Tan Jia Yi, Jyrion Jitour, Syed Shajee Husain, M. Yusof IbrahiM, Fredie Robinson, Syed Sharizman Syed Abdul Rahim, Swe, Aliaa Wahidah Ariffin, Mohamad Helmi Mohamed Asli, Nur Najihah Mohd Noor, Nor Faraheeda Mohd Rahmat, Wan Yan Ru, Suwarna Ganesan, Darshaini Panir Chelvan, Nur Thaqifah Norwanidi, Mohd Alfaizal Albanya, Stephanie Sonia Methew, Puvendren Rajendran, Theva Darshini Surenthiran, Hamssavani Selvaraj
The World Health Organization (WHO) reported that Malaysia has the highest rate of obesity and overweight among Asian countries. There is an increasing trend in obesity from 11.9% (2015) to 14.8% (2019), according to the National Health and Morbidity Survey (NHMS). This study aimed to investigate the prevalence, bodyweight perception, and associated factors of overweight and obesity among rural communities in Northern Borneo. This cross-sectional study was conducted in one village in Northern Borneo. Adults from 18 to 69 years of age (n = 165) were included in the survey, and data were collected by interview or self-administered questionnaires. Measurements of weight and height were done for body-mass-index (BMI) calculation. The prevalence of overweight and obesity in the village was 71.5%. Kappa statistic indicated only a slight agreement between perceived and actual body weight status (k = 0.163, 95% CI = −0.156 to 0.482, p < 0.000). There were higher odds of being overweight and obese among the middle-aged group (35 – 55 years old) than the younger group (<35 years old) (OR = 3.575; 95% CI: 1.667, 7.667; p < 0.05) and among the married adults than the unmarried adults (OR = 2.196; 95% CI: 1.057, 4.565; p < 0.05). Although age and marital status are non-modifiable factors of overweight and obesity, this research indicated poor consistency between perceived and actual body weight with kappa statistics. The large magnitude of body weight misperception might contribute to overweight and obesity in the rural community.
{"title":"Overweight and Obesity Among Rural Community in Northern Borneo: Prevalence, Body Weight Perception and Its Associated Factors","authors":"Tan Jia Yi, Jyrion Jitour, Syed Shajee Husain, M. Yusof IbrahiM, Fredie Robinson, Syed Sharizman Syed Abdul Rahim, Swe, Aliaa Wahidah Ariffin, Mohamad Helmi Mohamed Asli, Nur Najihah Mohd Noor, Nor Faraheeda Mohd Rahmat, Wan Yan Ru, Suwarna Ganesan, Darshaini Panir Chelvan, Nur Thaqifah Norwanidi, Mohd Alfaizal Albanya, Stephanie Sonia Methew, Puvendren Rajendran, Theva Darshini Surenthiran, Hamssavani Selvaraj","doi":"10.51200/bjms.vi.2953","DOIUrl":"https://doi.org/10.51200/bjms.vi.2953","url":null,"abstract":"The World Health Organization (WHO) reported that Malaysia has the highest rate of obesity and overweight among Asian countries. There is an increasing trend in obesity from 11.9% (2015) to 14.8% (2019), according to the National Health and Morbidity Survey (NHMS). This study aimed to investigate the prevalence, bodyweight perception, and associated factors of overweight and obesity among rural communities in Northern Borneo. This cross-sectional study was conducted in one village in Northern Borneo. Adults from 18 to 69 years of age (n = 165) were included in the survey, and data were collected by interview or self-administered questionnaires. Measurements of weight and height were done for body-mass-index (BMI) calculation. The prevalence of overweight and obesity in the village was 71.5%. Kappa statistic indicated only a slight agreement between perceived and actual body weight status (k = 0.163, 95% CI = −0.156 to 0.482, p < 0.000). There were higher odds of being overweight and obese among the middle-aged group (35 – 55 years old) than the younger group (<35 years old) (OR = 3.575; 95% CI: 1.667, 7.667; p < 0.05) and among the married adults than the unmarried adults (OR = 2.196; 95% CI: 1.057, 4.565; p < 0.05). Although age and marital status are non-modifiable factors of overweight and obesity, this research indicated poor consistency between perceived and actual body weight with kappa statistics. The large magnitude of body weight misperception might contribute to overweight and obesity in the rural community.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82097722","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}
