Evaluation on Triaging Pathway Strategy Guidelines for Cases with Elipidae Bite during COVID-19 Pandemic at Emergency Department

Introduction: Emergency departments (ED) typically practice a triage system to classify patients into priority levels. A triage system is commonly used in crowded emergency rooms to determine which patient should be seen and treated immediately.Objective: The objective of this study was to evaluate the effectiveness of triaging pathway guidelines for critical cases seen in the Emergency Department during the COVID-19 outbreak.Case Presentation: Emergency Department, Taiping Hospital is practicing a triaging system which consists of two divisions; cases with respiratory symptoms (SARI) and cases without symptoms of respiratory impairment (non-SARI). A patient with snake bite was presented at the Emergency Department, Taiping Hospital with symptoms of numbness at the site of the bite and a complaint of difficulty to open the eyes, while tachycardia was noted. However, no shortness of breath or difficulty in breathing was reported. COVID-19 rapid screening was done and the patient was treated under Red Zone (non-SARI). Luckily, the patient survived and was stable with no reaction observed after treated with Neuro Polyvalent Antivenom 50ml in 500ml normal saline over one hour.Conclusion: The available patient triaging pathway strategy guideline was effectively practiced by paramedics when managing critical cases at the Emergency Department during COVID-19 outbreak. Other emergency departments are advised to practice effective and appropriate triaging pathway strategy guidelines to save patients’ lives.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S15

Home Medication Review by Hospital Tuanku Fauziah: Carers’ Perspectives

Introduction: Home Medications Review (HMR) is a continuation of patient care from health facilities to their home to assess patients’ pharmacotherapy by a multidisciplinary team. Bedridden patients were the main group who received this service. To improve the provision of HMR, we need to understand carers’ viewpoints of the current service.Objectives: To explore the carers’ perspectives of HMR conducted by the medical outreach team (MOT) of Hospital Tuanku Fauziah. Methods: This is a qualitative study conducted among carers who were involved in the HMR programme for more than six months. Subjects were recruited by purposive sampling from August 2019 to December 2019. In-depth interviews were audio-recorded at patients’ homes until data saturation and transcribed verbatim. The transcripts then underwent thematic data analysis.Results: Nine carers were interviewed. All participants had a limited understanding of HMR since they were not properly counselled prior to admission to the programme. The convenience of not having to go to the hospital was perceived as the major benefit of the programme. Healthcare providers were welcomed during each visit. Recognising allied health professionals in the MOT possesses a problem for some carers. There was a concern about having to collect newly add-on medications from the hospital. Some participants suggested increasing the frequency of visits and hope for more financial aids.Conclusion: This study proved that carers’ understanding of HMR was generally poor. All carers were satisfied with the current HMR programme provided by the MOT. However, several aspects of our HMR need to be improved. Despite the COVID-19 situation that puts HMR onhold and telemedicine have been adapted, HMR is here to stay in the post-COVID-19 era. This is supported by studies conducted in the pre-COVID-19 era that HMR is more beneficial than telemedicine due to the personal touch of face-to-face encounters.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S24

Committee Members of Islamic Medical Association of Malaysia (Imam) Symposium 2020 on Covid-19: Planning for the Future

not availableInternational Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S1-S2

Forum Panelist 4: COVID-19 Response: Speaking for the Unspoken for

The COVID-19 pandemic has brought about unparalleled changes in all our lives, on an individual, societal and global level that it draws us into a necessary reflection of how we have lived our lives as an individual, a community and ashumankind. As health practitioners, we need to appraise our ways of working and have the courage to speak and call for the change we want to see. A time for an honest examination of policies of exclusion and marginalization of any sections of populations, and consequences of such policies in the face of a pandemic. A time for health professionals and those who speak for the unspoken to rise to the forefront with the right intention at heart, to set the right knowledge to action in moving towards a more inclusive and resilient health system. If we continue in our old ways, the lesson will be lost on us and this may be the pandemic that deepens the divide, which will be to our own detriment. Balancing the priorities in public health, and the politico-socio-economic priorities of a nation, what path would best address these priorities? As there are challenges, there are opportunities to have inclusive policies, coordinated health programming, with collaborative efforts in strengthening preparedness and response mechanisms, engaging the public, civil society, academia, international organizations and private sectors.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S9

Forum Chair: COVID-19: The Pandemic that Unites

The pandemic caused by the Corona Virus Disease 2019 (COVID-19) has caused enormous challenges to almost every aspect of life worldwide. In Malaysia, one of the earliest nations affected by the pandemic has responded valiantly both by the government through the Ministry of Health (MOH) and various groups in the communities especially by the Non-Governmental Associations (NGO) to fight the virus and adversities caused by pandemic. The support of NGOs in Malaysia has tremendously assisted the country and supports the Ministry of Health’s efforts to flatten the infection curve successfully during the nationwide lockdown started in March. Here, we selected 4 organisations that have directly contributed in various ways and methods which was utterly unique and inspiring. Their immense efforts and contributions in helping multi-ethnic, multi-religious and multi nationalities people may go unnoticed but the impact to the recipients were beyond words.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S5

Editorial: Supplementary Issue: 2021

not availableInternational Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S3

Memories from the margins: violence and counter-narratives � introduction

This supplementary issue looks at how informal, often unrecognised, memory practices are used to deal with the legacy of violent conflict as a way to heal trauma, demand justice, and build sustainable peace. By drawing on case studies from Bosnia and Herzegovina, Colombia, India, Lebanon, Northern Ireland, Rwanda, Sri Lanka, Syria, and Vietnam, the articles examine informal practices of memorialisation that challenge amnesia and hegemonic discourses of conflict by creating spaces for dialogue and exchange.

Emerging Scientists Supplementary Issue II: Nature inspired Antimicrobial Nanotextured Surfaces

The development of cross infections arising from bacteria transmission on frequently touched facilities has led to an urgent need to promptly disinfect these surfaces, such as hand railings, door handles and elevator buttons. Conventional antimicrobial disinfectants are not ideal as they contribute to the growing antimicrobial resistance crisis. In recent years, the discovery that the wings of insects such as the Clanger cicada (Psaltoda claripennis) possess naturally occurring antimicrobial properties has led to a growing interest to synthetically recreate these surfaces. The use of a physical contact killing mechanism on such nanotextured surfaces is a promising strategy for curbing the proliferation of bacteria, as it is unlikely to contribute to the formation of antimicrobial resistance. Here, I highlight the key advantages of using these antimicrobial nanotextured materials and how they could play a role in safeguarding public health security, especially during the current COVID-19 pandemic.