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Fulltext Stress, psychological well-being and coping strategies among nurses in Sabah

Chin Lee Mei @ Mary Tan, Mohd Dahlan A. Malek, Ismail Maakip

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):30-0.
MyJurnal

Introduction: Nursing is a highly stressful profession that affects the nurses’ physical and mental health. To maintain the quality of health services, nurses must have physically and mentally healthy. Given this, the present study aimed to examine the level of Stress and Psychological Well-Being among nurses and the methods used by nurses to cope with them. Methods: A self-administered questionnaire was used to assess psychological well-being and coping strat- egies with stress which include Ryff’s Psychological Well-Being (RPWB), Ways of Coping Questionnaire (WOCQ) and Nursing Stress Scales (NSS) for the data collection on 637 nurses in nine hospitals in Sabah. Results: The results revealed that the main Sources of Stress among nurses was Conflict with Other Nurses. Also, Purpose in Life was found to have the highest mean score in terms of psychological well-being among nurses. Furthermore, Positive Re- appraisal was found to be employed by nurses in dealing with stress. The study also revealed there was relationship between the sources of stress and the psychological well-being among nurses. Conclusion: Thus, to reduce work stress among nurses, hospital administration should keep themselves aware of the work dynamics and address the negative conflict occurred in nurses as soon as it is recognized. Recognizing the impact of work stress and using the technique of coping plays a vital role in minimizing the stress of nurses.

Matched MeSH terms: Health Services
Fulltext THE EFFECT OF TRAWL BOARD PULL-OVER LOAD ON SUBSEA PIPELINE OF OFFSHORE SABAH

MOHD ASLAN MOLENG, AHMAD FAIZAL AHMAD FUAD, MOHD HAFIZI SAID

UMT Journal of Undergraduate Research, 2020;2(4):9-16.
MyJurnal

Trawling is a method of catching fish in a large volume where fish net is pulled through water using one or two boats. Bottom trawling is where the nets are pulled over or close to seabed and can affect the subsea pipeline if found along the route. Therefore, the objective of this study was to determine the impact of pull-over to selected subsea pipelines in Sabah and Labuan waters. This study involved four oil and gas pipelines in Sabah and Labuan waters from the oil fields to shore terminals. The research started with obtaining data of the pipelines and specification of trawl gear in Sabah. Fishing trawler traffic data along the pipelines route was determined by AIS system and site observation to determine the density of the trawlers. Trawl gear pull-over load was calculated using DNV algorithm and the inputs were trawl gear specification ^and fishing trawl speed. The severity was based on pull-over load calculated and pipeline yield stress. Then frequency was based on AIS data and density of fishing trawl per area. Based on the comparison between trawl pull-over load and yield strength/stress, the effect of trawl board pull-over is considered as minor, which is the lowest in the severity index.

Matched MeSH terms: Health Services
Reducing maternal mortality: can we derive policy guidance from developing country experiences?

Liljestrand J, Pathmanathan I

J Public Health Policy, 2004;25(3-4):299-314.
PMID: 15683067 DOI: 10.1057/palgrave.jphp.3190030

Developing countries are floundering in their efforts to meet the Millennium Development Goal of reducing maternal mortality by 75% by 2015. Two issues are being debated. Is it doable within this time frame? And is it affordable? Malaysia and Sri Lanka have in the past 50 years repeatedly halved their maternal mortality ratio (MMR) every 7-10 years to reduce MMR from over 500 to below 50. Experience from four other developing countries--Bolivia, Yunan in China, Egypt, and Jamaica-confirms that each was able to halve MMR in less than 10 years beginning from levels of 200-300. Malaysia and Sri Lanka, invested modestly (but wisely)--less than 0.4% of GDP--on maternal health throughout the period of decline, although the large majority of women depended on publicly funded maternal health care. Analysis of their experience suggests that provision of access to and removal of barriers for the use of skilled birth attendance has been the key. This included professionalization of midwifery and phasing out of traditional birth attendants; monitoring births and maternal deaths and use of such information for high profile advocacy on the importance of reducing maternal death; and addressing critical gaps in the health system; and reducing disparities between different groups through special attention to the poor and disadvantaged populations.

