Displaying publications 1 - 20 of 26 in total

Abstract:
Sort:
  1. Rajiah K, Ving CJ
    J Int Soc Prev Community Dent, 2014 Nov;4(Suppl 1):S56-62.
    PMID: 25452930 DOI: 10.4103/2231-0762.144601
    Community pharmacies are now frequently being visited by customers/patients to seek oral advice. Malaysian community pharmacists are also found to be experiencing an increased demand of oral health advices by their visiting customers.
  2. Ting, Lo Chieng, Rajiah, Kingston, Shan Shan, Cheong, Ming, Leow Yeow
    MyJurnal
    Nowadays, community pharmacist plays an important role in medication counseling, patients’ side effects monitoring and
    drug information delivery. The need of patient counseling has become a vital part of the pharmacy practice and
    pharmaceutical care. Through Continuing Pharmacy Education (CPE) program, pharmacists can develop into professions in
    different areas including drug delivery, drug information, technology and patient education. This study was conducted to
    evaluate the perception of community pharmacists towards patient counseling and continuing education program in
    Sabah and Sarawak, East Malaysia. A cross-sectional study design utilizing questionnaires was prepared by an extensive
    literature review. The research was carried out in four major areas in Sarawak; Sibu, Kuching, Bintulu and Miri and in
    three major areas Sabah; Kota kinabalu, Sepilok, Tawau by convenience sampling method. Descriptive analysis was
    conducted using SPSS version 18. Perception of community pharmacists towards patients counseling and continuing
    education program was analysed using scaling method. A cut-off score of 25.8 was used to indicate the perception of
    community pharmacists. The Pharmacists scored a cut-off point of 25.8 and above were considered to have good
    perception. A sample of 174 community pharmacists from Sabah and Sarawak were participated in this study. All of the
    respondents except one had positive perception towards patient counseling and continuing education program. Overall,
    almost all the community pharmacists had positive perception towards patient counseling and continuing education
    program in Sabah and Sarawak, East Malaysia. Further research is needed to evaluate perception of community
    pharmacists in different states of Malaysia and explore more on continuing education program in Malaysia.
  3. Rajiah K, Saravanan C
    Am J Pharm Educ, 2014 Nov 15;78(9):163.
    PMID: 25525278 DOI: 10.5688/ajpe789163
    To analyze the effect of psychological intervention on reducing performance anxiety and the consequences of the intervention on first-year pharmacy students.
  4. Rajiah K, Veettil SK, Kumar S
    Clin Teach, 2014 Dec;11(7):551-6.
    PMID: 25417986 DOI: 10.1111/tct.12213
    The evaluation of clinical skills and competencies is a high-stakes process carrying significant consequences for the candidate. Hence, it is mandatory to have a robust method to justify the pass score in order to maintain a valid and reliable objective structured clinical examination (OSCE). The aim was to trial the borderline approach using the two-domain global rating scale for standard setting in the OSCE.
  5. Rajiah K, Ren WS, Jamshed SQ
    J Infect Public Health, 2015 May-Jun;8(3):266-73.
    PMID: 25530352 DOI: 10.1016/j.jiph.2014.11.003
    BACKGROUND:
    Infectious diseases are a great threat to humankind, and antibiotics are a viable proposition to numerous pathologies. However, antibiotic resistance is a global concern. Therefore, the aims of this survey were to explore the understanding and attitudes of pharmacy students regarding antibiotic use and resistance.

    METHODS:
    This is a cross-sectional study conducted on final-year undergraduate pharmacy students from 5 public universities. A validated, self-administered questionnaire written in English was used to collect data. It was made up of six domains and forty-five questions. Raosoft software was used to determine the minimum required sample size. Descriptive and inferential data analyses were carried out using SPSS version 20 software.

    RESULTS:
    Out of 346 students, only 59.5% showed a strong understanding of antibiotic usage, while 84.4% of students demonstrated a good level of understanding regarding the issue of antibiotic resistance. However, only 34.1% of students demonstrated a positive attitude toward this issue.

    CONCLUSION:
    This survey reveals that final-year pharmacy students at Malaysian public universities have a relatively good understanding of antibiotic resistance. However, their attitudes did not strongly correlate to their knowledge.

