Objective: This case report highlights a case of young male referred for psychiatric evaluation due to paraphilic disorder. This 27-year old single male working as an assistant accountant was noted to have voyeuristic behaviour and presented with depressive symptoms since his teenage age. He has poor coping whenever he experiences stress in life. He started to watch pornographic videos and subsequently get involved by peeping pre-pubescent’s undergarments. These activities are followed by a compulsive behaviour such as masturbation to gratify his sexual arousal.
Results: The patient undergone several psychotherapy sessions, and medical report was furnished for the court's purpose. Our assessment revealed that he was suffering from a lifetime major depressive disorder,and he was prescribed with Tablet Sertraline 50mg/daily.He also has premature ejaculation, severe in nature. He regretted his voyeuristic urge and psychotherapyfocused on how to channel his sexual needs.
Conclusion: Mood disorder is seen in paraphilic disorder and has to be dealt with in order to establish good management care.
The global drop in oil and natural gas industry have had a significant impact on the
Malaysian market and have potentially redirected Malaysia under a negative global
spotlight. The layoff rate in oil and natural gas organizations have risen dramatically,
this situation may affect the satisfaction level among employees and their loyalty in
the respective oil and natural gas industry. The present study is aimed to determine the
relationship between employee satisfaction and employee loyalty in Oil and Natural
Gas Industry. Using simple random sampling technique 100 employees working in Oil
and Natural Gas Industry were selected as respondents. Questionnaire was used for
data collection. Results obtained showed that there is positive correlation between different
components of employee satisfaction and employee loyalty. A notable variable
that emerged in the analysis was compensation and benefits, while career development
was least important that predisposed loyalty.
Seven species of freshwater crabs from three families are recorded from and around the Danum Valley Conservation Area in Sabah, Malaysian Borneo: Thelphusula capillodigitussp. n., Thelphusula dicerophilus Ng & Stuebing, 1990, Arachnothelphusa terrapes Ng, 1991, Terrathelphusa secula Ng & Tan, 2015, Parathelphusa valida Ng & Goh, 1987 (new record) (Gecarcinucidae); Isolapotamon ingeri Ng & Tan, 1998 (Potamidae); and Geosesarma danumense Ng, 2002 (Sesarmidae). The new species of Thelphusula Bott, 1979, can be distinguished from all congeners by a unique combination of morphological features, most notably the presence of dense patches of short setae on the fingers of the adult male chelipeds, as well as the structure of the male first gonopod. Arachnothelphusa terrapes is confirmed to be a phytotelm species. A key to all species in the conservation area is provided.
Traumatic brain injury following road traffic accidents is a common cause
of morbidity and mortality in Malaysia. We aim to determine the differences of traumatic
brain injury patterns based on CT findings among motorcyclist versus passenger vehicle
patients involved in road traffic accidents. (Copied from article).
Urban expansion increases fragmentation of the landscape. In effect, fragmentation decreases connectivity, causes green space loss and impacts upon the ecology and function of green space. Restoration of the functionality of green space often requires restoring the ecological connectivity of this green space within the city matrix. However, identifying ecological corridors that integrate different structural and functional connectivity of green space remains vague. Assessing connectivity for developing an ecological network by using efficient models is essential to improve these networks under rapid urban expansion. This paper presents a novel methodological approach to assess and model connectivity for the Eurasian tree sparrow (Passer montanus) and Yellow-vented bulbul (Pycnonotus goiavier) in three cities (Kuala Lumpur, Malaysia; Jakarta, Indonesia and Metro Manila, Philippines). The approach identifies potential priority corridors for ecological connectivity networks. The study combined circuit models, connectivity analysis and least-cost models to identify potential corridors by integrating structure and function of green space patches to provide reliable ecological connectivity network models in the cities. Relevant parameters such as landscape resistance and green space structure (vegetation density, patch size and patch distance) were derived from an expert and literature-based approach based on the preference of bird behaviour. The integrated models allowed the assessment of connectivity for both species using different measures of green space structure revealing the potential corridors and least-cost pathways for both bird species at the patch sites. The implementation of improvements to the identified corridors could increase the connectivity of green space. This study provides examples of how combining models can contribute to the improvement of ecological networks in rapidly expanding cities and demonstrates the usefulness of such models for biodiversity conservation and urban planning.
