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Fulltext Genipin-crosslinked gelatin scaffold in tissue engineering: a systematic review

Muhammad Mior Amirul, A., Mohd Heikal, M.Y., MH Busra, F.

Medicine & Health, 2019;14(2):1-16.
MyJurnal

Gelatin has been frequently used in tissue engineering scaffold due to its favorable biological properties in wound healing enhancement. Genipin, a natural compound derived from Gardenia plants, was shown to be effective in improving physicochemical characteristics of the gelatin scaffold. This systematic review reported the utility of genipin as a crosslinker in gelatin scaffold fabrication. Two electronic databases, namely Scopus and MEDLINE via Ebcoshost were searched for publication between January 1999 and December 2018, using the keywords ‘gelatin’ and ‘genipin’. Articles published in English, reporting the utility of genipin in the fabrication of gelatin sponge were included. The keywords search yielded 830 articles, in which 14 articles were selected and examined in this review. The result of the search provided input in terms of the optimum concentration, crosslinking temperature, and fabrication method of genipin to be used. From the literature, it was found that 0.5% is the optimum genipin concentration and 25˚C is the optimum crosslinking temperature. The result also revealed a gap in the knowledge regarding genipin crosslinker and justifies the need to create awareness of the utility of genipin as a gelatin scaffold crosslinker. The current review provides an extensive overview on the current knowledge on genipin crosslinking and be a guide to an optimal fabrication of the genipin-crosslinked gelatin scaffold.
Burden of communicable diseases and cost of illness: Asia pacific region

Shah S, Abbas G, Riaz N, Anees Ur Rehman, Hanif M, Rasool MF

Expert Rev Pharmacoecon Outcomes Res, 2020 Aug;20(4):343-354.
PMID: 32530725 DOI: 10.1080/14737167.2020.1782196

BACKGROUND: Communicable diseases such as AIDS/HIV, dengue fever, and malaria have a great burden and subsequent economic loss in the Asian region. The purpose of this article is to review the widespread burden of communicable diseases and related health-care burden for the patient in Asia and the Pacific.
AREAS COVERED: In Central Asia, the number of new AIDS cases increased by 29%. It is more endemic in the poor population with variations in the cost of illness. Dengue is prevalent in more than 100 countries, including the Asia-Pacific region. In Southeast Asia, the annual economic burden of dengue fever was between $ 610 and $ 1,384 million, with a per capita cost of $ 1.06 to $ 2.41. Globally, 2.9 billion people are at risk of developing malaria, 90% of whom are residents of the Asia and Pacific region. The annual per capita cost of malaria control ranged from $ 0.11 to $ 39.06 and for elimination from $ 0.18 to $ 27.
EXPERT OPINION: The cost of AIDS, dengue, and malaria varies from country to country due to different health-care systems. The literature review has shown that the cost of dengue disease and malaria is poorly documented.
Optimization of Progressive Freezing for Residual Oil Recovery from a Palm Oil-Water Mixture (POME Model)

Anuar MAM, Amran NA, Ruslan MSH

ACS Omega, 2021 Feb 02;6(4):2707-2716.
PMID: 33553888 DOI: 10.1021/acsomega.0c04897

Oil and grease remain the dominant contaminants in the palm oil mill effluent (POME) despite the conventional treatment of POME. The removal of residual oil from palm oil-water mixture (POME model) using the progressive freezing process was investigated. An optimization technique called response surface methodology (RSM) with the design of rotatable central composite design was applied to figure out the optimum experimental variables generated by Design-Expert software (version 6.0.4. Stat-Ease, trial version). Besides, RSM also helps to investigate the interactive effects among the independent variables compared to one factor at a time. The variables involved are coolant temperature, XA (4-12 °C), freezing time, XB (20-60 min), and circulation flow, XC (200-600 rpm). The statistical analysis showed that a two-factor interaction model was developed using the obtained experimental data with a coefficient of determination (R2) value of 0.9582. From the RSM-generated model, the optimum conditions for extraction of oil from the POME model were a coolant temperature of 6 °C in 50 min freezing time with a circulation flowrate of 500 rpm. The validation of the model showed that the predicted oil yield and experimental oil yield were 92.56 and 93.20%, respectively.
Fulltext A review of pharmacist-led interventions on diabetes outcomes: an observational analysis to explore diabetes care opportunities for pharmacists

