An effective sharps injury prevention program includes several components that must work in concert to prevent healthcare personnel from suffering needlesticks and other sharp related injuries. Sharp injury management program in Kementerian Kesihatan Malaysia (KKM) is currently at surveillance state outlined in the Manual of Sharp Injury Manual Surveillance 2007. Latest data showed that as much as 1405 cases reported in Kementerian Kesihatan Malaysia facilities in 2011. In Hospital Melaka, high sharp injury prevalence was recorded with 25 per 1000 healthcare worker being affected each year. However, according to World Health Organization, surveillance data tend to underestimate the true rate of sharp injuries between 18% and 70%. Although reasons for sharp injury underreporting are well documented in many studies, less in known on what motivates healthcare personnel to report their injury. In order to encourage healthcare workers engagement to prevention program, these motivators need to be determined. Various factors affecting reporting behavior can be divided into organizational factors and health belief. The objective of the study is 1) to determine the level of awareness and compliance on sharp injury reporting among healthcare workers in Melaka, 2) To identify the relationship between awareness of reporting, organizational factors and health belief with sharp injury-reporting behavior among healthcare workers, 3) To determine the impact of awareness on reporting, organizational factors and health belief with sharp injury reporting behavior among healthcare workers, 4) To suggest improvements in sharp injury prevention program. Healthcare workers who reported sharp injury between 2011 and 2015 were invited to answers questionnaires pertaining these factors. Descriptive statistics, mean scores and multiple logistic regression were used for the analysis. Results and recommendation are discussed.
Fifty-five core marine sediments from three locations at South China Sea and one location each at Sulu Sea and Sulawesi Sea of coastal East Malaysia were analyzed for heavy metals by instrumental neutron activation analysis and inductively coupled plasma mass spectroscopy. The enrichment factor and the modified degree of contamination were used to calculate the anthropogenic and pollution status of the elements in the samples. The enrichment factor of As, Cd, Cr, Cu, Ni, Pb, and Zn varied from 0.42-4.26, 0.50-2.34, 0.31-0.82, 0.20-0.61, 0.91-1.92, 0.23-1.52, and 0.90-1.28, respectively, with the modified degree of contamination values below 0.6. Comparative data showed that coastal East Malaysia has low levels of contamination.
Malaysia is a country where an estimated 1 million people are chronically infected with hepatitis B virus (HBV) and an estimated 2.5% of the adult population are positive for antibody to hepatitis C virus (HCV). Effective nationwide vaccine coverage seems to be a highly effective measure to prevent new HBV infection. Treatment of HCV infection is also a regular practice in Malaysia. These measures highlight the possibility to reach the World Health Organization elimination target by 2030. To achieve this target, the Health Ministry and other nongovernmental organizations, such as My Commitment to Cure (MyC2C) are working together to develop a strategic road map to reach the global elimination target in Malaysia by 2030. How to cite this article: Raihan R, Mohamed R, Hasan MRA, Rosaida MS. Chronic Viral Hepatitis in Malaysia: "Where are we now?" Euroasian J Hepato-Gastroenterol 2017;7(1):65-67.
Along with the mysteries of their ecology, freshwater eels have fascinated biologists for centuries. However, information concerning species diversity, geographic distribution, and life histories of the tropical anguillid eels in the Indo-Pacific region are highly limited. Comprehensive research on the species composition, distribution and habitat use among tropical anguillid eels in the Peninsular Malaysia were conducted for four years. A total of 463 specimens were collected in the northwestern peninsular area. The dominant species was A. bicolor bicolor constituting of 88.1% of the total eels, the second one was A. bengalensis bengalensis at 11.7%, while A. marmorata was the least abundant at 0.2%. A. bicolor bicolor was widely distributed from upstream to downstream areas of the rivers. In comparison, A. bengalensis bengalensis preferred to reside from the upstream to midstream areas with no tidal zones, cooler water temperatures and higher elevation areas. The habitat preference might be different between sites due to inter-species interactions and intra-specific plasticity to local environmental conditions. These results suggest that habitat use in the tropical anguillid eels might be more influenced by ambient environmental factors, such as salinity, temperature, elevation, river size and carrying capacity, than ecological competition, such as interspecific competition.
