1.Association between Emotional Intelligence and Perceived Stress in Undergraduate Dental Students
Norkhafizah Saddki ; Noraini Sukerman ; Dasmawati Mohamad
Malaysian Journal of Medical Sciences 2017;24(1):59-68
Background: This study investigated the association of emotional intelligence (EI) and
other factors with perceived stress (PS) in undergraduate dental students.
Methods: A total of 234 undergraduate dental students at the School of Dental Sciences,
Universiti Sains Malaysia (USM), in the academic year of 2009/2010, participated in this crosssectional
study. Self-administered questionnaires, the Assessing Emotions Scale and the
Perceived Stress Scale (PSS-10), were used to evaluate EI and PS, respectively.
Results: The mean EI score was 121.2 (SD 11.85). The scores were significantly higher in
females than males, and in students who chose dentistry based on their own interest rather than
in those who were motivated by others to study dentistry. The mean PSS-10 score was 21.2 (SD
5.08). Pearson correlation analysis indicated a significant inverse relationship between EI and
PSS-10 scores (r = -0.337). Multi-variable regression analysis also indicated a significant negative
linear association between EI and PSS-10 scores (b = -0.156, 95% CI: -0.207, -0.104). PSS-10 scores
were significantly higher for students who were in the clinical years rather than the preclinical
years.
Conclusions: This study of USM undergraduate dental students shows that a low EI,
female sex, and being in the clinical years were significant predictors of PS.
2.A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct.
Salziyan BADRIN ; Noraini MOHAMAD ; Nor Akma YUNUS ; Maryam Mohd ZULKIFLI
Korean Journal of Family Medicine 2017;38(6):380-382
Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previously in literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patients and patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as the basal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommon and not well documented in the literature. Neurological deficits are the most common presentation in stroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depression and anxiety, related to physical disability. The present case report describes an elderly female patient who presented with hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction, without other significant neurological deficits.
Aged
;
Anxiety
;
Basal Ganglia
;
Brain Infarction
;
Brain Stem
;
Cerebral Infarction
;
Depression*
;
Female
;
Frontal Lobe*
;
Hallucinations
;
Humans
;
Occipital Lobe
;
Psychotic Disorders
;
Stroke
;
Thalamus
3.Bloody Nipple Discharge Post Delivery: A Case of “Rusty Pipe Syndrome”
Noraini MOHAMAD ; Zaharah SULAIMAN ; Tengku Alina TENGKU ISMAIL ; Sahida AHMAD
Korean Journal of Family Medicine 2021;42(4):339-341
“Rusty pipe syndrome” is a condition that needs to be considered in a primiparous woman who presents with bilateral bloody nipple discharge in the early postpartum period. Its prevalence is low and can occur due to physiological condition that arises primarily in primiparous women with increased alveolar and ductal vascularization associated with the onset of lactation. Here, we report a case of a 29-year-old primigravida who presented with bilateral painless bloody nipple discharge after delivery. Her breast examination showed no signs of infection or structural changes, and breast ultrasound did not reveal any significant observations except for a bilateral simple breast cyst. Six days after the onset of lactation, the bloody nipple discharge ceased and lactation continued on demand.
4.Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia
Nazirah JOHAR ; Noraini MOHAMAD ; Norkhafizah SADDKI ; Tengku Alina TENGKU ISMAIL ; Zaharah SULAIMAN
Korean Journal of Family Medicine 2021;42(2):140-149
Background:
Cesarean delivery is linked with lower rates of early breastfeeding initiation. This study aimed to determine the prevalence and associated factors of early initiation of breastfeeding among women admitted for elective cesarean delivery in Kelantan, Malaysia.
Methods:
A total of 171 women admitted for elective cesarean delivery at two tertiary hospitals in Kelantan, Malaysia, participated in this study. On day two after cesarean delivery, face-to-face interviews were conducted with the mothers to get information on feeding practice. Descriptive statistics, including simple and multiple logistic regressions, were used for data analysis.
Results:
Seventy-three percent of mothers initiated breastfeeding within 1 hour of birth. Approximately 15.8% and 10.5% of mothers initiated breastfeeding within 24 hours and ≥24 hours, respectively. Skin-to-skin contact between mothers and their infants occurred in 77.8% of cases after cesarean delivery. Breastfeeding initiation was significantly associated with skin-to-skin contact (odds ratio [OR], 14.42; 95% confidence interval [CI], 3.58–58.06), mothers who exclusively breastfed during hospitalization (OR, 36.37; 95% CI, 5.60–236.24), and infants who were not sleepy during attempts at breastfeeding (OR, 5.17; 95% CI, 1.32–20.21).
