Smoking is an issue that has spread around the world throughout the years. The majority of smokers have the intention to quit smoking, but due to some factors, it may prevent their intention. Research and interventions have been done in many countries to decrease the smoking prevalence. This cross-sectional study aimed to find out the associations of knowledge, attitude and practice (KAP) towards smoking and to identify the factors associated with knowledge and attitude towards smoking, in priority to sociodemographic factors among the International Islamic University Malaysia Kuantan (IIUMK) communities, including between students and workers. One hundred fifteen respondents of students and workers from IIUMK were investigated with a self-administered questionnaire starting from 10-01-2014 to 10-02-2014. The data were analysed using SPSS software.Respondents had good knowledge and practice, and moderate attitude towards smoking. There was weak positive correlation between knowledge with attitude (r=+0.193, p=0.038) and practice (r=+0.206, p=0.028), also moderate correlation between attitude and practice towards smoking (r=+0.626, p<0.001). There was no factor found to be associated with knowledge, but significant association was found between attitude towards smoking with gender (p<0.001), education level (p=0.016) and smoking status (p<0.001). Although, the mean values of KAP levels were higher for workers, but it was not statistically significant as compared to the students. These study findings suggested that the main obligation are more for students to improve their KAP level towards smoking as they are fresh generation who will educate and lead the upcoming generation of Malaysia.
KEYWORDS: Health Knowledge, Attitudes, Practice, Smoking, Students, Workers.
Introduction: The Medical Faculty of Universiti Sains Islam Malaysia (USIM) aims to produce good Muslim
doctors (GMD) who are able to practise medicine that is integrated with Islamic values. Islamic courses and
Medical Ethics are integrated into the curriculum in its effort to provide adequate Islamic knowledge and
nurturing professionalism as a process of personal and professional development (PPD) within the framework
of Islamic teaching. The objective of the study was to evaluate the perception of graduates and students of
characteristics of a GMD. Method: A self-administered questionnaire was distributed to the participants. The
respondents were asked to rate their level of agreement or disagreement on the statements that represent
the characteristics of a GMD. Statistical analysis of the data was carried out using SPSS version 18.0. The
mean, median and inter quartile ranges of the characteristics were determined and differences between the
groups were analysed using Mann-Whitney U test. Results: Results showed significant difference between
gender for the item “Conscious of professional ethics” (p=0.021). Significant differences were seen in the
median scores between the graduates and the final year students in four out of six items for personal
characteristic. Conclusion: Islamic input in the medical curriculum and the teaching of professionalism has
an impact on graduate perception of characteristics of a GMD. Further improvement in the teaching of
professionalism among undergraduates is necessary in order to promote greater impact on the understanding
and internalization of characteristics of a GMD. The Islamic input in the medical curriculum can thus be
regarded as the blueprint for PPD of medical undergraduates to become a GMD.
Introduction: The Eating Disorder Examination Questionnaire (EDE-Q) has been widely used as a tool to
detect eating disorders. We aimed to identify the EDE-Q normative data among secondary school students in
Kuala Lumpur, Malaysia. Methods: This is a cross-sectional study involving four secondary schools in an
urban area. The respondents of secondary school students were selected using stratified sampling. Results:
There were 298 teenagers 12 to 17 years of age who participated in the study. The EDE-Q mean scores ±
standard deviation was 1.27 ± 1.08 for the total score (Global Score), 0.78 ± 0.95 for Restraint Domain, 1.02
± 1.03 for Eating Concern, 1.76 ± 1.55 for Shape Concern and 1.54 ± 1.43 for Weight Concern. Conclusion:
Mean values obtained from this study were relatively lower when compared to western populations. Shape
Concern and Weight Concern had higher scores compared to the other domains. These values are useful for
EDE-Q interpretation in Malaysia.
