MyMedR

Aggressive diuretic therapy for a large solitary lung lesion

Mohd Firdaus MAB, Zulkafli H, Said MR, Hadi MF, Sukhari S, Arjan Singh RS

Med J Malaysia, 2020 11;75(6):750-751.

PMID: 33219192

Pseudotumour of the lung is a rare chest x-ray finding among patients who present with fluid overload. It is caused by loculated pleural effusion in the lung fissures. Unfortunately, the occurrence of pseudotumour can be misleading and sometimes can lead to unnecessary investigation and emotional stress to the patient. We present here a case of a 61-year-old gentleman with a known history of hypertension, diabetes mellitus and dyslipidemia who presented at University Malaya Medical Centre with symptoms of fluid overload and a right middle lobe mass on chest x-ray. The right middle lobe mass disappeared entirely after being treated with aggressive diuretic therapy. A diagnosis of pseudotumour was made and described in this case report.

Matched MeSH terms: Malaysia

A review of heart valve disease research in Malaysia

Khoo PLZ, Poon JS, Tan GJS, Yahya A, Chan KMJ

Med J Malaysia, 2020 11;75(6):722-730.

PMID: 33219184

INTRODUCTION: Heart valve disease comprises a cluster of conditions affecting the aortic, mitral, pulmonary and tricuspid valves. This paper reviews all the research on heart valve disease in Malaysia published between the years 2000- 2016.

METHODS: The methodology was based on the search process described in the paper, "Bibliography of clinical research in Malaysia: methods and brief results". The search databases included PubMed, Scopus and several Malaysian journals such as MyJurnal and UKM Journal Repository, by using the following keywords: (heart valve disease OR infective endocarditis OR rheumatic heart disease) and (Malaysia).

RESULTS: In all 94 papers were identified of which 39 papers were selected and reviewed on the basis of their relevance. The local studies contributed to the knowledge and understanding of the epidemiology, aetiology, pathophysiology, clinical presentations, investigations, treatment, and outcomes of heart valve disease in the country.

DISCUSSION: The clinical relevance of the studies performed in the country is discussed along with recommendations for future research.

Matched MeSH terms: Malaysia

A new species of Cnemaspis Strauch 1887 (Squamata: Gekkonidae) from the Langkawi Archipelago, Kedah, Peninsular Malaysia with an updated checklist of the herpetofauna of Tuba Island

Quah ESH, Wood PLJ, Anuar MSS, Muin MA

Zootaxa, 2020 Apr 23;4767(1):zootaxa.4767.1.6.

PMID: 33056576 DOI: 10.11646/zootaxa.4767.1.6

A new, diminutive species of Rock Gecko Cnemaspis tubaensis sp. nov. of the C. kumpoli group, is described from Tuba Island, Langkawi Archipelago, Kedah, Peninsular Malaysia and is differentiated from all other species in the kumpoli group by having a unique combination of morphological and color pattern characteristics, including a maximum SVL of 37.0 mm; 10 or 11 supralabials; eight or nine infralabials; 15-18 semi-linearly arranged paravertebral tubercles; lateral caudal furrow present; lateral caudal tubercles on the anterior portion of the tail; caudal tubercles not encircling tail; five or six precloacal pores; 28 or 29 subdigital lamellae on the fourth toe; smooth ventrals; smooth subcaudals with an enlarged median row of scales; subcaudal region light-grey and speckled with yellow; absence of light-colored ocelli on the shoulder; no yellow postscapular band; dorsum light-brown with sage-green blotches and black spots; flanks with scattered yellow spots; absence of black gular markings in both sexes; and 13.0-22.0% uncorrected pairwise sequence divergences in the NADH dehydrogenase subunit 2 gene (ND2). Cnemaspis tubaensis sp. nov. is the fourth species of Cnemaspis to be described from the Langkawi Archipelago and underscores the underestimated biodiversity of the islands which is in need of more thorough herpetological inventories.

Matched MeSH terms: Malaysia

Fulltext Sociodemographic factors as determinants of fruit and vegetable consumption in Malaysia

Lung, Wei Foon, Yong, Kang Cheah, Nor Azam Abdul Razak

Jurnal Sains Kesihatan Malaysia, 2020;18(2):19-29.

