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Biomarkers approach in the diagnosis and prognosis of sepsis: A review 生物标志物在败血症诊断和预后中的应用:综述
Pub Date : 2022-09-01 DOI: 10.17576/ijphr.1202.2022.04
Mahnaz Irani-Shemirani
Introduction Sepsis is a systematic host response to infection accompanied by suppression of immune system and organ failure. Rapid diagnosis of sepsis has prompted researchers to use circulating biomarkers for diagnosis sepsis. Method The PubMed, and Google Scholar databases were searched from 2010 until 2020 using the keyorganis “sepsis”, “biomarker”, “pathophysiology”, “pathogenesis”, and “diagnose” with restriction by language to English. For each individual biomarker the databases were searched again by the biomarker name. Results Although CRP and Procalcitonin are the most common biomarkers in the diagnosis of sepsis, other biomarkers such as pro-inflammatory and anti-inflammatory cytokines and chemokines, monocyte and lymphocyte biomarkers, antibody and nucleic acid biomarkers may help in diagnosis of sepsis. Conclusion The biomarkers verified capability in disease progress, prognosis of disorder, risk stratification, and treatment effect rather than diagnosis at early stage of sepsis. Defining molecular properties in septic patients opens up new means to diagnose and manage sepsis in a shorter time compared to conventional methods currently used at hospitals however further clinical evaluation of biomarkers should be performed. Keywords. Sepsis. Biomarkers. Prognosis. Diagnosis
脓毒症是一种系统性宿主对感染的反应,伴随着免疫系统的抑制和器官衰竭。败血症的快速诊断促使研究人员使用循环生物标志物来诊断败血症。方法从2010年到2020年,使用关键词“败血症”、“生物标志物”、“病理生理学”、“发病机制”和“诊断”搜索PubMed和Google Scholar数据库,并受英语语言限制。对于每个单独的生物标志物,通过生物标志物名称再次搜索数据库。结果尽管CRP和降钙素原是诊断败血症最常见的生物标志物,但其他生物标志物如促炎和抗炎细胞因子和趋化因子、单核细胞和淋巴细胞生物标志物、抗体和核酸生物标志物可能有助于诊断败血症。结论生物标志物验证了脓毒症早期的疾病进展、疾病预后、风险分层和治疗效果,而不是诊断。与目前医院使用的传统方法相比,定义脓毒症患者的分子特性为在更短的时间内诊断和管理脓毒症开辟了新的手段,但应对生物标志物进行进一步的临床评估。关键词。败血症。生物标志物。预后诊断
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引用次数: 0
Anxiety and Its Associated Factors among School-going Adolescents in Malaysia 马来西亚学龄青少年的焦虑及其相关因素
Pub Date : 2022-09-01 DOI: 10.17576/ijphr.1202.2022.03
M. H. Taufik, Muhammad Solihin Rezali, Nur Adilah Shahein, Norhafizah Sahril, Chan Ying Ying, Nor' Ain Ab Wahab
Introduction: Many mental health disorders have onset during adolescence. To date, the data on the correlates of anxiety is still lacking. Therefore, this study is crucial to determine the factors associated with anxiety among school-going adolescents in Malaysia. Methodology: This study was based on 26,892 school-going adolescents from 212 selected schools in Malaysia. Anxiety was measured using Depression Anxiety and Stress Scale (DASS-21). Associations between anxiety, sociodemographic characteristics and variables of interest were examined using multivariable logistic regression. Results: Overall, 10,540 (39.7%) school-going adolescents had anxiety. Anxiety was positively associated with female (odds ratio, OR [95% confidence interval, CI] = 1.30 [1.19,1.42]) compared to male counterpart, feeling loneliness (1.78 [1.54,2.05]) compared to not lonely, unable to sleep due to worry of something (1.79 [1.56,2.05]) compared to able to sleep, being bullied (1.66 [1.48,1.87]) compared to not being bullied, physical abuse (1.33 [1.18,1.49]) compared to no physical abuse, verbal abuse (1.47 [1.35,1.59]) compared