1.
Htay, Moe
A profile of injuries in four villages in the Jasin District of Malacca, Malaysia Journal Article
In: Asia Pac J Public Health, vol. 14, no. 2, pp. 118-22, 2002, ISSN: 1010-5395 (Print) 1010-5395.
@article{RN796,
title = {A profile of injuries in four villages in the Jasin District of Malacca, Malaysia},
author = {Moe Htay},
doi = {10.1177/101053950201400211},
issn = {1010-5395 (Print)
1010-5395},
year = {2002},
date = {2002-01-01},
journal = {Asia Pac J Public Health},
volume = {14},
number = {2},
pages = {118-22},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2.
Htay, Moe
A profile of injuries in four villages in the Jasin District of Malacca, Malaysia Journal Article
In: Asia Pac J Public Health, vol. 14, no. 2, pp. 118-22, 2002, ISSN: 1010-5395 (Print) 1010-5395.
@article{RN14566,
title = {A profile of injuries in four villages in the Jasin District of Malacca, Malaysia},
author = {Moe Htay},
issn = {1010-5395 (Print)
1010-5395},
year = {2002},
date = {2002-01-01},
journal = {Asia Pac J Public Health},
volume = {14},
number = {2},
pages = {118-22},
abstract = {Injuries are a major public health problem in Malaysia. A cross-sectional study on the profile of injuries was conducted in four villages in the Jasin District of Malacca using a prepared questionnaire among the residents. A sample of 199 households was selected from the total of 385 by using the simple random method and personal interviews were carried out. Injuries were common (56%) among the family members within the period of one year prior to the survey. Home and residential injuries were the most common type (60.2%) followed by road traffic injuries and injuries at work place. Among the home injuries (68 cases), falls were the most common type of injuries encountered with most occurring in the evenings within the house compounds. For all types of injuries (113 cases), the majority (46.9%) preferred to seek treatment at government clinics and hospitals. Among the road injuries (29 cases), most occurred in the evenings and at nights. They were more severe in nature and some required admission to the hospital. The extremities were the most severe injuries among the home and road ones. Preventive strategies should be targeted towards the home and road injuries by environmental and behavioural changes together with community participation on injury prevention and control at district level.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Injuries are a major public health problem in Malaysia. A cross-sectional study on the profile of injuries was conducted in four villages in the Jasin District of Malacca using a prepared questionnaire among the residents. A sample of 199 households was selected from the total of 385 by using the simple random method and personal interviews were carried out. Injuries were common (56%) among the family members within the period of one year prior to the survey. Home and residential injuries were the most common type (60.2%) followed by road traffic injuries and injuries at work place. Among the home injuries (68 cases), falls were the most common type of injuries encountered with most occurring in the evenings within the house compounds. For all types of injuries (113 cases), the majority (46.9%) preferred to seek treatment at government clinics and hospitals. Among the road injuries (29 cases), most occurred in the evenings and at nights. They were more severe in nature and some required admission to the hospital. The extremities were the most severe injuries among the home and road ones. Preventive strategies should be targeted towards the home and road injuries by environmental and behavioural changes together with community participation on injury prevention and control at district level.
3.
Moy, F; Rahman, S
Anthropometry and dietary intake of type 2 diabetes patients attending an outpatient clinic Journal Article
In: Malays J Nutr, vol. 8, no. 1, pp. 63-73, 2002, ISSN: 1394-035X (Print) 1394-035x.
