Displaying publications 21 - 40 of 64 in total

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  1. Fulltext Love tragedy, she wrote
    Mat Esa MS, Othman Z, Jamil Yaacob M
    Malays J Med Sci, 2004 Jan;11(1):86-9.
    PMID: 22977365
    A case of a 53-year old-single, Kelantanese lady with a diagnosis of paranoid schizophrenia for 28 years is reported with aims to illustrate the influence of life experiences particularly based on education and intelligent on delusion illustrate the evolving nature of the complexity of delusions as well as to show the importance of documentation in psychiatric practice. We concluded that this patient had used defense mechanism of suppression, reaction formation and persecution throughout her delusion. The final persecutory delusion evolved through series of transformation via object of admirations. We postulated that in-depth emotional insight about effects of schizophrenia might have contributed to her self-reflection that have made her frustrated with her poor achievement in life.
    Matched MeSH terms: Documentation
  2. Fulltext Community vulnerability on dengue and its association with climate variability in Malaysia: a public health approach
    Mazrura, S., Rozita Hod, Hidayatulfathi, O., Zainudin, M.A., Mohamad Naim, M.R., Nadia Atiqah, M.N., et al.
    Malaysian Journal of Public Health Medicine, 2010;10(2):25-34.
    MyJurnal
    Dengue is one of the main vector-borne diseases affecting tropical countries and spreading to other countries at the global scenario without cease. The impact of climate variability on vector-borne diseases is well documented. The increasing morbidity, mortality and health costs of dengue and dengue haemorrhagic fever (DHF) are escalating at an alarming rate. Numerous efforts have been taken by the ministry of health and local authorities to prevent and control dengue. However dengue is still one of the main public health threats in Malaysia. This study was carried out from October 2009 by a research group on climate change and vector-borne diseases. The objective of this research project is to assess the community vulnerability to climate variability effect on dengue, and to promote COMBI as the community responses in controlling dengue. This project also aims to identify the community adaptive measures for the control of dengue. Various research methodologies were applied in this research project in different localities. Site visits, review on surveillance data and mapping on Aedes population, dengue cases and climate variability, community survey on the knowledge prevalence , opinions and practices (KOP) and mosquito ecology were carried out during pre- and post intervention phases. Community vulnerability towards Aedes and dengue were mapped out applying GIS. A series of workshops, group discussions and activities such as COMBI activities to promote Aedes control were conducted involving the Ledang communities, the health district officers and UKM researchers. These activities also included interventions and documentation of community responses and their adaptive capacities towards dengue. Trends on Aedes population, dengue cases and community surveys pre and post-interventions, the processes for dengue control activities were analysed. The research findings could provide understanding on the community vulnerability to dengue against climate variability, their responses and adaptive measures. The community advocacy on combats against Aedes is a possible effective solution in dengue control. This research could provide other dimensions in public health management to address the impacts of climate change on vector-borne diseases.
    Matched MeSH terms: Documentation
  3. The aging male in Malaysia: Opening speech at the first Asian ISSAM meeting
    Jui YBDC
    Aging Male, 2001;4:106-108.
    Matched MeSH terms: Documentation
  4. Comparable Clinical and Radiologic Outcomes Between an Anatomic Tunnel and a Low Tibial Tunnel in Remnant-Preserving Posterior Cruciate Ligament Reconstruction
    Yoon KH, Kim JS, Park JY, Park SY, Kiat RYD, Kim SG
    Orthop J Sports Med, 2021 Feb;9(2):2325967120985153.
    PMID: 33709007 DOI: 10.1177/2325967120985153
    Background: There is currently no consensus on the optimal placement of the tibial tunnel for remnant-preserving posterior cruciate ligament (PCL) reconstruction.

    Purpose/Hypothesis: The purpose of this study was to compare the clinical and radiologic outcomes of remnant-preserving PCL reconstruction using anatomic versus low tibial tunnels. We hypothesized that the outcomes of low tibial tunnel placement would be superior to those of anatomic tibial tunnel placement at the 2-year follow-up after remnant-preserving PCL reconstruction.

    Study Design: Cohort study; Level of evidence, 3.

