Displaying publications 41 - 60 of 2927 in total

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  1. Fulltext Urologic Services in Public Hospitals Suffered a Greater Detriment Than Private Hospitals During the Battle of COVID-19
    Ong WLK, Lechmiannandan S, Loeb S, Teoh JY
    Urology, 2020 10;144:269-270.
    PMID: 32687841 DOI: 10.1016/j.urology.2020.07.010
    Matched MeSH terms: Hospitals, Public; Hospitals, Private*
  2. The differences of patient satisfaction level in public and private hospitals in Makassar, Indonesia
    Akbar FH, Rivai F, Awang AH
    Enferm Clin, 2020 10;30 Suppl 6:165-169.
    PMID: 33040892 DOI: 10.1016/j.enfcli.2020.06.038
    OBJECTIVE: To know the difference in patient satisfaction level in the dental department of public hospitals and private hospital in Makassar.

    METHODS: This study was conducted in December 2017-February 2018 in the dental department of Labuang Baji, which is a government hospital and Ibnu Sina Hospital, which is a private hospital. The samples were all patients who received dental treatment. Patient satisfaction was measured using a questionnaire (PSQ-18). Data were tested using Independent T-Test and ANOVA using SPSS version 24.

    RESULTS: There were significant differences in accessibility, comfort, and communication between the public and private hospitals (p<0.05); the average value of patient satisfaction was higher in private hospitals.

    CONCLUSION: Patients in private hospitals are more satisfied with the health services provided by health care providers, compared to patients in public hospitals.

