MyMedR

The training of Malayan health inspectors

Scharff JW

Malayan Medical Journal, 1931;6:14-9.

Matched MeSH terms: Health Personnel

The duties of estate medical practitioners

Gross RD

Journal of the Malaya Branch of the British Medical Association, 1937;1:275-78.

Matched MeSH terms: Health Personnel

A day in the life of a health officer

Gross RD

Malayan Medical Journal, 1935;10:154-5.

Matched MeSH terms: Health Personnel

Training exposure and confidence level among medical officers: Does an Emergency Physician make a difference?

Zakiah MJ, Nidzwani M, Hanizah N, Affirul CA

Clin Ter, 2016;167(1):e1-5.

PMID: 26980635 DOI: 10.7417/T.2016.1911

The training of emergency medical officers has always been informal. Only recently, the presence of emergency physician may have a positive influence in their training and development. This study aims to determine the effect of Emergency Physician (EP) presence on the training exposure and confidence level of medical officers in their practice.

Matched MeSH terms: Health Personnel

Estate dressers

Malayan Medical Journal, 1926;1:14-5.

Matched MeSH terms: Health Personnel

A day in the life of an opthalmologist

Viswalingam A

Malayan Medical Journal, 1935;10:113-5.

Matched MeSH terms: Health Personnel

Co-operation between doctors and dentists

Johnson HA

Malayan Medical Journal, 1935;10:148-50.

Matched MeSH terms: Health Personnel

Fulltext Systematic review and meta-analysis: a glossary

Wong, L.P.

JUMMEC, 2007;10(1):3-10.

MyJurnal

Systematic review is a comprehensive review of research findings in which all of the primary studies are systematically identified, appraised and summarised using an explicit and reproducible methodology. Meta-analysis is the statistical component of a systematic review in which combinable studies are drawn together via a statistical process. Systematic reviews and meta-analyses are routinely being used in the evidence-based approach to medicine. These short notes intend to highlight important terms in systematic-review and meta-analysis. It is a beginner’s guide for health care professional of any discipline involved in research or practice who seeks to gain more comprehensive understanding of important terms used in systematic review and meta-analysis.

Matched MeSH terms: Health Personnel

Fulltext Inculcating research culture among members of the dental fraternity

Mas Suryalis Ahmad

Malaysian Dental Journal, 2015;38(2):1-4.

MyJurnal

In 2013, the Malaysian Education Blueprint (Higher Education) was developed by the Ministry of Education to guide the transformation process of the education system in this country for the next decade, starting from 2015 (1). The blueprint highlighted core aspirations for Malaysian higher education, which includes rapid expansion of research output and quality (1). This effort is in line with the nation's aspiration to uplift the standard of service provision among healthcare professionals, whose practice should advance on the essence of high quality scientific evidence.(Copied from article)

Matched MeSH terms: Health Personnel

Fulltext Attitudes toward euthanasia and related issues among physicians and patients in a multi-cultural society of Malaysia

Rathor MY, Abdul Rani MF, Shahar MA, Jamalludin AR, Che Abdullah ST, Omar AM, et al.

J Family Med Prim Care, 2014 Jul;3(3):230-7.

PMID: 25374860 DOI: 10.4103/2249-4863.141616

INTRODUCTION: Due to globalization and changes in the health care delivery system, there has been a gradual change in the attitude of the medical community as well as the lay public toward greater acceptance of euthanasia as an option for terminally ill and dying patients. Physicians in developing countries come across situations where such issues are raised with increasing frequency. As euthanasia has gained world-wide prominence, the objectives of our study therefore were to explore the attitude of physicians and chronically ill patients toward euthanasia and related issues. Concomitantly, we wanted to ascertain the frequency of requests for assistance in active euthanasia.
MATERIALS AND METHODS: Questionnaire based survey among consenting patients and physicians.
RESULTS: The majority of our physicians and patients did not support active euthanasia or physician-assisted suicide (EAS), no matter what the circumstances may be P < 0.001. Both opposed to its legalization P < 0.001. Just 15% of physicians reported that they were asked by patients for assistance in dying. Both physicians 29.2% and patients 61.5% were in favor of withdrawing or withholding life-sustaining treatment to a patient with no chances of survival. Among patients no significant differences were observed for age, marital status, or underlying health status.
CONCLUSIONS: A significant percentage of surveyed respondents were against EAS or its legalization. Patient views were primarily determined by religious beliefs rather than the disease severity. More debates on the matter are crucial in the ever-evolving world of clinical medicine.
KEYWORDS: Attitude; euthanasia; legalization; multi-cultural; physician-assisted suicide