    Copyright © 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

    KEYWORDS:
    Antibiotic resistance; Malaysian public universities; Pharmacy students
  6. Mathew EM, Rajiah K, Sharma KK
    J Clin Diagn Res, 2013 Dec;7(12):2800-2.
    PMID: 24551641 DOI: 10.7860/JCDR/2013/6468.3762
    Printed education materials are often used to augment healthcare professional's verbal information to consumers so it serves as an important component of symptom management. They also enhance the teaching process and can be used by consumers as a home reference.
  7. Rajiah K, Maharajan MK, Nair S
    Saudi Pharm J, 2016 Sep;24(5):600-604.
    PMID: 27752233
    Pharmacy students' knowledge about adverse drug reaction reporting can impact their attitude towards patient care and issues on patient safety. The aim of this study was to investigate the knowledge and perception of pharmacy students about adverse drug reaction reporting and pharmacovigilance and to study their willingness to report. A cross-sectional study using a validated questionnaire was conducted among the university students. The demographic details of the respondents were studied. The number of female respondents was comparatively higher than the male respondents. There were no significant differences by gender regarding the knowledge on adverse drug reaction reporting and pharmacovigilance except with the knowledge of post-marketing surveillance for which male students appeared to be more knowledgeable than female students. The results showed that the pharmacy students had sufficient knowledge and there are significant differences in perception among the students on adverse drug reaction reporting.
  8. Rajiah K, Sivarasa S, Maharajan MK
    PMID: 33918990 DOI: 10.3390/ijerph18094392
    Community pharmacists are responsible for providing the appropriate information on the use of medications to patients, which may enhance their medication adherence. The extent of control that patients have on their health care preferences creates many challenges for community pharmacists. This study aimed to determine the impact of pharmacist interventions and patient decisions on health outcomes concerning medication adherence and the quality use of medicines among patients attending community pharmacies. Appropriate studies were identified in a systematic search using the databases of Medline, Scopus, Google Scholar, and PubMed. The search included literature published between 2004 and 2019. The database searches yielded 683 titles, of which 19 studies were included after the full-text analysis with a total of 9313 participants. Metaprop command in Stata software version 14 was used for the analysis. This study was undertaken based on the general principles of the Cochrane Handbook for Systematic Reviews of Interventions and subsequently reported according to the Preferred Reporting Items for Systematic Reviews (PRISMA) extension. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach was directly used to rate the quality of evidence (high, moderate, low, or very low). The results revealed the effective interaction between patients and community pharmacists, the importance of pharmacist intervention on medication adherence and quality use of medicine, and the role of community pharmacists in counselling patients. Decision/choice of patients in self-care and self-medication is a factor contributing to health outcomes. Effective interaction of community pharmacists with patients in terms of medication adherence and quality use of medicines provided a better health outcome among patients. The community pharmacists influenced the decision/choice of patients in self-care and self-medications.
  9. Chu J, Maharajan MK, Rajiah K
    Int J Pharm Pract, 2024 Mar 06;32(2):146-155.
    PMID: 38071745 DOI: 10.1093/ijpp/riad087
    OBJECTIVE: This study aimed to investigate patterns of extended pharmacy services (EPS) provided by Malaysian community pharmacists and their willingness to provide value-added services (VAS) in addition to EPS. Additionally, this study examined the barriers to the effective implementation of these two services.

    METHOD: A cross-sectional survey was conducted using a self-administered questionnaire among community pharmacists in Selangor and Kuala Lumpur. Convenience sampling was done, and descriptive statistics and correlation analysis were performed.

    RESULTS: Two hundred and thirty-six pharmacists participated. The most rendered EPS were nutritional supplements, hypertension management, and diabetic management, while chronic kidney disease management, smoking cessation, and mental health services were the least rendered. Pharmacists were willing to provide medication waste management and vaccination as VAS but were less inclined towards therapeutic drug monitoring and sterile compounding. Barriers included limited access to medical records of patients, lack of designated counselling areas, and concerns about remuneration. High sales pressure and busy workloads were additional barriers to providing VAS. Continuous professional development (CPD) positively influenced pharmacists' engagement in EPS and VAS.

    CONCLUSIONS: This study highlights service provision trends and areas for improvement. Addressing identified barriers, such as enhancing access to patient records and establishing designated counselling areas, can improve service delivery. Remuneration models and workload management strategies should be considered to alleviate barriers related to sales pressure and time constraints. Promoting CPD opportunities is crucial for enhancing pharmacist engagement and optimizing EPS and VAS.

