Malaysian Journal of Pharmacy (Vol 2 Issue 2)
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PP12684/8/2008 Vol. 2 Issue 2. August 2016 MALAYSIAN JOURNAL of PHARMACY In this issue: Supplement • Proceedings of the 9th National Pharmacy R&D Conference 2016 A Publication of the Malaysian Pharmaceutical Society PP12684/8/2008 Vol. 2 Issue 2. August 2016 MALAYSIAN JOURNAL of PHARMACY In this issue: Supplement • Proceedings of the 9th National Pharmacy R&D Conference 2016 A Publication of the Malaysian Pharmaceutical Society PP12684/8/2008 Vol. 2 Issue 2. August 2016 MALAYSIAN JOURNAL of PHARMACY In this issue: Supplement • Proceedings of the 9th National Pharmacy R&D Conference 2016 A Publication of the Malaysian Pharmaceutical Society EDITORIAL BOARD Malaysian Journal of Pharmacy Vol. 2 Issue 2. August 2016 The Official Journal of the Malaysian Pharmaceutical Society Editor-in-Chief: Assoc Prof Dr Asrul Akmal Shafie Managing Editor: Mr Ho Rhu Yann International Advisory Board: Assoc Prof Dr Chua Siew Siang Prof Dr Mohd Baidi Bahari Associate Editors: Mr Lam Kai Kun Prof Dr Mohamed Azmi Ahmad Hassali Assoc Prof Dr Mohamad Haniki Nik Mohamed Ms Syireen Alwi Prof P T Thomas Dr Wong Tin Wui Assoc Prof Dr Vikneswaran a/l Murugaiyah Prof Dr Yuen Kah Hay Publisher: Malaysian Pharmaceutical Society Malaysian Journal of Pharmacy 16-2 Jalan OP 1/5, 1-Puchong Business Park (the official journal of the Malaysian Off Jalan Puchong Pharmaceutical Society) 47160 Puchong c/o School of Pharmaceutical Sciences Malaysia Universiti Sains Malaysia Tel: 6-03-80791861 11800 Penang Fax: 6-03-80700388 MALAYSIA Homepage: www.mps.org.my Email: [email protected] Email: [email protected] The Malaysian Journal of Pharmacy is a publication of the Malaysian Pharmaceutical Society. Enquiries are to be directed to the publisher at the above address. The Publisher reserves copy- right and renewal on all published materials, and such material may not be reproduced in any form without the written permission of the Publisher. Table of Contents Editorial • Cross-disciplinary Research Fostering Holistic Healthcare 1 List of oral presentations 3 Abstracts of oral presentations 8 List of poster presentations 50 Abstracts of poster presentations 52 MALAYSIAN JOURNAL OF PHARMACY Vol. 2. Issue 2. August 2016 Editorial Cross-disciplinary Research Fostering Holistic Healthcare Dr. Lawrence Anchah Sarawak Heart Centre, Kota Samarahan, Sarawak, Malaysia Pharmacists play an important role in the multidisciplinary healthcare team who focus on pharmaceutical care issues. This is more apparent in hospitals and clinics, not forgetting those in community services. As our profession is increasingly focusing on holistic healthcare, good communication skill is crucial to provide guidance, counselling, education and know-how to meet the patient needs. Hence, future pharmacists are expected to undertake social pharmacy progressively in their practices to fulfill both pharmaceutical and social needs. In our current practices, medication non-adherence and pharmacy practice pattern are two common areas of discussion in our quest for providing better pharmaceutical care. Although patients’ adherence to their medications is close to 100% during admission (which is a Morisky Score of 8/8 or similar scale), there is a group of patients who are not adhere to their medication regime soon after discharge due to many reasons. It is challenging to resolve these issues during hospitalisation as patients are unable to assimilate the information provided during adherence counselling or during bedside dispensing activities. Hence, activities such as home medication review enable pharmacists to deliver better pharmaceutical care by working together with the patients and their caregivers. Pharmacists should take one step forward to break the over-the- counter barrier and serve the community by working together with other healthcare professionals from different specialties. This cross-disciplinary approach is able to reduce the risks of treatment failure as well as drug wastages. As we move towards providing better pharmacy services, the next challenging arena in clinical pharmacy nowadays is to provide personalized treatment. One of the examples is pharmacogenetics. The benefits of pharmacogenetics in individualised patient care are undisputed. However arguments still exist if one should opt for conventional empiric dosing strategy each time we encounter ‘tailored-to-patients’ needs. In the past, individualised pharmacogenetic-guided dosing is beyond our reach. This new approach of pharmacogenetics can bring a major impact in dose prediction particularly in warfarin and Noval Oral Anticoagulants (NOACs) therapies and thus possibly improve safety and cost effectiveness of the therapies. The cost and benefit of routine genotyping may