This innovative health intervention aimed to reduce stress among university students through interaction with music and developing awareness of the effect of music in stressful situations such as the current COVID-19 pandemic. The setting for this intervention was an online Instagram community with Universiti Malaysia Sabah (UMS) students as participants. For research, a cross-sectional observational health promotion design was used for this online health intervention, in conjunction with the Diffusion of Innovation Theory. The Medical Tune Competition was open to students from all university faculties. Process evaluation was done using the RE-AIM framework, while impact evaluation was conducted via a non-experimental post-test only design. A Google feedback form was distributed to the participating students, and descriptive analysis was performed using SPSS version 26. In total, 21 contestants participated whereby 85% of the feedback responses indicated that the programme had been enjoyable. All respondents were made aware that music could make them happy, and they stated that they would advise their friends or relatives to sing or enjoy music when stressed, 90.5% of the respondents felt music helped them relieve stress (4.43 ± 0.67), 85.7% believed that the Instagram platform was appropriate for this contest, and 14.3% suggested using Facebook or YouTube as a platform. The conclusion was that an online music competition held during the COVID-19 pandemic could be adopted and likely to be effective in raising awareness of music for stress management. In the future, innovators could develop and grow their own innovative e-health intervention programmes modelled on the Medical Tune initiative.
{"title":"Stress Intervention Among University Students: Online Medical Tune Competition","authors":"Naing Oo Tha, Maher Fouad Sefein Beshay, Yeap Boon Tat, Firdaus Hayati, MOHAMMAD SAFFREE JEFFREE","doi":"10.51200/bjms.vi.2883","DOIUrl":"https://doi.org/10.51200/bjms.vi.2883","url":null,"abstract":"This innovative health intervention aimed to reduce stress among university students through interaction with music and developing awareness of the effect of music in stressful situations such as the current COVID-19 pandemic. The setting for this intervention was an online Instagram community with Universiti Malaysia Sabah (UMS) students as participants. For research, a cross-sectional observational health promotion design was used for this online health intervention, in conjunction with the Diffusion of Innovation Theory. The Medical Tune Competition was open to students from all university faculties. Process evaluation was done using the RE-AIM framework, while impact evaluation was conducted via a non-experimental post-test only design. A Google feedback form was distributed to the participating students, and descriptive analysis was performed using SPSS version 26. In total, 21 contestants participated whereby 85% of the feedback responses indicated that the programme had been enjoyable. All respondents were made aware that music could make them happy, and they stated that they would advise their friends or relatives to sing or enjoy music when stressed, 90.5% of the respondents felt music helped them relieve stress (4.43 ± 0.67), 85.7% believed that the Instagram platform was appropriate for this contest, and 14.3% suggested using Facebook or YouTube as a platform. The conclusion was that an online music competition held during the COVID-19 pandemic could be adopted and likely to be effective in raising awareness of music for stress management. In the future, innovators could develop and grow their own innovative e-health intervention programmes modelled on the Medical Tune initiative.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73932756","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}
S. C. Shimmi, M. Tanveer Hossain Parash, Fairrul Masnah @ Kadir
Clinical skill laboratories (CSLs) are integrated community, objective, and outcome-based learning processes that integrate basic knowledge with clinical skills. CSLs are hospital or medical school-based teaching which includes self-directed, student-centred and problem-based learning. CSLs can be taught in the procedural room, out-patient department, primary healthcare centre, casualty department, and simulation settings (Al-Elq, 2007). Experienced clinician, a small group of self-motivated students, cooperative patients, adequate and reliable instruments, enough time to practice, and a comfortable room with adequate ventilation are factors for effective CSLs (Ramani & Leinster, 2008). The teaching activities and learning can be face-to-face or blended learning, e-learning and online learning. Nowadays, blended and online learning is gaining more popularity. Blended learning combines face-to-face and online learning that supports creative, critical thinking skills (Garrison & Kanuka, 2004). Synchronous and asynchronous learning is the part of online learning where teachers use video and audio technologies (Gormley et al., 2009).
