42 research outputs found
CROSS-SECTIONAL STUDY ON ADVERSE PREGNANCY OUTCOMES AMONG FEMALE HEALTHCARE WORKERS IN KUCHING, SARAWAK
The weight of occupational risk on women in addition to men, is on their fecundity. NIOSH lists disorders of reproduction as one of the top ten leading work-related diseases and injuries. Nevertheless, women in the workforce is increasing and in healthcare, females make up the majority. This research is to observe the occurrences of adverse pregnancy outcomes among female healthcare workers in relation to their work schedules and its significance in relation to non-healthcare workers. Across-sectional study was carried out using a questionnaire with 469 respondents; 339 healthcare and 130 non-healthcare workers, reporting 564 pregnancies. In this study, adverse pregnancy outcomes among female healthcare workers is significantly higher than non-healthcare workers. There are no significant findings between healthcare and non-healthcare workers with respect to the types of adverse pregnancy outcomes and the work schedule. However, from the respondents' lifetime pregnancy outcome, we find that complete miscarriage occurred more frequently among healthcare workers who work on shift. Healthcare workers do experience a higher risk of adverse pregnancy outcomes, commonly occurring among those who work on shift/on-call
The measurement of mental fatigue following an overnight on-call duty among doctors using electroencephalogram
This study aimed to measure the spectral power differences in the brain rhythms among a group of hospital doctors before and after an overnight on-call duty. Thirty-two healthy doctors who performed regular on-call duty in a tertiary hospital in Sarawak, Malaysia were voluntarily recruited into this study. All participants were interviewed to collect relevant background information, followed by a self-administered questionnaire using Chalder Fatigue Scale and electroencephalogram test before and after an overnight on-call duty. The average overnight sleep duration during the on-call period was 2.2 hours (p<0.001, significantly shorter than usual sleep duration) among the participants. The mean (SD) Chalder Fatigue Scale score of the participants were 10.8 (5.3) before on-call and 18.4 (6.6) after on-call (p-value < 0.001). The theta rhythm showed significant increase in spectral power globally after an overnight on-call duty, especially when measured at eye closure. In contrast, the alpha and beta rhythms showed reduction in spectral power, significantly at temporal region, at eye closure, following an overnight on-call duty. These effects are more statistically significant when we derived the respective relative theta, alpha, and beta values. The finding of this study could be useful for development of electroencephalogram screening tool to detect mental fatigue
Cross Sectional Study on Adverse Pregnancy Outcomes among Female Healthcare Workers in Kuching, Sarawak
The weight of occupational risk on women in addition to men, is on their fecundity. NIOSH lists disorders of reproduction as one of the top ten leading work-related diseases and injuries. Nevertheless, women in the workforce is increasing and in healthcare, females make up the majority. This research is to observe the occurrences of adverse pregnancy outcomes among female healthcare workers in relation to their work schedules and its significance in relation to non-healthcare workers. Across-sectional study was carried out using a questionnaire with 469 respondents; 339 healthcare and 130 non-healthcare workers, reporting 564 pregnancies. In this study, adverse pregnancy outcomes among female healthcare workers is significantly higher than non-healthcare workers. There are no significant findings between healthcare and non-healthcare workers with respect to the types of adverse pregnancy outcomes and the work schedule. However, from the respondents' lifetime pregnancy outcome, we find that complete miscarriage occurred more frequently among healthcare workers who work on shift. Healthcare workers do experience a higher risk of adverse pregnancy outcomes, commonly occurring among those who work on shift/on-call
Pegylated granulocyte colony stimulating factor versus nonpegylated granulocyte colony stimulating factor for patients after hematopoietic stem cell transplantation (Protocol)
This is the protocol for a review and there is no abstract. The objectives are as follows:
To compare the efficacy and safety of pegylated G-CSF versus non-pegylated G-CSF for patients after HSCT
Workplace bullying and its association with depression and self-esteem amongst health care workers in selected hospitals in Sarawak
ABSTRACT
Introduction: Bullying at the workplace has been recognised as an increasing problem amongst healthcare staff, and also associated with a low self-esteem and depression. This study was aimed to determine the proportion of bullying amongst healthcare workers in
selected hospitals in Sarawak and its association between depression and self-esteem.
