MyMedR

Fulltext Future of family medicine in developing countries

Rajakumar MK

10th WONCA World Conference, 1983.

Republished in: Republished in: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare and Society: Essays by Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019: 23-26

Matched MeSH terms: Developing Countries

Sex tourism in Thailand

Van Kerkwijk C

AIDS Soc, 1992 Oct-Nov;4(1):6-7.

PMID: 12286018

Matched MeSH terms: Developing Countries

Responding to local needs. Self-help groups

Jayaseelan J

AIDS Action, 1993 Mar-May;[nil](20):4.

PMID: 12288933

PIP: Pink Triangle, the only community-based group in Malaysia which works with men who have sex with men, took initial steps in August 1992 to establish a self-help project for people who are HIV-seropositive. Supporting people who are HIV-positive and fighting for their rights is new in Malaysia. The group has thus far been publicized through its public education events, hospitals, and other nongovernmental organizations. For the first time, information is being published specifically by and for people living with HIV/AIDS. The project also has a phone line to allow people to speak anonymously with someone who shares their experience. Many callers are men who have sex with men in the social context of intense prejudice and discrimination. Afraid to openly acknowledge their sexuality with strangers, the callers have yet to accede to meeting each other face-to-face in a group setting. The author notes in closing that Pink Triangle must be realistic about what can be achieved in Malaysia and allow the group to develop according to people's needs and not on the basis of a model imported from outside of the country.

Matched MeSH terms: Developing Countries

Feasibility of local condom production examined

AIDS Anal Afr, 1999 Jun-Jul;10(1):13.

PMID: 12295121

Matched MeSH terms: Developing Countries

Inter-country consultation

Reid E

AIDS Health Promot Exch, 1993.

PMID: 12287485

Matched MeSH terms: Developing Countries

Fulltext Factors associated with pre-treatment HIV RNA: application for the use of abacavir and rilpivirine as the first-line regimen for HIV-infected patients in resource-limited settings

Kiertiburanakul S, Boettiger D, Ng OT, Van Kinh N, Merati TP, Avihingsanon A, et al.

AIDS Res Ther, 2017;14:27.

PMID: 28484509 DOI: 10.1186/s12981-017-0151-1

BACKGROUND: Abacavir and rilpivirine are alternative antiretroviral drugs for treatment-naïve HIV-infected patients. However, both drugs are only recommended for the patients who have pre-treatment HIV RNA <100,000 copies/mL. In resource-limited settings, pre-treatment HIV RNA is not routinely performed and not widely available. The aims of this study are to determine factors associated with pre-treatment HIV RNA <100,000 copies/mL and to construct a model to predict this outcome.

METHODS: HIV-infected adults enrolled in the TREAT Asia HIV Observational Database were eligible if they had an HIV RNA measurement documented at the time of ART initiation. The dataset was randomly split into a derivation data set (75% of patients) and a validation data set (25%). Factors associated with pre-treatment HIV RNA <100,000 copies/mL were evaluated by logistic regression adjusted for study site. A prediction model and prediction scores were created.

RESULTS: A total of 2592 patients were enrolled for the analysis. Median [interquartile range (IQR)] age was 35.8 (29.9-42.5) years; CD4 count was 147 (50-248) cells/mm3; and pre-treatment HIV RNA was 100,000 (34,045-301,075) copies/mL. Factors associated with pre-treatment HIV RNA <100,000 copies/mL were age <30 years [OR 1.40 vs. 41-50 years; 95% confidence interval (CI) 1.10-1.80, p = 0.01], body mass index >30 kg/m2(OR 2.4 vs. <18.5 kg/m2; 95% CI 1.1-5.1, p = 0.02), anemia (OR 1.70; 95% CI 1.40-2.10, p 350 cells/mm3(OR 3.9 vs. <100 cells/mm3; 95% CI 2.0-4.1, p 2000 cells/mm3(OR 1.7 vs. <1000 cells/mm3; 95% CI 1.3-2.3, p 25 yielded the sensitivity of 46.7%, specificity of 79.1%, positive predictive value of 67.7%, and negative predictive value of 61.2% for prediction of pre-treatment HIV RNA <100,000 copies/mL among derivation patients.

