Severe stress mimic hearth disease during the covid-19 pandemic

1. The COVID-19 pandemic resulting in economic recession has negatively affected many people's mental health due to isolation, burnout, or financial crisis resulting in job loss linked to poor mental health outcomes (Panchal et al., 2021). 2. This case described a young working adult man who suffered from severe stress during pandemic COVID�19 presented with heart disease symptoms. He was referred to a cardiologist, and all investigations related to cardiovascular disease were normal. He came back with worsening symptoms. Depression Anxiety Stress Scales 21-item (DASS-21) (Lovibond et al., 1995) revealed a very high score for stress and anxiety. 3. Stress management counselling includes detecting the underlying stress, mainly contributed by the impact of the COVID-19 pandemic, behavioural changes, stress coping skills and spiritual empowerment. A twelve-week follow-up reassessment of stress level has shown a significant improvement in DASS scor

Patient trying to tell something else: severe stress during COVID19 Pandemic

Identifying mental health illness poses a dilemma, particularly the distinction between heart disease and severe stress. Without early intervention, it can be escalating into psychiatric disorder and suicide

Condom use consistency and its associated factors among male to female transgender in Kuantan, Pahang

Introduction • Transgenders are identified as one of the key population at risk of acquiring HIV infection all over the world. • Prevalence of HIV among transgenders in Malaysia in 2017 is 10.9% and almost double of 6.3%, from the year in 2014.1,2 • Abstain from sexual activity is the best prevention for HIV and other STDs transmission. It is however not feasible for sexually active individuals. • Condom has been advocated for many years for the prevention of sexually transmitted disease (STD). § When it is used in correct and consistent manner, condom use able to reduce risk of HIV by 70 to 80 percent and other STDs by about 60%.3,4 § This study is to measure the prevalence of condom use consistency and its associated factors among male to female transgender with different types of partners, primarily stable, casual and transactional partner

Gender dysphoria, issue and solutions

LGBT nowadays has become a sensitive issue, and pre-exposure prophylaxis ( prep) has become more controversial. They claimed that prep can prevent HIV from spreading to the young generation, and this can curb HIV issues, particularly death. However, the relevant authority forgets other important issues, such as other sexually transmitted diseases, including hepatitis, gonorrhoea, syphilis, etc. Prep is only to prevent HIV and not others. Another aspect that needs to be considered is the Islamic perspective. What does Islam say about prep? Giving prep, even though it may prevent HIV, directly or indirectly, anal sex activity will be encouraged. The LGBT community will feel safe and protected from getting HIV. The community must be informed of all this information so it can be documented. One of the best mechanisms is through this book, and it is a 'Jariah'

Patient satisfaction with the quality of healthcare services at selected major outpatient clinics at Sultan Ahmad Shah Medical Centre Kuantan Pahang

INTRODUCTION: Patient satisfaction is a key factor in determining any gaps or inadequacies in the healthcare provider's services. This study aimed to measure the level of patient satisfaction and its associated factors towards the healthcare service of outpatient clinics in Sultan Ahmad Shah Medical Centre (SASMEC), IIUM, Kuantan, Pahang. MATERIALS AND METHODS: A total of 1050 patients were recruited from internal medicine, paediatrics, surgery, obstetrics and gynaecology, orthopaedics, and psychiatry clinics between February 2021 and February 2022. A questionnaire was administered which consists of two parts: one that covers patients’ sociodemographic data and the other that assesses the patients’ level of satisfaction with the healthcare services using the Malay-validated Short-Form Patient Satisfaction Questionnaire (PSQ-18). RESULTS: The mean overall satisfaction level was 3.94 ± 0.46, with the highest mean scores in the interpersonal manners (4.2 ± 0.64) and communications (4.26 ± 0.56) domains. From the multivariate analysis, it was found that those patients in the lower income group (B40) were more satisfied with the quality of the healthcare services (B=0.172, 95% CI=0.08, 0.263) compared to the middle-income group. Being a student (B=-0.202, 95% CI=-0.296, -0.108) and having a follow-up treatment visit (B=-0.082, 95% CI=-0.156, -0.008), were significantly associated with lower satisfaction levels as compared to their counterparts. CONCLUSION: Overall, patients who attended SASMEC were satisfied with the service provided. Continuous service improvement aimed at patients’ household income, occupation and purpose of visit may help SASMEC enhance its service in the future

MANUAL FOR IBADAH CAMP ORGANIZER A PART OF THE IIUM FLAGSHIP ENTITLED “GENDER DYSPHORIA”