BACKGROUND: Patients' behaviour in making decisions regarding health is currently changing from passive recipients to recipients who play an active role in taking action to control their health and taking self-care initiatives.
OBJECTIVES: This study was conducted to evaluate the health seeking behaviour among general public and its associated factors; and to evaluate the medicine taking behaviour in public and the practice of self-medication.
METHODS: A cross-sectional study was undertaken among general public in Penang Island, Malaysia. A convenience sampling of 888 participants successfully completed the survey. Self-administered questionnaires were distributed among the residents in the north east of Penang Island.
RESULTS: This study showed that most of the participants chose to consult the physician when they experience any health problems (66.7%), followed by self-medication (20.9%). The first action for consulting the physician was significantly predicted by Malay respondents and retired people (OR 3.05, 95% CI 1.04-8.89). The prevalence of self-medication was 54%. The practice of self-medication was significantly associated with Chinese participants, educated people, people with alone living status and people with more self-care orientation.
CONCLUSION: Increasing the awareness of the public about the rational choice of getting medical assistance is a very important issue to control their health. A health education program is needed to increase the awareness about the use of medicines among the general public and to enable them to make the right decisions relating to health problems.
Cardiac arrhythmias are a major cause of morbidity and mortality across the world. Learning the science behind the use of antiarrhythmic drugs is essential for all medical graduates. However, many antiarrhythmic drugs are available, and most of them have complex pharmacodynamic and pharmacokinetic profiles. We tried to improvise our teaching by conducting interactive, worksheet-based, small-group discussion on antiarrhythmic drugs with preclinical students of School of Medicine, Taylor's University, Malaysia. This survey was conducted to analyze the outcomes of worksheet-based, small-group discussion.
The identification of spatio-temporal patterns of the urban growth phenomenon has become one of the most significant challenges in monitoring and assessing current and future trends of the urban growth issue. Therefore, spatio-temporal and quantitative techniques should be used hand in hand for a deeper understanding of various aspects of urban growth. The main purpose of this study is to monitor and assess the significant patterns of urban growth in Seremban using a spatio-temporal built-up area analysis. The concentric circles approach was used to measure the compactness and dispersion of built-up area by employing Shannon's Entropy method. The spatial directions approach was also utilised to measure the sustainability and speed of development, while the gradient approach was used to measure urban dynamics by employing landscape matrices. The overall results confirm that urban growth in Seremban is dispersed, unbalanced and unsustainable with a rapid speed of regional development. The main contribution of using existing methods with other methods is to provide several spatial and statistical dimensions that can help researchers, decision makers and local authorities understand the trend of growth and its patterns in order to take the appropriate decisions for future urban planning. For example, Shannon's Entropy findings indicate a high value of dispersion between the years 1990 and 2000 and from 2010 to 2016 with a growth rate of approximately 94 and 14%, respectively. Therefore, these results can help and support decision makers to implement alternative urban forms such as the compactness form to achieve an urban form that is more suitable and sustainable. The results of this study confirm the importance of using spatio-temporal built-up area and quantitative analysis to protect the sustainability of land use, as well as to improve the urban planning system via the effective monitoring and assessment of urban growth trends and patterns.
Copy number variations (CNVs) are genomic structural variations that result from the deletion or duplication of large genomic segments. The characterization of CNVs is largely underrepresented, particularly those of indigenous populations, such as the Orang Asli in Peninsular Malaysia. In the present study, we first characterized the genome-wide CNVs of four major native populations from Peninsular Malaysia, including the Malays and three Orang Asli populations; namely, Proto-Malay, Senoi, and Negrito (collectively called PM). We subsequently assessed the distribution of CNVs across the four populations. The resulting global CNV map revealed 3102 CNVs, with an average of more than 100 CNVs per individual. We identified genes harboring CNVs that are highly differentiated between PM and global populations, indicating that these genes are predominantly enriched in immune responses and defense functions, including APOBEC3A_B, beta-defensin genes, and CCL3L1, followed by other biological functions, such as drug and toxin metabolism and responses to radiation, suggesting some attributions between CNV variations and adaptations of the PM groups to the local environmental conditions of tropical rainforests.
