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  1. Duratul Ain, Rokiah Omar, Knight, Victor Feizal
    MyJurnal
    Gangguan visual di kalangan kanak-kanak boleh menjadi serius tanpa intervensi awal. Kajian ini bertujuan untuk mengenal pasti prevalens penyebab kepada impairmen visual di kalangan kanak-kanak prasekolah. Sebanyak 21 buah tadika telah dipilih secara rawak untuk menjalani saringan penglihatan. Modul saringan penglihatan meliputi ujian akuiti visual, ujian katup, ujian Hirschberg, pemeriksaan mata luaran dan oftalmoskopi. Kanak-kanak yang gagal saringan penglihatan telah dirujuk untuk pemeriksaan lanjutan. Seramai 479 orang kanak-kanak dengan purata umur 5.30 ± 0.69 tahun telah mengambil bahagian dalam saringan penglihatan. Daripada 43 orang kanak-kanak yang gagal saringan penglihatan, 32 orang (6.7%) disahkan mempunyai gangguan visual. Manakala 8 orang didapati tidak mempunyai gangguan visual dan tiga orang digugurkan daripada kajian kerana tidak bekerjasama untuk pemeriksaan lanjutan. Ralat refraksi (5.8%) adalah penyebab utama kepada gangguan visual di kalangan kanak-kanak prasekolah. Penyebab-penyebab lain ialah ambliopia (1.3%), strabisms (1.0%) dan keabnormalan okular (0.8%). Pengesanan gangguan visual di peringkat awal melalui saringan penglihatan dan intervensi awal optometri adalah penting untuk dilaksanakan di kalangan kanak-kanak prasekolah supaya prevalens gangguan visual dapat dikurangkan.
  2. Duratul Ain Hussin, Rokiah Omar, Knight VF
    Masalah penglihatan boleh memberi impak yang serius terhadap perkembangan sosial dan mental kanak-kanak. Oleh itu, pengesanan masalah ini di peringkat awal adalah amat penting bagi memastikan prognosis yang lebih baik. Kajian ini bertujuan untuk mengenalpasti penyebab masalah penglihatan di kalangan kanak-kanak Prasekolah. Seramai 479 orang kanak-kanak tadika yang berumur 4-6 ± 0.69 tahun (min=5.3 tahun) di Sitiawan, Perak, Malaysia telah dipilih secara rawak. Mereka menjalani ujian akuiti visual, ujian katup, ujian Hirschberg, pemeriksaan eksternal okular dan oftalmoskopi. Kanak-kanak yang gagal saringan penglihatan telah dirujuk untuk pemeriksaan lanjutan. 52% kanakkanak terdiri daripada lelaki dan selebihnya adalah kanak-kanak perempuan. Melayu merupakan kumpulan bangsa terbesar (59.9%), diikuti Cina (30.1%), India (9.6%) dan lain-lain (0.4%). Daripada 43 orang yang gagal saringan penglihatan, 32 (6.7% dari kumpulan subjek asal) orang disahkan mempunyai masalah penglihatan. Penyebab utama masalah penglihatan di kalangan kanak-kanak Prasekolah dalam kajian ini ialah ralat refraksi (4.8% dari keseluruhan subjek kajian) diikuti dengan ambliopia (1.0%), strabismus (1.0%) dan keabnormalan okular (0.8%). Maka, saringan penglihatan di kalangan kanak-kanak Prasekolah adalah amat penting untuk dilaksanakan kerana ia dapat mengesan masalah penglihatan di peringkat awal.
  3. Omar R, Knight VF, Hussin DA
    Med J Malaysia, 2013 Jun;68(3):245-8.
    PMID: 23749015 MyJurnal
    This study determined the outcome of combining home based and clinic based amblyopia therapy among preschool children. A total of 479 preschool children were randomly selected for vision screening. Amblyopic therapy was prescribed to children whose visual acuity (VA) could not be improved to <0.1 LogMAR after a 6 week adaptation period with glasses. Intensive near work activities were conducted daily at home for 12 weeks, monitored by parents while weekly therapy was conducted at the optometry clinic by an optometrist. Six preschool children were diagnosed with refractive amblyopia, spherical equivalent (SE) was -11.25D to +0.75D. Significant improvement was found in the VA of right eye, t(6) = 3.07, left eye t(6) = 3.07 and both eyes t(6) = 3.42) p<0.05, at the end of the 12 week therapy. Combining home based and clinic based amblyopia therapy among preschool children showed a positive improvement in VA after 12 weeks of therapy.
    Study site: kindergarten, optometry clinic, Perak (site unclear)
  4. Omar R, Hussin DA, Knight VF
    J Med Assoc Thai, 2012 Mar;95(3):412-7.
    PMID: 22550841
    Compare the performance of Lea Symbols and Sheridan Gardiner charts against the standard test chart used to determine reduced VA during vision screening among pre-schoolers.
  5. Duratul Ain Hussin, Mahani Mohd Salleh, Che Ruhani Che Jaafar, Rini Roslina Amir, Farahiyah Ibrahim, Nor Aini Hanafi
    MyJurnal
    Amblyopia is one of the most common causes of visual defi cit in children. Presently, in the Ministry of Health Malaysia hospitals, there is no documented data on the characteristic and profi le of amblyopia cases. This study was conducted to scribe the profile of new amblyopia cases seen by optometrists at the Ministry of Health (MOH) Hospitals. This study was a retrospective and multicenter study including all MOH hospitals with optometry clinics. Clinical record data of amblyopic patients aged 3 to 17 years old who were newly diagnosed between 1st August 2010 to 31st January 2011 and who fulfi lled the inclusion criteria were obtained. Data collected included demography, systemic history, ocular history and optometric findings and diagnosis. Thirty eight MOH hospitals participated and a total of 301 patients were diagnosed with functional amblyopia within the study period. Mean age for these amblyopic patients was 7.70 + 0.16 years old. Boys were the predominant gender (57.1%) and Malay preceded the other races with a 65.4% occurrence. Mild amblyopia was found in 51.5% of the patients, 31.6% were with moderate amblyopia and only 16.9% of patients were severe amblyopia. The underlying amblyogenic causes assessed were ametropia (61.5%), anisometropia (25.2%), strabismus (9.3%) and stimulus deprivation (4.0%). Refractive error was discovered as the most common cause of amblyopia in this study. It is crucial for optometrists to detect this type of visual impairment and undertake an early optometric intervention.

