bluuebunny/crossref_metadata_2025 huggingface dataset:
Early Analysis of Peripheral Obstructive Arterial Disease in Patients with Diabetes Mellitus in Primary Care Setting in Kuantan, Malaysia: Are There Differences?
Authors: Ab Hamid Norhayati binti , Khairul Anuar Nur Diyana , Md Salleh Syahir Muhaimin , Othman Ahmad Faidzal , Abdul Rahman Mohd Norhisham Azmi , Ab.Rahman Jamalludin Bin , Ahmad Azrin Waheedy , Mahno Noor Ezmas
Published: January 2021

Introduction: Diabetes mellitus is a known risk factor for the development of Peripheral Obstructive Arterial Disease (POAD). POAD is also one of the major cause of limb loss in diabetic patients. Yet, there is no Ankle-Brachial Index (ABI) screening among the diabetic population to quantify the disease burden or detect the disease at an early stage. This study aimed to find out the prevalence of POAD among diabetic patients in primary care and the associated risk factors and its implication on their quality of life. Materials and Methods: Ninety diabetic patients were included in this universal survey at Klinik Kesihatan (KK) Jaya Gading. ABI of lower than 0.9 was used to define POAD. A validated WHO-QOL BREF Malay version was used to assess the Quality of Life. Results: The prevalence of POAD among diabetic patients in KK Jaya Gading, Kuantan was found to be 20%. Age was a significant risk factor (p=0.005). Social domain of the Quality of Life was significantly affected in patients with POAD. Conclusion: The prevalence of POAD among diabetics in the primary care was relatively high and this supports early screening to prevent further deterioration.
Efficacy of Antibiotic Laden Collagen Sponge In Treating Open Fracture
Authors: Subramaniam Kularaj , Ahmad Aminuddin Che
Published: January 2021

Introduction: Open fractures are known as a major predisposing factor for a higher incidence of infection. The aim of this study was to assess the efficacy of antibiotic impregnated collagen sponge in reducing the risk of infection in open fractures Grade 3. Materials and Methods: This was an observational cohort study, evaluating the incidence of infection in open fractures of the femur Grade 3A/3B following insertion of gentamicin impregnated collagen sponge (Collatamp®) during definitive fracture fixation. Eryhtrocyte Sedimentation Rate (ESR) and total white count (TWC) were used as blood parameters to observe for the possibility of infection from pre-operatively up to follow up visits at the clinic. Results: A total number of 36 patients, whom had sustained open fracture of the femur Grade 3A/B, underwent internal fixation with antibiotic impregnated collagen sponge insertion. Overall, ESR and TWC in both male and female gender were downgoing trend, with p values of <0.001, and clinically there was no evidence of infection. No infection was identified in 97.2% of patients, following the internal fixation and antibiotic impregnated collagen sponge insertion. There was only one patient (2.8%) who developed infection following the definitive internal fixation and antibiotics impregnated collagen sponge insertion. Conclusion: The use of antibiotic impregnated collagen sponge in open fractures reduced the occurrence of infection. Furthermore, this allows for an uncomplicated union of the bone following definitive fixation.
Grisel Syndrome: Prompt Diagnosis, Prompt Management Equals Happy Ending
Authors: Lim Aidi Aswadi Halim , Abdul Aziz Azian , Md Ralib Ahmad Razali
Published: January 2021

Grisel syndrome is a rare cause of torticollis resulting from subluxation of the atlanto-axial joint (C1-C2 vertebra) joint from surrounding soft tissue inflammation. Atlanto-axial joint injuries typically occur in the setting of trauma. However, here we report a case of a non-traumatic cause of atlanto-axial joint subluxation in a child. The child initially presented to our centre with 5 days history of torticollis preceded by a few days of upper respiratory tract symptoms. The initial radiograph of the cervical spine did not demonstrate any obvious abnormality. However, due to a high index of suspicion by the attending physician, a CT of the cervical spine was performed, which indeed revealed an atlanto-axial subluxation. The patient was put on cervical traction for a few days, and discharged well with soft collar and analgesia.
Inadvertent Puncture Of Right Vertebral Artery During Central Venous Line Catheter Insertion
Authors: Halim Mohd Nabil , Md Ralib Azrina , Md Nayan Suhaila , Abdul Ghani Muhammad Rasydan , Ramly Nur Fariza , Alias Nurfatihah
Published: January 2021

The use of ultrasound has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this report, we recommend the structures approach for US-guided to insert venous access for clinical practice. To achieve the best skill for CVC placement, the knowledge from anatomic landmark techniques and knowledge from US-guided CVC placement need to be combined and integrated. 59 years old lady, planned for total abdominal hysterectomy for pelvic tumour excision. Anticipate massive bleeding with major fluids shift during intraoperative, invasive monitoring with CVC was inserted preoperative at right internal jugular vein. The procedure of insertion was done using US-guided with out-of-plane method. While connected to CVP monitoring noted to have arterial wave. Decided to keep the central venous line in-situ and referral to radiologist for imaging was arranged. CT angiogram's findings of a catheter were seen to transverse the right internal jugular vein through-and-through and seen to lie within the right vertebral artery coursing into the right subclavian artery. No evidence of carotid artery injury. Referred to intervention radiology and vascular surgery team for the best method of removal the central line catheter. Removal of CVC for inadvertent injury to right verterbral artery under guided contrast study by intervention radiologist. The case illustrates the importance of ultrasound-guided CVL insertion.
Microbiological Study of Etiological Pathogen in Early Infection of Open Fracture in Orthopedics
Authors: Meng Tai Ken , Sulong Ahmad Fadzli Bin , Yusof Nazri Bin Mohd.
Published: January 2021

