Malaysian Journal of Medical Sciences最新文献_第10页

The Brain as a Black Body in a Black Box. 大脑是黑盒子里的黑体。

IF 1.5

Malaysian Journal of Medical Sciences Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.21315/mjms-12-2024-970

Zamzuri Idris, Jafri Malin Abdullah, Abdul Rahman Izaini Ghani, Zaitun Zakaria, Ang Song Yee, Diana Noma Fitzrol, Muhammad Ihfaz Ismail, Sanihah Abdul Halim

{"title":"The Brain as a Black Body in a Black Box.","authors":"Zamzuri Idris, Jafri Malin Abdullah, Abdul Rahman Izaini Ghani, Zaitun Zakaria, Ang Song Yee, Diana Noma Fitzrol, Muhammad Ihfaz Ismail, Sanihah Abdul Halim","doi":"10.21315/mjms-12-2024-970","DOIUrl":"10.21315/mjms-12-2024-970","url":null,"abstract":"The cranium houses the brain, and layers formed by the scalp, cranial bones, and meninges protect it from external energy, including light. Therefore, the brain can be viewed as a black body in a black box. The layers also protect the brain from external atmospheric or gravity force, and together with cerebrospinal fluid (CSF), it creates a microgravity or buoyant brain compartment. The brain curving (microgravity posture) mainly occurs at the mesencephalic-diencephalic junction and is thought to be because of the microgravity environment, thus, creating a nearly spherical-like brain geometry. The roughly spherical brain geometry, a black body with its heat irradiation, the presence of charged fluid in the brain extracellular space, and brain requirements to optimally cleanse waste products and be protective against micro-organisms may suggest a possible presence of plasma-like brain energy. This energy has the capability to emit infrared, and its amount is determined by black-body radiation and thermodynamics principles.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacist-Led Patient Education in Secondary Stroke Prevention: A Systematic Review. 药剂师主导的二级卒中预防患者教育：一项系统综述。

IF 1.5

Malaysian Journal of Medical Sciences Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.21315/mjms-01-2025-043

Daniek Viviandhari, Tri Murti Andayani, Paryono, Martina Sinta Kristanti

{"title":"Pharmacist-Led Patient Education in Secondary Stroke Prevention: A Systematic Review.","authors":"Daniek Viviandhari, Tri Murti Andayani, Paryono, Martina Sinta Kristanti","doi":"10.21315/mjms-01-2025-043","DOIUrl":"10.21315/mjms-01-2025-043","url":null,"abstract":"The recurrence rate of stroke, particularly ischaemic stroke, is considered high, which highlights the importance of secondary stroke prevention. Pharmacists are becoming increasingly involved in poststroke care. Ease of public access to community pharmacists provides opportunities for pharmacists to educate patients about the significance of secondary stroke prevention. The literature outlining comprehensive educational materials for stroke patients to prevent secondary stroke is still limited. This review aimed to obtain the details of the educational material presented by the pharmacist and to determine whether it led to positive outcomes-a comprehensive search involved PubMed, Scopus, Science Direct, and Cochrane Library databases. The Joanna Briggs Institute's (JBI) critical appraisal techniques were utilised to analyse the quality assessment for all study categories. As many as 12 studies were deemed eligible for inclusion. There are seven main categories under which information on secondary stroke prevention education is presented: modifiable risk factors, medication therapy management (MTM), medication adherence, cardiovascular risk factors, stroke (disease state), patient engagement, and quality of life. Pharmacists, mostly in community settings, play an important role in managing stroke risk factors (blood pressure, low-density lipoprotein [LDL], and A1c), promoting medication adherence, preventing hospital readmissions, increasing the level of knowledge, and enhancing patient satisfaction, which showed a favourable effect on preventing stroke recurrence following the pharmacist's educational intervention.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"7-22"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surface Anatomy and Sensory Evaluation of Dermatomes: A Guide for Residents. 皮节的表面解剖和感觉评价：居民指南。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-09-2024-738

