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A Narrative Review on Biopsychosocial Predictors of Cognitive Impairment among Multiple Sclerosis Patients: Directions for Malaysia Studies 多发性硬化症患者认知障碍的生物心理社会预测因素述评:马来西亚研究方向
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-03
Chong Jia Wearn, N. C. Din, J. Joseph
A Narrative Review on Biopsychosocial Predictors of Cognitive Impairment among Multiple Sclerosis Patients: Directions for Malaysia Studies Chong Jia Wearn 1 , Normah Che Din 1 , Joyce Pauline Joseph 2 1  Health Psychology Program, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia. 2 Neurology Department, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia. Abstract Cognitive impairment is the most disabling symptoms of Multiple Sclerosis (MS). Researchers have been studying factors that could predict cognitive impairment among MS patients hoping to alleviate its consequences and gather indicators of the disease progression. However, there were limited up-to-date articles that review the predictors of cognitive impairment among MS patients. In Malaysia, the topic about cognitive functioning in MS was absent. This review aims to identify and synthesize the research evidence concerning biopsychosocial variables on cognitive impairment among this population for future directions in Malaysia researches. A narrative review was performed by identifying research articles from year 2004 to 2019 through PubMed, EBSCOhost, Scopus and Google Scholar. Full-text articles meeting the selection criteria were included for qualitative synthesis. A total of 12 studies were included. Studies included in this paper found that age, course of disease and anxiety predicts cognitive functioning. Mixed results were found among variables such as gender, disability, fatigue, burden of lesion, depression and educational level. Stress was correlated with cognitive functioning but it was not a significant predictor. Although many factors were found to affect cognitive functioning among MS patients, evidence provided from this review indicates that their relationships might not be linear and direct. Keywords : predictors, cognitive impairment, multiple sclerosis, Malaysia  DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-03
多发性硬化症患者认知障碍的生物心理社会预测因素的叙述性综述:马来西亚研究方向Chong Jia Wearn 1,Norah Che Din 1,Joyce Pauline Joseph 2 1健康心理学项目,马来西亚Kebangsaan大学健康科学学院,Jalan Raja Muda Abdul Aziz,50300,马来西亚吉隆坡。2马来西亚吉隆坡医院神经内科,邮编50586。摘要认知障碍是多发性硬化症最常见的致残症状。研究人员一直在研究可以预测多发性硬化症患者认知障碍的因素,希望减轻其后果,并收集疾病进展的指标。然而,综述多发性硬化症患者认知障碍预测因素的最新文章有限。在马来西亚,没有关于多发性硬化症认知功能的专题。本综述旨在确定和综合有关该人群认知障碍的生物心理社会变量的研究证据,为马来西亚未来的研究方向提供参考。通过PubMed、EBSCOhost、Scopus和Google Scholar对2004年至2019年的研究文章进行了叙述性综述。符合筛选标准的全文文章被纳入定性综合。共纳入12项研究。这篇论文中的研究发现,年龄、病程和焦虑可以预测认知功能。性别、残疾、疲劳、病变负担、抑郁和教育水平等变量的结果参差不齐。压力与认知功能相关,但不是一个重要的预测因素。尽管发现许多因素会影响多发性硬化症患者的认知功能,但本综述提供的证据表明,它们之间的关系可能不是线性和直接的。关键词:预测因素,认知障碍,多发性硬化症,马来西亚DOI:http://dx.doi.org/10.17576/JSKM-2021-1901-03
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引用次数: 0
Physical and Chemical Characteristics of Oil Palm Plantation Soil: A New Lead in Forensic Investigation 油棕种植园土壤理化特征:法医鉴定的新线索
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-11
Rus Dina Rus Din, S. Ishar, Hemananthini Naganathan