@article{RN14576,
title = {Anthropometry and dietary intake of type 2 diabetes patients attending an outpatient clinic},
author = {F Moy and S Rahman},
issn = {1394-035X (Print)
1394-035x},
year = {2002},
date = {2002-01-01},
journal = {Malays J Nutr},
volume = {8},
number = {1},
pages = {63-73},
abstract = {A cross sectional study on Type 2 diabetes patients seeking treatment in the Primary Health Care outpatient clinic of the University Malaya Medical Centre, Kuala Lumpur was undertaken. Two hundred and thirty-three subjects participated. They were asked questions on biodata and dietary intake using face-to-face interview techniques. Dietary intake was assessed using the 24-hour dietary recall. Anthropometric measurements including weight and height were taken and Body Mass Index (BMI) was computed to establish the extent of obesity. Of the 196 subjects, 66.8% were overweight (BMI \>/=25 kg/m2) with 15.8% obese (BMI \>/=30 kg/m2). The mean BMI of males and females were 25.9+/-4.3 kg/m2 and 27.2+/-4.7 kg/m2 respectively. The findings from the dietary survey showed that the mean energy intake of the subjects only achieved about 72% of the Recommended Daily Allowance (RDA) for Malaysia while protein intake of all subjects was adequate. The macronutreint contribution to the total calorie was consistent with the recommendation of the Malaysian Diabetic Association for a healthy diet for diabetes patients. The male subjects were found to meet the RDA requirements for all nutrients while the female subjects did not have sufficient intake of calcium, vitamin A and niacin. No consistent pattern in energy and nutrient intake was observed among different age groups. On the other hand, the Malay subjects seemed to have lower energy and all nutrient intake (except vitamin A and vitamin C) compared to the Chinese and Indian subjects. The Indian subjects seemed to have the highest intake of calcium compared to the others. Advice needs to be given to those who did not have adequate nutrient intake as well as those who need to reduce their weight.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
A cross sectional study on Type 2 diabetes patients seeking treatment in the Primary Health Care outpatient clinic of the University Malaya Medical Centre, Kuala Lumpur was undertaken. Two hundred and thirty-three subjects participated. They were asked questions on biodata and dietary intake using face-to-face interview techniques. Dietary intake was assessed using the 24-hour dietary recall. Anthropometric measurements including weight and height were taken and Body Mass Index (BMI) was computed to establish the extent of obesity. Of the 196 subjects, 66.8% were overweight (BMI >/=25 kg/m2) with 15.8% obese (BMI >/=30 kg/m2). The mean BMI of males and females were 25.9+/-4.3 kg/m2 and 27.2+/-4.7 kg/m2 respectively. The findings from the dietary survey showed that the mean energy intake of the subjects only achieved about 72% of the Recommended Daily Allowance (RDA) for Malaysia while protein intake of all subjects was adequate. The macronutreint contribution to the total calorie was consistent with the recommendation of the Malaysian Diabetic Association for a healthy diet for diabetes patients. The male subjects were found to meet the RDA requirements for all nutrients while the female subjects did not have sufficient intake of calcium, vitamin A and niacin. No consistent pattern in energy and nutrient intake was observed among different age groups. On the other hand, the Malay subjects seemed to have lower energy and all nutrient intake (except vitamin A and vitamin C) compared to the Chinese and Indian subjects. The Indian subjects seemed to have the highest intake of calcium compared to the others. Advice needs to be given to those who did not have adequate nutrient intake as well as those who need to reduce their weight.
4.
Siah, C K; Yadav, H
Breastfeeding practices among mothers in an urban polyclinic Journal Article
In: Med J Malaysia, vol. 57, no. 2, pp. 188-94, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN137b,
title = {Breastfeeding practices among mothers in an urban polyclinic},
author = {C K Siah and H Yadav},
issn = {0300-5283 (Print) 0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57},
number = {2},
pages = {188-94},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
5.
Siah, Yadav H C K; Yadav, H
Breastfeeding practices among mothers in an urban polyclinic Journal Article
In: Med J Malaysia, vol. 57, no. 2, pp. 188-94, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14575,
title = {Breastfeeding practices among mothers in an urban polyclinic},
author = {Yadav H C K Siah and H Yadav},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57},
number = {2},
pages = {188-94},
abstract = {A cross sectional descriptive study on breast feeding practices in an urban clinic was conducted among 136 mothers aged between 21-49 years who were interviewed using a questionnaire. Malays constituted 61% of the respondents, Chinese 22.8% and Indians 16.2%. Mojority of these were working mothers and although the initiation of breastfeeding was high (99.3%), exclusive breastfeeding was only 12.5%. A large proportion (33.8%) dtopped prior to 3 months. Majority of the Chinese mothers (61.3%) stipped before 3 months as compared to the Indian (40.9%) and Malay (21.7%) mothers (p\<0.001). Mean age of introducing complementary foods at 3 months is below the accepted age of 4 to 6 months for weaning. Ever-breast feeding rate is high in this urban setting but more efforts are needed to effect a higher rate of exclusive breastfeeding and longer duration of breastfeeding.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
A cross sectional descriptive study on breast feeding practices in an urban clinic was conducted among 136 mothers aged between 21-49 years who were interviewed using a questionnaire. Malays constituted 61% of the respondents, Chinese 22.8% and Indians 16.2%. Mojority of these were working mothers and although the initiation of breastfeeding was high (99.3%), exclusive breastfeeding was only 12.5%. A large proportion (33.8%) dtopped prior to 3 months. Majority of the Chinese mothers (61.3%) stipped before 3 months as compared to the Indian (40.9%) and Malay (21.7%) mothers (p<0.001). Mean age of introducing complementary foods at 3 months is below the accepted age of 4 to 6 months for weaning. Ever-breast feeding rate is high in this urban setting but more efforts are needed to effect a higher rate of exclusive breastfeeding and longer duration of breastfeeding.
6.