Enterococcus faecalis is known to cause a variety of nosocomial infections, including urinary tract infections. Antibiotic resistance and virulence properties in this species are of public concern. The draft genome sequences of six E. faecalis strains isolated from clinical and environmental sources in Malaysia are presented here.
The objectives were to identify factors associated with early revisit of adult patients with acute asthma exarcebation discharged from the Emergency Department (ED). It was a retrospective cohort study with patients aged 12 years or more within a period of 1 month and who were treated for acute asthma and discharged from the ED of Sarawak General Hospital. A total of 397 patients fulfilled sampling criteria and out of this number, 13.9% had revisit to the ED within 2 weeks. In all of these revisit cases, 9.1% were actually admitted. Prescription rate of oral corticosteroid was found to be low (24.9%) and abscond rate was high (25.1%). Patients who absconded from the ED and their concurrent infection were associated with early ED revisit.
BACKGROUND: There is a steep increase in the consumer use of complementary alternative medicine (CAM), with many users unaware of the need to inform their health care providers. Various predictors including psychosocial factors such as beliefs and behavior have been accounted for preference toward CAM use, with varying results.
METHODS: This study investigates the belief and attitude regarding preference toward CAM use among the Malaysian population by using a questionnaire-based, cross-sectional study.
RESULTS: A large majority of the 1,009 respondents admitted to taking at least one type of CAM (n=730, 72.3%). Only 20 (1.9%) respondents were found to have negative beliefs (total score <35), 4 (0.4%) respondents had neutral beliefs (total score =35), and 985 (97.6%) respondents had positive belief toward CAM (total score >36). A total of 507 (50.2%) respondents were categorized as having a negative CAM attitude, while 502 (49.8%) respondents were categorized as having a positive CAM attitude. It was demonstrated that there was a positive correlation between belief and attitude score (ρ=0.409, P<0.001). Therefore, the higher the belief in CAM, the more positive the attitude was toward CAM. Those who were using CAM showed a stronger belief (P=0.002), with a more positive attitude (P<0.001) toward it, than those who were not using CAM.
CONCLUSION: Identifying belief regarding preference toward CAM use among the public could potentially reveal those with a higher tendency to use CAM. This is important as not everyone feels the need to reveal the use of CAM to their health care providers, which could lead to serious repercussions such as interactions and adverse effects.
Waiting is a common phenomenon in the doctor's waiting room. The purpose of this audit is to assess patient waiting time and doctor consultation time in a primary healthcare clinic and to formulate strategies for improvement. This audit was conducted at a primary care clinic for 4 weeks using the universal sampling method. All patients who attended the clinic during this period was included in the study except for those who required more time to be seen such as those who were critically ill, aggressive or those who came for repeat medication or procedures only without needing to see the doctor. The time of arrival was captured using the queue management system (QMS) and then the patient was given a timing chit which had to be manually filled by the staff at every station. The waiting time for registration, pre-consultation, consultation, appointment, payment and pharmacy were recorded as well as consultation time. The data were entered into the statistical software SPSS version 17 for analysis. version 17. Results showed that more than half of the patients were registered within 15 minutes (53%) and the average total waiting time from registration to seeing a doctor was 41 minutes. Ninety-nine percentage of patients waited less than 30 minutes to get their medication. The average consultation time was 18.21 minutes. The problems identified in this audit were addressed and strategies formulated to improve the waiting and consultation time were carried out including increasing the number of staff at the registration counter, enforcing the staggered appointment system for follow-up patients and improving the queuing system for walk-in patients.
BACKGROUND: Anxious distress in major depressive disorder (MDD) is common and associated with poor outcomes and management difficulties.
AIMS: This post hoc analysis aimed to examine the socio-demographic and clinical correlates of anxiety distress in Asian outpatients with MDD.
