MyMedR

Displaying publications 41 - 60 of 533 in total

Abstract:

Sort:

Fulltext Association between Platescapes, Foodscapes, and Meal Energy Intake in Government Employees from Muar, Johor, Malaysia

Lim YJ, Jamaluddin R, Er YT

Nutrients, 2018 Jun 25;10(7).
PMID: 29941848 DOI: 10.3390/nu10070819

A microscale built environment was the focus in this cross-sectional study which aimed to investigate the associations between platescapes, foodscapes, and meal energy intake among subjects. A total of 133 subjects (54 male, 79 female) with mean age 36.8 ± 7.3 years completed a self-administered questionnaire on sociodemographic characteristics, platescapes, and foodscape preferences. For platescapes, a plate mapping method was used, where subjects were required to place various sizes of food models on two different sized plates (23 cm and 28 cm) based on their preferences. For foodscape preferences, subjects were given a 23-cm plate and various food models differentiated by shapes and colours. Then, 24-h daily recalls (for one weekday and one weekend day) were obtained using interviews. Significant differences were observed in meal energy intake (p < 0.05) between males (1741 ± 339 kcal) and females (1625 ± 247 kcal) and also between age groups (p < 0.05). There was a significant difference (p < 0.0001) in terms of subjects’ meal energy intake when comparing 23-cm plates (419 ± 124 kcal) and 28-cm plates (561 ± 143 kcal). The bigger plate (28 cm) (p < 0.01) was significantly associated with subjects’ meal energy intakes, but this was not so for the 23-cm plate. There were significant differences in subjects’ meal energy when comparing white rice and multicoloured rice (p < 0.0001), unicoloured and multicoloured proteins (p < 0.0001), and unicoloured and multicoloured vegetables (p < 0.0001). There was a significant difference found between round- and cube-shaped proteins (p < 0.05). The colours of rice (p < 0.01), protein (p < 0.05), and vegetables (p < 0.05) were significantly associated with subjects’ meal energy. Only the shape of carrots in vegetables (p = 0.01) was significantly associated with subjects’ meal energy. Subconsciously, platescapes and foodscapes affect an individual’s energy intake, and thus these elements should be considered in assessing one’s dietary consumption.

Matched MeSH terms: Environment
Association of co-occurring psychosocial health conditions and HIV infection among MSM in Malaysia: Implication of a syndemic effect

Ng RX, Guadamuz TE, Akbar M, Kamarulzaman A, Lim SH

Int J STD AIDS, 2020 05;31(6):568-578.
PMID: 32299293 DOI: 10.1177/0956462420913444
Matched MeSH terms: Social Environment
Fulltext Association between the school environment and children's body mass index in Terengganu: A cross sectional study

Wafa SW, Ghazalli R

PLoS One, 2020;15(4):e0232000.
PMID: 32330177 DOI: 10.1371/journal.pone.0232000

With the on-going interest in implementing school policies to address the problem of childhood obesity in Malaysia, there is urgent need for information about the association between school environment and children's weight status. This study aims to investigate the association between school environmental factors (physical, economic, political and sociocultural) with BMI of school children in Terengganu. The school environment factors were assessed using a set of validated whole-school environmental mapping questionnaires, consisting of 76 criteria with four domains; physical environment (41 criteria), economic environment (nine criteria), political environment (nine criteria) and sociocultural environment (17 criteria). This involved face-to-face interview sessions with 32 teachers from 16 schools (eight rural and eight urban). In addition, 400 school children aged between 9 and 11 years of the selected schools were assessed for BMI (WHO 2007 reference chart), dietary intake (food frequency questionnaire (FFQ)) and physical activity level (physical activity questionnaire for children (PAQ-C)). Multiple regression was used to examine the association between school environment factors and BMI of the school children. Seven school environment criteria were found to be associated with BMI of school children when it was adjusted for calorie intake and physical activity level. About 33.4% of the variation in BMI of school children was explained by health professional involvement, simple exercise before class, encouragement to walk/ride bicycle to/from school, no high-calorie food sold, healthy options of foods and drinks at tuck shop, availability of policy on physical activity and training teacher as a role model. Policy makers should make urgent actions to address the obesogenic features of school environments. It should strive towards setting up healthy school environment and improving school curricula to promote healthy behaviours among the school children.