to no verbal abuse, current drinker (1.23 [1.06,1.43]) compared to not current drinker, current drug use (1.84 [1.43,2.35]) compared to not current drug use, ever had sex (1.17 [1.01,1.36]) compared to never had sex, physically inactive (1.16 [1.06,1.26]) compared to physically active and internet addiction (2.59 [2.37,2.83]) compared to no internet addiction. Chinese ethnic (0.68 [0.50,0.93]) compared to other ethnic, and Form 2 (0.78 [0.69,0.89]) and Form 3 (0.73 [0.65,0.82]) students compared to Form 1 students, were protective of anxiety. Conclusion: Prevention and intervention programs for these “at-risk” adolescents should be planned holistically towards reducing the risk factors. Keywords: Anxiety - mental health – adolescents – NHMS - Malaysia
引言:许多心理健康障碍都发生在青春期。到目前为止,关于焦虑相关因素的数据仍然缺乏。因此,本研究对于确定马来西亚在校青少年焦虑的相关因素至关重要。方法:本研究基于马来西亚212所选定学校的26892名在校青少年。焦虑采用抑郁-焦虑和压力量表(DAS-21)进行测量。使用多变量逻辑回归检验焦虑、社会人口学特征和兴趣变量之间的相关性。结果:10540名(39.7%)在校青少年存在焦虑。与男性相比,焦虑与女性呈正相关(比值比,OR[95%置信区间,CI]=1.30[1.19,1.42]),与不孤独相比,感到孤独(1.78[1.54,2.05]),与担心某事而无法入睡(1.79[1.56,2.05])相比,能够入睡,与不被欺负相比,被欺负(1.66[1.48,1.87]),身体虐待(1.33[1.18,1.49])与无身体虐待相比,言语虐待(1.47[1.35,1.59])与未言语虐待相比,当前饮酒者(1.23[1.06,1.43])与未饮酒者相比,当前药物使用(1.84[1.43,2.35])与未使用药物相比,曾发生性行为(1.17[1.01,1.36])与从未发生过性行为相比,身体不活跃(1.16[1.06,1.26])与身体活跃相比,以及网络成瘾(2.59[2.37,2.83])与无网络成瘾相比。与其他族裔相比,中国族裔(0.68[0.50,0.93]),中二(0.78[0.69,0.89])和中三(0.73[0.65,0.82])学生与中一学生相比,对焦虑有保护作用。结论:应全面规划针对这些“高危”青少年的预防和干预计划,以减少风险因素。关键词:焦虑-心理健康-青少年-NHMS-马来西亚
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引用次数: 0
Knowledge and Attitude about Emerging Coronavirus Disease 2019 (COVID-19) among Dental Public Health Students in Thailand 泰国牙科公共卫生专业学生对2019新型冠状病毒疾病(新冠肺炎)的知识和态度
Pub Date : 2022-09-01 DOI: 10.17576/ijphr.1202.2022.02
Kaewjai Maleelai, Satayu Phonkaew
Introduction Coronavirus disease 2019 (COVID-19) was an emerging disease outbreak. Now a pandemic, it continues to threaten public health around the world. Methods A cross-sectional study was conducted among students of the Bachelor of Public Health program in the dental public health program at the Sirindhorn College of Public Health, Ubon Ratchathani, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute, Thailand from May to June 2021. Our participants included 102 students. The data were collected via a self-administered, online questionnaire. We analysed the data using descriptive statistics and also computed the independent t-test to understand the relationship between variables. Results We found that the participants were primarily female (96.1%). The students were in their first year (35.3%), second year (33.3%) and third year (31.8%) of study. Their average age was 22 years old. Most of them had no underlying disease (96.1%). A majority of the participants (67.7%) reported that their knowledge of COVID-19 was at a moderate. Attitudes toward COVID-19 were at a moderate level (88.2%). There was a statistically significant difference in the mean knowledge scores compared with and without a coexisting disease. The mean scores for attitude towards COVID-19 were statistically significant differences between gender and the participants with and without coexisting. Conclusion To encourage promoting knowledge about COVID-19 and the attitude to protect themselves from infection, we should prioritize health promotion and health education about COVID-19 among students.