CONCLUSION: A model prediction for pre-treatment HIV RNA <100,000 copies/mL produced an area under the ROC curve of 0.70. A larger sample size for prediction model development as well as for model validation is warranted.

Matched MeSH terms: Developing Countries

Malaysia urges ASEAN to tackle AIDS crisis

AIDS Wkly, 2000 Aug 7.

PMID: 12349742

Urgent action is needed to fight the alarming spread of HIV/AIDS that infected 1.3 million people in Southeast Asia last year alone, Malaysia's foreign minister said July 24, 2000. Syed Hamid said the Association of Southeast Asian Nations (ASEAN) should tackle at regional and national level an epidemic that was taking its most drastic toll among the region's youth. "HIV/AIDS not only represents a major public health and social problem but is a serious challenge to development as well," Syed Hamid told the opening ceremony of ASEAN's 33rd annual foreign ministers' meeting. The crisis requires commitment at the "highest political level," he said, warning that HIV/AIDS could become a transnational problem within the 10-member group. Foreign ministers have recommended their leaders discuss the crisis later this year at an informal summit in Singapore and hold a summit on HIV/AIDS in conjunction with the 7th ASEAN Summit in Brunei next year. "I think people recognized the importance and the adverse impacts on our social development," Syed Hamid told reporters later. "I think it is a real issue that we cannot run away from." Among ASEAN members, Thailand, Cambodia, and Myanmar have some of the highest infection rates in Asia of HIV, the virus that causes AIDS.

Matched MeSH terms: Developing Countries

Australia to fund HIV / AIDS projects in Southeast Asia

AIDS Wkly, 1994 Dec 19.

PMID: 12288268

Australia will fund 23 new HIV-AIDS projects in Southeast Asian countries, the government announced. "Asia is predicted to be the major growth area for human immunodeficiency virus (HIV) infections over the next decade, " Minister for Development Cooperation Gordon Bilney said. "These projects, worth some $4.35 million over three years, will help meet the challenge of preventing the spread of the disease in the region." The projects--in Thailand, Vietnam, the Philippines, Indonesia, Malaysia and Cambodia--emphasize education and prevention activities as well as programs which focus on the care and support of people living with HIV, Bilney said. He also said a variety of Australian and overseas organizations will implement the projects, many of which will feature the significant involvement of communities at risk and people with HIV. "It is in keeping with the fundamental spirit of the aid program that we should seek to share this expertise with our neighbors in the region." Bilney said one Australian success story--the creative "Streetwize comics" (publications in Australia which help street kids and under privileged kids understand HIV/AIDS problems)--will be piloted in Vietnam in conjunction with the Vietnam Youth Federation. He said Vietnamese staff will be trained in the production of a series of bilingual mini-comics on HIV-AIDS prevention for youth. "This project will receive funding of $187,500 over three years," Bilney said. Bilney said the projects would help minimize the individual and social impact of the epidemic in the targeted countries.

Matched MeSH terms: Developing Countries

Changes in Thai sexual behavior lower HIV spread

AIDS Wkly Plus, 1997 Jun 2.

PMID: 12347937

Matched MeSH terms: Developing Countries

Asia needs political commitment to fight AIDS

AIDS Wkly Plus, 1997 Jun 2.

PMID: 12347936

Matched MeSH terms: Developing Countries

Indonesia and Vietnam may face AIDS pandemic

AIDS Wkly Plus, 1996 Oct 28.

PMID: 12320487

Matched MeSH terms: Developing Countries

Migrant workers spreading HIV in Southeast Asia

AIDS Wkly Plus, 1996 Oct 21.

PMID: 12320478

Matched MeSH terms: Developing Countries

Condom use still unacceptable to many in Singapore regions

AIDS Wkly Plus, 1996 Oct 21.

