journal
https://read.qxmd.com/read/36715203/combating-chlorhexidine-allergy-in-perioperative-setting
#1
JOURNAL ARTICLE
S Shamsher, N H I Suhaimi, R Noor Ali, K Zulkifli
Chlorhexidine is labelled as hidden allergen as the health care professionals (HCPs) are unaware of the wide range of products containing chlorhexidine. Adverse events from chlorhexidine allergy can be reduced by appropriate perioperative management especially heeding on positive history during preoperative assessment, awareness regarding this hidden allergen, and educating HCPs on possible chlorhexidine-containing products. The regulatory agencies all over the world have issued recommendations regarding safety and risk of hypersensitivity reactions with chlorhexidine-containing products...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715202/making-the-case-for-the-malaysian-medical-association-junior-doctors-network-mma-jdn-a-report-and-memorandum-of-the-2022-mma-jdn-international-conference
#2
JOURNAL ARTICLE
Z N L Goh, S Selvaratnam, SCoRe Investigators
The Malaysian Medical Association-Junior Doctors Network (MMA-JDN) was recently formed via constitutional amendments during the 62nd Annual General Meeting of the Malaysian Medical Association held in 2022. MMA-JDN subsequently went on to organise its first international conference held from 4th to 6th November 2022. This paper documents the rationale behind the establishment of this new section in MMA and the timeline of its formation, reports on the aforementioned conference, as well as lays down the future direction of MMA-JDN...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715201/healthcare-service-quality-measurement-in-malaysia-a-scoping-review
#3
JOURNAL ARTICLE
K S Chew, S S L Wong, K L Siew, R Ab-Rahim
INTRODUCTION: Although healthcare service industry has been thriving in Malaysia, the types of healthcare service quality models used in past research as well as their key messages had not been explored. A scoping review was performed to determine the validated healthcare service quality models, the key messages of these past studies and potential research gaps that should be addressed in future studies. MATERIALS AND METHODS: Relevant, peer-reviewed, Englishlanguage articles on healthcare service quality in Malaysia were independently searched by the authors using the SCOPUS and EMERALD databases...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715200/factors-associated-with-the-spatial-accessibility-of-healthcare-services-measured-by-the-floating-catchment-area-fca-based-method-a-scoping-review
#4
JOURNAL ARTICLE
J Ab Hamid, M H Juni, A M Rosliza, S N Syed Ismail, P Y Lim
INTRODUCTION: The floating catchment area (FCA) method has emerged as the most comprehensive and accurate method for quantifying the spatial accessibility of health care services. There were variants of the FCA-based method that was continuously improvised by the researchers to suit specific local contexts and the different nature of healthcare service delivery. This scoping review identifies factors associated with the spatial accessibility of healthcare services that were specifically measured using the FCAbased method...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715199/natural-fixatives-alternative-to-formalin-in-histopathology-a-systematic-review
#5
JOURNAL ARTICLE
A W M Yee, P S Oo, S N Aye, W J Lim, V C X Chee, P Krishnappa
INTRODUCTION: Since constant long-term exposure to formaldehyde endangers the health of laboratory personnel, sugar-based natural products have become interesting alternative fixatives to formaldehyde because of their preservative and antibacterial properties. However, there are controversial findings on the fixative effects of natural fixatives. This study systematically reviews the evidence comparing natural fixatives' types, dilutions, fixative properties and staining quality in normal tissues and histopathological specimens...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715198/terbutaline-for-acute-tocolysis-prior-to-emergency-caesarean-delivery-for-suspected-foetal-compromise
#6
RANDOMIZED CONTROLLED TRIAL
A Z Zahar, M Y Azny, A Sakinah, M Gayathiri
INTRODUCTION: Terbutaline has been used as a foetal resuscitation measure to improve the intrapartum foetal heart rate abnormalities and neonatal outcome for suspected foetal compromise. Unfortunately, till date, the available data are limited to draw any recommendation. MATERIAL AND METHODS: This was a double-blind, placebocontrolled trial conducted among women planned for emergent caesarean delivery for suspected foetal compromise where 100 were randomised to receive subcutaneous terbutaline or placebo...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715197/serum-vitamin-d-levels-among-immunoglobulin-a-nephropathy-patients-and-the-associated-parameters
#7
JOURNAL ARTICLE
R Mustafar, T Nesam, L Kamaruzaman, R Mohd, N Sukor, N Safian, A Ba'in
INTRODUCTION: Low serum 25-hydroxyvitamin D is associated with chronic kidney disease progression, and there are limited data on the vitamin D levels in patients with Immunoglobulin A nephropathy. This study was conducted to determine the level of 25-hydroxyvitamin D in a stable immunoglobulin A nephropathy patient and its association with other parameters. MATERIALS AND METHODS: We performed a cross-sectional study involving 70 patients with biopsy-proven immunoglobulin A nephropathy with a stable estimated glomerular filtration rate and urinary albuminuria...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715196/prevalence-of-covid-19-among-healthcare-workers-in-the-paediatric-department-estimates-from-a-multicenter-cross-sectional-survey-in-negeri-sembilan
