Objective: This study aims to determine the incidence rate of phlebitis among patients with peripheral intravenous catheter. Methods: An observational study was conducted in one of the hospitals in East Coast Malaysia. There were 321 data collected among patients who had peripheral intravenous catheter in medical, gynecology and orthopedic wards. The incidence of phlebitis was evaluated using modified Visual Infusion Phlebitis score checklist. Results: The incidence of phlebitis, was found out to be 36.1% (n=116/321). Most patients who developed phlebitis had visual infusion phlebitis, with a score of two (34.9%) and the rest developed phlebitis with a score of three (1.2%). Conclusion: This high incidence of phlebitis indicated a worrying outcome. Therefore, the study findings suggested that a specific guideline on post insertion management of peripheral intravenous catheter should be revised which may help in reducing more incidence of phlebitis, subsequently reduce infection in ward, and provide more safety environment in hospital and reducing cost in managing infection control.
Objective: This study aims to determine the prevalence of irritable bowel syndrome (IBS) and its association with perceived stress levels among nursing students at the International Islamic University Malaysia.
Methods: A cross-sectional design was used in this study. A three-part questionnaire was used to gather data on stress levels and IBS symptoms. Part A posed questions on socio-demographic aspects. In part B, a Perceived Stress Scale was used to measure individuals’ perceived stress. Part C used a questionnaire developed by the World Gastroenterology Organisation (WGO) with the support of Danone.
Results: The response rate was 85.5%: out of 200 students, 171 completed the questionnaires. According to the results, there is a significant relationship between stress levels and IBS (p = 0.006), where students who experienced moderate stress (151, 88.3%) were more exposed to IBS (60, 39.7%). There is no association between the characteristics of subjects with IBS and their level of stress (P > 0.05).
Conclusion: The prevalence of IBS among the students in this study was roughly moderate. The frequency of moderate stress levels was high and there was a significant association with IBS. On the other hand, subject characteristics, e.g. smoking habits, were insignificantly associated with IBS and stress level (SL).
Objective: this study aims to assess the knowledge and awareness of hepatitis B and its associated factors among students of medical colleges at Kuantan Campus, the International Islamic University Malaysia. Methods: A cross-sectional study design was used, and data collection was carried out using a selfstructured close-ended questionnaire. Descriptive and analytic statistics were performed with independent t-test, One Way ANOVA and a correlation analysis determine any significant differences between the groups with p < 0.05 significance value Results: According to the results, there was a significant (p < 0.001) association between the type of Faculty with knowledge and awareness about hepatitis B. In addition, the results showed an association between year of study with the knowledge and awareness of hepatitis B (p < 0.001). Furthermore, there was an association between duration of clinical experience with knowledge and awareness of hepatitis B (p < 0.001). The results showed that there was no association between gender with knowledge and awareness of hepatitis B (p > 0.05). Conclusion: levels of knowledge showed a strong correlation with levels of awareness, meaning that students with high knowledge also had high awareness of hepatitis B. On the whole, students were aware of and knowledgeable about hepatitis B.
This paper reports a new weevil genus Devernodes gen. n. established for five new species from Southeast Asia: D. alkippe sp. n. (China: Mt. Emei), D. asteria sp. n. (Vietnam: Tam Dao), D. chthonia sp. n. (Vietnam: Tam Dao; the type species), D. drimo sp. n. (Malaysia: Pasoh Forest Reserve) and D. methone sp. n. (Malaysia: Tanah Rata). All Devernodes are wingless and inhabit the forest leaf litter. Adult Devernodes share a combination of two head characters unique among weevils in Asia: antenna with apparently unsegmented club and 6-segmented antennal funicle, as well as strong constriction separating the eye-bearing rostrum from the head capsule. To test monophyly and investigate phylogenetic relationships of Devernodes, Maximum Likelihood phylogenetic analysis was undertaken using parts of mitochondrial (COI) and nuclear ribosomal (28S) genes, as well as the nuclear internal transcribed spacer (ITS2) from 14 Devernodes and 55 outgroup Curculionidae specimens. Results strongly corroborated monophyly of Devernodes and did not suggest its realistic sister-group. The new genus is assigned to the molytine tribe Lymantini (not represented in the DNA analysis) based on two potential synapomorphies: head markedly constricted behind eyes and presence of undivided female hemisternites IX (= "merged coxite and stylus"). Thus interpreted, Devernodes is the twelfth nominal genus of Lymantini and the first record of the tribe outside of the Americas. All original data (localities, DNA sequences, specimen images) are available online in public datasets dx.doi.org/10.5883/DS-DEVERNO1 and dx.doi.org/10.5883/DS-DEVERNO2.
