Displaying publications 101 - 120 of 305 in total

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  1. Fulltext Implementing lean principles in administrative procedures: registration process for new student intake in Universiti Sains Islam Malaysia (USIM)
    Hammad Farhi Mohd Saudi, Jamal Abdul Nassir Shaari
    Malaysian Journal of Applied Sciences, 2019;4(1):60-72.
    MyJurnal
    The purpose of this case study is to look at how “Lean Techniques and Principles” can be successfully introduce and implement in the higher education institution or university context. In the last two decades, Lean techniques and principle has been applied to improve production system in manufacturing processes. Lean was introduced in the 1950s by Womack and Jones known as the Toyota Production System (TPS) by the legendary car manufacturer Toyota, the world’s most profitable automaker and have spent decades perfecting lean practices in the production. The method used was to produce more productivity while using fewer resources and identifying activities which creates value for customers, activities which do not create value but are required and actions which do not create value and can be eliminated. This case study demonstrates how “Lean Principles” can be adopted to the administration services particularly in the registration process for new student intake in USIM. The objective of this case study includes : to identify the needs of improving the registration process by eliminating the waste (Muda) such as time wastage, human resource wastage, to introduce the apparatus required to reduce and eliminate waste, to redesign the process using the lean techniques and principles to eliminate waste and to continually improve the process with the goal to achieve perfection for customer satisfaction and university’s reputation. How Lean Principles can transform the work process in the registration procedure, process efficiency, the reasons for implementing Lean in the process, minimize the lead time, minimize the financial cost and the role of management. This paper contains a comprehensive discussion and findings of the development of Lean principles and management through one of the models, namely; Value Stream Mapping (VSM) process which can enhance the operational process in the university environment to improve the process, particularly in the new student registration process.
    Matched MeSH terms: Goals
  2. Alternate careers for medical graduates and house officers in Malaysia
    Naicker AS, Vinoshn DK, Yuliawiratman BS, Alaga A, Kevin Ng WS, Naicker MS, et al.
    Med J Malaysia, 2021 03;76(2):183-189.
    PMID: 33742626
    INTRODUCTION: In recent years, many unresolved issues pertaining to house officers in Malaysia have led to a longer waiting time and a 'glut' of medical graduates with a surprising 20% dropout amongst those who join the housemanship programme. This appears to reflect the changing times, mindsets and work expectations of millennials who comprise this cohort reflecting a need to consider possibilities of career shifts especially so in these uncertain times. This study explores the perceptions, awareness and interest in alternative career options amongst recent graduates and house officers.

    MATERIALS AND METHODS: This was a study done between 2018 and 2019 using a questionnaire which was shared on various social platforms. Data analysis was done using Excel spreadsheet.

    RESULTS: A total of 450 house officers and 657 medical graduates responded. Expectedly 66.8% claimed lifelong passion whilst another 12.1% claimed family influence as their reason to do medicine. Most were aware of their career challenges and 40% of them were keen to consider career change and reskilling indicating a possible shift from traditional expectations of a medical career.

    CONCLUSION: Whilst medicine is often considered a true calling, current challenges will require mental and emotional flexibility to explore other career opportunities. Thus, engagement programmes should be directed at medical graduates and house officers to identify and support those open to career transitions. This will help address current issues of internship bottleneck and rising dropout rates amongst internees. Early career change engagements will give them insight into their true career goals whilst opening up opportunities for those who wish to change.

