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The 4:1 Schedule: A Novel Template For Internal Medicine Residencies, Jennifer Stephens Dec 2010

The 4:1 Schedule: A Novel Template For Internal Medicine Residencies, Jennifer Stephens

Jennifer Stephens

No abstract provided.


Median Lethal Dose, Antimalarial Activity, Phytochemical Screening And Radical Scavenging Of Methanolic Languas Galanga Rhizome Extract, Hesham Al-Mekhlafi Oct 2010

Median Lethal Dose, Antimalarial Activity, Phytochemical Screening And Radical Scavenging Of Methanolic Languas Galanga Rhizome Extract, Hesham Al-Mekhlafi

Hesham M Al-Mekhlafi

The methanolic extract of Languas galanga rhizomes was investigated for antimalarial activity against Plasmodium berghei (NK65) infections in mice. The median lethal dose was determined to ascertain the safety of the extract in ICR mice of both sexes. The antimalarial activities during early and established infections, as well as the prophylactic activity were evaluated. Phytochemical screening and radical scavenging activity of the extract were also investigated to elucidate the possible mechanism of the antimalarial properties. The acute oral toxicity (LD(50)) of Languas galanga extract in mice was established to be 4,998 mg/kg. The extract of Languas galanga rhizomes demonstrated significant …


Letter To The Editor: Lost Opportunities With Australia's Health Workforce?, Tony Badrick, Leslie Burnett, Peter Graham, Peter Vervaart Sep 2010

Letter To The Editor: Lost Opportunities With Australia's Health Workforce?, Tony Badrick, Leslie Burnett, Peter Graham, Peter Vervaart

Tony Badrick

No abstract provided.


Popular People Help Experts Predict Flu Outbreak?, Chiehwen Ed Hsu Aug 2010

Popular People Help Experts Predict Flu Outbreak?, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Popular people are the trendsetters of society, especially when it comes to the next flu outbreak, according to preliminary research from Harvard University. The hypochondriac effect may have also exaggerated how predictive the friend group was, says Ed Hsu, associate professor of Public Health Informatics at the University of Texas. Those in the friend group are more likely to know someone who has the flu and hence may be more likely to think (and report) that they are coming down with it themselves.


Controle De Infecção Em Clínicas De Cirurgia Plástica / Infection's Control In Plastic Surgery Clinics, Everton Fernando Alves Jul 2010

Controle De Infecção Em Clínicas De Cirurgia Plástica / Infection's Control In Plastic Surgery Clinics, Everton Fernando Alves

Everton Fernando Alves

A infecção é a mais frequente e grave complicação que acomete pacientes que procuram serviços estéticos e/ou funcionais em clínicas de cirurgia plástica. Uma infecção hospitalar eleva os custos do processo, tanto para o paciente quanto para a empresa. Diante disso, torna-se importante a instalação de uma comissão de controle de infecção hospitalar, tendo como responsável um enfermeiro. A importância deste profissional se dá por meio da organização da Central de Material Estarilizado (CME), bem como do estabelecimento de outras medidas efetivas para a prevenção e controle de infecções nas clínicas apresentadas ao longo desse artigo.


Organ Transplants: Ethical, Social, And Religious Issues In A Multicultural Society, Noorzurani Robson Associate Prof. Dr., A. H. Razack, N. Dublin Jul 2010

Organ Transplants: Ethical, Social, And Religious Issues In A Multicultural Society, Noorzurani Robson Associate Prof. Dr., A. H. Razack, N. Dublin

Associate Prof. Dr. Noorzurani Robson

Recent advances in the fields of organ donation and organ transplant have introduced new hope for the treatment of serious diseases. However, this promise has been accompanied by several issues. The most common issue raised is ethical implications, but in a multicultural society like Malaysia, additional concerns arise pertaining to social and religious issues. These concerns needs to be addressed as attitudes toward and acceptability of organ donation varies according to social, culture, and religion. The diverse cultural, religious, and traditional concepts pertaining to organ donation may hamper its acceptability and cause a lack of willingness to donate organs. The …


Illicit Ketamine Induced Frequency Of Micturition In A Young Malay Woman, Noorzurani Robson Associate Prof. Dr., B. Vicknasingam, S. Narayanan May 2010

Illicit Ketamine Induced Frequency Of Micturition In A Young Malay Woman, Noorzurani Robson Associate Prof. Dr., B. Vicknasingam, S. Narayanan

