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Purpose: While the unmet healthcare needs are still being improved upon, the wellbeing of cancer patients has increasingly become a prime concern in Malaysia. The objective of this study is to ascertain the trend of unmet supportive care needs, post-traumatic growth (P T G), coping strategies, and social supports among patients with breast cancer over the three time points of treatment: T1 at early diagnosis, T2 for three months after diagnosis, and T3 for six months after diagnosis. Methods: A total of 240 cancer patients participated in this prospective cohort study, with follow-up visits from October 2019 until July 2021. Data were collected using several instruments: Brief COP E, the Source of Social Support Scale (SSSS), the Post-Traumatic Growth Inventory - Short Form (P T GI-SF), and a Malay version of the 34-Item Shortform Supportive Care Need Survey (SCNS-SF34). Results: The results indicated a significant change from T1 to T3 for all domains of the unmet needs (p-value < 0.001), except for the sexual domain. A lower SCNS-SF34 score resulted from more unfavorable social support. The P T GI-SF results indicated a trend toward meeting the unmet needs, and a higher SCNS-SF-34 score predicted a considerably higher P T GI-SF score. Conclusions: Our study findings suggest that majority of the factors evaluated in terms of unmet needs among cancer patients have undergone considerable changes. [ABSTRACT FROM AUTHOR]

The purpose of this study is to identify the level of technology acceptance among school teachers from the components of awareness and motivation, training and courses, training design, and supports and facilities. This study also aims to investigate whether teachers' acceptance of technology could influence their readiness for the pedagogical use of mobile phone technology if it is to be implemented in school. A quantitative questionnaire was administered to thirty eight teachers who teach Information and Technology (IT) subject from different primary schools in Penang, Malaysia during a program on Teachers' Development. Data revealed that the level of technology acceptance among respondents in terms of awareness and motivation, training and courses, training design and supports and facilities was generally high. Despite this positive acceptance of technology, teachers' readiness for the use of mobile phone in teaching and learning was found to be at a considerably low level. However, the study identified a significant correlation between respondents' awareness and motivation towards technology with their readiness for the pedagogical usage of mobile phone. It was also found that gender is a possible factor influencing the respondents' readiness. As implication, this paper probes the influence of technology acceptance on teachers' readiness for the pedagogical usage of mobile phone and the possible implications this influence affords. (Contains 10 tables and 3 figures.)

This study examined the teachers' perceptions on the implementation of mobile learning via mobile phone at schools. The sample for this study comprised thirty eight teachers who were teaching Information Technology (IT) subjects from various primary schools in Penang, Malaysia. A quantitative survey was administered to the respondents whereby results indicated that the adoption of mobile learning via mobile phone at schools was not perceived well among respondents. Moreover, respondents also were quite skeptical about future of mobile learning should it be implemented at their schools. The article concludes with emerging concerns which may have implications for future studies, specifically on whether or not mobile phone can effectively be adopted as teaching and learning tools for Malaysian mainstream schooling.

Introduction: Breast cancer is the most common cause of cancer death among women. The purpose of this study is to determine the 5-years survival rate and prognostic factors among breast cancer patients in a tertiary oncological centre in Penang, Malaysia. Methods: A retrospective cohort study was conducted at the Advanced Medical and Dental Institute, Universiti Sains Malaysia. All 214 cases of breast cancer diagnosed from 1st January 2008 until 31st December 2012 were selected and retrospectively followed-up until 31st December 2017. The survival status for this study was referring to the record of the National Registration of Malaysia. Kaplan-Meier with Log-rank test and Cox regression were used for the univariable and multivariable analysis, respectively. Results: The mean (SD) age at diagnosis was 50.98 (±10.75) years. The majority of the patients were Malay (55.7%) and married (96.5%). After controlling for the effect of underlying comorbidities, lymph nodes involvement, marital status, vascular involvement and adjuvant therapy; it was found that marital status (adj HR= 3.63, 95% CI 1.17-11.24) and lymph nodes involvement (adj HR=2.36, 95% CI 1.17-4.76) were the significant prognostic factors. Conclusion: This study re-emphasizes the role of marital status and lymph nodes involvement as independent predictors of the long-term survival of breast cancer patients. Further studies are needed to assess the promising benefit of personalized treatment and specific supportive care given to the patients with these risk factors for better cancer experience and survival. [ABSTRACT FROM AUTHOR]