#8
JOURNAL ARTICLE
N C E David, H Juliana, M Chok, Y Z Gan, Y C Tan, M N Nur Adlina, S L Tan, M V Tan, A M Aina Mariana, H Hasri, M L Lee, Y K Cheah
INTRODUCTION: The COVID-19 pandemic has reached a phase where many have been infected at least once. Healthcare workers were not spared from being infected. This study aimed to determine the period prevalence of COVID-19 among the paediatric healthcare workers in Negeri Sembilan as the country transitioned into an endemic phase of the pandemic. Additionally, we investigate potential sociodemographic and occupational characteristics associated with SARS-CoV-2 infection among healthcare workers...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715195/descemet-stripping-endothelial-keratoplasty-versus-penetrating-keratoplasty-in-bullous-keratopathy-a-2-year-analysis-of-graft-survival-and-outcomes-in-a-tertiary-eye-centre-in-kuala-lumpur
#9
JOURNAL ARTICLE
Y Z Wai, X K Pee, Y P Lai, R Alias
INTRODUCTION: This study aims to compare the 2-year graft survival and outcomes of descemet stripping endothelial keratoplasty (DSEK) and penetrating keratoplasty (PK) for the treatment of bullous keratopathy (BK) among multiethnic Malaysia populations treated at a Tertiary Eye Centre in Kuala Lumpur, Malaysia. MATERIALS AND METHODS: This was a retrospective study of BK or Fuchs endothelial dystrophy (FED) patients who underwent DSEK or PK from 2015 to 2019 in Kuala Lumpur Hospital with a minimal post-operative follow-up of 2 years...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715194/fetoscopic-laser-ablation-for-twin-to-twin-transfusion-syndrome-in-malaysia-a-15-month-retrospective-cohort-review-from-an-emerging-centre-in-south-east-asia
#10
JOURNAL ARTICLE
L N Tan, G J Gardener, J R R Jeganathan, A Naidu, G Hassan, R Ahmad Zainuddin, M D Kilby
INTRODUCTION: The authors aim to review the early outcomes of fetostopic laser ablation (FLA) to improve outcomes for twin-to-twin transfusion syndrome (TTTS) in an emerging national centre in Malaysia. MATERIALS AND METHODS: This is a retrospective cohort study of 17 monochorionic diamniotic (MCDA) twin pregnancies with severe TTTS treated by FLA over 15 months in a single centre by a single operator after performing simulations. RESULT: The overall survival rate at day 28 after birth for at least one twin was 76% while the dual-twin survival was 64%...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715193/team-based-self-directed-learning-enhanced-students-learning-experience-in-undergraduate-surgical-teaching
#11
JOURNAL ARTICLE
S K Sim, N Myo, M Sohail
INTRODUCTION: To evaluate the effectiveness of team-based self-directed learning (SDL) in the teaching of the undergraduate Year 5 surgical posting. MATERIALS AND METHODS: A quasi-experimental study was conducted to develop and administer a team-based SDL versus a conventional SDL to teach undergraduate surgical topics. One hundred and seventy-four medical students who underwent the Year 5 surgical posting were recruited. They were assigned to two groups receiving either the teambased SDL or the conventional SDL...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715192/end-stage-kidney-disease-in-brunei-darussalam-2011-2020
#12
JOURNAL ARTICLE
N H Johan, A P Oo, J K Pisharam, S Rosalina, D Koh, J Tan
INTRODUCTION: The Brunei Dialysis and Transplant Registry (BDTR) recorded data on patients with end-stage kidney disease (ESKD) from 2011 to 2020, mainly for planning of services and benchmarking of standards. We report the trends of epidemiologic and performance parameters, compare performances between modalities of Kidney Replacement Therapy and evaluate the survival of ESKD patients over the 10-year period. MATERIALS AND METHODS: Three groups of data were analysed from the BDTR over the 10-year period...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715191/mapping-cerebral-atrophy-and-hypometabolism-on-18-f-fdg-pet-ct-scans-for-detecting-alzheimer-s-disease-in-the-malaysian-population-using-a-malaysian-brain-atlas-template
#13
JOURNAL ARTICLE
A A Siti Aishah, I Normala, M Faruque Reza, S M Iqbal
INTRODUCTION: Studies are lacking in evaluating brain atrophy patterns in the Malaysian population. This study aimed to compare the patterns of cerebral atrophy and impaired glucose metabolism on 18 F-FDG PET/CT imaging in various stages of AD in a Klang Valley population by using voxelbased morphometry in SPM12. MATERIALS AND METHODS: 18 F-FDG PET/CT images of 14 healthy control (HC) subjects (MoCA score > 26 (mean+SD~ 26.93+0.92) with no clinical evidence of cognitive deficits or neurological disease) and 16 AD patients (MoCA ≤22 (mean+SD~18...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715190/the-impact-of-prehabilitation-in-upper-gastrointestinal-cancer-underwent-major-surgery
#14
JOURNAL ARTICLE
M S Ramizah, S C Tee, S J Muhammad, A H Abdul, N H Shahabuddin, A Saiyidah Adila