PMID: 12320477

Matched MeSH terms: Developing Countries

Testing (HIV). Quick test receives Singapore approval

AIDS Wkly Plus, 1996 Apr 22.

PMID: 12290908

Matched MeSH terms: Developing Countries

Country watch: South-East Asia

Bagasao TM

AIDS STD Health Promot Exch, 1996.

PMID: 12347180

Matched MeSH terms: Developing Countries

Global update: Malaysia

AIDSlink, 1993 Jun-Aug;?(23):15.

PMID: 12159245

Matched MeSH terms: Developing Countries

Initial experience of abdominal aortic aneurysm repairs in Borneo

Yii MK

ANZ J Surg, 2003 Oct;73(10):790-3.

PMID: 14525567

Abdominal aortic aneurysms (AAA) repairs are routine operations with low mortality in the developed world. There are few studies on the operative management of AAA in the Asian population.This study reports the initial results from a unit with no previous experience in this surgery by a single surgeon on completion of training.

Matched MeSH terms: Developing Countries*

Teaching Psychosocial Interventions for Opioid Use Disorder in Low and Middle Income Countries: Malaysia and China

Marienfeld C, Chawarski M

Acad Psychiatry, 2016 Jun;40(3):507-13.

PMID: 26626791 DOI: 10.1007/s40596-015-0438-2

Matched MeSH terms: Developing Countries*

The direct and indirect effects of corruption on motor vehicle crash deaths

Hua LT, Noland RB, Evans AW

Accid Anal Prev, 2010 Nov;42(6):1934-42.

PMID: 20728645 DOI: 10.1016/j.aap.2010.05.015

Recent empirical research has found that there is an inverted U-shaped or Kuznets relationship between income and motor vehicle crash (MVC) deaths, such that MVC deaths increase as national income increases and decrease after reaching a critical level. Corruption has been identified as one of the underlying factors that could affect this relationship, primarily by undermining institutional development and effective enforcement schemes. The total effect of corruption can be decomposed into two components, a direct and an indirect effect. The direct effect measures the immediate impact of corruption on MVC deaths by undermining effective enforcement and regulations, while the indirect effect captures the impact of corruption on hindering increases in per capita income and the consequent impact of reduced income on MVC deaths. By influencing economic growth, corruption can lead to an increase or decrease in MVC deaths depending on the income level. Using data from 60 countries between 1982 and 2003, these effects are estimated using linear panel and fixed effects negative binomial models. The estimation results suggest that corruption has different direct effects for less developed and highly developed countries. It has a negative (decreasing) effect on MVC deaths for less developed countries and a positive (increasing) effect on MVC deaths for highly developed countries. For highly developed countries, the total effect is positive at lower per capita income levels, but decreases with per capita income and becomes negative at per capita income levels of about US$ 38,248. For less developed countries, the total effect is negative within the sample range and decreases with increased per capita income. In summary, the results of this study suggest that reduction of corruption is likely a necessary condition to effectively tackle road safety problems.

Matched MeSH terms: Developing Countries*

Seat belt use in a developing country: covert noncompliance with a primary enforcement law in Malaysia

Hauswald M

Accid Anal Prev, 1997 Sep;29(5):695-7.

PMID: 9316717

Malaysia has strict laws requiring seat belt use by all vehicle occupants. However, neither passive devices nor inertial reel belts are mandated. Seat belt usage was investigated among 60 taxicab drivers in Kuala Lumpur, Malaysia, in 1993. Although all drivers appeared to be restrained during an initial curb-side inspection, 60% did not fasten the latch. There was no statistical difference between ethnic groups. Curb-side estimates of restraint use may overestimate actual usage, resulting in falsely low estimates of effectiveness. Requiring inertial reel belts, which would retract if not latched, could greatly increase actual restraint use. This may be cost effective for developing nations.

Matched MeSH terms: Developing Countries*

Displaying publications 1 - 20 of 1328 in total