Methods: A cross sectional study using selfadministered questionnaires was done in three selected hospitals in Sarawak. The questionnaires were distributed to doctors, nurses and medical assistants during their teaching sessions. The questionnaires consisted of socio-demographics, Negative Acts Questionnaire, Beck Depression Inventory, and Rosenberg Self-Esteem scale. A total of 426 samples were included for analysis, after discarding 72 samples due to grossly missing information. The response rate was 71.1%. Results: Majority of the respondents were of the age group 25 to 29 years old. Nurses comprised 45.5% of the study population, followed by doctors (37.8%), whilst the rest were medical assistants and midwives. Based on the definition of bullying as at least two occurrences of any negative act either on a weekly or daily basis,20.7% of respondents had been bullied. 22.5% of the study group had mild to severe depression, and 8.5% had a low self-esteem. There
was an association between depression and being bullied, with a p value of <0.001. Those healthcare workers who had a low self-esteem were associated with higher exposure to bullying, with a p value <0.001. The factors associated with bullying werethe younger age group, shorter length of service, shifting work, non-managerial position and the designation as a doctor. Discussion: A significant proportion of healthcare workers had been bullied, and bullying exposure was shown to be associated with depression and low selfesteem. Hence, regular screening for bullying, depression and low self-esteem should be done to enable early intervention
Evaluation of I-Kelahiran, A Health Informatics System in Sabah State Health Department ā A Structural Equation Modeling
I-Kelahiran (Inovasi-Kelahiran) is a health informatics system that manages birth and immunisation data, developed and implemented in Sabah to address birth discrepancy, delayed reporting of high-risk pregnancy, and immunization coverage. This study aimed to evaluate the conceptual framework and the factors that determine the information system success of I-Kelahiran among the nurses in the Sabah State Health Department. It was a cross-sectional web-based study, conducted in 21 hospitals and 292 health clinics. A total of 1.200 nurses participated, with a mean age of 31.96 years (SD=7.761) and the majority of them were community nurses. About 93.8% of them had good computer literacy. Individual Impact (p=0.011) and Organizational Impact (p=0.0019) were seen to have significant association towards the nurse's place of work, and computer literacy had a significant association towards organizational impact (p=0.046). A structural equation modeling indicated that only perceived ease of use & importance of system are good predictors in outcome evaluation of I-Kelahiran while Individual Impact & Effectiveness are good domains to measure the overall outcome of I-Kelahiran (Chi-Square/df=2.850, Comparative Fit Index [CFI]= 0.991, Tucker-Lewis Index [TLI]= 0.989, Root Mean Square Error Of Approximation [RMSEA]= 0.939). Future study is needed to study the complex external factors that lead to this information success model in Malaysi
Parental affordability and willingness to pay for universal masking amongst government school students in Kuching, Sarawak
Introduction: Financial affordability to purchase
commodities for disease prevention is an important public
health issue. The objective of this paper is to report the
financial affordability and willingness to pay amongst the
parents of government students for their childrenās nonmedical mask use, using a newly created Household Face
Mask Affordability Questionnaire (MAQ).
Materials and Methods: This was a cross-sectional study
involving the parents or guardians of 50.6% (44/87)
government schools in the whole of Kuching Division of
Sarawak. The sampling method was multistage cluster
sampling, whereby stage one involved random sampling of
49.2% (30/61) primary schools and 53.8% (14/46) secondary
schools in the Kuching Division, followed by stage two
cluster sampling of one class per non-examination standard
in each randomly sampled school. All students in the
sampled classes were asked to bring a face-validated
questionnaire (MAQ) back home to be answered by one of
their parents or a guardian. A total of 2559 out of 3661
distributed questionnaires were collected, with a response
rate of 70%. The data collection period was between April
and June of 2022 so as the recall bias of the information
collected, especially on the actual spending on the face
masks for the school going students, was minimised. The
relevant summary statistics for self-perceived face masks
characteristics, face mask expenses, affordability and
willingness to pay were calculated. We regress separately
the monthly affordability and willingness to pay amount
against age, occupation, marital status, total number of
children, monthly income and monthly saving to build
predictive models for affordability and willingness to pay
amount per child per month.
Results: The average Scale-level Face Validity Indexes for all aspects of validity (clarity, comprehension, relevancy,
representativeness) are high (0.91 to 1.00) for MAQ. Most of
the respondents were mothers, married, working as private
employees with a mean age of 41 and belonged to the B40
and M40 group. The average monthly saving per family was
RM540, which was about 15% of the total income. The
average actual monthly spending to purchase face masks
for one child is RM24. On average, a family can afford to pay RM23.80 for one child per month to purchase face masks.
The willingness to pay for the same was RM25.27. The
median affordability, willingness to pay and actual spending
for face masks per child was RM16.67 per month. Taking
75th percentile as the reasonable maximum expenses per
child for face masks per month, the affordable amount by
most parents is RM30, with the willingness to pay at 10%
higher. Affordability to purchase a face mask is influenced
by the marital status, occupation, income, saving and the
number of dependent of the breadwinner of a household.
The most important face mask characteristics expected by
the parents are better filtration efficiency and easier
breathability.
Conclusion: The affordability and willingness to pay the
amount to purchase face masks amongst parents of
government students in Sarawak were RM30 and RM33 per
child per month, respectively
Systematic review of pre-clinical chronic myeloid leukaemia
The author would like to correct the error in the publication
of the original article. The corrected detail is given below
for your reading:
The first sentence in the last paragraph on page 481 in
āāDiscussionāā section under the subheading āOverall completeness
and applicability of evidenceā should read as
āClonal haematopoiesis of indeterminate potential (CHIP)
was first named in 2015 [27].
Systematic Review of Normal Subjects Harbouring BCR-ABL1 Fusion Gene
The treatment of chronic myeloid leukaemia (CML) requires quantitative polymerase chain reaction (qPCR) to monitor BCR-ABL1 in International Scale (IS). Some normal subjects were found to harbour BCR-ABL1. We performed a systematic review on normal subjects harbouring BCR-ABL1. A literature search was done on July 16, 2017 using EBSCOhost Research Databases interface and Western Pacific Region Index Medicus. Two authors selected the studies, extracted the data, and evaluated the quality of studies using the modified Appraisal Tool for Cross-Sectional Studies independently. The outcomes were prevalence, level of BCR-ABL1IS, proportion, and time of progression to CML. The initial search returned 4,770 studies. Eleven studies, all having used convenient sampling, were included, with total of 1,360 subjects. Ten studies used qualitative PCR and one used qPCR (not IS). The mean prevalence of M-BCR was 5.9, 15.5, and 15.9% in cord blood/newborns/infants (CB/NB/I) (n = 170), children (n = 90), and adults (n = 454), respectively, while m-BCR was 15, 26.9, and 23.1% in CB/NB/I (n = 786), children (n = 67), and adults (n = 208), respectively. No study reported the proportion and time of progression to CML. Nine studies were graded as moderate quality, one study as poor quality, and one study as unacceptable. The result of the studies could neither be inferred to the general normal population nor compared. Follow-up data were scarc