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Using Surplus Embryos and Research Embryos in Stem Cell Research: Ethical Viewpoints of Buddhist, Hindu and Catholic Leaders in Malaysia on the Permissibility of Research

Sivaraman MAF

Sci Eng Ethics, 2018 02;24(1):129-149.
PMID: 28281154 DOI: 10.1007/s11948-017-9893-3

The sources of embryos for Embryonic Stem Cell Research (ESCR) include surplus embryos from infertility treatments, and research embryos which are created solely for an ESCR purpose. The latter raises more ethical concerns. In a multi-religious country like Malaysia, ethical discussions on the permissibility of ESCR with regard to the use surplus and research embryos are diversified. Malaysia has formulated guidelines influenced by the national fatwa ruling which allows the use of surplus embryos in ESCR. Input from other main religions is yet to be documented. In light of this, this study addresses (i) the ethical viewpoints of Buddhist, Hindu and Catholic leaders on the permissibility of using surplus and research embryos; and (ii) the moral standpoints of religious leaders towards attaining a consensus on the practice of ESCR in Malaysia. Responses from the religious leaders were obtained via semi-structured, face-to-face interviews. The findings show that generally the Buddhist and Hindu leaders approve the use of surplus embryos. Their responses on the creation of research embryos for ESCR are varied. Meanwhile, the Catholic leaders distinctively objected to ESCR regardless of the embryo sources, referring to it as the destruction of life. Taking into account the diverse views, this study explores the response of the religious leaders for a general consensus wherever possible. The ethical discourse surrounding ESCR in a multi-religious setting offers new perspective, which needs to be explored in a broader global community.

Matched MeSH terms: Leadership
The relationship between organizational strategies and personality change among peasants in West Malaysia

Sivalingam G

J Soc Psychol, 1976 Apr;98(Second Half):165-74.
PMID: 1256028
Matched MeSH terms: Leadership*
Fulltext Are our healthcare workers well protected during COVID-19? learning from current experiences and challenges

Siti Munira Yasin,, Kamarulzaman Muzaini, Ely Zarina Samsudin, Mohamad Ikhsan Selamat, Zaliha Ismail

Journal of Clinical and Health Sciences, 2020;5(2):4-18.
MyJurnal

The outbreak of novel coronavirus disease 2019 (COVID-19) has been declared a Public
Health Emergency of International Concern by the World Health Organization. The incidence
of this pandemic continues to rise, with 40,665,438 confirmed cases and 1,121,843 deaths
worldwide by 21 October 2020. During this public health crisis, healthcare workers are at the
frontline of the COVID-19 outbreak response, and as such are at risk of being infected and
developing job burnout while in the line of duty. This study reviews the history of COVID-19
outbreak, infection control measures in hospitals during COVID-19 outbreak, healthcare
workers’ risk of infection and other health effects from battling COVID-19, and challenges and
recommendations for protecting healthcare workers during this pandemic. At present,
healthcare workers are every country’s most valuable resources, and their safety must thus
be ensured. Strong medical leadership, clear pandemic planning, policies and protocols,
continuous educational training, adequate provision of personal protective equipment,
psychological support, and the provision of food, rest, and family support for healthcare
workers would augment a climate of safety in the workplace, ensure their wellbeing, and
improve their capacity to battle this ongoing pandemic.

Matched MeSH terms: Leadership
Fulltext Preliminary development of assessment tool of leadership style

