Effect of diet counseling on knowledge, attitude and practice and quality of life of diabetic patients in Kuantan, Malaysia

This research was intended to assess the impact of dietary counseling for diabetic patients. By giving the advice to control the blood sugar, does it improve the wellness of the diabetic patients? This research was conducted from January until December 2011 with the aim to study the factors associated with knowledge, attitude and practice (KAP) and quality of life (QOL) of type 2 diabetic patients, and the effect of dietary counseling on their KAP and QOL. A total of 63 respondents were involved in this intervention study, including 31 respondents from the intervention group and 32 respondents from the control group. The intervention group was selected by purposive sampling based on doctor’s referral for diet counseling of the respondents, while a convenience sampling method was used for the control group. Based on the baseline results of both groups, a significant correlation was found between knowledge with duration of having DM (p=0.019) and race (p=0.002). Race and educational level were found to have significant correlation with attitude where the p=0.001 and p=0.037, respectively. Significant difference was only found in race for practice scores (p=0.019). There was a significant correlation found between QOL and age (p=0.031). Further analysis comparing the pre and post intervention result shows that the total scores for KAP and QOL in the intervention group was improved after the diet counseling given, as compared to the control group, but the difference was not significant statistically. In conclusion, better methods might need to be developed for more effective health education and counseling to better improve diabetic patients’ KAP and QOL, thus reducing the complications of the disease

Internet use and addiction among medical students of Universiti Sultan Zainal Abidin,Malaysia

The use of Internet has now become indispensable, and the technology has revolutionized the medical education and practice worldwide. Currently, medical students and professionals have an enormous opportunity to keep them always updated with the exponential growth of knowledge because of potential progression of Internet throughout the world that enables them to become a lifelong learner. Internet addiction is a widespread phenomenon among students and academicians at universities in Malaysia. Students use the Internet for recreational purpose and personal and professional development. The Internet has become an integral part of day-to-day life of the university students, including medical students. The aim of the present study was to examine the Internet use and addiction among students of Universiti Sultan Zainal Abidin, Malaysia. Methods: This was a cross-sectional study in which a questionnaire, Internet Addiction Diagnostic Questionnaire, developed by the Center for Internet Addiction, USA, was used. One hundred forty-nine medical students of Universiti Sultan Zainal Abidin participated in this study. Data were analyzed using Statistical Package for the Social Sciences software. Results: The mean scores were 44.9±14.05 and 41.4±13.05 for male and female participants, espectively, which indicated that both the genders were suffering from mild Internet addiction. Conclusion: This study shows almost similar level of Internet usage among medical students irrespective of their socioeconomic background, with no statistically significant (p>0.05) differences, except among the years of study (p=0.007). Overall, from the research data and having worked with this cohort very closely, Universiti Sultan Zainal Abidin medical students can be labeled as wonted and recurring users of the Internet. Nevertheless, it is very difficult to define as Internet addicts or pathological users of the Internet because of small sample size and cross-sectional study

A systematic review on prevention of methicillin-resistant Staphylococcus aureus infection by pre-admission screening: the cost effectiveness and practicality

Background: Methicillin Resistant Staphylococcus aureus (MRSA) is a common source of nosocomial infection, which is spreading through the community and hospitals across the countries. The performance of screening program really needs major effort related to laboratory capacity and ethical consideration, among other costly components. Significant literature research was conducted to review the cost, effectiveness and practicality of different methods of pre-admission MRSA screening in the hospital setting. A systematic literature review was conducted with search strategy using the PubMed Medline, Scopus and the Science Direct databases. The relevant data was abstracted from all studies based on various countries which in line with the finalized eligibility criteria. Results: PCR method was reported to have high sensitivity with low turnaround time as compared to culture method. A review of selected studies found the increasing annual costs of screening from standard culture, chromogenic agar to rapid PCR. In the meantime, other studies reported the total costs for labor and materials was lower for rapid PCR screening compared to culture methods. The culturing method offers a high level of variability due to time consumption and additional costs. Whereas PCR was reported as advantageous in term of saving time to identify MRSA positive patients, which involved isolation, thus increase the effectiveness of screening programs. It can pick up false negative results by conventional methods in the early condition of disease. Conclusion: Most studies verified that PCR is the most accurate method for detection of MRSA with Xpert MRSA having the best performance. Otherwise, oxacillin agar screen was revealed as a good alternative method to PCR. Targeted screening on high risk patients using rapid PCR may be the best choice to be implemented, in order to balance the economic and practicality of screening. We recommend that further clinical studies should be done to provide a sharp evidence of MRSA screening

