi.13033

OBJECTIVE: The high prevalence of leptospirosis in humans is of great public health concern, particularly in tropical and subtropical regions. This study aimed to determine the seroprevalence of leptospiral antibodies and distribution of serovars, and to assess the usefulness of enzyme-linked immunosorbent assay (ELISA) as a screening method for leptospiral antibodies in a high-risk healthy community.
METHODS: Cross-sectional study of 231 market workers and food handlers in wet markets and food premises from two localities in central Malaysia. Respondents' background information was obtained using a questionnaire. Serum samples were tested for leptospiral antibodies using ELISA and microscopic agglutination test (MAT).
RESULTS: Seroprevalence of leptospirosis among healthy workers was 46.3%. Detection of seropositivity was higher by MAT (46%) than ELISA (15%). We observed high seropositivity among local workers (49%), food handlers (49.5%), females (60.8%) and those aged 34 years and older (46.3%). Local strain LEP175 was the predominant serovar, followed by WHO strain Patoc.
CONCLUSION: Overall seroprevalence among healthy food handlers and market workers was high in this study. The workplace places susceptible individuals at risk of leptospirosis.
Fulltext Low Levels of Knowledge, Attitudes and Preventive Practices on Leptospirosis among a Rural Community in Hulu Langat District, Selangor, Malaysia

Nozmi N, Samsudin S, Sukeri S, Shafei MN, Wan Mohd WMZ, Idris Z, et al.

Int J Environ Res Public Health, 2018 04 06;15(4).
PMID: 29642390 DOI: 10.3390/ijerph15040693

Little is known on the knowledge, attitudes and preventive practices (KAP) of leptospirosis worldwide. This study embarked on assessing the KAP of leptospirosis among rural communities in Malaysia. A total of 444 participants (223 male; 221 female) aged between 18 and 81 years old were surveyed by using a self-administered questionnaire. A majority of participants had poor knowledge level (57.0%), unacceptable attitudes (90.3%) and unacceptable preventive practices (69.1%) on leptospirosis, and only 29.7% knew "rat-urine disease" as leptospirosis. Only 34.2% of the participants knew the bacteria could enter via wound lesions. Ethnicity and income were strongly associated with knowledge level and preventive practices, respectively (p-values < 0.05). As for attitudes, ethnicity, income and education type were significantly associated (p-values < 0.05). Only 36.5% of the participants were willing to see a doctor and did not mind if their house or surrounding area is dirty (59.7%). Surprisingly, only 32.9% had used rubber boots during floods. By logistic regression analysis, ethnicity was the only significant predictor for both knowledge level (an odds ratio (AOR) = 0.39, 95% confidence interval (CI) = 0.222-0.680) and preventive practices (AOR = 1.81, 95% CI = 1.204-2.734). Ethnicity (AOR = 0.40, 95% CI = 0.239-0.665), income (AOR = 1.58, 95% CI = 1.041-2.385) and education type (AOR = 3.69, 95% CI = 1.237-10.986) were strong predictors for attitudes. Among the KAP variables, attitude (AOR = 4.357, 95% CI = 2.613-7.264) was the only predictor for the preventive practices by logistic regression analysis. The KAP elements on leptospirosis are still lacking and poor health seeking behavior and attitudes are of our utmost concern. Thus, effective strategies should be planned to impart knowledge, and develop proactive approaches and good preventive modules on leptospirosis to this leptospirosis-prone community.
Fulltext Awareness, Knowledge, Attitude and Preventive Practice of Leptospirosis Among Healthy Malaysian and Non-Malaysian Wet Market Workers in Selected Urban Areas in Selangor, Malaysia

Samsudin S, Saudi SNS, Masri NS, Ithnin NR, T Z M T J, Hamat RA, et al.