Siti Fatimah S, Zakira M, Shareza A R, Zainah M, Mazlinda M

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):51-0.
MyJurnal

Introduction: Leadership is hard to define, but it’s easy to recognize. Leaders know that to lead they must keep up their leadership skills. Effective leadership skills required from nurse managers which include the ability to create an organization culture that combines high-quality health care and patient/employee safety with highly developed collaborative and team-building skills. This paper presents the preliminary study of the development of the assess- ment leadership tool emphasising on the process of validation and implementation of necessary steps in tool devel- opment. Methods: Questionnaires on leadership style was adopted from Northouse (2014) and working motivation from Purohit et al., (2016). Modification for leadership styles from 35 modified into 48 question and tool on nurses’ motivation from 19 items modified into 28 items. Developed questionnaires were finalized with literature guidance and two content experts. A pre- test was done with 30 respondents for each set of questionnaires. Results: Preliminary development of tool Reliability test result shown that for leadership styles questionnaires which are consisted of 48 items is (α = 0 .77) and working motivation consisted of 28 items is (α = 0.70).Minor modification needed after the lit- erature searching and analysis of pre-test stage, the discussion with expert person after they go through the question- naires also suggested some additional info are needed. After doing validation process the questionnaires are more stable and valid to use for the author target group. Conclusion: These leadership styles assessments are beneficial to guide nurse managers to use suitable styles to manage their nursing staffs. Assessment on working motivation among nurses is also recommended to overcome the issues on working retention among them. In future further investigation regarding which appropriate leadership style need to be explored and the level of working motivation among nursing staff should be monitored regularly.

Matched MeSH terms: Leadership
Fulltext Coaching style and mental toughness among UiTM’s football players

Siti Aida Lamat, Tajul Arifin Muhamad, Shahlan Surat, Mohamad Firdaus Ahmad

Jurnal Sains Sukan & Pendidikan Jasmani, 2016;5(1):22-34.
MyJurnal

Journal of Sports Science and Physical Education 5(1): 22-34, 2016 - This study aims to
provide information to the team manager, especially at the university level to understand the
relationship between coaching style and mental toughness among athletes. The sample had
been selected from four Universiti Teknologi MARA (UiTM) football team consisting of 88
players (n = 88: 22 players per team). The study used two instruments that had been modified
namely "Leadership Scale for Sports Questionnaire" (LSS-40), (Chelladurai & Salleh, 1980)
and "The Mental Toughness Questionnaire" (MTQ-48), (Clough, Earle & Sewell, 2002).
Research findings had identified UiTM’s football team scores has a moderately high level of
mental toughness for each dimension known as challenge, commitments, control assurance
and confidence. The study also found that the leadership style of training and instruction was
favored by UiTM’s footballer compared to the autocratic leadership style. Overall, the study
found a significant relationship between the leadership style with mental toughness especially
for dimension training and instruction. The findings also showed that there is a moderately
relationship between leadership style of democratic, social support and positive response to
the mental toughness dimension of confidence. As for the coaching style of training and
instruction also has a moderately relationship to the mental toughness dimensions of
challenge. Results of this study showed that the leadership style affects the level of mental
toughness UiTM’s football teams. Furthermore, the coaches need to figure out the best
coaching style in order to improve mental toughness among football team.

Matched MeSH terms: Leadership
Effects of safety leadership and safety management practices on safety participation through a casual-chain mediators approach in the Chinese construction industry

Shi H, Nadeem MA

Int J Occup Saf Ergon, 2023 Dec;29(4):1383-1394.
PMID: 36178706 DOI: 10.1080/10803548.2022.2131274

Objectives. This article aims to prompt first-line workers to go beyond regular job roles and engage in more discretionary safety behavior-safety participation in the Chinese construction industry. The construction industry is a high-risk industry, and first-line workers are more likely to be exposed to workplace hazards. Once accidents happen, the negative consequences would come out. Therefore, employee voluntary safety behavior is focused on in this research. Methods. The present research framework examines the roles of safety leadership and safety management practices from the group and organizational perspectives in predicting the voluntary safety behavior (safety participation) of first-line workers in the Chinese construction industry through casual-chain mediators (safety climate and job satisfaction). In this study, partial least squares structural equation modeling (PLS-SEM) is adopted for data analysis and hypotheses testing. Results. After data analysis, the results show that safety leadership and safety management practices are significantly and positively associated with safety participation of first-line workers through safety climate and job satisfaction. Moreover, safety management practices have a more statistical effect on safety climate compared to safety leadership. Conclusions. These results provide some practical implications for facilitating the workers to conduct safety participation inthe construction industry.

