Pengaruh Media Sosial terhadap Perubahan Tingkah Laku Kecelaruan Pemakanan dan Imej Badan Sebelum dan Sewaktu Penularan Wabak Covid-19 terhadap Pelajar Wanita Pengajian Tinggi di Selangor

Media sosial adalah salah satu medium komunikasi yang paling penting dalam kehidupan seseorang. Apabila berlakunya penularan wabak Covid-19, kebergantungan kepada media sosial menjadi tinggi terutamanya bagi menjalani kehidupan seharian. Pengenalan kepada kawalan pergerakan dan perintah berkurung menjadikan media sosial sebagai medium perhubungan utama antara seorang individu dengan individu yang lain. Oleh yang demikian, kajian ini dijalankan bagi melihat perkaitan antara media sosial dengan ketidakpuasan imej badan dan perubahan tingkah laku kecelaruan pemakanan sebelum dan sewaktu penularan wabak Covid-19 terutamanya dalam kalangan pelajar wanita institusi pengajian tinggi di Selangor. Kajian dijalankan melibatkan 172 orang responden wanita yang berumur 19 hingga 24 tahun dan sedang belajar di Institusi Pengajian Tinggi Malaysia di Selangor. Metod kajian yang digunakan adalah menggunakan jenis persampelan bukan kebarangkalian dengan menggunakan kaedah persampelan mudah dan kaedah bola salji bagi mengedarkan soal selidik secara atas talian. Hasil kajian mendapati bahawa hampir tiada hubungan yang signifikan bagi media sosial dan ketidakpuasan imej badan dengan media sosial dan perubahan tingkah laku kecelaruan pemakanan. Perbandingan data primier dan data sekunder juga mempunyai sedikit perbezaan dapat kajian iaitu hampir tiada hubungan signifikan bagi data primier dan hubungan signifikan yang lemah bagi data sekunder. Dapatan kajian ini diharap dapat membantu memberi kesedaran dan membuka mata masyarakat tentang pengaruh media sosial terhadap ketidakpuasan imej badan dan perubahan gaya pemakanan jika ia tidak dibendung.Alternate :Social media is one of the most important things in one's life. Outbreak of the Covid- 19 pandemic makes reliance on social media become high especially for daily living. The introduction to movement control and lockdown makes social media a main medium of communication between one individual and another. Therefore, this study was conducted to see the relationship between social media, body dissatisfaction and disordered eating before and during Covid-19 outbreak, especially among female students of higher learning institutions in Selangor. The study was conducted involving 172 female respondents aged 19 to 24 years old and currently studying at Malaysian Institutions of Higher Learning in Selangor. The research method used was a non - probability sample and snowball method to distribute the online questionnaire. Results showed there was almost no significant relationship for social media and body dissatisfaction, social media and disordered. The comparison of primary data and secondary data also recorded slight differences with almost no significant relationship for primary data and a weak significant relationship for secondary data. The findings of this study are hoped to help raise awareness and open the eyes of the public about the influence of social media on body dissatisfaction and disordered if it is not curbed.

An international observational study to assess the impact of the Omicron variant emergence on the clinical epidemiology of COVID-19 in hospitalised patients.