Introduction: Infection is a dreaded complication of open fracture in the field of orthopaedics. This study was conducted to evaluate the susceptibility of microorganism involved in early infection of open fractures to current prophylactic antibiotics practice and determine the association of various characteristics to the resistance of such microorganisms. Materials and Methods: This cross sectional study was conducted from January 2015 to December 2017 in Hospital Tengku Ampuan Afzan, Kuantan, Malaysia. A total of 179 cases were collected from the operating record with 110 cases fulfilling the inclusion and exclusion criteria. The patients underwent routine debridement where culture and sensitivity were followed up. Previous notes were traced to identify the various risk factors involved and evaluated against resistance of microorganism. Statistical analysis was done with SPSS version 23 applying Pearson chi-square tests and Fisher's exact test. Results: Admission to intensive care unit, blood transfusion, antibiotic regime and duration, fracture grade, injury severity score and duration of admission were all significantly associated with resistance of microorganism (p < 0.0001). This study also demonstrated 65.9% predominance of Gram-negative microorganisms. These gram-negative microorganisms were seen more in higher fracture grades, injury severity score, and longer duration of admission or antibiotics prescribed. The overall resistance to cefuroxime and gentamicin were 68.6% and 36.9% respectively. Conclusion: The shift of microorganism species to gram-negative and the high rate of resistance suggested that current antibiotic guidelines and regime needed to be fine-tuned to achieve optimal results in managing open fracture.
Misplacement of the Nasogastric Tube into the Anterior Neck Potential Space
Authors: Abdul Wahid Marni Mahfuzah , Hamdan Nadiah , Ahmad Nor Azura , Sezali Ameer Mukmeen , Ramly Nur Fariza , Mohamed Abdul Hadi
Published: January 2021

Nasogastric tube insertion is a very common procedure performed in intensive care settings which require a basic skill. In mechanically ventilated patients, the blind technique may lead to inadvertent placement of the tube into the lung even when the endotrachial cuff was inflated. The preferred technique is using a laryngoscopy for direct vision during the insertion. The gold standard of NGT placement confirmation in mechanically ventilated patient is with chest radiograph. Other clinical confirmation tests are not as reliable in intubated patients. A 44 year old lady came in with huge anaplastic carcinoma of the thyroid with compression symptoms. Otherwise, she had an unremarkable other medical problem. She underwent palliative debulking surgery to remove part of the tumor. The tumor was very aggressive, few days postoperatively it caused tracheal erosion with subcutaneous emphysema around the neck and upper chest. Urgent tracheostomy was done. Following this operation, NGT was reinserted. The nasogastric insertion was uneventful and the placement of the tube was confirmed by aspiration of gastric content and syringe test. Enteral feeding was resumed afterward. A few hours later the patient complained of neck pain and tense swelling developed on her neck and upper chest. Whitish secretion was noted to seep out around the tracheostomy wound. Enteral feeding was withheld and chest radiograph showed coiled NGT in the potential space of the anterior neck. The NGT was removed and surgical debridement was performed to evacuate the milk contamination. The case illustrates the importance of radiological confirmation of NGT placement in the ventilated patient.
Outcome Of Arthroscopic Vs Mini Open Subacromial Decompression In Treating Shoulder Impingement Syndrome
Authors: Abdul Adel Nik Alyani Nik , Siron@Baharom Khairul Nizam bin , Mat Lani Muhammad Taufik bin
Published: January 2021

Introduction: Shoulder impingement syndrome is a common diagnosis leading to shoulder disabilities. Subacromial decompression surgery either arthroscopic or mini open is indicated in patients who failed conservative therapy. Arthroscopic surgery is introduced to reduce soft tissue dissection hence less soft tissue damage and fasten rehabilitation. This study is conducted to compare the outcome of mini open and arthroscopic surgery. Materials and Methods: A cross sectional study was conducted in patients who were diagnosed with shoulder impingement syndrome with or without rotator cuff tear who underwent subacromial decompression surgery, with mini open or arthroscopic surgery at Hospital Tengku Ampuan Afzan, Kuantan. Functional outcome was assessed using American Shoulder and Elbow Surgeon (ASES) score and Constant score. Results: Six patients were recruited in the mini open group while 11 in the arthroscopic group. Of these, all were female in mini open group, aged 56.7 ± 7.9 while seven female and four male in the arthroscopic group aged 55.1 ± 9.4 (p-value 0.733). They were evaluated at 3 to 5 years after surgery in the mini open, and at six months in the arthroscopic group. There was no significant different in the ASES score in the mini open group (89.8 ± 11.7) and arthroscopic group (89.8 ±17.9), with p-value of 0.998. Constant score in the mini open was 18.67 ± 7.61, while in the arthroscopic was 16.18 ± 15.03; and there was no significant difference in this two groups (p-value 0.712). Three patients each has good and fair outcome in the mini open surgery, while six patients has excellent, two each has good and fair; and one has poor outcome in the arthroscopic surgery. Conclusion: There were no significant differences in the functional outcomes between mini open and arthroscopic subacromial decompression surgery.
Red Cell Antibody Screening: A Single Centre Experience
Authors: Muhammad Naznin , Azhar Syifa Zainal , Barakah Wan Husna , A. Talib Norlelawati , Hamdan Asmah Hanim , Abd. Fuaat Azlina , Abdullah Nor Zamzila , Daud Farizan Shaik
Published: January 2021

