Replacing paper data collection forms with electronic data entry in the field: findings from a study of community-acquired bloodstream infections in Pemba Zanzibar

BackgroundEntering data on case report forms and subsequently digitizing them in electronic media is the traditional way to maintain a record keeping system in field studies. Direct data entry using an electronic device avoids this two-step process. It is gaining in popularity and has replaced the paper-based data entry system in many studies. We report our experiences with paper- and PDA-based data collection during a fever surveillance study in Pemba Island, Zanzibar, Tanzania.MethodsData were collected on a 14-page case report paper form in the first period of the study. The case report paper forms were then replaced with handheld computers (personal digital assistants or PDAs). The PDAs were used for screening and clinical data collection, including a rapid assessment of patient eligibility, real time errors, and inconsistency checking.ResultsA comparison of paper-based data collection with PDA data collection showed that direct data entry via PDA was faster and 25% cheaper. Data was more accurate (7% versus 1% erroneous data) and omission did not occur with electronic data collection. Delayed data turnaround times and late error detections in the paper-based system which made error corrections difficult were avoided using electronic data collection.ConclusionsElectronic data collection offers direct data entry at the initial point of contact. It has numerous advantages and has the potential to replace paper-based data collection in the field. The availability of information and communication technologies for direct data transfer has the potential to improve the conduct of public health research in resource-poor settings

Determination of Nutritive Values of Garden Cress (Lepidium sativum L.) Leaves

The focus of this study was to investigate the nutritional values of Lepidium sativum leaves, a vegetable commonly consumed by the people of North-Western Nigeria. Sample of L. sativum leaves were collected from different farm lands at More town, Kware Local Government Area of Sokoto State. The leaves were dried then subjected to proximate, amino acids, minerals and antinutritional analyses. The results of proximate analysis indicate that the leaves had high crude protein (18.25%), crude fibre (9.31%) and ash (15.38%). The minera ls assay showed that the leaves are particularly high in potassium (1850.00 mg/100g), calcium (829.13 mg/100g), magnesium (160.60 mg/100g), sodium (141.13 mg/100g) and iron (63.47 mg/100g) with low level of phosphorus (4.10 mg/100g), manganese (5.74 mg/100g), copper (0.39 mg/100g) and chromium (0.36 mg/100g). The amino acid profile revealed that the leaf protein is generally low in lysine, sulphur containing amino acids (methionine and cystein), and threonine. Lysine was the most limiting amino acid in the leaves. In terms of antinutritional factors, the leaves had low concentrations of phytate (10.95 mg/100g), nitrate (0.05 mg/100g) and HCN (31.54mg/100g) with moderate amount of oxalate (337.50 mg/100g). Based on these nutrient contents, the leafy vegetable will have potential benefits as part of feeding programmes, as well as their promotion as part of composite die.Key words: Lepidium sativum, proximate analysis, amino acid, minerals, and antinutrients

The Impacts of Climate Variability on Cholera Cases in Malaysia

Introduction: Altered weather patterns and changes in precipitation, temperature and humidity resulting from climate change could affect the distribution and incidence of cholera. This study is to quantify climate-induced increase in morbidity rates of cholera. Material and Methods: Monthly cholera cases and monthly temperature, precipitation, and relative humidity data from 2004 to 2014 were obtained from the Malaysian Ministry of Health and Malaysian Meteorological Department, respectively. Poisson generalized linear models were developed to quantify the relationship between meteorological parameters and the number of reported cholera cases. Results: The findings revealed that the total number of cholera cases in Malaysia during the 11 year study period was 3841 cases with 32 deaths. Out of these, 45.1% of the cases were among children below 12 years old and 75% of the cases were from Sabah. Temperature and precipitation gave significant impact on the cholera cases in Sabah, (p<0.001) while precipitation were significant in Terengganu (p<0.001), and Sarawak (p=0.013). Monthly lag temperature data at Lag 0, 1, and 2 months were associated with the cholera cases in Sabah (p<0.001). The change in odds of having cholera cases were by the factor of 3.5 for every 1ºC increase in temperature. However, the contribution of rainfall was very mild, whereby an increase of 1 mm in precipitation will increase the excess risk of cholera by up to 0.8%. Conclusion: This study concludes that climate does influence the number of cholera cases in Malaysia

ANALYSING MINISTERIAL REASONS FOR BANNING BOOKS UNDER THE PRINTING PRESSES AND PUBLICATIONS ACT 1984

The publication of books reflects the advancement of a country’s civilisation. This right is affirmed by Article 10(1) of the Federal Constitution (FC), which guarantees every person the right to freedom of speech and expression. However, this right is subject to certain limitations that may be imposed by Parliament, as prescribed in Article 10(2) of the FC. Among the laws governing this freedom is the Printing Presses and Publications Act 1984 (Act 301) (PPPA 1984). Section 7(1) of the PPPA 1984 empowers the Minister to prohibit publications whose content is, or is likely to be, prejudicial to public order, morality and security or other specified interests. An issue arises from Section 7 of the PPPA 1984, which lacks clarity regarding the requirement for the Minister to provide reasons when banning a publication. This research adopts a doctrinal approach, involving detailed analysis of the FC, the PPPA 1984, relevant case law, and scholarly writings in this area. The research finds that, although Section 7(1) of the PPPA 1984 does not explicitly require the Minister to provide reasons for issuing a ban, judicial decisions have established the necessity of doing so when executive discretion is exercised. The research proposes amending the section, considering the Court of Appeal’s case of Menteri Dalam Negeri & Anor v Chong Ton Sin (t/a Gerakbudaya Enterprise) & Anor (2024) 1 MLJ 611, where not only must the Minister state the reason for a ban as provided in section 7 of the Act, but also briefly explain it. Such a requirement would enhance transparency in governance by ensuring that ministerial decisions are clear and comprehensible, thereby aligning with the principles of natural justie

