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Fulltext Understanding the Turning Point of Patients with Diabetes

Hashim SM, Idris IB, Sharip S, Bahari R, Jahan N

Korean J Fam Med, 2021 Mar;42(2):123-131.
PMID: 32418396 DOI: 10.4082/kjfm.19.0177

BACKGROUND: The patient's intention to engage in diabetes care is the hallmark of role acceptance as a health manager and implies one's readiness to change. The study aimed to understand the process of having the intention to engage in diabetes care.
METHODS: A qualitative study using narrative inquiry was conducted at a public primary care clinic. Ten participants with type 2 diabetes of more than a 1-year duration were selected through purposive sampling. In-depth interviews were conducted using a semi-structured protocol guide and were audio-taped. The interviews were transcribed and the texts were analyzed using a thematic approach with the Atlas.ti ver. 8.0 software (Scientific Software Development GmbH, Berlin, Germany).
RESULTS: Three themes emerged from the analysis. The first theme, "Initial reactions toward diabetes," described the early impression of diabetes encompassing negative emotions, feeling of acceptance, a lack of concern, and low level of perceived efficacy. "Process of discovery" was the second overarching theme marking the journey of participants in finding the exact truth about diabetes and learning the consequences of ignoring their responsibility in diabetes care. The third theme, "Making the right decision," highlighted that fear initiated a decision-making process and together with goal-setting paved the way for participants to reach a turning point, moving toward engagement in their care.
CONCLUSION: Our findings indicated that fear could be a motivator for change, but a correct cognitive appraisal of diabetes and perceived efficacy of the treatment as well as one's ability are essentially the pre-requisites for patients to reach the stage of having the intention to engage.

Matched MeSH terms: Goals
An analysis of the development assistance for health (DAH) allocations for STD control in Africa

Furuoka F, Hoque MZ, Jacob RI, Ziegenhain P

Health Econ Policy Law, 2020 Oct;15(4):458-476.
PMID: 30968812 DOI: 10.1017/S1744133119000197

The Sustainable Development Goals set by the United Nations recognize the importance of making progress in the eradication and treatment of sexually transmitted deceases (STD). STD are among the most widespread diseases in the world and have the highest prevalence in Sub-Saharan Africa. The current study explored the associations between the allocation of the development assistance for health (DAH) in 54 African countries and key development indicators - STD incidence, Gross Domestic Product per capita, health expenditure, and life expectancy at birth. It employed descriptive statistical methods, the matrix scatter plot analysis and the Pearson correlation test for this purpose. The findings indicated that there was a considerable increase in the volume of the DAH given to control and prevent STD in Africa over the period of 2002-2011. A statistically significant positive association was detected between the STD incidence and the health aid allocations. At the same time, the imbalance in the distribution of the health aid between the major and minor aid recipients in the continent increased. The study concludes by discussing policy implications that can be drawn from these findings.

Matched MeSH terms: Goals
Fulltext Impact of intrapersonal and interpersonal emotional intelligence and self-directed learning on academic performance among pre-university science students

Okwuduba EN, Nwosu KC, Okigbo EC, Samuel NN, Achugbu C

Heliyon, 2021 Mar;7(3):e06611.
PMID: 33869848 DOI: 10.1016/j.heliyon.2021.e06611

Provision of equitable access to university education is the primary goal of pre-university education. Academically weak students stand to benefit more from pre-university program. However, available literature on effectiveness of the program revealed that high percentage of students still fail pre-university courses. Although the role of psycho-emotional factors on student academic performance has been highlighted, mechanism through which psycho-emotional factors impact on academic performance of pre-university science students is still not clear to offer adequate insights for proper intervention program. Therefore, we examined the pre-university students' academic performance in sciences in relation to Emotional Intelligence (EI) (Interpersonal EI and Intrapersonal EI) and Self-directed Learning (SDL). Specifically, a correlational study design was conducted to measure and gauge the level of relationships amongst Interpersonal EI, Intrapersonal EI, SDL and academic performance of pre-university students. The participants were 443 Nigerian students enrolled in pre-university science program. Students' self-report on EI and SDL were gathered and analyzed using SPSS 26 and AMOS 24. Exploratory and confirmatory factor analysis were performed to determine cross-cultural validity of the instruments in the Nigerian context. After controlling for gender and age, the hierarchical regression analysis reveals that student academic performance was positively predicted by perceived Interpersonal and Intrapersonal EI, whereas self-directed learning has an inconsistent predictive impact at different steps in the model. Overall, the predictor variables were able to explain substantial proportion of students' academic performance in pre-university program. Insightful suggestions were made.