Knowledge, attitude and practice towards smoking among International Islamic University Malaysia Kuantan communities

Smoking is an issue that has spread around the world throughout the years. The majority of smokers have the intention to quit smoking, but due to some factors, it may prevent their intention. Research and interventions have been done in many countries to decrease the smoking prevalence. This cross-sectional study aimed to find out the associations of knowledge, attitude and practice (KAP) towards smoking and to identify the factors associated with knowledge and attitude towards smoking, in priority to sociodemographic factors among the International Islamic University Malaysia Kuantan (IIUMK) communities, including between students and workers. One hundred fifteen respondents of students and workers from IIUMK were investigated with a self-administered questionnaire starting from 10-01-2014 to 10-02-2014. The data were analysed using SPSS software. Respondents had good knowledge and practice, and moderate attitude towards smoking. There was weak positive correlation between knowledge with attitude (r=+0.193, p=0.038) and practice (r=+0.206, p=0.028), also moderate correlation between attitude and practice towards smoking (r=+0.626, p<0.001). There was no factor found to be associated with knowledge, but significant association was found between attitude towards smoking with gender (p<0.001), education level (p=0.016) and smoking status (p<0.001). Although, the mean values of KAP levels were higher for workers, but it was not statistically significant as compared to the students. These study findings suggested that the main obligation are more for students to improve their KAP level towards smoking as they are fresh generation who will educate and lead the upcoming generation of Malaysia

Knowledge, attitude and practice of Malaysian public university students on risk factors for cardiovascular diseases

Cardiovascular diseases (CVD) account for 30% of all deaths in Malaysia. Major risk factors for CVD include age, gender, heredity, hypertension, cigarette smoking, hypercholesterolemia, diabetes, obesity and physical inactivity. The current study was conducted to understand the knowledge, attitude and practice (KAP) of University students regarding cardiovascular diseases. This is a cross-sectional study using a stratified random sampling method. Students of all faculties of International Islamic University Malaysia (IIUM) in Kuantan Campus were included. The respondents were randomly selected from each faculty. The sample size was 163. KAP questionnaire was developed and distributed to the respondents involved. The data collected was analyzed using SPSS version 17.0. The mean and standard deviation of the knowledge, attitude and practice scores were 42.98±2.46, 57.12±5.73 and 26.7±3.507, respectively. Significant difference on knowledge scores were found between different faculties (p<0.001), also on attitude and practice scores in comparison between different genders (p = 0.005 and 0.017, respectively). This study also shows a significant positive correlation between attitude and practice scores (r=+0.354, p<0.001). IIUM students should engage in exercise more and develop a healthier lifestyle

Knowledge, attitude and practice towards tuberculosis among community of Kulim municipal council, Kedah, Malaysia

Aims: This study investigated knowledge, attitude and practice towards tuberculosis (TB) among the community in Kulim Municipal Council, Kedah, Malaysia. Its associated factors and the correlation between the knowledge, attitude and practice were also studied. Methodology: A cross-sectional study using self-administered questionnaire had been carried out among the community in Kulim Municipal Council, Kedah involving 102 respondents using convenient sampling. Descriptive statistics, correlation, Independent t-test and Anova were used to analyze the data accordingly. Results: It was found that the respondents had moderate knowledge (mean score = 85.54 ± 16.911) and practice (mean score = 7.37 ± 1.955) but poor attitude (mean score = 51.80 ± 10.833) towards TB and TB patients. Besides, there was no significant relationship found between knowledge, attitude and practice towards TB infection among the community in Kulim Municipal Council, neither significant factors associated with the knowledge, attitude and practice. Conclusion: The findings of this study are expected to build awareness of this community towards TB, thus assisting in planning the effective methods to promote better knowledge and understanding, and removing the misconceptions regarding TB infection among the community and consequently reducing the prevalence of TB and improving the community's health quality

