Medical Journal of Malaysia

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Chat Generative Pre-Trained Transformer (ChatGPT) is an artificial intelligence (AI) language model developed by OpenAI. It is trained to process vast amounts of text and engage in human-like conversational interaction with users. Being accessible by all, it is widely used and its capabilities range from language translation, summarising long texts and creative writing. This article explores the potential role of ChatGPT in medical education and the possible concerns about the misuse of this technology through a conversation with ChatGPT itself via text prompts...

Malnutrition is one of the most frequent effects of an enterocutaneous fistula (ECF). There are some factors that contribute to it including inadequate intake, fluid loss via fistula and underlying disease. The role of nutrition is very important as a part of ECF therapy to give adequate nutrition, maintain fluid and electrolyte state and increase the likelihood of fistula closure spontaneously. Therefore, it is anticipated that adequate nutrition management will lower morbidity and mortality while enhancing clinical results...

INTRODUCTION: The meniscus plays an important role in maintaining homeostasis to facilitate the normal function of the knee joint. It is one of the most commonly injured areas of the knee joint. Meniscal-related injuries can lead to significantly decreased athletic ability, and their incidence has increased yearly. It has been found that most meniscal injuries are irreparable, and meniscectomy can increase the predisposition to knee osteoarthritis. Tissue engineering technology on meniscus repairing and transplantation has received widespread attention recently...

INTRODUCTION: Exclusive breastfeeding is still below the set target. Breastfeeding behavior is influenced by knowledge and self-efficacy. Training packages based on family centered maternity care are needed to boost mothers' efficacy and knowledge about breastfeeding. The aim of this study is to evaluate the effect of an online education package based on Family Centered Maternity Care on the self efficacy and knowledge of breastfeeding mothers. MATERIALS AND METHODS: This Study used a pre-experimental design method with a One-Group Pre-Post test design approach...

INTRODUCTION: Globally, there were around 22% of children under the age of 5 suffer from stunting. The Asian region contributes around 21.8% of the world's stunting cases. This study aims to looked at the differences in development between stunted and normal children at the age of 3-72 months. MATERIALS AND METHODS: This type of research used an analytic observational approach with a cross-sectional design. The research variables were the child development and stunting...

INTRODUCTION: One of the common problems in patients with diabetes mellitus is a decrease in balance stability. A decrease in balance stability will result in functional limitations, an increased risk of falling and injury and a decrease in patient productivity. This study aimed to analyse the factors associated with functional balance in diabetes mellitus patients in Padang, Indonesia. MATERIALS AND METHODS: This research design is crosssectional. The number of samples in this study was 132 diabetes mellitus patients...

INTRODUCTION: The purpose of this research aimed to investigate the difference between daily work stress and work performance in respondents who work from home (WFH), office (WFO), or vice versa on a scheduled basis during the pandemic COVID-19 period. MATERIALS AND METHODS: A total of 400 respondents were recruited, from all over the province in Indonesia. Instruments utilized were structured questionnaires including a demographic questionnaire, work performance scale (WPS), daily work stress scale...

INTRODUCTION: Diabetes mellitus is a disease characterized by an increase in blood sugar levels due to abnormalities in the insulin hormone system. The number of people with this disease is expected to increase every year. Therefore, it is necessary to develop diabetes mellitus drugs that have effective performance in reducing blood glucose level. Coffee contain chlorogenic acid and caffeine. Chlorogenic acid play a role in increasing insulin sensitivity. However, the caffeine causes a decrease in glucose tolerance...

INTRODUCTION: Pressure ulcers have adverse effects on health. Thus, early detection of damage to skin integrity is important for preventing the occurrence of pressure sores. Virgin Coconut Oil (VCO) is a nonpharmacological therapy that can be applied to overcome the problem of damage to skin integrity. Virgin coconut oil contains antioxidants and is rich in vitamin E. Meanwhile, two-hourly repositioning is a nursing intervention performed to prevent pressure ulcers. MATERIALS AND METHODS: This study aimed to evaluate the implementation of Virgin Coconut Oil and regular repositioning for preventing pressure sores...

INTRODUCTION: This research was done to find out how well post-stroke therapy works in reducing side effects and improving patient mobility. MATERIALS AND METHODS: This study used a randomised control trial design involving 42 post-stroke patients (mean 40 days after onset) with hemiparesis from January to October 2022, who were separated into two groups and randomly allocated to either the experimental group (n=21) or the control group (n=21). The intervention group received 24 times Swiss Ball Exercise (SBE), and the control group received 24 times conventional therapy...