Yadav, H
Community Residency Programme (CRP)--a tool for research and rural health training for medical students Journal Article
In: Med J Malaysia, vol. 57 Suppl E, pp. 94-8, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14569,
title = {Community Residency Programme (CRP)--a tool for research and rural health training for medical students},
author = {H Yadav},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {94-8},
abstract = {Rural health training is an important element in the training of medical students in the University of Malaya. There is a need for the undergraduates to be familiar with the rural health infrastructure and to understand the social and economic aspects of the rural poor. The objective of the training is to make the students understand the problems faced by the poor in the rural areas so that when they practice in rural health areas, after graduation, they will understand the problems of the rural poor. They will have the knowledge of the diseases in the rural areas and also understand the community and the environmental factors that contribute to the disease. The training lasts' for 4 weeks, one week for lectures on health survey, two weeks for the field trip and one week of data analysis and presentation of their findings to an expert panel. During the field trip the students are divided into groups and they go to different parts of the country. Each group will do a field survey to find out the socio-demography, environmental, economic, nutritional and health problems in the village. In addition to the survey they also do a research project on any topic. The students also do social work, visit places of public health interest like the water treatment plant, sewage disposal, factory visits and others. Apart from technical skills in statistics and epidemiology, various other managerial skills like leadership, teamwork, communications and public relations are also learnt during the training. In conclusion this rural health training is an important aspect of the medical students training as it imparts several skills to them that are needed as a doctor.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Rural health training is an important element in the training of medical students in the University of Malaya. There is a need for the undergraduates to be familiar with the rural health infrastructure and to understand the social and economic aspects of the rural poor. The objective of the training is to make the students understand the problems faced by the poor in the rural areas so that when they practice in rural health areas, after graduation, they will understand the problems of the rural poor. They will have the knowledge of the diseases in the rural areas and also understand the community and the environmental factors that contribute to the disease. The training lasts' for 4 weeks, one week for lectures on health survey, two weeks for the field trip and one week of data analysis and presentation of their findings to an expert panel. During the field trip the students are divided into groups and they go to different parts of the country. Each group will do a field survey to find out the socio-demography, environmental, economic, nutritional and health problems in the village. In addition to the survey they also do a research project on any topic. The students also do social work, visit places of public health interest like the water treatment plant, sewage disposal, factory visits and others. Apart from technical skills in statistics and epidemiology, various other managerial skills like leadership, teamwork, communications and public relations are also learnt during the training. In conclusion this rural health training is an important aspect of the medical students training as it imparts several skills to them that are needed as a doctor.
7.
Karina, R; Nooriah, S
Critical appraisal - is there a need to train medical students how to read the literature? Journal Article
In: Med J Malaysia, vol. 57 Suppl E, pp. 78-82, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN125b,
title = {Critical appraisal - is there a need to train medical students how to read the literature?},
author = {R Karina and S Nooriah},
issn = {0300-5283 (Print) 0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {78-82},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
8.
Karina, R; Nooriah, S
Critical appraisal--is there a need to train medical students how to read the literature? Journal Article
In: Med J Malaysia, vol. 57 Suppl E, pp. 78-82, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14570,
title = {Critical appraisal--is there a need to train medical students how to read the literature?},
author = {R Karina and S Nooriah},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {78-82},
abstract = {Critical appraisal refers to the skill of reading a piece of research in a very objective and structured way. It allows for the reader to assess the quality and validity of the evidence put forward. With the emphasis on evidence-based practice in the medical profession, the ability to critically appraise the literature should be instilled into medical students. Currently, the push to encourage research shows great effort in the medical curriculum, through the incorporation of elective research programmes, by many medical institutions. But how ready are the students to even understand the research literature, let alone conduct a research? The current system throws these students into 'the deep end' of research conduct without equipping them with the tools necessary to do so. Very often this becomes a problem that snowballs through specialist training right up to the practice of medicine. The possibilities and means of introducing the skills of critical appraisal via the curriculum should be explored. In this age of self-directed and problem-based learning, a purely didactic teaching method of "how to read the literature" is surely outdated. The concept should be integrated into medical teaching, including within the implementation of the PBL system, in both the clinical and non-clinical settings, and by the introduction of the 'journal club' concept. Training of the trainers should also be considered. With the early training of critical appraisal, it can hopefully become an unconscious competence of medical graduates, who not only can produce quality research, but also able to identify quality information.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Critical appraisal refers to the skill of reading a piece of research in a very objective and structured way. It allows for the reader to assess the quality and validity of the evidence put forward. With the emphasis on evidence-based practice in the medical profession, the ability to critically appraise the literature should be instilled into medical students. Currently, the push to encourage research shows great effort in the medical curriculum, through the incorporation of elective research programmes, by many medical institutions. But how ready are the students to even understand the research literature, let alone conduct a research? The current system throws these students into 'the deep end' of research conduct without equipping them with the tools necessary to do so. Very often this becomes a problem that snowballs through specialist training right up to the practice of medicine. The possibilities and means of introducing the skills of critical appraisal via the curriculum should be explored. In this age of self-directed and problem-based learning, a purely didactic teaching method of "how to read the literature" is surely outdated. The concept should be integrated into medical teaching, including within the implementation of the PBL system, in both the clinical and non-clinical settings, and by the introduction of the 'journal club' concept. Training of the trainers should also be considered. With the early training of critical appraisal, it can hopefully become an unconscious competence of medical graduates, who not only can produce quality research, but also able to identify quality information.