Antenatal (AN) care is vital for all pregnant women and for reduction of maternal mortality and morbidity. AN care knowledge and specific AN care practices are some of the crucial components of what determines effective AN care. In developing nations, the health of pregnant women can be even more sensitive to these factors. Objectives of this study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience ,residing in kampongs of Sikuati area, Kudat between March to December 2015. Cross–sectional descriptive study, non-probability convenient sampling method was used and 150 eligible participants were interviewed through face to face by trained interviewers using a semi-structured questionnaire and their knowledge of AN care, their AN care practices and outcomes and complications of their pregnancies were recorded. 99% of all the women received AN care, and 64% of the women received essential AN care practice (AN visit of minimum 4 times). The study revealed that overall knowledge amongst the women with good knowledge was 48% and low knowledge was 52%. Despite this, it was found that low knowledge of AN care was associated with essential AN care practice. Additionally, AN care practices, assessed through timing of first AN care visit and frequency of visits, was not significantly associated with pregnancy complications. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current programs in place promoting importance of AN care and delivery practices. Maintenance of current programs with targeted interventions to address low knowledge level and the low level of compliance with essential AN care completed are recommended..
The Emergency Department (ED) provides treatment for acutely ill patients in need of urgent medical attention. Despite the availability of the primary care unit ‘Klinik Kesihatan’, where non urgent patients should be treated, Malaysia’s public hospitals still need to deal with overcrowding of non-urgent patients in ED. The main aim of the study was to assess the willingness of non-urgent patients to be redirected to Klinik Kesihatan. This was a cross-sectional study conducted at Hospital Tuaran Emergency Department, Sabah. Non-urgent patients were interviewed using a questionnaire, to find out the purpose of their visit to Emergency Department. A total of 318 non-urgent patients out of 457 patients were interviewed during the study duration. 41 respondents (12.9%) were willing to be redirected towards a Klinik Kesihatan. No associated factors were found when compared with the unwilling to be redirected group. Among 277 respondents who rejected redirection to Klinik Kesihatan, 70.4% agreed to pay a surcharge to be treated in the Emergency Department and there was no association found with the employment status (p= 0.391). Most patients were not willing to accept redirection to a Klinik Kesihatan and would prefer to visit the Emergency Department despite knowing that their condition or illness is one that does not require emergency treatment. Social media, advertisements and pamphlets must be made available to educate patients on the proper use of the Emergency Department.
We report a case of a giant bullous emphysema misdiagnosed as a pneumothorax. A 18-year-old chronic smoker presented with right sided chest pain and dyspnoea. Initial respiratory rate was 35 /min, blood pressure was 136/90 mmHg, heart rate 80/min and SpO2 was 98% on room air. Clinical examination revealed reduced right air entry and left trachea deviation. Chest X-ray helped to arrive at a diagnosis of pneumothorax. Needle aspiration was then performed followed by a chest tube thoracostomy because of no improvement. Massive amount of blood was drained and patient deteriorated further. CT thorax revealed a right haemopneumothorax with multiple bullaes. Patient was rushed to OT for emergency thoracotomy for stapling of the ruptured bullae. Giant bullous emphysema can mimic pneumothorax and physician must be vigilant if draining a suspected pneumothorax.
Keywords: emphysema, haemopneumothorax, thoracostomy, thorax
A rainwater harvesting system (RWHS) was proposed for small and large commercial buildings in Malaysia as an alternative water supply for non-potable water consumption. The selected small and large commercial buildings are AEON Taman Universiti and AEON Bukit Indah, respectively. Daily rainfall data employed in this work were obtained from the nearest rainfall station at Senai International Airport, which has the longest and reliable rainfall record (29 years). Water consumption at both buildings were monitored daily and combined with the secondary data obtained from the AEON's offices. The mass balance model was adopted as the simulation approach. In addition, the economic benefits of RWHS in terms of percentage of reliability (R), net present value (NPV), return on investment (ROI), benefit-cost ratio (BCR), and payback period (PBP) were examined. Effects of rainwater tank sizes and water tariffs on the economic indicators were also evaluated. The results revealed that the percentages of reliability of the RWHS for the small and large commercial buildings were up to 93 and 100%, respectively, depending on the size of rainwater tank use. The economic benefits of the proposed RWHS were highly influenced by the tank size and water tariff. At different water tariffs between RM3.0/m3 and RM4.7/m3, the optimum PBPs for small system range from 6.5 to 10.0 years whereas for the large system from 3.0 to 4.5 years. Interestingly, the large commercial RWHS offers better NPV, ROI, BCR, and PBP compared to the small system, suggesting more economic benefits for the larger system.
