Medicine & health最新文献_第7页

Work Performance and its Influencing Factors Among Support Staff in Hospital Mersing, Johor 柔佛默辛医院后勤人员工作绩效及其影响因素

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.07

N. A. Nik Muhamad

{"title":"Work Performance and its Influencing Factors Among Support Staff in Hospital Mersing, Johor","authors":"N. A. Nik Muhamad","doi":"10.17576/mh.2020.1502.07","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.07","url":null,"abstract":"Work performance report is a systematic and comprehensive evaluation report that quantitatively assesses the level of performance of civil servants in Malaysia. The objective of this study was to ascertain whether work performance of supporting staff in Hospital Mersing is at par with the performance of civil servants in Malaysia. Other objectives were to identify the high-performing and lowperforming members in the organisation and to determine factors affecting work performance. This study was a cross-sectional, retrospective, and used convenient sampling from secondary data in the employee service books, Human Resource Management Information System (HRMIS) information and staff medical records in 2016. The results of this study show that there was significant relationship between socio-demographic factors with work performance, which were gender, monthly income and education level. However, there was no significant relationship between ethnicity (p=0.692), age (p=0.102), marital status (p=1.000) and period of service (p=0.299). There was no significant relationship found between health factor and job factor with work performance. The outcome from this study can be used by the hospital administration and supervisors to take measures improving the level of staff work performance accordingly, which can benefit both individual and the organisation.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89734416","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}

引用次数: 1

A Case Series Exploring the Efficacy, Secondary Failure, Paradoxical Event & Relapse with Ustekinumab Therapy in Chronic Plaque Psoriasis 一个研究Ustekinumab治疗慢性斑块型银屑病疗效、继发失败、矛盾事件和复发的病例系列

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.15

Rasimah Ismail

{"title":"A Case Series Exploring the Efficacy, Secondary Failure, Paradoxical Event & Relapse with Ustekinumab Therapy in Chronic Plaque Psoriasis","authors":"Rasimah Ismail","doi":"10.17576/mh.2020.1502.15","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.15","url":null,"abstract":"Ustekinumab is an anti-IL12/23 biologic agent used for treatment of psoriasis with excellent efficacy. However, there are therapeutic obstacles such as secondary failure and paradoxical event. Disease relapse upon discontinuation of therapy is common. A case series was performed on patients with chronic plaque psoriasis who received ustekinumab between 2013 to 2018 at a tertiary referral centre. Demographics, clinical characteristics, duration of therapy, efficacy, treatment complications, rate and pattern of relapses were determined from the patients’ medical records. Out of 8 patients, 6 (75%) patients were males. There were 6 (75%) biologic-naïve patients. Median age was 41.5 years (IQR26.8-48.3), median duration of psoriasis was 16.5 years (IQR6.5-23.0). Median duration to achieve Psoriasis Activity and Severity Index (PASI)75 was 16 weeks and median total duration of treatment was 102 weeks. All patients achieved treatment success. PASI75 at week 12 was achieved by 37.5%, a median of 16 weeks was required to achieve at least PASI 75 but 6 (75%) attained PASI 90 by then. One patient (12.5%) developed paradoxical event with pustular and plaques. Secondary failure occurred in 2 (25%) patients. All patients relapsed after treatment discontinuation, relapse occurred at median of 40 weeks. Most (71%) developed plaques on relapse but 25% developed plaques and pustules. All but one patient required further biological agent for treatment of relapse. Ustekinumab was efficacious in all patients. Treatment success was achieved slightly later than standard duration. The rare occurrences of secondary failure and paradoxical were observed. Relapse was inevitable, new onset pustular eruptions featured in relapses.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44859360","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}

引用次数: 0

Knowledge, Attitude and Practice of Caregivers on Medication Management at Residential Aged Care Facilities in Malaysia 马来西亚养老院护理人员对药物管理的认识、态度和实践