Introduction: The Transfusion Unit of International Islamic University Medical Centre (IIUM MC) performs screening for red cell antibodies for all patients who are to be or might be transfused with red cell components. There are two types of red cell antibodies, the alloantibodies and autoantibodies. While the red cell autoantibodies are produced against self-antigen, the alloantibodies are the results of sensitization through transfusion or pregnancies. These antibodies are implicated in haemolytic transfusion reactions. This retrospective study examines the prevalence of red cell antibodies among patients of IIUM MC. Materials and Methods: All group cross matching and group screen and hold testing performed in IIUM MC from January 2017 to June 2018 were reviewed. Results: In total, samples of 3,712 patients were subjected to antibody screening using gel card. Twelve patients (0.32%) had positive antibody screening tests. The age ranged from 17 to 77 years. Nine (75%) patients were females. Four patients had positivity with Screening Cell I, one patient with Screening Cell II and III respectively. In the remaining patients (6/12) the antibody screening was positive for both Screening Cell I and II. In nine patients (0.24%) alloantibodies were identified, with six exhibiting multiple antibodies. The alloantibodies identified include anti-Le(a), anti-Le(b), anti-Kp(a), anti-C, anti-c, anti-E and anti-e. In three patients autoantibodies with no specificities were detected. Conclusion: Although the prevalence of red cell antibodies, specifically the alloantibodies is lower compared to other studies, the finding further reiterates the need to screen for unexpected red cell antibodies prior to red cell transfusion.
Risk Factor Profile Of Young Adults With Acute Myocardial Infarction: A Preliminary Finding
Authors: Mohd Razib Mohd Zhafri , M.Shah Azarisman Shah , A.Rahman Jamalludin , Abdullah Aszrin , M.Shah Aida N.S , Abdul Talib Norlelawati , M.Bakrim Norbaiyah , Draman Samsul
Published: January 2021

Introduction: Acute myocardial infarction (AMI) is a major cause of death around the world. There are limited studies of risk factor profile in young adults with AMI. This study aimed to assess the risk factor profile of young adults with AMI at the emergency department of Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang. This is a preliminary result of young adults (age between 18 to 45 years old) who presented to the emergency department of HTAA. Materials and Methods: This cross-sectional study was conducted in HTAA from the 31st July 2017 to the 11th June 2018 involving 709 patients who were diagnosed with AMI. Seventy seven patients were less than 45 years old. However, only 55 were recruited for analysis who fulfilled the inclusion and exclusion criteria. Results: The prevalence of young adults with AMI was 10.9% with mean age of 38.8 ± 5.1 years old and 96.4% were male. Eighty percent of the patients were Malay followed by 10.9% Chinese and 9.1% were Indian. 83.6% were married while 14.5% were unmarried and 1.8% were divorcees. Majority of patients (81.8%) had income less than RM4000. The common risk factors of young adults with AMI presented to HTAA was smoking (80%) followed by increased waist circumference (54.5%), obesity (52.7%), hypertension (40%), hypercholesterolaemia (27.2%), family history of ischaemic heart disease (27.2%), and diabetes mellitus (21.8%). Conclusion: AMI in young adults almost exclusively occurs in male. Smoking and obesity were the most common risk factors in young adults with AMI in HTAA.
Assessment of Calibration on Clinical and Practical Supervision among Dental Lecturers
Authors: Abllah Zurainie , Yaacob Munirah
Published: January 2021

Aim: The purpose of this assessment was to examine the variation among faculty members of Kulliyyah of Dentistry in supervising the clinical work of students. Introduction: Consistency in the evaluation of clinical decision-making is necessary for reliable assessment of student performance and effectiveness of clinical teaching. However little has been done to examine variation in dental clinical supervision. As a professional dental practitioner and lecturer, I feel this exercise is crucial as to give the best and ‘adil (justice) to students when doing assessment of work. Materials & Methods: Twenty clinical lecturers from Kulliyyah of Dentistry were given a set of criteria of rubric, and undergone twelve stations of clinical models focusing on several procedures in dentistry clinical works. The rubric and clinical models were prepared in six different groups of specialty: Periodontic, Conservative, General Dental Practitioner, Oral Surgery, Endodontic and Prosthodontic Dentistry. Lecturers go for baseline calibration and received training by 6 content experts immediately. Re-calibration was done after training. The time given for each station is 5 minutes. The rubrics consist of 57 points. The examination used dental mirror, dental probe, dental models, x-rays, copies of students’ case note and manikin. Kappa statistics were used to determine inter-examiner reliability at baseline and re-calibration. Results: For inter-examiner statistic, the baseline calibration on 20 clinical lecturers indicated an inter-rater kappa ranging from 0.05-0.5.Re-calibration on the same 20 packages after training indicated an inter-rater kappa of 0.11-0.42. Activity kappa was in the slight to moderate agreement. Performance of majority of examiners improved with time. Conclusion:The calibration of clinical lecturers should be performed regularly as it is crucial to maintain the uniformity of the examiners reliability. Furthermore the training needs to be conducted in an effective environment to improve performance. It is hoped that continuous training nurturing the “righteous individuals” which is one of the goals in Shariah principle.
Comparative Leaf Anatomy of Selected Medicinal Plants in Acanthaceae
Authors: Che Amri Che Nurul Aini , Tajudin Nur Shuhada , Shahari Rozilawati , Azmi Fatin Munirah , Talip Noraini , Mohamad Abdul Latiff
Published: January 2021

