bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Coronavirus Disease 2019 Lockdown on Back Pain Intensity, Prevalence and Associated Risk Factor Among Adults in Malaysia
Authors: Ying Chun Chian , Yuan Teong Tsai , Leng Chan Zhi , Hui Foong Le , Abdalla Mona Mohamed Ibrahim , Caszo Brinnell Annette , Shahzad Huma
Published: December 2023

Introduction: Low back pain (LBP) is a common musculoskeletal disorder (MSD) that leads to a variety of negative consequences. The prevalence of LBP was found to be high worldwide. Individuals have been forced to remote studying or working conditions during the coronavirus disease 2019 (COVID-19) pandemic, exposing them to the risk factors of LBP to a greater extent. This is a cross-sectional study conducted among 623 adults and aimed to assess LBP intensity and prevalence among adults in Malaysia before and during the COVID-19 lockdown and to identify the association between demographic, physical and psychological factors with LBP. Methods: A self-administered questionnaire composed of 36 questions regarding demographic characteristics, physical activities and psychological aspects was distributed to the public. Pearson’s Chi-square and Fisher Exact tests were performed using collected data to assess the association between LBP intensity and various risk factors. Results: The prevalence of LBP increased from 64.4% before the lockdown to 83.5% during the lockdown. LBP intensity significantly increased during the lockdown. Before lockdown, factors associated with LBP intensity included gender and stress level. While during the lockdown, age, gender, occupation, time spent on computer use, ergonomics as well as stress level affected the intensity of LBP. Conclusion: The present study showed that the COVID-19 lockdown has contributed to the increase in both the prevalence and intensity of LBP among Malaysians. The identified risk factors include age, gender, occupation, duration of sitting and computer use, adherence to ergonomic recommendations, and stress level.
Profiling of Aedes Mosquito Breeding Sites at Residential Construction Sites in Malaysia
Authors: Wan Maamor Wan Nurul Fatin , Che Dom Nazri , Dapari Rahmat , Abdullah Samsuri , Samuel Yaw Agyemang-Badu
Published: December 2023

Introduction: Poor waste management led to mosquito breeding grounds. Previous research found that construction sites are the mosquito breeding area thus it’s important to understand how construction sites affect mosquito breeding. Methods: This study utilized a prospective study to determine the characteristic of breeding preference in residential construction sites. On-field breeding preference survey was conduct in the selected project site in 12 weeks (1st October 2021 until 31st December 2021). Wet container inspection was carried out according to types of the residential construction building and progress of the site. All possible wet materials and containers was inspected and record accordingly in the form during the surveillance. Results: Result shows that the most preferred containers found was building floor (41.68%), others such as planter box that use for landscape purpose, drainage system, building mould and lift wells. The results of the research indicate that prospective containers with water and breeding sites at high rise construction sites were found to be more than those at low rise construction sites. Conclusion: Overall, substantially fewer water containers were discovered in low rise projects compared to high rise projects. Construction management need encourage all the workers to do best management practice such as proper waste disposal and removal of the water and possible wet container and conduct awareness among the workers.
Assessment of Daytime and Nighttime Ground Level Ozone Pollution in Malaysian Urban Areas
Authors: Ahmad Aimi Nursyahirah , Abdullah Samsuri , Abu Mansor Amalina , Che Dom Nazri , Ahmed Ali Najah , Ismail Nurul Ain , Ismail Marzuki
Published: December 2023

Introduction: Ozone (O3) is a significant component of photochemical smog as a typical secondary which is formed via nitrogen oxide photochemical interactions with volatile organic compounds (VOCs). This research discerns the complex influence of meteorological parameters and air pollutants influencing O3 concentrations. Methods: Data were acquired from 1 January 2018 until 31 December 2020 that including ozone (O3), nitrogen oxide (NOx), nitric oxide (NO), sulphur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), particulate matter (PM10, PM2.5), wind speed, solar radiation, temperature, and relative humidity (RH). Data were analysed using descriptive statistics in terms of line graphs. Results: The results demonstrate that the O3 concentration peaked around 14:00 hours and dropped at night (20:00 hours) owing to the lack of sunshine and redox processes. Conclusion: In conclusion, ozone precursors played an important role in ozone formation and the findings of this research are valuable for policymakers and other interested parties.
Impact of COVID-19 on the Prevalence of Dry Eye Among Young Adults in Kuala Lumpur Malaysia
Authors: Sim Korching , Ismail Lili Asma
Published: December 2023

Introduction: Dry eye is a significant eye health issue. In dry eyes, the tear film is weakened, mostly due to low tear film quality and the quantity of secretion. This low quality of tear secretion can lead to the rapid breakup of tears. In recent times, particularly since the COVID-19 pandemic, the prevalence of dry eye has increased. Relevant studies found that the prevalence of dry eye is higher in females than males. This research work is based only on symptoms of dry eye disease in Malaysia to determine its prevalence among students at the UCSI University KL campus because of the increase in reported cases of dry eyes especially post Movement Control Order (MCO). Methods: A total of 199 students, ranging in age 17 to 30, were included in this research. This is a cross-sectional study that was conducted on participants who fulfilled the inclusion criteria. Demographic questionnaires and Ocular Surface Disease Index (OSDI) results were collected. Results: On the UCSI KL Campus, students who suffer from dry eye are 82% of the population. The Pearson Chi-Square test showed a significant difference between gender and dry eye, X2 (1, N= 199) = 8.64, p < 0.0033. Female students are more likely to develop dry eye than male students. Conclusion: The prevalence of dry eyes among UCSI students is high. This could be attributable to prolonged or improper mask-wearing. It is suggested that researchers and health policymakers should take heed to these emerging risk factors related to wearing of mask.
Applying the Social Cognitive Theory: Relationship between Knowledge, Organizational-Environmental, and Self-Efficacy to Community Pharmacists Compliance with COVID-19 Health Protocols
Authors: Muin Fathul , Widayanti Anna Wahyuni , Prabandari Yayi Suryo
Published: December 2023