Matched MeSH terms: Goals
Fulltext A Practitioner's Toolkit for Insulin Motivation in Adults with Type 1 and Type 2 Diabetes Mellitus: Evidence-Based Recommendations from an International Expert Panel

Kalra S, Bajaj S, Sharma SK, Priya G, Baruah MP, Sanyal D, et al.

Diabetes Ther, 2020 Mar;11(3):585-606.
PMID: 31981212 DOI: 10.1007/s13300-020-00764-7

AIM: To develop an evidence-based expert group opinion on the role of insulin motivation to overcome insulin distress during different stages of insulin therapy and to propose a practitioner's toolkit for insulin motivation in the management of diabetes mellitus (DM).
BACKGROUND: Insulin distress, an emotional response of the patient to the suggested use of insulin, acts as a major barrier to insulin therapy in the management of DM. Addressing patient-, physician- and drug-related factors is important to overcome insulin distress. Strengthening of communication between physicians and patients with diabetes and enhancing the patients' coping skills are prerequisites to create a sense of comfort with the use of insulin. Insulin motivation is key to achieving targeted goals in diabetes care. A group of endocrinologists came together at an international meeting held in India to develop tool kits that would aid a practitioner in implementing insulin motivation strategies at different stages of the journey through insulin therapy, including pre-initiation, initiation, titration and intensification. During the meeting, emphasis was placed on the challenges and limitations faced by both physicians and patients with diabetes during each stage of the journey through insulinization.
REVIEW RESULTS: After review of evidence and discussions, the expert group provided recommendations on strategies for improved insulin acceptance, empowering behavior change in patients with DM, approaches for motivating patients to initiate and maintain insulin therapy and best practices for insulin motivation at the pre-initiation, initiation, titration and intensification stages of insulin therapy.
CONCLUSIONS: In the management of DM, bringing in positive behavioral change by motivating the patient to improve treatment adherence helps overcome insulin distress and achieve treatment goals.

Matched MeSH terms: Goals
Fulltext A review on climate change and Malaysia’s actions

Narinderjeet Kaur, Syed Sharizman Syed Abdul Rahim, Zahir Izuan Azhar, Mohd Yusof Ibrahim, Mohammad Saffree Jeffree, Mohd Rohaizat Hassan

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):72-72.
MyJurnal

Introduction: One of the biggest global health threats of the 21st century is climate change It is so catastrophic that the climate action has been given a platform as it is the 13th goal of the 17 United Nations Sustainable developmen-tal goals (SDG). This review seeks to understand the factors causing climate change, followed by understanding the impact it has on individual and population health. We also identify the strategies to control and prevent further cli-mate change. Methods: Reviews of local and international articles from the past ten years was conducted. The focus of the review was the causes, health effects as well as strategies. Data base used was Pro Quest. Results: This re-view identified that the main contributor to climate change are man-made activities such as fossil fuels combustion, livestock farming, and deforestation. This change in climate has many repercussions from mass migrations, increase communicable diseases as well as an increase in extreme weather events and natural disasters. All this eventually leads to the deterioration of individual and population health. Strengthening adaptivity to climate-related hazard, climate change integration into national policies, education, awareness-raising, impact reduction and early warning are actions that are present in Malaysia to manage this crisis. Conclusion: Climate change is occurring globally, and its presence can no longer be denied. Actions have been put forth, but only when its importance and impact is taken seriously will the positive changes be sustainable.

Matched MeSH terms: Goals
A case of nasopharyngeal carcinoma and precious pregnancy

Abdul Satar NF, Cheong EV, Jasmin LPY, Ngu MR

Med J Malaysia, 2020 11;75(6):738-741.
PMID: 33219188

Cancer during pregnancy is a rare condition. We report here a case of a lady diagnosed with nasopharyngeal carcinoma (NPC) at University of Malaya Medical Centre during her first pregnancy conceived via In Vitro Fertilisation (IVF). A multidisciplinary (MDT) meeting among Oncology, Obstetrics, Rheumatology and Otolaryngology teams was conducted to discuss her treatment options. She opted for treatment with Complementary and Alternative Medicine (CAM). This case illustrates the unique challenges in the oncological management of a patient diagnosed with NPC during pregnancy. It also serves as a reminder that the use of CAM in cancer patients is prevalent. It is important for doctors to inquire about use of CAM and to be well-informed about it. Transparent communication and taking cognizance of the goals and concerns of the patients are essential in delivering patient-centred care.

