The Theory of Planned Behavior (TPB) is determined by four main domains of social-cognitive factors; attitudes, social-norms, self-efficacy and sexual intention. This study aim to identify the socio-demographic and socio-cognitive factors associated with sexual intention towards premarital sex among school-going late adolescent. Materials and method: Cross-sectional study was conducted in nine government secondary schools in Kuantan district between January-July 2018. A total of 466 self-administered validated Youth Sexual Intention Questionnaires(YSIQ) data are collected among unmarried students aged 18-19-year-old. Statistical analyses were done using IBM SPSS version 22.0. Results: Out of 466 participants, 67.4%, 68.2%, 64.4% are Malays, Females and Muslims. Simple logistic regression showed for every one unit increase in permissive attitude, social-norms and selfefficacy scores, there were 1.424, 1.303 and 1.215 times increase risk of having sexual intention, with p -value of 0.001 each and 95% CI of odds ratio(OR) 1.2681.600, 1.191-1.425 and 1.066-1.386 respectively. Multivariate logistic regression showed that female had lower risk of having sexual intention( p=0.001, OR=0.163, CI=0.058-0.462). Non-Malays and ever-smoker students had higher risk compared to Malay and non-smoker towards having sexual intention with p=0.001 (OR=5.110,CI=1.881-13.886) and p =0.019 (OR=3.288, CI=1.218-8.875) respectively. For every unit increase in permissive attitude score, there was 1.236 times increase risk of having sexual intention with p=0.002 (95%CI, OR=1.084-1.410). Conclusion: The study showed the risk of having sexual intention was higher among males, nonMalay, ever-smoker students; and those with higher permissive attitude scores. Peer education intervention programs are necessity for school-going students to improve the permissive attitude in averting risk behavior that may lead to sexual intention towards pre-marital sex activity. The study should be expanded to adolescent who are no longer in school or in suburban areas.
GIST are rare tumor and uncommon to occur in rectum where it accounts about 5% of all GIST [1] and rarer to develop simultaneously. Several surgical options are available, large tumours with aggressive features have been commonly treated with abdominoperineal resection.This is the first reported case of synchronous GIST of the rectum and jejunum. Case report: 66 year old man who presented with rectal bleeding and altered bowel habit. Colonoscopy revealed submucosal tumor on anterior wall of the rectum. Computerized Tomography (CT) of abdomen and Magnetic Resonance Imaging (MRI) of pelvis demonstrated a mass of approximately 88 AP x 88 W x 89mm CC in size on the anterior wall of the rectum at a distance of 2.3 cm from the anal verge, without any invasion to the prostate or evidence of metastasis, Histological examination of the biopsy sample via the rectum showed spindle cell neoplasm suggestive of GIST. An abdominoperineal resection was performed with wedge resection of small bowel lesion who discovered intraoperatively as yellow mass measuring 1.5 cm in its diameter involving the serosa. Histopathological examination of the sample confirmed the diagnosis of GIST of both rectal and small bowel specimen with positive CD117 on immunohistochemical assessment. Patient recovered post operatively. Discussion: Incidence of GIST as overall are about 1/100000 per year and commonly found in stomach (60-70%), small intestine (20-25%) but rarely occur in rectum (5%). Because of the low incidence of rectal GISTs, cases of simultaneous development of a GIST in rectum and jejunum are scarce. Simple coincidence could be the reasonable explanation in our case. For rectal GIST, surgical procedures may be considered, including abdomino-perineal resection. Conclusion: Simultaneous GISTs in the rectum and jejunum is extremely rare. Resection is the treatment of choice, suspicious lesions discovered during operation should be biopsied or removed as GIST could appear synchronously.