Matched MeSH terms: Environment
Fulltext Diabetes in Central America

West KM, Kalbfleisch JM

Diabetes, 1970 Sep;19(9):656-63.
PMID: 5469119 DOI: 10.2337/diab.19.9.656

The prevalence of diabetes in Central America was somewhat greater than in East Pakistan and Malaya, less
than in Uruguay and Venezuela, and substantially less than in affluent societies such as the United States. Differences in prevalence among Central American countries were modest but probably significant in some instances. In all Central American countries diabetes was more common in females but this difference was probably attributable to the greater adiposity of the women. Age-matched populations from eleven different countries of three continents have now been tested using standardized methods. Prevalence of diabetes varied greatly, and differences were more related to environment than to race. These results support the hypothesis that environmental factors can increase or reduce prevalence by several-fold.

Matched MeSH terms: Environment; Environmental Exposure
Fulltext Directly observed therapy for clozapine with concomitant methadone prescription: a method for improving adherence and outcome

Pang NTP, Mohamad Isa MF, Suarn Singh V, Masiran R

BMJ Case Rep, 2017 Jul 27;2017.
PMID: 28754761 DOI: 10.1136/bcr-2017-221048

A young male presented with many years of delusions and hallucinations, with concurrent heroin use and subsequent amphetamine uses. There were no depressive or manic symptoms and psychotic symptoms prior to the amphetamine use. After the trials of two atypical antipsychotics and later clozapine due to treatment resistance, adherence and functionality were poor and there was still persistent drug use. As a result, a long acting injectable adjunct was commenced, but only minimal effects were observed. However after initiation of directly observed treatment of clozapine with methadone, there has been functional and clinical response and drug use has ceased.

Matched MeSH terms: Social Environment
Fulltext Does Childhood Trauma Moderate Polygenic Risk for Depression? A Meta-analysis of 5765 Subjects From the Psychiatric Genomics Consortium

Peyrot WJ, Van der Auwera S, Milaneschi Y, Dolan CV, Madden PAF, Sullivan PF, et al.

Biol Psychiatry, 2018 Jul 15;84(2):138-147.
PMID: 29129318 DOI: 10.1016/j.biopsych.2017.09.009

BACKGROUND: The heterogeneity of genetic effects on major depressive disorder (MDD) may be partly attributable to moderation of genetic effects by environment, such as exposure to childhood trauma (CT). Indeed, previous findings in two independent cohorts showed evidence for interaction between polygenic risk scores (PRSs) and CT, albeit in opposing directions. This study aims to meta-analyze MDD-PRS × CT interaction results across these two and other cohorts, while applying more accurate PRSs based on a larger discovery sample.
METHODS: Data were combined from 3024 MDD cases and 2741 control subjects from nine cohorts contributing to the MDD Working Group of the Psychiatric Genomics Consortium. MDD-PRS were based on a discovery sample of ∼110,000 independent individuals. CT was assessed as exposure to sexual or physical abuse during childhood. In a subset of 1957 cases and 2002 control subjects, a more detailed five-domain measure additionally included emotional abuse, physical neglect, and emotional neglect.
RESULTS: MDD was associated with the MDD-PRS (odds ratio [OR] = 1.24, p = 3.6 × 10-5, R2 = 1.18%) and with CT (OR = 2.63, p = 3.5 × 10-18 and OR = 2.62, p = 1.4 ×10-5 for the two- and five-domain measures, respectively). No interaction was found between MDD-PRS and the two-domain and five-domain CT measure (OR = 1.00, p = .89 and OR = 1.05, p = .66).
CONCLUSIONS: No meta-analytic evidence for interaction between MDD-PRS and CT was found. This suggests that the previously reported interaction effects, although both statistically significant, can best be interpreted as chance findings. Further research is required, but this study suggests that the genetic heterogeneity of MDD is not attributable to genome-wide moderation of genetic effects by CT.

