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Fulltext Estimation of kidneys and urinary bladder doses based on the region of interest in (18)fluorine-fluorodeoxyglucose positron emission tomography/computed tomography examination: a preliminary study

Mustapha FA, Bashah FAA, Yassin IM, Fathinul Fikri AS, Nordin AJ, Abdul Razak HR

Quant Imaging Med Surg, 2017 Jun;7(3):310-317.
PMID: 28811997 DOI: 10.21037/qims.2017.05.03

BACKGROUND: Kidneys and urinary bladder are common physiologic uptake sites of 18fluorine-fluorodeoxyglucose ((18)F-FDG) causing increased exposure of low energy ionizing radiation to these organs. Accurate measurement of organ dose is vital as (18)F-FDG is directly exposed to the organs. Organ dose from (18)F-FDG PET is calculated according to the injected (18)F-FDG activity with the application of dose coefficients established by International Commission on Radiological Protection (ICRP). But this dose calculation technique is not directly measured from these organs; rather it is calculated based on total injected activity of radiotracer prior to scanning. This study estimated the (18)F-FDG dose to the kidneys and urinary bladder in whole body positron emission tomography/computed tomography (PET/CT) examination by comparing dose from total injected activity of (18)F-FDG (calculated dose) and dose from organs activity based on the region of interest (ROI) (measured dose).
METHODS: Nine subjects were injected intravenously with the mean (18)F-FDG dose of 292.42 MBq prior to whole body PET/CT scanning. Kidneys and urinary bladder doses were estimated by using two approaches which are the total injected activity of (18)F-FDG and organs activity concentration of (18)F-FDG based on drawn ROI with the application of recommended dose coefficients for (18)F-FDG described in the ICRP 80 and ICRP 106.
RESULTS: The mean percentage difference between calculated dose and measured dose ranged from 98.95% to 99.29% for the kidneys based on ICRP 80 and 98.96% to 99.32% based on ICRP 106. Whilst, the mean percentage difference between calculated dose and measured dose was 97.08% and 97.27% for urinary bladder based on ICRP 80 while 96.99% and 97.28% based on ICRP 106. Whereas, the range of mean percentage difference between calculated and measured organ doses derived from ICRP 106 and ICRP 80 for kidney doses were from 17.00% to 40.00% and for urinary bladder dose was 18.46% to 18.75%.
CONCLUSIONS: There is a significant difference between calculated dose and measured dose. The use of organ activity estimation based on drawn ROI and the latest version of ICRP 106 dose coefficient should be explored deeper to obtain accurate radiation dose to patients.
Fulltext SPECT-CT in differentiating metastatic and degenerative lesions of the spine

Khadijah Abdul Hamid, Sazilah Ahmad Sarji, Mohammad Nazri Md Shah, Ibrahim Lutfi Shuaib

Malaysian Journal of Medicine and Health Sciences, 2020;16(102):31-37.
MyJurnal

Introduction: The purpose of this study was to determine the usefulness of SPECT-CT in differentiating metastatic and degenerative disease of the spine. Methods: Twenty-eight patients aged 50 years and above diagnosed with various cancers were referred for whole body (WB) planar bone scintigraphy. Those with a maximum three foci of tracer up- take in the spine were selected for the study. SPECT-CT of these areas of uptake was performed and the lesions were classified as degenerative, indeterminate or metastasis. A repeat study (WB planar bone scintigraphy and SPECT-CT) was performed between 3 to 12 months later. These areas of uptake were reassessed and compared with the first WB planar bone scintigraphy and SPECT-CT. The second SPECT-CT was used as the standard for the diagnosis. Results: Thirty-seven lesions in 28 patients were assessed. The sensitivity of the first WB planar bone scintigraphy, second WB planar bone scintigraphy and first SPECT-CT is 75%, 62.5% and 75% respectively. The specificity of the first WB planar bone scintigraphy, second WB planar bone scintigraphy and first SPECT-CT is 86%, 93%, 90% respectively. There was 2.7% of ‘indeterminate lesion’ in the first WB planar bone scintigraphy, 5.4% in the second WB planar bone scintigraphy, and 5.4% in the first SPECT-CT. The indeterminate lesions were resolved in the second SPECT-CT. Conclusion: SPECT- CT is useful in differentiating degenerative disease from metastatic lesions in the spine.
Fulltext Validation of inventory responses-oMR (IR-oMR) towards the self-assesment instrument of outdoor competency (OCL-oMR) among the co-curriculum center coaches in Malaysia

