Asian Medical Research Articles

The Relationship Between Big Five Personality Traits and Academic Performance of Asian Medical Students

Introduction : Personality traits have been shown to influence the individual’s critical thinking, learning strategies, and motivation, resulting in the overall student’s academic performance. Academic performance is an important factor among medical students to ensure their success in long-term medical education, training and work performance as medical doctors. This study aims to evaluate the relationship between personality traits and academic performance among medical students. Methods : The study was conducted among preclinical medical students from the Medical Schools of Pelita Harapan University, Indonesia. The personality traits were assessed using the NEO Five-Factor Inventory-3 (NEO-FFI-3), which consists of 60 items assessing the five personality traits (neuroticism, extraversion, openness, agreeableness, and conscientiousness). The academic performance was evaluated using the cumulative grade point average (CGPA) score. Results : A total of 224 participants were included in this study. The mean age of the participants was 19.8 years old (SD±1.3). Neuroticism was the predominant personality trait among medical students and was found to be negatively associated with CGPA in univariable and multivariable analyses (p<0.05). Conclusion : This study reveals that neuroticism personality traits are prevalent among preclinical medical students and adversely affect their academic performance. Understanding the general personality traits present among medical students and its relationship with academic performance can provide valuable input for further medical education programme development.

Asian Medical Industries: Contemporary Perspectives on Traditional Pharmaceuticals, edited by Stephan Kloos and Calum Blaikie

Asian Medical Industries: Contemporary Perspectives on Traditional Pharmaceuticals, edited by Stephan Kloos and Calum Blaikie

Value-Based Market Segmentation of West Asian Medical Tourism Market: A Case of Iran.

Identifying different groups of customers and their preferences and needs enable countries to gain a competitive advantage in the medical tourism market. We aimed to segment medical tourists from West Asian countries seeking medical services in Iran. This cross-sectional study was conducted on 596 medical tourists who sought medical services in Iran in 2021. Data were collected using a valid questionnaire. Segmentation was performed based on medical tourism attributes (medical, destination, and tourism attributes), using cluster analysis methods; wards, and K means. The segments ' evaluation and profiling were conducted using discriminant analysis, chi-square, and oneway ANOVA tests. Our study divided the market into five segments: health seekers (3.8%), health and destination seekers (8.9%), tourism seekers (17.8%), infrastructure seekers (10.23%), and perfectionism (59.45%). In all segments, the health attributes were of high importance. The perfectionism segment registered the highest score in all three attributes (more than 5 of 6). Improving health attributes and offering luxurious medical services can be the main strategy for Iran to attract the most medical tourists and achieve a good position in this marketplace. The implication of this study is policymaking for targeting the most profitable segment of this marketplace.

Mentorship and growth: Reflections from the Asian Medical Students' Association Competition in Japan.

Mentorship and growth: Reflections from the Asian Medical Students' Association Competition in Japan.

ОЦЕНКА СТУДЕНТАМИ ПЕРВОГО ОПЫТА ПРОВЕДЕНИЯ ОБЪ- ЕКТИВНОГО СТРУКТУРИРОВАННОГО КЛИНИЧЕСКОГО ЭКЗАМЕНА В МЕДИЦИНСКОМ ВУЗЕ

This article discusses the result of a survey of 47 graduate students of the S. Tentishev Asian Medical Institute (AzMI) following the result of an Objective Structured Clinical Examination (OSCE) which manner of assessing the clinical skills of all students. The final practical exam was taken sequentially every day to all students for three days, in each group of discipline (Therapy and Pediatrics, Surgery, Obstetrics and Gynecology). Fifteen OSCE stations were developed in accordance with the competencies that should be formed as a result of teaching the disciplines of Therapeutical, Surgical and Obstetric & Gynecological cycle in the speciality of "Medicine". An overwhelming number of students rated the OSCE as an honest, transparent, reliable and less stressful method for assessing the clinical competencies of medical students. The OSCE can be used in combination with other traditional methods to assess the development of students' practical skills.