  10. Rajiah K, Maharajan MK, Chin NS, Num KS
    Virusdisease, 2015 Dec;26(4):297-303.
    PMID: 26645041 DOI: 10.1007/s13337-015-0287-3
    The major cause of cervical cancer is human papillomavirus (HPV) for which vaccination is available. The success HPV vaccination programme largely depend on the degree of knowledge of the healthcare providers who can recommend to the public. Health sciences students as future healthcare providers play a major role in HPV vaccination initiatives. The objective of this study was to evaluate the knowledge, attitude, practice and to find out the willingness to pay for HPV vaccination among the health sciences students in a private university. The cross-sectional study was conducted among the university students studying health sciences program using a validated questionnaire to measure their awareness and acceptance of HPV vaccination. The students demonstrated moderate knowledge about HPV infection and vaccination with mean knowledge scores of 9.3 out of 17. Students were showing positive attitude towards HPV vaccination with mean scores of 3.80 out of 5. However, low HPV vaccination uptake rate was reported among the students. Most of the students were willing to recommend HPV vaccine. The participants felt that the cost is the major barrier towards HPV vaccination and they felt the government should cover the cost of vaccination for all. The results of this study may be helpful in establishing educational policies on cervical cancer-related topics in the universities.
  11. Maharajan MK, Rajiah K, Sze Fang KN, Lui LY
    J Cancer Educ, 2017 03;32(1):166-174.
    PMID: 26661462 DOI: 10.1007/s13187-015-0957-2
    This study was conducted to evaluate knowledge of undergraduate pharmacy students about human papillomavirus infection and their attitude towards its prevention. A cross-sectional survey was conducted in 270 undergraduate pharmacy students using a validated questionnaire to assess knowledge about human papillomavirus infection and cervical cancer and their attitudes towards human papillomavirus vaccines. Eighty-one percent of the respondents knew that human papillomavirus is a cause of cervical cancer, and 87.8 % knew that this infection is preventable. The gender of the respondents showed the strongest correlations with human papillomavirus knowledge. There were no significant correlations between the ethnic group of the respondents and their human papillomavirus-related knowledge. Higher perceptions of risk were associated with relationship status, and respondents who were in a relationship showed greater interest in vaccinating themselves; relationship status emerged as a unique predictor. The results indicated a moderately high level of knowledge and positive attitude towards human papillomavirus vaccination with few disagreements. The results of this study will help to develop and plan appropriate education campaigns for pharmacy students that aim to reduce human papillomavirus infection and, consequently, the incidence of and mortality caused by cervical cancer in Malaysia.
  12. Maharajan MK, Rajiah K, Num KS, Yong NJ
    Asian Pac J Cancer Prev, 2015;16(14):5733-9.
    PMID: 26320444
    The primary objective of this study was to assess the knowledge of medical students and determine variation between different cultural groups. A secondary aim was to find out the willingness to pay for cervical cancer vaccination and the relationships between knowledge and attitudes towards Human Papillomavirus vaccination. A cross-sectional survey was conducted in a private medical university between June 2014 and November 2014 using a convenient sampling method. A total of 305 respondents were recruited and interviewed with standard questionnaires for assessment of knowledge, attitudes and practice towards human papilloma virus and their willingness to pay for HPV vaccination. Knowledge regarding human papilloma virus, human papilloma virus vaccination, cervical cancer screening and cervical cancer risk factors was good. Across the sample, a majority (90%) of the pupils demonstrated a high degree of knowledge about cervical cancer and its vaccination. There were no significant differences between ethnicity and the participants' overall knowledge of HPV infection, Pap smear and cervical cancer vaccination. Some 88% of participants answered that HPV vaccine can prevent cervical cancer, while 81.5% of medical students said they would recommend HPV vaccination to the public although fewer expressed an intention to receive vaccination for themselves.
  13. Rajiah K, Maharajan MK, Ramaya H, Wan Ab Rahman WNA
    Front Med (Lausanne), 2021;8:617147.
    PMID: 34368172 DOI: 10.3389/fmed.2021.617147
