Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2270
A. Gore, Randhir V. Dhobale, Vivek Behere, Sanjay R. Quraishi, G. Dhumale
Introduction: Frontline healthcare workers (HCWs) are at higher risk of Covid-19 infection compared to general population. Adherence to COVID-19 preventive measure is an important factor in reducing the risk of exposure to the HCWs. Thus, we conducted a study to evaluate the knowledge and attitude toward COVID-19’s preventive measure among the HCWs. Material and Methods: We performed a cross-sectional study among HCWs in COVID care center of Bharati Hospital, Sangli, between June 2021 to December 2021, A validated self-questionnaire on the knowledge of hand-washing and donning-doffing, as well as the attitude towards covid-19 appropriate behavior was administered to the HCWs. A statistical analysis was performed using a Microsoft Office 365 and SPSS-22. Results: Evaluation of knowledge on hand-washing and donning-doffing shown that majority of study participants had an average knowledge (77.12%), whereas only 7.7% had good knowledge and another 14.9% had poor knowledge. Knowledge of HCWs were significantly associated with donning-doffing training (p <0.05). Majority of study participants (94.29%) demonstrated an appropriate behavior to COVID-19. Conclusion: As the study demonstrated an average knowledge on Covid-19 appropriate behavior after receiving a training, a periodic training on infection control and prevention in a healthcare setting and orientation programs related to COVID-19 appropriate behavior is indicated.
{"title":"Knowledge and Attitude on COVID-19 Appropriate Behavior among Frontline Healthcare Workers in a Tertiary Care Hospital: A Cross Sectional Study","authors":"A. Gore, Randhir V. Dhobale, Vivek Behere, Sanjay R. Quraishi, G. Dhumale","doi":"10.31436/imjm.v22i3.2270","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2270","url":null,"abstract":"Introduction: Frontline healthcare workers (HCWs) are at higher risk of Covid-19 infection compared to general population. Adherence to COVID-19 preventive measure is an important factor in reducing the risk of exposure to the HCWs. Thus, we conducted a study to evaluate the knowledge and attitude toward COVID-19’s preventive measure among the HCWs. Material and Methods: We performed a cross-sectional study among HCWs in COVID care center of Bharati Hospital, Sangli, between June 2021 to December 2021, A validated self-questionnaire on the knowledge of hand-washing and donning-doffing, as well as the attitude towards covid-19 appropriate behavior was administered to the HCWs. A statistical analysis was performed using a Microsoft Office 365 and SPSS-22. Results: Evaluation of knowledge on hand-washing and donning-doffing shown that majority of study participants had an average knowledge (77.12%), whereas only 7.7% had good knowledge and another 14.9% had poor knowledge. Knowledge of HCWs were significantly associated with donning-doffing training (p <0.05). Majority of study participants (94.29%) demonstrated an appropriate behavior to COVID-19. Conclusion: As the study demonstrated an average knowledge on Covid-19 appropriate behavior after receiving a training, a periodic training on infection control and prevention in a healthcare setting and orientation programs related to COVID-19 appropriate behavior is indicated.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84385524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2297
Nur Atiqah Auni Razali, Nur Amirah Shibraumalisi, Z. Ismail, S. H. Sheikh Abdul Kadir, Suraya Abdul Razak, R. R. Raja Shariff, T. A. Abdul Rahman
Introduction: Metabolic syndrome (MetS) is a global healthcare burden associated with increased risk of atherosclerosis (ATH). The relationship between atherogenic lipoprotein and oxidative stress biomarkers with clinical risk factors of MetS have not been fully explored. Therefore, the objective of this study is to determine the correlation between small dense low-density lipoprotein (sdLDL-c) and isoprostane (ISP) with MetS criteria and comparing these biomarkers between MetS and non-MetS. Materials and Methods: This was a cross sectional study involving 67 MetS and 43 non-MetS diagnosed by JIS criteria 2009. Demographic details and anthropometric measurements were recorded. Blood samples were collected to analyse serum plasma glucose, direct LDL, calculated sdLDL-c and ISP. Results: Mean serum sdLDL-c and ISP levels were significantly higher among those with MetS compared to non-MetS (1.14+0.44 mmol/L vs 0.87±0.38 mmol/L respectively, p=0.005). Similarly, mean serum ISP concentration was higher among MetS compared to non-MetS (884.40+602.69 ng/L vs 657.89±616.42 ng/L respectively, p= 0.054). sdLDL-c was positively correlated with TG in the MetS (Pearson correlation 0.501, p<.001) whilst HDL-c was positively correlated with sdLDL-c among the non-MetS (Pearson Correlation 0.422, p<.005). Conclusion: This study highlights the correlation between sdLDL-c and TG in among MetS, emphasizing the need to closely monitor and manage TG among this cohort to reduce the risk of ATH. It was also noted that HDL-c showed positive correlation with sdLDL-c among non-MetS. This discordant finding suggests that HDL-c itself may not be causally associated with cardiovascular benefits and that perhaps HDL-c subfractions may be a better approach to determine cardioprotective effects of HDL-c.
