Harlina Halizah Siraj | Universiti Kebangsaan Malaysia (original) (raw)

Papers by Harlina Halizah Siraj

Journal of Neonatal-Perinatal Medicine, 2010

Recent association studies have described genetic variants among type 2 diabetes mellitus (T2DM) ... more Recent association studies have described genetic variants among type 2 diabetes mellitus (T2DM) and their related traits. Gestational diabetes mellitus (GDM) is pathophysiologically similar to T2DM and may share genetic susceptibility. However, genetic susceptibility within GDM in our own population is still not yet explored. This study was to determine the association of GDM genetic variants in the Malaysian population.We genotyped 384 T2DM related SNPs among 174 cases of GDM and 114 controls of pregnant women using Illumina’s Golden Gate genotyping assay. In this case-control study, a custom of 384-SNP plex of 236 candidate genes was designed using the Illumina’s Assay Design Tool. The data analysis showed 12 SNPs had a significant association with GDM among Malaysians with p values 0.002 to 0.048 with their respective odd ratios. The SNPs rs7754840, rs10946398, rs9465871, rs7756992, rs6823091, rs7935082, rs237889, rs7903146, rs7961581 were significant under additive model while ...

Asia-Pacific Journal …, 2011

... 1Nor Khatijah Mohd Aris, 2Nor Azlin Mohamed Ismail*, 2Zaleha Abdul Mahdy, 2Shuhaila Ahmad, 2N... more ... 1Nor Khatijah Mohd Aris, 2Nor Azlin Mohamed Ismail*, 2Zaleha Abdul Mahdy, 2Shuhaila Ahmad, 2Norzilawati Mohd Naim, 2Harlina Halizah Haji Siraj, 3Rohana Jaafar, 3Shareena Ishak, 1Roslan Harun, 1Rahman Jamal, 1Wan Zurinah Wan Ngah and 1Syed Zulkifli Syed ...

Acta medica (Hradec Králové) / Universitas Carolina, Facultas Medica Hradec Králové, 2011

This prospective observational study was done to analyse the prevalence of gestational diabetes m... more This prospective observational study was done to analyse the prevalence of gestational diabetes mellitus (GDM) among primigravidae and its outcome. All healthy primigravidae with singleton pregnancies were offered universal glucose tolerance testing between 16 and 28 weeks gestation. GDM and non GDM groups were managed according to hospital protocol. The antenatal features and pregnancy outcomes were analysed. Out of 616 primigravidae, 113 (18.34%) were GDM with slightly older (27.9 +/- 4.2 versus 26.32 +/- 3.3, p < 0.001) age. The mean fasting and two hours postprandial blood glucose in both groups were 4.99 +/- 1.08 mmol/l, 8.86 +/- 1.41 mmol/l(GDM) and 4.36 +/- 0.43 mmol/l, 5.71 +/- 1.11 mmol/l (Non GDM), respectively. Maternal family history of diabetes mellitus, weight exceeding 80 Kg, polyhydramnios (2.65% versus 0.2%, p = 0.028) and neonatal hyperbilirubinaemia (9.73% versus 2.98%, p = 0.01) occurred significantly more frequent in the GDM group compared to normal. There wa...

Background: Understanding of educational environment is very important to determine the strength ... more Background: Understanding of educational environment is very important to determine the strength and weakness of a curriculum in order to further improvement of an educational institution. This paper reports final year medical students' perceptions on educational environment in a Malaysian medical school. Methods: This was a cross-sectional questionnaire survey conducted at the Medical Faculty of Universiti Kebangsaan Malaysia (UKM). Data was collected using-DREEM, an internationally validated instrument which was administered to all 250 final year medical students of UKM Medical School in 2011. The DREEM contained 50 items under five sub-domains with 0-4 rating scale giving a maximum score of 200. Results: Of 250 samples, 193 responded accurately giving a response rate of 77.20%, of which 70% were female and 30% were male. Mean rating of total score was 131/200 and for five sub-domains: "students' perceptions of learning", "students' perceptions of teache...

