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Fulltext Challenges and Research Priorities for Dementia Care in Malaysia from the Perspective of Health and Allied Health Professionals

Rosli R, Goodson M, Tan MP, Mohan D, Reidpath D, Allotey P, et al.

Int J Environ Res Public Health, 2021 10 20;18(21).
PMID: 34769530 DOI: 10.3390/ijerph182111010

Few studies to date have evaluated dementia care in Malaysia, and the focus of studies has primarily been on epidemiological and laboratory research. In this study, we aimed to identify potential challenges for the delivery of dementia care in Malaysia and priorities for research and enhancing existing dementia care. This study used thematic analysis to evaluate the open and focus group workshop discussions guided by semi-structured questions. Triangulation of the collected data (sticky notes, collated field notes, and transcripts of discussions) was achieved through stakeholder consensus agreement during a workshop held in 2017. Five main themes as priorities for dementia care were identified: (1) availability of a valued multi-disciplinary care service, (2) accessibility of training to provide awareness, (3) the functionality of the governance in establishing regulation and policy to empower care services, (4) perceived availability and accessibility of research data, and (5) influence of cultural uniqueness. The findings of this study seek to enhance existing dementia care in Malaysia but have potential application for other low and middle-income countries with a similar social and health care set up. The constructed relationship between themes also tries to tackle the challenges in a more efficient and effective manner, as none of these aforementioned issues are standalone challenges. In addition, we demonstrated how a carefully constructed workshop with defined aims and objectives can provide a useful analysis tool to evaluate health and social care challenges in a multidisciplinary forum.

Matched MeSH terms: Malaysia
Fulltext Case of acute kidney injury due to bilimbi fruit ingestion

Wong KW, Lansing MG

BMJ Case Rep, 2021 Jul 22;14(7).
PMID: 34301701 DOI: 10.1136/bcr-2021-242325

Bilimbi fruit is widely eaten in Malaysia. Rarely reported is its potential to cause acute kidney injury (AKI) in patients with prior normal renal function. The possible dangers of its consumption are still relatively unknown among many. This case highlights the importance of taking a thorough dietary history in patients with AKI. We also hope to increase awareness among healthcare professionals on the nephrotoxic and neurotoxic effects of bilimbi fruits.

Matched MeSH terms: Malaysia
Fulltext Impact of sustainable project management on project plan and project success of the manufacturing firm: Structural model assessment

Chow TC, Zailani S, Rahman MK, Qiannan Z, Bhuiyan MA, Patwary AK

PLoS One, 2021;16(11):e0259819.
PMID: 34818357 DOI: 10.1371/journal.pone.0259819

This study has aimed to investigate the impact of sustainable project management on sustainable project planning and success in manufacturing firms. Data was collected from project management professionals in a manufacturing firm in Malaysia. A total of 231 responses were analyzed using the partial least square (PLS) method. The findings revealed that sustainable project management has a significant impact on sustainable project success and sustainable project planning. Sustainable project planning is positively correlated with sustainable project success. The results also indicated that sustainable project planning mediates the effect of sustainable project management on sustainable project success. The findings have significant insight into the body of knowledge of the project life cycle and indicated that sustainable project planning is a crucial tool attributed to project management towards the project success of the manufacturing firm. The results can be used as a guideline for organizations, providing direction in project management to achieve sustainable development for business.

Matched MeSH terms: Malaysia
Intra-abdominal hypertension in neonates following congenital diaphragmatic hernia repair: Correlation with early postoperative respiratory and gastrointestinal outcomes

Thambusamy E, Thambidorai CR, Nah SA, Gan CS, Wang J, Singaravel S, et al.

