Browse publications by year: 2023

  1. Rajamoorthy Y, Wagner AL, Kumaran VV, Munusamy S, Taib NM, Tin OH, et al.
    Narra J, 2023 Dec;3(3):e187.
    PMID: 38450341 DOI: 10.52225/narra.v3i3.187
    Children are susceptible and a potential source of transmission for coronavirus disease 2019 (COVID-19). However compulsory COVID-19 vaccination programs among children have not been a focus in Malaysia. The aim of this study was to measure parents' willingness to pay (WTP) for the COVID-19 vaccine and analyze the effects of socioeconomic variables on parents' WTP. An online cross-sectional study was conducted in Malaysia with two waves of surveys (i.e., different samples for each wave), March and June 2021. The study participants were Malaysian parents above 18 years old. Parents were randomized between two vaccine effectiveness profiles (95% and 50% effectiveness) and two risk levels of an adverse event (5% and 20% risk of fever). The WTP was estimated using a double-bounded dichotomous choice. Socioeconomic variables such as age of parent, gender, insurance, income, and education were examined. A total of 292 parents in March 2021 and 271 in June 2021 were included in the study. The vaccine safety and effectiveness profile did not significantly impact the WTP. In March 2021, the estimated WTP ranged from RM344.74 to RM399.64 (US$82.5 to US$95.6) across vaccine profiles and between RM377.55 and RM444.33 (US$90.3 to US$106.3) in June. Insurance status was associated with the parents' WTP, and during the June wave, the age of parents influenced the WTP. Implementing subsidies or free vaccinations is considerable to increase herd immunity and prevent transmission of COVID-19 in Malaysia.
  2. Heidarzadehpilehrood R, Pirhoushiaran M, Binti Osman M, Ling KH, Abdul Hamid H
    Iran J Pharm Res, 2023;22(1):e139985.
    PMID: 38444712 DOI: 10.5812/ijpr-139985
    BACKGROUND: Polycystic ovary syndrome (PCOS) affects women of reproductive age globally with an incidence rate of 5% - 26%. Growing evidence reports important roles for microRNAs (miRNAs) in the pathophysiology of granulosa cells (GCs) in PCOS.

    OBJECTIVES: The objectives of this study were to identify the top differentially expressed miRNAs (DE-miRNAs) and their corresponding targets in hub gene-miRNA networks, as well as identify novel DE-miRNAs by analyzing three distinct microarray datasets. Additionally, functional enrichment analysis was performed using bioinformatics approaches. Finally, interactions between the 5 top-ranked hub genes and drugs were investigated.

    METHODS: Using bioinformatics approaches, three GC profiles from the gene expression omnibus (GEO), namely gene expression omnibus series (GSE)-34526, GSE114419, and GSE137684, were analyzed. Targets of the top DE-miRNAs were predicted using the multiMiR R package, and only miRNAs with validated results were retrieved. Genes that were common between the "DE-miRNA prediction results" and the "existing tissue DE-mRNAs" were designated as differentially expressed genes (DEGs). Gene ontology (GO) and pathway enrichment analyses were implemented for DEGs. In order to identify hub genes and hub DE-miRNAs, the protein-protein interaction (PPI) network and miRNA-mRNA interaction network were constructed using Cytoscape software. The drug-gene interaction database (DGIdb) database was utilized to identify interactions between the top-ranked hub genes and drugs.

    RESULTS: Out of the top 20 DE-miRNAs that were retrieved from the GSE114419 and GSE34526 microarray datasets, only 13 of them had "validated results" through the multiMiR prediction method. Among the 13 DE-miRNAs investigated, only 5, namely hsa-miR-8085, hsa-miR-548w, hsa-miR-612, hsa-miR-1470, and hsa-miR-644a, demonstrated interactions with the 10 hub genes in the hub gene-miRNA networks in our study. Except for hsa-miR-612, the other 4 DE-miRNAs, including hsa-miR-8085, hsa-miR-548w, hsa-miR-1470, and hsa-miR-644a, are novel and had not been reported in PCOS pathogenesis before. Also, GO and pathway enrichment analyses identified "pathogenic E. coli infection" in the Kyoto encyclopedia of genes and genomes (KEGG) and "regulation of Rac1 activity" in FunRich as the top pathways. The drug-hub gene interaction network identified ACTB, JUN, PTEN, KRAS, and MAPK1 as potential targets to treat PCOS with therapeutic drugs.

