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Fulltext An audit of dysphagia patients attending speech therapy clinic at a tertiary hospital in Malaysia

Amelia Inbam Neelagandan, Esther Tuin, Tay, Chia Yi, Rajesh Kumar Muniandy

Borneo Journal of Medical Sciences, 2021;15(1):21-29.
MyJurnal

Swallowing involves 55 muscles, five cranial nerves and two cervical nerve roots. When the coordination of this reflex is disturbed, dysphagia occurs. Dysphagia refers either to the difficulty someone may have with the initial phases of a swallow or to the sensation that the foods or the liquids are being obstructed in their passage from the mouth to the stomach. The objective of the study was to identify the diagnosis of patients attending Speech Therapy clinic, in Queen Elizabeth Hospital, Kota Kinabalu, Sabah, and to identify the demography of dysphagic patients. From the 406 patients that came during the study period, 139 patients (34.2%) were diagnosed with dysphagia, followed by developmental language disorders (33.3%). Of the 139 patients diagnosed with dysphagia, most of them are within the 41 to 60 (43.2%) and above 60 (42.2%) age groups. The majority were males (66.2%). A total of 81 (58.3%) patients with dysphagia had a history of cerebrovascular accident. Dysphagia is a common disorder among patients attending Speech Therapy Clinics at Queen Elizabeth Hospital, Kota Kinabalu. Training of Speech Therapists and early dysphagia intervention leads to a better outcome.

Matched MeSH terms: Demography
The association between backpack use and low back pain among pre-university students: A pilot study

Amyra Natasha A, Ahmad Syukri A, Siti Nor Diana MK, Ima-Nirwana S, Chin KY

J Taibah Univ Med Sci, 2018 Apr;13(2):205-209.
PMID: 31435325 DOI: 10.1016/j.jtumed.2017.06.005

Background: Individuals aged 30-60 years have a high possibility of experiencing low back pain. However, children and adolescents are not exempted from this problem. This study aimed to determine the relationship between backpack usage and the frequency of low back pain in pre-university students.
Methods: A total of 101 currently enrolled pre-university students were recruited for this cross-sectional study. They answered a questionnaire about their demographic details and their frequency of backpack usage. Their backpacks were weighed for four consecutive school days. The Roland-Morris Disability Questionnaire and Body Discomfort Chart were used to rate discomfort levels.
Results: The use and weight of a backpack were not significantly associated with low back pain, as indicated by the Roland-Morris Disability Questionnaire and Body Discomfort Chart (p > 0.05).
Conclusion: This study did not find an association between the use of a backpack and low back pain in Malaysian pre-university students.

Matched MeSH terms: Demography
Fulltext Clinical Symptoms of Arboviruses in Mexico

Ananth S, Shrestha N, Treviño C JA, Nguyen US, Haque U, Angulo-Molina A, et al.

Pathogens, 2020 Nov 19;9(11).
PMID: 33228120 DOI: 10.3390/pathogens9110964

Arboviruses such as Chikungunya (CHIKV), Dengue (DENV), and Zika virus (ZIKV) have emerged as a significant public health concern in Mexico. The existing literature lacks evidence regarding the dispersion of arboviruses, thereby limiting public health policy's ability to integrate the diagnosis, management, and prevention. This study seeks to reveal the clinical symptoms of CHIK, DENV, and ZIKV by age group, region, sex, and time across Mexico. The confirmed cases of CHIKV, DENV, and ZIKV were compiled from January 2012 to March 2020. Demographic characteristics analyzed significant clinical symptoms of confirmed cases. Multinomial logistic regression was used to assess the association between clinical symptoms and geographical regions. Females and individuals aged 15 and older had higher rates of reported significant symptoms across all three arboviruses. DENV showed a temporal variation of symptoms by regions 3 and 5, whereas ZIKV presented temporal variables in regions 2 and 4. This study revealed unique and overlapping symptoms between CHIKV, DENV, and ZIKV. However, the differentiation of CHIKV, DENV, and ZIKV is difficult, and diagnostic facilities are not available in rural areas. There is a need for adequately trained healthcare staff alongside well-equipped lab facilities, including hematological tests and imaging facilities.