Matched MeSH terms: Health Personnel*

Fulltext Needlestick and sharp injuries among health care workers in saudi hospitals: a review

Al Johani Abdulrahman, A., Karmegam Karuppiah, Al Mutairi Alya, O., Kulanthayan K.C. Mani, Sivasankar Sambasivam

Malaysian Journal of Public Health Medicine, 2016;16(20):69-72.

MyJurnal

This paper explains Needlestick and Sharp Injuries among Healthcare Workers in Saudi Hospitals. Presently there are number of factors that are responsible for health care workers injuries. Lack of secure environment and ignorance to safety measures can lead to injuries due to Needlestick and Sharp objects. There is a significant need of providing better working environment for health care workers in Saudi Arabia. Following daily practices and World Health Organization’s measures for taking the preventive steps for these injuries is necessary. Trying to avoid utilizing needles whenever secure and efficient substitutes are present, providing needle containers, avoiding re-capping and wearing gloves on both hands are some of the measures that could be taken to make sure these problems do not recur.

Matched MeSH terms: Health Personnel*

Not Tb-proof: latent tuberculosis in Kuala Lumpur Hospital health care workers

Munisamy M, Krishnan K, Selvaratnam G, Panza A, Pongpanich S, Jimba M

Occup Med (Lond), 2017 Feb 15.

PMID: 28204665 DOI: 10.1093/occmed/kqx015

Matched MeSH terms: Health Personnel*

Sexuality education in Malaysia: perceived issues and barriers by professionals

Khalaf ZF, Low WY, Merghati-Khoei E, Ghorbani B

Asia Pac J Public Health, 2014 Jul;26(4):358-66.

PMID: 24489084 DOI: 10.1177/1010539513517258

This research explored the perspectives of Malaysian professionals on the issues and barriers affecting the implementation of sexuality education in Malaysia. This qualitative study involved in-depth interviews with 15 key professionals working in the field of sexuality and reproductive health in Malaysia. Thematic analysis was selected to analyze data. Barriers to sexuality education were perceived from 5 aspects: feasibility, acceptability, accountability, strategies, and community unawareness. Respondents believed that implementing national sexuality education is a time-consuming project. They regarded Malaysian multicultural society as a barrier to national sexuality education, and they believed that school-based sexuality education is not easily accomplished in Malaysia; also abstinence-only policy restricts the access of young people to accurate information. Lack of community involvement was perceived as a key concern to sexuality education. Campaigning to promote awareness of families, teachers, community leaders, and policy makers are recommended to help establishing national sexuality education in Malaysia.

Matched MeSH terms: Attitude of Health Personnel*; Health Personnel/psychology*; Health Personnel/statistics & numerical data

Fulltext Smoking habits and attitudes among doctors in a Malaysian hospital

Yaacob I, Abdullah ZA

Southeast Asian J. Trop. Med. Public Health, 1993 Mar;24(1):28-31.

PMID: 8362301

A study of the smoking habits and attitudes toward smoking among 120 doctors at the Hospital Universiti Sains Malaysia was conducted between May to August 1991. Eighteen percent of the doctors were smokers, 13% ex-smokers and 69% had never smoked. All the smokers were male and all except one smoked only cigarettes. Three of the 32 female doctors were ex-smokers. Nineteen of the 21 smokers only smoked in areas where they could not be seen by the public. Most doctors (equally among smokers and non-smokers) had first-degree relatives (mostly males) who were smokers and 28% had relative with smoking-related disease. 81% non-smoking and 43% smoking doctors had advised healthy people to stop smoking. 92% non-smoking and 52% smoking doctors support the smoking-ban in the hospital. Seven of the 21 smokers had never attempted to quit smoking.