    Introduction: Administration of psychotropic pro re nata (PRN) medications is influenced by diverse factors such as legal use of PRN medications, the attitude of patients, personal bias, and stigma toward such medication use. While PRN prescriptions increase the efficiency of care and encourage patients to participate in self-care, the use of psychotropic PRN medications by outpatients has raised concerns about its risks of harm, especially for the outpatients. This study explored the use of psychotropic PRN medications by patients attending the outpatient clinic in a hospital. Methods: Qualitative in-depth interviews were conducted. Purposeful sampling was done to achieve cases with enriched information. Participants were chosen regardless of their ethnicity and were selected using the database and patient records in the clinic. Patients 18 years of age prescribed PRN psychotropic medications attending outpatient clinics in a hospital were included. Vulnerable patients (e.g., pregnant ladies, prisoners, cognitively impaired individual, AIDS/HIV subjects, and terminally ill subjects) were excluded. Results: This study revealed the patients' perspectives and experiences on self-management of psychotropic PRN medications. The themes that emerged were clustered as education and background, knowledge on psychotropic medications, frequency of medication intake, underuse of medication, the overdose of medication, side effects concern, source of information, and personal experience. Conclusions: Patients' understanding of medication, inappropriate medication use, cues to action, and use of alternatives are the factors that affected the self-management of psychotropic PRN medications by the patients.
  14. Maharajan MK, Rajiah K, Belotindos JS, Basa MS
    Front Public Health, 2020;8:170.
    PMID: 32582602 DOI: 10.3389/fpubh.2020.00170
    Objective: To investigate the factors predicting knowledge, attitude, and practices (KAP) toward Zika virus infection among women population in Cebu City, Philippines. Study Design: A cross-sectional survey was conducted from March 2018 to May 2018. Ethical practices were followed. A total of 702 women was approached and finally 516 completed the survey. Methods: Descriptive analysis was undertaken for the participants' characteristics. Kolmogorov-Smirnov test was applied to declare the nature of data distribution. To determine the role of socio-demographic characteristics on KAP, differences in socio-demographic status were compared with the KAP scores using the one-way analysis of variance or Kruskal-Wallis test with p < 0.05 as significant. Logistic regression analysis was used to determine the predictors of each KAP domain (good and poor). Results: There was a significant positive correlation between level of education and KAP scores. Also, there was a significant positive correlation between employment and KAP scores. Knowledge score was a significant predictor of practice score (b = 1.261, p = 0.024), and attitude score was also a significant predictor of practice score (b = 0.183, p = 0.039). However, knowledge score was not a significant predictor of attitude score (b = 0.316, p = 0.247). Conclusions: The present findings provided an overall view of KAP on Zika virus infection among females in Philippines and the socio-demographic factors that affected their KAP. Women with postgraduate education and being in higher profession were the predictors influencing the KAP scores of this female population. Women with postgraduate education was the strongest predictor.
  15. Rajiah K, Maharajan MK, Fang Num KS, How Koh RC
    Asian Pac J Cancer Prev, 2017 06 25;18(6):1573-1579.
    PMID: 28669170
    Background: The objective of this study is to determine the influence of dental students’ knowledge and attitude
    regarding human papillomavirus infection of cervical cancer on willingness to pay for vaccination. Basic research
    design: A convenience sampling method was used. The minimal sample size of 136 was calculated using the Raosoft
    calculator with a 5 % margin of error and 95% confidence level. Participants: The study population were all final
    year dental students from the School of Dentistry. Methods: A self-administered questionnaire was used to measure
    knowledge levels and attitudes regarding human papillomavirus vaccination. Contingent valuation was conducted
    for willingness to pay for vaccination. Main outcome measures: The Center for Disease Control and Prevention has
    stated that human papillomavirus are associated with oropharynx cancer and the American Dental Association insist on
    expanding public awareness of the oncogenic potential of some HPV infections. Thus, as future dental practitioners,
    dental students should be aware of human papillomavirus and their links with cancer and the benefits of vaccination.
    Results: Knowledge on HPV and cervical cancer did not impact on attitudes towards vaccines. However, significant
    correlation existed between knowledge and willingness to pay for vaccination. Conclusions: Dental students’ knowledge
    on HPV and cervical cancer has no influence on their attitude towards HPV vaccines. However, their willingness to
    pay for HPV vaccination is influenced by their knowledge of cervical cancer and HPV vaccination.
  16. Rajiah K, Maharajan MK, Yeen SJ, Lew S
    Neuroepidemiology, 2017;48(3-4):131-137.
    PMID: 28728161 DOI: 10.1159/000479031
    AIM: This study focused on the impact of the clinical features on the quality of life (QoL) of Parkinson's disease (PD) patients and of their caregivers.

