MyMedR

Fulltext Utilization of traditional birth attendants in MCH care in rural Malaysia

Yadav H

Singapore Med J, 1987 Dec;28(6):520-5.

The traditional birth attendant (bidan kampong) or the TBA is still responsible for a substantial number of deliveries in Peninsular Malaysia. In the study area, the TBA s were responsible for about 47.2% of the deliveries in 1976. They were also responsible tor a substantial number of maternal deaths in the district. Therefore it was decided to identity and train the TBAs to identity ‘at risk’ cases at mothers and children and refer them to the nearest health facility. The TBA s were trained to use simple hygenic and aseptic procedures. At the end oi their training all at them were presented with a UNICEF midwifery kit. The short training proved useful because they now deliver fewer ‘at risk' cases and there is an in- creasing trend among them to refer the ‘at risk’ cases to the hospitals. The utilizations of TBA s in the maternal and child health program is a useful tool for the attainment at primary health care objective for developing countries by the year 2000.

Fulltext Unethical behavior and professionalism among medical students in a private medical university in Malaysia

Yadav H, Jegasothy R, Ramakrishnappa S, Mohanraj J, Senan P

BMC Med Educ, 2019 Jun 18;19(1):218.

PMID: 31215454 DOI: 10.1186/s12909-019-1662-3

BACKGROUND: Ethical behavior and professionalism is an ideal characteristic required of medical students and included as 'must achieve' and critical aspect of medical students' curriculum. This study proposes to determine the perceived unethical and unprofessional behavior among medical students in a private medical university from year 1 to year 5 of the medical curriculum.

METHODS: A cross-sectional study was conducted among year 1 to year 5 medical students in a private medical university. A self-administered questionnaire was used with the 3 major domains of professionalism and ethics i.e. discipline plagiarism and cheating.

RESULTS: A total of 464 respondents responded to the survey and they included medical students from year 1 and year 2 (pre-clinical) and years 3-5 (clinical years). Majority of the students, 275 (59.2%) answered that they had not seen any form of unethical behavior among other students. The females seem to have a larger number 172(63%) among the same gender compared to the males. Majority 352 (75%) of them had not heard of the 'Code of Professional Conduct by the Malaysian Medical Council'. About fifty three (53.1%) of the students answered that the training was sufficient.

CONCLUSIONS: This study showed that the perception of unethical behavior was 58.8% in the 1st year (pre-clinical) and it increased to 65.2% in the 5th year (clinical). The 3 main discipline issues were students do not show interest in class (mean 2.9/4), they are rude to other students (mean 2.8/4) and talking during class (mean 2.6/4). Despite the existence of unethical behavior among the students majority of them (71.7%) claimed that they had adequate training in ethics and professionalism. It is proposed that not only the teaching of ethics and professionalism be reviewed but an assessment strategy be introduced to strengthen the importance of professionalism and ethics.

Fulltext Ultrasonication-mediated nitrogen-doped multiwalled carbon nanotubes involving carboxy methylcellulose composite for solid-state supercapacitor applications

Basivi PK, Ramesh S, Kakani V, Yadav HM, Bathula C, Afsar N, et al.

Sci Rep, 2021 May 10;11(1):9918.

PMID: 33972653 DOI: 10.1038/s41598-021-89430-x

In this study, a novel nanohybrid composite containing nitrogen-doped multiwalled carbon nanotubes/carboxymethylcellulose (N-MWCNT/CMC) was synthesized for supercapacitor applications. The synthesized composite materials were subjected to an ultrasonication-mediated solvothermal hydrothermal reaction. The synthesized nanohybrid composite electrode material was characterized using analytical methods to confirm its structure and morphology. The electrochemical properties of the composite electrode were investigated using cyclic voltammetry (CV), galvanic charge-discharge, and electrochemical impedance spectroscopy (EIS) using a 3 M KOH electrolyte. The fabricated composite material exhibited unique electrochemical properties by delivering a maximum specific capacitance of approximately 274 F g-1 at a current density of 2 A g-1. The composite electrode displayed high cycling stability of 96% after 4000 cycles at 2 A g-1, indicating that it is favorable for supercapacitor applications.

Fulltext The use of r value

Yadav H

Med J Malaysia, 1985 Jun;40(2):143-4.

PMID: 3834287

Fulltext The 1978 cholera outbreak in Krian district

Yadav H

Med J Malaysia, 1981 Sep;36(3):129-35.

PMID: 7329369

The findings of a cholera epidemic in Krian district is reported. There were 77 cases and 92 carriers in the epidemic. Although the three main ethnic groups of Malays, Chinese and Indians were involved in the epidemic, the Malays constituted majority of the cases and carriers. The overall infection rate and case attack rate was higher among the younger population. The case: carrier ratio was also higher among the younger population especially among Indians. Various reasons and probable causes of the epidemic have been described briefly.

Fulltext Teleprimary care in Malaysia: a tool for teleconsultation and distance learning in health care

Yadav H, Lin WY

Asia Pac J Public Health, 2001;13 Suppl:S58-61.