{"title":"Correlations of Estimated Serum Small Dense Low-Density Lipoprotein and Isoprostane with Metabolic Syndrome Criteria between Metabolic Syndrome and Non-Metabolic Syndrome Subjects in Selangor","authors":"Nur Atiqah Auni Razali, Nur Amirah Shibraumalisi, Z. Ismail, S. H. Sheikh Abdul Kadir, Suraya Abdul Razak, R. R. Raja Shariff, T. A. Abdul Rahman","doi":"10.31436/imjm.v22i3.2297","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2297","url":null,"abstract":"Introduction: Metabolic syndrome (MetS) is a global healthcare burden associated with increased risk of atherosclerosis (ATH). The relationship between atherogenic lipoprotein and oxidative stress biomarkers with clinical risk factors of MetS have not been fully explored. Therefore, the objective of this study is to determine the correlation between small dense low-density lipoprotein (sdLDL-c) and isoprostane (ISP) with MetS criteria and comparing these biomarkers between MetS and non-MetS. Materials and Methods: This was a cross sectional study involving 67 MetS and 43 non-MetS diagnosed by JIS criteria 2009. Demographic details and anthropometric measurements were recorded. Blood samples were collected to analyse serum plasma glucose, direct LDL, calculated sdLDL-c and ISP. Results: Mean serum sdLDL-c and ISP levels were significantly higher among those with MetS compared to non-MetS (1.14+0.44 mmol/L vs 0.87±0.38 mmol/L respectively, p=0.005). Similarly, mean serum ISP concentration was higher among MetS compared to non-MetS (884.40+602.69 ng/L vs 657.89±616.42 ng/L respectively, p= 0.054). sdLDL-c was positively correlated with TG in the MetS (Pearson correlation 0.501, p<.001) whilst HDL-c was positively correlated with sdLDL-c among the non-MetS (Pearson Correlation 0.422, p<.005). Conclusion: This study highlights the correlation between sdLDL-c and TG in among MetS, emphasizing the need to closely monitor and manage TG among this cohort to reduce the risk of ATH. It was also noted that HDL-c showed positive correlation with sdLDL-c among non-MetS. This discordant finding suggests that HDL-c itself may not be causally associated with cardiovascular benefits and that perhaps HDL-c subfractions may be a better approach to determine cardioprotective effects of HDL-c.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83181402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2124
Sugenthiran Muagan, Sathiapriya Padmanathan, Dinesh Regaibalan, L. Chan, C. Khoo, H. Tan
Creutzfeldt-Jakob disease (CJD) is invariably a fatal neurodegenerative disorder that presents rapidly progressive dementia with multifaceted involvement of the nervous system. In this case series, we present case reports of two elderly patients diagnosed with sporadic CJD who presented with rapid progression of cognitive decline and myoclonus. Supportive findings on further investigations included cortical ribboning on diffusion-weighted MRI brain; generalised periodic complexes on electroencephalogram with positive cerebrospinal fluid 14-3-3 and pathogenic prion protein (PrPSc) detection on RT QuIC confirming the diagnosis of sporadic CJD in both cases to a great extent.