Associate Prof. Dr. Noorzurani Robson

Issues. The growing use of illicit ketamine among young adults poses a public health concern in Malaysia. In contrast to medical use of ketamine, illicit use has been reported to produce adverse effects on the urinary tract and, in particular the bladder. Approach and Key Findings. This case report describes a young Malay woman who developed severe bladder symptoms (urinary frequency) after consuming illicit ketamine. A history of illicit ketamine use was initially missed, and she was consequently diagnosed and treated for a urinary tract infection. Her symptoms persisted despite several courses of antibiotics. The patient was subsequently referred to …


Opportunities And Obstacles To The Elimination Of Malaria From Peninsular Malaysia: Knowledge, Attitudes And Practices On Malaria Among Aboriginal And Rural Communities, Hesham Al-Mekhlafi Apr 2010

Opportunities And Obstacles To The Elimination Of Malaria From Peninsular Malaysia: Knowledge, Attitudes And Practices On Malaria Among Aboriginal And Rural Communities, Hesham Al-Mekhlafi

Hesham M Al-Mekhlafi

Background: Despite continuous efforts by the government and private sectors, malaria is still a public health problem in rural Peninsular Malaysia. This study investigated household knowledge, attitude and practices (KAP) regarding malaria in two malaria endemic communities, forest-aboriginal and rural communities, in the Lipis district of Pahang state, Malaysia. Methods: A descriptive cross-sectional study with a semi-structured questionnaire was carried out among 100 and 123 households from forest-aboriginal and rural areas, respectively. Results: Knowledge about malaria and its transmission is significantly higher among the rural participants than the aborigines (86.2% vs 76%, p < 0.01). However, use of medicinal plants and beliefs in witchcraft and sorcery in treating febrile diseases were significantly higher among the aboriginal population (p < 0.01). There were no significant differences between the two communities in terms of the knowledge about malaria symptoms, attitudes towards its severity and practices in preventive measures against malaria by using mosquito bed nets. However, the knowledge and practice of different preventive measures to combat malaria, such as insecticide and the elimination of breeding areas, was significantly higher among the rural population than the aborigines (p < 0.001). Conclusions: Both communities were aware of malaria as a disease, but knowledge, attitudes and practices were inadequate. Providing efficient health education to people residing in malaria endemic areas would improve their understanding about malaria prevention in order to bring about the elimination of malaria from the country.


Collaborating With A Financial Therapist: The Why, Who, What And How, Cicily Maton, Michelle Maton, William Marty Martin Jan 2010

Collaborating With A Financial Therapist: The Why, Who, What And How, Cicily Maton, Michelle Maton, William Marty Martin

William Marty Martin

Financial planning clients are seeking holistic solutions to their financial opportunities and challenges. Yet, few financial planners and mental health professionals work together to benefit clients. This article showcases a partnership between a financial therapist, trained as a psychologist, and two financial planners who have implemented an evidence-based model of financial planning drawing upon the behavioral finance, neureconomics, evolutionary psychology, and coaching literature.


Schizophrenia, Substance Use And Aggressions: What Are The Relationships?, Rusdi Abd. Rashid, Noorzurani Robson Associate Prof. Dr., Ahmad Hatim Sulaiman, Rabaiah Salleh, Nor Zuraida Zainal, Mas Ayu Said, Mohammad Hussain Habil Jan 2010

Schizophrenia, Substance Use And Aggressions: What Are The Relationships?, Rusdi Abd. Rashid, Noorzurani Robson Associate Prof. Dr., Ahmad Hatim Sulaiman, Rabaiah Salleh, Nor Zuraida Zainal, Mas Ayu Said, Mohammad Hussain Habil

Associate Prof. Dr. Noorzurani Robson

Objectives: The objective of the study is to determine the prevalence of substance abuse for alcohol, cannabis, opiates, stimulants, solvent and other substances among patients with schizophrenia in Hospital Bahagia Ulu Kinta (HBUK), Perak , Central Peninsular of Malaysia. This study also aims to determine the association of substance abuse with aggression, the demographic characteristics and total duration of hospitalization. Methods: This was a retrospective cross-sectional study whereby the first 194 subjects diagnosed to have schizophrenia based on International Classification of Disease, 10th edition (ICD-10) criteria were taken from data registry of patients admitted to HBUK from January until February …


Varenicline – A New Pharmacotherapy For Smoking Cessation In Primary Care Practice, Noorzurani Robson Associate Prof. Dr. Jan 2010

Varenicline – A New Pharmacotherapy For Smoking Cessation In Primary Care Practice, Noorzurani Robson Associate Prof. Dr.