    Methods: We retrospectively reviewed the data for patients who underwent remnant-preserving PCL reconstruction between March 2011 and January 2018 with a minimum follow-up of 2 years (N = 63). On the basis of the tibial tunnel position on postoperative computed tomography, the patients were divided into those with anatomic placement (group A; n = 31) and those with low tunnel placement (group L; n = 32). Clinical scores (International Knee Documentation Committee subjective score, Lysholm score, and Tegner activity level), range of motion, complications, and stability test outcomes at follow-up were compared between the 2 groups. Graft signal on 1-year follow-up magnetic resonance imaging scans was compared between 22 patients in group A and 17 patients in group L.

    Results: There were no significant differences between groups regarding clinical scores or incidence of complications, no between-group differences in posterior drawer test results, and no side-to-side difference on Telos stress radiographs (5.2 ± 2.9 mm in group A vs 5.1 ± 2.8 mm in group L; P = .900). Postoperative 1-year follow-up magnetic resonance imaging scans showed excellent graft healing in both groups, with no significant difference between them.

    Conclusion: The clinical and radiologic outcomes and complication rate were comparable between anatomic tunnel placement and low tibial tunnel placement at 2-year follow-up after remnant-preserving PCL reconstruction. The findings of this study suggest that both tibial tunnel positions are clinically feasible for remnant-preserving PCL reconstruction.

    Matched MeSH terms: Documentation
  5. Fulltext The identification of floras used as traditional and complementary medicine: a study in ramsar site, Sabah, Malaysia
    Kunjuraman, Velan
    Journal of Biomedical and Clinical Sciences, 2018;3(1):68-71.
    MyJurnal
    The practice of traditional medicine has been deduced based on
    available evidences from the Malay, Chinese and Indian communities in
    Malaysia. Based on extensive review of previous literature, the study
    discovered that there is limited empirical documentation on the types of floras
    used as Traditional and Complementary Medicine (TCM) by the rural
    communities in Sabah, especially those residing along the Ramsar site. Thus,
    this article aims to document the types of floras used in TCM by the rural
    communities in the Dagat village at the Lower Kinabatangan-Segama area.
    The data for the study were obtained from a series of in-depth interviews and
    field observations. The findings revealed that the rural communities in the
    Dagat village utilized floras available around the village as TCM in their daily
    lives. TCM using floras have helped to save lives in emergency cases,
    especially for pregnant women with high risks during pregnancy. This study is
    significant as it presents an empirical documentation of floras for TCM
    practices among the local community in Sabah, Malaysia.
    Matched MeSH terms: Documentation
  6. Portfolio as a learning tool: students' perspective
    Elango S, Jutti RC, Lee LK
    Ann Acad Med Singap, 2005 Sep;34(8):511-4.
    PMID: 16205830
    Portfolio writing is a method of encouraging reflective learning among professionals. Although portfolio-based learning is popular among educators, not many studies have been done to determine students' perceptions of portfolio as a learning tool. A questionnaire survey was conducted among 143 medical students to find out their perceptions of the portfolio as a learning tool. A majority of the students felt that the portfolio is a good learning tool. However, they also perceived that it is stressful and time-consuming to develop a proper portfolio. The study indicates that students need appropriate guidance from the academic staff for the system to succeed.
    Matched MeSH terms: Documentation
  7. Fulltext Occupational diseases in Malaysia: the need for better notification
    Lim HH
    Med J Malaysia, 1982 Jun;37(2):98-101.
    PMID: 7132840
    Matched MeSH terms: Documentation
  8. Fulltext Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo
    Ahmad Shahabuddin F, Wah KY, Buji RI, Zulkafli NS, Lee SW, Soon HL, et al.
    BJPsych Int, 2020 May;17(2):43-44.
    PMID: 32558818 DOI: 10.1192/bji.2019.29
    We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentation system of medical records; and the need for advanced computer literacy. To promote future research using electronic medical records, potential solutions include creating a registry of all patients receiving treatment, as well as equipping busy clinicians with computer skills.
    Matched MeSH terms: Documentation
  9. Fulltext Peer-led group tele-supervision of clinical psychologists: optimizationof resources – a malaysian case study
    Umi Izzatti Saedon, Nicholas Pang Tze Ping, Loo, Jiann Lin
    Borneo Journal of Medical Sciences, 2019;14(1):67-71.
