Pub Date : 2022-01-01DOI: 10.31674/mjmr.2022.v6i03.007
G. Singh
The emergency department deals with many critical cases daily being surgical or medical based. Waiting times for the critically ill patients in the emergency departments are increasing because of surge capacities especially during these challenging covid-19 times1. Applying an evidence based approach to the management of critically ill patients is important to ensure the risk and benefit ratio of treating patients is preserved2. Critical care evidence based p[practice can be found via many resources and easily via web based in a computerised hospital management system3. In order to transform the emergency department into an essential emergency critical care management centre, it must also incorporate evidence based practices to ensure the most appropriate treatment be instituted in our patients4. Education also plays an important role in improving services in the emergency department making it evidenced based and incorporation of research related evidence will help justify treatments and management of the critically ill5. In this article we discuss research articles that we believe can be essential to improve critical care services in the emergency departments.
{"title":"Essential Emergency Critical Care (EECC) Related Research Articles: A Literature Review","authors":"G. Singh","doi":"10.31674/mjmr.2022.v6i03.007","DOIUrl":"https://doi.org/10.31674/mjmr.2022.v6i03.007","url":null,"abstract":"The emergency department deals with many critical cases daily being surgical or medical based. Waiting times for the critically ill patients in the emergency departments are increasing because of surge capacities especially during these challenging covid-19 times1. Applying an evidence based approach to the management of critically ill patients is important to ensure the risk and benefit ratio of treating patients is preserved2. Critical care evidence based p[practice can be found via many resources and easily via web based in a computerised hospital management system3. In order to transform the emergency department into an essential emergency critical care management centre, it must also incorporate evidence based practices to ensure the most appropriate treatment be instituted in our patients4. Education also plays an important role in improving services in the emergency department making it evidenced based and incorporation of research related evidence will help justify treatments and management of the critically ill5. In this article we discuss research articles that we believe can be essential to improve critical care services in the emergency departments.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91048042","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 : 2022-01-01DOI: 10.31674/mjmr.2022.v6i03.003
Mutahir Shah, S. Ullah, Sufian Ali Khan, Shehzad A. Naroo
Purpose: The lockdown due to the COVID-19 pandemic lead to many countries implementing a population lockdown. This study was designed to investigate the myopic changes that occurred during lockdown due to the COVID19 pandemic in Pakistan. Methods: A prospective, cross-sectional study, was conducted on patients presenting to the out-patients department with symptoms suggesting a refractive problem. Subjects with a Mean Spherical Equivalent (MSE) level of myopia of at least -0.50DS were included. The second group of subjects that had emmetropia (MSE between -0.25DS and +0.25DS) was recruited. All subjects (including adults) underwent cycloplegic refraction and used objective and subjective techniques, to exclude any pseudo-myopia due to accommodation. Results: A total of 900 subjects were enrolled from 4 to 24 years. The myopia group consisted of 473 subjects (256 females) and the emmetropia group consisted of 427 subjects (224 females). There was no statistical difference in the ages of the groups. Both groups showed an increase in their level of myopia, which was statistically higher in the emmetropic group (p<0.001). Further analysis was conducted, splitting the subjects into four age groups: 4-8 years; 9-12 years; 13-19 years; and 19-24 years. All age groups showed an increase in the magnitude of myopia, with the oldest age group showing the least increase, which was statistically significant (p<0.005). Conclusions: An increase in the magnitude of myopia was seen in all subjects and across all age groups, but more so in the younger subjects.
