Objective: To determine the construct validity and the internal consistency of the Medical Student Stressor Questionnaire (MSSQ) among medical students hence in the future it could be used as a valid and reliable instrument to identify stressors among medical students. Methods: The blueprint for the development of MSSQ was developed after a review of literature on the subject and a discussion with experts in the field. It comprised of 40 items
with six hypothetical groups. The face validity of the questionnaire was established through discussion with 141 final year medical students whereas content validity was established through discussion with experts from field of Medical Education and Psychiatry. It was administered to a total of 761 medical students. Data was analysed using Statistical Package Social Sciences (SPSS) version 12. Factor analysis was applied to test construct validity of the MSSQ. Reliability analysis (Cronbach’s alpha and item total correlation) was applied to test internal consistency of the MSSQ. Results: The total Cronbach’s alpha value of the MSSQ was 0.95. All the preliminary 40 items were included in the MSSQ as the items had item total correlation value of more than 0.3. The items were loaded nicely into the six pre-determined hypothetical groups as their factor loading values were more than 0.3.
Conclusion: This study showed that MSSQ had good psychometric value. It is a valid and reliable instrument in identifying stressors among medical students.
Objective: Emotional Intelligence (EI) is described as the ability to perceive, express,
understand, motivate, control and regulate emotion. The USM Emotional Quotient Inventory (USMEQ-i) was designed to measure EI and it was found to be a reliable and valid tool in a sample of prospective medical students. The objective of this study is to determine stability of the USMEQ-i to measure EI at different time and occasions. Methods: A prospective cohort study was done on 196 first year medical students. It was administered to the medical students at four different intervals. The Cronbach’s alpha and intra-class correlation analysis were applied to measure the internal consistency and agreement level across the intervals. The analysis was done using Statistical Package for Social Sciences (SPSS) version 18. Results: A total of 196 first year medical students participated in this study. Its overall Cronbach’s alpha value across intervals ranged between 0.94 and 0.97. The Cronbach’s alpha values of emotional control, emotional maturity, emotional conscientiousness, emotional awareness, emotional commitment, emotional fortitude, and emotional expression scale ranged between 0.59 and 0.91. The Cronbach’s alpha value for the faking index scale ranged from 0.76 to 0.89. The ICC coefficient values for EI total score was 0.83, EI domain score ranged between 0.62 and 0.76 and the faking index score was 0.76. Conclusion: The USMEQ-i has demonstrated a good level of stability and internal consistency to measure EI at different time and occasions. It is a promising psychometric instrument that can be used to measure EI.
Objective: To determine the construct validity and the internal consistency of the Postgraduate Stressor Questionnaire (PSQ) among postgraduate medical trainees hence it could be used as a valid and reliable instrument to identify stressors among them.
Methods: Items of the PSQ were derived from a review of literature on the subject and a discussion with experts in the field. It comprised of 28 items with seven hypothetical groups. The content and face validity was established through discussion with experts from field of Medical Education and Psychiatry. It was administered to all participants (N = 34) of postgraduate personal and professional development programme in a Malaysian university. Data was analysed using Statistical Package Social Sciences (SPSS) version 18. Factor analysis was applied to test construct validity whereas reliability analysis was applied to test internal consistency of the PSQ.
Results: Thirty three postgraduate medical trainees participated in this study. Factor analysis found that the 28 items of the PSQ were loaded nicely into the seven pre-determined groups as their factor loading values were more than 0.3. The reliability analysis showed that the Cronbach's alpha value for The PSQ was 0.95. Whereas, The Cronbach's alpha values for academic, poor relationship with superior, bureaucratic constraints, work-family conflicts, poor relationship with colleagues, performance pressure, and poor job prospect domains were 0.63, 0.84, 0.81, 0.65, 0.73, 0.78, and 0.70 respectively.
Conclusion: This study showed that the PSQ is a reliable and valid instrument to identify stressors of postgraduate medical trainees. It is a promising instrument that can be used in future to explore further on this area.
