Empowering patient’s relatives: How to do it right using the media

Introduction : Relatives play an important role in patient care - not only providing social support but also help to complement the existing care. They must be empowered with relevant knowledge and skills of patient care including motivating patient towards immediate healing and acceptance of his fate. Although these are various approaches, the media is regarded as the most effective method in educating the family or the relatives. This paper highlights the significant role of the media as an educational tool to mobilize patient’s relatives in total patient care. Methodology : This is a review conducted on reports, observations and feedbacks gathered from various sources involved in patient education in hospital setting. It was endorsed by a series of in-depth expert forum under patient education module. Results : Relative empowerment has been identified to be as an important role and yet it is not fully utilized. The manpower resources are so scarce and crucial in patient as well as relative education. The media is the only alternative educational tool that could compliment the educational needs. Of all potential media available in the market we have recognized at least four types of media that can be optimally resourced and used. Through manipulation of its content and making it interactive, the role of media seemed to be extremely effective in patient management that include relatives. Conclusion : The role of media in relative’s education in support of patient care is undeniable. The media with the most potential should be identified and the management of its content to be enhanced. It must be incorporated with an interactive approach in order to have more self-involvement and undersatanding of its content

Perbandingan klinik swasta di bandar dan luar bandar di Negeri Selangor, 2009

Introduction : Selangor’s private clinic registry system had been introduced in 2006 following gazettment of The Private Healthcare Facilities and Services Act. Through the act, data’s from the private clinics can be obtained and its characteristics can be compared between the urban and rural private clinic. An overview of the services can be known and an appropriate action can be planned. Methodology : A cross-sectional study was done on private clinics registered in state of Selangor. Using databased known as MedPCs (Medical Practice Control System), a purposive sampling was used to select four districts – two urban and two rural. All private clinics in the selected districts were studied and all details shall be collected on line. Result : District of Gombak and Klang were selected as urban and Sabak Bernam and Kuala Selangor represented rural area. Of a total 625 clinics selected, 90.0% (562) from urban and 10.0% (63) rural. Distributions of clinic were in line with the act. The most prominent services were general treatment (89.4%) and ability to serve more than eight hours daily (89.4%). Medical clinic still dominated at 84.0% compared to dentistry at 16.0%. About 70.6% were operated by male doctors. Though clinic services in rural were relatively as good as urban, the different were significantly observed to the ethnicity of the doctor. Indian doctors more in rural (46.03%), whilst in urban, Malay doctors were more dominant (39.50%). Followed closely by seniority, where rural doctors were much senior (51.02 years old), however, most of the doctors in rural private clinics experienced less exposure in government sectors, compared to those in urban areas. Conclusion : There were obvious difference in terms of distribution, where more clinics were located in urban compared to rural, but all were still in line to the act and their services were comparable. Most noticeable differences were ethnicity, seniority and past experience working in the public sector. Indian doctors were dominant in rural and Malay in urban. Although rural doctors were more senior, relatively they were less experienced working in the government sector

Quorum sensing regulated phenotypes in Aeromonas hydrophila ATCC 7966 deficient in AHL production

The virulence of Aeromonas hydrophila is positively regulated by a quorum sensing (QS) system based on the ahyRI genes. The aim of this study was to evaluate the phenotypic characteristics related to virulence in the A. hydrophila strain ATCC 7966 in order to check if virulence traits are still functioning, despite the absence of a well characterized QS system. As expected, we were not able to detect quorum signaling AHL molecules in A. hydrophila ATCC 7966 by cross-streaking or thin layer chromatography with AHL biosensor strains. Although A. hydrophila ATCC 7966 did not produce AHLs, transcription of the ahyI and ahyR genes was observed by RT-PCR. Phenotypes generally recognized as QS-regulated in A. hydrophila were maintained in ATCC 7966; these phenotypes included proteolytic activity on casein and gelatin and amylolytic, lipolytic, and ?- hemolytic activities, as well as the ability to adhere to surfaces and to form biofilms. Moreover, the addition of exogenous AHLs did not induce changes in the evaluated phenotypes. The results suggest that although this strain does not produce AHL as evaluated in this study, it maintains the phenotypes commonly associated with QS in this species indicating that other regulatory mechanisms independent of ahyRI may be in place