Matched MeSH terms: Health Services Accessibility/legislation & jurisprudence; Health Services Needs and Demand/legislation & jurisprudence
Fulltext ESTIMATION OF CORAL RUBBLE QUANTITY USING EDGE DETECTION AND MORPHOLOGICAL-BASED METHODS

MUHAMMAD SUZURI HITAM, NURSYAHIRAH HAFIZ, ZAINUDDIN BACHOK, ZAINUDDIN BACHOK, MOHD SAFUAN CHE DIN

UMT Journal of Undergraduate Research, 2019;1(3):105-119.
MyJurnal

Reef rubble representsthe broken components of the coraland reefstructure which could be in the form of dead,broken or other fragmented coral.The process to estimate the distribution of reef rubble is currently done manually and thus takesa long timeto completeand is laborious. This paper presentsan image-processing-basedmethod to estimate the distribution of reef rubbles in a coral reef environmentfrom a still image. The method is basically a series of image processing steps includingimage complement, image binarization, edgedetection, smoothing by Weiner filter and followed by erosion and dilation process.The experimentalresults showedthat the system wasable to roughly estimate the distribution of reef rubble.

Matched MeSH terms: Health Services
Fulltext Exploring Unmet Needs from an Online Metastatic Breast Cancer Support Group: A Qualitative Study

Kadravello A, Tan SB, Ho GF, Kaur R, Yip CH

Medicina (Kaunas), 2021 Jul 07;57(7).
PMID: 34356974 DOI: 10.3390/medicina57070693

Background and Objective: Despite the increasing treatment options for patients with metastatic breast cancer (MBC), unmet needs remain common, especially in low and middle-income countries where resources are limited and MBC patients face many challenges. They often join support groups to cope with their unmet needs. Currently, many MBC patients connect with each other via online support group in view of the constant availability of support and rapid information exchange. The objective of this study is to determine the unmet needs of women with MBC from an online support group. Material and Methods: Messages in an online support group of twenty-two MBC patients over a period of three years from August 2016 till August 2019 were thematically analyzed. Results: Three themes were generated, (1) unmet information needs (2) unmet financial needs (3) unmet support needs. Women needed information on side effects of treatment, new treatment options and availability of clinical trials. Although Malaysia has universal health care coverage, access to treatment remains a major challenge. When treatment was not available in the public hospitals, or waiting lists were too long, women were forced to seek treatment in private hospitals, incurring financial catastrophe. Insufficient private insurance and inadequate social security payments force many women to consider stopping treatment. Women felt that they were not getting support from their clinicians in the public sector, who were quick to stop active treatment and advise palliation. On the other hand, clinicians in the private sector advise expensive treatment beyond the financial capability of the patients. Women with families also face the challenge of managing their family and household in addition to coping with their illness. Conclusions: There is a need for healthcare professionals, policy makers, and civil society to better address the needs of MBC patients through patient-centered, multidisciplinary and multi-organizational collaboration.

Matched MeSH terms: Health Services Needs and Demand
Utilization of Private Sector Family Planning Services in Malaysia

Lai SL, Tey NP, Mahmud A, Ismail N

Int Q Community Health Educ, 2021 Jul;41(4):395-403.
PMID: 33167794 DOI: 10.1177/0272684X20972864

BACKGROUND: The private sector is playing an increasingly important role in family planning services globally. The active participation of private providers is associated with a higher contraceptive prevalence rate.
OBJECTIVES: To examine the differentials and determinants of the utilization of private providers for family planning services.
METHOD: This study used the 2014 Malaysian Population and Family Survey data. Cross-tabulations and logistic regression were performed on 1,817 current users of modern methods.
RESULTS: Overall, 26% of modern method users obtained their supplies from private clinics/pharmacies and 15.2% from other sources, such as drug stores and sundry shops. The odds of utilizing the private sector for family planning services differ significantly across regions and socio-economic groups. The odds of obtaining supply from the private clinics/pharmacies were higher among the Chinese and urban women (AOR > 1), and it was lower among those from the eastern region (AOR = 0.47, 95% CI = 0.30-0.73). Non-Bumiputera, urban, higher educated, and working women, and those whose husbands decided on family planning had higher odds of obtaining the supply from the other sources (AOR > 1).
CONCLUSION: The private sector complements and supplements the public sector in providing family planning services to the public.

Matched MeSH terms: Health Services Accessibility/statistics & numerical data*; Women's Health Services/statistics & numerical data*
Fulltext Capsule Commentary on Cheah et al., Ethnic Differences in Participation in Medical Check-ups Among the Elderly: Evidence from Malaysia

Yuan Y

J Gen Intern Med, 2020 09;35(9):2834.
PMID: 32232666 DOI: 10.1007/s11606-020-05794-2
Matched MeSH terms: Health Services for the Aged
Fulltext Treatment challenges in the management of bipolar disorder: a case report

Rahima Dahlan, Siti Nor Aizah Ahmad

ASEAN Journal of Psychiatry, 2012;13(1):0-0.
MyJurnal

Objective: This case report highlights on the challenges in the management of people with bipolar disorder. Method: We report a case of 36 year-old lady living with this disorder and her journey in a search for a meaningful life. Result: Adherence to treatment is a major determinant of outcome in bipolar patient like Ms WMY. Poor insight, negative attitudes towards treatment and poor understanding of medications and the illness can all lead to reduced adherence. Conclusion: This case demonstrates on how poverty of insight, poor social support, on-going stressors with significant life events and poor compliance to treatment create a series of stumbling blocks in recovery from bipolar disorder.

