State Of Selangor Research Articles

Parents' and healthcare professionals' perception toward the introduction of a new fully liquid hexavalent vaccine in the Malaysian national immunization program: a cross-sectional study instrument development and its application.

A newly developed fully liquid hexavalent vaccine that comprises six antigens for Diphtheria, Tetanus, acellular Pertussis, Inactivated Poliomyelitis, Haemophilus Influenza type b., and Hepatitis B, is proposed to be introduced in the Malaysian national immunization program, instead of the non-fully liquid pentavalent vaccine and monovalent Hepatitis B vaccine that is currently employed in the immunization schedule. Although the introduction of new vaccines is a necessary intervention, it still needs to be accepted by parents and healthcare professionals. Hence, this study aimed to develop three structured questionnaires and to investigate the participants' perception and acceptability toward the incorporation of the new fully liquid hexavalent vaccine. A cross-sectional study was conducted among a sample of 346 parents, 100 nurses, and 50 physicians attending twenty-two primary health care centers in the states of Selangor and the Federal Territory of Kuala Lumpur and Putrajaya during 2019-2020. The study found that Cronbach's alpha coefficients for the study instruments ranged from 0.825 to 0.918. Principal components analysis produced a good fit with KMO>0.6. For the parents' perception questionnaire, the only extracted factor explained 73.9 % of the total variance; for the nurses' perception toward a non-fully and fully liquid combined vaccine, there was a sole extracted factor that explained 65.2 % and 79.2% of the total variance, respectively. Whereas for the physicians' perception, there was one factor extracted that explains 71.8 % of the total variance. The median score for all the questionnaire items ranged from 4 to 5 (Q1 and Q3 vary between 3-5). Parents' ethnicity was significantly associated (P-value ≤ 0.05) with the perception that the new hexavalent vaccine would reduce their transportation expenses. Moreover, a significant association (P-value ≤ 0.05) was found between physicians' age and the perception of the hexavalent vaccine's ability to decrease patient overcrowding in primary healthcare centers. The instruments used in this study were valid and reliable. Parents of Malay ethnicity were the most concerned about transportation expenses since they have the lowest income and are more concentrated in rural areas compared to other races. Younger physicians were concerned about reducing patient crowding and hence reducing their workload and burnout.

School culture as predictors of primary schools’ performance

This purpose of this study is to explore the level of school culture and its prediction towards school performance as perceived by teachers. The data was collected using survey questionnaire. Organizational Culture Assessment Instrument (OCAI) developed by Cameron and Quinn (2006) was used to measure school culture. A total of 324 questionnaires were distributed to 36 primary schools in the state of Selangor, Perak, Johor and Pahang in Peninsular Malaysia. Subsequently, the data was analysed using descriptive analysis and multiple regression. The result shows that teachers in National schools and National Type Tamil schools perceive that the level of school culture in their schools is significantly higher than National Type Chinese schools. In addition, clan culture is perceived as most practiced culture in National and National Type Tamil schools. While, hierarchy culture is perceived as the most practiced culture in National Type Chinese schools. There is a similarity between these schools in terms of culture practice where the adhocracy culture become the least culture practiced in these schools. Apart from that, the result also showed that teachers perceived school culture significantly predict the school performance. Hence, it is noted that emphasis in school culture is vital to have an environment, which supports the school performance in the long run. This study would be very helpful for all the relevant stakeholders to identify primary school culture as well as its contribution towards school performance to take any action for school improvement.