    CONCLUSIONS: The findings from this study might assist researchers in uncovering new biomarkers and potential therapeutic drug targets in PCOS treatment.

  3. Zhu JJ, Ma Y, Xia G, Salle SM, Huang H, Sannusi SN
    Front Psychol, 2023;14:1217014.
    PMID: 38440371 DOI: 10.3389/fpsyg.2023.1217014
    The effects of short movies on social media platforms are gaining worldwide popularity and are now attracting global academic attention. Employing self-perception theory and qualitative research methodology, the study examines the influence of short video applications (TikTok) on app-user engagement and evaluates the self-perceived cognitive psychological understanding of Chinese university students. The findings show that identity, attitude change, emotional perception, and civic engagement are the most influential aspects of Chinese youths' self-perceptions. Furthermore, the positive and negative correlated components influence the distribution of short video values. Such tactical use of personality construction contributes to the present psychological research of Chinese university students.
  4. Li C, Zhong H, Liu G, Liu D, Wu M, Lam SS, et al.
    Eco Environ Health, 2023 Dec;2(4):243-245.
    PMID: 38435354 DOI: 10.1016/j.eehl.2023.05.001
    Image 1.
  5. Sun Y, Tang H, Du S, Chen Y, Ou Z, Zhang M, et al.
    Eco Environ Health, 2023 Dec;2(4):208-218.
    PMID: 38435359 DOI: 10.1016/j.eehl.2023.08.001
    Indoor microorganisms impact asthma and allergic rhinitis (AR), but the associated microbial taxa often vary extensively due to climate and geographical variations. To provide more consistent environmental assessments, new perspectives on microbial exposure for asthma and AR are needed. Home dust from 97 cases (32 asthma alone, 37 AR alone, 28 comorbidity) and 52 age- and gender-matched controls in Shanghai, China, were analyzed using high-throughput shotgun metagenomic sequencing and liquid chromatography-mass spectrometry. Homes of healthy children were enriched with environmental microbes, including Paracoccus, Pseudomonas, and Psychrobacter, and metabolites like keto acids, indoles, pyridines, and flavonoids (astragalin, hesperidin) (False Discovery Rate 
  6. Abdelhafez MMA, Ahmed KAM, Mohd Daud MNB, Jeffree MS, Kadir F, Baharuddin DMP, et al.
    Obstet Med, 2023 Mar;16(1):5-8.
    PMID: 37139500 DOI: 10.1177/1753495X221074610
    Impetigo herpetiformis (IH) is a pregnancy-specific dermatosis that is currently considered a form of generalised pustular psoriasis and mainly occurs in late pregnancy during the third trimester. IH presents as erythematous patches and pustules and might have systemic involvement. The disease may be associated with severe maternal, fetal, and neonatal complications. IH treatment is very challenging, however, various therapeutic options are available and effective for disease treatment.
  7. Dianati-Nasab M, Salimifard K, Mohammadi R, Saadatmand S, Fararouei M, Hosseini KS, et al.
    Front Oncol, 2023;13:1276232.
    PMID: 38425674 DOI: 10.3389/fonc.2023.1276232
    INTRODUCTION: This large case-control study explored the application of machine learning models to identify risk factors for primary invasive incident breast cancer (BC) in the Iranian population. This study serves as a bridge toward improved BC prevention, early detection, and management through the identification of modifiable and unmodifiable risk factors.