INTRODUCTION: Southeast Asia countries had been among the worst-hit countries by COVID-19. The misinformation was spread along with the increasing number of cases. This study aims to describe how Indonesians and Vietnamese behave in seeking information related to COVID-19. MATERIALS AND METHODS: The study used a cross-sectional design with purposive sampling technique (n=167). Targeted population was limited to 18 - 59 years of age. An online form was shared via WhatsApp, Facebook and Instagram of each contributor...

INTRODUCTION: Religious coping is a way to overcome learning problems. Good religious coping has a positive impact on student educational processes and outcomes. However, until now, the relationship between religious coping and academic resilience has not been known. This study aimed to determine the relationship between religious coping and academic resilience. MATERIALS AND METHODS: This study used a cross-sectional approach with a stratified random sampling technique on 110 students from one university in Bandung, West Java, Indonesia...

INTRODUCTION: Menstrual disorders that often occur are menstrual pain (dysmenorrhoea), especially in adolescence. The average incidence of dysmenorrhoea in young women is between 16.8 and 81% worldwide. Physical activity is one of the relaxation techniques that can be used to reduce dysmenorrhoea. The purpose of this study was to find out the relationship between Physical Activity level and the incidence of dysmenorrhea in young women at SMP Negeri 16 Padang. MATERIALS AND METHODS: This research used observational analytic methods with cross-sectional design...

INTRODUCTION: Farmers have a high risk of injury either due to the use of agricultural tools, or chemicals, or the geographical conditions of the agricultural area. This study aimed to describe the use of local wisdom in the practice of wound treatment among Tengger tribal farmers in Indonesia. MATERIALS AND METHODS: This qualitative study used accidental sampling, conducted in the agricultural land of Ngadisari Village, Sukapura District, Probolinggo Regency, East Java for 3 weeks in November 2020...

INTRODUCTION: Inflammation is the body's defense response to foreign invasion, tissue damage or both. Flavonoid compounds have anti-inflammatory activity. One of the traditional medicines is Kepok banana peel (Musa balbisiana) contains flavonoids, saponins and triterpenoids. This study aims to determine the effective dose of ethanol extract of kepok banana peel as an anti-inflammatory. MATERIALS AND METHODS: Kepok banana peel was macerated using 70% ethanol. The extract is made in the form of a gel formulation because it has a high water content so it can moisturise the skin and spread easily when applied...

INTRODUCTION: Effective antiseptic use is essential in healthcare settings to prevent the spread of diseases, especially in areas with high patient traffic and exposure to various pathogens. One essential pathogenic germ is Acinetobacter baumannii. Octenidine and povidone-iodine have been demonstrated to be effective against A. baumannii in vitro. This study will compare octenidine dihydrochloride and povidone-iodine as wound-cleansing solutions for wounds contaminated with A. baumannii in vivo...

INTRODUCTION: Diabetes Mellitus (DM) is a chronic disease with many complications, one of which is diabetic encephalopathy which is characterised by memory dysfunction. Hyperglycaemia that occurs in DM will activate inflammatory pathways in neurons, including NF-κB pathway. Activation of this pathway produce proinflammatory agents such as MCP-1 and IL-6, which activate glial cells. Activation of glial cells is characterised by Glial Fibrillary Acid Protein (GFAP). Chlorogenic acid (CGA) has been reported to have anti-inflammatory effects and can improve memory function...

INTRODUCTION: Patients with chronic pain have been one of the most difficult patients to manage during the COVID-19 pandemic. As pain physicians navigate through this pandemic in order to maintain contact with their patients, telemedicine emerged as a very useful tool. It helped patients to access care despite being in distant areas, or during the lockdown period. The objective of this research is to assess the perception of chronic pain patients who received telemedicine therapy. Self-efficacy and coping level of pain among these chronic pain patients were also assessed...

INTRODUCTION: Chronic rhinosinusitis (CRS) is an inflammation of the nasal mucosa and paranasal sinuses for more than 3 months that affects 5 to 12% of the quality of life. Antibiotics are the first line of management for CRS. Increased antibiotic resistance causes ineffective treatment of CRS. This study aims to determine the bacterial pattern that causes CRS before and during the COVID-19 pandemic. Culture sensitivity tests in rhinosinusitis patients were conducted to see changes in the bacterial resistance patterns to antibiotics before and during the COVID-19 pandemic and to determine the appropriate use of antibiotics and prevent an increase in antibiotic resistance in the ENT-HNS outward department of RSUP Dr...