Background The recent epidemic of dengue fever (DF) in Malaysia was alarming. The treatment of DF remains supportive as there is no anti-viral agent or vaccine available as yet. Traditional and complementary medicine (T&CM) provides an alternative option for the treatment of DF but there is limited evidence with regard to its usage. The aim of this study was to determine the prevalence, types and predictor factors of T&CM usage among DF patients in the northeast region of Peninsular Malaysia. Methodology This was a cross-sectional study of DF patients in the northeast region of Peninsular Malaysia who had been admitted to a tertiary centre from January 2014 until December 2015. Serologically-confirmed DF patients aged 18 years and above were randomly selected. Phone interviews were conducted to obtain information regarding the use of T&CM during hospitalisation. Notes were made regarding the prevalence and type of T&CM used. Binary logistic regressions were used to identify the predictor factors of T&CM usage. Results A total of 241 DF patients with a mean age of 36.62 (SD = 14.62) years were included. The estimated prevalence of T&CM usage was 84.6% (95%CI: 80.1%, 89.2%). The most common T&CM used were crab soup (85.3%), papaya leaf extract (64.2%) and isotonic drinks (61.8%). The significant predictors for T&CM usage were age [adjusted odds ratio (AOR) 0.97; 95%CI: 0.94, 0.99], tertiary education (AOR 3.86; 95%CI: 1.21, 12.32) and unemployment (AOR 2.55; 95%CI: 1.02, 6.42). Conclusion The prevalence of T&CM usage in our population is high. Age, tertiary education and unemployment influence the use of T&CM.

Nurses in Schools play an important role in the provision of comprehensive health services to school students. Increased number of students entering nurse office with chronic health conditions requiring nursing attention during school day. The aim of this study is to investigate related physical illness or injury that effects the student’s studies and performance. Students in International School in Malaysia physical ailments are the main factor that affects their educational achievements. A total of 2,764 nursing office visit logs were reviewed retrospectively from January 2012 to December 2018. The students’ age group ranging from 4 to 17 years old. Most of the respondents were boys (50.1%), and the mean age of 9.7 years with Standard Deviation (SD)=3.7. During the nursing office visit, the school children were mostly diagnosed with injury (n=1432, 51.8%). Followed by stomach-ache (n=476, 17.2%) and headache (n=383, 13.9%). Independent t test showed that there was no significant difference of age (p=0.419) and the duration of treatment (p=0.453), between boys and girl who went for treatment in the nursing office. Pearson Chi Square test indicated that there were no significant difference of nationality and the diagnosis given during the clinic visit when compared to the gender, with p=0.227 and p=0.478, respectively. School nurse role in health education is primarily to advise and support student’s education success rather than to directly deliver education.