    METHODS: The dataset includes 1,009 cases and 1,009 controls, with comprehensive data on lifestyle, health-behavior, reproductive and sociodemographic factors. Different machine learning models, namely Random Forest (RF), Neural Networks (NN), Bootstrap Aggregating Classification and Regression Trees (Bagged CART), and Extreme Gradient Boosting Tree (XGBoost), were employed to analyze the data.

    RESULTS: The findings highlight the significance of a chest X-ray history, deliberate weight loss, abortion history, and post-menopausal status as predictors. Factors such as second-hand smoking, lower education, menarche age (>14), occupation (employed), first delivery age (18-23), and breastfeeding duration (>42 months) were also identified as important predictors in multiple models. The RF model exhibited the highest Area Under the Curve (AUC) value of 0.9, as indicated by the Receiver Operating Characteristic (ROC) curve. Following closely was the Bagged CART model with an AUC of 0.89, while the XGBoost model achieved a slightly lower AUC of 0.78. In contrast, the NN model demonstrated the lowest AUC of 0.74. On the other hand, the RF model achieved an accuracy of 83.9% and a Kappa coefficient of 67.8% and the XGBoost, achieved a lower accuracy of 82.5% and a lower Kappa coefficient of 0.6.

    CONCLUSION: This study could be beneficial for targeted preventive measures according to the main risk factors for BC among high-risk women.

  8. Bavanandan S, Keita N
    Semin Nephrol, 2023 Sep;43(5):151468.
    PMID: 38403525 DOI: 10.1016/j.semnephrol.2023.151468
    Urinary tract infections are the most common bacterial infections encountered by health care professionals. In women, the lifetime incidence of urinary tract infections may be up to 40% to 50%, of whom a further 40% may have recurrent infections. Urinary tract infections are associated with significant morbidity and potential mortality-they may be complicated by frequent recurrences, kidney damage, sepsis, and preterm birth, as well as collateral damage of antimicrobial use, which includes Clostridium difficile colitis and selection of drug-resistant organisms. There are personal costs such as reduced quality of life in patients affected by recurrent urinary tract infections, and societal impacts resulting from absenteeism and health care costs. In this review, we discuss the definitions and classifications, pathogenesis, and current principles of management and prevention of urinary tract infections. Semin Nephrol 43:x-xx © 2023 Elsevier Inc. All rights reserved.
    MeSH terms: Anti-Bacterial Agents/therapeutic use; Bacterial Infections*; Female; Humans; Infant, Newborn; Quality of Life; Sepsis*; Premature Birth*
  9. Teh SW, Elderdery A, Rampal S, Subbiah SK, Mok PL
    Contemp Oncol (Pozn), 2023;27(4):255-262.
    PMID: 38405210 DOI: 10.5114/wo.2023.135364
    INTRODUCTION: Cutaneous squamous cell carcinoma (SCC) is the second most common form of skin malignancy, representing around 20% of all skin cancers. It is the main cause of death due to non-melanoma skin cancer every year. Metastatic cutaneous SCC is associated with poor prognosis in patients and warrants a more effective and specific approach such as disruption of genes associated with cancer metastasis.

    MATERIAL AND METHODS: Matrix metalloproteinases (MMPs) are enzymes involved in cancer progression and are regarded as major oncotargets. Among others, MMP9 plays critical roles in tumour progression, angiogenesis, and invasion of cutaneous SCC. We aimed to determine whether the MMP9 gene is a suitable gene target for anti-cancer therapy for cutaneous SCC. We performed clustered regularly interspaced short palindromic repeat (CRISPR)-Cas9 transfection of guide RNA (gRNA) targeting the MMP9 gene into human cutaneous SCC cell line A431.

