Displaying publications 41 - 60 of 290 in total

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  1. Patient-centred care in the context of pharmacy consultations: A qualitative study with patients and pharmacists in Malaysia
    Ng YK, Shah NM, Loong LS, Pee LT, Chong WW
    J Eval Clin Pract, 2020 Dec;26(6):1638-1647.
    PMID: 31908087 DOI: 10.1111/jep.13346
    RATIONALE, AIMS AND OBJECTIVES: Patient-centred care (PCC) has been increasingly recognized as the standard in current health care, especially when it comes to health communication between patients and health care professionals. The evidence suggests that PCC could potentially improve medication-related outcomes such as medication adherence, disease self-management, and patient-provider relationships. Pharmacists are strategically positioned in the health care system to provide medication management to patients. However, there is a paucity of research regarding PCC in pharmacist-patient consultations. This study aimed to explore the views and experiences of pharmacists and patients on the important aspects of a PCC consultation.

    METHODS: A semistructured interview study was conducted among 17 patients and 18 pharmacists in three tertiary hospitals in Malaysia. All interviews were audiotaped and transcribed verbatim. Themes were developed using a constant comparison approach and thematic analysis.

    RESULTS: Five main themes emerged from the data, namely, achieving mutual understanding, recognizing individuality, communication style, information giving, and medication decision making. For both pharmacists and patients, a PCC consultation should promote mutual understanding and non-judgmental discussions. Communication was an important element to bridge the gap between patients' and pharmacists' expectations. Patients emphasized the importance of emotional aspects of the consultation, while pharmacists emphasized the importance of evidence-based information to support patient engagement and information needs.

    CONCLUSIONS: Comparison of pharmacists' and patients' views provided insight towards important aspects of PCC in pharmacist-patient consultations. It was suggested that PCC is not a one-sided approach but rather a patient-provider collaboration to optimize the consultation. Further research can be done to improve the integration of PCC in the local health care context, including pharmacist consultations.

