MyMedR

Fulltext Modelling monthly influenza cases in Malaysia

Norrulashikin MA, Yusof F, Hanafiah NHM, Norrulashikin SM

PLoS One, 2021;16(7):e0254137.

PMID: 34288925 DOI: 10.1371/journal.pone.0254137

The increasing trend in the number new cases of influenza every year as reported by WHO is concerning, especially in Malaysia. To date, there is no local research under healthcare sector that implements the time series forecasting methods to predict future disease outbreak in Malaysia, specifically influenza. Addressing the problem could increase awareness of the disease and could help healthcare workers to be more prepared in preventing the widespread of the disease. This paper intends to perform a hybrid ARIMA-SVR approach in forecasting monthly influenza cases in Malaysia. Autoregressive Integrated Moving Average (ARIMA) model (using Box-Jenkins method) and Support Vector Regression (SVR) model were used to capture the linear and nonlinear components in the monthly influenza cases, respectively. It was forecasted that the performance of the hybrid model would improve. The data from World Health Organization (WHO) websites consisting of weekly Influenza Serology A cases in Malaysia from the year 2006 until 2019 have been used for this study. The data were recategorized into monthly data. The findings of the study showed that the monthly influenza cases could be efficiently forecasted using three comparator models as all models outperformed the benchmark model (Naïve model). However, SVR with linear kernel produced the lowest values of RMSE and MAE for the test dataset suggesting the best performance out of the other comparators. This suggested that SVR has the potential to produce more consistent results in forecasting future values when compared with ARIMA and the ARIMA-SVR hybrid model.

Matched MeSH terms: Morbidity/trends

Fulltext A review of dengue research in Malaysia

Cheah WK, Ng KS, Marzilawati AR, Lum LC

Med J Malaysia, 2014 Aug;69 Suppl A:59-67.

PMID: 25417953 MyJurnal

Dengue infection is a major cause of morbidity and mortality in Malaysia. To date, much research on dengue infection conducted in Malaysia have been published. One hundred and sixty six articles related to dengue in Malaysia were found from a search through a database dedicated to indexing all original data relevant to medicine published between the years 2000-2013. Ninety articles with clinical relevance and future research implications were selected and reviewed. These papers showed evidence of an exponential increase in the disease epidemic and a varying pattern of prevalent dengue serotypes at different times. The early febrile phase of dengue infection consist of an undifferentiated fever. Clinical suspicion and ability to identify patients at risk of severe dengue infection is important. Treatment of dengue infection involves judicious use of volume expander and supportive care. Potential future research areas are discussed to narrow our current knowledge gaps on dengue infection.

Matched MeSH terms: Morbidity

Fulltext Prevalence of chronic illness and health seeking behaviour in Malaysian Population: Results from the Third National Health Morbidity Survey (NHMS III) 2006

Amal NM, Paramesarvathy R, Tee GH, Gurpreet K, Karuthan C

Med J Malaysia, 2011 Mar;66(1):36-41.

PMID: 23765141 MyJurnal

The third National Health Morbidity Survey was conducted in 2006 on a nationally representative sample of population in Malaysia in order to obtain community-based data and information on the prevalence of chronic illness. Of 57,500 eligible respondents 56710 (98.6%) participated in the study. Estimated overall prevalence of chronic illness in the Malaysian population within a recall period of one year was 15.5% (95% CI 15.1% - 15.9%). Chronic illness was reported significantly higher among the females, 16.8% (16.3 - 17.3). The most common chronic illness was hypertension (7.9%, 7.6 - 8.2), followed by diabetes mellitus (4.0%, 3.8 - 4.2) and highest reported by the Indians (19.7%, 18.4 - 21.0). Among the respondents who had sought treatment for chronic illness from government health facilities, Malays (65.8%) and those with monthly household income of less than RM400 (76.6%) were the highest. Chinese (44.5%) and those with household income of RM5000 and above (54.3%) were the highest groups who sought treatment from the private health facilities. Most of the respondents reported mild illness was the main reason for not seeking treatment for their chronic illness. It is hoped that the results of this survey will help the Ministry of Health Malaysia to enhance health programmes and planning resource allocation in order to improve health status of the population.
Study name: National Health and Morbidity Survey (NHMS-2006)

Matched MeSH terms: Morbidity

Fulltext Anthelmintic activity of selected ethno-medicinal plant extracts on parasitic stages of Haemonchus contortus

Kumarasingha R, Preston S, Yeo TC, Lim DS, Tu CL, Palombo EA, et al.