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.08

M. Omar

{"title":"Knowledge, Attitude and Practice of Caregivers on Medication Management at Residential Aged Care Facilities in Malaysia","authors":"M. Omar","doi":"10.17576/mh.2020.1502.08","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.08","url":null,"abstract":"An escalating proportion of the aged group is associated with a growth in the prevalence of ill health. With the complexity of age-related diseases, a good medication management system is important to prevent medication errors. This study was aimed to develop a questionnaire to assess the knowledge, attitude and practice (KAP) of caregivers on medication management at residential aged care facilities (RACFs). A cross-sectional study was performed involving caregivers from 90 RACFs throughout Malaysia. The validated self-administered questionnaire was developed based on the extensive literature review and expert`s opinions containing 41-items divided into three domains. In this study, the response rate was 71% with 128 questionnaires returned. Median scores obtained for knowledge, attitude and practice were 77.27, 70.83 and 68.66, respectively. Majority of the caregivers (71.9%) deemed to know what medication management was. However, nearly half of them (48.4%) did not experience any training. More than half of the caregivers possessed good level of knowledge (69.5%, n = 89), around half (57.8%, n= 74) had a good attitude and less than half had a good practice (46.9%, n= 60) of medication management. Level of education, special qualification and experience of medication management training were the factors that correlated with good score outcome (p<0.05). Therefore, it is assumed that more support and training can be provided to the caregivers in RACF on medication management.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45398378","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}

引用次数: 0

Impact of Late Shift Rapid Response Team (RRT) Input on Length of Stay and Discharge Destination in Emergency Care 晚班快速反应小组（RRT）投入对急诊住院时间和出院目的地的影响

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.19

Mahender Yennaram

{"title":"Impact of Late Shift Rapid Response Team (RRT) Input on Length of Stay and Discharge Destination in Emergency Care","authors":"Mahender Yennaram","doi":"10.17576/mh.2020.1502.19","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.19","url":null,"abstract":"Prolonged length of stay (LOS) is a significant financial burden to the hospitals. Although Physiotherapists (PT) are expanding their role in different areas of health care, including Emergency Care (EC), the impact of late shift PT input on LOS is not yet known. The objective was to determine the impact of the late shift Rapid Response Team (RRT) input on LOS and discharge destination. Patients who are referred to the RRT Physiotherapy/Occupational Therapy (PT/OT) include those with musculoskeletal conditions, cardio-respiratory and neurological problems. The therapists establish patient’s premorbid mobility level, social status and complete mobility and balance assessments. The outcome measures considered for this study was LOS and discharge destination. A total of 131 patients were assessed during 2016/2017. Out of 131, 72 patients were discharged on the day of treatment. Out of 138 patients referred during 2017/2018, 79 patients were discharged on the day of assessment. Most patients had significant comorbidities when admitted as the number of comorbidities is approximately four conditions for both durations. The discharge destination included from patients own home, rehabilitation hospital, long stay wardand interim placementfrom ward and this has saved 151 bed days in the hospital. Late shift RRT service in the ED resulted in reduced LOS and improved discharge destination.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46533092","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}

引用次数: 0

Fleet Enema: A Straight Up Method of Management in Tar Burn Injuries Fleet Enema：焦油烧伤的直接治疗方法

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.29

F. Imran, H MohamedSam-Aan, K. Enda, Srijit Dass

引用次数: 0

Clinical and Microbiological Evaluation of Stabilised Periodontal Patients Undergoing Early Stage of Orthodontic Treatment 牙周稳定患者早期正畸治疗的临床和微生物学评价