Int J Environ Res Public Health, 2020 02 19;17(4).
PMID: 32093098 DOI: 10.3390/ijerph17041346

Leptospirosis has been reported as an endemic in most tropical countries. Among high risk occupations, leptospirosis includes workers in agriculture and domestic animal industries. Environmental hygiene in the wet market has established a link between the presence of rodents with probability of leptospirosis infection. This study was aimed to compare the level of knowledge, attitude and preventive practice against leptospirosis between healthy Malaysian and non-Malaysian wet market workers in selected wet markets in urban areas of Selangor. A cross-sectional study in the determined area was conducted with the participation of 147 respondents. The respondents were randomly chosen from the list provided by the state agency that regulates these markets. A self-administered bilingual validated questionnaire (English and Bahasa Melayu) was distributed to the selected respondents. There were 68 (48.3%) Malaysian respondents and 79 (53.7%) non-Malaysian respondents. The majority of them were males, who attained formal education and were less than 40 years old. Meanwhile, the respondents earned less than RM3000. Among the Malaysian respondents, 80.9% were aware of leptospirosis as compared to 17.7% of the non-Malaysian colleagues (p < 0.05). All items of knowledge showed that the Malaysian respondents scored higher as compared to non-Malaysian respondents. On attitude towards infection prevention, most Malaysian respondents had a positive attitude, while most non-Malaysian respondents had undecided perception on the majority of crucial attitude items. In practicing preventive measures, there was a marked significant difference in proportion between Malaysian and non-Malaysian respondents for items on "Specific Protection and Isolation at Source." There was a significant gap on knowledge, attitude and preventive practice among Malaysian workers as compared to non-Malaysian workers. Therefore, it was highly recommended the health promotion implementation should also provide specific focus on non-Malaysian workers.
Fulltext Leptospirosis and its prevention: knowledge, attitude and practice of urban community in Selangor, Malaysia

Abdullah NM, Mohammad WMZW, Shafei MN, Sukeri S, Idris Z, Arifin WN, et al.

BMC Public Health, 2019 May 22;19(1):628.
PMID: 31117995 DOI: 10.1186/s12889-019-6981-0

BACKGROUND: Leptospirosis is still endemic in Malaysia and has been prevalent in Selangor where cases have been underreported. Primarily, this was due to lack of awareness in the urban community in this region. This study determined the knowledge, attitude and preventive practice (KAP) of leptospirosis, and identified the significant predictors influencing KAP among urban community in Hulu Langat, Selangor.
METHODS: This cross-sectional study was conducted from 2015 to 2017 using validated questionnaire. Sampling methods included multistage cluster sampling, followed by simple random sampling to obtain 315 respondents. Descriptive analysis was performed to determine the KAP while χ2 and the subsequent logistic regression analysis were carried out to identify associations and predictors between variables.
RESULTS: Respondents were mainly Malaysian Bumiputra with a mean (Standard Deviation (SD)) age of 32.5 (13.0) years. Of 315 respondents, 80.3% (n = 253) had poor knowledge, 87.0% (n = 274) had good attitude, and 81.3% (n = 256) showed unacceptable practice towards leptospirosis and its prevention. Regression analysis identified age as the sole predictor influencing good knowledge (AOR 2.388; 95% CI = 1.298, 4.396; p = 0.005). Education level (AOR 2.197; 95% CI = 1.109, 4.352; p = 0.024) was also noted as the significant predictor influencing the overall practice.
CONCLUSIONS: The urban community in Selangor showed a positive attitude in waste management despite having little knowledge regarding the disease itself. The study also discovered inadequacy in preventive practice, hence marking the importance of the proper integration of knowledge and attitude into forming an acceptable practice to reduce transmission of Leptospira among urban population in Malaysia.
Fulltext Measurement of nicotine withdrawal symptoms: linguistic validation of the Wisconsin Smoking Withdrawal Scale (WSWS) in Malay

Awaisu A, Samsudin S, Amir NA, Omar CG, Hashim MI, Mohamad MH, et al.

BMC Med Res Methodol, 2010;10:46.
PMID: 20492717 DOI: 10.1186/1471-2288-10-46

The purpose of the linguistic validation of the Wisconsin Smoking Withdrawal Scale (WSWS) was to produce a translated version in Malay language which was "conceptually equivalent" to the original U.S. English version for use in clinical practice and research.
The Impact of Sociological and Environmental Factors for Dengue Infection in Kuala Lumpur, Malaysia

Adnan RA, Ramli MF, Othman HF, Asha'ri ZH, Ismail SNS, Samsudin S

Acta Trop, 2021 Apr;216:105834.
PMID: 33485870 DOI: 10.1016/j.actatropica.2021.105834

