Public health care system, quasi-experimental study: Acceptance and attitude to implicate clinical services

A six-month longitudinal intervention arm study with a pre-post cross-sectional questionnaire-based survey was performed. A 3-phase objective structured clinical examination (OSCE) design was utilized for evaluation of acceptance and attitude of pharmacy students towards clinical pharmacy services. The pre-OSCE survey showed increased disagreement with the role of clinical pharmacists, compared to a significant positive shift in attitude towards their services in the healthcare team after 6 months of the trial. Responses improved for awareness (the current healthcare system could be improved by involving pharmacists, p < 0.02) and positive attitude categories (doctors and nurses would be happy to welcome the services of competent clinical pharmacists as part of their team, p < 0.01) in addition to competency (pharmacists have sufficient clinical training to advise doctors and nurses, p < 0.01). The predictive model suggested a strong positive effect on patient interaction, medical information tasks, clinical decisions on drug-related problems (DRPs), and communication with healthcare professionals (R2 = 0.41, F = 1.51, p < 0.001)

Retracted: Healthcare providers knowledge, attitude and behaviour towards breast cancer diagnosis and treatment in Malaysia – a mini systematic review

This article previously published in Volume 15 Issue 10 of this journal in September 2016 has been retracted in line with the guidelines from the Committee on Publication Ethics (COPE, http://publicationethics.org/resources/guidelines)Retracted: Azeem E, Gillani WS, Poh V, Sulaiman SAS. RETRACTED: Healthcare providers’ knowledge, attitude and behaviour towards breast cancer diagnosis and treatment in Malaysia – a mini systematic review. Trop J Pharm Res 2016; 15(9):2041-2045 doi: http://dx.doi.org/10.4314/tjpr.v15i9.32From the EditorOur attention was drawn to the earlier publication of similar data by the authors and some others in Asian Pacific Journal of Cancer Prevention (doi 10.7314/APJCP.2015.16.13.5233) under the title, “Knowledge, Attitude and Behavior of Healthcare Providers towards Breast Cancer in Malaysia: a Systematic Review” which was confirmed. The corresponding author, Syed Wasif Gillani was contacted but failed to respond to communication in this respect.25 November 2018Keywords: Healthcare provider, Breast cancer, Knowledge, Attitude, Behavior, Systematic review, Malaysi

Healthcare providers’ knowledge, attitude and behaviour towards breast cancer diagnosis and treatment in Malaysia – a mini systematic review

Breast cancer is the most common cancer among women in Malaysia. Therefore, it is important for the public to be educated on breast cancer and to know the steps that need to be taken to detect it early. Healthcare providers are in a unique position to provide public health education due to their good knowledge of health issues and their roles in healthcare. A systematic review of studies conducted from 2008 till 2015 was undertaken to analyze the knowledge, attitudes and behavior of Malaysian healthcare providers regarding breast cancer, in an attempt to obtain an overall picture of how wellequipped the healthcare providers are to provide optimal breast cancer education, and to ascertain their perceptions and actual involvement in such education. The systematic review was conducted via a primary search of various databases and journal websites, and a secondary search of references cited in eligible studies. Criteria for eligibility include studies conducted in Malaysia and published from the year 2008 to 2015, and written in English language. A total of fifteen articles were identified and reviewed but only two studies were eligible for this review. The findings suggest that future and current Malaysian healthcare providers have moderate knowledge of breast cancer, showed a positive disposition towards involvement in breast cancer education, but displayed poor involvement.Keywords: Healthcare provider, Breast cancer, Knowledge, Attitude, Behavior, Systematic review, Malaysi

Evaluation Of Diabetic Management Outcome And Pharmacist Intervention In Pulau Pinang, Malaysia

The objectives of the study were to evaluate clinical disease management outcome and patient responsiveness to treatment. The primary current study is classified as ‘mixedmethodology’ cross sectional interventional study, which includes four phases of evaluation with different methodologies. Phase I (retrospective evaluation), Phase II (prospective pharmaceutical care application), Phase III (prospective case-control cohort evaluation) and Phase IV (Psychometric population based survey). During the time period of January 2008 through December 2010, a total of 2174 diabetes patients were admitted; 2174 (100%) patients’ medical profiles were reviewed. This comprised of 1063 (48.9%) males and rest 1111 (51.1%) females. Mean and Standard Distribution (SD) should females have less mean age distribution (35.2 ±4.187 years) as compared to males (37.9±5.724 years). A total of 798 (36.7%) had infection exposure before and/or during hospital admission, statistical significance (p<0.001) found in association of diabetes ketoacidosis (DKA) and infection exposure. Majority 384 (48.1%) infection type was relapsed cases within 3 months. There were 176 with presumed viral infection (18.2%), and 679 with bacterial infection (70.2%). Of those with bacterial infection, 453 had minor infection (66.7%), and 226 had major infection (33.3%). In prospective pharmaceutical care study, two hundred and fifty three patients from the Diabetes Outpatient clinic Hospital Pulau Pinang were recruited, comprising 127 cases and 126 controls. There were no significant differences between cases and controls for any of the demographic variables that were documented

Evaluation Of Treatment Outcomes Of Methadone Program And Knowledge Awareness Survey On Drug Abuse In Penang, Malaysia

A cross-sectional descriptive survey was conducted in Pulau Pinang, Malaysia, to provide the information regarding to the therapeutic effectiveness in the management and treatment of Addiction in three registered methadone clinics of Pinang state. Ada yang berpendapat bahawa pengetahuan boleh mempengaruhi penyalahgunaan dadah disamping faktor kedua seperti sosioekonomi yang rendah. Terdapat penyelidikan yang melaporkan pengetahuan yang rendah tentang penagihan walaupun dikalangan masyarakat yang mempunyai penagih yang rama