Maknyah or male-to-female transgender are those who transform their identity biologically from male to female through crossdressing and their lifestyle associated with homosexuality. Crossdressing and homosexuality are unlawful in accordance with Islamic practices. Often, these transgenders are associated with being sex workers in major hotspots such as in Federal Territory Kuala Lumpur, Selangor, Negeri Sembilan, Pulau Pinang, Pahang and Sarawak.1 It is estimated that the population size of sex workers in Malaysia in 2018 is 37,000 (22,000 Female Sex Workers and 15,000 Transgender Sex Workers). Despite the reducing number of transgender sex workers in Malaysia (as compared to previous Key Population Estimates in 2010), it is still a concern to Muslims and this trend needs to be relieved promptly

Patient trying to tell something else: severe stress during COVID19 Pandemic

Identifying mental health illness poses a dilemma, particularly the distinction between heart disease and severe stress. Without early intervention, it can be escalating into psychiatric disorder and suicide. A 44-year-old man sought cardiologist consultation for the “heart disease” symptoms. As a medical laboratory technician in-charge, his commitments and extensive responsibility during the COVID-19 pandemic add to his hypertension and dyslipidae�mia comorbidities. Despite non-significant investigations related to heart disease, he returned with the same intense unresolved symptoms. His Depression-Anxiety Stress-Score (DASS) assessment revealed severe stress. Stress man�agement counselling intervention includes detecting the underlying stress impacted by the COVID-19 pandemic, be�havioural changes, and stress coping skills. Reassessment of stress level showed significant improvement at twelve�week follow-up with no similar symptoms. This case highlights the clinical complexity and diagnostic challenges in detecting mental health illness. Diagnostic acronym PROMPT with the ‘PT’ refers to ‘Patient Trying to Tell Something Else’ demonstrated; without a high index of suspicion, mental health ailment may be overlooke

Patient trying to tell something else: severe stress during COVID-19 pandemic

Identifying mental health illness poses a dilemma, particularly the distinction between heart disease and severe stress. Without early intervention, it can escalate into psychiatric disorder and suicide. A 44-year-old man sought cardiologist consultation for the "heart disease" symptoms. As a medical laboratory technician in charge, his commitments and extensive responsibility during the COVID-19 pandemic add to his hypertension and dyslipidaemia comorbidities. Despite non-significant investigations related to heart disease, he returned with the same intense unresolved symptoms. His Depression Anxiety Stress Scales 21-item assessment revealed severe stress. Stress management counselling includes detecting the underlying stress impacted by the COVID-19 pandemic, behavioural changes, and stress coping skills was done in 4 sessions. The 1st one-hour session was to instil positive thinking and behavioural changes of the severe underlying stress and to counsel the stress coping skills. Stress coping skill includes relaxation techniques (Deep Breathing Technique and Progressive Relaxation Method) and spiritual empowerment (Islamic Integrated Meditation). The next three counselling sessions of thirty minutes duration to heighten the stress management counselling (positive thinking, stress coping skills, spiritual empowerment) as well as to review his wellbeing and physical diseases control were done at two-week interval. At twelve-week follow-up, reassessment of stress level showed significant improvement with no similar symptoms. This case highlights the clinical complexity and diagnostic challenges in detecting mental health illness. Diagnostic acronym PROMPT with the 'PT' refers to 'Patient Trying to Tell Something Else' demonstrated; without a high index of suspicion, mental health ailment may be overlooked. This case also underlined the integration of behavioural changes, stress coping skills, and spiritual empowerment in stress management counselling

A review of sex education impact in health promotion and teenage behavior

Introduction: Enhancing young people's knowledge, attitudes, and behaviours regarding sexual and reproductive health and behaviours is one of the positive consequences of sexuality education. However, there are a lot of barriers to implement the program due to lack of understanding within the community and misperception of its objectives. To summarise the impact of sex education on health promotion and adolescent behaviour, a systematic review was done. Methods: A database search utilising PubMed, Scopus, and CINAHL was used to identify potential articles for reviewing. 36 articles were eligible for assessment based on the criteria of original papers in English language published between January 2011 and November 2021. Results: The systematic review revealed that sexuality education benefits the teenagers and students with regards to the prevention of unintended sexual intercourse, sexual harassment and other high-risk behaviours. Conclusion: There are multiple effective platforms and ways to incorporate sexual education into the school curriculum that can give benefits to teenagers, especially in preventing sexually transmitted diseases and unintended pregnancy