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Oral Health Status and Salivary Parameters in Stroke Patients at a Tertiary Hospital 三级医院脑卒中患者的口腔健康状况和唾液参数
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.23
M. H. Hanafi, N. Abd Rahman, Nurul Natahsa Mobin, Tuan Salwani Tuan Ismail, N. Kassim
Introduction: Dental caries and impaired salivary function are very common but undertreated. The aim of this study was to investigate the oral health status and salivary parameters of stroke patients. Methods: A cross-sectional study was carried out on 54 stroke and 54 non-stroke patients attending rehabilitation treatment at Hospital Universiti Sains Malaysia. Decay, Missing and Filled Teeth (DMFT) index and plaque scores were used to evaluate patients’ oral health. Salivary parameters such as salivary cortisol, salivary flow rate, pH and buffering capacity were measured. Salivary cortisol was analysed using Cobas E6000 automated immunoassay. Results: Among the 54 stroke patients, the majority were Malays 72.2% and 63.0% were male, with a mean age of 48.1 (14) years. There was a significant difference of dental caries between stroke patients, at 17.6 (4.26), compared to 15.7 (5.38) for non-stroke patients (p=0.042). Only 53.7% of stroke patients had good oral hygiene, compared to, 85.2% among non-stroke patients’ (p-value= 0.001). Salivary parameters showed no significant differences (p>0.05). However salivary cortisol levels were higher in stroke patients 5.2(5.1) nmol/L) than in non-stroke patients 4.0 (3.6) nmol/L). There was no significant correlation between salivary parameters and DMFT index (P>0.05). Conclusion: Stroke patients had more dental caries and poor oral hygiene compared to non-stroke patients. Salivary parameters showed no significant difference between stroke and non-stroke patients.
简介:龋齿和唾液功能受损是非常常见的,但治疗不足。本研究旨在探讨脑卒中患者的口腔健康状况及唾液参数。方法:采用横断面研究方法,对在马来西亚圣斯大学医院接受康复治疗的54例脑卒中和54例非脑卒中患者进行研究。采用龋缺补牙(DMFT)指数和牙菌斑评分评价患者口腔健康状况。测定唾液皮质醇、唾液流速、pH值和缓冲能力等唾液参数。采用Cobas E6000自动免疫分析法分析唾液皮质醇。结果:54例脑卒中患者中,马来人居多,占72.2%,男性占63.0%,平均年龄48.1(14)岁。卒中患者龋齿发生率为17.6(4.26),非卒中患者为15.7(5.38),差异有统计学意义(p=0.042)。脑卒中患者口腔卫生良好的比例为53.7%,非脑卒中患者为85.2% (p值= 0.001)。唾液参数差异无统计学意义(p < 0.05)。然而,脑卒中患者唾液皮质醇水平5.2(5.1)nmol/L高于非脑卒中患者4.0 (3.6)nmol/L。唾液参数与DMFT指数无显著相关性(P < 0.05)。结论:脑卒中患者龋齿发生率高于非脑卒中患者,且口腔卫生状况较差。脑卒中与非脑卒中患者的唾液参数差异无统计学意义。
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引用次数: 0
Screen Media Dependency and Its Associated Factors Among Preschool Children in Kuala Lumpur 吉隆坡学龄前儿童的屏幕媒体依赖及其相关因素
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.26
A. Abdul Hadi, Nurul Akmal Abd Latip, E. Mohammad Aidid
Introduction: Excessive screen time among young children is associated with screen dependency. At this moment, there is a lack of data on screen dependency among young children in Malaysia. This study aimed to measure the prevalence of screen dependency and its associated factors among preschool children in Kuala Lumpur. Methods: A cross-sectional study was carried out at registered preschools in Kuala Lumpur. 300 parents of preschool children aged 4 to 6 years old who fulfilled the inclusion and exclusion criteria were recruited via simple random sampling. The Screen Dependency Scale (SDS) were used to assess their dependency to screen media. Univariate and multivariate statistics were analysed using IBM SPSS version 27. Results: The prevalence of screen dependency among preschool children in Kuala Lumpur was 65.7%. Multivariate logistic regression analysis identified that using the screen to resolve children’s quarrels (aOR 2.855, 95% CI 1.187 - 6.868), children who use smartphones (aOR 2.735, 95% CI: 1.244 - 6.013), children’s screen time exceeds 2 hours over the weekend (aOR 2.261, 95% CI: 1.058 - 4.830) and having a television in the bedroom (aOR 5.562, 95% CI: 1.591 - 19.442) were predictors for screen dependency. While active co-use mediation (aOR 0.505, 95% CI: 0.302 - 0.845) were protective. Conclusion: The prevalence of screen dependency was high among preschool children in Kuala Lumpur. Active screening at health care clinics or in schools is essential to identify early children with risk factors for screen dependency.