    MyJurnal
    Inaccessibility to clinical supervision is an issue faced by solo clinical psychologist practitioners. Combination use of web-based instant messaging and video call application were tried by 28 clinical psychologists in conducting a peer-led group tele-supervision to address ethical dilemmas, discuss case management, provide technical instruction, explore resistance and analyse countertransference, provide emotional support, and share knowledge and updated guidelines. Despite facing challenges including difficulty in face-to-face session scheduling, limited time for in-depth discussion, internet connection issues, and documentation dilemma, we believe it has potential to influence supervision practice for clinicians working in isolation in rural or remote locations.
    Matched MeSH terms: Documentation
  10. Fulltext Cement vertebroplasty in the elderly with osteoporotic vertebral fractures. a preliminary study on the change in activity of daily living after treatment
    Looi, Collin Seng-Kim
    International e-Journal of Science, Medicine & Education, 2009;3(2):-.
    MyJurnal
    Background: To assess the effect of cement vertebroplasty on the activity of daily living of elderly patients who have sustained a vertebral osteoporotic fracture.
    Patients and Methods: Seven patients with clinically significant and radiologically proven osteoporotic vertebral compression fractures suitable to be treated with percutaneous cement vertebroplasty were recruited. Evaluation was based on pre- and postprocedure activity by clinical documentation (including interview) and by a self-developed questionnaire (including quality of life).
    Results: Following the procedure, 54% of patients resumed their activities of daily living with minimal pain while 46% of patients were able to do so without any pain (p
    Matched MeSH terms: Documentation
  11. The clandestine multiple graves in Malaysia: The first mass identification operation of human skeletal remains
    Mohd Noor MS, Khoo LS, Zamaliana Alias WZ, Hasmi AH, Ibrahim MA, Mahmood MS
    Forensic Sci Int, 2017 Sep;278:410.e1-410.e9.
    PMID: 28698062 DOI: 10.1016/j.forsciint.2017.05.014
    The first ever mass identification operation of skeletal remains conducted for the clandestine graves in Malaysia consisted of 165 individuals unearthed from 28 human trafficking transit camps located in Wang Kelian, along the Thai-Malaysia border. A DVI response was triggered in which expert teams comprising of pathologists, anthropologists, odontologists, radiologists and DNA experts were gathered at the identified operation centre. The Department of Forensic Medicine, Hospital Sultanah Bahiyah, Alor Star, Kedah, located approximately 75km away from Wang Kelian, was temporarily converted into a victim identification centre (VIC) as it is the nearest available forensic facility to the mass grave site. The mortuary operation was conducted over a period of 3 months from June to September 2015, and was divided into two phases; phase 1 involving the postmortem examination of the remains of 116 suspected individuals and for phase 2 the remains of 49 suspected individuals. The fact that the graves were of unknown individuals afforded the mass identification operation a sufficient duration of 2 weeks as preparatory phase enabling procedurals and daily victim identification workflow to be established, and the setting up of a temporary body storage for the designated mortuary. The temporary body storage has proven to be a significant factor in enabling the successful conclusion of the VIC operation to the final phase of temporary controlled burials. Recognition from two international observers, Mr. Andréas Patiño Umaña, from the International Committee of Red Cross (ICRC) and Prof. Noel Woodford from Victoria Institute of Forensic Medicine (VIFM) had proven the mortuary operation was in compliance to the international quality and standards. The overall victim identification and mortuary operation identified a number of significant challenges, in particular the management of commingled human remains as well as the compilation of postmortem data in the absence of antemortem data for future reconciliation. CF Index in this DVI operation is 9%, indicating the primary identifications in this operation were effective. Limitations and further improvements of the mass identification operation will be discussed. This paper details the planning, preparations and management of the mass identification operation on the exhumed human remains which was also a forensic humanitarian service for the dead with dignity and respect.
    Matched MeSH terms: Documentation
  12. Guidelines on retention of pathology records and materials, Part I (version 1/2005)
    College of Pathologists, Academy of Medicine of Malaysia, Ministry of Health Malaysia
    Malays J Pathol, 2005 Jun;27(1):51-6.