Parasit Vectors, 2016;9(1):187.

PMID: 27036205 DOI: 10.1186/s13071-016-1458-9

Parasitic roundworms (nematodes) cause substantial morbidity and mortality in livestock animals globally, and considerable productivity losses to farmers. The control of these nematodes has relied largely on the use of a limited number of anthelmintics. However, resistance to many of these these anthelmintics is now widespread, and, therefore, there is a need to find new drugs to ensure sustained and effective treatment and control into the future.

Matched MeSH terms: Morbidity

Fulltext Results of the international field trial with the Reason for Encounter Classification

Lamberts H, Meads S, Wood M

Soz Praventivmed, 1985;30(2):80-7.

PMID: 4002871

The Reason for Encounter Classification (RFEC) was designed by a WHO Working Party to classify the reasons why patients seek care at the primary care level. It is designed along two axes: Chapters and Components. Each chapter carries an alpha-code which is the first character of the basic 3-character alphanumeric code. Each chapter is subdivided into seven "components" carrying 2-digit numeric codes. The field trial was undertaken by family physicians and nurses in: Australia, Barbados, Brazil, Hungary, Malaysia, the Netherlands, Norway and the US. 90497 RFE's were analysed. Their distribution over the chapters and components characterize the content of international primary care. Listings with the most common RFE's in the participating countries reflect the cultural differences. It is concluded that the RFEC is not only feasible to classify reasons why patients seek care but also to classify the diagnosis and the process of primary care. As a result of this, the International Classification of Primary Care (ICPC) succeeds the RFEC.

Matched MeSH terms: Morbidity

Fulltext Evaluation of serum sialic acid, fucose levels and their ratio in oral squamous cell carcinoma

Chinnannavar SN, Ashok L, Vidya KC, Setty SM, Narasimha GE, Garg R

J Int Soc Prev Community Dent, 2015 Nov-Dec;5(6):446-50.

PMID: 26759796 DOI: 10.4103/2231-0762.169211

Detection of cancer at the early stage is of utmost importance to decrease the morbidity and mortality of the disease. Apart from the conventional biopsy, minimally invasive methods like serum evaluation are used for screening large populations. Thus, this study aimed to estimate serum levels of sialic acid and fucose and their ratio in oral cancer patients and in healthy control group to evaluate their role in diagnosis.

Matched MeSH terms: Morbidity

Fulltext Covid-19 : providing rehabilitation care in the time of pandemic

Salmah Anim Abu Hassan

IIUM Medical Journal Malaysia, 2020;19(2):35-37.

MyJurnal

In the wake of COVID-19 infection in the world, it is
more devastating when a developing country is
affected. Fortunately, due to coordinated infection
control measures in Malaysia, the national morbidity
and mortality rate is kept low. As of May 6th 2020,
22 patients required intensive care and the mortality
rate was 1.66%.1
The majority of patients contracted
a milder form of the disease.

Matched MeSH terms: Morbidity

Proximal Tibia Bone Graft: An alternative Donor Source especially for Foot and Ankle Procedures

Jia TY, Gurmeet S, Asni A, Ramanathan R

Malays Orthop J, 2015 Mar;9(1):14-17.

PMID: 28435589 MyJurnal DOI: 10.5704/MOJ.1503.016

Bone graft is essential in various orthopaedic procedures. Among the many donor sites for harvesting autologous bone graft, the iliac crest has been the most commonly used. However, for foot and ankle procedures the proximal tibia has gained popularity as an alternative donor site due to its anatomic proximity to the primary surgical site. In this article we evaluated the possible complications associated with harvesting proximal tibia bone graft. Our study showed the low incidence of morbidity in harvesting proximal tibia bone graft, thereby providing a good alternative donor for foot and ankle procedures.