{"title":"A Case Series of RT-QuIC Positive Sporadic Creutzfeldt-Jakob Disease-First Two Cases from Malaysia","authors":"Sugenthiran Muagan, Sathiapriya Padmanathan, Dinesh Regaibalan, L. Chan, C. Khoo, H. Tan","doi":"10.31436/imjm.v22i3.2124","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2124","url":null,"abstract":"Creutzfeldt-Jakob disease (CJD) is invariably a fatal neurodegenerative disorder that presents rapidly progressive dementia with multifaceted involvement of the nervous system. In this case series, we present case reports of two elderly patients diagnosed with sporadic CJD who presented with rapid progression of cognitive decline and myoclonus. Supportive findings on further investigations included cortical ribboning on diffusion-weighted MRI brain; generalised periodic complexes on electroencephalogram with positive cerebrospinal fluid 14-3-3 and pathogenic prion protein (PrPSc) detection on RT QuIC confirming the diagnosis of sporadic CJD in both cases to a great extent.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86817396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2179
Khalsom Samsudin, Rosliza Abdul Manaf, Aidalina Mahmud
Vaccine hesitancy and refusal were linked to various religious beliefs, including Islam. Regardless, there were limited studies which offer insights into the role of religious affiliations and related misconceptions in childhood vaccination refusal and hesitancy in Islamic and Muslim Majority countries (MMC). Therefore, this review identifies the prevalence of childhood vaccine hesitancy and its contributory factors while determining the role of religious beliefs in childhood vaccine hesitancy in Islamic states and MMC. We examined four electronic databases for published studies related to childhood vaccine hesitancy and refusal in Islamic countries or MMC from 2011 to 2021. Results revealed that the prevalence of vaccine hesitancy and vaccine refusal range from 8.0% to 21.0% and 1.0% to 58%, respectively, which was comparable to other countries. Parental reasons contributing towards vaccine hesitancy and refusal include concerns related to vaccine safety, side effects and effectiveness, preference for alternative measure to prevent disease, prior bad experiences, and healthcare system distrust. Religious reasons instigating vaccine hesitancy include concerns that vaccine consists of haram ingredients, beliefs that vaccine is against God’s will, perceptions of vaccine being harmful, influences from religious leaders, and distrust towards religious authorities supporting vaccination. In brief, various factors induce vaccine hesitancy and refusal in Islamic states and MMC. Further studies could provide better insights into the role of religious factors in childhood vaccine hesitancy within local contexts in order to formulate effective interventions to address this issue.
{"title":"Childhood Vaccine Hesitancy in selected Islamic and Muslim-majority Countries : Result Synthesis from a Scoping Review","authors":"Khalsom Samsudin, Rosliza Abdul Manaf, Aidalina Mahmud","doi":"10.31436/imjm.v22i3.2179","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2179","url":null,"abstract":"Vaccine hesitancy and refusal were linked to various religious beliefs, including Islam. Regardless, there were limited studies which offer insights into the role of religious affiliations and related misconceptions in childhood vaccination refusal and hesitancy in Islamic and Muslim Majority countries (MMC). Therefore, this review identifies the prevalence of childhood vaccine hesitancy and its contributory factors while determining the role of religious beliefs in childhood vaccine hesitancy in Islamic states and MMC. We examined four electronic databases for published studies related to childhood vaccine hesitancy and refusal in Islamic countries or MMC from 2011 to 2021. Results revealed that the prevalence of vaccine hesitancy and vaccine refusal range from 8.0% to 21.0% and 1.0% to 58%, respectively, which was comparable to other countries. Parental reasons contributing towards vaccine hesitancy and refusal include concerns related to vaccine safety, side effects and effectiveness, preference for alternative measure to prevent disease, prior bad experiences, and healthcare system distrust. Religious reasons instigating vaccine hesitancy include concerns that vaccine consists of haram ingredients, beliefs that vaccine is against God’s will, perceptions of vaccine being harmful, influences from religious leaders, and distrust towards religious authorities supporting vaccination. In brief, various factors induce vaccine hesitancy and refusal in Islamic states and MMC. Further studies could provide better insights into the role of religious factors in childhood vaccine hesitancy within local contexts in order to formulate effective interventions to address this issue.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74646955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2281
Siti Zuhaida Hussein, Mohammad Fariq Hatta, Nurul Asysura Musa, Muhammad Khairulanam Matali, Muhammad Firdaus Ruslan
INTRODUCTION: Ventilator Care Bundles (VCB) is a group of evidence-based highimpact interventions for mechanically ventilated patients. The study aims to identify the knowledge of VCB among Intensive Care Unit (ICU) nurses at the local hospital in Sarawak, Malaysia. MATERIALS AND METHODS: A quantitative cross-sectional survey was conducted among 30 nurses who worked in the ICU at Sarawak General Hospital, Malaysia. A modified questionnaire with 20 items was used to measure the level of knowledge. Data analysis was performed using the Statistical Package for the Social Sciences Statistics 26.0 for Windows with p< 0.05 was considered statistically significant. RESULTS: The results revealed that 86.7% (n=30) of respondents had a high-level knowledge of the VCB. There is a significant relationship between the level of knowledge of VCB and qualification as a Registered Nurse (p=0.03), ICU post-basic qualification (p=0.02), and level of nursing education (p<0.001). The level of knowledge was significantly related to the level of education (r=0.71; p<0.001), the number of years qualified as a registered nurse (r=0.38; p=0.03), and post-basic qualification (r=0.42; p=0.02). CONCLUSION: The good level of knowledge regarding VCB implementation among registered nurses indicates that they are well-equipped with the proper knowledge for caring for mechanically ventilated patients.