BACKGROUND: Dengue incidence has grown dramatically around the world in recent years. Vector control is the only method to reduce dengue incidence due to the lack of a vaccine available. By understanding the factors contributed to the vector densities such as environmental and sociological factors, dengue prevention and control may succeed.
OBJECTIVE: This study is aimed at determining the impact of sociological and environmental factors contributing to dengue cases.
METHODS: The study surveyed 379 respondents with dengue history. The socio-environmental factors were evaluated by chi-square and binary regression.
RESULT: The chi-square results revealed sociological factors associated between family with dengue experience such as older age (p =0.012), fewer than four people in the household (p= 0.008), working people (p= 0.004) and apartment/terrace houses (p=0.023). Similarly, there is a significant association between respondent's dengue history and houses that are shaded with vegetation (p= 0.012) and the present of public playground areas near the residential (p = 0.011).
CONCLUSION: The study identified socio-environmental factors that play an important role in the abundance of Aedes mosquitoes and also for the local dengue control measures.
Fulltext Effects of functional training on sprinting, jumping, and functional movement in athletes: A systematic review

Bashir M, Soh KG, Samsudin S, Akbar S, Luo S, Sunardi J

Front Physiol, 2022;13:1045870.
PMID: 36531163 DOI: 10.3389/fphys.2022.1045870

This systematic review aims to illuminate the effects of functional training on sprinting, jumping, and functional movements in athletes. A systematic search of electronic databases-that include PubMed, EBSCOhost (Sport Discus), SCOPUS, ProQuest, Google Scholar, and additional references-was carried out using keywords associated with functional training, jumping, sprinting, functional movement skills, and athletes, in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement criteria. The Physiotherapy Evidence Database (PEDro) scale was used to measure the methodological quality of the studies included in the systematic review. Results: From a total of 220 studies, 15 included ones met all eligibility criteria and were scored between 4-5 points-considered as" moderate quality"-by the PEDro scale. Most studies recorded positive effects of functional training on athletes' sprinting, jumping, and functional movement. In contrast, a small number of studies did not find any positive effects of functional training on sprinting, squat jump, vertical jump, and countermovement jump due to the short duration and frequency of the training, as well as the lack of additional exercises that come with the interventions. Furthermore, the reviewed studies reveal that there is limited research within the literature on 5, 15, 25, and 50 m sprinting, squat jump, quadrant jump, and functional movement in athletes. Conclusion: Although the length of training interventions varied across studies in this systematic review, functional training interventions were found to help improve athletes' performance. The review reveals that training duration, intensity, and frequency are some critical variables that need to be taken into account when developing a successful functional training intervention for athletes. More studies are required to evaluate the influence of different accessible functional training durations on athletes' sprinting, jumping performance, and functional movement. Finally, further research needs to be done to investigate the impacts of functional training on performance and movement skills of male and female athletes at all levels in other sports. Systematic Review Registration: https://inplasy.com/inplasy-2022-5-0130/, identifier INPLASY202250130.
Fulltext The Effect of Persistence of Physical Exercise on the Positive Psychological Emotions of Primary School Students under the STEAM Education Concept

Yuan Y, Ji X, Yang X, Wang C, Samsudin S, Omar Dev RD

Int J Environ Res Public Health, 2022 Sep 12;19(18).
PMID: 36141724 DOI: 10.3390/ijerph191811451

The effect of persistence of physical exercise on the psychological and emotional aspects of primary school students is studied to improve the comprehensive quality of current Chinese primary school students and explore the effect of physical exercise on students' emotions under the science, technology, engineering, art, mathematics (STEAM) education concept. First, students in a primary school in Nanchang are taken as the survey participants. Second, by formulating a physical exercise scale and a psychological and emotional scale, the current situation of physical exercise of primary school students is investigated by means of mathematical statistics. Finally, the current situation of physical exercise and the overall situation of positive psychological emotions of primary school students are analyzed, and the effect of physical exercise on the positive psychological emotions of primary school students is studied. The data show that there are significant differences in the amount of exercise and its three dimensions of intensity, time, and frequency, as well as the scores of positive emotions in the gender dimension, with the boys scoring higher than the girls. In terms of grades, students in grades 1, 2, and 6 are higher than students in grades 3, 4, and 5 on the level of a small amount of exercise, while students in grades 3, 4, and 5 are higher than the other three grades in terms of a moderate amount of exercise. Moreover, in the aspect of positive psychological emotions, the lower-grade students are obviously higher than the upper-grade students, and the second- and third-grade students present marginal significance, p = 0.058. The correlation and regression between physical exercise and positive psychological emotions are calculated and analyzed, and it is found that there is a significant positive correlation between physical exercise indicators and positive psychological emotions, with a correlation coefficient of 0.297. Physical exercise explains 8.8% of positive emotions. This research also makes relevant recommendations for students and schools and has played a role in strengthening the physical exercise and mental health of primary and secondary school students. Greater attention to the physical exercise of primary school students is recommended.
Fulltext Gender-Specific Patterns of Muscle Imbalance in Elite Badminton Players: A Comprehensive Exploration