Matched MeSH terms: Morbidity

Fulltext Mathematical modelling of dengue pattern in Penang, Malaysia

Norzaida Abas, Rafidah Mohd Shamsuddin, Noor Shazwani Osman, Syafrina Abd. Halim

Journal of Advanced Research Design, 2017;37(1):9-15.

MyJurnal

Dengue fever is an endemic disease in many tropical and subtropical regions. In
Malaysia, it is the leading public health challenge despite the extensive intervention
programs by the related authorities. Distribution of dengue cases in Malaysia varies
according to states and districts where cases are more distinct in urban and suburban
areas. Preparedness strategies of dengue cases could be more successful with some
comprehensive and technical analysis on disease incidences. Hence, the present study
analyses dengue cases using mathematical modelling in the state of Penang, one of the
more urbanised state. In particular, two time series models are fitted to the dengue
data from the region in order to identify the mathematical model that best describe
the data. Results show that both proposed models are able to represent the cases
rather well; however numerical inspection revealed that Double Exponential
Smoothing method is the better choice. Subsequently, the identified model is used to
make forecasting on the number of expected cases. Results show that dengue cases in
Penang are expected to increase gradually.

Matched MeSH terms: Morbidity

Fulltext Outcome of Pseudoaneurysm repair: a single tertiary center experience in Pahang, Malaysia

Ahmad Faidzal Othman, Mohamad NorHisham, Azmi Abdul Rahman

International Medical Journal Malaysia, 2017;16(11):18-18.

MyJurnal

Symptomatic arterial pseudoaneurysm is not an uncommon emergent
vascular case presenting to a tertiary hospital. These are mainly associated with
infection, iatrogenic puncture or trauma. The resultant morbidity, limb loss and
mortality present a challenge to the surgeons managing these cases. (Copied from article).

Matched MeSH terms: Morbidity

Fulltext Knowledge, awareness and attitude related to first aid among IIUM Kuantan campus students

Sumaiyah Jamaludin @ Thandar Soe, Muhammad Allif Zakaria

International Medical Journal Malaysia, 2017;16(11):21-21.

MyJurnal

Accidental injuries are one of the leading causes of morbidity and mortality
worldwide. Approximately 1.25 million lives are cut short because of road traffic
accident every year. As the incidences of emergencies is steadily increasing in recent
years, it is important to ensure that individuals are adequately trained to deal with such
events including university students. First aid is given to preserve life and minimize the
consequences of injury and illness until help is obtained from health care practitioners.
This study aimed to assess the level of knowledge, awareness and attitude related to
first aid among IIUM Kuantan campus students. (Copied from article).

Matched MeSH terms: Morbidity

Fulltext Traumatic brain injury patterns on ct scan: a comparison of motorcyclist versus passenger vehicle patients involved in road traffic accidents

Radhiana Hassan, Muniruddin Mohamad, Muhamad Zaim Azami, Husin Ali, Hafizah Pasi

International Medical Journal Malaysia, 2017;16(11):48-48.

MyJurnal

Traumatic brain injury following road traffic accidents is a common cause
of morbidity and mortality in Malaysia. We aim to determine the differences of traumatic
brain injury patterns based on CT findings among motorcyclist versus passenger vehicle
patients involved in road traffic accidents. (Copied from article).

Matched MeSH terms: Morbidity

Fulltext Child abuse in Malaysia: a neglected child health issue

Zahilah Filzah, FahishamTaib

Malaysian Journal of Paediatrics and Child Health, 2015;21(1):0-0.

MyJurnal

Child abuse's trend has been on the rise in Malaysia. Despite strong legislative rules of Child Act 2001, the response of the community is believed to be inadequate. Various factors have been highlighted to ensure effective management of the issue. Child abuse is considered a social emergency due to its complexity and involvement of emotional, family dynamic and domestic instability. The success of the managing these cases largely depends on our urgency and collaborative partnership between multidisciplinary team members, to improve on the welfare of these children, albeit a slower outcome. The community as a whole has to be proactive in reporting hidden cases to avoid mortality or morbidity, as a result of the perpetrator's actions.