Introduction: Internet is the most wanted information and communication technology that brought t... more Introduction: Internet is the most wanted information and communication technology that brought the worldwide revolutionary change in the information scenario. It helps students to broaden their academic knowledge, research and assignments by accessing to the information world and also by easy communication to their academic community. Though there are many benefits linked with Internet use, there has been a growing concern regarding the risk associated with Internet overuse. It is reported that Internet has a significant decrement onto students' performance. This study aimed to determine the association between Internet usage and academic performances of students in a public University of Malaysia. Methodology: This was a cross sectional study conducted in a Malaysian Public University among 186 year-4 medical student of session 2011-2012. It used the Internet Addiction Diagnostic Questionnaire instrument which contained eight questions and were asked to answer either 'Yes&...

The National medical journal of India

Pakistan Journal of Medical Sciences, 1969

Special Study Module (SSM) is a mandatory research module implemented in Universiti Kebangsaan Ma... more Special Study Module (SSM) is a mandatory research module implemented in Universiti Kebangsaan Malaysia (UKM). The objective of this paper is to provide a brief overview on the student research activities and to find out the outcome measures in terms of publication. It was a retrospective study done on SSM research projects at UKM. The SSM research is conducted from beginning of year-4 until 1(st) seven weeks of year-5. In year-4, students are assigned to a faculty-supervisor in small groups and spend every Thursday afternoon to plan and carry the research. Whole first seven weeks of year-5, students are placed with their supervisor continuously to collect data, do analysis, write report and present in the scientific conference. Outcomes of 5-years SSM research-projects starting from 2008/2009 to 2012/2013 academic session were analyzed. Total 257 projects were completed and presented in annual scientific meetings from which 57 (22.2%) articles were published in peer reviewed journals. Mandatory undergraduate student research project brings an opportunity to develop students&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; capacity building from conception to final report writing and thereby narrowing the gap between education and practice. Medical schools should implement research module to bring changes in research and publication culture of undergraduate medical education.

Iranian journal of medical sciences, 2011

Bedside teaching is a vital component of medical education. It is applicable to any situation whe... more Bedside teaching is a vital component of medical education. It is applicable to any situation where teaching is imparted in the presence of patients. In teaching in the patients' presence, learners have the opportunities to use all of their senses and learn the humanistic aspect of medicine such as role modeling, which is vital but difficult to communicate in words. Unfortunately, bedside teaching has been on the decline. To investigate the reasons for the decline in bedside teaching, its importance and its revival, a review of literature was carried out using PubMed and other data bases. The review revealed that the major concerns of bedside teaching were time constraint, false preceptors' concern about patients' comfort, short stay of patients in hospitals, learner distraction by technology, lack of experience and unrealistic faculty expectation. Whatsoever the reasons, bedside teaching cannot be replaced with anything else. There are newer approaches of effective beds...

Procedia - Social and Behavioral Sciences, 2011

Abstract Medical doctors are required to provide fair treatment and care to all patients, regardl... more Abstract Medical doctors are required to provide fair treatment and care to all patients, regardless of their age, gender, ethnicity, religion, social position and financial status. The basic precepts of medical ethics clearly illustrate the importance of medical practitioners to ...

Education in Medicine Journal, 2013

Self-awareness and reflective-skill are important components of personal and professional develop... more Self-awareness and reflective-skill are important components of personal and professional development of medical students. Objective: The objective of this study was to determine whether self awareness and reflective skill could be improved by direct teaching intervention.Method: This was a cross sectional intervention study conducted among 75 third year medical students of UKM Medical Centre Malaysia in 2010. Malaysian Emotional Quotient Inventory (MEQI) was used to measure self-awareness and reflective writing scripts were used to measure the reflective skills of the respondents before and after teaching intervention. Experimental group comprised of 30 students while the control group constituted the rest 45 students selected randomly. The factors contributing to self awareness with gender and learning styles were determined. Result: There was no significant improvement observed in self-awareness of the respondents but reflective skills was significantly improved (p=0.007) following intervention. A non-significant relationship between self-awareness and gender (p=0.588) as well as self-awareness and learning styles (p=0.435) was also noticed.Conclusion: It is concluded that intervention programs improved students' reflective skills but not their self-awareness. Effectiveness of the intervention programme is an important factor. Continuous effort should be focused to train students in an effective way in order to be more self-reflective, self-regulative as well as self-corrective, to ensure a high level of personal and professional development in their daily practices.