Introduction: Kratom (Mitragyna speciosa Korth) dependence is a common psychiatric complication associated with regular kratom use in Malaysia. Hence, it is important to assess the severity of kratom dependence among regular kratom users. The Kratom Dependence Scale (KDS) was introduced to evaluate the degree of severity of kratom dependence among users. This study aimed to translate the original English version of the KDS into Malay and examine the psychometric properties of the KDS (Malay) among Malaysian kratom users. Methods: Initially, parallel translation and back translation of the original English version of the KDS was performed. The KDS (Malay) then was administered to 20 active Malaysian kratom users to assess face and content validities in a pilot study. Finally, the final version was administered to 150 active kratom users to evaluate its internal consistency (Cronbach's α), face and content validities, discriminative validity, and construct validity, i.e. via exploratory factor analysis (EFA). Results: The KDS (Malay) Cronbach's α of 0.94 exhibited excellent internal consistency. It also demonstrated construct validity, as EFA showed that all items of the KDS (Malay) fit into a single domain, similar to the original English version. Discriminative validity was also demonstrated by the KDS (Malay), as it could differentiate kratom dependent users from non-kratom dependent users. Conclusion: The KDS (Malay) has acceptable psychometric properties and is suitable to assess severity of kratom dependence in Malaysian kratom users. [ABSTRACT FROM AUTHOR]

Hope leads to lower depression and anxiety and is associated with improved quality of life of cancer patients. In this study, Hope Scale (HS) was translated into Malay, and the psychometric properties of the Malay version of the Hope Scale were investigated among Malaysian cancer patients. Concurrent translation and back translation of the original English version of the Hope Scale were performed, and the Malay version was administered to 195 cancer patients with different cancer diagnoses at baseline assessment and 2 months later at follow-up. The Hope Scale (Malay) total score (Cronbach's α = 0.72; intraclass correlation coefficient (ICC) = 0.67) and its domains (Cronbach's α [pathway] = 0.7; Cronbach's α [agency] = 0.7; ICC[Pathway] = 0.64; ICC[Agency] = 0.70) demonstrated acceptable internal consistencies and test-retest reliability. Convergent and discriminant validities were also achieved by the Hope Scale (Malay). The Hope Scale (Malay) demonstrated construct validity, as confirmatory factor analysis demonstrated that the items in the Hope Scale (Malay) best fit into two domains, which was true for the original English version. The Hope Scale (Malay) had acceptable psychometric properties and thus is suitable for assessing hope in Malaysian cancer patients. [ABSTRACT FROM AUTHOR]

Introduction: Posttraumatic growth (PTG) is a positive psychological change in life that occurs as a result of struggle with highly challenging life crises. There is a growing need to explore posttraumatic growth (PTG) in cancer patients, as higher PTG may enhance well-being of patients. Objectives: The aim of this study was to translate the Posttraumatic Growth Inventory-Short Form (PTGISF) into the Malay language and evaluate its psychometric properties for assessing Malaysian cancer patients in future studies. Methods: Two parallels forward and backward translations of the PTGI-SF into the Malay language were conducted. The test was administered to 195 cancer patients. Reliability was evaluated by testing internal consistency (Cronbach's a) and calculating the test-retest intra-class correlation coefficient, and validity was examined by determining face, convergent, and discriminant validities and using confirmatory factor analysis (CFA). Results: The Malay version of the PTGI-SF and its five domains demonstrated good internal consistencies and acceptable test-retest reliability. All 10 items of this version were highly correlated with their own domains and thus exhibited convergent validity. Discriminant validity was achieved, as all domains of the Malay PTGI-SF was not highly correlated with the domains of the Source of Social Support Scale. CFA resulted in a bestfitting 5-factor model. Conclusion: The Malay version of the PTGI-SF is a suitable tool for measuring PTG in Malaysian cancer patients. [ABSTRACT FROM AUTHOR]

