IIUM Medical Journal Malaysia (IMJM)
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51-CHROMIUMETHYLENEDIAMINETETRAACETICACID (51Cr-EDTA) GLOMERULAR FILTRATION RATE (GFR) ANALYSIS: COMPARING TWO BLOOD SAMPLING WITH MULTIPLE BLOOD SAMPLING
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NICOTINE DEPENDENCE AND QUIT SMOKING: A PRELIMINARY SURVEY AMONG ADULT MALES IN KUANTAN, MALAYSIA
Get PDFIntention to Seek Medical Consultation for Symptoms of Upper Respiratory Tract Infection– A Cross-Sectional Survey
Get PDFIntroduction: The common cold is the commonest reason for primary care encounters worldwide. This paper aims to describe the reasons that influence patients to seek medical consultation for the common cold. Methods: This was a cross-sectional survey conducted among adult patients of an urban teaching primary care clinic. An adapted bilingual survey form was administered by the researchers to obtain data regarding their decision to seek medical consultation for a cold and the reasons for their decision. Quantitative analyses were done to describe the close-ended responses. Open-ended responses were analysed using a qualitative approach and the frequencies of the themes were reported. Results: A total of 320 respondents participated in this study, with a response rate of 91.4%. They were predominantly females (59.4%), Malay (70.9%), and had tertiary education (65.9%). More than half of the patients (52.5%) said they would seek consultation for cold symptoms. Fever was the commonest symptom (57-61%) which compelled them to seek consultation. The commonest reason for seeking consultation was to get medications (41.7%), whereas the commonest reason not to seek consultation was the practice of self-medication (44.2%). Ethnicity was found to be significantly associated with the decision to seek doctor’s consultation. Conclusion: Colds are usually self-limiting and do not result in complications. Empowering patients by providing appropriate self-care knowledge can help to reduce the burden of primary care services. Patients should be taught about red flag symptoms as well as drug safety for medications commonly taken for colds
Does Mesh Augmentation of the Hiatal Repair with Gore Bio-A® Improve Symptomatic Outcomes in Laparoscopic Fundoplication?
Get PDFIntroduction: Laparoscopic fundoplication is performed for the management of symptomatic hiatus hernias and gastro-oesophageal reflux disease (GORD) refractory to medical therapy. We adopted the use of Gore Bio-A® for selected laparoscopic hiatus hernia repairs in 2011 and with this case series aimed to establish whether mesh augmentation affects symptomatic outcomes. Methods: A retrospective review of prospectively collected data from all laparoscopic fundoplications performed by a single surgeon between October 2011 and January 2013 was performed. Patient specific data were entered into a proforma and analysed using Microsoft ExcelTM. Patient reported outcomes were assessed with a system specific quality of life questionnaire (GORD-HRQL) both pre and post-operatively. Results: Twenty-three patients underwent laparoscopic fundoplication during the study period. Gore Bio-A® re-enforcement of the hiatal repair was used in 14 patients and was the preferred option for those with pre-operative evidence of a large hiatus hernia. Whilst overall there was a statistically significant difference between pre and post-operative scores (21 vs 0, p=<0.0001, Mann-Whitney U test), there was no clear difference observed in pre-operative scores (22 vs 20, p=0.21, Mann-Whitney U test), postoperative scores (0 vs 0, p=0.92, Mann-Whitney U test) or symptom improvement (21 vs 20, p=0.24, MannWhitney U test) between the mesh and non-mesh groups. Conclusions: Augmentation of the hiatal repair with biosynthetic mesh is safe, feasible and may contribute to improved symptomatic outcomes in selected cases with a large hiatus hernia. We suggest a further assessment with a larger randomised sample and long term follow-up for definitive evaluation
In Vitro Antibacterial Activity of Eurycoma Longifolia Jack (Tongkat Ali) Root Extract
No full textIntroduction: Currently, researchers are aiming to explore herbal plants to replace synthetic drugs because herbal plants contain high active compounds and fewer side effects. Our study was done to determine the antibacterial activity of Eurycoma longifolia Jack (E. longifolia) root using ethanol based extract. Methods: Five types of pathogenic bacterial strains were used; Gram-positive (Staphylococcus aureus and Bacillus cereus) and Gram-negative (Escherichia coli, Salmonella typhi and Pseudomonas aeruginosa). Disc diffusion assay and Minimum Inhibitory Concentration (MIC) tests were used to determine the inhibition zone and turbidity of suspension which reflects the antibacterial activity of the extract. Results: The ethanolic extract of E. longifolia Jack root extract showed positive results against Gram-positive bacteria (S. aureus and B. cereus) and Gramnegative (S. typhi). B.cereus and S.typhi showed inhibition zone values of 11.76mm and 14.33mm at the extract concentration of 150mg/ml that were higher than the positive control values (9.00, 12.67mm) respectively. However, E. coli and P. aeruginosa did not show any inhibition by the ethanol-based extract. Conclusion: From the results we can conclude that E.Longifolia root extract possesses antibacterial activity that can be further explored to produce new medicinal products
FACTORS AFFECTING ONLINE HEATH INFORMATION SEEKING BEHAVIOUR VIA FACEBOOK IN MALAYSIA: THE MALAYSIAN MEDICAL GAZETTE EXPERIENCE.
Get PDFDesigning and Validating a New Asian Family Scale
Get PDFIntroduction: All available family scales are designed for western countries and there is no validated family scale which is specifically devised for Asian population. The difference in culture and family values warrants the formulation of a specific Asian family scale to cater the regional needs. The objectives are to devise and validate a new family scale and eventually to validate it for Malaysian population. Method: The development of the questionnaire can be divided into 5 stages; identifying the domains of Asian family values, items identification for each domain and language review, pretest the pre-final version, pilot study and validation. Respondents were recruited from different ethnic groups and cultural backgrounds to represent the Malaysian population. They were selected by using stratified quota sampling from various health centres in the district of Kuantan, Malaysia. Results: A total of 588 participants enrolled in the validation stage with various ethnic backgrounds. Bartlet’s KMO value is 0.93. From 43 items, 67% had good factor loading (>0.4) and 13 items were finally dropped. Total Cronbach’s alpha values of 0.9 with 5 domains were identified by using exploratory factor analysis. There are 6 items in each domain. Conclusion: This new scale has good psychometric properties and it is a valid family scale for Malaysians. Further psychometric evaluation will further enhance the evidence for other populations in Asia