Soil sample is one of the important evidence that can be found in crime scene. Unknown soil sample can be analysed and compared with reference sample in order to determine the origin as its physical and chemical components possess unique characteristics. The purpose of this study is to determine the physical and chemical characteristics of soil from oil palm plantations in Perak, Malaysia to assist forensic investigation. Total of 97 topsoil samples were collected from three different oil palm plantations in Perak. Particle size distribution was obtained using dry sieving technique and colour of soil sample was examined under three conditions that are dry, moist and ashed. Soil pH was measured using pH meter and percentage of composition of soil organic matter (SOM) was determined by weighing the sample before and after ignition. Result showed that the composition of particle size 0.6mm. The color mode of soil after oven dried, moistened and ashed was greyish brown (10YR 5/2), very dark greyish brown (10YR 3/2) and light yellowish brown (10YR 6/4) respectively. Soil pH was in the range of 5.79 – 6.70. The percentage of SOM was between 3.29 - 20.48%. The physical and chemical characteristics of soil analysed in this study from three different locations of oil palm plantations varied and it is possible to discriminate these locations based on the analysis highlighted in this study. DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-11
土壤样本是犯罪现场的重要证据之一。由于未知土壤样品的物理和化学成分具有独特的特性,因此可以将其与参考样品进行分析和比较,以确定其来源。本研究的目的是确定马来西亚霹雳州油棕种植园土壤的物理和化学特征,以协助法医调查。在霹雳州三个不同的油棕种植园共采集了97个表土样本。采用干法筛分技术得到了土样的粒度分布,并对干、湿、灰三种条件下土样的颜色进行了测定。用pH计测定土壤pH值,用点火前后称重法测定土壤有机质组成百分比。结果表明,其组成粒度为0.6mm。烘箱干燥、润湿和灰化后的土壤颜色模式分别为灰褐色(10YR 5/2)、极深灰褐色(10YR 3/2)和淡黄褐色(10YR 6/4)。土壤pH值在5.79 ~ 6.70之间。SOM的比例在3.29 ~ 20.48%之间。在本研究中分析的三个不同地点油棕种植园的土壤物理和化学特征各不相同,根据本研究中强调的分析,可以区分这些地点。DOI: http://dx.doi.org/10.17576/JSKM-2021-1901-11
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引用次数: 1
Development of Digitized Mandarin Paediatric Speech Perception Test Materials for Malaysian Children 马来西亚儿童数字化普通话儿童言语感知测试材料的开发
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-02
F. Y. Chong
Digitized Mandarin paediatric speech perception tests are limited in Malaysia for measuring outcomes among children fitted with amplification devices. Mandarin speech perception tests from other countries may not be suitable to be used in Malaysia due to regional vocabulary differences. This study aimed to develop digitized test materials to test Mandarin-speaking preschool children in Malaysia. This is a two-phased cross-sectional study where Mandarin words (n=113) were gathered with test item pictures developed and tested on 40 Mandarin-speaking children (aged 2;0 to 5;11 years old) with normal hearing in Study I. A total of 80 of 113 words with high familiarity among children were selected in Study I. In Study II, digital recordings of the words was conducted, followed by acoustic analysis, and sound quality evaluation. In total, 94 out of the 480 recorded word tokens were excluded in acoustic analysis. The remaining 386 tokens received good quality rating by three professionals. Validation of the recorded word tokens and pictures to select the final test items involved 20 Mandarin-speaking young adults in Study II. A total of 160 tokens were selected as final items and all pictures corresponding to these test items were validated as suitable representation of the test items. In conclusion, digitally recorded stimuli and pictures have been developed for a Mandarin speech perception test appropriate for Mandarin-speaking pre-school children in Malaysia. Ongoing research includes collecting normative data for the test and future research involves evaluating the test application in local audiology clinics. DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-02