MyJurnal

The present study examines the factors affecting fruit and vegetable (FV) consumption in Malaysia. A nationally representative data that consists of a large sample size is used. Hence, the findings can provide inferential information. The present study uses secondary data from the Malaysian Household Expenditure Survey 2009/2010. The survey was carried out using a two-stage stratified sampling. The first stage was based on Enumeration Blocks, while the second stage was based on Living Quarters. A lognormal hurdle model is used to estimate the consumption decision and amount decision of FV across ethnic groups. The results suggest that household size, income, gender, marital status, age and education play significant roles in FV consumption. The probability of consuming FV and amount spent increase with household size (p

Matched MeSH terms: Malaysia

Fulltext Wolbachia's Deleterious Impact on Aedes aegypti Egg Development: The Potential Role of Nutritional Parasitism

Allman MJ, Fraser JE, Ritchie SA, Joubert DA, Simmons CP, Flores HA

Insects, 2020 Oct 27;11(11).

PMID: 33120915 DOI: 10.3390/insects11110735

The artificial introduction of the endosymbiotic bacterium, Wolbachia pipientis, into Aedes (Ae.) aegypti mosquitoes reduces the ability of mosquitoes to transmit human pathogenic viruses and is now being developed as a biocontrol tool. Successful introgression of Wolbachia-carrying Ae. aegypti into native mosquito populations at field sites in Australia, Indonesia and Malaysia has been associated with reduced disease prevalence in the treated community. In separate field programs, Wolbachia is also being used as a mosquito population suppression tool, where the release of male only Wolbachia-infected Ae. aegypti prevents the native mosquito population from producing viable eggs, subsequently suppressing the wild population. While these technologies show great promise, they require mass rearing of mosquitoes for implementation on a scale that has not previously been done. In addition, Wolbachia induces some negative fitness effects on Ae. aegypti. While these fitness effects differ depending on the Wolbachia strain present, one of the most consistent and significant impacts is the shortened longevity and viability of eggs. This review examines the body of evidence behind Wolbachia's negative effect on eggs, assesses nutritional parasitism as a key cause and considers how these impacts could be overcome to achieve efficient large-scale rearing of these mosquitoes.

Matched MeSH terms: Malaysia

Fulltext A Host-Vector System for the Expression of a Thermostable Bacterial Lipase in a Locally Isolated Meyerozyma guilliermondii SMB

Salleh AB, Baharuddin SM, Rahman RNZRA, Leow TC, Basri M, Oslan SN

Microorganisms, 2020 Nov 06;8(11).

PMID: 33171893 DOI: 10.3390/microorganisms8111738

Screening for a new yeast as an alternative host is expected to solve the limitations in the present yeast expression system. A yeast sample which was isolated from the traditional food starter 'ragi' from Malaysia was identified to contain Meyerozyma guilliermondii strain SMB. This yeast-like fungus strain SMB was characterized to assess its suitability as an expression host. Lipase activity was absent in this host (when assayed at 30 °C and 70 °C) and Hygromycin B (50 μg/mL) was found to be its best selection marker. Then, the hyg gene (Hygromycin B) was used to replace the sh ble gene (Zeocin) expression cassette in a Komagataella phaffii expression vector (designated as pFLDhα). A gene encoding the mature thermostable lipase from Bacillus sp. L2 was cloned into pFLDhα, followed by transformation into strain SMB. The optimal expression of L2 lipase was achieved using YPTM (Yeast Extract-Peptone-Tryptic-Methanol) medium after 48 h with 0.5% (v/v) methanol induction, which was 3 times faster than another K. phaffii expression system. In conclusion, a new host-vector system was established as a platform to express L2 lipase under the regulation of PFLD1. It could also be promising to express other recombinant proteins without inducers.

Matched MeSH terms: Malaysia

Fulltext Revision of the freshwater crabs of the Johora tahanensis (Bott, 1966) species group (Crustacea, Brachyura, Potamidae), with a key to the genus

Ng PKL

Zookeys, 2020;994:1-34.

PMID: 33273881 DOI: 10.3897/zookeys.994.56810

The taxonomy of the potamid freshwater crabs of the Johora tahanensis (Bott, 1966) species group (Potamoidea) is revised. Seven species are recognised, all from Peninsular Malaysia and southern Thailand, three of which are described as new. The three new species were previously identified as J. tahanensis but can be distinguished by characters of the carapace, male first gonopod, and vulva. A revised key to the 18 recognised species of Johora Bott, 1966, is provided.