Introduction: The purpose of this research was to analyze the relationships between pharmacists knowledge, work environment, and self-efficacy to their compliance level with the COVID-19 health protocols. Methods: This cross-sectional study was designed with descriptive correlational data collection using a questionnaire. Simple random sampling was used to choose the participants who are pharmacists from the Special Region of Yogyakarta’s Province. The demographic characteristics of the respondent were presented descriptively. The demographic characteristics of the respondent were presented descriptively. A statistical test was used to assess the correlation between compliance level vs each of the three factors from the Social Cognitive Theory. Results: A total of 262 pharmacists were selected with data collection using a questionnaire. Most of them were in a medium level of compliance (65.6%), while only 19.1% in a high level, and the 15,3% in a low level. Correlation values of 0.463 and 0.409 between variables measuring the organization’s environment and self-effciacy were found to be statistically significant at the p value <0.05. Meanwhile, there was no statistically significant relationship between knowledge and compliance (p>0.05) with correlation value was 0.054. There is good compliance to the COVID-19 health protocols among community pharmacists in the Special Region of Yogyakarta. Conclusion: These findings indicate that improving factors from pharmacy organization-environmental and self-efficacy of pharmacists may improve community pharmacists level of compliance to COVID-19 health protocols in pandemic era.
Beneficial Outcomes of Omega-6 and Omega-3 Polyunsaturated Fatty Acids on Malnourished Children: A Scoping Review
Authors: Mohd Fauzy Nur Kamilah , Haris Muhammad Salahuddin , Ibrahim Azrulein , Muhd Helmi Muhd Alwi , Harith Sakinah
Published: December 2023

Polyunsaturated fatty acids (PUFAs) intake may be beneficial in many aspects during the early phase of life. This scoping review aims to examine the beneficial outcomes and intakes of omega-3 and omega-6 PUFA among children. An electronic database search on academic journals published from 2017 to 2021 was conducted using Science Direct, PubMed, and Google Scholar. A total of 35 studies were identified and included in this scoping review. Majority of the findings found that PUFAs intake has a beneficial impact on the growth development, mental and cognitive health among children whether they are malnourished, sick or healthy individuals. Overall, this review may provide additional information on the benefits and recommended intake of supplementing PUFAs on children. More detailed research on this topic is needed to support these findings since it will contribute to the formation of the dietary intervention.
Orally Disintegrating Film: A Review of Its Formulation and Manufacturing Method
Authors: Liew Kai Bin , Gobal Ganesan , Mohd Rofiq Hanifah , Phang Hiu Ching , Lee Siew-Keah , Ming Long Chiau , Uddin A.B.M. Helal , Chew Yik Ling , Lakshminarayanan Vijayakumar
Published: December 2023

Oral route drug delivery system is still considered as the most convenient and patient friendly drug delivery route. Over the decades, many research has been performed to improve the functionality oral dosage form. Orally disintegrating film (ODF) is a newer oral drug delivery system, which is in the form of a thin film that will disintegrate in the oral cavity within a matter of seconds. The aim of this review paper is to recap ODF, its benefits, formulation contents and manufacturing method. With more research and development work has been conducted on ODF, the dosage form is expected to be manufactured and scaled up to be commercializable products to be sold in the market.
Oral Health Beliefs, Perceptions and Utilisation of Oral Health Care Services among the Indigenous People (Orang Asli) in Pahang, Malaysia: A Qualitative Study
Authors: Mohd Khairunjauhari Izzati , Md Bohari Nor Faezah , Mohd Radzi Nawwal Alwani , Wan Mokhtar Ilham
Published: December 2023

Introduction: Orang Asli refers to the indigenous people of Peninsular Malaysia, representing 0.6% of the Malaysian population. Vast inequality was observed regarding oral health beliefs, behaviour, and utilisation of oral health services between the Orang Asli and non-Orang Asli. The aim of the study was to explore the oral health beliefs, perceptions, and oral health service utilization behaviour among Orang Asli in the district of Bera, Pahang, Malaysia. Methods: Orang Asli’s oral health beliefs and perceptions of oral healthcare service were ascertained through four FGDs. Nineteen participants from Bera’s semi-urban and rural Orang Asli communities were convened. Emerging themes from the qualitative data were analyzed using thematic analysis. Results: Orang Asli believed that oral health is essential for an individual’s function and aesthetics. They are also aware that inadequate oral hygiene care will result in tooth decay and gum disease. Most of the Orang Asli that chewed betel nuts believed that limestone paste could cause oral cancer. The main barriers to Orang Asli accessing oral healthcare services were time constraints and distance to the nearby clinic. Conclusion: The Orang Asli believed oral health care is essential in ensuring a healthy oral condition. Despite their generational belief towards traditional healers and medication, Orang Asli in Bera had a perceived positive acceptance towards oral healthcare services.
A Bibliometric Analysis of Resin-Bonded Bridge: Performance Analysis and Science Mapping
Authors: Abdul Hamid Nor Faharina , Mohamed Nusima
Published: December 2023