METHODS: Instead of two out of five specifiers defined by the Diagnostic and Statistical Manual Version-5, anxious distress defined in this study was operationalized as the presence of at least two out of four proxy items drawn from the 90-item Symptom Checklist, Revised (SCL-90-R). Other measures included the Montgomery-Asberg Depression Rating Scale (MADRS), the Fatigue Severity Scale, the Sheehan Disability Scale and the Multidimensional Scale of Perceived Social Support.
RESULTS: The data of 496 patients with MDD were included. Anxious distress was found in 371 participants (74.8%). The binary logistic regression analysis found that anxious distress was independently and significantly correlated with working status, higher MADRS scores, severe insomnia and functional impairment.
CONCLUSIONS: Three-fourths of Asian patients with MDD in tertiary care settings may have DSM-5 anxious distress of at least moderate distress. Its prevalence may vary among working groups. The specifier was associated with greater depressive symptom severity, severe insomnia and functional impairment.
Study site: n tertiary care
settings in China, Korea, Malaysia, Singapore, Taiwan and
Thailand
Background: Peer assessment has been shown to complement both formative and summative evaluations in education and used in some medical programmes. The study was aimed to find correlation between group work peer assessment score and final examination mark among four batches of International Islamic University Malaysia (IIUM) first year MBBS students.
Method: A set of four questions was constructed and tested to assess students’ overall role in their group research project. The difference in distribution according to years was tested by using one-way ANOVA or Kruskal-Wallis, depending on the data distribution. Pearson correlation coefficient test was done to test the linear association between peer score and final examination mark. Partial correlation test was used to adjust the correlation for four academic years.
Results: From the analysed data of 502 students, there was moderate, significant positive correlation (0.366) between peer assessment score and the final examination mark (P < 0.001). Adjustment to the academic years resulted in correlation coefficient of 0.371.
Conclusion: The results provide an important insight on the influence of peers’ perception in predicting the medical student academic performance.
In general, the industrial accident rate in Malaysia is decreasing. However, statistically it is still relatively high
if compared with that of other developing nations. One of the reasons why accidents keep on happening is poor
learning from accidents. This paper discusses the level of accident learning, based on accident reports submitted to the
Department of Occupational Safety and Health (DOSH) Malaysia and the Society Security Organization (SOCSO)
Malaysia involving a total of 1,291 accident cases. Based on the quality and completeness of accident reports, the
levels of learning were classified into five accident causation levels which are no, limited, fair, good and excellent
learning.
As reported by the World Health Organisation (2014), Malaysia is the fattest country among the Southeast Asia. Among others, obesity is a leading contributor of non-communicable diseases (e.g., type II diabetes, metabolic syndrome, and cancer). This article aims to review the exiting weight management programmes targeting overweight and obesity in Malaysia from 2005 to 2015. The findings from this review could be useful for future intervention efforts in an attempt to address such issues in Malaysia.
Licensed person is a third party who was awarded a license to perform statutory inspection for certificated
machinery under the provision of section 40 (1A), Factories and Machinery Act (Amendment) (FMA) 2006. The
objectives of the study is to identify issues related to statutory inspection in Malaysia and to make comparisons with
respect to the statutory inspection by Licensed Person adopted by other countries. The enforcement of Licensed
Person in Malaysia is still in not yet implemented although Section 40 (1A) in FMA (Revision) 2006 regulating on
Licensed Person had been introduced on 2006 and compared with other countries especially our neighboring country
Singapore. Based on the DOSH inspection data analysis, the main issues relating to statutory inspection in Malaysia
is the increment in backlog cases due to lack of number officers compare to the number of registered certificated
machineries in Malaysia. As a conclusion, the implementation of Licensed Person is crucial in Malaysia to reduce the
work and financial burden of Department of Occupational Safety and Health (DOSH) officer in enforcing FMA 1967
and also to improve the quality of statutory inspection for the safety in workplace.
Background of Study: Mental Health Knowledge Schedule (MAKS) is an instrument to assess knowledge about mental health issues commonly used in English-speaking countries.
Objectives: The present study translated the MAKS into Malay language (MAKS-M) and investigate its reliability in the Malaysian context among secondary school teachers.