9.
Said, Nora'i Mohd; Othman, Jumiatin; Hairi, F
Effective triaging in Putrajaya health clinic Journal Article
In: Malaysian Journal of Public Health Medicine, vol. 2, no. 2, pp. 58-62, 2002.
@article{RN799,
title = {Effective triaging in Putrajaya health clinic},
author = {Nora'i Mohd Said and Jumiatin Othman and F Hairi},
url = {http://www.mjphm.org.my/mjphm/journals/Volume%202%20(2)%20:%202002/58-62.pdf},
year = {2002},
date = {2002-01-01},
journal = {Malaysian Journal of Public Health Medicine},
volume = {2},
number = {2},
pages = {58-62},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
10.
Nabilla, A S; Mohsein, N A Abdul
Health Economics Issues in Malaysia Book
University of Malaya Press, Kuala Lumpur, Malaysia, 2002, ISBN: 983-100-141-9.
@book{RN756,
title = {Health Economics Issues in Malaysia},
author = {A S Nabilla and N A Abdul Mohsein},
isbn = {983-100-141-9},
year = {2002},
date = {2002-01-01},
publisher = {University of Malaya Press},
address = {Kuala Lumpur, Malaysia},
keywords = {},
pubstate = {published},
tppubtype = {book}
}
11.
Vasudevan, A E; Goh, K L; Bulgiba, A M
Impairment of psychomotor responses after conscious sedation in cirrhotic patients undergoing therapeutic upper GI endoscopy Journal Article
In: Am J Gastroenterol, vol. 97, no. 7, pp. 1717-21, 2002, ISSN: 0002-9270 (Print) 0002-9270.
@article{RN16090,
title = {Impairment of psychomotor responses after conscious sedation in cirrhotic patients undergoing therapeutic upper GI endoscopy},
author = {A E Vasudevan and K L Goh and A M Bulgiba},
doi = {10.1111/j.1572-0241.2002.05831.x},
issn = {0002-9270 (Print)
0002-9270},
year = {2002},
date = {2002-01-01},
journal = {Am J Gastroenterol},
volume = {97},
number = {7},
pages = {1717-21},
abstract = {OBJECTIVES: The aim of this study was to determine whether the number connection test (NCT) times of a group of cirrhotic patients without clinically overt hepatic encephalopathy and a group of healthy patients without liver disease who were undergoing endoscopy were prolonged after sedation with short acting i.v. benzodiazepines. METHODS: All patients were administered the NCT in a standard fashion for 30 min before sedation for an upper GI endoscopy and then 2 h after sedation postprocedure. Two NCTs were carried out before and 2 h after sedation, and the mean of the tests pre- and postsedation calculated. Based on the upper limit of the 95% CI of the presedation NCT of patients without liver disease as the cut-off level for hepatic encephalopathy, the proportion of cirrhotic patients with subclinical encephalopathy before and after sedation were also determined. RESULTS: A total of 61 consecutive cirrhotic patients who underwent therapeutic upper GI endoscopy completed the study. The mean presedation NCT time was 43.5 s (95% CI = 39.0-48.1 s) and the mean postsedation NCT time 60.0 s (95% CI = 50.7-69.3 s). The difference between the mean pre- and postsedation NCT times was 16.4 s (95% CI = 9.8-23.1 s; p \< 0.001). A total of 38 consecutive patients without clinical or biochemical evidence of liver disease who presented for upper GI endoscopy completed the NCT as described for the group of cirrhotic patients. The mean (+/- SD) baseline NCT time was 34.7+/-7.9 s (95% CI = 32.1-37.2 s), whereas the mean postsedation NCT time was 33.7+/-8.5 s (95% CI = 30.9-36.5 s). This difference was not statistically significant (p = 0.177). Using the upper limit of the 95% CI of the mean (37.4 s) of the presedation time in the patients without liver disease as the cut-off between normal and encephalopathy, the number of cirrhotic patients with abnormal presedation NCT times was 33 patients (54.1%), and this number rose to 46 patients (75.4%) after sedation with midazolam. This increase in proportion of cirrhotic patients with prolonged NCT time was statistically significant (p \< 0.001).},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
OBJECTIVES: The aim of this study was to determine whether the number connection test (NCT) times of a group of cirrhotic patients without clinically overt hepatic encephalopathy and a group of healthy patients without liver disease who were undergoing endoscopy were prolonged after sedation with short acting i.v. benzodiazepines. METHODS: All patients were administered the NCT in a standard fashion for 30 min before sedation for an upper GI endoscopy and then 2 h after sedation postprocedure. Two NCTs were carried out before and 2 h after sedation, and the mean of the tests pre- and postsedation calculated. Based on the upper limit of the 95% CI of the presedation NCT of patients without liver disease as the cut-off level for hepatic encephalopathy, the proportion of cirrhotic patients with subclinical encephalopathy before and after sedation were also determined. RESULTS: A total of 61 consecutive cirrhotic