Balamurugan Rajendran, Muhammad Asyraf Yunos, Harivarmah Nagalinggam, Mohamad Lokman Abdul Aziz, Jafri Malin Abdullah

引用次数: 0

Transillumination Test as a Bedside Screening and Assessment Tool in Neonates and Infants with Hydrocephalus. 透照试验作为新生儿和婴儿脑积水的床边筛查和评估工具。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-11-2024-900

Karrthik Murugasan, Eddie Lim Wei Ming, Lee Calwin, Balamurugan Rajendran

引用次数: 0

Implementation of Green Surgery Approach in Healthcare System and its Effect on Carbon Footprint Reduction in Operating Theatres. 绿色手术方式在医疗系统中的实施及其对手术室碳足迹减少的影响。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-11-2024-884

Thai Hau Koo, Xue Bin Leong, Yi Lin Lee, Mohd Hazeman Zakaria, Andee Dzulkarnaen Zakaria

{"title":"Implementation of Green Surgery Approach in Healthcare System and its Effect on Carbon Footprint Reduction in Operating Theatres.","authors":"Thai Hau Koo, Xue Bin Leong, Yi Lin Lee, Mohd Hazeman Zakaria, Andee Dzulkarnaen Zakaria","doi":"10.21315/mjms-11-2024-884","DOIUrl":"10.21315/mjms-11-2024-884","url":null,"abstract":"Healthcare systems, particularly operating theatres (OTs), are among the leading causes of pollution due to energy-intensive procedures, anaesthetic gases, and single-use surgical instruments. This perspective review provides actionable, evidence-based recommendations that not only minimise the environmental impact but also offer quality patient care. A wide literature search of available studies on green surgery was conducted. Searches were conducted in databases, including PubMed, Science Direct, Scopus, ProQuest, and Web of Science, from January 2013 to the present. A review of global practices highlighted the effectiveness of green surgical initiatives. Some initiatives related to the health sector report reductions in carbon emissions by reusable surgical instrument implementation in hospitals of up to 97%, energy savings of up to 50% with modifications to heating, ventilation, and air-conditioning (HVAC) systems, and waste management programmes, including the recycling and reprocessing of single-use devices, reporting waste reductions from 40% to 66%. Key strategies include shifting to renewable energy sources by promoting reusable instruments, optimising HVAC systems, and promoting comprehensive staff training for sustainability. All these factors are important for decreasing the environmental burden without compromising operational efficiency. The integration of sustainable practices in Malaysian OTs can significantly reduce carbon emissions and waste generated by hospitals while maintaining patient safety. These measures support the national goals of achieving Sustainable Development Goals (SDGs) and advancing Universal Health Coverage (UHC). Aligning with global sustainability efforts, Malaysia's health care system can reduce its carbon footprint.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 1","pages":"56-68"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interrater Reliability of Functional Movement Screening Test among Untrained Undergraduate Raters Undergoing a One-off Training Session. 功能运动筛选测试在未受过训练的大学生评分员中进行一次性训练的信度。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-09-2024-740

Zulezwan Ab Malik, Fadlin Sakina Abd Kadir, Engku Nurul Izzatul Iffah, Muhamad Hakimi M Yussof, M Nur Asraf Ismail, Nor Fazila Abd Malek, Ali Md Nadzalan, Hairul Anuar Hashim

