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Knowledge and attitude on colorectal cancer screening among private general practitioners in Kelantan
Background: Colorectal cancer (CRC) is among the commonest cancer in Malaysia. Studies
showed that private general practitioners (GPs) have inadequate knowledge and negative
attitude towards screening for CRC which results in poor screening practice.
Aims: To determine the level of knowledge and attitude on colorectal cancer screening among
private general practitioners in Kelantan.
Methodology: A cross sectional study was done on 170 registered GPs from January to March
2013. A validated self-administered questionnaire was used. It contained 18 questions on
knowledge and 13 questions on attitude components. A five point Likert Scale (strongly agree
to strongly disagree) was used. The cut off point for good knowledge and attitude was 80%.
Descriptive analysis was used using statistical Program for Social Science Version 20.0.
Results: A total of 127 GPs responded making the response rate of 74.7%. Majority (95.3%)
did have any postgraduate training. Only 22 (17.3%) clinics have faecal occult blood test
(FOBT) service. The mean (SD) percent score for knowledge was 69.8% (7.9). The percentage
of GPs with good knowledge was 21.3%. Only 13.4% of GPs update their knowledge on CRC
screening. The mean (SD) percent score for attitude was 19.8% (43.3). The percentage of GPs
with good attitude was only 4.7%. About 90% agree that screening with FOBT is able to detect
CRC at early stage.
Conclusion: Majority of GPs have inadequate knowledge and poor attitude on colorectal
cancer screening. Providing updated knowledge and promoting positive attitude among GPs is
important to help in the detection of early colorectal cancer
Modul Sokongan Sosial Keluarga (SOS I.K)
Usaha pemulihan ketagihan opiat boleh berlaku sama ada di institusi ataupun dalam
komuniti. Pemulihan ketagihan opiat dalam komuniti melibatkan keluarga sebagai penggerak
utama pemulihan dengan penglibatan yang berterusan. Penglibatan keluarga disebut
sebagai sokongan sosial keluarga dan dicirikan dengan tiga aspek iaitu sumber sokongan,
kekuatan sumber sokongan serta bentuk sokongan.Berdasarkan kajian yang dilakukan ke atas
181 orang responden yang terdiri daripada ahli keluarga penagih opiat di negeri Terengganu,
keluarga menghadapi cabaran dalam melibatkan diri sepanjang proses pemulihan
disebabkan oleh beberapa kekangan seperti pengetahuan, sikap penagih serta emosi
keluarga. Justeru, modul ini adalah alternatif untuk membantu ahli keluarga untuk mengatasi
kekangan tersebut. Modul yang dibina ini mempunyai empat (4) unit yang mempunyai fokus
yang berbeza iaitu: (i) konsep keluarga sejahtera, (ii) cabaran sokongan sosial keluarga, (iii)
maklumat klinikal mengenai dadah serta pusat pemulihan yang terdapat di Terengganu, (iv)
potensi sokongan emosi serta aspek spiritual. Modul ini dilaksanakan dalam bentuk ceramah,
latihan dalam kumpulan (LDK), dan diskusi interaktif. Modul ini boleh dikembangkan di
peringkat komuniti dalam mengatasi stigma yang sering kali dikaitkan dengan ketagihan
opiat. Modul ini berpotensi untuk dijadikan sebagai satu kaedah pembelajaran sepanjang
hayat untuk membangunkan potensi keluarga sebagai agen penting bagi pemulihan
ketagihan opiat. Modul ini juga akan dikembangkan ke dalam bentuk aplikasi agar ianya
boleh di akses oleh pengguna atas talian bagi membolehkan keluarga lain yang mempunyai
penagih memperoleh manfaat yang sama
In vivo antidiabetic effects of aqueous methanolic bark and leaf extract of dolichandrone atrovirens
The objective of the study was to investigate the in vivo antidiabetic effects in the aqueous methanolic extract of bark and leaf part of Dolichandrone atrovirens. The animals were separated into five groups and each group has six number of Wister rates and a total number of 30 Wister rats (24 diabetic surviving rats, 6 normal control rats) were used. Antidiabetic potential of leaf and bark extracts of Dolichandrone atrovirens was studied with Streptozocin - Nicotinamide injected type II diabetic model. Estimate the effect of Dolichandrone atrovirens leaf and bark extract on body weight (g.), Serum glucose level (mg/dL), haemoglobin, glycosylated haemoglobin (HbA1C) and total protein level of normal and diabetic rats. The increased body weight, decreased blood glucose, glycosylated haemoglobin and other biochemical parameters level were observed in diabetic rats treated with bark and leaf extract of Dolichandrone atrovirens compared to diabetic control rats. The diabetic rats treated with both parts of the plant extracts were produced the significant reduction in blood glucose level. This indicates the bark and leaves part of the plant extract was able to possess the ability to manage glucose level as well as controlling muscle wasting. In conclusion, the present study clearly demonstrates that the Dolichandrone atrovirens leaf and bark extract the lowering blood glucose action in diabetic condition. Further, unambiguous mechanisms and sites of these activities and isolation of active constituent of the extract are still to be determined
Corporate governance from the civil law and syariah perspectives; An appraisal
Under the civil law, corporate governance is one key element in improving
economic efficiency and growth as well as enhancing investor confidence. It