Omar Firdaus Mohd Said, Md Amin Md Taff, Ahmad Hashim, Jaffry Zakaria

Jurnal Sains Sukan & Pendidikan Jasmani, 2020;9(2):47-55.
MyJurnal

This study is fundamental in looking to validate the agreement of Self-Assesment Instrument of Outdoor Competency (OCL-oMR) among the Co-curriculum Center Coaches in Malaysia. The instrument are newly developed by the researcher . The Inventory Responses –oMR (IR-oMR) are purposely to evaluate and determine the goodness of self-assesement instrument of outdoor competency (OCL-oMR) among co-curriculum center coaches in Malaysia. By using the correlation & percentage, the analysis were used. N=10 of head coaches of co-curriculum Center were selected to be a sampels. These data is a secondary data that researcher used in the main research. But as a secondary data, its really important to researcher to identify and justify the newly instrument of self assesment of outdoor competency (OCL-oMR). Findings shown contents validity r=.82 were recorded and the language validity were shown r=.83. Meanwhile, anothers supporting data were used percentage of agreement of Inventory Responses –Omr (IR-oMR) toward the Self-Assesment Instrument of Outdoor Competency (OCL-oMR) among the Co-curriculum Center Coaches in Malaysia. Overall, from these findings, researcher found that’s the Inventory Responses – oMR (IR-oMR) shown that the Self-Assesment Instrument of Outdoor Competency (OCL-oMR) among the Co-curriculum Center Coaches in Malaysia are valid instrument to measure the competency level of outdoor education coaches in co-curriculum center in Malaysia and the Inventory Responses – oMR (IR-oMR) are significantly toward the outdoor competency (OCL-oMR).
Fulltext Oesophageal Perforation: What Was The Culprit?

Nur Asma Sapiai,, SThadchaiani Saminathan,, Wan Aireene Wan Ahmed,, Ahmad Zuhdi Mamat,

Journal of Biomedical and Clinical Sciences, 2020;5(1):1-5.
MyJurnal

Oesophageal perforation is a rare clinical situation. However, it is associated with high morbidity and mortality rate. A 39-year-old lady with underlying epilepsy was admitted to hospital for alleged accidental ingestion of broken dentures while sleeping. She underwent emergency direct laryngoscopy, oesophagoscopy and oesophagogastroduodenoscopy. However, no foreign body was found. She was subsequently discharged home. Two days later, the patient presented again with dyspnoea, fever and chest discomfort. A chest radiograph showed bilateral pleural effusion, left pneumothorax and right mediastinal shift. A suspicion of oesophageal perforation was raised. Upper gastrointestinal study revealed an oesophageal perforation. Under conservative management, her condition was complicated with thoracic empyema. She subsequently underwent video assisted thoracoscopy and decortication. Fortunately, after one month of hospitalization, she regained full recovery. In conclusion, any chest symptoms which arise after oesophagogastroduodenoscopy should be dealt with extra caution. Patients outcome after oesophageal injury are time dependent, thus any delay in obtaining radiological assessment should be avoided.
Fulltext Potential Effects of Flaxseed (Linum usitatissimum) in Tissue Reparative Processes: A Mini Review