{"title":"Interrater Reliability of Functional Movement Screening Test among Untrained Undergraduate Raters Undergoing a One-off Training Session.","authors":"Zulezwan Ab Malik, Fadlin Sakina Abd Kadir, Engku Nurul Izzatul Iffah, Muhamad Hakimi M Yussof, M Nur Asraf Ismail, Nor Fazila Abd Malek, Ali Md Nadzalan, Hairul Anuar Hashim","doi":"10.21315/mjms-09-2024-740","DOIUrl":"10.21315/mjms-09-2024-740","url":null,"abstract":"Background: Functional Movement Screen (FMS)™ can be a valuable tool for assessing movement patterns and identifying potential movement dysfunctions. However, it is limited in terms of subjectivity and consistency of the ratings, especially among less proficient raters. Knowledge of minimally required training thresholds will provide valuable information on training adequacy. Thus, this study aimed to determine the interrater reliability of FMS™ among completely novice raters undergoing a one-off training session.Methods: Twenty active adults with no musculoskeletal injuries or muscular dysfunction performed seven FMS™ tasks while being recorded. Subsequently, 12 novice raters with no prior knowledge and skills about FMS™ rated the recorded movement videos at a normal play speed and without rewinding.Results: The interrater reliability analysis of the composite FMS™ score revealed an Intraclass Correlation Coefficient (ICC) of 0.60. Moreover, the mean coefficient for interrater reliability for the seven FMS™ components score is 0.35.Conclusion: The results implied that a one-off FMS™ training produced a large variability in the rating consistency, especially for rotary stability, deep squats, and in-line lunge ratings.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 1","pages":"121-126"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are There Common Characteristics and Adjustment Processes among Gen Z? Z世代有共同的特征和调整过程吗？

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-12-2024-974

Akiko Takeuchi, Shigeki Jin, Takayuki Kiuchi, Manabu Murakami

引用次数: 0

Emerging Trends in Telehealth and AI-Driven Approaches for Obesity Management: A New Perspective. 远程医疗和人工智能驱动的肥胖管理方法的新趋势：一个新的视角。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-08-2024-614

Thai Hau Koo, Xue Bin Leong, Jet Kwan Ng, Nicholas Kay Beng Tan, Mafauzy Mohamed

{"title":"Emerging Trends in Telehealth and AI-Driven Approaches for Obesity Management: A New Perspective.","authors":"Thai Hau Koo, Xue Bin Leong, Jet Kwan Ng, Nicholas Kay Beng Tan, Mafauzy Mohamed","doi":"10.21315/mjms-08-2024-614","DOIUrl":"10.21315/mjms-08-2024-614","url":null,"abstract":"One in eight people globally, prevalent mainly in some ethnic groups and those from low socioeconomic backgrounds, is a critical global health challenge of obesity. The telehealth system would be valuable in arresting obesity, with better access to care and a supporting digital community that encourages regular practice of physical activities, healthy diets, and health monitoring, all within reach and at affordable prices. Digital health interventions such as telehealth, mHealth applications, and wearable devices are new modalities for the treatment of obesity that increase monitoring of energy expenditure, physical activity level, and caloric intake. These technologies enhance the possibilities of therapy against barriers, such as maintaining motivation and improving the diet. This review summarises current evidence regarding digital health interventions for obesity management by considering and evaluating various global digital strategies to reduce obesity. The literature emphasises the effectiveness of eHealth interventions toward weight loss and maintenance. Furthermore, artificial intelligence (AI) and Information and Communications Technology (ICT) can predict and prevent paediatric obesity. By contrast, virtual reality (VR) applications can determine real-world behaviour in clinical practice. These digital interventions could increase the reach and efficacy of traditional weight management programmes by becoming more embedded in clinical practice. However, because of their broad implementation across different clinical settings, concerns regarding the security and privacy of these technologies must be addressed.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 1","pages":"26-34"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Genotyping of Malaysian Clinical Isolates of Streptococcus pneumoniae by Multilocus Sequence Typing and Multilocus Variable-Number Tandem Repeat Analysis. 用多位点序列分型和多位点可变数串联重复序列分析比较马来西亚临床分离肺炎链球菌的基因分型。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-09-2024-677

Nurul Asyikin Abdul Rahman, AbdulRahman Muthanna, Mohd Nasir Mohd Desa, Nurul Diana Dzaraly, Hazmin Hazman, Nurshahira Sulaiman, Norfazlina Mohamad, Maitasha Alia Meor Yahaya, Mazen M Jamil Al-Obaidi, Niazlin Mohd Taib, Siti Norbaya Masri

