32 research outputs found
Chronic tibial osteomyelitis in children. A case review at Hospital Tengku Ampuan Afzan, Kuantan
Osteomyelitis in children has various clinical manifestations causing diagnostic and therapeutic difficulties. Inappropriate treatment of acute osteomyelitis may lead to chronic, serious and complicated condition. Chronic osteomyelitis continues to be a major cause of morbidity and disability in children living in developing countries. We present three cases of tibial osteomyelitis that have different presentations and sequalae. Our intention is to alert our colleagues, particularly primary physicians, regarding the variety of presentation and the important of early diagnosis and treatment to reduce the risk of morbidity following osteomyelitis
A review on the applications of rukhsoh in medical practices
Rukhsoh (permit) is a concessionary law, which oppose to azimah (enforced) in Islamic jurisprudence. It is considered as one of the important concept to be understood by Muslims physicians and scientists as its applications offer solutions for hardships and difficulties in performing practical acts of worship. However, discussions regarding this matter in both classical references and current literatures of Islamic Jurisprudence are generally limited and less structure. This review attempts to deliver a structured account on the principles and applications of rukhsoh in medical issues related to practical acts of worship. This review comprises of two parts of discussion. The first part starts with an overview on the general discussion of rukhsoh i.e. concept of rukhsoh in Islamic jurisprudence, evidences from the Quran and Sunnah, as well as relevent qawaid fiqhiyyah. It then follows with the discussion on types of rukhsoh and their determining factors. The general principles in applying the concept of rukhsoh in ibaadah will also be outlined and discussed. The second part of this review attempts to outline the criteria to be fulfilled in order to introduce the concept of rukhsoh into various fiqh issues related to medical practices. The review then delves into specific discussions, which focus into real practical issues which necessitates the application of rukhsoh in different medical disciplines: obstetric and gynaecology, surgery, orthopaedics, and others. The discussions will revolve around the specific medical diseases or conditions, which jeopardize patientsโ ability to conduct their act of worship and how the rukhsoh would come into place
The relevancy of paracetamol and breastfeeding post infant vaccination: A systematic review
Paracetamol may be used as an antipyretic agent for the treatment of fever, as well as an analgesic in the treatment of mild to moderate pain post-vaccination in infants. The use of paracetamol during fever may be or may not be recommended since it may alter the natural human body immune response, although it may reduce pain
IIUM Ibadah Disability Scale (IIDS): design & conceptual framework
Illness does not alleviate the obligation of Muslim patients to perform religious duties such as
prayer. The need for a systematic evaluation of patientsโ ability to perform such duties needs to be
highlighted and anticipated. Thus, a research was designed to develop a standard, objective
evaluation scoring system to recognize disability levels of Muslim trauma patients in performing
religious physical cleansing and prayer during their illness and improve the deliverance of
assistance they need. This research involves five stages. 1-Identifying common and specific
problems faced by trauma patients, 2-Constructing a disability score based on data obtained, 3-
Incorporating Islamic rulings and pilot testing, 4-Validation and reliability testing, and 5-Patient
categorization and development of a in-patient coding system. Trauma patients of general
orthopaedic wards of a local institution were recruited for this research. In the initial phase of this
research, we had identified problems contributing towards patientsโ ability to perform religious
practices during hospital admission. These can be grouped into four main factors; the patient, the
staff delivering the assistance, hospital policies and availability of facilities. Subsequent phases of
this research will focus more on the first and second factors. Three major outcomes are expected at
the end of this research. A disability score to categorize trauma patients according to their needs, a
manual based on Islamic rulings and convenience related to common and specific disabilities, and a
coding system to assist physicians and hospital staff in scrutinizing the types of assistance required
by patients. This will be the first scoring system that is constructed based on both patientsโ and
physiciansโ perspectives of difficulties in performing religious duties. It will provide a balance
approach in trauma patientsโ care and deliverance of assistance wherever required. The proposed
scoring system has potential of becoming a standard of practice in a more holistic patient care in
accordance to the much-anticipated ibadah-friendly hospital
[The Shariah-Derived Models of Medical Interactions between Healthcare Professionals and Patients] Model Interaksi Perubatan Patuh Syariah antara Petugas Kesihatan dan Pesakit
The Shariah-Derived Models of Medical Interactions between Healthcare Professionals and Patients are interaction/ relationship models constructed and reviewed from the religious perspective, Islamic jurisprudence in particular. The models were constructed based on various aspects pertaining to the healthcare professionals who provide the medical services or treatment, the patient-client who seeks for the treatment or consultations, involvement of a third party, the form of agreement involving all related parties, and the related Islamic rulings. The rulings were derived from the five basic rules pertaining to the actions and interactions of a person (al-ahkam ash-sharโiyyah al-taklifiyyah). The models were classified based on types of contracts involved, the profitability of the service rendered, as well as the related Islamic rulings. The interactions/ relationships are summarized into four models; Model A - Charitable Work/ Non-Profit Based, Model B - Profit Based, Model C - Civil Servant, and Model D - Private Employee/ Practice. Providing medical services is indeed a noble obligation. It involves certain requirements and principles in relation to the religious rulings that may differ from what are commonly practiced or understood.
