This paper examines the influence of maternal education on the acceptance of tetanus toxoid vaccine, using data from two villages in rural Yogyakarta, Indonesia. Maternal education results in increased tetanus toxoid uptake. Irrespective of the level of formal education, correct knowledge of the function of tetanus toxoid is positively associated with the probability of using the vaccine. It is therefore recommended that health education campaign be run to provide correct information on the importance of tetanus toxoid. This study can be used as a model for health programmes in other population with low levels of women education.
Key words: Neonatal tetanus, maternal education, tetanus toxoid, binomial logistic regression, multinomial logistic regression.
Kertas ini mengkaji pengaruh pendidikan ibu ke atas penerimaan vaksin tetanus toxoid, dengan menggunakan data daripada dua buah kampung di pendalaman Yogyakarta, Indonesia. Kajian ini mendapati pendidikan ibu dapat meningkatkan kadar pengambilan tetanus toxiod. Pengetahuan yang tepat tentang kepentingan vaksin tersebut didapati mempunyai hubungan yang positif dengan pengambilannya, tanpa mengira tahap pendidikan wanita. Dengan itu dicadangkan agar kempen pendidikan kesihatan dijalankan untuk menyebarkan maklumat yang jelas ten tang kepentingan tetanus toxoid. Kajian ini boleh dijadikan model bagi program kesihatan untuk populasi lain yang mempunyai tahap pendidikan wanita yang rendah.
Kata kunci: Tetanus neonatal, pendidikan ibu, tetanus toxoid, regresi logistik binomial, regresi logistik multinomial.
"A graphical chain modelling approach is used to study the determinants of neonatal and post-neonatal mortality in Malaysia. This approach provides an easily interpretable empirical description and illustrates explicitly the conditional independence structure between each pair of variables. The interpretation can be read directly from a mathematical graph. Besides examining the direct association of each determinant on mortality, we also examine the effects of socio-economic determinants on intermediate determinants to understand the pathways through which the socioeconomic determinants affect the chance of mortality. The data anlaysed come from the second Malaysian Family Life Survey, fielded between August 1988 and January 1989. "
We report a rare case of Arteriovenous malformation (AVM) of the scalp in a 30 year-old Malay gentleman who presented with painless forehead swelling since birth. Magnetic Resonance Imaging (MRI) and cerebral angiogram performed and the findings are discussed.
A cross-sectional study was carried out at a medical centre to determine the cognitive profiles of 30 Parkinson's disease patients with age of 69.76 ± 7.39 years. Thirty-seven percent of the patients were found to be at risk for dementia. The scores on subscales of working memory and alternating verbal fluency were significantly lower in Parkinson's disease patients who were older than 77 years old. The scores on a subtest of working memory on the Parkinson's Disease Cognitive Rating Scale (PDCRS) were significantly lower in Parkinson's disease patients with a duration of illness of more than 10 years. In cognitive measurement, the subtests of verbal memory, delayed free recall and verbal fluency on the PD¬CRS were significantly lower in patients with less than six years of education. The patients who had difficulty with sustained attention, working memory and movement had significant anxiety and depression symptoms. In conclusion, multiple patterns in cognitive profiles influence the quality of life of patients with Parkinson's disease in multi-dimensional ways.
Understanding the nature of ruminant nutrition and digestion is essential to improve feeding management and animal production. Among many approaches, manipulating ruminant nutrition and fermentation through feed supplementation is being practised and researched. Over the last decade, the utilization of vegetable oils in feed formulation and their effects on various aspects of ruminants have been reported by many researchers. It is important to understand the lipid metabolism in ruminants by microorganisms because it affects the quality of ruminant-derived products such as meat and milk. Majority of vegetable oil supplementation could reduce rumen protozoa population in ruminants due to the effects of medium-chain fatty acids (FAs). However, vegetable oil also contains unsaturated FAs that are known to have a negative effect on cellulolytic bacteria which could show inhibitory effects of the fibre digestion. In this paper, the physiology of nutrient digestion of ruminants is described. This paper also provides a current review of studies done on improvement and modification of rumen fermentation and microbial population through vegetable oil supplementation.
Ammoniation of oil palm frond (OPF) with non-protein nitrogen (N) sources has been shown to improve the nutritional value and digestibility of OPF in ruminants. This study evaluated the effect of treating OPF without (control) or with different urea levels (1%-5%) on chemical composition and in vitro gas production, digestibility and fermentation properties using goat rumen fluids. The results showed that the treated OPF with urea (1%-5%) had significantly lower (p