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Search Results: 1 - 10 of 4358 matches for " Khairani Omar "
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Do Children with Dyslexia Have Difficulty in Reading the Quranic Verses Too?  [PDF]
Shalinawati Ramli, Khairani Omar, Mohamad Ahsanullah El Baki, Shahlan Surat
Creative Education (CE) , 2016, DOI: 10.4236/ce.2016.77106
Abstract: Dyslexia, a type of learning disability, is a neurodevelopmental disorder that affects reading, writing and spelling in children. It is one of the commonest learning disorders among school-going children. The causes of dyslexia are multifactorial and are hereditary. The objective of this study was to determine if children with dyslexia have difficulty in reading the Quranic verses too. This was a cross-sectional study conducted at a government primary school in Kuala Lumpur. All standard one pupils, a total of 200 pupils, were screened for reading, writing and numerical difficulties by the school teachers in March, 2014 using LINUS screening tool, a standardized literacy screening tool adopted by all Malaysian schools. Students who failed the first LINUS screening were given intervention by the school teachers. Six months later, the research team reassessed the pupils who failed the Linus screening. Approximately 18% (37 pupils) of the standard one pupils had dyslexia. Of these, 33 of them were Muslims and were assessed if they had difficulty reading the Quranic verses by using Iqra’, which is the basic reading material for Quranic verses. About 79% of them had difficulty reading the Quran. The majority of the children with dyslexia also had difficulty reading the Quranic verses. Thus remedial intervention for Muslim dyslexic children should also include learning to read the Quran.
Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia
Ruzanna ZamZam, Maniam Thambu, Marhani Midin, Khairani Omar, Pervesh Kaur
International Journal of Mental Health Systems , 2009, DOI: 10.1186/1752-4458-3-13
Abstract: This is a cross-sectional study carried out in a semi-urban primary healthcare centre located south of Kuala Lumpur. Systematic random sampling was carried out and a total of 267 subjects completed the PHQ during the study period.The proportion of respondents who had at least one PHQ positive diagnosis was 24.7% and some respondents had more than one diagnosis. Diagnoses included depressive illness (n = 38, 14.4%), somatoform disorder (n = 32, 12.2%), panic and anxiety disorders (n = 17, 6.5%), binge eating disorder (n = 9, 3.4%) and alcohol abuse (n = 6, 2.3%). Younger age (18 to 29 years) and having a history of stressors in the previous four weeks were found to be significantly associated (p = 0.036 and p = 0.044 respectively) with PHQ positive scores.These findings are broadly similar to the findings of studies done in other countries and are a useful guide to the probable prevalence of psychiatric morbidity in primary care in other similar settings in Malaysia.Most of the psychiatric morbidity in the community is seen at the primary care level [1-5]. Studies using screening instruments have reported prevalence rates ranging from 16 to 43% of general practice attenders [1,6-8]. A study of psychiatric morbidity using the General Health Questionnaire (GHQ) reported rates up to 30% [1]. In a Malaysian primary health setting the prevalence of psychiatric morbidity using GHQ-30 item version was 26.7% [9]. In the general population, as measured by GHQ-12 in the Malaysian National Health and Morbidity Survey, the prevalence of psychiatric disorder was 11% [10].It has been reported that primary care practitioners miss about one third of psychiatrically ill people [4,11,12]. A number of reasons have been adduced for this. Patients seeing their primary care doctors tend to somatize their emotional distress, presenting with physical symptoms rather than overt psychological symptoms [13]. Medical history is often taken in conditions of little privacy thereby discouraging pa
Premenstrual symptoms and remedies practiced by Malaysian women attending a rural primary care clinic
Khairani Omar,Siti S. Mohsin,Leelavathi Muthupalaniappen,Idayu B. Idris
African Journal of Primary Health Care & Family Medicine , 2009, DOI: 10.4102/phcfm.v1i1.18