Addressing Bias among Medical Care Teams on the Wards: A Perspective from Asian Medical Students in the United States

This piece provides a personal perspective of the bias that affects Asian-American medical students in the United States in the clinical wards. In the evolving landscape of medical education, discussions about race, professionalism, and structural change have come to the forefront, especially with regards to patient interactions. However, less has been discussed about bias that may be perpetuated within a clinical team: between medical students, residents, and faculty physicians. This piece builds on these personal experiences to highlight some steps that can range from the individual to institutional level to address some of these biases, especially as it pertains to Asian-American Medical Students. Overall, this piece shares perspectives that draw strongly on personal experiences in the hopes of creating change for both colleagues and aspiring physicians across the medical spectrum.

SKRINING DAN EDUKASI PENCEGAHAN HIPERTENSI PADA MASYARAKAT PESISIR KAMPUNG SALO, KOTA KENDARI

Hypertension is a condition characterized by elevated systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. Persistent high blood pressure can lead to symptoms such as nausea, vomiting, headaches, nosebleeds, shortness of breath, and others. It can also increase the risk of stroke, heart failure, and kidney failure. Nearly 95% of hypertension cases are influenced by environmental risk factors and genetic predisposition. The prevalence of hypertension in Indonesia is quite high, warranting special attention and management. The Asian Medical Student's Association (AMSA) Unit of Halu Oleo University conducted the "Berjuang untuk Solidaritas, Peduli Hipertensi" event as part of the AMSA-UHO 2023 program. The objective was to raise awareness about nutrition management and dietary therapy for hypertension patients through lectures, discussions, demonstrations, and health screenings. The event showed an improvement in knowledge among the participants. A pre-test was conducted with a questionnaire consisting of 10 questions, involving 35 individuals. The results indicated that prior to the event, 17% had good knowledge, 25% had moderate knowledge, and 58% had poor knowledge about hypertension. After the educational activities and knowledge demonstrations, 83% had good knowledge and 16% had moderate knowledge. Furthermore, out of the 35 participants, 20 were found to have hypertension, 5 had prediabetes, and 7 had hyperuricemia. The coastal community of Kampung Salo in Kendari City demonstrated a relatively good level of knowledge regarding nutrition management to prevent the occurrence of non-communicable diseases, particularly hypertension. Additionally, they actively participated in health screenings for early detection of hypertension and other related conditions. It is hoped that the community of Kampung Salo will continue to actively engage in early prevention efforts, both at an individual and community level.

An Overview of Private Medical Education in Pakistan

The study's primary purpose was to investigate the challenges and prospects of Private Medical Education (PME) in Pakistan. Private Medical Education in Pakistan has grown significantly in recent decades, and the Punjab province has been at the vanguard of this trend. The desk research was used to gather information and data from books, journals, reports, databases, and online resources, including relevant websites related to private medical education in Pakistan. The author selected several papers, a few from PubMed and many from Google Scholars, to gain insights into the challenges and prospects of the sector to develop thought for the paper. Private Medical Education in Pakistan is an integral part of the Asian Medical Education (ME) landscape, proliferating in response to the increasing demand for medical education. As a result, PME in Pakistan has bright prospects to contribute significantly to the continent's development in terms of ME and economy. The Pakistan Medical Commission (PMC) is Pakistan's medical education and training regulatory authority. It is responsible for ensuring that medical colleges and universities in the country meet the required standards for the quality education and training of medical professionals. However, ME in Pakistan faces several challenges: high tuition fees, limited funding, shortage of MBBS doctors, lack of government support and insufficient medical infrastructure in rural areas, and concerns about quality and standards. Of course, these challenges are not unique to Pakistan but also to many developing countries in Asia, but they are significant. They require the immediate attention of the Pakistan Government to address the issues. Keywords: Growth, Challenges, Prospects, Private Medical Education, Pakistan

The Effects of Gestational Diabetes on Fetus: A Surveillance Study.