Background: Whilst timely clinical characterisation of infections caused by novel SARS-CoV-2 variants is necessary for evidence-based policy response, individual-level data on infecting variants are typically only available for a minority of patients and settings. Methods: Here, we propose an innovative approach to study changes in COVID-19 hospital presentation and outcomes after the Omicron variant emergence using publicly available population-level data on variant relative frequency to infer SARS-CoV-2 variants likely responsible for clinical cases. We apply this method to data collected by a large international clinical consortium before and after the emergence of the Omicron variant in different countries. Results: Our analysis, that includes more than 100,000 patients from 28 countries, suggests that in many settings patients hospitalised with Omicron variant infection less often presented with commonly reported symptoms compared to patients infected with pre-Omicron variants. Patients with COVID-19 admitted to hospital after Omicron variant emergence had lower mortality compared to patients admitted during the period when Omicron variant was responsible for only a minority of infections (odds ratio in a mixed-effects logistic regression adjusted for likely confounders, 0.67 [95% confidence interval 0.61-0.75]). Qualitatively similar findings were observed in sensitivity analyses with different assumptions on population-level Omicron variant relative frequencies, and in analyses using available individual-level data on infecting variant for a subset of the study population. Conclusions: Although clinical studies with matching viral genomic information should remain a priority, our approach combining publicly available data on variant frequency and a multi-country clinical characterisation dataset with more than 100,000 records allowed analysis of data from a wide range of settings and novel insights on real-world heterogeneity of COVID-19 presentation and clinical outcome. Funding: Bronner P. Gonçalves, Peter Horby, Gail Carson, Piero L. Olliaro, Valeria Balan, Barbara Wanjiru Citarella, and research costs were supported by the UK Foreign, Commonwealth and Development Office (FCDO) and Wellcome [215091/Z/18/Z, 222410/Z/21/Z, 225288/Z/22/Z]; and Janice Caoili and Madiha Hashmi were supported by the UK FCDO and Wellcome [222048/Z/20/Z]. Peter Horby, Gail Carson, Piero L. Olliaro, Kalynn Kennon and Joaquin Baruch were supported by the Bill & Melinda Gates Foundation [OPP1209135]; Laura Merson was supported by University of Oxford's COVID-19 Research Response Fund - with thanks to its donors for their philanthropic support. Matthew Hall was supported by a Li Ka Shing Foundation award to Christophe Fraser. Moritz U.G. Kraemer was supported by the Branco Weiss Fellowship, Google.org, the Oxford Martin School, the Rockefeller Foundation, and the European Union Horizon 2020 project MOOD (#874850). The contents of this publication are the sole responsibility of the authors and do not necessarily reflect the views of the European Commission. Contributions from Srinivas Murthy, Asgar Rishu, Rob Fowler, James Joshua Douglas, François Martin Carrier were supported by CIHR Coronavirus Rapid Research Funding Opportunity OV2170359 and coordinated out of Sunnybrook Research Institute. Contributions from Evert-Jan Wils and David S.Y. Ong were supported by a grant from foundation Bevordering Onderzoek Franciscus; and Andrea Angheben by the Italian Ministry of Health "Fondi Ricerca corrente-L1P6" to IRCCS Ospedale Sacro Cuore-Don Calabria. The data contributions of J.Kenneth Baillie, Malcolm G. Semple, and Ewen M. Harrison were supported by grants from the National Institute for Health Research (NIHR; award CO-CIN-01), the Medical Research Council (MRC; grant MC_PC_19059), and by the NIHR Health Protection Research Unit (HPRU) in Emerging and Zoonotic Infections at University of Liverpool in partnership with Public Health England (PHE) (award 200907), NIHR HPRU in Respiratory Infections at Imperial College London with PHE (award 200927), Liverpool Experimental Cancer Medicine Centre (grant C18616/A25153), NIHR Biomedical Research Centre at Imperial College London (award IS-BRC-1215-20013), and NIHR Clinical Research Network providing infrastructure support. All funders of the ISARIC Clinical Characterisation Group are listed in the appendix.

Changing predominant SARS-CoV-2 lineages drives successive COVID-19 waves in Malaysia, February 2020 to March 2021.

Malaysia has experienced three waves of coronavirus disease 2019 (COVID-19) as of March 31, 2021. We studied the associated molecular epidemiology and SARS-CoV-2 seroprevalence during the third wave. We obtained 60 whole-genome SARS-CoV-2 sequences between October 2020 and January 2021 in Kuala Lumpur/Selangor and analyzed 989 available Malaysian sequences. We tested 653 residual serum samples collected between December 2020 to April 2021 for anti-SARS-CoV-2 total antibodies, as a proxy for population immunity. The first wave (January 2020) comprised sporadic imported cases from China of early Pango lineages A and B. The second wave (March-June 2020) was associated with lineage B.6. The ongoing third wave (from September 2020) was propagated by a state election in Sabah. It is due to lineage B.1.524 viruses containing spike mutations D614G and A701V. Lineages B.1.459, B.1.470, and B.1.466.2 were likely imported from the region and confined to Sarawak state. Direct age-standardized seroprevalence in Kuala Lumpur/Selangor was 3.0%. The second and third waves were driven by super-spreading events and different circulating lineages. Malaysia is highly susceptible to further waves, especially as alpha (B.1.1.7) and beta (B.1.351) variants of concern were first detected in December 2020/January 2021. Increased genomic surveillance is critical.