Knowledge, attitude and practice regarding exercise among people exercising in gymnasium and recreational parks around Kuantan, Malaysia

Physical inactivity is becoming a global epidemic and lead to many diseases. This cross-sectional study tried to investigate knowledge, attitude and practice (KAP) regarding exercise among married and single person attending gymnasium and recreational parks. Furthermore, this study tried to look for factors associated with regularity of exercise and to find association between knowledge and attitude on practice of exercise. A total of 103 participants aged above 18 years old were purposely selected to answer an interview-guided questionnaire. Likert scale was used for participants to answer the questionnaire on KAP and the total score for each knowledge, attitude and practice was computed to find the associations using SPSS. The mean age of the respondent was 25.34 years (SD=5.699). Knowledge was not significantly associated with practice (r=0.071, p=0.475). There was also no significant correlation between practice and attitude score (r=0.006, p=0.510). Therefore, there is no association between knowledge and attitude on practice of exercise. Besides that, endurance exercise like jogging, cycling and walking was a respondent’s choice as their exercise routine. Other than that, there are significant associations between factors of gender (p=0.014), marital status (p<0.001) and age (p=0.005) with regularity of exercise. This study found that single person is more regularly doing exercise than married people. Regularity of exercise could be influenced by motivation. Therefore, relevant policies and campaigns might be able to change and boost people towards practicing exercise regularly in Malaysia

The prevalence of cardiovascular disease risk factors among students of International Islamic University Malaysia, Kuantan Campus

Cardiovascular disease (CVD) has become the leading cause of death among the non-communicable diseases worldwide. There are many contributing risk factors for the emergence of CVD. A cross-sectional study was conducted to observe the prevalence of CVD risk factors among International Islamic University Malaysia (IIUM) Kuantan Campus (KC) students. 156 participants from different faculties and years of study participated; among them 56 participants were able to complete the whole procedures. A set of questionnaires were distributed to participants. Anthropometric measurements, weight, height, waist circumference, random blood glucose (RBG) and blood pressure were measured. Prevalence of hypertension was 4%. The mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) was 114.268 ± 12.034 and 74.964 ± 8.636 of mmHg respectively. Prevalence of overweight and obesity was 34%, with women having a higher percentage (21%) than men (12%). The mean Body-Mass Index (BMI) was 22.184 ± 4.435 kg/m2. The waist circumference has an average of 71.661 ± 9.215 cm. Prevalence of high blood glucose was absent, and the mean blood glucose level was 6.007 ± 1.018 mmol/L. Dietary fibre-rich foods; vegetables were eaten 6-7 times per week, granola bars and fruits were eaten 1- 2 times per week. Home cooked foods were taken 1-2 times per week. Fast foods were taken frequently around 3- 5 times per week. The study community was engaged in physical activities such as brisk-walk, skipping and sports. Smoking prevalence was 4% only among the male population. The stress level was moderate. The students of IIUM KC practiced healthy diet and were physically active. The CVD-related risks do not prevail among the IIUM KC population

Kyllinga nemoralis Methanolic Roots Extract Inhibits Herpes Simplex Virus Type 1 Replication Cycle

Kyllinga nemoralis also known as, whitehead spike sedge is a perennial herb which contains antiviral, antibacterial, antioxidant and anti-bleeding properties. This study was designed to determine the biological activity of K. nemoralis methanolic roots extract on herpes simplex virus type 1 (HSV-1) replication cycle. The effect on HSV-1 replication phases was observed by performing time-of-addition and time removal assays. Meanwhile, the level of HSV-1 selected genes expression was analysed by quantitative Real Time-Polymerase Chain Reaction (qRT-PCR). In the time addition assay, K. nemoralis extract anti-HSV-1 activity was found to be most optimum when given at 2 hpi (>45% plaque reduction). The time removal assay showed that >80% plaque reduction was achieved when treatment of K. nemoralis extract was given until 24 hpi. K. nemoralis extract suppressed immediate early, early and late phases of HSV-1 replication cycle by altering the expression of UL54, UL27 and UL30 genes during the infection. This study showed that K. nemoralis methanolic roots extract has potential as anti HSV-1 by reducing the expression of HSV-1 genes at different phases of viral replication