Gasibat Q, Abdullah B, Samsudin S, Alexe DI, Alexe CI, Tohănean DI

Sports (Basel), 2023 Aug 30;11(9).
PMID: 37755841 DOI: 10.3390/sports11090164

The high-intensity demands of overhead sports exert significant stress on the bilateral shoulder complex, triggering adaptive kinematics and a distinct strength imbalance between internal and external rotators. The imbalance being referred to in the given statement poses a potential risk for humeral head displacement and puts nearby tendons under tension, heightening the vulnerability to injury. This study aims to assess muscle imbalances in badminton athletes. The first hypothesis (H1) suggests that there are differences in internal and external shoulder rotation movements between dominant and non-dominant segments in badminton players. The second hypothesis (H2) proposes that there are variations in muscle imbalances based on gender among elite badminton players. The objectives are to analyze these differences and explore potential gender-related variations in muscle imbalances. The study seeks to contribute to the understanding of muscle imbalances in badminton athletes and potentially guide training and injury prevention strategies in the sport. Using a cutting-edge Hand-Held Dynamometer (HHD), a cohort of 30 elite badminton players underwent an assessment to uncover any bilateral shoulder rotation strength imbalances during a challenging five second isometric maximum contraction. The participants boasted an average age of 17.4 years and a mean playing experience of 7.23 years. The study revealed a notable difference in the ratio of external and internal strength between the dominant and non-dominant shoulders (p = 0.000). This discrepancy amounted to a striking 27.93% muscle imbalance in external rotation/internal rotation strength ratios, favoring the dominant shoulder. Moreover, gender-specific differences were detected, with male players exhibiting a 24.54% muscle imbalance in favor of the dominant shoulder, while female players showcased a more substantial 31.33% imbalance (p = 0.000). In light of these findings, it became evident that elite badminton players possess considerably stronger dominant shoulders compared with their non-dominant counterparts. Furthermore, the study revealed that male players experience less muscular imbalance than their female counterparts.
Fulltext Safety and Efficacy of Intravenous Iron Sucrose versus Low Molecular Weight Iron Dextran for Treatment of Iron Deficiency Anemia in Pregnancy: A Randomized Controlled Trial

Samsudin S, Dulasi M, Sany S, Balanathan K, Chong SE, Ali A

Int J Womens Health, 2020;12:1259-1270.
PMID: 33408531 DOI: 10.2147/IJWH.S281826

OBJECTIVE: This study aimed to compare the efficacy, side effects, and clinical outcomes between parenteral iron sucrose complex (ISC) and low-molecular-weight iron dextran (LMWID) for iron deficiency anemia (IDA) in pregnancy.
METHODS: The study was conducted in a Malaysian tertiary hospital for a period of 1 year. Forty pregnant women with IDA between 24 and 38 weeks of gestation were randomized into two groups receiving treatment with either ISC or LMWID.
RESULTS: No significant difference was found between the groups in terms of demographic data, parity, and mean gestational age. A mean total of 835 ± 150 mg doses of ISC and 656 ± 382 mg doses of LMWID were administered (P = 0.0001). Adverse events were reported in five patients who received LMWID and none in those treated with ISC (P = 0.024). The mean hemoglobin (Hb) level increment 2 weeks post treatment was higher among those who received ISC than in those who received LMWID. The ISC group demonstrated an increase of 1.91 ± 1.10 g/dL (from 8.43 ± 1.03 g/dL to 10.29 ± 0.90 g/dL) compared with the LMWID group at 1.39 ± 0.54 g/dL (from 8.61 ± 0.70 g/dL to 9.92 ± 0.88 g/dL, P = 0.023). All participants in both groups delivered at term. The estimated blood loss during delivery was significantly higher in the LMWID group (359 ± 247 mL) than in the ISC group (280 ± 100 mL, P = 0.026). Otherwise, no significant difference was observed in terms of Hb level during delivery and the perinatal outcomes for both groups.
CONCLUSION: Parenteral ISC is more effective than LMWID in treating maternal IDA, and it is associated with fewer adverse events.
Fulltext A comprehensive review of demand side management in distributed grids based on real estate perspectives