引言:幼儿屏幕时间过长与屏幕依赖有关。目前,马来西亚缺乏关于幼儿屏幕依赖性的数据。本研究旨在测量吉隆坡学龄前儿童屏幕依赖的患病率及其相关因素。方法:在吉隆坡的注册幼儿园进行横断面研究。通过简单的随机抽样,招募了300名符合纳入和排除标准的4-6岁学龄前儿童的父母。使用屏幕依赖性量表(SDS)来评估他们对屏幕媒体的依赖性。使用IBM SPSS 27版对单变量和多变量统计数据进行分析。结果:吉隆坡学龄前儿童屏幕依赖的患病率为65.7%。多因素logistic回归分析发现,使用屏幕解决儿童争吵(aOR 2.855,95%CI 1.187-6.868)、使用智能手机的儿童(aOR 2.735,95%CI 1.244-6.013)、,儿童周末的屏幕时间超过2小时(aOR 2.261,95%CI:1.058-4.830)和卧室里有电视(aOR 5.562,95%CI:1.591-19.442)是屏幕依赖性的预测因素。而主动共用调解(aOR0.505,95%CI:0.302-0.845)具有保护作用。结论:吉隆坡学龄前儿童屏幕依赖的患病率较高。在卫生保健诊所或学校进行积极的筛查对于识别有筛查依赖风险因素的早期儿童至关重要。
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引用次数: 0
Development and Validation of FFQ for Assessing Sugar-Sweetened Beverages (SSB) and High-Energy Dense Foods Intake among Malaysian Adolescents 发展和验证FFQ评估含糖饮料(SSB)和高能量密集的食物摄入马来西亚青少年
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.8
Nur Anis Fadzliyana Fauzi, M. R. Ab Hamid, Ruzita Abd Talib, F. Jailani, S. Buhari
Introduction: Increased consumption of sugar-sweetened beverages (SSBs) is strongly associated with weight gain, dental cavities, and a higher risk of chronic diseases among adolescents. However, there is no available FFQ for the Malaysian population individually to evaluate and assess the consumption of SSBs and high-energy dense (HED) foods among adolescents. Method: A 24-hour diet recall with 30 adolescents were performed via Google Meet to identify the most common and frequent types of SSBs and HEDs foods consumed nowadays. The food checklist of SSBs and HED foods from literature review search was also provided to the participants. Experts critically reviewed each food item and provide a score for its relevancy and essentiality. Face validity were conducted among 10 adolescents to validate the developed FFQ. Results: The final FFQ consisted of 63 food items with ten categories. This FFQ showed high content validity for individual items with I-CVI ranging from 0.67 to 1.00 and overall questionnaires with S-CVI/Ave valued at 0.97. The calculation of Kappa statistic showed that this newly developed FFQ has excellent inter-rater reliability at the item level with K > 0.74 for 55 items and K = 0.57 only for 4 items. Most of the items were marked as relevant with a CVR score of 1.00. Conclusion: The findings of this study imply that the newly developed FFQ could be utilised to estimate the intake of SSB and HED foods of Malaysian adolescents.