Iqbal MZ, Khan AH, Iqbal MS, Syed Sulaiman SA

J Pharm Bioallied Sci, 2019 10 18;11(4):299-309.
PMID: 31619911 DOI: 10.4103/jpbs.JPBS_138_19

A strict and adherence treatment is required by the patient with diabetes mellitus and it demands a proper self-medication by the patient. Pharmacists are involved in providing self-management support to the patients. This review evaluates the interventions of pharmacist for patients to improve self-management with diabetes mellitus and also to improve the clinical outcomes of diabetes mellitus. A comprehensive literature search was performed by using different keywords "pharmacist-led intervention," "diabetes," "effect of pharmacist on outcome of diabetes," and "self-management of diabetes" with the help of various electronic databases such as PubMed, Science Direct, Embase, Web of Science, and the Cochrane Library from the beginning of the database through September 2018. The primary outcome was glycated hemoglobin (HbA1c), whereas the secondary outcomes were blood glucose level, blood pressure (BP) measure, body mass index, lipids, adherence to medication, and quality of life. Twenty-five studies comprising 2997 diabetic patients were included in the analysis. Pharmacist-led intervention was involved in all included studies in the form of education on diabetes and its complications, medication adherence, lifestyle, and education about self-management skills. Pharmacist-led interventions are able to reduce HbA1c levels with a mean of 0.75%. Most studies do not expose the material and methods used in pharmacist-led intervention. The variation in the reduction of HbA1c, fasting blood sugar, BP, and lipid profile was due to the lack of this standardization. The included studies indicated that pharmacist-led interventions in diabetes mellitus can significantly improve the outcomes of diabetes mellitus and its complication later on. Hence, these long-term improvements in outcomes added more value of pharmacists in health-care system of the world.
Fulltext Availability of sugar-free medicine for children: Are we denying their needs?

Muhammad Ilyas Ahmad Shuhairi, Hadzliana Zainal, Khoirulzariah Ismail

Archives of Orofacial Sciences, 2018;13(2):1-7.
MyJurnal

This study aimed to review the availability of sugar-free medicine available in the market using the online Monthly Index of Medical Specialties (MIMS) Malaysia 2016. Data collection was obtained from product information (PI) for prescription medications contained in the MIMS Malaysia 2016. Concise information for each product was collected based on therapeutic class groupings. The therapeutic class obtained from PI was assigned to one of the 11 major therapeutic classes. PI that stated its use in paediatrics was further reviewed for the availability of sugar free ingredient. Each product was then allocated into the poison groups: Group B, Group C and Non-Scheduled Poison. A total of 282 PI items from 336 companies in MIMS Malaysia 2016 that satisfied our eligibility criteria were reviewed. Of the 282 PI items reviewed, most of the products, 169 (59.9%) were sugarbased product, while 87 (30.9%) of them belong to sugar free products. Our study found that most of the medicines reviewed in the MIMS Malaysia 2016 were under Group C (134 of total 282). There is still a high number of sugar-containing medicines despite the promotion of sugar-free medication. Therefore, consumers need to be educated on the use of sugar-free medicines in children to increase the demand and availability in the market.
Fulltext THE POTENTIAL OF SOLID ELECTROLYTE FROM FISH WASTE FOR BATTERY APPLICATION

Muhammad Ashraff Aiman Roslan, Nik Aziz Nik Ali

UMT Journal of Undergraduate Research, 2020;2(1):9-14.
MyJurnal

This experiment was conducted to study the potential of solid electrolyte from the fish waste of Clarias gariepinus for battery application. The battery was one of the important components that supplies electrical energy to users throughout the world, and it strongly contributed to technology development in the economic sector, transportation, residential as well as agriculture. The presence of ammonia in organic fish waste could produce renewable energy and helped to reduce the use of lithium-ion batteries in modern industries. Two different parameters were being observed in this study, which was the quantity of fish and the number of the cell layer. The process of collecting the fish waste was carried out in the hatchery at Universiti Malaysia Terengganu using two methods, which were filtering and soaking. The result showed that the highest value of energy output was 0.430V from waste filtering of 50 fish and 0.207V from soaking in waste of 50 fish. Meanwhile, the lowest energy output was from the tank that contained ten fish with an energy output of 0.177V for filtering and 0.101V for soaking. Besides, for a different number of the cell layer, the highest value of energy output was 0.414V at 25 layers, and the lowest voltage was 0.175V at five layers. Thus, from the study was observed that the produced voltage was dependent on the quantity of fish and the number of the cell layer, when the quantity of fish and number of cell layer increases, the output energy was also increased.
Fulltext Effectiveness of Smartphone Application in Improving Knowledge on Under-Five Childhood Immunization Schedule amongst Parents in Selected Nurseries