Matched MeSH terms: Malaysia

The concentration and probabilistic risk assessment of potentially toxic elements in fillets of silver pomfret (Pampus argenteus): A global systematic review and meta-analysis

Alipour M, Sarafraz M, Chavoshi H, Bay A, Nematollahi A, Sadani M, et al.

J Environ Sci (China), 2021 Feb;100:167-180.

PMID: 33279029 DOI: 10.1016/j.jes.2020.07.014

The contamination of fish type products such as silver pomfret fish fillets by potentially toxic elements (PTEs) has raised global health concerns. Related studies regarding the concentration of PTEs in fillets of silver pomfret fish were retrieved among some international databases such as Scopus, PubMed and Embase between 1 January 1983 and 10 March 2020. The pooled (mean) concentration of PTEs in fillets of silver pomfret fish was meta-analyzed with the aid of a random-effect model (REM). Also, the non-carcinogenic risk was estimated via calculating the 95th percentile of the total target hazard quotient (TTHQ). The meta-analysis of 21 articles (containing 25 studies or data reports) indicated that the ranking of PTEs in fillets of silver pomfret fish was Fe (11,414.81 µg/kg wet weight, ww) > Zn (6055.72 µg/kg ww) > Cr (1825.79 µg/kg ww) > Pb (1486.44 µg/kg ww) > Se (1053.47 µg/kg ww) > Cd (992.50 µg/kg ww) > Ni (745.23 µg/kg ww) > Cu (669.71 µg/kg ww) > total As (408.24 µg/kg ww) > Co (87.03 µg/kg ww) > methyl Hg (46.58 µg/kg ww). The rank order of health risk assessment by country based on the TTHQ for adult consumers was Malaysia (2.500) > Bangladesh (0.886) > Iran (0.144) > China (0.045) > Pakistan (0.020) > India (0.015), while the corresponding values for child consumers was Malaysia (11.790) > Bangladesh (4.146) > Iran (0.675) > China (0.206) > Pakistan (0.096) > India (0.077). The adult consumers in Malaysia and children in Malaysia and Bangladesh were at considerable non-carcinogenic risk. Therefore, following the recommended control plans in order to reduce the health risk associated with the ingestion of PTEs via consumption of silver pomfret fish fillets is crucial.

Matched MeSH terms: Malaysia

Fulltext The mutual constraints of states and global value chains during COVID-19: The case of personal protective equipment

Dallas MP, Horner R, Li L

World Dev, 2021 Mar;139:105324.

PMID: 33293754 DOI: 10.1016/j.worlddev.2020.105324

Shortages of critical medical supplies during the COVID-19 pandemic have turned global value chains (GVCs) in personal protective equipment (PPE) into a political lightning rod. Some blame excessive outsourcing and foreign dependency for causing shortages, thus urging greater state intervention; others applaud GVCs for their flexibility and scaling up of production, while blaming states for undermining GVC operations. Using policy process-tracing and monthly trade data of seven PPE products across the US, Europe, China and Malaysia, this paper goes beyond the binary debate of either the 'failure' or 'success' of GVCs to show when and under what conditions states interacted with GVCs to produce mixed outcomes in provisioning countries with PPEs. We identify interactions between the type of state intervention and two key structural features of GVCs - geographic distribution of production and technological attributes of the product. Conceptually, the paper demonstrates the mutual constraints of states and GVCs, and highlights structural factors involved in the relationship. Looking to the future of GVCs, we caution against wholesale declarations that GVCs should be abandoned or maintained, instead concluding that paying attention to GVC structure, states and their interactions are crucial.

Matched MeSH terms: Malaysia

Fulltext In-Season Repeated-Sprint Training in Hypoxia in International Field Hockey Players

James C, Girard O

Front Sports Act Living, 2020;2:66.

