Pusat Pengajian Sains Kesihatan - Monograf

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    Feeding tolerance in enteral nutrition via bolus and continous feeding mode in critically ill ventilated patient.
    (2018-06)
    Basri, Nur Zhafirah
    The term critically ill patients are characterized with the presence of hyper catabolism that cause by physiological and psychosocial stressors that associated with critical illness. Enteral nutrition is the alternative to provide sufficient energy required by critically ill patient as it contains complete balanced nutrients which include macronutrients and micronutrients in form that easy to digest. The aim for this study is to measure the feeding tolerance compared between bolus versus continuous feeding modes. The rate of feeding tolerance was measured by comparing the aspiration rate, and gastrointestinal (GI) complication. A total of 48 respondent was involved in this study. Study respondents who fulfilled the inclusion criteria were selected through convenience sampling technique. A social demographic data and health condition was collected from medical folder. All the data in this study was collected from medical folders that available in ward selected. This study found that there is no association between feeding mode and aspiration rate (/?= 0.563). There is also no association between feeding modes and diarrhea incidence (/?=0.838). The association between mode of feeding and vomiting is not found (p=0.663).
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    Malnutrition screening among cancer patients in Hospital Universiti Sains Malaysia
    (2021)
    Ching, Choo Yi
    Malnutrition is one of the nutritional issues that we should concern among cancer patients and it is negatively associated with poor clinical outcomes. Nutrition screening has been supported to work as the foremost step in identifying the nutritional risk of cancer patients. This cross-sectional study aimed to determine the accuracy of Malnutrition Screening Tool (MST) in detecting malnutrition risk among cancer patients in Hospital Universiti Sains Malaysia (HUSM). The MST was compared against scored Patient-Generated Subjective Global Assessment (scored PG-SGA) as gold standard. 94 respondents who full-filled the inclusion criterion and interested, admitted to HUSM and Department Nuclear Medicine, Radiotherapy & Oncology were recruited through convenience sampling. Socio-demographic characteristics and clinical data of respondents were obtained from their medical record. Weight and height were measured using dial mechanical weighing scale with height rod which provide in respective setting. Two sets of questionnaires - MST and scored PG-SGA were then subsequently used to interview respondents. The data was analysed using Statistical Package for Social Sciences (SPSS) version 24.0. Out of 94 respondents, 62.8% was female while 37.2% was male. 72.3% was hospitalised whereas 27.7% was from outpatient. Highest proportion of respondents (40.4%) was diagnosed with hematologic cancer. According to scored PG-SGA, 64.9% of respondents was classified as malnourished while 35.1% of them was classified as well-nourished. Significantly higher proportion of malnourished respondents was from inpatients (p-0.019). Malnourished respondents had significantly lower body weight, BMI and higher percentage of weight loss for the past 6 months (/?<0.001). MST score and PG-SGA score were also significantly higher among malnourished respondents (p<0.001). Next, MST yielded 72.1% sensitivity, 93.9% specificity, 95.7% positive predictive value and 64.6% negative predictive value. There is statistically significant, positive and moderately strong correlation between MST score and PG-SGA score (r - 0.734, p<0.001). In conclusion, MST is recommended as screening tool in predicting malnutrition risk among cancer patients.
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    Translating and adapting children’s home inventory for listening difficulties (C.H.I.L.D) questionnaire into Malay version
    (2025-07)
    Ramli, Tuan Norsyarafina Tuan
    Listening is vital for a child’s development in communication, learning, and social skills. The Children’s Home Inventory for Listening Difficulties (CHILD) questionnaire is a parent-report tool originally developed in English to assess children’s listening behaviors in daily environments. This study aimed to translate, culturally adapt, and assess the reliability of the CHILD questionnaire for use with Malayspeaking parents of children aged 3 to 12 years. A six-step process was used to translate and adapt the CHILD questionnaire into Malay: (1) forward translation by two independent translators, (2) backward translation by two different translators, (3) review by a bilingual expert panel, (4) evaluation by clinicians and language experts, (5) revision based on expert feedback, and (6) pilot testing with 50 Malay-speaking parents to ensure clarity and cultural suitability. The internal consistency of the Malay version was high, with a Cronbach’s Alpha of 0.932, indicating that the items reliably measured the same underlying concept. Test–retest reliability was also strong, with an average Intraclass Correlation Coefficient (ICC) of 0.956, showing that responses were stable over time. Children showed better listening performance in quiet and social situations, and more difficulty in noisy environments. These findings are consistent with international studies, including the Turkish version of the questionnaire. These results suggest that the translated Malay version maintains the original tool’s reliability and effectively captures listening challenges in different daily situations. The Malay CHILD questionnaire is therefore a reliable and culturally appropriate instrument for clinical and research use in Malaysia, offering professionals meaningful insights into children’s everyday listening experiences based on parental observation.
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    Comparisons of masseter evoked myogenic potential (MVEMP) between 500 HZ tone burst and narrowband cechirp (centered at 500 HZ stimuli) in healthy adults
    (2025-07)
    Rosji, Nurul Anis Nabila
    The masseter vestibular evoked myogenic potentials (mVEMP) are a novel approach in vestibular assessment that has gained growing interest among researchers. This short-latency biphasic response helps to detect vestibular dysfunctions, involving the saccule and inferior vestibular nerve. Despite its potential, factors like stimulus type in mVEMP, remain insufficiently explored. This study aimed to compare mVEMP responses elicited by 500 Hz tone burst and narrowband CE-Chirp stimuli in healthy adults. This cross-sectional study recruited 23 healthy adults, with normal hearing and vestibular functions. The mVEMP responses were recorded using 500 Hz TB and NB CE-Chirp stimuli at an intensity level of 120 dB peSPL. Each stimulus was presented twice to obtain an averaged response, and recordings were made from the masseter muscle to determine P1-N1 amplitude and P1 and N1 latency components. The NB CE-Chirp produced a significantly larger mean P1-N1 amplitude (115.05 μV) than that of the 500 Hz TB (100.45 μV) (p = 0.003). The mean P1 latency (9.13 ms) and mean N1 latency (15.20 ms) were statistically shorter for the NB CEChirp stimulus compared to those of the 500 Hz TB (15.29 ms and 20.80 ms for P1 and N1 latencies, respectively) (p < 0.05). These results demonstrate a statistically significant effect of the stimulus type on mVEMP responses. In conclusion, compared to the 500 Hz TB, the NB CE-Chirp appears to be a more effective stimulus for eliciting robust mVEMP responses.