Education in Medicine Journal, 2014

Introduction: Appropriate professional conduct of clinical teacher is vital in their medicine pra... more Introduction: Appropriate professional conduct of clinical teacher is vital in their medicine practice. In UKM medical centre Malaysia, personal and professional development (PPD) of future medical professionals is greatly emphasized. The objective of this study was to determine the medical students' perception about the professional conduct of their clinical teachers at UKM medical centre. Methods: It was an online questionnaire survey conducted among the clinical students enquiring about the professional conduct of their clinical teachers. There were five statements and one open ended question which described students' preference about PPD teachinglearning method, expectation on PPD session, need of teachers training and experience about the excellent and inappropriate professional conduct of clinical teachers. The open ended question described what students had observed regarding the 'doctor-patient relationship' medical ethics and 'student-teacher relationship. A total of 77 questionnaires were returned after complete evaluation. The data were compiled and analysed using SPSS version 20 and the answers to the open ended questions were transcribed. Result: Role modelling was the preferred teaching-learning method for PPD as stated by 38% respondents; subsequent preferred methods were small group (30%), role play (24%), large group (7%) and reflective writing (1%). Majority (67.5%) respondents indicated that professional conduct of their clinical teachers was frequent enough as they had expected while 29.9% claimed that professional conduct was infrequently emphasized. Excellent professional conduct of clinical teachers was witnessed by 73% respondents while 27% indicated that they had never seen excellent conduct. When asked about inappropriate professional behaviours by clinical teachers, 53% indicated to have witnessed. Qualitative data also revealed both positive and negative experiences as reflected in open comments. According to 70% respondents clinical teachers required training to apply PPD in their daily practices. Conclusion: Professional conduct of clinical teachers as perceived by the students was excellent and frequents enough with experience of inappropriate behaviour too. Role modeling was the preferred teaching method while attention needed on reflective assignment. Educators must emphasize on role modelling in their daily practices and curriculum planners should give due importance on training needs of clinical teachers to apply PPD in their daily practices.

Education in Medicine Journal, 2014

Education in Medicine Journal, 2014

Procedia - Social and Behavioral Sciences, 2012

The consistency in ratings provided by examiners can affect the reliability of the OSCE. This stu... more The consistency in ratings provided by examiners can affect the reliability of the OSCE. This study was designed to identify the inter-rater reliability among examiners. This was a cross-sectional study involving 22 clinicians from all disciplines of medicine. An OSCE video was shown to each group and the examiners were to give their marks. The results showed a strong agreement among examiner in mixed discipline group (ICC=0.83), obstetrics & gynaecology group (ICC=0.84) and psychiatry group (ICC=0.88). Further analysis showed a moderate agreement among expert examiner (ICC=0.70) and non-expert examiners (ICC=0.78). We concluded that regardless the number of clinicians used as examiners in OSCE assessment, early exposure on OSCE, comprehensive training and OSCE station briefing prior to the examination are recommended.

Acta medica (Hradec Králové) / Universitas Carolina, Facultas Medica Hradec Králové, 2013

In view of the high anti-oxidative potential oftocotrienol, the role of the tocotrienol-rich frac... more In view of the high anti-oxidative potential oftocotrienol, the role of the tocotrienol-rich fraction (TRF) of palm oil in preventing pregnancy induced hypertension (PIH) was explored in a randomized double-blind placebo-controlled clinical trial in an urban teaching hospital. Healthy primigravidae were randomized to receive either oral TRF 100 mg daily or placebo, from early second trimester until delivery. Out of 299 women, 151 were randomized into the TRF arm and 148 into the placebo arm. A total of 15 (5.0%) developed PIH. Although there was no statistically significant difference in the incidence of PIH (4/151 or 2.6% in the TRF arm vs. 11/148 or 7.4% in the placebo arm, p = 0.058) between the two arms, there was a tendency towards a lower incidence of PIH in the TRF arm compared to the placebo arm. With TRF supplementation, the relative risk (RR) of PIH was 0.36 (95% CI 0.12-1.09). In conclusion, although TRF from palm oil does not statistically significantly reduce the risk o...