Comparative leaf anatomy study were conducted in three taxa of Acanthaceae from peninsular Malaysia. Three chosen taxa were Acanthus ebracreatus (Vahl), Andrographis paniculata (Burm.f.) Wall. ex Nees and Chroesthes longifolia (Wight) B. Hansen which is commonly used as traditional medicine especially in peninsular Malaysia. The main objective is to identify the leaf anatomical characteristics that can be used in plant identification and also for supportive data in plant classification. The procedures involved such as cross section using sliding microtome on the petiole, lamina, midribs and marginal, leaf clearing and observation under light microscope. Results have shown the similarities and variations in leaf anatomical characteristics. The anatomical characteristics observed include petiole and midrib outlines, patterns of petiole and midrib vascular bundles, presence of cystolith cells, presence of hypodermis layers in lamina and presence and types of trichomes. In conclusion, results showed that anatomical characteristics have taxonomic significance that can be used in classification especially at species level.
Compilation of Quranic Verses Related To Visual Function
Authors: Badarudin Noor Ezailina , Yazid Yazlin , Md Halim Siti Aishah Binti , Mohammad Hasbullah
Published: January 2021

Islam provides a comprehensive way of life where the revelations bestowed by Allah from the Quran and Hadith cover all aspects that leads to a well-balanced life. This study compiles all the Quranic verses related to visual functions which may serve as a reference for Muslims as well as non-Muslim primary eye care practitioners during their patients’ treatment and consultation. A website named “Search Truth” on http://www.searchtruth.com/was used as a tool to identify the Quranic verses related to visual function by typing in the keywords “eye/eyes”, “see”, “light”, “sight” and “vision” in the search boxes provided in the website. The program embedded in the website then listed the Quranic verses based on their English translation containing the respective keywords. The listed Quranic verses and their translations were verified manually using the Holy Quran Tafseer. The frequency of Quranic verses for each chosen keyword was determined. There were 34 Quranic verses related to visual function and could be explained scientifically. The frequency of Quranic verses related to visual function under the classification of “eye/eyes”, “light”, “see”, “sight” and “vision” were 15, 8, 3, 7 and 1 respectively. The fundamentals of visual functions may be explained scientifically based on the Quranic verses.
Islamic Ethical Paradigm on Poor Compliance in the Management of Bronchial Asthma
Authors: Mahamad Fuad Syafiqah Izzati , Taib Fahisham , Hidayat Taufiq
Published: January 2021

Childhood asthma is known to cause heavy economic burden due to increased hospital visits and prolonged hospital care due to its exacerbations. Despite the advancement of in-hospital management to control asthma, poor compliance has been an astounding problem in the management of the acute asthma attack. An 8-year-old boy, who was known as persistent bronchial asthma since 5 year of age, have had frequent visits to the clinics and hospital due to poorly controlled asthma symptoms. During this episode, he presented with worsening shortness of breath. He often misses his daily medication due to parental assumption that the patient is able to manage asthma by himself. His non-compliance towards medications has led to patient’s absenteeism from school and deterioration in his academic performance. Islam is a religion that emphasizes on provision of individual’s and community’s health. This is achieved through taking an optimal care of one’s health and aimed at maintaining disease control state. Parents have the duty to provide their children with good and healthy living throughout the childhood period, and not to neglect them in any way. Islam stresses the importance not only self-care in the society but also preservation of others’ health especially by the Muslim doctors. Conservation and protection of individual’s right to health especially children require group effort of both parents and medical personnel.
Islamic Moral Judgement on Resuscitation Issue: Nursing Perspective
Authors: M. Ismail Mohamad Firdaus bin , Hashi Abdurezak A. , Nurumal Mohd Said bin , Md Isa Muhammad Lokman bin
Published: January 2021