patients who underwent therapeutic upper GI endoscopy completed the study. The mean presedation NCT time was 43.5 s (95% CI = 39.0-48.1 s) and the mean postsedation NCT time 60.0 s (95% CI = 50.7-69.3 s). The difference between the mean pre- and postsedation NCT times was 16.4 s (95% CI = 9.8-23.1 s; p < 0.001). A total of 38 consecutive patients without clinical or biochemical evidence of liver disease who presented for upper GI endoscopy completed the NCT as described for the group of cirrhotic patients. The mean (+/- SD) baseline NCT time was 34.7+/-7.9 s (95% CI = 32.1-37.2 s), whereas the mean postsedation NCT time was 33.7+/-8.5 s (95% CI = 30.9-36.5 s). This difference was not statistically significant (p = 0.177). Using the upper limit of the 95% CI of the mean (37.4 s) of the presedation time in the patients without liver disease as the cut-off between normal and encephalopathy, the number of cirrhotic patients with abnormal presedation NCT times was 33 patients (54.1%), and this number rose to 46 patients (75.4%) after sedation with midazolam. This increase in proportion of cirrhotic patients with prolonged NCT time was statistically significant (p < 0.001).
12.
Saimy, I; Ghani, S N; Teoh, S T
Introduction to management: Organization and Management of Health Services (OMHS) in Malaysia Journal Article
In: Med J Malaysia, vol. 57 Suppl E, pp. 99-101, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14568,
title = {Introduction to management: Organization and Management of Health Services (OMHS) in Malaysia},
author = {I Saimy and S N Ghani and S T Teoh},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {99-101},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
13.
Nabilla, A S; Safura, J; Karina, R; Noran, H; Norizan, M; Sabariah, M; Noorlaili, A A
In: Med J Malaysia, vol. 57 Suppl E, pp. 37-43, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14571,
title = {Is input on Complementary and Alternative Medicine (CAM) necessary in our medical curriculum? A perspective from a survey on medical practitioners},
author = {A S Nabilla and J Safura and R Karina and H Noran and M Norizan and M Sabariah and A A Noorlaili},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {37-43},
abstract = {A cross-sectional study was carried out through a postal survey of a random sample of registered medical practitioners in Malaysia to explore the pursuit and practice of CAM among them. A response rate of 42% was acquired. 27.1% of the medical practitioners are currently using CAM on themselves or their own families and 22.2% actually have referred patients to CAM practitioners. Analysis showed that only 14.9% of the medical practitioners who responded were exposed to CAM during their undergraduate days. Out of 28 respondents graduated from USM, 15 (53.6%) were exposed while out of the 80 graduates of UM, only 6 (7.5%) were exposed and out of 58 respondents graduates of UKM, only 5 (8.6%) were exposed to CAM during their undergraduate teaching. These differences are statistically different (p \< 0.001). Analysis also showed that more (72.6%) medical practitioners are for having training in CAM during the medical undergraduate studies. Only 9.1% of the respondents have attended any training in CAM post graduation and 36.8% would like further training on CAM postgraduate and would pay for it. The findings illustrate the need for training in CAM in medical undergraduate education especially in this new age where alternative therapy is in demand by the consumers.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
A cross-sectional study was carried out through a postal survey of a random sample of registered medical practitioners in Malaysia to explore the pursuit and practice of CAM among them. A response rate of 42% was acquired. 27.1% of the medical practitioners are currently using CAM on themselves or their own families and 22.2% actually have referred patients to CAM practitioners. Analysis showed that only 14.9% of the medical practitioners who responded were exposed to CAM during their undergraduate days. Out of 28 respondents graduated from USM, 15 (53.6%) were exposed while out of the 80 graduates of UM, only 6 (7.5%) were exposed and out of 58 respondents graduates of UKM, only 5 (8.6%) were exposed to CAM during their undergraduate teaching. These differences are statistically different (p < 0.001). Analysis also showed that more (72.6%) medical practitioners are for having training in CAM during the medical undergraduate studies. Only 9.1% of the respondents have attended any training in CAM post graduation and 36.8% would like further training on CAM postgraduate and would pay for it. The findings illustrate the need for training in CAM in medical undergraduate education especially in this new age where alternative therapy is in demand by the consumers.