Matched MeSH terms: Attitude of Health Personnel*; Health Personnel

The Attitude of Psychiatric and Non-psychiatric Health-care Workers Toward Suicide in Malaysian Hospitals and Its Implications for Training

Siau CS, Wee LH, Yacob S, Yeoh SH, Binti Adnan TH, Haniff J, et al.

Acad Psychiatry, 2017 Aug;41(4):503-509.

PMID: 28168406 DOI: 10.1007/s40596-017-0661-0

OBJECTIVES: This research is aimed to examine the attitude of health-care workers toward suicidal patients in Malaysian hospitals, comparing responses from psychiatric and non-psychiatric workers, and to identify specific needs in suicide prevention and management training.

METHOD: This is a multi-site cross-sectional study. The authors conducted a survey based on a translated self-administered questionnaire to participants from seven core hospital departments.

RESULTS: While most health-care workers regardless of department and specialty took their duty to prevent suicide seriously, a large majority of them expressed negative attitudes such as finding suicidal behavior irritating, and more than half believed suicidal attempts were a way of making others sorry. However, psychiatric workers were less likely to have judgmental attitudes that included believing suicide attempters as being selfish or trying to get sympathy from others.

CONCLUSIONS: As there were more similarities than differences in health-care workers' attitudes toward suicide, recommendations on basic and continuous suicide prevention and management training among hospital workers were made. The interventions focused on improving knowledge, affective, and skill-based areas that were aimed to correct the wrongful understanding of and to minimize the negative attitudes toward suicidal individuals indicated by the study results.

Matched MeSH terms: Attitude of Health Personnel*; Health Personnel/education*; Health Personnel/psychology*; Health Personnel/statistics & numerical data

Fulltext Health Professionals' Knowledge, Attitudes and Practices about Pharmacovigilance in India: A Systematic Review and Meta-Analysis

Bhagavathula AS, Elnour AA, Jamshed SQ, Shehab A

PLoS ONE, 2016;11(3):e0152221.

PMID: 27010447 DOI: 10.1371/journal.pone.0152221

BACKGROUND: Spontaneous or voluntary reporting of suspected adverse drug reactions (ADRs) is one of the vital roles of all health professionals. In India, under-reporting of ADRs by health professionals is recognized as one of the leading causes of poor ADR signal detection. Therefore, reviewing the literature can provide a better understanding of the status of knowledge, attitude and practice (KAP) of Pharmacovigilance (PV) activities by health professionals.

METHODS: A systematic review was performed through Pubmed, Scopus, Embase and Google Scholar scientific databases. Studies pertaining to KAP of PV and ADR reporting by Indian health professionals between January 2011 and July 2015 were included in a meta-analysis.

RESULTS: A total of 28 studies were included in the systematic review and 18 of them were selected for meta-analysis. Overall, 55.6% (95% CI 44.4-66.9; p<0.001) of the population studied were not aware of the existence of the Pharmacovigilance Programme in India (PvPI), and 31.9% (95% CI 16.3-47.4; p<0.001) thought that "all drugs available in the market are safe". Furthermore, 28.7% (95% CI 16.4-40.9; p<0.001) of them were not interested in reporting ADRs and 74.5%, (95% CI 67.9-81.9; p<0.001) never reported any ADR to PV centers.

CONCLUSION: There was an enormous gap of KAP towards PV and ADR reporting, particularly PV practice in India. There is therefore an urgent need for educational awareness, simplification of the ADR reporting process, and implementation of imperative measures to practice PV among healthcare professionals. In order to understand the PV status, PvPI should procedurally assess the KAP of health professionals PV activities in India.

Matched MeSH terms: Health Personnel/psychology*

Rubber dam application in endodontic practice: an update on critical educational and ethical dilemmas

Ahmed HM, Cohen S, Lévy G, Steier L, Bukiet F

Aust Dent J, 2014 Dec;59(4):457-63.