Shaban S. N, Mokhtar K.I,, Ichwan S. J. A, Al-Ahmad B. E. M

Journal of Biomedical and Clinical Sciences, 2020;5(1):1-7.
MyJurnal

Wounds are inevitable events that can occur daily due to many factors such as; physical, chemical and biological, which can cause tissue, cell and in some events bone damage. The process of wound healing is complicated as it involves many factors; therefore, an effective and safe agent is essential to ensure good healing process. Herbal medicine is considered safe and effective. Flaxseed (Linum usitatissimum) is an effective plant when it comes to wound healing and has been used for decades as a traditional healing agent. The bioactivities of flaxseed extract have been reported to demonstrate many beneficial effects such as antimicrobial, antioxidant and anti-inflammatory effects. It has been shown that flaxseed has positive effects on many types of wounds such as skin wound healing, burns and burn scar healing, bone healing and also has demonstrated positive results in the healing of oral ulceration besides exhibiting anti-bacterial effects in the oral cavity. This review describes the positive effects of flaxseed in multiple types of wound healing. Additionally, it is also aimed to introduce the potential applications of flaxseed in socket healing which involves series of complex changes to both soft and hard tissues in the oral cavity.
Fulltext The effectiveness of teaching games for understanding to promote enjoyment in teaching games of physical education lesson

Zarizi Ab Rahman, Azlan Ahmad Kamal, Mohd Anizu Mohd Nor, Rozita Ab Latif

Jurnal Sains Sukan & Pendidikan Jasmani, 2020;9(1):23-32.
MyJurnal

Physical Education is one of the compulsory subjects in primary and secondary schools in Malaysia. The primary goal of Physical Education is to develop students in the aspects of cognitive, psychomotor, and affective. Teaching and learning of Physical Education should provide more opportunities for students to improve the efficiency of motor skills, movement, and maintaining physical fitness. The teaching and learning process must focus on students' learning to generate understanding, learning, and ' satisfaction. The failure to attract students toward Physical Education may affect the goals of the subject. Enjoyment is a crucial factor underlying exercise motivation and positive participation in both physical activity and Physical Education. 'Students' attitudes toward Physical Education are likely to be linked with their enjoyment in classes. Therefore, to achieve the goals of the subject, it is imperative to create enjoyment in the teaching and learning process. Hence this study to determine the effectiveness of teaching games for understanding to promote enjoyment in teaching games of Physical Education lesson. Eighty students from form Vocational College in Setapak, Kuala Lumpur, and one Physical Education teacher agreed to participate in this study. They were divided into two groups in order to compare two instructional approaches. The experimental group (A), 42 students, experienced Teaching Games for Understanding (TGfU), while the control group (B), 38 students, and experienced a technical-traditional approach. The study design was a quasi-non-equivalent group pre-test and post-test design. A pre- and post-test were performed on each group to assess the influence of the methodology used on students' enjoyment in Physical Education. ANCOVA analysis was conducted to determine the effectiveness of teaching methods toward student enjoyment in Physical Education. Results revealed that group A showed greater enjoyment in the class than group B. Significant differences were found in enjoyment.
Fulltext Foot problem and Foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur

Nurjasmine Aida Jamani, Noor Azimah Muhammad, Aida Jaffar, Saharuddin Ahmad, Noorlaili Tohit

International Journal of Allied Health Sciences, 2018;2(3):435-444.
MyJurnal

Foot problems are very common in diabetic patients but may go unnoticed by the patients and
undiagnosed by the healthcare providers leading to substantial morbidity and amputations. The aims of this study were to assess patient’s foot care practices, awareness on their foot condition as well as to determine the prevalence of diabetic foot problem and its associated factors. Methods: This was a cross sectional study conducted among diabetic patients in a primary care clinic in Kuala Lumpur. Patients with diabetes, aged more than 18 years were selected using systematic random sampling technique. Patients were requested to answer a set of self-administered pre-tested questionnaire that obtain information on their socio-demographic profiles, diabetic clinical data, awareness on their feet condition and foot care practice. A trained clinician examined patients’ feet using a standard foot examination protocol. Results: A total of 166 patients with diabetes participated in this study. Nearly half of the patients (70, 42.2%) had diabetic foot problem but only 31 (18.7%) of them were aware of their foot condition. The three common problem were trophic changes of the skin (92.8%), followed with hair loss (71.1%) and callosity (65.7%). The independent associated factors for foot problem were increasing age (AOR=1.05, 95% CI 1.015-1.095; p
Fulltext Seafood consumption and blood cadmium level of respondents along the coastal area of Melaka, Malaysia