    PMID: 16676694
    Matched MeSH terms: Documentation/standards
  13. Fulltext A case study of fire safety measures at Malaysian university residential colleges
    Shazrizil Zakaria, Desa Ahmad, Khalina Abdan, Mohd Rafee Baharudin
    Journal of Occupational Safety and Health, 2019;16(2):41-55.
    MyJurnal
    Fire emergencies are threat to the occupants of a residential college. Some of the Malaysian residential colleges were built in the 1970s. Back then, the compliancy to Uniform Building By-law 1984 was not entirely practiced. This study aims to evaluate fire safety measures in selected residential colleges of a Malaysian University, which were built before 1984. This includes occupants’ level of awareness and knowledge of the occupants regarding fire safety measures. This study was conducted in selected residential colleges, built before 1984, which were named as A, B, C, and D Colleges. One new college building was selected to be the control variable, the E College. Survey questionnaires were given to 401 respondents to obtain information regarding the fire safety awareness and knowledge. Fire safety inspections were conducted to determine the level of fire safety protection systems in colleges and the documentation of emergency response plan were reviewed. From the study, the level of fire safety awareness among the occupants were higher compared to their fire safety knowledge. Fire safety inspection result indicated that overall buildings inspected complies with the local regulation while safety documentation reviews were satisfactorily adequate. Overall, the score for fire safety measures in all selected colleges were sufficient and in good condition. This study is significant for those in the field of safety and health practice pertaining to fire safety engineering and regulations, to plan for better and more efficient fire hazard and risk assessment.
    Matched MeSH terms: Documentation
  14. A grim contradiction: the practice and consequences of corporate social responsibility by British American Tobacco in Malaysia
    Barraclough S, Morrow M
    Soc Sci Med, 2008 Apr;66(8):1784-96.
    PMID: 18304713 DOI: 10.1016/j.socscimed.2008.01.001
    In the wake of the World Health Organization Framework Convention on Tobacco Control, corporate social responsibility (CSR) is among the few remaining mechanisms for tobacco corporations publicly to promote their interests. Health advocates may be unaware of the scale, nature and implications of tobacco industry CSR. This investigation aimed to construct a typology of tobacco industry CSR through a case study of the evolution and impact of CSR activities of a particular tobacco corporation in one country - British American Tobacco, Malaysia (BATM), the Malaysian market leader. Methods included searching, compiling and critically appraising publicly available materials from British American Tobacco, BATM, published literature and other sources. The study examined BATM's CSR strategy, the issues which it raises, consequences for tobacco control and potential responses by health advocates. The investigation found that BATM's CSR activities included assistance to tobacco growers, charitable donations, scholarships, involvement in anti-smuggling measures, 'youth smoking prevention' programs and annual Social Reports. BATM has stated that its model is predominantly motivated by social and stakeholder obligations. Its CSR activities have, however, had the additional benefits of contributing to a favourable image, deflecting criticism and establishing a modus vivendi with regulators that assists BATM's continued operations and profitability. It is imperative that health advocates highlight the potential conflicts inherent in such arrangements and develop strategies to address the concerns raised.
    Matched MeSH terms: Documentation
  15. Medico-legal responsibilities of the Malaysian medical graduate and theteaching of undergraduate forensic medicine
    Paul G, Murty OP
    JUMMEC, 1999;4:88-93.
    The requirement of the medical graduate, tabled in the objectives of undergraduate medical education, as envisaged by the Malaysian Medical Council, call for the all round basic doctor to be able to handle any medical emergency, as well as meet the requirements of law in examining, documenting and reporting on the common offences of the Penal Code, where medical documentation is required of law for the purposes of dispensing justice. However, in tabling the amended requirements of the undergraduate syllabus on the lines of those followed in sollie of the more developed nations, we seem to have lost this perspective. The authors discuss, based on his previous experience from another former colonial country viz. India, where the objectives of the undergraduate training is the same, and the influences 011 the legal profession bear a common origin and governance, the relevance of some of these topics, coming under the antbit of Forensic Medicine and Toxicology as an undergraduate subject, in the day-to-day practise of medicine in and out of government service. While this issue has been the frequent topic of discussion in international confereilces and symposia, where the decline in the standards of medico-legal work in the coulltries attending have been blanled on the fall in the standard of undergraduate teaching, due recognition of the pitfalls of the deletion or whittling down of the course content, independent of the overall overhauling of the syllabi of medical schools, to keep up to the trends of overseas universities, has not been accorded in the planing of the coursc revisions, resulting in a deletion of a vital aspect of daily practise of medicine. KEYWORDS: Medico-legal; Undergraduates
    Matched MeSH terms: Documentation
  16. Fulltext Noise exposure and hearing threshold profile among Zumba fitness regulars in Kuantan, Pahang, Malaysia
    Ailin Razali, M. S. Othman, M. S. Rahman, N. F.I. Misaridin
    IIUM Medical Journal Malaysia, 2020;19(2):67-73.