Matched MeSH terms: Gene-Environment Interaction
Fulltext Genome-Wide Detection of Genes Under Positive Selection in Worldwide Populations of the Barley Scald Pathogen

Mohd-Assaad N, McDonald BA, Croll D

Genome Biol Evol, 2018 Apr 01;10(5):1315-1332.
PMID: 29722810 DOI: 10.1093/gbe/evy087

Coevolution between hosts and pathogens generates strong selection pressures to maintain resistance and infectivity, respectively. Genomes of plant pathogens often encode major effect loci for the ability to successfully infect specific host genotypes. Hence, spatial heterogeneity in host genotypes coupled with abiotic factors could lead to locally adapted pathogen populations. However, the genetic basis of local adaptation is poorly understood. Rhynchosporium commune, the pathogen causing barley scald disease, interacts at least partially in a gene-for-gene manner with its host. We analyzed global field populations of 125 R. commune isolates to identify candidate genes for local adaptation. Whole genome sequencing data showed that the pathogen is subdivided into three genetic clusters associated with distinct geographic and climatic regions. Using haplotype-based selection scans applied independently to each genetic cluster, we found strong evidence for selective sweeps throughout the genome. Comparisons of loci under selection among clusters revealed little overlap, suggesting that ecological differences associated with each cluster led to variable selection regimes. The strongest signals of selection were found predominantly in the two clusters composed of isolates from Central Europe and Ethiopia. The strongest selective sweep regions encoded protein functions related to biotic and abiotic stress responses. Selective sweep regions were enriched in genes encoding functions in cellular localization, protein transport activity, and DNA damage responses. In contrast to the prevailing view that a small number of gene-for-gene interactions govern plant pathogen evolution, our analyses suggest that the evolutionary trajectory is largely determined by spatially heterogeneous biotic and abiotic selection pressures.

Matched MeSH terms: Environment
Fulltext The effects of sleep quality, physical activity, and environmental quality on the risk of falls in dementia

Eshkoor SA, Hamid TA, Nudin SS, Mun CY

Am J Alzheimers Dis Other Demen, 2013 Jun;28(4):403-7.
PMID: 23698600 DOI: 10.1177/1533317513488921

OBJECTIVES: This study aimed to identify the effects of sleep quality, physical activity, environmental quality, age, ethnicity, sex differences, marital status, and educational level on the risk of falls in the elderly individuals with dementia.
METHODOLOGY: Data were derived from a group of 1210 Malaysian elderly individuals who were noninstitutionalized and demented. The multiple logistic regression model was applied to estimate the risk of falls in respondents.
RESULTS: Approximately the prevalence of falls was 17% among the individuals. The results of multiple logistic regression analysis revealed that age (odds ratio [OR] = 1.03), ethnicity (OR = 1.76), sleep quality (OR = 1.46), and environmental quality (OR = 0.62) significantly affected the risk of falls in individuals (P < .05). Furthermore, sex differences, marital status, educational level, and physical activity were not significant predictors of falls in samples (P > .05).
CONCLUSION: It was found that age, ethnic non-Malay, and sleep disruption increased the risk of falls in respondents, but high environmental quality reduced the risk of falls.

Matched MeSH terms: Environment
Fulltext The effect of environmental conditions on biofilm formation of Burkholderia pseudomallei clinical isolates

Ramli NS, Eng Guan C, Nathan S, Vadivelu J

PLoS One, 2012;7(9):e44104.
PMID: 22970167 DOI: 10.1371/journal.pone.0044104

Burkholderia pseudomallei, a Gram-negative saprophytic bacterium, is the causative agent of the potentially fatal melioidosis disease in humans. In this study, environmental parameters including temperature, nutrient content, pH and the presence of glucose were shown to play a role in in vitro biofilm formation by 28 B. pseudomallei clinical isolates, including four isolates with large colony variants (LCVs) and small colony variants (SCVs) morphotypes. Enhanced biofilm formation was observed when the isolates were tested in LB medium, at 30 °C, at pH 7.2, and in the presence of as little as 2 mM glucose respectively. It was also shown that all SVCs displayed significantly greater capacity to form biofilms than the corresponding LCVs when cultured in LB at 37 °C. In addition, octanoyl-homoserine lactone (C(8)-HSL), a quorum sensing molecule, was identified by mass spectrometry analysis in bacterial isolates referred to as LCV CTH, LCV VIT, SCV TOM, SCV CTH, 1 and 3, and the presence of other AHL's with higher masses; decanoyl-homoserine lactone (C(10)-HSL) and dodecanoyl-homoserine lactone (C(12)-HSL) were also found in all tested strain in this study. Last but not least, we had successfully acquired two Bacillus sp. soil isolates, termed KW and SA respectively, which possessed strong AHLs degradation activity. Biofilm formation of B. pseudomallei isolates was significantly decreased after treated with culture supernatants of KW and SA strains, demonstrating that AHLs may play a role in B. pseudomallei biofilm formation.

