Medicine & health最新文献

{"title":"Can I Be Pregnant? – Diagnostic Challenges in Ruptured Chronic Ectopic Pregnancy","authors":"Bhasyani Nagaretnam","doi":"10.17576/mh.2021.1602.25","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.25","url":null,"abstract":"Ectopic pregnancy is an obstetric emergency which accounts for 4% of all pregnancy-related deaths. All women of child bearing age with abdominal pain or vaginal bleeding presenting to the Emergency Department should be evaluated for ectopic pregnancy. However, there have been many reported cases of diagnostic challenges of ectopic pregnancy. One rare variant of ectopic pregnancy that can be easily overlooked is chronic ectopic pregnancy. We present this case of a 39-yearold female, who presented with acute abdomen and free fluid in her abdomen. Urine pregnancy test indicated she was not pregnant. However, intraoperative findings confirmed left tubular pregnancy. We would like to highlight three major diagnostic challenges we faced in this case i.e.; (i) women of child bearing age with abdominal pain should always be evaluated for ectopic pregnancy; (ii) diagnosis of ectopic pregnancy should not be dismissed even though the pregnancy test is negative; and (iii) the role of computed tomography (CT) scan in acute abdomen of unclear aetiology. As a rule, all haemodynamically unstable acute abdomen should be sent to the operation theatre. Haemodynamically stable patients should be carefully evaluated to facilitate surgical management.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42622177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Intravenous Lignocaine and Esmolol in Attenuating Hemodynamic Response and Cough Reflex during Extubation in Hypertensive Patients under General Anaesthesia","authors":"Rufinah Teo","doi":"10.17576/mh.2021.1602.06","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.06","url":null,"abstract":"Tracheal extubation carries higher complication rates compared to intubation during general anaesthesia (GA). Thus, various drugs are used to attenuate hemodynamic responses and cough reflex during extubation. We investigated if intravenous (IV) lignocaine and esmolol, given prior extubation, was able to achieve that in hypertensive patients under GA. In this prospective, double-blinded, randomised controlled study, 68 hypertensive patients on treatment undergoing GA were analysed. Group L received IV lignocaine 1 mg/kg while Group E received IV esmolol 1.5 mg/kg, 2 minutes before extubation. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at the following interval: before study drug administration (T-0), prior extubation (T-1), 1 minute (T-2), 3 minutes (T-3), 5 minutes (T-4) and 10 minutes (T-5) post-extubation. Group L showed significantly increase in HR at T-2 while SBP and MAP increased significantly from T-1 until T-5. Group E showed a significant reduction in HR at T-1 up to T-5 and significantly lower HR at T-1 and T-2 compared to Group L. Group E showed stable SBP, DBP and MAP at all intervals. In conclusion, IV esmolol at 1.5 mg/kg was able to attenuate the hemodynamic response more pronounced when compared to IV lignocaine at 1 mg/kg from extubation stress in patients with hypertension on treatment. Both lignocaine and esmolol were equally effective in suppressing cough reflex during extubation.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47723866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotropic Polypharmacy among Elderly Patients with Mental Illness in a Malaysian University Hospital: A 10-Year Review of Hospital Databases","authors":"Luke Sy-Cherng Woon","doi":"10.17576/mh.2021.1602.19","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.19","url":null,"abstract":"Psychotropic polypharmacy among elderly patients is problematic due to their multiple comorbidities. This study investigated psychotropic polypharmacy among elderly patients discharged from a Malaysian university hospital and its associated factors. Discharges of patients aged 65 years or above from the psychiatric wards from 2010 to 2019 were reviewed. Sociodemographic data, length of stay (LOS), psychiatric and other diagnoses, and psychotropic prescription upon discharge were extracted from electronic databases. Multiple logistic regression was conducted with age, gender, race, marital status, main psychiatric diagnosis, LOS, and the number of medical comorbidities as independent variables, and polypharmacy (>2 psychotropics) as the dependent variable. There were 354 discharges in this period. The mean age was 72.4 years (SD=5.9 years); 63.0% were female and 39.8% were Malays. Most were married (84.2%). The commonest category of psychiatric diagnosis was mood disorders (54.5%). A total of 76.8% of the discharges involved one or more medical comorbidities. The median number of psychotropics was two, with 38.1% prescribed three or more psychotropics. In the multiple regression model, female gender, Malay race, and being married were significantly associated with psychotropic polypharmacy. Sociocultural factors may contribute to psychotropic polypharmacy among elderly patients. Such factors require further investigations to elucidate their roles.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43494074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Translation and Validation of The Smartphone Use Questionnaire (SUQ) Into The Malay Language","authors":"S. Wahab","doi":"10.17576/mh.2021.1602.17","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.17","url":null,"abstract":"Interruptions caused by frequent smartphone use steals attention away from daily activities, bringing serious implications onto an individual’s health, safety and education. Smartphone Use Questionnaire (SUQ) is a 20-item questionnaire developed to assess the pattern of smartphone use and its effect on attention. This study was done to translate and validate the Malay-language version of the SUQ and to measure the psychometric properties of the Malay-version SUQ to justify its use in Malaysia. A forward and back-translation was done by four individuals, who were three physicians and one linguist. Content and face validity was done involving