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Peer Trainers Compared with Basic Life Support Trainers in Delivering Effective Cardiopulmonary Resuscitation Training to Secondary School Students 同伴培训师与基础生命支持培训师对中学生进行有效心肺复苏培训的比较
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-30 DOI: 10.17576/mh.2020.1501.08
S. M. Jamal
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引用次数: 1
A Case of Miliary Adenocarcinoma of Lung Masquerading as Miliary Tuberculosis 军性肺腺癌伪装成军性结核1例
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-30 DOI: 10.17576/mh.2020.1501.25
N. Muhamad
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引用次数: 0
Four Siblings With Congenital Scoliosis and Dysmorphism: A Rare Case of Familial Spondylocostal Dysostosis 四兄弟姐妹先天性脊柱侧凸及畸形:一例罕见的家族性脊柱侧凸畸形
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-30 DOI: 10.17576/mh.2020.1501.24
K. Ibrahim
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引用次数: 0
Challenges of Anti-Smoking Campaign in Malaysia from the Healthcare Provider Perspective 从医疗保健提供者的角度看马来西亚反吸烟运动的挑战
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-30 DOI: 10.17576/mh.2020.1501.11
Muhammad Lokman Md. Isa
This study discovered challenging of the anti-smoking campaign from the perspective of healthcare providers in Kuantan. The objectives of this study were to explore the challenges of the anti-smoking campaign from healthcare providers’ views, to explore the awareness regarding the existence of Smoking Cessation Clinics and to explore the ways to improve anti-smoking campaigns. This study is important because it may aid Malaysian authorities to develop better strategies in promoting anti-smoking campaigns in the future. Purposive sampling was used in the collection of data and semi-structured interviews were conducted among five healthcare providers from three selected Smoking Cessation Clinics. This study found that healthcare provider felt that smokers who received treatment from the Health Centre had low understanding of the standard of procedure of smoking cessation procedure, low commitment and easily influenced by the public. Healthcare provider also felt that multidisciplinary task limited their focus to the client. Besides, they felt that the existence of smoking Cessation Clinic needs to be widely publicised to the community. Through the findings, the author recommend to improve the current approaches to reduce the number of smokers in Malaysia such as improving publicity to the public, enhancing the law of enforcement and providing incentives.
本研究发现,从关丹省医疗保健提供者的角度来看,反吸烟运动具有挑战性。本研究的目的是探讨从医疗服务提供者的观点,反吸烟运动的挑战,探讨对存在的戒烟诊所的认识,并探讨如何改善反吸烟运动。这项研究很重要,因为它可以帮助马来西亚当局制定更好的战略,以促进未来的反吸烟运动。在收集数据时采用了有目的的抽样,并对来自三家选定的戒烟诊所的五名医疗保健提供者进行了半结构化访谈。本研究发现,医疗服务提供者认为在健康中心接受治疗的吸烟者对戒烟程序标准的了解程度较低,承诺度较低,容易受到公众的影响。医疗保健提供者还认为,多学科任务限制了他们对客户的关注。此外,他们认为戒烟诊所的存在需要向社会广泛宣传。通过调查结果,作者建议改进目前的方法,以减少马来西亚的吸烟者数量,如改善公众宣传,加强执法和提供奖励。
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引用次数: 0
Mental Health State of Low Vision Patients using the Hospital Anxiety and Depression Scale and The Depression, Anxiety and Stress Scale 使用医院焦虑抑郁量表和抑郁焦虑压力量表对低视力患者心理健康状况的影响
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-30 DOI: 10.17576/mh.2020.1501.18
Mohd Harimi Abd Rahman
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引用次数: 1
Scaffold Selection for Tissue Engineering in Dentistry 口腔组织工程支架的选择
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-30 DOI: 10.17576/mh.2020.1501.04
Farinawati Yazid
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引用次数: 3
The Big-Five personality traits and quality of life in elderly Malaysian patients with diabetes mellitus: A cross-sectional study 马来西亚老年糖尿病患者的大五人格特征与生活质量:一项横断面研究