The primary goals of resuscitation are to preserve life, restore health, relieve suffering and limit disability. As nurses, executing the cardiopulmonary resuscitation (CPR) to a patient experiencing cardio-pulmonary arrest is essential in preserving life. However nurses face a dilemma in the decision making to either preserve the patient’s life or let the patient die naturally, if the patient’s autonomy as well as his family’s wish for a “do not resuscitate (DNR)” order. In this dilemma, the sanctity of life and the right to die is the main concern of this discussion. Islamic moral judgment, as the major concern here, should be studied as an alternative to analyse and provide a guideline that is in accordance with the Islamic teaching. Thus, this research is to provide the Islamic moral judgment on the resuscitation issue and its implication in nursing practices. The western ethics that represent the current practices on resuscitation is not included. The comparison was then made with the ultimate origin of Islamic teaching ie the Qur’an and Sunnah, as well as the notions of Muslim scholars on the subject. As the physician opines that CPR is to be beneficial to rescue a life, therefore refusing it may be considered as immoral. However, the DNR order is entirely acceptable if the doctor believes that CPR is futile and gives no benefit to the patient. The doctor has the authority to issue a DNR order if he is certain that the patient would not benefit from CPR without getting consent from the patient or his relative. Nursing implications: As nurses facilitate patients and family members in forming a decision about end of life hence engaging a comprehensive view of DNR based on Islamic teaching would provide an informed choice when advising a Muslim patient and family. The area to investigate would be on the degree of knowledge among nurses regarding the Islamic moral judgement on this matter is highly recommended for future management.
Legal Rulings on Medical Issues: A Comparative Study between the Malaysian and Islamic Law
Authors: Kassim Puteri Nemie Jahn
Published: January 2021

The medical profession is amongst the professions that offer tremendous benefit to the entire humanity. Nevertheless, the responsibilities that they have to undertake in their daily practice are constantly increasing as they deal with two most precious commodities of mankind, which is life and health. The demands for accountability when ‘the consequences of an action are considered not to be at par with the expectations’ has become a common trend within the society recently. Law, being an instrument of social regulation, intervenes to establish the rights and responsibilities in medical practice to determine the boundaries of rightful conducts in areas where there exist conflicts of moral, ethical and religious issues. Therefore, it is pertinent for Muslim doctors to keep abreast with the developing law that is governing their practices and at the same time, to ensure that any deliberations flourish within the confines of Islamic law. By employing qualitative research method, namely, doctrinal analysis, this paper seeks to discuss the legal rulings from the Malaysian and Islamic law perspectives relating to significant and current medical issues such as negligence, confidentiality, assisted reproductive technologies, abortion, euthanasia, organ transplantation and sterilisation.
Suggested Insulin Regimen for Pregnant Women with Diabetes Who Wish To Fast in Ramadan
Authors: Yahaya Ahmad Shuib , Ibrahim Adibah , Othman Mohd Shukri , Ismail Mohd Pazudin
Published: January 2021

Introduction: Pregnant women are among those who are exempted from Ramadan fasting. Despite that, many pregnant women had chosen to fast despite understanding the risk of complications especially hypoglycaemia. In Hospital USM (HUSM), an insulin regime for pregnant women who wish to fast was designed based on expert opinion of obstetricians, but its safety and efficacy are yet to be determined. Objective: To determine the safety and efficacy of the formulated insulin regime using subcutaneous Actrapid® and Insulatard® amongst pregnant women with diabetes who fast in Ramadan. Methodology: Pregnant patients with diabetes on insulin who wish to fast during Ramadan were invited to participate in the study. The total daily dose of insulin requirement prior to Ramadan was divided 3 parts; 2/3 for iftar (sunset meal) and 1/3 for sahur (pre-dawn meal). For each timing, 2/3 of the calculated dose was given as short-acting insulin Actrapid® and remaining 1/3 as intermediate-acting insulin Insulatard®. Three patients were monitored in the ward while fasting for two days. Blood glucose checked eight times a day. Following that, eight patients were followed up during Ramadan fasting with this regime. Weekly blood sugar profile (BSP) was taken and glycaemic control evaluated. Results: All patients were able to fast without any hypoglycaemic episode, both during in-patient study and during out-patient Ramadan fasting. Mean daily blood glucose per day for in-patient monitoring was 7.3 mmol/l with the lowest being 4.56 mmol/l in the afternoon. During Ramadan fasting, average glucose level was higher (6.79 mmol/l) compared to prior to Ramadan value (5.67 mmol/l) (p> 0.05). However, improvement of glycaemic control was observed towards end of Ramadan. Conclusion: Pregnant women with diabetes treated with insulin can fast safely during Ramadan using the suggested insulin regime with improvement of glycaemic control observed at the end of Ramadan.
The Correlation between Oral Health Knowledge & Attitude towards Practice of Caretakers in Day-Care Centres
Authors: Ab Halim Noorhazayti , Yusof Raihan Mastura , Abdullah Siti Norazizah
Published: January 2021