Model Interaksi Perubatan Patuh Syariโah Antara Petugas Kesihatan dan Pesakit adalah model interaksi/ hubungan yang dirujuk dan dibina daripada sudut perspektif perundangan Islam. Model-model ini dibina berdasarkan pelbagai aspek yang berkaitan dengan petugas kesihatan yang menyediakan perkhidmatan perubatan, pesakit-klien yang memerlukan rawatan atau konsultasi, keterlibatan pihak ketiga, bentuk perjanjian/ kontrak yang melibatkan pihak-pihak yang terkait, dan ketetapan perundangan Islam yang berkaitan. Ketetapan-ketetapan tersebut berasal daripada lima peraturan dasar yang berkaitan dengan tindakan dan interaksi seseorang (al-ahkam asy-syar'iyyah al-taklifiyyah). Model diklasifikasikan berdasarkan keuntungan perkhidmatan yang diberikan, jenis perjanjian/ kontrak yang terlibat, dan juga perundangan-perundangan Islam yang berkaitan. Interaksi/ hubungan tersebut diringkaskan menjadi empat model; Model A - Kerja Amal / Tidak Berasaskan Kentungan, Model B - Berasaskan Keuntungan, Model C - Penjawat Awam, dan Model D - Pekerja / Perkhidmatan Swasta. Perawatan dan perkhidmatan perubatan merupakan kewajipan yang mulia. Ia melibatkan syarat dan prinsip tertentu yang berkaitan dengan peraturan agama yang mungkin berbeza dari apa yang biasa diamalkan atau difahami
Quality of life and functional outcomes following supracondyar fracture of humerus in children
Hospitalized Muslim Trauma Patients Ibadah Disability Scale (HM[T]-IDS)
The HM[T]-IDS is an assessment tool developed to be used as a standard, objective evaluation scale to determine disability levels of Muslim trauma patients in performing religious physical cleansing and prayer during hospitalization and improve the deliverance of assistance they need. It is constructed based on the patients' and physicians' perspectives on the difficulties in performing religious duties. The use of this assessment tool is to assist physicians and hospital staff in scrutinizing the types of assistance required by the patients. The patients will be assessed based on five major disabilities/ difficulties, which include: A. Pain, B. Mobility, C. Extremity Involvement, D. Bandage/ Cast Application, and E. Toileting. These disabilities/ difficulties are organized in a form of a scoring sheet that utilizes a Linkert scale based on the severity of the disabilities/ difficulties. It was designed in two languages: English and Malay. The total score a patient can be given ranged between 5 and 25. From the total score obtained, the patients are categorized into four categories based on the assistance required by them: Category I (score of 5-8) - patients require least or no assistance, Category II (score of 9-14) - patients require assistance in the form of equipment or aids without the support of an assistant, Category III (score of 15-20) - patients require assistance in the form of equipment or aids with the support of an assistant, and Category IV (score of 21-25) - patients require full support from an assistant as well as supporting equipment. It is hoped that the new assessment tool can provide a new practical measure to evaluate disability among Muslim patients in performing their religious duties. It will provide a balance approach in trauma care
The study on range of motion of hip and knee in prayer by adult Muslim males. A preliminary report
Introduction: Praying represents a fundamental activity of daily living in Muslim community. Muslims need to adopt several postures that require deep flexion of the knee and hip to perform this daily obligation. This is a preliminary report of the study on hip and knee range of motion conducted to obtain normative passive and functional range of flexion data during Muslim prayers in both weight-bearing joints of normal Muslim adults. Methods: A cohort of Malay men aged between 20 to 30 years was recruited in this cross-sectional study. Passive range of motion and flexion angles of the joints in various postures during prayer were measured using a standard goniometer. The difference against existing normative range of motion database available and the influence of various factors were analysed. Factors analysed include body mass index and other anthropometric measurements. Results: Sixty participants recruited for the preliminary phase of this study. The mean (SD) of passive hip and knee flexions were higher compared to other existing normative range of motion database. A unit increase in body mass index will have 0.782 units lower of knee range of motion. The hip and knee flexion arc were from 74.1ยฐ to 119.0ยฐ and from 3.3ยฐ to 119.7ยฐ respectively. Conclusion: The range of motion involved for prayers was more for the knee but less for the hip as compared to the measured passive range of motion. Body mass index has a significant linear negative relationship with the passive range of motion of the knee, but not the hip