Gestational diabetes is an intolerance to glucosediagnosed during pregnancy that goes away postpartum. Gestational diabetes may result in outcomes such as birth trauma, increased rates of cesarean sections, and macrosomia. This study aims to determine the outcomes of gestational diabetes mellitus (GDM) on maternal and fetal health in a tertiary care hospital setting. This is a retrospective study of 52 patients who presented with gestational diabetes mellitus (GDM) and were treated at Tentishev Satkynbai Memorial Asian Medical Institute, Kyrgyzstan, between April 2021 and January 2022. The information was taken from the medical records of the patients. The baby's age, the mother's body mass index (BMI), history of pregnancy, deaths, birth weight, and the number of births were all taken into account. Out of all the cases during the study period at the Tentishev Satkynbai Memorial Asian Medical Institute, Kyrgyzstan, 52 were found to be complicated with gestational diabetes mellitus, which is 2.7% of the total deliveries. There was a significant difference found among both study groups in gestational age and history of GDM. The neonatal intensive care unit (NICU) admission rate of neonates born to GDM mothers was found to be significant with a difference of 10.9% (p < 0.0003), which is higher compared to the control group. Incidences of macrosomia, NICU admissions of preterm babies, and large for gestational age (LGA)and increased rates of hypertensive disorders were found among GDM pregnancies compared to control cases. The study shows higher rates of maternal and fetal/neonatal complications in females with GDM.

Clinical Pharmacological Activity of Ayurvedic Treatments in an Osteoarthritis and it’s Benefits Outcomes: Ethnopharmacology Review

Ayurveda is the world’s oldest clinical gadget and the maximum extensively used remedy for alopecia area, mainly in rural India, wherein 68-75% of the populace lives. Ayurveda performed an increasing number of critical functions in Europe and North America because it unfolds to Western international locations withinside the twentieth century. This approach is presently one of the fastest-developing CAM remedies withinside the world. Osteoarthritis is the maximum not unusual place form of arthritis that frequently happens in antique age. Osteoporosis is known as sandy Vata in Ayurveda. It is a joint sickness that reasons pain, swelling, and stiffness whilst the bones are driven into the joint because of abrasion of the cartilage and the bones rub in opposition to every other. The maximum not unusualplace joints are the knee, pelvis, arm, and spine. Osteoarthritis is a main purpose of incapacity withinside the elderly, affecting about 18-26 years of age in adults 22-27 years of age. The occurrence of osteoarthritis is 38tween a long time of forty and forty-five and 76tween a long time of 60 and 65, and the superiority and effect on fitness growth with age. Drug remedy is a complete symptomatic remedy for osteoarthritis of the knee and frequently keeps the person's mobility. This article reviews hints and recommendation on knee implant remedy withinside the new hints of the Asian Medical Association, highlights a few critical aspects, and discusses decision-making considerations. By realistically comparing the effectiveness of remedy, it plans to lessen the threat of clinical mistakes and preventable facet results and take extra meticulous measures.

ANALYSIS OF SURGICAL TREATMENT OF CRYPTORCHIDISM IN EARLY AGE CHILDREN

ANALYSIS OF SURGICAL TREATMENT OF CRYPTORCHIDISM IN EARLY AGE CHILDREN Iurii Danilenko Md, children surgeon, tutor of S.Tentishev memorial Asian Medical Institute Kant city, Kyrgyzstan, Surgery department, Kyrgyzstan, Bishkek Anara Abdr

Overcoming challenges in management of atopic dermatitis: Role of oxidative stress in the pathogenesis and treatment target of atopic dermatitis (ROAD)