Matched MeSH terms: Leadership
Leadership and mentoring in medical physics: The experience of a medical physics international mentoring program

Santos JC, Goulart LF, Giansante L, Lin YH, Sirico ACA, Ng AH, et al.

Phys Med, 2020 Aug;76:337-344.
PMID: 32759035 DOI: 10.1016/j.ejmp.2020.07.023

Mentoring aims to improve careers and create benefits for the participants' personal and professional lives. Mentoring can be an individual or a shared experience for a group, while the mentor's role remains the same in both models. Mentors should increase confidence, teach, inspire, and set examples, helping the mentees to mould their path, contributing to the pursuit of their personal and professional goals. This study aims to report on the experience of early-career medical physics professionals and postgraduate students participating in a global mentoring program and to assess the impact of this activity on their professional development. The objectives of this mentoring program are to develop leadership roles among young medical physicists and to provide guidance and support. An online questionnaire was administered to the mentee participants. The analysis of their responses is reported in this work and the current status of the programme was examined using a SWOT analysis. In general, the mentoring experience had a positive impact on the mentees. The mentors were found especially helpful in the decision-making situations and in other conflicts that may arise with career development. Additionally, the mentees felt that mentoring contributed to the development of leadership skills required for the job market and assist in personal development. This paper concludes that participation of young medical physicists in a mentoring group program is beneficial to their career and therefore should be encouraged.

Matched MeSH terms: Leadership
Fulltext Associations between demographic characteristics and resilience factors: a self-report survey

Salizar Mohamed Ludin

International Journal of Care Scholars, 2018;1(1):22-28.
MyJurnal

Objective: In 2014, Malaysia suffered a severe flood disaster and many people lost their home and belongings. Despite regular flooding in this area, the status of community disaster resilience (CDR) is unknown. This paper thus aims to assess the association between demographic characteristics and community disaster resilience factors.

Methods: A cross-sectional study was completed using the Conjoint Community Resiliency Assessment Measure (CCRAM28) questionnaire six months after the flood event occurred. All selected respondents who met the inclusion criteria were recruited, and IBM SPSS software was used to undertake descriptive and inferential analysis.

Results: A total of 386 respondents completed the questionnaires. Respondents were mostly female (57%); married (83.9%); with children under 17 years old (58.8%); from villages or rural area (97.2%); living in basic housing (95.6%); of average income; Muslim (97.5%); educated to primary or secondary level (81.1%); and not involved with any community organizations (95.1%), including volunteering, emergency teams, or military service. The mean age was 49 years, and length of time living in the area ranged from 1 to 85 years. CDR scores ranged between medium (2.34- 3.66) and high (3.67- 5.00). An analysis of the results showed that only gender (p = 0.003) and education (p = 0.001) were significantly related to CDR level. Positive and strong correlations were seen between resilience factors, however, particularly leadership (p = 0.001), collective efficacy (p = 0.001); preparedness (p = 0.001); place attachment (p = 0.001); and social trust (p = 0.001).

Conclusion: The study provides a timely insight into the impact of demographic characteristics and resilience factors in Kelantan, developing the knowledge base needed to create comprehensive, improved community-relevant strategies for the future. This assessment enables top-down initiatives to better understand resilience levels, and this could act as tool to enable the government to prepare communities for future disasters or emergency events.