Psychometric properties of the malay-language quality of life enjoyment and satisfaction scale: A confirmatory study on malaysian children

Data Availability Statement: The data is available upon request from the authors.Copyright © 2021 by the authors. The objective of this study was to validate the translated Malay version of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-M) scale among Malaysian primary school children using the confirmatory factor analysis (CFA). The Q-LES-Q-M measures the level of enjoyment and satisfaction experienced with relation to physical health, feelings, homework, and leisure. The participants were 607 Malay students, 240 (39.5%) boys and 367 (60.5%) girls, with an age range from 10 to 11 years old. The original version of the Q-LES-Q was translated into the Malay language by forward to backward translation procedures with consideration for the local culture and suitable vocabulary for primary school students. The participants then completed the Q-LES-Q-M. CFA was performed using Mplus 8 software. Using CFA, the initial model did not result in a good data fit. Further analysis of the CFA suggested some changes to the model to improve the fit indices. Model modification included the deletion of three problematic items and co-varying some error items. This resulted in improved fit indices and 40 items remained in the final model. The final model showed good reliability based on two indicators of composite reliability (CR) and Cronbach’s alpha (CA). The factors with their CR and CA were physical activity (CR = 0.857, CA = 0.854), feelings (CR = 0.808, CA = 0.813), homework (CR = 0.837, CA = 0.837) and leisure (CR = 0.742, CA = 0.737). The final measurement consists of 40 items. The retained items were deemed suitable for Malay primary school children. The revised Q-LES-Q-M with 40 items is suitable for measuring the levels of children’s involvement in determining the enjoyment and satisfaction of learning and physical activity.The research was partially supported by the Exercise Medicine Research Grant (EMRG/19004)

Local application of osteoprotegerin-chitosan gel in critical-sized defects in a rabbit model

Background Osteoprotegerin (OPG) is used for the systemic treatment of bone diseases, although it has many side effects. The aim of this study was to investigate a newly formulated OPG-chitosan gel for local application to repair bone defects. Recent studies have reported that immunodetection of osteopontin (OPN) and osteocalcin (OC) can be used to characterise osteogenesis and new bone formation. Methods The osteogenic potential of the OPG-chitosan gel was evaluated in rabbits. Critical-sized defects were created in the calvarial bone, which were either left unfilled (control; group I), or filled with chitosan gel (group II) or OPG-chitosan gel (group III), with rabbits sacrificed at 6 and 12 weeks. Bone samples from the surgical area were decalcified and treated with routine histological and immunohistochemical protocols using OC, OPN, and cathepsin K (osteoclast marker) antibodies. The toxicity of the OPG-chitosan gel was evaluated by biochemical assays (liver and kidney function tests). Results The mean bone growth in defects filled with the OPG-chitosan gel was significantly higher than those filled with the chitosan gel or the unfilled group (p < 0.05). At 6 and 12 weeks, the highest levels of OC and OPN markers were found in the OPG-chitosan gel group, followed by the chitosan gel group. The number of osteoclasts in the OPG-chitosan gel group was lower than the other groups. The results of the liver and kidney functional tests indicated no signs of harmful systemic effects of treatment. In conclusion, the OPG-chitosan gel has many characteristics that make it suitable for bone repair and regeneration, highlighting its potential benefits for tissue engineering applications

Measuring achievement emotions questionnaire for physical education (AEQ-PE): a confirmatory study in Malay language

Availability of data and materials: The dataset used and analysed during the current study is available from the corresponding author on reasonable request.Background: This study aimed to verify a translated Malay version of the Achievement Emotions Questionnaire for Physical Education (AEQ-PE) by assessing the level of achievement emotions in six constructs among the Malaysian primary school pupils using the Confirmatory Factor Analysis (CFA). Methods: A total of 607 Malay pupils, comprising 240 (39.5%) boys and 367 (60.5%) girls aged between 10 and 11, were recruited from 10 schools to answer the questionnaire, which measured their views on 24 items through a five-point Likert scale. The AEQ-PE was translated into Malay language (AEQ-PE-M) using forwarding to backward translation techniques. Certain phrases were adopted in accordance with the local culture and vocabulary appropriate for primary school pupils. CFA was performed using the Mplus 8.0 software, and the final model demonstrated high reliability in terms of the composite reliability and Cronbach’s alpha. Results: Analysis of the CFA showed an acceptable fit indices in CFI (0.936), TLI (0.926), RMSEA = 0.039 (90% CI, 0.034, 0.045) and SRMR (0.049) of the AEQ-PE measurement model. All of the items in the original AEQ-PE version were retained and deemed suitable for Malay primary school pupils. Conclusion: The AEQ-PE-M with 24 items was a suitable tool for measuring the level of school children’s involvement in determining achievement emotions and their motivation towards physical education.This study was supported by Research University’s Individual Grant (1001/PPSK/8012370) from Universiti Sains Malaysia