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To Reduce Medication Administration Error Through Enteral Feeding Tube This is the official journal of the Postgraduate Medical PERAK MEDICAL JOURNAL Volume 12 Number 1 . 2013 Education Society of Hospital Ipoh (Pertubuhan Pendidikan Perubatan Lepas Ijazah Hospital Ipoh) and the Clinical Research Centre Perak (CRC Perak), Hospital Raja Permaisuri Bainun. The recent PERAK MEDICAL JOURNAL change in name reflects the wider coverage and formerly known as Medical Practice Hospital Ipoh representation of the journal for the region. PMJ Perak Medical Journal is a registered journal with an International Standard Serial Number (ISSN) issued by the National Library of Malaysia. All articles published, including editorials and letters, represent the views of the authors and not necessarily those of the Editorial Board or of the Ministry of Health. “Research is to see what everybody else has seen, and to think what“ nobody else has thought. Albert Szent-Gyorgyi (1893–1986) Hungarian Physiologist Won the Nobel Prize for Medicine 1937 Credited with discovering vitamin C Editorial 1 Interventional Research 4 Observational Research 14 Diagnostic Studies 69 Systematic and Literature Reviews 72 Volume 12 Number 1 • 2013 Volume Case Reports and Case Series 75 Other Research 86 Investigator Initiated Research 104 Industry Sponsored Research 139 HOSPITAL IPOH DESKTOP SYSTEMS Tel: (05) 291 1830 Fax: (05) 292 1830 http://www.dts-web.com Email: [email protected] A Publication of the PGMES Hospital Ipoh & CRC Perak ISSN 1394-8474 Perak Medical Journal POSTGRADUATE MEDICAL EDUCATION SOCIETY OF HOSPITAL IPOH (PGMES) INSTRUCTIONS TO AUTHORS (formerly known as Medical Practice Hospital Ipoh) HOSPITAL IPOH The official journal of the Postgraduate Medical Education Papers should be sent to: ABSTRACT Society of Hospital Ipoh (Pertubuhan Pendidikan Perubatan THE EDITOR Research or scientific article should generally include a Lepas Ijazah Hospital Ipoh) and the Clinical Research Centre Perak Medical Journal structured abstract of about 250-500 words. This should be Perak (CRC Perak), Hospital Raja Permaisuri Bainun. The (formerly known as Medical Practice Hospital Ipoh) concisely written under the following headings: recent change in name reflects the wider coverage and Clinical Research Centre Perak, • Study Title representation of the journal for the region. OFFICE BEARERS FOR 2012/2013 4th Floor, Ambulatory Care Centre, • Authors and affliated Institutions Hospital Raja Permaisuri Bainun Ipoh, 30990 Ipoh. • Introduction and Objectives 2013 EDITORIAL COMMITTEE President Dato' Dr Krishnan Chandran Tel: 605-2085138, Fax: 605-2425477 • Methodology Email: [email protected], [email protected] • Results Editor Vice-President Dato’ Dr Amar-Singh HSS Dato’ Dr Amar-Singh HSS • Conclusion They should be prepared according to the Uniform • Keywords (3-5 keywords) Editorial Board Secretary Dr Sharon Linus Lojikip Requirements for Manuscripts Submitted to Biomedical • NMRR ID (all research to be conducted and all abstracts Dr Brian Cheong Mun Keong 1 Lim Wei Yin Journals . submitted must be registered with the National Medical Ooi Qing Xi Assistant Secretary Research Register2 (https://www.nmrr.gov.my) Nor Aizura Zulkifli Dr Sree Kantan Nayar GENERAL POINTS Lina Hashim Treasurer The journal is interdisciplinary and inter-profesional. PRINTING Dr Lionel Chia Dr Noor Khatijah Nurani It is intended to provide an avenue for all categories of Any manuscript that includes colour prints will incur an Sivanesan Seevagan Dr Arvinder Singh Harbaksh Singh Committee Members medical staff in the region of Perak and wider afield, additional cost in printing. The editorial board will consider Dr Netia Jeganathan Dato’ Dr Mukudan Krishnan to publish research work carried out. It also serves as a such articles but may request the authors to pay the additional Suria Junus Dato’ Dr Hj. Wahinuddin Sulaiman forum to discuss clinical and epidemiological issue of costs. Abdul Haq Nurhaizan Dr Akbar Ali Hatim Ali interest and relevance. Research article, reviews, clinical Kalpana Devi Balagangatharan Dr Rosalind Simon practice and opinions (including dissenting views) are all REFERENCES Advisors Auditors welcome. • References should be written in accordance with the Dr Raja Lope Ahmad Raja Ariffin Dato’ Dr Norain Karim Vancouver agreement1 and be cited numerical in the order Director Raja Permaisuri Bainun Hospital, Ipoh Perak Dr Ker Hong Bee • All material submitted for publication is assumed to be listed. Dato' Dr Hjh. Nordiyanah Hj. Hassan The Postgraduate Medical Education Society of Hospital Ipoh was submitted exclusively to the journal unless otherwise • All authors should be listed unless there are more than 6, in Director of Medical & Health Services, Perak State first conceived in 1991. It received