J Pediatr Surg, 2022 Feb;57(2):199-202.
PMID: 34857376 DOI: 10.1016/j.jpedsurg.2021.10.029

BACKGROUND: Increased intra-abdominal pressure (IAP) is seen in patients after congenital diaphragmatic hernia (CDH) repair owing to reduction of thoracic contents into the relatively smaller abdominal cavity. In infants, IAP ≥11 mmHg is considered intra-abdominal hypertension (IAH). We aim to determine the incidence of IAH and its relationship with duration of ventilatory support, and gastrointestinal function post CDH repair.
METHODS: We prospectively recruited all neonates who had CDH repair in four hospitals in Malaysia from June 2018 to October 2020. Intra vesical pressure was used as a proxy for IAP and was measured for 5 consecutive days post surgery. The daily median value was used for analysis. We categorized IAP as <11 mmHg (no IAH), 11-15 mmHg (IAH), and >15 mmHg (severe IAH). Incidence of IAH, its effects on the duration of ventilatory support, and gastrointestinal function were studied.
RESULTS: There were 24 neonates included in this study. They were operated between day 1 and 6 of life (median: 4 days old). IAH was detected within the first 3 days post surgery, with 83% occurring on day one. Those requiring ventilatory support for more than 3 days contributed the largest proportion of IAH (n = 17, 71%). There was strong correlation between days of IAH and duration of ventilation (p

Matched MeSH terms: Malaysia
Survey on serum protein electrophoresis and recommendations for standardised reporting

Sthaneshwar P, Thambiah SC, Mat Salleh MJ, Nasuruddin DN, Ahmad Zabidi NF, Jelani AM, et al.

Malays J Pathol, 2021 Aug;43(2):281-290.
PMID: 34448792

INTRODUCTION: Serum protein electrophoresis (SPE) is a well-established laboratory technique. However, reporting of results varies considerably between laboratories. The variation in reporting can cause confusion to the clinician with a potential of adversely impacting patient care. The purpose of the survey was to find out the variation in reporting and to prepare recommendations to the Malaysian laboratories based on the survey to reduce both the variation in reporting between laboratories and the risk of misinterpretation of reports.
MATERIALS AND METHODS: To determine the extent of variation in reporting of protein electrophoresis results questionnaires were distributed to the pathologists of various laboratories in Malaysia regarding the method, quantification of paraprotein concentrations and immunoglobulin assays, and information regarding current laboratory electrophoresis practices.
RESULTS: Variation was found in the following reporting practices: (a) screening protocol; (b) reporting of serum albumin; (c) numerical reporting of protein fractions and paraprotein; (d) co-migration of a paraprotein with a normal serum protein; (e) reporting of multiple paraprotein bands (f) appearance of small abnormal band and oligoclonal bands and (g) communication about of interferences.
CONCLUSION: The pathologists of the country made recommendations on the reporting of protein electrophoresis. Harmonised reporting will reduce inconsistency, variation in reporting, improve the quality of the report and most importantly improve patient care.

Matched MeSH terms: Malaysia
Medicinal plants used for treating female diseases in Malaysia--a review

Ling SK, Ng LT

Am J Chin Med, 1998;26(2):211-22.
PMID: 9799973 DOI: 10.1142/S0192415X98000269

A survey of plants used in Malaysia for treating female diseases was made by consulting books, journals and traditional healers. In this report on the survey, forty-four plants are described. Information on plant parts used, methods of preparation and administration, and other usages of plants are given for each species.

Matched MeSH terms: Malaysia
Fulltext Malay version of the family satisfaction scale: validity and reliability among Malaysian working women

Aazami S, Shamsuddin K, Akmal S

Int J Public Health Res, 2015;5(2):606-612.
MyJurnal

Introduction Family satisfaction is referred to the extent in which family members feel happy and fulfilled with each other. However, there has been lack of evidences on the family satisfaction scale within the Malaysian context. Therefore, the aim of this study was to assess validity of the Malay version of the Olson’s Family Satisfaction Scale. This is to allow Malaysian researchers to bring family satisfaction in line with the different field of studies.
Methods This study was conducted among 567 Malaysian working women. Data were collected using self-administrated questionnaires. This study conducted exploratory and confirmatory factor analysis, convergent validity and internal consistency using Cronbach’s alpha.
Results The findings of this study support the uni-dimensionality of the Malay version of the family satisfaction scale. The 10 items of the scale account for 68.1% of the total variance and the un-rotated factor loadings ranged from 0.76 to 0.87. Confirmatory factor analysis was run and supported the structure of family satisfaction scale. The results of confirmatory factor analysis using AMOS 21 in the current study reported the following indices: RMSEA= 0.06, CFI= 0.94, NFI= 0.94, TLI= 0.93. The convergent validity (average variance extracted= 0.65) and the internal consistency (Cronbach’s alpha= 0.94) of this construct were adequately supported.
Conclusions The findings support the factor structure, convergent validity and the internal consistency of the examined construct. Therefore, Malay version of the family satisfaction scale is a valid and reliable instrument among Malaysian working women.