Matched MeSH terms: Environment*
Ethnic variations in dementia: the contributions of cardiovascular, psychosocial and neuropsychological factors

Ng TP, Leong T, Chiam PC, Kua EH

Dement Geriatr Cogn Disord, 2010;29(2):131-8.
PMID: 20145399 DOI: 10.1159/000275668

Ethnic variations in dementia rate have been reported worldwide. Understanding these differences is vital for aetiological research, clinical care and health service planning. While age and gender have been consistently implicated, the reasons behind interethnic variation remain unclear.

Matched MeSH terms: Social Environment*
Fulltext Individually-tailored multifactorial intervention to reduce falls in the Malaysian Falls Assessment and Intervention Trial (MyFAIT): A randomized controlled trial

Tan PJ, Khoo EM, Chinna K, Saedon NI, Zakaria MI, Ahmad Zahedi AZ, et al.

PLoS One, 2018;13(8):e0199219.
PMID: 30074996 DOI: 10.1371/journal.pone.0199219

OBJECTIVE: To determine the effectiveness of an individually-tailored multifactorial intervention in reducing falls among at risk older adult fallers in a multi-ethnic, middle-income nation in South-East Asia.

DESIGN: Pragmatic, randomized-controlled trial.

SETTING: Emergency room, medical outpatient and primary care clinic in a teaching hospital in Kuala Lumpur, Malaysia.

PARTICIPANTS: Individuals aged 65 years and above with two or more falls or one injurious fall in the past 12 months.

INTERVENTION: Individually-tailored interventions, included a modified Otago exercise programme, HOMEFAST home hazards modification, visual intervention, cardiovascular intervention, medication review and falls education, was compared against a control group involving conventional treatment.

PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was any fall recurrence at 12-month follow-up. Secondary outcomes were rate of fall and time to first fall.

RESULTS: Two hundred and sixty-eight participants (mean age 75.3 ±7.2 SD years, 67% women) were randomized to multifactorial intervention (n = 134) or convention treatment (n = 134). All participants in the intervention group received medication review and falls education, 92 (68%) were prescribed Otago exercises, 86 (64%) visual intervention, 64 (47%) home hazards modification and 51 (38%) cardiovascular intervention. Fall recurrence did not differ between intervention and control groups at 12-months [Risk Ratio, RR = 1.037 (95% CI 0.613-1.753)]. Rate of fall [RR = 1.155 (95% CI 0.846-1.576], time to first fall [Hazard Ratio, HR = 0.948 (95% CI 0.782-1.522)] and mortality rate [RR = 0.896 (95% CI 0.335-2.400)] did not differ between groups.

CONCLUSION: Individually-tailored multifactorial intervention was ineffective as a strategy to reduce falls. Future research efforts are now required to develop culturally-appropriate and affordable methods of addressing this increasingly prominent public health issue in middle-income nations.

TRIAL REGISTRATION: ISRCTN Registry no. ISRCTN11674947.

Study site: emergency department, medical outpatients and primary care clinic at a teaching hospital in Kuala Lumpur, Malaysia

Matched MeSH terms: Environment Design/standards
Environmental temperature and stocking density effects on acute phase proteins, heat shock protein 70, circulating corticosterone and performance in broiler chickens

Najafi P, Zulkifli I, Jajuli NA, Farjam AS, Ramiah SK, Amir AA, et al.

Int J Biometeorol, 2015 Nov;59(11):1577-83.
PMID: 25649005 DOI: 10.1007/s00484-015-0964-3