The prevalence of oral cancer has been reported annually along with high mortality rate. Probiotics have been suggested to possess anti-cancer properties, however the role of these microorganisms on oral cancer is remain unclear. The objective of the present study is to identify the mechanisms exerted by probiotics on oral carcinogenesis by using systematic review and meta analysis with the hypothesis that probiotics inhibit oral carcinogenesis. Materials and method: Comprehensive literature search was conducted on PubMed, Scopus and Web of Science electronic database from January 2019 until April 2019. Main keywords that were used are “probiotic” AND “oral cancer”. Articles that were published in English language were included in this review. Articles were selected independently by three authors and inspected independently by another researcher. The titles and abstracts of the studies were screened to identify studies that meet the inclusion criteria. Full text articles of the remaining studies were assessed to determine the availability to be included in the review. Meta-analysis was conducted by using RevMan 5 software, and the result was graphically plotted on the forest plot. This review was done according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA-P) 2015 guidelines. Results: After thorough screening of the full text articles, seven papers were eligible to be included in the systematic review. The included articles were mainly discussed on the association of probiotics and oral cancer. Two from the seven papers were selected to be analyse for quantitative synthesis (meta-analysis). The present study also showed that, Lactobacillus salivarius REN produces protective effect from developing neoplastic tongue lesions with odd ratio < 1. Conclusion: Probiotics were found to confer positive effect as an inhibitory agent against the oral carcinogenesis thus supported the hypothesis of the present study that probiotics can inhibit oral carcinogenesis.
Many studies have shown the effectiveness of educational modules on increasing colorectal cancer screening uptake at individual level but not adjusted for potential clustering effect such as workplace. Longitudinal studies on workplace colorectal cancer screening require a series of analysis under different conditions due to heterogeneity of workplace population. To achieve this, a sensitivity analysis based on Generalized Estimating Equations was conducted to determine the robustness of the predictive performance of health education module in increasing screening uptake. Materials and Method: A parallel, single blind, cluster randomized trial was conducted among 15 organizations in Kuantan, Pahang. Intervention group received a complex Health Education Module comprising of group education, practical session on fecal occult blood test usage and WhatsApp group follow-up, while control group received standard colorectal cancer screening brochure. Sensitivity analyses using intention to treat analysis with interaction term, compatibility term, behavioral intention term and key assumption term were performed. Data were imputed and analysed using generalized estimating equation with IBM SPSS version 23. Pooled adjusted odds ratio was calculated using random effect model with inverse variance weighting using RevMan version 3.5. Results: A total of 166 participants from 15 organizations were recruited in the study. Intervention and control group were comparable at baseline (P>0.05). Health Education Module given in intervention group significantly increased the uptake of FOBT by nearly 5 times compared to control group in sensitivity analyses (pooled adjusted OR=4.60, 95% CI=2.65-7.99, I2=47%, P
As a biological universal, it is easy to overlook the degree to which culture and religion shape how people sleep, and how quality sleep is conceptualized. In the Western world, sleep hygiene tips are important for an individual to get “a good night’s sleep”. Meanwhile, sleep is also important from an Islamic perspective, which, the Quranand Hadithdiscuss on its types, importance and quality practices. In modern sciences, sleep deprivation is regarded as a significant health issue, however from an Islamic point of view, long sleep hours alone do not determine the efficiency of sleep, but rather it depends on various other factors and follows the sleeping etiquettes of Prophet Muhammad (PBUH). This narrative review was conducted to highlight sleep from Islamic perspectives in relation to modern sciences. Selected articles discussing sleep from Islamic perspectives and modern sciences were reviewed and summarized. These articles were retrieved from searches of computerized databases and search engines using keywords “Sleep from Islamic perspective”, “Sleep in modern science”, “Sleep hygiene”, “Western world and sleep”, “Sleep deprivation” and “Quality sleep”. A number of six studies were selected (n=6). Analyses found that a productive Muslim sleep routine is divided into three parts; one-third, respectively, for Allah, ourselves and sleep. Sleep hygiene was emphasized and discussed from the Islamic perspectives and the relation with modern sciences: performing ablution and supplicate before sleep, could prepare the body for a deep sleep; dusting the bed before sleep, would get rid of insects that lead to scabies; turning-off lights before sleep to maintain dark environment, could prevent disruption to normal circadian rhythms; early bedtime and early wake-up time, would ensure adequate sleep thus lower the risk of getting chronic diseases; washing the hands after waking-up would get rid of germs accumulated during sleep; and, lying down on the right side is to prevent snoring and to avoid the heart under pressure of the right lung (if lying on the left side). People should not abandon sleep as an important requirement. What has been described in the Quranand Hadith are corresponded with sleep hygiene as identified by modern sleep scientists. Prophet Muhammad (PBUH) also stressed the importance of sleep for good health, and in the Quran,sleep is described as a blessing from Allah and stressed the importance of the alteration of night and day.