Abstract: Background: Premenstrual symptoms affect about 40% of women of reproductive age. In an effort to alleviate premenstrual symptoms, affected women practice various remedial approaches. The aim of this study was to assess the prevalence and severity of premenstrual symptoms experienced by women, the associated factors and the remedial approaches practiced by them. Method: This was a cross-sectional study conducted at a rural primary care clinic situated in Hulu Langat, Malaysia. All women of reproductive age (18 to 44 years old) attending the clinic during the study period and who fit the selection criteria were included. Premenstrual symptoms and severity were assessed using a self-report questionnaire, the Shortened Premenstrual Assessment Form (SPAF). It consists of 10 items that measure changes in mood, behaviour and physical symptoms. The respondents were also asked if they had used any remedy to relieve their symptoms. Results: A total of 158 women were included in the study. The majority of the respondents were Malay (70.3%), followed by Indian (16.5%) and Chinese (10.8%) women. About 75% of the women experienced at least one of the premenstrual symptoms. Approximately 7% of them reported experiencing severe symptoms in all three subscales of the SPAF. The frequently reported symptoms were body ache (75.3%), abdominal pain (75.3%), irritable feeling (63.9%) and breast discomfort (61.4%). The symptom score was higher among Malay women (p = 0.034), and those with a higher household income (p = 0.037) and higher educational level (p = 0.01). There was no significant association between premenstrual symptoms and age, marital status, menstrual cycle and age of menarche. The common remedies used were vitamins (19%), a healthy diet (15.8%) and analgesics (13.3%). Approximately 60% of the women did not use any remedy to reduce their premenstrual symptoms. Conclusion: Premenstrual symptoms were common among women attending the clinic. The symptoms affect them significantly both physically and emotionally. Thus, it is essential for primary care providers to take an active role in identifying, educating and managing premenstrual symptoms among women. How to cite this article: Omar K, Mohsin SS, Muthupalaniappen L, Idris IB, Amin RA & Shamsudin K. Premenstrual symptoms and remedies practiced by Malaysian women attending a rural primary care clinic. Afr J Prm Health Care Fam Med. 2009;1(1), Art. #18, 5 pages. DOI: 10.4102/phcfm.v1i1.18
The impact of a disease management program (COACH) on the attainment of better cardiovascular risk control in dyslipidaemic patients at primary care centres (The DISSEMINATE Study): a randomised controlled trial
Selvaraj Francis Jude,Mohamed Mafauzy,Omar Khairani,Nanthan Sudha
BMC Family Practice , 2012, DOI: 10.1186/1471-2296-13-97
Abstract: Background To evaluate the efficacy of Counselling and Advisory Care for Health (COACH) programme in managing dyslipidaemia among primary care practices in Malaysia. This open-label, parallel, randomised controlled trial compared the COACH programme delivered by primary care physicians alone (PCP arm) and primary care physicians assisted by nurse educators (PCP-NE arm). Methods This was a multi-centre, open label, randomised trial of a disease management programme (COACH) among dyslipidaemic patients in 21 Malaysia primary care practices. The participating centres enrolled 297 treatment na ve subjects who had the primary diagnosis of dyslipidaemia; 149 were randomised to the COACH programme delivered by primary care physicians assisted by nurse educators (PCP-NE) and 148 to care provided by primary care physicians (PCP) alone. The primary efficacy endpoint was the mean percentage change from baseline LDL-C at week 24 between the 2 study arms. Secondary endpoints included mean percentage change from baseline of lipid profile (TC, LDL-C, HDL-C, TG, TC: HDL ratio), Framingham Cardiovascular Health Risk Score and absolute risk change from baseline in blood pressure parameters at week 24. The study also assessed the sustainability of programme efficacy at week 36. Results Both study arms demonstrated improvement in LDL-C from baseline. The least squares (LS) mean change from baseline LDL-C were 30.09% and 27.54% for PCP-NE and PCP respectively. The difference in mean change between groups was 2.55% (p=0.288), with a greater change seen in the PCP-NE arm. Similar observations were made between the study groups in relation to total cholesterol change at week 24. Significant difference in percentage change from baseline of HDL-C were observed between the PCP-NE and PCP groups, 3.01%, 95% CI 0.12-5.90, p=0.041, at week 24. There was no significant difference in lipid outcomes between 2 study groups at week 36 (12 weeks after the programme had ended). Conclusion Patients who received coaching and advice from primary care physicians (with or without the assistance by nurse educators) showed improvement in LDL-cholesterol. Disease management services delivered by PCP-NE demonstrated a trend towards add-on improvements in cholesterol control compared to care delivered by physicians alone; however, the improvements were not maintained when the services were withdrawn. Trial registration National Medical Research Registration (NMRR) Number: NMRR-08-287-1442 Trial Registration Number (ClinicalTrials.gov Identifier): NCT00708370