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.11

Asma Alhusna Abang Abdullah

{"title":"Clinical and Microbiological Evaluation of Stabilised Periodontal Patients Undergoing Early Stage of Orthodontic Treatment","authors":"Asma Alhusna Abang Abdullah","doi":"10.17576/mh.2020.1502.11","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.11","url":null,"abstract":"Orthodontic treatment may affect the equilibrium of oral microbiota which plays a major role in aetiology of periodontal disease. This prospective clinical study aimed to assess the periodontal health and microbiological profile of healthy (Group 1) and stabilised periodontal (Group 2) patients throughout three months of orthodontic treatment. Upper and lower fixed orthodontic appliances were bonded. Periodontal health was assessed using plaque score (PS), bleeding on probing (BOP) and pocket depth (PD). 29 sites were taken for subgingival plaque sampling. Plaque samples were inoculated on Trypticase Soy Blood Agar (TSBA) and Trypticase Soy Bacitracin Vancomycin (TSBV) agar for assessment of aerobe, anaerobe, black pigmented bacteria (BPB) and Aggregatibacter actinomycetemcomitans. All the measurements were taken before bonding (T0), 1 week (T1), 1 month (T2) and 3 months post-bonding (T3). Generally, periodontal health in both groups were almost similar. After 1 week, the number of aerobes was significantly higher in Group 1 (88%) while the anaerobes were significantly higher in Group 2 (45%). A. actinomycetemcomitans was higher in Group 1 at T0 and T1 but was significantly higher in Group 2 at T3. BPB was minimal at all time with no significant difference. Thus, during the first 3-month of orthodontic treatment, there were significant changes in the number of aerobes-anaerobes in both healthy and stabilised periodontal patients. Pathogenic bacteria would increase during early treatment of orthodontics.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76588278","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}

引用次数: 0

Clinico-Anatomical Elucidation of Teres Minor Muscle 小圆肌的临床解剖学研究

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.02

V. Mehta

{"title":"Clinico-Anatomical Elucidation of Teres Minor Muscle","authors":"V. Mehta","doi":"10.17576/mh.2020.1502.02","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.02","url":null,"abstract":"Rotator cuff muscles (RCM) are the dynamic stabilisers of glenohumeral joint. Rotator cuff disorders are common and hence RCM have been the area of interest for researchers. Teres minor, a RCM, assists in lateral rotation at shoulder joint. Among all the RCM, anatomical variations in teres minor muscle have been least documented in literature and hence considered as a neglected muscle. The aim of the present study was to explore variant morphology, insertion sites and patterns of insertion of teres minor muscle. Sixty adult embalmed human cadavers were dissected to delineate the fibers of teres minor muscle, from their site of origin on scapula up to the site of insertion on the humerus. Variant morphology along with unusual pattern and site of insertion of teres minor muscle was noted in two (3.33%) cadaveric specimens. The results of the present study highlight the continuous phylogenetic change taking place in a RCM. Familiarity about the variation reported is paramount for the surgeons planning rotator cuff surgery and other invasive procedures in shoulder region. The current data will be significant for radiologist interpreting magnetic resonance imaging scans to report post-operative outcome of rotator cuff surgeries.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48220857","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}

引用次数: 0

Defining the Prevalence and Predictors of Restrictive and Obstructive Airway Pattern in a Non-Selected Malaysian Population 界定非选择性马来西亚人群中限制性和阻塞性气道模式的患病率和预测因素

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.14

Andrea Ban Yu-Lin

{"title":"Defining the Prevalence and Predictors of Restrictive and Obstructive Airway Pattern in a Non-Selected Malaysian Population","authors":"Andrea Ban Yu-Lin","doi":"10.17576/mh.2020.1502.14","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.14","url":null,"abstract":"The incidence of chronic obstructive pulmonary disease (COPD) in Malaysia appear to be increasing. To date, there are no local studies describing restrictive and obstructive airflow limitation patterns using spirometry. We conducted a crosssectional study to determine the prevalence and predictors of airflow limitation symptoms by screening for COPD symptoms with the COPD Population Screener (COPD-PS) questionnaire and determined the airflow limitation using the new hand-held device, AirSmart®. We recruited 265 subjects. Eleven percent had restrictive pattern and 16% had obstructive pattern. Twenty percent of subjects had COPD-PS score of more than five. In the obstructive pattern group, 74% were active or ex-smokers (p=0.03, p<0.01), whilst those with restrictive pattern were more likely to be heavier with a body mass index (BMI) of more than 23 (OR 2.52, 95% CI: 1.02-5.62) (p<0.01). There was a negative correlation between forced vital capacity and BMI (r=-0.5813, p<0.001). We found a high prevalence restrictive pattern of airflow limitation using the new AirSmart® Spirometer. There appeared to be a large proportion of undiagnosed obstructive airway diseases and higher BMI could be the causes of limitation of airflow in our subjects.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42031516","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}

引用次数: 0

Knowledge and Preventive Behaviour among Pregnant Women with Latent Toxoplasmosis in Malaysia 马来西亚潜在弓形虫孕妇的知识和预防行为