Hamizah Md Zulkifli, Saliza Mohd Elias, Ahmad Zaharin Aris, Suhaili Abu Bakar, Farrah Atiqah Mohd Noor

Malaysian Journal of Medicine and Health Sciences, 2019;15(204):68-75.
MyJurnal

Introduction: Eating seafood has become a major health concern for many people due to the present of heavy met- al especially cadmium (Cd). Cd can accumulate in the body and disrupt the normal cellular processes which will eventually lead to organ damage. This study aims to determine the seafood consumption pattern and blood cadmium (BCd) as well as the association between these two variables among respondents living along the coastal area of Melaka. Methods: Pretested questionnaires were used to collect background and food frequency intake from coastal villagers through convenient sampling method. Venous blood samples were analysed by using Inductively Coupled Plasma Mass Spectrometry (ICP-MS) for BCd determination. Results: A total of 63 respondents who 54% were female with median age of 34 years old provided complete data in this study. The most frequently consumed seafood and its product were shrimp paste (31.5%) followed by mackerel (13.6%), hardtail-scad (6.2%), flatfish (4.5%) and fish ball (4.0). All blood samples showed the present of Cd with median (IQR) = 0.076 (0.1) μg/L and ranged between 0.007 to 1.284 μg/L. The finding showed no association between frequently consumed seafood and low BCd of the respondents. On the other hand, gender was found to be significantly associated with the BCd. Conclusion: Seafood consumption pattern was not significantly associated with BCd which suggests that frequent seafood consumption may not contribute much to BCd level among the respondents as well as it may indicates safe consumption of these seafood available in the study location.
Fulltext A Review on Microencapsulation in Improving Probiotic Stability for Beverages Application

Safiah Sabrina Hassan, Intan Nabihah Ahmad Fadzil, Anida Yusoff, Khalilah Abdul Khalil

Science Letters, 2020;14(1):49-58.
MyJurnal

Nowadays, probiotic bacteria are extensively used in beverages application to deliver beneficial health effect to the consumer upon ingestion. Different entrapment techniques can be used to maintain the viability of probiotic bacteria during processing as well as during storage of beverage products. Development of artificial microcapsules from entrapment techniques are to support the growth and to provide protection on probiotic cells from unfavorable external conditions that may affect the viability of probiotics in beverages. Techniques that usually applied for probiotic entrapment in beverages are microencapsulation, emulsification, spray drying and extrusion. Biomaterials such as alginate, carrageenan, whey protein, gelatin, chitosan and starch are the most commonly used matrix in entrapment of lactic acid bacteria. Entrapment of probiotic is applied on beverages products such as fruit juice, yoghurt and ice cream
Fulltext 2,4,6,-trihydroxy-3-geranylacetophenone (tHGA) suppresses chronic allergic airway inflammation in ovalbumin-sensitized mice via intraperitoneal route

Norazren Ismail, Nuzul Noorahya Jambari, Chau Ling Tham, Hanis Hazeera Harith, Khozirah Shaari, Daud Ahmad Israf