{"title":"Myopia Progression During COVID19 Pandemic at a Tertiary Care Hospital","authors":"Mutahir Shah, S. Ullah, Sufian Ali Khan, Shehzad A. Naroo","doi":"10.31674/mjmr.2022.v6i03.003","DOIUrl":"https://doi.org/10.31674/mjmr.2022.v6i03.003","url":null,"abstract":"Purpose: The lockdown due to the COVID-19 pandemic lead to many countries implementing a population lockdown. This study was designed to investigate the myopic changes that occurred during lockdown due to the COVID19 pandemic in Pakistan. Methods: A prospective, cross-sectional study, was conducted on patients presenting to the out-patients department with symptoms suggesting a refractive problem. Subjects with a Mean Spherical Equivalent (MSE) level of myopia of at least -0.50DS were included. The second group of subjects that had emmetropia (MSE between -0.25DS and +0.25DS) was recruited. All subjects (including adults) underwent cycloplegic refraction and used objective and subjective techniques, to exclude any pseudo-myopia due to accommodation. Results: A total of 900 subjects were enrolled from 4 to 24 years. The myopia group consisted of 473 subjects (256 females) and the emmetropia group consisted of 427 subjects (224 females). There was no statistical difference in the ages of the groups. Both groups showed an increase in their level of myopia, which was statistically higher in the emmetropic group (p<0.001). Further analysis was conducted, splitting the subjects into four age groups: 4-8 years; 9-12 years; 13-19 years; and 19-24 years. All age groups showed an increase in the magnitude of myopia, with the oldest age group showing the least increase, which was statistically significant (p<0.005). Conclusions: An increase in the magnitude of myopia was seen in all subjects and across all age groups, but more so in the younger subjects.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74297913","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 : 2022-01-01DOI: 10.31674/mjmr.2022.v6i03.005
Golak Bihari Khadanga, Pravin Kumar
Background: A healthy foot is vital for good posture and ambulation. Flatfoot or pes planus is a medical condition defined by the absence or lowered medial longitudinal arch, with Osseo-ligamentous misalignment. The objective of this study was to find out the prevalence of flat foot in college-going students aged between 18 to 25 years by using navicular drop and medial longitudinal arch angle assessment methods. Methods: In this cross-sectional study, 205 volunteers (116 male and 89 female) were assessed for flat foot using Brody’s navicular drop test and medial longitudinal arch angle measurement with an age range of 18-25 years. The navicular drop of ≥ 10mm and medial longitudinal arch angle of < 130° were considered flat feet. Results: The mean age of the total population (n=205) was 23.30 ± 1.63 years. The result of this study showed that when we used the ND test, there was a prevalence of flat foot in 20% of the total population (for males: 21.55%; for females: 17.97%) whereas when we used MLAA measurement, there was the prevalence of 5.36% in total population (for males: 5.17%; for females: 5.61%). Conclusion: The results of this study quantified the prevalence of flat foot in young college-going students. It can be concluded from the result of this study that the prevalence of flat foot in college-going students was 20% when using the navicular drop test whereas 5.61% when using medial longitudinal arch angle measurement.
{"title":"Prevalence of Flat Foot in College Going Students: A Cross Sectional Study","authors":"Golak Bihari Khadanga, Pravin Kumar","doi":"10.31674/mjmr.2022.v6i03.005","DOIUrl":"https://doi.org/10.31674/mjmr.2022.v6i03.005","url":null,"abstract":"Background: A healthy foot is vital for good posture and ambulation. Flatfoot or pes planus is a medical condition defined by the absence or lowered medial longitudinal arch, with Osseo-ligamentous misalignment. The objective of this study was to find out the prevalence of flat foot in college-going students aged between 18 to 25 years by using navicular drop and medial longitudinal arch angle assessment methods. Methods: In this cross-sectional study, 205 volunteers (116 male and 89 female) were assessed for flat foot using Brody’s navicular drop test and medial longitudinal arch angle measurement with an age range of 18-25 years. The navicular drop of ≥ 10mm and medial longitudinal arch angle of < 130° were considered flat feet. Results: The mean age of the total population (n=205) was 23.30 ± 1.63 years. The result of this study showed that when we used the ND test, there was a prevalence of flat foot in 20% of the total population (for males: 21.55%; for females: 17.97%) whereas when we used MLAA measurement, there was the prevalence of 5.36% in total population (for males: 5.17%; for females: 5.61%). Conclusion: The results of this study quantified the prevalence of flat foot in young college-going students. It can be concluded from the result of this study that the prevalence of flat foot in college-going students was 20% when using the navicular drop test whereas 5.61% when using medial longitudinal arch angle measurement.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87963141","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}
Cancer of the lung is a malignant lung tumor with a wide range of histological variants. The tumor arises from different types of cells, such as bronchioles, epithelium, bronchial mucous glands, or the alveoli. How effective the treatment depends on the histological variant of the lung tumor. It is therefore necessary that the histology of cancer and the respective biomarkers be accurately identified. Detection of malignant cells is possible only when the clinician has an accurate knowledge of the origin and nature of these cells. It is pertinent to state that these malignant cells release certain biomarkers into the general circulation. Currently, screening for malignant tumors is done with various panels of biomarkers. To date, there is no one serum biomarker capable of identifying the various lung cancer types. As such, accurate diagnosis is done only with immunohistochemistry and histological analysis of tumor biopsies. This article discusses the different protein biomarkers employed in the diagnosis of lung cancer and recent advances in uniform biomarker discovery.