Introduction: To determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage and detection of S. aureus leukotoxins among medical students of Universiti Teknologi MARA. Methods: Both sides of the anterior nares of 136 volunteers, comprising 68 preclinical and 68 clinical medical students, were swabbed and immediately cultured onto mannitol salt agar for growth of S. aureus. Standard microbiological techniques were conducted to identify and confirm the S. aureus colonies and susceptibility test against oxacillin were conducted by using Kirby-Bauer method to determine their resistance to methicillin. Polymerase chain reaction was performed for detection of leukotoxins, i.e., Panton-Valentine Leukocidin (PVL) and -haemolysin genes. Results: Nineteen students (14%) consisting of 10 preclinical (14.7%) and 9 clinical (13.2%) were nasal carriers of S. aureus. However, none of the S. aureus isolates were MRSA. No PVL gene was detected but eight of them were positive for -haemolysin gene. Conclusion: There were no MRSA nasal carriers among the medical students, but a low prevalence of S. aureus nasal carriers was detected. These carriers do not pose as high risk because none of the strains of S. aureus possess both the -haemolysin toxin and the PVL toxin that are associated with tissue necrosis.
In the recent years, an extensive number of scientific researches on occupational diseases have been done to
identify occupations at high risk of inducing diseases. There are many categories of occupational diseases, and unitary
of them are occupational respiratory diseases. This study was conducted in a tea factory located in Cameron Highlands,
Malaysia, with an output of 600,000.00 kg per annum. Its objective was to evaluate respiratory diseases among the
workers, conducted via questionnaires, interviews and lung functional tests. A total of 38 workers participated in this
study, 19 in the exposed group and 19 in the control group. The most common chronic symptoms for the exposed
group are wheezing, dyspnea (short of breath) and phlegm. The result shows that, among the tea processing workers,
the exposed group suffer from respiratory diseases.
Grouper Iriovirus (GIV) is one of the most devastating viral diseases of marine and cultured groupers worldwide. In the current study, 5 presumptive Malaysian GIV isolates were characterised through PCR amplification of the major capsid protein (MCP) gene and phylogenetic analysis of the sequences. The sequences from the five GIV isolates showed 100% homology with each other and a close relationship with grouper iridovirus isolate (GIV_Tn_352), which was clustered in group 1 together with King grouper iridovirus isolate (KGIV_Cy_346), Singapore grouper iridovirus (SGIV), and Crimson snapper iridovirus isolate (CSIV). The phylogenetic tree also showed different degree of relatedness with other Ranavirus strains which were obtained from the blast of GIV MCP gene in the NCBI database. This study confirmed the GIV isolates from Malaysia are related to other isolates that were reported previously.
Electricity has become one of the necessities for human daily activities. The presence of electric
current produces electromagnetic fields (EMF) at extremely low frequency (ELF). The problem arises
when scientists suggests a possible connection between ELF exposure to human health and safety.
Concerned about the safety and health of students and staff, Universiti Kebangsaan Malaysia (UKM)
took the initiative to identify possible ELF sources and measure their exposure in various locations
around the UKM main campus in Bangi. This paper reports the results obtained from the monitoring
of the magnetic flux density at three identified locations in the vicinity of the overhead high-voltage
transmission line which transverses the university compound and compare the maximum value results
with the exposure limit suggested by the International Committee on Non Ionising Radiation
Protection (ICNIRP) for ELF. Measurements were done with an (Extech) Three Axis
Electromagnetic Field (EMF) Meter (Model 430826) to determine the magnetic flux density. The
lateral profile method was applied as the standard measurement methodology. Results showed that the
maximum value of the magnetic flux density was 12.5 mG, which is below the suggested ICNIRP
public exposure limit of 1000 mG, or in percentage ratio, 1.25% of ICNIRP public exposure limit.
Results from the statistical Kruskal-Wallis test showed that there is a significant difference in the
distributions of the magnetic flux densities at the different locations (P < 0.05). In conclusion, the
measured locations are still safe for people in short-term exposure. However, long-term exposure
measurements still need to be done to provide concrete data on the ELF-emission levels in UKM.