2019冠状病毒病(COVID-19)是一种新兴疾病暴发。现在,它已成为一种大流行,继续威胁着世界各地的公共卫生。方法于2021年5 - 6月对泰国Praboromarajchanok研究所公共卫生与相关健康科学学院Ubon Ratchathani诗林通公共卫生学院牙科公共卫生专业公共卫生学士学位学生进行横断面研究。我们的参与者包括102名学生。数据是通过一份自我管理的在线问卷收集的。我们使用描述性统计分析数据,并计算独立t检验来了解变量之间的关系。结果研究对象以女性为主(96.1%)。这些学生是在第一年(35.3%)、第二年(33.3%)和第三年(31.8%)学习。他们的平均年龄为22岁。绝大多数无基础疾病(96.1%)。大多数参与者(67.7%)报告说他们对COVID-19的了解处于中等水平。对新冠肺炎的态度处于中等水平(88.2%)。与没有共存疾病的患者相比,平均知识得分有统计学上的显著差异。对新冠肺炎态度的平均得分在性别和有无共存的参与者之间差异有统计学意义。结论为提高学生对新冠肺炎的认知和自我保护态度,应优先开展学生健康促进和健康教育。
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引用次数: 0
Occupational Sharps Injury Management 职业刀具伤害管理
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.13
Abdullah Aliff Abdul Wahab, R. Ismail, H. Ismail
Introduction: Occupational sharps injury remains a never-ending issue faced by healthcare workers (HCWs). There were several types of post-exposure management available. Thus, it was hoped that a narrative overview could further illuminate this. Methodology: A search was conducted to review published and unpublished studies through searches of online databases (i.e., PubMed/MEDLINE, Google Scholar, Google search and Science Direct) on occupational sharps injury management, including bloodborne diseases, post-exposure management and rationale of the follow-up interval. Results: Working in a healthcare setting, sharps appeared to be an inevitable hazard faced every day by individual HCWs. While PEP was available for HIV and Hepatitis B, none was available for Hepatitis C, albeit the latter seemed to have curative treatment for it. Conclusion: We hoped that this narrative overview could provide an impetus towards the understanding of post-exposure management in our local healthcare setting.
引言:职业性锐器损伤仍然是医护人员面临的一个永无止境的问题。有几种类型的暴露后管理可用。因此,希望叙述性概述能够进一步阐明这一点。方法:通过检索在线数据库(即PubMed/MEDLINE、Google Scholar、Google search和Science Direct),对已发表和未发表的职业性锐器损伤管理研究进行检索,包括血源性疾病、暴露后管理和随访间隔的理据。结果:在医疗环境中工作,尖锐物似乎是个体HCW每天面临的不可避免的危险。虽然PEP可用于治疗HIV和乙型肝炎,但没有一种可用于治疗丙型肝炎,尽管后者似乎对其有治疗作用。结论:我们希望这一叙述性概述能推动我们理解当地医疗环境中的暴露后管理。
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引用次数: 0
Cessation of E-Cigarette Use Among Adults in Malaysia: Findings from a Nationwide Survey 马来西亚成年人停止使用电子烟的调查结果
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.10
Muhammad Fadhli Mohd Yusoff, Jane Ling Miaw Yn, T. A. Saminathan, Jamaluddin Ab Rahman, W. S. Rodzlan Hasani, Tania Gayle Robert Lourdes, Kuang Hock Lim, Sumarni Mohd Ghazali, Mohamad Haniki Nik Mohamed
Introduction The use of e-cigarettes has increased rapidly around the world including in Malaysia. However, a significant proportion of people who started using e-cigarettes later discontinued using them. The aim of this study is to identify prevalence of former e-cigarette use and factors associated with quitting, among Malaysian adults. Methods This study is a part of a national household survey examining the use of e-cigarettes among Malaysian adults aged 18 years and above in 2016. A multistage stratified cluster sampling method was used in the survey. A bilingual (Malay and English) structured questionnaire was used and data was collected via face-to-face interview. Prevalence of current e-cigarette use and former e-cigarette use were determined. A multiple logistic regression model was used to identify factors associated with quitting e-cigarettes. Results A total of 4,288 adults participated in the survey, where 110 (3.2%) and 289 (8.6%) were identified as current and former e-cigarette users respectively. The following factors were significantly associated with quitting e-cigarette use: e-cigarette users who had no exposure to e-cigarettes at the workplace (aOR = 2.70; 95% CI: 1.39, 5.24); the perception that e-cigarette is more harmful to others compared to tobacco smoke (aOR = 2.46; 95% CI: 1.22, 4.97); and the perception that e-cigarettes do not help people to maintain cigarette abstinence (aOR = 2.19; 95% CI: 1.23, 3.92). Conclusions This study contributes to a better understanding of the factors associated with cessation of e-cigarettes. Findings from this study can assist any e-cigarette cessation intervention measures.