Glottal Stop /?/ Strategy in Adaptation of Malay Loanwords in Bugis Language based on Output-Output Correspondent Analysis

Bugis are one of Malaysia's minority communities. Bugis communities use loanwords as a way of ensuring smooth communication. While the Bugis community tries to absorb all Malay loanwords into the Bugis language, a phonological process prevents the Malay lexicon from being fully absorbed. This process is called the glottal stop /?/. The fieldwork was conducted at two places in Johore state: Pontian and Pasir Gudang. The fieldwork was also conducted in the Selangor state at Pandamaran, Klang. A questionnaire containing a section on the informant's background and a word list was prepared for the interview session with 200 Bugis respondents. By using the Output-Output correspondent in Optimality theory, this study will address some of the emerging issues; Firstly, what is the intent of using glottal stop /?/ strategy in the Bugis language loanwords adaptation? Secondly, what constraints are used in the glottal stop /?/ strategy in the Bugis-language loanwords adaptation using Optimality theory (OT) and OO-Correspondence (OO-Cor). The study shows that there are two main reasons why a glottal stop occurs, firstly, as a syllable closure and secondly, as a consonant substitution. Based on TO and OO-Cor analysis, Malay loanwords must comply with *IDENTICAL LEXICAL constraint of production output in Bugis language. The results of this study have contributed to the development of the Bugis language study from a linguistic point of view using Optimality and Correspondence-OO theory.

The Level of Knowledge and Attitude of Primary School Teachers on Implementation Program i-THINK

This study was carried out to identify teachers' knowledge and attitude toward implementing Program i-THINK in nine districts in Selangor state. A survey design was employed using a seven-point Likert Scale structured questionnaire. Respondents were selected using a multi-stage sampling procedure involving 500 teachers from nine districts in Selangor. Descriptive analysis was conducted to find the mean and standard division. The internal consistency reliability, often known as the alpha coefficient or Cronbach Alpha, was used to assess the instrument's reliability. This study proved the teachers had the highest knowledge level (5.35 mean value). The attitude level among the teachers towards the Program i-THINK is also the highest, with (a 5.23 mean value). This study shows that teachers well receive the Program i-THINK. Besides, these findings have the potential to be benchmarked on the status of implication Program i-THINK in Malaysia, particularly in Selangor. However, continuous monitoring should be carried out by the Ministry of Education to ensure the implication of Program i-THINK by teachers. This study implies that Program i-THINK should be used to enhance the teachers' knowledge and attitude on a larger scale to help the success of the Program i-THINK.

Examining Local Traditional Food Entrepreneurs in Selangor and Sabah States during Covid 19 Pandemic

The study aims to explore local entrepreneurs’ profile criteria during covid 19 pandemic in Sabah and Selangor states. Two (2) themes have been identified for this study which are 1) Food category and 2) Business criteria. Twenty (20) informants from selected business categories are being identified and interviewed using a semi-structured question and online video and phone recording due to the Covid 19 pandemic. The finding shows that entrepreneurs from both states share similarities in food categories and customer backgrounds. They also implement technology such as online delivery applications to sustain their business during the Covid-19 pandemic.

Spatial and Temporal Analysis of 2019 Novel Coronavirus (2019-Ncov) Cases in Selangor, Malaysia

The COVID-19 pandemic continues to wreak devastation on public health systems worldwide, particularly in Selangor, Malaysia, COVID-19 was reported from October 2020 to October 2021 at prevalent rate. In order to control and prevent the spread of this pandemic, which is already underway, there is need to comprehend the spatial dimension of this disease. Therefore, the purpose of this study was to describe the patterns of COVID-19 virus transmission in the state of Selangor. Methods: Using a Geographic Information System (GIS), and the Moran’s Index (MI), spatial distribution of COVID-19 across the entire mukim was mapped and spatial statistical analysis was carried out with indications of local spatial correlations. Results: The finding revealed that the clusters were concentrated in the western and southern regions (Global Moran's I = 0.468, p = 0.05, Z = 7.01) of the state of Selangor, thus, this research provides important information on the regional distribution and temporal dynamics of COVID-19. Conclusion: An assessment of COVID-19's geographic spread can help enhance health care programs and resource allocation in Malaysia, specifically Selangor where the COVID-19 is pandemic.

