Displaying all 7 publications

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  1. Chang CY, Rajappan M, Zaid M, Ong E
    J Ayub Med Coll Abbottabad, 2021 3 29;33(1):172.
    PMID: 33774979
  2. Chang CY, Gan YL, Radhakrishnan AP, Ong ELC
    Oxf Med Case Reports, 2022 Jan;2022(1):omab145.
    PMID: 35083058 DOI: 10.1093/omcr/omab145
    Infective endocarditis can result in potentially fatal complications such as heart failure, systemic embolization, mycotic aneurysm and neurological complications. Staphylococci and streptococci are the most common causative agents of infective endocarditis, with Streptococcus gordonii being a rare cause. We present a case of infective endocarditis in a young patient who presented with an acute abdomen 2 months after being diagnosed with cerebrovascular accident. An abdominal computed tomography revealed superior mesenteric artery thrombosis, and infarct in the right kidney and spleen as a result of systemic septic embolism. Echocardiography showed numerous vegetations at the aortic and mitral valves. Infective endocarditis was diagnosed based on echocardiographic findings and positive blood cultures for S. gordonii. He was treated with intravenous benzylpenicillin and was also referred for surgical intervention.
  3. Chang CY, Rajappan M, Zaid M, Ong ELC
    Clin Case Rep, 2020 Dec;8(12):3427-3431.
    PMID: 33363946 DOI: 10.1002/ccr3.3422
    Hemophagocytic lymphohistiocytosis is a rare but severe complication of dengue infection which carries a high mortality. This report highlights the importance of early recognition of this condition as prompt appropriate treatment improves outcomes.
  4. Chang CY, Chai CSY, Ong ELC
    Clin Case Rep, 2020 Dec;8(12):2685-2688.
    PMID: 33363805 DOI: 10.1002/ccr3.3272
    Pulmonary arteriovenous malformation is a vascular anomaly that predisposes to complications of paradoxical embolization including stroke and brain abscess. Here, we present a case of brain abscess associated with pulmonary arteriovenous malformation.
  5. Heng W, Ho MH, Mah XH, Lim JJ, Syamsury NHBA, Haagensen E, et al.
    Med Educ, 2025 Feb 05.
    PMID: 39910710 DOI: 10.1111/medu.15611
    BACKGROUND: Active learning is a learning process that promotes student engagement in constructing knowledge and conceptual understanding, improves critical thinking skills and develops professional competency. In recent years there has been a significant shift of emphasis in higher education from passive teacher-centred didactic teaching to active student-led learning. Although there is abundant literature about active learning, there is a gap in the knowledge of students' perception regarding factors that affect engagement in active learning activities. This project aimed to explore pre-clinical year medical students' perception of active learning and examine the factors that affect their participation in active learning activities.

    METHODS: A mixed-method study was conducted with pre-clinical medical students at Newcastle University Medical School, UK, and Newcastle University Medicine Malaysia. A total of 266 students participated in an online survey questionnaire, with 25 students participating in focus group discussions (FGD). Quantitative data were analysed using descriptive analysis and qualitative data was analysed with thematic analysis.

    RESULTS: The majority of students (94.7%) recognised that active learning is important for their learning, but had a narrow definition of what active learning constituted, and familiarity with active learning techniques was lacking. Many students' independent learning techniques were centred around methods of 'active recall', with factors affecting the utilisation of active learning techniques mainly focused on time availability, group dynamics in active teaching sessions and teaching styles of educators.

    CONCLUSION: Students acknowledged the importance of active learning but are generally unfamiliar with ways to effectively utilise a broad range of active learning strategies. This study demonstrated that it is important for educators to understand firstly how students define active learning as well as how students interact with active learning taught sessions, to ensure that they create an environment where students feel confident to engage in active learning techniques.

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