take several more years for Malaysian practitioners to achieve a consensus. Until then, empiric-based dosing strategy is here to stay in our current clinical practice. Clearly a cross- disciplinary research is needed to work towards this direction. As the healthcare continues to evolve, healthcare professionals should not be restricted by their own disciplines and should move beyond their fields and explore new collaborative models with other healthcare professionals. The primary focus of such cross-disciplinary initiatives should be creating a network to support relatively clear-cut research goals in addressing the complex healthcare issues. By developing the cross-disciplinary teams, this may help support translational research and, by extension, the evidence for practices in fostering holistic healthcare. 1 MALAYSIAN JOURNAL OF PHARMACY Vol. 2. Issue 2. August 2016 ABSTRACT OF THE 9TH NATIONAL PHARMACY RESEARCH & DEVELOPMENT CONFERENCE 2016 Acknowledgements The editorial board would like to thank the Director General of Health, Malaysia for permission to publish the abstracts in this journal. Cross-Disciplinary Research: Fostering Holistic Healthcare Date: 8-10th August 2016 Reviewers of Abstracts Dr Lawrence Ak Anchah Dr Hasenah Ali Mr Leong Weng Choy Dr Liau Siow Yen Mr Hj Ridhwan Abdullah Dr Norkasihan Ibrahim Mdm Norazila Abd. Ghani Mdm Noorazlinda Yaacob Prof Yeoh Peng Nam Assoc Prof Dr Asrul Akmal Shafie Assoc Prof Dr Nahlah Elkudssiah Ismail Dr Azuana Ramli Dr Zaitulhusna Md Safee Dr Syamhanin Adnan Mdm Manjulaa Devi Subramanian Mdm Ching Shan Lii Mdm Farizan Abdul Ghaffar Mdm Sarah Diyana Mohd Shafie 2 MALAYSIAN JOURNAL OF PHARMACY Vol. 2. Issue 2. August 2016 LIST OF ORAL PRESENTATIONS No Presenting authors Title OP1-1 Liau Siow Yen Cytochrome P-450 Polymorphisms and its Relationship to Clopidogrel Response OP1-2 Fann Zi Yinn Benzodiazepine Utilization among Patients with Depressi3on in Teluk Intan Hospital OP1-3 Lee Sung Nying SL GTN: Assessment of Cardiac Patients’ Knowledge and Use at Balik Pulau Hospital OP1-4 Benjamin Loh Chuan Ching Impact of Value Added Services (VAS) on Patient Waiting Time at Ambulatory Pharmacy Queen Elizabeth Hospital OP1-5 Raja Mohd Khairul Anuar bin Study of Knowledge Identification and Safe-Handling Raja Ismail Practices of Cytotoxic Drug among Nurses in Raja Perempuan Zainab II Hospital (HRPZ II) OP1-6 King Teck Long High Prevalence of Aspirin Resistance in High Risk Coronary Artery Disease Patients and its Risk Factors OP1-7 Chan Huan Keat Pictogram-Based Labeling for Pediatric Liquid Medications: Impact on Caregivers’ Dosing Accuracy, Understanding and Preferences in the Sultanah Bahiyah Hospital, Alor Setar OP1-8 Norhayati Mustapha The Impact of Integrated Educational Programme on Knowledge, Attitude and Practices among HIV-Patient Caregivers OP1-9 Voon Ooi Tche Improvement of Asthma Clinical Outcomes in Pharmacist- Led Respiratory Medication Adherence Clinic (RMTAC) OP1-10 Goh See Yik The Capability of the Generic Pharmaceutical Industry in Malaysia: A Nationwide Study OP1-11 Chua Yi Wen Prevalence of Prescribing Error at Outpatient Clinic and Physician Clinic in Teluk Intan Hospital OP1-12 Siti Qurasyiah binti Abd A Comparison Study on the Prescribing Error in Discharge Hamid Prescription from Medical Ward in a Regional Referral Hospital OP1-13 Hamiza Binti Aziz Medication Adherence among Patients Receiving Subsidized Medication: Does the Rate Differ to Self- Paying Patients? OP1-14 Wong Wei Wei Safety-Related Knowledge, Attitude and Practices of Nurses Handling Cytotoxic Anticancer Drugs in Duchess of Kent Hospital OP1-15 Sze Wei Thing Impact of Pharmacist Initiated Antimicrobial Stewardship Strategies on Early Intravenous to Oral Antibiotics Switch Practice in District Hospitals OP1-16 Nadia Abdul Shukur Quality of Life and HAART Adherence among People Living with HIV (PLHIV) OP1-17 Lukman Nul Hakim bin Md Risk Factors and Clinical Outcomes of Patients with Khairi Multidrug Resistant Acinetobacter Baumannii Infection in Intensive Care Unit of HSNZ, Kuala Terengganu OP1-18 Arifah Nadiah binti Ahmad A Cross Sectional Survey on Self Medication Practice and Awareness among Public Attending Pasir Mas Kelantan, Hospital 3 MALAYSIAN JOURNAL OF PHARMACY Vol. 2. Issue 2. August 2016 No Presenting authors Title OP1-19 Loh Khai Lean Patients’ Belief, Knowledge and Adherence to Rheumatoid Arthritis Medication Pre and Post Pharmacist Counselling: A Pilot Study OP1-20 Melissa Lim Siaw Han CYP4F2 Gene Polymorphism and Warfarin Maintenance Dose in a Multiethnic Borneo Population on Long Term Warfarin Therapy OP1-21 Chow Li Wei Doctors’s Perceptions and Expectations of the Role of Clinical Pharmacists in a Regional Referral Hospital OP1-22 Chong Pei Feng The Prevalence of Polypharmacy in Elderly in the Medical Ward of a Malaysian