    Matched MeSH terms: Referral and Consultation
  2. Fulltext Delay In Diagnosis Of Oral Cancer In Malaysia: A Study Of Five Centres
    Khoo, Suan Phaik, Shanmuhasuntharam, P., Mahadzir, W.M., Tay, K.K., Latif, A., Nair, S.
    Ann Dent, 1996;3(1):-.
    MyJurnal
    The diagnosis of oral cancer have been variously reported as being due to delay by clinicians, patients or both. The purpose of this study was to evaluate the referral pattern of 65 patients eventually diagnosed as having oral squamous cell carcinoma. The results showed that 50% of the patients delayed seeking professional help for more than 3 months after being aware of the lesion. The majority of the patients consulted medical practitioners as the first source of help. The mean clinicians' and patients' delay were 10.3 weeks and 28.9 weeks respectively. Dental practitioners showed a tendency to refer on more advanced lesions compared to the medical practitioners. The findings raise the concern that lack of patients' awareness, misdiagnosis by clinicians and late detection by dental practitioners prevail thus calling for urgent measures towards early detection of the disease.
    Matched MeSH terms: Referral and Consultation
  3. Fulltext Bridging the research and cultural-practice gap in early language intervention in Malaysia
    Deborah Xinyi Yong, Tze-Peng Wong
    Jurnal Sains Kesihatan Malaysia, 2015;13(2):11-18.
    MyJurnal
    “Following the child’s lead” and “collaborative consultation with parents” are solidly grounded in the best practice of
    early language intervention. However, the success of these two practices are based on assumptions that they are valued by
    families and that they can be feasibly implemented by the attending speech-language pathologist (SLP). Such assumptions
    can be unjustified in cultures that value the use of “adult-guided instructions” over following the child’s lead and when
    the work setting of the SLP does not readily accommodate those practices. This article takes the form of a position paper.
    Through review of the literature, the paper (1) identifies the research-cultural practice gap in early language intervention
    in Malaysia; (2) positions the two research-informed practices – following the child’s lead and collaborative consultation
    with parents, on the continuum of intrusiveness in early language intervention; and (3) proposes the techniques of Milieu
    Teaching as an approach to bridge the research-cultural practice gap in Malaysia.
    Matched MeSH terms: Referral and Consultation
  4. Fulltext Pneumoperitoneum or Chilaiditi's sign
    Teoh SW, Mimi O, Poonggothai SP, Liew SM, Kumar G
    Malays Fam Physician, 2016;11(1):22-24.
    PMID: 28461845
    Chilaiditi's sign describes the incidental radiographic finding of the bowel positioned between the right diaphragm and the liver. This is often misdiagnosed as pneumoperitoneum or free air under the diaphragm, which may lead to unnecessary investigations or surgical procedures. Here, we report two incidental chest radiograph findings of air under the diaphragm in patients who were being screened for pulmonary tuberculosis. This case series highlights the importance of awareness of the diagnosis of Chilaiditi's sign to avoid unnecessary hospital referrals.
    Matched MeSH terms: Referral and Consultation
  5. Fulltext Pilot study: a review of personnel involved in school vision screening and the training module in Betong, Malaysia
    Nurul Farhana, A.B., Chen, A.H., Abdul Rahim, M.N., Goh, P.P.
    International Medical Journal Malaysia, 2012;11(2):23-27.
    MyJurnal
    Introduction: School vision screening program is a scheduled program under the Ministry of Health, Malaysia for 7, 12 and 15 years-old children in the government schools. The aim of this study was to review the school vision screening program from the perspective of the personnel involved as the screener. Methods: The evaluation of the performance of the screener was based upon the accurate referrals' outcome from the school health database of Betong Division in Sarawak, Malaysia in the year of 2008. Results: The total accuracy of the referrals was 50.7%. Lower accuracy of the referrals was found significantly associated with Grade 1 [χ2 (2.N=304) = 28.810, p
    Matched MeSH terms: Referral and Consultation
  6. Fulltext Impact of psychiatry training on attitudes of undergraduate medical students
    Ramamurthy, C., Srikumar, P.S., Joshua, E., Rasamy, G.
    Malaysian Journal of Psychiatry, 2008;17(2):1-8.
    MyJurnal
    Objective: This study assesses the impact of prescribed undergraduate psychiatry training program on medical students’ attitudes to psychiatry. It is hypothesized that training may cause positive attitude changes towards the discipline and status perceptions of the profession of psychiatry. Methods: A 23 item questionnaire was administered to 89 medical students before and after prescribed training in psychiatry as per the medical curriculum. Results: Participation in psychiatry training enhanced students’ belief that it is a rapidly expanding frontier of medicine and that psychiatry can be viewed as precise and scientific. Psychiatric referrals were seen as useful to medical and surgical patients. However there was less agreement that psychiatric treatment is helpful to most people. Support for choice of psychiatry as a career was less as students were more negatively influenced by family. Poor income prospects and perceived low status among other medical disciplines were also endorsed following the completion of training.Conclusion: There is a pressing need to revise the psychiatric training for medical students. A total attitude change is difficult to achieve and hence, the curriculum has to identify focal areas for emphasis. A multidisciplinary, bio-psychosocial model through liaison with other disciplines like medicine and surgery is a definite option. Psychiatrists have to be role models to alter the image of psychiatry among other medical professionals.
