MyMedR

Displaying publications 181 - 200 of 324 in total

Abstract:

Sort:

A game of three monkeys: Kadazan Dusun villagers and violence against women

Koepping E

Sojourn, 2003;18(2):279-98.
PMID: 21894631

Based on detailed and long-term anthropological research among rural Kadazans, the paper sets out the social history of domestic violence in one Sabah village. In more than 30 per cent of the households, there is a woman who has experienced repeated spousal abuse during her life. Adding those men who abused earlier spouses, and adults who lived through the abuse of their mothers in childhood, it is clear that violence is and has long been part of everyday — yet secret — village experience. For various reasons, researchers appear to have colluded in ignoring the issue. To help those women and their children whose lives are blighted by fear and fearful memories, it would be wise to assume domestic violence is as present in rural as in urban settings.

Matched MeSH terms: Family Relations/legislation & jurisprudence; Violence/legislation & jurisprudence
A dynamic bumiputera commercial and industrial class? A mismatch with market rationality

Lim L

Tonan Ajia Kenkyu, 1999;37:443-57.
PMID: 22532997
Matched MeSH terms: Race Relations/legislation & jurisprudence; Oceanic Ancestry Group/legislation & jurisprudence
New horizon in quality care--Asian perspective

Han MC

World Hosp Health Serv, 1997;33(2):8-13.
PMID: 10174544

The current status and directions for changes of issues related to quality care in health services in Asian countries--Malaysia, China, Singapore, Japan and Korea are overviewed. In countries with public sector dominated health care systems such as Malaysia. China and Singapore, governmental leadership in quality care is prominent along with legislative backup. Japan and Korea have private sector dominated health care systems and quality care activities are mainly carried out by non-governmental organisations. Hospital accreditation programs are in the developing stages in most countries, although China and Korea started in 1980. Most Asian countries are at the initial stages in quality care activities and focus has been placed on education and training. Asian countries are not exempted from efforts to enhance quality care activities and a new horizon in quality health care is emerging.

Matched MeSH terms: Delivery of Health Care/legislation & jurisprudence; Quality Assurance, Health Care/legislation & jurisprudence
Tobacco control and gender in south-east Asia. Part II: Singapore and Vietnam

Morrow M, Barraclough S

Health Promot Int, 2003 Dec;18(4):373-80.
PMID: 14695368

In the World Health Organization's Western Pacific Region, being born male is the single greatest risk marker for tobacco use. While the literature demonstrates that risks associated with tobacco use may vary according to sex, gender refers to the socially determined roles and responsibilities of men and women, who initiate, continue and quit using tobacco for complex and often different reasons. Cigarette advertising frequently appeals to gender roles. Yet tobacco control policy tends to be gender-blind. Using a broad, gender-sensitivity framework, this contradiction is explored in four Western Pacific countries. Part I of the study presented the rationale, methodology and design of the study, discussed issues surrounding gender and tobacco, and analysed developments in Malaysia and the Philippines (see the previous issue of this journal). Part II deals with Singapore and Vietnam. In all four countries gender was salient for the initiation and maintenance of smoking. Yet, with a few exceptions, gender was largely unrecognized in control policy. Suggestions for overcoming this weakness in order to enhance tobacco control are made.

Matched MeSH terms: Product Labeling/legislation & jurisprudence; Tobacco Industry/legislation & jurisprudence*
The impact of law enforcement on dispensing antibiotics without prescription: a multi-methods study from Saudi Arabia

Alrasheedy AA, Alsalloum MA, Almuqbil FA, Almuzaini MA, Aba Alkhayl BS, Albishri AS, et al.

Expert Rev Anti Infect Ther, 2020 01;18(1):87-97.
PMID: 31834825 DOI: 10.1080/14787210.2020.1705156

Background: Dispensing of antibiotics without a prescription (DAwP) has been widely practised among community pharmacies in Saudi Arabia despite being illegal. However, in May 2018, the law and regulations were enforced alongside fines. Consequently, we wanted to evaluate the impact of these changes.Methods: A study was conducted among 116 community pharmacies in two phases. A pre-law enforcement phase between December 2017 and March 2018 and a post-law enforcement phase one year later. Each phase consisted of a cross-sectional questionnaire-based survey and a simulated client method (SCM) approach. In the SCM, clients presented with either pharyngitis or urinary tract infections (UTI). In SCM, for each phase, all 116 pharmacies were visited with one of the scenarios.Results: Before the law enforcement, 70.7% of community pharmacists reported that DAwP was common with 96.6% and 87.7% of participating pharmacies dispensed antibiotics without a prescription for pharyngitis and UTI respectively. After the law enforcement, only 12.9% reported that DAwP is still a common practice, with only 12.1% and 5.2% dispensing antibiotics without prescriptions for pharyngitis and UTI respectively.Conclusion: law enforcement was effective. However, there is still further scope for improvement. This could include further educational activities with pharmacists, physicians and the public.