Matched MeSH terms: Health Services
Fulltext Reaching the last frontier: video conference clinic in Belaga health clinic using the tele-primary care®system

Ringga A, Ngian HU, Chin ZH, Toh TH

Int J Public Health Res, 2011;1(2):1-3.
MyJurnal

Belaga District, in the heart of Borneo, is probably the most remote district in Sarawak. Although Belaga town is now accessible by land (50% are timber camp unsealed road) from Bintulu, the journey takes 5 hours and transport cost is high. Accessibility to Belaga by river is also subject to weather conditions and the town often gets cut off during the dry season and also during the wet season. All these pose immense challenges to the delivery of health care services to the people of Belaga and greatly reduce their accessibility to even basic health services. Access to specialist services is even more challenging as it is only available in Sibu and Bintulu; and visiting clinics in Belaga are infrequent due to the shortage of specialists and difficult transport. (Copied from article).

Matched MeSH terms: Health Services
Fulltext Fabrication of size-tunable nanocrystalline cobalt particles in propylene glycol

Balela, M.D.L., Lockman, Z., Azizan, A., Matsubara, E., Amorsolo , A.V. Jr.

Journal of Nuclear and Related Technologies, 2009;2009(1):190-198.
MyJurnal

Monodispersed and size-tunable nanocrystalline cobalt (Co) particles in the range of 100 to 400 nm are prepared by the reduction of Co(II) species in propylene glycol. Control of the particle size is achieved by varying the initial Co(II) species concentration and by the addition of nucleating agents. Smaller Co particles are produced with increasing amounts of Co(II) species and in the presence of nucleating agents. X-ray diffraction analysis (XRD) shows that the Co particles are predominantly face-centered cubic crystals of about 8-14 nm. The Co particles are also ferromagnetic at room temperature.

Matched MeSH terms: Health Services
Fulltext Healthcare inequalities: the United States vs India

Mohamad Nasaruddin Mahdzir, Izwan Effendy Zainuddin, Sharifa Ezat Wan Puteh

Int J Public Health Res, 2012;2(2):177-183.
MyJurnal

The relationship between healthcare services and inequalities is more likely when a group that shares a salient identity faces severe inequalities of various kinds. Such inequalities may be catalyzed by economic, social, political or concern cultural status. The objectives of this review are to identify the issues and challenges involve in healthcare inequalities, to compare factors contributes to healthcare inequalities and to purpose suggestions and recommendations for improvement based on issues and challenges between United States and India. Comparing annual year healthcare report, documentation of healthcare institutional, Ministry of Health's report and circular, official institutional website, scientific healthcare journals, articles and reports published in 1994 until 2011 regarding healthcare inequalities between United States and India. Health inequalities in the healthcare system contributed by the different in socioeconomic status and accessibility to the healthcare facility due to high cost of treatment has been common risk 'Catastrophic' factors to the inequalities in both countries. Health financing system and resource allocation that benefit only the upper class social spectrum of the population. Disparities occur due to the imbalance in distribution of wealth, discrimination and change in the world economy. Adapting healthcare system that provides care to all classes of people need improvement as no healthcare system is perfect. This matter must be tackle urgently as it's a matter of national concern.

Matched MeSH terms: Health Services
Fulltext Community psychiatric services in Malaysia: Where do we go from here?

Abdul Kadir AB

Malaysian Journal of Psychiatry, 2011;20(1):1-3.
MyJurnal
Matched MeSH terms: Mental Health Services
Fulltext The relative age effects among Malaysian age group swimmers

Punita Marapen, Low, Jeffrey Fook Lee

Jurnal Sains Sukan & Pendidikan Jasmani, 2015;4(1):1-8.
MyJurnal

The relative age effect (RAE) is the effects of differences between athletes born in the early compared to the later months of the year. This study investigated the presence of RAE among 306 age-group swimmers competing in the 2014 Malaysian Schools Sports Competition (MSSM). Participants’ birthdates were grouped according to four birth quartiles (Q1- Jan to Mar; Q2- Apr to June; Q3 – July to September; Q4 – October to December). Data analyzed using chi-squared goodness-of-fit showed there was a significant difference among overall male but not for the female swimmers. There was a presence of RAE in the U-12 and U-15 but none in the U-18 boys’ category. Further analyses on the medal winners showed no RAEs on both gender. Physical attributes of the male swimmers, especially the early adolescents are suggested to influence the relative age effects in swimming.