Objective: It is important to investigate the association between spousal support and psychology of cancer patients, thus a validated instrument to measure the degree of perceived spousal support is required. We translated and evaluated the psychometric properties of the Sources of Social Support Scale-Malay version (SSSS-Malay) among Malaysian cancer patients. Methods: In this study, the SSSS-Malay and Hope Scale-Malay [used to compare with the SSSS-Malay to assess discriminant validity] were administered to 195 Malaysian cancer patients during baseline assessment. The SSSS-Malay was re-administered 2 months after the baseline assessment during follow-up. Results: The SSSS-Malay total score (Cronbach's α = 0.70, intraclass correlation coefficient (ICC) = 0.72) and its domains (Cronbach's a ranging from 0.70 to 0.83, intraclass correlation coefficient ranging from 0.6 to 0.76) exhibited good internal consistencies and good test-retest reliability. The SSSS-Malay also demonstrated good convergent and discriminant validities. However, confirmatory factor analysis of the SSSSMalay showed that it was best fit into a 3-factor model instead of the 4-factor model of the original English version. Conclusion: The SSSS-Malay demonstrated good psychometric properties for use in Malaysian cancer patients. [ABSTRACT FROM AUTHOR]

This study is designed to measure readiness among adult distance learner to embrace new technologies in their studies. This study involved 190 adult distance learner from School of Distance Education, UniversitiSains Malaysia as a respondent and the data were collected by questionnaire that adopted from Parasuraman and Colby (2001) [1]. The study was carried out to see whether adult learners are comfortable to study by using new technology. The result shows that all respondent are comfortable and confidence enough to embrace new technology in their learning. This study also shows that e-learning is one of learning tool that can support adult learning. [ABSTRACT FROM AUTHOR]

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Introduction: Laser treatment can cause a temperature rise either to the tooth surface or dental pulp. Significant temperature changes may potentially threaten the vitality of the pulp and consequently results in pulpal necrosis. This study aims to identify the temperature changes on the enamel and dental pulp of the teeth following multiple exposures of a pulsed Nd:YAG laser irradiation. Methods: Eight healthy molar teeth extracted for orthodontics treatment were exposed to Nd:YAG laser at a fluence of 200 J/cm², pulse width duration of 100 ms, and a repetition rate of 1 Hz. The teeth were irradiated repeatedly up to ten exposures at a constant fluence and pulse width. A thermocouple probe was placed on the enamel surface and into a tooth's pulp chamber during laser irradiation. The temperature of the enamel surface and the pulp chamber was recorded throughout the irradiation process. Results: The average temperature of the pulp and the enamel surface increased when the number of exposure increased. The mean temperature of the enamel is 7.99°C, slightly lower than the mean temperature of the pulp that is 9.65°C. The pulp's temperature changes are more remarkable upon laser exposure (44.57%) compared to the temperature changes of the enamel (39.68%). Conclusion: This study shows temperature changes at the enamel and pulp of a tooth following multiple exposures of laser irradiation. As the number of exposure increases, the temperature changes are also increasing. However, no significant difference between temperature changes in pulp and enamel of the teeth. [ABSTRACT FROM AUTHOR]