Construct validity and reliability of the Malay version of the Fagerström test for nicotine dependence (FTND): A confirmatory factor analysis.

The Fagerström test for nicotine dependence (FTND) was forward-backwards translated into the Malay language (FTND-M) and administered to 152 daily smokers who sought treatment for smoking cessation in government health clinics in Selangor state, Malaysia. Using confirmatory factor analysis (CFA), four measurement models with the best relative fit were compared, one uni-dimensional model, and three different two-domain (morning and daytime smoking) models. The findings indicate that the best model of the FTND-M was a two-domain model, wherein domain one represented morning smoking (time to first cigarette of the day, smoking more in the morning, and which cigarette would you hate to give up) and domain two represented daytime smoking (cigarettes per day, difficulty refraining from smoking, and smoking when ill) which showed good model fit [χ2/df=1.932, goodness of fit (GFI) of 0.967, comparative fix index (CFI) of 0.945, incremental fit index (IFI) of 0.98, Tucker-Lewis index (TLI) of 0.95 and a real mean square end of approximation (RMSEA) of 0.079, and substantial reliability >0.70]. This study indicates that the FTND-M can be used to assess these two dimensions of nicotine addiction among daily smokers in a clinical setting.

THE PUBLIC’S PERCEPTIONS TOWARD THEME PARKS AS A RECREATIONAL ACTIVITY

A theme park is an attraction that the public enjoys. A theme park provides amusement and creates a leisure time for the public to spend time with family, friends and other relatives. Therefore, it is critical to determine the public's expectations and perceptions of theme park recreation. The purpose of this study is to determine the level of public participation in a theme park recreational activity. The theme parks selected are Sunway Lagoon Water Park, iCity Water World, and Wet World Water Park. All of the selected theme parks are located in the state of Selangor. The objective of the study is to investigate the influence factor of public perception on theme park attendance based on social demographics. Due to the Covid-19 situation, the survey was conducted through an online form using a Google form. A total of 437 people from the selected theme parks were surveyed. The study found that most theme park visitors are students and are between 18 and 30 years old. The result shows that public participation in theme park recreational activities is significant. It was found that people who do their leisure activities in amusement parks have higher expectations. On the other hand, the influence factor of public perception of participation in theme park leisure activities was significant. The iCity Water World has the highest influence. The influence factor of public perception of participation is statistically significant in theme parks. Nevertheless, the management should cooperate and communicate with the government and private organizations to improve the country's economy due to the Covid-19 situation.

KAJIAN TERHADAP ISU PEMBELIAN TANAH WAKAF MENERUSI MEKANISME WAKAF TUNAI DI NEGERI SELANGOR A Study on Issues in Waqf Land Purchasing Through Mechanism of Cash Waqf in Selangor

The practice of waqf is vital in the development of the entire Muslim community. The waqf system at the Perbadanan Wakaf Selangor (PWS) has expanded in various ways or methods to include cash waqf, general waqf and special waqf, therefore providing Muslims with the opportunity to perform worship in a collective manner in order to enhance the Muslim community’s socio-economic status. This study was conducted to understand the concept of land purchase using cash waqf in the state of Selangor. The objective of this study is to ascertain the current status of waqf for the purchase of land through the cash waqf mechanism, along with issues in implementing it. This study used both the library study method and a field study to collect qualitative data. Data for this study was also obtained from semi-structural interviews with PWS officers and those involved in the management of waqf property. The findings show that waqf for land purchase within the state of Selangor has achieved its objective, despite challenges faced. The constraints regarding the waqf system are that the waqf fund collection had not achieved its target in addition to the short contract durations, which had caused the development of the planned waqf property to not run smoothly. Several recommendations and policy implications are suggested to ease future purchases of land through the cash waqf scheme so that it will become a valuable asset used for Muslims’ economic development.