Malaysian Journal of Medicine and Health Sciences, 2019;15(202):2-9.
MyJurnal

Introduction: Asthma is a condition characterized by eosinophilic airway inflammation and remodelling that in- volves several pathological changes, including subepithelial fibrosis, mucus hypersecretion, smooth muscle growth, and vascular changes. The present study aimed to determine the effect of tHGA administered intraperitoneally in a chronic asthma mouse model that closely mimics the human asthma. Methods: Ovalbumin-sensitized and chal- lenged BALB/c mice were i.p. administered with tHGA at different doses (20 and 2 mg/kg). Respiratory function was measured, and brochoalveolar lavage, blood and lung samples were then obtained and analyzed. Results: The airways of OVA-induced mice developed increased pulmonary inflammation with increased levels of cytokines, chemokines, and changes in vascular permeability. Intraperitoneal administration of tHGA in OVA-induced mice significantly and dose-dependently inhibited the airway inflammation, production of immunoglobulin E, Th2-type cytokines and chemokines, and inflammatory mediators. Treatment with tHGA also significantly reduced the airway hyperresposiveness in response to increased methacholine doses. Conclusion: This study demonstrates that the effi- cacy of tHGA in alleviating chronic asthmatic symptoms in mouse model improved significantly when administered intraperitoneally compared to oral route. Furthermore, this study also supports that tHGA has a therapeutic potential in chronic asthma management by acting as a cysteinyl leukotrienes (CysLT) inhibitor.
Fulltext Adhesions as an uncommon complication of k-wiring in paediatric phalangeal fractures

Nanchappan S., Parminder G.S., Nur Azuatul, A.K., Tan, J.A., Ahmad Suparno, B., Jamari, S., et al.

Medicine & Health, 2019;14(1):203-208.
MyJurnal

Paediatric hand fractures are common and prompt management is mandatory to achieve a good functional outcome. However many fail to realize that treating a fracture does not only involve bones but the soft tissues, as well. K-wiring itself can be difficult with multiple attempts inadvertently injuring the flexor or extensor tendons and resulting in adhesions. We highlight this possible complication of K-wiring which we believe is under reported due to the perception that K-wiring is a simple procedure. We present a case of a 9-year-old child, who sustained a closed displaced fracture of the base of the proximal phalanx (Salter Harris type 2) of the left index finger. He underwent percutaneous K-wiring but was complicated with severe adhesions of the flexor digitorum profundus (FDP) and flexor digitorum superficialis tendons (FDS). He was unable to flex the proximal and distal interphalangeal joints of the affected finger. We subsequently performed tendon adhesiolysis twice together with A2 pulley reconstruction, to restore movement of the finger. K-wiring of the fingers are not just simple bony procedures but also involve soft tissue components which can be prone to adhesions.
Fulltext Anatomical variations of the lumbrical muscles causing carpal tunnel syndrome

Benny, E., Parminder, G.S., Nur Azuatul, A.K., Tan, J.A., Ahmad Suparno, B., JamarI, S., et al.

Medicine & Health, 2019;14(1):197-202.
MyJurnal

Many anatomical variations exist in and around the carpal tunnel. However, symptomatic anomalies causing carpal tunnel syndrome is rare. Additionally, carpal tunnel surgery is considered a simple operation commonly done by junior surgeons who are usually unaware of variations resulting in unfavorable surgical outcomes. We highlight a case of lumbrical muscle variation causing carpal tunnel syndrome. A 73-year-old male presented with numbness and pain of both hands associated with abnormal fullness over both wrists and distal forearms. Initially the right hand was numb and subsequently a year later, the left hand became numb. Physical examination was positive for Durkan, Phalen and Tinel signs at the carpal tunnel. Magnetic Resonance Imaging (MRI) showed abnormal muscle tissues in the carpal tunnel. During the carpal tunnel release and exploratory surgery, we noted an abnormally proximal origin of the lumbrical muscles in the forearm rather than the typical palmar origin. He also had lumbrical muscle hypertrophy in the left side. These two factors resulted in overcrowding within the carpal tunnel. Post-operatively the patient recovered well with pain relief and gradual improvement of his numbness. Variations in the anatomy of the lumbrical muscles is not uncommon and may result in carpal tunnel syndrome. Hence, carpal tunnel release surgeries may not be as straight forward as expected and surgeons should be aware of this possibility.
Fulltext Combination therapy of a novel ruthenium polypyridyl complex and cisplatin for the treatment of cancer

Haslina Ahmad, Yusoh N. A., Harun S. N., Chia, S. L.

