Displaying publications 1 - 20 of 1983 in total

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  1. Matched MeSH terms: Diabetes Mellitus
  2. Rosedale JL
    Malayan Medical Journal, 1936;11:151-3.
    Matched MeSH terms: Diabetes Mellitus
  3. Krishna KV
    Malayan Medical Journal, 1937;12:69-71.
    Matched MeSH terms: Diabetes Mellitus
  4. Gwee AL
    Singapore Med J, 1963 Jun;4(2):68-80.
    PMID: 14046966
    A double-blind study with control was done to assess the effect of mono-amine-oxidase inhibitors and anticoagulant therapy in the mortality of acute myocardial infarction, in the first 4 weeks. The results show that no effect whether beneficial or adverse was seen with the use of monoamine inhibitor. On the other hand, there is a distinct decrease in mortality amongst cases not on anticoagulants. It is believed that the rarity of phlebothrombosis in local patients is the cause of the difference between local and foreign results so far as anticoagulant therapy goes. It is postulated too that one of the reasons for the difference may be due to the fact that patients are not on so strict a bed rest as elsewhere. There appears to be a definite increase of incidence in Indians, and also at least a third of myocardial infarction cases had low normal serum cholesterol readings.
    Matched MeSH terms: Diabetes Mellitus*
  5. Loncin H
    Med J Malaya, 1965 Jun;19(4):321-3.
    PMID: 4220862
    Matched MeSH terms: Diabetes Mellitus/epidemiology*
  6. West KM, Kalbfleisch JM
    Diabetes, 1966 Jan;15(1):9-18.
    PMID: 5907153 DOI: 10.2337/diab.15.1.9
    In each of four countries (Uruguay, Venezuela, Malaya and East Pakistan) where diets and other environmental factors differ greatly, the prevalence of diabetes as determined by impaired glucose tolerance was crudely estimated. Since all subjects received glucose loads, rates of prevalence are much higher than those obtainable by certain less sensitive standard methods. In the tested subjects over thirty years of age the prevalence of "diabetes" (two-hour venous blood glucose levels greater than 149 mg. per 100 ml.) was 6.9 per cent in Uruguay (6.8 per cent for males and 6.9 per cent for females). The prevalence of impaired tolerance in this age group in Venezuela was 7.3 per cent (4.5 per cent in males and 9.4 per cent in females), while in Malaya the rate was only 3.5 per cent (4.5 per cent in
    males and 2.1 per cent in females). In East Pakistan impaired tolerance was present in only 1.5 per cent of this age group (1.2 per cent of males and 2.8 per cent of females). Comparable data are not available in the United States but with use of the technics employed abroad it was found that 17.2 per cent of volunteers in this age group in a Pennsylvania community had impaired tolerance. In East Pakistan, 83 per cent of calories were derived from carbohydrate. Comparable figures were 77 per cent for Malaya, 62 per cent for Venezuela and 53 per cent for Uruguay. In East Pakistan, only 7 per cent of the dietary calories were derived from fat; in Malaya, fat accounted for 21 per cent of dietary calories, in Venezuela, 24 per cent, and in Uruguay, 33 per cent. In East Pakistan only 29 per cent of dietary fat was animal fat. In Malaya, Venezuela, and Uruguay, comparable figures were 30, 35 and 62 per cent, respectively. In Uruguay, 34.4 per cent of the subjects were "obese" (30 per cent or more over "standard" weight), and in Venezuela 14.8 per cent were obese. In contrast none of the subjects from Malaya (566 persons), or East Pakistan (519 persons), was obese by these criteria. In Venezuela and Uruguay there was an association between the prevalence of diabetes and both parity and a history of large babies.
    Matched MeSH terms: Diabetes Mellitus/epidemiology*
  7. West KM, Kalbfleisch JM
    Diabetes, 1970 Sep;19(9):656-63.
    PMID: 5469119 DOI: 10.2337/diab.19.9.656
    The prevalence of diabetes in Central America was somewhat greater than in East Pakistan and Malaya, less
    than in Uruguay and Venezuela, and substantially less than in affluent societies such as the United States. Differences in prevalence among Central American countries were modest but probably significant in some instances. In all Central American countries diabetes was more common in females but this difference was probably attributable to the greater adiposity of the women. Age-matched populations from eleven different countries of three continents have now been tested using standardized methods. Prevalence of diabetes varied greatly, and differences were more related to environment than to race. These results support the hypothesis that environmental factors can increase or reduce prevalence by several-fold.