    Matched MeSH terms: Goals
  3. Fulltext Goal orientation among KARISMA 2018 athletes
    Nurasiken Hanafiah, Daniyal Donny Man, Nur Khairunisa Abu Talip, Suhardi Kram
    Jurnal Sains Sukan & Pendidikan Jasmani, 2020;9(2):10-16.
    MyJurnal
    Goal orientation is a part of the psychological factors that needed by athletes to achieve a better performance in a competition. The aim of this study is to investigate the difference of goal orientation between gender and type of sports among Karnival Sukan Mahasiswa UiTM (KARiSMA) Perak athletes. Task and ego sport questionnaire (TEOSQ) was used to examine the goal orientation among athletes. There were four hundred (n=400) participants for this study. The results show that there was no significant difference between task orientation and gender. However, there was a significant difference observed between genders of athletes in terms of ego orientation. Furthermore, there was a significant difference in goal orientation between types of sport. In conclusion, if the athletes were able to set the goals in task orientation, the athletes can achieve better in sport.
    Matched MeSH terms: Goals
  4. Fulltext Pulmonary Vein Stenosis: A Rare Disease with a Global Reach
    Schramm J, Sivalingam S, Moreno GE, Thanh DQL, Gauvreau K, Doherty-Schmeck K, et al.
    Children (Basel), 2021 Mar 06;8(3).
    PMID: 33800765 DOI: 10.3390/children8030198
    Pulmonary vein stenosis (PVS) is a rare, but high mortality and resource intensive disease caused by mechanical obstruction or intraluminal myofibroproliferation, which can be post-surgical or idiopathic. There are increasing options for management including medications, cardiac catheterization procedures, and surgery. We queried the International Quality Improvement Collaborative for Congenital Heart Disease (IQIC) database for cases of PVS and described the cohort including additional congenital lesions and surgeries as well as infectious and mortality outcomes. IQIC is a quality improvement project in low-middle-income countries with the goal of reducing mortality after congenital heart surgery. Three cases were described in detail with relevant images. We identified 57 cases of PVS surgery, with similar mortality to higher income countries. PVS should be recognized as a global disease. More research and collaboration are needed to understand the disease, treatments, and outcomes, and to devise treatment approaches for low resource environments.
    Matched MeSH terms: Goals
  5. Fulltext Socio-Ecological Hypothesis of Reconciliation: Cultural, Individual, and Situational Variations in Willingness to Accept Apology or Compensation
    Komiya A, Ozono H, Watabe M, Miyamoto Y, Ohtsubo Y, Oishi S
    Front Psychol, 2020;11:1761.
    PMID: 32793075 DOI: 10.3389/fpsyg.2020.01761
    The main goal of the present research is to examine socio-ecological hypothesis on apology and compensation. Specifically, we conducted four studies to test the idea that an apology is an effective means to induce reconciliation in a residentially stable community, whereas compensation is an effective means in a residentially mobile community. In Studies 1, 2a, and 2b, American and Japanese participants (national difference in mobility; Study 1) or non-movers and movers (within-nation difference in mobility; Studies 2a and 2b) imagined the situations in which they were hurt by their friends and rated to what extent they would be willing to maintain their friendships upon receipt of apology or compensation. The results showed that compensation was more effective in appeasing residentially mobile people (i.e., Americans and movers) than stable people (i.e., Japanese and non-movers), while apology was slightly more effective appeasing residentially stable people than residentially mobile people (significant in Study 1; not significant in Studies 2a and 2b). In Study 3, by conducting an economics game experiment, we directly tested the hypothesis that mobility would impair the effectiveness of apology and enhance the effectiveness of compensation. The results again partially supported our hypothesis: In the high mobility condition, compensation increased one's willingness to continue the relationship with the offender, when compared to willingness in the low mobility condition. The importance of socio-ecological perspective on the forgiveness literature is discussed.