The Dermatology Advisory Board on Atopic Dermatitis from Asian Medical Expert Academy compiles current evidence-based approach review in managing atopic dermatitis (AD) among Asians. Electronic searches were performed to retrieve relevant published paper, systematic reviews, and guidelines on AD in the period of 2010-2020. A premeeting survey was performed prior to the meeting to gather opinions from experts to identify the individual unmet demands in the current management, and the possible strategies to overcome these issues. Collective opinions are scrutinized during the next step in a meeting, with the establishment of the opinions into an updated consensus in current AD management. Meeting of all committees through webinar platform in 2020 is called in making the current position in the AD management. Current challenges in AD management include steroid phobia, compliance, myths among the community, frequent flares leading to loss of patience, and good rapport. The Expert Panel recommends a stepwise approach to treatment based on disease severity. The use of moisturizers is recommended across all levels of AD severity. Oxidative stress is recognized as an important contributor to AD that can directly damage skin cells and induce an immune response that leads to AD. Prescribed Emollient Device (PED) with antioxidants can help mitigate the effects of oxidative stress in causing AD. Furfuryl palmitate is an antioxidant that has demonstrated efficacy in managing symptoms of AD in adults and children, as well as other inflammatory dermatoses. PEDs can potentially play an important role in the treatment of AD by augmenting "upstream" treatment. This could potentially help reduce the risk of side effects and adverse events in patients undergoing treatment for AD. Furfuryl palmitate is an antioxidant that has demonstrated efficacy in managing symptoms of AD in adults and children.

Validation of the GRACE Risk Score for Acute Coronary Syndrome Patients in an Asian Medical Centre

Background: The Global Registry of Acute Coronary Syndrome (GRACE) risk score is used to provide an estimate of 6-month mortality among patients admitted for acute coronary syndrome (ACS). Methods: This study validated the GRACE score in a contemporary cohort of 428 patients aged ≥18 years admitted to Hospital Sultanah Aminah Johor Bahru between January and April 2018 for ACS. The survival status of patients 6 months after hospital discharge was calculated using the GRACE risk score, and the validity of the GRACE risk score was evaluated by assessing its calibration (Hosmer–Lemeshow test) and discriminatory capacity. Results: Of the 428 patients in this study, 92 (21.5%) were admitted for ST-elevation MI (STEMI), 128 (29.9%) were admitted for non-STEMI and 208 (48.6) were admitted for unstable angina. By 6 months after discharge, 66 (15%) patients had died. The GRACE risk score was calibrated and validated, showing an adequate capacity for discrimination with a receiver operating characteristic area under the curve of 0.831 (95% CI [0.778–0.884]; p&lt;0.001). Conclusion: This study validated the GRACE score for predicting 6-month mortality among patients admitted to an Asian medical centre for ACS and recommended that it is used routinely.

Comparison of Survival Outcomes using Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Colon Versus Rectal Cancer with Peritoneal Carcinomatosis in an Asian Medical Center

Background: The use of hyperthermic intraperitoneal chemotherapy (HIPEC) for colorectal cancer (CRC) with peritoneal carcinomatosis (PC) is still very controversial. The National Comprehensive Cancer Network guideline only recommends cytoreductive surgery (CRS) combined with HIPEC for colon cancer with PC for patients with limited metastases and can be removed with surgery. The short-term and long-term outcomes between colon versus rectal origin in this setting remain unclear. The present study compared our experience in the management of colon versus rectal cancer with PC through CRS-HIPEC and investigated whether the feasibility of extending the indication to the PC of rectal origin. Materials and Methods: The data of 78 and 10 patients with PC of colon and rectal origin, respectively, were collected from a prospectively maintained database of patients receiving CRS-HIPEC for peritoneal surface malignancy at any period during 2002–2018. CRS followed by HIPEC with mitomycin-C or 5-fluorouracil plus oxaliplatin was administered at 42° for 60 min. In addition, adjuvant chemotherapy was administered postoperatively. Data on sex, age, prior surgical score, preoperative or postoperative peritoneal cancer index (PCI), completeness of cytoreduction (CC) score, blood loss, operation time, transfusion unit, and hospital stay were recorded. Survival was compared between the colon and rectal groups. Results: The average patient was 56.4 years old, and 44 were men and 44 were women. The mean preoperative and postoperative PCI scores were 15.6 and 6.6, respectively. A complete CC score of 0-1 was achieved in 507 (56.9%) patients. The median overall survival durations were 34.0 ± 7.8 and 20.8 ± 13.2 months in the colon and rectal groups, respectively (P = 0.367). The 1-, 2-, 3-, 4-, and 5-year survival rates in the colon and rectal groups were 79% and 68%, 63% and 68%, 50% and 51%, 44% and 10%, and 44% and 0%, respectively. In multivariate analysis, the location of the primary tumor did not affect survival (P = 0.597; 95% confidence interval [CI] = 0.237–2.291); however, the postoperative PCI strongly predicted long-term survival (P = 0.001; 95% CI = 3.715–255.547). Conclusion: The management of CRC with PC remains challenging. CRS-HIPEC can provide similar survival benefits when applied to PC of rectal origin than when applied to PC of colon origin. The usage of mitomycin-C for HIPEC yields to a comparable survival benefit and a safe therapeutic option. However, the indication should be only extended to highly selective patients considering the possibility of adequate cytoreduction and performed in experienced centers.