The objective of this study was to identify and characterise various resin-bonded bridge (RBB) articles published in dental journals using bibliometric analysis. The search was performed using the Scopus database to generate publications related to RBB. Data analysis and visualisation were done using Microsoft Excel, Biblioshiny software or VOSviewer. The trend of publication shows an annual growth rate of 7.19 percent within the years 1973–2022. Sixteen articles were cited more than 100 times, with seven highly cited articles focusing on the survival and/or complications of RBB. Matthias,Kern is the most prolific author in RBB research with Journal of Prosthetic Dentistry being the most influential journal. “survival”, “dental bonding” and “zirconia” were identified as core research areas for RBB for the past 10 years. Future research on the incorporation of new technology in prosthesis fabrication to assess the survival and longevity of RBB is expected to increase, with an emphasis on bonding to new materials. This paper presents an overview of scientific production, prominent researchers and countries, emerging keywords and core research areas in RBB research.
A Review on Ergonomics Factors Determining Working in Harmony with Exoskeletons
Authors: Halim Isa , Mahadzir Muhammad Nadzirul Izzat , Abdullah Zulkeflee , Zainal Abidin Muhammad Zaimi , Muhammad Mohd Nazrin , Saptari Adi
Published: December 2023

Exoskeletons are wearable devices that can enhance human strength and are used in various fields, such as healthcare and the manufacturing industry. However, poorly designed exoskeletons can strain the muscles and cause injuries to users. The objectives of this review paper are to review the ergonomics factors that contribute to a harmonious user-exoskeleton interaction and to explore the current trends, challenges, and future directions for developing ergonomically designed exoskeletons. In this review, 102 relevant papers published from 2015 to 2023 were retrieved from Web of Science, Scopus, and Google Scholar. These papers were considered in the analysis for gathering relevant information on the topic. The authors identified six ergonomics factors, namely kinematic compatibility, contact pressure, postural control, metabolic cost, cognitive workload, as well as task demands and workplace conditions, that can influence the interaction between users and exoskeletons. By understanding and addressing these ergonomics factors during the design and development process, exoskeleton designers can enhance the user experience and adoption of the devices in daily living activities and industrial applications.
Determinants of Unintentional Home Injury Prevention Practice Among B40 Parents of Under-Five Children in Selangor: A Study Protocol
Authors: Mohd Misban Nur Hanisah , Kadir@Shaha Hayati , Mohd Zulkefli Nor Afiah , Mohd Nazan Ahmad Iqmer Nashriq
Published: December 2023

Introduction: Unintentional injuries among children are considered a major public health concern since they are one of the leading causes of child death and disability. Inadequate study has been done on whether and how parental influences are linked to childhood injury at home especially among the community with low-socioeconomic status. The study aims to determine the factors affecting unintentional home injury prevention practice among low socioeconomic status (B40) parents of under-five children in Selangor, Malaysia. Methods: This is a cross-sectional and quantitative study. A sample size of 453 parents will be sampled among B40 parents with under-five children in Selangor using a stratified random sampling method. For analysis, only complete questionnaires will be used. Data entry and statistical analysis will be carried out using IBM SPSS version 28.0. Chi-square/Fisher Exact test and simple logistic regression will be used for data analysis. Multiple logistic regression will be used to examine the predictors of poor home injury prevention practice. Discussion: Findings from the study will provide insight on challenges experienced by B40 parents of children under five in implementing preventive injury measures at home.
Effects of a Workplace mHealth Intervention for Smoking Behaviour: A Quasi Experimental Study Protocol
Authors: Kamarudin Syaharatul Patimah , Yasin Siti Munira , Ismail Nurhuda , Isa Mohamad Rodi
Published: December 2023

Introduction: Tobacco smoking causes various chronic diseases and adds costs to healthcare systems. The current smoking cessation interventions mostly target smokers who are ready to quit and are reactive in recruitment. Recently, mobile phones have become a new tool for promoting smoking cessation. The aim of this paper is to present a study protocol on a quasi-experimental study investigating the effects of a workplace mHealth intervention for smoking behaviour. Methods: A quasi-experimental study will be conducted among employees in an academic institution in Malaysia. The intervention group will receive a theory based WhaSTOP module via WhatsApp and will be compared with the control group (receive usual care). The primary outcomes are stage movement and the number of cigarettes per day. The secondary outcomes include knowledge of smoking, quit attempt, nicotine dependence, 7-day point prevalence of smoking abstinence, and the Transtheoretical Model constructs. A generalised estimating equation analysis will be performed to determine the effects of the intervention. Discussion: This protocol will provide a novel method to proactively approach smokers regardless of readiness to quit and to guide them through the stages of change so that they will be ready to take action to quit. This research will also provide insight into whether the intervention can be utilised as an additional tool for smokers at the workplace to quit smoking. Trial Registration: The trial was registered with the Iranian Registry of Clinical Trials (Registry Number IRCT20220415054539N1).
Effectiveness of Mobile Application to Improve Adherence to Tuberculosis Treatment: A Study Protocol
Authors: Sazali Mohd Fazeli , Syed Abdul Rahim Syed Sharizman , Avoi Richard , Mohd Tuah Nooralisa , Teo Roddy , Meryl Grace Lansing
Published: December 2023