    Matched MeSH terms: Goals
  6. Fulltext Smart and Climate-Smart Agricultural Trends as Core Aspects of Smart Village Functions
    Adesipo A, Fadeyi O, Kuca K, Krejcar O, Maresova P, Selamat A, et al.
    Sensors (Basel), 2020 Oct 22;20(21).
    PMID: 33105622 DOI: 10.3390/s20215977
    Attention has shifted to the development of villages in Europe and other parts of the world with the goal of combating rural-urban migration, and moving toward self-sufficiency in rural areas. This situation has birthed the smart village idea. Smart village initiatives such as those of the European Union is motivating global efforts aimed at improving the live and livelihood of rural dwellers. These initiatives are focused on improving agricultural productivity, among other things, since most of the food we eat are grown in rural areas around the world. Nevertheless, a major challenge faced by proponents of the smart village concept is how to provide a framework for the development of the term, so that this development is tailored towards sustainability. The current work examines the level of progress of climate smart agriculture, and tries to borrow from its ideals, to develop a framework for smart village development. Given the advances in technology, agricultural development that encompasses reduction of farming losses, optimization of agricultural processes for increased yield, as well as prevention, monitoring, and early detection of plant and animal diseases, has now embraced varieties of smart sensor technologies. The implication is that the studies and results generated around the concept of climate smart agriculture can be adopted in planning of villages, and transforming them into smart villages. Hence, we argue that for effective development of the smart village framework, smart agricultural techniques must be prioritized, viz-a-viz other developmental practicalities.
    Matched MeSH terms: Goals
  7. Fulltext Glomus tympanicum
    Appannan, V.R., Md Daud, M.K.
    Malaysian Family Physician, 2018;13(1):45-48.
    MyJurnal
    Glomus tympanicum is a tumour classified under the group glomus tumours, and is also known
    as paragangliomas. It is thought to commonly occur in women in the fifth to sixth decades of life.
    Here, we report a case of a 77-year-old lady with multiple co-morbids and a diagnosis of glomus
    tympanicum presenting to us. Her symptoms included pulsatile tinnitus, and reduced hearing,
    and the management of the case was done with consideration for her underlying multiple comorbidities. This paper also describes the best modality of treatment for this patient with regard
    to her background history. The treatment goal was to improve her quality of life and control the
    disease.
    Matched MeSH terms: Goals
  8. Fulltext Development and implementation of a potential coronavirus disease 2019 (COVID-19) vaccine: A systematic review and meta-analysis of vaccine clinical trials
    Sathian B, Asim M, Banerjee I, Roy B, Pizarro AB, Mancha MA, et al.
    Nepal J Epidemiol, 2021 Mar;11(1):959-982.
    PMID: 33868742 DOI: 10.3126/nje.v11i1.36163
    Background: To date, there is no comprehensive systematic review and meta-analysis to assess the suitability of COVID-19 vaccines for mass immunization. The current systematic review and meta-analysis was conducted to evaluate the safety and immunogenicity of novel COVID-19 vaccine candidates under clinical trial evaluation and present a contemporary update on the development and implementation of a potential vaccines.