    Matched MeSH terms: Diabetes Mellitus/epidemiology*
  8. West KM, Kalbfleisch JM
    Diabetes, 1971 May;20(5):289-96.
    PMID: 5581317 DOI: 10.2337/diab.20.5.289
    The sensitivity and specificity of each of five screening tests were estimated in each of three to ten countries by testing subjects drawn from the general populations of adults over thirty-four years of age. This permitted comparisons among countries and among the different tests (fasting, postprandial, and postglucose urine tests, and fasting and postprandial blood glucose values). Sensitivity and specificity of each test varied widely among populations. For example, the sensitivity of the two-hour urine glucose ranged from 17 per cent in Nicaragua to 100 per cent in East Pakistan. Apparently specificity and sensitivity of such tests are influenced by many factors including both the circumstances under which the tests are performed and the characteristics of the population tested. It is, therefore, not possible to predict prevalence rates reliably by extrapolating from the results of screening tests. However, we believe the data for specific populations on the sensitivity and specificity of various tests will provide a rough guide in predicting the cost-effectiveness of alternative approaches to case detection in those particular countries. For instance, these results suggest that roughly 56 per cent of the occult diabetics in Costa Rica in this age group would be detected by a two-hour urine glucose, but only about 41 per cent of those in whom this test was positive would prove to have diabetes. Even modest changes of criteria in defining either "diabetes" or "abnormality" of the screening results produced marked changes in rates of sensitivity and specificity. With few exceptions, tests which were more sensitive were, comparably, less specific, and the reverse was also true. Rates of "diabetes" were markedly influenced by modest changes in diagnostic criteria.
    Matched MeSH terms: Diabetes Mellitus/epidemiology*
  9. Lim P, Khoo OT
    Singapore Med J, 1971 Dec;12(6):319-22.
    PMID: 5141589
    A clinical study was undertaken of new diabetics seen at a general medical unit in Singapore. Over a period of 12 months, there were seventy-five cases of which 38 (50.7%) were Chinese, 15 (20%) Malays and 22 (29.3%) Indians. Male patients were twice as common as female patients. The majority of patients (61.3%) were in the 5th and 6th decade and only 23 (30.7%) were obese. Oral sulphonylurea and dieting provided effective control in 80.6% of the patients, and only 9% of patients required insulin. Ketosis was present in only 6 cases and was easily controlled with appropriate treatment. Other clinical features are presented and discussed.
    Matched MeSH terms: Diabetes Mellitus/drug therapy; Diabetes Mellitus/epidemiology*
  10. Soong FS
    Singapore Med J, 1971 Dec;12(6):309-13.
    PMID: 5141587
    Information on the beliefs and practices of 50 Chinese diabetic patients concerning the cause and treatment of their ill-health were collected by the interview method with the aid of a questiOnnaire which has been protested. it was found that 34 of the patients were using “Chinese” medicines, in addition to Western-style treatment. Only two of the patients knew the true cause of diabetes. 37 of the patients understood that treatment cannot effect a radical cure. The beliefs and practices of the diabetic patients were influenced by two main sources of information, the pattern of traditional Chinese beliefs and Western medicine. The implications of the study in community health education on diabetes and education of the diabetic patient were discussed.
    Matched MeSH terms: Diabetes Mellitus/therapy*
  11. Jackson WP
    Postgrad Med J, 1972 Jul;48(561):391-8.
    PMID: 5069893 DOI: 10.1136/pgmj.48.561.391
    We have investigated the total prevalence of diabetes and related factors among representative, randomly chosen samples of the five ethnic groups living in Cape Town, and (East) Indians in Durban. Comparisons are hindered by differences in age distribution of the populations, while small, isolated groups were found to be unrepresentative. The variability of a single individual's blood sugar levels led us to require at least three abnormal values on 2 different days for a positive diagnosis. The use of different criteria for the diagnosis of diabetes varying from ‘lax’ to ‘stringent’ alters the discovered prevalence in our groups by the factor of approximately 2.

