Optimum dietary protein requirement of Malaysian mahseer (Tor tambroides) fingerlings.

The optimum dietary protein requirement of the Malaysian mahseer (Tor tambroides) fingerlings was determined in this study. In this completely randomized designed experiment, formulated diets of five levels of dietary protein (30, 35, 40, 45 and 50%) were tested on the T. tambroides fingerlings (initial body weight of 5.85 +/- 0.40 g), reared in aquarium fitted with a biofiltering system. The fingerlings were fed twice daily at 5% of biomass. The fingerling body weight and total length was taken at every two weeks. Mortality was recorded daily. The dietary protein had significant effects on the body weight gain and Specific Growth Rate (SGR) of the fingerlings. The body weight gain and SGR of fingerlings fed with the diet with the dietary protein level of 40% was significantly higher (p<0.05) than that of 30, 35 and 50%. The feed conversion ratio of the 40% dietary protein was the significantly lowest at 2.19 +/- 0.163. The dietary protein level of 40% was the most optimum for T. tambroides fingerlings

Comparative study of ensemble method vs deep learning on human activity recognition for elderly care

A drastic increase in healthcare demand has come from the explosive growth of the older population. The elderly are, on average, more vulnerable to health problems than other age groups. Unpredictable events, such as sudden falls, can be avoided with proper monitoring. Activity recognition can help people avoid potentially dangerous behaviours by aiding in the detection of unexpected events. Most of the existing approaches require complex sensors and environment setup, involve data filtering and noise removal steps, and most often the chosen learning models need to be tuned and carefully designed for optimal performance. This study emphasizes light implementation, fast training time, easy experimental setup, and minimal parameter tuning. Human activities are captured using smartphone sensors in this study. Students and senior residents from a local home care facility are among the volunteers for this study. The necessary data sets are obtained from the accelerometer sensor on the smartphone. To provide baseline performance, the traditional instant-based learning architectures k-Nearest Neighbors (kNN) and Support Vector Machine (SVM) are used. To represent the ensemble learning model, the Random Forest (RF) and XGBoost (XGB) are investigated. The Multilayer Perceptron (MLP) and Convolutional Neural Network (CNN) are the more advanced deep learning models used in this study (CNN). The results reveal that ensemble methods and deep learning models provide improved accuracy, with ensemble learning models outperforming deep learning models

A review on illegals and the stateless in Sabah

Illegal immigrants refer to the migration of people into a country in ways that violates its immigration laws. A stateless person is a person who is not considered as a national by any state under the operation of its law. Interestingly, many who are stateless have never even crossed an international border. The term illegal is very loosely used in places like Sabah where it is interchanged with statelessness. As of 13 November 2018, it was estimated that there are about 12 million stateless people in the world. This review seeks to understand the current demographic situation in Sabah along with the public health repercussions of this demographic change and also to look into the success stories from around the world along with the recommendations from United Nation in solving this matter. Methods: The method used is reviewing of literature of previous studies conducted on statelessness and illegals. Local as well as international studies were reviewed. The data base used was ProQuest. Results: This review identified that one third of Sabah’s population consists of non-locals and in the past 27 years, about half a million illegal immigrants have been deported from Sabah. These numbers pose major public health repercussions from the economic, crime and health point of view. The way forward involves incorporating the United Nation Action plan with the local requirements and settings. Despite challenges, Sabah is trying its best to curb this issue and the Public health repercussions through various initiatives. We have also identified that more public health actions can be taken to reduce the negative effects. Conclusion: Dealing with the stateless and illegals is a delicate matter and there is no one way to solve it. Every country and every state are unique therefore the methods used must be tailor made. This is not something that can be solved within a short period of time and therefore persistence and perseverance is very much needed to tackle this global issue

The use of durable barrier cream in preventing pressure ulcer

A pressure ulcer is a common health problem, particularly among the physically limited or bedridden individuals. The most vulnerable group to suffer this condition is the elderly. The prevalence of Geriatric inpatient with pressure ulcer stage I, II, III or even IV for a month was 35.5% of the total admission. The understanding of recovery process, prevention remains the best management strategy as it improves their quality of life. This study aims to compare PU development outcomes in geriatric patients nursed on either using the Durable barrier cream (Cavillon cream) or non-pharmacological intervention alone. Using the Quasi experimental study-design, the selected participants were subjected to Cavaillon cream as well as the intervention. The assessment used were the outcome of the pressure ulcer was assessed using the measured size of the redness area. There was the statistically significant reduction in pressure ulcer size on day three compared to the size on day one among the intervention group, z value was -5.028, p<0.005.A systematic assessment and intervention were found to be effective in improving the healing process of the pressure ulcers, while providing high satisfaction in the practiced setting

The Knowledge and Practice of Cardiopulmonary Resuscitation (CPR) among Nursing Students

Cardiac arrest is the sudden cessation of a person’s cardiac activity and is often fatal if corrective life-saving interventions are not performed quickly. The American Heart Association advocates the need for high CPR competency among healthcare providers to increase the cardiac arrest survival rate. This study aimed to determine the knowledge and practice of nursing students on the acquisition and retention of CPR. A quantitative descriptive-correlation design was used, and a sample of 76 nursing students of Universiti Malaysia Sabah were recruited via a non-probability purposive technique. Data were collected using an online survey questionnaire that consists of 3 sections: Demographic, knowledge of CPR, and practice of CPR. They were analyzed using the correlation method. The results of this study are about the knowledge and practice of CPR. Nursing students' knowledge of the acquisition of CPR could be higher (39.36%), as is their practice (31.95%). The correlation coefficient between knowledge and practice is insignificant (rho = -0.073, p 0.531).In this study, both the knowledge and practice of CPR are independent

