bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perception of Halal Pharmaceuticals among State Hospital Outpatients in Perlis, Malaysia
Authors: Ang Wei Chern , Khadir Noorsyahiruh Abdul , Sofia Lahazir Nurfatin Amira , Baharudin Alia Hayati 
Published: January 2023

Objectives: Halal pharmaceuticals have expanded globally, which is one of the elements in Shariah compliance hospitals. With the emergence of COVID-19 vaccines, the ‘Halal’ status has become a debate causing some to reject it. The aim of this study was to explore the perception of halal pharmaceuticals among hospital outpatients. Methods: A qualitative study by in-depth interviews were conducted among adult Muslim outpatients collecting their medications. A Malay language semi-structured interview guide was prepared and underwent content trustworthiness by the State Mufti, a Malaysian pharmacy professor, two pharmacists with a special interest in Halal pharmaceuticals and two Islamic affairs officers in the Ministry of Health Malaysia. Subjects were recruited in the waiting area of the outpatient pharmacy, Hospital Tuanku Fauziah (HTF). Interview sessions were audio-recorded and transcribed verbatim. The transcripts were back-translated in English and analysed using thematic content analysis. Results: Ten outpatients were interviewed in which data saturation was reached. Overall, the patients were proactive in observing the label to ensure they received the correct medications. However, all patients were unfamiliar and not curious about the concepts of ‘halal pharmaceuticals’ and ‘Shariah-compliant hospital’. The patients also trusted that the government would provide only the safest and halal medicines. Most patients did not prioritise halal status while choosing their medicines. However, if options were available, most would choose halal medication regardless of its price and effectiveness. They still would consent to receive non-halal treatments for life-saving conditions. Conclusion: There was a good perception of halal pharmaceuticals among outpatients in HTF. There are many opportunities for patient education on this topic as the public is currently not familiar with the terms and halal concepts in medical settings. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S16
A Cross-Sectional Study on Menstrual Health Practice and Needs Among Female Rohingya Residing in Malaysia: An Interim Analysis
Authors: Badrul Hisham Muhammad Aqif , Mohamed Tahir Ahmad Rashidi , Syed Hussein Al-Attas Sh Fatimah AlZahrah , Athirah Daud Nur Aizati 
Published: January 2023

Objectives: Not much is known about the menstrual practices and needs among Rohingya females residing in Malaysia. This knowledge gap needs to be addressed, in line with the efforts toward family planning. The objectives of the study are to describe menstrual practices among female Rohingya and to assess whether their menstrual needs are met during their last period. Methods: This is a cross-sectional study involving Rohingya females aged 18 to 55 years old attending QFFD Clinic run by IMARET in Selayang, Selangor between April to July 2022. Menstrual practices and needs were assessed using self-administered questionnaires; the Menstrual Practices Questionnaire (MPQ) and the Menstrual Practice Needs Scale (MPNS-36), respectively.  Results: A total of 40 respondents have completed the questionnaire. Only 42.5% (n=17) of respondents have good experiences during their past menstrual cycle despite most of the respondents were able to meet their materials and home environment needs (n=27, 67.5%) and are less concerned when managing the disposal of their menstrual materials (n=25, 62.5%). Though, only 12.5% (n=5) of respondents have their transportation and school environment needs were met during their past menstrual cycle and 37.5% (n=15) of the respondents have concerns with the quality of their menstrual materials. The most common menstrual materials used by respondents at home and while away from home are disposable sanitary pads (n=35, 87.5% and n=36, 90.0% respectively). Many of the respondents prefer to dispose them inside the household rubbish bin which is inside the latrine when at home (n=36, 90.0 %) while the bin in the public latrine or toilet is used when disposing menstrual materials while away from home (n=32, 80.0%). Conclusion: Most of the female Rohingya refugees were able to practice safe and clean menstrual management. Though, some of their needs were not met, especially during transportation and away from home. It is important for non-government organizations like UNHCR to fight for their legal status in Malaysia so that they can feel safe and secure without it impacting their health negatively. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S17
Management in MAEPS 2.0 Quarantine Centre: Burnout and Quality of Life of MOH Healthcare Workers
Authors: Khamis Noraziani , Krishnan Muniamal , Nordin Fairuz Nadiah , Shanmugam Sunita S , Shazura Indera Putera Ku Anis  
Published: January 2023

