1.Prevalence of Asymptomatic Atrial Fibrillation in Malaysian Patients with Hypertension
Wong Jin Shyan ; Rawa Bau ; Fazlina Ahmad ; Rosmadi Ismail ; Alan Fong Yean Yip
The Medical Journal of Malaysia 2013;68(2):141-143
Atrial fibrillation (AF) is usually asymptomatic and often
associated with established cardiovascular risk factors such as hypertension. The prevalence atrial fibrillation in patients admitted to Malaysian hospitals has been determined, but asymptomatic atrial fibrillation (AAF) in hypertensive patients in the primary care setting is not established. This study reports the prevalence of AAF in hypertensive patients in Malaysia, in a primary care setting. The overall prevalence of AAF was 0.75% with no differences between the gender.
The prevalence of AAF increases with age – in the age
groups of 30-39, >40-49, >50-59, >60-69, 70-79 and >80 years old were 0%, 0.17%, 0.35%, 2.32%, 2.59%, and 0%
respectively. Hypertensive patients with age of ≥ 61 year old were associated with a probability of 10.6 times higher for AAF. We suggest the age threshold to screen for AAF to be age of 60. It is estimated that there are 49,029 Malaysians with AAF in 2010. A large population is at risk of AAF-related complications. There is justification for an even greater emphasis on diagnostic, primary and secondary prevention strategies.
2.Knee Osteoarthritis And Its Related Issues: Patients’ Perspective
Mohd Azzuan AHMAD ; Devinder Kaur Ajit Singh ; Chua Wei QING ; Nor Najwatul Akmal Ab. Rahman ; Fazlina@Asma Mohd PADZIL ; Efri Noor Muhammad Hendri
Malaysian Journal of Health Sciences 2018;16(Special Issue (Article)):171-177
Knee osteoarthritis (OA) is a common chronic joint disease that results in pain and disability in many people. Culturalpractice may influence patients’ views about their condition, its related issues and management. The aim of our study wasto explore the perspective about knee OA and its related issues among Malaysian patients with knee OA. Twelve patientsdiagnosed with knee OA (8 females and 4 males) attending physiotherapy sessions at a University Hospital, mean age(SD): 67.1(9.4) years and median visual analog scale score of 5/10 participated in this qualitative study. One to one indepthinterviews were conducted, audio recorded and later transcribed verbatim. Three main themes were identified fromthe transcribed data; knee pain and its’ related issues (reason and aggravating factors of knee pain, coping strategies),impact of knee pain (impact on daily activities and emotions) and physiotherapy management (effects and expectationsof physiotherapy, compliance and adherence towards home exercises). Most participants expressed that their knee painwas aggravated by certain movements that had an effect on their daily activities namely squatting. The findings alsosuggested that physiotherapy management was perceived as secondary prevention rather than a cure. Findings fromthis study provides information about the perceptions and related issues of patients with knee OA. This information mayhelp health professionals in tailoring patient-centered care and provide better management.
3.Exploring the Potential Use of Supplementary E-learning Tools for Integrated Anatomy-Radiology Teaching
Nur Atiqah Sa&rsquo ; hari @Ramli ; Siti Nurma Hanim Hadie @Haji ; Fazlina Kasim ; Ahmad Hadif Zaidin Samsudin ; Shamsi Amalina Shamsuddin
Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):290-296
The evolution of anatomy education yields a variety of instructional strategies to enhance students’ comprehension
of gross anatomy. Apart from these multi-modality approaches, various studies suggest that anatomy instruction
is more effective when it is taught with radiological integration during the early phase of the medical curriculum.
Studies have shown that the introduction of basic radiological knowledge in anatomy learning enhances visuospatial
skills, which are important for safe clinical practice. Nevertheless, considerable variation in the radiological anatomy
teaching exists in terms of delivery methods, radiological materials, and teaching time. One way to address these
limitations is by using integrated radiology anatomy e-learning platforms. Recent advancements in technology have
given rise to immense attention to e-learning platforms, which have been considered to be an effective modality in
optimising the student learning process. Hence, this article explores the potential use of e-learning tools, namely
integrated with radiological imaging, in teaching gross anatomy.