The genus Systaria Simon 1897 is reviewed in Southeast Asia and eight new species are described: S. lannops spec. nov. from Thailand (female), S. longinqua spec. nov. (male, female) and S. luangprabang spec. nov. (female) from Laos, S. procera spec. nov. (male, female) and S. bregibec spec. nov. (male) from Cambodia, S. bifidops spec. nov. from Malaysia (male), S. panay spec. nov. (female) and S. princesa spec. nov. (male, female) from Philippines. S. elberti (Strand 1913) is illustrated and partly re-described. Informal groups of species are proposed for the first time. Distribution ranges and habitat preferences are mapped.
This paper presents a taxonomic revision of 28 described species of the genus Sirthenea Spinola, 1837 (Hemiptera: Heteroptera: Reduviidae: Peiratinae) distributed in the Afrotropical, Oriental, Palearctic, Oceanian and Australian zoogeographical regions. The following new synonymies are proposed: Sirthenea africana Distant, 1903 = S. rapax Horváth, 1909, syn. nov. = S. leonina Horváth, 1909, syn. nov. = S. bequaerti Schouteden, 1913, syn. nov. = S. leontovitchi Schouteden, 1931, syn. nov.; Sirthenea picescens Reuter, 1887 = S. atrocyanea Horváth, 1909, syn. nov.; S. rodhaini Schouteden, 1913 = S. collarti Schouteden, 1931, syn. nov. = S. angolana Villiers, 1958, syn. nov.; S. flavipes (Stål, 1855) = S. clavata Miller, 1948, syn. nov. = S. bharati Sucheta Chopra, 1988, syn. nov. = S. koreana Kerzhner Lee, 1996 syn. nov. = S. melanota Cai Lu, 1990, syn. nov. = S. nigripes Murugan Livingstone, 1990, syn. nov.; S. obscura (Stål, 1866) = S. glabra (Walker, 1873), syn. nov. A neotype is designated for S. picescens Reuter, 1887. Three species, S. erythromelas (Walker 1873), S. fulvipennis (Walker, 1873) and S. sobria (Walker, 1873), are excluded from the genus Sirthenea. Two new species from the Oriental Region, S. kali sp. nov. (India) and S. setosa sp. nov. (Malaysia) are described. Identification keys are provided for the subgenera and species from each zoogeographical region treated. Drawings of dorsal habitus and genitalic structures, drawings and images of selected morphological characters, and distribution maps of all valid species are presented.
Introduction. The care of children with leukemia requires a high degree of observation and attention to ensure that the recommended treatment by the specialists is well implemented. This could somehow affect the social functionality, increase stress, anxiety and depression among caregivers of children with leukemia. Thus, this cross-sectional study was conducted to examine the prevalence and factors influencing stress, depression and anxiety among caregivers of
children with leukemia.
Methods. Number of sample is 54 respondents. Data were measured using the Bahasa Malaysia version of DASS-21 which was validated in previous study.
Results The results showed that prevalence of low level stress among caregivers to children with leukemia was 88.9% while prevalence of high level stress was 11.1%. The prevalence of low level anxiety was 90.7% and the prevalence of
high level anxiety was 9.3%. The prevalence of low level depression was 96.3% and the prevalence of high level depression was 3.7%. There were several factors that significantly influenced the stress and depression among
the caregivers (p <0.05). Among the factors associated with stress status were the religion of caregivers and gender of the patients (p <0.05). Factors associated with depression status were the sex of caregivers and the relationship between caregivers and family members (p <0.05).