Development of Schoolpreneur Model for Malaysian Secondary School: A Confirmatory Factor Analysis Approach

<p style="text-align:justify">This study aims to develop a schoolpreneur model appropriate for Malaysia's secondary school environment. The current study surveyed students participating in the Program Tunas Commerce (PROTUNe) and the Young Entrepreneurs Association (PUM) in the states of Perak, Selangor, and Negeri Sembilan to accomplish these purposes. A survey-based technique was used to collect data, and 400 students participated. With a cross-sectional research design, this research uses a quantitative research methodology. This research employed exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and structural equation modeling (SEM) for statistical analysis. The study's findings show that six highlighted factors can be incorporated to develop a schoolpreneur model. These factors all significantly affect the schoolpreneur model. A significant correlation of the schoolpreneur model of more than 60% indicates the significance of talent skills, mentors, incubators, individual personality, role models, and family background in the development of the schoolpreneur model. As a result, secondary schools can conduct entrepreneurial activities better due to the development of the schoolpreneur model.</p>

Hydrogeophysical modeling of the groundwater aquifer units under climate variability in parts of Peninsular Malaysia: A case study of the climate-water nexus approach to sustainability

Understanding of the climate-water nexus for sustainability, required good knowledge of the climate effects on groundwater aquifer units, particularly in rural communities. The studies were achieved using RES2-D modelling of the subsurface structures at the study site. Geophysical exploration with the application of 2-D Electrical Resistivity Imaging (ERI), combined with Induced Polarization (IP) method, were carried out to identify groundwater aquifers during extreme weather at Kampung Kuala Pajam, Beranang, Selangor, Peninsular Malaysia. The signatures obtained from geophysical explorations were used to better understand the phenomena that are responsible for groundwater depletion in the area. In recent times, there had been seasonal fluctuations in the water supply from boreholes serving the community. During the drought season, subsurface underlain this area experienced perennial acute shortages of groundwater supplies due to annual climatic variations that call for immediate solution by meeting the agricultural, domestic, and industrial water usage of the State of Selangor. A Pole-dipole techniques, using seven parallel lines of 400 m each at 5 m inter electrode spacing deployed to study the groundwater accumulation/aquifers within the area. Saturated groundwater occurrences zones were delineated as areas with average resistivity values of about 125 Ω-m, with corresponding chargeability of 30 ms. The methods used identified major faults along the northeast-southwest (NE-SW) directions, suitable for groundwater occurrences with approximate volume of about 2.86 Mega cubic metre (CBM), to proffer lasting solutions to the challenges being experienced by the community using a climate-water nexus sustainability.

Prevalence and Determinants of Depressive Symptoms among Young Adolescents in Malaysia: A Cross-Sectional Study.

Depression is the most common mental health problem affecting adolescents globally, wherein its increasing prevalence together with the negative health impacts escalates the need for further research in this area. This work determined the prevalence and factors associated with depressive symptoms among young adolescents in Malaysia. A total of 1350 adolescent aged 13 to 14 years in school across nine secondary schools in Selangor state, Malaysia participated in a cross-sectional study. Independent variables were examined using the using the Global School-Based Student Health Survey included age, gender, ethnicity, alcohol intake, smoking and illicit drug use, loneliness, bullying, parental marital status, income and supervision; and the Health Literacy and Stigma questionnaire examined mental health literacy levels. Depressive symptoms were the dependent variable which was examined using the Center for Epidemiology Study Depression (CESD) instrument. Prevalence of depressive symptoms among all participants was 19 % (95% CI [16.9, 21.2]), with a higher prevalence of depressive symptoms being reported among females 26.3% (95% CI [23.0, 29.8]) compared to males 11.7% (95% CI [9.4, 14.4]). Determinants namely females (AOR = 3.83; 95% CI [2.66, 5.52]), smoking (AOR = 6.16; 95% CI [3.15, 12.05]), been bullied (AOR = 3.70; 95% CI [2.51, 5.47]), felt lonely (AOR = 10.46; 95% CI [7.09, 15.42]) and having no parental supervision (AOR = 1.79; 95% CI [1.26, 2.53]) significantly increased the odds of depressive symptoms among all adolescents in the multivariate model. In addition, feeling lonely, being bullied and smoking were identified as common significant determinants of depressive symptoms across both genders. Feeling lonely (65% to 71%) and being bullied (10% to 19%) were ranked as the most important determinants of depressive symptoms among young adolescents. Tackling these factors would be instrumental in helping decision makers formulate depression prevention strategies and activities for adolescents.