Introduction: Tuberculosis (TB) is a leading cause of death due to a single infectious agent. The disease is treatable by a minimum of six months of anti-TB drugs. However, prolonged duration of treatment using directly observed therapy (DOT) causes significant inconvenience to patients and is ineffective in improving treatment outcomes. Therefore, incorporating the Health Belief Model into the development of digital technology could help change behaviour and improve adherence. This study aimed to determine the effectiveness of mobile applications in improving TB medication adherence. Methods: This study proposed to conduct a randomized trial among TB patients in the Kota Kinabalu, Penampang, and Putatan districts of Sabah, Malaysia. The eligible sample will be randomly assigned to the mobile application DOT arm and standard DOT arm. The primary outcome is the adherence level calculated by the percentage of medication observed divided by the intended dose taken in two months, with 80% and more successfully observed treatment considered highly adherent. The secondary outcomes are health-related quality of life, satisfaction, and monthly household income. Multiple logistic regression and repeated measures ANCOVA will be used to determine the effectiveness of interventions to achieve primary and secondary outcomes. Discussion: The findings from this study could hopefully provide insight into rethinking TB care delivery to achieve better TB treatment outcomes. Trial Registration: This study protocol has been approved by the Medical Research Ethics Committee (MREC), Ministry of Health Malaysia (NMRR ID-21-01949-73X) and registered with ClinicalTrials.gov (NCT05259254).
Topical Effects of Aloe Vera in Healing Diabetic Foot Ulcers: A Protocol of Systematic Review
Authors: Jamiyanti Anggi , Pahria Tuti , Nursiswati Nursiswati
Published: December 2023

Introduction: Wound care is a very important part of managing diabetic foot ulcers. The importance of choosing the right topical therapy for managing diabetic foot ulcers aims to help speed up the wound healing process. Aloe vera is one of the traditional natural ingredients that is often used in wound care and can maintain a moist atmosphere in wound care. So it is necessary to have a systematic review to provide comprehensive evidence regarding the topical effects of aloe vera in increasing wound healing in diabetic foot ulcers. This study aims to determine the topical effect of aloe vera in healing diabetic foot ulcers. Methods: This research is a systematic completion that will use six databases (CINAHL, Academic, PubMed, ProQuest, ScienceDirect, SpringerLink, and google scholar) to search for randomized controlled trial and Quasi-Experimental articles randomly in 2007-2022. The Systematic Review protocol used follows PRISMA as a guide in preparing insights and The Joanna Briggs Institute (JBI) Critical Appraisal Tools to assess research quality. This study will determine the effect of topical aloe vera on wound healing in diabetic foot ulcers. Discussion: The results of this study can be useful for knowing the topical effects of aloe vera for wound healing in diabetic foot ulcers. Trial Registration: This protocol has been registered on the protocol registration site for systematic review namely PROSPERO with registration number CRD42022318695.
De Novo Focal Segmental Glomerulosclerosis (FSGS) Post Covid 19 Vaccination: Case Series in A Single Centre in Malaysia
Authors: Jonathan Thian Hooi Yong , Sze Xun Quan , Christopher Thiam Seong Lim , Goh Bak Leong
Published: December 2023

Introduction: Mass COVID-19 vaccination has been pivotal in the fight against this pandemic. The occurrence of glomerular disease following COVID-19 vaccinations particularly mRNA vaccine has been reported. The reported cases in the region are limited and number of cases reported are low in contrast to the total number of vaccine doses given worldwide, the healthcare providers should be alerted about such issues to provide swift and proper management. Case Series: Here, we report 3 cases of Focal segmental glomerulosclerosis (FSGS) following COVID-19 vaccination and their outcomes. Two of the patients received BNT162b2 vaccination and one received CoronaVac vaccination. The mean age of the patients was 33+/-7 years old. The mean duration onset of FSGS was 23+/-19 days post vaccinations. Two of the patients (BNT162b2 vaccination and CoronaVac vaccination) achieved complete remission after corticosteroid therapy. This is the first reported case of De Novo FSGS following CoronaVac vaccination in the literature. The third patient, who received BNT162b2 vaccination and presented late (42 days post vaccination) was not in remission despite three months of immunosuppressive treatment. Conclusion: The treating physician needs to be aware of the possibility of the development of FSGS associated with COVID-19 vaccination and how to proceed with vaccination schedule in these populations. Overall, the advantage of COVID-19 vaccination far outweighs the possibility of COVID-19 vaccine-associated glomerular disease.
Assessment of Rare Case on Patient with Filariasis-Associated Bilateral Pleural Effusion
Authors: Arseda Astuti , Simanjuntak Dikes , Pahria Tuti , Rahayu Urip , Nursiswati Nursiswati
Published: December 2023

Bilateral pleural effusion is fluid accumulation in both lungs of pleural spaces. The clinical manifestations of bilateral pleural effusion (chylothorax) caused by filariasis are so rare that they are often challenging to diagnose. This case study described a 21-year-old woman, domiciled in Sumatra, with complaints of shortness of breath and swollen legs. Radiological examination results found bilateral pleural effusion. Initially, it was suspected that the effusion was caused by tuberculosis, Systemic Lupus Erythematosus (SLE), and malignancy; however, treatments for these did not improve the patient’s condition. A Water Seal Drainage (WSD) was inserted and a chylous or chylothorax pleural effusion was obtained, and microfilaria was founded in the nocturnal blood examinations. Oxygen and nursing interventions were administered using lung expansion and postural drainage techniques, supported by education on effective coughing and deep breathing, along with the fulfillment of nutritional needs and dietary adjustments.
Rare Coincidence of Gallbladder Perforation in Blunt Traumatic Injury: A Case Report
Authors: Chong Zi Ching Sharon , Than Da Jun , Sultan Mohamed Arif Hameed , Febriany Dayang Corieza , Hayati Firdaus
Published: December 2023