在青少年中,增加含糖饮料(SSBs)的消费与体重增加、蛀牙和更高的慢性疾病风险密切相关。然而,目前还没有马来西亚人口的FFQ来评估青少年对SSBs和高能量密度(HED)食物的消费情况。方法:通过谷歌Meet对30名青少年进行24小时饮食回顾,以确定目前最常见和最常见的SSBs和HEDs食物类型。从文献检索中获得SSBs和HED食品的食品清单,并提供给被试。专家们对每一种食品都进行了严格的审查,并为其相关性和重要性打分。对10名青少年进行了面部效度测试,以验证已发展的FFQ。结果:最终的FFQ由10个类别的63个食物项目组成。问卷的I-CVI值为0.67 ~ 1.00,整体问卷的S-CVI/Ave值为0.97。Kappa统计量的计算表明,新开发的FFQ在项目水平上具有良好的信度,55个项目的K值为0.74,只有4个项目的K值为0.57。大部分项目被标记为相关,CVR得分为1.00。结论:本研究结果表明,新开发的FFQ可用于估计马来西亚青少年的SSB和HED食物的摄入量。
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引用次数: 0
Minocycline Attenuated Depressive-Like Phenotype in Sleep-Deprived Mice via its Antioxidant Effect 米诺环素通过抗氧化作用减轻睡眠剥夺小鼠的抑郁样表型
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.38
T. Anthony, Emmanuel Edje Kesiena, Oghenevovwero Otomewo Lily, Toyin Akinluyi Elizabeth, Nneda Olayinka Juliet, Chukwuka Uka Daniel
Introduction: Central nervous system (CNS) neuropathologies are the most common effects of insufficient sleep/prolonged wakefulness. This puts people who undergo sleep deprivation in the course of their daily lives at risk of certain affective disorders such as depression. Minocycline is an antibiotic that can penetrate the CNS, which puts it at the forefront of numerous neuropathologies. This research was therefore intended to investigate into the possible anti-depressant effect of minocycline in mice exposed to chronic sleep deprivation. Methods: Thirty (30) mice were grouped into five (n=6) and treated with either distilled water, minocycline or astaxanthin. Four out of the five groups were exposed to the sleep deprivation set-up. After a 7-day treatment, all groups were subjected to behavioural tests. Subsequently, biochemical assays and histology of selected brain regions were carried out. Experimental data were analysed using one-way analysis of variance and another post-hoc test. Results: Results obtained suggest that minocycline attenuated the alterations in mood behaviour caused by sleep deprivation with a concurrent reversal of sleep-deprivation induced oxidative stress in mice. Conclusion: In conclusion, minocycline could be considered a reliable intervention in further studies on depression in sleep deprivation models.
中枢神经系统(CNS)神经病变是睡眠不足/长时间清醒最常见的影响。这使得那些在日常生活中经历睡眠剥夺的人有患某些情感障碍(如抑郁症)的风险。二甲胺四环素是一种可以穿透中枢神经系统的抗生素,这使它成为许多神经病理学的前沿。因此,本研究旨在调查二甲胺四环素对长期睡眠不足的小鼠可能产生的抗抑郁作用。方法:30只小鼠每组5只(n=6),分别用蒸馏水、米诺环素和虾青素治疗。五组中有四组暴露在睡眠剥夺环境中。治疗7天后,各组进行行为测试。随后,对选定的脑区域进行生化分析和组织学检查。实验数据采用单因素方差分析和另一个事后检验进行分析。结果:结果表明二甲胺四环素减轻睡眠剥夺引起的情绪行为改变,同时逆转睡眠剥夺引起的小鼠氧化应激。结论:米诺环素可作为一种可靠的干预措施,用于进一步研究睡眠剥夺模型中的抑郁症。
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引用次数: 0
A Mini-review on the Determinants and Risk Factors of Adolescent Pregnancy in Developing Countries 发展中国家青少年妊娠的决定因素和危险因素综述
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.44
Shameer Khan Bin Sulaiman, Idayu Badilla Idris, R. Hod, N. Abdullah, R. Hod, Nadia Aqilla Shamsusah
Pregnant adolescents have been shown to have a higher incidence of health and non-health-related complications that affect both mothers and infants. These include increased risk of pregnancy-related diseases such as anemia and pre-eclampsia, preterm and low-birth-weight babies, as well as other social consequences such as educational and financial difficulties. This mini review evaluates selected articles which explain the attitudes, knowledge, behavior and other risk factors associated with pregnancy among adolescents in developing countries. It also revealed that inadequate knowledge among adolescents about reproductive and sexual health, other social, cultural and peer influences, parenting values, and poor financial and educational status were factors that contribute to adolescent pregnancy. Likewise, a lack of support from parents, educators and healthcare workers had negative impacts on healthy sexual behavior among adolescents, which may ultimately lead to adolescent pregnancy. We conclude that the factors discussed in this review need to be evaluated and taken into consideration by policymakers and healthcare workers when formulating strategies to prevent pregnancies among adolescents.