    RESULTS: Following CRISPR transfection treatment, the viability (p < 0.01) and migratory activities (p < 0.0001) of in vitro cutaneous SCC cells were found to be reduced significantly. The use of quantitative polymerase chain reaction (qPCR) also revealed downregulation of the mRNA expression levels of cancer-promoting genes TGF-β, FGF, PI3K, VEGF-A, and vimentin. Direct inhibition of the MMP9 gene was shown to decrease survivability and metastasis of cutaneous SCC cell line A431.

    CONCLUSIONS: Our findings provided direct evidence that MMP9 is important in the viability, proliferation, and metastasis of cutaneous SCC cells. It serves as a positive foundation for future CRISPR-based targeted anti-cancer therapies in treating skin cancer and other forms of malignancies that involve MMPs as the key determinants.

  10. Ahmad MAB, Lee LC, Mohd Rosdi NAN, Abd Hamid NB, Ishak AA, Sino H
    Forensic Sci Res, 2023 Dec;8(4):313-320.
    PMID: 38405627 DOI: 10.1093/fsr/owad045
    Soil is commonly collected from an outdoor crime scene, and thus it is helpful in linking a suspect and a victim to a crime scene. The chemical profiles of soils can be acquired via chemical instruments such as Ultra-Performance Liquid Chromatography (UPLC). However, the UPLC chromatogram often interferes with an unstable baseline. In this paper, we compared the performance of five baseline correction (BC) algorithms, i.e. asymmetric least squares (AsLS), fill peak, iterative restricted least squares, median window (MW), and modified polynomial fitting, in discriminating 30 chromatograms of brownish soils by five locations of origin, i.e. PP, HK, KU, BL, and KB. The performances of the preprocessed sub-datasets were first visually inspected through the mean chromatograms and then further explored via scores plots of principal component analysis (PCA). Eventually, the predictive performances of the partial least squares-discriminant analysis (PLS-DA) models estimated from 1 000 pairs of training and testing samples (i.e. prepared via iterative random resampling split at 75:25) were studied to identify the best BC method. Mean raw chromatograms of the 10 soil samples were different from each other, with evident fluctuated baselines. AsLS and MW corrected chromatograms demonstrated the most significant improvement compared with the raw counterpart. Meanwhile, the scores plot of PCA revealed that most of the sub-datasets produced three separate clusters. Then, the sub-datasets were modelled via the PLS-DA technique. MW emerged as the excellent BC method based on the mean prediction accuracy estimated using 1 000 pairs of training and testing samples. In conclusion, MW outperformed the other BC methods in correcting the UPLC data of soil.

    KEY POINTS: UPLC data of soil interfere with baseline drifts.BC can improve the quality of the pixel-level UPLC data.MW emerges as the most desired algorithm in improving the quality of UPLC data of soil.

  11. Koh EJ, Tan JT, Amalina Manan NN, Hor KY, Teh ZY, Chin ML
    J Ayub Med Coll Abbottabad, 2023;35(4):690-692.
    PMID: 38406963
    Acquired haemophilia A (AHA) is a rare disease believed to be caused by spontaneous inhibition of clotting Factor VIII by autoantibodies. This is in contrast to the more common congenital haemophilias which are largely due to an absolute deficiency in coagulation factors. It has a prevalence of approximately one per million per year. However, this figure may be underestimated because there are many undocumented cases due to a lack of recognition. Patients who develop this disease may present with catastrophic bleeding despite having no previous bleeding history. In this study, we report a case of acquired Haemophilia A presenting with spontaneous unprovoked bruising and discuss the approach to diagnosis and how to alert the clinician to suspect this potentially rare but devastating disease.
    MeSH terms: Autoantibodies; Factor VIII; Hemorrhage; Humans
  12. Lee LH, Gao X, Sun G
    Front Cell Infect Microbiol, 2023;13:1339579.
    PMID: 38094747 DOI: 10.3389/fcimb.2023.1339579
    MeSH terms: Esophageal Diseases*; Gastroesophageal Reflux*; Humans
  13. Farooq H, Sabesan GS, Monowar T, V Chinni S, Zainol NH, Latt S, et al.
    Curr Med Mycol, 2023 Jun;9(2):23-28.
    PMID: 38375519 DOI: 10.18502/cmm.2023.345062.1432
    BACKGROUND AND PURPOSE: The increasing rate of opportunistic infections caused by Candida and other yeasts is becoming a major health concern worldwide. However, systematic data on the epidemiology and the yeast species infections in Malaysia is still limited. In this regard, the present research aimed to identify pathogenic yeasts utilizing an economically practical and easily available molecular technique and evaluate the prevalence of pathogenic yeasts in a Malaysian tertiary care hospital.