PMID: 12109251

Malaysia enjoys a comprehensive range of health services, the government being committed to the principles of universal access to high quality health care, which the Ministry of Health provides through a wide variety of nation wide network of clinics and hospitals. One of the major problems is the availability of comprehensiveness and quality of health care in remote health centres. When patients are transferred from the health centres to the hospitals for further treatment, this not only incurs inconvenience to the patients and their family but also increases the cost to the health care system. Teleprimary care is one of the tools to overcome this problem. The doctors in the remote clinics are able to discuss the problem cases through teleconsultation with the doctors and specialist in the hospitals using an audiovisual system to provide better care in the health centers without transferring the patients to the hospitals. Only the essential and needy patients are referred to the hospitals. This has not only reduced the number of patients referred to the hospitals but it has reduced the cost to the health care system. It has also provided a more comprehensive care to the patients in the health centres. The doctors in the health centers are also provided training and are also updated on the latest in medicine. This method of training has made doctors in the health centers more efficient and satisfied.

Fulltext Study of maternal deaths in Kerian (1976 - 1980)

Yadav H

Med J Malaysia, 1982 Jun;37(2):165-9.

PMID: 7132836

Maternal deaths in Kerian district during a 5 year period (1976-1980) is described. There were 35 maternal deaths in all and Malays constituted the majority 32 (91.4 percent). Most of the women were of low socio-economic status and only 20 percent had some formal education. The women were mainly multigravida and majority of them 20 (57.2 percent) were between 31-40 years of age. The main cause of death being PPH and PPH with retained placenta. Most of them died at home and were attended to by TBAs. The need to identify, train and utilise TBAs has been realised as they delivered about 41.4 percent of the deliveries in Kerian in 1976.

Risk factors associated with dyspepsia in a rural Asian population and its impact on quality of life

Mahadeva S, Yadav H, Rampal S, Goh KL

Am J Gastroenterol, 2010 Apr;105(4):904-12.

PMID: 20179699 DOI: 10.1038/ajg.2010.26

The epidemiology and impact of dyspepsia in rural Asia remains uncertain. We aimed to determine the prevalence epidemiology and impact of dyspepsia in a rural Malaysian community.

Fulltext Reassessment on the development of children with disability in Malaysia

Tan KL, Yadav H

Med J Malaysia, 2008 Mar;63(1):17-20.

PMID: 18935725 MyJurnal

This is a cohort study investigating the profile of children with disability registered with the primary health care clinics in Malaysia. The purpose of the study was to determine whether reassessment on the development of children with disability under rehabilitation should be done at three months interval or six months interval. Secondary data from the pilot project conducted by the Family Health Development Division, Ministry of Health Malaysia was used in this study. The study was carried out for seven months from 1st August 2004 until 28th February 2005. A total of 168 disabled children followed up for six months were selected in this study. Schedule of Growing Scale (SGS) II was the tool used for analysis. Results showed a statistically significant difference in the mean total SGS score at six months interval but not at three months interval. The result suggests that reassessment on children with Down Syndrome, Autism, Cerebral Palsy, mental retardation and delayed speech under rehabilitation should be carried out every six months while children with gross developmental delay and slow learner might need a longer interval for reassessment.

Pre-hospital delays in ischemic stroke patients in a Malaysian tertiary hospital

Al-Dubai SA, Sempeho J, Yadav H, Sahathevan R, Law ZK, Manaf MR

Int J Stroke, 2016 07;11(5):NP58-9.

PMID: 26865155 DOI: 10.1177/1747493016632252

Fulltext Poverty and health development

Yadav H

Med J Malaysia, 2007 Oct;62(4):278-81.

PMID: 18551928 MyJurnal

Fulltext Patient satisfaction and loyalty to the private hospitals in Sana'a, Yemen

Anbori A, Ghani SN, Yadav H, Daher AM, Su TT

Int J Qual Health Care, 2010 Aug;22(4):310-5.

PMID: 20543208 DOI: 10.1093/intqhc/mzq029

To evaluate patients' satisfaction and loyalty to private hospitals and to identify factors influencing patient loyalty.

Patient confidentiality, ethics and licensing in telemedicine

Yadav H, Lin WY

Asia Pac J Public Health, 2001;13 Suppl:S36-8.

PMID: 12109246

Telemedicine is fast becoming popular in many countries in the world. It has several advantages such as being cost saving and providing better access to health care in the remote areas in many parts of the world. However, it has some disadvantages as well. One of the major problems is the problem of patients' rights and confidentiality in the use of telemedicine. There are no standard guidelines and procedures in the practice of telemedicine as yet. Both the patient and the physician are unsure of the standard of practice and how to maintain confidentiality. The patient is uncertain as to how to protect her/his rights in the use of telemedicine. The issue of litigation is also unclear as to where the physician is practicing when he/she uses telemedicine. Is she/he practicing in the country where the patient is or is the physician practicing in the country of her/his origin? These issues need to be addressed urgently so that telemedicine will have standards of ethical practice and the patient's rights and confidentiality will be protected.

Medical education in Malaysia

Jalaludin MA, Yadav H

Med J Malaysia, 2005 Aug;60 Suppl D:2-3.