Matched MeSH terms: Community Pharmacy Services/legislation & jurisprudence*; Legislation, Pharmacy
Fulltext Uncovering Physical and Attitudinal Barriers to Adherence to Precautions for Preventing the Transmission of COVID-19 and Anxiety Level of People in Wuhan: 2 Months After the Lockdown

Lin Y, Alias H, Luo X, Hu Z, Wong LP

J Acad Consult Liaison Psychiatry, 2020 09 22;62(2):201-210.
PMID: 33183846 DOI: 10.1016/j.psym.2020.09.005

BACKGROUND: Wuhan, the epicenter of the coronavirus disease 2019 outbreak, was locked down on January 23, 2020. We aimed to investigate the barriers to the physical prevention, negative attitudes, and anxiety levels.
METHODS: A online cross-sectional survey was conducted with the people living in Wuhan between March 12th and 23rd, 2020.
RESULTS: Of a total of 2411 complete responses, the mean and standard deviation for the total physical prevention barriers score was 19.73 (standard deviation ± 5.3; range 12-45) out of a possible score of 48. Using a cut-off score of 44 for the State-Trait Inventory score, 79.9% (95% confidence interval [CI]: 78.2-81.5) of the participants reported moderate to severe anxiety during the early phase of the outbreak, and 51.3% (95% CI 49.2-53.3) reported moderate to severe anxiety after the peak of coronavirus disease 2019 was over (during the study period). Comparing anxiety levels in the early phase of the outbreak and after the peak of the outbreak, 58.5% (95% CI 56.5-60.5) recorded a decreased anxiety. Females reported a higher likelihood of having decreased levels of anxiety than males (odds ratio = 1.78, 95% CI 1.48-2.14). Low negative attitudes score were associated with a higher decrease in anxiety (odds ratio = 1.59, 95% CI 1.33-1.89).
CONCLUSIONS: The attitudinal barriers to prevention of transmission of coronavirus disease 2019 are more prominent than physical prevention barriers after the peak of coronavirus disease 2019. High anxiety levels even after the peak warrant serious attention.

Matched MeSH terms: Public Health/legislation & jurisprudence; Quarantine/legislation & jurisprudence
Evaluation of mercury contamination in Smilax myosotiflora herbal preparations

Ang HH, Lee KL

Int J Toxicol, 2007 Sep-Oct;26(5):433-9.
PMID: 17963130 DOI: 10.1080/10915810701583036

The DCA (Drug Control Authority) of Malaysia implemented phase 3 registration of traditional medicines in January 1992 with special emphasis on the quality, efficacy, and safety of all dosage forms of these medicines. For this reason, a total of 100 herbal products containing Smilax myosotiflora were purchased in the Malaysian market and analyzed for mercury content, as mercury is a recognized reproductive toxicant. The products were analyzed using cold vapor atomic absorption spectrophotometry. It was found that 89% of the above products do not exceed 0.5 ppm of mercury. Heavy metal poisoning such as mercury has been associated with traditional medicines. Therefore, it is important that doctors and health care practitioners are aware of these risks and finding ways to minimize them, including questions pertaining to the use of these remedies during the routine taking of a patient's history.