Matched MeSH terms: Demography
Age at marriage in Malaysia: a hazard model of marriage timing

Anderson KH, Hill MA, Butler JS

J Dev Econ, 1987 Aug;26(2):223-34.
PMID: 12280709

"This paper estimates a proportional hazards model for the timing of age at marriage of women in Malaysia. We hypothesize that age at marriage responds significantly to differences in male and female occupations, race, and age. We find considerable empirical support for the relevance of economic variables in determining age at marriage as well as evidence of strong differences in marriage patterns across races."

Matched MeSH terms: Demography
The effect of health programs on breastfeeding and child mortality in Peninsular Malaysia

Anderson KH

Res Popul Econ, 1984;5:87-112.
PMID: 12266419
Matched MeSH terms: Demography*
Pregnancy after contraceptive use

Ang Eng Suan, Arshat H

Malays J Reprod Health, 1986 Jun;4(1):6-11.
PMID: 12268570

PIP: The initial results of a study conducted to develop guidelines for the clinical management of family planning acceptors with regard to return of fertility following contraceptive use, are presented. 193 parous women attending an urban family planning clinic were interviewed regarding their last pregnancy conceived after stopping a method of contraception. The average interval to pregnancy was 3.9, 2.8 and 1.8 months for ex-users of oral pills, intrauterine devices and conventional methods of contraception, respectively, with median delays to conception of 1.9, 1 and within the 1st month for the 3 categories. In comparison, 149 women who had not used any method at all took 7.3 months before becoming pregnant. Selected variables including age and parity, duration of use and problems encountered, and outcome of pregnancy are further analysed. Follow-up investigations and treatment are recommended 12 months after stopping oral pills and 6 months after removal of intrauterine device for those who have not yet conceived.

Matched MeSH terms: Demography
Study of rigevidon for oral contraception in a family planning clinic in Kota Bahru, Kelantan

Ang Eng Suan, Karim HA

Malays J Reprod Health, 1990 Jun;8(1):31-7.
PMID: 12316342
Matched MeSH terms: Demography
Fulltext Analisis faktor instrumen penyelesaian masalah teknologikal: kajian di sekolah rendah daerah Miri

Anna F, Sabariah S, Wong WK, Mariappan M

Jurnal Psikologi Malaysia, 2018;32:1-11.

The purpose of this study is to verify the constructs found in the technological problem solving instrument. The instrument used to measure the technological problem solving is the Technology Problem Solving Inventory (PSI-TECH), derived from the original instrument PSI-PSYCH which consists of three constructs. Exploratory Factor Analysis (EFA); KaiserMeyer-Olkin (KMO) and Barlett's analysis were applied for factor analysis in the validity and reliability of the PSI-TECH instrument. The minimum weighting factor is 0.60, used as the cut off value for factor loading. Meanwhile, the Cronbach alpha value 0.70 and above is considered reliable in this study. A total of 102 primary school students, 12 years old were randomly selected among Miri district primary school students in Sarawak. After the survey was carried out, the results of the analysis confirmed that there were three constructs that had been successfully extracted as described in the original PSI-TECH. However, 4 items were dropped from the list. The results of the analysis can provide guidance to researchers in developing this technological problem solving questionnaire, since demographics and geographies tested were diverse. As a result, the findings provide guidance to local researchers in using these instruments.

Matched MeSH terms: Demography
Fulltext Validation of ICD 10 on congenital anomalies in the state of Penang

Anthony, Leela, Ambu, Stephen, Lokman Hakim, Lee, Nagarajah

International e-Journal of Science, Medicine & Education, 2011;5(2):12-17.
MyJurnal

Background: Database on hospital records like discharge data, birth and death certificates are widely used for epidemiological and research studies. However there are a very few validation studies on these data. The aim of this study was to validate and assess the accuracy of the ICD 10 database on congenital anomalies in the state of Penang. This study was carried out for three years, from 2002 to 2004.

Methods: The list of cases coded under the general coding “Q” was extracted and approximately 30% of cases were randomly selected from the list. Medical records for the selected cases were checked and discrepancies for the diagnoses between the medical records and the ICD 10 data base were recorded for three years. Verification was done for basic demographic variables and the coding of the diseases. Discrepancies, sensitivity and specificity were calculated.