Traumatic gallbladder perforation is an unusual but potentially life-threatening injury that can occur following blunt or penetrating abdominal trauma. A 46-year-old male presented to the emergency department following a motor vehicle accident (MVA). He complained of severe abdominal pain and sustained ecchymosis with localized tenderness over the right upper quadrant. Despite a positive focused assessment with sonography in trauma scan, initial computed tomography of the abdomen revealed grade 1 liver and splenic injury but was unable to identify gallbladder perforation. He was initially managed conservatively until he developed secondary signs of sepsis after 24 hours. An exploratory laparotomy revealed a perforated gallbladder. A subtotal cholecystectomy was done. A retrospective review revealed a missed gallbladder perforation from an earlier CT scan assessment. We report a case of missed gallbladder perforation following MVA which was only diagnosed intraoperatively after failing non-operative management, following which the patient underwent laparotomy and subtotal cholecystectomy.
Prevalence of Sleep Quality among Academic Staff of a Private University in Malaysia
Authors: Thiagarajah Kokila , Sit Nam Weng , Chee Huei Phing
Published: December 2023

Introduction: Poor sleep quality is frequently related to poor mental health and is a common medical disorder. It may differ by population, but limited studies have been done in Malaysia. This study was conducted to measure the prevalence of poor sleep quality among academic staff at Universiti Tunku Abdul Rahman (UTAR) Kampar Campus. Methods: In total, 344 randomly selected academic staff were approached to answer the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Results: Unexpectedly, 42.7 % of them were affected by poor sleep quality (global PSQI score >5). The average actual sleep duration was recorded at 6.68 hours. Age and global PSQI scores were not significantly correlated. Female staff had poorer subjective sleep quality (P= 0.027). The elder age group (P= 0.012) and associate professors and professors (P= 0.006) consumed more sleep medications. Non-Ph.D. holders had poorer subjective sleep quality (P= 0.008) and sleep latency (P= 0.032) as well as global PSQI score (P= 0.045) compared to Ph.D. holders. Conclusion: Prevalence of poor sleep quality was higher than expected among academic staff. This may affect workplace functioning and burden the staff with more health issues related to poor sleep quality.
Life Threatening Retroperitoneal Haemorrhage in COVID-19 Patient -Surgical Treatment: A Case Report
Authors: Ganesh Shahmini , Taib Mohamad Aizat
Published: December 2023

Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus that emerged in late 2019. The COVID-19 pandemic has affected millions of people worldwide, causing severe respiratory distress, multi-organ failure, and death. Nevertheless, there are records of unusual presentations of COVID-19, which includes hemorrhagic complications. Retroperitoneal hemorrhage (RPH) is a rare but life-threatening complication that can occur in COVID-19 patients. In this paper, we present a case of a life-threatening spontaneous retroperitoneal haemorrhage who has successfully undergone an exploratory laparotomy and made a full recovery. We would like to highlight the importance of close monitoring and prompt recognition in patients with increased risk of bleeding.
Association between Body Mass Index, Physical Activity and Quality of Life amongst Older People in Malaysia during COVID-19: A Cross-Sectional Analysis
Authors: Mohd Noor Nor Safura , Mohd Fauzy Nur Kamilah , Harith Sakinah , Wan Taib Wan Rohani , Yahaya Rosliza , Sitasari Almira , Khasanah Furaida
Published: December 2023

Introduction: COVID-19 is a disease caused by a new strain of coronavirus spreading rapidly over the globe, and the older population has had a larger impact as the fatality rate increases with age. This pandemic caused them to reduce their physical activity (PA). COVID-19 also resulted in food supply disruption and led to unhealthy dietary changes, which are usually associated with weight gain and affecting the body mass index (BMI). PA and BMI can influence the quality of life (QoL) of the older people. Therefore, this study aimed to determine the association between PA, BMI, and QoL amongst the older people in Malaysia during COVID-19. Methods: A cross-sectional study was conducted amongst community-dwelling older people from all states in Malaysia. An online survey consisting of self-reported anthropometry, Global Physical Activity Questionnaire- Malay version (GPAQ-M) and Short Form-36 Health (SF-36) Survey were collected. Statistical analysis chi-square test was used to identify the association between BMI, PA, and QoL. Results: This study included data from 180 individuals with a median age of 64.0 ± 9.8 years. The results showed that participants aged 60-69 years were significantly associated with better QoL, meanwhile, those who practice low PA levels were significantly associated with poor QoL. Conclusion: The findings revealed that age and PA were associated with QoL. Thus, the healthcare profession must emphasise regular PA to accomplish a better QoL amongst older people in the future.
Does an Asian-based Diet Sufficient to Meet the Nutritional Demands of Endurance Athletes?: A Cross-sectional Study
Authors: Bahari Zaini , Safii Nik Shanita , Che Muhamed Ahmad Munir
Published: December 2023