{"title":"Can Clinical Skill Laboratories (CSLs) be Online?","authors":"S. C. Shimmi, M. Tanveer Hossain Parash, Fairrul Masnah @ Kadir","doi":"10.51200/bjms.vi.3805","DOIUrl":"https://doi.org/10.51200/bjms.vi.3805","url":null,"abstract":"Clinical skill laboratories (CSLs) are integrated community, objective, and outcome-based learning processes that integrate basic knowledge with clinical skills. CSLs are hospital or medical school-based teaching which includes self-directed, student-centred and problem-based learning. CSLs can be taught in the procedural room, out-patient department, primary healthcare centre, casualty department, and simulation settings (Al-Elq, 2007). Experienced clinician, a small group of self-motivated students, cooperative patients, adequate and reliable instruments, enough time to practice, and a comfortable room with adequate ventilation are factors for effective CSLs (Ramani & Leinster, 2008). The teaching activities and learning can be face-to-face or blended learning, e-learning and online learning. Nowadays, blended and online learning is gaining more popularity. Blended learning combines face-to-face and online learning that supports creative, critical thinking skills (Garrison & Kanuka, 2004). Synchronous and asynchronous learning is the part of online learning where teachers use video and audio technologies (Gormley et al., 2009).","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"306 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76345294","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 significant amount of research has been found to have inaccurate references, reflecting the need to learn how to cite and reference effectively at the early stage of an academic writing career for junior healthcare professionals. Hence, this short communication serves as a beginner’s guide to referencing by addressing key aspects, including relevant terminologies, reference styles, tools that facilitate the referencing process, and citation accuracy. Learning referencing skills can be a good start if a junior researcher does not know where to start in publishing.
{"title":"A Beginner’s Guide to Academic Writing for Healthcare Professionals: Citation and Referencing","authors":"Jashan Selvakumar, May Honey Ohn, Jiann Lin Loo","doi":"10.51200/bjms.vi.3312","DOIUrl":"https://doi.org/10.51200/bjms.vi.3312","url":null,"abstract":"A significant amount of research has been found to have inaccurate references, reflecting the need to learn how to cite and reference effectively at the early stage of an academic writing career for junior healthcare professionals. Hence, this short communication serves as a beginner’s guide to referencing by addressing key aspects, including relevant terminologies, reference styles, tools that facilitate the referencing process, and citation accuracy. Learning referencing skills can be a good start if a junior researcher does not know where to start in publishing.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86654928","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}
Abdul Sattar Arif Khammas, S. S. Mohammed, Sarah Qahtan M. Salih, Danmaigoro Abubakar
Uterine fibroid (uterine myoma or leiomyoma) is the most common benign tumour of the women’s pelvic. This study aimed to determine the prevalence and risk factors associated with uterine fibroid among Iraqi women in Baghdad, Iraq. A cross-sectional study was prospectively carried out in this survey. Women aged 13 years old and above were randomly recruited based on a systematic sampling method. The participants’ personal and history information were collected using a structured self-administered questionnaire (SSAQ). In addition, a trans-abdominal ultrasound with both B-mode and Doppler was used to detect uterine fibroid. Transabdominal ultrasound was performed on 127 women with a mean age of 36.3 ± 11.5 years old. Among those, 43 (33.9%) women were reported to have a uterine fibroid. However, uterine fibroid was statistically associated with age (X2 = 35.3, P < 0.001), BMI (X2 = 11.2, P = 0.011), family history of uterine fibroid (X2 = 8.1, P = 0.005), and age at first menstruation (X2 = 12.9, P = 0.005). The prevalence of uterine fibroid detected by ultrasound was alarming among Iraqi women aged 49 to 60 years old. Being overweight, obese, having a positive family history of uterine fibroid, and early menarche increases the risk of developing uterine fibroid.