Grief is defined as ‘the internal experience of a person to the loss of something loved and valued’. It is a normal and expected reaction to loss. While anticipatory grief is defined as ‘an emotional response that is experienced before a true loss’, a concept focusing on that a person might experience grief when the loss of a close loved one was anticipated, but had not yet occurred. The history of Abu Bakr r.a. was reviewed especially from the period of a few months before and recently after the death of the prophet s.a.w. It was noted that he appeared strong while others were down grieving upon the news of the prophet s.a.w.’s death. It was also noted that Abu Bakr r.a. has been grieving when he anticipated that the prophet was going to die. Literatures on anticipatory grief were reviewed. Evidence are conflicting on the role of anticipatory grief. Factors that lead to these differences will be reviewed. The protective factors in Abu Bakr r.a. that helped maintain his composure after the death of prophet Muhammad s.a.w. and later led him to be pledged as the first caliph of the Muslim nation will be discussed.
Physiology is one of the remarkable branches in medical field which allows an appreciation of the anatomy as well as the functions of being; which then gives an idea on the purpose of a creation and a better understanding of the purpose of humans themselves. However, modern physiology taught in many Westernised textbooks lack the link and reflection to the worldview of Islam. As a result of this divorce between the modern physiology and the religious worldview, physiology as a subject is lacking “spiritual” connection and thus, produces students with lack of connection with the Tawhidic (Oneness) and admirableness to Allah, much to the dismay of the Islamic teaching. Thus, this paper is aimed to review the relevant scientific knowledge in endocrine physiology and relate it with the Qur’anic verses and Hadith. The roles of melatonin and cortisol that changes between day and night, the role of touch and the release of oxytocin are explained from the Islamic perspective based on the relevant Qur’anic verses and/or the Ahadith. Future research in integrating the physiology with the evidence from the Qur’an and the Ahadith should be attempted by medical and biomedical scientists alike, to further enhance and develop the concept of physiology as a subject in medical schools, not limited to the physical sciences per se, but also the spiritual and metaphysical dimensions.
The purpose of this assessment was to examine the variation among faculty members of Kulliyyah of Dentistry in supervising the clinical work of students. Introduction:Consistency in the evaluation of clinical decision-making is necessary for reliable assessment of student performance and effectiveness of clinical teaching. However little has been done to examine variation in dental clinical supervision. As a professional dental practitioner and lecturer, I feel this exercise is crucial as to give the best and ‘adil(justice) to students when doing assessment of work. Materials & Methods :Twenty clinical lecturers from Kulliyyah of Dentistry were given a set of criteria of rubric, and undergone twelve stations of clinical models focusing on several procedures in dentistry clinical works. The rubric and clinical models were prepared in six different groups of specialty: Periodontic, Conservative, General Dental Practitioner, Oral Surgery, Endodontic and Prosthodontic Dentistry. Lecturers go for baseline calibration and received training by 6 content experts immediately. Re-calibration was done after training. The time given for each station is 5 minutes. The rubrics consist of 57 points. The examination used dental mirror, dental probe, dental models, x-rays, copies of students’ case note and manikin. Kappa statistics were used to determine inter-examiner reliability at baseline and re-calibration. Results : For inter-examiner statistic, the baseline calibration on 20 clinical lecturers indicated an inter-rater kappa ranging from 0.05-0.5.Re-calibration on the same 20 packages after training indicated an inter-rater kappa of 0.11-0.42. Activity kappa was in the slight to moderate agreement. Performance of majority of examiners improved with time. Conclusion:The calibration of clinical lecturers should be performed regularly as it is crucial to maintain the uniformity of the examiners reliability. Furthermore the training needs to be conducted in an effective environment to improve performance. It is hoped that continuous training nurturing the “righteous individuals” which is one of the goals in Shariah principle.
This study was carried out to investigate the reasons that influence individuals to plan for retirement. A survey was conducted among employees of the International Islamic University Malaysia in Kuantan. Reasons to retire are almost similar across the globe, given that the basic needs of human beings are similar. There are many studies and literatures that investigate the factors that influence retirement which relates to the socio-economic factor such as retirement age, income, and gender. De Vaney identified that age and income are the important factors that act as a guide to pre-retirees in their retirement planning process.1In this study, attaining the retired age is the main factor that relate to the individual’s planning for retirement. Other factors include household income, family and health. The findings of this study are parallel to the other research based on the analysis of the available literature review. Several implications emerge from these empirical findings. First, employees should prepare a proper retirement planning in their life and second, the authorities should provide better care and facilities to retirees.
