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Kami meneruskan aktiviti terakhir kami dengan menikmati salji yang lembut dan pemandangan yang indah pada malam tersebut. Sakura Science Program 2018 1344 Gambarajah 7 Taklimat mengenai "Medical Insurance System and Long-term Care system in Japan" Setelah itu, kami dibawa meninjau kawasan hospital yang terkenal dengan kemodenan dan alatan hospital yang serba canggih iaitu Niigata University Hospital. Beliau membawa kami melawat wad, icu, bilik kaca untuk pembedahan laparoskopik, wad hemodialisis, perpustakaan yang sangat selesa di mana kebanyakan buku-buku adalah hasil sumbangan orang ramai dan jabatan radiologi yang dilengkapi dengan mesin yang terkini dan canggih. [Extracted from the article]

Background: The percentage of people suffering from depression and/or anxiety globally has doubled from 416 million in 1990 to 615 million in 2013. Amongst associated factors identified were job demand, poor social support, organizational issues, financial problems, wages and workload. Thus, the objective of this study was to determine the prevalence and what are the associated factors that influencing depression, anxiety and stress level among healthcare workers in Pejabat Kesihatan Daerah Melaka Tengah. Materials and Methods: The study design of this research was a cross sectional method. We recruited all 1203 healthcare workers, but the final number was 702 responses screened for analysis in which provide complete data on the variables of interest of the study. This study was conducted from August till December 2018. The validated Malay version of DASS 21 was used as a research tool in this study. Result: The highest prevalence among healthcare workers in Pejabat Kesihatan Daerah Melaka Tengah was anxiety (14.0%), followed by depression (7.0%) and stress (4.3%).The prevalence of depression was significant among PPKP (OR: 10.27, 95%CI: 4.19-25.17) and those respondents working at PKD administrative office (5.40, 95%CI: 2.60-11.21); anxiety prevalence was statistically associated with age (OR: 2.26, 95%CI: 1.10-4.65), work place (OR: 3.75, 95%CI: 1.99-7.06), and occupation (OR: 5.17, 95%CI: 2.20-12.14). Lastly, stress prevalence was found to be significant among PPKP (OR: 5.29, 95%CI: 1.68, 16.65). Conclusion: Age, working at PKD administrative office and occupation as PPKP were significantly associated with DAS score among healthcare workers in Pejabat Kesihatan Daerah Melaka Tengah. [ABSTRACT FROM AUTHOR]

Introduction Dengue fever is an arthropod-borne viral disease that has become endemic in most tropical countries. In 2014, Malaysia reported 108 698 cases of dengue fever with 215 deaths which increased tremendously compared to 49 335 cases with 112 deaths in 2008 and 30 110 cases with 69 deaths in 2009. This study aimed to identify the best method in determining dengue outbreak threshold for Negeri Sembilan as it can help to send uniform messages to inform the general public and make the outbreak analysis comparable within and between countries. Methods Using retrospective Negeri Sembilan country dataset from 1st epid week of 2011 till the 52nd epid week of 2016. The data were split into two periods: 1) a 3-year historic period (2011-2013), used to calibrate and parameterise the model, and a 1-year evaluation period (2014); 2) a 2-year historic period (2014-2016), used to calibrate and parameterise the model, and a 1-year evaluation period (2016), used to test the model. E-dengue is a registration system for confirmed dengue cases dengue by Ministry of Health. Data included were details of cases, district locality, records on the outbreak and epidemiological week (Sunday to Saturday) captured using the Excel spreadsheet. Analysis method included endemic channel method, moving average or deviation bar chart and recent mean. Results Seremban as big district and facing with heavy dengue cases, all three methods (endemic curve, current mean and moving mean) showed promising results. Meanwhile comparing with small district of Port Dickson and Tampin with fewer dengue cases and outbreak recorded, the suitable method is by using endemic channel for epidemic threshold. Conclusions Simpler methods such as the endemic channel, recent mean and moving mean may be more appropriate in urban district. Whereas in rural or district with minimal dengue cases, Endemic Channel would be the most suitable method for epidemic threshold. However, both methods require a consistent updated graph threshold as time progress. [ABSTRACT FROM AUTHOR]

Introduction Prostate cancer is forth most common diagnosed tumors in Malaysian male. The use of a self-reported, quality of life assessment is important for clinical practice, care taker and researcher to evaluate the level of quality of life. The aim of this study was to measure the internal consistency of the translated Malay Language EORTC QLQ-C30 and EORTC PR-25 questionnaires among prostate cancer patient at National University of Malaysia hospital in Kuala Lumpur, Malaysia. Methods This was a cross sectional study conducted between July 2017 and Dec 2017. The respondent comprised of 110 Malaysian prostate cancer patients who were under follow up at Urology and Oncology Clinic. Sets of translated Malay language EORTC QLQ C30 and EORTC PR-25 consisted of functional, symptom and global health status domains were administered to assess their quality of life. Results The translated questionnaires were acceptable by 110 respondents. Cronbach's a coefficient result were 0.913 (EORTC QLQ-C30) and 0.829 (EORTC PR- 25) respectively suggested that this instrument had good internal consistency. Conclusions Our study confirmed that translated Malay language EORTC QLQ-C30 and QLQ-PR25 questionnaires are acceptable, reliable and valid instrument to be used among Malaysian prostate cancer patients. [ABSTRACT FROM AUTHOR]