    Matched MeSH terms: Referral and Consultation
  7. Fulltext Integration of Islamic input in Medical Curriculum–Universiti Sains Islam Malaysia (USIM) experience
    Jamilah J, Ahmad Najib A, Dzulkhairi MR, Ariff HO, Nasri Ismail NM
    International Medical Journal Malaysia, 2014;13(2):73-77.
    MyJurnal
    Muslim doctors are those qualified doctors who practise their professional knowledge and skills in line with Islam and upholds the highest standards of ethical and professional behaviour. The medical curriculum of the Faculty of Medicine and Health Sciences of Universiti Sains Islam Malaysia (USIM) was designed with the integration of Islamic input which aims at producing doctors who are able to practise medicine that is integrated with Islamic, moral and ethical values. Halaqah Studies and Fundamental Islamic Knowledge (FIK) courses such as History of Medicine in Islam, Science and Medicine in Quran and Sunnah, Akhlak and Tasawuf, Islamic Jurisprudence and Medical Ethics and Fiqh Issues are taught to students during the pre-clinical and clinical phases. Memorization of selected Quranic verses throughout the programme aim to get the students to apply the verses of the al-Quran into practice in everyday life and especially in their clinical practice. Islamic values are emphasised during doctor-patient interactions in all clinical postings. Islamic knowledge and values integrated in the curriculum are assessed in written and clinical examinations. The outcome of the integration of the Naqli component in the medical curriculum has been demonstrated positively by the students in the patient management problems and clinical consultations. Studies on the outcome of the integrated Islamic input in the medical curriculum among the clinical students and graduates are being carried out.
    Matched MeSH terms: Referral and Consultation
  8. Fulltext The girl with rapunzel syndrome
    Norly, S., Noor Saadah, I., Ros'aini, P.
    International Medical Journal Malaysia, 2015;14(1):99-101.
    MyJurnal
    Rapunzel syndrome is a syndrome whereby a gastric trichobezoar (hair ball) extends through the pylorus, in the form of a long tail, to cause gastric outlet obstruction. It was first described by Vaughan et al. in 1968. The syndrome is mostly seen in young females with psychiatric illness. Presentations can be non-specific especially in the early stages. If left untreated it may leads to severe complications, which may include gastric ulceration, intestinal obstruction, perforated viscus and obstructive jaundice. Treatment is essentially surgical and psychi- atric consultation is necessary to prevent relapses. We present the case of a 26-year-old mentally subnormal lady with gastric trichobezoar and provide a review of the literature.
    Matched MeSH terms: Referral and Consultation
  9. An analysis of consultation cases in sexually transmitted diseases to the Department of Dermatology, General Hospital, Kota Bharu, Kelantan
    Ganesapillai T
    Med J Malaysia, 1977 Sep;32(1):33-6.
    PMID: 580306
    Matched MeSH terms: Referral and Consultation
  10. Fulltext Discrepancy in the accuracy of vision screening program performed by allied health personnel in a preschool
    Nurul Farhana Abu Bakar, Ai-Hong Chen
    Pertanika Journal of Science & Technology, 2017;25(103):151-158.
    MyJurnal
    The purpose of this study is to assess the performance of allied health personnel, after attending a training programme, in conducting vision screening for preschool children. A total of 43 allied health personnel (20 assistant medical officers (AMOs) and 23 nurses) attended a two-day training program prior to conducting vision screening for preschool children. Vision screening was conducted among 136 preschool children using four similar HOTV visual acuity chart at 6 m. The cut-off referral criterion for visual acuity (VA) testing was 6/9 or worse in either eye. All children were referred to two qualified optometrists for a comprehensive eye examination. The accuracy was based on the sensitivity and specificity of screening by each group of personnel. The overall prevalence of reduced VA in the studied population was about 10%. The sensitivity and specificity of vision screening performed by AMOs were 100% and 98% respectively while that performed by nurses were 56% and 94% respectively. Thus, there were discrepancies in the sensitivity of visual acuity testing despite them being conducted by healthcare providers with similar background and training. This suggests that their performance might be influenced by factors other than their professional training.
    Matched MeSH terms: Referral and Consultation
  11. Fulltext Assessment of attitudes and practices of young Malaysian adults about antibiotics use: a cross-sectional study
    Hassali MA, Arief M, Saleem F, Khan MU, Ahmad A, Mariam W, et al.
    Pharm Pract (Granada), 2017 Apr-Jun;15(2):929.
    PMID: 28690695 DOI: 10.18549/PharmPract.2017.02.929
    OBJECTIVE: The present study was aimed to evaluate the practices and attitudes of young Malaysian adults towards the use of antibiotics, and to determine the socioeconomic factors associated with the antibiotic use.