Assessment of hydrogeological parameters in a tropical region using GIS and AHP

Hydrogeological parameters have a significant impact on groundwater fluctuations in a tropical region. Malaysia is a tropical country experiencing rise in groundwater usage to meet the growing water demand. Therefore, an assessment of hydrogeological parameters is necessary for sustainable planning and management of groundwater. Geology, rainfall, drainage density, slope and soil are the hydrogeological parameters analysed for assessment in the region. The study aimed to assess hydrogeological parameters in the state of Selangor, Malaysia using Geographic Information System (GIS) and Analytic Hierarchy Process (AHP). The parameters were weighted based on the degree of impact on groundwater potential using AHP model. The weighted and ranked parameters were integrated through GIS to create groundwater potential zone map. The groundwater potential zones were divided into three categories low, moderate, and high potential zones. Moderate potential zones cover 73% of total area in the state of Selangor. The moderate potential zones cover most of the districts in the west such as Sabak Bernam, Klang, Kuala Langat and Sepang. As well as the majority of the area in districts like Hulu Selangor, Petaling, Gombak and Kuala Selangor. The findings of this study might be useful for policy makers and government organisations in formulating strategies for sustainable groundwater management and determining ideal locations for groundwater extraction.

Factors Affecting Accounting Fraud in Malaysian SMEs

Accounting fraud is a serious phenomenon affecting businesses globally due to the deliberate manipulation and alteration of financial records. This may lead to massive financial loss to the companies, destroying the company’s image and the employees’ lives. Furthermore, the effect will devastate SMEs as they may fail to sustain their businesses due to the outcomes of fraudulent behavior. This study takes a closer look at Malaysian SMEs with the aim of examining whether relationships may exist between pressure, opportunity, rationalization, ethical values and accounting fraud in Malaysian SMEs. This study is conducted with the goal to contribute to the existing knowledge on accounting fraud in SMEs, which can facilitate the creation of policies and standards for curbing or minimizing accounting fraud. A deductive approach was employed using a quantitative method. Data were collected from 155 managers from SMEs in the state of Selangor, Malaysia using online questionnaires. Data analysis was performed using the Statistical Package for Social Sciences (SPSS) software. The application of the SPSS software was necessary in testing the reliability of the data, linearity, correlation, and multiple regression tests, and examining the relationships between the independent and dependent variables. The research results revealed that only pressure and opportunity had a significant positive relationship with accounting fraud in Malaysian SMEs. The scientific novelty of the study was the test results on the rationalization and ethical values that refute the results of past studies. This study provides implications for the research findings. Keywords: accounting fraud, pressure, opportunity, rationalization, ethical values. DOI: https://doi.org/10.55463/hkjss.issn.1021-3619.60.26

THE EFFECTS OF ISLAMIC MICROFINANCING, HUMAN CAPITAL AND ICT USAGE ON WOMEN MICRO-ENTREPRENEURS’ PERFORMANCE IN MALAYSIA

This study examines the influences of Islamic microfinancing, human capital development, and information and communication technology (ICT) usage on the performance of Malaysian women micro-entrepreneurs funded by an Islamic microfinance institution (IMFI). It considers Amanah Ikhtiar Malaysia (AIM) as the study setting and adopts a quantitative approach involving 120 women micro-entrepreneurs. The questionnaire was distributed to women micro-entrepreneurs in Selangor state employing a convenience sampling method. The model was analysed utilising the partial least squares structural equation model (PLS-SEM). The findings indicate that Islamic microfinancing, human capital, and ICT usage positively influence the performance of women micro-entrepreneurs. The empirical findings enhance the literature by extending the resource-based view (RBV), a soft theory in the organisational theory literature, by incorporating Islamic microfinancing in the context. It is hoped the study will assist IMFIs and governments in strengthening infrastructures, developing comprehensive business strategies, and educating women micro-entrepreneurs about the possibilities of the digital economy for long-term business sustainability and development.