    Matched MeSH terms: Hospitals, Public; Hospitals, Private*
  3. Fulltext Prevalence of low-back pain among public ambulance workers in Kelantan, Malaysia
    Tuan Lonik EA, Tuan Kamauzaman TH, Abdullah AA, Nor J, Ab Hamid SA
    Malaysian Journal of Public Health Medicine, 2017;17(1):126-135.
    MyJurnal
    This study is to determine the prevalence and the associated factors of low-back pain (LBP), which has multifactorial causes, among ambulance workers in Kelantan, Malaysia. The cross-sectional study involved ambulance workers in the emergency department in all government hospitals in Kelantan. Those who did not consent, complete or return the questionnaire as well as having rheumatic diseases were excluded from the study. The participants were asked to answer a self-administered questionnaire in English. Descriptive analyses and Chi-square test were used. A total of 168 respondents had completed the questionnaires with a response rate of 85.0%. Questionnaires with more than 95.0% items completed were included in the analysis (n=143). The respondents had a higher proportion of male than female (63.6% versus 36.4%). Assistant Medical Officer comprised of 60.0% of all respondents and the rest were nurses. The respondents’ age ranged between 23 to 58 years old with a mean age of 38.27 and standard deviation (SD) of 7.27. The mean duration of involvement in ambulance service was 9.68 years (SD 6.97). The majority (98.5%) of the respondents were Malay. Gender, smoking status and hobbies were the associated factors of LBP among ambulance workers. The modifiable risk factors should be emphasized to the ambulance workers as a measure to prevent the development of LBP.
    Matched MeSH terms: Hospitals, District; Hospitals, General; Hospitals, University
  4. Patient reactions to a modern teaching hospital in a developing country
    Wagner NN, Adiseshan N
    Med J Aust, 1968 Mar 9;1(10):422.
    PMID: 5645273
    Matched MeSH terms: Hospitals, General; Hospitals, Teaching*
  5. Fulltext Clinical evaluation of Dyslipidemia among type II diabetic patients at Public hospital Penang, Malaysia
    Zaki NF, Sulaiman AS, Gillani WS
    Int Arch Med, 2010;3:34.
    PMID: 21092333 DOI: 10.1186/1755-7682-3-34
    Global views emphasize the need for early; effective intervention against the atherogenic dyslipidemia associated with type 2 diabetes and metabolic syndrome to reduce the risk of premature cardiovascular diseases. Our aim was to determine the clinical practices and compliance among dyslipidemia with type II diabetes and hypertension in multiracial society.
    Matched MeSH terms: Hospitals
  6. Fulltext Can gout mimic a soft tissue tumour?
    Hee LW, Singh VA, Jayalakshmi P
    BMJ Case Rep, 2010;2010.
    PMID: 22400059 DOI: 10.1136/bcr.09.2009.2266
    Gout is a disease where an abnormal collection of uric crystals (gouty tophi) can often be found in the foot and ankle. Occasionally such tophies are found at unusual sites and this can pose a challenge to the clinician where diagnosis and treatment is concerned. We describe a patient who presented to our oncology department with a swelling on his right thigh which was clinically diagnosed to be a soft tissue sarcoma, but after further investigations it turned out to be a gouty tophi. The purpose of this case report is to emphasise the variable presentation of gout and the challenges that can be faced by clinicians in diagnosing a soft tissue swelling.
    Matched MeSH terms: Hospitals, University
  7. Fulltext Long term survival of patients with raised pulmonary arterial systolic pressure utilizing echocardiography-a five-year prospective study
    Tan MP, Bansal SK, Wynn NN, Umerov M, Gillham A, Henderson A, et al.
    J Geriatr Cardiol, 2012 Dec;9(4):328-35.
    PMID: 23341836 DOI: 10.3724/SP.J.1263.2012.06191
    BACKGROUND: Pulmonary arterial systolic pressure (PASP) can be estimated with transthoracic echocardiography. However, the significance of raised PASP on routine echocardiography is uncertain. In this study, we evaluated the mortality and hospitalization rates of subjects with raised PASP in a cohort of patients referred directly by their general practitioners for routine outpatient (open access) echocardiography for further analysis of suspected heart failure.
    RESULTS: A total of 485 subjects were referred for open access echocardiography at our hospital in 2002. A cohort of 209/485 (43%) consecutive subjects with measurable tricuspid regurgitation were followed for a minimum of five years investigating hospitalization rates and survival. Some 62 of 209 (30%) subjects had pulmonary hypertension (PH). Subjects with PH were significantly more likely to have four or more hospital admissions (22% vs. 8%; P < 0.01) and > 30 days of cumulative hospital stay over five years (29% vs. 13%; P < 0.01). PH was significantly associated with mortality (P = 0.003), while moderate to severe PH was an independent predictor of mortality (hazard ratio: 4.31; 95% confidence interval (95% CI): 1.51-12.30). Records from the Office of National Statistics revealed that subjects with PH were more likely to have chronic lung diseases recorded as immediate or contributory causes of death (50% vs. 14%; P < 0.05).
    CONCLUSIONS: PASP ≥ 36 mmHg on routine echocardiography is associated with recurrent hospital admissions, prolonged hospitalizations and increased cause of mortality. Therefore, the diagnosis of PH on echocardiography deserves further clinical evaluation, with future studies designed at defining a suitable diagnostic strategy.
    KEYWORDS: Chronic lung disease; Dyspnoea; Heart failure; Pulmonary hypertension; Transthoracic echocardiography
    Study site: Sunderland Royal Hospital, United Kingdom
    Matched MeSH terms: Hospitals
  8. Fulltext Seroprevalence of acute dengue in a Malaysian tertiary medical centre
    Ding CH, Rashid ZZ, Rahman MM, Khang N, Low WN, Hussin N, et al.
    Pak J Med Sci, 2016 Mar-Apr;32(2):495-8.
    PMID: 27182269 DOI: 10.12669/pjms.322.9320
    The aims of this study were to determine the seroprevalence of acute dengue in Universiti Kebangsaan Malaysia (UKM) Medical Centre and its correlation with selected haematological and biochemical parameters.
    Matched MeSH terms: Hospitals
  9. Fulltext Standardized photographic views in oculoplastic surgery: How to capture quality images outside a photographic studio
    Ong CT, Kalantzis G, Yap JF, Chang B
    Cureus, 2016;8(4):e569.
    PMID: 27186451 DOI: 10.7759/cureus.569
    Purpose: The aim of this paper is to demonstrate fundamental photographic techniques and standardized views in oculoplastic disease and surgery outside of a photographic studio.
    Methods: A Canon EOS 60D digital single lens reflex (DSLR) camera, which was fitted with a Canon EF-S 60 mm USM macro lens, was used to photograph the subject. A Canon MR-14EX Macro Ringlite was used to illuminate the subject. Informed written consent was obtained for publication of the photographs used in this study. The photographs were taken in an ophthalmology clinic using standardized photographic settings at various magnification ratios. The magnification ratios were recalibrated and adjusted to accommodate the smaller sensor size in-line with standardized medical photography guidelines.
    Results: We present a series of core views for various oculoplastic and orbital disease presentations.
    Conclusions: It is possible to capture quality standardized digital photographs in a busy clinical environment without the need for a dedicated photographic studio.
    Matched MeSH terms: Hospitals
  10. Siamese twins
    Lum MY
    Malayan Medical Journal, 1931;6:25.
    Matched MeSH terms: Hospitals
  11. The emergency blood transfusion service in Singapore
    Allen GV, MacGregor RGS
    Journal of the Malaya Branch of the British Medical Association, 1941;5:76-103.
    Matched MeSH terms: Hospitals
  12. Fulltext Fleet enema: a straight up method of management in tar burn injuries
    Farrah-Hani, I., Mohamed Sam-Aan, H., K., Enda, Srijit D.
    Medicine & Health, 2020;15(2):321-326.
    MyJurnal
    Lecuran tar, walaupun dikelaskan sebagai kecederaan kimia, disebabkan oleh perbezaan mekanisma kecederaan dan kesukaran untuk mengeluarkan agen daripada kulit tanpa menyebabkan kerosakan kulit dengan lebih lanjutnya, merupakan satu masalah yang sukar untuk diselesaikan. Terutamanya, apabila pesakit pediatrik terlibat. Lecuran tar biasanya merupakan kecederaan pekerjaan dan kebanyakannya berlaku kepada lelaki dewasa. Dua kes dibentangkan di sini, seorang budak lelaki berusia enam tahun dan seorang gadis berusia 15 tahun yang mengalami luka lecuhan tar dan berjaya dirawat dengan menggunakan enema minyak mineral Fleet® dan paraffin tulle Bactigras®, yang mudah didapati di kebanyakan hospital.
    Matched MeSH terms: Hospitals
  13. Fulltext Developing a caries risk assessment model for patients attending University Malaya dental clinic
    Asma, M., Ho, S.L., Yong, J.S., Nor, N.A.M., Yusof, Z.Y.M.
    Ann Dent, 2013;20(2):9-14.
    MyJurnal
    In response to the introduction of an integrated dental education program at University of Malaya (UM) in 2011, a study was conducted to develop a caries risk assessment model (CRA) for use in non-surgical caries management for Year 3 and 4 students of the new integrated program. Methods: The CRA model was based on risk indicators used by dental students in the Preventive Dental Clinic (PDC). Patients aged 15 years and above who attended the PDC for the first time in year 2009 and 2010 were used as study sample. Four hundred and fourteen patient names were identified from the student PDC logbook. Of the 414, 359 dental records had complete data and included in the analysis. Data were analysed using SPSS version 17.0. Chi-square test was used for group comparison and associated factors for coronal caries were analysed using Multiple Logistic Regression (MLR). Results: The final model showed that adults, brushing teeth once daily, and not having dental prosthesis/appliance were 3.31 (CI=1.64-6.69), 2.53 (CI=1.19-5.40), and 2.25 (CI=1.25-4.10) more likely to develop coronal caries, respectively, than adolescents, brushing teeth at least twice a day, and having dental prosthesis/appliance. Conclusions: The results indicate that age group, toothbrushing frequency and dental prosthesis status are significant indicators for coronal caries among patients. Outcomes of the study contributed towards bridging the gap between cariology
    and preventive modules in the new integrated dental program.
    Matched MeSH terms: Hospitals, University
  14. Fulltext Leadership in health organisations
    Ismail, Saimy B.
    JUMMEC, 2007;10(2):1-2.
    MyJurnal
    Leadership and management in health organisations are essential and frequent topics of discussion among professionals and other staff, who are directly or indirectly involved with the operation of the said organisations. In a hospital setting for example, managers are appointed at different functional or unit levels. Though more often than not, we refer to them as the heads or managers or by any other names, the leadership component might be assumed to be just part but not the most important aspect of their roles.(Copied from article).
    Matched MeSH terms: Hospitals
  15. Fulltext Compressive optic neuropathy due to a large Onodi air cell: A case report and literature review
    See WYN, Sumugam K, Subrayan V
    Allergy Rhinol (Providence), 2016 Jan 01;7(4):223-226.
    PMID: 28683249 DOI: 10.2500/ar.2016.7.0178
    BACKGROUND: To report an unusual case of compressive optic neuropathy secondary to a large onodi air cell.
    METHOD: Case report.
    RESULTS: A 50 year-old gentlemen presented to the eye clinic with left eye painless loss of vision for one day. Visual acuity was counting finger in the left eye with a positive relative afferent pupillary defect (RAPD). Dilated left fundus examination revealed a pale optic disc. A computed tomography of orbit and brain showed a large left sphenoid sinus with onodi-cell-like projection on the left superior margin of left optic canal impinging on the left optic nerve. He was referred to the otorhinolaryngology team and subsequently underwent left optic nerve decompression. Post-operatively, his left visual acuity improved to 6/60 with reversal of RAPD.
    CONCLUSION: There are many causes of optic neuropathy and compressive optic neuropathy due to large onodi air cell is uncommon. Acute unilateral loss of vision heralds from a multitude of sinister causes and junior residents should be vigilant that onodi air cell pneumotisation could be one of them.
    Matched MeSH terms: Hospitals
  16. Fulltext Parenting stress among malaysian parents of children with autism spectrum disorder (ASD)
    Lee, J.X., Ong, S.I., Lee, V.Y., Fairuz Nazri, A.R.
    Medicine & Health, 2017;12(1):42-55.
    MyJurnal