子宫肌瘤(子宫肌瘤或平滑肌瘤)是女性盆腔最常见的良性肿瘤。本研究旨在确定在伊拉克巴格达的伊拉克妇女中子宫肌瘤的患病率和危险因素。本调查采用前瞻性横断面研究。采用系统抽样法随机招募年龄在13岁及以上的女性。使用结构化自我管理问卷(SSAQ)收集参与者的个人和历史信息。同时采用经腹b超和多普勒超声检查子宫肌瘤。经腹超声检查127例，平均年龄36.3±11.5岁。其中，43名(33.9%)女性报告患有子宫肌瘤。而子宫肌瘤与年龄(X2 = 35.3, P < 0.001)、BMI (X2 = 11.2, P = 0.011)、子宫肌瘤家族史(X2 = 8.1, P = 0.005)、初月经年龄(X2 = 12.9, P = 0.005)有统计学相关性。超声检查子宫肌瘤的患病率在49 ~ 60岁的伊拉克妇女中是惊人的。超重、肥胖、有子宫肌瘤家族史、月经初潮早会增加患子宫肌瘤的风险。
{"title":"Prevalence and Risk Factors of Sonographically Detected Uterine Fibroid among Iraqi Women in Medical Baghdad City, Baghdad, Iraq","authors":"Abdul Sattar Arif Khammas, S. S. Mohammed, Sarah Qahtan M. Salih, Danmaigoro Abubakar","doi":"10.51200/bjms.vi.3334","DOIUrl":"https://doi.org/10.51200/bjms.vi.3334","url":null,"abstract":"Uterine fibroid (uterine myoma or leiomyoma) is the most common benign tumour of the women’s pelvic. This study aimed to determine the prevalence and risk factors associated with uterine fibroid among Iraqi women in Baghdad, Iraq. A cross-sectional study was prospectively carried out in this survey. Women aged 13 years old and above were randomly recruited based on a systematic sampling method. The participants’ personal and history information were collected using a structured self-administered questionnaire (SSAQ). In addition, a trans-abdominal ultrasound with both B-mode and Doppler was used to detect uterine fibroid. Transabdominal ultrasound was performed on 127 women with a mean age of 36.3 ± 11.5 years old. Among those, 43 (33.9%) women were reported to have a uterine fibroid. However, uterine fibroid was statistically associated with age (X2 = 35.3, P < 0.001), BMI (X2 = 11.2, P = 0.011), family history of uterine fibroid (X2 = 8.1, P = 0.005), and age at first menstruation (X2 = 12.9, P = 0.005). The prevalence of uterine fibroid detected by ultrasound was alarming among Iraqi women aged 49 to 60 years old. Being overweight, obese, having a positive family history of uterine fibroid, and early menarche increases the risk of developing uterine fibroid.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76992665","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 : 2022-05-31DOI: 10.51200/bjms.v16i2.2949
Benjamin Han-Sim Ng, Shun Qian Tay, Sheau Ning Wong
Anterior cord syndrome due to anterior spinal cord infarction is commonly described in the medical literature, however, in clinical practice, this entity is rarely encountered. We present a 58-year-old man with sudden onset of bilateral lower limb weakness, followed by bilateral upper limbs involvement. Magnetic resonance imaging (MRI) of the whole spine was performed and he was diagnosed to have anterior spinal cord infarct. The characteristic imaging findings were highlighted.
