Author: Pei Kuan Lai
Expanding the Teaching and Practice of Bioethics in Malaysian Research: Integrating the One Health Approach and Strengthening Ethics Committees
Author: Sivalingam Nalliah
ABSTRACT
The definition of bioethics has evolved beyond its traditional Western-centric framework to embrace the One Health concept, reflecting a more integrated and holistic ethical perspective. Ethical considerations of interconnectedness and interdependence of human, animal, and environmental health in research proposals play an essential role in ethics committees. The Ministry of Health, Malaysia, supports the country in becoming a regional hub for industry-sponsored research. The traditional focus on clinical and biomedical ethics is not sufficient. This commentary discusses the need for increasing expertise in teaching research ethics that includes the One Health concept and justifies the design and development of a national bioethics’ curriculum for higher education institutions. It will address the responsibilities of ethics committees in the context of contract research, research wastage, and protection of vulnerable populations.
Keywords: Bioethics, One Health, Contract Research, Research wastage.
Citations: IeJSME 2025 Vol 19 (2): 02-09
Hope, Happiness and Holidays: A Psychological Travel Prescription
Authors: Thomas Butler, David W Mahmood, Gerard T Flaherty.
Citations: IeJSME 2025 Vol 19 (2): 10-12
An Exploratory Study on the Adaptability of Malaysian Chinese Mothers Who Have Children with Dyslexia: Perspectives from a Special Needs Education Teacher and Mental Health Practitioners
Authors: Sheau Tyan Wong, Gaik Kin Teoh, Serena In
Citations: IeJSME 2025 Vol 19 (2): 13-17
Spectral Transmittance of Soft Contact Lenses Following One Month of Eyedrop Application: An In Vitro Investigation
Authors: Haliza Abdul Mutalib, Bashirah Ishak, Mohd Norhafizun Mohd Saman
ABSTRACT
This study investigated the spectral transmittance of six different types of soft contact lenses after exposure to normal eyedrops use over one month. The normal eyedrops were only meant to be instil into the eyes without contact lenses. The objective of this lab study was to look at the effect of the eyedrops on the spectral transmittance of all contact lenses.
The two types of eyedrops for dry eye (eyedrop A) and eye irritation (eyedrop B) were applied to the surface of each contact lens (two drops each) at 2-hour intervals (n = 15), following which the lenses were immediately immersed in saline solution. This process was repeated four times daily (eight hours for Eyedrop A) and five times daily (10 hours for Eyedrops B), with the lenses subsequently soaked in Optifree disinfecting solution overnight. This constituted one complete cycle, which was repeated daily for 30 consecutive days. The control group underwent a similar procedure but used a saline solution instead of a disinfecting solution.
Spectral transmittance measurements were conducted on Day 0 and Day 30 for both the experimental and control groups. The results were analysed to determine the average of spectral transmittance values, and the absolute differences between the measurements were calculated. All recorded values fell within the tolerance limits outlined in ISO 18369.
This study concluded that neither type of eyedrop induced significant changes in spectral transmittance after 30 days of daily use as recommended by the manufacturer. All tested lenses (in the FDA categories) exhibited consistent spectral transmittance values throughout the study. Therefore, the eyedrops evaluated in this trial were deemed not to affect the spectral transmittance of any soft contact lens types.
Keywords: Spectral transmittance, contact lenses, ophthalmic solutions, ISO, Eyedrop.
Citations: IeJSME 2025 Vol 19 (2): 18-27
A Pilot Study: Utility and Feasibility of a Workplace-Based Assessment (WBA) Digital Application in the Settings of Clinical Experiential Learning
Authors: Kavitha Nagandla, Sasikala Devi Amirthalingam, Malanashita Ganeson, Sharifah Sulaiha Syed Aznal, Ismail Abdul Sattar Burud, Shahid Hassan, Alex Chern Loong Lim.
ABSTRACT
Background: Mobile applications with multi-source feedback and learner analytics identifying individual students’ learning needs, providing personalised learning, and remediation are utilised to enhance Workplace-based assessment (WBA). This pilot study aims to investigate the utility and feasibility of WBA digital application, H. Prime, in the settings of clinical experiential learning.
Methods: A mixed methods analysis using quantitative data collected in Phase 1 and qualitative experience data from focus group discussion in Phase 2 was conducted. The educational impact was assessed using Kirkpatrick’s hierarchical model of evaluation pyramid from level 1, “satisfaction” to level 4, “results”.
Results: A total of 392 assessments were completed among 200 students across their clinical postings.
78.5% of students and 87.1% of faculty assessors perceived the application as an acceptable usability experience. Thematic analysis revealed a need to improve the digital interface and communication when scheduling assessments. Students found verbal and recorded feedback in the digital application closed learning gaps and facilitated reflective learning.
Conclusions: In summary, a digital app-based delivery of WBA is a positive experience for students and assessors. Students acknowledged that feedback generates opportunities for self-reflection and closing learning gaps. On technical aspects, there is a need to improve the process of timely scheduling sessions with assessors. We acknowledge prior training of the faculty, academic support staff, provision of additional time in timetables, student knowledge, and sensitisation, are paramount for successful timely completion and enhancement of the educational impact of the WBAs.
Keywords: Workplace-based assessment, Digital app, Clinical training.
Citations: IeJSME 2025 Vol 19 (2): 28-36
Diagnostic & Therapeutic Challenges of Actinomycosis: A Benign Speck Masquerading as a Soft Tissue Malignancy
Auhors: Abdul Kadir Amirul Ashraf, Boay Heong Eyrique Goh, Kok Keat Tee, Joon Hi Tham, Gerrarde Paul Aaron.
ABSTRACT
Actinomycosis is a chronic infection caused by filamentous gram-positive anaerobes, typically presenting in cervicofacial regions. We report a rare case involving the lower limb of an immunocompetent male, initially suspected to have soft tissue sarcoma based on imaging. The diagnosis was confirmed histologically with characteristic sulfur granules and the Splendore-Hoeppli phenomenon. Despite antibiotic therapy, non-compliancy led to disease progression and necessitated a below-knee amputation. This case emphasises the importance of early diagnosis, patient compliance, and a multidisciplinary approach in managing rare infections mimicking malignancies.
Citations: IeJSME 2025 Vol 19 (2): 37-42
Early Recognition of Tuberous Sclerosis Complex in Primary Care: A Case Report
Authors: Valliammai Valliyappan, Ashok Veerappan, Nishkkriyaa Gopal.
ABSTRACT
Tuberous sclerosis complex (TSC) is a rare, multisystem genetic condition marked by the development of benign tumours in multiple organs. TSC is the second most common neurocutaneous disorder and is inherited in an autosomal dominant pattern, although the rate of spontaneous mutation is high. Although the condition is often identified in paediatric neurology settings, the first clues can emerge in primary care. This case report describes the presentation, diagnosis, and initial management of a child with TSC in a general practice, highlighting the pivotal role of primary care in recognising early signs and initiating multi-disciplinary care.
Keywords: Genetic disorder, hypopigmented macules, paediatric epilepsy, primary care, seizures, tuberous sclerosis.
Citations: IeJSME 2025 Vol 19 (2): 43-46