involves a set of relationships between a company’s management, its board, its
shareholders and other stakeholders. Corporate governance is basically the moral
and ethical dimensions of managing a company’s business and there are three
underlying principles of corporate governance, namely accountability,
transparency and trustworthiness. In Syariah, the concept of corporation is not
similar to the Civil law as the business structures are based on the musyarakah
(partnership) concept. Nonetheless, it is observed that the principles emphasized
under civil law corporate governance such as accountability, transparency and
trustworthiness are not new under the Syariah. It is also observed the structure of
board and good decision making which are emphasized in corporate governance
are akin to the practice of Syura (consultation) and Hisba (accountability) in
Syariah. This paper discusses and analyzes the concept of corporate governance
from both the Civil law and Syariah. Research methodologies adopted in this paper
are doctrinal and statutory analysis
Contract law in Jordan and its application in the construction contracts
Jordan is a country which is governed by constitutional monarchy. There are three
categories of courts under the Jordanian constitution namely the civil, religious,
and special courts. The special courts include a military or state security court,
police courts, land settlement courts, an income tax court, and customs courts. The
sources of law and legal structure in Jordan varies and depending on the court
category. The contracts laws is one the branches of the civil law and thus falls
under the jurisdiction of the civil courts. The Jordanian civil legal system has its
foundations in the Code Napoléon, a French legal code implemented in Egypt in
the early 19th century. The civil courts include Magistrate Courts, Courts of First
Instance, Courts of Appeal, High Administrative Courts and the Court of Cassation
(Supreme Court). This paper discussed the scope and principles of contracts law in
Jordan and to what extent the contract law principles are applied in construction
contracts. The research methodology applied in this paper are the doctrinal and
statutory analysis
Islamic commitments and mental health outcomes among substance dependants undergoing a psycho-spiritual therapy
An interactive teaching approach: projected material quiz
Background:
Projected Material Quiz (PMQ) is an interactive teacher-centred learning used in radiology
teaching of medical students in Universiti Sultan Zainal Abidin (UniSZA). PMQ involve preclass self-directed learning and active students’ interaction as well as a form of formative
assessment in the classroom setting. The objective of this study was to determine students’
preference of PMQ as compare to other teaching methods namely lecture, Case
Presentation (CP) and Film Viewing (FV). It was a preliminary work on an untested new
teaching method. Methods:
An interventional cross sectional study involved 116 final year medical students in UniSZA.
They underwent all four different types of teaching methods in year three, four and five
during radiology classes. A survey with a questionnaire was used to collect the information
during final year. They must decide on the most interesting and best, and which teaching methods that they want in the future. Descriptive analysis was used Microsoft Excel
Programme. Results:
116 students responded to the questionnaire. Percentage scores for the most interesting and
the best teaching method in descending sequence were PMQ (49.1%), FV (22.4%), CP
(19.8%) and lecture (7.8%). Teaching method that students wanted to have more session in
the future percentage scores were highest for PMQ (50%) followed by FV (36.2%), lecture
(26.7%) and CP (25.0%). Conclusion:
In radiology teaching, PMQ the most preferred teaching approach among the students
compared to lecture, CP and FV. The result of this study will provide supportive evidence
that PMQ is a useful alternative to replace other teacher-centered learning methods such as
lecture and film viewing
Pendekatan isqat tadbir al-‘Uyub dalam memperkasakan ketahanan diri wanita
Falsafah Pendidikan Kebangsaan menekankan unsur ketahanan diri dalam proses membangunkan
generasi yang berupaya mencapai kesejahteraan diri. Rentetan daripada usaha kerajaan tersebut secara tidak
langsung memperlihatkan kepentingan aspek ketahanan diri dalam berhadapan dengan pelbagai cabaran
semasa. Terdapat kajian yang menunjukkan wanita mempunyai tahap ketahanan diri yang lebih rendah
berbanding lelaki. Namun, aspek ketahanan diri ini boleh diasah dan dipelajari. Justeru, kertas kerja ini
bertujuan untuk mengkaji dan mencadangkan penyelesaiannya menerusi pendekatan Isqat Tadbir Al-’Uyub
dalam memperkasakan ketahanan diri agar terhindar dari tekanan dan masalah jiwa akibat dari kurangnya
pemahaman tentang ajaran al-Quran. Bagi menjawab persoalan dan tujuan kajian, reka bentuk pendekatan
kualitatif menggunakan analisis dokumen diaplikasikan dalam kajian ini. Metod kajian ini berdasarkan kajian
perpustakaan dengan menganalisis kitab turath. Kajian ini mendapati pendekatan Isqat Tadbir Al-’Uyub
mampu menyumbang dalam melahirkan golongan wanita, khususnya muslimah yang berdaya tahan
seterusnya berupaya memberi sumbangan dalam konteks pembangunan keluarga, masyarakat, dan Negara