three experts who were a linguist, psychiatrist and epidemiologist. Psychometric testing was conducted on a sample of 195 individuals proficient in the Malay language. A construct validity test was performed using factor analysis and the internal reliability was tested by calculating for the Cronbach’s Alpha. The age range of the sample was 13-59 years, most of which were female and of the Malay race. Using principal component analysis with direct oblimin rotation, the factor analysis extracted two components similar to the original study: General Use and Absent-Minded Use. However, question number 20 was grouped into General Use component, whereas in the original study it was under the Absent- Minded Use component. The Cronbach’s Alpha for the obtained components was 0.884 and 0.927, respectively. This study found that the Malay-version SUQ was a valid and reliable instrument for use in Malaysia in assessing inattention associated with smartphone use.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41947037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic Small Bowel Injury: A Diagnosis Challenge","authors":"Syed Abdul Kader Mohamed Saleem","doi":"10.17576/mh.2021.1602.24","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.24","url":null,"abstract":"Traumatic small bowel injury is rare complication following a blunt abdominal trauma. We encountered a case of small bowel injury following a motor vehicle accident that was initially missed during the first presentation due to unremarkable findings in examination. Patient re-presented five days later with bowel ischaemia and was managed accordingly. It is a challenge in diagnosing the injury due to its vague presentation. The usage of Focused Assessment with Sonography for Trauma (FAST) scan as a screening tool in Emergency Department to pick up intra-abdominal injury do have limitations especially in diagnosing small bowel perforation post blunt abdominal trauma. The early phase of small bowel injury post blunt abdominal trauma rarely produces significant free fluid during the FAST scan. It is paramount for the emergency doctors to have a high level of suspicion in high risk cases to provide early supportive treatment and early referral to surgical team. If left undiagnosed bowel ischaemia may lead to catastrophic complication affecting the patient’s morbidity and mortality. In conclusion, each case should be managed and risk stratify individually. Computed tomography abdomen is found to be more superior in detecting bowel injuries, hence, and investigation of choice compared to bedside ultrasonograpy in cases with high level of suspicaion.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47535035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Scientific Contribution of Malaysia’s Researchers in the Field of Endodontics Based on Scopus Database: A Bibliometric Analysis","authors":"G. Lin","doi":"10.17576/mh.2021.1602.13","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.13","url":null,"abstract":"Bibliometric analyses of academic output are critical in assessing a country’s scientific performance and have ignited significant interest in recent days. However, no such study has been conducted in the field of dentistry, specifically endodontics, among Malaysia’s researchers. Hence, this study aimed to assess the publication output among researchers in Malaysia dedicating to endodontics based on the Scopus database and analyse the characteristics of selected articles as well as the publishing patterns. An electronic search based on the Scopus® database was performed from January 2001 to February 2021. Only English language articles with the first author’s affiliation from Malaysia were selected and the following parameters were extracted: title, authors, number of authors, affiliation, journal, year of publication, type of article, source, thematic categories, keywords, and number of citations. Data was analysed using Microsoft Excel software complemented by Pearson’s Chi-square and Pearson Correlation tests at 0.05 significance level. There were 119 articles included with the top-cited article received 69 citations. A total of 15 authors have 2 or more articles published, with the International Endodontic Journal published the most. Furthermore, more than half of the articles were published in Q1 and Q2 journals. Over the last two decades, there has been a substantial growth (P<0.05) in the number of articles and cumulative citations, with a significant correlation (P=0.038) between them. Besides, the Department of Conservative Dentistry and Universiti Sains Malaysia published the most articles, with the bulk of them being basic research on endodontic materials. In conclusion, the rise in scientific publications suggests an increasing interest in endodontics among Malaysia’s researchers.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41545916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Usability and Feasibility of DailyCalm Application in Reducing Stress among Adolescents During COVID-19 Pandemic","authors":"N. Muhammad","doi":"10.17576/mh.2021.1602.16","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.16","url":null,"abstract":"Stress is common among adolescents that impairs their well-being. This study aimed at determining the usability and feasibility of a newly developed mobile apps, DailyCalm in reducing stress among secondary school students in Kedah. They were recruited via convenience sampling using social media in August 2020 during COVID-19 pandemic. An access link was provided to download the DailyCalm apps that contained videos teaching on breathing and relaxation techniques. Students were encouraged to use the apps thrice a week. Students responded to an online form that measured stress level using Perceived Stress Scale (PSS) at baseline and four weeks later and perception on the usability and feasibility of the apps after four weeks of use. Among the 80 students aged 13 to 17 years who completed the study, 83.8% of them were having moderate to high level of stress. The students rated the apps as moderately usable with mean of 39.91 (SD = 6.12) and highly feasible with mean of 41.74 (SD = 6.99). However, there was no significant reduction in PSS score after 4 weeks of use [mean of 18.10 (SD =5.15) at baseline and mean of 17.44 (SD =5.06) at post-intervention; p-value = 0.19]. In conclusion, DailyCalm was viewed as moderately usable and highly feasible, yet its use over 4 weeks did not show a significant reduction in the stress level experienced by the students. The DailyCalm app has the potential to be used as a stress management application but needs further improvement for an effective use.