Barriers to colorectal cancer screening in Asia: A systematic review

Purpose: Colorectal cancer (CRC) is among the top five cancers afflicting both men and women globally. Once predominantly a Western disease, it has begun to rise in Asian countries as well. This systematic review aims to compile and analyze the various barriers towards colorectal cancer screening in Asia, and to determine if the barriers are consistent throughout the continent.Methods: Article Inclusion criteria for based on year of publication from year 2008 till 2015, has been conducted in Asia, and written in English language. A total of 23 studies were included in this review, chosen via primary search of journal websites and databases, and a secondary search through the reference lists of eligible articles.Results: It was found that major barriers of colorectal cancer screening are; poor education/knowledge, negative perceptions towards screening, aversion to test results, financial constraints, time constraints, lack of physicians’ recommendation, limited/difficult access to screening locations, fatalistic beliefs, low perceived risks, language barriers, confidence in traditional medicine/distrust in Western medicine,ignorance and old age.Conclusion: Lack of knowledge/education is the most critical barrier that is linked to a majority of other barriers that can hinder a person from undergoing CRC screening for early prevention, detection and treatment. Majority of these barriers encountered regarding the poor rates of CRC screening are similar across countries in Asia.Keywords: Colorectal cancer screening, Barrier, Knowledge, Criteria for eligibilit

USE OF DIAGRAMS AS INSTRUCTIONAL AIDS IN TEACHING OF GEOMETRICAL CONCEPTS AT SECONDARY SCHOOL LEVEL

Angle is a complex topic defined in a variety of contexts; some define angle to be as a pair of rays coming from a single point, as a rotation about a single point, or in a curve. Due to the multiple definitions of angle students get confused as to what an angle truly consists of. This study paid close attention to the misconceptions high school geometry students’ hold about the concept of angle and how to help them gain a more conceptual understanding of this essential concept with the use of different Diagrams. The main idea behind the conduction of this study is to investigate the effect of use of diagrams as instructional aids on the conceptual understanding of angles. The study hypothesizes that angle can be learned using interactive Diagrams. The results of this study showed that diagrams which based on different A.V aids was shown to be more beneficial for the students who used to clear the concept of angles

Influence of Ansoff Matrix on Food Production Entities in KSA

The focus of the study is to find out the strong influence of Saudi food stuff marketing performance. To obtain the target objective a comprehensive questionnaire was designed and distributed to 300 selected employees of Saudi food stuff companies. Out of 300 questionnaires 223 were recollected which reflect the 75% of the sample. The finding showed that applying Ansoff Model have a strong impact on marketing performance in Saudi food stuff companies. On the basis of these findings  some good recommendation are mad that will be helpful for decision makers to use the model in the effective way to enhance the marketing performance ,as well as to gain their desired goals, objectives, profits and benefits. Keywords: KSA, Ansoff matrix, Questionnaires, Marketing development, Food entities

A Novel Method for Process Planning for Die and Mould Manufacturing Using Expert System Approach

Mould design and development are experience-oriented operations involving complex process planning integration and relatively time-consuming processes. A solution for integrating the process planning with manufacturing operations for mould design and development is presented. In this paper, the developed solution is related to cost and time. The main aim of the study is to optimize the whole process planning scenario and make it feasible and accessible for faster and optimum design to manufacture die and moulds for injection moulding applications. The developed method consists of group technology (GT) coding for part and tool linked to the manufacturing process and its criticalities. An impact factor rating system is established using the weighted average method to associate the manufacturing operations with time and cost combined with the matrix reduction method so as to produce an optimized sequence of operations. The effect of restricting certain criticalities (electric discharge machine usage, quality and complexity) on the GT code is also elaborated in reference to quality and other parameters. The resultant study presents a novel method of establishing an expert system (ES) that combines GT coding, manufacturing operations, weighted average and matrix reduction to optimize the process planning. The rationale behind the research is an effective use of the ES in optimizing process planning applications in digital manufacturing

Is there any benefit of drain placement on postoperative complications in patients undergoing the sistrunk procedure?

Abstract Introduction Same-day, outpatient Sistrunk procedure is commonly performed to manage thyroglossal duct cyst anomalies and may lead to postoperative complications. Surgical drains are placed to prevent complications, but recent observations show no advantage and rather increased health care costs and patient discomfort. Objective The study evaluated if drain placement in the Sistrunk procedure offers any benefit on postoperative complications. Methods A retrospective analysis of patient records having undergone same-day, outpatient Sistrunk procedure from 2004 to 2014 was done. Of 58 (38 male and 20 female) patients included, 38 did not have drains placed and the remaining 20 had drains placed. Mean and median age of patients was 18.1 and 13.5 years, respectively. Postoperative complications of patients with drains versus those without drains were statistically analyzed. Results Overall, about 10% of patients had hematoma/seroma (H-S), with 6.9% of patients needing aspiration for H-S; 3.4% had wound infections; and 1.7% had pus formation. No statistically significant differences in Sistrunk-related complications between patient groups (with drain or without drain) were seen using Fisher exact (two-sided) test: H-S (p = 0.08); need for aspiration (p = 0.29); wound infection (p \u3e 0.05); and pus formation (p = 0.35). Chi-square test also did not show any significant difference in the groups in terms of number of follow-ups. Conclusion Surgical placement of a drain in the Sistrunk procedure does not seem to offer any advantage in terms of reducing common postoperative complications. Same-day Sistrunk procedure without any drain placement may be a safer alternative without necessitating hospitalization. More studies with larger sample size are needed for further substantiatio