Objectives: Malaysia Agro Exposition Park Serdang, MAEPS was established as a COVID-19 Quarantine and Low-Risk Treatment Centre that was aimed to reduce the burden of hospitals. Various categories of healthcare workers (HCWs) were deployed nationwide. Being far from home and friends, working in an unfamiliar environment, and being concerned about one's own risk of COVID-19 exposure may exacerbate burnout in HCWs or affect their quality of life. Assessment on burnout and quality of life among MOH HCWs stationed at MAEPS 2.0 and the management of the healthcare workforce during the pandemic are shared. Methods: A cross-sectional survey was conducted between September 2021 to May 2022. The Copenhagen Burnout Inventory and the World Health Organization Quality of Life questionnaire were used to assess burnout and quality of life of MOH HCWs respectively. The Checklist for the Management of Health Workers in Response to COVID-19 consisting of 8 Essential Actions was given to heads of divisions in charge to obtain their perspective. One point assigned to the intervention answered “Yes” by the majority of respondents. Cumulative marks were then converted to percentages according to each Essential Action. Results: The rate of burnout ranged between 18% to 32% among the 377 respondents.  Majority of HCWs had a good and very good perception of their quality of life and were satisfied with their overall health. There were moderate to strong correlations (r = - 0.44 - 0.67) between burnout and quality of life (p<0.001). More than half of the eight Essential Actions in the checklist scored 100%. Conclusion: Management of workers is important to ensure preparedness for response, enhance surge capacity and maintain crucial health services during the pandemic. Some HCWs experienced burnout and it relates to their quality of life. Nonetheless, MOH HCWs management at MAEPS 2.0 was managed with minimum gaps against the checklist.International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S18
The Effectiveness of Menstrual Education Module for Children and Adolescent Refugees:  A Pilot Study
Authors: Athirah Daud Nur Aizati , Badrul Hisham Muhammad Aqif , Mohamed Tahir Ahmad Rashidi , Hussein Al-Attas Sh Fatimah AlZahrah Syed 
Published: January 2023

Objectives: Females across low- to middle-income countries have limited knowledge and understanding about menstruation prior to reaching menarche. One of the marginalised populations prone to this challenge is the female refugees in Malaysia. The objective of this pilot study is to evaluate the effectiveness of a menstrual health module developed for children and adolescent refugees. Methods: This is a pilot intervention study among children and adolescents aged 9 to 17 years old attending a school for refugees and stateless children located in Selayang, Selangor. A menstrual health module was developed containing basic knowledge on reproductive organs, changes during menstruation, menstruation cycle, and menstrual hygiene management. Activities were carried out during this program to engage the participants. A set of 20 quiz questions were given, pre- and post-intervention. Scores from the quiz were compared using paired T-test to evaluate the effectiveness of the module. Results: A total of 11 children participated in the program (mean age: 12.8 + 1.3 years). All of the participants are Muslims and the majority of them are Myanmar refugees (n=10, 90.9%). The majority stayed with their parents (n=9, 81.8%). About half of the participants have fathers who are without any education (n=6, 54.5%), while most of the fathers were working full time (n=9, 81.8%). The majority of the participants had a monthly household income of less than RM2500 (n=10, 90.9%). The post-intervention mean score for the quiz questions was significantly higher than the pre-intervention mean score (15.9 + 2.3 and 6.3 + 4.9 for post- and pre-intervention, respectively) (p<0.001). Conclusion: The menstrual education module was shown to be effective in increasing the knowledge of menstruation and menstrual hygiene among children and adolescent refugees. Rooms for improvements were identified for further revision of the menstrual health module.International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S19
Beyond Two Decades of Rumah Solehah: The Time for Extended Scope of Programs
Authors: Haji Abd Hamid Matron Fadzilah Bt , Hamzah Fathiiah Bt 
Published: January 2023

Rumah Solehah has been handling residents in the halfway house since its inception in 1998 with various issues. Through education particularly on the mode of transmission, society has learned to accept People Living with HIV (PLHIV) to stay with them at home except for the very few. Thus, Rumah Solehah introduced other extended programs. 1. Home-Based Program: The discharged infected ladies from Rumah Solehah are assisted to adjust themselves to their family’s environment. The families are guided in issues such as compliance to medication. The ladies will come to Rumah Solehah periodically for continuation of spiritual and vocational training. During those visits, they will receive cash for their fare and kinds. The families are often reassured and counselled. 2. Tele-Counselling: PLHIV and families often call Rumah Solehah for counselling. Issues discussed vary, the recent ones becoming more chronic, calling late at night. 3. Community Education: Every month public or private universities will send their students for HIV awareness program on topics such on HIV 101. Masters and Post Basic Ministry of Health (MOH) students will be given the chance to practise their HIV counselling to our infected cases. Rumah Solehah also accepts invitations for public talks in other states. 4. Studies and Research: Several studies have been performed by university students in collaboration with UM and IIUM on issues related to women and children infected with HIV. The current research with IIUM is for the Ministry of Health to develop programs or assistance for orphans infected with HIV. The extended programmes are very timely and cost effective. To have residents for long period of time is expensive. Infected women and children have a better and happier life staying with their extended or adopted family with continuous follow up care, thus ensuring quality time for the cases of Rumah Solehah. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S20
Transformation of Emergency & Trauma Department in Response to COVID-19 Pandemic
Authors: Mohd Zaini Nurul Nasibah , Anuar Azmir , Mun Chung Wai 
Published: January 2023