PMID: 33345057 DOI: 10.3389/fspor.2020.00066

Repeated-sprint training in hypoxia (RSH) studies conducted "in-season" are scarce. This study investigated the effect of discontinuous, running-based RSH, on repeated-sprint treadmill performance in hypoxia in a team sport cohort, prior to international competition. Over a 6-week "in-season" period, 11 elite male players (Malaysia national team) completed eight multi-set RSH sessions on a non-motorized treadmill in a normobaric hypoxic chamber (FiO2 = 13.8%). Three testing sessions (Sessions 1, 5, and 8), involved three sets of 5 × 8-s sprints, with 52-s recovery between sprints and 4-5 min between sets. Training sessions (Sessions 2, 3, 4, 6, and 7) consisted of four to five sets of 4-5 × 8-s sprints. During testing sessions, maximum sprinting speed was recorded for each sprint with values averaged for each set. For each set, a peak speed and fatigue index were calculated. Data were compared using two-way repeated measures ANOVA (sessions × sets). Average speed per set increased between testing sessions (p = 0.001,

η

p

2

= 0.49), with higher values in Session 8 (25.1 ± 0.9 km.h-1, +4 ± 3%, p = 0.005), but not Session 5 (24.8 ± 1.0 km.h-1, +3 ± 3%, p = 0.405), vs. Session 1 (24.2 ± 1.5 km.h-1). Peak sprinting speed in each set also increased across testing sessions (p = 0.008,

η

p

2

= 0.382), with Session 8 (26.5 ± 1.1 km.h-1) higher than Session 5 (25.8 ± 1.0 km.h-1, +1 ± 4%, p = 0.06) and Session 1 (25.7 ± 1.5 km.h-1, +4 ± 4%, p = 0.034). Fatigue index differed between sessions (p = 0.04,

η

p

2

= 0.331, Session 1; -6.8 ± 4.8%, Session 5; -3.8 ± 2%, Session 8; -5.3 ± 2.6%). In international field hockey players, a 6-week in-season RSH program improved average and peak, repeated treadmill sprint speeds following eight, but not five sessions.

Matched MeSH terms: Malaysia

Fulltext Guidelines on occupational exposures to human immunodeficiency virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus, and recommendations for post exposure prophylaxis (PEP)

ISBN: 978-983-3433-47-6

Citation: Guidelines on occupational exposures to human immunodeficiency virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus, and recommendations for post exposure prophylaxis (PEP). Putrajaya: Ministry of Health, Malaysia; 2007

Matched MeSH terms: Malaysia

Fulltext Employee career decision making: the influence of salary and benefits, work environment and job security

Nur`ain Achim, Nur Idayu Badrolhisam, Nurfitriah Zulkipli

Journal of Academia Universiti Teknologi MARA Negeri Sembilan, 2019;7(101):41-50.

MyJurnal

Every individual at some point will make critical career decision making in life. Making a wrong career decision will affect a person’s fu ture including feeling unhappy, job stress and eventually job withdrawal. This study examined the factors affecting career decision making among government servants in Malaysia. The population and sample were taken from three departments. The population wa s 140 employees and 103 respondents were identified as the sample. Convenience sampling was employed to collect the primary data. The result from several statistical analysis found that all the independent variables; salary and benefits, working environmen t and job security were correlated with the dependent variable that is career decision making. Therefore, from the findings, employers, especially from the government agencies, were urged to increase recruiting permanent position instead of contract employ ment and offering better benefits to improve employees’ career decision making.

Matched MeSH terms: Malaysia

Fulltext Potential of Malaysian Cherry Leaves (Muntingia calabura) as an Antioxidant Agent

Noor Hidayah Pungot, Nurul Auni Zainal Abidin, Nur Syafiqah Atikah Nazaharuddin

Science Letters, 2020;14(2):103-109.

MyJurnal

Muntingia calabura has a high phytochemical content, especially the phenolic group that can act as antioxidant. In Malaysia country, this M. calabura also known as ‘kerukup siam’ or ‘Ceri Kampung’ and it belongs to Muntingiaceae family. This research was conducted to determine the potential of antioxidant activity application of cherry leaves (M. calabura) from various solvent extracts (methanol, ethyl acetate, and n-hexane). The phytochemical contents was screening by using the established standard procedure. Total phenolic content (TPC) was determined according to the Folin-Ciocalteau colorimetric method, while the antioxidant activity was carried out using 2,2-diphenyl-1-picryhydrazyl (DPPH) radical scavenging assay. Phytochemical screening on the leaves part methanolic extracts revealed that the presence of various biochemicals like flavonoids, phenols, steroids, triterpenes, tannins, reducing sugars, and saponins except the alkaloids. Among the three extracts, the methanol leaf extract gave the highest content of phenolics (8.20 mg GAE/g extract). Analyses of antioxidant activity with DPPH method showed that cherry leaf methanolic extracts produced high antioxidant activity with IC50 value of 167.70 g/mL. The present study confirms that the presence of various phytochemicals which shows good antioxidant activity of M. calabura leaves. Therefore, it has the potential as a therapeutic antioxidant agent and can be used in cosmeceutical and food products.

