Introduction: Testicular cancer poses a significant public health threat, especially among young men, underscoring the importance of testicular self-examination (TSE) as a vital preventive measure. Despite its significance, awareness and adherence to TSE guidelines remain low, particularly among university students. This study aims to assess the knowledge and practice of TSE among male students at Universiti Putra Malaysia (UPM) to bridge this gap in understanding. Methods: Conducted between January and April 2020 at UPM, this cross-sectional study targeted male students aged 18 to 30 from non-medical faculties, selected via random sampling. Data collection involved online surveys distributed to participants, with statistical analyses utilizing descriptive and inferential methods. Results: The study unveiled a concerning lack of TSE awareness and practice among male UPM students. A majority reported never having performed TSE, indicating a significant gap in preventive healthcare behaviours. Sociodemographic factors such as age, marital status, and level of education influenced TSE knowledge and practice, underscoring the necessity for tailored interventions to address these disparities. Conclusion: This study highlights the pressing need for targeted educational interventions to bolster TSE awareness and encourage regular practice among young men, especially university students. By overcoming barriers to TSE uptake and equipping individuals with the knowledge and skills to monitor their testicular health effectively, we can enhance health outcomes and alleviate the burden of testicular cancer in this demographic. Future research should explore the efficacy of diverse educational strategies and engage healthcare providers in promoting testicular health awareness.

Introduction: Nurses are always the first responders in cardiac arrest situations; hence, it is critical to provide nurses with enough understanding of adult CPR and to ensure that they have a favourable attitude towards adult CPR. It can potentially improve cardiac arrest patients’ survival rates and quality of life. This study aimed to study the knowledge and attitude towards adult CPR among nurses in Serdang Hospital, Selangor. Material and Methods: A convenient sampling method was used to recruit the nurses, and data were collected online. SPSS version 22 was used for data entry and analysis. Knowledge and attitude towards adult CPR were analysed according to the nature of the data. Result: A total of 60 individuals took part in the survey. The total scores for knowledge and attitude towards adult CPR were 8.33 ± 1.64 and 38.07 ± 6.15, respectively. The analysis demonstrated a significant relationship between the time since the last CPR instruction and knowledge (p=0.003) and attitude (p=0.0001). The study also discovered a link between encountering cardiac arrest episodes and knowledge (p=0.003) and attitude (p=0.044). Meanwhile, there was no substantial relationship between adult CPR knowledge and attitude. Conclusion: The length of previous CPR training and experiences with cardiac arrest occurrences influenced adult CPR knowledge and attitude. As a result, it was vital to increase nurses’ understanding and knowledge of the importance of adult CPR, which will remind them to be more vigilant and improve their attitude towards adult CPR.

Introduction: Dengue, a mosquito-borne viral infection, imposes significant socio-economic and disease burdens on tropical and subtropical regions worldwide. Data provided by Malaysia’s Health Ministry indicate that the number of dengue cases in 2024 is exhibiting a steeper increase compared to the corresponding period last year. This study aims to identify factors contributing to dengue mortality in Malaysian government hospitals and assess nursing involvement in mortality prevention. Method: A retrospective study was conducted using a proforma. Electronic data and documented nursing care in the nursing report before the patient’s death were extracted and analysed for all dengue mortality cases. Results: Thirty-seven dengue mortality cases were identified, 28 from Hospital 1 and 9 from Hospital 2, respectively. Most patients were admitted during the critical phase (day 4 or 5), with rates of 67.8% and 88.9% in Hospitals 1 and 2, respectively. Mean hospital stays were 3.39 days (SD±1.62) in Hospital 1 and 4.56 days (SD±1.88) in Hospital 2. Among cases with comorbidities (53.6%), diabetes mellitus was most common in Hospital 1. Common clinical signs included myalgia, arthralgia, severe vomiting, and fever (78.6%). Dehydration and headache were documented in approximately 75.0% of cases in Hospital 1 and 66.7% and 77.8%, respectively, in Hospital 2. Nursing interventions primarily focused on hyperthermia reduction, with dehydration management being less common. Conclusion: Major factors contributing to dengue-related deaths in both hospitals include illness stage at admission, dengue severity/classification, and delayed hospital admission. Future efforts should prioritise assessing patients’ hydration status upon admission and continuous nursing assessment for early signs of dehydration.

Introduction: Among hypertensive farmers, it is challenging to implement a low-salt diet because the environment does not support the farmer’s food pattern. This study aims to analyze the relationship between food patterns and adherence to a low-salt diet in hypertensive farmers in the Working Area of the Panti Public Health Center, Jember Regency, Indonesia. Methods: This study used a cross-sectional design with a total sample of 91 hypertension farmers using cluster sampling. The questionnaire was used to determine the characteristics of the respondents, eating patterns, and adherence to a low-salt diet in hypertensive farmers—inferential analysis using the Chi-square test. Results: This study’s results indicated that most farmers had stage 2 systolic hypertension (51.6%) and stage 2 diastolic hypertension (50.5%). There were significant differences in food patterns (p-value<0.05). Food patterns in the less category are 0%, the sufficient category is 59.3%, and the good category is 40.7%. There was no significant difference in adherence to the Jember low-salt diet (p-value>0.05). Compliance with a low-salt diet in the low category was 38.5%, the medium category was 48.4%, and the high category was 13.2%. A relationship exists between food patterns and a low-salt diet in hypertensive farmers (p<0.001; OR = 5.993). Conclusion: Hypertension farmers must maintain their food patterns so that the low-salt diet increases and blood pressure checks are carried out monthly at the integrated healthcare center for non-communicable diseases.