Matched MeSH terms: Drug and Narcotic Control/legislation & jurisprudence; Herbal Medicine/legislation & jurisprudence
Occupational health and safety issues in the informal economic segment of Pakistan: a survey of construction sites

Ahmed I, Shaukat MZ, Usman A, Nawaz MM, Nazir MS

Int J Occup Saf Ergon, 2018 Jun;24(2):240-250.
PMID: 28795938 DOI: 10.1080/10803548.2017.1366145

This research covers the current status of occupational health and safety (OHS)-related practices in the informal construction segment of Pakistan. Data were collected, through interviews, from 316 construction sites employing 3577 workers. The results of the study reveal that both employers and workers lack knowledge of OHS laws/standards and no practices of this nature are enacted at these construction sites. Alarmingly, work-related accidents, whenever they happen, are not given due attention and there is no formal injury-report system. The informal construction industry employs a huge portion of the informal workforce, and lack of OHS happens at tremendous human cost. These research findings may thus play their role in strengthening the case for reforms in the sector. This study, if properly utilized, may also enable employers of the sector by increasing their knowledge about OHS practices and, as a result, trying to offer safer environments for their workers.

Matched MeSH terms: Accidents, Occupational/legislation & jurisprudence; Occupational Health/legislation & jurisprudence
Accidents in Malaysian construction industry: statistical data and court cases

Chong HY, Low TS

Int J Occup Saf Ergon, 2014;20(3):503-13.
PMID: 25189753

Safety and health issues remain critical to the construction industry due to its working environment and the complexity of working practises. This research attempts to adopt 2 research approaches using statistical data and court cases to address and identify the causes and behavior underlying construction safety and health issues in Malaysia. Factual data on the period of 2000-2009 were retrieved to identify the causes and agents that contributed to health issues. Moreover, court cases were tabulated and analyzed to identify legal patterns of parties involved in construction site accidents. Approaches of this research produced consistent results and highlighted a significant reduction in the rate of accidents per construction project in Malaysia.

Matched MeSH terms: Accidents, Occupational/legislation & jurisprudence*; Workplace/legislation & jurisprudence; Construction Industry/legislation & jurisprudence*
Fulltext Support for and reported compliance among smokers with smoke-free policies in air-conditioned hospitality venues in Malaysia and Thailand: findings from the International Tobacco Control Southeast Asia Survey

Yong HH, Foong K, Borland R, Omar M, Hamann S, Sirirassamee B, et al.

Asia Pac J Public Health, 2010 Jan;22(1):98-109.
PMID: 20032039 DOI: 10.1177/1010539509351303

This study examined support for and reported compliance with smoke-free policy in air-conditioned restaurants and other similar places among adult smokers in Malaysia and Thailand. Baseline data (early 2005) from the International Tobacco Control Southeast Asia Survey (ITC-SEA), conducted face-to-face in Malaysia and Thailand (n = 4005), were used. Among those attending venues, reported total smoking bans in indoor air-conditioned places such as restaurants, coffee shops, and karaoke lounges were 40% and 57% in Malaysia and Thailand, respectively. Support for a total ban in air-conditioned venues was high and similar for both countries (82% Malaysian and 90% Thai smokers who believed there was a total ban), but self-reported compliance with bans in such venues was significantly higher in Thailand than in Malaysia (95% vs 51%, P < .001). As expected, reporting a ban in air-conditioned venues was associated with a greater support for a ban in such venues in both countries.

Matched MeSH terms: Restaurants/legislation & jurisprudence*; Smoking/legislation & jurisprudence*; Tobacco Smoke Pollution/legislation & jurisprudence
Green reconstruction of the tsunami-affected areas in India using the integrated coastal zone management concept

Sonak S, Pangam P, Giriyan A

J Environ Manage, 2008 Oct;89(1):14-23.
PMID: 17544565

A tsunami, triggered by a massive undersea earthquake off Sumatra in Indonesia, greatly devastated the lives, property and infrastructure of coastal communities in the coastal states of India, Andaman and Nicobar Islands, Indonesia, Sri Lanka, Malaysia and Thailand. This event attracted the attention of environmental managers at all levels, local, national, regional and global. It also shifted the focus from the impact of human activities on the environment to the impacts of natural hazards. Recovery/reconstruction of these areas is highly challenging. A clear understanding of the complex dynamics of the coast and the types of challenges faced by the several stakeholders of the coast is required. Issues such as sustainability, equity and community participation assume importance. The concept of ICZM (integrated coastal zone management) has been effectively used in most parts of the world. This concept emphasizes the holistic assessment of the coast and a multidisciplinary analysis using participatory processes. It integrates anthropocentric and eco-centric approaches. This paper documents several issues involved in the recovery of tsunami-affected areas and recommends the application of the ICZM concept to the reconstruction efforts.