Feedback and students’ perception towards it has gained increasing attention in the educational literature recently, yet it is an underresearched area. The importance of feedback has not been perceived in a positive manner among medical students. This may be due to students’ lack of knowledge on the concept of feedback and their awareness of the benefits of feedback. This study focused on students’ knowledge on the concept of feedback and their perception towards the feedback system practiced in School of Medical Sciences, University Sains Malaysia. Methods: This was a cross-sectional study involving 433 numbers of students from year 1, 3 and 5 medical students. The variables that were included in this were the gender and their year of study. A validated questionnaire was used to perform this study. School and ethical committee clearance were obtained prior to the start of the study. Data obtained was analysed using Statistical Package for Social Sciences (SPSS) version 20. Results: Findings revealed that students have an average level of knowledge on the concept of feedback and have a neutral perception towards the feedback system that is practiced in School of Medical Sciences, USM. There was no association between students’ knowledge level on feedback and their perception with their year of study and gender differences. However, although there was not much difference in students’ perception level about feedback with their year of study but it was found those students’ perception level decreases as their year of study progresses. It was also found that there was a poor correlation between medical students’ knowledge level on feedback with their perception towards the feedback system in School of Medical Sciences, USM. Conclusions: The area in which it raised concern in students’ perception about feedback was the factors that are involved in feedback practice, which are the givers of feedback, timing of feedback and the mode of feedback. Further study addressing students’ poor engagement and involvement in feedback can be done and issues identified from this study can be included in together for further improvements of the feedback system.
The aim of this paper is to review the potentialities and major methodological challenges
of integrating remote sensing (RS) and geographic information system (GIS) with socioeconomic data
from published articles or book chapters. RS and GIS combined with social science (SS)(termed as
geoinformation technology) serve many applications for sustainable management and monitoring of
the environment. This combined approach gives more accurate results than the single one. It makes
information available about the trend and pattern of land use and land cover change (LUCC) with
socioeconomic variables like population, demographic or income. This combined study which links
RS and GIS with socioeconomic data can also be used successfully for monitoring transmission rate
of disease and mapping or preparing vulnerability index. For impact assessment and modelling, this
combined technology provides better results than the single one. There are some methodological
problems for the researchers to link completely two different disciplines as the object of study and
observational unit is completely different. However, this interdisciplinary study is gaining popularity
day by day to researchers from different disciplines as well as decision makers.
This is a study on employees’ perception of justice towards performance-based pay and
the effect of these perceptions on their turnover intention. This study aims to examine
the mediating role played by distributive and procedural justice in linking pay distribution
and pay procedure of performance-based pay to employees’ turnover intention. A
review of past literature in this particular area has prompted the researchers to narrow
the gaps in previous studies. Towards that, this study utilized questionnaires which
were administered among 50 non-managerial employees currently working in a private
company located in Kuching, Sarawak, East Malaysia. Data analysis was done using
Statistical Package for Social Sciences (SPSS), Version 20.0. Pearson Correlation and
Stepwise Regression were used to examine the relationship between the variables. The
outcomes of Stepwise Regression revealed that distributive justice fully mediated the
relationship between pay distribution and employees’ turnover intention in contrast to
procedural justice which did not have a significant impact in the relationship. The findings
of this study are useful references for organisation management of the pay system
to improve employees’ performance.
BACKGROUND: The 10-item version of Perceived Stress Scale (PSS-10) is a widely used tool to measure stress. The Malay version of the PSS-10 has been validated among Malaysian Medical Students. However, studies have not been conducted to assess its validity in occupational settings.
AIM: The aim of this study is to assess the psychometric properties of the Malay version of the PSS-10 in two occupational setting in Malaysia.
SUBJECTS AND METHODS: This study was conducted among 191 medical residents and 513 railway workers. An exploratory factor analysis was performed using the principal component method with varimax rotation. Correlation analyses, Kaiser-Meyer-Olkin, Bartlett's test of Sphericity and Cronbach's alpha were obtained. Statistical analysis was carried out using statistical package for the social sciences version 16 (SPSS, Chicago, IL, USA) software.
RESULTS: Analysis yielded two factor structure of the Malay version of PSS-10 in both occupational groups. The two factors accounted for 59.2% and 64.8% of the variance in the medical residents and the railway workers respectively. Factor loadings were greater than 0.59 in both occupational groups. Cronbach's alpha co-efficient was 0.70 for medical residents and 0.71 for railway workers.
CONCLUSION: The Malay version of PSS-10 had adequate psychometric properties and can be used to measure stress among occupational settings in Malaysia.