Modernization has made young children to spend most of their time in day-care centres as their mothers are working outside the home. Hence, the role of caretaker has become more important in the daily diet and oral health care of children. The objective of this study is to assess the oral health knowledge, attitude and practice among caretakers in day-care centres. A cross-sectional study among 54 caretakers aged 18 and above was conducted in Kuantan. The data was collected using a self-administered questionnaire addressing aspects of oral health knowledge, attitude and practice of caretakers. The results were analyzed by descriptive and Spearman correlation coefficient tests. The participants were mainly Malay ladies and 16.7% had university education. The knowledge of sugary food causing dental caries was found good for all caretakers; however, 48.1% of them do not know the important about filling the teeth of their children. Preliminary analysis was performed and followed by Spearman correlation coefficient analysis. Correlation between attitude and practice was weak (rho=0.29, p0.05). The caretakers had good oral health knowledge but it did not reflect in their attitude and practices. The action must be based on knowledge, and that knowledge must produce action. As Abu Bakr (R.A) said, “without knowledge action is useless and knowledge without action is futile.” The Arabic term ‘ilm translates to knowledge, but the word has a broader definition than its English counterpart. ‘Ilm encompasses theory, action, and education whereas in English, knowledge is defined as merely the awareness of facts, truths, and principles.
The Needs of Islamic Health-Related Quality of Life Instrument: A Review
Authors: Mohamad Najwa Haneem Binti , Yusoff Harmy Mohamed , Amin Rahmah Mohd , Wan Chik Wan Mohd Yusof , Mohamad Mahadzirah
Published: January 2021

One of the best ways to evaluate persons’ health quality is through measuring their Quality of Life (QoL). The QoL concept gained rapid popularity over the last four decades in assessing health. It has been used as the sole endpoint in studies designed specifically to develop a positive physical or mental well-being of sick people. The purpose of this review is to address the needs of a new Islam-specific health-related QoL instruments for Muslim patients. A literature search was conducted using electronic databases. For the purpose of the review, QoL domains from WHOQOL SRPB instrument was referred. The identified QoL instruments were then reviewed for their domains and dimensions included in it. At present, there is no specific QoL instrument to assess health-related QoL among Muslim patients’ despite being fastest-growing religion and contribute 23% of the world population. Muslims believes that Islam is a comprehensive way of life which puts religiosity and spirituality as an essential part of life. In addition, QoL is regarded as an important aspect in health care by the World Health Organization (WHO) and spiritual well-being is one of the WHO QoL dimensions. To date, no instrument has been developed to measure QoL specifically according to Islamic perspective. Hence a specific assessment tool of health-related QoL for this growing world population is highly needed. Islam is not only a religion but it’s a way of life and QoL should be beyond the religion perspectives. Therefore, this paper will present the gap found in the review of the existing QoL instruments. Identifying this gap will enable us to develop a tool which is more sensitive to the Muslim population.
A Case Report on a Pancreatic Enigma: Metastatic Solid Pseudopapillary Neoplasm
Authors: Pal Ashna S , Pal Ashna S , Veerankutty Fadl H , Chacko Sidharth , IS Vipin , NP Kamalesh , Kurumboor Prakash
Published: January 2021

Introduction: Solid pseudopapillary neoplasm is a unique enigmatic disease typically affecting young
females. Being a low-grade neoplasm surgical resection is often curative. Rare cases (5-15%) present with
distant metastasis. Only 2% has lymph nodal metastasis. This is a case report of metastatic SPN with both
visceral and lymph nodal involvement. The work has been reported in line with the SCARE criteria.
Case Presentation: The authors present a case of metastatic SPN in an 18-year-old female who came with
an abdominal lump. Contrast enhanced CT abdomen findings were in favour of huge SPN arising from
pancreatic tail. The prime concern was the coexistence of bilobar liver metastasis predominantly involving
right lobe. The complexity of surgical resection along with metastatectomy in a young female was
herculean. This clinical dilemma was tackled with staged resection.
Conclusion: Even in metastatic SPN a reasonable survival can be achieved by surgical debulking. We
emphasize the importance of aggressive approach in operable metastatic SPN.
Graphology: An Interface Between Biology, Psychology and Neuroscience
Authors: Mazza Marianna , Marano Giuseppe , Traversi Gianandrea , Gaetani Eleonora , Sani Gabriele , Mazza Salvatore , Mazza Marianna
Published: January 2021

Handwriting analysis dates back to many centuries ago. Graphology is a discipline that investigates
personality and intellect of the individual through writing, indeed handwriting of the human being is an
expression of his or her essence. Graphology examines a writing in order to extract unfiltered information
about innate temperament and subconscious nature of who has traced the letters. The present paper
highlights the historical and methodological approaches of graphology and its usefulness in human
knowledge in order to give a glimpse of the complexity of this discipline. We have gradually focused on the
description of the various fields with which, over time until today, the graphologists have dealt according
to experimental and epistemological methodologies along a spectrum that ranges from studies on the
character, the neuronal and biological correlates, the use in the forensic field, until to the contributions to
career counseling and personnel selection. This manuscript aims to provide a quantitative picture of the
handwriting analysis trying to combine insights from different sources and exploring conditions, limits and
possibilities of its subject matter and methods involved. Handwriting analysis draws reliable conclusions
about the spirit personality of a writer. We suppose that graphology and psychology could complement each
other, and in this perspective, we explore the hypothesis of the existence of a bidirectional relationship
between psychology, graphology and neuroscience which allows to gain insight into ourselves and others.
Methodological principles of management of the profit of a trade enterprise
Authors:   State University of Telecommunications, Sʹomkina T. V. , Huzhavina I. V. , Zgursʹka O. M.
Published: January 2021

The article is devoted to the substantiation of profit management methods of a trading enterprise based on the use of microeconomic research tools. The economic essence of profit is determined in the conditions of development of market relations. The need for profit management in enterprises is substantiated. The prerequisites for the development of an operating profit management system are investigated.
Innovative potential of the modern enterprise
Authors:   State University of Telecommunications, Lehominova S. V.
Published: January 2021