Matched MeSH terms: Goals
Fulltext A Novel International Partnership for Actionable Evidence on Urban Health in Latin America: LAC-Urban Health and SALURBAL

Diez Roux AV, Slesinski SC, Alazraqui M, Caiaffa WT, Frenz P, Jordán Fuchs R, et al.

Glob Chall, 2019 Apr;3(4):1800013.
PMID: 31565372 DOI: 10.1002/gch2.201800013

This article describes the origins and characteristics of an interdisciplinary multinational collaboration aimed at promoting and disseminating actionable evidence on the drivers of health in cities in Latin America and the Caribbean: The Network for Urban Health in Latin America and the Caribbean and the Wellcome Trust funded SALURBAL (Salud Urbana en América Latina, or Urban Health in Latin America) Project. Both initiatives have the goals of supporting urban policies that promote health and health equity in cities of the region while at the same time generating generalizable knowledge for urban areas across the globe. The processes, challenges, as well as the lessons learned to date in launching and implementing these collaborations, are described. By leveraging the unique features of the Latin American region (one of the most urbanized areas of the world with some of the most innovative urban policies), the aim is to produce generalizable knowledge about the links between urbanization, health, and environments and to identify effective ways to organize, design, and govern cities to improve health, reduce health inequalities, and maximize environmental sustainability in cities all over the world.

Matched MeSH terms: Goals
Fulltext Effects of COVID-19 in E-learning on higher education institution students: the group comparison between male and female

Shahzad A, Hassan R, Aremu AY, Hussain A, Lodhi RN

Qual Quant, 2020 Aug 04.
PMID: 32836471 DOI: 10.1007/s11135-020-01028-z

In response to the emerging and ever solution to the COVID-19 outbreak. This study proposes a theoretical framework based on literature and model to determined E-learning portal success. The study compared males and females to E-learning portal usage. The study objective is to check the difference between male and female E-learning portals' accessibility among the students' perspective. The study included service quality, system quality, information quality, user satisfaction, system use, and E-learning portal success. The empirical data of 280 students participated from the different universities of Malaysia through google surveys analyzed using the Partial Least Squares Structural Equation Modelling. The study further divided the full model into two domains, which are female and male. In the male model, information quality and system quality have direct relationships with user satisfaction. Information quality also supported the relationship with system use. At the same time, there is a positive relationship between user satisfaction and E-learning portals. Likewise, in the female model, E-service quality and Information quality both are supported by system use and user satisfaction. Similarly, system quality has a positive relationship with user satisfaction, and user satisfaction has a positive relationship with E-learning portals. The study will be further helpful for the Malaysian universities policy-makers such as top management, ministry of higher education, Malaysian universities union in designing the policies and programs on E-learning Portal Success in the country. The findings of the study reveal that males and females have a different level of in terms of usage of towards E-learning portals in Malaysian Universities.

Matched MeSH terms: Goals
Alcohol consumption and attributable harm in middle-income South-East Asian countries: Epidemiology and policy options

Sornpaisarn B, Shield K, Manthey J, Limmade Y, Low WY, Van Thang V, et al.

Int J Drug Policy, 2020 Jul 22;83:102856.
PMID: 32711336 DOI: 10.1016/j.drugpo.2020.102856

Background Factors and policies which potentially explain the changes in alcohol consumption and related harms from 2010 to 2017 in 11 middle-income countries in the South-East Asian region (Cambodia, Lao PDR, Indonesia, the Philippines, Malaysia, Maldives, Myanmar, Sri Lanka, Thailand, Timor-Leste, and Vietnam) were examined. Methods Using secondary data from UN agencies, we analyzed trends in alcohol consumption, alcohol-attributable deaths and the burden of disease. Results Starting from a level of consumption significantly below the global average-especially among the Muslim-majority countries (Maldives, Indonesia, and Malaysia)-the majority of the countries in this region had markedly increased their alcohol consumption along with the economic development they experienced between 2010 and 2017. In fact, five middle-income countries in this region (Vietnam, Lao PDR, Cambodia, Myanmar, and Timor-Leste) were in the top 12 countries globally based on absolute increases in adult alcohol per capita consumption (APC). The Philippines and Malaysia were the exceptions, as they had reduced their APC over this period. The majority of South-East Asian countries had parallel increasing trends in the age-standardized alcohol-attributable deaths and DALYs since 2010, in contrast to global trends. While all countries put some alcohol control policies in place, there were differences in the number and strength of the policies applied, commensurate with trends in consumption. In particular, three of the countries which were most successful in reducing consumption and harm (Malaysia, Philippines, and Sri Lanka) applied more effective tax methods based on specific taxation alone or in combination with another taxation method, applying higher taxation rates and regularly increasing them over time. Conclusion To achieve the global target and the Sustainable Development Goal in reducing alcohol consumption worldwide, middle-income countries, especially lower-middle-income countries, should employ stricter alcohol control policies, and apply an appropriate excise tax on alcohol products with regular increases to reflect inflation.