Associate Prof. Dr. Noorzurani Robson

Background: Cigarette smoking causes significant morbidity and mortality and is a major public health concern worldwide. Primary care doctors are in a unique position that enables them to promote smoking cessation, as smokers are more aware of their health at the time of their clinic visit. It is thus important to offer effective treatment to help smokers stop smoking. Methods: A search of PubMed was done up to 16 December 2009, using the keywords “varenicline” alone, “varenicline” and “family medicine”, and “varenicline” and “primary care”. The search produced 426 articles on varenicline. The articles that were chosen were case reports, …


Nicotine-Replacement Therapy: A Proven Treatment For Smoking Cessation: Cpd, Noorzurani Robson Associate Prof. Dr. Jan 2010

Nicotine-Replacement Therapy: A Proven Treatment For Smoking Cessation: Cpd, Noorzurani Robson Associate Prof. Dr.

Associate Prof. Dr. Noorzurani Robson

Smoking is a major cause of cardiovascular diseases, respiratory diseases and cancer. Despite the high prevalence of smokers worldwide, smokers are often neglected and not offered effective assistance with quitting their habits. In order to overcome this public health burden, effective treatment is needed to help smokers stop smoking. Among the pharmacological treatments available, nicotine-replacement therapy (NRT), when prescribed in combination with behavioural support, has been proven to be effective in helping a wide range of smokers to quit. NRT helps smokers during the withdrawal process by replacing a proportion of the nicotine formerly obtained from cigarettes. NRT is available …


Alcohol Use And Psychosocial Correlates Among Aborigines In Central Penisular Malaysia, R. Abd Rashid, W.A. Irnee, M.M.A. Zahari, A.S.A. Nordin, Noorzurani Robson Associate Prof. Dr., A.H. Sulaiman, R.A. Kadir, D. A. A. Rahim, H. Peters, M. A. Said, H. Habil Jan 2010

Alcohol Use And Psychosocial Correlates Among Aborigines In Central Penisular Malaysia, R. Abd Rashid, W.A. Irnee, M.M.A. Zahari, A.S.A. Nordin, Noorzurani Robson Associate Prof. Dr., A.H. Sulaiman, R.A. Kadir, D. A. A. Rahim, H. Peters, M. A. Said, H. Habil

Associate Prof. Dr. Noorzurani Robson

To determine the prevalence of alcohol abuse/dependence, psychiatric morbidity and psychosocial correlates among Malaysian aborigines.


Hospital- Affiliated And Hospital-Owned Retail Clinics: Strategic Considerations And Operational Challenges, Amer Kaissi Dec 2009

Hospital- Affiliated And Hospital-Owned Retail Clinics: Strategic Considerations And Operational Challenges, Amer Kaissi

Amer A Kaissi

No abstract provided.


The Future Of Retail Clinics In A Volatile Healthcare Environment, Amer Kaissi Dec 2009

The Future Of Retail Clinics In A Volatile Healthcare Environment, Amer Kaissi

Amer A Kaissi

No abstract provided.


Ethnobotanical Study On Some Malaysian Anti-Malarial Plants: A Community Based Survey, Hesham Al-Mekhlafi Dec 2009

Ethnobotanical Study On Some Malaysian Anti-Malarial Plants: A Community Based Survey, Hesham Al-Mekhlafi

Hesham M Al-Mekhlafi

Ethnopharmacological relevance: Various plants species are used in the traditional medicine for the treatment of malaria. This is the first community based ethnobotanical study in Peninsular Malaysia. Aim of the study: To investigate the plants traditionally used in the treatment of malaria in Malaysia. Materials and methods: An ethnobotanical survey was carried out among 233 Aboriginal and rural households, and traditional healers in malaria endemic areas in Peninsular Malaysia. Data were collected using a pre-tested questionnaire. Results: Nineteen species belonging to 17 families were identified. Twelve plant species have not previously been documented for the treatment of malaria in Malaysia. …


Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri Dec 2009

Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri

Patrick Albert Palmieri

GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment about the state of safety culture research in healthcare. METHODS. First, we reviewed the concept of safety culture, including its origination, disciplinary influences, and associated theoretical tenets. By describing the literature and discussing the interchangeable use of the terms “safety attitude,” “safety climate,” and “safety culture,” we are able to present the conceptual attributes associated with safety culture and present a definition of safety culture. Then, we discuss the psychometric properties for the most widely used instruments in healthcare. The article concludes with a discussion of …


Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri Dec 2009

Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri

Patrick Albert Palmieri

Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures in order to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established via modification in employee safety perspective and work behavior, human resource professionals need to contribute to this developing organizational domain. The IOM …