引言电子烟的使用在世界各地迅速增加,包括在马来西亚。然而,相当一部分开始使用电子烟的人后来停止使用电子烟。这项研究的目的是确定马来西亚成年人中以前使用电子烟的流行率以及与戒烟相关的因素。方法本研究是2016年马来西亚18岁及以上成年人使用电子烟情况的全国家庭调查的一部分。调查采用多阶段分层整群抽样方法。采用双语(马来语和英语)结构化问卷,通过面对面访谈收集数据。确定了当前使用电子烟和以前使用电子烟的流行率。使用多元逻辑回归模型来确定与戒烟电子烟相关的因素。结果共有4288名成年人参与了调查,其中110人(3.2%)和289人(8.6%)分别被确定为当前和以前的电子烟使用者。以下因素与戒烟显著相关:在工作场所没有接触过电子烟的电子烟使用者(aOR=2.70;95%CI:1.39,5.24);与烟草烟雾相比,电子烟对他人的危害更大(aOR=2.46;95%CI:1.22,4.97);以及认为电子烟无助于人们保持戒烟(aOR=2.19;95%CI:1.23,3.92)。结论本研究有助于更好地了解与停止电子烟相关的因素。这项研究的结果可以帮助任何电子烟戒烟干预措施。
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引用次数: 0
Aduan Di Hospital Sultan Ismail Johor Bahru Dan Faktor Yang Mempengaruhi Tuntutan Pampasan 柔佛新山苏丹伊斯梅尔医院的阿堵和影响释放索赔的因素
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.05
Marsom Surya, Azimatun Noor Aizuddin, Hanuzah Omar
ABSTRACT Introduction: Complaints in the health care system are complaints made by patients or patient’s relatives due to various reasons such as poor quality of service or unmeet expectations. There are few studies done measuring the prevalence of hospital’s complaints but none being done in Hospital Sultan Ismail Johor Bahru and very limited study looking at factors associated with it and with compensation claims. This study aims to identify complaints at Hospital Sultan Ismail Johor Bahru and factors associated with complaints and with compensated claims. Methods A cross sectional study was done at Hospital Sultan Ismail Johor Bahru using a data from 1st January 2009 until 31st December 2016. All relevant data was taken from the complaint data collected by the hospital Complaints Management Committee. Results The study found a total of 304 complaints data with a prevalence of 0.13 per 1000 patient arrivals. Out of these complaints, 16.7% were compensation claims. 51.5% of complainants were male and 67.4% were Malays. 46.2% of complaints were related to clinical management, 61.4% were made against the doctor. Only 12.1% complaints were related to mortality and 11.4% related to morbidity. This study also found that there was significant relationship between race, type of complaint and disease factor with complaints. Conclusions Compensation claims were highly related to clinical management and disease factors. These complaints should investigate thoroughly to see what can be done or to be improved in the future. Keywords Complaints, patient’s complaint, compensation claims ABSTRAK Pengenalan: Aduan dalam sistem rawatan kesihatan adalah aduan yang dibuat oleh pesakit atau saudara-mara pesakit kerana pelbagai alasan seperti kualiti perkhidmatan yang buruk atau harapan yang tidak dipenuhi. Terdapat beberapa kajian yang dilakukan untuk mengukur berlakunya aduan hospital tetapi tidak ada yang dilakukan di Hospital Sultan Ismail Johor Bahru dan kajian yang sangat terhad melihat faktor-faktor yang berkaitan dengannya dan dengan tuntutan pampasan. Kajian ini bertujuan untuk mengenal pasti aduan di Hospital Sultan Ismail Johor Bahru dan faktor-faktor yang berkaitan dengannya dan dengan tuntutan pampasan. Metodologi: Kajian ini menggunakan kaedah keratan lintang (cross sectional study). Data diambil dari jumlah aduan terkumpul oleh Jawatankuasa Pengurusan Aduan Hospital Sultan Ismail Johor Bahru bermula