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Nutrient Contents in Tempe Produced from Five Cottage Industries in Selangor, Malaysia

Malaysian Journal of Health Sciences.2018;16(1):1-6. doi:10.17576/JSKM-2010.17576/JSKM-2018-1601-0118-1601-01

This study aimed to determine the nutrient contents in tempe produced by five cottage industries in Selangor, Malaysia. Proximate contents were analysed by using standard methods of AOAC (1997) while carbohydrate content was calculated by difference. Mineral contents, total dietary fiber (TDF), total phenolic content and total isoflavone content were determined by Atomic Absorption Spectrophotometry (AAS), enzymatic-gravimetric (AOAC 985.29), Folin-Ciocalteu colorimetric and High Performance Liquid Chromatography (HPLC) respectively. Macronutrients were reported in 100 g sample and the results showed the average nutrient contents were as follow: 63.07 ± 3.18% moisture, 19.63 ± 1.50% protein, 0.65 ± 0.17% fat, 0.70 ± 0.06% ash and 15.95 ± 1.88% total carbohydrate. The average mineral content in 100 g samples (based on wet basis) were 29.45 ± 5.67 mg calcium, 13.28 ± 5.76 mg magnesium, 3.48 ± 1.09 mg sodium and 2.06 ± 0.33 mg ferum. The results showed that the average of TDF content was 8.05 ± 3.65%. Total phenolic content was 259.87 ± 22.62 mg of GAE/g. The total isoflavone content in 100 g samples (wet basis) was 41.94 ± 10.42 mg/100 g. This study had shown that total phenolic content was significantly correlated (p < 0.01) with total isoflavone content in all tempe samples. It can be concluded that there was no significant difference (p > 0.05) in nutrient contents among tempe samples produced by five cottage industries located in Selangor, Malaysia. However, the mineral and isoflavone contents in the present study were lower compared to previous studies.

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The Effect of Burned Liver on the Length, Weight and Development of Megaselia scalaris (Loew) (Diptera: Phoridae) – A Preliminary Assessment and Implications in Forensic Entomology

RAJA MUHAMMAD ZUHA

Malaysian Journal of Health Sciences.2018;16(1):29-33. doi:10.17576/JSKM-2018-1601-04

Development of insects in laboratory for minimum post mortem interval estimation (mPMI) or time of colonisation (TOC) in forensic entomology can be affected by the type and quality of food consumed during larval period. Since mPMI estimation also involves analysis of larval specimens collected from burned human remains, it is important to study if burned tissues could affect growth of sarcosaprophagous larvae. This study investigated the effect of burned tissues on the size and developmental period of Megaselia scalaris (Loew) (Diptera: Phoridae), a species of forensic importance. Development of M. scalaris on 75 g burned cow’s liver was compared with control liver in three study replicates. Mean larval length (2.87 ± 0.11 mm) and weight (0.81 ± 0.08 mg) of M. scalaris larvae in burned liver diets were significantly lower than larval length (5.03 ± 0.15 mm) and weight (2.85 ± 0.21 mg) of control liver diets (p < 0.001) whilst mean pupal length (2.53 ± 0.06 mm) and weight (0.92 ± 0.06 mg) in burned liver diets were significantly lower than pupal length (3.52 ± 0.06 mm) and weight (2.84 ± 0.16 mg) in control liver diets (p < 0.001). Development of larvae in burned liver was 5-9 hours slower than those feeding on control liver based on single observation. Although the assessment is preliminary, the findings indicate physical growth of larvae feeding on burned animal tissues was affected and entomological specimens recovered from burned remains should be evaluated carefully to avoid errors in mPMI/TOC estimation. Limitations and suggestions for further research are also presented herein.

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A 10-Week Pedometer-Based Walking Program Induced Weight Loss and Improved Metabolic Health in Community-Dwelling Adults

NOR FARAH MOHAMAD FAUZI

Malaysian Journal of Health Sciences.2019;17(1):21-29. doi:10.17576/JSKM-2019-1701-04

Walking 10,000 steps daily is associated with beneficial health outcomes. Recent systematic reviews have suggested that pedometers may be an effective motivational tool to promote walking. The aim of this study was to study the effectiveness of a 10-week, pedometer-based walking intervention to improve physical activity, body composition and metabolic health indices in a sample of suburban community-dwelling adults not meeting current physical activity recommendations. After screening, 34 overweight/obese individuals (mean age: 46 ± 8 years, mean BMI: 28.3 ± 4.2 kg/m2 ) were accepted into the walking program conducted by the Health Promotion Community Centre, Bangi. Subjects were instructed to increase their steps by 3000 steps daily above their baseline values for 10 weeks. Daily step count, body weight, BMI, waist circumference, as well as blood pressure, fasting glucose and lipids were evaluated at baseline and following the 10-week intervention. Thirty-one participants completed the program with 100% adherence. The average daily steps recorded during the 10-week intervention was 9693 ± 2196 steps per day. Mean daily steps increased from 8679 ± 2567 steps in Week 1 to 10,766 ± 3200 steps in Week 10 (p=0.040). Overall, there were reductions in body weight (-1.13%, p=0.010), waist circumference (-3.5%, p=0.001) and BMI (-1.41%, p=0.008) as well as fasting blood glucose (-8.5%, p=0.003) and systolic blood pressure (-4.8%, p=0.007) following the intervention. The findings of this study demonstrated that a goal-driven, pedometer-based walking intervention for 10 weeks resulted in a modest reduction in body weight and improved metabolic health outcomes in overweight/obese, community-dwelling adults.