Introduction: Limited studies have examined the dietary intake pattern of Malaysian endurance athletes. Differences in the types of foods consumed between Malaysian and Western population leads to varying nutritional intake values. This study aimed to characterise the dietary intake of Malaysian endurance athletes as compared to sports nutrition recommendations, and to determine the associations between participants’ backgrounds and macronutrients intake status. Methods: A total of 85 endurance-trained Malaysian athletes participated in a cross-sectional study. Dietary intake for three days throughout the training season was evaluated using 24-hour dietary recall. The macronutrients and micronutrients intakes were compared to the nutritional recommendation for athletes and the Recommended Nutrient Intakes (RNI), respectively. The food serving size was compared to the Malaysian Food Pyramid 2020. Results: Of all participants, 51% met the minimum recommendations for carbohydrate (CHO) intake (6g/kg/day). For protein intake, 88% of participants had surpassed the lower limit of 1.2g/kg/day. The lower limit of fat intake (20% of total daily energy intake) was met by 99% of the participants. Most of the participants had a suboptimal intake of calcium, vitamin A, and vitamin E, while all had inadequate vitamin D intake. The athletes’ institution was significantly associated with the CHO intake status. Also, the athletes’ institution and the highest education level were significantly associated with the protein intake status. Conclusion: Athletes who practised Asian-based diets were able to achieve the energy, protein, and fat intake recommendations. However, there was a suboptimal intake of the CHO and micronutrients as compared to the recommendations.
Indicators of Nurse Leadership in Disaster Management: A Qualitative study
Authors: Fithriyyah Yayu Nidaul , Alim Syahirul , Warsini Sri , Setiyarini Dr. Sri , Pertiwi Ariani A.P
Published: December 2023

Introduction: Nurses play critical roles in disaster management and are required to demonstrate leadership by dealing with disaster events effectively. This study aimed to identify the nurse leadership indicators at each phase of disaster management. Methods: A qualitative descriptive study was conducted in two phases between November 2017 -January 2018 at two regional hospitals and one central hospital in Yogyakarta. The first phase involved semi-structured in-depth interviews with seven emergency nurses, and the second was a focus group discussions with five nurses’ managers or lecturers. Participants were selected using a purposive sampling technique. Data Analyze used a modified version framework method. Results: We found 49 indicators of nurse leadership in disaster management. We grouped indicators into two major groups: common indicators (27 indicators) and specific indicators (22 indicators). Four themes were obtained according to the disaster management phases: nurse leadership in the mitigation phase, the preparedness phase, the response phase, and the recovery/rehabilitation phase. Each theme contains three main sub-themes (3Cs): character, competence, and the central role of the leader. Conclusion: Using the International Council of Nurses (ICN) framework’s disaster phase as a conceptual basis, 49 nurse leadership indicators were identified as potential information for future items candidates of the instrument for measuring nurse leadership in disaster management.
Radiofrecuencia pulsada del ganglio esfenopalatino para el tratamiento de dolor facial atípico. Reporte de Caso.
Authors: Rojas Gareca Wendy , Hurtado Celosia César R.
Published: December 2023

Introducción: El ganglio esfenopalatino (GEP) juega un papel importante en varios síndromes de dolor en cabeza y cara. En la actualidad, los procedimientos intervencionistas de mayor utilización en esta región anatómica son los bloqueos, la radiofrecuencia pulsada y la neuromodulación periférica. En este reporte presentaremos un caso de dolor facial atípico tratado mediante una radiofrecuencia pulsada (RFP) del GEP.Material y métodos: Paciente femenina, 24 años de edad, con antecedente de neuralgia de trigémino y respuesta positiva a radiofrecuencia convencional (RFC) en nervio trigeminal izquierdo hace un año, llega por interconsulta presentando un cuadro de cefalea continua y dolores en el maxilar superior, dientes de la arcada superior y la región nasal izquierda. Luego de descartar otras causas de dolor, agotada la instancia farmacológica (oral e intravenosa), nuevo episodio con evaluación de escala de dolor EVA 10/10 y confirmación diagnóstica mediante bloqueo del ganglio esfenopalatino, se procede a la realización de radiofrecuencia pulsada (RFP) en esta estructura anatómica. Resultados: La RFP fue efectiva; luego del procedimiento desapareció la crisis de dolor, por lo que no hubo necesidad de volver a utilizar medicación de rescate. A un mes y medio de seguimiento, la escala EVA fue 2/10, manejando el dolor residual con paracetamol 500 mg y pregabalina 75 mg/día. No se registraron complicaciones durante el procedimiento ni efectos secundarios.Discusión: El resultado alcanzado es consistente con lo publicado en trabajos que presentan una cantidad considerable de casos en los que se realizó RFP en GEP. En ellos se describe un alivio completo del dolor (escala EVA 2/10) entre el 21% y 35% de los casos, reducción en la ingesta de medicamentos orales, síntomas residuales y ausencia de efectos secundarios. Conclusión: La RFP del GEP es una técnica intervencionista útil para el manejo de dolores faciales atípicos cuando es practicada en pacientes correctamente seleccionados, refractarios al tratamiento conservador e intervenidos con el equipamiento tecnológico, ámbito de seguridad y conocimiento de la técnica correspondientes.
Implante de electrodos de estimulación cerebral profunda guiado por tomógrafo portátil intraoperatorio: Estudio de precisión.
Authors: Salle Federico , Gouello Gaëtane , Dominique Claude , Palfi Stéphane
Published: December 2023