KEYWORDS: Factor structure; Malaysia; Occupational; Perceived stress scale; Psychometric properties; Validity
Failure to stem trends of ecological disruption and associated loss of ecosystem services worldwide is partly due to the inadequate integration of the human dimension into environmental decision-making. Decision-makers need knowledge of the human dimension of resource systems and of the social consequences of decision-making if environmental management is to be effective and adaptive. Social scientists have a central role to play, but little guidance exists to help them influence decision-making processes. We distil 348 years of cumulative experience shared by 31 environmental experts across three continents into advice for social scientists seeking to increase their influence in the environmental policy arena. Results focus on the importance of process, engagement, empathy and acumen and reveal the importance of understanding and actively participating in policy processes through co-producing knowledge and building trust. The insights gained during this research might empower a science-driven cultural change in science-policy relations for the routine integration of the human dimension in environmental decision making; ultimately for an improved outlook for earth's ecosystems and the billions of people that depend on them.
Context: Hydrocephalus, due to subarachnoid or intraventricular hemorrhage (IVH), meningitis, or tumor compression, is usually transient and may resolve after treatment. There are several temporary methods of cerebrospinal fluid (CSF) diversion, none of it is superior to the other, and the decision is based on its various etiologies and factors. Ventriculosubgaleal shunt (VSGS) is one of those temporary measures, which is a simple and rapid CSF decompression method without causing electrolyte and nutritional losses.
Aims: The aim is to study the efficacy of VSGS for temporary CSF diversion, compared to extraventricular drainage (EVD) in adult hydrocephalus patients; to evaluate the outcome in terms of avoiding a permanent shunt, and to look for incidences of their complications.
Settings and Design: This was a retrospective observational study.
Subjects and Methods: The data were acquired from case notes of fifty patients with acute hydrocephalus: 26 secondary to IVH, 10 from aneurysm rupture, 8 posttrauma, and 6 from infection. All these patients had undergone CSF diversion in Hospital Queen Elizabeth II, Sabah, Malaysia, between 2013 and 2015. The patients were followed up from the date of treatment until the resolution of hydrocephalus, where parameters such as shunt dependency and complications were documented.
Statistical Analysis Used: All analyses were carried out using Statistical Packages for the Social Sciences Version 22.0. Chi-squared test or Fisher's exact test is used for univariate analysis of categorical variables.
Results: A total of 21 (42%) patients underwent EVD insertion and 29 (58%) underwent VSGS insertion. Thirty-seven (74%) patients did not require a permanent shunt; 24 (64.8%) of them were from the VSGS group (P = 0.097). EVD had more intracranial complications (44.1%) compared with VSGS (23.5%), with a statistically significant P = 0.026.
Conclusions: VSGS is a safe and viable option for adult hydrocephalus patients, with the possibility of continuation of the treatment for such patients in nonneurosurgical centers, as opposed to patients with EVDs. Furthermore, even though this method had no statistical difference in avoiding a permanent ventriculoperitoneal shunt, VSGS has statistically significant less intracranial complications compared with EVD.
Dengue fever is one of the most dangerous vector-borne diseases. According to the World Health Organization (WHO), dengue fever is a mosquito-borne infection caused by virus serotype DEN-1, DEN-2, DEN-3 and DEN-4. In Malaysia, dengue fever cases are on the rise from 6,000 cases in 1995 to over 40,000 in 2010, and this number is still rising. In 2014, the increase of dengue fever cases was alarming. It was reported that up to the end of the year 2014, there were 108,698 notified cases, indicating an increment of 151% compared to the same period of time in 2013 with only 43,346 reported cases. Selangor was the highest contributor of dengue fever cases in 2014. The objective of this paper is to study the relationship between climatic factors namely temperature, rainfall and humidity to the prevalence of dengue fever in Subang Jaya and Sepang district, Selangor. Data on monthly average temperature, precipitation, relative humidity and dengue fever cases for each month in 2014 and 2013 were collected. Data collection was dealt with a few institutions such as Malaysian Meteorological Department, Subang Jaya and Sepang Municipal Council and health district offices. Data were analysed using SPSS (Statistical Package for the Social Sciences) Version 20. General linear model analysis was used to investigate the relationship between the climatic variables and dengue prevalence. Results and Discussion: Based on the general linear model, rainfall and humidity were found to have significant relationships to monthly dengue fever cases (p=
Background of Study: Patients with thyroid disorders were found to have
continued to experience symptoms of depression despite the great of treatment has
been given to the patient to balance the thyroid hormones. Objective: The aim of
this study is to determine the level of depression symptoms among various types
of thyroid disorders patients.