Matched MeSH terms: Health Services
Fulltext Appraisal of weekly conducted clinical pathologic case conference (CPC)

Hassan S

Education in Medicine Journal, 2011;3(2):15-23.
MyJurnal

Background: The weekly held clinical pathologic case conference popularly known as CPC provides an effective and regular educational media of collaborative learning for inter-disciplinary exchange of knowledge among the faculty members of an institution. CPC has been routinely practiced for the last two decades in School of medical Sciences (SMS) at Universiti Sains Malaysia (USM). An hour session primarily involves a case presentation hiding the diagnosis followed by discussion on differential diagnosis and floor interaction on interesting clinical cases. It also gives an opportunity to new teaching staff in the institution to experience an in-house practice of presenting the clinical cases; witch can readily be reproduced as a case report for publication. An effort to follow the original format of CPC is comprehended as an essential outcome of this study to keep up the sanctity of CPC as a case method of learning medicine in future. Methodology: A questionnaire-based survey was recently conducted to evaluate the weekly held CPC in SMS. It was a cross sectional survey in which a questionnaire comprising of 23 items was administered to a targeted population of faculty members of School of Medical Sciences. The items in questionnaire were grouped into 5 clusters. All respondents were adequately briefed through a letter addressing the objectives and importance of survey and its appraisal aiming to revamp the CPC guided by the out-come of study. Questionnaires were administered to 240 academic staff, covering > 80% of the target population of 294 faculty members. 159 (66.2%) members of sample population completed the questionnaires. Total non-responses were 81 (33.7%) and item non-responses were 320 (8.7%) Result: All the items in questionnaire were found significant (p 0.016) except those two items related to, observing a difference in preparing for a case presentation verses a formal CPC presentation and its promotion (p 0.556 and 0.197 respectively). It was also established that the major respondents were unaware of the original format of CPC (p 0.003) in which a presenter select and prepares a case, which is discussed with participating faculty members for its differential diagnoses. 51.6% faculty members did not follow the formal CPC format (p 0.016) in their presentations. A lack of awareness about the format of CPC was shown by (61.0%) faculty members (p 0.003). Conclusion : It was concluded that emphasis to discuss the differential diagnosis by a competent discussant was lacking, as presenters did not follow the formal CPC format. It was critically observed that a number of presentations made in this weekly program deviate from the original format adapted by SMS in USM. However, the out-come appraisal of this survey was the pledge shown by the majority faculty members to adapt the guidelines as a reverence to the formal CPC format.

Matched MeSH terms: Health Services Needs and Demand
Fulltext Kajian analisa kos pembekal perkhidmatan kesihatan bagi rawatan diabetic foot wad ortopedik Pusat Perubatan Universiti Kebangsaan Malaysia dalam tahun 2006

Amin, S.A., Ali, M., Aniza, I., Rizal, A.M., Saperi, S., Amrizal, M., et al.

Malaysian Journal of Community Health, 2009;15(1):32-38.
MyJurnal

Introduction : Diabetes mellitus is recognized as a major public health problem worldwide. The burden of diabetes to society are morbidity, mortality and extensive usage of health care services.
Methodology : This study aimed to determine the provider’s cost in treating diabetic foot patient per day in orthopaedic ward, Universiti Kebangsaan Malaysia Medical Centre (UKMMC) in year 2006. Result : A total of 54 patients fulfilled the inclusion and exclusion criteria, only 29 were eligible for analysis. The cost of health care providers derived from cost calculation on capital and recurrent costs. Results showed that the average cost for treating diabetic foot patient per day is RM 634.57. Recurrent costs contributed 75.3% of the total diabetic foot treatment and Intensive Care Unit costs was the biggest percentage (40.5%).
Discussion : The results were comparable with findings by Case-Mix Unit of UKMMC. Treatment cost of diabetic foot is substantial and therefore avoidance of this complication must be emphasized to all diabetic patients.

Matched MeSH terms: Health Services
Fulltext Pilot study: a review of personnel involved in school vision screening and the training module in Betong, Malaysia

Nurul Farhana, A.B., Chen, A.H., Abdul Rahim, M.N., Goh, P.P.