South East Asia Journal of Public Health, 2013

There is a significant gap between teaching and use of interesting technological resources by mos... more There is a significant gap between teaching and use of interesting technological resources by most of the faculties in medical schools around the globe. The objective of this paper is to highlight a Malaysian medical school’s experience on the use of a Synchronous Transnational Collaborative Learning (STCL) methodology using MedEdWorld – a technological resource of medical education, based at Dundee University, UK. A cross sectional study was carried out on 11 year-4 students and one facilitator of University Kebangsaan Malaysia (UKM) Medical Centre who participated in MedEdWorld’s STCL topic ‘Yellow Newborn Infant: Normal or abnormal, that is the question’ held on 24 March 2010 at 0800 hrs GMT. Other participating institutions were from Romania, Finland, Taiwan and Great Britain. The topic was delivered by a consultant from Dundee University, which lasted for one hour. At the end of the STCL presentation, a questionnaire was administered to all of the UKM Medical Centre’s participa...

Obstetrics and gynecology, 2008

Advanced abdominal pregnancy is rare, and one that occurs after uterine rupture with delivery of ... more Advanced abdominal pregnancy is rare, and one that occurs after uterine rupture with delivery of a viable fetus is exceptional. A multiparous patient was admitted at 29 weeks of gestation for conservative management of placenta previa. She complained of intermittent abdominal pain, but repeated assessment suggested that both the patient and the fetus were doing well. At 36 weeks, an abdominal pregnancy was diagnosed with radiological features suggestive of uterine rupture. Laparotomy was performed and a healthy infant was delivered. Fetal viability was achieved in this case of abdominal pregnancy secondary to uterine rupture after close maternal and fetal surveillance.

Medical Education Online, 2008

Salam A, Harlina HS, Nabishah M. Campus community partnership in bedside teaching: Staff developm... more Salam A, Harlina HS, Nabishah M. Campus community partnership in bedside teaching: Staff development program at a secondary health care hospital in malaysia.

Journal of Neonatal-Perinatal Medicine, 2010

Recent association studies have described genetic variants among type 2 diabetes mellitus (T2DM) ... more Recent association studies have described genetic variants among type 2 diabetes mellitus (T2DM) and their related traits. Gestational diabetes mellitus (GDM) is pathophysiologically similar to T2DM and may share genetic susceptibility. However, genetic susceptibility within GDM in our own population is still not yet explored. This study was to determine the association of GDM genetic variants in the Malaysian population.We genotyped 384 T2DM related SNPs among 174 cases of GDM and 114 controls of pregnant women using Illumina’s Golden Gate genotyping assay. In this case-control study, a custom of 384-SNP plex of 236 candidate genes was designed using the Illumina’s Assay Design Tool. The data analysis showed 12 SNPs had a significant association with GDM among Malaysians with p values 0.002 to 0.048 with their respective odd ratios. The SNPs rs7754840, rs10946398, rs9465871, rs7756992, rs6823091, rs7935082, rs237889, rs7903146, rs7961581 were significant under additive model while ...

Asia-Pacific Journal …, 2011

... 1Nor Khatijah Mohd Aris, 2Nor Azlin Mohamed Ismail*, 2Zaleha Abdul Mahdy, 2Shuhaila Ahmad, 2N... more ... 1Nor Khatijah Mohd Aris, 2Nor Azlin Mohamed Ismail*, 2Zaleha Abdul Mahdy, 2Shuhaila Ahmad, 2Norzilawati Mohd Naim, 2Harlina Halizah Haji Siraj, 3Rohana Jaafar, 3Shareena Ishak, 1Roslan Harun, 1Rahman Jamal, 1Wan Zurinah Wan Ngah and 1Syed Zulkifli Syed ...

