IIUM Medical Journal Malaysia (IMJM)
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A Secondary Research on Human Endocrine Physiology in the Al-Qur’an and the Ahadith
Get PDFPhysiology is one of the remarkable branches in medical field which allows an appreciation of the anatomy as well as the functions of being; which then gives an idea on the purpose of a creation and a better understanding of the purpose of humans themselves. However, modern physiology taught in many Westernised textbooks lack the link and reflection to the worldview of Islam. As a result of this divorce between the modern physiology and the religious worldview, physiology as a subject is lacking “spiritual” connection and thus, produces students with lack of connection with the Tawhidic (Oneness) and admirableness to Allah, much to the dismay of the Islamic teaching. Thus, this paper is aimed to review the relevant scientific knowledge in endocrine physiology and relate it with the Qur’anic verses and Hadith. The roles of melatonin and cortisol that changes between day and night, the role of touch and the release of oxytocin are explained from the Islamic perspective based on the relevant Qur’anic verses and/or the Ahadith. Future research in integrating the physiology with the evidence from the Qur’an and the Ahadith should be attempted by medical and biomedical scientists alike, to further enhance and develop the concept of physiology as a subject in medical schools, not limited to the physical sciences per se, but also the spiritual and metaphysical dimensions
Health Seeking Behavior of Health Disorders of Men among Government Servants in Kuantan: Prevalence Study towards a Healthy Ummah
Get PDFAs age advances most of body system will follow a process of deterioration too and the same goes for reproductive health. There is a gap between the prevalence of reproductive health disorders and rates of treatment. This gap among middle aged and older men is still wide compared to other chronic disease. In Islam, seeking medical treatment for the cure of diseases is part of the Prophet’s tradition and the Prophet (PBUH.) said in the Hadith the following: “For every disease there is a medicine, and if that medicine is applied to the disease, he will recover by Allah’s Leave.” Therefore the aim of this study is to identify a health seeking behaviour among men in for men’s health (MH) disorders in Kuantan. A cross sectional study was conducted among 157 respondents from four governments agencies and the data was collected using self-administered questionnaire modified from a valid and reliable measure. The results showed that 68.2% of the respondents (n=107) have high attitude in seeking for health regarding men’s health while for the rest of the respondents (n=50, 31.8%) have low attitude in seeking for MH. Men from the Service factor are perceived the highest compared the other two factors which are cultural and economic factors. This study showed that MH that includes reproductive disorders has always been taken lightly by the community itself. A Lack of awareness regarding ME issue causes men to ignore the importance of health screening. This should be improved in order to produce a healthy community for better Ummah since good heredity begins with good ME
The Needs of Islamic Health-Related Quality of Life Instrument: A Review
Get PDFOne of the best ways to evaluate persons’ health quality is through measuring their Quality of Life (QoL). The QoL concept gained rapid popularity over the last four decades in assessing health. It has been used as the sole endpoint in studies designed specifically to develop a positive physical or mental well-being of sick people. The purpose of this review is to address the needs of a new Islam-specific health-related QoL instruments for Muslim patients. A literature search was conducted using electronic databases. For the purpose of the review, QoL domains from WHOQOL SRPB instrument was referred. The identified QoL instruments were then reviewed for their domains and dimensions included in it. At present, there is no specific QoL instrument to assess health-related QoL among Muslim patients’ despite being fastest-growing religion and contribute 23% of the world population. Muslims believes that Islam is a comprehensive way of life which puts religiosity and spirituality as an essential part of life. In addition, QoL is regarded as an important aspect in health care by the World Health Organization (WHO) and spiritual well-being is one of the WHO QoL dimensions. To date, no instrument has been developed to measure QoL specifically according to Islamic perspective. Hence a specific assessment tool of health-related QoL for this growing world population is highly needed. Islam is not only a religion but it’s a way of life and QoL should be beyond the religion perspectives. Therefore, this paper will present the gap found in the review of the existing QoL instruments. Identifying this gap will enable us to develop a tool which is more sensitive to the Muslim population
Transformational and Transactional Leadership Styles in Enhancing Nurse Educator’s Job Satisfaction: An Integrative Analysis of Conventional and Islamic Approaches
