Background Eating habits have been a major concern among university students as a determinant of health status. The aim of this study was to assess the pattern of eating habits and its associated social and psychological factors among medical students. Methods A cross sectional study was conducted among 132 medical students of pre-clinical phase at a Malaysian university. A self-administered questionnaire was used which included questions on socio-demography, anthropometry, eating habits and psychosocial factors. Results Mean (±SD) age of the respondents was 22.7 (±2.4) years and (the age) ranged from 18 to 30 years. More than half had regular meals and breakfast (57.6% &, 56.1% respectively). Majority (73.5%) consumed fruits less than three times per week, 51.5% had fried food twice or more a week and 59.8% drank water less than 2 liters daily. Eating habits score was significantly low among younger students (18–22 years), smokers, alcohol drinkers and those who did not exercise. ( p <0.05). Four psychological factors out of six, were significantly associated with eating habits ( p <0.05). In multivariate analysis, age and ‘eating because of feeling happy’ were significantly associated with eating habits score ( p <0.05). Conclusion Most of the students in this study had healthy eating habits. Social and psychological factors were important determinants of eating habits among medical students.

There is a paucity of information concerning the current situation of ARD in Asia. The marked increase in asbestos use in Asia since 1970, however, is likely to trigger a surge of ARD in the immediate decades ahead.

Background Citations of papers are positively influenced by the journal’s impact factor (IF). For non-open access (non-OA) journals, this influence may be due to the fact that high-IF journals are more often purchased by libraries, and are therefore more often available to researchers, than low-IF journals. This positive influence has not, however, been shown specifically for papers published in open access (OA) journals, which are universally accessible, and do not need library purchase. It is therefore important to ascertain if the IF influences citations in OA journals too. Methods 203 randomized controlled trials (102 OA and 101 non-OA) published in January 2011 were included in the study. Five-year citations for papers published in OA journals were compared to those for non-OA journals. Source papers were derived from PubMed. Citations were retrieved from Web of Science, Scopus, and Google Scholar databases. The Thompson-Reuter’s IF was used. Results OA journals were found to have significantly more citations overall compared to non-OA journals (median 15.5 vs 12, p=0.039). The IF did not correlate with citations for OA journals (Spearman’s rho =0.187, p=0.60). The increase in the citations with increasing IF was minimal for OA journals (beta coefficient = 3.346, 95% CI -0.464, 7.156, p=0.084). In contrast, the IF did show moderate correlation with citations for articles published in non-OA journals (Spearman’s rho=0.514, p<0.001). The increase in the number of citations was also significant (beta coefficient = 4.347, 95% CI 2.42, 6.274, p<0.001). Conclusion It is better to publish in an OA journal for more citations. It may not be worth paying high publishing fees for higher IF journals, because there is minimal gain in terms of increased number of citations. On the other hand, if one wishes to publish in a non-OA journal, it is better to choose one with a high IF.

Background: Even after completion of conventional treatment, breast cancer survivors continue to exhibit a variety of psychological and physical symptoms, affecting their quality of life. The study aimed to investigate the relationship between socio-demography, medical characteristics and health-related quality of life (HR-QOL) of a sample of breast cancer survivors in Malaysia. Materials and Methods: This pilot cross-sectional survey was conducted among breast cancer survivors (n=40) who were members of Breast Cancer Support Group Centre Johor Bahru. A validated self-administered questionnaire was used to identify the relationships between socio-demography, medical characteristics and HR-QOL of the participants. Results: Living with family and completion of treatment were significant predictive factors of self-rated QOL, while living with family and ever giving birth significantly predicted satisfaction with health and physical health. Psychological health had moderate correlations with number of children and early cancer stage. Survivors' higher personal income (>MYR4,500) was the only significant predictor of social relationship, while age, income more than MYR4,500 and giving birth significantly predicted environment domain score. Conclusions: The findings suggested the survivors coped better in all four HR-QOL domains if they were married, lived with family, had children and were employed.