dari 1 Januari 2009 sehingga 31 Disember 2016. Hasil Kajian: Hasil kajian mendapati terdapat 304 data aduan dengan prevalens 0.13 per 1000 kedatangan pesakit. Seramai 16.7% pengadu telah membuat tuntutan pampasan. Kebanyakan pengadu adalah terdiri daripada lelaki (51.5%) dengan (67.4%) adalah berbangsa Melayu. Sejumlah (46.2%) aduan adalah berkaitan pengurusan klinikal, (61.4 %) aduan dibuat terhadap perkhidmatan doktor manakala (12.1%) aduan adalah berkaitan mortaliti dan (11.4%) berkaitan morbiditi. Kajian ini juga mendapati terdapat hubungan di antara b
摘要:卫生保健系统中的投诉是指患者或患者亲属因服务质量差或未达到预期等各种原因而提出的投诉。很少有研究衡量医院投诉的普遍程度,但没有在新山苏丹伊斯梅尔医院进行过研究,对与投诉和索赔有关的因素进行的研究也非常有限。本研究旨在确定在新山苏丹依斯迈医院的投诉以及与投诉和赔偿索赔有关的因素。方法采用2009年1月1日至2016年12月31日在新山苏丹依斯迈医院进行的横断面研究。所有相关数据均来自医院投诉管理委员会收集的投诉数据。结果共发现304例投诉数据,患病率为0.13 / 1000。在这些投诉中,16.7%是赔偿要求。51.5%的投诉人为男性,67.4%为马来人,46.2%的投诉与临床管理有关,61.4%的投诉是针对医生的。只有12.1%的投诉与死亡有关,11.4%的投诉与发病率有关。本研究还发现,种族、主诉类型和疾病因素与主诉有显著关系。结论索赔要求与临床管理和疾病因素密切相关。对这些投诉应进行彻底调查,看看将来可以做些什么或改进什么。【摘要】Pengenalan: Aduan dalam系统,rawatan kesihatan adalah Aduan yang dibuat oleh pesakit atau saudara-mara pesakit kerana pelbagai alasan seperti kualiti perkhidmatan yang buruk, atau harapan yang tidak dipenuhi。新山山医院,苏丹依斯迈,新山山山,新山山,新山山,新山山,新山山,新山山,新山山,新山山,新山山,新山山,新山山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山,新山。苏丹依斯迈,新佛新山,旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦旦。方法论:Kajian ini menggunakan kaedah keratan lintang。数据diambil dari jumlah aduan terkumpul oleh Jawatankuasa Pengurusan aduan医院苏丹伊斯梅尔柔佛巴鲁医院2009年1月1日至2016年12月31日。Hasil Kajian: Hasil Kajian mendapati terdapat 304数据,每1000个kedatangan pesak患病率为0.13。西拉迈16.7%,彭加杜,特拉,顿图坦,潘巴桑。Kebanyakan pengadu adalah terdiri daripadlelaki (51.5%) dengan (67.4%) adalah berbangsa Melayu。Sejumlah(46.2%)、aduan adalah berkaitan pengurusan klinikal(61.4%)、aduan dibuat terhadap perkhidmatan doctormanakala(12.1%)、aduan adalah berkaitan mortality(11.4%)、berkaitan morbiditi(11.4%)。卡吉尼juga mendapati terdapat hubungan di antara bangsa, jenis aduan danfakto penyakit dengan tuntutan pampasan。彭加都,彭加都,彭加都,彭加都,彭加都,彭加都,彭加都,彭加都,彭加都,彭加都。我的意思是,我的意思是我的意思是我的意思是我的意思是我的意思是我的意思是我的意思是我的意思是我的意思是我的意思。Kata Kunci Aduan, Aduan pesakit, tuntutan pampasan
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引用次数: 0
Perception about E-Cigarettes in Malaysia: Sociodemographic Correlates 马来西亚对电子烟的看法:社会人口学相关性
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.09
Yong Kang Cheah, Chien Huey Teh, Kuang Hock Lim, Chee Cheong Kee
Introduction: The prevalence of e-cigarette smoking is increasing. Many people still have a poor understanding of the risks of e-cigarettes. The purpose of this study is to examine sociodemographic factors associated with knowledge about e-cigarettes with a focus on the perception that e-cigarettes are less dangerous than regular cigarettes. Methods: Multivariable logistic regressions are utilised to estimate the effects of sociodemographic factors on the likelihood of having the perception that e-cigarettes are less dangerous than regular cigarettes. These regressions are stratified by ethnic groups. A Malaysian nationwide survey that consists of a large sample size (n = 4176) is used for secondary analysis. Results: Age, gender and