The article defines the essence of the innovative potential of the enterprise, the possibility of forming competitive advantages of the enterprise through the effective implementation of innovations. A comparative analysis of the main competitive advantages of telecommunication enterprises of PJSC “Kyivstar”, PrJSC “VF UKRAINE”, PJSC “Ukrtelecom” was carried out, the creation of which is the result of the effective use of the innovative potential of the enterprise. The financial and economic activities of enterprises are analyzed and the degree of success of using innovative potential is revealed.
Basic directions of development of telecommunication companies innovative potential on innovative activity objects
Authors:   State University of Telecommunications, Hlushenkova A. A.
Published: January 2021

Effective innovation involves an integrated approach to the development and implementation of the innovative potential of a telecommunication company. The article identifies priority areas for the development of innovative potential of a telecommunication company in terms of innovation. The main directions of technological innovation in the field of telecommunications are identified. The directions of the implementation of information innovations are formulated. Management innovations are highlighted as a direction for the development of the innovative potential of a telecommunication company.
The eidos of marketing strategy of the enterprise
Authors:   State University of Telecommunications, Kryzhko O. V.
Published: January 2021

The article describes the essence of marketing strategy and its main features. Researched and analyzed the opinion of domestic and foreign scientists on the concept of "marketing strategy". Defined the main tasks and elements of marketing strategy which are solved in the development process. Special attention is paid to the formation of marketing strategy of the enterprise. The main stages of developing a marketing strategy are identified, including monitoring the implementation and analysis of the effectiveness of the strategy.
Analysis of the state of use of methodical approaches to assessing the enterprise's economic security level
Authors:   State University of Telecommunications, Yakymenko Yu. M. , Muzhanova T. M.
Published: January 2021

The article explores the features of using methodological approaches in the field of security, analyzes existing methods and offers recommendations on the use of tools to assess the level of economic security of an enterprise.
Priority areas of information and communication security development of communication enterprises
Authors:   State University of Telecommunications, Shmaliy L. V.
Published: January 2021

The article summarizes and develops the theoretical basis and practical aspects of determining the priority directions of development of information and communication support of economic security of communication enterprises, substantiates the necessity, purpose and tasks of such development, identifies trends and key obstacles to the development of information and communication support of economic security of communication enterprises, elaborates , identified competitive advantages and priority areas, which include, in particular, the formation of innovative third IT boards ormy using cloud technologies, intelligent systems, handling large amounts of data, robotics, mobile and social technologies, artificial intelligence and so on.
Comparative assessment of the effect of the combined use of Feliferon and Azoxivet and Globfel-4 in feline rhinotracheitis on hematological parameters of white blood
Authors: Nozdrin G. A. , Ermakova L. P. , Mensh I. K. , Borodina Ya. E. , Tishkov S. N.
Published: January 2021

The comparative effect of the combined drugs Feliferon and Azoksivet and the drug Globfel-4 for rhinotracheitis in felines on hematological parameters of white blood was studied. In our study on the treatment of viral rhinotracheitis, 16 cats were examined. During the experiment, all cats showed the following clinical signs: lethargy, fever, leakage from the eyes and nasal passages. The animals were kept in separate cages in accordance with the European Convention for the Protection of Vertebrates. The control group was given 1 ml subcutaneously, once a day every other day, with a course of 7 injections, immunoglobulin against rhinotracheitis, calicivirus and chlamydia - Globfel-4. The experimental group was treated with drugs Azoxivet intramuscularly in a course of 7 injections, once a day every other day, and Feliferon at a dose of 400,000 IU intramuscularly, once a day. The course of treatment was 7 days. Blood sampling was performed from the anterior saphenous vein of the forearm before and after therapy. The concentration of erythrocytes and hemoglobin was determined on an automatic hematology analyzer Mindray BC-2800. When treating cats with rhinotracheitis with Globfel-4, pronounced leukocytosis, absolute and relative lymphocytosis were noted. With the combined use of Azoxivet and Feliferon, these blood changes do not occur. When treating cats with rhinotracheitis with Globfel-4 or the combined use of Azoxivet and Feliferon, the absolute concentrations of monocytes and granulocytes increase within the physiological norm. The relative concentrations of these white blood phrases increase within the physiological norm only with the combined use of Azoxivet and Feliferon.
The use of probiotic Vetom 1 in the complex therapy of feline microsporia
Authors: Nozdrin G. A. , Yakovleva M. S. , Yakovleva N. S. , Pistunova E. E.
Published: January 2021