Conclusion
Based on our results, it is possible to increase the proportion of mothers initiating breastfeeding within 1 hour among women who undergo elective cesarean delivery. Therefore, it is important that health practitioners educate women beginning in the antenatal period who plan to undergo cesarean delivery by emphasizing the importance of early initiation of breastfeeding.
5.Bloody Nipple Discharge Post Delivery: A Case of “Rusty Pipe Syndrome”
Noraini MOHAMAD ; Zaharah SULAIMAN ; Tengku Alina TENGKU ISMAIL ; Sahida AHMAD
Korean Journal of Family Medicine 2021;42(4):339-341
“Rusty pipe syndrome” is a condition that needs to be considered in a primiparous woman who presents with bilateral bloody nipple discharge in the early postpartum period. Its prevalence is low and can occur due to physiological condition that arises primarily in primiparous women with increased alveolar and ductal vascularization associated with the onset of lactation. Here, we report a case of a 29-year-old primigravida who presented with bilateral painless bloody nipple discharge after delivery. Her breast examination showed no signs of infection or structural changes, and breast ultrasound did not reveal any significant observations except for a bilateral simple breast cyst. Six days after the onset of lactation, the bloody nipple discharge ceased and lactation continued on demand.
6.Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia
Nazirah JOHAR ; Noraini MOHAMAD ; Norkhafizah SADDKI ; Tengku Alina TENGKU ISMAIL ; Zaharah SULAIMAN
Korean Journal of Family Medicine 2021;42(2):140-149
Background:
Cesarean delivery is linked with lower rates of early breastfeeding initiation. This study aimed to determine the prevalence and associated factors of early initiation of breastfeeding among women admitted for elective cesarean delivery in Kelantan, Malaysia.
Methods:
A total of 171 women admitted for elective cesarean delivery at two tertiary hospitals in Kelantan, Malaysia, participated in this study. On day two after cesarean delivery, face-to-face interviews were conducted with the mothers to get information on feeding practice. Descriptive statistics, including simple and multiple logistic regressions, were used for data analysis.
Results:
Seventy-three percent of mothers initiated breastfeeding within 1 hour of birth. Approximately 15.8% and 10.5% of mothers initiated breastfeeding within 24 hours and ≥24 hours, respectively. Skin-to-skin contact between mothers and their infants occurred in 77.8% of cases after cesarean delivery. Breastfeeding initiation was significantly associated with skin-to-skin contact (odds ratio [OR], 14.42; 95% confidence interval [CI], 3.58–58.06), mothers who exclusively breastfed during hospitalization (OR, 36.37; 95% CI, 5.60–236.24), and infants who were not sleepy during attempts at breastfeeding (OR, 5.17; 95% CI, 1.32–20.21).
Conclusion
Based on our results, it is possible to increase the proportion of mothers initiating breastfeeding within 1 hour among women who undergo elective cesarean delivery. Therefore, it is important that health practitioners educate women beginning in the antenatal period who plan to undergo cesarean delivery by emphasizing the importance of early initiation of breastfeeding.
7.A Diabetic Elderly Man with Finger Ulcer.
Noraini MOHAMAD ; Salziyan BADRIN ; Wan Noor Hasbee WAN ABDULLAH
Korean Journal of Family Medicine 2018;39(2):126-129
Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised status. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of Sporothrix schenckii. Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.
Aged*
;
Animals
;
Biopsy
;
Cats
;
Diabetes Mellitus
;
Diagnosis, Differential
;
Fingers*
;
Humans
;
Itraconazole
;
Prevalence
;
Skin
;
Sporothrix
;
Sporotrichosis
;
Ulcer*
8.Knowledge, Attitude, Exposure, and Future Intentions toward Exclusive Breastfeeding among Universiti Sains Malaysia Final Year Medical and Dental Students
Noraini MOHAMAD ; Norkhafizah SADDKI ; Khairun Nadzirah Khairul AZMAN ; Ida Dahlia Ab AZIZ
Korean Journal of Family Medicine 2019;40(4):261-268
BACKGROUND: Breastmilk is the best nourishment for an infant for the first 6 months of life. Health professionals like medical doctors and dentists can help promote and support exclusive breastfeeding. We aimed to assess knowledge, attitudes, exposure, and future intentions toward exclusive breastfeeding among final year medical and dental students at Universiti Sains Malaysia, Kelantan, Malaysia. METHODS: A total of 162 students participated in this cross-sectional study that was conducted between May and September of 2015. Self-administered questionnaires were used to collect the variables of interest. RESULTS: Most students knew exclusive breastfeeding is recommended for the first 6 months of life (98.1%). However, some students incorrectly thought formula milk can be given if the infant appears hungry after having been breastfed (61.7%). Additionally, some incorrectly thought expressed breastmilk can be warmed on direct heat (47.5%) and left-over expressed milk can be re-stored (60.5%). Most students agreed that exclusive breastfeeding is easier to practice than formula feeding and that it is the best choice for working mothers. Most students (93.2%) intend to breastfeed their children, and this intention was significantly associated with their experience being breastfed as infants and attitudes toward exclusive breastfeeding. CONCLUSION: Generally, final year medical and dental students have favorable attitudes and future intentions toward exclusive breastfeeding, although some of them lacked knowledge about certain important aspects of the practice. Past experience of being exclusively breastfed and a more positive attitude toward the practice were associated with their future intentions to practice exclusive breastfeeding.