educational level are associated with the perception about e-cigarettes. Older individuals are less likely to think that e-cigarettes are less dangerous than regular cigarettes compared with younger individuals. Males are more likely to have the perception that e-cigarettes are less dangerous than regular cigarettes relative to females. Having primary or secondary educational level rather than tertiary educational level is associated with a reduced likelihood of having the perception that e-cigarettes are less dangerous than regular cigarettes. Conclusions: Sociodemographic factors play an important role in determining the perception about e-cigarettes. Nationwide policies directed toward improving knowledge about e-cigarettes among individuals who think that e-cigarettes are less dangerous than regular cigarettes may be effective in lowering the risk of suffering from the currently unknown long-term negative effect of e-cigarettes.
引言:电子烟的流行正在增加。许多人对电子烟的危害仍然知之甚少。本研究的目的是研究与电子烟知识相关的社会人口因素,重点关注电子烟比普通香烟更危险的看法。方法:使用多变量逻辑回归来估计社会人口因素对电子烟比普通香烟危害小的可能性的影响。这些回归是按种族群体分层的。二级分析采用马来西亚全国范围内的大样本量调查(n = 4176)。结果:年龄、性别和受教育程度与电子烟认知相关。与年轻人相比,老年人不太可能认为电子烟比普通香烟更危险。相对于女性,男性更有可能认为电子烟比普通香烟更危险。拥有初等或中等教育水平而不是高等教育水平的人认为电子烟比普通香烟危害更小的可能性更低。结论:社会人口因素在决定电子烟认知方面起着重要作用。全国性的政策旨在提高那些认为电子烟比普通香烟危害更小的个人对电子烟的认识,这可能有效降低遭受电子烟目前未知的长期负面影响的风险。
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引用次数: 0
Construct validity and reliability of Malay Language-perception towards smoking questionnaire (BM-PTSQ) among secondary school adolescents 中学生马来语吸烟认知量表(BM-PTSQ)的构效与信度
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.02
Jia Hui Lim, Lim Kuang Hock, Sumarni Mohd Ghazali, Heng Pei Pei, Cheong Yoon Ling, Lim Hui Li Hock, Kee Chee Cheong, Goh Yee Lin, Ng Khuen Yen
Introduction: Multitude studies have shown perception is an integral factor associated with smoking, However, no such tool was available in Malay language. In this study, we established a Bahasa Malaysia version of PTSQ (BM-PTSQ) and tested the validity and reliability among secondary school adolescents. Methods: The English version of PTSQ originally consists of 12 items. It was translated into Bahasa Malaysia and back-translated again into English to check for consistency. After face validity (face-to-face query) was determined among 20 secondary school adolescents, only 10 items were included in the survey. Construct validity was established from 407 school adolescents through random selection in the same locality. More than 60% of the respondents were female, a majority (67.3%) were schooling in rural areas. Then, the reliability of the questionnaire was determined with Cronbach’s alpha. Results: EFA has grouped PTSQ into two components, they are associated with either knowledge or attitude towards smoking. The variance and Cronbach’s alpha for the first and second component were 38.24% and 0.861 (7 items) and 21.62% and 0.661 (3 items) respectively. Conclusion: The PTSQ showed good validity and reliability for measurement of perception in smoking among school adolescents in Malaysia, thus this is a viable measurement tool. More importantly this study shows an urgent need to improve the smoking education among adolescents in Malaysia.