    METHODS: A survey was carried in Cheras community by approaching a conveniently selected sample of 480 participants. A pre-tested questionnaire was used for data collection.

    RESULT: Of 480 participants approached, 400 agreed to participate in this study, giving a response rate of 83.3%. The study results showed that 42.75% of the participants exhibited poor attitudes towards antibiotic usage. Chinese race and high income were significantly associated with the positive attitudes towards antibiotic usage. It is shown that the practice of the participants towards antibiotics was relatively poor. The majority of participants agreed that they do not consult a doctor for minor illnesses (64%). The main reason for not consulting a doctor was the high fees of consultation (34.25%) and the inconvenience of visit (29.25%). However, a large proportion of respondents (77.5%) agreed that there is a need to enhance antibiotic education among public.

    CONCLUSION: The study results identified some crucial gaps in the attitudes and practices of Cheras community about the use of antibiotics. Thus, improving the public knowledge and changing their attitude towards antibiotic use along with proper interventions to regulate the ease of their availability would play a significant role for the effective use of antibiotics in the community.
    Matched MeSH terms: Referral and Consultation
  12. Fulltext Redirection of non-critical patients in the emergency department of Hospital Tuaran to the primary care unit (klinik kesihatan)
    Michal, C.S., Nadirah, S., Juhanah, G., Praneetha, P., Mohan, G.
    Borneo Journal of Medical Sciences, 2016;10(2):47-59.
    MyJurnal
    The Emergency Department (ED) provides treatment for acutely ill patients in need of urgent medical attention. Despite the availability of the primary care unit ‘Klinik Kesihatan’, where non urgent patients should be treated, Malaysia’s public hospitals still need to deal with overcrowding of non-urgent patients in ED. The main aim of the study was to assess the willingness of non-urgent patients to be redirected to Klinik Kesihatan. This was a cross-sectional study conducted at Hospital Tuaran Emergency Department, Sabah. Non-urgent patients were interviewed using a questionnaire, to find out the purpose of their visit to Emergency Department. A total of 318 non-urgent patients out of 457 patients were interviewed during the study duration. 41 respondents (12.9%) were willing to be redirected towards a Klinik Kesihatan. No associated factors were found when compared with the unwilling to be redirected group. Among 277 respondents who rejected redirection to Klinik Kesihatan, 70.4% agreed to pay a surcharge to be treated in the Emergency Department and there was no association found with the employment status (p= 0.391). Most patients were not willing to accept redirection to a Klinik Kesihatan and would prefer to visit the Emergency Department despite knowing that their condition or illness is one that does not require emergency treatment. Social media, advertisements and pamphlets must be made available to educate patients on the proper use of the Emergency Department.
    Matched MeSH terms: Referral and Consultation
  13. Fulltext Silent lacunar infarct with peduncular hallucinosis
    Singh, J., Ahmad, N.
    Malaysian Journal of Psychiatry, 2016;25(1):0-0.
    MyJurnal
    Objective: Lacunar infarct is a small infarct in the distal distribution of deep
    penetrating vessels. A silent stroke is not associated with outward symptoms.
    The objective of this report is to highlight a case of a silent young stroke
    presenting with peduncular hallucinosis.

    Methods: This gentleman was
    thoroughly investigated and was found to have a lacunar infarct of the Pons
    and Occipital Lobe. A further referral to Neurology thereafter; for an in
    depth investigation into the cause of this silent young stroke.

    Results:
    Treatment with low dose antipsychotic resolved the complaints; while the
    episode being transient.