研究表明,怀孕的青少年发生健康和非健康相关并发症的几率更高,这些并发症影响母亲和婴儿。其中包括贫血和先兆子痫、早产和低出生体重婴儿等妊娠相关疾病的风险增加,以及教育和经济困难等其他社会后果。这篇小型综述评估了一些精选文章,这些文章解释了发展中国家青少年对怀孕的态度、知识、行为和其他风险因素。研究还表明,青少年对生殖和性健康、其他社会、文化和同龄人的影响、养育子女的价值观以及经济和教育状况不佳的知识不足是导致青少年怀孕的因素。同样,缺乏父母、教育工作者和医护人员的支持对青少年的健康性行为产生了负面影响,最终可能导致青少年怀孕。我们的结论是,政策制定者和医护人员在制定预防青少年怀孕的策略时,需要评估和考虑本综述中讨论的因素。
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引用次数: 0
Evaluation of Prevalence and Associated Factors of Dry Eye Syndrome among Medical Students Exposed to Visual Display Terminal in Health Campus, Universiti Sains Malaysia 马来西亚Sains大学健康校区接触视觉显示终端的医学生干眼症患病率及相关因素评估
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs18.5.7
P. A. John, A. Hussein, Khairy Shamel Sonny Teo
Introduction: Dry eye syndrome (DES) has become a public health concern, especially during the COVID-19 pandemic. Medical students are at risk due to an increase in visual display terminal (VDT) exposure given the transition to full-time online lectures. The presence of reduced blink rate and tear film instability in VDT users causes an increase in tear evaporation leading to symptoms of DES. This study helps us to learn about the associated factors of VDT use and DES among the young generation. This study aims to determine the prevalence and associated factors of DES among medical students exposed to VDT at the health campus, Universiti Sains Malaysia (USM). Methods: A cross-sectional study involving 140 undergraduate medical students aged 22 to 29 years old who were VDT users. Factors analysed are age, gender, race and duration of VDT usage. Data collection included both subjective assessment (OSDI questionnaire) and objective assessment (TBUT and Schirmer’s test). Statistical analysis was conducted using Statistical Package for the Social Science (SPSS Inc Version 24). Results were analysed using descriptive analysis and multivariate logistic regression. Results: Most of the medical student cohort was female and Malay. Most of the students use VDT for less than 8 hours. A high incidence of DES was noted among medical students (92.1%). None of the factors showed significant association with positive findings DES by subjective and objective assessment and duration of VDT usage. Conclusion: DES is common among VDT users. This study showed a high prevalence of DES among medical students in USM. The factors analysed did not show a significant association between DES and duration of VDT usage. This study may help to recognize the problem and will raise awareness of their daily practice and implement preventive measures to avoid VDT-related DES.