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-05-17 DOI: 10.21203/rs.3.rs-28516/v1
L. Woon, P. Gosse, Emily Samantha Kaunismaa, R. L. Mainland, A. Ravindran, N. Mustafa, H. Sidi
Background: Diabetes mellitus is highly prevalent in the elderly population, with a significant impact on quality of life. This study aimed to explore the relationship between personality traits and quality of life in an elderly population with diabetes. Methods: A cross-sectional study was conducted at the Universiti Kebangsaan Malaysia Medical Center. Outpatients above 60 years old with a diagnosis of type 1 or type 2 diabetes mellitus were recruited. Sociodemographic and clinical information were obtained. Quality of life was assessed using the WHO Quality of Life-BREF questionnaire and personality traits were assessed using the Big Five Inventory questionnaire. Depression and anxiety were measured with Beck Depression Inventory and Generalized Anxiety Disorder 7-item scale respectively and controlled for in statistical analyses. Results: There were 170 study participants (median age=69.0 years; IQR: 65.0-73.0; 51.2% male). In stepwise linear regression models, higher conscientiousness scores (β=0.156; p=0.044) and lower neuroticism scores (β=-0.176; p=0.028) were associated with greater quality of life in the physical health domain. Higher extraversion scores (β=0.209; p=0.001) and higher conscientiousness scores (β=0.248; p<0.001) were associated with greater quality of life in the psychological health domain. Higher agreeableness scores (β=0.286; p<0.001) were associated with greater quality of life in the social relationship domain. Finally, higher agreeableness scores (β=0.327; p<0.001) and lower neuroticism scores (β=-0.223; p=0.001) were associated with greater quality of life in the environment domain. Conclusions: Personality traits were closely associated with all domains of quality of life among elderly patients with diabetes mellitus. Premorbid personality may have important role in moderating the impact of diabetes mellitus on the lives of elderly patients.
背景:糖尿病在老年人群中高发,对生活质量有显著影响。本研究旨在探讨老年糖尿病患者的人格特质与生活质量之间的关系。方法:在马来西亚Kebangsaan大学医学中心进行横断面研究。研究对象为年龄在60岁以上、诊断为1型或2型糖尿病的门诊患者。获得社会人口学和临床信息。使用世界卫生组织生活质量问卷评估生活质量,使用大五量表评估人格特征。抑郁和焦虑分别采用贝克抑郁量表和广泛性焦虑障碍7项量表进行测量,并在统计分析中进行控制。结果:共有170名研究参与者(中位年龄=69.0岁;差:65.0 - -73.0;51.2%的男性)。在逐步线性回归模型中,责任心得分越高(β=0.156;P =0.044)和较低的神经质评分(β=-0.176;P =0.028)与身体健康领域较高的生活质量相关。外向性得分较高(β=0.209;P =0.001)和较高的责任心得分(β=0.248;P <0.001)与心理健康领域较高的生活质量相关。较高的宜人性得分(β=0.286;P <0.001)与社会关系领域较高的生活质量相关。最后,较高的宜人性得分(β=0.327;P <0.001)和较低的神经质评分(β=-0.223;P =0.001)与环境领域更高的生活质量相关。结论:人格特征与老年糖尿病患者生活质量各方面密切相关。病前人格可能在调节糖尿病对老年患者生活的影响中起重要作用。
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引用次数: 0
Factors Associated with Successful Fasting among Type 2 Diabetic Mellitus Patients during Ramadan: A Retrospective Recall Study 2型糖尿病患者斋月期间成功禁食的相关因素:一项回顾性回顾研究
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.09
Le Ni
Among diabetic patients, fasting is associated with increased risk of ketoacidosis, hypoglycaemia and dehydration. Previous randomised controlled trials and prospective studies have shown that intensive pre-Ramadan education on fasting is able to help patients fast successfully during Ramadan. At the same time, observational studies show that many diabetic patients are still able to fast successfully throughout Ramadan despite deficiencies in knowledge about fasting practices. We conducted a retrospective recall study in Klinik Kesihatan Jalan Perak, Penang to determine the factors associated with successful fasting. Patients were selected using convenience sampling. Successful fasting was defined as a patient fasted as intended, and not having to break-fast due to hypo/ hyperglycaemia symptoms or hospitalization due to diabetic complications. Multiple logistic regression was used to determine independent factors associated with successful fasting. 