Matched MeSH terms: Malaysia

Fulltext Consumption of sugar-sweetened beverages among International Islamic University Malaysia (IIUM), Kuantan students

Nor ‘Afifah Zahari, Aliza Haslinda Hamirudin, Noor Ezailina Badarudin

International Journal of Allied Health Sciences, 2018;2(3):499-506.

MyJurnal

Malaysian is one of the highest sugar consumers in the Asia Pacific region. There has been no available report quantifying sugar intake among Malaysian until Malaysian Adult Nutrition Survey
(MANS) 2003 study was done. However, data concerning sugar consumption among university students is scarce. This study was conducted to assess sugar sweetened beverages intake among International Islamic University Malaysia (IIUM) Kuantan students. A total of 42 of IIUM Kuantan students was recruited by convenience sampling method. A questionnaire consisting of 3 days
food record was distributed to all participants as a tool for data collection. Food record was analyzed using the Nutritionist Pro software prior to statistical analysis with SPSS version 12.0. P value was set as p

Matched MeSH terms: Malaysia

Comparison among different ASEAN water quality indices for the assessment of the spatial variation of surface water quality in the Selangor river basin, Malaysia

Wong YJ, Shimizu Y, He K, Nik Sulaiman NM

Environ Monit Assess, 2020 Sep 16;192(10):644.

PMID: 32935203 DOI: 10.1007/s10661-020-08543-4

The assessment of surface water quality is often laborious, expensive and tedious, as well as impractical, especially for the developing and middle-income countries in the ASEAN region. The application of the water quality index (WQI), which depends on several independent key parameters, has great potential and is a useful tool in this region. Therefore, this study aims to find out the spatial variability of various water quality parameters in geographical information system (GIS) environment and perform a comparative study among the ASEAN WQI systems. At present, there are four ASEAN countries which have implemented the WQI system to evaluate their surface water quality, which are (i) Own WQI system-Malaysia, Thailand and Vietnam-and (ii) Adopted WQI system: Indonesia. A spatial distribution of 12 water quality parameters in the Selangor river basin, Malaysia, was plotted and then applied into the different ASEAN WQI systems. The WQI values obtained from the different WQI systems have an appreciable difference, even for the same water samples due to the disparity in the parameter selection and the standards among them. WQI systems which consider all biophysicochemical parameters provide a consistent evaluation (Very Poor), but the system which either considers physicochemical or biochemical parameters gives a relatively lenient evaluation (Fair-Poor). The Selangor river basin is stressed and impacted by all physical, biological and chemical parameters caused by both the aridity of the climate and anthropogenic activities. Therefore, it is crucial to include all these aspects into the evaluation and corresponding actions should be taken.

Matched MeSH terms: Malaysia

Fulltext Biogeography and evolution of Asian Gesneriaceae based on updated taxonomy

Tan K, Lu T, Ren MX

PhytoKeys, 2020;157:7-26.

PMID: 32934445 DOI: 10.3897/phytokeys.157.34032

Based on an updated taxonomy of Gesneriaceae, the biogeography and evolution of the Asian Gesneriaceae are outlined and discussed. Most of the Asian Gesneriaceae belongs to Didymocarpoideae, except Titanotrichum was recently moved into Gesnerioideae. Most basal taxa of the Asian Gesneriaceae are found in the Indian subcontinent and Indo-China Peninsula, suggesting Didymocarpoideae might originate in these regions. Four species diversification centers were recognized, i.e. Sino-Vietnam regions, Malay Peninsula, North Borneo and Northwest Yunnan (Hengduan Mountains). The first three regions are dominated by limestone landscapes, while the Northwest Yunnan is well-known for its numerous deep gorges and high mountains. The places with at least 25% species are neoendemics (newly evolved and narrowly endemic) which were determined as evolutionary hotspots, including Hengduan Mountains, boundary areas of Yunnan-Guizhou-Guangxi in Southwest China, North Borneo, Pahang and Terengganu in Malay Peninsula, and mountainous areas in North Thailand, North Sulawesi Island. Finally, the underlying mechanisms for biogeographical patterns and species diversification of the Asian Gesneriaceae are discussed.