Matched MeSH terms: Goals
SLEEP-GOAL: A multicenter success criteria outcome study on 302 obstructive sleep apnoea (OSA) patients

Pang KP, Baptista PM, Olszewska E, Braverman I, Carrasco-Llatas M, Kishore S, et al.

Med J Malaysia, 2020 03;75(2):117-123.
PMID: 32281591

OBJECTIVE: To demonstrate SLEEP-GOAL as a more holistic and comprehensive success criterion for Obstructive Sleep Apnoea (OSA) treatment.
METHODS: A prospective 7-country clinical trial of 302 OSA patients, who met the selection criteria, and underwent nose, palate and/or tongue surgery. Pre- and post-operative data were recorded and analysed based on both the Sher criteria (apnoea hypopnea index, AHI reduction 50% and <20) and the SLEEP-GOAL.
RESULTS: There were 229 males and 73 females, mean age of 42.4±17.3 years, mean BMI 27.9±4.2. The mean VAS score improved from 7.7±1.4 to 2.5±1.7 (p<0.05), mean Epworth score (ESS) improved from 12.2±4.6 to 4.9±2.8 (p<0.05), mean body mass index (BMI) decreased from 27.9±4.2 to 26.1±3.7 (p>0.05), gross weight decreased from 81.9±14.3kg to 76.6±13.3kg. The mean AHI decreased 33.4±18.9 to 14.6±11.0 (p<0.05), mean lowest oxygen saturation (LSAT) improved 79.4±9.2% to 86.9±5.9% (p<0.05), and mean duration of oxygen <90% decreased from 32.6±8.9 minutes to 7.3±2.1 minutes (p<0.05). The overall success rate (302 patients) based on the Sher criteria was 66.2%. Crosstabulation of respective major/minor criteria fulfilment, based on fulfilment of two major and two minor or better, the success rate (based on SLEEP-GOAL) was 69.8%. Based solely on the Sher criteria, 63 patients who had significant blood pressure reduction, 29 patients who had BMI reduction and 66 patients who had clinically significant decrease in duration of oxygen <90% would have been misclassified as "failures".
CONCLUSION: AHI as a single parameter is unreliable. Assessing true success outcomes of OSA treatment, requires comprehensive and holistic parameters, reflecting true end-organ injury/function; the SLEEP-GOAL meets these requirements.

Matched MeSH terms: Goals
Fulltext Performance of Salvinia molesta plants in tertiary treatment of domestic wastewater

Mustafa HM, Hayder G

Heliyon, 2021 Jan;7(1):e06040.
PMID: 33537482 DOI: 10.1016/j.heliyon.2021.e06040

The objective of this study was to investigate the performance of different weight of Salvinia molesta plants in biological treatment of domestic wastewater. Three treatment systems containing 280g (GS1), 140g (GS2) and 70g (GS3) of S. molesta plants were used for the phytoremediation process. Physicochemical analysis such as pH, colour, chemical oxygen demand (COD), and biological oxygen demand (BOD5) of the influent and effluent water samples were performed according to spectrophotometric methods. The outcome of the study demonstrated that the different weight of S. molesta plants played a significant role in improving the quality of the wastewater samples, in which GS1 removed 96.8% (colour), 91% (BOD5), and 82.6% (COD). While up to 88.6% (colour), 87.1% (BOD5), and 81.1% (COD) reduction was observed for GS2 treatment systems, and GS3 was efficient in removing 85.5% (colour), 86.1% (BOD5), and 68.3% (COD). Also, a pH value of 6.29-7.19, 5.97-7.07, and 6.17-7.42 was obtained from GS1, GS2 and GS3 treatment systems, respectively. Thus, the treatment system with the highest quantity of S. molesta (GS1) demonstrated better performance compared to the other two systems (GS2 and GS3). The findings of this research can be applied in addressing the goals of sustainable development through the use of green technology to reduce the threat of water pollution in natural water bodies. Perhaps existing and future water scarcity can be resolved through the use of phytoremediation technology.