Introduction: Child marriage is a significant problem in high-risk rural communities, driven by social pressures, cultural norms, and restricted educational opportunities. This study investigates the risk factors that contribute to child marriage and examines its impact on the reproductive health of adolescents. The research underscores the critical need for focused interventions to address these issues and improve the well-being of adolescents in vulnerable communities. Materials and methods: By analyzing recent data and conducting interviews with affected individuals, the study provides a comprehensive understanding of the underlying factors and their consequences. The study focused on 608 youths from Tambakrejo District, Bojonegoro, who were married as minors in 2022. Using a simple random selection method, a sample of 86 participants was chosen, comprising 40 cases and 46 controls. The data were analyzed using chi-square tests and multiple logistic regression to identify significant risk factors. Results: This revealed that parental wishes, self-desire, school dropout, parental income, and social pressures play a crucial role in influencing child marriage. These findings highlight the complex interplay of individual, familial, and societal factors in perpetuating this practice. Conclusion: The study concludes with recommendations for preventive health promotion initiatives, emphasizing the importance of education and counselling. These initiatives should focus on providing parents and families with in-depth education about the detrimental effects of child marriage and the risks associated with adolescent pregnancy. Such efforts are essential to curbing the prevalence of child marriage and protecting the reproductive health of adolescents in high-risk rural areas.

A warm foot bath is a complementary therapy commonly used by patients with chronic illnesses like Type 2 Diabetes mellitus (T2DM). While this therapy offers benefits for T2DM patients, its effectiveness depends on the procedure and the patient's condition. Studies investigating these topics have been conducted independently, resulting in a lack of comprehensive information about warm foot bath therapy for T2DM patients.This study aims to review and synthesize previous studies related to the benefits, procedures, and considerations of warm foot baths for Type 2 Diabetes mellitus patients. We conducted a literature review study using the PRISMA approach. Articles were extracted from several databases, namely PubMed, Garda Rujukan Digital, and Google Scholar. The Mixed Method Appraisal Tool was implemented to assess the eligibility of the articles.A total of 664 articles were harvested from the databases in this study. Twelve eligible articles were identified, and several major themes were mapped. Warm foot bath therapy provided positive physical benefits when considering water temperature, duration, and the physical condition of the patient during therapy. In some cases, adding complementary substances such as aromatherapy, salts, or herbs during therapy may improve the outcomes of warm foot bath therapy for T2DM patients. Our study mapped several benefits of warm foot bath therapy. While procedures may vary, they share similar considerations regarding water temperature, duration, and the physical condition of the patient. Further studies are needed to investigate the correlation of our findings more comprehensively.

Electronic Medical Records (EMRs) still have implementation failure risks, impacting service quality and safety. More research is needed to improve it. Hence, this study aims to explore publication patterns and research developments on the failure modes of EMR implementation to obtain novel future research topics. This research used descriptive quantitative with bibliometric analysis using VOSviewer, collected the data using specific keywords, and set no limitations to get the comprehensive data. The majority of EMR research and researcher affiliations come from developed countries. There were multiple frequently appearing keywords from each cluster, grouped into three themes, including the quality of the EMR system, the subject of EMRs, and the use of EMRs. There is still potential to study EMR failure modes in developing countries, especially about the scarce topics to ensure the implementation of this technology is safe, effective, and runs as intended.

Introduction: The population of people with dementia (PWD) in Indonesia is increasing. Evaluating nurses' confidence in caring for PWD is crucial as it impacts the delivery of health services to PWD. In Indonesia, no instrument is available to measure a nurse's confidence in caring for PWD. This study aimed to report the translation process, validity, and reliability of the Confidence in Dementia (CODE) instrument for nurses. Materials and methods: This psychometric testing study was conducted from September to October 2021. The CODE instrument was translated using the Beaton Method in the first step. The second step was testing the content validity involving six experts using the Scale-Content Validity Index (S-CVI). After that, the researchers conducted a construct validity test using Pearson Product Moment and a reliability test using Cronbach’s Alpha that involved 115 nurses at a hospital in Yogyakarta, Indonesia. Results: S-CVI results of 1.00 indicate that the content of CODE is valid. All CODE items are also valid in construct validity as the Pearson Product Moment test results show a calculated r of 0.526 to 0.633. Moreover, the CODE reliability test revealed a Cronbach’s Alpha score of 0.770 (acceptable). Conclusion: The Indonesian language CODE is considered valid and reliable for measuring nurses' confidence in caring for PWD.

Introduction: Biomaterials are materials from natural or synthetic sources, used to strengthen or replace part or all of the body's tissues. Tissue Bank is the unit in Dr Soetomo Hospital that produces products biomaterial from human tissue. According to the standard, biomaterial products must be able to be traced quickly and accurately. Therefore, the tissue bank has been developing an Information System for Biomaterial Products (ISOMERIC). Implementation of the information system is not always successful, as well as ISOMERIC, so an evaluation is needed. This research aims to explore the best practices and lessons learned from the implementation of ISOMERIC. Materials and methods: The method of this study is qualitative. In-depth interviews were conducted with 14 respondents. The research instrument was developed by Human, Organization, and Technology Fit (HOT-Fit) framework. Results: The implementation of ISOMERIC was still 20%. Factors that lead to the implementation of ISOMERIC include support from the hospital, the Person In Charge (PIC), training, system security, user acceptance, easy system interface, and trouble and improvement handling. Factors causing a delay in implementing ISOMERIC on time include the priority of implementation, internal Tissue Bank problem, and lack of infrastructure. Conclusion: ISOMERIC implementation has faced challenges. Positive factors such as organizational support, and user training contribute to its ongoing progress. The challenges during ISOMERIC implementation such as lack of management support, adequate preparation, and collaboration with other institutions. Tissue Banks can develop better strategies for successful ISOMERIC implementation and improve biomaterial production standards.