    Kecelaruan spektrum Autisme (ASD) merupakan sejenis ketidakseimbangan
    perkembangan neuro kanak-kanak yang dikaitkan dengan kecacatan kognitif
    dan bahasa. Penyelidikan sebelum ini mendapati bahawa kanak-kanak yang
    mempunyai ketidakseimbangan perkembangan meningkatkan tahap tekanan
    ibu bapa. Namun, ibu bapa yang mempunyai anak ASD mengalami tahap
    tekanan yang lebih tinggi berbanding ibu bapa yang mempunyai kanak-kanak
    ketidakseimbangan perkembangan yang lain. Justeru, kajian ini bertujuan untuk
    mengkaji perbezaan tahap tekanan antara ibu bapa yang mempunyai kanak-kanak
    ASD dan ibu bapa yang mempunyai kanak-kanak perkembangan tipikal (TD) yang
    dikategorikan dalam kumpulan kontrol. Borang indeks tekanan ibu bapa, terbitan
    ketiga digunakan untuk menilai tahap tekanan dalam kalangan 30 ibu bapa yang
    mempunyai kanak-kanak ASD dan 36 ibu bapa yang mempunyai kanak-kanak
    TD. Sampel ibu bapa yang mempunyai kanak-kanak autisme dikumpul dari Pusat
    Perubatan Universiti Kebangsaan Malaysia (PPUKM), Hospital Tangkak, dan Pusat
    Autisme (NASOM) di Muar dan Segamat. Ibu bapa yang mempunyai kanak-kanak
    ASD mempunyai tahap tekanan yang signifikan lebih tinggi berbanding ibu bapa
    mempunyai kanak-kanak TD (p
    Matched MeSH terms: Hospitals
  17. Fulltext The epidemiology and clinical spectrum of melioidosis in a teaching hospital in a North-Eastern state of Malaysia: a fifteen-year review
    Zueter A, Yean CY, Abumarzouq M, Rahman ZA, Deris ZZ, Harun A
    BMC Infect Dis, 2016;16:333.
    PMID: 27423906 DOI: 10.1186/s12879-016-1583-2
    Over the last two decades, many epidemiological studies were performed to describe risks and clinical presentations of melioidosis in endemic countries.