Introducción: La precisión en el implante de electrodos de estimulación cerebral profunda (ECP) está fuertemente correlacionada a la eficacia clínica de la intervención y a la aparición de efectos adversos. El uso de un tomógrafo portátil intraoperatorio (iCT) constituye una técnica innovadora, potencialmente más precisa, que permitiría reducir el tiempo quirúrgico. Sin embargo, la precisión de este método es poco conocida. El objetivo de este trabajo es cuantificar la precisión de la ECP guiada por iCT.Material y métodos: Todos los pacientes sometidos a ECP guiada por iCT (AIRO®, Brainlab) en el servicio de neurocirugía del Hospital Henri Mondor durante el período febrero-mayo 2018 se incluyeron de manera prospectiva. La precisión de la cirugía se interpretó midiendo la distancia euclidiana entre el blanco planificado y el extremo del electrodo definitivo (error vectorial). Se determinó, asimismo, la desviación de trayectoria lateromedial -Δx- y anteroposterior -Δy. La duración de la cirugía, la dosis de radiación utilizada y las complicaciones del procedimiento se compararon a la técnica clásica.Resultados: Se implantaron 20 electrodos, 16 en el núcleo subtalámico (NST) y 4 en el núcleo ventral intermedio (VIM) del tálamo. Se logró una buena precisión con un error vectorial promedio de 1.75 ± 1.3mm y desviaciones de infection rate and surgical time decreased, promedio de 1.75 ± 1.3mm y desviaciones de trayectoria mínimas (Δx=0.76±0.9mm, Δ y=0.86±0.87mm). La tasa de infecciones y el tiempo quirúrgico disminuyeron, este último de manera no significativa. Se constató un aumento de la dosis de radiación en relación a la técnica convencional.Conclusión: El implante de electrodos de ECP guiado por iCT es una técnica bien tolerada y eficaz en términos de precisión. Permite la identificación inmediata en 3D de los electrodos y del blanco corroborando un correcto posicionamiento anatómico.
Tratamiento de pie equino varo
Authors: Espinet Gastón
Published: December 2023

La toxina botulínica tiene un nivel de recomendación A en el tratamiento de la espasticidad de miembros superiores e inferiores.
Fransa'nın 2015 Sonrası Terörizmle Mücadele Stratejisinin İç Güvenlik Bağlamında Analizi
Authors: GÜZEL Serhat , ŞAHİN Güngör
Published: December 2023

Terör ve terörizm kavramlarını açıklayacak ortak bir tanımlamaya asgari müşterekte henüz ulaşılamamıştır. Her ne kadar tanımlama aşamasında zorluklar yaşansa da terörle mücadele hususunda devletlerin mücadele yöntemlerinde benzerlikler görülmektedir. Devletlerin terör olgusuna bakış açıları ve algılamaları özellikle Amerika Birleşik Devletleri’nde gerçekleştirilen 11 Eylül Terör Saldırıları sonrasında değişiklik göstermiştir. Bu saldırılar hiçbir devletin güvenliğinin tam olarak sağlanamayacağının anlaşılması açısından önemlidir. Çalışmamızda analiz edilen Fransa, 2015 yılında büyük şehirlerinde gerçekleştirilen bombalı terör saldırılarından sonra terörizmle mücadele kapsamında etkin önlemler icra etme arayışına girmiştir. Fransa’da gerçekleştirilen terör saldırılarında çoğunlukla sivil vatandaşların hayatlarını kaybetmesi halk tabanında merkezi hükümetin teröre karşı caydırıcı önlemler alma talebini gündeme getirmiştir. Bu bağlamda 2016 yılından itibaren Fransa kolluk kuvvetleri tarafından önemli operasyonlara imza atılmıştır. Terörle iltisaklı kişiler etkisiz hale getirilmiş ve günümüze kadar olan süreçte tutuklama oranlarının büyük ölçüde arttığı gözlemlenmiştir. Ancak Fransa’da terörle mücadele kapsamında yürütülen operasyonların tüm terör örgütlerine karşı hassasiyetle yürütüldüğüne dair -özellikle PKK terör örgütü ile mücadele kapsamında- bazı çekinceler bulunmaktadır. Çalışmamızda konuyla ilgili haber, makale, dergi, kitap, rapor ve akademik kaynaklar betimsel bir analiz yöntemi ile incelenerek sonuca ulaşılmaya çalışılmıştır.
On gamma T_pure submodules
Authors: Al-Hassani Uhood S. , Kadhim Samira Naji , Ali Muna Jasim Mohammed
Published: December 2023

A gamma T_ pure sub-module also the intersection property for gamma T_pure sub-modules have been studied in this action. Different descriptions and discuss some ownership, as Γ-module Z owns the TΓ_pure intersection property if and only if (J2 ΓK ∩ J^2  ΓF)=J^2 Γ(K ∩ F) for each Γ-ideal J and for all TΓ_pure K, and F in Z Q/P is TΓ_pure sub-module in Z/P, if P in Q.
Cerebral disorders diagnosis via a secure transmission of multichannel EEG signal based on IoMT
Authors: Hammad Jamal A. , Hmeed Assef Raad , Obaid Ahmed J.
Published: December 2023

Electroencephalogram (EEG) data require a wider storage device setup due to its constant brainwave intensity logs and biosignal parameter. Therefore, effective compression systems are utilized before sending these signals to a medical station such as hospitals and therapy centres or through mobile medical instruments as one of the Internet medical things (IoMT) tools for real-time surveillance and analysis by specialists and anywhere. Conventional compression techniques can improve storage efficiency and help quickly transfer medical data from one computer to another because of their limited size. In addition, the received EEG (MCh-EEG) data are processed using various filtering methods to remove undesired noise and then compressed. The proposed method, which utilized buffer blocks, which is quite new in this field, was proposed. The smooth and safe transmission process of multichannel EEG signals from the sensor to the surveillance is achieved by using highly effective methods to detect brainwaves, remove noise, compress and encrypt those signals. This work utilizes the mode of AES 256 BCM, which is rarely utilized in embedded systems, proving to be very powerful and effective in information ciphering.  Based on the proposed system’s PRD parameter, the findings come as 0.41% and CR as 0.35%, and it’s better than the current schemes. Experimental findings demonstrate the effectiveness of the proposed systems on 10 different records of MCH-EEG signals from the CHB-MIT Scalp EEG dataset.
Soft P*–field and some of its properties
Authors: Abbas Hind F. , Ebrahim Hassan H. , Al-Fayadh Ali
Published: December 2023