Matched MeSH terms: Malaysia
Fulltext A preliminary checklist of the freshwater snails of Sabah (Malaysian Borneo) deposited in the BORNEENSIS collection, Universiti Malaysia Sabah

Ng TH, Dulipat J, Foon JK, Lopes-Lima M, Alexandra Zieritz, Liew TS

Zookeys, 2017.
PMID: 28769673 DOI: 10.3897/zookeys.673.12544

Sabah, a Malaysian state at the north-eastern tip of Borneo, is situated in one of the Earth's biodiversity hotspots yet its freshwater gastropod diversity remains poorly known. An annotated checklist of the freshwater gastropods is presented, based on specimens deposited in the BORNEENSIS collection of the Institute for Tropical Biology and Conservation at Universiti Malaysia Sabah, Malaysia. A KMZ file is also provided, which acts as a repository of digital images and complete collection data of all examined material, so that it can be shared and adapted to facilitate future research.

Matched MeSH terms: Malaysia
Fulltext A checklist of land snails from the west coast islands of Sabah, Borneo (Mollusca, Gastropoda)

Phung CC, Yu FTY, Liew TS

Zookeys, 2017.
PMID: 28769672 DOI: 10.3897/zookeys.673.12422

Sabah, situated in one of the world's biodiversity hotspots, has the largest number of islands in Malaysia with more than 500 of various sizes and degrees of isolation. However, information on the islands' biodiversity is limited. This study provides an up-to-date checklist of land snail species found on 24 west coast islands in Sabah. A total of 67 species (nearly 20% of the total number of land snail species in the state) representing 37 genera and 19 families is enumerated based on systematic field surveys of 133 sampling plots, BORNEENSIS database records and species checklists published between 2000 and 2016. The number of species on the islands ranges from four to 29. Labuan Island has the highest number of species (29), followed by Tiga Island (25), Mantanani Besar Island (24) and Gaya Island (23). However, the populations of some land snail species may have declined as several previously recorded species on the islands were not found in a recent systematic field sampling. This checklist is provided as a baseline inventory for future island land snail studies and to better inform biodiversity conservation plans of marine parks and other islands on the Sabah west coast.

Matched MeSH terms: Malaysia
Taxonomic revision of the endemic Bornean genera Anexodus Pascoe and Pantilema Aurivillius (Coleoptera, Cerambycidae, Lamiinae)

Gabriš R, Trnka F, Wahab RA, Kundrata R

Zookeys, 2017.
PMID: 28769651 DOI: 10.3897/zookeys.669.12608

The genera Anexodus Pascoe, 1866 and Pantilema Aurivillius, 1911 (Cerambycidae: Lamiinae: Morimopsini), both endemic to Borneo, are revised. Four species of Anexodus are recognized: A. aquilus Pascoe, 1886 (Malaysia: Sabah), A. sarawakensis Sudre, 1997 (Malaysia: Sarawak), A. syptakovaesp. n. (Malaysia: Sarawak), and A. tufisp. n. (Brunei). Pantilema is a monotypic genus containing P. angustum Aurivillius, 1911 (Malaysia: Sarawak) which is known only from the holotype. For the first time, genital structures are studied in these genera. An identification key for the species of Anexodus is provided and their intraspecific morphological variability and distributions are discussed.

Matched MeSH terms: Malaysia
Understanding the Perception of Islamic Medicine Among the Malaysian Muslim Community

Ahmad K, Ariffin MFM, Deraman F, Ariffin S, Abdullah M, Razzak MMA, et al.

