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Fulltext 15 years review of Gastrocnemius flap done in department of orthopaedics, Hospital Tengku Ampua Afzan, Kuantan

Nazri Mohd Yusof

International Medical Journal Malaysia, 2017;16(11):10-10.
MyJurnal

Gastrocnemius flap is the workhorse for wound coverage in the proximal
tibia. It can be perform by general orthopaedic surgeon because it is done without the
need of microscopic instrumentation. Its coverage can be extended to cover the knee
and midshaft of tibia when skin overlying it is included in the flap. (Copied from article).
Fulltext Integration and Islamisation program for clinical post graduate students in International Islamic University of Malaysia (IIUM)

Nazri Mohd Yusof

International Medical Journal Malaysia, 2018;17(101):91-96.
MyJurnal

Integration and islamisation (INI) programmes for undergraduate medical students have been practiced, reviewed and published in many journals. However, there is only a dearth of study on the implementation of such a programme for postgraduate clinical students. Hence, there is a need to examine such a programme because of the different learning environment and characteristic of the students. The aim of this paper is to examine the existing clinical postgraduate programme at IIUM and attempts to improve the INI curriculum. Method: The study employs an analytical method and important factors for the development of the curriculum are analysed to come out with the objective, content, teaching methodology and assessment method suitable for the program. Result: The study identified the important factors that determine the curriculum to be the needs of National Health Service, the mission of the university, the requirement of the professional body and characteristic of the students. The study proposes that the objective of the program is to produce holistic orthopaedic surgeons who understand the belief of Muslim patients and is able to facilitate them in their ibadah and daily life as a Muslims. This is achieved through offering a course which consists of 4 main subjects on the principles of shariah which include the element of Islamic worldview, fiqh ibadah, fiqh muamalah and Islamic moral values with emphasis on issues related to medicine. The teaching method proposed is having regular seminars which consist of presentations and discussion of important concept in Islamic fiqh and followed by case study on fiqh issues related to Medicine. Finally, the students should be assessed from the case write up which they are required to submit before they can sit for the final professional exam. Conclusion: This improved program enables students to complete their study without compromising their duties to provide services at their respective hospitals.
Fulltext Infection Following Internal Fixation Of Closed Fractures

Nazri Mohd Yusof, Ahmad Hafiz Zulkifly, Kamarul Ariffin Khalid, Zamzuri Zakaria, Aminuddin Che Ahmad, Mohamed Azril Mohamed Amin, et al.

International Medical Journal Malaysia, 2006;5(1):1-6.
MyJurnal

This is a prospective study on infection following fixation of closed fractures done in Hospital Tengku Ampuan Afzan ,Kuantan from May 2003 to May 2005. There were 23 cases in this study. The mean age of patient was 32.9 years (range 15 to 77). Twenty one were males and 2 females. Twenty (87%) infections occurred in the lower limb and only 3(13%) occurred in the upper limbs. Twenty two patients (91%) had plating done for the fracture. Infection following internal fixation is commonly a deep seated (96%) and florid (78%) infection in which 70% occur after the surgical wound has healed. Staphylococcus aureus is the commonest organism isolated in which 43% are Methicillin resistant (MRSA). Overall infection caused by gram negative organisms is more common than gram positive organisms.
Construct and criterion validity of the Malaysia version of Lower Extremity Functional Scale (LEFS)

Mohd Yunus MA, Musa R, Nazri MY

Asia Pac J Sports Med Arthrosc Rehabil Technol, 2017 Oct;10:8-11.
PMID: 29392110 DOI: 10.1016/j.asmart.2017.09.002

Objective: The objective of this study is to translate the Lower Extremity Functional Scale (LEFS) into the Malay language and to validate the resulting version.
Methods: A two-stage observational study was conducted. The LEFS was initially cross-culturally adapted to Malay language through double forward and backward translation. The finalized version of Malay LEFS (M-LEFS) was subsequently validated for both construct validity and criterion validity. Participants (n = 208) with normal lower limb condition and various lower limb conditions completed the M-LEFS.
Results: Reliability of M-LEFS revealed excellent Cronbach's alpha value of 0.98. Construct validity, evaluated using exploratory factor analysis, exhibited good factor loadings (>0.6) of all 20 items. Interestingly, we extracted 2 components which was not reported elsewhere. With a cut-off point of 60, the sensitivity of the scale was 99% and the specificity was 81%.
Conclusions: The M-LEFS had very good psychometric properties among the studied population. Further studies are needed to enhance these preliminary outcomes in Malaysia.