数字化普通话儿童言语感知测试在马来西亚是有限的,用于测量装有放大装置的儿童的结果。由于地区词汇差异,其他国家的普通话语音感知测试可能不适合在马来西亚使用。本研究旨在开发数位测试材料,以测试马来西亚讲普通话的学龄前儿童。这是一个两阶段的横断面研究,收集了普通话单词(n=113)和测试项目图片,并在研究一中对40名听力正常的普通话儿童(2岁、0岁至5岁、11岁)进行了测试。研究一中选择了113个儿童熟悉度较高的单词中的80个进行了数字录音,然后进行了声学分析和音质评价。在480个记录的单词中,总共有94个被排除在声学分析之外。其余386个代币被三名专业人士评为质量良好。在第二项研究中,20名说普通话的年轻人对所记录的单词标记和图片进行验证,以选择最终的测试项目。总共选择160个标记作为最终项目,并验证与这些测试项目相对应的所有图片都是测试项目的合适表示。综上所述,数字记录的刺激和图片已被开发用于适合马来西亚讲普通话的学龄前儿童的普通话语音感知测试。正在进行的研究包括收集测试的规范性数据,未来的研究包括评估测试在当地听力学诊所的应用。DOI: http://dx.doi.org/10.17576/JSKM-2021-1901-02
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引用次数: 0
Comparison of Driving Difficulty Between Bilateral Cataract and Non-Cataract Elderly Drivers in Malaysia: A Preliminary Study 马来西亚双侧白内障与非白内障老年司机驾驶难度比较的初步研究
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-16
Mohd Harimi Abd Rahman, Nurul Hafizah Mohd Norizan, H. A. Mutalib, Muziman Syah Mustafa
An age-related ocular disease such as cataract that causes reduction of visual functions would affect the individual driving performance. The aim of this research was to compare driving difficulties between Malaysian drivers with bilateral cataracts and without cataract. This cross-sectional study involved measurement of visual functions [visual acuity (VA) and contrast sensitivity (CS)] and driving difficulty of 61 respondents who had valid driving license and actively driving. Subjects were divided into cataract group ( n =30) and age/gender matched non-cataracts as control group ( n =31). Results showed the mean±SD for composite driving difficulty score in cataract group and in control group were 72.08±15.95 and 87.50±12.60 respectively. Results also showed significant mean difference composite driving difficulty score between cataract and control group ( p =0.000). Cataract drivers also have significant difficulty driving in raining ( p =0.034) and at night ( p =0.013) compared to drivers without cataract. Details inter-group analysis result showed that reduced VA and CS were two main findings among cataract drivers with driving difficulty. This study showed that drivers with cataract would experience driving difficulties compared to the drivers without cataract, especially in low contrast situations. DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-16
与年龄相关的眼部疾病,如白内障,会导致视觉功能下降,这会影响个人的驾驶表现。这项研究的目的是比较患有双侧白内障和无白内障的马来西亚司机的驾驶困难。这项横断面研究涉及61名持有有效驾驶执照并积极驾驶的受访者的视觉功能[视力(VA)和对比敏感度(CS)]和驾驶难度的测量。受试者被分为白内障组(n=30)和年龄/性别匹配的非白内障对照组(n=31)。结果显示,白内障组和对照组复合驾驶困难评分的平均值±标准差分别为72.08±15.95和87.50±12.60。结果还显示,白内障组和对照组之间的复合驾驶难度得分存在显著的平均差异(p=0.000)。与没有白内障的驾驶员相比,白内障驾驶员在雨天驾驶(p=0.034)和夜间驾驶(p=0.013)也有显著的困难。详细的组间分析结果显示,VA和CS降低是白内障驾驶者驾驶困难的两个主要发现。这项研究表明,与没有白内障的驾驶员相比,患有白内障的驾驶员会遇到驾驶困难,尤其是在对比度较低的情况下。DOI:http://dx.doi.org/10.17576/JSKM-2021-1901-16
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引用次数: 3
The Effectiveness of Using MySMS in Reducing No-show Rate in Dietetic Clinic, Hospital Sultan Ismail, Johor Bahru 新山苏丹依斯迈医院饮食诊所使用MySMS降低失诊率的效果
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-01
Eliza Yen Sim Wong, Suriyanti Muhi, Haslizawani ALI AKHBAR, Norlizawarni Jasmawardi, Yee Ching Koh, Salha MOHAMED NOR, C. Chong