14.
Jalaludin, M A; Arokiasamy, J T
Medical schools in Malaysia--meeting the future Journal Article
In: Med J Malaysia, vol. 57 Suppl E, pp. 3-4, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN16158,
title = {Medical schools in Malaysia--meeting the future},
author = {M A Jalaludin and J T Arokiasamy},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {3-4},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
15.
Anuar, A Khairul; Nooriah, M S; Farizah, M H; Merina, P
Overview of the Findings Journal Article
In: JUMMEC: Journal of Health and Translational Medicine (Formerly known as Journal of the University of Malaya Medical Centre), vol. 7, no. 1, pp. 80-81, 2002, ISSN: 2289-392X.
@article{RN798,
title = {Overview of the Findings},
author = {A Khairul Anuar and M S Nooriah and M H Farizah and P Merina},
url = {https://jummec.um.edu.my/index.php/jummec/article/view/4502},
issn = {2289-392X},
year = {2002},
date = {2002-01-01},
journal = {JUMMEC: Journal of Health and Translational Medicine (Formerly known as Journal of the University of Malaya Medical Centre)},
volume = {7},
number = {1},
pages = {80-81},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
16.
Nissapatorn, V; Kamarulzaman, A; Init, I; Tan, L H; Rohela, M; Norliza, A; Chan, L L; Latt, H M; Anuar, A K; Quek, K F
Seroepidemiology of toxoplasmosis among HIV-infected patients and healthy blood donors Journal Article
In: Med J Malaysia, vol. 57, no. 3, pp. 304-10, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN16088,
title = {Seroepidemiology of toxoplasmosis among HIV-infected patients and healthy blood donors},
author = {V Nissapatorn and A Kamarulzaman and I Init and L H Tan and M Rohela and A Norliza and L L Chan and H M Latt and A K Anuar and K F Quek},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57},
number = {3},
pages = {304-10},
abstract = {A cross-sectional study was carried out in University of Malaya Medical Centre, Kuala Lumpur. Blood samples from 100 HIV-infected patients and 203 Healthy Blood Donors (HBD) were collected and anti-Toxoplasma antibodies were detected by using conventional ELISA. The seroprevalence of toxoplasmosis in HIV/AIDS and Healthy Blood Donors were found to be 21% and 28.1% respectively. There was no significant association between the seroprevalence of toxoplasmosis and various possible risk factors i.e. contact with cat, consumption of undercooked meat and history of blood transfusion in both groups. No significant differences between Toxoplasma seroprevalence in HIV/AIDS and Healthy Blood Donors in association with presence of single or multiple risk factors were found. The mean CD4 count among HIV/AIDS patients in this study was 202.23 cell/cumm. There was no significant association between CD4 count and seropositivity for Toxoplasma antibodies in HIV/AIDS patients.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
A cross-sectional study was carried out in University of Malaya Medical Centre, Kuala Lumpur. Blood samples from 100 HIV-infected patients and 203 Healthy Blood Donors (HBD) were collected and anti-Toxoplasma antibodies were detected by using conventional ELISA. The seroprevalence of toxoplasmosis in HIV/AIDS and Healthy Blood Donors were found to be 21% and 28.1% respectively. There was no significant association between the seroprevalence of toxoplasmosis and various possible risk factors i.e. contact with cat, consumption of undercooked meat and history of blood transfusion in both groups. No significant differences between Toxoplasma seroprevalence in HIV/AIDS and Healthy Blood Donors in association with presence of single or multiple risk factors were found. The mean CD4 count among HIV/AIDS patients in this study was 202.23 cell/cumm. There was no significant association between CD4 count and seropositivity for Toxoplasma antibodies in HIV/AIDS patients.
17.