    Methods: For this study PubMed, MEDLINE, and Embase electronic databases were used to search for eligible studies on the interface between novel coronavirus and vaccine design until December 31, 2020.

    Results: We have included fourteen non-randomized and randomized controlled phase I-III trials. Implementation of a universal vaccination program with proven safety and efficacy through robust clinical evaluation is the long-term goal for preventing COVID-19. The immunization program must be cost-effective for mass production and accessibility. Despite pioneering techniques for the fast-track development of the vaccine in the current global emergency, mass production and availability of an effective COVID-19 vaccine could take some more time.

    Conclusion: Our findings suggest a revisiting of the reported solicited and unsolicited systemic adverse events for COVID-19 candidate vaccines. Hence, it is alarming to judiciously expose thousands of participants to COVID-19 candidate vaccines at Phase-3 trials that have adverse events and insufficient evidence on safety and effectiveness that necessitates further justification.

    Matched MeSH terms: Goals
  9. Fulltext Improvement of urgent tests laboratory turnaround time through laboratory lean management
    Salbiah Isa, Rohayu Hami, Hanita Hashim, Mohd Nizam S., Harani MS., Sairi S., et al.
    Malaysian Journal of Medicine and Health Sciences, 2020;16(102):15-21.
    MyJurnal
    Introduction: Laboratory turnaround time (LTAT) is considered a reliable indicator of the quality and efficiency of a laboratory’s service. LTAT achievement, particularly of urgent tests, remains unsatisfactory and challenging in many clinical laboratories especially in tertiary health care centres with high workload and restricted resources. The unresolved issue of unsatisfactory urgent renal profile (RP) LTAT below the standard performance goal prompted our interest to improve laboratory’s handling of urgent test request. We thus implemented the Lean principle in the management of urgent test requests using urgent RP as the test model. Methods: The implementation of laboratory Lean involved 4 steps process; (1) Development of burning platform for change (2) Identification of waste (3) Plan- ning and implementation of control measures (4) Measuring, monitoring, and sustaining the improvement. Urgent RP LTAT and the percentage of the request met the time requirement determined based on the data extracted from laboratory information system (LIS) before and after the implementation of Lean was compared to assess the effec- tiveness. Results: Urgent RP LTAT after the implementation of Lean was reduced i.e 35 min (before) vs 31 min (after), with the percentage of LTAT met the time requirement was significantly increased above the set target i.e 82.8% (before) to 93.5% (after) with P-value = 0.001. Conclusion: Implementation of innovation using Lean management has significantly improved urgent RP LTAT achievement, thus optimised urgent test management in our Chemical Pathology laboratory. Lean is a strongly recommended strategy to improve urgent test LTAT especially in laboratories with restricted resources.
    Matched MeSH terms: Goals
  10. Evaluation of production cross-sections for theranostic 67Cu radionuclide via proton-induced nuclear reaction on 68Zn target
    Ali SKI, Khandaker MU, Al-Mugren KS, Latif SA, Bradley DA, Okhunov AA, et al.
    Appl Radiat Isot, 2021 Jul;173:109735.
    PMID: 33915407 DOI: 10.1016/j.apradiso.2021.109735