{"title":"Biomarkers of Lung Cancer: Meta-analysis of Biomarkers Used to Identify Types of Lung Cancers Based on the Morphology and Histology","authors":"Srikrishna C. Karnatapu, Saloni Doke","doi":"10.18034/mjmbr.v8i2.611","DOIUrl":"https://doi.org/10.18034/mjmbr.v8i2.611","url":null,"abstract":"Cancer of the lung is a malignant lung tumor with a wide range of histological variants. The tumor arises from different types of cells, such as bronchioles, epithelium, bronchial mucous glands, or the alveoli. How effective the treatment depends on the histological variant of the lung tumor. It is therefore necessary that the histology of cancer and the respective biomarkers be accurately identified. Detection of malignant cells is possible only when the clinician has an accurate knowledge of the origin and nature of these cells. It is pertinent to state that these malignant cells release certain biomarkers into the general circulation. Currently, screening for malignant tumors is done with various panels of biomarkers. To date, there is no one serum biomarker capable of identifying the various lung cancer types. As such, accurate diagnosis is done only with immunohistochemistry and histological analysis of tumor biopsies. This article discusses the different protein biomarkers employed in the diagnosis of lung cancer and recent advances in uniform biomarker discovery.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91226194","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 : 2021-12-01DOI: 10.31674/mjmr.2021.v05i04.007
D. Fitriani, R. Pratiwi, Gita Ayuningtyas, S. Murtiningsih, Sandeep Poddar
Introduction: Post Anesthetic Shivering (PAS) or the incidence of post-anesthetic shivering is reported to be around 33-65% in patients undergoing general anesthesia and about 33-56,7% in patients undergoing spinal anesthesia. The treatment can be done pharmacologically with drugs and non-pharmacologically one of them with a warm blanket. The purpose of this study was to determine the differences in the effectiveness of giving thick cloth blankets and 380C electric blankets with a reduction in the incidence of shivering in postoperative patients at the Surgical Installation dr. SitanalaTangerang Hospital. Methods: The research method was a quantitative study with a quasi-experimental design with a pre-test post-test with control group design. The number of samples were 30 patients. Data was collected by observing shivering responses. The intervention was carried out by firing 380C electric blankets and thick cloth blankets. Result: The results showed that of the 15 postoperative patients before being given an electric blanket, almost half were 7 (46,7%) having grade 3 shivering, where as in patients given thick cloth blankets almost half were 6 (40%) having grade 2 shivering. Electrical heating is almost half that is 6 (40%) does not experience shivering (grade 0), where as in patients given regular blankets almost half are 6 (40%) experiencing grade 2 shivering. Statistical test results were obtained (p-value = 0.001, ? : 0.05) and (p-value = 0.005, ?: 0.05). Conclusion: there was an electric warm blanket or thick cloth blanket that influences the incidence of shivering in postoperative patients at the Surgical Installation dr. Sitanala Tangerang Hospital, but electric blankets are more effective than thick blankets. Suggestion is that the hospital is expected to make an intervention to provide electric warm blankets with a temperature of 380C postoperatively can be used as a fixed procedure for the service of surgical patients to prevent complications of shivering
{"title":"THE DIFFERENCES IN THE EFFECTIVENESS OF PROVIDING THICK BLANKETS AND ELECTRIC BLANKETS WITH REDUCING SHIVERING INCIDENCE ON POSTOPERATIVE PATIENTS IN SURGICAL INSTALLATIONS DR. SITANALA HOSPITAL TANGERANG, INDONESIA IN 2019","authors":"D. Fitriani, R. Pratiwi, Gita Ayuningtyas, S. Murtiningsih, Sandeep Poddar","doi":"10.31674/mjmr.2021.v05i04.007","DOIUrl":"https://doi.org/10.31674/mjmr.2021.v05i04.007","url":null,"abstract":"Introduction: Post Anesthetic Shivering (PAS) or the incidence of post-anesthetic shivering is reported to be around 33-65% in patients undergoing general anesthesia and about 33-56,7% in patients undergoing spinal anesthesia. The treatment can be done pharmacologically with drugs and non-pharmacologically one of them with a warm blanket. The purpose of this study was to determine the differences in the effectiveness of giving thick cloth blankets and 380C electric blankets with a reduction in the incidence of shivering in postoperative patients at the Surgical Installation dr. SitanalaTangerang Hospital. Methods: The research method was a quantitative study with a quasi-experimental design with a pre-test post-test with control group design. The number of samples were 30 patients. Data was collected by observing shivering responses. The intervention was carried out by firing 380C electric blankets and thick cloth blankets. Result: The results showed that of the 15 postoperative patients before being given an electric blanket, almost half were 7 (46,7%) having grade 3 shivering, where as in patients given thick cloth blankets almost half were 6 (40%) having grade 2 shivering. Electrical heating is almost half that is 6 (40%) does not experience shivering (grade 0), where as in patients given regular blankets almost half are 6 (40%) experiencing grade 2 shivering. Statistical test results were obtained (p-value = 0.001, ? : 0.05) and (p-value = 0.005, ?: 0.05). Conclusion: there was an electric warm blanket or thick cloth blanket that influences the incidence of shivering in postoperative patients at the Surgical Installation dr. Sitanala Tangerang Hospital, but electric blankets are more effective than thick blankets. Suggestion is that the hospital is expected to make an intervention to provide electric warm blankets with a temperature of 380C postoperatively can be used as a fixed procedure for the service of surgical patients to prevent complications of shivering","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75499641","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}
