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Does proprioception of knee improve after various forms of training in osteoarthritis of knee?
No full textThe present study was aimed to investigate the role of various forms of training in improving the proprioception of
the knee joint in patients with osteoarthritis of knee. Sixty participants (male and female) with knee Osteoarthritis of
Grade II & III (Kellgren-Lawrence criteria) in the age range of 50-73 years were recruited from the Department of
Orthopedics, Hospital Universiti Sains Malaysia. The recruited participants were taken to the Exercise and Sports
science laboratory and the laboratory of School of Medical Sciences, Universiti Sains Malaysia for baseline
assessment. The level of proprioception was assessed with the aid of isokinetic device BIODEX 4 System Pro. The
participants were randomly categorized into four groups (Gr.) (Viz. Gr. A, Gr. B, Gr. C and Gr. D) and thus each
group consisted of 18 participants. Gr. A participants received Conventional Physiotherapy consisting of
strengthening exercises; stretching exercises and range of motion exercises. Gr. B received Isokinetic Training at
velocities of 90° and 150°/second. Gr. C participants received EMG Biofeedback training with Mega ME 6000
device and Gr.D participants recieved a combined intervention of isokinetic training and EMG Biofeedback. The
training protocol was designed for 25 - 30 minutes per session; 2 sessions per week for 10 weeks (20 sessions). The
assessment was done after 5th week of training (mid term) and after 10th week of training (post) following baseline
assessment protocol. A follow up assessment was performed after the 14th and 18th week to assess the after effect
of training. Meanwhile the participants were not given any training after the 10 week period. They were also adviced
not to get engaged in any sort of physical training, exercise or sport programme. Repeated measure of ANOVA
revealed that, all interventions helped in improving the proprioception of the knee joint however post hoc analyses
implicated that a combined intervention of Isokinetic Training and EMG biofeedback was beneficial in enhancing
proprioception than the conventional physiotherapy (P<.05)
Kaunseling, Dakwah, dan Penerapan Aspek Akidah
No full textPegangan akidah adalah asas kekuatan rohani dan jasmani yang menjadi benteng umat Islam dari
kerosakan, kesesatan, dan kekufuran. Bagi memelihara akidah umatnya, Islam mengajak umatnya menyeru
ke jalan amar maaruf nahi mungkar serta berpesan-pesan kepada kebenaran dan kesabaran bagi mengelak
kerugian dalam kehidupan duniawi dan ukhrawi. Amar maaruf nahi mungkar adalah tanggungjawab semua
umat Islam terutamanya bagi para pendakwah (da’i) dan konsep ini sama dalam konsep kaunseling yang
turut membimbing dan menasihati klien kepada perubahan ke arah kebaikan. Dalam perspektif Islam,
kaunseling membawa klien (mad’u) memahami keterangan dan penjelasan yang seiring dengan syariat Allah
tanpa merosak dan menyesatkan akidah sama ada dalam fikiran dan tindakan mereka. Hal ini menunjukkan
bahawa hubungan di antara kaunseling dan dakwah amat jelas apabila proses kaunseling melibatkan usaha
menyampaikan pengajaran dan pembelajaran psikososial yang berlaku antara kaunselor dan klien
Pendekatan Islamik Implikasinya Terhadap Amalan Kaunseling
No full textKertas konsep ini membincangkan mengenai definisi, konsep kaunseling menggunakan pendekatan
Islamik dan peranan seorang kaunselor Islamik dalam membantu klien Islam samada secara individu atau
kelompok yang sedang menghadapi masalah dapat membuat keputusan seperti mana kehendak syariat Islam.
Pendekatan Islamik dalam kaunseling ini diharapkan dapat memberi manfaat untuk diri klien sebagai seorang
muslim yang sedang menghadapi permasalahan, pada akhirnya dapat kebahagiaan ketenangan ketenteraman
kerahmatan keberkatan di dunia dan akhirat. Seseorang kaunselor Islamik perlu mempunyai ilmu
pengetahuan berkaitan dengan pendekatan Islamik dalam mengendalikan sesi kaunseling, berkemahiran
menggunakan kaedah intervensi akal dan roh keimanan bagi merawat klien sehingga terhasil amalan akhlak
yang mulia pada diri klien. Kaunselor Islamik juga perlu mempunyai sifat-sifat personaliti keimanan akhlak
yang luhur, mulia dan unggul, niat hati yang suci tulus ikhlas dalam membantu klien yang sedang
menghadapi permasalahan demi kerana Allah SWT
Association of Prosocial Behaviour with Smoking and Alcohol-taking among School-going Adolescents
No full textHoarsness in child : a missed diagnosis
No full textBackground:
Hoarseness is not uncommon in children. It is described as a change of quality of voice.