Malaysian Journal of Medicine and Health Sciences, 2019;15(102):25-25.
MyJurnal

Introduction: Combination therapy to treat cancer have been demanded due to the complexity of the disease and to prevent resistance mechanisms commonly found in classic chemotherapeutic methods. Recently, we have reported that [Ru(dppz)2(PIP)]2+ (dppz = dipyridophenazine, PIP = 2-(phenyl)imidazo[4,5-f][1,10]phenanthroline) (RuPIP) immediately stalls replication fork progression in HeLa human cervical cancer cells. Co-incubation with a Chk1 inhibitor achieves synergistic apoptosis in cancer cells. These discoveries indicate that this class of compounds merit further investigation as anticancer drugs, especially within combinational therapy roles. However, information pertaining to the effects of combining ruthenium compounds with existing chemotherapeutic drugs remain scarce. This study aimed to investigate the possible synergistic cytotoxic effects of using RuPIP in combination with cisplatin on different cancer cell lines. Methods: A549, MCF7, Hela and T24 cells were treated with different concentrations of RuPIP or cisplatin alone, as well as different combinations of these two agents at a fixed ratio 1:1 over the course of 72 hr to assess their individual and combination effects. Cell viability was analysed using MTT assay. The combination index (CI) was calculated based on the Chou Talalay Method. Results: Single-agent treatment at 72 hr with RuPIP or cisplatin led to dose-dependent decreases in the viability of the A549, MCF7, Hela and T24 cells at 72 hr. Furthermore, increasing the concentrations of the combinations up to four folds of half maximal inhibitory concentration (IC50) statistically decrease the cell survival rates of A549 and MCF7 cells thus, displayed synergistic effects. Conclusion: Treatment of MCF7 and A549 cells with a combination of RuPIP and cisplatin showed a synergistic effect and thus are promising as a combination therapy for cancer treatment.
Fulltext Improved in vitro toxicity of ruthenium complex by mesoporous silica nanoparticles encapsulation

Harun S. N., Haslina Ahmad, Chia, S. L., Leong, S. W.

Malaysian Journal of Medicine and Health Sciences, 2019;15(102):27-27.
MyJurnal

Introduction: Ruthenium compounds are widely studied for its biological activity. However, potent ruthenium drugs often have limited bioavailability due to its poor aqueous solubility. In order to assist the preparation of these hydrophobic compounds, a carrier or drug delivery agent is often introduced. Herein, we encapsulated a hydrophobic ruthenium polypyridyl complex [Ru(dppz)PIP]2+, (dppz = dipyrido-[3,2-a:20,30-c]phenazine, PIP = 2-phenylimidazo[4,5-f][1,10] phenanthroline) in mesoporous silica nanoparticles (MSN). Methods: The MSN was synthesized by using ionic liquid 1-hexadecylphenanthrolinium as a novel template and have 833.99 m2/g in surface area. The cytotoxicity of the synthesized ruthenium complex, MSN and MSN-loaded ruthenium was studied on Hela and A549 cancer cell lines. Results: MSN was non-toxic at lower dosage (
Fulltext Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an emergency department

Ng, V.H., Ahmad Khaldun, I., Siti Sarah, M.Z., Ida Zarina, Z.

Medicine & Health, 2018;13(2):114-121.
MyJurnal

Pain is one of commonest presentations at Emergency Department (ED). Previous studies showed inadequate pain control in ED. However, few have addressed specific, practical methods of improving the timeliness and frequency of pain control in emergency setting. This study was a randomized controlled trial in a simulated environment of an actual functioning ED using a timer device to remind care personnel to assess pain and provide analgesia at set intervals versus a “standard therapy” group without visual/audio aids. The mean documentation performance scores between timer and control groups were 94.45% + 5.85 vs 72.22% + 17.57 (p
Fulltext Determination of arsenic and lead level in blood of adults from coastal community in Melaka, Malaysia