IntroductionMedical doctors are often subjected to long working hours with minimal rest in between the shifts. This has led to many fatal and non-fatal road crash involvement (RCI). This study aims to determine the prevalence and predictors of RCI among medical doctors in Malaysia.Methods and analysisThis is a cross-sectional study among 375 Malaysian medical doctors who met the inclusion criteria. A predetermined self-administered questionnaires will be used to collect information regarding the sociodemographic, health status, workplace information, work commuting information, driving behaviour, history of RCI, fatigue, sleep quality, mental health status and work engagement. The questionnaires consist of the following instruments: (1) sociodemographic, health status, workplace information, work commuting information, driving behaviour and history of RCI; (2) Checklist of Individual Strength Questionnaire; (3) Pittsburgh Sleep Quality Index; (4) 21-item Depression Anxiety and Stress Scale; and (5) Utrecht's Work Engagement Scale. The data will be analysed using SPSS program V.24. Descriptive and inferential statistics will be used to determine the prevalence and predictors of RCI.Ethics and disseminationThis study protocol has received ethics approval from the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR-18-3983-40609) and the Ethics Committee for Research Involving Human Subject, University Putra Malaysia (JKEUPM). Online written informed consent will be obtained from each study participant by the researchers. Results of the study will be disseminated through relevant journals and conferences.Trial registration numberNCT04243291.

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This review aims to explore the potential occupational and environmental health hazards on lives of miners and neighbouring communities, in relation to bauxite mining in Malaysia. The mining related environmental issues include air, water and soil pollution due to bauxite dust; its leaching into water sources reduces soil fertility, affects agricultural food produce and aquatic life. Bauxite occupational exposure affects the health of miners, apart from negative health impacts on neighbouring communities; such as frequent respiratory symptoms, and contamination of drinking water. Other potential health effects of bauxite mining include noise-induced hearing loss and mental stress. This review describes the processes of bauxite mining, its components, the residual trace elements, and their impacts on environment and health of exposed workers and communities. It also discusses Malaysian legal requirements and occupational exposure standards for bauxite.

Introduction: The Health Enhancement Module (HEM) is taught as a core curriculum for all medical students at Monash University since 2002. In 2012 we moved the year three content of the program into a community setting, calling it the Health Enhancement Carnival (HEC). At the carnival, our undergraduates interacted with school students, their teachers, and their parents, involving them in a mix of discussions, poster presentations, and video presentations. In this paper we present our experience with the HEC. Specifically, we looked at the following two measures: how did the HEC influence the knowledge, attitude, and practice of healthy living among medical students? And, what were the learning experiences of the students during the HEC? Methods: Five themes (exercise, food, healthy sleep, workplace stress and ageing) were divided among students. They were asked to develop those themes with the help of posters, power point presentations, community talks as well as video presentations. The carnival was held in the setting of two nearby children's schools. Students were evaluated by a panel of examiners with regards to learning objectives as well as preparation and presentation. As part of evaluation, we developed 2 questionnaires. The HEP Healthy Living Questionnaire provided feedback on how the program had improved students' knowledge, attitudes, and practice of healthy living. The HEP Learning Style Questionnaire covered twelve areas, including collegiality, environment, leadership, community interaction and other facets of learning style. Analyses were performed using the IBM SPSS Statistics version 20 software in the Clinical School Johor Bahru. Results: 1) Influence of HEC on the knowledge, attitude, and practice of healthy living among medical students. From the interviews, the judges gave the students mean ratings of 4.0/5. We also received 77 out of 127 feedback questionnaires (response rate: 60.6%) from the students. Most students (range: 49.35% to 55.84%) were "satisfied/totally satisfied", "achieved/totally achieved", or "improved/totally improved" to 5 questions of the Healthy Living Questionnaire. Correlation coefficients between knowledge of healthy living, attitude towards healthy living, and practice of healthy living were large (exceeding 0.8) suggesting that these three measures were highly and positively inter-correlated. Most students (range: 60.28% to 71.43%) scored "a lot/almost all", to 5 questions regarding achievement A. Gandhi et al. 772 of learning objectives. 2) Learning experiences of the students during the HEC. Responding to the HEP Learning Style Questionnaire, most students (range: 66.24% to 85.72%) agreed or strongly agreed that the program provided an optimal environment for learning, encouraging students to assume leadership responsibilities and promoting self-directed learning. A correlation matrix of the 12 items showed medium to large correlations between all twelve variables. Conclusions: The Health Enhancement Program (HEP) is an innovative approach that has enabled st...