Methods: A cross sectional study was carried out at
one of the government hospital at central region of Peninsular Malaysia from
August to October 2016. Patients were diagnosed as thyroid disorders, Malaysian
citizen, above 18 years old and did not have any psychiatric disorders were
included in this study.Depression Anxiety Stress Scale-42 (DASS-42) was
selected to determine the severity of depression symptoms and interpreted as
follow: less than 9-no depression, between 10 and 13-mild depression, between
14-20-moderate depression, between 21 and 27- severe depression and more than
28-extreme severe depression. Descriptive statistic was analysed by IBM
Statistical Package for the Social Sciences (SPSS) version 21.0.
Results: About
15% (23) out of 153 thyroid patients had varies degree of depression symptoms
from mild to severe extremely depression. Patients who had hyperthyroid were
found to have more depressed, followed by hypothyroid and thyroid cancer group.
Conclusion: These findings would suggest that the depression score was higher in
the patients who have hyperthyroid. A more detail and thorough study is
recommended to be done, in order to confirm these findings.
The number of relapsing addicts is increasingly worrying from year to year. This study was conducted
to examine at the relationship between defense mechanisms and the level of readiness to change in
relapsing addicts. Although the drug addicts have been treated at the treatment center, however,
repeated cases of drug addicts still occur. Six research questions were developed to see how far the
variables consisting of defense mechanisms could correlate with readiness to change among addicts
who were undergoing treatment. This study was carried out involving 125 addicts in two separate
treatment centers in Melaka and Selangor. The selected sample were addicts who have undergone a
relapse phase at least once in drug addiction. Statistical data analysis using Statistical Packages for
Social Sciences 20 (SPSS-20) were used to analyze the data. Statistical descriptive is used to view the
results of demographic data constructed. T-test and ANOVA are used to see the relationship between
the variables. The regression analysis is used to predict the defense mechanisms with the stage of
readiness to change among relapsing addicts. The results showed that the defense mechanism had a
significant relationship to the stage of readiness to change among samples. The results of this study
provide information on treatment services in the drug rehabilitation to improve the treatment method
appropriately to the drug addicts in preventing relapse.
The purpose of this study was to determine aluminium (Al) concentrations in groundwater used for drinking and cooking and its related health risk among population of 28th Mile Orang Asli village in Jenderam Hilir, Selangor, Malaysia. A total of 100 respondents were recruited, comprising 51 (51.0 %) male and 49 (49.0 %) female residents. Inductively coupled plasma mass spectrometry (ICP-MS) was used to determine Al concentration, while the LAMOTTE TRACER ORP PockeTester was used to measure pH levels. Statistical Package for Social Science (SPSS) was used to analyze the data. Results showed that Al concentration ranged from 0.041 - 0.136 mg/L with a mean of 0.136 + SD 0.041 mg/L, hence the values obtained were below the standard value (0.2 mg/L). pH levels ranged from 3.82 to 5.84, with a mean of 4.163 + SD 0.411, which is acidic and below the range permitted by the health authorities. The acidic nature may have an impact on the Al concentration in the water. The Hazard Index (HI) was found to be less than 1, thus there was no health risk of Al exposure in drinking water for the respondents involved. The study area was considered safe from having health risk associated with Al exposure.
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.