The effect of the drug Fungin Forte in combination with the probiotic drug Vetom 1 was studied in the complex therapy of feline microsporia. 2 groups of 5 cats each with a diagnosis of microsporia and the same initial size of alopecia were formed. Cats of the control and experimental groups were given a combined antifungal drug Fungin Forte, applying it for 21 days in a thin layer on the affected areas 2 times a day, rubbing from the periphery to the center. The experimental group cats were additionally given the probiotic preparation Vetom 1 inside at a dose of 50 mg / kg for 20 consecutive days. The therapeutic efficacy of the treatment of feline microsporia was assessed by reducing the severity of clinical signs of dermatomycosis by measuring alopecia and plotting changes in their size. Blood sampling was performed from the anterior saphenous vein of the forearm before and after therapy. The concentration of erythrocytes and hemoglobin was measured on a Mindray BC-2800 automatic hematology analyzer. It was found that Vetom 1 increases the concentration of hemoglobin in the blood and the number of erythrocytes within the physiological norm, which helps to improve the general condition of animals during therapy with Fungin Forte. When using Vetom 1 against the background of using the drug Fungin Forte, the resistance of the organism of animals of the experimental group increases, the process of restoring the skin barrier and reducing alopecia on the coat is accelerated, which is directly proportional to the decrease in the amount of the pathogen on the skin.
Assessment of the influence of the maternal genotype on the realization of the productive potential of Holstein cattle in the conditions of the Novosibirsk region
Authors: Valieva E. R. , Unzhakova А. А. , Kochnev N. N.
Published: January 2021

An analysis of the productive qualities of mothers cows and their offspring, obtained from different fathers, showed that the contribution of parents to the formation of milk productivity is unequal. Intensive selection of bulls-producers leads to fixation of homozygotes at the loci associated with traits of milk production, which increases their influence on offspring. The strength of the influence of the father’s factor on milk yield, milk protein and live weight of daughters was 6, respectively; 14 and 16%. The productivity level of mothers did not significantly affect the productivity of their daughters. High-yielding offspring can be obtained from low-yielding cows. Daughters surpassed their mothers in milk yield, but inferior in fat milk. The proportion of deviation from the theoretically expected productivity of daughters (milk yield per 305 days), which is caused by the influence of the maternal genotype, in the groups of Auckland No. 426436885, Showman No. 831842 and Euclid No. 831491, respectively, was 15.8; 27.5 and 30.4%. The correlation coefficient between the milk yield of mothers and daughters was + 0.25 (p <0.05), and body weight correlated at the level of +0.3 (p <0.01). In the groups of daughters, butterfat is associated with milk yield (r = - 0.5) and milk protein (from +0.34 to +0.67). For mothers, the relationship between these indicators was lower. It is possible that half-siblings have stronger genetic links between traits than unrelated mothers. Genetic diversity in milk yield (h2 = 0.6) and live weight (h2 = 0.5) was established. Repeatability coefficients for fat and milk protein were at the level of 0.35. The productive potential of the breed depends on the combinational compatibility of the parents, their contribution to the formation of complex quantitative characteristics of productivity.
ACESSIBILIDADE NO TURISMO: UMA PROPOSTA DE INCLUSÃO DE ROTEIROS ACESSÍVEIS NO CALENDÁRIO DE EXCURSÕES DAS AGÊNCIAS DE TURISMO SOCIAL DO SESC - PE
Authors: Rosangela Rodrigues Lima dos Santos , Bruna de Barros Soares , Lizandra Silva Bezerra , Derek Luiz Alves dos Santos , Simone de Paula Silva
Published: January 2021

No Serviço Social do Comércio, a prestação de serviços turísticos ocorre por meio das agências de Turismo Social. Mesmo a instituição abordando a questão da acessibilidade em diversos momentos (principalmente em congressos e palestras), a criação de um roteiro turístico acessível até então não foi uma iniciativa contemplada, apesar do potencial de crescimento social e de bem-estar comunitário. Este trabalho objetiva sugerir uma proposta de inclusão de roteiros turísticos acessíveis a pessoas com necessidades específicas nas agências de Turismo Social do SESC/PE, por meio do planejamento de um roteiro acessível a deficientes auditivos para a agência de Turismo Social da unidade do bairro de Santo Amaro em Recife/PE. Trata-se de um relato de experiência. Na referida perspectiva, propõe-se uma pesquisa de natureza aplicada, com abordagem quali-quanti. Possui um enfoque exploratório-descritivo, tendo como procedimentos de pesquisa o tipo estudo de caso. A coleta de dados e informações se deu por levantamento documental e de bibliografia. Por meio da análise, percebeu-se que o não uso da Língua Brasileira de Sinais - LIBRAS no provimento de serviços turísticos é a principal causa pela qual há o receio por parte das pessoas surdas em viajar. Nas agências de Turismo Social do SESC/PE (como em toda agência de turismo) há um molde previamente estabelecido quando se trata da elaboração de roteiros turísticos e sua comercialização, excluem-se, entretanto, as particularidades que estão ligadas ao público-alvo concernente a segmentação turística e atrativos a serem utilizados. Diante da realidade encontrada no Brasil, é observado que há uma necessidade na melhora da acessibilidade dos serviços e equipamentos turísticos. Para os deficientes auditivos, essa acessibilidade ocorre através da quebra da barreira da comunicação que se dá pelo uso da LIBRAS. Ao propor a criação de um pacote turístico inclusivo nesse aspecto, as agências de turismo podem atuar no processo da inclusão social da pessoa com deficiência, auxiliando na melhora das condições de acesso dos atrativos e no progresso do mercado turístico nesse aspecto. É de extrema importância que esses tipos de iniciativas sejam perpetuados, não só pelas agências de Turismo SESC/PE, mas por todo o trade (mercado).