    Study site: multicenter study including all MOH hospital
  6. Amminudin Ab Latif, Rohaya Alias, Mohd Fairuz Bachok, Nur ’Ain Mat Yusof, Farah Wahida Mohd Latib, Ahmad Rasidi Osman, et al.
    Jurnal Inovasi Malaysia, 2018;1(2):93-110.
    MyJurnal
    The industrial training is a mandatory course for Diploma Civil Engineering, UiTM Pahang. It is to expose students to real engineering practices to meet the Engineering Technician Accreditation Council (ETAC) requirements. However, the current method for monitoring and assesssing students’ progress during their industrial training is inadequate and not systematic due to incomplete student log books, unspecified scoring rubrics, inaccurate assessments by lecturers who are not experts in the field, infrequent visits and monitoring by faculty supervisors, inability to monitor student daily activities by faculty supervisors and unstandardized format for student reports. Thus, ‘Indus-Train’ system was developed by the Civil Engineering Innovative and Creative group (CivTEX), UiTM Pahang to assist the faculty (Civil Engineering) in solving problems related to student monitoring and assessment during industrial training. This system is more systematic, competitive, reduces management costs and able to achieve the adequacy of the industrial training assessments. The main positive impact of applying this system in the recent semester was an increment in student achievements. Student achievements were assessed from the course outcomes (CO) which showed an increase of 13.2 % (CO1). The system also saves time and reduces cost. Industrial training certificates are given to students at the end of the semester where each certificate has its unique barcode that can be used to track all students’ activities and reports during industrial training. Furthermore, this certificate is useful for job applications and can be one of a student’s supporting documents.
  7. Lapchmanan LM, Hussin DA, Mahat NA, Ng AH, Bani NH, Hisham S, et al.
    BMC Health Serv Res, 2024 Feb 02;24(1):165.
    PMID: 38308291 DOI: 10.1186/s12913-024-10569-0
    BACKGROUND: The Malaysian Allied Health Profession Act (Act 774) regulates the practice of allied health practitioners in Malaysia, with two described professions viz. allied health profession (AHP) and profession of allied health (PAH). While AHPs have been clearly identified by the law, comprehensive implementation of the act requires development of specific criteria in defining any profession as PAH in the Malaysian context. Hence, the research aims to explore and identify the criteria for defining such professions for healthcare policy direction in Malaysia.

    METHODS: This research utilised two methods of qualitative research (document review and focus group discussions (FGDs) involving 25 participants from four stakeholders (higher education providers, employers, associations and regulatory bodies). Both deductive and inductive thematic content analysis were used to explore, develop and define emergent codes, examined along with existing knowledge on the subject matter.

    RESULTS: Sixteen codes emerged from the FGDs, with risk of harm, set of competency and skills, formal qualification, defined scope of practice, relevant training and professional working within the healthcare team being the six most frequent codes. The frequencies for these six codes were 62, 46, 40, 37, 36 and 18, correspondingly. The risk of harm towards patients was directly or indirectly involved with patient handling and also relates to the potential harms that may implicate the practitioners themselves in performing their responsibilities as the important criterion highlighted in the present research, followed by set of competency and skills.

    CONCLUSIONS: For defining the PAH in Malaysia, the emerged criteria appear interrelated and co-exist in milieu, especially for the risk of harm and set of competency and skills, with no single criterion that can define PAH fully. Hence, the integration of all the empirically identified criteria must be considered to adequately define the PAH. As such, the findings must be duly considered by policymakers in performing suitable consolidation of healthcare governance to formulate the appropriate regulations and policies for promoting the enhanced framework of allied health practitioners in Malaysia.

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