J Relig Health, 2018 Oct;57(5):1649-1663.
PMID: 29075949 DOI: 10.1007/s10943-017-0507-9

This study was conducted to identify and describe the patients' perceptions of Islamic medicine based on gender, age, marital, educational level and working status among the Malaysian Muslim population. A nationwide interviewer-administered questionnaire survey was conducted in 2013. An open-ended questionnaire pertaining to Islamic medicine was used to increase the probability of capturing maximum data. This survey implemented a multistage design, stratified by state, proportionate to the size of the state population and was representative of the Malaysian population. Post-survey classification of results was performed accordingly. Complex data analysis was carried out using SPSS 16.0. The discussion was identified and categorised into various sections. The paper concludes that Islamic medicine has a major influence in the Malaysian Muslim community compared to other alternatives. Further, its potential for growth and importance especially for treating spiritual ailments cannot be denied. The respondents indicated that two factors motivate Islamic medicine in Malaysia: (1) the Muslim community opts for alternative healing because of their dissatisfaction with conventional methods; (2) Islamic medicine focuses only on healing spiritual-related problems. The average perception of respondents is that the function of Islamic medicine in healing physical diseases is undervalued and that it is not suitable to replace the functions of modern health institutions.

Matched MeSH terms: Malaysia
Fulltext Draft Genome Sequence of Arsenic-Resistant Microbacterium sp. Strain SZ1 Isolated from Arsenic-Bearing Gold Ores

Mohd Bahari Z, Ibrahim Z, Jaafar J, Shahir S

Genome Announc, 2017 Oct 26;5(43).
PMID: 29074663 DOI: 10.1128/genomeA.01183-17

Microbacterium sp. strain SZ1 isolated from gold ores of a Malaysia gold mine was found to be highly resistant to arsenic. Here, we report the draft genome sequence of SZ1, which may provide further insights into understanding its arsenic resistance mechanism. In this draft genome, a complete set of ars operons and two additional scattered ars genes were encoded.

Matched MeSH terms: Malaysia
Fulltext A 15-year single centre retrospective study of antiphospholipid syndrome patients from Northern Malaysia

Islam MA, Alam F, Gan SH, Sasongko TH, Wan Ghazali WS, Wong KK

Malays J Pathol, 2017 08;39(2):123-133.
PMID: 28866693 MyJurnal

BACKGROUND: Antiphospholipid syndrome (APS) is an autoimmune disorder characterised by thrombosis and/or pregnancy morbidity in the presence of antiphospholipid antibodies (aPLs) based on the Sydney criteria. We aimed to explore the clinico-laboratory features and treatment strategies of APS patients retrospectively.
METHODOLOGY: The medical records of APS patients registered under Hospital Universiti Sains Malaysia (Kelantan state) between 2000 and 2015 were reviewed.
RESULTS: A total of 17 APS subjects (age 40.7 ± 12.8 years) including 11 primary (64.7%) and six secondary APS (35.3%) patients were identified. The follow-up period was 9.5 ± 6.7 years with male:female ratio of 1.0:4.7. Pregnancy morbidity was the most common clinical manifestation (11/14; 78.6%) followed by recurrent venous thrombosis (10/17; 58.8%). For other clinical features, menorrhagia was the most frequently observed manifestation (4/14; 28.6%) followed by aPLs-associated thrombocytopenia (4/17; 23.5%) and ovarian cyst (3/14; 21.4%). LA and aCL were positive in 94.1% (16/17) and 81.8% (9/11) of the patients, respectively. APTT value (76.7 ± 17.0 sec) was significantly high (p < 0.05). Low intensity warfarin alone was successful to maintain target INR (2.0 - 3.0) and prevent recurrence of thrombosis.
CONCLUSION: The tendency of pregnancy morbidity in this cohort of Malaysian Kelantanese APS patients was high compared to other previously reported APS cohorts. Low intensity warfarin was successful in preventing recurrence of thrombosis, however, APS women receiving long-term anticoagulants should be monitored for possible occurrence of menorrhagia and ovarian cysts.

Matched MeSH terms: Malaysia
Genome Sequences of Brucella melitensis, Isolated from Blood Samples of Brucellosis Patients in Malaysia

Mohamed Zahidi J, Ahmad N, Tay BY, Hashim R, Khoo E, Ahmad N, et al.