Dahiru AT, Daud D, Tan CW, Jagun ZT, Samsudin S, Dobi AM

Environ Sci Pollut Res Int, 2023 Jul;30(34):81984-82013.
PMID: 36652076 DOI: 10.1007/s11356-023-25146-x

A major challenge in renewable energy planning and integration with existing systems is the management of intermittence of the resources and customer demand uncertainties that are attributed to climates. In emerging distributed grids, state-of-the-art optimization techniques were used for cost and reliability objectives. In the existing literature, power dispatch and demand side management schemes were implemented for various techno-economic objectives. In renewable energy-based distributed grids, power dispatch is strategic to system operations. However, demand side management is preferred, as it allows more options for customer participation and active management of energy in buildings. Moreover, the demand side management can simply follow supplies. This paper investigates the implications of demand side management as it affects planning and operations in renewable energy-based distributed grids. Integration of demand side management in customer-oriented plans such as the time-of-use and real-time-pricing on residential and commercial demands is conceptualised to ensure effective customer participation which maintains the valued comforts. Moreover, the optimised tariff integrated demand side management implementations based on the utility-initiated demand response programmes are envisaged to offset conflicting objectives of the economy and customer comforts within residential and commercial demands and are also viewed as a step towards efficient management of energy in buildings.
Fulltext The Impact of Structured Kangaroo Care Education on Premature Infants' Weight Gain, Breastfeeding and Length of Hospitalization in Malaysia

Samsudin S, Chui PL, Ahmad Kamar A, Abdullah KL, Yu CW, Mohamed Z

J Multidiscip Healthc, 2023;16:1023-1035.
PMID: 37077560 DOI: 10.2147/JMDH.S403206

PURPOSE: Kangaroo care is a complementary humanistic intervention based on a family-centered care model. This study investigated the effects of a locally contextualized, structured kangaroo care education program on weight gain, breastfeeding rate and length of hospitalization for premature infants.
PATIENTS AND METHODS: This longitudinal quasi-experimental study with pre- and post-intervention design involved 96 infants born between 28 and 37 weeks of gestation for three months, and was carried out at a neonatal intensive care unit in Malaysia. The experimental group received a structured education program and careful monitoring of their kangaroo care practices, while the control group received routine care without a structured education program. The institutional review board approved the study design and registered at ClinicalTrials.gov (NCT04926402).
RESULTS: The kangaroo care hours performed by mothers at baseline in the experimental and control group was 4.12 and 0.55 hours per week, respectively. At three months post-discharge, the experimental group had significantly higher weight gain, higher breastfeeding rates and shorter lengths of hospitalization than the control group.
CONCLUSION: A locally contextualized and structured kangaroo care education program is effective in the performance of kangaroo care. One hour per day of kangaroo care is positively associated with an extended period of breastfeeding, improved weight gain and shorter hospitalization of premature infants.
Waste management practices in developing countries: a socio-economic perspective

Jagun ZT, Daud D, Ajayi OM, Samsudin S, Jubril AJ, Rahman MSA

Environ Sci Pollut Res Int, 2023 Nov;30(55):116644-116655.
PMID: 35867301 DOI: 10.1007/s11356-022-21990-5

Growing populations, expanding economies, industrialisation, and urbanisation pose a problem for waste management in developing countries. Their waste management methods, on the other hand, are not as efficient as they could be. Most developing countries' current waste management practices do not fully conform to developed countries' best practices for meeting socioeconomic goals. As a result, the importance of waste management in developing countries has grown in recent years. In order to highlight the socioeconomic perspectives of waste management practices, the present study examines the existing literature, policies, information, and records on waste management in developing nations. The findings indicate that essential socioeconomic factors such as finances, population density, per capita income, education level, policies, and technology have a significant impact on waste management, which encompasses waste generation, collection, composition, and disposal/treatment. Nonetheless, waste management has a number of economic benefits, including financial stability, job creation, and community cohesion. This study will inspire further research on the need for developing nations to consider the socioeconomic benefits of proper waste management and to develop a policy plan to achieve these benefits.
Social Support and Physical Activity in College and University Students: A Meta-Analysis