Matched MeSH terms: Agriculture/legislation & jurisprudence; Conservation of Natural Resources/legislation & jurisprudence; Fisheries/legislation & jurisprudence
Fulltext Pre-employment medical examination of Indonesian domestic helpers in a private clinic in Johor Bahru--an eight year review

Leong CC

Med J Malaysia, 2006 Dec;61(5):592-8.
PMID: 17623961

On review of 3117 patients' records (all were female Indonesian foreign workers over the span of eight years (1997 to 2004 in a private clinic in Johor Bahru, 223 cases (7.2%) were found to have various medical problems. These 3117 foreigners were to be employed as domestic helpers in Malaysia. They were examined upon arrival in Johor Bahru even though our government did not require this pre-requisite (before 1st August 2005) as they were examined and certified fit in their country of origin before embarking to Malaysia. The proportion of female Indonesian foreign workers who were afflicted with category 1 conditions was 55.6% (which rendered them unfit for employment) and category 2 conditions was 44.4%. The medical problem detected most frequently was hypertension. Sixty-one (80.3%) out of 76 workers had stage 2 hypertension (JNC 7 report). Pulmonary tuberculosis ranked second in this review and is a category 1 condition. This paper supports the recent move by the Malaysian Ministry of Health to implement mandatory medical examinations for all foreign workers arriving in Malaysia within one month of arrival regardless of whether or not they are certified fit in their countries of origin.

Matched MeSH terms: Employment/legislation & jurisprudence*; Mass Screening/legislation & jurisprudence*; Transients and Migrants/legislation & jurisprudence*
Fulltext Organ donation: a case for a "presumed consent" law in Malaysia?

Lim KG

Med J Malaysia, 1999 Jun;54(2):285-6.
PMID: 10972047
Matched MeSH terms: Legislation, Medical
Pollution problems in the Prefacture of Osaka

Yamaguchi M

Med J Malaysia, 1974 Dec;29(2):114-24.
PMID: 4282396
Matched MeSH terms: Legislation as Topic
Fulltext Tobacco Industry Fingerprints on Delaying Implementation of Pictorial Health Warnings in the Western Pacific

Tan YL, Mackay J, Kolandai MA, Dorotheo EU

Asian Pac J Cancer Prev, 2020 Jul 01;21(S1):23-25.
PMID: 32649167 DOI: 10.31557/APJCP.2020.21.S1.23

OBJECTIVE: This case series describes tobacco industry tactics and strategies used to interfere, derail, delay, and weaken the development of effective health warning regulations in Malaysia, Cambodia, the Philippines, and Hong Kong.
METHODS: A historical review of official reports, news articles, and gray literature was undertaken to identify tobacco industry tactics and strategies to hamper government efforts in implementing stronger pictorial health warning regulations in four Asian jurisdictions (Cambodia, Hong Kong, Malaysia, and the Philippines).
RESULTS: Nineteen countries/jurisdictions in the WHO Western Pacific region currently require pictorial health warnings on cigarette packs, including some of the world's largest, in line with the WHO Framework Convention on Tobacco Control Article 11 Guidelines. In the four jurisdictions examined, tobacco industry interference consisted of lobbying and misinformation of high-level government officers and policy-makers, distributing industry-friendly legislative drafts, taking government to court, challenging government timelines for law implementation, and mobilizing third parties. Strong political leadership and strategic advocacy enabled governments to successfully overcome this industry interference.
CONCLUSION: The tobacco industry uses similar tactics in different jurisdictions to derail, delay, and weaken the implementation of effective health warning policies. Identifying and learning from international experiences can help anticipate and defeat such challenges.

Matched MeSH terms: Smoking/legislation & jurisprudence; Smoking Cessation/legislation & jurisprudence; Tobacco Industry/legislation & jurisprudence
Knowledge and practices of community pharmacists towards non-prescription dispensing of antibiotics in Northern Nigeria

Abubakar U, Tangiisuran B

Int J Clin Pharm, 2020 Apr;42(2):756-764.
PMID: 32270378 DOI: 10.1007/s11096-020-01019-y