Mas, A; Hatim, A
Stigma in mental illness: attitudes of medical students towards mental illness Journal Article
In: Med J Malaysia, vol. 57, no. 4, pp. 433-44, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14572,
title = {Stigma in mental illness: attitudes of medical students towards mental illness},
author = {A Mas and A Hatim},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57},
number = {4},
pages = {433-44},
abstract = {BACKGROUND: Negative attitudes towards people with mental illness can be attributed to stigma. The objective of this study was to determine the attitudes of medical students towards mental illness by comparing those who have had contact with mental patients and those who have not. This study also assesses to what extent knowledge about mental illness can affect the students' attitude. METHODS: A vignette and two dependent measures (social distance scale and dangerousness scale) were used to assess the attitudes of medical students towards mental illness. They comprised of 108 first year and 85 final year medical students in University of Malaya, Kuala Lumpur. The first year students didn't have any prior psychiatric training. RESULTS: The final year students who had knowledge and contact (undergone 8 weeks of clinical psychiatric training) were less stigmatizing toward mentally ill patients. There were no significant differences in the attitudes towards mentally ill patient among the first year students (no knowledge) regardless they had previous contact or not. CONCLUSION: Knowledge seems to have the effect in inculcating greater tolerance of mental illness. Contact by itself is not sufficient for attitude changes.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
BACKGROUND: Negative attitudes towards people with mental illness can be attributed to stigma. The objective of this study was to determine the attitudes of medical students towards mental illness by comparing those who have had contact with mental patients and those who have not. This study also assesses to what extent knowledge about mental illness can affect the students' attitude. METHODS: A vignette and two dependent measures (social distance scale and dangerousness scale) were used to assess the attitudes of medical students towards mental illness. They comprised of 108 first year and 85 final year medical students in University of Malaya, Kuala Lumpur. The first year students didn't have any prior psychiatric training. RESULTS: The final year students who had knowledge and contact (undergone 8 weeks of clinical psychiatric training) were less stigmatizing toward mentally ill patients. There were no significant differences in the attitudes towards mentally ill patient among the first year students (no knowledge) regardless they had previous contact or not. CONCLUSION: Knowledge seems to have the effect in inculcating greater tolerance of mental illness. Contact by itself is not sufficient for attitude changes.
18.
Atiya, A S
Teaching of evidence-based medicine to medical undergraduates Journal Article
In: Med J Malaysia, vol. 57 Suppl E, pp. 105-8, 2002, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14567,
title = {Teaching of evidence-based medicine to medical undergraduates},
author = {A S Atiya},
issn = {0300-5283 (Print)
0300-5283},
year = {2002},
date = {2002-01-01},
journal = {Med J Malaysia},
volume = {57 Suppl E},
pages = {105-8},
abstract = {Medical practice is changing, and the foundations of the paradigm shift lie in the development in research over the last four decades. Today, it is no longer adequate to treat a patient purely on clinical experience alone without a clear demonstration of evidence based on research, particularly the use of randomised controlled clinical trials. What is thought to be an effective mode of treatment currently may not necessarily hold true by the time medical students begin his/her medical practice. As a consequence, many medical schools worldwide are increasingly promoting evidence-based medicine (EBM) teaching in their medical curriculum along with problem-based learning (PBL). Teaching of EBM requires a paradigm shift in itself, as students must possess additional skills that are not traditionally part of medical training. These include the ability to acquire the skills in 'means of answering questions' than just 'knowing the answer to questions'. This paper aims to describe what EBM is and to highlight the formative experience of the teaching of EBM at the medical undergraduate level in the University of Malaya. Challenges and opportunities towards successful adoption of evidence-based practice are discussed.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Medical practice is changing, and the foundations of the paradigm shift lie in the development in research over the last four decades. Today, it is no longer adequate to treat a patient purely on clinical experience alone without a clear demonstration of evidence based on research, particularly the use of randomised controlled clinical trials. What is thought to be an effective mode of treatment currently may not necessarily hold true by the time medical students begin his/her medical practice. As a consequence, many medical schools worldwide are increasingly promoting evidence-based medicine (EBM) teaching in their medical curriculum along with problem-based learning (PBL). Teaching of EBM requires a paradigm shift in itself, as students must possess additional skills that are not traditionally part of medical training. These include the ability to acquire the skills in 'means of answering questions' than just 'knowing the answer to questions'. This paper aims to describe what EBM is and to highlight the formative experience of the teaching of EBM at the medical undergraduate level in the University of Malaya. Challenges and opportunities towards successful adoption of evidence-based practice are discussed.
19.
Quek, K F; Loh, C S; Low, W Y; Razack, A H; Chua, C B
The effects of treating lower urinary tract symptoms on health-related quality of life: a short-term outcome Journal Article
In: Singapore Med J, vol. 43, no. 8, pp. 391-8, 2002, ISSN: 0037-5675 (Print) 0037-5675.