Wang X, Yang X, Juzaily Bin Mohd Nasiruddin N, Wei S, Dong D, Bin Samsudin S

Health Educ Behav, 2024 Feb 02.
PMID: 38305027 DOI: 10.1177/10901981231216735

Although physical activity (PA) has a profound impact on health, many college and university students are still physically inactive. There is some evidence to suggest that social support (SS) could impact the PA levels of students, but the internal relationship and specific effects are not very clear. The purpose of this review was to determine the strength of the relationship between SS and PA and examine whether any potential associations differed in terms of age, gender, and region among college and university students. Studies were identified using the following electronic databases: PubMed, SPORTDiscus, Web of Science, and Sociological Abstracts. Moderator analyses investigating the effects of students' age, gender, and region (nation) were performed. This review included 19 articles. The results showed total SS was significantly associated with PA (r = 0.30, 95% confidence interval [CI]: [0.22, 0.37], p < .001). With respect to different types of support, friend support was more strongly associated with PA than family support. Gender factors had a significant moderating effect on the correlation between SS and PA (QM = 17.433, p < .001). Separate analyses examining the moderating effects of gender (percentage of females) found that the association between SS and PA was stronger with the increase in female percentage. In conclusion, SS is an important factor associated with PA levels and should foster SS within intervention programs according to types of SS and gender differences to increase PA levels among college and university students.
Fulltext Effects of functional training on muscle strength, jumping, and functional movement screen in wushu athletes: A systematic review

Wang X, Soh KG, Deng N, Zhang D, Cao S, Samsudin S

Heliyon, 2024 Jan 30;10(2):e24087.
PMID: 38293332 DOI: 10.1016/j.heliyon.2024.e24087

This study aims to analyse the effects of functional training on muscle strength, jumping, and functional movement screen in wushu athletes.
METHODS: This study followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic search of electronic databases was also conducted, including EBSCOhost, Scopus, PubMed, Web of Science, CNKI, Google Scholar, and Wanfang. The Physiotherapy Evidence Database (PEDro) scale was an effective indicator to evaluate the quality of studies included in the systematic review.
RESULTS: This systematic review included 474 participants aged 8-24 years old. The intervention period for most studies was 12 weeks. Among the included studies, 6 focused on muscle strength, 4 on jumping performance, and 11 on functional movement screen.
CONCLUSION: These articles have been analysed, and the positive impact of functional training interventions on muscle strength, jumping, and functional movement screen of wushu athletes has been verified.
Fulltext Assessing the knowledge level, attitudes, risky behaviors and preventive practices on sexually transmitted diseases among university students as future healthcare providers in the central zone of Malaysia: a cross-sectional study

Folasayo AT, Oluwasegun AJ, Samsudin S, Saudi SN, Osman M, Hamat RA

Int J Environ Res Public Health, 2017 02 08;14(2).
PMID: 28208724 DOI: 10.3390/ijerph14020159

This study was done to assess the knowledge, attitudes, risky behaviors and preventive practices related to sexually-transmitted diseases (STDs) among health and non-health sciences university students as future healthcare providers in Malaysia. A total of 700 health and non-health sciences university students (255 male; 445 female) aged between 17 and 30 years were surveyed by using a self-administered questionnaire. The majority (86.6%) had heard of STDs, and 50.4% knew STDs could present without symptoms. HIV remains the best known STD (83.6%) by the students, while chlamydia (26%) and trichomoniasis (21.0%) were rarely known. Gender, age group, educational level and faculty type were strongly associated with knowledge level (p-values < 0.05). Most of them (88.8%) were aware that STD screening was important while use of condoms was protective (63.8%). The majority of them strongly felt that treatment should be sought immediately if they (85.5%) and their partners (87.4%) have symptoms. Among the sexually-active students, 66.7% and 18% had sexual intercourse with multiple partners and commercial sex workers, while 17.4% and 9.4% took alcohol and drugs before having sex, respectively. By logistic regression analysis, students aged 24-30 years old (an odds ratio (AOR) = 0.57, 95% confidence interval (CI) = 0.377-0.859) and faculty type (AOR = 5.69, 95% CI = 4.019-8.057) were the significant predictors for the knowledge level. Knowledge on the non-HIV causes of STDs is still lacking, and the risky behavior practiced by the sexually-active students in this study is alarming. There is a need to revisit the existing STD education curriculum in both schools and universities so that appropriate intervention on STDs can be implemented.
Fulltext Effects of high-intensity functional training on physical fitness and sport-specific performance among the athletes: A systematic review with meta-analysis