{"title":"Sudden Onset of Paraplegia With Rapid Progression to Tetraplegia in a Middle-Aged Man: What is the Diagnosis?","authors":"Benjamin Han-Sim Ng, Shun Qian Tay, Sheau Ning Wong","doi":"10.51200/bjms.v16i2.2949","DOIUrl":"https://doi.org/10.51200/bjms.v16i2.2949","url":null,"abstract":"Anterior cord syndrome due to anterior spinal cord infarction is commonly described in the medical literature, however, in clinical practice, this entity is rarely encountered. \u0000We present a 58-year-old man with sudden onset of bilateral lower limb weakness, followed by bilateral upper limbs involvement. Magnetic resonance imaging (MRI) of the whole spine was performed and he was diagnosed to have anterior spinal cord infarct. \u0000The characteristic imaging findings were highlighted.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84653570","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}
Farah Izzati Farush Khan, Y. H. Ooi, Lian Li Tan, Zafirah Azmi, Patricia Matanjun
The present study was carried out to examine the effect of daily intake of 20 × 109 CFU Lactobacillus acidophilus NCFM or 10 g inulin or 10 g beta-glucan (β-glucan) or synbiotic on fasting blood lipid levels in healthy adult men and women with moderately raised total plasma cholesterol (TC). This study was a randomized-controlled intervention in which 30 participants received either 10 g inulin or 10 g β-glucan or 20 × 109 CFU L. acidophilus NCFM or synbiotic for a period of 8 weeks. Fasting blood samples were collected before the supplementation period (baseline) and at week 8, with a follow-up at week 12. There was a trend for TC values, compared with baseline, to be lower in the probiotic group by 9.31%, (−0.55 mmol/l; P > 0.05), inulin group by 9.58%, (−0.53 mmol/l; P > 0.05), and β-glucan group by 8.55%, (−0.47 mmol/l; P > 0.05) at week 8. There was a trend for LDL-C values, compared with baseline, to be lower in the probiotic group by 9.34% (−0.34 mmol/l; P > 0.05), inulin group by 7.98% (−0.29 mmol/l; P > 0.05), and β-glucan group by 16.08% (−0.41 mmol/l; P > 0.05) at week 8. The changes were statistically insignificant but clinically significant in all groups except synbiotic, as all levels fell into the desirable biochemistry range. There were no statistical and clinical changes in the TC and LDL-C levels in synbiotic groups. There were no statistical and clinical changes in the HDL-C and TG levels in all groups. These data suggest that the intervention supplementation except synbiotics may improve blood lipid profiles, mainly TC and LDL-C.
{"title":"Lactobacillus acidophilus NCFM, Inulin, and Oat Bran Reduce TC and LDL-C in Adults with Hypercholesterolaemia","authors":"Farah Izzati Farush Khan, Y. H. Ooi, Lian Li Tan, Zafirah Azmi, Patricia Matanjun","doi":"10.51200/bjms.vi.3338","DOIUrl":"https://doi.org/10.51200/bjms.vi.3338","url":null,"abstract":"The present study was carried out to examine the effect of daily intake of 20 × 109 CFU Lactobacillus acidophilus NCFM or 10 g inulin or 10 g beta-glucan (β-glucan) or synbiotic on fasting blood lipid levels in healthy adult men and women with moderately raised total plasma cholesterol (TC). This study was a randomized-controlled intervention in which 30 participants received either 10 g inulin or 10 g β-glucan or 20 × 109 CFU L. acidophilus NCFM or synbiotic for a period of 8 weeks. Fasting blood samples were collected before the supplementation period (baseline) and at week 8, with a follow-up at week 12. There was a trend for TC values, compared with baseline, to be lower in the probiotic group by 9.31%, (−0.55 mmol/l; P > 0.05), inulin group by 9.58%, (−0.53 mmol/l; P > 0.05), and β-glucan group by 8.55%, (−0.47 mmol/l; P > 0.05) at week 8. There was a trend for LDL-C values, compared with baseline, to be lower in the probiotic group by 9.34% (−0.34 mmol/l; P > 0.05), inulin group by 7.98% (−0.29 mmol/l; P > 0.05), and β-glucan group by 16.08% (−0.41 mmol/l; P > 0.05) at week 8. The changes were statistically insignificant but clinically significant in all groups except synbiotic, as all levels fell into the desirable biochemistry range. There were no statistical and clinical changes in the TC and LDL-C levels in synbiotic groups. There were no statistical and clinical changes in the HDL-C and TG levels in all groups. These data suggest that the intervention supplementation except synbiotics may improve blood lipid profiles, mainly TC and LDL-C.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84658382","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}