Changes in genital Human Papillomavirus (HPV) prevalence among urban females a decade after the Malaysian HPV vaccination program.

To increase the coverage of HPV vaccination, Malaysia implemented a national school-based vaccination program for all 13-year-old girls in 2010. Two years later, a clinic-based catch-up program was started for 16 to 21-year-old girls. We assessed the prevalence of a range of HPV genotypes, among a sample of urban women within the age groups of 18-24 and 35-45 years in 2019-2020, a decade into the national vaccination program. The HPV prevalence was then compared to that reported in an unvaccinated population in 2013-2015. We sampled a total of 1134 participants, comprising of 277 women aged 18-24 years and 857 women aged 35-45 years, from several urban clinics in the state of Selangor. Participants provided a self-acquired vaginal sample for HPV genotyping. Comprehensive sociodemographic and vaccination history were collected. The HPV vaccination coverage among women in the younger age group increased from 9.3% in 2013-2015 to 75.5% in 2019-2020. The prevalence of vaccine-targeted HPV16/18 decreased 91% (CI: 14.5%-99.0%) among the younger women, from 4.0% in 2013-2015 to 0.4% in 2019-2020. There was also an 87% (CI: 27.5%-97.5%) reduction in HPV6/11/16/18. There was no difference in the prevalence of non-vaccine targeted HPV genotypes among younger women. The HPV prevalence among older women, for both vaccine targeted and non-vaccine targeted genotypes in 2019-2020, did not differ from 2013-2015. The observed decline in prevalence of vaccine-targeted HPV genotype among younger women a decade after the national HPV vaccination program is an early indication of its effectiveness in reducing the burden of cervical cancer.

Mosque based sustainable financing model for micro enterprises using cash Waqf in Selangor state of Malaysia

Micro enterprises are emerging as an important sector in the economic system of Malaysia by contributing significantly to Gross Domestic Product (GDP) and providing employment opportunities to millions of workers in the country. Despite its importance in contributing towards the enhancement of the well-being of society and the continuous efforts from the government, micro-enterprises in Malaysia, are struggling with several issues. The majority of them are facing difficulties in obtaining financing for high risk. Hence, they face issues in obtaining financing from financial institutions which seek collateral and charge interest or fixed profit rate. Hence, this study proposes a mosque-based sustainable model for financing micro-enterprises using cash waqf with a significant feature of involving mosque-based administration committees (AJK) to intermediate between the Waqf Corporation of Selangor (PWS) (Waqf assets managing body of State Islamic Religious Council of Selangor (MAIS)) as Mutawalli of waqf and micro enterprises at village level. This study proposed a model for the Selangor state as the case study that may help address the financing constraints of micro-enterprises and further improve the well-being of Muslim society by better usage of cash waqf. IIUC Business Review Vol. 7-8, Dec. 2018-19 pp. 9-30

Desire to stay shorter time at the shopping mall: insight from protection motivation (PMT), behavioral inhibition system (BIS), reactance, and expectancy theories.

