No abstract

Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum.  Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education.  The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling.  Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%.  Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.

Setting: Outpatient clinics, Kota Kinabalu, Malaysia; January–April 2018. Objectives: To identify barriers to full participation in tuberculosis (TB) contact investigation. Methods: Cross-sectional study of knowledge, perceptions, and behaviours among TB contacts. This study was conducted among contacts who attended an initial clinic visit to explore retention in care. During this first visit, contacts were approached for participation in a questionnaire at a follow-up visit. Contacts who consented but did not subsequently attend were interviewed at home. Associations between questionnaire findings and attendance were tested using logistic regression. Results: Of the total 1436 identified contacts, 800 (56%) attended an initial clinic visit. Of 237 consenting TB contacts, 207 (87%) attended their follow-up appointment. In univariable analyses, the odds of attendance were highest for people notified to attend the TB clinic directly by a health inspector; close relatives of TB patients; non-students; people with higher incomes and smaller households; older individuals; males; and people not perceiving TB as stigmatising. In multivariable analysis, mode of notification to attend and having a close relative with TB remained significant. Conclusions: Health inspectors provide an effective role in TB contact investigation through direct personal communication to encourage the completion of the TB screening process, but this requires further integration with clinical processes, and with workplace and school-based investigations.

Hearing loss is a common disorder and can be conductive, sensorineural or mixed types. It can be congenital or acquired. In pediatric population more than 50% of deafness is genetic in origin. The patients may present as Deaf, mute or hard of hearing. Literature review was carried out on the pathophysiology including genetics, clinical presentation, etiology, diagnosis and various management, using internet Google, search PubMed. Additional information was obtained by cross referencing, using text and journals in the medical libraries.

Tobacco smoking in adolescent age group has become a major public health concern as it is one of the major risk factors for non-communicable diseases leading to burden of adverse health effects in their later life. Those who start smoking tobacco at an early age are more likely to develop nicotine addiction and continue smoking throughout their adulthood. The general objective of the study was to determine the prevalence of tobacco smoking, their initiation and perception towards tobacco smoking among school adolescents in Kudat District, Sabah State, Malaysia. It was a school based cross sectional descriptive study which employed a twostaged stratified random sampling method and used self-administered structured questionnaire for data collection. A total of 257 students aged between 15 to 19 years old from two upper secondary schools participated in the study. This study revealed that (26.6%) were ever smokers and (8.6%) were current smokers. The earliest age of started smoking was 7 years old and 9 years old among male and female ever smokers respectively. Majority of the respondents perceived that smoking was a bad habit which would cause environmental pollution and harmful effects on health. The most common reasons to start smoking among ever smokers were peer pressures, curiosity and experimenting and to relieve the feeling of pressured and stress. Among the current smokers, 86.4%had ever attempted to quit smoking but they failed to stop smoking because they thought smoking could give feeling pleasure (50%), relieve their anxiety or craving (27.3%) and because of peer pressures (22.7%). The findings suggested that although tobacco smoking prevalence among school adolescents in Kudat was comparatively lower than that of national prevalence reported by GYTS, there is still need for early interventions with holistic approach to prevent them from initiation and to help them for cessation of tobacco smoking.