Matched MeSH terms: Morbidity

Fulltext Distribution of isopod parasites in commercially important marine fishes of the Miri coast, East Malaysia

Anand Kumar A, Rameshkumar G, Ravichandran S, Nagarajan R, Prabakaran K, Ramesh M

J Parasit Dis, 2017 Mar;41(1):55-61.

PMID: 28316388 DOI: 10.1007/s12639-016-0749-6

Isopods occur very commonly as parasites in food fishes. Parasitic isopods are typically marine and usually inhabit the warmer seas. They are blood-feeding; several species settle in the buccal cavity of fish, others live in the gill chamber or on the body surface including the fins. Isopods can cause morbidity and mortality in captive fish populations. The infestation usually pressure atrophy often accompanies the presence of larger parasites. The present study was aimed at collecting information on the neglected group of isopod parasites of the marine fishes from the Miri coastal environment, East Malaysia. A very little information available regarding the distribution of isopod parasites of Malaysian coastal environment. In the present study, nine isopod parasites were oberved from ten marine fish species. The maximum number of parasites were observed in the months of June and October, 2013. Maximum prevalence was observed in October (50 %) and the minimum was observed in June (7.14 %). The parasitic infestation may lead to an economic loss in commercial fish species.

Matched MeSH terms: Morbidity

Fulltext Preparing for and conducting the National Health and Morbidity Survey in Malaysia amid the COVID-19 pandemic: balancing risks and benefits to participants and society

Chong ZL, Lodz NA, Mutalip MHA, Lim YC, Mahjom M, Ahmad NA

Western Pac Surveill Response J, 2021 09 03;12(3):71-76.

PMID: 34703638 DOI: 10.5365/wpsar.2021.12.3.842

Problem: The novel coronavirus disease 2019 (COVID-19) pandemic adversely affected the preparation of Malaysia's National Health and Morbidity Survey for 2020 because conducting it would expose data collectors and participants to an increased risk of infection.

Context: The survey is nationally representative and community based and is conducted by the Institute for Public Health, part of the National Institutes of Health, to generate health-related evidence and to support the Malaysian Ministry of Health in policy-making. Its planned scope for 2020 was the seroprevalence of communicable diseases such as hepatitis B and C.

Action: Additional components were added to the survey to increase its usefulness, including COVID-19 seroprevalence and facial anthropometric studies to ensure respirator fit. The survey's scale was reduced, and data collection was changed from including only face-to-face interviews to mainly self-administered and telephone interviews. The transmission risk to participants was reduced by screening data collectors before the survey and fortnightly thereafter, using standard droplet and contact precautions, ensuring proper training and monitoring of data collectors, and implementing other administrative infection prevention measures.

Outcome: Data were collected from 7 August to 11 October 2020, with 5957 participants recruited. Only 4 out of 12 components of the survey were conducted via face-to-face interview. No COVID-19 cases were reported among data collectors and participants. All participants were given their hepatitis and COVID-19 laboratory test results; 73 participants with hepatitis B and 14 with hepatitis C who had been previously undiagnosed were referred for further case management.

Discussion: Preparing and conducting the National Health and Morbidity Survey during the COVID-19 pandemic required careful consideration of the risks and benefits, multiple infection prevention measures, strong leadership and strong stakeholder support to ensure there were no adverse events.

Matched MeSH terms: Morbidity

Fulltext Burden of motorcycle-related injury in Malaysia

Rahman NH, Baharuddin KA, Mohamad SM

Int J Emerg Med, 2015;8:17.

PMID: 26085844 DOI: 10.1186/s12245-015-0065-4

Road traffic injury (RTI) contributes to major morbidity and mortality in both developed and developing countries. Most of the injuries are caused by road-related injuries that specifically relate to motorcycle crash. We attempted to conduct a short survey to determine the magnitude of burden related to motorcycle-related RTIs in Malaysia. We hypothesize that motorcycle-related RTI in Malaysia contributes significantly to the health burden in the country.