Medicines information provided by pharmaceutical representatives: a comparative study in Australia and Malaysia
Noordin Othman, Agnes I Vitry, Elizabeth E Roughead, Shaiful B Ismail, Khairani Omar
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-743
Abstract: Following a pharmaceutical representative's visit, general practitioners in Australia and Malaysia who had agreed to participate, were asked to fill out a questionnaire on the main product and claims discussed during the encounter. The questionnaire focused on provision of product information including indications, adverse effects, precautions, contraindications and the provision of information on the Pharmaceutical Benefit Scheme (PBS) listings and restrictions (in Australia only). Descriptive statistics were produced. Chi-square analysis and clustered linear regression were used to assess differences in Australia and Malaysia.Significantly more approved product information sheets were provided in Malaysia (78%) than in Australia (53%) (P < 0.001). In both countries, general practitioners reported that indications (Australia, 90%, Malaysia, 93%) and dosages (Australia, 76%, Malaysia, 82%) were frequently provided by pharmaceutical representatives. Contraindications, precautions, drug interactions and adverse effects were often omitted in the presentations (range 25% - 41%). General practitioners in Australia and Malaysia indicated that in more than 90% of presentations, pharmaceutical representatives partly or fully answered their questions on contraindications, precautions, drug interactions and adverse effects. More general practitioners in Malaysia (85%) than in Australia (60%) reported that pharmaceutical representatives should have mentioned contraindications, precautions for use, drug interaction or adverse effects spontaneously (P < 0.001). In 48% of the Australian presentations, general practitioners reported the pharmaceutical representatives failed to mention information on PBS listings to general practitioners.Information on indications and dosages were usually provided by pharmaceutical representatives in Australia and Malaysia. However, risk and harmful effects of medicines were often missing in their presentations. Effective control of medicines infor
Isolation and Identification of Bucella melitensis in Goats
Maged Ahmed AL-Garadi,S. Khairani-Bejo,Z. Zunita,A.R. Omar
Journal of Animal and Veterinary Advances , 2012, DOI: 10.3923/javaa.2011.972.979
Abstract: Isolation of Brucella melitensis is the standard gold of identification and confirmation of animal brucellosis. However in Malaysia, Brucella sp., infection of goat was increasing recently and there is no evidence for diagnosis of the serover of Brucella sp., that cause the disease in goat population except the detection of serological methods. Isolation and identification of Brucella melitensis have been done by bacteriological methods in addition to conventional Polymerase Chain Reaction (PCR) and Real-time PCR for detection of Brucella melitensis from samples collected from vaginal swabs on suspected farm. In conclusion, four isolate have been got out of 300 vaginal samples and all isolate is belong to Brucella melitensis server 1. The Real-time PCR is the easy and save method for confirmation of brucellosis in goats population.
Comparison of PCR Assay with Serum and Whole Blood Samples of Experimental Trials for Detection and Differentiation of Brucella melitensis
B.Y. Takele,S Khairani-Bejo,A.R. Bahaman,A.R. Omar
Journal of Animal and Veterinary Advances , 2012,
Abstract: Brucellosis poses a significant animal and public health problem in many developing countries and requires fast and accurate diagnosis. A PCR assay amplifying part of the Brucella melitensis specific IS711 gene was developed and applied to mice clinical samples with experimental trial. Over an 8 week period of infection, whole blood and serum were examined from 78 experimental mice, with a total of 60 samples from B. melitensis infected mice and a group of 96 control samples from mice inoculated with Brucella abortus 544, Yersinia enterocolitica O:9 and Brucella broth. Regardless of date of infection, the sensitivity of whole blood and serum based PCR assay with samples from B. melitensis infected mice was found to be 100% (30/30) and 83.3% (25/30), respectively. Serum samples collected at 60 days post infection (p.i) of B. melitensis failed to show positive result. An amplicon of 252 bp was obtained in all PCR positive samples. All samples obtained from the control groups tested negative, conferring an assay specificity of 100%. These results show that though, use of serum-PCR may lead to assay simplification and shorten turnaround time, but the optimal clinical specimen for this test was not serum but whole blood, which leads to maximum assay sensitivity.