Mohammad Farhan Rusli, Nor Afiah Mohd Zulkefli, Muhammad Hanafiah Juni

IIUM Medical Journal Malaysia, 2019;18(102):2-0.
MyJurnal

Knowledge on under-five childhood immunization has been identified as a key factor in determining understanding and compliance to the schedule. Understanding the current levels of knowledge and introducing a health intervention to improve the level will benefit the population to be healthier and reduce morbidity. Materials and Method: A quasi-experimental study was conducted in nurseries in Putrajaya and Cyberjaya, Malaysia from January 2016 to January 2018. 98 respondents from Putrajaya were given the technology based intervention and 98 from Cyberjaya were the wait-listed control group. Respondents answered a validated, self-administered questionnaire at baseline, immediate post-intervention and 3 months post-intervention that were specifically targeted to examine their levels of knowledge on under five childhood intervention. Results: Data was analysed using Statistical Package for Social Science (SPSS) Version 23. The level of knowledge at baseline was 58.9% for the intervention group and 61.7% for the control group with no significant difference between both groups (p=0.651). Immediate post intervention showed a significant difference (p
Fulltext Prevalence of Pediculosis and Its Predictors among Urban Primary School Children in Kuantan, Pahang

Muhammad Rusyaidi Azali, Nor Faiza Mohd Tohit,, Razman Mohd Rus

IIUM Medical Journal Malaysia, 2019;18(102):28-0.
MyJurnal

Pediculosis capitis among primary school children is always known as the problem of the lower socio-economic class and rural communities. It carries significant consequences to the school children and caregivers. Limited studies have been conducted among the urban populations. Thus, this study aims to investigate the prevalence and predictors of Pediculosis capitis among Urban primary school children in Kuantan. Materials and method: An analytical cross-sectional study using cluster random sampling was carried out in Kuantan, Pahang, Malaysia. A selfadministered validated questionnaire was issued to the participants with purpose to collect socio-demographic data related to age, gender and factors that associated with head lice infestations among primary school children from standard one to six. It was then followed by hair and scalp examination by a well-trained examiners to check the infestation status. The results were analyzed using the chi-squared test and logistic regression analysis. Results: A total of 1347 students from 5 schools were included in this study. Majority of them were males (53.6%), Malays (61.0%), household income between RM1000-RM2999 (32.1%). The overall prevalence was 9.1% (n=122). Multivariate analysis showed that predictors for pediculosis capitis were female gender (OR= 6.02, 95% CI= 2.97-12.21), Indian ethnicity (OR= 5.55 , 95% CI=3.26-9.45), sibling of more than 5 (OR= 2.72 , 95% CI=1.04-7.12) and contact with infested person (OR=2.42, 95% CI=1.58-3.71). Conclusion: The prevalence of Pediculosis capitis among urban primary school children in Kuantan, Pahang is endemic (9.1%) and predictors are female genders, Indian ethnicity, having siblings of more than 5 and contact with infested person. Hence, preventive measures are necessary to reduce the transmission of head lice among school children.
Fulltext Systematic Review on The Effectiveness of Using Carbon Monoxide Measurement in Smoking Cessation Interventio