Objectives: COVID-19 pandemic has caused tremendous impact on Emergency & Trauma Department (ETD) worldwide including ETD Hospital Taiping (HTPG). It is a large department with approximately 200 staff and a daily admission load that achieves an average of 250-300 patients per day, with an expected load increment during festivals and weekends. This article illustrates reorganizing strategies of ETD HTPG in setting up system and rules implementation in response to COVID-19 pandemic since the year 2020. Methods: This is a descriptive report on the transformation of dedicated facilities to cope with COVID-19 pandemic since the year 2020. Plan-DO-Check-Act (PDCA) has been implemented to improve the systems. The report is written based on the actual clinical needs, development and advancement of emergency medical services in ETD HTPG. Results: Elimination of COVID-19 pandemic virus is impossible in the near future in a start year of 2020. Isolation has turned out to be the next crucial step in controlling the pandemic. The creation of Triage Isolation Booth (TIB) has reduced transmission risks while allowing staff to carry out their usual triage process. Three emergent clinical areas were formed in an ad-hoc manner to cater to the pandemic, namely Respiratory Zone, Influenza-Like Illness (ILI) & COVID Zone in addition to basic 3 zones of red, yellow and green. New norms, rules and regulations are adapted to all ETD staff, patients and visitors. Conclusion: This article is meant to share our initiative and strategies in handling and managing COVID-19 cases with multiple challenges and limitations of resources in ETD HTPG. As a point of success of these strategies, we have recorded only 3 isolated positive cases among ETD staff in the year 2020. To date, the system is being practiced and revised from time to time to achieve better performance for patients’ needs. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S21
Metastatic Breast Carcinoma with Cutaneous Metastasis and Right Pleural Effusion
Authors: Zakhi Adib 
Published: January 2023

Cutaneous metastasis is when cancerous cells spread from a primary tumour to the skin. This is a case of a 75-year-old patient who developed skin metastasis with underlying primary breast. A 75-year-old lady presented with a 3-week history of the progressive appearance of multiple asymptomatic nodular lesions on the chest. Eight months earlier, she was diagnosed with right breast carcinoma and underwent neoadjuvant chemotherapy followed by a right modified radical mastectomy. She presented with progressive skin lesion over the right upper limb and anterior chest wall. She denied any fever, pain or pruritus and any preceding burn or trauma. She also completed a course of antibiotic for the lesion. Physical examinations revealed an erythematous lesion with multiple exophytic nodules. It was painless and extended from the anterior chest wall to the right upper limb. Lung auscultation revealed reduced air entry over the right upper zone. She was then referred to the Oncology Department and diagnosed with metastatic breast carcinoma with right pleural effusion and cutaneous metastases. As she was unfit for further systemic therapy, she was discharged home and continuation of supportive care. Chest radiograph revealed right upper lobe opacity and bedside ultrasound confirmed right upper lobe pleural effusion. Other investigations were unremarkable. Cutaneous metastasis accounts for 24% of breast carcinoma and may manifest as the presenting lesion or after the tumour diagnosis. The commonest manifestation is the presence of nodules in the ipsilateral chest wall to the primary tumour, their size varies, is painless and are commonly spread via lymphatic drainage. Skin biopsy helps in diagnosis confirmation. Definitive treatment depends on the management of the primary malignancy. As it may mimic benign lesions, one should be highly suspicious of skin metastasis as he might be the first person to identify the primary tumour. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S22
The Classical 6-P of Acute Limb Ischemia
Authors: Zakhi Adib 
Published: January 2023