A. B. Shilpi, N. Sultana, Shelina Akhter, H. Muslima, N. Khan
Background: Both clinical audits within hospitals, and population-based surveys of childhood disability in Bangladesh, have shown that large numbers of children have speech and language difficulties. This study determined the improvement of language skills of children presenting with difficulties to the Speech, Language and Communication (SLC) clinic of the Child Development Center (CDC) in Dhaka Shishu (Children) Hospital (DSH). Methodology: This is a retrospective study where records of children enrolled from April 2009 to March 2014, who had visited the SLC Clinic at least 3 times over a span of 6 months were analyzed. Preverbal language skills, comprehension, and expressive language levels were measured informally based upon play and interactive sessions and observation of function. Interventions involved training parents on informal intervention techniques following some international standard guidelines. Pre and post-intervention observations on preverbal, comprehensive, and expressive language skills were recorded to determine outcomes. Results: Of the 706 enrolled children 11.0%, 79.2%, 9.5%, .3% were 0-<2 years, 2-<5 years, >5-9 and 10-16 years old, respectively. 69.5% of children were males. Preverbal skills (attention span, awaiting, eye contact, attention sharing, turn-taking, copying), comprehension, and expressive language status showed significant improvement between the first and last visit (p= 0.000) Conclusions: Interactive play, music, books, etc. are important means of improving communication between parents and children. Professionals working with developmentally delayed children need to be trained to utilize these strategies, with the provision of appropriate facilities within clinical settings. A large majority of children can be assisted to overcome delays and optimize their potential.
{"title":"Outcomes of Intervention in Children with Language Difficulties in Bangladesh","authors":"A. B. Shilpi, N. Sultana, Shelina Akhter, H. Muslima, N. Khan","doi":"10.18034/mjmbr.v8i2.600","DOIUrl":"https://doi.org/10.18034/mjmbr.v8i2.600","url":null,"abstract":"Background: Both clinical audits within hospitals, and population-based surveys of childhood disability in Bangladesh, have shown that large numbers of children have speech and language difficulties. This study determined the improvement of language skills of children presenting with difficulties to the Speech, Language and Communication (SLC) clinic of the Child Development Center (CDC) in Dhaka Shishu (Children) Hospital (DSH). \u0000Methodology: This is a retrospective study where records of children enrolled from April 2009 to March 2014, who had visited the SLC Clinic at least 3 times over a span of 6 months were analyzed. Preverbal language skills, comprehension, and expressive language levels were measured informally based upon play and interactive sessions and observation of function. Interventions involved training parents on informal intervention techniques following some international standard guidelines. Pre and post-intervention observations on preverbal, comprehensive, and expressive language skills were recorded to determine outcomes. \u0000Results: Of the 706 enrolled children 11.0%, 79.2%, 9.5%, .3% were 0-<2 years, 2-<5 years, >5-9 and 10-16 years old, respectively. 69.5% of children were males. Preverbal skills (attention span, awaiting, eye contact, attention sharing, turn-taking, copying), comprehension, and expressive language status showed significant improvement between the first and last visit (p= 0.000) \u0000Conclusions: Interactive play, music, books, etc. are important means of improving communication between parents and children. Professionals working with developmentally delayed children need to be trained to utilize these strategies, with the provision of appropriate facilities within clinical settings. A large majority of children can be assisted to overcome delays and optimize their potential.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82298704","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 : 2021-10-01DOI: 10.31674/mjmr.2021.v05i04.004
Heng Gee Lee
Cerebral venous thrombosis (CVT) is a relatively rare form of neurovascular emergency, and may present as headache, seizure, or focal neurological deficit. It typically has a higher occurrence in younger women. Recently, there are increasingly cases of CVTreported in association with COVID-19, which fall outside the typical demographics, suggesting a hyper-coagulable state attributable to COVID-19. Here, we present a case of CVTin a young gentleman with concomitant COVID-19, who presented with first-onset seizure.