    Copper-67 (T1/2 = 61.83 h, Eβ-mean=141 keV, Iβ-total=100%; Eγ = 184.577 keV, Iγ = 48.7%) is a promising radionuclide for theranostic applications especially in radio immunotherapy. However, one of the main drawbacks for its application is related to its limited availability. Various nuclear reaction routes investigated in the last years can result in 67Cu production, although the use of proton beams is the method of choice taken into account in this work. The goal of this work is a revision of the cross-sections aimed at 67Cu yield, which were evaluated for the 68Zn(p,2p)67Cu reaction route up to 80 MeV proton energy. A well-defined statistical procedure, i.e., the Simultaneous Evaluation on KALMAN (SOK), combined with the least-squares concept, was used to obtain the evaluated data together with the covariance matrix. The obtained evaluated data were also compared to predictions provided by the nuclear reaction model codes TALYS and EMPIRE, and a partial agreement among them has been found. These data may be useful for both existing and potential applications in nuclear medicine, to achieve an improvement and validation of the various nuclear reaction models, and may also find applications in other fields (e.g., activation analysis and thin layer activation).
    Matched MeSH terms: Goals
  11. Replicating remembering "remembering"
    Janssen SMJ, Anthony K, Chang CYM, Choong EL, Neoh JY, Lim A
    Memory, 2020 Dec 31.
    PMID: 33382346 DOI: 10.1080/09658211.2020.1868525
    When examining spontaneously recovered memories of childhood sexual abuse, victims report that there had been periods in which they had forgotten the abuse. However, there are sometimes people with whom the victim had spoken about the abuse during the period in which the victim had supposedly forgotten the abuse, suggesting the victim had not forgotten the abuse but the prior recall of the abuse. The underestimation of previous knowledge is termed the forgot-it-all-along effect. The goal of the present study was replicating the results of a laboratory study that had provided a theoretical understanding for the forgot-it-all-along effect by showing that people have difficulties remembering "remembering" when the memory had previously been recalled in a different context. The effect was replicated by using the same neutral context sentences, suggesting the finding was robust. We also extended the experimental design by using positive and negative context sentences, but it did not become smaller when the positive sentences provided the different context or larger when the negative sentences provided the different context. Although the sample sizes were sufficiently large to provide statistical power for the forgot-it-all-along effect, they may not have been sufficiently large to observe the moderation effects of emotional context.
    Matched MeSH terms: Goals
  12. Fulltext A rule-based energy management scheme for long-term optimal capacity planning of grid-independent microgrid optimized by multi-objective grasshopper optimization algorithm
    Bukar AL, Tan CW, Yiew LK, Ayop R, Tan WS
    Energy Convers Manag, 2020 Oct 01;221:113161.
    PMID: 32834297 DOI: 10.1016/j.enconman.2020.113161
    Off-grid electrification of remote communities using sustainable energy systems (SESs) is a requisite for realizing sustainable development goals. Nonetheless, the capacity planning of the SESs is challenging as it needs to fulfil the fluctuating demand from a long-term perspective, in addition to the intermittency and unpredictable nature of renewable energy sources (RESs). Owing to the nonlinear and non-convex nature of the capacity planning problem, an efficient technique must be employed to achieve a cost-effective system. Existing techniques are, subject to some constraints on the derivability and continuity of the objective function, prone to premature convergence, computationally demanding, follows rigorous procedures to fine-tune the algorithm parameters in different applications, and often do not offer a fair balance during the exploitation and exploration phase of the optimization process. Furthermore, the literature review indicates that researchers often do not implement and examine the energy management scheme (EMS) of a microgrid while computing for the capacity planning problem of microgrids. This paper proposes a rule-based EMS (REMS) optimized by a nature-inspired grasshopper optimization algorithm (GOA) for long-term capacity planning of a grid-independent microgrid incorporating a wind turbine, a photovoltaic, a battery (BT) bank and a diesel generator (