Muhammad Adil Zainal Abidin,, Hayati Kadir @ Shahar, Rosliza Abdul Manaf

IIUM Medical Journal Malaysia, 2019;18(102):52-0.
MyJurnal

Carbon monoxide measurement is one of the biomedical risk assessments in smoking cessation. With the advancement in medical devices, risk assessment among smoker using carbon monoxide can be an effective intervention for quit smoking. A systematic review was conducted on the effectiveness of using carbon monoxide measurement in smoking cessation intervention. Material and methods: A systematic review and narrative synthesis were done using PRISMA guideline. A broad database search on English literature was conducted including Medline, PubMed, Scopus and Science Direct from 2008 till 2017. Additional studies were also searched through snowballing technique by searching the bibliographies of selected studies. Five studies met the criteria with two studies were done in clinical settings while the other was done at population settings. The studies were conducted in the United States of America, United Kingdom and South Korea. All study were two-arm randomized controlled trials with variation in the outcome measurement mainly intention to quit, quit attempt and smoking abstinence. There was also variation in the duration of follow up ranging from 1 week to 12 months. Results: Only three studies found statistically significant increased in motivation or intention to quit smoking but only at 1 month follow up. All five study found no significant difference in frequency of quit attempt or smoking abstinence. Most of the studies recruited participants based on voluntary participation thus limiting the generalizability of the results. Conclusions: The present review has found limited studies on the effect of carbon monoxide measurement intervention for quit smoking. It may only be beneficial at the motivational level and not translated into behavioural changes. However, the effect too was short term and not sustained in the long term.
Fulltext A Comparative Study on Suitability of Model-Free and Model-Fitting Kinetic Methods to Non-Isothermal Degradation of Lignocellulosic Materials

Mahmood H, Shakeel A, Abdullah A, Khan MI, Moniruzzaman M

Polymers (Basel), 2021 Jul 29;13(15).
PMID: 34372105 DOI: 10.3390/polym13152504

The thermal kinetic modeling is crucial for development of sustainable processes where lignocellulosic fuels are a part of chemical system and their thermal degradation eventuates. In this paper, thermal decomposition of three lignocellulosic materials (bagasse, rice husk, and wheat straw) was obtained by the thermogravimetric (TG) technique and kinetics was analyzed by both model-fitting and isoconversional (model-free) methods to compare their effectiveness. Two models selected from each class include Arrhenius and Coats-Redfern (model-fitting), and Kissinger-Akahira-Sunose (KAS) and Flynn-Wall-Ozawa (FWO) (model-free). The formal model-fitting approach simulating the thermal decomposition of solids by assuming a fixed mechanism was found to be unduly facile. However, activation energy (E) values calculated from two model-fitting techniques were considerably different from each other with a percentage difference in the range of 1.36% to 7.65%. Particularly, both model-fitting methods predicted different reaction mechanism for thermal disintegration of lignocellulosic materials (two-dimensional diffusion (D2) by Arrhenius and one-dimensional diffusion (D1) by Coat-Redfern method). Conversely, the model-free routine offers a transformation of mechanism and activation energy values throughout reaction and is, therefore, more authentic to illustrate the complexity of thermal disintegration of lignocellulosic particles. Based on the model-free kinetic analysis, the lignocellulosic materials may be devised in following order of activation energy: rice husk > bagasse > wheat straw, by both KAS and FWO methods with a percentage difference no more than 0.84% for fractional conversion up to 0.7. Isoconversional approach could be recommended as more realistic and precise for modeling non-isothermal kinetics of lignocellulosic residues compared to model-fitting approach.
The distribution of marine debris along the Pahang coastline, Malaysia during the Southwest and Northeast Monsoons

Azman MA, Ramli MZ, Che Othman SF, Shafiee SA

Mar Pollut Bull, 2021 Sep;170:112630.
PMID: 34146861 DOI: 10.1016/j.marpolbul.2021.112630

This study investigated the accumulation of debris at four sites, namely, Gebeng, Batu Hitam, Cherok Paloh, and Air Leleh, along the Pahang coastline, Peninsular Malaysia from March 2019 to February 2020. Plastic was the dominant debris (86.1%) and followed by cloth/fabric-based debris (6.0%), processed lumber debris (3.3%), rubber (2.7%), glass (1.5%), and metal (0.4%). The land-based debris (82.0%) was the major source of the deposition of marine waste. A statistically significant relationship was found between the seasonal variation and marine debris density in tidal and seasonal current along the Pahang coastline. In general, the Northeast Monsoon season had a higher amount of debris than the Southwest Monsoon season.
Fulltext Food variety of lesser whistling duck in Malaysian lakes