Matched MeSH terms: Goals
Survey dataset on the level of sustainable consumption of Malaysian households from the perspective of income and consumption expenditure

Rashid NKA, Sulaiman NFC, Anang Z, Possumah BT, Muhamad S, Sa'at NH, et al.

Data Brief, 2021 Apr;35:106743.
PMID: 33553520 DOI: 10.1016/j.dib.2021.106743

Unsustainable consumption promotes discouraging patterns of consumption with negative impacts on society. It also contributes to inequalities and poverty. Unsustainable patterns of production and consumption undermine development goals in terms of inefficiency and overconsumption. This research explores the level of sustainable consumption of Malaysian households from the perspective of income and consumption expenditure. The analysis is based on cross-sectional data obtained from questionnaires distributed to 635 Malaysian households in eight districts in Terengganu (urban and rural areas) using stratified random sampling. The findings show that the level of sustainable consumption expenditure of Muslim households in Terengganu is still low. Achieving sustainable consumption patterns is more technically and politically complex than changing production patterns because it raises important issues such as human values, equity and lifestyle choices.

Matched MeSH terms: Goals
Algae utilization and its role in the development of green cities

Chew KW, Khoo KS, Foo HT, Chia SR, Walvekar R, Lim SS

Chemosphere, 2020 Dec 15;268:129322.
PMID: 33359993 DOI: 10.1016/j.chemosphere.2020.129322

With the rapid urbanisation happening around the world followed by the massive demand for clean energy resources, green cities play a pivotal role in building a sustainable future for the people. The continuing depletion of natural resources has led to the development of renewable energy with algae as the promising source. The high growth rate of microalgae and their strong bio-fixation ability to convert CO2 into O2 have been gaining attention globally and intensive research has been conducted regarding the microalgae benefits. The focus on potential of microalgae in contributing to the development of green cities is rising. The advantage of microalgae is their ability to gather energy from sunlight and carbon dioxide, followed by transforming the nutrients into biomass and oxygen. This leads to the creation of green cities through algae cultivation as waste and renewable materials can be put to good use. The challenges that arise when using algae and the future prospect in terms of SDGs and economy will also be covered in this review. The future of green cities can be enhanced with the adaptation of algae as the source of renewable plants to create a better outlook of an algae green city.

Matched MeSH terms: Goals
Fulltext Reasons for seeking dental care among adults at an academic dental centre and the associated factors

Azlan Jaafar, Wan Mohamad Nasir, Nazirah Ab Mumin, Nur Najwa Athirah Elias, Muhaimin Afnan Mohd Sabri

Archives of Orofacial Sciences, 2018;13(2):1-8.
MyJurnal

One of the roles expected of dental personnel is to promote dental seeking behaviour to the public. It is to ensure that adults maintain an optimum number of teeth for overall health and quality of life by enabling them to eat, speak and socialise without pain, discomfort or embarrassment. The objective of this study was to determine the reasons for seeking dental care and the factors that influence this decision among adult patients. This was a retrospective study of clinical records among patients of 18 years old and above who attended Universiti Sains Islam Malaysia (USIM) Dental Polyclinic, an academic dental centre, for the first time from January 2015 to December 2016. Socio-demographic data on age, gender and occupation as well as the reason for the visit were retrieved from the clinical records. Analysis of data was conducted using SPSS software version 21.0 and the pvalue was set at p

Matched MeSH terms: Goals
Fulltext A Scoping review of the effectiveness of control interventions of human and Canine Rabies in an effort to Rationalise the One Health Approach