Nadirah Sulaiman, Peter Seah Keng Tok, Bing-Ling Kueh, Ammar Rafidah Saptu, Raja Nurul Izni Raja Mohd Nordin, Juhanah Gimbo, Michal Christina Steven
The main concern in Type 2 Diabetes Mellitus (T2DM) management is to control the glycaemic level and thus prevent complications by behavioural modifications as a part of the government’s national strategic plan. The patient should know about the disease for behavioural modification to be implemented. Thus, this study evaluated the level of knowledge among T2DM patients in primary healthcare in the West Coast Division of Sabah. This is a cross-sectional study conducted in 2015 involving 15 primary healthcare clinics. A validated Malaysian version of the Michigan Diabetes Knowledge Test (MDKT) questionnaire was used to assess patients’ diabetes knowledge. The mean age of 369 patients is 54.9 years old (SD = 11.04). The means of knowledge scores were significantly different among the age group, education level, and employment status. No significant differences in knowledge were found in the group regarding the duration of diabetes and glycaemic control. Of 369 diabetic patients, 26.3% had poor knowledge, 65.0% had adequate knowledge, and only 8.7% had good knowledge. Overall, patients with T2DM in primary healthcare clinics have adequate knowledge regarding diabetes. Our study’s findings indicate that patients’ knowledge is associated with age group, level of education, and employment status. Healthcare providers should plan a good strategy to educate their patients based on these differences.
{"title":"The Diabetes Knowledge Assessment in Type 2 Diabetic Patients: A Survey in West Coast Division of Sabah","authors":"Nadirah Sulaiman, Peter Seah Keng Tok, Bing-Ling Kueh, Ammar Rafidah Saptu, Raja Nurul Izni Raja Mohd Nordin, Juhanah Gimbo, Michal Christina Steven","doi":"10.51200/bjms.vi.3314","DOIUrl":"https://doi.org/10.51200/bjms.vi.3314","url":null,"abstract":"The main concern in Type 2 Diabetes Mellitus (T2DM) management is to control the glycaemic level and thus prevent complications by behavioural modifications as a part of the government’s national strategic plan. The patient should know about the disease for behavioural modification to be implemented. Thus, this study evaluated the level of knowledge among T2DM patients in primary healthcare in the West Coast Division of Sabah. This is a cross-sectional study conducted in 2015 involving 15 primary healthcare clinics. A validated Malaysian version of the Michigan Diabetes Knowledge Test (MDKT) questionnaire was used to assess patients’ diabetes knowledge. The mean age of 369 patients is 54.9 years old (SD = 11.04). The means of knowledge scores were significantly different among the age group, education level, and employment status. No significant differences in knowledge were found in the group regarding the duration of diabetes and glycaemic control. Of 369 diabetic patients, 26.3% had poor knowledge, 65.0% had adequate knowledge, and only 8.7% had good knowledge. Overall, patients with T2DM in primary healthcare clinics have adequate knowledge regarding diabetes. Our study’s findings indicate that patients’ knowledge is associated with age group, level of education, and employment status. Healthcare providers should plan a good strategy to educate their patients based on these differences.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74685844","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}
Chai Min Ying, Siti Nur Hidayah Sudin, Mira Farhana Yaacob, Siti Suhaida Sudin, Yusniza Mohd Yusof