Onwuka, Martins Chukwuemeka, Rajpar, Muhammad Nawaz, Mohamed Zakaria

Pertanika Journal of Science & Technology, 2020;28(4):1329-1343.
MyJurnal

Food distribution and diversity is a significant factor that determines the habitat and site selection of avian species. Its effects on the health, reproduction, survival rate, diversity indices, population structure and home range of avian species. In wetland ecosystem, bird home range and population structure is influenced by richness and diversity of food resources and availability of suitable foraging sites. The aim of the study was to ascertain the food variety of Lesser Whistling Duck – Dendrocygna javanica in Paya Indah Wetland Reserve (PIWR). A scan method was employed from strategic places or blinds using a spotting scope and binocular to determine the food selection and density by Distance sampling point count method. Food items were categorised into the aquatic plants (AP), aquatic invertebrates (AIV), aquatic vertebrates (AV), terrestrial plants (TP), terrestrial vertebrates (TV) and terrestrial invertebrates (TIV). Distance analysis indicated that PIWR harboured 3.88 ± 0.00 birds per ha (n = 188 individuals). In addition, the results revealed that higher bird relative abundance of Lesser Whistling Duck concentrated in the shallow of Belibis lake that was rich in submerged and emergent vegetation (Eleocharis dulcis, Philydrum lanuginosum, Utricularia vulgaris, and Potamogeton perfoliatus). Kruskal–Wallis H test showed that food items were significantly different. Lesser Whistling Duck showed strong correlationship with AIV (r2 = 1.00, P < 0.05) and negative relationship with water TP (r2 = –0.061, P< 0.05). The regression model highlighted that Lesser Whistling Duck significantly preferred aquatic invertebrates, r2 = –0.686±0.68; P
Fulltext The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities

Ayaz M, Pasha MF, Alzahrani MY, Budiarto R, Stiawan D

JMIR Med Inform, 2021 07 30;9(7):e21929.
PMID: 34328424 DOI: 10.2196/21929

BACKGROUND: Information technology has shifted paper-based documentation in the health care sector into a digital form, in which patient information is transferred electronically from one place to another. However, there remain challenges and issues to resolve in this domain owing to the lack of proper standards, the growth of new technologies (mobile devices, tablets, ubiquitous computing), and health care providers who are reluctant to share patient information. Therefore, a solid systematic literature review was performed to understand the use of this new technology in the health care sector. To the best of our knowledge, there is a lack of comprehensive systematic literature reviews that focus on Fast Health Interoperability Resources (FHIR)-based electronic health records (EHRs). In addition, FHIR is the latest standard, which is in an infancy stage of development. Therefore, this is a hot research topic with great potential for further research in this domain.
OBJECTIVE: The main aim of this study was to explore and perform a systematic review of the literature related to FHIR, including the challenges, implementation, opportunities, and future FHIR applications.
METHODS: In January 2020, we searched articles published from January 2012 to December 2019 via all major digital databases in the field of computer science and health care, including ACM, IEEE Explorer, Springer, Google Scholar, PubMed, and ScienceDirect. We identified 8181 scientific articles published in this field, 80 of which met our inclusion criteria for further consideration.
RESULTS: The selected 80 scientific articles were reviewed systematically, and we identified open questions, challenges, implementation models, used resources, beneficiary applications, data migration approaches, and goals of FHIR.
CONCLUSIONS: The literature analysis performed in this systematic review highlights the important role of FHIR in the health care domain in the near future.
Fulltext Mapping healthy aisles in Makassar city, Indonesia: implications for community empowerment

Palutturi S, Saleh LM, Rachmat M, Malek JA

Gac Sanit, 2021 4 10;35 Suppl 1:S42-S45.
PMID: 33832624 DOI: 10.1016/j.gaceta.2020.12.012

OBJECTIVE: The purpose of this paper was to map healthy aisles in Makassar City and how its implication is for community empowerment.
METHOD: This research was a descriptive survey. One hundred and sixty aisles in Rappocini and Ujung Tanah Sub-Districts, Makassar were surveyed.
RESULTS: The development of healthy aisles is under maintenance of Puskesmas (Public Health Center) consisting of 20 aisles of 117 aisles in Puskesmas Kassi-Kassi and 3 aisles of 43 aisles in Puskesmas Pattingalloang. Ten healthy aisles indicators were established: aisles's cleanliness, beauty, drainage, garbage transportation, utilization, Siskamling (neighborhood security system), Non-Smoking Area (Kawasan Tanpa Rokok=KTR), active Posyandu (Integrated Health Post), the presence of educational media and the existence of working groups (Pokja).
CONCLUSIONS: Based on 10 healthy aisles indicators, aspects of beauty, educational media, and aisles work group activity need to be strengthened, while others need to be maintained and even improved.
Risk & rescuing issue: outdoor adventure accidents in protected areas of Gunung Ledang, Johor National Park, Malaysia