Genome Announc, 2017 Aug 03;5(31).
PMID: 28774972 DOI: 10.1128/genomeA.00689-17

Human brucellosis is a neglected zoonotic disease and has widespread geographical distribution. Brucella melitensis has caused outbreaks and sporadic cases in Malaysia. Here, we present the whole-genome sequences of four B. melitensis strains isolated from brucellosis patients in Malaysia.

Matched MeSH terms: Malaysia
Fulltext Silent left large atrial myxoma: a patient with serial electrocardiogram variation

Nantha YS, Malek SA

Korean J Fam Med, 2017 Jul;38(4):229-232.
PMID: 28775814 DOI: 10.4082/kjfm.2017.38.4.229

Cardiac myxoma is often discovered as an incidental finding and presents with various subtle symptoms and signs. Electrocardiographic findings are mostly non-specific. Atrial flutter or conduction abnormalities are known to be rare. We report a case of large left atrial myxoma that was diagnosed by transthoracic echocardiography at a primary care clinic. An asymptomatic, 71-year-old woman presented with serial abnormal electrocardiogram changes during a routine consultation. A diagnosis of left atrial myxoma was obtained through transthoracic echocardiography. We report this case with a review of literature on cardiac myxoma associated with arrhythmia.

Matched MeSH terms: Malaysia
Fulltext Feasibility Studies of Palm Oil Mill Waste Aggregates for the Construction Industry

Kanadasan J, Fauzi AFA, Razak HA, Selliah P, Subramaniam V, Yusoff S

Materials (Basel), 2015 Sep 22;8(9):6508-6530.
PMID: 28793579 DOI: 10.3390/ma8095319

The agricultural industry in Malaysia has grown rapidly over the years. Palm oil clinker (POC) is a byproduct obtained from the palm oil industry. Its lightweight properties allows for its utilization as an aggregate, while in powder form as a filler material in concrete. POC specimens obtained throughout each state in Malaysia were investigated to evaluate the physical, chemical, and microstructure characteristics. Variations between each state were determined and their possible contributory factors were assessed. POC were incorporated as a replacement material for aggregates and their engineering characteristics were ascertained. Almost 7% of density was reduced with the introduction of POC as aggregates. A sustainability assessment was made through greenhouse gas emission (GHG) and cost factor analyses to determine the contribution of the addition of POC to the construction industry. Addition of POC helps to lower the GHG emission by 9.6% compared to control specimens. By channeling this waste into the construction industry, an efficient waste-management system can be promoted; thus, creating a cleaner environment. This study is also expected to offer some guides and directions for upcoming research works on the incorporation of POC.

Matched MeSH terms: Malaysia
Effects of eutrophication on diatom abundance, biovolume and diversity in tropical coastal waters

Lim JH, Lee CW

Environ Monit Assess, 2017 Aug 03;189(9):432.
PMID: 28823015 DOI: 10.1007/s10661-017-6147-4

Diatom abundance, biovolume and diversity were measured over a 2-year period along the Straits of Malacca at two stations with upper (Klang) and lower (Port Dickson) states of eutrophication. Diatom abundance, which ranged from 0.2 × 10(4) to 21.7 × 10(4) cells L(-1) at Klang and 0.9 × 10(3)- 41.3 × 10(3) cells L(-1) at Port Dickson, was influenced partly by nutrient concentrations. At Klang, the diatoms were generally smaller and less diverse (H' = 0.77 ± 0.48) and predominated by Skeletonema spp. (60 ± 32% of total diatom biomass). In contrast, diatoms were larger and more diverse (H' = 1.40 ± 0.67) at Port Dickson. Chaetoceros spp. were the most abundant diatoms at Port Dickson but attributed only 48 ± 30% of total diatom biomass. Comparison of both Klang and Port Dickson showed that their diatom community structure differed and that eutrophication reduced diatom diversity at Klang. We also observed how Si(OH)4 affected the abundance of Skeletonema spp. which in turn influenced the temporal variation of diatom community at Klang. Our results highlighted how eutrophication affects diatom diversity and community structure.