Matched MeSH terms: Leadership
Fulltext Snapshot of antimicrobial stewardship programs in the hospitals of Pakistan: findings and implications

Saleem Z, Hassali MA, Hashmi FK, Godman B, Ahmed Z

Heliyon, 2019 Jul;5(7):e02159.
PMID: 31384689 DOI: 10.1016/j.heliyon.2019.e02159

Objective: We are unaware of the extent of antimicrobial stewardship programs (ASPs) among hospitals in Pakistan, which is a concern given the population size, high use of antibiotics across sectors and increasing antimicrobial resistance (AMR) rates. Consequently, we sought to address this by undertaking a comprehensive survey.
Method: In this cross-sectional observational study in Punjab, an instrument of the measure was developed based on health care facility characteristics and ASPs after an extensive literature review. The questionnaire was circulated by mail or through drop off surveys to medical superintendents or directors/heads of pharmacy departments of hospitals.
Results: Out of 254, a total of 137 hospitals fully completed the questionnaire - 11 primary, 65 secondary, 46 tertiary and 15 specialized hospitals. The use of antimicrobial prescribing guidelines (68.7%), provision of infectious diseases consultation services (66.4%), clinical pharmacy service (65.7%), use of drug and therapeutics committees to approve antimicrobial prescribing (65.5%), regular audit by doctors on antimicrobial prescribing (54.1%) and use of a restricted formulary for antimicrobial (50.4%) were the most common ASPs. However, most of these activities were only somewhat or moderately successful. Whereas, electronic antimicrobial prescribing approval systems (15.3%), using a sticker to notify prescribers regarding the need to obtain approval for the antimicrobial prescribed (16.1%) and participation in the national antimicrobial utilization surveillance program (19.7%) were only seen in a few hospitals.
Conclusion: Study inferred that there are inadequate ASPs in the hospitals of Pakistan. A multidisciplinary approach, clinical leadership and availability of motivated and trained individuals are essential elements for the success of future ASPs.

Matched MeSH terms: Leadership
Incorporating the concept of leadership in pharmacy curriculums of developing nations

Saleem F, Hassali MA, Aljadhey H

Res Social Adm Pharm, 2016 03 04;12(4):668.
PMID: 26997135 DOI: 10.1016/j.sapharm.2016.02.011
Matched MeSH terms: Leadership*
Fulltext Improving the position of resuscitation team leader with simulation (IMPORTS); a pilot cross-sectional randomized intervention study

Saiboon IM, Apoo FN, Jamal SM, Bakar AA, Yatim FM, Jaafar JM, et al.

Medicine (Baltimore), 2019 Dec;98(49):e18201.
PMID: 31804343 DOI: 10.1097/MD.0000000000018201

BACKGROUND: Leadership and teamwork are important contributory factors in determining cardiac resuscitation performance and clinical outcome. We aimed to determine whether fixed positioning of the resuscitation team leader (RTL) relative to the patient influences leadership qualities during cardiac resuscitation using simulation.
METHODS: A cross-sectional randomized intervention study over 12 months' duration was conducted in university hospital simulation lab. ACLS-certified medical doctors were assigned to run 2 standardized simulated resuscitation code as RTL from a head-end position (HEP) and leg-end position (LEP). They were evaluated on leadership qualities including situational attentiveness (SA), errors detection (ED), and decision making (DM) using a standardized validated resuscitation-code-checklist (RCC). Performance was assessed live by 2 independent raters and was simultaneously recorded. RTL self-perceived performance was compared to measured performance.
RESULTS: Thirty-four participants completed the study. Mean marks for SA were 3.74 (SD ± 0.96) at HEP and 3.54 (SD ± 0.92) at LEP, P = .48. Mean marks for ED were 2.43 (SD ± 1.24) at HEP and 2.21 (SD ± 1.14) at LEP, P = .40. Mean marks for DM were 4.53 (SD ± 0.98) at HEP and 4.47 (SD ± 0.73) at LEP, P = .70. The mean total marks were 10.69 (SD ± 1.82) versus 10.22 (SD ± 1.93) at HEP and LEP respectively, P = .29 which shows no significance difference in all parameters. Twenty-four participants (71%) preferred LEP for the following reasons, better visualization (75% of participants); more room for movement (12.5% of participants); and better communication (12.5% of participants). RTL's perceived performance did not correlate with actual performance CONCLUSION:: The physical position either HEP or LEP appears to have no influence on performance of RTL in simulated cardiac resuscitation. RTL should be aware of the advantages and limitations of each position.