    Study site: Hospital Universiti Sains Malaysia (HUSM)
    Matched MeSH terms: Hospitals, University
  18. Early experience with a low FODMAP diet in Asian patients with irritable bowel syndrome
    Wong Z, Mok CZ, Majid HA, Mahadeva S
    JGH Open, 2018 Oct;2(5):178-181.
    PMID: 30483586 DOI: 10.1002/jgh3.12069
    Background: The efficacy and acceptance of a low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet in Asian adults with irritable bowel syndrome (IBS) remain uncertain. We aimed to describe our early experience in a single center with a dedicated gastroenterology dietetic service.

    Methods: Consecutive patients with IBS referred to our dedicated Dietetic Gastroenterology Clinic between February 2016 and May 2016 were screened. A low FODMAP diet was instituted as per standard protocol. Data on demographic and clinical variables were obtained from patients' records and prospective telephone interviews.

    Results: A total of 16 patients, with a median age of 67 ± 13.57 years; female gender n = 10 (62.5%); ethnicity: Chinese n = 8 (50%), Indian n = 5 (31.25%), and Malay n = 3 (18.75%) with IBS, were included in the study. Compliance with the low FODMAP diet was complete in 8 of 16 (50%) patients, partial in 4 of 16 (25%), and 4 of 16 (25%) could not comply with the diet at all. Improvement in symptoms were reported in 11 of 16 (68.8%) patients. Among patients who complied (complete/partial) with the low FODMAP diet, predominant symptom improvement was reported as follows: abdominal pain 3 of 5 (60%), abdominal bloating/distension 7 of 10 (70%), and flatulence 7 of 8 (87.5%). Patients with the IBS-D subtype appeared to have the greatest improvement in stool consistency (87.5% IBS-D vs 12.5% non-IBS-D, P = 0.009).