Detection of Brucella melitensis in Blood Samples Collected from Goats
Maged Ahmed AL-Garadia,S. Khairani-Bejo,Z. Zunita,A.R. Omar
Journal of Animal and Veterinary Advances , 2012, DOI: 10.3923/javaa.2011.1437.1444
Abstract: PCR assays have been shown to be a promising option for the diagnosis of brucellosis. However, there is no study conducted in Malaysia to identify the brucellosis in goat s population. In this study three whole blood samples and sera were collected from goat s farm in Kedah state Malaysia which was suspected to have brucellosis. Serological and molecular detection of brucellosis have been done including RBPT, CFT, conventional PCR and Real time. The evaluation of each test have been discussed rather than the sensitivity and specificity of the each test which can be used in Malaysia national eradication programs. In conclusion, the combination between the serological test and molecular technique specially real time PCR depend on IS711 region in hypothetical protein is promising and can be reduced to false positive result which can cause heavy economical loss during controlling programs.
CLINICAL FEATURES OF ACUTE FEBRILE THROMBOCYTOPAENIA AMONG PATIENTS ATTENDING PRIMARY CARE CLINICS
Tong Seng Fah,Noorazah Abdul Aziz,Chin Gek Liew,Khairani Omar
Malaysian Family Physician , 2006,
Abstract: Introduction: Identifying clinical features that differentiate acute febrile thrombocytopaenia from acute febrile illness without thrombocytopaenia can help primary care physician to decide whether to order a full blood count (FBC). This is important because thrombocytopaenia in viral fever may signify more serious underlying aetiology like dengue infection.Objective: The aim of this study was to compare the clinical features of acute febrile patients with thrombocytopaenia and acute febrile patients without thrombocytopaenia.Methodology: This was a clinic-based cross-sectional study from May to November 2003. Consecutive patients presenting with undifferentiated fever of less than two weeks were selected from the Primary Care Centre of Hospital Universiti Kebangsaan Malaysia and Batu 9 Cheras Health Clinic. Clinical features of these patients were recorded and FBC examination was done for all patients. Thrombocytopaenia was defined as platelet count <150X109/L. The odds ratio of thrombocytopaenia for each presenting symptoms was calculated.Result: Seventy-three patients participated in this study. Among them, 45.2% had thrombocytopaenia. Myalgia and headache were common among all patients. However, nausea and vomiting occurred significantly more often among patients with thrombocytopaenia than in patients with normal platelet count (OR 2.2, 95% CI 1.1-4.5).Conclusion: Acute non-specific febrile patients presenting with symptoms of nausea and vomiting may have higher risk of thrombocytopaenia and should be seriously considered for FBC.
Sequencing and Expression of Fimbrial Gene of Pasteurella multocida B:2
A. Ernie,M. Zamri-Saad,Z. Zunita,A. R. Omar,B. Siti Khairani,M. Y. Sabri
Journal of Animal and Veterinary Advances , 2012,
Abstract: The fimbrial gene of Pasteurella multocida B:2, isolated from cattle with haemorrhagic septicaemia was amplified, cloned, sequenced and expressed in a vector. Cloning of the fimbrial gene revealed a 435 bp band while sequencing revealed similar nucleotide sequencing to the PtfA gene of P. multocida A:3 isolated from chicken, except the five nucleotide changes at residues 171, 282, 363, 387 and 414. The fimbrial gene was found to encode a deduced protein of 144 amino acids. The expressed fimbrial protein was detected from 4 h post-induction with a molecular weight of 18-kDa.
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