Breast Feeding
;
Child
;
Cross-Sectional Studies
;
Dentists
;
Health Occupations
;
Hot Temperature
;
Humans
;
Infant
;
Intention
;
Malaysia
;
Milk
;
Mothers
;
Students, Dental
9.A national audit on the utilisation and documentation of dabigatran checklist for patients initiated on dabigatran
Doris George ; Navin Kumar Devaraj ; Shakirin Shaik Rahmat ; Sahimi Mohamed ; Noraini Mohamad
The Medical Journal of Malaysia 2019;74(5):425-430
Background: Direct oral anticoagulants (DOACs) especially
dabigatran, have gain popularity for their efficacy, fixed
dosing and favourable safety profile. A dabigatran
prescribing checklist has been prepared by the Ministry of
Health, Malaysia (MOH) to ensure rational and safe
prescribing of dabigatran. This study therefore aimed to
audit the utilization and documentation of this checklist and
use of dabigatran in the government healthcare facilities.
Methods: This is a nationwide retrospective audit on the
documentation of Dabigatran Prescribing and Dispensing
Checklist for a period of two years from January 2013 till
December 2014. Data from these Dabigatran Checklists
(indication, dose, duration, renal function and adverse drug
reactions encountered) were extracted by the pharmacist at
MOH healthcare facilities.
Results: A total of 52 out of 56 (92.9%) of MOH facilities
complied to usage of checklist at their centres involving a
total of 582 patients of which 569 (97.7%) patients were
initiated on dabigatran for the approved indications. The
recommended dose of dabigatran was used correctly in 501
(99.6%) of patients. Reason for switching to DOACs use was
only documented in 76.7% (131/171) of patients. The most
common reason for switching from warfarin was poor INR
control (n=39), history of bleeding/overwarfarinisation
(n=22) and unable to attend regular INR clinic (n=21).
There were 75 cases of adverse events reported. The most
common adverse event reported were abdominal discomfort
(n=10) followed by gum bleeding (n=9) and dizziness (n=5).
Conclusions: Compliance to the dabigatran check list was
high with 70% of patients prescribed the appropriate dosing.
10.Intention and actual exclusive breastfeeding practices among women admitted for elective cesarean delivery in Kelantan, Malaysia: A prospective cohort study
Nazirah Johar ; Noraini Mohamad ; Norkhafizah Saddk ; Tengku Alina Tengku Ismail ; Zaharah Sulaiman
The Medical Journal of Malaysia 2020;75(3):274-280
Introduction: The intention of a woman to breastfeed is one
of the predictors of breastfeeding initiation and duration.
Objective: The aim of this study is to determine exclusive
breastfeeding (EBF) intention among women admitted for
elective cesarean delivery in Kelantan and their postnatal
EBF practices.
Methods: A total of 171 women, mostly Malays, admitted for
elective cesarean delivery at two tertiary hospitals in
Kelantan participated in this prospective cohort study. The
Malay version of Infant Feeding Intentions (IFI) scale was
administered one day before the surgery to determine the
EBF intention, and follow-up phone calls were made at one
month, three months, and six months after delivery to
determine the actual EBF practices.
Results: Before delivery, 86.5%, 82.5% and 77.2% of the
women somewhat agreed or very much agreed to practice
EBF for 1, 3 and 6 months respectively and the actual EBF
practices after delivery were 80.1%, 59.6%, and 42.1%.
Women who had the intention to practice EBF for 6 months
were about 2 times more likely to practice EBF for 6 months
than those who did not have the intention to EBF (OR 2.19,
95% CI: 1.01-4.76). No significant association was found
between EBF intention and the actual EBF practices at 1
month and 3 months postnatal.
Conclusions: The number of women who practiced EBF
after cesarean delivery was lower than those who had the
intention prior to delivery. The number further declined as
the child grew older. Prenatal EBF intention was associated
with actual postnatal EBF practices at 6 months.