Most often it is due to self-limiting or non life threatening causes like viral upper
respiratory infection or voice abuse. Foreign body in the airway can also solely presents
with hoarseness of voice which later might potentially causing catastrophic event to the
patient. We present a case of foreign body that impinged on the vocal cord which was
missed initially.
Reports:
11months old girl, with no known medical illness, had 1 choking episode followed by
vomiting after taking rice. She presented to emergency department the same day as
mother noticed patient started to have hoarseness of voice whenever she cried. No
cyanotic episode or shortness of breath. Lungs was clear with no rhonchi. X ray was
normal. She was treated for viral croup and discharged after 5 days of admission. Upon
discharge, hoarseness was better but still persist. Patient presented again to hospital the
next day with severe respiratory distress and stridor. Multiple nebulisation were given,
however distress persist. Patient was subsequently planned for intubation. Upon
intubation, emergency physician noticed there was a foreign body impinged on the vocal
cord. Emergency operation was done with tracheostomy first for securing of airway,
followed by direct laryngoscopy with foreign body removal. Intravenous dexamethasone
was given for 1 day. Patient’s tracheostomy was removed 2 days later after repeated
flexible nasopharyngolaryngoscopic examination (FNPLS) with normal laryngeal
findings. Patient was discharge well 2 days later.
Conclusions:
Diagnosing laryngeal foreign body in infants can be challenging as they can’t complaint
about it. Furthermore, the symptoms can sometimes be unclear. Doctors must always
alert of such possibility to minimize the potential lethal complications it caused
Fragmentation in MAC IEEE 802.15.4 to Improve Delay Performance in Wireless Body Area Network
No full textA Medium Access Control (MAC) protocol plays a significant role in enhancing the performances of Wireless Body
Area Network (WBAN). This technology is commonly implemented IEEE 802.15.4 standard that works under
CSMA/CA protocol. In addition, WBAN deals with probability of high traffic occurrence due to collection bulk of
medical data that are generated from several bio-sensors through a continuous monitoring of patient's health. This
phenomenon could result to congestion in the network which may lead to increment in delay and packet loss that
could collapse the network. The increment in these two performances could lead to wrongly diagnosed of the diseases
as well as late in medical help. Hence, the proposed mechanism aimed to reduce the delay through fragmenting the
packets by decrementing the slot time in MAC 802.15.4 protocol under different number of number nodes with
constant packet size and bit rate. The performances of the proposed mechanism are measured in terms of delay and
packet loss by using OMNeT++ simulator tool. Based on the collected results, the proposed mechanism has shown a
promising result in reducing the delay which means that it has improved the network performance of WBAN
Social Media And Digital Transformation In Medical Campus
No full textFrom micro-computer, disc, computer assisted learning and then to the evolution of
the internet, nowadays the trend are using mobile devices, video streaming, world-wide
technology, compression technology, wide band data network, powerful processors, social-technical innovation, gamification, artificial intelligent and augmented reality. The aim to use
the technology to optimise teaching and learning experience, teachers teach by using
technology, learners learn through application of ICT, and application of ICT to enables new
choices for teaching and learning
A chaotic jerk system with three cubic nonlinearities, dynamical analysis, adaptive chaos synchronization and circuit simulation
No full textA 3-D new chaotic jerk system with three cubic nonlinearities is proposed in this paper. The dynamical properties of
the new jerk system are described in terms of phase portraits, Lyapunov exponents, Kaplan-Yorke dimension,
symmetry, dissipativity, etc. Also, a detailed dynamical analysis of the jerk system has been carried out with bifurcation
diagram and Lyapunov exponents. As an engineering application, adaptive synchronization of the new chaotic jerk
system with itself is designed via backstepping control method. Furthermore, an electronic circuit realization of the
new chaotic jerk system is presented in detail to confirm the feasibility of the theoretical chaotic jerk mode
Cutting Parameters and the Machinability Performance
No full textOptimizing cutting parameters is very significant to obtain good machined surface and meet engineering specifications. It is also can save energy, reduce waste, save processing time, and increase tool life