{"title":"CEREBRAL VENOUS THROMBOSIS SECONDARY TO SARS-COV-2 INFECTION","authors":"Heng Gee Lee","doi":"10.31674/mjmr.2021.v05i04.004","DOIUrl":"https://doi.org/10.31674/mjmr.2021.v05i04.004","url":null,"abstract":"Cerebral venous thrombosis (CVT) is a relatively rare form of neurovascular emergency, and may present as headache, seizure, or focal neurological deficit. It typically has a higher occurrence in younger women. Recently, there are increasingly cases of CVTreported in association with COVID-19, which fall outside the typical demographics, suggesting a hyper-coagulable state attributable to COVID-19. Here, we present a case of CVTin a young gentleman with concomitant COVID-19, who presented with first-onset seizure.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72641952","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 : 2021-10-01DOI: 10.31674/mjmr.2021.v05i04.008
Objectives: This study aimed to evaluate perceptions of undergraduate dental students and graduate dentists towards behaviouralguidance techniques in paediatric dentistry. Materials & Methods: 225 subjects with previous experience in treating paediatricpatient were identified and invited to fill up a Likert-style questionnaire with 15 questions in total. The data was evaluated for descriptive analysis and statistical analysis using Pearson’s chi-square test and Fisher’s exact test(significance level, p<0.05). Results: 158 respondents were included in this study. 47.4% think that communication is the most effective non-pharmacological method of behavioural guidance, 62.6% and 45.6% think that tell-show-do is the most practical and most successful behaviour shaping techniques, respectively. 43.7% responded neutral to the use HOME or physical restraints in controlling child patient, 81.0% almost never used HOME method. 87.3% had explained procedures of dental treatment to child patientsduring treatment, 89.2% had used euphemism on the child. 40.5% of child patientssometimes struggled when receiving their treatment. 33.5% required some effort to get their child patient treated. 79.1% had never usedprotective stabilization method. 75.9% think that their working environment is favourable and conducive for child patients. 39.2% think that desensitization is the most effective method to reduce dental fear and anxiety in child patient. 59.5% preferpresence of parents during treatment. 56.35% of frightened cry was most commonly seen clinically. 73.4% would not consider further studies in paediatric dentistry. Conclusion: Generally, the respondents demonstrated satisfactory knowledge and acceptance of various behavioural guidance techniques in paediatric dentistry, but with some deficiencies.