    MATERIALS AND METHODS: Yeast isolates were collected from Sultan Abdul Halim Hospital, Kedah, Malaysia, from October 2020 to October 2021. Molecular identification of the isolates was performed by one enzyme-based polymerase chain reaction-restriction fragment length polymorphism method.

    RESULTS: Candida albicans was the most prevalent species, accounting for 120 isolates (59%) in total. The most prevalent non-albicans Candida species were C. tropicalis (n=33, 16%), C. krusei (Pichia kudriavzevii) (n=12, 5.8%), C. glabrata (n=12, 5.8%), and C. parapsilosis (n=6, 3%). Other unusual Candida species were C. guilliermondii (2), C. metapsilosis (2), C. orthopsilosis (1), C. lusitaniae (1), C. rugosa (1), C. haemulonii (1), C. bracarensis (1), and C. dubliniensis (1). Moreover, Talaromyces marneffei (1), Kodamaea ohmeri (1), Cryptococcus neoformans (3), and Cryptococcus laurentii (1) were among the other yeasts identified.

    CONCLUSION: The Molecular technique used in this study identified 96% of isolates, including mixed species. According to the findings, the most prevalent species are C. albicans, C. tropicalis, C. krusei, and C. glabrata.

  14. Kamarudin Z, Jamaluddin N, Latar NHM, Pauzi SHM, Muhammad R
    J Cancer Res Ther, 2023 Oct 01;19(7):2104-2107.
    PMID: 38376332 DOI: 10.4103/jcrt.jcrt_1506_21
    High-grade neuroendocrine carcinoma (NEC) of the tonsil is rare and has a poor prognosis. The usual presentation is a neck mass with locoregional cervical lymphadenopathy. An axillary lymphadenopathy as a primary presentation of NEC of the tonsils is uncommon and challenging to treat. Tonsil neuroendocrine tumors display aggressive behaviors associated with early recurrence and metastasis after surgical resection. Managing this condition is demanding compared to NECs of gastrointestinal origin since, to date, the management of head-and-neck neuroendocrine tumors is still not well established. We present a 49-year-old female with a rare case of NEC of the tonsil presenting primarily with axillary lymph nodes metastasis. The patient's axillary lymph node was biopsied and revealed a Grade III neuroendocrine tumor. A positron emission tomography (PET) scan was done in searching of a primary lesion and showed a highly metabolic mass of the left tonsil as well as a left axillary lymph node suggestive of metastasis. The patient has been managed with a multimodality approach, with a combination of chemotherapy regimen and surgical resection of the axillary lymph node. Subsequent PET scan evaluation showed a complete response of the primary tumor with residual left axillary lymph node metastasis. NECs of tonsil presented with axillary lymph nodes metastasis is rare and has a poor prognostic outcome. It poses a dilemma with regard to management, as surgical resection of the metastasis is not promising given the possibility of early recurrence.
    MeSH terms: Female; Humans; Lymph Nodes; Lymphatic Metastasis; Middle Aged; Palatine Tonsil; Neuroendocrine Tumors*; Lymphadenopathy*
  15. Pai UKN, Pillai S, Arunkumar NR
    J Cancer Res Ther, 2023 Oct 01;19(7):2108-2110.
    PMID: 38376333 DOI: 10.4103/jcrt.jcrt_1309_21
    Malignant melanoma, primarily a cutaneous malignancy, can also involve mucosal surfaces and constitutes 2% to 7% of all gynecological malignancies. Primary melanoma of the uterine cervix is an uncommon tumor and has poor prognosis. In the female genital tract, the synchronous occurrence of primary malignant melanoma in the cervix and vagina is rare. We report a case of a 48-year-old female patient who presented with a blackish vaginal mass and associated growth in the cervix. Biopsy from the vaginal mass was reported as malignant melanoma. Following this, she underwent radical surgery and adjuvant radiotherapy. After 12 months, the patient is doing well.
    MeSH terms: Cervix Uteri; Female; Humans; Middle Aged; Pelvis; Skin Neoplasms*; Vagina
  16. Mohd Tohir MZ, Martín-Gómez C
    Open Res Eur, 2023;3:178.
    PMID: 38370026 DOI: 10.12688/openreseurope.16538.1
    BACKGROUND: In the near future, the rapid adoption of electric vehicles is inevitable, driven by environmental concerns and climate change awareness. However, this progressive trend also brings forth safety concerns and hazards, notably regarding the risk of EV fires, which have garnered significant media attention. This necessitates the need to study for comprehensive fire risk assessment strategies aimed at preventing and mitigating such incidents.