Research on Islamic products and services has been receiving great attention over the past years. This has attributed to the increasing awareness among Muslims to consume Halal products or served with Shari’ahcompliant services. In responding to this development, An Nur Specialist Hospital has initiated to be the first private Shari’ah Compliant Hospital (SCH),through the award of the MS 1900:2014 in April 2015. MS1900:2014 provides guidelines for an organization to be accredited as a Shari’ah compliant organization. The Ministry of Health, Malaysia has introduced ‘ībādahfriendly hospital’ in 2010. However, there is lack of research on the characteristics and implementation of SCH in the healthcare industry. Therefore, the purpose of this paper is to understand the implementation of SCH at An Nur Specialist Hospital. A qualitative case study is utilised to investigate the issues and implementation of SCH. The case study uses in-depth, open-ended interview with the hospital senior management. The interview was recorded, transcribed, and evaluated based on thematic analysis to understand the practice. The study found major outcomes in implementing SCH, such as the important role of the Shari’ah Advisory Council in ensuring all the Standard Operating Procedures are in line with Shari’ah principles, continuous staff development programs in providing the Shari’ahunderstanding and latest fatwāon FiqhMedic. The other outcome is the positive response from patients who have been frequently visiting the hospital due to the status of An Nur as a SCH.
The aim is to investigate the dental development (DD) in children with hypodontia and hyperdontia compared to age, gender, and race matched controls.A match-pair case control study was conducted among children aged 5 to 14-year-old, attending the Dental Polyclinic, IIUM, from December 2011 until September 2014. Willem’s method was used to analyze the dental age (DA) using panoramic radiograph. The difference between dental age of hypodontia/hyperdontia children and the controlswas analyzed using analysis of covariance (ANCOVA). The differences between dental and chronological ages (CA) and the differences in DA and CA with the numbers of missing teeth were analyzed using t-test. Intra-class correlation coefficient between examiners ranged from 0.98-0.99. The result is that27 hypodontia and 12 hyperdontia samples were recruited and compared to a total of 78 matched controls. Both male (n=12) and female (n=15) hypodontia children had statistically significant delay in DD (p=0.000). There was no significant difference in the DD of male (n=7, p=0.811) and female (n=5, p=0.235) in hyperdontia children compared to the matched controls. No differences were observed between DA and CA with the number of missing teeth. Unlike hyperdontia children, hypodontia children showed delayed DD in comparison to age, gender, and race matched controls. There was no association between magnitudes of dental development delay in hypodontia children with the number of missing teeth. This study provides valuable baseline information for provision of better treatment planning for those hypodontia and hyperdontia children that may involve inter-disciplinary management.
Introduction:A handful of medical schools have implemented the Islamic input in medical program into their medical curricula. However we are facing a setback as there is no validated standard assessment tool to measure the effectiveness of this academic input for undergraduate medical programme. Therefore the objective of this study is to design a scale that is able to gauge the impact of the Islamic input among medical undergraduates. Materials and Methods:The construction of a new scale is based on the 5 stages of standard questionnaire design. To validate the newly designed scale, it was administered to all the medical students who granted their consent. Results:A total of 520 students from all academic years of a medical school were enrolled in the validation stage. Bartlet’s KMO value is 0.9. From 46 items, 67% had good factor loading (>0.4). Cronbach’s alpha values of 0.78, 0.85 and 0.13 were obtained for Attitude, Practice and Knowledge domains respectively. We identified the 3 domains by using exploratory factor analysis. Conclusion:The scale has good psychometric values for both reliability and validity.