113 patients were enrolled. 70.9% (n=80) of patients were able to fast successfully. Knowing the name of their diabetic medications were significantly associated with successful fasting (AOR=8.56, 95%CI: 2.04;35.8, p=0.003). Knowledge and fasting practices were not associated with successful fasting. We may identify patients who might not fast successfully by evaluating their understanding of their diabetic medications. They can then be targeted for further pre-Ramadan counselling. Nonetheless, an intensive pre-Ramadan counselling is still optimal if resources are available. Keyword: diabetes, fasting, knowledge patients for safe fasting. Although Ramadan fasting is one of the five Pillars of Islamic teaching (Al-Bakarah n.d.), teaching in Quran exempts the practice for individuals who might be exposed to ill health if fasting is practiced. Acute DM complication risks can be minimised if patient’s DM controlled is satisfactory. However, many high-risk type 2 DM patients (56.6% to 93.4%) still chose to fast due to strong personal beliefs (Babineaux et al. 2015; Tan et al. 2018). Based on observational studies, 54.6% to 64 % of type 2 DM patients were able to fast every day during Ramadan (Babineaux INTRODUCTION Fasting during Ramadhan requires careful adjustment of treatment and lifestyle during Ramadhan. This is because it poses a risk of acute diabetes mellitus (DM) complications among DM patients. The risks include ketoacidosis, hypoglycaemia and dehydration (Ministry of Health Malaysia (a) 2015; Ministry of Health Malaysia (c) 2014; International Diabetes Federation and the DAR International Alliance 2016; Mohd Fazrul & Tan 2018). Many studies showed inadequate preparation of
在糖尿病患者中,禁食与酮症酸中毒、低血糖和脱水的风险增加有关。以前的随机对照试验和前瞻性研究表明,在斋月前进行密集的禁食教育能够帮助患者在斋月期间成功禁食。与此同时,观察性研究表明,许多糖尿病患者在斋月期间仍然能够成功地禁食,尽管他们缺乏关于禁食的知识。我们在槟城的Klinik Kesihatan Jalan Perak进行了回顾性回忆研究,以确定与成功禁食相关的因素。采用方便抽样方法选择患者。成功禁食被定义为患者按照预期禁食,并且由于低血糖/高血糖症状或由于糖尿病并发症住院而不必吃早餐。采用多元逻辑回归确定与成功禁食相关的独立因素。113例患者入组。70.9% (n=80)的患者能够成功禁食。知晓糖尿病药物名称与空腹成功相关(AOR=8.56, 95%CI: 2.04;35.8, p=0.003)。知识和禁食实践与成功的禁食无关。我们可以通过评估患者对糖尿病药物的理解来确定他们可能无法成功禁食。然后,他们可以成为斋月前进一步咨询的目标。尽管如此,如果资源充足,斋月前的密集咨询仍然是最佳选择。关键词:糖尿病,禁食,患者安全禁食知识。虽然斋月斋戒是伊斯兰教义的五大支柱之一(Al-Bakarah n.d.),但古兰经的教义免除了个人的斋戒,因为如果实行斋戒,可能会导致健康不佳。如果患者的糖尿病控制良好,急性糖尿病并发症的风险可以降到最低。然而,由于强烈的个人信念,许多高危2型糖尿病患者(56.6% - 93.4%)仍然选择禁食(Babineaux et al. 2015;Tan et al. 2018)。根据观察性研究,54.6%至64%的2型糖尿病患者能够在斋月期间每天禁食(Babineaux介绍),斋月期间禁食需要仔细调整治疗和生活方式。这是因为它给糖尿病患者带来了急性糖尿病(DM)并发症的风险。风险包括酮症酸中毒、低血糖和脱水(马来西亚卫生部(a) 2015年;马来西亚卫生部(c) 2014;2016年国际糖尿病联合会和DAR国际联盟;Mohd Fazrul & Tan 2018)。许多研究表明制备不足
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引用次数: 1
Preliminary Study of Craniofacial Superimposition by Mathematics Programming in a Thai Population 泰国人群颅面重叠的数学规划初步研究
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.21
P. Mahakkanukrauh
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引用次数: 0
Medical Students’ Perceptions on the Adequacy and Effectiveness of Pharmacology Teaching during Preclinical Years 医学生对临床预科阶段药理学教学充分性和有效性的认知
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-31 DOI: 10.17576/mh.2019.1402.10
N. Mohamed
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引用次数: 0
期刊
Medicine and Health
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