{"title":"Knowledge of Ventilator Care Bundles among Registered Nurses in the Intensive Care Unit at Sarawak General Hospital, Malaysia","authors":"Siti Zuhaida Hussein, Mohammad Fariq Hatta, Nurul Asysura Musa, Muhammad Khairulanam Matali, Muhammad Firdaus Ruslan","doi":"10.31436/imjm.v22i3.2281","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2281","url":null,"abstract":"INTRODUCTION: Ventilator Care Bundles (VCB) is a group of evidence-based highimpact interventions for mechanically ventilated patients. The study aims to identify the knowledge of VCB among Intensive Care Unit (ICU) nurses at the local hospital in Sarawak, Malaysia. MATERIALS AND METHODS: A quantitative cross-sectional survey was conducted among 30 nurses who worked in the ICU at Sarawak General Hospital, Malaysia. A modified questionnaire with 20 items was used to measure the level of knowledge. Data analysis was performed using the Statistical Package for the Social Sciences Statistics 26.0 for Windows with p< 0.05 was considered statistically significant. RESULTS: The results revealed that 86.7% (n=30) of respondents had a high-level knowledge of the VCB. There is a significant relationship between the level of knowledge of VCB and qualification as a Registered Nurse (p=0.03), ICU post-basic qualification (p=0.02), and level of nursing education (p<0.001). The level of knowledge was significantly related to the level of education (r=0.71; p<0.001), the number of years qualified as a registered nurse (r=0.38; p=0.03), and post-basic qualification (r=0.42; p=0.02). CONCLUSION: The good level of knowledge regarding VCB implementation among registered nurses indicates that they are well-equipped with the proper knowledge for caring for mechanically ventilated patients.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79070962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2127
N. Rozi, M. S. A. Bahtiar, R. Hassan, S. Basiam
Moyamoya disease (MMD) is a rare cerebrovascular disorder characterized by progressive large intracranial artery narrowing and development of small vessel collaterals. Moyamoya syndrome (MMS) refers to the angiographic findings of MMD with predisposing medical conditions. Varicella-associated cerebral vasculopathy (VACV) is a severe complication of varicella zoster virus (VZV) infection and its association with MMS is rare in adult. We report on a case of a 55-year-old lady who presented with progressively worsening dysphasia and left lower limb weakness following a week of right herpes zoster ophthalmicus infection. The initial Magnetic Resonance Imaging (MRI) of brain demonstrated features of encephalitis with micro abscesses. Her serial repeated MRI brain imagings subsequently demonstrated worsening of cerebral infarctions with right internal carotid artery stenosis and basal ganglia collaterals suggestive of Moyamoya vasculopathy. This case highlights the rare association of VACV with MMS and should be considered as a potential serious complication in patients with VZV infection.