{"title":"Comparative Genotyping of Malaysian Clinical Isolates of Streptococcus pneumoniae by Multilocus Sequence Typing and Multilocus Variable-Number Tandem Repeat Analysis.","authors":"Nurul Asyikin Abdul Rahman, AbdulRahman Muthanna, Mohd Nasir Mohd Desa, Nurul Diana Dzaraly, Hazmin Hazman, Nurshahira Sulaiman, Norfazlina Mohamad, Maitasha Alia Meor Yahaya, Mazen M Jamil Al-Obaidi, Niazlin Mohd Taib, Siti Norbaya Masri","doi":"10.21315/mjms-09-2024-677","DOIUrl":"10.21315/mjms-09-2024-677","url":null,"abstract":"Background: Streptococcus pneumoniae (pneumococcus) is an opportunistic pathogen that causes severe upper and lower respiratory tract infections, leading to life-threatening diseases. This study aims to determine the genetic variation of serotypes among a collection of clinical S. pneumoniae isolates using multilocus sequence typing (MLST) and multilocus variable-number tandem repeat analysis (MLVA).Method: A total of 103 viable isolates were serotyped and subjected to MLVA; only those with discrete serotypes (n = 91) were subjected to MLST analysis.Results: The comparative phylogenetic analysis resulted in the segregation of clonal complexes (CC) and 36 singletons accordingly. The major clonal complex, MLST CC320 (n = 23; 25.3%), had a close association with the Taiwan19F-14 clone, consisting of ST236, ST271, and ST320. The second largest group, MLST CC9 (n = 12; 13.2%), had an association with the England14-9 clone, comprising ST7 and ST9. MLVA analysis demonstrated its ability to differentiate subgroups within CCs that share the same sequence type (ST) with distinct MLVA types (MTs).Conclusion: The integration of MLST and MLVA in this study serves as a model for pneumococcal surveillance indicating some well-known globally circulating clones that have been persisting at this study setting.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 1","pages":"69-87"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Embracing the Value of Amanah: A Guiding Principle for Medical School Academicians. 拥抱阿玛拿的价值：医学院院士的指导原则。

IF 1.1

Malaysian Journal of Medical Sciences Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.21315/mjms-12-2024-1003

Kamarul Aryffin Baharuddin, Irfan Mohamad, Asrenee Ab Razak, Wan Mohd Nazaruddin Wan Hassan, Aziah Daud, Nik Ahmad Zuky Nik Lah, Syuhazlina Marini Awg Mat

{"title":"Embracing the Value of Amanah: A Guiding Principle for Medical School Academicians.","authors":"Kamarul Aryffin Baharuddin, Irfan Mohamad, Asrenee Ab Razak, Wan Mohd Nazaruddin Wan Hassan, Aziah Daud, Nik Ahmad Zuky Nik Lah, Syuhazlina Marini Awg Mat","doi":"10.21315/mjms-12-2024-1003","DOIUrl":"10.21315/mjms-12-2024-1003","url":null,"abstract":"Excellence in medical school demands a steadfast commitment to amanah-a trust upheld with integrity and accountability. This responsibility spans academics, student mentorship, research, and service, requiring academicians to balance their roles. A good understanding of curricular principles for undergraduate and postgraduate programmes, strengthened by robust quality assurance, serves as the cornerstone of academic excellence. The educational agenda, guided by the value-driven HEBAT framework and seamlessly integrated in diverse programmes, aims to boost student excellence. Related initiatives nurture intercultural competence and shape compassionate, resilient professionals equipped with the insight needed to navigate and excel in the complexities of modern medical practice. Research clusters foster innovation and promote interdisciplinary collaboration. By balancing team dynamics and focused groups, they can enhance productivity and impact. Aligning community service with the Sustainable Development Goals requires strategies for properly documenting and measuring impact. A hallmark of academic excellence is time management which enables academicians to harmonise their responsibilities. The way forward for medical schools lies in enriching collaborations and international engagement. Together, these efforts affirm the value of amanah of academicians to drive excellence.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 1","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0