@article{RN16085,
title = {The effects of treating lower urinary tract symptoms on health-related quality of life: a short-term outcome},
author = {K F Quek and C S Loh and W Y Low and A H Razack and C B Chua},
issn = {0037-5675 (Print)
0037-5675},
year = {2002},
date = {2002-01-01},
journal = {Singapore Med J},
volume = {43},
number = {8},
pages = {391-8},
abstract = {OBJECTIVES: This study examined the effects of treatment of lower urinary tract symptoms (LUTS) on the health-related quality of life (physical/functional, mental, social and global aspect), pain and prostatic symptoms. PATIENTS AND METHODS: The study consisted of 123 LUTS patients on medical treatment (alpha blockers) and 52 who underwent surgical treatment (TURP). The patients were assessed one week before and three months after medical and surgical treatment by using the Health-Related Quality of Life (HRQOL-20), the Visual Analogue Scale of Pain (VAS), the Present Pain Intensity (PPI) and the International Prostate Symptom Score (I-PSS) inventories and questionnaires. RESULTS: Prior to treatment, the surgically treated patients were found to suffer more pain, severe prostatic symptoms, bothersomeness and deterioration in health-related quality of life than the medically treated patients. Postoperatively, the surgical group showed a significant reduction and improvement in all aspects of pain, prostatic symptoms, bothersomeness and overall health-related quality of life, as compared with the medication group. The mean ages of the surgical and medical treated groups were 69.56 years (SD=7.94 years) and 64.62 years (SD=7.94 years) respectively. CONCLUSIONS: The result showed that operative procedure had significantly improved the overall health-related quality of life of LUTS patients compared to those on medical treatment.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
OBJECTIVES: This study examined the effects of treatment of lower urinary tract symptoms (LUTS) on the health-related quality of life (physical/functional, mental, social and global aspect), pain and prostatic symptoms. PATIENTS AND METHODS: The study consisted of 123 LUTS patients on medical treatment (alpha blockers) and 52 who underwent surgical treatment (TURP). The patients were assessed one week before and three months after medical and surgical treatment by using the Health-Related Quality of Life (HRQOL-20), the Visual Analogue Scale of Pain (VAS), the Present Pain Intensity (PPI) and the International Prostate Symptom Score (I-PSS) inventories and questionnaires. RESULTS: Prior to treatment, the surgically treated patients were found to suffer more pain, severe prostatic symptoms, bothersomeness and deterioration in health-related quality of life than the medically treated patients. Postoperatively, the surgical group showed a significant reduction and improvement in all aspects of pain, prostatic symptoms, bothersomeness and overall health-related quality of life, as compared with the medication group. The mean ages of the surgical and medical treated groups were 69.56 years (SD=7.94 years) and 64.62 years (SD=7.94 years) respectively. CONCLUSIONS: The result showed that operative procedure had significantly improved the overall health-related quality of life of LUTS patients compared to those on medical treatment.
20.
Quek, K F; Low, W Y; Razack, A H; Chua, C B; Loh, C S
The feasibility of the Golombok-Rust Inventory of Marital State (GRIMS) in assessing marital satisfaction in a Malaysian population Journal Article
In: J Sex Marital Ther, vol. 28, no. 5, pp. 423-6, 2002, ISSN: 0092-623X (Print) 0092-623x.
@article{RN16089,
title = {The feasibility of the Golombok-Rust Inventory of Marital State (GRIMS) in assessing marital satisfaction in a Malaysian population},
author = {K F Quek and W Y Low and A H Razack and C B Chua and C S Loh},
issn = {0092-623X (Print)
0092-623x},
year = {2002},
date = {2002-01-01},
journal = {J Sex Marital Ther},
volume = {28},
number = {5},
pages = {423-6},
abstract = {The purpose of this study is to validate the English version of the Golombok-Rust Inventory of Marital State (GRIMS) in a Malaysian population. Using the test-retest method and Cronbach's alpha, we assessed reliability and internal consistency. Sensitivity to change was expressed as the effect size. Internal consistency was excellent (Cronbach's alpha value = 0.59 to 0.91) Test-retest correlation coefficient and intraclass correlation coefficient were highly significant in majority items (ICC = 0.62 and above), and there was a high degree of sensitivity and specificity. The GRIMS is suitable, reliable, valid, and sensitive to clinical change in a Malaysian population.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The purpose of this study is to validate the English version of the Golombok-Rust Inventory of Marital State (GRIMS) in a Malaysian population. Using the test-retest method and Cronbach's alpha, we assessed reliability and internal consistency. Sensitivity to change was expressed as the effect size. Internal consistency was excellent (Cronbach's alpha value = 0.59 to 0.91) Test-retest correlation coefficient and intraclass correlation coefficient were highly significant in majority items (ICC = 0.62 and above), and there was a high degree of sensitivity and specificity. The GRIMS is suitable, reliable, valid, and sensitive to clinical change in a Malaysian population.