No-show or non-attendance at outpatient appointments are one of the most challenging operational issues in health care clinics, including dietetics outpatient clinics. No-show has a negative impact on the efficiency and effectiveness of delivery of outpatient care in a hospital setting. This can negatively affect the patient’s short term and long-term well-being to due missed opportunity to address the patient’s nutrition issue in a timely manner. This study aims to investigate the reasons for no-show and thus to reduce the no-show rate in diet clinic to less than 25%. The initial phase of the study was conducted from June to September 2017 at Hospital Sultan Ismail’s diet clinic. No-show cases were identified using system data. No-show patients or guardian of no-show patients were contacted to record the reason for missing the appointments. Descriptive analysis was used to analyze the results. Strategy for change was planned and implemented to target the major reason for no-show. The pre-remedial phase result shows a no-show rate of 40.7%. 102 patients were contacted (34%, n=102) to identify their reason of non-attendance to diet clinic. Paediatric patients aged >1 to 12 years contributed the highest percentage of no-show (37.3%, n=38). The major reasons identified for no-show are forgetting and remembered wrong appointment date (35.3%, n=36), followed by ill or admitted to ward (13.7%, n=14) and others (12.7%, n=13) such as personal issues and school examination. Remedial measure using Short Message Service (MySMS) resulted in a reduction of no-show rate to 22.2% which achieved our standard of less than 25% (p<0.05).  Automated reminder using Short Message Service (MySMS) is found to be effective in reducing no-show rate. Periodic audit is needed to ensure continuous effectiveness of remedial measure. Further studies need to be conducted in weighing the cost effectiveness of this method for long term run.  DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-01
不露面或不参加门诊预约是医疗诊所(包括饮食门诊)最具挑战性的操作问题之一。没有演出会对医院门诊服务的效率和有效性产生负面影响。由于错过了及时解决患者营养问题的机会,这可能会对患者的短期和长期健康产生负面影响。本研究旨在调查无症状的原因,从而将饮食临床的无症状率降低到25%以下。该研究的初始阶段于2017年6月至9月在苏丹伊斯梅尔医院的饮食诊所进行。使用系统数据未发现任何演出案例。联系未就诊患者或未就诊患者的监护人,记录错过预约的原因。采用描述性分析对结果进行分析。制定并实施了变革战略,以针对未露面的主要原因。治疗前阶段的结果显示,无症状率为40.7%。联系了102名患者(34%,n=102),以确定他们不去饮食诊所的原因。年龄>1至12岁的儿科患者无症状的比例最高(37.3%,n=38)。未露面的主要原因是忘记和记住了错误的预约日期(35.3%,n=36),其次是生病或住进病房(13.7%,n=14)以及其他原因(12.7%,n=13),如个人问题和学校考试。使用短信服务(MySMS)的补救措施将未显示率降低到22.2%,达到了我们低于25%的标准(p<0.05)。使用短信服务的自动提醒在降低未显示率方面被发现是有效的。需要定期审计,以确保补救措施的持续有效性。需要进行进一步的研究来权衡这种方法的长期成本效益。DOI:http://dx.doi.org/10.17576/JSKM-2021-1901-01
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引用次数: 0
Pharmacist in Media: Role in Healthcare and Public Perception 媒体药剂师:在医疗保健和公众认知中的作用
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-18
Haliz Farizzah Bin Abdul Wahab, M. Zulfakar, F. Islahudin
The use of internet and social media for health information sharing is expanding among public, pharmacists and other healthcare professionals over the past few years. Research investigating the use of internet and social media in the practice of pharmacy is growing, however, little is known on the delivery of pharmacy services through these media platforms. Hence, this study aimed to investigate the roles of pharmacist in media in providing healthcare information, to evaluate public perception and acceptance towards pharmacist using media as a platform information sharing and to find out public expectation towards pharmacy services in media. A total of 200 respondents were involved by random sampling in this cross-sectional study. Study duration was from October until November 2019. The self-administered questionnaire was adapted from previous study investigating the public preferred source of healthcare advices. Majority of the respondents agree that media platforms can be used by pharmacist to improve patient-pharmacist communication with 76.5% expected that social media has the potential to become an established channel for patient-pharmacist communication. 