PMID: 16315615

Fulltext Maternal factors in predicting low birth weight babies

Yadav H, Lee N

Med J Malaysia, 2013;68(1):44-7.

PMID: 23466766 MyJurnal

This study examines the association between maternal factors and low birth weight among newborns at a tertiary hospital in Malaysia. This was a cross-sectional study where mothers were followed through from first booking till delivery. There were 666 mothers who delivered from May 2007 to March 2008. Infants' birth weight were compared with maternal age, pre-pregnancy BMI, fathers BMI, parity, ethnicity, per capita monthly income, and maternal blood pressure during pregnancy. A multiple logistic regressions was used to determine the relationship of maternal factors and low birth weight, while the ROC curve was constructed to assess the sensitivity and specificity of the predictive model. Among the significant risk factors of low birth weight were older age (35 years and above), low pre-pregnancy BMI (<20 kg/m2), parity of 4 and above, Indian origin, economically under privileged, and low and high blood pressure. Blood pressure during pregnancy was an important risk factor for LBW, by using this parameter alone the risk of LBW could be predicted with a sensitivity rate of 70% and a specificity rate of 70%. The sensitivity and specificity was further improved to 80% and 75% percent respectively when other factors like maternal factors such as maternal age, pre-pregnancy BMI, ethnicity, and per capita monthly income were included in the analysis.

Fulltext Low birth weight incidence in Lundu, Sarawak

Yadav H

Med J Malaysia, 1994 Jun;49(2):164-8.

PMID: 8090096

The overall mean birth weight of the total deliveries (1986-1988) in Lundu Hospital was 2.96 kg. The mean birth weight for the male babies was 2.94 kg. The Chinese babies had a significantly higher mean birth weight (3.12 kg) than the other ethnic groups (p < 0.05). The overall incidence of low birth weight (LBW) in this study was 11.84 per cent. The Chinese again had a lower incidence of LBW of 6.73 per cent compared to Ibans who had the highest incidence of LBW, 13.59 per cent, with the Bidayuhs 12.97 per cent and Malays, 12.45 per cent. It was also noticed that of the 14.9 per cent preterm deliveries, 37.5 per cent were LBW. The very young mothers (15-19 years) and older mothers (> 40 years) seem to have a higher incidence of LBW. Mothers who had medical conditions like anaemia, hypertension, pre-eclampsia also had a higher incidence of LBW when compared to mothers who did not have a medical condition. Special emphasis should be given to mothers who have medical conditions, and to very young and very old mothers during antenatal care, to prevent incidence of LBW.
Comment in: Chia CP. Low birth weight babies. Med J Malaysia. 1995 Mar;50(1):120

Fulltext Low birth weight babies (letter 2)

Yadav H

Med J Malaysia, 1995 Sep;50(3):285-6.

PMID: 8926914

Author reply to: Chia CP. Low birth weight babies. Med J Malaysia. 1995 Mar;50(1):120.
Comment on: Yadav H. Low birth weight incidence in Lundu, Sarawak. Med J Malaysia. 1994 Jun;49(2):164-8.

Fulltext Influence of maternal factors and sex of newborn on birthweight

Yadav H

Med J Malaysia, 1988 Sep;43(3):224-8.

PMID: 3241580

Infant mortality in rural Malaysia: an analysis and their causes (1970-1984)

Yadav H

J Trop Pediatr, 1986 10;32(5):244-8.

PMID: 3795334 DOI: 10.1093/tropej/32.5.244

Fulltext Hydrothermal synthesis of CuO@MnO2 on nitrogen-doped multiwalled carbon nanotube composite electrodes for supercapacitor applications

Kakani V, Ramesh S, Yadav HM, Bathula C, Basivi PK, Palem RR, et al.

Sci Rep, 2022 Sep 20;12(1):12951.

PMID: 36127493 DOI: 10.1038/s41598-022-16863-3

Nitrogen-doped multiwalled carbon nanotubes (N-MWCNTs) have been used to fabricate nanostructured materials for various energy devices, such as supercapacitors, sensors, batteries, and electrocatalysts. Nitrogen-doped carbon-based electrodes have been widely used to improve supercapacitor applications via various chemical approaches. Based on previous studies, CuO@MnO2 and CuO@MnO2/N-MWCNT composites were synthesized using a sonication-supported hydrothermal reaction process to evaluate their supercapacitor properties. The structural and morphological properties of the synthesized composite materials were characterized via Raman spectroscopy, XRD, SEM, and SEM-EDX, and the morphological properties of the composite materials were confirmed by the nanostructured composite at the nanometer scale. The CuO@MnO2 and CuO@MnO2/N-MWCNT composite electrodes were fabricated in a three-electrode configuration, and electrochemical analysis was performed via CV, GCD, and EIS. The composite electrodes exhibited the specific capacitance of ~ 184 F g-1 at 0.5 A g-1 in the presence of a 5 M KOH electrolyte for the three-electrode supercapacitor application. Furthermore, it exhibited significantly improved specific capacitances and excellent cycling stability up to 5000 GCD cycles, with a 98.5% capacity retention.

Displaying publications 1 - 20 of 38 in total