    D

    g
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    n


    ). In which, a rule-based algorithm is used to implement an EMS to prioritize the usage of RES and coordinate the power flow of the proposed microgrid components. Subsequently, an attempt is made to explore and confirm the efficiency of the proposed REMS incorporated with GOA. The ultimate goal of the objective function is to minimize the cost of energy (COE) and the deficiency of power supply probability (DPSP). The performance of the REMS is examined via a long-term simulation study to ascertain the REMS resiliency and to ensure the operating limit of the BT storage is not violated. The result of the GOA is compared with particle swarm optimization (PSO) and a cuckoo search algorithm (CSA). The simulation results indicate that the proposed technique's superiority is confirmed in terms of convergence to the optimal solution. The simulation results confirm that the proposed REMS has contributed to better adoption of a cleaner energy production system, as the scheme significantly reduces fuel consumption,


    CO

    2

    emission and COE by 92.4%, 92.3% and 79.8%, respectively as compared to the conventional

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    . The comparative evaluation of the algorithms shows that REMS-GOA yields a better result as it offers the least COE (objective function), at $0.3656/kW h, as compared to the REMS-CSA at $0.3662/kW h and REMS-PSO at $0.3674/kW h, for the desired DPSP of 0%. Finally, sensitivity analysis is performed to highlight the effect of uncertainties on the system inputs that may arise in the future.
    Matched MeSH terms: Goals
  13. Fulltext Dataset of driving behaviours in Selangor, Malaysia
    You HW, Abdul Rahman A, Hendri Dwisatrya LH
    Data Brief, 2020 Aug;31:105783.
    PMID: 32642504 DOI: 10.1016/j.dib.2020.105783
    Road traffic accidents have been recognised as a leading cause of death, and one of the prominent public health problems. The human factor, which is the driving behaviour in particular, is said to be the main cause. In line with this, the objective of this research is to present a data article on the response of driving behaviours among drivers. Driving behaviours have been classified into five dimensions, which are speeding, improper overtaking, mobile phone use while driving, tail-gating and disobeying traffic lights. A quantitative study was conducted with a sample size of 160 drivers consisting of residents in a suburban of Selangor, Malaysia. A stratified random sampling method was adopted to identify the respondents. Data analysis was presented in the form of descriptive statistics and tables. The findings show that the majority of respondents agreed that they have driving behaviours that involve improper overtaking, tail-gating and disobeying traffic lights.
    Matched MeSH terms: Goals
  14. Fulltext Effects of substratum and depth on benthic harmful dinoflagellate assemblages
    Lee LK, Lim ZF, Gu H, Chan LL, Litaker RW, Tester PA, et al.
    Sci Rep, 2020 07 09;10(1):11251.
    PMID: 32647125 DOI: 10.1038/s41598-020-68136-6
    Microhabitats influence the distribution and abundance of benthic harmful dinoflagellate (BHAB) species. Currently, much of the information on the relationships between BHABs and microhabitat preferences is based on non-quantitative anecdotal observations, many of which are contradictory. The goal of this study was to better quantify BHAB and microhabitat relationships using a statistically rigorous approach. Between April 2016 to May 2017, a total of 243 artificial substrate samplers were deployed at five locations in the Perhentian Islands, Malaysia while simultaneous photo-quadrat surveys were performed to characterize the benthic substrates present at each sampling site. The screen samplers were retrieved 24 h later and the abundances of five BHAB genera, Gambierdiscus, Ostreopsis, Coolia, Amphidinium, and Prorocentrum were determined. Substrate data were then analyzed using a Bray-Curtis dissimilarity matrix to statistically identify distinct microhabitat types. Although BHABs were associated with a variety of biotic and abiotic substrates, the results of this study demonstrated differing degrees of microhabitat preference. Analysis of the survey results using canonical correspondence analysis explained 70.5% (horizontal first axis) and 21.6% (vertical second axis) of the constrained variation in the distribution of various genera among microhabitat types. Prorocentrum and Coolia appear to have the greatest range being broadly distributed among a wide variety of microhabitats. Amphidinium was always found in low abundances and was widely distributed among microhabitats dominated by hard coral, turf algae, sand and silt, and fleshy algae and reached the highest abundances there. Gambierdiscus and Ostreopsis had more restricted distributions. Gambierdiscus were found preferentially associated with turf algae, hard coral and, to a lesser extent, fleshy macroalgae microhabitats. Ostreopsis, almost always more abundant than Gambierdiscus, preferred the same microhabitats as Gambierdiscus and were found in microbial mats as well. With similar habitat preferences Ostreopsis may serve as an indicator organism for the presence of Gambierdiscus. This study provides insight into how BHAB-specific microhabitat preferences can affect toxicity risks.
    Matched MeSH terms: Goals
  15. Fulltext General Practitioners Involvement in Public Health Infectious Disease Surveillance, District of Kota Kinabalu: A Brief Descriptive Study
    Musiun, Aldrin Alexander
    Borneo Journal of Medical Sciences, 2018;12(101):25-0.
    MyJurnal
    Infectious disease remains a public health concern in Malaysia. Efficient public health infectious disease surveillance is needed in order to address the issues posed by infectious disease. The main goal of public health infectious disease surveillance is to facilitate the control and prevention of the infectious diseases. For that, infectious disease surveillance needs involvement of multidiscipline either in government or non-government/private to ensure its success. General practitioners (GPs) have an important role in public health infectious disease surveillance considering their role and position as one of the main front liner medical personnel.
    Matched MeSH terms: Goals
  16. Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals
    Salahuddin L, Ismail Z, Abd Ghani MK, Mohd Aboobaider B, Hasan Basari AS
    J Eval Clin Pract, 2020 Oct;26(5):1416-1424.
    PMID: 31863517 DOI: 10.1111/jep.13326
    OBJECTIVES: The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals.

    METHODS: Semi-structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementation of the Total Hospital Information System (THIS) between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes.

    RESULTS: Five themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time.

    CONCLUSIONS: This study provided the key factors as to why doctors were involved in workarounds during the implementation of the HIS. It is important to understand these factors in order to help mitigate work practices that can pose a threat to patient safety.