Wang X, Soh KG, Samsudin S, Deng N, Liu X, Zhao Y, et al.

PLoS One, 2023;18(12):e0295531.
PMID: 38064433 DOI: 10.1371/journal.pone.0295531

OBJECTIVE: This study aims to meta-analyze the impact of high-intensity functional training on athletes' physical fitness and sport-specific performance.
METHODS: A systematic search was conducted in five well-known academic databases (PubMed, Scopus, Web of Science, EBSCOhost, and the Cochrane Library) up to July 1, 2023. The literature screening criteria included: (1) studies involving healthy athletes, (2) a HIFT program, (3) an assessment of outcomes related to athletes' physical fitness or sport-specific performance, and (4) the inclusion of randomized controlled trials. The Physical Therapy Evidence Database (PEDro) scale was used to evaluate the quality of studies included in the meta-analysis.
RESULTS: 13 medium- and high-quality studies met the inclusion criteria for the systematic review, involving 478 athletes aged between 10 and 24.5 years. The training showed a small to large effect size (ES = 0.414-3.351; all p < 0.05) in improving upper and lower body muscle strength, power, flexibility, and sport-specific performance.
CONCLUSION: High-intensity functional training effectively improves athletes' muscle strength, power, flexibility, and sport-specific performance but has no significant impact on endurance and agility. Future research is needed to explore the impact of high-intensity functional training on athletes' speed, balance, and technical and tactical performance parameters.
Lipase immobilized on poly(VP-co-HEMA) hydrogel for esterification reaction

Basri M, Samsudin S, Ahmad MB, Razak CN, Salleh AB

Appl Biochem Biotechnol, 1999 Sep;81(3):205-17.
PMID: 15304777

Lipase from Candida rugosa was immobilized by entrapment on poly(N-vinyl- 2-pyrrolidone-co-2-hydroxyethyl methacrylate) (poly[VP-co-HEMA]) hydrogel, and divinylbenzene was the crosslinking agent. The immobilized enzymes were used in the esterification reaction of oleic acid and butanol in hexane. The activities of the immobilized enzymes and the leaching ability of the enzyme from the support with respect to the different compositions of the hydrogels were investigated. The thermal, solvent, and storage stability of the immobilized lipases was also determined. Increasing the percentage of composition of VP from 0 to 90, which corresponds to the increase in the hydrophilicity of the hydrogels, increased the activity of the immobilized enzyme. Lipase immobilized on VP(%):HEMA(%) 90:10 exhibited the highest activity. Lipase immobilized on VP(%):HEMA(%) 50:50 showed the highest thermal, solvent, storage, and operational stability compared to lipase immobilized on other compositions of hydrogels as well as the native lipase.
Fulltext Evaluation of differences in the performance strategies of top and bottom basketball teams utilizing rank-sum ratio comprehensive

Sun W, Chee C, Kok L, Lim F, Samsudin S

Front Sports Act Living, 2022;4:1052909.
PMID: 36506722 DOI: 10.3389/fspor.2022.1052909