PMID: 25091028 DOI: 10.1111/adj.12210

Proper isolation is an essential prerequisite for successful endodontic treatment. This article aims to provide an update on the prevalence of rubber dam (RD) use, and the role of education along with attitudes of general dental practitioners (GDPs) and patients towards the application of RD in endodontics. Critical ethical issues are also highlighted. Using certain keywords, an electronic search was conducted spanning the period from January 1983 to April 2013 to identify the available related investigations, and the pooled data were then analysed. The results show that although RD is the Standard of Care in endodontic practice, there is a clear discrepancy in what GDPs are taught in dental school and what they practice after graduation. There is little scientific evidence to support the application of RD; however, patient safety and clinical practice guidelines indicate that it is unnecessary and unethical to consider a cohort study to prove what is already universally agreed upon. A few clinical situations may require special management which should be highlighted in the current guidelines. This would pave the way for clear and straightforward universal guidelines.

Matched MeSH terms: Attitude of Health Personnel*

A study on nurses' perception on the medication error at one of the hospitals in East Malaysia

Hassan H, Das S, Se H, Damika K, Letchimi S, Mat S, et al.

Clin Ter, 2009;160(6):477-9.

PMID: 20198291

Medication error is defined as any preventable event that might cause or lead to an inappropriate use or harming of the patient. Such events could be due to compounding, dispensing, distribution, administration and monitoring. The aim of the present study was to determine the nurses' perception on medication error that were related directly or indirectly to the process of administration of drugs. MATERIALS AND METHODS. This was a descriptive cross sectional study conducted on 92 staff nurses working in the selected wards in one of the hospitals in East Malaysia. Data was obtained through structured questionnaires. RESULTS. Analysis of data was done through SPSS program for descriptive inferential statistics. Out of a total of 92 subjects, sixty-eight (73.9%) indicated medication error occurred because the nurses were tired and exhausted. Seventy nine subjects (85.9%) believed that any medication error should be reported to the doctors; another 74 (80.2%) knew that their colleagues committed medication error and 52 (56.5%) did not report the case. Forty eight (52.17%) subjects committed medication error at least once throughout their life. Of the 48 committed medication, 45 (93.75%) nurses believed that the error committed was not serious; while 39 (81.25%) believed the error occurred during the 1st 5 years of their working experience.

Matched MeSH terms: Attitude of Health Personnel*

Fulltext Awareness on ex-gratia compensation scheme among medical department staff in a tertiary government hospital in Kuala Lumpur

Su T, Hoe VC

Med. J. Malaysia, 2008 Oct;63(4):302-5.

PMID: 19385489 MyJurnal

The Ex-Gratia Compensation Scheme was introduced by the Government of Malaysia in 1994 to provide compensation, which is not covered by any prior legislation, for all its workers suffering from injuries and illnesses due to work. Despite more than ten years of implementation, the submission for claims is still minimal and there is an impression that awareness on the provision of Ex-Gratia benefit among government employees, especially health care staff, is poor. A cross sectional survey was conducted at a medical department of a government hospital in Kuala Lumpur to assess the knowledge and awareness level on Ex-Gratia among a representative group of front line health care workers. The results show that the respondents' knowledge on Ex-Gratia is generally poor as compared to knowledge on the Social Security (SOCSO) Schemes. Majority of the respondents are unsure whether they will be compensated in case of occupational illness and injuries. They also do not know what kind of compensation scheme they are currently eligible. There is an urgent need for the Treasury and health care managers to expand the knowledge and awareness on Ex-Gratia among health care workers.

Matched MeSH terms: Health Personnel*

A training course in health technology assessment in Malaysia

Sivalal S, Banta HD, 't Hoen EF, Rusilawati J

Int J Technol Assess Health Care, 1998;14(4):809-17.

PMID: 9885469

This article describes a 1-week training course in health technology assessment (HTA) presented in Malaysia by the Ministry of Health in 1996. Malaysia established an HTA unit in the Ministry of Health in 1995 and a National Health Technology Assessment Program in 1996. The purpose of the course was to develop HTA knowledge and skills in Malaysia, since these are largely lacking. The course consisted of didactic sessions and group work. Didactic sessions covered the principles of HTA. Group work was for the purpose of developing practical skills, and was based on reports from HTA agencies, published articles, and candidates for assessment suggested by course participants. Course participants were a mix of physicians, nurses, hospital administrators, and Ministry of Health officials. Experiences in this course may be helpful to others who wish to organize training courses in developing countries.

Matched MeSH terms: Health Personnel/education*

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