    Conclusion: Organic psychosis is responsive to
    antidopaminergic agents, via action on the Ponto-Geniculo-Occipital
    pathways.
    Matched MeSH terms: Referral and Consultation
  14. Fulltext Care to care: an innovative oral health educational method for patients with hearing and/or speech impairment
    Mas Suryalis Ahmad, Fouad Hussain Al-Bayaty, Farhana Abdul Ghani
    Malaysian Dental Journal, 2016;39(1):26-34.
    MyJurnal
    People with hearing and/or speech impairments (HSI) reported having difficulty communicating with the dental team, indicating the need for the profession to develop an effective communication strategy when dealing with these patients. This paper discusses the development of a toolkit designed to guide delivery of oral hygiene instruction, oral health education and dental consultation for patients with HSI, and how its use had resulted in an improved oral health outcome in a patient with such disabilities.
    Matched MeSH terms: Referral and Consultation
  15. CT examination effective doses in Saudi Arabia
    Sulieman A, Mahmoud MZ, Serhan O, Alonazi B, Alkhorayef M, Alzimami K, et al.
    Appl Radiat Isot, 2018 Nov;141:261-265.
    PMID: 30054177 DOI: 10.1016/j.apradiso.2018.07.011
    Patient effective doses and the associated radiation risks arising from particular computed tomography (CT) imaging procedures are assessed. The objectives of this research are to measure radiation doses for patients and to quantify the radiogenic risks from CT brain and chest procedures. Patient data were collected from five calibrated CT modality machines in Saudi Arabia. The results are from a study of a total of 60 patients examined during CT procedures using the calibrated CT units. For CT brain and chest, the mean patient effective doses were 1.9 mSv (with a range of 0.6-2.5 mSv) and 7.4 mSv (with a range of 0.5-34.8 mSv) respectively. The radiogenic risk to patients ranged from between 10-5 and 10-4 per procedure. With 65% of the CT procedure cases diagnosed as normal, this prompts re-evaluation of the referral criteria. The establishment of diagnostic reference levels (DRL) and implementation of radiation dose optimisation measures would further help reduce doses to optimal values.
    Matched MeSH terms: Referral and Consultation
  16. Optimize Transfer Learning for Lung Diseases in Bronchoscopy Using a New Concept: Sequential Fine-Tuning
    Tan T, Li Z, Liu H, Zanjani FG, Ouyang Q, Tang Y, et al.
    IEEE J Transl Eng Health Med, 2018;6:1800808.
    PMID: 30324036 DOI: 10.1109/JTEHM.2018.2865787
    Bronchoscopy inspection, as a follow-up procedure next to the radiological imaging, plays a key role in the diagnosis and treatment design for lung disease patients. When performing bronchoscopy, doctors have to make a decision immediately whether to perform a biopsy. Because biopsies may cause uncontrollable and life-threatening bleeding of the lung tissue, thus doctors need to be selective with biopsies. In this paper, to help doctors to be more selective on biopsies and provide a second opinion on diagnosis, we propose a computer-aided diagnosis (CAD) system for lung diseases, including cancers and tuberculosis (TB). Based on transfer learning (TL), we propose a novel TL method on the top of DenseNet: sequential fine-tuning (SFT). Compared with traditional fine-tuning (FT) methods, our method achieves the best performance. In a data set of recruited 81 normal cases, 76 TB cases and 277 lung cancer cases, SFT provided an overall accuracy of 82% while other traditional TL methods achieved an accuracy from 70% to 74%. The detection accuracy of SFT for cancers, TB, and normal cases are 87%, 54%, and 91%, respectively. This indicates that the CAD system has the potential to improve lung disease diagnosis accuracy in bronchoscopy and it may be used to be more selective with biopsies.
    Matched MeSH terms: Referral and Consultation
  17. Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia
    Aryal N, Regmi PR, Faller EM, van Teijlingen E, Khoon CC, Pereira A, et al.
    Nepal J Epidemiol, 2019 Sep;9(3):788-791.
    PMID: 31687253 DOI: 10.3126/nje.v9i3.25805
    This paper reports on a consultation meeting that discussed two emerging health issues of Nepali migrant workers in Malaysia and the ways they can be addressed. Primarily, it focused on the issue of sudden cardiac deaths of Nepali migrant workers in Malaysia. This issue has been raised internationally by both scientific and media in the recent years. Secondly, it discussed kidney health related problem among Nepali migrant workers which has caught the attention of Nepali media recently. The meeting was organized in Kuala Lumpur, Malaysia on 19th April, 2019 where twenty people including health researchers, representatives of migrant related national and international organizations, and Nepali migrant workers participated. The meeting concluded that three types of data collection are needed: (1) good record of deaths, if at possible proper post-mortems; (2) a verbal autopsy tool to help identify underlying causes ; and qualitative research into kidney related problems.
    Matched MeSH terms: Referral and Consultation
  18. Reasons for referral to Primary Care Clinics, University Hospital Kuala Lumpur
    Chin CK, Chia YC
    Family Physician, 1992;4:13-16.
    The reasons for referral of 189 patients referred to the Primary Care Out-patient Clinics, University Hospital Kuala Lumpur, were studied. 55.6% of them were from private general practitioners. 51.0% of the referrals were for evaluation of symptoms and 46.5% were for management of diseases. The profile of the referrals helps in curriculum planning of Primary Care Medicine. Other applications of the results are discussed.
    Study site: Primary care clinic, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia
    Matched MeSH terms: Referral and Consultation
  19. Fulltext Migratory Bone Marrow Edema Syndrome of the Hips: A Case Report
    Santoso A, Ingale PS, Park KS, Yoon TR
    Malays Orthop J, 2017 Nov;11(3):56-58.
    PMID: 29326770 DOI: 10.5704/MOJ.1711.006
    Migratory bone marrow edema syndrome (BMES) of the hip is a rare entity. We report the case of a 41-year old male with migratory BMES of the hip with eight months interval period between onset of the pain and consultation. This patient was successfully treated non-surgically. It is important to always inform the patient with unilateral BMES of the hip regarding the possibility of future involvement of the contralateral hip.
    Matched MeSH terms: Referral and Consultation
  20. How should front-line general practitioners use personal protective equipment (PPE)?
    Ambigapathy S, Rajahram GS, Shamsudin UK, Khoo EM, Cheah WK, Peariasamy KM, et al.
    Malays Fam Physician, 2020;15(1):2-5.
    PMID: 32284798
    The COVID-19 outbreak continues to evolve with the number of cases increasing in Malaysia, placing a significant burden on general practitioners (GPs) to assess and manage suspected cases. GPs must be well equipped with knowledge to set up their clinics, use Personal Protective Equipment (PPE) appropriately, adopt standard protocols on triaging and referrals, as well as educate patients about PPE. The correct use of PPE will help GPs balance between personal safety and appropriate levels of public concern.
    Matched MeSH terms: Referral and Consultation
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