INTRODUCTION: This study aimed to explore common characteristics among top basketball teams, differentiate attacking and defensive performance between top and bottom teams, and correlate attacking and defensive performance with final competition rankings during the 2019 Men's Basketball World Cup, as well as to determine the relationship between performance indicators and the attacking and defensive performance. In addition, the study aimed to determine the attacking and defensive level of the top and bottom eight teams and find their existing problems and shortcomings, to further improve their competitive basketball strength, and also provided valid and reliable information for coaches to conduct targeted training in the future.
METHODS: The rank-sum ratio (RSR) was employed to evaluate the attack, defense, and overall attacking and defensive performance between the top and bottom teams during the 2019 Men's Basketball World Cup. Additionally, an independent sample T-test was conducted to test the difference in performance indicators of attack and defense between the top eight and bottom eight teams. Spearman Rho Correlation was conducted to determine the relationship between the attacking and defensive RSR value and the final competition ranking at the 0.05 confidence level. Pearson Correlation was employed to test the relationship between the performance indicators and the attacking and defensive RSR value at the 0.05 confidence level. According to Spearman and Pearson Correlation, the indicators which contributed most to the attacking and defensive performance, as well as the correlation between attack and defense and the final ranking, can thus be determined.
RESULTS: The results showed that the attacking performance of the top eight teams was far better than the bottom eight teams in terms of average points (p = 0.000), 2-point shoot percentage (p = 0.001), 3-point shoot percentage (p = 0.003), free throw percentage (p = 0.001), turnovers (p = 0.012), and assists (p = 0.000), and there was a significant difference (p < 0.05). However, second attack (p = 0.484), fast-break (p = 0.174), and offensive rebounds (p = 0.261) showed no significant difference between the two cohorts (P > 0.05), and the offensive rebounds of the bottom eight teams were better than the top eight teams. Additionally, there was a large gap between the top eight teams and the bottom eight teams in lost points (p = 0.001) and defensive rebounds (p = 0.000), with a very significant difference (p < 0.01). However, steals (p = 0.760), blocks (p = 0.166), and fouls (p = 0.686) had no significant difference between the two cohorts (P > 0.05). Additionally, there was a very significant difference between attack RSR (p = 0.000), defense RSR (p = 0.006), and the overall attack-defense RSR (p = 0.000) of the top eight and bottom eight teams (p < 0.01), and most top teams focused on developing both attack and defense and paid attention to improve the overall attacking and defensive ability. Moreover, there was a significant relationship between the overall attack-defense performance and assists (p = 0.832), rebounds (p = 0.762), turnovers (p = 0.702), 2-point shoot percentage (p = 0.704), defensive rebounds (p = 0.809), fast-break points (p = 0.577), blocks (p = 0.600), and free throw percentage (p = 0.575).
CONCLUSIONS: This study showed that the top basketball teams focused on developing both attack and defense, and have the common characteristics of strong attack and defense. Whether it was the attack, defense, or overall attacking and defensive ability, there was a significant relationship with the final ranking. Additionally, this study showed that there were very significant differences in both attacking and defensive abilities between the top eight and bottom eight teams, as well as highlighted their respective advantages and disadvantages in attacking and defensive indicators. Besides that, this study found that performance indicators such as assists, defensive rebounds, 2P%, turnovers, FT%, fast-breaks, and blocks were the main factors that distinguish the top and bottom teams, and they had a significant relationship with overall attacking and defensive performance. The above information allows coaches and players to learn the latest developments in competitive basketball, as well as their advantages and disadvantages, to help them organize targeted training in the future.
Fulltext Maternal Kangaroo care education program in the neonatal intensive care unit improved mothers' perceptions, knowledge, perceived barriers and stress relates to premature infant

Samsudin S, Chui PL, Kamar ABA, Abdullah KL

Nurs Open, 2023 Jan;10(1):349-357.
PMID: 36514142 DOI: 10.1002/nop2.1311

AIM: To assess the effectiveness of the maternal kangaroo care education programme over 1 month and 3 months on the mother's perception, knowledge, perceived barriers and stress.
DESIGN: A quasi-experimental and longitudinal study was conducted among mothers with premature infants.
METHODS: Forty-eight mother-infant dyads were enrolled per arm in the control and experimental groups. The control group received standard routine care, while the experimental group received a maternal kangaroo care education program. Data were collected through self-administered Kangaroo Care Questionnaires. Chi-square, the general linear model and repeated measures ANOVA were used to analyse data.
RESULTS: The demographics are a majority of Malay mothers with multipara, a caesarean delivery with prematurity. At 3 months post-intervention, the experimental group reported a significant reduction in stress, a positive perception and good knowledge towards kangaroo care implementation. The mothers' perceived barriers towards kangaroo care significantly decreased after 3 months in the experimental group.

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