{"title":"PERCEPTIONS OF UNDERGRADUATE DENTAL STUDENTS AND GRADUATE DENTISTS TOWARDS BEHAVIOURAL GUIDANCE TECHNIQUES IN PAEDIATRIC DENTISTRY: A CROSS-SECTIONAL STUDY","authors":"","doi":"10.31674/mjmr.2021.v05i04.008","DOIUrl":"https://doi.org/10.31674/mjmr.2021.v05i04.008","url":null,"abstract":"Objectives: This study aimed to evaluate perceptions of undergraduate dental students and graduate dentists towards behaviouralguidance techniques in paediatric dentistry. Materials & Methods: 225 subjects with previous experience in treating paediatricpatient were identified and invited to fill up a Likert-style questionnaire with 15 questions in total. The data was evaluated for descriptive analysis and statistical analysis using Pearson’s chi-square test and Fisher’s exact test(significance level, p<0.05). Results: 158 respondents were included in this study. 47.4% think that communication is the most effective non-pharmacological method of behavioural guidance, 62.6% and 45.6% think that tell-show-do is the most practical and most successful behaviour shaping techniques, respectively. 43.7% responded neutral to the use HOME or physical restraints in controlling child patient, 81.0% almost never used HOME method. 87.3% had explained procedures of dental treatment to child patientsduring treatment, 89.2% had used euphemism on the child. 40.5% of child patientssometimes struggled when receiving their treatment. 33.5% required some effort to get their child patient treated. 79.1% had never usedprotective stabilization method. 75.9% think that their working environment is favourable and conducive for child patients. 39.2% think that desensitization is the most effective method to reduce dental fear and anxiety in child patient. 59.5% preferpresence of parents during treatment. 56.35% of frightened cry was most commonly seen clinically. 73.4% would not consider further studies in paediatric dentistry. Conclusion: Generally, the respondents demonstrated satisfactory knowledge and acceptance of various behavioural guidance techniques in paediatric dentistry, but with some deficiencies.","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"347 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73928502","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 : 2021-10-01DOI: 10.31674/mjmr.2021.v05i04.005
Siti Jubaidah, H. Wijaya, E. S. Syamsul, Rifky Wijayanto
DESCRIPTION OF PATIENT SATISFACTION HEALTH SOCIAL SECURITY AGENCY (BPJS) OUT PATIENT TO PHARMACEUTICAL SERVICES AT KANUDJOSO DJATIWIBOWO HOSPITAL BALIKPAPAN WITH IMPORTANCE PERFORMANCE ANALYSIS (IPA) METHOD
用重要绩效分析(ipa)方法描述卫生社会保障机构(bpjs)门诊患者对巴立巴巴医院药学服务的满意度
{"title":"DESCRIPTION OF PATIENT SATISFACTION HEALTH SOCIAL SECURITY AGENCY (BPJS) OUT PATIENT TO PHARMACEUTICAL SERVICES AT KANUDJOSO DJATIWIBOWO HOSPITAL BALIKPAPAN WITH IMPORTANCE PERFORMANCE ANALYSIS (IPA) METHOD","authors":"Siti Jubaidah, H. Wijaya, E. S. Syamsul, Rifky Wijayanto","doi":"10.31674/mjmr.2021.v05i04.005","DOIUrl":"https://doi.org/10.31674/mjmr.2021.v05i04.005","url":null,"abstract":"DESCRIPTION OF PATIENT SATISFACTION HEALTH SOCIAL SECURITY AGENCY (BPJS) OUT PATIENT TO PHARMACEUTICAL SERVICES AT KANUDJOSO DJATIWIBOWO HOSPITAL BALIKPAPAN WITH IMPORTANCE PERFORMANCE ANALYSIS (IPA) METHOD","PeriodicalId":18105,"journal":{"name":"Malaysian Journal of Medical and Biological Research","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87444057","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 : 2021-10-01DOI: 10.31674/mjmr.2021.v05i04.001
Aisyah Amirah binti Mohd Zahari, Firdaus Ujang
Background: Intraocular foreign body (IOFB) is a common ocular trauma and is a leading cause of visual impairment. Majority of the cases reported the occurrence at the workplace and usually related to activities involving metallic objects. Hammering, drilling, explosion and usage of machining tools are among the causes of IOFB. Foreign body in the angle are frequently missed as it is not visualised directly during a routine examination. Thus, a thorough examination which includes gonioscopy and imaging must be done in all penetrating and full thickness cornea laceration cases. Purpose: We report a case of self-sealed full thickness cornea laceration with presence of metal foreign body in the angle. Method: Case Report Result: A 19 year-old boy, presented with right eye discomfort following trauma 1 week prior to presentation. Examination revealed a self-sealed full thickness cornea laceration at 1-2 o’clock with a foreign body found seated on the angle from gonioscopy. A foreign body consist of metal had successfully removed surgically with the facilitation of intraocular magnet. Conclusion: All self-sealed penetrating injury to the eye required a high index of suspicious of intraocular foreign body. An imaging and complete examination with dilated fundus examination and gonioscopy will be helpful to identify the location of foreign body. Hence, definitive treatment will prevent long term complication related to intraocular foreign body.
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