    Conclusion: Based on our pilot observational study of a relatively small sample of Asian IBS patients, compliance with a low FODMAP diet appears to be low. Further larger studies are required to verify our observation.

    Study site: Universiti Malaya Medical Centre (UMMC)
    Matched MeSH terms: Hospitals, University
  19. A modification of pneumatic dilation technique. [Abstract]
    Ganesananthan S, Rajvinder S, Kiew KK, Melvin R
    Med J Malaysia, 2004;59 Suppl C:51.
    Background: Based on studies and some clinical practice pneumatic dilatation utilizing the widely available wire guided polyethylene pneumatic dilator system using a 30mm balloon inflated for 15 seconds upon loss of waist noted (during fluoroscopy) at 7 to 10psi obtains optimal disruption of the lower esophageal sphincter. We employed this technique till August 2001 without any complications (notably perforation) with good clinical outcome and durability.
    Aims: To study the efficacy of pneumatic dilatation with the pneumatic balloon dilated only till loss of waist.
    Materials and Methods: A total of 10 treatment naïve achalasia patients enrolled from August 2001 till July 2002 were dilated till loss of waist and the outcome and durability was compared with our historical controls.
    Findings: A total of 10 patients with age 45±18 (range 22-67) years with 8 females: 2 males and 5 Malays: 5 Chinese with 3 patients with megaoesophagus underwent pneumatic dilatation using a 30 mm Rigiflex® pneumatic dilator till loss of waist was noted during fluoroscopy at 7psi and the balloon deflated immediately. All the patients reported symptomatic improvement in dysphagia, regurgitation and demonstrated a 3-12 month post procedural weight gain of 6±5 (range: 1-15) kg. One patient required a second dilatation only after 13 months. All the remaining patients remain well till today after the initial single dilatation. The durability of the dilatation was 27±7 months (range: 13-33) months. There were no complications noted. There were no complaints of excessive reflux. This data was compared with our historical control (patients before August 2001), i.e. the pneumatic dilator inflated for 15 seconds upon loss of waist, and there was no difference in clinical outcome, or the durability of dilatation or the duration of stay post procedure.
    Conclusion: Forceful disruption of the lower esophageal sphincter utilizing the pneumatic dilator is effective but is associated with a 1-5% risk of perforation. We obtained identical results without loss of clinical improvement or durability utilizing our technique compared to the traditional method. Since August 2001 all our dilatations were performed in our unit utilizes this simplified method. We have yet to report a perforation after pneumatic dilatation.
    Matched MeSH terms: Hospitals, General
  20. A review of 10 patients with achalasia and megaesophagus: Hospital Kuala Lumpur experience. [Abstract]
    Ganesananthan S, Rajvinder S, Kiew KK
    Med J Malaysia, 2005;60 Suppl A:48.
    Introduction: Megaesophagus is defined as an esophagus measuring 8cm or larger on the barium swallow examination in a patient with Achalasia cardia. Its existence defines a late stage of achalasia and therapy will include an esophagectomy in its management. The latter carries a high morbidity and mortality.
    Materials and Methods: We reviewed retrospectively all treatment naïve patients with Achalasia from 1st January 2000 and identified 10 patients with megaesophagus and these patients were analysed.
    Findings: The average presenting age is 52±15 (range 20-73) years with 4 males: 6 females with 5 Malays:3 Chinese:2 Indians. The duration of illness before diagnosis was 7±5 (range 1-16) years. All patients had dysphagia, regurgitation and weight loss. All 10 patients demonstrated aperistalsis but interestingly 8 patients failed Lower Esophageal Sphincter (LES) intubation during Standard Esophageal Manometry due to coiling of the catheter. Failure to elicit Failure of LES relaxation translates as a high technical failure of manometry (80%) in the diagnosis of Achalasia. A confident diagnosis of Achalasia was made on barium swallow in 9 cases (90%). All 10 patients underwent pneumatic dilatation. Eight patients required only single dilatation. However two patients required two dilatations. The durability of the twelve pneumatic dilatation 27±13 (Range: 9-44) months with good symptomatic relieve and an objective post procedural weight gain of 10±6 (range:1-19) kg over a period of 3-12 months. There was no complications noted post procedure.
    Conclusion: In advanced cases of achalasia, barium swallow is superior to manometry for obtaining the diagnosis. Pneumatic dilatation is an effective and safe procedure for patients with megaesophagus.
    Matched MeSH terms: Hospitals, General
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