Risk Assessment and Air Quality Study during Different Phases of COVID-19 Lockdown in an Urban Area of Klang Valley, Malaysia

Globally, the COVID-19 pandemic has had both positive and negative impacts on humans and the environment. In general, a positive impact can be seen on the environment, especially in regard to air quality. This positive impact on air quality around the world is a result of movement control orders (MCO) or lockdowns, which were carried out to reduce the cases of COVID-19 around the world. Nevertheless, data on the effects on air quality both during and post lockdown at local scales are still sparse. Here, we investigate changes in air quality during normal days, the MCOs (MCO 1, 2 and 3) and post MCOs, namely the Conditional Movement Control Order (CMCO) and the Recovery Movement Control Order (RMCO) in the Klang Valley region. In this study, we used the air sensor network AiRBOXSense that measures carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2) and particulate matter (PM2.5 and PM10) at Petaling Jaya South (PJS), Kelana Jaya (KJ) and Kota Damansara (KD). The results showed that the daily average concentrations of CO and NO2 mostly decreased in the order of normal days > MCO (MCO 1, 2 and 3) > CMCO > RMCO. PM10, PM2.5, SO2 and O3 showed a decrease from the MCO to RMCO. PJS showed that air pollutant concentrations decreased from normal days to the lockdown phases. This clearly shows the effects of ‘work from home’ orders at all places in the PJS city. The greatest percentage reductions in air pollutants were observed during the change from normal days to MCO 1 (24% to 64%), while during MCO 1 to MCO 2, the concentrations were slightly increased during the changes of the lockdown phase, except for SO2 and NO2 over PJS. In KJ, most of the air pollutants decreased from MCO 1 to MCO 3 except for CO. However, the percentage reduction and increments of the gas pollutants were not consistent during the different phases of lockdown, and this effect was due to the sensor location—only 20 m from the main highway (vehicle emissions). The patterns of air pollutant concentrations over the KD site were similar to the PJS site;however, the percentage reduction and increases of PM2.5, O3, SO2 and CO were not consistent. We believe that local burning was the main contribution to these unstable patterns during the lockdown period. The cause of these different changes in concentrations may be due to the relaxation phases during the lockdown at each station, where most of the common activities, such as commuting and industrial activities changed in frequency from the MCO, CMCO and RMCO. Wind direction also affected the concentrations, for example, during the CMCO and RMCO, most of the pollutants were blowing in from the Southeast region, which mostly consists of a city center and industrial areas. There was a weak correlation between air pollutants and the temperature and relative humidity at all stations. Health risk assessment analysis showed that non-carcinogenic risk health quotient (HQ) values for the pollutants at all stations were less than 1, suggesting unlikely non-carcinogenic effects, except for SO2 (HQ > 1) in KJ. The air quality information showed that reductions in air pollutants can be achieved if traffic and industry emissions are strictly controlled.

The story of critical care in Asia: a narrative review.

BACKGROUND: Asia has more critically ill people than any other part of our planet. The aim of this article is to review the development of critical care as a specialty, critical care societies and education and research, the epidemiology of critical illness as well as epidemics and pandemics, accessibility and cost and quality of critical care, culture and end-of-life care, and future directions for critical care in Asia. MAIN BODY: Although the first Asian intensive care units (ICUs) surfaced in the 1960s and the 1970s and specialisation started in the 1990s, multiple challenges still exist, including the lack of intensivists, critical care nurses, and respiratory therapists in many countries. This is aggravated by the brain drain of skilled ICU staff to high-income countries. Critical care societies have been integral to the development of the discipline and have increasingly contributed to critical care education, although critical care research is only just starting to take off through collaboration across groups. Sepsis, increasingly aggravated by multidrug resistance, contributes to a significant burden of critical illness, while epidemics and pandemics continue to haunt the continent intermittently. In particular, the coronavirus disease 2019 (COVID-19) has highlighted the central role of critical care in pandemic response. Accessibility to critical care is affected by lack of ICU beds and high costs, and quality of critical care is affected by limited capability for investigations and treatment in low- and middle-income countries. Meanwhile, there are clear cultural differences across countries, with considerable variations in end-of-life care. Demand for critical care will rise across the continent due to ageing populations and rising comorbidity burdens. Even as countries respond by increasing critical care capacity, the critical care community must continue to focus on training for ICU healthcare workers, processes anchored on evidence-based medicine, technology guided by feasibility and impact, research applicable to Asian and local settings, and rallying of governments for support for the specialty. CONCLUSIONS: Critical care in Asia has progressed through the years, but multiple challenges remain. These challenges should be addressed through a collaborative approach across disciplines, ICUs, hospitals, societies, governments, and countries.