International Medical Journal Malaysia, 2012;11(2):23-27.
MyJurnal

Introduction: School vision screening program is a scheduled program under the Ministry of Health, Malaysia for 7, 12 and 15 years-old children in the government schools. The aim of this study was to review the school vision screening program from the perspective of the personnel involved as the screener. Methods: The evaluation of the performance of the screener was based upon the accurate referrals' outcome from the school health database of Betong Division in Sarawak, Malaysia in the year of 2008. Results: The total accuracy of the referrals was 50.7%. Lower accuracy of the referrals was found significantly associated with Grade 1 [χ2 (2.N=304) = 28.810, p

Matched MeSH terms: School Health Services
Family-centred hospital treatment in the aboriginal people of West Malaysia

Bolton JM

Community Health (Bristol), 1973 Sep-Oct;5(2):70-4.
PMID: 4787593
Matched MeSH terms: Community Health Services
Fulltext Chronic myeloid leukaemia presenting as priapism - how should we treat these?

Htun, T.H., Dublin, N., Parameswaran, M., Razack, A.H., Chua, C.B.

JUMMEC, 2008;11(1):27-29.
MyJurnal

Priapism is a urological emergency. The treatment for ischaemic priapism is usually cavernosal aspiration with or without cavernosal irrigation. Some patients may need surgical intervention -the various shunt procedures. We report a 21-year-old man with priapism secondary to chronic myeloid leukemia who needed a combined medical and surgical management. He underwent a spongiocavernosal shunt as well as cytoreductive chemotherapy to achieve complete detumescence. Therefore, cytoreductive chemotherapy is an adjunct in difficult cult to treat priapism associated with chronic myeloid leukemia.

Matched MeSH terms: Health Services
Mobile Health Applications for Caring of Older People: Review and Comparison

Anthony Berauk VL, Murugiah MK, Soh YC, Chuan Sheng Y, Wong TW, Ming LC

Ther Innov Regul Sci, 2018 05;52(3):374-382.
PMID: 29714532 DOI: 10.1177/2168479017725556

BACKGROUND: Mobile devices and applications (apps) that act as access tools for health care management aid in the improvement of clinical decision making and patient outcomes. However, the tremendous amount of mobile health (mHealth) apps available in commercial app stores makes it hard for the lay users as well as health care professionals to choose the right one for their individual needs. The contents and features of these apps have not been systematically reviewed and compared. This study aims to assess the contents and features of mHealth apps for caring of older people.
METHODS: A review and comparison of mHealth apps for caring of older people available in Google's Play Store (Android system) and Apple's App Store (iOS system) were performed. Systematic review of previous relevant literature were conducted. The assessment criteria used for comparison were requirement for Internet connection, information of disease, size of app, diagnostics and assessment tools, medical calculator, dosage recommendations and indications, clinical updates, drugs interaction checker, and information on disease management.
RESULTS: Twenty-five mHealth apps were assessed. Medscape and Skyscape Medical Library are the most comprehensive mHealth apps for general drug information, medical references, clinical score, and medical calculator. Alzheimer's Disease Pocketcard and Confusion: Delirium & Dementia: A Bedside Guide apps are recommended for clinical assessment, diagnosis, drug information, and management of geriatric patients with Alzheimer disease, delirium, and dementia.
CONCLUSIONS: More studies about mHealth apps for caring of older people are warranted to ensure the quality and reliability of the mHealth apps.

Matched MeSH terms: Health Services for the Aged
Fulltext Relationship between lean practices, soft total quality management and innovation skills in Lebanese hospitals

Aoun M, Hasnan N, Al-Aaraj H

East Mediterr Health J, 2018 Jun 10;24(3):269-276.
PMID: 29908022 DOI: 10.26719/2018.24.3.269

Background: Lean practices are critical to eliminate waste and enhance the quality of healthcare services through different improvement approaches of total quality management (TQM). In particular, the soft side of TQM is used to develop the innovation skills of employees that are essential for the continuous improvement strategies of hospitals.
Aim: The main objective was to study the relationship between lean practices, soft TQM and innovation skills in Lebanese hospitals.
Methods: A quantitative methodology was applied by surveying 352 employees from private and public hospitals in Lebanon. The primary collected data were valid and reliable when analysed by SPSS and AMOS software as a part of structural equation modelling.
Results: Lean practices significantly influenced the innovation skills; however, soft TQM did not mediate this relationship because it was not well implemented, especially at the level of people-based management and continuous improvement.
Conclusion: This study has implications for healthcare practitioners to make greater efforts to implement lean practices and soft TQM. Future studies are suggested to highlight different challenges facing quality improvement in the Region.

Matched MeSH terms: Health Services

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