Get PDFAs nursing education gets more complex, leadership styles employed in these nursing training institutions played a crucial role in achieving nurse educators’ job satisfaction. As such, this study intends to elicit attributes and practices of nursing academic leaders’ transformational and transactional leadership styles in enhancing the job satisfaction of nurse educators. The qualitative method used for the study was based on the phenomenological approach to gather an in-depth understanding of human behaviour through interview, documents and observations. Purposive sampling was undertaken in selecting nine nurse educators from three nursing colleges from Johor and Melaka. Data from the interview were summarized in answering nurse educators' job satisfaction and perceived leadership styles and practices of nursing academic leaders. The responses from the verbatim transcriptions were analysed using the software Atlas Ti. The strong relationship between nursing academic leadership styles and nurse educators’ job satisfaction suggested that the academic nursing transformational leadership style played a prominent role on subordinates’ job satisfaction and that nursing academic leaders’ transformational leadership practices and attributes had the ability to encourage subordinates to achieve more than what they planned. Transactional leadership practised by the nursing academic leaders indicated a weak link to subordinates’ job satisfaction as the leaders’ emphasis on payoffs for performance and corrective actions were not as acceptable to that of transformational leadership attributes practised by the leaders. The study uncovered effective leadership was enacted via engaging leadership where the leader enabled the development of an organization modelled by a culture of integrity, transparency, accessibility and genuine valuing of others and that their contributions were concerned for the development and well-being of others. In fact, moral attributes like integrity, trustworthiness and commitment to work as well as decision making styles of leaders such as being consultative leader are among the basic Islamic teachings on establishing worthy social order
Vaccination: Influencing Factors and View from an Islamic Perspective
Get PDFVaccine refusing and hesitant among parents has created a delicate issue for the health care providers because of its sensitivity in cultural differences, educational backgrounds and to a certain extent, politically motivated. Vaccination, which is an important intervention, correlates well with the priorities of Islamic jurisprudence (Maqasid al-Shariah); that states the preservation of life comes second after the preservation of Deen (religion). From the Islamic point of view, life is a gift from Allah Subhanahu wa Ta’ala (SWT; the Most Glorified, the Most High) and its protection and continuation is of greatest value and need. Aims: This brief article has the objective to firstly, investigate factors that influence vaccination, and secondly, understand the Islamic perspective on vaccination. Methodology: Relevant literatures were reviewed based on a combination of one or more of the following keywords: vaccine, vaccination decision, vaccine hesitancy, factors influencing vaccine, vaccine impact, Islamic perspective and Muslims practice. An Islamic perspective on vaccination was extracted using the primary sources (related Qur’anic verses and Hadith) as well as secondary sources (fatwa; Islamic jurisprudence, made by Islamic scholars). Lastly, the current available Shariah rulings on vaccination and the related principles involved were analyzed. Conclusion: The main outcome of this review would allow various parties. i.e. the community, health scientists, medical practitioners and vaccine manufacturers, to be cognizant in both earlier and recent Shariah rulings pertaining vaccination
A Case Report on Blood in Breastmilk: Safety Issues and Islamic Ruling
Get PDFThis case study demonstrates a 33-year old nursing mother who had noticed that her breastmilk had traces of blood giving the appearance of a strawberry coloured milk while expressing for her infant. This is an uncommon encounter but important issue to raise concern among Muslim nursing mothers in terms of medical safety and Islamic ruling of the standpoint of legal theorists (usul al-fiqh) and legal maxim (qawai’id fiqhiyyah)
An Overview of the Application of Maqasid Al-Shariah into Cartilage Tissue Engineering
Get PDFTissue engineering, being part of regenerative medicine approaches has been researched and applied to treat the articular cartilage diseases. It offers benefit to humankind by improving healthcare economics, better treatment options and quality of life among the osteoarthritic patients. It is felt that this promising field requires Islamic essences to be addressed to its concepts and practices. The paper begins with the discussion of the potential of cartilage tissue engineering in overcoming the harms that may impact the healthcare stakeholders (patients, providers, medical professionals, researchers and healthcare authorities). This will be followed by deliberations based on the Maqasid al-Shariah (five higher objectives of Islamic Law), namely, safeguarding of faith, soul, wealth, mind, and offspring. The deliberations illustrate a general idea of cartilage tissue engineering concept and practices in relation to what Islam champions. Islamic Law is comprehensive and incorporates the moral propositions to the medical discipline. It is presented that every legal ruling in Islam has a function to achieve the benefit to human beings or to protect against harm. The application of Maqasid al-Shariah can serve as a practical framework in healthcare setting especially cartilage tissue engineering. It is hoped that this paper will open further discourses to facilitate for a decree by the relevant authority pertaining to the experimentation and practice of tissue engineering, particularly cartilage tissue engineering
The Formulation of Classification for Islamization in Medicine: Review on 15 Years of Publications from Kulliyyah of Medicine
