Human milk donation is an option for hospitals without a human milk bank or in the Muslim community.

Background Smoking and consuming alcohol remain hazardous acts to health, which are important to prevent in adolescents. Prosocial behavior has increasingly being noticed to be related with substance use. This study investigated the association between the trying of smoking and alcohol with prosocial behavior among school-going adolescents in Terengganu, Malaysia. Methods This cross-sectional study was conducted among 732 school adolescents aged between 13 and 18 years from 12 secondary schools in Terengganu. Cluster sampling was applied. A validated questionnaire adopted from Global Health School Survey (GSHS) was used and prosocial behavior was assessed using the validated Malay self-rated version of Strength and Difficulty Questionnaire (SDQ). Data were analyzed using SPSS ver25, using multiple logistic regressions for both dependent variables of ever smoking and ever alcohol drinking. Results Ever smoking was significantly inversely associated with prosocial behavior (p = 0.010, OR: 0.84, CI: 0.74, 0.96); together with other significantly associated factors; namely older age, male gender, poorer family income, and smoking in immediate family members. However, there was no association of the between prosocial behavior with ever alcohol drinking (p = 0.628). Conclusion Prosocial behavior is negatively associated with the trying of smoking in adolescents. Future longitudinal study should be done to investigate the effects of promoting prosocial behavior among adolescents towards the hazardous act.

Introduction: Osteoarthritis (OA) is estimated to be the eleventh leading cause of disability worldwide. In Asian countries, OA is much less well-known than in the caucasian population and strongly associated with aging. Therefore, this article focuses comprehensively on the prevalence, risk factors and primary prevention for OA identified in Asian countries.   Methods: This scoping review used the methodological framework by Arksey and O'Malley (2005). Pertaining to this topic, a comprehensive search on academic journals published from 2008 to 2018 (English) was conducted.   Results: A total of 30 studies were selected in this review from 221,510 studies screened from electronic databases. The overall prevalence of OA is in a range of 20.5% to 68.0%. Most of the Asian populations reported to have knee OA in a range of 13.1% to 71.1% in various Asian countries. Risk factors that have been associated with OA are advanced age, being the female and obesity. Osteoporosis, higher body mass density, low level of education, family history of OA, smoking and environmental factors appeared as significant risk factors for OA. A strategic method of primary prevention for OA through lifestyle modification is reducing obesity and treating concomitant cardiovascular disease. Conclusion: Determining OA prevalence and risk factors will provide important information for planning future cost-effective preventive strategies.

Abstract: Introduction/Background: The COVID-19 pandemic has affected medical training worldwide. Many teaching and learning activities were replaced with online learning. The use of flipped classroom and game-based learning in teaching have been in trend recently. Aim & Objectives: The objective of this report is to describe the experience of using flipped classroom in combination with game-based learning and to study the students’ feedback on their use. Methods/Study Design: Flipped classroom combined with scenario-based Kahoot! quiz during the synchronised online teaching of medical ethics was tested on second year medical students. Results/Findings: Based on their objective scoring and subjective feedback, almost all students agreed that the combination of flipped classroom and scenario-based Kahoot! quiz helped them understand the topics and achieve the learning outcomes. However, almost half of them were unsure whether they preferred the new methods over the traditional face-to-face lecture. Among the main problem for online learning was poor internet connection which interrupted their concentration and participation in class. Discussion & Conclusion: As a conclusion, medical students were still sceptical whether flipped classroom and game-based learning were their preferred methods over the traditional face-to-face lecture. However, these combined methods were feasible to do during the pandemic and received good feedback from students. The main concern is the internet connection that may interrupt the running of the class.   Keywords: Flipped classroom, Game-based learning, Kahoot, Online learning, Medical students