Self-Orientalization in the East Asian Medical Community

Traditional medical practices have yielded to modern Western Allopathic Medicine in much of the world. However, Traditional East Asian Medicine (aka Traditional Chinese Medicine) which includes Acupuncture, Asian Herbalism, Asian Bodywork, and Meditative Breathing Practices (Taijiquan / Qigong) has grown in popularity around the world. In the United States, Traditional East Asian Medicine has entered mainstream culture, becoming licensed as a type of healthcare service. The development of this type of medicine in the United States began in the late nineteenth century with Asian immigration, but in the latter part of the twentieth century grew from a localized ethnic enclave based cultural practice into a larger social phenomenon reactive to socio cultural dynamics in the medical industrial complex. However, intrinsic in this rise and integration with majority culture has been the inculcation of Orientalized attitudinal poles that rely on stereotypical, trivialized, and racist interpretations of the very traditions that they seem to embrace. This paper examines the aspect of this Orientalizing process in the East Asian Medical community in the United States among immigrants, second generation, and non-Asian students and practitioners.

Development prospects S. Tentishev Asian Medical Institute

Development prospects S. Tentishev Asian Medical Institute

Crossmark Policy of Asian Medical Press Ltd.

Crossmark Policy of Asian Medical Press Ltd.

Crossmark policy

Crossmark policy of Asian Medical Press Ltd.

Crossmark Policy of Asian Medical Press Ltd.

Crossmark policy of Asian Medical Press Ltd.

Digging to the heart of things – An essay on patterns of diagnosis in traditional East Asian medicine: Comparing Chinese and Japanese systems

BackgroundTraditional East Asian Medical (TEAM) practice systems exhibit much variation. Little work has been done to study reasons for this variation. This essay explores cultural and historical explanations for how variety occurs by contrasting the use of two TEAM concepts in diagnosis in Chinese and Japanese systems. MethodsFocussing on two important concepts, xin (heart) and shen (spirit), a literature review is performed to contrast how they developed, are understood and used in diagnosis in Chinese Traditional Chinese medicine, TCM, and Japanese Meridian Therapy, MT. ResultsWhile TCM texts describe many heart-related diagnoses, MT texts do not describe any. While TCM associates ‘shen’ with the mind and emotions coupled with associated diagnoses, MT does neither. Historical and cultural reasons for these differences are identified. ConclusionsIn light of these findings, important questions arise about the nature of concepts and diagnoses in TEAM practice systems. They are not objective like biomedical constructs and diagnoses, nor are they clearly articulated and studied yet according to international standards. This suggests a range of research strategies that are needed. There are valid historical and cultural reasons for the differences we see between Japanese and Chinese TEAM systems. In light of these, further research is needed to elaborate and identify critical issues that are important for education, practice and research.