MyMedR

The paediatric challenge

Abraham SC

Med J Malaya, 1970 Dec;25(2):77-8.

PMID: 4251138

Matched MeSH terms: Pediatrics*

Medicine in Malaysia: paediatrics

Sinniah D, Choy YS

Med J Malaysia, 1995 May;50 Suppl A:S65-8.

PMID: 10968019

Matched MeSH terms: Pediatrics/trends*

Some aspects of paediatric dermatology

Thirumoorthy T

Family Practitioner, 1983;6:47-50.

Matched MeSH terms: Pediatrics

Non-emergency paediatric surgical problems in general practice

Jutti RC, Davaraj B

Family Physician, 2003;12:8-12.

1) A variety of surgical lesions can occur in infants and children. 2) The first step in the management is to arrive at an accurate diagnosis. Most lesions can be diagnosed or suspected through "pattern recognition" 3) Some lesions can be treated by the general practitioners / family physicians for e.g. umbilical granuloma. 4) Lesions that can be observed over time for spontaneous resolutions are umbilical hernia, congenital hydrocele and haemangioma. 5) Lesions or conditions that require prompt referral are undescended testis, inguinal hernia, neonatal jaundice and large cystic hygJ1Qmas 6) Thyroglossal cyst, hypospadias and small cystic hygromas can be referred to a specialist at a time convenient for the family. 7) Phimosis may require an expert consultation 8) Expert consultation should be sought when in doubt; for example when difficulty is encountered in differentiating a retractile testis from an undescended testis. 9) As a general rule, all skin and subcutaneous swellings, except a hemangioma should be referred to a specialist, as soft tissue malignancy is a possibility even in infants. 10) Family physicians should be aware of the potential long-term problems of some conditions such as undescended testis and biliary atresia.

Matched MeSH terms: Pediatrics

Congenital glucose-galactose malabsorption: A case report

Lee WS, Goh AYT

JUMMEC, 1997;2:43-45.

Matched MeSH terms: Pediatrics

An infant oesophageal stethoscope

Liew RP, Him YK, Jin CU

Med J Malaysia, 1975 Mar;30(3):234.

PMID: 1160686

Matched MeSH terms: Pediatrics/instrumentation*

Report on the activity of child neurology in Malaysia

Thambyayah M

Brain Dev, 1996 11 1;18(6):485-6.

PMID: 8980848

Matched MeSH terms: Pediatrics*

Outcome of drug induced sleep endoscopy directed surgery in paediatrics obstructive sleep apnoea: A systematic review

Saniasiaya J, Kulasegarah J

Int J Pediatr Otorhinolaryngol, 2020 Dec;139:110482.

PMID: 33166755 DOI: 10.1016/j.ijporl.2020.110482

INTRODUCTION: Paediatrics obstructive sleep apnoea have been discussed to a great degree over the recent years and remains a conundrum till date. The advent of instrumentation has aided upper airway evaluation in determining the site and degree of upper airway collapse for targeted and effective surgical planning. The literature was reviewed to determine the outcome of Drug Induced Sleep Endoscopy (DISE) directed surgery in children with obstructive sleep apnoea.

MATERIAL AND METHODS: A literature search was conducted for the period from January 2000 to December 2019 by using a number of medical literature data bases including Scopus, PubMed and Embase. The following search words were used either individually or in combination: drug-induced sleep endoscopy, sleep endoscopy directed surgery, paediatrics sleep apnoea. The search was conducted over a month period (December 2019). Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were followed when possible.

RESULTS: Seven clinical research articles were selected based on our objective and selection criteria. Seven studies were of level III evidence: retrospective, case-control and prospective series. Altogether, there were 996 patients with male predominance; 61%. Over 10% of patients (133 patients) were found to have comorbidities or were syndromic. The mean age of patient was 6 years and majority (87.6%) of our patients were found to be surgically naïve, that is, no previous surgical procedures were performed for OSA. Surgical decision was changed in 295 patients (30%) following DISE. Post intervention outcomes were objectively revealed in 4 studies. Most of our patients underwent a multilevel surgery based on DISE (86%). Complications were documented in 3 studies.

CONCLUSIONS: Analysis of the results indicated that DISE directed surgery was an effective, safe therapeutic approach to treating paediatrics obstructive sleep apnoea. DISE directed surgery has shown to have changed surgical management in most studies.