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The Swallowing Ability and Psychosocial Domains of Patients with Dysphagia among Head and Neck Cancer Population

SHEE WEI SAN

Malaysian Journal of Health Sciences.2019;17(1):1-8. doi:10.17576/JSKM-2019-1701-01

Dysphagia is a significant health issue and it gives a substantial impact on the individual’s quality of life. This study aims to explore the quality of life of patients with dysphagia in head and neck cancer population. Twenty patients with dysphagia who were attending to oncology clinic in Hospital Universiti Sains Malaysia for their medical treatment on the head and neck cancer involved in the study. The Swallowing Activity and Participation Profile (SAPP) was used to gather information on the patients’ swallowing ability and psychosocial domains (personal, social and working, and emotional). The results indicated that the swallowing ability was significantly related to the personal, social and working, and emotional domains. The Mann-Whitney test showed no statistically significant difference in the personal domain and in the social and working domain of men and women. Yet the result revealed a statistically significant difference in the emotional domain of men (M=10.42) and women (M=14.63). On the whole, this study positively conform that the quality of life of patients with dysphagia among head and neck cancer population was truly affected.

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Fixatives Increase the Efficacy of Gel Formulations containing Piper aduncum Linnaeus (Piperales: Piperaceae) Essential Oil as Repellent

HIDAYATULFATHI OTHMAN

Malaysian Journal of Health Sciences.2019;17(1):9-15. doi:10.17576/JSKM-2019-1701-02

Piper aduncum essential oil exhibit repellency activity and has a potential to be use as an alternative for synthetic repellent such as N,N-diethyl-3- methylbenzamide, (DEET). However, the volatility properties of the essential oil decrease their persistence as a topical repellent. Study has shown that formulation of the essential oil with some fixatives may increase their effectiveness. Therefore, this study was conduct to evaluate the effectiveness of gel formulation containing P. aduncum essential oil with two fixative; vanillin and paraffin oil. Gel formulations containing P. aduncum essential oil with 5% and 10% vanillin and 6% paraffin oil was prepared and tested against Aedes aegypti in laboratory using Standards and Industrial Research Institute of Malaysia (SIRIM) bioassay method. After 240 minute post-application, formulation containing 5% and 10% vanillin was able to provide >70% repellency percentage against mosquito while formulation containing 6% paraffin oil gives <30% repellency percentage. As conclusion, P. aduncum based repellent gel containing 5% and 10% vanillin was able to prolong the effect of P. aduncum essential oil as repellent against dengue vector in laboratory.

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Qualitative Phytochemical Analysis and Antimicrobial Activity of Piper sarmentosum Leaves Extract against Selected Pathogens

HARTINI YUSOF

Malaysian Journal of Health Sciences.2019;17(1):67-72. doi:10.17576/JSKM-2019-1701-09

The controversial usage of antiseptic in treating wound infections had become a huge issue over the years due to its minimal effectiveness and high toxicity level that are harmful to humans. Hence, numerous studies had been carried out to determine other possible approaches including herbal remedies. The alarming situation had led us to study on Piper sarmentosum and its antimicrobial activity against selected pathogens. In present study, methanol extract of Piper sarmentosum leaves were prepared to investigate the presence of phytochemical compounds. The in vitro antimicrobial activity of crude methanolic extract was evaluated using disc diffusion and microdilution broth methods. The study demonstrated the antimicrobial activity of leaves extract against Staphylococcus aureus (7 mm) and Escherichia coli (6.5 mm). However, no zone of inhibition was observed against Pseudomonas aeruginosa. Meanwhile, the MIC values for Staphylococcus aureus was 6.25 mg/mL whilst Escherichia coli was 12.5 mg/mL. In addition, the phytochemical screening results revealed that the extract contained glycosides, flavonoids, terpenoids, alkaloids, and phenolics. In conclusion, methanolic extract of Piper sarmentosum leaves has the potential as a new, effective alternative towards current drugs that are available for skin-associated infection. The findings from this study are crucial in providing latest information of the plant’s additional values that can be incorporated as a baseline for current and future studies as well as in investigating other possible plants that are beneficial for health purposes, particularly for combating skin-associated infection.