Matched MeSH terms: Morbidity

Fulltext Clinically lesser known entity in India: A Report of two cases of Melioidosis

Barman P, Kaur R, Kumar K

Indian J Crit Care Med, 2013 Jan;17(1):46-8.

PMID: 23833477 DOI: 10.4103/0972-5229.112146

Melioidosis is endemic in the South Asian regions, like Thailand, Singapore Malaysia and Australia. The disease is more pronounced in the southern part of the country. It is caused by Burkholderia pseudomallei which causes systemic involvement, morbidity and mortality associated with the disease is high. Due to highly varied clinical presentation, and low general awareness this infection is largely underdiagnosed and under reported in our country. Most laboratories in the country still rely on conventional culturing methods with their low sensitivity, adding to the under reporting. To enhance physician awareness we describe here two cases who presented to our institute after months of misdiagnosis.

Matched MeSH terms: Morbidity

Fulltext Managing the aging man in Asia: a review

Tong SF, Ho C, Tan HM

Int J Urol, 2011 Jan;18(1):32-42.

PMID: 20969645 DOI: 10.1111/j.1442-2042.2010.02652.x

The aging man is becoming a major burden to Asian countries because of the current poor health status of Asian men and the aging Asian population. Life expectancy at birth for men is shorter than women by an average of 4 years in Asian countries and major causes of death are cardiovascular disease, cancers, injuries and infections. However, there are considerable variations between Asian countries because of great disparity in socioeconomic status. Male-specific disorders, such as male sexual health and urological conditions, are other major health burdens because they have a great impact on men's quality of life. More importantly, many risk factors to the causes of mortality and morbidities, such as high-risk behavior and smoking, can be improved with health promotion and early intervention. The current evidence suggests that the poor health status of men is the result of their poor health care utilization, negative health-seeking behavior, the adverse social environment for men and gender-insensitive health care delivery. However, much evidence is still needed as Asian countries have great diversity in culture, societal values and men's needs. Asian time-tested wisdom on a balanced healthy lifestyle to longevity should be explored as potential men's health promotional programs. Taking into account Asian men's health-care needs, a gender-streamlined approach and man-friendly health care delivery should be on the national agenda in managing the aging man.

Matched MeSH terms: Morbidity

Fulltext Clinico-pathology, hematology, and biochemistry responses toward Pasteurella multocida Type B: 2 via oral and subcutaneous route of infections

Chung EL, Abdullah FF, Adamu L, Marza AD, Ibrahim HH, Zamri-Saad M, et al.

Vet World, 2015 Jun;8(6):783-92.

PMID: 27065648 DOI: 10.14202/vetworld.2015.783-792

Pasteurella multocida a Gram-negative bacterium has been identified as the causative agent of many economically important diseases in a wide range of hosts. Hemorrhagic septicemia is a disease caused by P. multocida serotype B:2 and E:2. The organism causes acute, a highly fatal septicemic disease with high morbidity and mortality in cattle and more susceptible in buffaloes. Therefore, the aim of this study was to investigate the clinical signs, blood parameters, post mortem and histopathology changes caused by P. multocida Type B:2 infections initiated through the oral and subcutaneous routes.

Matched MeSH terms: Morbidity

Fulltext Chronic tibial osteomyelitis in children. A case review at hospital tengku ampuan afzan, kuantan

Shukrimi A, Ariff MS, Zamzuri Z, Mai Ashikin NT

Med J Malaysia, 2015 Feb;70(1):48-51.

PMID: 26032532 MyJurnal

Osteomyelitis in children has various clinical manifestations causing diagnostic and therapeutic difficulties. Inappropriate treatment of acute osteomyelitis may lead to chronic, serious and complicated condition. Chronic osteomyelitis continues to be a major cause of morbidity and disability in children living in developing countries. We present three cases of tibial osteomyelitis that have different presentations and sequalae. Our intention is to alert our colleagues, particularly primary physicians, regarding the variety of presentation and the important of early diagnosis and treatment to reduce the risk of morbidity following osteomyelitis.

Matched MeSH terms: Morbidity

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