简介:干眼综合征(DES)已成为一个公共卫生问题,尤其是在新冠肺炎大流行期间。随着向全日制在线讲座的过渡,医学生面临着视觉显示终端(VDT)暴露增加的风险。VDT使用者眨眼率降低和泪膜不稳定会导致泪液蒸发增加,从而导致DES症状。这项研究有助于我们了解年轻一代VDT使用和DES的相关因素。本研究旨在确定在马来西亚塞恩斯大学健康校区接触VDT的医学生中DES的患病率和相关因素。方法:一项横断面研究,涉及140名22至29岁的VDT使用者医学本科生。分析的因素包括年龄、性别、种族和VDT使用的持续时间。数据收集包括主观评估(OSDI问卷)和客观评估(TBUT和Schirmer检验)。使用社会科学统计软件包(SPSS公司第24版)进行统计分析。使用描述性分析和多变量逻辑回归对结果进行分析。结果:大多数医学生是女性和马来人。大多数学生使用VDT的时间不到8小时。医学生DES的发生率很高(92.1%)。通过主观和客观评估以及VDT使用的持续时间,没有任何因素与阳性结果DES有显著关联。结论:DES在VDT使用者中普遍存在。这项研究表明,在美国医学院的医学生中,DES的患病率很高。所分析的因素并未显示DES与VDT使用持续时间之间存在显著关联。这项研究可能有助于认识到这个问题,并将提高人们对日常实践的认识,并实施预防措施,以避免VDT相关的DES。
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引用次数: 0
Cytogenomic Profiling of Chronic Lymphocytic Leukaemia Patients Using DNA Microarray 使用DNA微阵列分析慢性淋巴细胞白血病患者的细胞基因组谱
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.21
Wan Norizzati Wan Mohamad Zamri, N. Mohd Yunus, Ahmad Aizat Abdul Aziz, Mohamad Ros Sidek, Noratifah Mohd. Adam, S. Sulong
Introduction: Chronic lymphocytic leukaemia (CLL) is the most frequent adult leukaemia in the Western world. The clinical presentation varies greatly, from very indolent cases to those with aggressive and fast advancing disease. This variation has significant implications for clinical approaches, therapeutic tactics, and, ultimately, survival durations from diagnosis. Acquired chromosomal aberrations play a key role in CLL aetiology. Due to difficulty to obtain abnormal metaphases for analysis, few methods such as fluorescence in-situ hybridization (FISH) and multiplex ligation-dependent probe assay (MLPA) were employed to detect chromosomal aberration however the methods are limited to specific locus only. Thus, this study is aimed to detect the chromosomal aberrations using DNA microarray platform. Methods: In this retrospective study, DNA archive obtained from 7 CLL patients which collected at diagnosis and subjected to Affymetrix CytoScan® 750K single nucleotide polymorphism (SNP) array following the manufacture procedure. The raw data obtained were analysed using the Chromosome Analysis Suite (ChAS) software (Affymetrix) using annotations of genome version GRCh38 (hg38). Result: Out of 7 patients, 4 of them showing deletion of 13q while 3 of them showing deletion of 14q in various region . Some of the deleted loci were too small (0.42-0.6Mb) to be detected by conventional cytogenetic analysis (CCA). There was also the presence of additional chromosomal aberrations that could be missed by CCA, FISH, or MLPA due to cryptic deletion or duplication that was as small as 0.4MB in size. Conclusion: The present study showed that low resolution chromosomal aberration was able to be detected using DNA microarray platform in comparison to CCA, FISH and MLPA.
慢性淋巴细胞白血病(CLL)是西方世界最常见的成人白血病。临床表现差异很大,从非常惰性的病例到那些具有侵袭性和快速进展的疾病。这种差异对临床方法、治疗策略以及最终的诊断后的生存时间具有重要意义。获得性染色体畸变在CLL病因学中起关键作用。由于难以获得异常中期进行分析,目前用于染色体畸变检测的方法很少,如荧光原位杂交(FISH)和多重结扎依赖探针法(MLPA),但这些方法仅限于特定的位点。因此,本研究旨在利用DNA微阵列平台检测染色体畸变。方法:回顾性分析7例慢性淋巴细胞白血病(CLL)患者的DNA档案,这些患者在诊断时收集,并按照制作程序进行Affymetrix CytoScan®750K单核苷酸多态性(SNP)阵列检测。使用染色体分析套件(ChAS)软件(Affymetrix)分析获得的原始数据,使用基因组版本GRCh38 (hg38)的注释。结果:7例患者中,4例出现13q缺失,3例出现不同区域的14q缺失。一些缺失的基因座太小(0.42-0.6Mb),无法通过传统的细胞遗传学分析(CCA)检测到。此外,还存在CCA、FISH或MLPA可能忽略的其他染色体畸变,这些畸变可能是由于小至0.4MB的隐性缺失或重复造成的。结论:本研究表明,与CCA、FISH和MLPA相比,DNA微阵列平台能够检测到低分辨率的染色体畸变。
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引用次数: 0
Relationship between Parental Emotional Styles and Family Values to Anxiety Level among Primary School Children 父母情感风格、家庭价值观与小学生焦虑水平的关系
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.39
S. F. Ab Ghaffar, G. Ahmad, M. Ibrahim, Nur Dalila Mat Yussof, Nur Hafizah Muhammad, R. Musa, Irma Izani Mohamad Isa