{"title":"Adult Moyamoya Syndrome as A Manifestation of Varicella-Associated Cerebral Vasculopathy: A Case Report","authors":"N. Rozi, M. S. A. Bahtiar, R. Hassan, S. Basiam","doi":"10.31436/imjm.v22i3.2127","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2127","url":null,"abstract":"Moyamoya disease (MMD) is a rare cerebrovascular disorder characterized by progressive large intracranial artery narrowing and development of small vessel collaterals. Moyamoya syndrome (MMS) refers to the angiographic findings of MMD with predisposing medical conditions. Varicella-associated cerebral vasculopathy (VACV) is a severe complication of varicella zoster virus (VZV) infection and its association with MMS is rare in adult. We report on a case of a 55-year-old lady who presented with progressively worsening dysphasia and left lower limb weakness following a week of right herpes zoster ophthalmicus infection. The initial Magnetic Resonance Imaging (MRI) of brain demonstrated features of encephalitis with micro abscesses. Her serial repeated MRI brain imagings subsequently demonstrated worsening of cerebral infarctions with right internal carotid artery stenosis and basal ganglia collaterals suggestive of Moyamoya vasculopathy. This case highlights the rare association of VACV with MMS and should be considered as a potential serious complication in patients with VZV infection.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74462638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2312
Muhammad Radhi Rahimi Abu Bakar, Chandra Kannan K. Thanapalan, Muhammad Iqbal Shaharudin, Nur Fatin Nabila Abd Rahman
INTRODUCTION: Research on sleep disturbances and sensory processing disorder (SPD) among children with autism spectrum disorder (ASD) has received little attention. Identification of sensory components that cause sleep disturbances among ASD children will guide the therapists to select the best intervention for the condition. This study aims to identify the pattern of sensory processing that is responsible for sleep disturbance among ASD children. MATERIALS AND METHODS: A cross-sectional study was conducted among 55 ASD children between three and 18 years old who participated in the study. SPD was analyzed using Short Sensory Profile (SSP) while sleep disturbances utilized the Sleep Disturbance Scale for Children (SDSC). RESULTS: The subscale of SPD showed a strong correlation with the score for overall sleep disturbances. The subscales SPD are movements sensitivity with a positive association and auditory filtering with a negative correlation association (p<0.05). However, no significant association between total SPD and sleep disturbances (p>0.05) were noted. CONCLUSION: This finding may therefore shed light that SPD and sleep disturbances need to be addressed reciprocally. Increasing the number of participants and battery of tests are required to accurately determine the relationship between SPD and sleep disturbances.
{"title":"Sleep Disturbances and Sensory Processing among Autism Spectrum Disorder Children","authors":"Muhammad Radhi Rahimi Abu Bakar, Chandra Kannan K. Thanapalan, Muhammad Iqbal Shaharudin, Nur Fatin Nabila Abd Rahman","doi":"10.31436/imjm.v22i3.2312","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2312","url":null,"abstract":"INTRODUCTION: Research on sleep disturbances and sensory processing disorder (SPD) among children with autism spectrum disorder (ASD) has received little attention. Identification of sensory components that cause sleep disturbances among ASD children will guide the therapists to select the best intervention for the condition. This study aims to identify the pattern of sensory processing that is responsible for sleep disturbance among ASD children. MATERIALS AND METHODS: A cross-sectional study was conducted among 55 ASD children between three and 18 years old who participated in the study. SPD was analyzed using Short Sensory Profile (SSP) while sleep disturbances utilized the Sleep Disturbance Scale for Children (SDSC). RESULTS: The subscale of SPD showed a strong correlation with the score for overall sleep disturbances. The subscales SPD are movements sensitivity with a positive association and auditory filtering with a negative correlation association (p<0.05). However, no significant association between total SPD and sleep disturbances (p>0.05) were noted. CONCLUSION: This finding may therefore shed light that SPD and sleep disturbances need to be addressed reciprocally. Increasing the number of participants and battery of tests are required to accurately determine the relationship between SPD and sleep disturbances.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91432540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2298
Rosnani Zakaria, Nur Sharharni Mohd Tahir, M. Mohd Zulkifli, N. Draman
INTRODUCTION: Majority of patients with type 2 diabetes mellitus (T2DM) will eventually need insulin therapy to optimise their blood glucose level. However, there is difficulties in initiating an insulin therapy due to high refusal rate among these patients. Diabetes Conversation Maps (DCM), a tool designed to educate patients with diabetes and their family members is available in Malay language since 2008. Although DCM has been used in certain centres in Malaysia, their effectiveness has not been evaluated. Thus, we have conducted a study to assess effectiveness of DCM compared to standard counselling therapy in T2DM patients who initially refused insulin therapy by assessing acceptance rate post intervention. MATERIALS AND METHODS: A randomized control study was conducted on 88 adults T2DM patients who initially refused insulin therapy in primary care clinics in Johor. A total of 44 patients received group based education using a Malay version DCM whereas another 44 patients received standard individual education. Results were analysed using a Chi-square analysis and the significant result was set at p value of < 0.05. RESULTS: The response rate was 97.7% and there was a significant difference in insulin acceptance between these two groups. Eighty-six percent of T2DM patients in the intervention group education eventually accepted insulin initiation compared to only 11% in the control group (p < 0.001).CONCLUSION: Group education using Malay Diabetes Conversation Map on insulin initiation is effective in increasing acceptance among patients who initially refuse insulin treatment in primary care. We recommend using DCM as part of educational module to improve patient diabetic management.