Farrah Atiqah Mohd Noor, Saliza Mohd Elias, Ahmad Zaharin Aris, Suhaili Abu Bakar, Hamizah Md Zulkifli

Malaysian Journal of Medicine and Health Sciences, 2019;15(204):19-25.
MyJurnal

Introduction: Accumulation of heavy metals through seafood consumption constitutes a significant potential threat to human health. Biomonitoring of whole blood heavy metals level gave an insight into the internal body burden to the exposure of heavy metals. The aims of this study were to assess the blood heavy metals (arsenic and lead) level among the coastal community of Melaka and to determine their association with sociodemographic background and potential sources of heavy metals accumulation. Methods: Respondents were recruited through purposive sampling technique based on inclusion and exclusion criteria. The questionnaires were distributed to obtain sociodemograph- ic information, the frequency of seafood intake and smoking habit. Blood samples were obtained on a voluntary basis. A total of 63 respondents completed all the information required. The heavy metals concentration in blood was determined by inductively coupled plasma- mass spectrometry (ICP-MS). Results: The blood arsenic (BAs) con- centration of respondents was 0.076 (0.059 – 0.107) µg/L and the blood lead (BPb) concentration of respondents was 1.204 (0.670 – 2.094) µg/L respectively. A significant association was observed between seafood-based product frequency intake and BPb concentration (p < 0.05). Other seafood frequency intake and background factors were not significantly associated with the BAs and BPb concentration of respondents. Conclusion: The findings showed that arsenic and lead levels in the blood of respondents along the coastal area of Melaka did not exceed the blood heavy metals reference levels and there was also lack of associations between blood heavy metals concentration and the potential factors of heavy metals accumulation studied.
Fulltext Factors associated with occupational exposure to blood and body fluids among healthcare worker in a government hospital in Sabah

Che Wan Ilmiyah Ahmad, Raja Muhammad Raja Omar, Khamisah Awang Lukman

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):32-32.
MyJurnal

Introduction: Healthcare workers (HCWs) are exposed to occupational blood and body fluid exposure (OBBE) that potentially cause blood-borne infection such as HIV, Hepatitis B and Hepatitis C, with risk of transmission 0.3%, 6 to 30% and 0-10% respectively. They are exposed to these infections through percutaneous injury, splash exposure of blood and body fluids to mucous membrane and non-intact skin. Aim of this study was to determine prevalence and risk factors associated with occupational exposure of blood and body fluid in a tertiary government hospital in Sabah. Methods: A cross sectional study was conducted involving 10 places, was chosen by stratified random sampling and involved various job categories (specialist, medical officer, house officer, nurse, hospital assistant and Sedafiat worker). Self-administered questionnaire used as study tool. The data was analysed by using SPSS version 22.0. Association of risk factors and OBBE incidence were determined by Chi-square test and simple logistic regression. Results: A total of 334 respondents involved in this study. Prevalence of OBBE was 25.2% with 95% CI of 20.6% to 30.2% and highest (41.3%) among HCWs working in medical ward. Nurses were less likely to have occupational exposure to blood and body fluids (Crude OR=0.33, 95% CI: 0.20, 0.57). Needle recapping (Crude OR=3.77, 95% CI: 1.99, 7.10) and never attend training in infection prevention (Crude OR=3.19, 95% CI: 1.69, 6.05) were associ-ated with higher odds of OBBE. There was 76.3% of respondents adhere to universal precaution. HCWs who did not work in shift (Crude OR=3.04, 95% CI: 1.49, 6.21) and non-nurses (Crude OR=2.04, 95% CI: 1.06, 3.92) profession had better adherence to universal precaution. Conclusion: Prevalence of OBBE was 25.2%. Modifiable risk factors for OBBE were identified including needle recapping and training on infection prevention. Shift work is associated with adherence to universal precaution. Adequate training, increasing knowledge and awareness may help to reduce OBBE burden.
Fulltext Factors associated with knowledge and attitude of breastfeeding among staff of Faculty of Medicine and Health Sciences, Universiti Putra Malaysia