Background Non-prescription dispensing of antibiotics is common in Nigeria and this could contribute to the emergence of microbial resistance. Objectives To evaluate knowledge, perception and practices of community pharmacists towards dispensing antibiotics without prescription. Setting Community pharmacies in two cities in Northern Nigeria. Methods A prospective cross-sectional study was conducted among community pharmacists in two cities in Northern Nigeria, using a validated and pilot-tested questionnaire. The questionnaire was self-administered and data was collected between 06th April and 31st May 2019. The data was analyzed using descriptive and inferential analyses. Main outcome measure Knowledge, perception and practices towards dispensing antibiotics without prescription. Results A total of 98 out of 130 community pharmacists completed and returned the questionnaire (response rate: 75.3%). About two-third (64.3%) of the community pharmacists were aware that dispensing antibiotics without prescription is illegal. However, this malpractice was common as 39.7% of the respondents indicated that they dispensed antibiotics without prescription five times or more in a day. Antibiotics dispensed without prescription were used for the treatment of urinary tract infections (83.7%), typhoid fever (83.7%) and sexually transmitted infections (66.3%). Pharmacist's confidence in knowledge of antibiotic therapy was the most common reason for non-prescription dispensing of antibiotics. Respondents with less than 5 years of working experience (66.7%) were significantly more likely to dispense antibiotics without prescription 5 times or more in a day compared to those with more than 5 years community pharmacy experience (33.3%), P = 0.031. Conclusion Non-prescription dispensing of antibiotics was common among community pharmacists despite awareness about its prohibition and implications. The malpractice was associated with number of years of community pharmacy experience. Confidence in knowledge of antibiotic therapy was the main reason community pharmacists dispensed antibiotics without prescription. Continuous pharmacy education and training on handling of antibiotics may help to reduce inappropriate practices among community pharmacists.

Matched MeSH terms: Legislation, Drug/standards; Prescription Drug Misuse/legislation & jurisprudence*
Fulltext Trans-Pacific Partnership Provisions in Intellectual Property, Transparency, and Investment Chapters Threaten Access to Medicines in the US and Elsewhere

Baker BK

PLoS Med, 2016 Mar;13(3):e1001970.
PMID: 26954325 DOI: 10.1371/journal.pmed.1001970

Brook Baker describes the potential harms to global health from the Trans Pacific Partnership Agreement and its failure to balance the interests of patients and the public with those of industry.

Matched MeSH terms: Drug Industry/legislation & jurisprudence*; International Cooperation/legislation & jurisprudence*; Patents as Topic/legislation & jurisprudence
[Environmental health in Malaysia]

Jörgensen HS

Lakartidningen, 1978 May 17;75(20):2034-7.
PMID: 661431
Matched MeSH terms: Legislation as Topic
Using Electronic Tools and Resources to Meet the Challenges of Anatomy Education in Sub-Saharan Africa

Gbolahan Balogun W

Anat Sci Educ, 2019 Jan;12(1):97-104.
PMID: 30255559 DOI: 10.1002/ase.1831

Anatomy education forms the foundation of a successful medical education. This has necessitated the development of innovative ideas to meet up with current realities. Despite these innovative ideas, there are challenges facing anatomy education, especially in sub-Saharan Africa. Problems such as inadequate teaching experts and outdated curricula have made anatomy education in sub-Saharan Africa uninviting and disinteresting. Several interventions have been suggested, such as the procurement of teaching tools and upgrading of teaching infrastructure. However, in this age of information technology; anatomy education, especially in sub-Saharan Africa could benefit from the integration of electronic tools and resources. This article explores the electronic tools and resources such as three-dimensional printing, educational games, and short videos that are readily available for the teaching of anatomy in sub-Saharan Africa. The author concludes by discussing how these electronic tools and resources can be used to address many of the challenges facing anatomy education in sub-Saharan Africa.

Matched MeSH terms: Anatomy/legislation & jurisprudence; Education, Medical/legislation & jurisprudence; Schools, Medical/legislation & jurisprudence
Fulltext Radiology in general practice

Balasundaram R

Family Physician, 1993;5(3):35-45.

A survey of laws and regulations governing the practice of radiology by general practitioners in Malaysis and ten other selected countries wascarried out. It showedvaryingdegrees oflegal restrictions on the use of x-ray machines in the countries studied. Most regulations reflected the concern of radiation protection forpatients andstaff. Only some countries provide training for non-medical persons in the use of x-ray machines. Radiology has an important role in primary care. Undergraduate and post-graduate education should ensure competence in basic radiological practice. KEYWORDS: X-ray, general practice, regulations.

Matched MeSH terms: Legislation as Topic

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links