Results: The ICD 10 database for congenital anomalies are classified into two types: Type 1 and Type 2. Discrepancies on demographic information were found among the age of patients (babies with congenital anomalies). In Type 1, there was a discrepancy of about 0.02 % to 0.05% probability that a congenital anomaly case can be recorded as non congenital anomaly in the ICD 10. In Type 2 there was a discrepancy that a non-congenital anomaly was classified as congenital anomaly and this ranged from 26.7% to 50.0%. The sensitivity ranged from 96.85% to 97.98%, thus it can be concluded the ICD 10 database is highly sensitive while the specificity ranged from 50.00% to 78.57 %. In other words the ICD 10 is not accurate when classifying the non- congenital anomaly cases. A fair percentage of non-congenital anomaly cases were classified as CA in the ICD 10 database.

Conclusion: Even though hospital databases are used as a baseline data for a number of research and epidemiological studies it cannot be used at face value. Validation of these data is necessary before any conclusions can be drawn or intervention measures are undertaken.

Matched MeSH terms: Demography
Fulltext Tahap pengetahuan keselamatan dan kesihatan pekerjaan di kalangan pekerja di makmal perubatan di Lembah Klang

Anuar, I., Zahedi, F., Kadir, A., Mokhtar, A.B.

Malaysian Journal of Community Health, 2009;15(2):35-42.
MyJurnal

Background : A safety culture practice through prevention needs skillful, knowledgeable and competencies workers. The effectiveness of occupational safety and health programme implementation needs the knowledge related to Occupational Safety and Health Acts, 1994 (OSHA 1994) and its regulations.
Objective : This study was to determine the level of knowledge and awareness towards Occupational Safety and Health (OSH) aspects among workers in medical laboratory.
Methodology : A cross-sectional study was carried out on 34 medical laboratories in which 17 were from private and another 17 laboratories were from public sectors. It consists of 112 medical laboratory disciplines. Data were obtained using self-administered questionnaire consisting of 33 questions related to Occupational Safety and Health (OSH). Each question was coded “know” and “do not know” and respondents were needed to state their understanding towards each OSH issue tendered.
Results : Respondent’s level of knowledge was analyzed according to socio-demography and socioeconomic factors. OSH level of knowledge among medical laboratory workers showed that there are significant differences (p0.05) in OSH knowledge according to between sex, marital status, income and services sectors among workers in medical laboratories. Only about 60.5% of respondents knew the existence of OSHA 1994, whereas those who knew about OSHA 1994 regulations were below than 50.0% from overall respondents.
Conclusion : Promotion and practices of dynamic safety culture through prevention needs high knowledge of OSH.

Matched MeSH terms: Demography
Fulltext Occupational safety and health risk perception among medical laboratory workers in Klang Valley

Anuar, I., Zahedi, F., Kadir, A., Mokhtar, A.B.

Malaysian Journal of Community Health, 2009;15(2):77-82.
MyJurnal

Background : Risk management strategy at the workplace needs two way interactions between employee and employer. Therefore, study on risk perception among workers based on scientific analysis is needed to gain knowledge and understanding on how workers perceived risk at the workplace in order to design risk management strategies more effectively.
Methodology : A cross sectional study was carried out among 628 respondents from 36 medical laboratories in the public and private sector in Klang Valley. Using a self administered questionnaire, respondents were required to perceive risk on 30 hazards which have been identified in the medical laboratory. Each hazard was encoded by using Likert scale 1= not risky, 2= risky but low, 3= moderate risk, 4= high risk and 5= very high risk.
Result : Overall, the study showed that working in the medical laboratory was perceived to of moderate risk. When comparing among ethic groups, the Malays had the highest perception of risk (3.07±0.88) as compared with Indians (3.03±0.88) and the Chinese (2.78±0.90). Employee with higher education and position level perceived low level of risk compared to those with lower education and position level. For those working in different types of laboratories, there are significant difference on risk perception, (p=0.001). Employees who work in government sector perceived higher (3.12±0.93) risk compared to workers in private sector (2.85±0.88). In terms of OSH based knowledge, those with higher level of education and position have a high score knowledge on OSH compared to those have lower education and position level.
Conclusion : This study showed that risk perception among workers in medical laboratory is influenced by socio-demography factor such race, education level, job position and the laboratory where the respondents are working.