Introduction Overweight and obesity are a serious public health problem globally. Healthcare workers in some countries have been reported to be having a high prevalence of being overweight despite them being well informed of the aetiology and risks of excessive body weight. However, the problem of being overweight and obese among Malaysian healthcare workers is still poorly understood. The aim of this study is to assess the prevalence and factors associated with overweight and obesity among healthcare workers in Pejabat Kesihatan Daerah (PKD) Melaka Tengah. Methods This is a cross sectional study conducted between June till August 2018 involving 702 respondents sampled from all health facilities under PKD Melaka Tengah. Demographic, socio-economic and lifestyle data was collected using questionnaires whilst anthropometric measurements were taken using the electronic weighing scale and height measuring bar. Results Mean age was 35.81 years and overall prevalence of overweight/obesity was 55.6%. Prevalence of overweight, class I obesity, class II obesity and class III obesity was 34.3%, 14.2%, 4.8% and 2.1% respectively. The identified risks of being overweight were those aged forty and above (OR: 2.00, 95%CI: 1.39-2.85), non-Chinese (OR: 4.97, 95%CI: 2.13-11.62), married (OR: 1.77, 95%CI: 1.15-2.73), big family size (OR: 1.43, 95%CI: 1.07-1.99), underlying NCD (OR: 1.73, 95%CI: 1.24-2.42), family history of NCD (OR: 1.94, 95%CI: 1.33-2.82), and sedentary lifestyle (OR: 1.52, 95%CI: 1.07-2.17). Conclusions We found a higher prevalence of overweight/obesity among healthcare workers in PKD Melaka Tengah compared to the general population. Older age group and non-Chinese ethnicity emerged as the most conspicuous factors of overweight/obesity. [ABSTRACT FROM AUTHOR]

Background: Cervical cancer (CC) is one of the most frequently occur cancers among female population around the world and thus a significant public health problem. Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections (STI) in both men and women globally and more than 100 HPV types are known. Persistent infection with high-risk HPV types is the most important risk factor for CC. Low cervical cancer screening participation among immigrant women due to screening inaccessibility of healthcare services, ineffectiveness, unaffordable medical treatments and lack of awareness of screening. The objective of this study is to systematically identify factors that influence the cervical cancer screening among immigrant women. Materials and Methods: A systematic literature search was conducted to examine published studies on associating factors that Influence cervical cancer screening among immigrant women. Two independent researchers searched through Google scholar, PubMed/MEDLINE and Science Direct databases. Result: A total of 11 eligible study papers were included for final analysis. Factors that influence the immigrant women to undergo cervical cancer screening services: literacy in local language (OR: 4.04, 95%CI: 1.76-9.23), married (OR: 2.50, 95%CI: 1.32-4.73), knowledge (OR: 1.19, 95%CI: 1.09-1.29). As for barriers: living in rural area (OR: 1.96, 95%CI: 1.11-3.46), discrimination (OR: 2.19, 95%CI: 1.16-4.14) and unemployment (OR: 0.56, 95%CI: 0.36-0.87). Conclusion: Effective interventions and program are required to tackle immigrant women in order to prevent late stage cervical cancer cases. Early prevention strategy and any suspicious screen-detected lesion or cytological result can be easily channeled to appropriate diagnosis and treatment. [ABSTRACT FROM AUTHOR]

Introduction Prostate cancer is indeed a raising health problem in the world. As our life expectancy improves, the prevalence of prostate cancer may also increase. Diet is believed to be one of the common major risk factors contributing to the development of prostate cancer. Objective This review aims to i) understand the effect of dietary habit towards risk of developing prostate cancer, ii) to summarize the published articles on risk of developing prostate cancer and iii) to provide information in designing the optimal diet for primary and secondary prostate cancer prevention. Methods A search was conducted to review published studies on prostate cancer and diet through PubMed/MEDLINE, Google Scholar and Science Direct. Results High intake of red meat, processed meat and dairy products were commonly linked to the prostate cancer while consumption of antioxidants and certain vitamins may give protective mechanism towards prostate cancer. Conclusions Diet of low carbohydrates, n-3 PUFAs, colorful fruits and vegetables are still the best advice to counsel the patient while lifestyle of smoking and heavy alcohol intake should be avoided in preventing prostate cancer. [ABSTRACT FROM AUTHOR]

Introduction: Pneumococcal disease causes considerable morbidity and mortality, including among adults. Adult pneumococcal vaccines help to prevent these burdens, yet, they are underutilized. Our objective is to systematically collect and summarize the available evidence on the potential factors that lead to pneumococcal vaccination acceptance among of adult community. Methods: A systematic literature search was conducted involving studies published from January 1999 to December 2015. The studies were identified by searching electronic resources (PubMed/MEDLINE and Pro Quest database) and manual searches of references. The keywords "vaccine/immunization", "uptake/coverage", "determinant/factor", and "Streptococcus pneumoniae/pneumococcus/pneumococcal" were used. Final studies result and data were reviewed by two independent authors. Disagreement was resolved through discussion and consensus. Results: A total of 171 studies were identified, only 17 studies were included in final discussion with 10 domains identified in the paper. 7 studies (41%) had reported that the provider domain, patients' perception and socio-demographic factor have had the most effect on the pneumococcal vaccination acceptance rate. In addition, only 18% (3) of reviewed papers had highlighted that socio-economic was a factor influenced the pneumococcal vaccination acceptance while 24% (4 studies) were attributed to the comorbid domains. Conclusions: Healthcare provider and patients' perception about pneumococcal vaccination for adult population are significant domains which influence the acceptance towards vaccination. Strong recommendations from healthcare provider for pneumococcal vaccination would be an important step to increase vaccination acceptance among the population. [ABSTRACT FROM AUTHOR]