61.0% of the respondents also acknowledged pharmacist to be very knowledgeable on health-related information by providing accurate information. This study provided insights into the public view towards the roles of pharmacist and their expectation towards pharmacist sharing health-related information in media platforms. Participants recognized the potential use of media platforms for healthcare information sharing. To enhance pharmacist presence and impact on public health through digital media platforms, it is important to start incorporating digital medium into their pharmacy services. Keywords : pharmacist; media; role; health information; perception DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-18
在过去几年中,公众、药剂师和其他保健专业人员越来越多地使用互联网和社会媒体来分享卫生信息。调查在药房实践中使用互联网和社交媒体的研究正在增长,然而,很少有人知道通过这些媒体平台提供药房服务。因此,本研究旨在探讨药师在媒体上提供医疗资讯的角色,评估公众对药师利用媒体作为资讯分享平台的认知与接受程度,以及公众对药师在媒体上服务的期望。本横断面研究采用随机抽样的方法,共涉及200名调查对象。研究时间为2019年10月至11月。自我管理问卷改编自先前调查公众首选医疗保健建议来源的研究。大多数受访者认为药师可以利用媒体平台改善医患沟通,76.5%的受访者认为社交媒体有潜力成为医患沟通的既定渠道。61.0%的受访者还承认药剂师对健康相关信息非常了解,提供了准确的信息。本研究提供了公众对药剂师角色的看法以及他们对药剂师在媒体平台上分享健康相关信息的期望。与会者认识到媒体平台在医疗保健信息共享方面的潜在用途。为了通过数字媒体平台加强药剂师的存在和对公共卫生的影响,重要的是开始将数字媒体纳入其药房服务。关键词:药师;媒体行业;角色;健康信息;感知DOI: http://dx.doi.org/10.17576/JSKM-2021-1901-18
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引用次数: 1
Chemical Constituents and Biological Activities of Mitrella Kentii (Blume) Miq. Leaf Oil Mitrella Kentii (Blume) Miq的化学成分和生物活性。叶油
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-17
M. Jasamai, J. Jalil, S. Saadawi, I. Jantan
Chemical constituents and biological activities of the Mitrella kentii leaf oil were investigated in this study. Gas chromatography (GC) and gas chromatography-mass spectrometry (GC-MS) were used to determine the chemical constituents of the oil. The oil was evaluated for its ability to inhibit prostaglandin E 2 (PGE 2 ) and thromboxane B 2 (TXB 2 ) productions in human whole blood using a radioimmunoassay technique. Its inhibitory effect on platelet-activating factor (PAF) receptor binding with rabbit platelets using 3 H-PAF as a ligand and its free radical scavenging effect on DPPH were also investigated. Caryophyllene oxide (33.8%), E , Z -farnesol (6.9%), benzyl benzoate (6.5%) and viridiflorol (6.5%) were among the major components of the oil. Even though weak inhibitory activities were observed in both PGE 2 and TXB 2 assays, significant results were obtained in both PAF receptor binding inhibition and 2,2-diphenyl-1-picrylhydrazyl (DPPH) scavenging effect with IC 50 value of 6.6 µg/mL and 155.6 µg/mL respectively. These promising activities warrant the development of the oil as an anti-inflammatory agent. DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-17
本文研究了肯蒂叶油的化学成分和生物活性。采用气相色谱法(GC)和气相色谱-质谱法(GC- ms)测定油的化学成分。使用放射免疫测定技术评估了该油抑制人全血中前列腺素e2 (pge2)和血栓素b2 (txb2)产生的能力。研究了其对血小板活化因子(PAF)受体以3h -PAF为配体与兔血小板结合的抑制作用以及对DPPH自由基的清除作用。主要成分为氧化石竹烯(33.8%)、E、Z -法尼醇(6.9%)、苯甲酸苄酯(6.5%)和绿氟醇(6.5%)。虽然在pge2和txb2实验中观察到微弱的抑制活性,但在PAF受体结合抑制和2,2-二苯基-1-苦酰肼(2,2-diphenyl-1-picrylhydrazyl, DPPH)清除作用中获得了显著的结果,ic50值分别为6.6µg/mL和155.6µg/mL。这些有希望的活性保证了油作为抗炎剂的发展。DOI: http://dx.doi.org/10.17576/JSKM-2021-1901-17
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引用次数: 0
Doses to Organs at Risk Calculated Using Plato and Oncentra Softwares in Intracavitary Brachytherapy 使用Plato和Oncentra软件计算腔内近距离放射治疗中危及器官的剂量
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-13
C. Chiang, N. Abdullah, R. Abdullah, M. Mohamad, A. Zakaria