    METHODS: This study presents a framework for assessing fire risks in EVs using Fault Tree Analysis (FTA). By integrating disparate data sources into a unified dataset, the proposed methodology offers a holistic approach to understanding potential hazards. The study embarked on a comprehensive exploration of EV fire causes through qualitative FTA.

    RESULTS: Through this approach, the work discerned five major causes: human factors, vehicle factors, management factors, external factors, and unknown factors. Using a meticulous weighted average approach, the annual EV fire frequency for each country was deduced, revealing an average annual EV fire rate of 2.44 × 10 -4 fires per registered EV. This metric provides a significant benchmark, reflecting both the probability and inherent risk of such incidents. However, uncertainties in data quality and reporting discrepancies highlight the imperative of continued research.

    CONCLUSIONS: As EV adoption surges, this study underscores the importance of comprehensive, data-driven insights for proactive risk management, emphasizing the necessity for vigilant and adaptive strategies. The findings emphasize the pivotal role of this assessment in shaping response strategies, particularly for first responders dealing with EV fires. In essence, this research not only elevates the understanding of EV fire risks but also offer a foundation for future safety measures and policies in the domain.

  17. Marlida Y, Susalam MK, Harnentis H, Jamsari J, Huda N, Noordin WNM, et al.
    J Adv Vet Anim Res, 2023 Dec;10(4):801-808.
    PMID: 38370893 DOI: 10.5455/javar.2023.j736
    OBJECTIVE: This research aims to investigate the microbial diversity of Budu prepared from fresh and frozen fish from the Pariaman and Pasaman districts in West Sumatra Province, Indonesia, as well as provide basic information about Budu quality.

    MATERIALS AND METHODS: To obtain the bacterial microbial composition, deoxyribonucleic acid extraction was carried out using amplicon-sequencing of the 16S-rRNA gene in the V3-V4 region from two types of Budu and carried out in duplicate.

    RESULTS: Budu prepared with fresh (Pariaman) or frozen (Pasaman) fish was dominated by Firmicutes (78.455%-92.37%) and Proteobacteria (6.477%-7.23%) phyla. The total microbial species in Budu from Pariaman were higher (227 species) than in Pasaman (153 species). The bacterial species found are Lentibacillus kimchi (1.878%-2.21%), Staphylococcus cohnii (0.597%-0.70%), Peptostreptococcus russeli (0.00%-0.002%), Clostridium disporicum (0.073%-0.09%), Clostridium novyi (0.00%-0.01%), Nioella sediminis (0.00%-0.001%), and Shewanella baltica (0.00%-0.003%). Lentibacillus kimchi, S. cohnii, and C. disporicum are found in both Budu. Nioella sediminis and S. baltica are found in Budu Pariaman. Peptostreptococcus russeli and C. novyi were found in Budu Pasaman.