Acta medica (Hradec Králové) / Universitas Carolina, Facultas Medica Hradec Králové, 2011

This prospective observational study was done to analyse the prevalence of gestational diabetes m... more This prospective observational study was done to analyse the prevalence of gestational diabetes mellitus (GDM) among primigravidae and its outcome. All healthy primigravidae with singleton pregnancies were offered universal glucose tolerance testing between 16 and 28 weeks gestation. GDM and non GDM groups were managed according to hospital protocol. The antenatal features and pregnancy outcomes were analysed. Out of 616 primigravidae, 113 (18.34%) were GDM with slightly older (27.9 +/- 4.2 versus 26.32 +/- 3.3, p < 0.001) age. The mean fasting and two hours postprandial blood glucose in both groups were 4.99 +/- 1.08 mmol/l, 8.86 +/- 1.41 mmol/l(GDM) and 4.36 +/- 0.43 mmol/l, 5.71 +/- 1.11 mmol/l (Non GDM), respectively. Maternal family history of diabetes mellitus, weight exceeding 80 Kg, polyhydramnios (2.65% versus 0.2%, p = 0.028) and neonatal hyperbilirubinaemia (9.73% versus 2.98%, p = 0.01) occurred significantly more frequent in the GDM group compared to normal. There wa...

Background: Understanding of educational environment is very important to determine the strength ... more Background: Understanding of educational environment is very important to determine the strength and weakness of a curriculum in order to further improvement of an educational institution. This paper reports final year medical students' perceptions on educational environment in a Malaysian medical school. Methods: This was a cross-sectional questionnaire survey conducted at the Medical Faculty of Universiti Kebangsaan Malaysia (UKM). Data was collected using-DREEM, an internationally validated instrument which was administered to all 250 final year medical students of UKM Medical School in 2011. The DREEM contained 50 items under five sub-domains with 0-4 rating scale giving a maximum score of 200. Results: Of 250 samples, 193 responded accurately giving a response rate of 77.20%, of which 70% were female and 30% were male. Mean rating of total score was 131/200 and for five sub-domains: "students' perceptions of learning", "students' perceptions of teache...

Introduction: Internet is the most wanted information and communication technology that brought t... more Introduction: Internet is the most wanted information and communication technology that brought the worldwide revolutionary change in the information scenario. It helps students to broaden their academic knowledge, research and assignments by accessing to the information world and also by easy communication to their academic community. Though there are many benefits linked with Internet use, there has been a growing concern regarding the risk associated with Internet overuse. It is reported that Internet has a significant decrement onto students' performance. This study aimed to determine the association between Internet usage and academic performances of students in a public University of Malaysia. Methodology: This was a cross sectional study conducted in a Malaysian Public University among 186 year-4 medical student of session 2011-2012. It used the Internet Addiction Diagnostic Questionnaire instrument which contained eight questions and were asked to answer either 'Yes&...

The National medical journal of India

Pakistan Journal of Medical Sciences, 1969

Special Study Module (SSM) is a mandatory research module implemented in Universiti Kebangsaan Ma... more Special Study Module (SSM) is a mandatory research module implemented in Universiti Kebangsaan Malaysia (UKM). The objective of this paper is to provide a brief overview on the student research activities and to find out the outcome measures in terms of publication. It was a retrospective study done on SSM research projects at UKM. The SSM research is conducted from beginning of year-4 until 1(st) seven weeks of year-5. In year-4, students are assigned to a faculty-supervisor in small groups and spend every Thursday afternoon to plan and carry the research. Whole first seven weeks of year-5, students are placed with their supervisor continuously to collect data, do analysis, write report and present in the scientific conference. Outcomes of 5-years SSM research-projects starting from 2008/2009 to 2012/2013 academic session were analyzed. Total 257 projects were completed and presented in annual scientific meetings from which 57 (22.2%) articles were published in peer reviewed journals. Mandatory undergraduate student research project brings an opportunity to develop students&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; capacity building from conception to final report writing and thereby narrowing the gap between education and practice. Medical schools should implement research module to bring changes in research and publication culture of undergraduate medical education.