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Background: There is a need to analyze a worldwide database of the coronavirus disease of 2019 (COVID-19) pandemic.This may prove valuable to facilitate better strategies and planning on prevention, screening, surveillance, early diagnosis, containment and treatments. Method: We extracted 14,259 case reports of COVID-19 dated 11th November 2019 to 18th March 2020 from Johns Hopkins University Repository Online Databaseof 58 countries. After extensive data preprocessing, a multi-disciplinary expert researcherthen conducted series of vetting to categorizefree-text description of symptoms into discreet standardizedcategories.Continuous variables were presented by using median and inter-quartile range whereas categorical variables were presented by frequency and percentage. Result: A total of 2191 cases (15.4%) were included for demographic analysis. The median age was46 years (IQR26 years) with 787 (35.9%) cases involved patients aged of 60 and above while patients less than18 years of age were reported in 79 (3.6%) cases. Majority of the patients were males (n=1227, 56.7%). There were a total of 20standardized categories ofCOVID-19symptoms.The most prevalent were fever (74.8%), nonproductive cough (42.2%), fatigue (13.1%), sore throat (12.8%) and shortness of breath (11.7%). Other symptoms with frequency of more than 1% were chest discomfort, nasal congestion, muscular pain, chills and rigors, headache, diarrhoea, expectoration and joint pain. Other more uncommon symptoms reported include loss of appetite, conjunctivitis, toothache and abdominal pain. Asymptomatic manisfestations were reported in 8 cases (1.0%).All population are susceptible to COVID-19 especially the older age group. There were 20 standardized categories of symptoms wherefever, non-productive cough, fatigue, sore throat and shortness of breath were the most commonly reported. Conclusion: Findings of this study contribute to a deeper understanding on COVID-19 and may prove useful for researchers to better-design screening and surveillance strategies via more accurate risk-prediction modelling. Bangladesh Journal of Medical Science Vol. 21 No. 03 July’22 Page: 702-709

Resilience among the medical interns is essential and is protective against the state of burnout. However, it is not thoroughly investigated among medical interns. Is there any behavioural and modifiable factors influencing resilience? The objective of this study is to determine the level of resilience among medical interns in Malaysia and its associated factors. This nationwide cross-sectional study recruited medical interns from 17 randomly selected Malaysian hospitals accredited for medical intern training. All medical interns who reported to the selected hospitals from January to April 2020 were invited to answer an online questionnaire. The questionnaire incorporated Connor-Davidson Resilience Scale-10 (CD-RISC-10) for resilience, USMEQ-i to measure emotional quotient, Brief-Cope to assess coping styles, Preparedness for Hospital Practice Questionnaire (PHPQ test) to assess internship preparedness and questions related to sociodemographic, undergraduate training and interest to become a doctor.<strong> </strong>524 from 870 medical interns (60.2%) responded. Mean resilience score was 28.6 (SD = 6.33). Significant factors associated with resilience include active involvement in sports (p = 0.002), high EQ (p&lt;0.001), interest to become a doctor (p&lt;0.001), coping using humour (p&lt;0.001), less coping by venting (p&lt;0.001) and no failures in any clinical posting (p = 0.012). The regression model was substantiated by adjusted R2 of 62.8%. Factors affecting resilience among medical interns include modifiable factors such as coping styles and involvement in sports. The findings could guide targeted intervention to promote during medical schools or internship preparation programmes to increase resilience among medical interns.

Background: Early detection of high-risk people for type 2 diabetes mellitus (T2DM) using a simple, non-invasive and cost-effective assessment tool helps to identify and prevent members of the community from developing this disease. Therefore, this study aims to translate the American Diabetes Association (ADA) diabetes risk test for Malaysians and then evaluate its validity. Methods: This cross-sectional study was conducted between March 2019 and April 2019. The instrument underwent forward and backward translation according to Behling and Law’s technique. Content validity was performed by two experts and face validity was conducted among 35 convenience samples from Kota Bharu, Kelantan. Both were analysed using content validity index and face validity index, respectively. Results: All respondents were Malay, and had attained tertiary education with a mean (standard deviation [SD]) age of 20.63 (2.80) years old and BMI of 30.45 (5.99). Among the respondents, 57.1%, 94.3% and 80% were female, single and having a household income below RM1,500, respectively. The Malay translated instrument achieved high I-content validity index (CVI) [0.5–1.0] and S-CVI/Ave [0.93] as well as high I-face validity index (FVI) [0.86–0.97] and S-FVI/Ave [0.91] for understandability, and high I-FVI [0.77–0.91] and S-FVI/Ave [0.85] for clarity. Conclusion: The Malay version of the ADA diabetes.