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Development of Sperm Separation System using Electrical Current for Bull

FARAH HANAN FATHIHAH JAFFAR

Malaysian Journal of Health Sciences.2019;17(1):99-105. doi:10.17576/JSKM-2019-1701-13

A novel electrophoretic separation system has been successfully applied for the preparation of human sperm prior to the execution of assisted reproductive techniques (ARTs). This new system is designed to overcome the generation of reactive oxygen species (ROS) through centrifugation in conventional sperm preparation. Since the previous study showed favorable outcomes in humans, this study intends to implement this new system for animal sperm preparation particularly in bull. Fresh semen from adult bulls were used. Optimization of the electrophoretic system for optimum bull sperm separation involved different strength of voltage and separation time. The voltages applied were 10V, 20V, 30V, 40V, 50V, and 60V. For each voltage applied, the system was operated for a duration of 12 min. An average of 10 µl fractionalized semen was taken out at the collection site at every 2-min interval. Every fractionated sperm was then evaluated for percentage of viability, motility, and DNA damage assessment. Result showed that electrophoresis at 20V and 6 min yielded more than 80% viable and more than 70% motile sperm population with the lowest DNA damage. In conclusion, the system was able to fractionate high quality bull sperm at 20V and 6 min.

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Healthcare Practitioners’ Views of Postnatal Depression: A Qualitative Synthesis

SITI ROSHAIDAI BINTI MOHD ARIFIN

Malaysian Journal of Health Sciences.2019;17(1):73-82. doi:10.17576/JSKM-2019-1701-10

The World Health Organisation recommends healthcare practitioners to equip themselves with appropriate skills to assess the psychological distress in women attending the antenatal and postnatal healthcare. Nevertheless, little is known about the healthcare practitioners’ perceptions of postnatal depression and its management. The aims of this review were: (i) to explore the experiences of healthcare practitioners in caring for women with postnatal depression in different countries and (ii) to identify any qualitative study conducted in Malaysia regarding the healthcare practitioners’ perceptions of postnatal depression. To achieve these objectives, a qualitative synthesis of studies reporting the healthcare practitioners’ experience of managing women with postnatal depression was conducted. A search in CINAHL, PubMed, MEDLINE, PsycINFO, and ASSIA databases was performed using specific keywords and published peer-reviewed articles from 2006 to 2016 were screened for inclusion criteria. A total of 15 relevant studies were identified and reviewed. The studies included were conducted in eight different countries: America, Australia, United Kingdom, Brazil, Canada, Greek, Mexico, and Slovenia. No study conducted in Malaysia was found. This review suggested that the experiences of managing women with postnatal depression were relatively similar among the healthcare professionals in different countries. The main limitations reported by the healthcare practitioners were the lack of resources on maternal mental health and the absence of policy regarding the management of postnatal depression. Further research should investigate how Malaysian healthcare practitioners perceive postnatal depression and their roles in its management to provide more insights into the current clinical practice in Malaysia for postnatal depression.

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Malaysia’s Rural Health Development: Foundation of Universal Health Coverage (UHC)

JUSTEN HAN WEI WONG

Malaysian Journal of Health Sciences.2019;17(1):31-41. doi:10.17576/JSKM-2019-1701-05

From 101 records relating to health kept in the National Archives of Malaysia for the period 1946–1981, 30 records were chosen using purposive criterion-based sampling on dimensions of universal health coverage (UHC) and health system governance. From those 30, document review was performed on 13 records that were selected based on relevance to analysis of the evolution of private and public health institutions and their roles in achieving UHC from 1946 to 1981. UHC relates to the ability of patients to access good quality service with high population coverage of health care at low financial risk. Malaya was a former Western Pacific nation ruled by the British colonial government. Initially, the government bore the cost of medicines and passages between the United Kingdom and Malaya for Red Cross and St. John’s ambulance teams to serve in rural areas in Malaya. This was later replaced by home grown Rural Health Teams trained in purpose built Rural Health Centres beginning with the first such training school in Jitra under the Rural Health Scheme. The Rural Health Scheme was implemented from 1953 to 1956 and marked an ambitious period of utilising limited resources to expand human resource and establish District Health Centres, Sub-District Health Centres, Midwives’ Houses and Maternal and Child Health Centres across the rural landscape of Malaya. After analysis, it was found that the British colonial government’s efforts in improving public health through the Rural Health Scheme had provided the foundation for achieving UHC in Malaysia today.

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The Application of Cognitive Behavioral Therapy into An Institutional-Based Therapeutic Rehabilitation Program for Out-of-Wedlock Adolescent

SITI BALQIS MOHD AZAM

Malaysian Journal of Health Sciences.2019;17(1):83-90. doi:10.17576/JSKM-2019-1701-11

Cognitive Behavioral Therapy (CBT) is a critical rehabilitation component for teens who involved in sexual offences. CBT restructures their reasoning capacity to control their anti-social behaviour. An in-depth qualitative study was conducted in one of the state's institutions for girls to investigate the practice of CBT. Ten pregnant out of wedlock teens who were participate in the therapeutic rehabilitation programme were interviewed thoroughly about the practice of CBT. The study found that the practice of CBT in the programme focused only on the religious activities, tend to focus on the vocational programme, the absence of knowledge enhancement programme, no therapy expert to conduct the CBT procedure, and the absence of any set of protocol treatment for therapy. The findings then encourages the study to recommend few interventions that can enhance the implementation of the CBT practice for teens who involved with sex offence.

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