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.12

N. Ahmad, E. Osman, A. Na, W. Leong, Arzaee Mz, YY Seow, S. DolBahar, Wan Yahya Wnn, N. Mustapha, Y. Vadiveel

{"title":"Knowledge and Preventive Behaviour among Pregnant Women with Latent Toxoplasmosis in Malaysia","authors":"N. Ahmad, E. Osman, A. Na, W. Leong, Arzaee Mz, YY Seow, S. DolBahar, Wan Yahya Wnn, N. Mustapha, Y. Vadiveel","doi":"10.17576/mh.2020.1502.12","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.12","url":null,"abstract":"Latent toxoplasmosis could induce various hormonal and behavioural perturbations in infected hosts. We aimed to study the latent seroprevalence of Toxoplasma gondii (T. gondii) and the relationship between infection, knowledge and behaviour among 400 pregnant mothers. Plasma samples were tested for the presence of T. gondii IgG antibodies while a structured questionnaire was used to record respondents’ socio-demographic characteristics, general information and knowledge on plausible risk factors, symptoms, timing of infection, and preventive knowledge and behaviour regarding toxoplasmosis. The seroprevalence of latent toxoplasmosis among respondents was at 31.8%. This study indicated that 69.5% of them had poor knowledge of toxoplasmosis but most of them (99.8%) practised preventive behaviours. Multiple logistic regression analysis showed that pregnant women with low education levels (aOR: 1.91, 95% CI 1.18, 3.10; p = 0.008) and past medical history (aOR: 2.32, 95% CI 1.32, 4.06; p = 0.003) were both twice as likely to have anti-T. gondii IgG seropositivity. Besides, women who were unsure regarding the transmission mode of the disease via blood transfusion were four times more likely (aOR: 3.93, 95% CI 1.54, 10.01; p = 0.004) to have chronic toxoplasmosis seroprevalence. Women who were unsure regarding the necessities of avoiding stray cats had aOR of 0.42 (95% CI 0.24, 0.71, p = 0.001) for chronic toxoplasmosis seroprevalence. Translating the knowledge on toxoplasmosis into the practice of preventive behaviour via a health education programme is crucial in reducing the risk of disease transmission especially among pregnant women.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41873950","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}

引用次数: 0

Prevalence of Obesity and Body Weight Perception among Pregnant Women 孕妇肥胖患病率与体重认知

Medicine & health Pub Date : 2020-12-31 DOI: 10.17576/mh.2020.1502.04

Rachael Shamini Danasamy

{"title":"Prevalence of Obesity and Body Weight Perception among Pregnant Women","authors":"Rachael Shamini Danasamy","doi":"10.17576/mh.2020.1502.04","DOIUrl":"https://doi.org/10.17576/mh.2020.1502.04","url":null,"abstract":"Obesity is rapidly increasing worldwide and there is a general misconception regarding body weight perception. The aim of this study was to determine the prevalence of obesity and body weight perception among pregnant women. A total of 315 pregnant women participated in this study. Their Body Mass Index (BMI) was recorded and weight perception was assessed using a questionnaire. About two third (60.6%, n=191) participants in the study had excess weight out of which, 29.8% (n=94) were obese and 30.8% (n=97) were overweight. There was poor agreement between participant’s true body weight category and their perception (k=0.185 (95% CI, 0.119 to 0.258), p<0.001). Majority of participants who were obese (84%, n=79) and overweight (77.4%, n=75) underestimated their weight status. Only a very small percentage of obese (16%, n=15) and overweight 18.6% (n=18) participants had correct perception of their weight. However, the majority (84.3%, n=86) of participants with normal body weight had correct perception regarding their body weight. This study found that most obese and overweight women tend to underestimate their weight status while those of normal weight had correct perception of their body weight. The inaccurate perception of those who are obese and overweight may impact weight gain during pregnancy and affect pregnancy related complications. Education regarding ideal body weight and its benefits needs to be instilled during pre-pregnancy care to achieve better overall outcome.","PeriodicalId":80079,"journal":{"name":"Medicine & health","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81112077","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}

引用次数: 0