Nur Asheila Abdul Taib, Razitasham Safii

Borneo Epidemiology Journal, 2020;1(1):16-34.
MyJurnal

According to the World Health Organization (WHO), rabies is one of the 18 neglected tropical diseases, together with dengue, leprosy, and trachoma, among others. Despite being a vaccine-preventable disease, the latest estimate of annual human rabies mortality from a 2015 study is as high as 59,000 throughout 150 countries. In human rabies, more than 95% of the cases are due to dog bites, making the elimination of canine rabies a global priority by fighting the disease at its animal source. World Health Organization (WHO), World Organization for Animal Health (OIE), Food and Agriculture Organization (FAO) of the United Nations, and the Global Alliance for Rabies Control (GARC) have warranted the One Health framework with the objective of complete eradication of dog-related human rabies by the year 2030. In an effort to rationalise the One Health approach, this scoping review found 17 studies on assessing the effectiveness of control interventions of human and canine rabies. Different strategies were implemented based on the endemicity of rabies in a particular country. Overall, the combined strategies using the One Health approach, which allows effectiveparticipation and communication between different agencies, have shown promising results in reducing rabies cases. These strategies will hopefully realise the goal in the Global Strategic Plan to achieve zero canine-mediated human rabies death by the year2030.

Matched MeSH terms: Goals
Fulltext Host and environmental factors that influence Plasmodiu Knowlesi Mamlaria infection in humans: a systematic review

Michal Christina Steven

Borneo Epidemiology Journal, 2020;1(2):104-115.
MyJurnal

Introduction:Plasmodium knowlesi(P.knowlesi) is a zoonotic malaria parasite, transmitted between non-factors” or “individual factors” or “ecological factors” and “P.knowlesi” and “human” including human primate hosts by the Anopheles (An.) mosquitos, and causing spill-over infections in humans where the parasite, vector, host, and human converge
Methods:The search was done electronically toexplore for appropriate papers viaPubMed, and Science Direct for articles published up to March 2020, containing the words “factors associated” or “environmental synonyms and Medical Subject Heading (MeSH) terms. A total of 27 articles from PubMed Databases and 18 articles from Science Direct were selected to be assessed for eligibility. Out of it, a total of 13 articles were selected to be analysed.
Results:Host factors such as sex and age, as well as occupation as individual factors, while environmental factors such as rainfall and geographic elevation have some association with P.knowlesiinfection in humans. This zoonotic malaria poses unique challenges that will need to be addressed if all forms of malaria are to be eliminated based on the sustainable development goal (SDG)
Conclusion:This article highlights the importance of disease ecologies such as climate and landscape and human-environment interactions such as the land use patterns, such as agriculture or infrastructure activities) to reduce the further increase of cases and mortality globally due to P.knowlesiinfection. This review focuses mainly on the host and environmental factors that influence P.knowlesiMalaria Infection in Humans

Matched MeSH terms: Goals
Fulltext DETERMINANTS OF PRO-ENVIRONMENTAL BEHAVIOUR AMONG STUDENTS

MOHD YUSOFF YUSLIZA, ABDUL HAFAZ NGAH, DHIYA HILLMAN FADZIL

UMT Journal of Undergraduate Research, 2021;3(2):89-98.
MyJurnal

This paper examines the determinants of pro-environmental behaviour among university students. It uses the theory of planned behaviour in determining the factors that lead to such behaviour. The determinants consist of environmental awareness, psychological factors (motivation, moral norms, perceived behavioural control and attitude), environmental knowledge and personality traits (agreeableness, extroversion, conscientiousness, neuroticism and openness to experience). Data was collected using convenience sampling through self-administered surveys and online forms distributed to 400 students in a public university in Malaysia. Data was subjected to construct validity and reliability analysis. The findings highlighted that motivation, agreeableness and perceived behavioural control were positively related to the practice of pro-environmental behaviour, whereas environmental awareness, moral norms, attitude and environmental knowledge were negatively related. Some personality traits, namely neuroticism, openness to experience, conscientiousness and extraversion, did not show any significant relationship with the practice of pro-environmental behaviour. This study provides a scope to improvise and incorporate environmental practices into the habits of students by aligning their goals with the universities’ dimensions, including curriculum, campus operation, research and outreach activities. The results could make an important contribution in establishing a sustained green culture through a new university paradigm.