Matched MeSH terms: Leadership*
Fulltext The influence of leadership quality towards community cohesion in Iban community in Malaysia

Rezaul Islam M, Wahab HA, Anggum LA

Heliyon, 2020 Feb;6(2):e03370.
PMID: 32072057 DOI: 10.1016/j.heliyon.2020.e03370

This study aimed to examine the influence of the traditional leadership qualities towards to develop community cohesion in the Iban community in Malaysia. A quantitative approach was used to conduct this study, where data were collected through a self-administered survey questionnaire from 210 chiefs in the Iban longhouse at the Pakan District in Sarawak, Malaysia. A pre-tested questionaire was administrered to the respondents using a simple random sampling in the District of Pakan, Sarawak. The leadership quality was measured based on the leadership traits, leadership style, leadership behaviour, situational leadership, and trsnformational leadership; while the community cohesion was measured by a sense of belonging, social alienation, social support, rootedness, social solidarity, and social ties. The results of the correlation and regression analysis showed that the traditional leadership qualities had a significant correlation with the development of social cohesion. The findings proved that the traditional leadership is essential to increase community cohesion in the Iban community. The findings would be important guideline to the development thinkers, practitioners, community leaders, and development institutions.

Matched MeSH terms: Leadership
Building a tuberculosis-free world: The Lancet Commission on tuberculosis

Reid MJA, Arinaminpathy N, Bloom A, Bloom BR, Boehme C, Chaisson R, et al.

Lancet, 2019 Mar 30;393(10178):1331-1384.
PMID: 30904263 DOI: 10.1016/S0140-6736(19)30024-8
Matched MeSH terms: Leadership
Fulltext Anticipated difficulties in house-officership for graduating medical students of the school of medical sciences, universiti sains malaysia kubang kerian, kelantan, malaysia

Rahim AF, Hitam WH, Alwi MN, Ghazali G, Rahim SZ

Malays J Med Sci, 2000 Jul;7(2):9-12.
PMID: 22977384

To aid future curriculum revision and planning, a batch of newly graduated medical students were surveyed using a questionnaire containing items representing possible areas of concern during house-officership. Students rated items representing communication issues as areas of concern. They did not agree that areas concerning responsibilities as a doctor, continuing medical education, theoretical and practical skills and potentially stressful working conditions were problem areas. Communication skills should remain among the priority areas for undergraduate training. Students should also be given more information about the house-officership period prior to graduation. Further study is needed to confirm perceived strengths of the USM curriculum suggested by the study, which are skills in finding resources for further learning and skills in leadership. A task-analysis of the house-officership period is also needed.

Matched MeSH terms: Leadership
Fulltext Using community mental health project as venue to train professionalism: the Cyberjaya University College of Medical Sciences students’ experience

Rafidah Bahari, Muhammad Najib Mohamed Alwi

ASEAN Journal of Psychiatry, 2012;13(1):0-0.
MyJurnal

Objective: The aim of this paper is to examine medical students’ views on the usefulness of a community project as a venue to train professionalism. Methods:Medical students at Cyberjaya University College of Medical Sciences (CUCMS) were surveyed following psychiatry community projects organized during year 4 undergraduate attachments in psychiatry. Results: A total of 176 students returned the survey forms. A majority of medical students thought that the psychiatry community project promotes teamwork and leadership skills. About a quarter thought that it helped foster their communication ability and encouraged them to be more reflective in their daily lives. These findings were translated into the potential of the community project to train “collaborative” and “managerial” affective domain learning outcomes of the university. Conclusions: The findings indicate that psychiatry community project or similar programmes may be useful tools to train several elements of medical professionalism. Future research however should utilise specific measurements to confirm this finding.