    METHODS: This study included PD patients along with their caregivers and was undertaken at the Malaysian Parkinson's Disease Association from June 2016 to November 2016. Clinical features of PD patients were assessed using the Movement Disorder Society revised Unified Parkinson Disease Rating Scale; the Hoehn and Yahr stage and the Schwab and England Activities of Daily Living Scale were used to assess the severity and the ability of PD patients respectively. QoL of PD patients was measured using the Parkinson's Disease Questionnaire-39 (PDQ-39). The revised version of the Zarit Burden Interview assessed caregiver burden.

    RESULTS: At least one of the clinical features affected PD patients' QoL, and at least one of the QoL domains affected the caregivers' burden. Clinical features "saliva and drooling" and "dyskinesia" explained 29% of variance in QoL of PD patients. The QoL domains "stigma," along with "emotional well-being" explained 48.6% of variance in caregivers' burden.

    CONCLUSIONS: The clinical features "saliva and drooling" and "dyskinesia" impacted the QoL of PD patients, and the QoL domains "stigma" and "emotional well-being" of PD patients impacted their caregivers' burden.

  17. Chong KM, Rajiah K, Chong D, Maharajan MK
    Front Med (Lausanne), 2022;9:884482.
    PMID: 35665362 DOI: 10.3389/fmed.2022.884482
    INTRODUCTION: In supplying medicines to patients and consumers waste can occur in prescribing, dispensing, and leftover stages. Pharmacists in community pharmacies play a crucial role in dispensing and should share information on appropriate medicines disposal with consumers. This qualitative study explored how Malaysian community pharmacists manage medication wastage, returned medicines, and medicines disposal by eliciting their opinions on medicines wastage, the challenges faced, and feasibility of medicine return and safe medicine disposal in the setting of Malaysian community pharmacy.

    METHODS: Telephonic interviews were conducted using a pre-validated interview guide among community pharmacists. Purposive sampling was used to ensure heterogeneity of participants in terms of gender, age, and position in the pharmacy. The interview was conducted until a point where no new information was obtained. Interview data were thematically analyzed.

    RESULTS: The analysis identified nine themes organized into four domains. The results revealed that pharmacists have positive perceptions of the safe disposal of medicines. Pharmacists mentioned that medicine returns to service in community pharmacies are not common due to a lack of facilities in the management of unwanted, expired, and returned medicines. As such pharmacists have suggested a few ways to minimize medicinal wastage.

    CONCLUSIONS: Respondents aimed to minimize medicines wastage (unused medicines) in order to minimize loss of revenue. Respondents did not usually accept returned medicines due to the operational costs of safe disposal. Disposal of unused medicines was undertaken by centralizing the stocks at an organization facility before being disposed of by outsourced waste management companies.

  18. Rajiah K, Mathew EM, Veettil SK, Kumar S
    J Res Med Sci, 2012 Jul;17(7):689-93.
    PMID: 23798933
    Bulimia nervosa (BN) is a type of feeding disorder that starts in adolescence and presents a variety of symptoms, recurrent vomiting in the oral cavity that may reach down to the larynx - similarly to gastro-esophageal reflux, causing laryngeal and voice disorder alterations.
  19. Rajiah K, Maharajan MK, Binti Samsudin SZ, Tan CL, Tan Yen Pei A, Wong San Ying A
    Am J Infect Control, 2016 12 01;44(12):1720-1722.
    PMID: 27499193 DOI: 10.1016/j.ajic.2016.05.019
    We studied the emergency preparedness and perceived response for Ebola virus disease among various health care providers in Malaysia using a self-report questionnaire. Most of the health care providers felt that they were able to respond to Ebola virus disease and were aware of the level of preparedness needed during emergency.
  20. Maharajan MK, Rajiah K, Tam AM, Chaw SL, Ang MJ, Yong MW
    PLoS One, 2017;12(4):e0176095.
    PMID: 28419167 DOI: 10.1371/journal.pone.0176095
    OBJECTIVE: To measure pharmacy students' anxiety towards research and how academic support, academic effort, attitude and self-efficacy influence their research anxiety.

    METHODS: A cross-sectional study was conducted with undergraduate final year students of pharmacy using a convenient sampling method. A validated self-administered questionnaire was used.

    RESULTS: Response rate for this study was 85.9% (128 students from a population of 149). The participants agreed that they read literature to understand research, but did not attend research-related coursework. Most participants (91.4%) felt that they were under stress while doing research. Almost all participants (97.6%) felt that they were doing very badly during their data analysis or they may fail their research projects. The majority of participants agreed that help from the lecturers' and friends in research give emotional support for their research activities.

    CONCLUSION: Academic support for pharmacy students, along with their additional academic effort will improve the students' self-efficacy and reduce research anxiety.

Related Terms
Filters
Contact Us

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links