Background: Advances in medical domain has led to an increase of clinical data production which offers enhancement opportunities for clinical research sector. In this paper, we propose to expand the scope of Electronic Medical Records in the University Malaya Medical Center (UMMC) using different techniques in establishing interoperability functions between multiple clinical departments involving diagnosis, screening and treatment of breast cancer and building automatic systems for clinical audits as well as for potential data mining to enhance clinical breast cancer research in the future.Results: Quality Implementation Framework (QIF) was adopted to develop the breast cancer module as part of the inhouse EMR system used at UMMC, called i-Pesakit©. The completion of the i-Pesakit© Breast Cancer Module requires management of clinical data electronically, integration of clinical data from multiple internal clinical departments towards setting up of a research focused patient data governance model. The 14 QIF steps were performed in four main phases involved in this study which are (i) initial considerations regarding host setting, (ii) creating structure for implementation, (iii) ongoing structure once implementation begins, and (iv) improving future applications. The architectural framework of the module incorporates both clinical and research needs that comply to the Personal Data Protection Act.

This study suggests that Malaysian SDOs have positive perceptions of the current roles of DT and of the expansion of some of their clinical tasks to include broader client groups through further training and education. These findings indicate a need to revise the current curriculum and legislation pertaining to DT's education and scope of practice in Malaysia.

Aim: In response to the introduction of an integrated dental education program at University of Malaya (UM) in 2011, a study was conducted to develop a caries risk assessment model (CRA) for use in non-surgical caries management for Year 3 and 4 students of the new integrated program. Methods: The CRA model was based on risk indicators used by dental students in the Preventive Dental Clinic (PDC). Patients aged 15 years and above who attended the PDC for the first time in year 2009 and 2010 were used as study sample. Four hundred and fourteen patient names were identified from the student PDC logbook. Of the 414, 359 dental records had complete data and included in the analysis. Data were analysed using SPSS version 17.0. Chi-square test was used for group comparison and associated factors for coronal caries were analysed using Multiple Logistic Regression (MLR). Results: The final model showed that adults, brushing teeth once daily, and not having dental prosthesis/appliance were 3.31 (CI=1.64-6.69), 2.53 (CI=1.19-5.40), and 2.25 (CI=1.25-4.10) more likely to develop coronal caries, respectively, than adolescents, brushing teeth at least twice a day, and having dental prosthesis/appliance. Conclusions: The results indicate that age group, toothbrushing frequency and dental prosthesis status are significant indicators for coronal caries among patients. Outcomes of the study contributed towards bridging the gap between cariology and preventive modules in the new integrated dental program.

Kelantan International Kite Festival (KIKF) is hosted by Kelantan State Government annually as one of the many products to attract tourists and visitors to the state as well as to provide recreational activities to local residents. Since first hosting it 37 years ago, the state believes that the festival is an important showcase of Kelantan Malay tradition and cultural heritage. However, no systematic investigation has been undertaken, thus far to understand the perceptions held by local residents towards the festival. Understanding resident perceptions are crucial in the process of promoting any local resources, including cultural resource, in tourism development. Using qualitative data collected through in-depth interviews with the residents, this study examines residents" perceived impacts of KIKF. Specifically, this study was focused in understanding major impacts brought by KIKF as perceived by residents and whether these perceived impacts echo those mentioned by existing literature. Findings from this study indicate that respondents have the positive spirit with regards to KIKF especially because they perceive that KIKF has the potential to preserve their cultural traditions. This festival is something that the residents look forward for every year even when they know that the festival causes traffic congestion and that outsider are the ones benefitting from it economically.