Background and aims: Since January 2021, spinal cord injury (SCI) patients in Klinik Pakar Spinal (KPS), Hospital Rehabilitasi Cheras (HRC) were offered to follow up via teleconsultation, either virtual clinic (VC) or telephone consultation (TC). It was started because of increasing COVID-19 cases in Klang Valley, which resulted in the Malaysian government’s endorsement of Movement Control Orders (MCO). Our study aims to observe the acceptability of teleconsultation among SCI patients in HRC and to describe their clinical and demographic features. Methods: A retrospective pilot study was conducted by identifying names of SCI patients scheduled for physical review from 1st January to 31st May 2021 from the KPS registry. Medical records of the patients who opted for teleconsultation were traced. Variables such as age, gender, race, neurological status, and locality were collected. Results: Teleconsultation was offered to 548 patients scheduled for physical review from 1st January to 31st May 2021. The prevalence of acceptability for teleconsultation among SCI patients was 100 (18.24%) patients, 55 (55%) patients opted for VC, and 45 (45%) patients opted for TC. From the 100 patients, majority are male (n = 68, 68%) and the rest are female (n = 32, 32%). The patients are predominantly Malay (n = 67, 67%), 22 (22%) Chinese patients and 11 (11%) Indian patients. The majority are from the age group of 25 – 50 years old (n = 51, 51%) and 72 (72%) patients stay in Klang Valley. Conclusions: Prevalence of acceptability for teleconsultation among SCI patients in KPS, HRC was 18.42%, which is lower than a similar study done in Washington that had a prevalence of 27.2%. Though it is still in an early stage, acceptance for teleconsultation is encouraging. Further study needs to be done to explore other factors that determine patient acceptability towards teleconsultation and telemedicine.
{"title":"A Retrospective Pilot Study on the Prevalence of Acceptability for Teleconsultation among Spinal Cord Injury Patients","authors":"Chai Min Ying, Siti Nur Hidayah Sudin, Mira Farhana Yaacob, Siti Suhaida Sudin, Yusniza Mohd Yusof","doi":"10.51200/bjms.vi.3750","DOIUrl":"https://doi.org/10.51200/bjms.vi.3750","url":null,"abstract":"Background and aims: Since January 2021, spinal cord injury (SCI) patients in Klinik Pakar Spinal (KPS), Hospital Rehabilitasi Cheras (HRC) were offered to follow up via teleconsultation, either virtual clinic (VC) or telephone consultation (TC). It was started because of increasing COVID-19 cases in Klang Valley, which resulted in the Malaysian government’s endorsement of Movement Control Orders (MCO). Our study aims to observe the acceptability of teleconsultation among SCI patients in HRC and to describe their clinical and demographic features. Methods: A retrospective pilot study was conducted by identifying names of SCI patients scheduled for physical review from 1st January to 31st May 2021 from the KPS registry. Medical records of the patients who opted for teleconsultation were traced. Variables such as age, gender, race, neurological status, and locality were collected. Results: Teleconsultation was offered to 548 patients scheduled for physical review from 1st January to 31st May 2021. The prevalence of acceptability for teleconsultation among SCI patients was 100 (18.24%) patients, 55 (55%) patients opted for VC, and 45 (45%) patients opted for TC. From the 100 patients, majority are male (n = 68, 68%) and the rest are female (n = 32, 32%). The patients are predominantly Malay (n = 67, 67%), 22 (22%) Chinese patients and 11 (11%) Indian patients. The majority are from the age group of 25 – 50 years old (n = 51, 51%) and 72 (72%) patients stay in Klang Valley. Conclusions: Prevalence of acceptability for teleconsultation among SCI patients in KPS, HRC was 18.42%, which is lower than a similar study done in Washington that had a prevalence of 27.2%. Though it is still in an early stage, acceptance for teleconsultation is encouraging. Further study needs to be done to explore other factors that determine patient acceptability towards teleconsultation and telemedicine.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"261 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81889284","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}
Abdul Halim Hassan, Farah Husna Mohd Fadzil, Vairavanathan Theenathayalan, Siti Suhaida Sudin