Introduction: Childhood anxiety is one of the common mental health problems in children. Untreated childhood anxiety will lead to a higher risk of developing mental health problems in adulthood. Thus, this study aimed to investigate the relationship between parental emotional styles and family values to anxiety level among primary school children. Methods: A cross-sectional study was conducted in a selected primary school in Kelantan, Malaysia. A set of questionnaires consisted of the Revised Child Anxiety and Depression Scale–Parents’ Report (RCADS-P 25), the Parental Emotional Style Questionnaire (PESQ), and the Asian Family Characteristics Scale (AFCS) was used for assessing anxiety, parental emotional styles, and family values, respectively. Data were collected via an online survey using Google Form, and were analysed using Multiple Linear Regression (MLR) to determine the factors associated with childhood anxiety. The significance value was set at p < 0.05. Results: A total of 150 parents of primary school children from the selected school was involved in this study. The majority of respondents were females (82.0%), married (94.7%), hold a degree (66.7%), and were working in the government sector (60.0%). Most of the respondents’ child were twelve years old (20.7%) and males (62%). Based on the MLR, emotional dismissing parental style (p = 0.025) and family values (p = 0.016) were significantly associated with anxiety in these children. Conclusion: Emotional dismissing parental style and family values were significant predictors of anxiety in primary school children. Future intervention research on childhood anxiety is needed.
儿童焦虑是儿童常见的心理健康问题之一。如果儿童期焦虑得不到治疗,成年后出现心理健康问题的风险会更高。因此,本研究旨在探讨父母情绪型态与家庭价值观对小学生焦虑水平的影响。方法:在马来西亚吉兰丹的一所小学进行横断面研究。采用《修订儿童焦虑抑郁量表-父母报告》(rcads - p25)、《父母情绪风格问卷》(PESQ)和《亚洲家庭特征量表》(AFCS)分别评估焦虑、父母情绪风格和家庭价值观。数据通过谷歌表格的在线调查收集,并使用多元线性回归(MLR)进行分析,以确定与儿童焦虑相关的因素。显著性值设为p < 0.05。结果:所选学校共150名小学生家长参与本研究。大多数受访者为女性(82.0%),已婚(94.7%),拥有学位(66.7%),并在政府部门工作(60.0%)。受访者的子女以12岁(20.7%)和男性(62%)居多。基于MLR,父母的情感回避方式(p = 0.025)和家庭价值观(p = 0.016)与这些儿童的焦虑显著相关。结论:父母的情绪否定方式和家庭价值观是小学生焦虑的显著预测因子。未来对儿童焦虑的干预研究仍有必要。
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引用次数: 0
Development of Mobile Application in Assessing Commuting Accident Risk (CommuRisk) Amongst Commuters at Klang Valley 移动应用程序在评估巴生谷通勤者通勤事故风险(CommuRisk)中的开发
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.14
Nur Deana Syafiqah Abdullah, M. R. Mahadi, M. R. Baharudin
Introduction: Globally, commuting accident risks are always neglected in an organisation. There is a need to assess the impact of commuting accidents based on sociodemographic, human, vehicle, road, and environmental factors and to find suitable and effective mitigation strategies to alleviate the associated undesirable outcomes. Methods: This research was designed to develop a mobile application to assess commuting accident risk levels using artificial intelligence principles, as we are now in the 21st-century technology era. A total of 216 respondents from private and government industries participated in this study. Besides, to prove the developed application’s effectiveness, the study evaluated the effectiveness of the identified risk factor in determining the level of commuting risks predicted by respondents with the risk level calculated by the mobile application. Results: A major contribution of this paper is the effectiveness and accuracy of a mobile application known as CommuRisk. The app was developed using Android Studio and natively uses Java. There was a significant difference between with and without mobile applications in determining the level of commuting risks, and the effectiveness was proven with a (p-value = 0.001) at a 95% confidence interval with large sample size. Conclusion: Thus, this paper proved the effectiveness and accuracy of a mobile application in calculating risk levels exposed by commuters compared to risk levels predicted by commuters.