Matched MeSH terms: Demography
Migration and development: a critical relationship

Appleyard RT

Asian Pac Migr J, 1992;1(1):1-18.
PMID: 12317235

"Wide income differentials, the threat of increased illegal immigration from developing countries, and sub-replacement fertility in the developed countries are some reasons for the recent reassessment of the relationship between migration and development.... The model presented in this article proposes different roles for permanent immigrants, contract workers, professional transients, illegal migrants and others according to the stages of modernization of the sending and receiving countries. The model was found consistent with the experiences of Mauritius, Seychelles, Singapore and, to a lesser extent, Malaysia."

Matched MeSH terms: Demography
Differential utilisation of health facilities and services for childbirth in Peninsula Malaysia--the ethnic factor

Arhsat H, Tan BA, Tey NP

Malays J Reprod Health, 1985 Dec;3(2):105-14.
PMID: 12314737
Matched MeSH terms: Demography
Fulltext Malaysia's ageing population: challenges in the new millennium

Arokiasamy JT

Med J Malaysia, 1999 Dec;54(4):429-32.
PMID: 11072458
Matched MeSH terms: Demography*
Fulltext Knowledge about human papillomavirus (HPV) related oral cancers among oral health professionals in university setting-A cross sectional study

Arora S, Ramachandra SS, Squier C

J Oral Biol Craniofac Res, 2017 12 05;8(1):35-39.
PMID: 29556461 DOI: 10.1016/j.jobcr.2017.12.002

Introduction: Scientific literature suggests that human papillomavirus (HPV) infection may be associated with oral squamous cell carcinoma (OSCC). However, knowledge regarding HPV-OSCC link among oral health professionals (OHP) has been insufficient. So, the aim of this study was to assess the knowledge about HPV associated OSCC among OHP working in dental faculties in Malaysia.
Methodology: Ethical committee of the University approved this study. A validated, pre-tested questionnaire was sent electronically to 224 OHP. Questionnaire collected information regarding demography, knowledge about HPV-OSCC link, HPV vaccine, and willingness to educate patients about HPV OSCC link among the participants of this cross-sectional study. Data collected was analysed using "Stata/IC-13" and was summarised using descriptive statistics like frequency, percentage, mean and standard deviation.
Results: Out of 179 participants, around 39% of the participant's opined virus was not a causative factor for OSCC. Around, 44% replied posterior portion of the tongue/oro-pharynx was the commonest site for HPV related OSCC, whereas 29% replied that lateral border of the tongue was the common site for HPV related OSCC. Forty one percent educated patients regarding HPV infection being a causative factor for OSCC. HPV vaccine can prevent OSCC was stated by 70% OHP. Only 12% were aware of the availability of HPV vaccine in Malaysia. Majority (99%), agreed that there is a need to offer continuing education programmes to dentists highlighting advances and preventive strategies in the fight against OSCC.
Conclusion: Substantial increase in awareness is required among OHP regarding HPV-OSCC link.

Matched MeSH terms: Demography
The National Family Planning Program: its impact on perinatal mortality

Arshat H, Kader HA, Ali J, Noor Laily Abu Bakar

Malays J Reprod Health, 1984 Dec;2(2):83-95.
PMID: 12280343
Matched MeSH terms: Demography*
The effects of life cycle and family formation variables on pregnancy outcome

Arshat H, Tan Boon Ann, Tey Nai Peng

Malays J Reprod Health, 1985 Dec;3(2):115-25.
PMID: 12314738
Matched MeSH terms: Demography
A need-responsive programme in post-partum female sterilisation

Arshat H

Malays J Reprod Health, 1986 Dec;4(2):51-5.
PMID: 12314884
Matched MeSH terms: Demography
A study on the age at menopause and menopausal symptoms among Malaysian women

Arshat H, Tey NP, Ramli N

Malays J Reprod Health, 1989 Jun;7(1):1-9.
PMID: 12342395
Matched MeSH terms: Demography
A study of the acceptability and effectiveness of Norplant (R) contraceptive implants in Kuala Lumpur, Malaysia

Arshat H, Rachagan SP, Kwa Siew Kim, Ang Eng Suan, Karim HA, Ismail MT

Malays J Reprod Health, 1990 Jun;8(1):21-9.
PMID: 12316341
Matched MeSH terms: Demography

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