The Association of Foot Care Strategies (FCS) through Ablution with Hba1c among Diabetes Mellitus Type 2 Patient

Diabetes Mellitus in Malaysia has become increasingly problematic along with issues of other cardiovascular conditions such as hypertension, heart disease and stroke. Therefore, the aim of this study is to determine the association of Foot care strategies (FCS) through ablution with Hba1c result among Diabetes Mellitus Type 2. The study design used is a Quasi experimental design. The intervention group received an Educational Package that focused on ablution, while the control group did not receive any form of intervention and received standard health care. A Wilcoxon test was used for the statistical analyses. There are no statistical changes in the mean difference of score in intervention and control group after implementation of Diabetic Foot Care Strategies for intervention group Pre-test (M=7.706, SD=2.598, P 1.000) and Post-test is (M=7.706, SD (2.598), P 1.000). It was found that 0% Changes from baseline to post test. In this study has found that there was no effect between the improvement of foot hygiene with Hba1c result even though respondent Hba1c result were well control and poorly control

Job Stress from Nurses’ Working Conditions in Sabah Women and Child Hospital

Both excessive and insufficient workloads can cause stress among employees. It has been established that as tasks take longer to complete, employee happiness tends to decrease, which can significantly impact their overall health and mental well-being. The primary objective of this study is to examine the relationship between age and working conditions concerning job stress among registered nurses in a government hospital in Sabah. The quantitative survey approach was employed, involving 60 registered nurses with a minimum of 3 years of experience. Purposive sampling was utilized to ensure a sample that would provide comprehensive insights and discoveries into the factors influencing job stress among nurses in this specific setting. The analysis indicated that there was no statistically significant relationship between age, working conditions as demographics, and job stress (p = 0.499). The average stress level reported by respondents was 15.7 ± 2.32379 on a scale where higher scores indicate greater stress. This finding suggests that the observed demographic characteristics, including age and specific working conditions, did not correlate with higher or lower levels of job stress among the nurses surveyed. Based on the survey results, it can be concluded that age and the specific working conditions studied do not appear to significantly influence the experience of job stress among registered nurses at the government hospital in Sabah. This implies that other factors not explored in this study may have a more pronounced impact on job stress levels within this population. Future research could explore additional variables or consider different methodologies to further understand the complexities of job stress among healthcare professionals

The Quality of Life Among Nursing Students Related to Stress and Academic Pressure in North Borneo Local University

Nursing students often face high levels of stress and academic pressure due to the demanding nature of their coursework, clinical rotations, and the responsibility of caring for patients. Therefore, the aim of this study is to identify the association between Quality of Life and stress plus academic pressure among nursing student in north Borneo local university. Material and Method – Cross sectional study design was used, with 55 respondents using Academic Pressure Scale (APS) and Overall Quality of Life scale (WHOQOLS) as the questionnaire was analyse using Chi-square test. Result – The probability value obtained from Pearson ChiSquare was 0.014 is less than predetermined alpha value (0.05), thus the null hypothesis was rejected. Conclusion: There is significant association between WHOQOL and the APS underscores the interconnectedness of students' perceived quality of life and their experience of academic stress

Relationship Between the Level of Knowledge of Covid-19 and The Movement Control Order (MCO) among Patients at Kinarut Health Clinic.

The country has been facing the Covid-19 crisis that has affected the rest of the world in this decade. Numerous approaches and alternatives are implemented by the government to overcome this pandemic either controlled or stopped utterly.  In order for the government to succeed, the emphasis on breaking the chain of infection of Covid-19 and  the  direction of  the  Movement  Control  Order  (MCO)  must be strengthened. Thus, the main goal of this study is to identify the level of patient’s knowledge regarding Covid-19 and Movement Control Order  as well as to analyze the relationship between the level of knowledge about Covid-19 and Movement Control Order () among patients who come for treatment at the Kinarut Health clinic.  Methodology: This study applies the quantitative research methodology, specifically surveys through questionnaires, whereas the sampling method used is systematic sampling with 200 patients in the Kinarut area. Analysis of instrument evaluation and sampling technique is also discussed in this study. Analysis: The finding showed that the patients' knowledge level about Covid-19 was at a moderate level with a mean value = 3.610, SD = 0.345. The level of knowledge relating to Movement Control Order (MCO) is also at a moderate level with a mean value = 3.610, SP = 0.345.  Result: The correlation analysis showed that there is a strong relationship between the level of knowledge about Covid-19 and the level of knowledge of the Movement  Control Order, with a correlation value of r = 0.71, p> 0.05. Thus, the results of this analysis show  that there is a  strong relationship between  the variables of the knowledge level of Covid-19 and Movement Control Order in breaking the chain of infection Covid-19, particularly among patients who are living around Kinarut

Stress-Associated Factors among Nursing Students In Higher Education in East Malaysia

Psychological distress among students leads to less productivity, reduced quality of life, and learning difficulties and may negatively affect patient care. Objective: The main aim of this study is to identify stress factors among UMS students.Methodology: A cross-sectional descriptive, universal sampling of 152 student nurses was included in this study. Respondents were given a self-answered structured questionnaire conclusive of socio-demographic data, the Perceived Stress Scale (PSS-10), and factors associated with stress. A descriptive analysis was used to analyze the data. Results & Findings: Out of 152 students, the majority have moderate stress (83.6 %), about 12.5 % have low-stress levels, and only 3.9 % of respondents have high stress levels. The results show that students experienced or reported significantly higher academic factors (24.9 %), followed by interpersonal factors (24.6 %) Conclusion: According to study findings, stress is most prevalent among nursing students and is attributed to academic and interpersonal causes. It is advised to use proactive learning strategies, peer and staff mentoring and modeling, professional networks and social support, psychological support, and faculty role and behavior