INTRODUCTION: Several risk factors found to be associated with postoperative complications and cancer surgery, which carry a significant morbidity risk to cancer patients. Therefore, prehabilitation is necessary to improve the functional capability and nutritional status of a patient prior to surgery, so that the patient can withstand any postoperative activity and associated deterioration. Thus, this study aims to assess the effectiveness of prehabilitation interventions on the functional status of patients with gastric and oesophageal cancer who underwent esophagectomy and gastrectomy...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715189/outcome-of-tracheostomy-among-covid-19-patients-in-a-tertiary-hospital-setting-our-experience
#15
JOURNAL ARTICLE
I Razak, K Hari, Z Syakirah, M Saiful, H Shahrul
INTRODUCTION: The COVID-19 pandemic is unprecedented. Amongst those who contracted COVID-19, a number required intubation and prolonged ventilation. This increased the number of ventilated patients in the hospital and increased the requirement for tracheostomy of severe COVID-19 patients. Our objective is to study the outcome of patients with COVID-19 who underwent tracheostomy. MATERIALS AND METHODS: This study is a novel retrospective study in a tertiary centre in Malaysia...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715188/covid-19-pandemic-and-its-impact-on-emergency-surgery-in-colorectal-cancer-a-single-centre-experience
#16
JOURNAL ARTICLE
G H Ng, H L Philip Ding, Y C Leow, R Umasangar, C W Ang
INTRODUCTION: The COVID-19 pandemic has led to major changes in the provision of surgical services and also affected patients' health-seeking behaviour. This contributes to delayed presentation of many surgical conditions resulting in poorer outcomes. Colorectal cancer (CRC) patients who present with acute surgical emergencies such as complete bowel obstruction, perforation, bleeding or sepsis often require immediate intervention. This study aimed to assess the impact of COVID-19 pandemic on the proportion of emergency surgery in CRC patients...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715187/preventable-stillbirths-and-neonatal-deaths-in-malaysia-an-analysis-of-the-under-five-mortality-surveillance-data-2015-2017
#17
JOURNAL ARTICLE
A Norain, R Sutan, M T Azmi, A R Rozita
INTRODUCTION: The under-five mortality (U5M) trend in Malaysia significantly declined from 30.0 per 1000 live births (1980) to 8.0 per 1000 live births (2004), and the trend plateaued over the next two decades. Stillbirths and neonatal deaths were the major contributors to U5M. Scarce literature addressing factors associated with preventable U5M in Malaysia. The objective of this study was to describe preventable stillbirths and neonatal mortality, the associated factors and recommendation for improvement...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715186/humoral-response-to-sars-cov-2-vaccines-among-healthcare-workers-in-a-tertiary-hospital-in-malaysia
#18
JOURNAL ARTICLE
M A Amrina, M Shahidah, H R Sofiah, S C M Mirlia, R Thilakaveni, Z L Chong, A M Mohd-Hatta, Y K Cheah, M Aidalina, M T Niazlin, A N Syafinaz, M Abdullah, M I Muhammad
INTRODUCTION: Healthcare workers (HCWs) were among the first to be fully vaccinated against SARS-CoV-2. However, the antibody responses to the vaccines and potential decline among Malaysian HCW are still unclear. The objective of this study is to follow-up anti-S antibody levels among HCW vaccinated with mRNA vaccine (BTN162b2) and inactivated vaccine (CoronaVac). MATERIALS AND METHODS: Plasma samples were collected prevaccination, 2 weeks and 6 months post-vaccination and tested for total immunoglobulin levels using ELISA method...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715185/predicting-successful-live-birth-from-single-serum-hcg-measurement-in-assisted-reproductive-technology-art-cycle
#19
JOURNAL ARTICLE
A S Rahilah, M Z Murizah
INTRODUCTION: Assisted reproductive technology may result in various outcomes, causing a significant stress both physically and emotionally to the patients. This study aims to determine the level of serum human chorionic gonadotrophin (hCG) following embryo transfer in predicting successful live births in in vitro fertilisation (IVF) cycles. MATERIALS AND METHODS: This is a retrospective analysis of 407 IVF pregnancies in Hospital Sultanah Bahiyah Kedah from 2014 to 2019...
January 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/36715184/intravascular-imaging-guided-treatment-of-severe-coronary-artery-calcification-with-orbital-atherectomy-a-prospective-single-centre-registry
#20
JOURNAL ARTICLE
L B Yap, C N Choy, S Navin, K W Koh, R Jeyamalar, K Balachandran
INTRODUCTION: Coronary artery calcification can lead to suboptimal results when performing coronary angioplasty with conventional techniques. The presence of severe coronary artery calcium increases the complications of percutaneous coronary intervention as it may impede stent delivery and optimal stent expansion. The purpose of this study was to determine the procedural success and safety of orbital atherectomy (OA) in calcified lesions. MATERIALS AND METHODS: This was a prospective single-centre study regarding the utility of OA in the treatment of calcified coronaries...
January 2023: Medical Journal of Malaysia
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