Comparative leaf anatomy study were conducted in three taxa of Acanthaceae from peninsular Malaysia. Three chosen taxa were Acanthus ebracreatus(Vahl), Andrographis paniculata (Burm.f.) Wall. exNees and Chroesthes longifolia(Wight) B. Hansen which is commonly used as traditional medicine especially in peninsular Malaysia. The main objective is to identify the leaf anatomical characteristics that can be used in plant identification and also for supportive data in plant classification. The procedures involved such as cross section using sliding microtome on the petiole, lamina, midribs and marginal, leaf clearing and observation under light microscope. Results have shown the similarities and variations in leaf anatomical characteristics. The anatomical characteristics observed include petiole and midrib outlines, patterns of petiole and midrib vascular bundles, presence of cystolith cells, presence of hypodermis layers in lamina and presence and types of trichomes. In conclusion, results showed that anatomical characteristics have taxonomic significance that can be used in classification especially at species level.
Islam provides a comprehensive way of life where the revelations bestowed by Allah from the Quran and Hadithcover all aspects that leads to a well-balanced life. This study compiles all the Quranic verses related to visual functions which may serve as a reference for Muslims as well as non-Muslim primary eye care practitioners during their patients’ treatment and consultation. A website named “Search Truth” on http://www.searchtruth.com/was used as a tool to identify the Quranic verses related to visual function by typing in the keywords “eye/eyes”, “see”, “light”, “sight” and “vision” in the search boxes provided in the website. The program embedded in the website then listed the Quranic verses based on their English translation containing the respective keywords. The listed Quranic verses and their translations were verified manually using the Holy Quran Tafseer. The frequency of Quranic verses for each chosen keyword was determined. There were 34 Quranic verses related to visual function and could be explained scientifically. The frequency of Quranic verses related to visual function under the classification of “eye/eyes”, “light”, “see”, “sight” and “vision” were 15, 8, 3, 7 and 1 respectively. The fundamentals of visual functions may be explained scientifically based on the Quranic verses.
To investigate the depression, anxiety and stress, stressors and relieving factors among dental students at Kulliyyah of Dentistry (KOD). Materials and methods:A cross-sectional study was conducted among 222 dental students. Their socio-demographic data, self-reported depression, anxiety and stress (DASS-21) scores, causes and relieving factors were collected using validated semi-structured pre-tested questionnaires. The data was analysed using percentages, chi-square test and Binary logistic regression tests with SPSS version 24. Results:The prevalence of depression, anxiety and stress was 41%, 68.9% and 34.2% respectively.Cross analysis showed that academic-related and laboratory or clinical related reasons were significantly associated with the depressive symptoms [(X2= 15.86, p
Human show cruelty to fish during exploiting, culturing, killing, experimentation and amusement. Presently, overexploitation of marine fishes is a serious problem worldwide. More than 50% of total fish production is now raised in aquafarms where many fish suffer from parasitic infections, diseases, and debilitating injuries in culture systems. Every year, millions of fish are caught in nets and on hooks. Many of them are tortured just for sports. Fishes are also regularly used for scientific experiments. Many of them are killed by unethical ways. Among all animals, human is the main culprits in causing harms to animals including fishes by damaging their ecosystems. To secure animal rights, modern bio-ethics started to be developed in the last century. The principle of modern bio-ethics is very similar to the principle of Islamic bio-ethics. Therefore, modern bio-ethics might be guided by Islamic bio-ethics, which was well established in the 7thcentury. According to Islam, God gave the human being responsibility to look after animals, to protect them, and not to abuse or threaten them. Human is not permitted to kill animals just for sports or amusements. God created the universe in a perfect balance and human should not disturb this. Therefore, human may exploit and culture food (fish and other organisms) and ornaments without destroying aquatic ecosystems. Islam prescribes a set of rules to treat animals with the utmost kindness and compassion. However, Islamic direction can be integrated with science to ensure minimum stress, pain and suffering when killing animals including fishes.