Brunei Bay, which receives freshwater discharge from four major rivers, namely Limbang, Sundar, Weston and Menumbok, hosts a luxuriant mangrove cover in East Malaysia. However, this relatively undisturbed mangrove forest has been less scientifically explored, especially in terms of vegetation structure, ecosystem services and functioning, and land-use/cover changes. In the present study, mangrove areal extent together with species composition and distribution at the four notified estuaries was evaluated through remote sensing (Advanced Land Observation Satellite-ALOS) and ground-truth (Point-Centred Quarter Method-PCQM) observations. As of 2010, the total mangrove cover was found to be ca. 35,183.74 ha, of which Weston and Menumbok occupied more than two-folds (58%), followed by Sundar (27%) and Limbang (15%). The medium resolution ALOS data were efficient for mapping dominant mangrove species such asNypa fruticans,Rhizophora apiculata,Sonneratia caseolaris,S. albaandXylocarpus granatumin the vicinity (accuracy: 80%). The PCQM estimates found a higher basal area at Limbang and Menumbok-suggestive of more mature vegetation, compared to Sundar and Weston. Mangrove stand structural complexity (derived from the complexity index) was also high in the order of Limbang > Menumbok > Sundar > Weston and supporting the perspective of less/undisturbed vegetation at two former locations. Both remote sensing and ground-truth observations have complementarily represented the distribution ofSonneratiaspp. as pioneer vegetation at shallow river mouths,N. fruticansin the areas of strong freshwater discharge,R. apiculatain the areas of strong neritic incursion andX. granatumat interior/elevated grounds. The results from this study would be able to serve as strong baseline data for future mangrove investigations at Brunei Bay, including for monitoring and management purposes locally at present.
Objective: To determine the perceived risk of developing cancer in a suburban community in Malaysia. Methods: A cross sectional study using a simple random sampling was conducted among residents aged 18 years old and above (n=520) who had never been diagnosed with cancer, in selected households in a suburban area of Pahang state in Malaysia. The study instruments were a validated questionnaire on risk perception, an automatic blood pressure monitor, a weighing scale and a measuring tape. Data were analyzed using IBM SPSS Statistics for Windows, Version 20.0 and the p value was taken at p <0.05 as significant. Result: This study revealed that only 5.0 percent individuals perceived they were at risk cancer, whilst the perceived severity was 41.3 percent. Multivariable analysis showed a significant association only for a family history of cancer (adjusted OR of 4.80; 95% CI = 1.45-15.82) (p=0.010) among this population. Conclusion: The perceived risk of developing cancer in the selected suburban community of Pahang state in Malaysia is low as compared to that for other non-communicable diseases in this country, whilst the perceived severity was higher than for other diseases. Thus, considering the importance of correct perceptions for behavioral changes, more health education and promotion is needed to make the community better aware of the actual threat of cancer.
In many regions around the world, there are issues associated with groundwater resources due to human and natural factors. However, the relation between these factors is difficult to determine due to the large number of parameters and complex processes required. In order to understand the relation between land use allocations, the intrinsic factors of the aquifer, climate change data and groundwater chemistry in the multilayered aquifer system in Malaysia's Northern Kelantan Basin, twenty-two years hydrogeochemical data set was used in this research. The groundwater salinisation in the intermediate aquifer, which mainly extends along the coastal line, was revealed through the hydrogeochemical investigation. Even so, there had been no significant trend detected on groundwater salinity from 1989 to 2011. In contrast to salinity, as seen from the nitrate contaminations there had been significantly increasing trends in the shallow aquifer, particularly in the central part of the study area. Additionally, a strong association between high nitrate values and the areas covered with palm oil cultivations and mixed agricultural have been detected by a multiple correspondence analysis (MCA), which implies that the increasing nitrate concentrations are associated with nitrate loading from the application of N-fertilisers. From the process of groundwater salinisation in the intermediate aquifer, could be seen that it has a strong correlation the aquifer lithology, specifically marine sediments which are influenced by the ancient seawater trapped within the sediments.