This is a retrospective study, the organ doses to the bladder and rectum were compared between Nucletron PLATO V14.2.3 (BV) and newer version software Oncentra MasterPlan V4.3 (OMP) treatment planning systems (TPS). The treatment data of 32 intracavitary brachytherapy patients at Hospital Universiti Sains Malaysia from January 2010 to June 2015 were used. These data sets were used for catheter reconstruction for both PLATO and OMP TPS followed by independent verification using Excel. There is no significant difference in mean doses to organs at risk (OARs) that calculated by both TPS (p>0.05). The mean percentage of doses calculated by PLATO TPS for bladder and rectum were 66.58 ± 27.42 %  and 46.27 ± 14.47 % respectively. While the mean percentage of doses for bladder and rectum calculated by OMP TPS were 65.68 ± 24.24 % and 46.46 ± 16.66 respectively. The mean percentage difference in doses comparison between independent verification calculation and PLATO TPS was 1.96 ± 6.00% and then became 6.37 ± 5.17% when it was compared with OMP TPS. Overall, the dose calculation differences for both versions of TPS were within the range recommended by Nuclear Regulatory Commission (NRC). The dose calculations of the two treatment planning systems showed good agreement and both could be used in planning intracavitary brachytherapy for cervical cancer. Whereas Excel based independent verification suitable to be implemented as routine dose verification programme prior to treatment delivery. DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-13
回顾性比较了Nucletron PLATO V14.2.3 (BV)和更新版本的Oncentra MasterPlan V4.3 (OMP)治疗计划系统(TPS)对膀胱和直肠的器官剂量。选取2010年1月至2015年6月马来西亚圣士大学医院腔内近距离放疗患者32例的治疗资料。这些数据集用于PLATO和OMP TPS的导管重建,随后使用Excel进行独立验证。两种TPS计算的危及器官平均剂量(OARs)无显著差异(p < 0.05)。PLATO TPS计算膀胱和直肠的平均剂量百分比分别为66.58±27.42%和46.27±14.47%。OMP TPS计算膀胱和直肠的平均剂量百分比分别为65.68±24.24%和46.46±16.66。独立验证计算与PLATO TPS剂量比较的平均百分比差异为1.96±6.00%,与OMP TPS比较的平均百分比差异为6.37±5.17%。总体而言,两种版本的TPS的剂量计算差异在核管理委员会(NRC)推荐的范围内。两种治疗方案的剂量计算结果一致,均可用于宫颈癌腔内近距离放疗方案。而基于Excel的独立验证适合作为常规剂量验证程序在治疗前实施。DOI: http://dx.doi.org/10.17576/JSKM-2021-1901-13
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引用次数: 0
A Survey of Lay Knowledge of Autism Spectrum Disorder in Malaysia 马来西亚民众对自闭症谱系障碍知识的调查
Pub Date : 2021-01-26 DOI: 10.17576/JSKM-2021-1901-06
Hui Min Low
Today, increasingly more people worldwide are aware about Autism Spectrum Disorder (ASD). However, their actual understanding about ASD is yet unknown. In this study, the lay knowledge on the social communication and language deficits of ASD was investigated using a brief survey involving an elite sample in Malaysia. The survey findings revealed that the vast majority of the respondents had superficial understanding about the social communication and language deficits of ASD. In general, they could relate to ASD as a type of learning disability, but they were less familiar with the diagnostic features and remedial needs of ASD. Another key finding was that the respondents reported different sources of obtaining ASD knowledge according to their demographic profiles (namely age, gender, education and occupation), which correspondingly led to variability in the type of knowledge they obtained. Together, the findings implied that content-specific ASD awareness programs through the right channels are warranted for optimizing efficacy in knowledge transfer and minimizing redundancy in existing ASD awareness campaigns. Increased lay knowledge on ASD will provide a public guardian ground for children with ASD to ensure that the challenges faced by them can be identified at an early age for optimizing the remedial outcomes. DOI : http://dx.doi.org/10.17576/JSKM-2021-1901-06