引言:在全球范围内,通勤事故风险在一个组织中总是被忽视。需要根据社会人口、人类、车辆、道路和环境因素评估通勤事故的影响,并找到合适和有效的缓解策略来缓解相关的不良后果。方法:这项研究旨在开发一个移动应用程序,使用人工智能原理评估通勤事故风险水平,就像我们现在处于21世纪的技术时代一样。共有216名来自私营和政府行业的受访者参与了这项研究。此外,为了证明开发的应用程序的有效性,该研究评估了已识别的风险因素在确定受访者预测的通勤风险水平和移动应用程序计算的风险水平方面的有效性。结果:本文的主要贡献是CommuRisk移动应用程序的有效性和准确性。该应用程序是使用Android Studio开发的,本机使用Java。在确定通勤风险水平方面,有移动应用程序和没有移动应用程序之间存在显著差异,并且在大样本量的95%置信区间下,用a(p值=0.001)证明了有效性。结论:因此,与通勤者预测的风险水平相比,本文证明了移动应用程序在计算通勤者暴露的风险水平方面的有效性和准确性。
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引用次数: 0
The Era of Coronavirus: Assess the Impact of Distance Learning Course on the Levels of Hand Hygiene Knowledge, Attitude and Practice of Students in Low Resources Country 冠状病毒时代:评估远程教育课程对资源匮乏国家学生手卫生知识、态度和行为水平的影响
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.16
Yahya W. Najjar, Zeinab M. Hassan, Yara. F. Almadani
Introduction: Hand Hygiene is an essential method to preclude infections in all healthcare environments. Education is essential to advance hand hygiene performance amongst nurses and nursing students. The aim is to find out the usefulness of a self-paced online hand hygiene course on the knowledge, attitude and practice of nursing students by evaluating student performance in post-tests. Methods: The study employed a quasi-experimental design in which data were collected using two questionnaires from undergraduate nursing students and they were exposed to interactive lectures and online activities related to risks, benefits, and key recommendations for hand hygiene. The following two surveys were used, Hand Hygiene Knowledge Questionnaire for Health-Care Workers; and Handwashing Assessment Inventory. Data were collected through pre-post tests. Results: Nurses reported a significant change for the better in hand hygiene comprehension, attitude, and performance of hand hygiene behaviours. The present study revealed a significant increase in hand hygiene knowledge belief, attitude, and outcomes among university students after participating in the training intervention. The majority of participants in the pretest rated their knowledge level as poor. Conclusion: Interactive training and online learning courses on hand hygiene could be used to influence the beliefs, attitudes and behaviours of students to bring about the desired change in hand hygiene practice.
在所有卫生保健环境中,手卫生是预防感染的基本方法。教育对于提高护士和护生的手部卫生表现至关重要。目的是通过评估学生在后期测试中的表现,找出自定进度的在线手卫生课程对护理学生的知识、态度和实践的有用性。方法:本研究采用准实验设计,通过两份调查问卷收集护理本科生的数据,并对他们进行有关手卫生的风险、益处和关键建议的互动讲座和在线活动。采用以下两项调查:卫生保健工作者手卫生知识问卷;及洗手评估清单。通过前后测试收集数据。结果:护士报告了手卫生理解、态度和手卫生行为表现的显著变化。本研究发现,参与训练干预后,大学生的手卫生知识、信念、态度和结果显著增加。在前测中,大多数参与者认为他们的知识水平很差。结论:通过手卫生互动培训和在线学习课程,可以影响学生的信念、态度和行为,使手卫生实践发生预期的变化。
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引用次数: 0
期刊
Malaysian Journal of Medicine and Health Sciences
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