Matched MeSH terms: Malaysia

Fulltext The status of Malaysian school children’s visual acuity from year 1990 to 2017

Saidatul Norbaya Buang, Abdul Shukor Salha, Marhaida Mahmood, Noor Haire Sumarlie Nordin

Malaysian Journal of Medicine and Health Sciences, 2019;15(104):100-100.

MyJurnal

Introduction: Refractive error is the most common cause of visual impairment among the school children. The visual acuity screening has long been administered through the school health service in Malaysia. The objective of this study was to examine the status of refractive error in the school health screening from year 1990 to 2017. Methods: Every year an average of 1.2 million students were screened for refractive errors through school health service. Stu-dents with visual acuity reading of 6/9 or worst based on 6-meter Snellen chart ware referred for confirmation of refractive error. Secondary data on school visual acuity screening from the Health Informatics for the period of 1990 to 2017 were used to describe the changing pattern of refractive errors. Results: It was observed that the prevalent of suspected refractive errors amongst the Standard 1 student increased from 7 per 1,000 students examined in 1990 to 44.4 per 1,000 students in the 2000 and further increased to 74 per 1,000 students before slow decline to 55 per 1,000 students from year 2015 to 2017. A higher level of detection was observed for students in standard 6 and form 3 between the period of 1990 to 2009 (78/1,000 and 65/1,000 respectively) and further decline thereafter to lowest level in 2017 (33/1,000 to 21.5/1,000 respectively). Conclusion: The Standard 1 students in the 21st century have higher rate of suspected refractive errors compared to their counterpart that lived in the 20th century. Community awareness program need to be introduce for early detection of visual acuity problem.

Matched MeSH terms: Malaysia

Fulltext The feasibility and acceptability of self-sampling and HPV testing using Cepheid Xpert® HPV in a busy primary care facility

Woo YL

Journal of virus eradication, 2019 Mar 04;5(Suppl 1):10-11.

PMID: 30997147

Malaysia's approach to reducing the burden of HPV-related disease has centred on adolescent vaccination and cervical screening with Pap smears. While the vaccination programme has been broadly successful, Pap smear screening has been less successful. In an effort to improve screening uptake, the ROSE 1.0 pilot aimed to create more efficient screening, with improved quality and lower total cost.

Matched MeSH terms: Malaysia

Fulltext Comparison of Knowledge, Attitude, and Practice among Communities Living in Hotspot and Non-Hotspot Areas of Dengue in Selangor, Malaysia

Ghani NA, Shohaimi S, Hee AK, Chee HY, Emmanuel O, Alaba Ajibola LS

Trop Med Infect Dis, 2019 Feb 15;4(1).

PMID: 30781369 DOI: 10.3390/tropicalmed4010037

BACKGROUND: Dengue has affected more than one-third of the world population and Malaysia has recorded an increase in the number of dengue cases since 2012. Selangor state recorded the highest number of dengue cases in Malaysia. Most of the dengue infections occur among people living in hotspot areas of dengue. This study aims to compare Knowledge, Attitude, and Practice among communities living in hotspot and non-hotspot dengue areas.

METHOD: Communities living in 20 hotspot and 20 non-hotspot areas in Selangor were chosen in this study where 406 participants were randomly selected to answer questionnaires distributed at their housing areas. Total marks of each categories were compared using t-test.

RESULT: Results show that there were significant mean differences in marks in Knowledge (p value: 0.003; 15.41 vs. 14.55) and Attitude (p value: < 0.001; 11.41 vs. 10.33), but not Practice (p value 0.101; 10.83 vs. 10.47) categories between communities of non-hotspot and hotspot areas. After considering two confounding variables which are education level and household income, different mean marks are found to be significant in Knowledge when education level acts as a covariate and Attitude when both act as covariates.

CONCLUSION: Overall results show that people living in non-hotspot areas had better knowledge and attitude than people living in hotspot areas, but no difference was found in practice. This suggests that public health education should be done more frequently with people with a low education background and low household income, especially in hotspot areas to fight dengue outbreak and make dengue cases decrease effectively.

Matched MeSH terms: Malaysia

The Malayan Medical Journal as the official organ of the British Medical Association Malaya branch

McAlister GH

Malayan Medical Journal, 1926;1:15-7.

1. The Malayan Medical Journal as the offcial organ of the British Medical Association Malaya branch
2. The cure of opium habit
3. Infectious jaundice
4. The Institute for Medical Research Kuala Lumpur
5.

Matched MeSH terms: Malaysia

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