Seeking treatment is a vital when an individual falls sick. However, some may not do so perhaps they are ashamed to admitting having shameful diseases or unable to seek and reach help. Negative perception of the community on sensitive diseases like AIDS or sexual transmitted disease (STD) may drive the patients away from seeking treatment and suffer alone. In Islam we are thought to always have positive perceptions (husnu dzan) towards any issues in daily life especially when dealing with human interaction by avoiding bad perceptions (su’u dzan). Thus, this study aims to identify the factors affecting treatment seeking patterns among public in three selected areas in Kuantan, and to explore factors affecting people not able or avoid seeking treatment, also to determine the relationship between treatment seeking patterns and the influential factors ie distance, accessibility and behaviour; attitude to health, healthcare and self-perception. A cross sectional survey was carried out at Taman Gelora, Teluk Cempedak and Terminal Makmur, Kuantan, Pahang. Convenient sampling method was used in this study. 201 respondents participated and answered a semi-structured questionnaire modified from Adamson. Results showed that the data was normally distributed, 50.2% respondents were male and 58.7% the total respondents were between 16-26 years old. Majority of the respondents had neutral attitude to health and healthcare, and to self-perception; 94.03% and 73.63% respectively. From the results, there were significant association between distance and accessibility, and monthly income, plus between self-perception and demographic data (p
Grief has been defined as the reaction towards loss with typical symptoms including sadness, anger, guilt, yearning, regret, loneliness, numbness and positive feelings related to individual’s personal experience. Grief has been postulated to occur when a safe and secure bond has been threatened. This loss can be an opportunity for personal growth. It is growth that emerges from difficult life events. It may occur during or after the process of grieving. We reviewed three cases related to grief and personal growth. Three cases were described where grief and personal growth were observed. Each case occurred in different situations. These different situations were; an adult child and caregiver of patient with dementia, a widow who loss her husband from drowning, and a cancer survivor who experienced psychological and spiritual growth from the loss and adverse life event. As a comparison three stories taken from the Quran and Hadithwere analyzed to reflect on the three case discussions. The Quran and Hadithhave mentioned stories of personal growth emerging from difficulties. The completeness of Islamic creed has never neglected the spiritual component in treating medical, physical and psychological illnesses. Islamic spirituality facilitates and enhances personal growth in the aftermath of any physical and psychological tribulations. It is important to merge the spiritual aspects of grief from Islamic perspective, as to aid those suffering from grief to attain personal and spiritual growth.
With the modern advances and technological breakthroughs in biomedicine, scientific experiments involving human subjects had increased. Since the American gynecologist Marion Sims (d.1883), who conducted a scientific research on some selected African women suffering from prolapsed uterus disease, or American physician Walter Reed’s (d.1902) team who gave germs of yellow fever to 22 human subjects to test if fever is transmitted by particularly mosquito species, as well as the Tuskegee Syphilis Study that was conductedfrom 1932 until 1972, or the scientific experiments conducted by Nazis of Germany on large numbers of prisoners, clinical trials on human subjects have become part of the scientific activities. These and many other scientific experiments conducted on human subjects had shown the extent of potential threats of unregulated scientific experiments on human life. Serious moral and legal concerns are then raised towards the morality of these activities. These concerns covered four major areas; safety, sanctity of the human body, consent and validity of experiment. This paper uses textual and analytical methods and aims to review Muslim jurists’ opinions on the permissibility of conducting clinical researches that uses human subjects. The opinions of the Muslim jurists are then compared to that of bioethical codes and declarations such as the Nuremberg Code, coined in (1947) and the Helsinki Declaration that was formulated by World Medical Organizationin 1964. Fiqhand legal literature on this subject is exposed, and the moral contents of such writings are analyzed. The study is expected to come up with a comparative account of conventional and Islamic responses to modern clinical trials on human subjects.
Increasing utilization of living animals in ecological and biomedical research has drawn serious concerns in terms of animal welfare and ethical practices in animal handling. Significant attention has been given to animals of higher taxonomical hierarchy especially vertebrates such as fishes, rodents, reptiles and mammals, while ethical framework on invertebrate handling and welfare is less addressed (except for cephalopods). The definition of ‘Animal’ itself by any international consortia or Animal Research Act (ARA) does not include invertebrates as an animal entity. This is due to the lack of standard ethical framework to understand the pain and other physiological stress experienced by the invertebrate test animal. One such example would be the living fossil ‘horseshoe crab’ which is extensively bled to obtain its blue blood that is used for endotoxin quantification in biological samples. The biomedical bleeding itself leads to 15-30% post bleeding mortality of crabs, while pain and stress caused by the bleeding practice is not studied. Hence, this paper discusses the technicality of establishing standard framework for invertebrate handling. The paper also highlights the shari’ah (Islamic law) principles on scientific experimentations on animal subjects, particularly the norms related to the adoption of invertebrates in environmental and biomedical practice. Comprehensive review of ethical regulations in animal experiments, especially invertebrates, would be beneficial for revising and improving existing animal ethical practices.