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41811816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolution of Peripheral Nerve Treatment for Trigeminal Neuralgia - Peripheral Injections","authors":"Daniel Lim","doi":"10.17576/mh.2021.1602.03","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.03","url":null,"abstract":"Trigeminal neuralgia presents as a characteristic severe painful condition that usually afflicts the area(s) innervated by the branches of the facial sensory nerves, especially the elderly females. The diagnosis can usually be made based solely on the presenting clinical signs and symptoms. Early literatures had revealed that there have always been two major means of treatment for trigeminal neuralgia; medical and surgical. Medical treatments involved systemic intake of various drugs or the topical applications of many different materials, not forgetting that bleeding and purging has been tried in the past. The introduction of anti-convulsants during the second World War had changed completely the way this painful condition was treated as this therapy later become the mainstay treatment for trigeminal neuralgia. Their beneficial effects, however may not be long lasting. This review summarises the evolution of peripheral nerve injection as a treatment for trigeminal neuralgia over the last 150 years.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41899339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Social Media Addiction Scale for COVID-19 Pandemic (SMACOP)","authors":"N. Chong Guan","doi":"10.17576/mh.2021.1602.18","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.18","url":null,"abstract":"The current COVID-19 pandemic and ‘new normal’ has resulted in much distress worldwide. Social media currently plays an essential role in information gathering. Thus, time spent on social media has increased drastically, further increasing the risk for internet-related addictions, such as social media addiction. This study aimed to develop a COVID-19-related measure of social media addiction based on the Bergen Social Media Addiction Scale (BSMAS) in order to aid in the identification and evaluation of at-risk individuals. Social Media Addiction Scale for COVID-19 Pandemic (SMACOP) was adapted from BSMAS to fit the context of COVID-19 and pilot tested on 20 individuals. A total of 80 participants were subsequently recruited through convenience sampling from the general public of a public university in Malaysia, comprising of patients’ family, visitors, or hospital staff. Construct validity was assessed using the Insomnia Severity Index (ISI), Generalized Anxiety Disorder 7 (GAD7) and Patient Health Questionnaire (PHQ9). A two-factor structure was found for SMACOP, comprising of the factors ‘Desire’ and ‘Distress’. SMACOP shows good internal consistency (α = 0.64) and validity. SMACOP scores were positively correlated with the PHQ9, GAD7, and ISI (p<.01). SMACOP is a psychometrically valid instrument with high internal consistency, which is especially useful during this time in assessing social media addiction in relevance to COVID-19.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48286799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilising Virtual Reality in Pain Management: A Systematic Review","authors":"Faiz Daud","doi":"10.17576/mh.2021.1602.04","DOIUrl":"https://doi.org/10.17576/mh.2021.1602.04","url":null,"abstract":"Virtual reality (VR) offers patient with a drug free supplement, an alternative or complementary therapy to traditional pain management. VR technology allowing its use in a wide variety of settings in the medicine world. So, we would like to evaluate the current existing evidence supporting VR in pain management. We conducted a systematic review of interventional and observational studies that examined VR applications in pain management between 2010 and 2019. We used Scopus databases, PubMed, Web of Science, Ovid MEDLINE and EBSCOhost to identify the studies using keywords “patient”, “virtual reality”, “medicine” and “pain management”. Data was obtained by two investigators and agreement was reached with the involvement of a third and fourth investigator. Narrative synthesis for all research was done. A total of 451 citations were identified, among which 12 studies met the criteria for inclusion. Studies involve various countries with participant age ranging from 6 to 75 years old. Studies were small, employed different design, instrument and measure for outcome. Studies addressed experimental, acute and chronic pain with four categories of condition which are burn injury, orthopedic diseases and chronic headache. VR was effective during the procedure in experimental and acute pain management. Majority of studies involving VR in painful physical rehabilitation therapy found VR reduced chronic pain and some provide evidence of lasting analgesia effect of VR after therapy. The usage of VR in chronic pain in term of psychological and cognitive behavioral therapy (CBT) showed improvement of positive mood, emotional and motivation that could lead to improvement of quality of life. VR also useful to elicit findings during painful cervical kinematics assessment in chronic neck pain. VR is a promising technology to be applied in managing chronic and acute pain. Some research showed that VR usage is able to provide lasting effect of analgesia even after VR session. However, there is a need for long term, larger sample sizes and well controlled studies to show clinical and cost-effectiveness for this technology to be used in clinical settings.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47255343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}