Background and aim: The majority of spinal cord injury (SCI) patients will experience bladder dysfunction, referred to as neurogenic bladder, which results in problems related to storage and release of urine. It is critical for primary care providers to work with patients to develop an effective voiding routine to avoid complications of inadequate bladder management. This study reviews the epidemiology data of spinal cord injury patients with the neurogenic bladder in a rehabilitation hospital. Methods: A retrospective survey involved the opportunistic study of 179 patients with SCI who underwent a urodynamic study. The information was collected using International Lower Urinary Tract Function Basic SCI Data Set and analysed using SPSS version 26. Results: There were 179 SCI patients with neurogenic bladder between 1st January 2016 to 31st December 2020. Predominantly was male (n = 121, 68% ) with the mean age of 37. Majority are paraplegia ( n = 121, 68%). The cause of injury is mainly traumatic (n = 102, 57.3%), with the highest number of incomplete injuries (n = 113, 63.5%) compared to incomplete injury. The majority of them have an awareness of the bladder sensation (n = 128, 71.9%). CISC is the main method of bladder emptying technique used by the patients, which comprise 83 patients (46.6%), followed by normal voiding method (n = 63, 35.4%) and other methods that patients have used are straining (n = 3), involuntary reflex (n = 3) and crede (n = 1). CBD is the main method for 16 patients (9%). The majority of these patients have daily leaking (n = 88, 49.4%), requiring a collecting device (n = 80, 44.9%). Only 28 patients (31.8%) with daily leaking has bladder relaxant on board. A total of 77 (43.3%) of the samples has bladder changes within the last year. Conclusion: This descriptive study provides valuable information for clinicians regarding patients’ bladder management. However, the data collection has ideally been done at a timely follow-up interval to better understand the issues.
{"title":"International Lower Urinary Tract Function Data Set: A Study in Spinal Cord Injury Population in HRC","authors":"Abdul Halim Hassan, Farah Husna Mohd Fadzil, Vairavanathan Theenathayalan, Siti Suhaida Sudin","doi":"10.51200/bjms.vi.3741","DOIUrl":"https://doi.org/10.51200/bjms.vi.3741","url":null,"abstract":"Background and aim: The majority of spinal cord injury (SCI) patients will experience bladder dysfunction, referred to as neurogenic bladder, which results in problems related to storage and release of urine. It is critical for primary care providers to work with patients to develop an effective voiding routine to avoid complications of inadequate bladder management. This study reviews the epidemiology data of spinal cord injury patients with the neurogenic bladder in a rehabilitation hospital. Methods: A retrospective survey involved the opportunistic study of 179 patients with SCI who underwent a urodynamic study. The information was collected using International Lower Urinary Tract Function Basic SCI Data Set and analysed using SPSS version 26. Results: There were 179 SCI patients with neurogenic bladder between 1st January 2016 to 31st December 2020. Predominantly was male (n = 121, 68% ) with the mean age of 37. Majority are paraplegia ( n = 121, 68%). The cause of injury is mainly traumatic (n = 102, 57.3%), with the highest number of incomplete injuries (n = 113, 63.5%) compared to incomplete injury. The majority of them have an awareness of the bladder sensation (n = 128, 71.9%). CISC is the main method of bladder emptying technique used by the patients, which comprise 83 patients (46.6%), followed by normal voiding method (n = 63, 35.4%) and other methods that patients have used are straining (n = 3), involuntary reflex (n = 3) and crede (n = 1). CBD is the main method for 16 patients (9%). The majority of these patients have daily leaking (n = 88, 49.4%), requiring a collecting device (n = 80, 44.9%). Only 28 patients (31.8%) with daily leaking has bladder relaxant on board. A total of 77 (43.3%) of the samples has bladder changes within the last year. Conclusion: This descriptive study provides valuable information for clinicians regarding patients’ bladder management. However, the data collection has ideally been done at a timely follow-up interval to better understand the issues.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"516 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77839431","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}
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