This study aimed to examine the association between second-hand smoke (SHS) exposure and psychological distress amongst non-smoking pregnant women. A cross-sectional study was used to obtain a representative sample of non-smoking pregnant women attending health clinics (n = 661) across six states in Malaysia. The duration of SHS exposure inside and outside the house was recorded from the participants. Psychological distress was assessed via General Health Questionnaire (GHQ12). The analyses were conducted using a logistic regression adjusted for demographic variables and other variables. Amongst non-smoking pregnant women, the prevalence of global SHS exposure and psychological distress was 80.4% and 64.2%, respectively. In the multivariate adjusted odds ratio (OR) models for psychological distress and the duration of SHS exposures, there was an OR of 1.04 (95% CI: 0.61-1.77) for individuals with SHS exposure of 1-4 hours/week, 0.44 (95% CI: 0.23-0.81) for SHS exposure of 5-14 hours/week and 0.84 (95% CI: 0.32-2.22) for exposures of >15 hours/week compared to those with no SHS exposure outside the home. Meanwhile, SHS exposure outside the house with the duration of 5-14 hours might have temporary calming effects against psychological distress. Nonetheless, more research is needed to ascertain this.
Little is known on the biosafety level of Vibrio spp. in freshwater fish in Malaysia. The purpose of this study was to investigate the prevalence and concentration of Vibrio spp. and V. parahaemolyticus in
freshwater fish using the Most Probable Number-Polymerase Chain Reaction (MPN-PCR) method. The study was conducted on 150 samples from two types of freshwater fish commonly sold at hypermarkets, i.e. Pangasius hypophthalmus (catfish) and Oreochromis sp. (red tilapia). Sampling was done on the flesh, intestinal tract and gills of each fish. The prevalence of Vibrio spp. and V. parahaemolyticus was found to be 98.67% and 24% respectively with higher percentages detected in samples from the gills followed by the intestinal tract and flesh. Vibrio spp. was detected in almost all red tilapia and catfish samples. V. parahaemolyticus was detected in 25% of the catfish samples compared to 22.6% of red tilapia fish. The density of Vibrio spp. and V. parahaemolyticus in the samples ranged from 0 to 1.1x107 MPN/g. Although the maximum value was 1.1x107 MPN/g, most samples had microbial loads ranging from 0 to >104 MPN/g. The outcome on the biosafety assessment of Vibrio spp. and V. parahaemolyticus in freshwater fish indicates another potential source of food safety issues to consumers.
Imports are the only source of food supply to Singapore. Such condition offers a very attractive proposition for agricultural oriented countries. The dependence on type of food imports is determined by consumer demand. This study intends to do an exploratory study on the current conditions of Singaporean food consumption and expenditures with implications on Malaysia as an important agricultural exporting country to Singapore. It is identified that Singaporean consumers tend to demand for high quality poultry, pork, seafood, vegetables, and fruits in future, particularly in response to income growth. At the mean time, Malaysia is seemingly rich in the production of these food commodities and commits to exports for the excess of the supplies. While facing competition from various countries, Malaysia still possesses various competitive advantages over the other countries.
Bacillus cereus is a soil inhabitant gram positive bacterium, and is known to cause severe food poisoning. The objective of this study was to isolate and identify the presence of Bacillus cereus s.l. from selected ready to eat cereals purchased randomly from local supermarkets in Kuching and Kota Samarahan, Sarawak. The result showed that four of the 30 food samples were detected to be contaminated by B. cereus s.l. . Our findings suggested that it is important for the public to be aware of the safety of RTE cereals consumption, as it is possible that B. cereus s.l. may be present in high count number and pose hazardous health effects to the consumers.