Matched MeSH terms: Pediatrics*

A review on taste masked multiparticulate dosage forms for paediatric

Al-Japairai K, Hamed Almurisi S, Almonem Doolaanea A, Mahmood S, Alheibshy F, Alobaida A, et al.

Int J Pharm, 2023 Feb 05;632:122571.

PMID: 36587776 DOI: 10.1016/j.ijpharm.2022.122571

Taste refers to those sensations perceived through taste buds on the tongue and oral cavity. The unpleasant taste of drugs leads to the refusal of taking the medicine in the paediatric population. It is widely known that a pharmaceutical product's general acceptability is the result of numerous contributing components such as swallowability, palatability (taste, flavour, texture, and mouthfeel), appearance, ease of administration, and patient characteristics. Multiparticulate as a dosage form is a platform technology for overcoming paediatrics' incapacity to swallow monolithic dosage forms, masking many medications' inherent nasty taste, and overcoming the obstacles of manufacturing a commercially taste masked dosage form. This review will discuss the considerations that must be taken into account to prepare taste masked multiparticulate dosage forms in the best way for paediatric use.

Matched MeSH terms: Pediatrics*

Effect of gestational age on gentamicin pharmacokinetic parameters in the newborn

Farizaturradiah O, Mohamed Z, Sim SM, Lim CT

JUMMEC, 1997;2:35-38.

Matched MeSH terms: Pediatrics

Dosing information in a standard drug reference: are pediatrics still therapeutically neglected?

Permala J, Hassali MA, Awaisu A, Shafie AA

Pediatr Int, 2010 Apr;52(2):290-5.

PMID: 19744224 DOI: 10.1111/j.1442-200X.2009.02958.x

BACKGROUND: In many countries, the most readily accessible drug information resources, such as the Monthly Index of Medical Specialties (MIMS), lack information concerning use in children. We reviewed the product information (PI) of medications in the most widely used drug information reference in Malaysia in an effort to determine the extent and the nature of available information related to pediatric dosing.
METHODS: The products listed in the 2007 Malaysian MIMS Annual were reviewed for PI on pediatric use as per inclusion and exclusion criteria. The dosing information for each PI was extracted according to age groups. Product information that claimed suitability for use in pediatrics was further evaluated for information on pediatric dosage formulations.
RESULTS: A total of 421 PI items from seven categories of therapeutic classes were reviewed. Of these, 69% gave inadequate pediatric dosing information. The proportions, for each age group of PI items that gave adequate pediatric dosing information were: neonates (13.1%), infants (23.3%), and children (32.2%). Therapeutic classes of drugs differed significantly in terms of dosing information adequacy for all pediatric age groups (P < 0.05). Most PI reviewed under all legal categories provided inadequate pediatric dosing information, but suitable pediatric formulations were commonly (70.1-85.5%) available where the dosing information existed. Overall, category B (prescription only) products did not differ significantly from category C (pharmacy only medicine) products in terms of pediatric dosing information adequacy, except for children.
CONCLUSION: This study has managed to contribute substantial additional information regarding the extent of pediatric dosing information and dosage formulations available in the MIMS Annual, stressing that the majority of PI for the products reviewed did not provide adequate dosing information for pediatric patients, subjecting this population to a therapeutically disadvantaged status.

Matched MeSH terms: Pediatrics*

Core curriculum and special study modules at the Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak

Malik AS, Malik RH

Educ Health (Abingdon), 2004 Nov;17(3):292-302.

PMID: 15848816

The Faculty of Medicine and Health Sciences (FMHS), follows a problem-based learning, integrated and community-based curriculum which reflects the specific needs of doctors working in Sarawak. Using paediatrics as an example, this paper describes the process of development of core content (knowledge, procedural and communication skills, attitudes), additional knowledge and special study modules at the FMHS.

Matched MeSH terms: Pediatrics/education*

Fulltext Do paediatric research presentations at local meetings get published?

Chan PWK, Norzila MZ, Bilkis AA, Mazidad A

Med J Malaysia, 2002 Dec;57(4):482-6.

PMID: 12733174

Accessibility of research done locally to clinicians remains limited unless it is in the published form. The publication rate of research presentations at the Annual Malaysian Paediatric Association, Perinatal Society of Malaysia and Academy of Medicine Malaysia in 1997 and 1998 was determined. One hundred and five (95.5%) of 110 research presentations were carried out in Malaysia. Thirty-seven (35.2%) presentations were published. University-affiliated institutions were more likely to publish their research presentations as compared to Ministry of Health hospitals (OR 3.1 95% CI 1.4-6.8, p < 0.01). There is a need to encourage publication of local research presentations. University-affiliated institutions performed better due to institution pressure for career advancement.