Matched MeSH terms: Leadership
Fulltext Nurturing Professionalism through Mental Health Community Project

Rafidah B, Muhammad Najib MA

Malaysian Journal of Psychiatry, 2010;19(1):1-6.
MyJurnal

Medical professionalism is now more crucial than ever. Recently, more and more misconduct among doctors widely portrayed and unashamedly publicized by the popular press. Medical Schools in Malaysia are working hard to rectify their weaknesses so that their products are competent and professional doctors. Cyberjaya University College of Medical Sciences (CUCMS) certainly views this matter seriously and has incorporated professionalism training or as we call it Affective Domain Training into the curriculum implemented in all phases of the medical education. An example is the innovative inclusion of Community Project in the curriculum of undergraduate psychiatry. Although it started off with wanting to get students involved in creating awareness amongst the public about mental illness, but through it, students attained exposure in leadership, team-working and communication skills as well as what it means to be altruistic, to work under stress, to be empathic and many more. The students themselves enjoyed it. Although the down side include extra time, money and manpower, it can be safely concluded that having a community project in psychiatry undergraduate curriculum or other specialties for that matter could be an innovative and enjoyable way to nurture medical professionalism.

Matched MeSH terms: Leadership
Fulltext A summary report of the workshop on the 'academic leadership training in the AIMST University, Malaysia'

Premkumar R, Bhore SJ

J Young Pharm, 2013 Jun;5(2):67-9.
PMID: 24023458 DOI: 10.1016/j.jyp.2013.04.001

In Malaysia, there are 81 (as on February 15, 2013) higher education institutions including satellite branches of the foreign universities. In northern part of the Peninsular Malaysia, AIMST University is the first private not-for-profit university and aims to become a premier private university in the country and the region. The workshop described in this article was designed to develop and enhance the capacity of academic staff-in-leadership-role for the University. This type of workshops may be a good method to enhance the leadership qualities of the head of each unit, department, school and faculty in each university.

Matched MeSH terms: Leadership
Interpersonal communication and the diffusion of family planning in West Malaysia

Palmore JA, Hirsch PM, Ariffin Bin Marzuki

Demography, 1971 Aug;8(3):411-25.
PMID: 4950540 DOI: 10.2307/2060629
Matched MeSH terms: Leadership
Sex differences on the Multitalent Perception Inventory among Malaysian students

Palaniappan AK

Percept Mot Skills, 2007 Dec;105(3 Pt 2):1052-4.
PMID: 18380099

Malaysian high school students, 142 boys and 154 girls (M age= 13.3 yr., SD = 0.3) were compared on a talent measure, the Khatena-Morse Multitalent Perception Inventory. Boys obtained significantly higher means on the overall score of Versatility and the talent areas of Artistry, Creative Imagination, Initiative, and Leadership. Further replications involving other age groups and nationalities are recommended.

Matched MeSH terms: Leadership
Fulltext Solving the second-order free rider problem in a public goods game: An experiment using a leader support system

Ozono H, Jin N, Watabe M, Shimizu K

Sci Rep, 2016 12 09;6:38349.
PMID: 27934871 DOI: 10.1038/srep38349

Punishment of non-cooperators-free riders-can lead to high cooperation in public goods games (PGG). However, second-order free riders, who do not pay punishment costs, reduce the effectiveness of punishment. Here we introduce a "leader support system," in which one group leader can freely punish group followers using capital pooled through the support of group followers. In our experiment, participants engage in three stages repeatedly: a PGG stage in which followers decide to cooperate for their group; a support stage in which followers decide whether to support the leader; and a punishment stage in which the leader can punish any follower. We compare a support-present condition with a no-support condition, in which there is an external source for the leader's punishment. The results show that punishment occurs more frequently in the support-present condition than the no-support condition. Within the former, both higher cooperation and higher support for a leader are achieved under linkage-type leaders-who punish both non-cooperators and non-supporters. In addition, linkage-type leaders themselves earn higher profits than other leader types because they withdraw more support. This means that leaders who effectively punish followers could increase their own benefits and the second-order free rider problem would be solved.

Matched MeSH terms: Leadership

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