Aedes mosquito-borne Dengue morbidity is predominantly high in the tropics and subtropics regions. Dengue is also a
public health problem in Malaysia since the first epidemic in 1973. Reducing the vector population and personal
protection still plays an important role in dengue prevention and control. With the information of community’s dengue
knowledge, attitude and practices (KAP), the authorities could construct evidence-based, community- empowered vector
control program. Upon the understanding of the value of baseline data, a cross-sectional study was carried out in dengue
hotspot areas in Seberang Takir using universal sampling. The study results showed that 54.6% of the population had high
level of knowledge, 18.6% had good attitude and 91.7% were performing good practices against Dengue infection. After
adjusting confounding variables, age and educational levels of respondents, knowledge as well as attitude were found to
be significant associated factors for having good practice against Dengue. The study findings provide the need for further
information to undertake a holistic approach which is in need of community participation and cooperatio
The communities settled in this traditional flood-prone area are potentially at risk of frequent inundation. This
compelled the affected population to cope or adapt some strategy to reduce the negative impacts on their lives. The
objective of this study was to explore the coping approach among the residents in a flood affected traditional village in
Kuala Nerus, Terengganu and determine its associated factors. A cross sectional study which involved 210 adults who
lived in traditional village houses was conducted from April to May 2015. Universal sampling was applied. This
community-based study was part of the curriculum requirement for undergraduate medical students of UniSZA. The
participants’ background, experience during the recent flood and their coping response were assessed using selfadministered
validated Malay version Brief COPE inventory that consists of three domains (emotion-focused, problemfocused
and less-useful), 14 subscales and 30 items. The mean (SD) age of participants were 46.7(15.54) years with
almost equal sex ratio. Most of the participants were married (78.1%) and unemployed (54.8%). The most common coping
approach applied by the villagers was emotion-focused followed by problem-focused and less-useful coping. There were
four adjusted variables significantly associated with higher total coping score namely awareness on evacuation site
(b=5.38, 95%CI:1.68,9.08, p=0.005), knowledge on health risk of flood (b=3.79, 95%CI:0.92,6.66, p=0.010), discussed on
flood preparedness with family (b=2.50, 95%CI:0.84,4.16, p=0.003) and stored food before flood (b=4.506, 95%CI
1.67,7.34, p=0.002). The emotion-focused coping was the most preferred coping approach among the villagers. A
significant better coping was associated with the villagers who were aware of the gazetted evacuation site and have
knowledge on the flood health hazard. The villagers who planned with their family and practiced storage of adequate
food as part of household preparedness also demonstrated significant higher coping level.
The implementation of problem-based learning started in 1969 and has spread since then throughout different parts of the world with variations in its implementation. In spite of its growth and advantages, there is continuing debate about its effectiveness over the conventional teaching learning methods. In the School of Dental Sciences (SDS), Universiti Sains Malaysia (USM), the Doctor of Dental Sciences (DDS) program follows a 5-year integrated curriculum. Basically the curriculum is problem-based and community oriented. This study was to explore the perception of DDS students about PBL sessions. This questionnaires-based cross sectional descriptive study were carried out on all the 110 students of the SDS who completed their second year of the course and participated in PBL sessions. Ninety five (86%) students responded to the questionnaires. Dental students found PBL session interesting and wanted to maintain PBL from the beginning of year 2 up to the end of year 3. Most students reported their participation in discussion during PBL sessions but the level of participation varied. Some of them worked hard to prepare themselves for discussion while others were relatively passive. PBL helped them with in-depth understanding of certain topics and link their basic science knowledge to clinical classes. They felt that guidance from subject specialists and well-prepared facilitators of the sessions were beneficial. The students believed that repetition of triggers from year to year discouraged their active search for learning issues. Majority of the students were undecided or disagreed about the availability of adequate learning resources Most of the students were undecided or disagreed about the availability of adequate learning resources for their self-study. Reviewing and renewing the PBL triggers, providing guidelines for searching for resource materials and briefing the students and facilitators about the philosophy and principles of PBL may make the PBL sessions more beneficial.
It has been suggested that a birthweight limit of 2.5 kg should not be regarded as valid for all populations as the cut-off point of low-weight births because of demographic, genetic and environmental differences. Countries often choose alternative cut-off values for low birthweight for clinical purposes. Bangladesh also needs to choose a convenient cut-off value for low birthweight. A total of 770 live singleton full-term normal newborns were included in this study by stratified sampling; birthweight was measured using the Detecto-type baby weight machine. Newborns were followed up to the end of their first week of life. For data collection a pretested structured questionnaire and an Apgar Score estimating checklist were used. Chi-square test was applied to assess the association of different birthweight strata and neonatal health outcomes. Multiple logistic regression analyses were carried out to identify the independent effects of different levels of birthweight on early neonatal health. The neonates having birthweight < or = 2 kg had a significantly higher risk of early neonatal mortality and morbidity than the higher level birthweight group. Birth asphyxia was the commonest cause of early neonatal mortality and morbidity. Borderline birthweight (>2 to <2.5 kg) neonates experienced the same mortality and morbidity rates as the normal birthweight neonates during their early neonatal life. Birthweight < or = 2 kg may be one of the criteria for admission to a neonatal intensive care unit whereas more than 2 kg may not require admission unless otherwise necessary.