{"title":"The Effectiveness of Diabetes Conversation Map™ among Insulin Refusal Type 2 Diabetes Mellitus Patients","authors":"Rosnani Zakaria, Nur Sharharni Mohd Tahir, M. Mohd Zulkifli, N. Draman","doi":"10.31436/imjm.v22i3.2298","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2298","url":null,"abstract":"INTRODUCTION: Majority of patients with type 2 diabetes mellitus (T2DM) will eventually need insulin therapy to optimise their blood glucose level. However, there is difficulties in initiating an insulin therapy due to high refusal rate among these patients. Diabetes Conversation Maps (DCM), a tool designed to educate patients with diabetes and their family members is available in Malay language since 2008. Although DCM has been used in certain centres in Malaysia, their effectiveness has not been evaluated. Thus, we have conducted a study to assess effectiveness of DCM compared to standard counselling therapy in T2DM patients who initially refused insulin therapy by assessing acceptance rate post intervention. MATERIALS AND METHODS: A randomized control study was conducted on 88 adults T2DM patients who initially refused insulin therapy in primary care clinics in Johor. A total of 44 patients received group based education using a Malay version DCM whereas another 44 patients received standard individual education. Results were analysed using a Chi-square analysis and the significant result was set at p value of < 0.05. RESULTS: The response rate was 97.7% and there was a significant difference in insulin acceptance between these two groups. Eighty-six percent of T2DM patients in the intervention group education eventually accepted insulin initiation compared to only 11% in the control group (p < 0.001).CONCLUSION: Group education using Malay Diabetes Conversation Map on insulin initiation is effective in increasing acceptance among patients who initially refuse insulin treatment in primary care. We recommend using DCM as part of educational module to improve patient diabetic management.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81643581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2285
H. Tan, A. Abdullah, Ahmad Nordin Bin Afandi, N. Hashim
INTRODUCTION: Eustachian tube dysfunction (ETD) is commonly left unidentified, and clinicians often had to deal with its consequences. Hence, ETD symptoms should be routinely explored to unmask the diagnosis. The seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) is a user-friendly and disease-specific instrument introduced by McCoul et al. to assess the severity of ETD symptoms and treatment effectiveness. However, there is no Malay version of ETDQ-7 [ETDQ-7(M)] available for local population. This study aims to translate and validate the ETDQ-7 in Malay language. MATERIALS AND METHODS: The ETDQ-7 was translated and culturally adapted into Malay language. 68 adult patients with ETD and 68 healthy patients who served as control completed ETDQ-7(M). It was repeated on patients with ETD after two weeks. Statistical analysis was performed to determine the psychometric properties of ETDQ-7(M). RESULTS: ETDQ-7(M) displayed excellent internal consistency (Cronbach’s α = 0.93) which is comparable to the original questionnaire. There was excellent test-retest reliability (r= 0.86 – 0.99). No significant difference in total scores was observed between the first and second evaluations. The mean total score for patients with ETD and control group was 25.8 and 8.4 respectively. Discrimination between ETD and control group using a cut-off point of 13.5, yielded sensitivity and specificity of 100% respectively (area under curve=100%). CONCLUSION: ETDQ-7(M) is a validated questionnaire recommended for use in the management of ETD as a diagnostic tool and in treatment monitoring with excellent reliability and validity.