Introduction: Colour stability of the material is an essential factor that contributes to the selection of a flexible denture material. Staining effects on the denture may result in unattractive appearance, the dissatisfaction of the wearer, and limited usage period of the denture. This study aims to identify the colour stability of the Valplast flexible denture material using three types of beverages. Methods: A total of 32 disc-shaped flexible resin materials (20 +/- 0.1 mm in diameter and thickness 3 +/- 0.1 mm) were prepared based on the manufacturer instructions. The samples were randomly divided into 4 groups of immersion: distilled water (control), coffee solution, tea solution and red wine. The samples were left in the specified immersion solution for up to 60 days. Colour changes were measured after 1, 3, 7, 14, 21, 30, 45 and 60 days of immersion. Results: The samples immersed in coffee solution changed from S1 to S2, whereas samples in tea solution changed from S1 to S3. Additionally, samples in red wine changed from S1 to S4, as observed using the Valplast colour tone guide. The highest reflection measured using spectroscopy was 65.146 at 385.19 nm of the control samples, whereas the lowest reflection was 1.974 at the wavelength of 385.97 nm on the samples immersed in the red wine. Conclusion: The most significant difference can be observed in the red wine group, followed by samples in tea and coffee solutions. Moreover, increasing the immersion period causes increasing staining effect of the denture. [ABSTRACT FROM AUTHOR]

Infant feeding is thought to modulate cardiovascular risk factors such as obesity, hypertension, hyperglycemia, and dyslipidemia. This possible association between patterns of feeding with development of cardiovascular disease later in life provides the opportunity for early intervention and prevention strategies. Among all the feeding methods applied, breastfeeding is thought to be the best method and is said to be attributable to future health benefits. However, current evidence from the literature is weak and inconsistent to advocate risk factors management. Therefore, this narrative review aims to provide current findings in assessing the association of breastfeeding pattern and risk of developing cardiovascular diseases later in life. We searched three databases (MEDLINE, PubMed and Google Scholar) from year 2000 to 11 July 2018. Findings on the association between breastfeeding and cardiovascular risk factors are equivocal, although positive trend of beneficial effects of breastfeeding in reducing risk of cardiovascular diseases in adulthood was reported in majority of the studies. Future research should address all limitations that were identified by previous studies such as bias of study design and heterogeneity of samples to establish the association between breastfeeding pattern and cardiovascular disease in later life. [ABSTRACT FROM AUTHOR]

Introduction: Sterilisation is an essential step in the reprocessing of reusable dental instruments including burs that have become contaminated, or potentially contaminated. Transmission of disease or infection may happen as an effect of improper sterilisation of the reused instruments. Dental burs are one of the essential tools in any conservative dental procedures, which undergo multiple sterilisation cycles before being discarded. However, repeated sterilisation process is associated with the reduction in cutting efficiency of a bur that is potentially due to corrosion. Thus, this study aims to compare the effect of two sterilisation methods on cutting efficiency of a diamond bur that is commonly used in dental procedures. Methods: 30 fissure diamond burs were randomly divided into three sterilisation groups: Group A (dry heat), B (steam under pressure) and C (control). Each bur was used to cut teeth for 45 seconds for ten cycles. Between cuts, the burs underwent sterilisation based on their sterilisation groups. Amount of cutting weight was measured after each cut. Results: This study shows that no significant difference (p>0.05) in the cutting efficiency of the burs following sterilisation of Groups A and B. However, there is a significant mean difference (p<0.05) of cutting efficiency between burs in Groups A, B, and C. Conclusion: Multiple sterilisation cycles is one of the factors that contribute to the cutting ability and effectiveness of a bur. However, there is no significant difference between dry heat and steam under pressure sterilisation methods toward the cutting efficiency of a bur. [ABSTRACT FROM AUTHOR]

A hospital based cross-sectional retrospective study was conducted to determine the frequency of hand foot syndrome (HFS) with Capecitabine as a single agent and in combination with Oxaliplatin. The study included 43 consecutive cases of colorectal carcinoma and conducted from June till December 2008. Patients on palliative care were excluded. SPSS was used for the application of chi-square test, by keeping the level of significance as p < 0.05. Fifteen (34.9%) patients developed HFS, 10 in the single-agent and 5 in the combination group. No significant association of HFS with either regimens was noted (p=0.876).