Wan Iffah Afiqah Ramzaa, Mogana Sugumar, Norliza Binti Ahmad, Poh Ying Lim

Malaysian Journal of Medicine and Health Sciences, 2019;15(203):51-57.
MyJurnal

Introduction: Many studies have investigated the knowledge and attitude towards breastfeeding among fathers and mothers, however studies looking at working adults’ knowledge and attitude towards breastfeeding is limited. Work- ing adults with good knowledge and favourable attitude toward the practice of breastfeeding may increase the breast- feeding initiative among working mothers. Therefore, the objective of this study was to investigate the knowledge and attitude toward breastfeeding among staff from the Faculty of Medicine and Health Sciences of a public univer- sity and its associated factors. Methods: A cross sectional study was conducted among faculty staff members. The respondents were selected by simple random sampling and a self-administered questionnaire was used to investigate the knowledge and attitude towards breastfeeding among them. Multiple linear regression was used to determine the factors associated with knowledge and attitude respectively. Results: A total of 117 respondents were recruited to take part in this study. Of these, 83(70.9%) had good knowledge while 61(52.6%) respondents had favourable attitude toward breastfeeding. There was significant positive fair correlation between knowledge and attitude score (r=0.396,p
Fulltext The antimicrobial activities of fig (Ficus Carica L.) leaves extract against staphylococcus aureus and escherechia coli

Amirah Nadiah Ali, Mohd Syahmi Salleh, Ahmad Fahmi Harun, Muhamad Ashraf Rostam

International Journal of Allied Health Sciences, 2018;2(1):273-284.
MyJurnal

Increasing risk of antibiotic resistance of pathogenic bacteria has led to the exploration of alternative antibiotics derived from leaves of medicinal plants such as the fig (Ficus carica L.). The aim of this study was to determine the antimicrobial activity of the methanolic extract of fig leaves grown under Malaysian tropical environment against pathogenic bacteria linked to antibiotic resistance namely the Staphylococcus aureus and Escherechia coli. The methanolic extraction was performed by using soxhlet apparatus. The disc diffusion method was used to measure inhibition zone diameter on the Mueller-Hinton agar plate. Staphylococcus aureus displayed the highest diameter of inhibition zone against the extract at concentration of 900 mg/ml whilst Escherechia coli displayed the highest diameter of inhibition zone against both the 100% crude extract and 700 mg/ml, respectively. This study therefore highlighted the potential of developing alternative antibiotics derived from the methalonic extract of locally grown fig plant.
Fulltext Perceptions of students on learning Arabic language vocabulary through a card game

Norshida Hashim, Tuan Sarifah Aini Syed Ahmad, Siti Nur Dina Mohd Ali, Norfazlika Abd Karim

Journal of Academia Universiti Teknologi MARA Negeri Sembilan, 2019;7(101):33-40.
MyJurnal

Vocabulary is essential in mastering any languages. However, learning vocabulary is tedious as it requires students to memorize numerous words and perform a lot of exercises. Thus, it is essential to provide fun learning activities for learning vocabulary in order to promote students’ engagement in the learning process. Since the Arabic language is learnt in various levels of learning institutions such as schools and universities, a card game has a great potential to be utilized as a learning tool to enhance the learning of Arabic language vocabulary. This paper investigated perceptions of students on using a card game named as Ahsulu! in learning the Arabic language vocabulary at the intermediate level of Arabic language proficiency. This study involved students of Degree in Biology and Degree in Chemistry at Universiti Teknologi MARA Negeri Sembilan, Kuala Pilah Campus, Malaysia, who were selected based on purposive sampling. The data gathered by using an online survey and were analyzed descriptively by using Social Science Statistical Package (SPSS) Version 23. The findings suggest that using Ahsulu! as a learning tool could promote fun learning, ensure learning to take place and increase communication.

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