A semi-circle looped vertically omnidirectional radiation (VOR) patterned tag antenna for UHF (919-923 MHz for Malaysia) frequency is designed to overcome the impedance mismatch issue in this paper. Two impedance matching feeding strips are used in the antenna structure to tune the input impedance of the antenna. Two dipole shaped meandered lines are used to achieve a VOR pattern. The proposed antenna is designed for 23-j224 Ω chip impedance. The antenna is suitable for 'place and tag' application. A small size of 77.68×35.5 mm2 is achieved for a read range performance of 8.3 meters using Malaysia regulated maximum power transfer of 2.0 W effective radiated power (ERP).
The influence of local conditions and remote climate modes on the interannual variability of oil palm fresh fruit bunches (FFB) total yields in Malaysia and two major regions (Peninsular Malaysia and Sabah/Sarawak) is explored. On a country scale, the state of sea-surface temperatures (SST) in the tropical Pacific Ocean during the previous boreal winter is found to influence the regional climate. When El Niño occurs in the Pacific Ocean, rainfall in Malaysia reduces but air temperature increases, generating a high level of water stress for palm trees. As a result, the yearly production of FFB becomes lower than that of a normal year since the water stress during the boreal spring has an important impact on the total annual yields of FFB. Conversely, La Niña sets favorable conditions for palm trees to produce more FFB by reducing chances of water stress risk. The region of the Leeuwin current also seems to play a secondary role through the Ningaloo Niño/ Niña in the interannual variability of FFB yields. Based on these findings, a linear model is constructed and its ability to reproduce the interannual signal is assessed. This model has shown some skills in predicting the total FFB yield.
A new species of the rarely collected ant genus Platythyrea Roger, 1863 closely related to Platythyrea clypeata Forel, 1911 is described and illustrated based on the worker caste under the name Platythyrea janyaisp. n. This species is distributed in southern Thailand and western Malaysia, while P. clypeata is distributed in Sri Lanka, Vietnam, Laos, and Thailand in the areas north of the Isthmus of Kra. Platythyrea clypeata is newly recorded from Thailand from dead wood on the forest floor. The type series of P. janyai was also collected from rotten wood on the forest floor.
The Clinical Practice Guidelines on the Management of Type 1 Diabetes Mellitus in Children & Adolescents was developed by a multidisciplinary development group and approved by the Ministry of Health Malaysia in 2015. A systematic review of 15 clinical questions was conducted using the evidence retrieved mainly from MEDLINE and Cochrane databases. Critical appraisal was done using the Critical Appraisal Skills. Recommendations were formulated on the accepted 136 evidences using the principles of Grading Recommendations, Assessment, Development and Evaluation tailored to the local setting. Type 1 diabetes mellitus is a chronic disease, which usually occurs at an early age, and is associated with various complications including retinopathy, nephropathy, neuropathy and cardiovascular morbidity. Good glycaemic control early in the disease results in lower frequency of chronic diabetes complications, which in turn reduces the healthcare cost. Accurate classification of diabetes and optimum management with the aim to achieve glycaemic targets is of utmost importance.
Objective: The aim of the study is to determine the prevalence of gestational diabetes mellitus (GDM), its associated risk factors, foeto-maternal outcomes and prevalence of postnatal diabetes mellitus (DM).
Methods: This is a cross-sectional study using retrospective data from existing antenatal records of new antenatal women who registered at 72 public health clinics in Selangor in January 2014.
Results: A total of 745 antenatal records were reviewed. The prevalence of GDM women was 27.9% (n = 184). GDM risks were higher in women aged 35 years old and above and in those with maternal obesity. GDM women had a higher risk of having a non-spontaneous vaginal delivery compared to non-GDM women. The prevalence of postnatal DM among GDM mother was 12.1%. Working GDM mothers were at higher risk of developing postnatal DM.
Conclusion: The prevalence of GDM among newly registered women attending antenatal public health care in Selangor was higher than previous studies. Health care personnel need to be vigilant in screening women with risk factors.