Get PDFThe Kulliyyah of Medicine of IIUM has pioneered the Islamization of Medicine in Malaysia since its establishment in year 1994. Therefore, it is timely to review publications on Islamization by the kulliyyah and also to propose a classification system in the field of researches to promote an organized, comprehensive, inclusive and relevant Islamization process. The aim is to review and classify publications on Islamization performed by the members of Kulliyyah of Medicine, International Islamic University Malaysia (IIUM). All researches and publications deposited in the IIUM Repository (IREP) under the Kulliyyah of Medicine between 1st of January 2000 and 31st of August 2016 were reviewed. Journal articles, posters and proceedings with Islamization themes were identified. These publications were classified based on common themes to either of the following; 1) "Islamic Principles and Related Rulings in Medicine"; 2) "Medical Treatment for Muslim Patients"; 3) "Islamic Input in Medical Practices"; 4) "Ruqyah and Tibb an-Nabawi in Contemporary Medicine". A total of 1616 items (journal articles, abstracts and proceedings) were reviewed. Sixty-one (3.8%) of them were related to Islamization. The major contributors to writings in Islamization are the Orthopaedics, Traumatology and Rehabilitation Department (10%) followed by the Internal Medicine Department (7.9%), from their total deposits in the IREP database. Majority (36.5%) of work were done in "Islamic Principles and Related Rulings in Medicine", which dwells in subjects such as euthanasia, autonomy and doctor-patient relationship followed by "Islamic Input in Medical Practice" (28.6%) which was related to topics in the medical curriculum such as Fiqh Ibadah for the sick. Twenty-three point eight percent (23.8%) of work were in the "Medical Treatment for Muslim Patients" which focuses on Ramadan and diabetes and joint problems and Solat. Minimal work (7.9%) was done in the "Ruqyah and Tibb an-Nabawi in Contemporary Medicine" category. Low number of publications on Islamization was deposited in the IREP database for the past 15 years. Based on the proposed classification system, majority of publications were on "Islamic Principles and Related Rulings in Medicine" and "Islamic Input in Medical Practice". More work is required on the theme of "Medical Treatment for Muslim Patients" and "Ruqyah and Tibb an-Nabawi in Contemporary Medicine"
Derivation of a New Bioscore for Predicting Mortality in Sepsis
Get PDFIntroduction: Currently, there is a lack of clinically feasible and reliable method for discriminating outcome in sepsis. We aimed to derive a new bioscore for predicting 30-day mortality in sepsis using a combination of biomarkers and clinical indexes. Materials and Methods: This secondary analysis of a prospectively collected data included 159 septic patients admitted to an intensive care unit (ICU). We collected data for key variables considered for inclusion in the score which included: age, sex, source of admission, comorbidities, microorganism, bacteraemia, site of infection, septic shock status, baseline Simplified Acute Physiological Score II, Sequential Organ Failure Assessment (SOFA) score (total and organ sub-scores), C-reactive protein, procalcitonin and interleukin-6 (IL-6). Approximate quintiles of each variable were assigned points based on the strength of their association with 30-day mortality. Results: Based on the statistical significance in the logistic regression model, the final score used candidate variables of age, central nervous system and liver SOFA sub-scores and IL-6. The bioscore predicted 30-day mortality with a very good performance [area under the receiver operating characteristic curve 0.814 (95% CI 0.745-0.871, p <0.0001)] in our sepsis cohort. A bioscore greater than 4 predicted 30-day mortality with 80.4% sensitivity, 69.9% specificity, 2.67 positive likelihood ratio and 0.28 negative likelihood ratio. As the score increased, so did mortality rate. Conclusion: A new bioscore combining age, central nervous system and liver SOFA sub-scores and IL-6 measured on ICU admission improves prediction of mortality in sepsis.  
Factors Regulating Nitric Oxide Production in Piper Sarmentosum Aqueous Extract Treated Spontaneous Hypertensive Rats
Get PDFIntroduction: High blood pressure is a major risk factor for cardiovascular diseases which is one of the leading causes of death worldwide. Piper sarmentosum (PS) leaves have been widely used in traditional medicine and it has been proven for its antihypertensive and antioxidant effects. This study aims to evaluate the antihypertensive potential of PS aqueous extract (PSAE) and to investigate the factors modulating nitric oxide (NO) production through its anti-oxidant activities. Materials and Methods: PS leaves were extracted with distilled water and freezedried. The PSAE was examined to quantify their antioxidant activities through DPPH and FRAP test. It is also screened for total phenolic and flavonoids content. The antihypertensive effect of PSAE in SHR was evaluated using four different groups (n=6); C group (negative control), K group (PSAE 500mg/kg), P group (3 mg/kg perindopril) and M group (PSAE + 1.5 mg/kg perindopril). PSAE and other treatment were given via oral gavage for 28 consecutive days. The blood pressure and heart rate were determined using the non-invasive blood pressure monitoring (NIBPM) tail cuff technique and recorded weekly for four weeks. SHR’s blood was collected for the determination of serum NO level using Griess assay. Asymmetric dimethylarginine (ADMA) and arginine levels were determined using HPLC. Results: PSAE shows good in-vitro antioxidant activities with significant reduction of BP and decreased serum ADMA level. Conclusion: PSAE enhances the clearance of ADMA that maintains arginine level, thus increasing the serum NO level, which ameliorate the blood pressure of SHR