Matched MeSH terms: Goals
Fulltext Barriers, strength and weakness of pre-pregnancy clinic services in Sarawak: a qualitative analysis from provider perspectives

Abdul Rahim N, Rahman MM

Malaysian Journal of Public Health Medicine, 2018;18(1):149-157.
MyJurnal

Pre-pregnancy Clinic (PPC) services is one the plausible efforts towards achieving the Millennium Development Goals. However, various issues still need to be addressed for improvement of the services. Considering this view, an attempt was made to explore the barriers, strength and weakness of current practice of pre-pregnancy clinic services in Sarawak, since the programme has been implemented in this state from the year 2011. This cross-sectional study was conducted at nine selected health care facilities throughout Sarawak. A multistage sampling procedure was adapted to select the health care facilities. An unstructured open-ended questionnaire was administered to get the in-depth perceived views and current practice of pre-pregnancy clinic services. A total of 322 health care providers from nine selected health care facilities gave their feedback. In the present paper, a qualitative analysis was done for the openended questions to get in-depth views of barriers, strength and weakness of pre-pregnancy clinic services. The results of the study were narrated in textual form and a thematic analysis was done manually. The identified themes for perceived barriers to the provision of pre-pregnancy care were perception, attitude and acceptance of PPC services, socio-economic issues, services and client factors. The perceived weaknesses of the services are listed under two main themes: working environment and service factors, while, the strength of services produced three thematic areas which are preparation for pregnancy, prevention of mortality and morbidity and comprehensive services. Though prepregnancy services are beneficial for society wellbeing, various issues still need to be considered for the improvement of the quality of services. Lack of awareness, no ministerial guidelines or Standard Operating Procedures (SOP) and knowledge pertaining to the services were few of the main areas which need to be pondered upon. Promotional activities and campaigns should be geared up ensuring availability the services to the general population.

Matched MeSH terms: Goals
Fulltext Learning styles among year 1 semester 1nursing students in college of nursing Kubang Kerian, Kelantan

Rusnani Ab Latif, Fairani Yusof, Tan, Yok Mui, Nor Suraizai Ibrahim

The Malaysian Journal of Nursing, 2019;10(4):3-11.
MyJurnal

Introduction: Students learn in many ways. Some students are visual learners, while others are auditory or kinesthetic learners. The purpose of the study is to identify the learning style of the students and factors that influence their learning styles. Methods: This is a descriptive study with cross-sectional design. Convenient sampling was used. In this study, a total of 51 nursing students were involved. A set of questionnaires using VARK (Visual; Auditory; Read/Write; Kinesthetic) inventory was used. Descriptive statistics and Chi-square test were use. Results: The learning styles of the respondents were mostly kinesthetic learning style and auditory learning styles which is 14(27.5%) for both, ten respondent had combinations of various styles, seven respondents had read write learning style and six respondent had visual learning style which is 13.7% and 11.8% respectively. Chi-square test shows that there was significant difference between learning style and respondents' demographic factors of previous school and number of siblings, where p-value 0.05). Conclusion: In order to achieve the goal of student learning it is important to use a combination of teaching methods and to make the classroom environment as stimulating and interactive as possible

Matched MeSH terms: Goals
Fulltext Novel Mangosteen-Leaves-Based Marker Ink: Color Lightness, Viscosity, Optimized Composition, and Microstructural Analysis

Mohd Basri MS, Liew Min Ren B, A Talib R, Zakaria R, Kamarudin SH

Polymers (Basel), 2021 May 14;13(10).
PMID: 34069259 DOI: 10.3390/polym13101581

Dry mangosteen leaves are one of the raw materials used to produce marker ink. However, research using this free and abundant resource is rather limited. The less efficient one-factor-at-a-time (OFAT) approach was mostly used in past studies on plant-based marker ink. The use of statistical analysis and the regression coefficient model (mathematical model) was considered essential in predicting the best combination of factors in formulating mangosteen leaf-based marker ink. Ideally, ink should have maximum color lightness, minimum viscosity, and fast-drying speed. The objective of this study to study the effect of glycerol and carboxymethyl cellulose (CMC) on the color lightness and viscosity of mangosteen-leaves-based marker ink. The viscosity, color lightness, and drying properties of the ink were tested, the significant effect of glycerol and CMC (responses) on ink properties was identified and the prediction model on the optimum value of the responses was developed by using response surface methodology (RSM). The microstructure of mangosteen leaves was analyzed to study the surface morphology and cell structure during dye extraction. A low amount of glycerol used was found to increase the value of color lightness. A decrease in CMC amounts resulted in low viscosity of marker ink. The optimum formulation for the ink can be achieved when the weight percents of glycerol, benzalkonium chloride, ferrous sulphate, and CMC are set at 5, 5, 1, and 3, respectively. SEM micrographs showed the greatest amount of cell wall structure collapse on samples boiled with the lowest amount of glycerol.

Matched MeSH terms: Goals

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