Methods: A total of 77 secondary school teachers answered the back-translated MAKS-M before and after attending a mental health literacy program. Cronbach’s alpha and
Lin’s concordance statistics of the data were computed.
Results: Test-retest reliability was below the satisfactory level. Specifically, internal consistency was low for Time 1 but improvement was observed in Time 2.
Conclusion: The findings suggest that fundamental knowledge about mental health may be required for individuals to understand the items. Recommendations were provided for future studies to explore the usability of the MAKS-M.
The racial riot incident on 13th of May 1969 had opened the eyes of many people to realize on how important serious efforts to be focused in managing the sensitivity and the differences in multiracial society in countries like Malaysia. Many experts believe that integration can be build through outdoor education activities. The author will try to unravel and discuss on the outdoor education activity relations and integration campus community. This discussion will cover the latest issues and a variety of previous studies and personal experiences of the author as an outdoor education activist.
The Communication Skills Attitude Scale (CSAS) assesses medical students’ attitudes towards learning communication skills and had been widely utilised all over the world.
This questionnaire has 26 items framed within two subscales. This study aimed to examine the validity and reliability of the CSAS among medical students in Universiti Teknologi MARA (UiTM).
Methods: This was a cross sectional questionnaire validation study among 171 first year medical students from UiTM. The CSAS had undergone content and face validation, followed by psychometric analysis using principal component analysis to assess construct validity. Internal consistency was evaluated using Cronbach alpha.
Results: Factor analysis confirmed the original two-subscale structure of the CSAS (positive attitude scale, PAS and negative attitude scale, NAS). A total of 4 items were removed due to poor factor loading (1 item from PAS and 3 items from NAS). The final validated CSAS consisted of 22 items, 14 and 8 items for the PAS and NAS respectively. Cronbach alphas calculated were 0.862 for the PAS and 0.565 for the NAS.
Conclusion: This study produced a validated and reliable CSAS to measure the attitude of UiTM medical students towards learning communication skills. Given the low internal reliability of the NAS in this study, future studies should include translating and validating the CSAS into the Malay language to improve its psychometric properties. Future studies should also include medical students from the three major ethnic groups and other medical schools in Malaysia to improve the generalisability of the CSAS.
Neoculin is a sweet protein capable to alter the sour taste into sweet taste, it is 500 times sweeter than the ordinary sugar. This protein has been discovered in Malaysia under the name of Curculin. There are a number of experimental studies that have been conducted on neoculin but none of the studies focuses on molecular level, in order to understand how the protein interacts with the human sweet taste receptors T1R2 and T1R3. Therefore, in this work, a protein-protein docking study was performed between neoculin and the human sweet taste receptor T1R2 and T1R3. The docking results showed residues that might be important for binding the neoculin with the human sweet taste receptors, particularly T1R3 at the amino terminal domain (ATD). In addition, the current results showed that His11, which is important for the taste modifying ability does not bind directly to the human sweet taste receptors.
Child abuse's trend has been on the rise in Malaysia. Despite strong legislative rules of Child Act 2001, the response of the community is believed to be inadequate. Various factors have been highlighted to ensure effective management of the issue. Child abuse is considered a social emergency due to its complexity and involvement of emotional, family dynamic and domestic instability. The success of the managing these cases largely depends on our urgency and collaborative partnership between multidisciplinary team members, to improve on the welfare of these children, albeit a slower outcome. The community as a whole has to be proactive in reporting hidden cases to avoid mortality or morbidity, as a result of the perpetrator's actions.
Sibutramine is a prohibited weight-reducing agent used in many weight-loss
products, which has been banned in many countries since 2010 including
Malaysia due to it toxicities and mortality effect. The widespread use of these
sibutramine-containing products has raised concerns regarding their side
effects, which include psychological symptoms. In this case report, we
highlight a case of psychosis induced by the use of this product. We present a
case of 36-year-old Burmese lady who has three admissions to psychiatry
ward with psychotic presentation after on-going consumption of weight-loss
product containing sibutramine.