The effect of Yasiin recitation on the haemodynamics of ventilated patients
Background of Study: Recitation of Qurโanic verses to ill patients are practiced by many Muslims as a form of healing and worship. The effectiveness has been observed in many medical institutions; however, very few were objectively measured and documented. This pilot study was conducted to construct a methodological approach to evaluate the therapeutic effects of Yasiin recitation, a chapter in the Holy Qurโan, on the haemodynamics of critically ill patients. Materials and Methods: Ventilated Muslim patients in coronary care unit of a teaching hospital were evaluated. Yasiin was recited twice; by one of the researchers and then by the patientsโ relatives. Mean arterial blood pressure (MABP), pulse rate (PR), oxygen saturation level (SPO2) and electrocardiographic changes (ECG), were observed. The difference of the parameters before and during recitation was analysed. Results: Five patients fulfilling the selection criteria were selected; two acute myocardial infarctions, two congestive cardiac failures, and a third-degree atrioventricular block. Statistical analyses were performed using a non-parametric two-related-sample test. The haemodynamic parameters were found not significantly affected by Yaasiin recitation. At the end of the study, two of the patients passed away, one patient was successfully extubated and survived. Two patients were still on ventilators upon completion of the study. Limitations faced during the study were observed and highlighted in explaining the equivocal results. Conclusions: The effect of Yasiin recitation on heamodynamics of critically ill patients was not proven in this study. Further refinements might be needed based upon the observation on limitations encountered. It is hoped that this humble effort would pave the way for further studies to explore this field
The effect of Qurโanic recitation on health: a brief review on previous clinical studies
Among the benefits of listening to or reciting the Qurโan is its healing effects as. In the past, this has only been shown through observational or personal experiences. The main objective of this review is to analyze available clinical studies performed related to the effects of Qurโanic recitation on human beings. Hence, this offers a
research agenda to guide future studies to explore this field. The findings on related clinical studies were obtained from electronic and manual searches. Keywords used included: Qurโanic healing, Qurโanic recitation, psychological and physiological outcomes. Studies which met the selection criteria were retrieved and reviewed. These included articles or papers published in English or Malay/ Indonesian in language since the year 2000 with at least one psychological or physiological outcome measure. A total of five clinical studies were reviewed. The themes of these studies were mainly the effect on psychology, physiology or haemodynamics of human subjects. Only one was experimental in nature while the other four were observational. Four of
the studies used Surah Yassin (Chapter 36). The whole Qurโan was used in the fifth study. Three of the studies involved normal human subjects while the other two involved critical care patients or adult working women, respectively. Positive significant results were reported in studies related to psychological effects. However, studies related to physiological outcomes were not significant. Limitations of the studies included the study design, sample selection, small sample size, inconsistency in the measures used, and invasiveness of monitoring. Although some of the studies showed positive psychological results, a more comprehensive study design should be done for a more conclusive outcome. These studies were not performed to substitute our faith
as Muslims on the healing effects of the Al-Qurโan. The scientific evidences will strengthen our faith and the practice on patients can be integrated into the current mainstream medicine. Better researches can be performed and further explored