{"title":"Malay Language Translation and Validation of the Seven-item Eustachian Tube Dysfunction Questionnaire [ETDQ-7(M)]","authors":"H. Tan, A. Abdullah, Ahmad Nordin Bin Afandi, N. Hashim","doi":"10.31436/imjm.v22i3.2285","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2285","url":null,"abstract":"INTRODUCTION: Eustachian tube dysfunction (ETD) is commonly left unidentified, and clinicians often had to deal with its consequences. Hence, ETD symptoms should be routinely explored to unmask the diagnosis. The seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) is a user-friendly and disease-specific instrument introduced by McCoul et al. to assess the severity of ETD symptoms and treatment effectiveness. However, there is no Malay version of ETDQ-7 [ETDQ-7(M)] available for local population. This study aims to translate and validate the ETDQ-7 in Malay language. MATERIALS AND METHODS: The ETDQ-7 was translated and culturally adapted into Malay language. 68 adult patients with ETD and 68 healthy patients who served as control completed ETDQ-7(M). It was repeated on patients with ETD after two weeks. Statistical analysis was performed to determine the psychometric properties of ETDQ-7(M). RESULTS: ETDQ-7(M) displayed excellent internal consistency (Cronbach’s α = 0.93) which is comparable to the original questionnaire. There was excellent test-retest reliability (r= 0.86 – 0.99). No significant difference in total scores was observed between the first and second evaluations. The mean total score for patients with ETD and control group was 25.8 and 8.4 respectively. Discrimination between ETD and control group using a cut-off point of 13.5, yielded sensitivity and specificity of 100% respectively (area under curve=100%). CONCLUSION: ETDQ-7(M) is a validated questionnaire recommended for use in the management of ETD as a diagnostic tool and in treatment monitoring with excellent reliability and validity.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78840853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.31436/imjm.v22i3.2289
Hanin Syahira Hazaha, T. A. Tengku Ismail, Anis Kausar Ghazali, Aziah Daud, Z. Sulaiman
INTRODUCTION: Intimate partner violence may occur among young adults. It is influenced by their perceptions and attitudes concerning this violence. This study aims to develop and validate an educational module on intimate partner violence among young adults in Kelantan, Malaysia. MATERIALS AND METHOD: The study was conducted in three phases consisting of needs assessment, development of the educational module, and content and face validation. Face-to-face interviews were conducted with 10 young adults to identify the needs for this module. The module content was based on several guidelines, relevant literatures, and findings from needs assessment. Content validation was done by six experts and content validity index was calculated. Face validation was evaluated by 30 young adults. The percentage of agreement was calculated for each item. RESULT: The educational module contains five units covering the forms, causes, impacts, and supports in preventing intimate partner violence as well as rejecting it and willingness to disclose. The content validity was good, rated as relevant by all the experts. The percentages of participants in face validation who strongly agreed with the items assessed for all the materials ranged between 70% to 93.3%. Additional comments given by the participants were considered and the module was modified accordingly. CONCLUSION: The module has good content and face validity. It can be used to improve perceptions and attitudes toward intimate partner violence among young adults.
{"title":"Development and Validation of an Educational Module on Intimate Partner Violence for Young Adults","authors":"Hanin Syahira Hazaha, T. A. Tengku Ismail, Anis Kausar Ghazali, Aziah Daud, Z. Sulaiman","doi":"10.31436/imjm.v22i3.2289","DOIUrl":"https://doi.org/10.31436/imjm.v22i3.2289","url":null,"abstract":"INTRODUCTION: Intimate partner violence may occur among young adults. It is influenced by their perceptions and attitudes concerning this violence. This study aims to develop and validate an educational module on intimate partner violence among young adults in Kelantan, Malaysia. MATERIALS AND METHOD: The study was conducted in three phases consisting of needs assessment, development of the educational module, and content and face validation. Face-to-face interviews were conducted with 10 young adults to identify the needs for this module. The module content was based on several guidelines, relevant literatures, and findings from needs assessment. Content validation was done by six experts and content validity index was calculated. Face validation was evaluated by 30 young adults. The percentage of agreement was calculated for each item. RESULT: The educational module contains five units covering the forms, causes, impacts, and supports in preventing intimate partner violence as well as rejecting it and willingness to disclose. The content validity was good, rated as relevant by all the experts. The percentages of participants in face validation who strongly agreed with the items assessed for all the materials ranged between 70% to 93.3%. Additional comments given by the participants were considered and the module was modified accordingly. CONCLUSION: The module has good content and face validity. It can be used to improve perceptions and attitudes toward intimate partner violence among young adults.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87143814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：