大量研究表明,感知是吸烟的一个重要因素,然而,在马来语中没有这样的工具。本研究建立马来文版本的PTSQ,并在中学青少年中测试其效度与信度。方法:PTSQ的英文版本原由12个条目组成。它被翻译成马来语,然后再翻译成英语,以检查一致性。在对20名中学青少年进行脸效度(面对面问询)测定后,问卷中只包含10个条目。采用随机抽样的方法对同一地区407名在校青少年进行结构效度检验。超过60%的受访者是女性,大多数(67.3%)在农村地区上学。然后,用Cronbach 's alpha来确定问卷的信度。结果:EFA将PTSQ分为两个分量,分别与吸烟知识或态度有关。第一分量和第二分量的方差和Cronbach 's alpha分别为38.24%和0.861(7项)和21.62%和0.661(3项)。结论:PTSQ量表在测量马来西亚学校青少年吸烟认知方面具有良好的效度和信度,是一种可行的测量工具。更重要的是,这项研究表明迫切需要改善马来西亚青少年的吸烟教育。
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引用次数: 0
Six Sigma Practices Integrated with IR 4.0 for Sustainability in Malaysian Healthcare Industry 马来西亚医疗保健行业可持续发展的六西格玛实践与工业4.0相结合
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.07
Diekola Muslim Akanmu, N. Nordin
Provision of safe, reliable, and affordable care while improving performance and efficiency remains a challenge in the healthcare sector. This study, therefore, reviews the previous researches on the effect of six sigma and industrial revolution 4.0 technologies (IR 4.0) on sustainability as there is still a paucity of literature on the implementation of the practices in the healthcare sector. Notably, the growing challenges within service organizations have motivated healthcare organizations to upgrade their conventional delivery system to a smart sophisticated systems. Thus, this present study makes an attempt to model these practices as integrated with IR 4.0 technologies into achieving sustainability in the healthcare industry. In order to fill the void of this gap, this study intends to investigate the joint effects of six sigma and IR 4.0 technologies on sustainable performance of healthcare delivery services. The study confirms the future direction of the public health sector that is recently employing new technologies in its service systems. The data shall be collected from the top management employees, the health practitioners who are working and familiar with the services and operations of the organization and are familiar with the smart tools to expedite services for healthcare. This study extends the current literature on IR 4.0 technologies and six-sigma as enablers of economic, environmental and social sustainability. This study shall unfold the significant contribution of operations management practices and how sustainable performance can be enhanced through performance variation and strategic implementation of modern technologies in the healthcare sector.