After withdrawing the movement control order (MCO), new variant (Omicron) of COVID-19 returns as an outbreak again. Therefore, consumers are very much informed by various media to be more cautious in visiting shopping malls and spend less time in there. The purpose of this study was to identify the predictors influencing the desire to stay shorter at the shopping mall. This study was conducted in Malaysia, with the application of three psychological theories and one behavioural theory. This is quantitative research based on an online cross-sectional survey design. Data were collected from 296 respondents, by applying the online snowball sampling method through numerous media platforms i.e., Viber, WhatsApp, Messenger, and other apps in three severely affected cities in Malaysia i.e., Selangor state, Putrajaya, and Kuala Lumpur. SmartPLS was used to analyse the data. Using structural equation modelling, this study result shows risk, protection motivation, and fear have a significant effect on the desire to stay a shorter time at the shopping mall. Social norm moderates the association between fear and the desire to spend a shorter time at the shopping mall. These findings, highlight the need for a more empirical study to design more robust strategies, and a safer and risk-free shopping mall environment.

The Fast-Track Divorce Method Used in Selangor Shariah Courts: Achievements and Challenges

The Selangor Shariah Justice Department’s (JAKESS) data shows that the state of Selangor has recorded the highest percentage of divorce applications compared to other states in Malaysia. Thus, delays in resolving divorce cases in Selangor Shariah Courts is nothing new to this state and this had led to an increase in backlogged cases that are being resolved at a sluggish phase. Therefore, JAKESS introduced the Fast-Track Divorce Method, or better known as fast-track divorce, at the end of 2014 as an alternative solution to this issue. Preliminary research found that the State of Selangor was the first state to adopt this method into its Shariah Judicial Administration system. Fast-track divorce is an innovation or improvement to the existing divorce settlement by mutual agreement process under Section 47 of the Selangor Islamic Family Law Enactment 2003. This study intended to identify the implementation of the fast-track divorce method practiced by the Selangor State Shariah Courts, challenges faced after this system was implemented as well as the reception received throughout the six years since its inception. This qualitative study adopted the document analysis and semi-structured interview methods for acquiring data, which were later analysed using descriptive methods. Findings show that the fast-track divorce method is a relevant and effective method in the Selangor State Shariah Subordinate Courts’ administrative system. JAKESS has several challenges, namely the negative perception of some parties regarding the Fast-Track Divorce Project, especially in the early stages of its introduction, customers’ non-compliance with the stipulated conditions and lastly, empowering the fast-track divorce method. However, this method has received recognition from various parties. Findings can also contribute towards enriching the academic literature for better public reading or act as a scientific reference since there is a lack of studies related to the fast-track divorce method.

Comparison of a chronic kidney disease predictive model for type 2 diabetes mellitus in Malaysia using Cox regression versus machine learning approach.

Diabetes is one of the leading causes of chronic kidney disease (CKD) and end-stage renal disease. This study aims to develop and validate different risk predictive models for incident CKD and CKD progression in people with type 2 diabetes (T2D). We reviewed a cohort of people with T2D seeking care from two tertiary hospitals in the metropolitan cities of the state of Selangor and Negeri Sembilan from January 2012 to May 2021. To identify the 3-year predictor of developing CKD (primary outcome) and CKD progression (secondary outcome), the dataset was randomly split into a training and test set. A Cox proportional hazards (CoxPH) model was developed to identify predictors of developing CKD. The resultant CoxPH model was compared with other machine learning models on their performance using C-statistic. The cohorts included 1992 participants, of which 295 had developed CKD and 442 reported worsening of kidney function. Equation for the 3-year risk of developing CKD included gender, haemoglobin A1c, triglyceride and serum creatinine levels, estimated glomerular filtration rate, history of cardiovascular disease and diabetes duration. For risk of CKD progression, the model included systolic blood pressure, retinopathy and proteinuria. The CoxPH model was better at prediction compared with other machine learning models examined for incident CKD (C-statistic: training 0.826; test 0.874) and CKD progression (C-statistic: training 0.611; test 0.655). The risk calculator can be found at https://rs59.shinyapps.io/071221/. The Cox regression model was the best performing model to predict people with T2D who will develop a 3-year risk of incident CKD and CKD progression in a Malaysian cohort.