Conclusions. In conclusion, socio demographic factors and the relationship between caregivers and family members affect stress and depression among caregivers while factors of knowledge-level do not affect stress, anxiety and depression among caregivers. Strategies are needed to help reduce stress, anxiety and depression among caregivers of children with leukemia.
Keywords: Stress - Anxiety - Depression - Caregivers - Children with leukemia.
Genetic hereditary has been implicated in bipolar disorder pathogenesis. The PDLIM5 and HTR2A genes have been investigated for its association with bipolar disorder in various populations, however, the results have been conflicting. In this study, we investigate the association between bipolar disorder and the two genes of interest, PDLIM5 and HTR2A genes. We recruited 253 bipolar disorder patients (75 Malays, 104 Chinese, and 74 Indians) and 505 control individuals (198 Malays, 155 Chinese, and 152 Indians) from three ethnic groups within Malaysian population. We genotyped for 3 SNPs of the PDLIM5 (rs2433320, rs2433322 and rs2438146) and 3 SNPs of the HTR2A (rs6313, rs2070040 and rs6311). Significant associations between bipolar disorder and each of the 3 SNPs of PDLIM5 in Malays, Indians and pooled samples. However, only rs2438146 remains significant in the Malays as co-dominant (T/T vs. C/C, p=0.004, OR=0.128, 95%CI=0.031-0.524) and recessive genetic models (T/T vs. C/T+C/C, p=0.003, OR=0.122, 95%CI=0.030-0.494) after applying conservative Bonferroni correction. Haplotype analysis of 3 SNPs of PDLIM5 also showed a significant association with bipolar disorder. No association was observed between bipolar disorder and each of the 3 SNPs of HTR2A in any of the ethnicities. We conclude that PDLIM5 polymorphisms are associated with bipolar disorder in the pooled analysis. After stratification to different ethnic groups, the association remains significant in the Malay and Indian groups. The association is also supported by the significant association in haplotype analysis of PDLIM5. We also conclude there is no association between the HTR2A polymorphisms in the Malaysian population.
Nowadays, the wireless technology has become a lifestyle; even the children have their own
mobile phones, although they are categorized as high risk susceptible to health problems
due to radiation. Thus, the public exposure that stemmed from electromagnetic radiations
become public concern since studies have been done and the finding showed that the repetitive
and long term exposure may have adverse health effect. This study was conducted to
evaluate the exposure level at UMT and UniSZA campuses by measuring the electric field
strength. This measurement was conducted using omni-directional antenna below 4 GHz,
connected to spectrum analyzer. In this paper, the measured values are compared with
the previous study from several locations and then the spatial maps of exposure level are
developed. The result shows that high exposure level was recorded at UMT and UniSZA.
From this study, the findings may assist the Ministry of Health to monitor the public health
due to non-ionizing radiation (NIR) exposure. This is crucial to make sure the international
commission of non-ionizing radiation protection (ICNIRP) limit is complied. Moreover, the
development of public NIR exposure policy can be initiated to the Malaysia government for
health concern. For future study, the investigation of the suitable material used as antenna
and casing or exposure reduction tool can be done to reduce NIR exposure rate on human
body.
This concept paper discusses instructional leadership of administrator, school effectiveness and
organizational culture in inner rural of Sarawak. Instructional leadership is the most reliable in
education field. Leadership could directly impact the performance of the organization. In the context
of this study, the organization is a Government-owned school. Thus the effectiveness of a school are
influenced leadership practiced by administrators and civilization rooted in the school. Instructional
leadership is given a priority in development plan Education 2013-2025 in five shifts to accommodate
high-impact leaders in school. Education also did not miss in National Transformation 2020-2050 that
is access to high quality education. Instructional leadership refers to the practice of administrator in
giving guidance to teachers and students to improve and enhance the performance of the self and the
school as a whole, whether in the areas of curriculum and co-curriculum. This performance will lead to school effectiveness from two major areas of the successfulness of students aspiration. However, there
are other factors that play a role in performance improvements, that is the influence of organization
culture formed under the leadership of the administrator.