Issues related on misbehavior among football fans in Malaysia are not a new issue. Among the misbehavior is often done by the supporters of football in this country are verbal and physical. The FAM has imposed fines and penalties not only in cash but also to punish the team played in an empty stadium. However, all that of this seem not able to control the fans from compliance with the rules and adopting a professional attitude while in the stadium. The objective of this article is to discuss about the internal and external of social control to prevent misbehavior among football fans. This is a quantitative research that involved 600 respondents that were football fans from the state of Kelantan, Johor, Perak and Selangor. All respondents were involved in a questionnaire session to obtain data and information. The main findings of this study showed the majority of respondents agreed that every fan must have social control internally by focusing on emotion regulation, be professional, need to be more disciplined and need to have the sportsmanship spirit. However, the importance of external social control such as fined and punishment by FAM cannot be denied and the arrest and sentenced of misbehavior individual by the courts also need to be enforced more thoroughly.
Lymphangiomas are hamartomatous congenital malformations of the lymphatic system that usually involve subcutaneous tissues of cervico-facial region. Rarely, it can be found in subcutaneous tissue of proximal extremities, the buttocks and the trunk. Magnetic Resonance Imaging (MRI) is the best modality to assess the tumor specification and extension. We report a case of lymphangioma at a rare site with its radiological features and patient responsed to the sclerosant therapy.
Progression to AIDS is more rapid in HIV-infected children. Objective: Our study aimed to investigate the effect of HIV status disclosure in children in terms of their perception of the illness, knowledge on their disease and medications and the overall impact on their quality of life.
Methods: A qualitative study was conducted from 1st June 2017 till 8th September 2017 involving face-to-face interviews with HIV-positive children receiving combination anti-retroviral therapy (cART) under paediatric HIV clinic follow-up, Hospital Tuanku Fauziah, Kangar, Perlis. Transcribed interview dialogues were subsequently coded for analysis.
Results: Data were collected from 6 out of 8 HIV-positive children on cART in Hospital Tuanku Fauziah, Perlis. Participants’ mean age was 12.2 years (standard deviation [SD] 2.11); 3 with disease disclosure. Disease-disclosed participants with ironically poor knowledge on their disease emerged as the key theme in the study. Disease-disclosed participants were also noted to be more withdrawn with very few friends, if any. Disease disclosure status did not affect the patients’ knowledge and compliance to medication.
Conclusion: Assessment of patients’ understanding after disease-disclosure session is crucial to encourage therapy adherence and prevention of future transmission. Re-appraisal of the healthcare policy with regards to holistic management of children living with HIV is warranted to attain positive social and developmental goal throughout their lives.
Study site: paediatric HIV clinic follow-up, Hospital Tuanku Fauziah, Kangar, Perlis
Introduction: Vaccine-preventable diseases such as pertussis are re-emerging in Malaysia during recent years.
Objective: This research aims to study the local incidence of clinical pertussis among paediatric patients admitted to Hospital Tuanku Fauziah, Perlis over two-year period.
Method: A cross-sectional study was designed in Department of Paediatrics, Hospital Tuanku Fauziah, Perlis from 1 January 2013 till 31 January 2015. Data were collected from medical and laboratory record of cases admitted for clinical pertussis. Analyses for descriptive data were done using frequency and percentage; Pearson chi-square or Fisher exact was used to test association.
Results: 81 cases of clinical pertussis were included in the study. Out of this, there were a total of 28 confirmed cases of pertussis. There was a steady increment in the incidence of pertussis throughout the study period. Cyanosis emerged as the only clinical sign significantly associated with pertussis (p = 0.011). Majority of the confirmed pertussis cases were too young to be immunized (n = 13, 46.4%).
Conclusion: Reappraisal of local health system to strengthen herd immunity in the community is warranted to control disease spread.
Background: Nurses are the highest numbered healthcare professionals who work in a knowledgedriven environment, where accurate and updated information is needed when delivering care to clients. Information literacy has therefore become one of the criteria in determining nurses’ readiness for evidencebased practice in recent years. In the actual day-to-day care practice, are nurses ready for this?
