1.KNOWLEDGE, ACCEPTANCE AND CONCERNS REGARDING COVID-19 VACCINATION AMONG PREGNANT WOMEN ON THE EAST COAST OF PENINSULAR MALAYSIA: ACROSS-SECTIONAL STUDY
Nik Rafiza Afendi ; Farhana Abu Hanifah ; Noor Adibah Hanum Che Hashim ; Ahmad Amir Ismail ; Erinna Mohamad Zon ; Rahimah Abd Rahim
Malaysian Family Physician 2024;19(1):1-11
KNOWLEDGE, ACCEPTANCE AND CONCERNS REGARDING COVID-19 VACCINATION AMONG PREGNANT WOMEN ON THE EAST COAST OF PENINSULAR MALAYSIA: ACROSS-SECTIONAL STUDY
Introduction: This prospective cross-sectional study, conducted from 1 April 2022 to 31 October 2022, aimed to assess the knowledge, acceptance and concerns regarding COVID-19 vaccination among pregnant women visiting the Obstetrics and Gynaecology Department of Hospital Universiti Sains Malaysia.
Methods: The study included all pregnant women aged ≥18 years. Sociodemographic data, information related to COVID-19 and vaccination and information on the knowledge, acceptance and concerns regarding COVID-19 vaccination were collected using a validated questionnaire.
Results: Out of 420 eligible pregnant women, 412 participated in the study, yielding a response rate of 98.1%. Of the respondents, 97.1% had received a COVID-19 vaccine, while 2.9% had not. Approximately 85.2% demonstrated a good understanding of COVID-19 vaccination. Among those vaccinated, 76.8% based their decision on recommendations from healthcare providers or the Ministry of Health. Among those unvaccinated, 91.7% believed that COVID-19 vaccines could harm their pregnancy and baby. Although 51% of the respondents expressed concerns about vaccine safety, 202 still chose to be vaccinated, indicating a willingness to prioritise their health despite apprehensions.
Conclusion: The study found no significant link between acceptance and good knowledge of COVID-19 vaccination. However, income and prior COVID-19 booster vaccination were strongly associated with acceptance. Despite safety concerns, 97.1% of the respondents had received a COVID-19 vaccine. This emphasises the importance of providing comprehensive information and addressing concerns to support informed decision-making among pregnant women. Healthcare providers play a vital role in guiding them through this crucial decision-making process.
2.Preliminary Result of Randomised Controlled Trial of Three Different Coated Archwires Part 1: Tooth Alignment and Coating Loss
Hassanin Abdulkhabeer Ali Alyassiri ; Anis Farhan Kamaruddin ; Khoirulzariah Ismail ; Noor Ayuni Ahmad Shafiai ; Norma Ab Rahman ; Wan Muhamad Amir W Ahmad
Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 2, May):1-8
Introduction: Coated archwires improve aesthetics during orthodontic treatment. However, little is known regarding their clinical benefit. This randomised controlled trial (RCT) compared the tooth alignment (TA), coating loss (CL), colour change (∆E*), and patient perception of coated archwires with their controls. Details of ∆E* and perception were reported in the second part of the articles. Methods: This RCT was done at three centres. Participants were randomised to receive one of four treatment interventions using 0.014” superelastic coated nickel-titanium archwires from Orthocare, RMO, G&H, and conventional uncoated 3M Unitek® archwires. These archwires were ligated during bonding and collected after eighth week and questionnaires were distributed to participants in the experimental groups only. After removal, TA and CL were measured using Little’s Irregularity Index and Autodesk® AutoCAD® software, respectively. At the time of this preliminary reporting, 84 participants had completed the trial. Two archwires fractured and were excluded. Therefore, 166 archwires (n = 166) were analysed. Results: Only non-extraction cases showed statistically significant differences in TA change between all groups (p = 0.005) and RMO showed significantly lowest mean of TA (1.5 mm). RMO and Orthocare showed significant TA change in the upper and lower arches (p = 0.037, 0.048). CL was found to be insignificant for both extraction and non-extraction cases (p >0.05). Comparison between upper and lower arches revealed no significant difference in TA and CL in all groups (p >0.05). Conclusion: From this preliminary analysis, Orthocare provides better TA in non-extraction cases despite highest percentage of coating loss.
3.Anterior Stabilisation of Sacroilliac Joint for Complex Pelvic Injuries
Wan Ismail Wan Faisham ; Amir Hussain Nawaz ; Johari Joehaimey ; Ahmad Yaacob Sallehuddin ; Zulmi Wan
Malaysian Journal of Medical Sciences 2009;16(3):49-53
Sacroilliac joint diasthesis from high energy trauma is always complicated with chronic pain and long term morbidity. Open anterior stabilisation with plate allow direct reduction and stabilisation with biomechanically advantages. Here we report on four cases of pelvic injury with sacroiliac joint disruption treated with anterior plate stabilisation through a surgical approach similar to that used for anterior ring fractures.

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