This article introduces the  soft P*–field. Characterization, examples, and different properties of the proposed concept are presented. The idea of the smallest soft P*–field studies.
On δ- character in symmetric tω-Δ- Banach-Algebra
Authors: Neamah M. A. , Hussein Boushra Y.
Published: December 2023

The aim of this paper is to provide information on new results from studies of symmetric tω-Δ- Banach Algebra. A new function d- character has been defined and apparent to be symmetric tω-Δ- Banaich Algebra. tω- approach dual cone space is introduced, with its symmetry properties indicated tω- ∆- Banaich algebra. Some new definitions, results and properties are given and discussed in this field.
Improvement in DDoS attack detection in software defined network using ML algorithm
Authors: Chattopadhyay Saumitra , Sahoo Ashok Kumar , Jasola Sanjay
Published: December 2023

The complexity of handling modern apps is causing older network architectures to struggle. As a result, Software Defined Networking (SDN) has developed into a paradigm-shifting network framework that enables administrators to exercise programmable control over whole network infrastructures. This development makes it easier to configure and operate large networks, but it also adds vulnerabilities, including the possibility of Distributed Denial of Service (DDoS) assaults that could take down the SDN controller. Integrating security tools like firewalls, intrusion detection and prevention systems, and anti-DDoS solutions is crucial to reducing this danger. In the context of SDN, leveraging the analytical power of Machine Learning (ML) algorithms to analyse network traffic patterns is a key tactic for fending off DDoS attacks. Effective defence systems are supported by these ML models, which can distinguish between normal network behaviour and DDoS assault traffic with ease. Decision trees (DT), support vector machines (SVM), and artificial neural networks (ANN) are examples of supervised ML techniques that have evolved into crucial tools in this field. These algorithms are developed utilising datasets with annotations that include examples of both legitimate and malicious network traffic. Once trained, the models may be used to instantly categorise incoming traffic, making it easier to identify and contain any DDoS attacks in real-time.
A bibliometric study of digital humanities research in China from 2012 to 2021
Authors: Su Fangli , Li Shihao , Liu Qinghua , Zhang Yin
Published: December 2023

Introduction. We investigated the main research topics of digital humanities in China from 2012 to 2021, as well as the journals, authors, and institutions that produced the most research in this field.
Method. Based on a sample of relevant digital humanities literature from the China National Knowledge Infrastructure (CNKI) database, we applied bibliometric methods and visualisation tools for a longitudinal examination.
Analysis. This study took CNKI as the data source and extracted keywords for an analysis of the research output, intellectual structures, and distribution features of authors and institutions.
Results. Digital humanities research in China is strongly associated with library and information science, with eight major reoccurring topics and themes identified. The leading research contributors in China are authors and institutions that are also identified and highlighted.
Conclusions. Digital humanities research in China rapidly grew between 2012 and 2021. This study depicts the overall situation and knowledge structure of the research and establishes a benchmark for further theoretical research and practical innovation of digital humanities in China.
19. Yüzyıl Osmanlı Toplumunda Kamuoyu Oluşturmada Camiler
Authors: USLUCAN Cihat
Published: December 2023

Camiler, Osmanlı Devleti’nde önemli bir konuma sahipti. Esas fonksiyonu ibadet etme mekânı olan camiler, bunun yanı sıra sosyal, siyasi ve ekonomik hayatın da bir parçasıydı. Öyle ki Osmanlı mahallesinde toplumsal merkez cami ve mescitlerdi. 19. yüzyıl Osmanlı Devleti’nin birçok sorunla uğraşmak zorunda kaldığı yıllardı. Bir yanda devletin modern sürece dâhil olmak ve tebaasını bir arada tutmak için yaptığı yenilikler bir yanda da gayrimüslim unsurların ayrılıkçı hareketleri vardı. Sosyal ve ekonomik hayata dair modern düzenlemeler yürürlüğe sokulurken geleneksel toplum yapısı da değişime uğruyordu. Bu durum bütün bir yüzyılın özeti gibiydi. Tüm bu karmaşık ve girift yapısı, gittikçe artan merkezi otoritenin varlığı içerisinde, camiler; iktidar dışı unsurlara toplumsal taleplerin dile getirilmesinde bir alan açacaktı. Müslümanlar için kutsal mekânlar olarak kabul edilen camiler; kitlelere ulaşma, eylemlere meşruiyet zemini oluşturma ve dikkatleri üzerine çekme konusunda önemli bazı faaliyetlerin merkezi olacaktı. Bu çalışmada Osmanlı Devleti açısından önemli bir zaman aralığında önemli bir kurumsal mekân olan camilerin, kamuoyu oluşturmadaki etkileri incelenecektir. Ancak bu faaliyetlerin faili devlet ve iktidar gücü değil onun dışında yer alan müslim ve gayrimüslim unsurlar olacaktır.