今天,全世界越来越多的人意识到自闭症谱系障碍(ASD)。然而,他们对自闭症谱系障碍的实际理解尚不清楚。在这项研究中,通过对马来西亚精英样本的简短调查,调查了ASD的社会沟通和语言缺陷的外行知识。调查结果显示,绝大多数受访者对ASD的社会沟通和语言缺陷的了解都很肤浅。一般来说,他们可以将自闭症谱系障碍视为一种学习障碍,但他们不太熟悉自闭症谱系障碍的诊断特征和治疗需求。另一个重要发现是,受访者根据他们的人口统计资料(即年龄、性别、教育程度和职业)报告了获取ASD知识的不同来源,这相应地导致了他们获得知识类型的差异。总之,研究结果表明,通过正确的渠道进行内容特定的ASD意识项目,可以优化知识转移的效果,并最大限度地减少现有ASD意识活动中的冗余。增加对自闭症谱系障碍的了解将为自闭症儿童提供一个公共监护人的基础,以确保他们所面临的挑战可以在早期被识别出来,以优化治疗效果。DOI: http://dx.doi.org/10.17576/JSKM-2021-1901-06
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引用次数: 2
Belief Persistence and Reliance on Traditional Healing of Students at Central Bicol State University of Agriculture 中央比科尔州立农业大学学生信仰、坚持及对传统疗法的依赖
Pub Date : 2021-01-25 DOI: 10.17576/JSKM-2021-1901-05
D. A. Palmiano
Limited scientific evidence about the safety and efficacy of traditional healing make it essential for policymakers to develop policies, regulations, and strategies to mitigate issues related to this practice. Such issues include hit-and-miss operation, incorrect diagnosis, improper dosage, low hygiene standards, and the dominant lack of statutory regulation for traditional healing practitioners and practices owing to the secrecy of some healing methods. On the other hand, the high cost of drugs and other critical considerations strengthen the belief persistence and reliance of people on traditional healing over modern medical treatments, a situation that makes it challenging for the government to define the policymaking parameters in this area. The focus of this descriptive-comparative study was to determine how persistent are the beliefs and reliance on traditional healing of students by obtaining quantitative results from a survey. A total of 277 students were surveyed using stratified proportionate random sampling. Data were gathered through a questionnaire and unstructured interviews. Descriptive statistics, dependent t-test, and one-way analysis of variance were the statistical tools used. Results showed that almost all respondents still manifest very strong belief persistence in faith healers (arbolaryo) and bone setters (hilot) and a great majority in those who cure illness caused by spirits (surhano/parasantigwar). The illnesses they usually consult with traditional healers were vomiting, sprain, and stomachache. Male respondents have stronger belief persistence than do their female counterparts. The belief persistence and reliance of students on traditional healing, even with the recent advances in science, technology, and innovation, as well as the upsurge of new interventions for diagnosis, prevention, and treatments, indicate that the popularity of traditional healing is not declining. These findings are particularly evident in some prevailing traditional healing practices.
关于传统疗法的安全性和有效性的科学证据有限,因此决策者必须制定政策、法规和战略,以减轻与这种做法有关的问题。这些问题包括不准确的操作、错误的诊断、不当的剂量、低卫生标准,以及由于一些治疗方法的保密而对传统治疗从业者和做法缺乏法定监管。另一方面,高昂的药物费用和其他关键因素加强了人们对传统治疗的信念和依赖,而不是现代医疗,这种情况使政府难以确定这一领域的决策参数。这项描述性比较研究的重点是通过从调查中获得定量结果来确定学生对传统治疗的信仰和依赖有多持久。采用分层比例随机抽样法对277名学生进行了调查。通过问卷调查和非结构化访谈收集数据。使用的统计工具有描述性统计、相关t检验和单因素方差分析。结果显示,几乎所有的受访者仍然表现出对信仰治疗师(arbolaryo)和植骨师(hilot)的强烈信仰,而且绝大多数人对治愈由灵魂引起的疾病的人(surhano/parasantigwar)表示强烈的信仰。他们通常向传统治疗师咨询的疾病是呕吐、扭伤和胃痛。男性受访者比女性受访者有更强的信念持久性。即使在最近科学、技术和创新取得进展的情况下,以及在诊断、预防和治疗方面出现的新干预措施的激增,学生们对传统治疗的信念坚持和依赖表明,传统治疗的受欢迎程度并没有下降。这些发现在一些流行的传统治疗实践中尤为明显。
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引用次数: 0
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Jurnal Sains Kesihatan Malaysia
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