在提高绩效和效率的同时提供安全、可靠和负担得起的医疗服务,仍然是医疗保健部门面临的一项挑战。因此,本研究回顾了之前关于六西格玛和工业革命4.0技术(IR 4.0)对可持续性影响的研究,因为关于医疗保健部门实施实践的文献仍然缺乏。值得注意的是,服务组织内部日益增长的挑战促使医疗保健组织将其传统交付系统升级为智能复杂系统。因此,本研究试图将这些实践与工业4.0技术相结合,以实现医疗保健行业的可持续性。为了填补这一空白,本研究拟探讨六西格玛和工业4.0技术对医疗保健服务可持续绩效的联合影响。这项研究证实了最近在其服务系统中采用新技术的公共卫生部门的未来方向。数据应从高层管理人员、正在工作并熟悉该组织的服务和操作并熟悉智能工具以加快医疗保健服务的卫生从业人员处收集。本研究扩展了当前关于工业4.0技术和六西格玛作为经济、环境和社会可持续性推动者的文献。本研究旨在揭示营运管理实务的重要贡献,以及如何透过绩效变动和现代科技的策略性实施,在医疗保健部门提升永续绩效。
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引用次数: 0
Aetiologies of Liver Cirrhosis among Adult Patients attending a Hepatology Clinic at Selangor, Malaysia 马来西亚雪兰莪州肝病诊所成年患者的肝硬化病因
Pub Date : 2022-02-28 DOI: 10.17576/ijphr.1201.2022.03
Yu Chieng Jin, Yan Pan, Fong Liew Chiat, Mazawawi Muhammad, Syed Anas Tamamulqomar Said Abu Hass
Introduction: Liver cirrhosis is an important cause of morbidity and mortality. Methods: Our study aimed to describe the clinical pattern of cirrhosis and its associated factors among adult patients attending Hepatology Clinic, Serdang Hospital, Malaysia from 1st January 2010 to 30th June 2017. Aetiology was further determined by history, biochemistry and/or histology. The severity of the cirrhosis, together with the presence of complications and incidence of hepatocellular carcinoma were documented. Results: A total of 357 adult patients were diagnosed with cirrhosis including 199 male patients (55.7%) and 158 female patients (44.3%), with a mean age of 54-year-old (range: 28–84 –year-old). The causes of cirrhosis were chronic hepatitis B (N=145, 40.6%), chronic hepatitis C (N= 67, 18.8%), cryptogenic liver disorder (N= 63, 17.6%), alcohol (N=42, 11.8%), non-alcoholic fatty liver disease (N=25, 7.0%), and others (N=15, 4.2%). Chronic hepatitis B was the predominant aetiology among Chinese whereas alcohol was the main aetiology among Indians, and Hepatitis C cirrhosis was highest among Malays. Majority of the patients had compensated cirrhosis with Child-Pugh A (N=221, 61.9%) at the time of diagnosis. 80.4% (N=287) of the cirrhotic patients had performed at least one endoscopy surveillance, with 28.6% (82/287) of them had endoscopic evidence of portal hypertension. 32.2% of patients had at least one hospitalization due to complication of cirrhosis. 41 patients (11.5%) had concurrent hepatocellular carcinoma during the follow up. Conclusions: Despite universal hepatitis B vaccination, Hepatitis B viral infection remains the most common cause of cirrhosis among patients attending Hepatology Clinic, Serdang Hospital. Keywords: Aetiology - Liver cirrhosis - Malaysia
引言:肝硬化是导致发病率和死亡率的重要原因。方法:我们的研究旨在描述2010年1月1日至2017年6月30日在马来西亚瑟当医院肝病诊所就诊的成年患者肝硬化的临床模式及其相关因素。病史、生物化学和/或组织学进一步确定病因。肝硬化的严重程度,以及并发症的存在和肝细胞癌的发生率都有记录。结果:共有357名成年患者被诊断为肝硬化,其中199名男性患者(55.7%)和158名女性患者(44.3%),平均年龄为54岁(范围:28-84岁)。肝硬化的病因为慢性乙型肝炎(N=145,40.6%)、慢性丙型肝炎(N=67,18.8%)、隐源性肝病(N=63,17.6%)、酒精(N=42,11.8%)、非酒精性脂肪肝(N=25,7.0%)和其他疾病(N=15,4.2%),丙型肝炎肝硬化在马来人中最高。大多数患者在诊断时患有Child-Pugh A代偿性肝硬化(N=221,61.9%)。80.4%(N=287)的肝硬化患者至少进行过一次内镜监测,其中28.6%(82/287)的患者有门脉高压的内镜证据。32.2%的患者因肝硬化并发症至少住院一次。41例(11.5%)患者在随访期间同时发生肝细胞癌。结论:尽管普遍接种了乙肝疫苗,但在塞尔当医院肝病诊所就诊的患者中,乙肝病毒感染仍然是肝硬化最常见的原因。关键词:病因-肝硬化-马来西亚
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International journal of public health research
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