    MyJurnal
    Recreational noise exposure has become a major threat to the hearing system, and this
    includes exposure to loud noise during group exercises such as Zumba Fitness, where loud music plays an
    important role. This study aimed to assess the noise exposure and hearing threshold profile among Zumba
    Fitness regulars in Kuantan, Malaysia. MATERIALS AND METHODS: Noise exposure and hearing profile
    threshold were measured during Zumba Fitness sessions at a fitness studio in Kuantan, Malaysia from 24th
    June 2014 to 12th August 2014. Noise exposure was measured using a noise dosimeter for one hour of Zumba
    Fitness session with a total of nine sessions run by three different instructors while sound level pressure was
    taken using a sound level meter during ambient, peak session and during cooling down. Thirty participants
    answered questionnaires and underwent pure tone diagnostic audiometry test at a local clinic for hearing
    threshold documentation. RESULTS: Some areas of the hall posed higher risks of causing noise-induced
    hearing loss especially near the amplifiers. There were periods when the hearing level exceeded 115 dBA.
    Early abnormal pattern could be observed in the hearing profiles of some of the participants to suggest
    preliminary hearing problems. CONCLUSION: Zumba Fitness regulars have a risk of developing noise-induced
    hearing loss and preventive steps should be properly addressed as NIHL is permanent and irreversible.
    Matched MeSH terms: Documentation
  17. Fulltext Pharmacy Students' Perceptions of Reflective Portfolios and their Effect on Students' Deep Information-Processing Skills
    Er HM, Jia Ming MK, Keng PS, Nadarajah VD
    Am J Pharm Educ, 2019 Aug;83(6):6851.
    PMID: 31507283 DOI: 10.5688/ajpe6851
    Objective. To evaluate pharmacy students' perceptions of the educational value of reflective portfolio and to gain an understanding of the factors that might influence these perceptions. Methods. Bachelor of Pharmacy (BPharm) students' perceptions of using reflective portfolios were evaluated by administering the same questionnaire at the beginning of years 2, 3 and 4 of the curriculum. Statistical analysis was carried out to determine the differences among the perception scores of different academic years. Semi-structured interviews were completed with fourth-year students to further explore their experiences with the reflective portfolio. Students' deep information processing (DIP) skills were compared with those of students from another pharmacy cohort whose curriculum did not include a reflective portfolio. Results. The students' perceptions of the reflective portfolio improved significantly as they progressed from year 2 to year 4 of the curriculum. The factors that contributed to a positive experience were a clear understanding of objectives and guidelines for the reflective portfolio, useful mentor feedback, a positive learning attitude and motivation, and having a user-friendly technology platform for submission of the portfolio. The students' DIP skills after completing the reflective portfolio were higher than those of students who did not have a reflective portfolio assignment in their curriculum. Conclusion. Pharmacy students' appreciation of the educational value of a reflective portfolio increased as they progressed to their final year, and their DIP skills improved. These findings support the use of a reflective portfolio as a learning tool for BPharm students' personal and professional development.
    Matched MeSH terms: Documentation/statistics & numerical data*
  18. Fulltext Paediatric pharmacology: adverse drug reactions in children
    Nafeeza Mohd Ismail
    Medical Health Reviews, 2010;2010(1):65-76.