Objective: To determine the information literacy competency in readiness for evidence-based practice among clinical practicing registered nurses in a private hospital in Penang, Malaysia.
Methods: This cross sectional descriptive study was conducted in the selected private hospital. Universal sampling method was used. At the time of study, there were 443 registered nurses who met the eligibility criteria of this study. The registered nurses were asked to complete a self-reporting questionnaire about information literacy for evidence-based practice.
Results: The response rate was 86.2%, with a total of 382 returned questionnaires. Less than half of the participants (47%) stated that they frequently sourced information to support nursing practice. Poor research experiences among these participants were identified where 56% of the registered nurses never identified researchable problems, 59% have not evaluated a research report and 54% have never utilised research into practice. Registered nurses frequently sought information sources from colleagues or peers (65%) rather than from printed resources, where only 43% and 33% respectively make use of CINAHL and MEDLINE bibliography databases as the electronic resources for their practice.
Conclusions: Results demonstrated that information literacy among registered nurses from this hospital was lacking. Organisation efforts are needed to create awareness of information for evidence-based practice as well as to encourage more research activities and the search of bibliography database among its registered nurses.
Study site: Private hospital, Pulau Pinang, Malaysia
This study was designed to screen for SCCmec types and to characterize the attachment site (attB) and universal insertion site (orfX) of SCCmec in a collection of 27 isolates (n = 11) methicillin resistant S. aureus and (n = 16) methicillin susceptible S. aureus isolates in Malaysia. Screening of SCCmec types and characterization of the attachment site was carried out using PCR amplification and Sanger's sequencing method. The result showed that a large proportion of the MRSA isolates carried SCCmec type III 7/11 (63%). Three isolates 3/11 (27%) and 1/11 (9.0%) carried SCCmec type II and IVd respectively. Amplification of the universal insertion site of the SCCmec (orfX) and attachment site (attB) showed that all 16 S. aureus isolates were positive for the orfX gene, while only 7 were positive for the attB gene. Phylogenetic diversity showed that the isolates clustered around strains with features similar to a community acquired MRSA. In conclusion, a high carriage rate of SCCmec type III was observed. The result also showed that all the S. aureus isolates have the orfX structure; however, not all isolates possesses the attB site on the 3' end of the orfX region.
Occupational safety and health (OSH) in Small and Medium Enterprises (SMEs) have not received the proper
attention not only in Malaysia, but also in most countries all over the world, in terms of research or support for
implementation. In Malaysia, many agencies such as the Department of Occupational Safety and Health (DOSH),
Social Safety Organization (SOCSO), National Institute of Occupational Safety and Health (NIOSH) and many more
agencies related to OSH have been in collaborations to conduct and promote a safety working environment and to
protect human rights economically, morally and legally. This research mainly focuses on the implementation of the
occupational safety and health in small and medium industries in the southern region of peninsular of Malaysia. This
exploratory study will be based on conducting a survey to 500 SMEs owners and workers throughout the southern
region of Malaysia to get the in-depth knowledge on how the implementation of safety and health management system
in the SMEs will affect them both morally and economically. A site visit will also be conducted in order to enhance
and to get to know the real situation happening in the real working environment. The results of this study will be used
to make and initial evaluation of the implementations of OSH management system in SMEs and hopefully will help
for future interventions and researches.
In Malaysia, the number of Musculoskeletal Disorder (MSD) cases is increasing . Rapid Upper Limb Assessment
(RULA) is carried out in a physical paper form which is cumbersome and based on the complex nature and it should
consider human error. This project aims to create the RULA application for mobile devices featuring the android system
for this move will cut down the process time by more than half, create a more structured system and eliminate human
error wholly. The application will be designed on the App Inventor website which features a lot of handy tutorials
and takes the initiative to create a RULA mobile app for Android phones. The RULA mobile app for Android phones
is intended to make it easier and much more efficient to conduct a RULA analysis. Additionally, the analyses can be
conducted by minimally trained users, eliminating the need for highly trained technicians. RULA test is performed to
achieve accurate results and the mathematical processes will be programmed into the app so that the user will have a
friendly interface and will only be asked to tick boxes.