Iranian journal of medical sciences, 2011

Bedside teaching is a vital component of medical education. It is applicable to any situation whe... more Bedside teaching is a vital component of medical education. It is applicable to any situation where teaching is imparted in the presence of patients. In teaching in the patients' presence, learners have the opportunities to use all of their senses and learn the humanistic aspect of medicine such as role modeling, which is vital but difficult to communicate in words. Unfortunately, bedside teaching has been on the decline. To investigate the reasons for the decline in bedside teaching, its importance and its revival, a review of literature was carried out using PubMed and other data bases. The review revealed that the major concerns of bedside teaching were time constraint, false preceptors' concern about patients' comfort, short stay of patients in hospitals, learner distraction by technology, lack of experience and unrealistic faculty expectation. Whatsoever the reasons, bedside teaching cannot be replaced with anything else. There are newer approaches of effective beds...

Procedia - Social and Behavioral Sciences, 2011

Abstract Medical doctors are required to provide fair treatment and care to all patients, regardl... more Abstract Medical doctors are required to provide fair treatment and care to all patients, regardless of their age, gender, ethnicity, religion, social position and financial status. The basic precepts of medical ethics clearly illustrate the importance of medical practitioners to ...

Education in Medicine Journal, 2013

Self-awareness and reflective-skill are important components of personal and professional develop... more Self-awareness and reflective-skill are important components of personal and professional development of medical students. Objective: The objective of this study was to determine whether self awareness and reflective skill could be improved by direct teaching intervention.Method: This was a cross sectional intervention study conducted among 75 third year medical students of UKM Medical Centre Malaysia in 2010. Malaysian Emotional Quotient Inventory (MEQI) was used to measure self-awareness and reflective writing scripts were used to measure the reflective skills of the respondents before and after teaching intervention. Experimental group comprised of 30 students while the control group constituted the rest 45 students selected randomly. The factors contributing to self awareness with gender and learning styles were determined. Result: There was no significant improvement observed in self-awareness of the respondents but reflective skills was significantly improved (p=0.007) following intervention. A non-significant relationship between self-awareness and gender (p=0.588) as well as self-awareness and learning styles (p=0.435) was also noticed.Conclusion: It is concluded that intervention programs improved students' reflective skills but not their self-awareness. Effectiveness of the intervention programme is an important factor. Continuous effort should be focused to train students in an effective way in order to be more self-reflective, self-regulative as well as self-corrective, to ensure a high level of personal and professional development in their daily practices.

Education in Medicine Journal, 2014

Introduction: Appropriate professional conduct of clinical teacher is vital in their medicine pra... more Introduction: Appropriate professional conduct of clinical teacher is vital in their medicine practice. In UKM medical centre Malaysia, personal and professional development (PPD) of future medical professionals is greatly emphasized. The objective of this study was to determine the medical students' perception about the professional conduct of their clinical teachers at UKM medical centre. Methods: It was an online questionnaire survey conducted among the clinical students enquiring about the professional conduct of their clinical teachers. There were five statements and one open ended question which described students' preference about PPD teachinglearning method, expectation on PPD session, need of teachers training and experience about the excellent and inappropriate professional conduct of clinical teachers. The open ended question described what students had observed regarding the 'doctor-patient relationship' medical ethics and 'student-teacher relationship. A total of 77 questionnaires were returned after complete evaluation. The data were compiled and analysed using SPSS version 20 and the answers to the open ended questions were transcribed. Result: Role modelling was the preferred teaching-learning method for PPD as stated by 38% respondents; subsequent preferred methods were small group (30%), role play (24%), large group (7%) and reflective writing (1%). Majority (67.5%) respondents indicated that professional conduct of their clinical teachers was frequent enough as they had expected while 29.9% claimed that professional conduct was infrequently emphasized. Excellent professional conduct of clinical teachers was witnessed by 73% respondents while 27% indicated that they had never seen excellent conduct. When asked about inappropriate professional behaviours by clinical teachers, 53% indicated to have witnessed. Qualitative data also revealed both positive and negative experiences as reflected in open comments. According to 70% respondents clinical teachers required training to apply PPD in their daily practices. Conclusion: Professional conduct of clinical teachers as perceived by the students was excellent and frequents enough with experience of inappropriate behaviour too. Role modeling was the preferred teaching method while attention needed on reflective assignment. Educators must emphasize on role modelling in their daily practices and curriculum planners should give due importance on training needs of clinical teachers to apply PPD in their daily practices.