    MyJurnal
    The safety and efficacy of drugs may be different in children compared to adults. The available documentation at the time of approval for drug use in humans invariably lack data for use in children as generally children are not exposed to medicines in clinical trials. As such, in order to clarify a safety profile in children and to limit the occurrence of adverse drug reactions (ADR), long term data collection is necessary. There is a need to consider how pharmacovigilance is conducted for medicines used by children. It is the ethical responsibility of all health professionals to report ADR. Currently, ADRs in children does not appear to be at a critical level. Certainly, a high standard of care could be a reason but the possibility of health professionals underreporting ADRs has to be considered. Furthermore, many drugs used in children are not licensed for use in this age group. This may further limit the reporting of suspected ADRs to the pharmacovigilance systems.
    Matched MeSH terms: Documentation
  19. Fulltext Ethnomedicine in Sabah: past trends and future perspectives
    David Matanjun, Mohammad Saffree Jeffree, Freddie Robinson, Falah Abbas Mohamed Salih, Md Shamsur Rahman, Naing Oo Tha
    Malaysian Journal of Medicine and Health Sciences, 2019;15(106):82-82.
    MyJurnal
    Introduction: The objective of this presentation is to carry out a review of the historical status and possible future outlook of the practice of ethnomedicine in the State of Sabah. As in many parts of the world, there are many types of traditional medicines that have been used for hundreds of years among the various native cultural groups in Sabah. Methods: A literature survey was conducted with the aid of online database, and text books using keywords such as the current as well as previous names of Sabah and various related terminology such as ethnomedicine, CAM, complementary and alternative medicine, TCM, traditional and complementary medicine, herbalism, reflexology, spiritualism, ethnobiology ethnology, ethnoanthropology, biological activities, ethnobotanical uses, medicinal prop-erties, toxicity studies, etc. The status of ethnomedicine in Sabah is largely unknown. Results: Based on a review of previous literature, the study discovered that there is limited empirical documentation on the use of ethnomedicine in Sabah. In this preliminary review, a total number of 25 publications were recorded in the databases for the period up to 2019. There is still a need to realise the full potential of the biocultural diversity of Sabah, and that there is a strong need to focus more on socially relevant research. Ethnomedicine in Sabah consists mainly of herbalism, ma-nipulative practices and spiritualism. Plants can be said to be the central player in race-based traditional medicine. While data on ethnomedicine may be based on original field research, several are primarily derivative, drawing as they do from earlier published accounts and, importantly, anecdotes. Traditional massage and other manipula-tive-practices, based on manipulation and movement of body parts, are also popular because of their simplicity and apparent immediate relief that can be experienced by the patient or client. Spiritualism, which may be considered as a peculiar dimension of the mind-body medicine subset of traditional medicine, continues to have its adherents among the natives of Sabah. Conclusion: List and catalogs and sociological and ethnohistorical data were the fa-voured perspective of research in the past; but future evolution of ethnomedical studies need to address some of the debates related to biological, medical and social sciences . Future research should include systematic inves-tigation into efficacy and risk besides the possible incorporation of some parts of ethnomedicine into the existing healthcare services. Ethnomedicine occupies a distinct place in healthcare in the world in general, and Sabah in particular.
    Matched MeSH terms: Documentation
  20. Fulltext Is family history still underutilised? Exploring the views and experiences of primary care doctors in Malaysia
    Hussein N, Malik TFA, Salim H, Samad A, Qureshi N, Ng CJ
    J Community Genet, 2020 Oct;11(4):413-420.
    PMID: 32666196 DOI: 10.1007/s12687-020-00476-2
    Family history has long been recognised as a non-invasive and inexpensive tool to identify individuals at risk of genetic conditions. Even in the era of evolving genetic and genomic technology, the role of family history in predicting individual risk for genetic testing and guiding in preventive interventions is still relevant, especially in low-resource countries. The aim of this study was to explore primary care doctors' views and experiences in family history taking and how they utilised family history in day-to-day clinical consultations in Malaysia. Four focus group discussions and six in-depth interviews involving 25 primary care doctors were conducted. Three themes emerged from the analysis: (1) primary care doctors considered family history as an important part of clinical assessment, (2) proactive versus reactive approach in collecting family history and (3) family history collection was variable and challenging. Family history was documented in either free text or pedigree depending on the perception of its appropriateness during the consultation. This study highlighted the need to improve the approach, documentation and the implementation of family history in the Malaysian primary care settings. Integrating family filing concept with built-in clinical decision support into electronic medical records is a potential solution in ensuring effective family history taking in primary care.
    Matched MeSH terms: Documentation
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