Mammary Paget's disease is clinically defined as skin inflammation of the nipple area and is an adenocarcinoma of the epidermis of the nipple. The pathogenesis of mammary Paget's disease is relatively unknown; nonetheless, there are two popular theories that support the underlying carcinoma and de novo carcinogenesis. For the attending medical practitioner, mammary Paget's disease poses a diagnostic and therapeutic dilemma, especially in the absence of a clinically palpable breast mass. We report a rare case of a 48-year-old Malay woman who presented at Hospital Universiti Sains Malaysia, Kelantan, Malaysia with the symptom of skin erosion on the left nipple and unresponsiveness to multiple topical treatments. A full evaluation and assessment of the patient were conducted, and mammary Paget's disease was diagnosed.
The purpose of this research was to examine the validity of an adult attachment style questionnaire, to understand the relationships between the type of attachment style in relation to self-perceived stress and social support, and to investigate the influence of gender, ethnicity and religion on the above constructs. The participants were 308 university students from Malaysia. A demographic questionnaire and three self-report inventories were administrated in this study. The data indicated that the Relationship Scales Questionnaire (RSQ) is a multidimensional construct with nine factors: "dismissing," "preoccupied with romance," "preoccupied with close relationships," "fearful," "preoccupied with dependency," "secure emotional," "comfortable depending," "preoccupied with mistrust" and "mutual secure." Different attachment styles were positively or negatively correlated at a significant level with perceived stress and social support. Attachment styles were explained by 20 and 33% of the total variance in self-perceived stress and perceived social support, respectively. There were significant gender, ethnic and religious differences in attachment styles, perceived stress and social support.
With the availability of the Internet, pornographic materials are readily accessible. Pornographic materials may have a link to addiction and other deviant sexual behaviour. In this case report, we highlighted a link between voyeuristic disorder and internet sex addiction. Mr. SK is a 22-year-old single gentleman who was referred for psychiatric assessment due to voyeuristic acts. He had been watching pornographic materials since 16 years old and became addicted to it.
Introduction Parkinson’s disease (PD) is the second most common neurodegenerative disease after Alzheimer’s disease (AD) and the most frequent sub-cortical degenerative disease, characterized by universal progressive disorder of the
nervous system that affects movement. This cross sectional study aimed to determine the prevalence and correlates of PD among elderly attending the neurology clinic in Serdang Hospital.
Methods A total of 150 records of patients attended the clinic from January to December 2016 were randomly selected. Data was collected using a proforma form seeking information related to age, gender, race, locality, and presence of comorbidity particularly diabetes mellitus. The data was analysed using the Statistical Package for Social Science (IBM SPSS) version 22.0.
Results The prevalence of PD among the elderly involved in the study was 34%. Majority of the respondents were aged 60 to 70 years old (54.7%), male (53.3%), Chinese (56.7%), from urban locality (93.0%) and were not diabetic (69.3%). The inferential statistics showed no significant association between all the factors with PD. However, the associations between age and diabetes mellitus with PD were almost significant with p values of 0.07 and 0.08 respectively.
Conclusions Overall, the prevalence of PD among elderly who attended the neurology clinic in year 2016 was less than half with none of the factors under study were significantly associated with PD. However with bigger sample size, possible significant association may be obtained between age and diabetes mellitus.
Unemployment issue is becoming a factor which causes relapses especially among former drug addicts
that has undergone rehabilitation. Therefore, this paperwork seek to unfold and discuss degree of
relationships between introvert and extrovert personality with career interest according to six RIASEC
major field to drug addicts. Research objective are to identify the relationship between introvert and
extrovert personality with career interest among drug addicts in Sabah. Most of the respondent in
treatment center has no knowledge about their own personality in career development especially after
finishing treatment thus causing relapse due to failure of getting the right employment for themselves.
It is considered serious due to economic and life instability are one of the factor which contribute to
relapse among drug addicts. Occupation or career selection are constantly highlighted as one of the
major problem in former drug addict life. This shows that a careful career selection needs to be done. Career process are also continuous process of involvement to help self-development especially in line
of job they do. Therefore, it is hopeful that this research could give valuable impact and use to drug
addicts rehabilitation authority with implementation of career guidance to clients hence assisting them
in making effective career choice in the future.