Matched MeSH terms: Malaysia
A review of the land snail genus Alycaeus (Gastropoda, Alycaeidae) in Peninsular Malaysia

Foon JK, Liew TS

Zookeys, 2017.
PMID: 29133987 DOI: 10.3897/zookeys.692.14706

A total of 11 species and 1 subspecies of Alycaeus were recognised in Peninsular Malaysia prior to this study. However, these taxonomic descriptions of Alycaeus taxa were based on limited numbers of examined materials, where a whole spectrum of morphological variations were not accounted for and diagnoses were often provided without sufficient comparison between congeners from across the peninsula. We reviewed Peninsular Malaysian Alycaeus through the examination of 5137 specimens in 522 collection lots from all major museum collections and literature sources. Based on these examined materials, we utilised a more comprehensive revised set of 39 shell and operculum characters, as well as living animal colour to describe all Alycaeus species in this paper. We also noted their habitat and ecology, as well as updated the distribution of each species. Of the 12 previously described taxa, 10 are reconfirmed as present on Peninsular Malaysia (Alycaeus balingensis, Alycaeus carinata, Alycaeus conformis, Alycaeus gibbosulus, Alycaeus kapayanensis, Alycaeus kelantanensis, Alycaeus liratulus, Alycaeus perakensis perakensis, Alycaeus perakensis altispirus and Alycaeus thieroti) and 2 are confirmed as absent from the peninsula (Alycaeus jagori and Alycaeus pyramidalis). A new record of Alycaeus robeleni is reported for Peninsular Malaysia. One species, Chamalycaeus jousseaumei is confirmed as present on the peninsula and is reassigned to Alycaeus. The subspecies Alycaeus perakensis altispirus Möllendorff, 1902, is elevated to species. Examined Peninsular Malaysian materials that do not fit previously recognised species are described as new species. A total of 11 new species are proposed (Alycaeus selangoriensissp. n., Alycaeus costacrassasp. n., Alycaeus ikanensissp. n., Alycaeus alticolasp. n., Alycaeus charasensissp. n., Alycaeus kurauensissp. n., Alycaeus regalissp. n., Alycaeus virgogravidasp. n., Alycaeus senyumensissp. n., Alycaeus expansussp. n., Alycaeus clementsisp. n.). Overall, 23 species of Alycaeus are now recognised in Peninsular Malaysia.

Matched MeSH terms: Malaysia
Occurrence and the ecological implication of a tropical anguillid eel Anguilla marmorata from peninsular Malaysia

Kadir SRA, Rasid MHFA, Kwong KO, Wong LL, Arai T

Zookeys, 2017.
PMID: 29134009 DOI: 10.3897/zookeys.695.13298

Recent studies suggested that accurate species identification in the tropical anguillid eels based on morphological examination requires confirmation by molecular genetic analysis. Previous studies found that two tropical anguillid eels, Anguilla bicolor bicolor and A. bengalensis bengalensis, were found in peninsular Malaysia (West Malaysia) based on morphological and molecular genetic analyses. This study is the first record of A. marmorata in peninsular Malaysia confirmed by both morphological and molecular genetic analyses. The present study also suggests that accurate tropical eel species identification is difficult by morphological identification alone; therefore, molecular genetic analysis is needed for precise species confirmation.

Matched MeSH terms: Malaysia
Fulltext Detection rate of Pneumococcal Pneumonia using the Urine Antigen Kit BinaxNow Streptococcus Pneumoniae Test: a prospective cohort study in a Tertiary Hospital in Malaysia

Mohamed Faisal AH, Petrick P, Andrea YL Ban, Roslina AM

International Medical Journal Malaysia, 2017;16(1):29-36.
MyJurnal

Pneumococcal pneumonia is the commonest type of bacterial pneumonia worldwide. In Malaysia, the reported incidence of pneumococcal pneumonia is low. This may be due to poor sensitivity of conventional methods. The use of BinaxNOW, a urinary antigen test for Streptococcus pneumoniae can aid in the diagnosis of pneumococcal pneumonia.

Matched MeSH terms: Malaysia

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