    CONCLUSION: Metagenomic analysis of Budu from different fish, Pariaman (fresh fish) and Pasaman (frozen fish) showed that the biodiversity of bacteria was barely different. Both Budu found lactic acid bacteria from the Enterococcaceae family, genus Vagococcus, and pathogenic bacteria, such as S. cohnii, P. russeli, C. disporicum, and S. baltica. The discovery of various species of pathogenic bacteria indicates that development is still needed in the Budu production process to improve Budu quality.

  18. Muttaqin Z, Sartika T, Saputra F
    J Adv Vet Anim Res, 2023 Dec;10(4):817-819.
    PMID: 38370908 DOI: 10.5455/javar.2023.j738
    OBJECTIVE: This study was conducted to analyze the matrilineal structure of Gallus sp. in Southeast Asia, especially in the D-loop region.

    MATERIALS AND METHOD: A total of 563 sequences from eight countries (Laos, Myanmar, Vietnam, Malaysia, Indonesia, Cambodia, the Philippines, and Thailand) in Southeast Asia are used in this study. Data collected from National Center for Biotechnology Information (NCBI) regarding the genus Gallus sp. in a Southeast Asian country. Data analysis was performed using MEGA 7.2 and DnaSP v6.

    RESULTS: In the haplotype found in Gallus sp. in Southeast Asia, there are 89 haplotypes. Using a neighbor-joining (Nj) analysis, 89 haplotypes found three haplogroups for Gallus sp. in Southeast Asia. In Southeast Asia, the genetic diversity of the d-loop is exceptionally high, with a haplotype diversity value of 0.524 to 1.

    CONCLUSION: D-loop cannot be used as a specific marker for breeds or country-specifics.

  19. Chakraborty PK, Chaudhury S, Chaudhari B, Hussain M, How SL
    Ind Psychiatry J, 2023 Nov;32(Suppl 1):S42-S47.
    PMID: 38370974 DOI: 10.4103/ipj.ipj_215_23
    BACKGROUND: Almost all over the world, psychiatry training of undergraduate medical students has been criticized to be deficient in imparting required knowledge and improving the perception of students towards psychiatry and psychiatric treatment. Considering the large mental health need gap in the community, it is essential to improve undergraduate students' attitude toward psychiatry.

    AIM: Hence, this study was planned to study the impact of psychiatry clinical posting on attitude toward psychiatry of undergraduate medical students.

    MATERIALS AND METHODS: Undergraduate medical students undergoing psychiatry posting were assessed on the first and last day of clinical posting with the help of semi-structured proforma consisting of sociodemographic information, favored future career choice, the relevance of psychiatry to their future careers, the usefulness of particular knowledge and skills, the value of knowledge of psychiatric specialties and the utility of different settings for learning psychiatry.

    RESULTS: After their clinical posting, students had a more positive attitude towards the usefulness of psychiatry knowledge in future general practice and the usefulness of psychiatry knowledge from undergraduate training in the future. Knowledge of alcohol withdrawal management, detection and management of delirium, and Mental Health Acts were perceived more essential in the future. Also, specialties such as deaddiction and child and adolescent psychiatry were felt more useful in future practice. After posting, students perceived that psychiatry can also be learned at medical and surgical wards as well as during home visits. However, despite some positive changes in attitude toward psychiatry, there was no significant change in choosing psychiatry as a career by the students after posting.

    CONCLUSION: Undergraduate psychiatry training during clinical posting was able to make some positive changes in the knowledge and attitude of students. However, still, there were lacunae in some areas of concern. Preference of psychiatry as a branch of specialization was not increased after posting. This indicates the need for better reforms in psychiatry education at the undergraduate level to improve the perception of undergraduate students about psychiatry.

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