A plural society existence due to economic policy is an outcome of foreign colonization. Due to the
British economic policy, Malaya saw the influx two foreign ethnic; Chinese and Indian, working in tin
mining and rubber estates respectively. Early conflict involving the Malays and these foreign workers
is inevitable which is evident during both the Japanese intervention and the British colonization. The
objective of this paper is to review the role and responsibilities of Communities Liaison Committee in
pioneering social cohesion between the three main ethnics in Malaya during the crucial time of
Japanese intervention, British colonization, communist threat and the declaration of emergency. Before
CLC, a cooperation was initiated by AMCJA-PUTERA coalition but was short lived due to the absence
of support from the British and lack of bargaining between Malays and Non-Malays. CLC received a
full patronage of the British as the pioneer of social cohesion in Malaya, especially when it was able to call upon the three main ethnic in its discussion of bargaining and negotiation or what is widely known
as the social contract, as well as practicing political power sharing.
The local government is the closest government to the local community and identified as the third level
of government after the state and federal governments. Each local government has their own power to
enact by-laws under their respective administration. By-laws is a formulation of the law under the
jurisdiction of local government in performing its duties and functions covering the administrative area
that has been identified by the state government. Some of the by-laws play a part in shaping the
personality of the community, especially in local government areas which are quite different approach
such as Kota Bharu Municipal Council of Islamic Cities (MPKB-BRI). By-laws implemented by
MPKB-BRI are very different compared to other states in Malaysia which is the provisions of the bylaws
that suggests the aurat closure and appropriate clothing among traders, business premises owners
and local communities. The purpose of this study is to review the extent of the by-laws implemented by
MPKB-BRI to influence and shaping the personality of the local community in Kota Bharu district,
Kelantan.
This article discusses the impact of plurality on Malaysia-Singapore relations after the formation of
Malaysia on September 16, 1963. The establishment of the Federation of Malaysia agreement was
signed in London on July 8, 1963 by the representatives of the British government, the Federation of
Malaya, Singapore, Sabah and Sarawak. All parties agreed to the change in name from Federation of
Malaya to Malaysia. The declaration of Malaysia was made on September 16, 1963 simultaneously
throughout the country. This study uses secondary sources and library research methods. The findings
show that Singapore's existence in Malaysia was seen to have raised racial issues leading to the
separation of Singapore from Malaysia on August 9, 1965. Ethnic-related problems need to be
addressed wisely in order to not be a threat to racial relations among the plural society in Malaysia.
The Open Market scenario provides high levels of unreliability to culinary arts graduates where they
are no longer promised a place in the hospitality and tourism sectors but rather to compete with
graduates from other fields for employment. Hence, the field of entrepreneurship is seen as an
alternative in building a career that can help in reducing the dumping of graduates in the job market in
line with the government's call encouraging more entrepreneurs in Malaysia. Therefore, this study is
aimed at identifying the tendency to entrepreneurship among students of the final year semester of the Diploma in Culinary Arts, Hospitality School and Tourism Kolej Yayasan Pelajaran Johor
(SHPKYPJ). Measurements for this study were based on surveys using questionnaire and data
collected by Statistical Packages for Social Science (SPSS) Version 21.0. The results of the study
found that overall respondents have a high inclination towards entrepreneurship. If they are more
focused, encouragement and exposure are given to them, the probability that they become
entrepreneurs after graduation will be higher.
Although several studies have examined the relationships among attention, impulse control, gender, and academic achievement, most have focused on clinical samples and have considered only one or two academic subjects. This study investigated these relationships among typically developing children using general achievement measures (academic scores and grades). Our participants were 270 typically developing primary school students (142 boys and 128 girls) of different nationalities living in Malaysia, recruited with purposive sampling with a mean age of 9.75 years. We found that both attention and impulse control significantly predicted academic achievement. Girls had a higher level of attention and impulse control than boys, but gender was not a significant moderator between either attention or impulse control and academic achievement. We discuss the implications of these findings and the need for further research.