Introduction: Fewer men were engaged in taking responsibility of their own health. Previous evidence showed that the roles of masculinity, self-rated health status, social support and health literacy level affecting health seeking behaviour among men. However, there is still lack of evidence in Malaysia. The objective of this study was to deter-mine the factors influencing health seeking behaviours among male university students. Methods: This was a cross sectional study conducted in Universiti Malaysia Sarawak. Recommended sample size was 360 respondents. Out of eight faculties, using EXCEL randomization technique, first 4 faculties were selected. The selected faculties were Faculty of Business and Economics, Faculty of Social Sciences, Faculty of Engineering and Faculty of Language and Communication. Based on the name list given from each faculty, alternate names very selected to participate. Data was collected using self-administered questionnaire. Results: 354 male students participated in this study. Total of 259(73.2%) students were reported to have low overall health seeking behaviour. Chi-square analysis showed of all the variables, there was correlation between health literacy level (r = 0.149, n = 354, p
The study was conducted to create specific formulae for stature estimation of adult male population in Malaysia based on measurements of femur, tibia and fibula lengths using radiographic method. A number of thirty two Malaysians from hospitals involved as subjects in this study. The subjects were Malays (14), Chinese (8) and Indians (10) from 25-45 years old. The standing height of the subject was recorded before femur, tibia and fibula were scanned with an x-ray
machine. The bones length was measured on the x-ray film in centimetres (cm) and analysed using Statistical Package for Social Sciences (SPSS) version 19.0 for Windows. The results showed a significant relationship (p < 0.05) between stature and measurements of length of femur, tibia and fibula. Stature of Malays and Indians were significant (p < 0.05) with measurements of length of femur, tibia and fibula but insignificant in Chinese. Simple Linear Regression Analysis was used to derive regression equation for single bone and Multiple Linear Regression Analysis was used to derive regression equation for combination of femur, tibia and fibula. Six formulae for stature estimation of adult male population in Malaysia were derived. The formulae consist of three formulae for single bone, a formulae for combination bones with unknown race, a formulae for combination bones of Malays population and a formulae for combination bones of Indians population. Formulae for combination bones had the highest correlation coefficient compared to the formula using a single bone. Standard error was found to be high in all the formulae due to small sample size. Extension for this study is essential to provide Malaysia with accurate formulae.
BACKGROUND: In future, increase in the number of healthcare professionals is dependent on the career interest among present undergraduate medical students. Based on their interest to pursue their specialty, the availability of medical doctors in each specialty could be done.
AIMS: This study was to find out future career interest and factors that influence undergraduate medical students to choose their future specialization.
MATERIALS AND METHODS: The study was carried out among first-year medical students from five countries. The students were asked to complete an 8-item questionnaire. Two thousand one hundred fifty three participants were enrolled in the study. Data were analyzed in Microsoft-Excel and Statistical Package for the Social Sciences.
RESULTS: Of the 2153 participants, only 1470 responded. Among the 1470 participants, 169 participants were excluded due to the ambiguity in responses, finally making it to 1301 participants. Among them, Anatomy (49.3%) followed by Biochemistry (26.7%) and Physiology (24%) were the most preferred subjects.
CONCLUSIONS: Anatomy was the most preferred basic science subject among the other subjects and the students were interested to pursuing surgery in future. Furthermore, the most preferred future specialties were surgery, internal medicine and pediatrics with gender variations; males preferring surgery and females in obstetrics and gynecology.
KEYWORDS: China; First year medical students; Malaysia; Medical Education; Post-Graduation; SAARC country
The current study aims to assess the effectiveness of different teaching methods adopted for the practical session of Cardio-Pulmonary Resuscitation (CPR). CPR training is one of the compulsory modules of the Public Health Pharmacy (PHP) course at Universiti Sains Malaysia. CPR training comprises of 10% of total marks of the PHP course. To test the effectiveness of the different teaching strategies, three groups were defined using a two-stage cohort distribution-i.e. based on grade point average (GPA) and different teaching modalities. Group One was instructed using images and PowerPoint lecture slides. Group Two was instructed using videos and PowerPoint lecture slides. Group Three was instructed using PowerPoint slides with white boards and videos. Students in Group Three were not provided with a hard/soft copy of the PowerPoint slides and were encouraged to write down all the information on their personal notebooks. A 20-item questionnaire was used to assess the students' understanding toward the CPR session. Data were analyzed using the Statistical Package for Social Science Students, SPSS version 13®. Based on the response attained, the comparison of the final score among the groups was undertaken using one way ANOVA. Twenty-seven students have participated in this study. Final evaluation using the questionnaire revealed that student's in Group Three had a better understanding of CPR (18.1 ± 1.5, p <0.001) than the other two. Students' note taking during the lecture and use of traditional chalkboard teaching were found significant to improve the students' understanding and learning in the CPR session.