A Case Study on Sibling Relational Problem: Its Clinical Significance in Managing A Dyslexic Adolescent with Mild Depressive Disorder (Kajian Kes Mengenai Masalah Perhubungan Adik Beradik: Kepentingan Klinikalnya dalam Pengurusan Remaja Disleksia yang Mengalami Kemurungan Ringan ) / Jurnal Sains Kesihatan Malaysia

@#The purpose of this case study was to see the impacts of managing sibling relational problem on mild depressive disorder. This approach was applied on a 15-year-old girl, who has dyslexia. She was found to have mild depression for one year that was precipitated by her poor relationship with her younger sibling. The intervention used in managing this case was adapted from the Siblings Are Special Module, a special programme that helps to alleviate anger and frustration that siblings had on each other. These 5 session interventions also included leisure activities that helped them to overcome their ongoing conflicts and were conducted over 3 months period. Parents were involved in the last 2 sessions in order to promote positive parenting. She showed a marked improvement in her psychological wellbeing and family relationship especially with her siblings at the end of the intervention. In conclusion, the intervention used to improve sibling relationship has shown to be effective in improving the mental health of the adolescents.^ien

Study investigating the impact of pharmacist involvement on the outcomes of diabetes medication therapy adherence program Malaysia

Involvement of pharmacists in improving medication adherence among diabetic patients is recognized globally. In Malaysian healthcare system, pharmacists are also operating health services i.e. Diabetes Medication Therapy Adherence Clinic [DMTAC]. This study aimed to assess the clinical outcomes of patients managed by pharmacists [DMTAC], in a Malaysian hospital setting. This was an open labelled randomised study. Type 2 diabetes patients with HbA1c >/=8% were recruited and arbitrarily divided into the intervention group [usual care plus DMTAC] and the non-intervention group [usual care only]. Those enrolled in the intervention group were scheduled for follow-up for eight consecutive visits. Improvements in lab results were compared longitudinally [pre and post analysis] between the groups. Data analysis was done using PASW 18[registered] version. A total of 76 patients were enrolled, with 39 patients in the intervention group and 37 patients in the non-intervention group. Mean HbA1c [-0.90% vs. -0.08%, p=0.011] and fasting blood glucose levels [-3.45mmol.l vs. +0.79mmol/l, p=0.002] reduced significantly between the intervention group vs. non-intervention group. Total cholesterol and low-density lipoprotein cholesterol [LDL-C] were also significantly reduced in the intervention group [TC -0.34mmol/l, p=0.018] [LDL -0.45mmol/l, p=0.001]. In conclusion, pharmacists managed DMTAC significantly improved glycaemic control and lipid profile of diabetic patients