Education in Medicine Journal, 2014

Education in Medicine Journal, 2014

Procedia - Social and Behavioral Sciences, 2012

The consistency in ratings provided by examiners can affect the reliability of the OSCE. This stu... more The consistency in ratings provided by examiners can affect the reliability of the OSCE. This study was designed to identify the inter-rater reliability among examiners. This was a cross-sectional study involving 22 clinicians from all disciplines of medicine. An OSCE video was shown to each group and the examiners were to give their marks. The results showed a strong agreement among examiner in mixed discipline group (ICC=0.83), obstetrics & gynaecology group (ICC=0.84) and psychiatry group (ICC=0.88). Further analysis showed a moderate agreement among expert examiner (ICC=0.70) and non-expert examiners (ICC=0.78). We concluded that regardless the number of clinicians used as examiners in OSCE assessment, early exposure on OSCE, comprehensive training and OSCE station briefing prior to the examination are recommended.

Acta medica (Hradec Králové) / Universitas Carolina, Facultas Medica Hradec Králové, 2013

In view of the high anti-oxidative potential oftocotrienol, the role of the tocotrienol-rich frac... more In view of the high anti-oxidative potential oftocotrienol, the role of the tocotrienol-rich fraction (TRF) of palm oil in preventing pregnancy induced hypertension (PIH) was explored in a randomized double-blind placebo-controlled clinical trial in an urban teaching hospital. Healthy primigravidae were randomized to receive either oral TRF 100 mg daily or placebo, from early second trimester until delivery. Out of 299 women, 151 were randomized into the TRF arm and 148 into the placebo arm. A total of 15 (5.0%) developed PIH. Although there was no statistically significant difference in the incidence of PIH (4/151 or 2.6% in the TRF arm vs. 11/148 or 7.4% in the placebo arm, p = 0.058) between the two arms, there was a tendency towards a lower incidence of PIH in the TRF arm compared to the placebo arm. With TRF supplementation, the relative risk (RR) of PIH was 0.36 (95% CI 0.12-1.09). In conclusion, although TRF from palm oil does not statistically significantly reduce the risk o...

South East Asia Journal of Public Health, 2013

There is a significant gap between teaching and use of interesting technological resources by mos... more There is a significant gap between teaching and use of interesting technological resources by most of the faculties in medical schools around the globe. The objective of this paper is to highlight a Malaysian medical school’s experience on the use of a Synchronous Transnational Collaborative Learning (STCL) methodology using MedEdWorld – a technological resource of medical education, based at Dundee University, UK. A cross sectional study was carried out on 11 year-4 students and one facilitator of University Kebangsaan Malaysia (UKM) Medical Centre who participated in MedEdWorld’s STCL topic ‘Yellow Newborn Infant: Normal or abnormal, that is the question’ held on 24 March 2010 at 0800 hrs GMT. Other participating institutions were from Romania, Finland, Taiwan and Great Britain. The topic was delivered by a consultant from Dundee University, which lasted for one hour. At the end of the STCL presentation, a questionnaire was administered to all of the UKM Medical Centre’s participa...

Obstetrics and gynecology, 2008

Advanced abdominal pregnancy is rare, and one that occurs after uterine rupture with delivery of ... more Advanced abdominal pregnancy is rare, and one that occurs after uterine rupture with delivery of a viable fetus is exceptional. A multiparous patient was admitted at 29 weeks of gestation for conservative management of placenta previa. She complained of intermittent abdominal pain, but repeated assessment suggested that both the patient and the fetus were doing well. At 36 weeks, an abdominal pregnancy was diagnosed with radiological features suggestive of uterine rupture. Laparotomy was performed and a healthy infant was delivered. Fetal viability was achieved in this case of abdominal pregnancy secondary to uterine rupture after close maternal and fetal surveillance.

Medical Education Online, 2008

Salam A, Harlina HS, Nabishah M. Campus community partnership in bedside teaching: Staff developm... more Salam A, Harlina HS, Nabishah M. Campus community partnership in bedside teaching: Staff development program at a secondary health care hospital in malaysia.