Acute limb ischemia (ALI) is a surgical emergency and often threatens limb viability. This is a case of a 45-year-old patient who presented with the classical six Ps of ALI.  A 45-year-old lady with underlying hypertension and heart failure presented with acute right leg pain arriving by ambulance at the Emergency Department within 4 hours of the symptom.  The patient was clinically obese and seemed very uncomfortable as evidenced by her writhing in pain. She was borderline tachycardic and hypertensive. The cardiopulmonary and abdominal examinations were unremarkable. On extremity examination, she was unable to move her right leg starting from the knee caudally. The leg appeared mottling and cold. On vascular examination, there was no abdominal or femoral bruit but there was a diminished pulsation of the right femoral, dorsalis-pedis and posterior-tibialis arteries as confirmed by Doppler compared to the contralateral side. On the neurological examination, the sensation was absent and no pain upon the passive stretch. Ankle-Brachial-Systolic Index (ABSI) was 0.7. As evidenced by pain, pallor, pulselessness, poikilothermia, paralysis, and paresthesia, clinical diagnosis of acute right leg ischemia was established with most likely vascular occlusion proximal to the left femoral artery. The vascular team was urgently referred. Electrocardiogram showed sinus tachycardia. Bedside ultrasound revealed normal aortic root size and neither aortic dissection nor aneurysm. 2-point compression tests were fully compressible and X-ray films showed no fracture. Creatinine Kinase was 65 units/litre whereas other blood parameters were unremarkable. She was then classified as Rutherford IIB and underwent a right femoral thromboembolectomy.  The presentation of ALI requires rapid diagnosis and appropriate management as it is time-sensitive and limb-threatening. Emergency physicians should be aware of advances in endovascular therapies as a recommended option for the treatment of ALI. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S23
Qualitative Exploration of Men’s Opinion on the Features of Male-Friendly Primary Health Services in Kelantan, Malaysia
Authors: Ab Aziz Muhammad Zikri , Tengku Ismail Tengku Alina , Ibrahim Mohd Ismail , Yaacob Najib Majdi , Mohd Said Zakiah 
Published: January 2023

Objectives: This study explores men’s opinions on the features of male-friendly primary health services in Kelantan, Malaysia. Methods: A qualitative study using in-depth interviews was conducted among 15 men from six primary health clinics in Kelantan, Malaysia. The participants were selected using a maximum variation sampling method. An interview guide was used, and the interviews were audio-recorded. The finding was transcribed verbatim and analysed using thematic analysis techniques. Results: The age of the participants ranged from 31 to 70 years old. Their opinions on how male-friendly primary health services should be were explained under four themes:(i) meeting the men’s needs in primary health services, (ii) approaching men through effective health promotion strategies, (iii) standards of a healthcare provider from men’s viewpoint, and (iv) a comfortable physical environment for men. The participants view that health services should be efficient by providing short waiting times and high-quality services, including men’s health services. In addition, the health promotion approaches and styles should consider local men’s culture and interests and be appropriately implemented. Besides that, they expected a standard of healthcare provider’s characteristics, including commitment to work, admirable attitudes and behaviour, and professional work practices. They also expected the health clinics to have a comfortable environment to wait, discuss with the doctors, and be equipped with visitor-friendly amenities. Conclusion: Understanding the men’s opinions on the features of male-friendly primary health services would give clear and accurate information about their needs and demands in relation to this service. In addition, the identified themes and features may guide the improvement of the services and men’s engagement in the future.International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S24
Multi-Modality Treatment of Supraglottic Stenosis Secondary to Laryngeal Pemphigus: Sharing Experience in UiTM
Authors: Mat Barhan Noor Shairah , Sobani Muhammad Ariff , Mansor Masaany , Kamarudin Intan Kartika , Rahim Norazila Abdul 
Published: January 2023

Supraglottic stenosis is a rare subsite of laryngotracheal stenosis. In the literature, the common causes of supraglottic stenosis are radiation therapy or autoimmune disease. We present an experience in dealing with supraglottic stenosis secondary to laryngeal pemphigus. This is a case of a 36-year-old lady with supraglottic stenosis secondary to laryngeal pemphigus. She presented to our clinic with shortness of breath and mild stridor mainly on exertion. An office-based procedure of trans-nasal scope-guided with serial intralesional steroid injections (SILSI) using single-use Olympus Injector Force Injection Needles Max 23G, was done which halted the progression of the disease. Eventually, balloon dilatation under jet ventilation was performed to widen the size of the stenosis and reduce the symptoms. Dilatation was performed using CRE PRO Wire-guided balloon dilatation catheter from size 8mm to 12mm with respective pressure applied for about 2 minutes without interruption of spontaneous breathing, oxygenation, or ventilation. Incision of stenosis segment with micro scissor was performed in between balloon dilatation and the procedure was completed with intralesional steroid injections. Upon follow-up, we noted clinical improvement of the stenosis as well as the patient’s health perception as measured by EQ-5D-5L. Patients with supraglottic stenosis usually need tracheostomy for breathing. This multimodality treatment might be required to treat supraglottic stenosis.  Endoscopic treatment can result in favourable outcomes for the patient without needing a tracheostomy. International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S25