Matched MeSH terms: Pediatrics/statistics & numerical data*

Fulltext Paediatric day care anaesthesia--our first two years experience at the Paediatric Institute, Hospital Kuala Lumpur

Lim SK, Lew YS

Med J Malaysia, 1997 Jun;52(2):151-4.

PMID: 10968073

The first two years anaesthetic experience of paediatric day care surgery is reviewed. Four hundred and three patients underwent 447 general surgical procedures. The mean age of the patients was 5.4 years with the youngest being 5 months old. The commonest procedures performed were herniotomy, circumcision, correction of hydrocoele and orchidopexy. The overall postoperative admission rare was 2.5%. No major complications were seen. Anaesthesia for paediatric day care surgery is safe provided patients are carefully selected and evaluated, appropriate anaesthetic management instituted and proper discharge criteria adhered to.

Matched MeSH terms: Pediatrics*

New paediatric contrast test: Hiding Heidi low-contrast 'face' test

Chen AH, Mohamed D

Clin Exp Ophthalmol, 2003 Oct;31(5):430-4.

PMID: 14516432

The Hiding Heidi low-contrast 'face' test is a new paediatric contrast test to evaluate the ability to detect objects with low contrast. The purpose of the present study was to compare the Hiding Heidi low-contrast 'face' test (HH) with the Pelli-Robson contrast sensitivity test (PR) and the functional acuity contrast test (FACT) in the low-contrast assessment.

Matched MeSH terms: Pediatrics/methods*

The reasons mothers take children to a health centre. (Appraisal of work done at a health centre in the Federation of Malaya)

THOMSON FA

J Trop Pediatr Afr Child Health, 1962 Mar;7:107-12.

PMID: 13920974

Matched MeSH terms: Pediatrics/statistics & numerical data*

Witch doctors

Williams C

Pediatrics, 1970 Sep;46(3):448-55.

PMID: 5454800

Matched MeSH terms: Pediatrics*

Background, history, growth & advance of social paediatrics in Kuala Lumpur

WYLDE EM

Med J Malaya, 1961 Sep;16:14-31.

PMID: 14008613

Matched MeSH terms: Pediatrics*

Fulltext Emotional exhaustion is associated with work related stressors: a cross-sectional multicenter study in Malaysian public hospitals

Khoo EJ, Aldubai S, Ganasegeran K, Lee BX, Zakaria NA, Tan KK

Arch Argent Pediatr, 2017 06 01;115(3):212-219.

PMID: 28504485 DOI: 10.5546/aap.2017.eng.212

INTRODUCTION: Emotional exhaustion is an important component of burnout. Burnout is common among doctors. It affects the physical and mental health of doctors, their performance and the quality of care they provide. This study aimed to investigate the level and factors associated with emotional exhaustion among doctors in pediatric practice in Malaysia.

POPULATION AND METHODS: A self-administered questionnaire was used in this multicenter cross-sectional study. It included questions on the socio-demographics, work characteristics, Emotional Exhaustion, Perceived Stress Scale and sources of job stress. Descriptive, univariate and multivariate analysis were conducted using the SPSS software.

RESULTS: A total of 197 doctors working in the Pediatric department in eight hospitals returned complete questionnaire. High and moderate emotional exhaustion was reported by 25.4% and 24.4% doctors, respectively. In bivariate analysis, 29 out of the 38 items of sources of stress showed significant association with emotional exhaustion (p <0.05).The significant predictors of emotional exhaustion in the multivariate analysis were: scoring higher on the Perceived Stress Score, dealing with patient's psychosocial problems, disrespectful interactions with colleagues/ subordinates, lack of appreciation from supervisors, lack of incentives and promotions, time pressures and deadlines to meet, and setting unrealistic goals of having them imposed on oneself (p <0.05). The most common source of stress was dealing with difficult parents (80.2%).

CONCLUSIONS: Emotional exhaustion is associated with sources of stress in the workplace but not with socio-demographic factors.

Matched MeSH terms: Pediatrics*

Student-friendly methods of formative assessment in paediatrics

Venkataramani P, Sadanandan T, Savanna RS, Sugathan S

Med Educ, 2019 05;53(5):499-500.

PMID: 30891812 DOI: 10.1111/medu.13860

Matched MeSH terms: Pediatrics*

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