    Matched MeSH terms: Goals
  17. Diagnosis of chikungunya virus infection in Baja California Sur, Mexico
    Moreno-Legorreta M, Tozar-Zamora I, Serrano-Pinto V
    Trop Biomed, 2020 Sep 01;37(3):722-729.
    PMID: 33612785 DOI: 10.47665/tb.37.3.722
    Chikungunya virus infection had not been reported by the National Secretary of Health of the State of Baja California Sur, Mexico before 2015, and until now, no information of the disease has been published. Thus, the objective of this study was to assess the tendency that the disease has shown since its introduction. The total number of cases in the state was analyzed, and the incidence rate of infection was evaluated in the general population, age groups, and gender. From 2015-2019, the year with the highest number of reported cases was 2016 with 210 cases, but no cases were reported from 2018-2019. The gender with the highest number of cases was female. The most affected age group was adults 45-64 years of age.
    Matched MeSH terms: Goals
  18. Fulltext Concept of professional socialization in nursing
    Pei, Kuan Lai, Pek, Hong Lim
    International e-Journal of Science, Medicine & Education, 2012;6(1):31-35.
    MyJurnal
    Each nursing student comes to nursing with a lay image of nursing portrayed by nurses they have seen. This lay perception of nursing that a nursing student holds is transformed to a more professional understanding that is acquired in nursing schools. This process is known as professional socialization. It is a process of learning the norms, attitudes, behaviours, skills, roles, and values of the profession. It involves the internalization of the values and norms of the profession in the individual’s own behaviour and self-concept. The ultimate goal of professional socialization is to internalize a professional identity of the profession. Professional socialization sets in to reduce the tension from the scenario of reality shock and facilitate adaptation during the transition process. This paper serves as a concept paper with the main purpose of introducing and explaining the concept of professional socialization in nursing to help the readers in gaining further understanding of the concept, especially within the local context. The first author has also incorporated her own personal reflections with regards to her socialization process to nursing.
    Matched MeSH terms: Goals
  19. Fulltext Distal radius morphometry in the Malaysian population
    Chan CYW, Vivek AS, Leong WH, Rukmanikanthan S
    Malays Orthop J, 2008;2(2):27-30.
    MyJurnal
    The goal of treatment in distal radius fracture is to restore the anatomy of the distal radius, however the criteria currently used to evaluate the quality of eduction are based on Western based published figures. This goal of this study was to investigate whether there are variations in the morphology of the distal radius among the multiracial population of Malaysia. Consecutive normal wrist radiographs of patients who presented to the accident and emergency unit in three major hospitals in Malaysia were measured. The palmar tilt of the distal radius averaged 12.6o ± 3.55o, and the radial inclination averaged 25.1o ± 3.42o. The ulnar variance averaged – 0.1 ± 1.31mm, 38.4% of the patients had neutral ulnar variance, 28.8% have negative ulnar variance and 32.9% have positive ulnar variance. Our results indicate that distal radius morphometric parameters in the Malaysian population are comparable to Western figures.
    Matched MeSH terms: Goals
  20. Fulltext Shock in the neonate
    Davendralingam Sinniah, Thiruselvi Subramaniam, Myint Myint Soe-Hsiao
    International e-Journal of Science, Medicine & Education, 2013;7(2):17-28.
    MyJurnal
    Shock is a clinical challenge to neonatal intensivists and pediatricians alike. It occurs in critically ill babies for many reasons, but the main cause is sepsis that kills more than a million newborn globally every year. This article is designed to help young doctors and trainees have a better understanding of shock in the neonatal period and its management. The paper reviews the basic pathophysiology, risk factors, clinical investigation, management, supportive care, and complications in the common types of shock seen in neonates. Treatment is governed largely by the underlying cause, with the ultimate goal of achieving adequate tissue perfusion with delivery of oxygen and substrates to the cells, and removal of toxic metabolic waste products. Intervention needs to be anticipatory and urgent to prevent progression to uncompensated and irreversible shock respectively. Early recognition and urgent effective management are crucial to successful outcomes.
    Matched MeSH terms: Goals
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