M Adli Mohd Sidi, Muhammad Syakir Sulaiman, Mohd Rifqi Remeli

Journal of Hospitality and Networks, 2019;2019(1):13-17.
MyJurnal

This paper presents a study on outdoor recreational risk factors at Johor National Park of Gunung Ledang. It located at Southern of Malaysia and consists by tropical rainforest. The biodiversity richness and the wilderness of the natural resources has become attraction for local and international tourists to visit this national park to enjoying their outdoor recreational activities. But they are exposed with the risks and hazard in the wilderness tropical rainforest and the rescuing process for the victims is difficult too. This case study data collected using semi structured interviews conducted towards the National Park Managers from each study sites. The data analyzed using NVivo 11 version. As findings, the storm seems as the main outdoor recreational risk factors identified at this national park that may cause falling tree cases in this national park. Secondly, if the accident occurs at the deep forest, the rescuing assistance procedure for the victims is very difficult and takes time to reach the accident location. As conclusion, extreme recreationists were highly expose with outdoor recreational risks in outdoor nature wilderness settings and national park operator should look into this risk issue seriously in order to ensure the visitors’ safety during their visitation to the national parks. Highly recommended, for national park operator to have a look on the necessity of helipad installation at the risky areas of national park to smoothen the rescuing process for the victims in the wilderness areas.
Fulltext Tensile properties of alkaline treated coconut meat husk reinforced polyester composites

Muhammad Faiz Ghazali, Mohamad Juraidi Jamal, Syed Azuan Syed Ahmad

Journal of Engineering and Science Research, 2017;1(1):4-7.
MyJurnal

Synthetic fibers such as glass fiber and carbon fiber are traditionally used as reinforcement in engineering composites. The increasing of environmental concerns has led to the use of natural fibers as renewable alternatives reinforcement. Among them, coconut meat husk fiber which abundant availability can be used as reinforcement fiber. However, the coconut meat husk fiber, same as other natural fibers, has the issues of fiber/matrix bonding and moisture absorption. Chemical treatments are needed to modify the surface of fiber, aiming at improving the adhesion with polymer matrix and reducing the hydrophilicity of the fiber. Alkalization was used in this study to treat the coconut meat husk fiber. The effects of chemical treatments for 1hr and 24 hr treatment time on the coconut meat husk fibers reinforced composites were investigated. A result showed that the 24 hr alkali treatment gave the highest tensile stenght compared to the 1hr treatment and RO water.
Fulltext Assessment of patient satisfaction with the preoperative anaesthetic evaluation

Lee, S.Y., Cheah, S.K., Muhammad, M., Aniza, I.

Medicine & Health, 2020;15(1):156-165.
MyJurnal

Penilaian anestetik pra-operasi adalah penting semasa penjagaan perioperatif. Matlamat utama kajian ini adalah untuk menilai tahap kepuasaan pesakit dan faktor-faktor yang mempengaruhi kepuasaan pesakit terhadap klinik pra-anestetik. Sejumlah 304 orang pesakit yang menghadiri klinik pra-anestetik telah terlibat dalam kajian ini. Kajian kepuasaan selidik dwibahasa (Bahasa Inggeris dan Bahasa Melayu) dengan berjumlah 18 soalan menguji faktor-faktor bukan penyedia (kemudahan klinik, kesesuaian masa menunggu) dan faktor-faktor penyedia (perkhidmatan doktor, pegawai kaunter, jururawat dan kakitangan sokongan) telah dikaji. Kajian kepuasaan selidik menggunakan format skala Likert lima mata skor sangat setuju/tidak setuju telah digunakan untuk menilai tahap kepuasaan pesakit. Secara keseluruhan, peratusan kepuasaan pesakit terhadap penilaian pra-anestetik dilaporkan sebagai 98.7% dengan skor purata untuk perkhidmatan doktor (4.49 + 0.60), pegawai kaunter (4.48 + 0.61), kakitangan sokongan (4.47 + 0.62), kemudahan klinik dan kesesuaian masa menunggu (4.40 + 0.62). Semua faktor-faktor yang dikaji menunjukkan hubungan yang signifikan (p
Fulltext Challenges of anti-smoking campaign in Malaysia from the healthcare provider perspective

Mohamad Helmy, J., Normalina, A., Afzan, M.Y., Muhammad Lokman, M.I.