    Mean blood glucose levels rose with middle age but never between childhood and early adulthood. Afternoon screening tests appeared valid, despite the agreed diurnal difference in glucose tolerance figures.

    Both high screening blood glucose levels and diabetes itself were most common among Indians and coloured people and least among Whites and Bantu, each of the latter having a total diabetes prevalence of approximately 3·5% over age 15. It is noted that the Cape Coloured have more diabetes than any of the constituent races from which they originated.

    The reasons for such racial differences are unclear—obesity cannot be the explanation here, since, to take one example, the fattest group of all, the Bantu women, have the lowest prevalence of diabetes. We found mild diabetes not uncommon among young people under 20 in the Indian, Malay and coloured population but none among White or Bantu. There was little difference between the sexes, and if anything the poorer people had more diabetes than the better-off.
    Matched MeSH terms: Diabetes Mellitus/epidemiology*
  12. Cheah JS, Tambyah JA, Mitra NR
    Trop Geogr Med, 1975 Mar;27(1):14-6.
    PMID: 1169832
    During a routine medical examination of 5280 government employees (2736 males, 2544 females; age range 17 to 66 years; 3386 Chinese, 1252 Malays, 508 Indians and 134 other ethnic groups) diabetes was found in 31 (0.59%). The prevalence was higher in males (0.95%) than in females (0.20%). The highest prevalence was in the age-group 50 to 59 years (5.4%); at ages 30 to 66 years, the overall prevalence was 2.18%. The prevalence of diabetes is higher in Indians (2.76%) than in Chinese (0.30%) and Malays (0.48%); the difference is statistically significant, as it also is in the age-group 30 to 66 years (Indians 6.36%, Malays 1.39%, Chinese 0.9%). Of the 31 cases, only four were previously known and only nine were overwieght. The possible reasons for the higher prevalence of diabetes in Indians are discussed.
    Matched MeSH terms: Diabetes Mellitus/diagnosis; Diabetes Mellitus/epidemiology*
  13. Kwan TK, Thambyrajah V
    Med J Malaysia, 1978 Dec;33(2):178-83.
    PMID: 755172
    Matched MeSH terms: Diabetes Mellitus, Experimental/enzymology; Diabetes Mellitus, Experimental/metabolism*
  14. Jones JJ, Watkins PJ, Owyong LY, Loh PP, Kutty MK, Jogie B
    Trop Geogr Med, 1978 Dec;30(4):439-49.
    PMID: 749278
    One hundred and thirty-two newly diagnosed Asian diabetic patients (39 Malay, 30 Chinese and 63 Indians) have been studied in Kuala Lumpur. The highest proportion of diabetic patients were Indian and the lowest were Chinese. Vascular complications were equally common in Asian diabetic patients as in Europeans; coronary heart disease was relatively more common in Indians and cerebral vascular disease in Chinese. Twenty percent of all Asian diabetic patients requiring admission to hospital also had coronary heart disease, 9% had cerebral vascular disease and 8% had gangrene or ulceration of the feet. In Kuala Lumpur, diabetes is a very important risk factor for coronary heart disease: 17% of all patients admitted to the General Hospital with coronary heart disease were already diabetic.
    Matched MeSH terms: Diabetes Mellitus/blood; Diabetes Mellitus/genetics; Diabetes Mellitus/epidemiology*
  15. Nadarajah A
    Family Practitioner, 1978;3:8-12.
    Matched MeSH terms: Diabetes Mellitus
  16. Cheah JS
    Med J Malaysia, 1981 Dec;36(4):220-6.
    PMID: 7334957
    There is overwhelming evidence that the microangiopathic complications (retinopathy, nephropathy and neuropathy) of diabetes can be minimised, prevented or improved by optimal blood glucose control. There is little evidence to show otherwise. This paper reviews evidences to demonstrate that poor diabetic control predisposes to diabetic microangiopathy. The only way to minimise diabetic microangiopathy is to avoid hyperglycaemia and achieve euglycaemia for most part of the day. In doing so the dangers of hypoglycaemia must be clearly recognized and avoided.
    Matched MeSH terms: Diabetes Mellitus/blood; Diabetes Mellitus/pathology; Diabetes Mellitus/therapy*
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