official status with its registration stated. which case the remainder should be stated as et al. in 1993. Over the years Postgraduate Medical Education Society of • All authors must give their written consent to • Example: Ibrahim ES, Wong SP. Childhood drowning in Perak Medical Journal is a registered journal with an Hospital Ipoh has been active in promoting postgraduate medical publication. the Perak River, Public Health J 1995; 34:123-125. International Standard Serial Number (ISSN) issued by the education and the development of facilities for such activities. This National Library of Malaysia. All articles published, including journal, the Perak Medical Journal, is one such activity. • All manuscript must be submitted in electronic form, editorials and letters, represent the views of the authors and produced on Microsoft Word, emailed to the Editorial SPECIAL NOTE TO AUTHORS not necessarily those of the Editorial Board or of the Ministry CLINICAL RESEARCH CENTRE (CRC) PERAK Board ([email protected], [email protected]) The editorial board will gladly assist all new authors and of Health. RAJA PERMAISURI BAINUN HOSPITAL • Number the pages, top right. those who feel "uncertain" in improving on the manuscript • Define all abbreviations. quality before publication. The editorial board retains All manuscripts submitted to the journal should be in • The journal encourages the use of 95% confidence the right to style and if necessary may shorten material accordance with the "Instructions To Authors" (printed on the last page of the journal) and submitted to the address listed intervals where appropriate statistical analysis permits. accepted for publication. Perak Medical Journal (formerly below. CRC Perak Team • Give the name, address, telephone, fax number and known as Medical Practice Hospital Ipoh) is registered with Dato’ Dr Amar-Singh HSS (Head) e-mail address of the author to whom correspondence the National Library of Malaysia and has an international Editorial Address: Lina Hashim (Administrator) should be sent. standard serial number (ISSN) i.e. it can be cited. The Editor Dr Sharon Linus Lojikip • Authors may be requested to produce the raw data on Perak Medical Journal Lim Wei Yin which the manuscript is based. COMMENTS (formerly known as Medical Practice Hospital Ipoh) Ooi Qing Xi • Manuscripts received will be acknowledged. Those not Perak Medical Journal (formerly known as Medical Practice Clinical Research Centre Perak, Nor Aizura Zulkifli 4th Floor, Ambulatory Care Center, Dr Lionel Chia accepted for publication will not be returned. Hospital Ipoh) is published once a year. All articles published Raja Permaisuri Bainun Hospital Sivanesan Seevagan including editorials, reviews, letters and book reviews and 30990 Ipoh, Perak Dr Arvinder Singh Harbaksh Singh AUTHORSHIP CREDIT they represent the opinion of the authors and not necessarily Tel: +605-2085138, Fax: +605-2425477 Dr Netia Jeganarthan Authorship credit shall be granted only if one is involved those of the Postgraduate Medical Education Society Of Farahanim Jamil in ALL of the following1: Hospital Ipoh. We are grateful to the Director-General, Ministry of Health Suria Junus Malaysia for permission to publish the articles in this issue of Abdul Haq Nurhaizan 1. “Substantial contributions to conception & design, Perak Medical Journal. Kalpana Devi Balagangatharan or acquisition of data, or analysis and interpretation REFERENCE Punitha Somasundram of data 1. Uniform Requirements for Manuscripts Submitted to Raja Permaisuri Bainun Hospital is proud of its postgraduate activities. It was the first Malaysian government hospital to 2. Drafting the article or revising it critically for important Biomedical Journals: Writing and Editing for Biomedical start a medical journal as well as set up a computer centre Members intellectual content Publication-Publication Ethics, Sponsorship, Authorship Datin Dr Ranjit Kaur Praim Singh for postgraduate purposes. 3. Final approval of the version to be published and Accountability, Updated April 2010, International Dr Jeyaseelan P Nachiappan 4. All 3 conditions should be met for assigning Committee of Medical Journal Editors (accessed from Dr V Paranthaman 1 Doris George Visuvasam authorship.” www.icmje.org, 15th Nov 2010). Dato’ Dr Suarn Singh Jasmit Singh 2. Circulars from the Director General of Ministry of Health Dr Japaraj Robert Peter Individuals who do not qualify for authorship but have Malaysia: NIH Guidelines on Conducting Research in the Dr Philip Rajan Devashayam contributed to parts of study shall be included in the Ministry of Health, dated 05 September 2007 (accessed The Clinical Research Centre Perak (CRC Perak), Raja Permaisuri Acknowledgements section. from www.nmrr.gov.my) Bainun Hospital officially began functioning in March 2001.
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