Medicine & Health, 2020;15(1):119-128.
MyJurnal

Kajian ini menemui faktor-faktor cabaran kempen anti-merokok dari perspektif petugas kesihatan di Kuantan. Objektif kajian ini adalah untuk menerokai cabaran kempen anti-merokok daripada pandangan petugas kesihatan, kesedaran tentang kewujudan Klinik Berhenti Merokok dan cara untuk menambah baik kempen antimerokok. Kajian ini adalah penting untuk membantu pihak berkuasa Malaysia untuk membangunkan strategi yang lebih baik dalam mempromosikan kempen anti-merokok pada masa akan datang. Persampelan “purposive” digunakan dalam pengumpulan data dan wawancara separa berstruktur telah dilakukan di kalangan lima petugas kesihatan dari tiga Klinik Berhenti Merokok yang terpilih. Kajian ini mendapati petugas kesihatan berpendapat bahawa perokok yang menerima rawatan dari Pusat Kesihatan mempunya pemahaman yang rendah mengenai tatacara piawai (SOP) dalam pemberhentian merokok, komitmen yang rendah dan senang dipengaruhi oleh masyarakat. Petugas kesihatan juga berpendapat tugas pelbagai disiplin menyebabkan tumpuan yang rendah terhadap pesakit yang merokok. Di samping itu, responden merasakan bahawa kewujudan Klinik Berhenti Merokok perlu diperluaskan penghebahannya kepada komuniti. Melalui penemuan ini, beberapa strategi dicadangkan untuk menambah baik pendekatan semasa dalam pengurangan bilangan perokok di Malaysia seperti penambahbaikan penghebahan kepada orang ramai, meningkatkan penguatkuasaan undang-undang serta menyediakan insentif.
Fulltext A qualitative study: the perception on antismoking campaign among smokers in Kuantan

Muhammad Lokman, M.I., Normalina, A., Afzan, M.Y., Mohamad Helmy, J.

Medicine & Health, 2020;15(1):129-140.
MyJurnal

Tabiat merokok adalah perilaku yang tidak sihat malah membahayakan bukan sahaja diri sendiri malahan masyarakat sekeliling. Walaupun terdapat banyak kempen anti-merokok telah diperkenalkan oleh kerajaan, namun keberkesanannya masih di tahap rendah. Oleh itu objektif kajian ini adalah untuk meneroka faktor utama kegagalan kempen anti-merokok di Malaysia, meneroka keberkesanan “Klinik Berhenti Merokok” dan menemui penyelesaian terbaik untuk memastikan kempen yang dijalankan berkesan pada masa akan datang. Ini adalah kajian rentas kualitatif di mana temuduga dijalankan di kalangan lima sukarela responden yang terdiri dari perokok dan bekas perokok di kawasan awam dan tiga klinik berhenti merokok yang terpilih. Data dianalisis dengan menggunakan analisis bertema. Kajian ini mendapati beberapa faktor penyumbang dari perspektif perokok dan pihak berkuasa perlu diberi keutamaan untuk penambahbaikan iaitu kurang kreativiti yang minimum dalam menguruskan promosi anti-merokok, kurang kreatitivi dah terhadap kesihatan, permintaan bahan pencetus semangat di tempat kerja, dan dalam pengurusan tekanan yang lemah. Hasil kajian mengesyorkan bahawa kempen bermula di sekolah rendah dan menengah, improvisasi tanda amaran penyakit, meluaskan kawasan promosi, memberi ganjaran semasa kempen dan perokok perlu mengambil inisiatif melibatkan diri dalam program ini. Kerajaan perlu menumpukan perhatian kepada program pencegahan merokok terlebih dahulu, daripada program intervensi berhenti merokok yang mungkin melibatkan kos kewangan yang tinggi.
The perceptions among international tourists toward environment impacts at Tanjung Tuan

Siti Mahera Ahmat Amin, Muhammad Arif Nasir, Fatimah Jinal

Journal of Hospitality and Networks, 2018;1(1):18-24.
MyJurnal

The challenge to tourism that is presented by sustainable approach is how to preserve and conserve many natural attractions and today in tourism industry development will have an impacts on environmental. Environment, either physical, social and economics have a positive and negative impacts. The purpose of this study was to examined the perception among international students from University Gadjah Mada, Yogyakarta, Indonesia toward environmental impacts at Tanjung Tuan Melaka. For this purpose, qualitative method was used in order to get a perception toward environmental issues among international students from interviews activities. The results show that environmental issues at Tanjung Tuan is not serious and have a good perception among international students, just need to develop some facilities to faced many tourists.

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