An experiment was conducted to determine the effect of different stocking densities on serum corticosterone (CORT), ovotransferrin (OVT), α1-acid glycoprotein (AGP) and ceruloplasmin (CP) concentrations, brain heat shock protein (HSP) 70 expression and performance in broiler chickens exposed to unheated and heated conditions. Day-old chicks were stocked at 0.100 m(2)/bird (low density (LD)) or 0.063 m(2)/bird (high density (HD)), in battery cages and housed in environmentally controlled rooms. From 21 to 35 days of age, birds from each stocking density group were exposed to either 24 or 32 °C. Growth performance was recorded during the heat treatment period, and blood and brain samples were collected to determine CORT, OVT, AGP, CP and HSP 70 levels on day 35. Heat treatment but not stocking density was detrimental to growth performance. There were significant temperature × density interactions for CORT, CP and OVT on day 35. Although HD elevated CORT, CP and OVT when compared to LD, the effects of the former were more obvious under heated condition. Both temperature and density had significant effect on AGP and HSP 70. In conclusion, irrespective of temperature, high stocking density was physiologically stressful to broiler chickens, as indicated by CORT, AGP, CP, OVT and HSP 70, but not detrimental to growth performance and survivability. As it was shown in the present study, AGP, CP and OVT could be useful biomarkers to determine the effect of overcrowding and high temperature on the welfare of broiler chickens.

Matched MeSH terms: Environment
Analysis of Southeast Asian pollution episode during June 2013 using satellite remote sensing datasets

Vadrevu KP, Lasko K, Giglio L, Justice C

Environ Pollut, 2014 Dec;195:245-56.
PMID: 25087199 DOI: 10.1016/j.envpol.2014.06.017

In this study, we assess the intense pollution episode of June 2013, in Riau province, Indonesia from land clearing. We relied on satellite retrievals of aerosols and Carbon monoxide (CO) due to lack of ground measurements. We used both the yearly and daily data for aerosol optical depth (AOD), fine mode fraction (FMF), aerosol absorption optical depth (AAOD) and UV aerosol index (UVAI) for characterizing variations. We found significant enhancement in aerosols and CO during the pollution episode. Compared to mean (2008-2012) June AOD of 0.40, FMF-0.39, AAOD-0.45, UVAI-1.77 and CO of 200 ppbv, June 2013 values reached 0.8, 0.573, 0.672, 1.77 and 978 ppbv respectively. Correlations of fire counts with AAOD and UVAI were stronger compared to AOD and FMF. Results from a trajectory model suggested transport of air masses from Indonesia towards Malaysia, Singapore and southern Thailand. Our results highlight satellite-based mapping and monitoring of pollution episodes in Southeast Asia.

Matched MeSH terms: Environment; Environmental Monitoring/methods*
Fulltext Developing a web-based advisory expert system for implementing traffic calming strategies

Falamarzi A, Borhan MN, Rahmat RA

ScientificWorldJournal, 2014;2014:757981.
PMID: 25276861 DOI: 10.1155/2014/757981

Lack of traffic safety has become a serious issue in residential areas. In this paper, a web-based advisory expert system for the purpose of applying traffic calming strategies on residential streets is described because there currently lacks a structured framework for the implementation of such strategies. Developing an expert system can assist and advise engineers for dealing with traffic safety problems. This expert system is developed to fill the gap between the traffic safety experts and people who seek to employ traffic calming strategies including decision makers, engineers, and students. In order to build the expert system, examining sources related to traffic calming studies as well as interviewing with domain experts have been carried out. The system includes above 150 rules and 200 images for different types of measures. The system has three main functions including classifying traffic calming measures, prioritizing traffic calming strategies, and presenting solutions for different traffic safety problems. Verifying, validating processes, and comparing the system with similar works have shown that the system is consistent and acceptable for practical uses. Finally, some recommendations for improving the system are presented.

Matched MeSH terms: Environment Design
Effect of asymmetrical street aspect ratios on microclimates in hot, humid regions

Qaid A, Ossen DR

Int J Biometeorol, 2015 Jun;59(6):657-77.
PMID: 25108376 DOI: 10.1007/s00484-014-0878-5

Asymmetrical street aspect ratios, i.e. different height-to-width (H1/W-H2/W) ratios, have not received much attention in the study of urban climates. Putrajaya Boulevard (northeast to southwest orientation) in Malaysia was selected to study the influence of six asymmetrical aspect ratio scenarios on the street microclimate using the Envi-met three-dimensional microclimate model (V3.1 Beta). Putrajaya Boulevard suffers from high surface and air temperature during the day due to the orientation, the low aspect ratio and the wide sky view factor. These issues are a common dilemma in many boulevards. Further, low and high symmetrical streets are incompatible with tropical regions as they offer conflicting properties during the day and at night. These scenarios are examined, therefore, to find asymmetrical streets which are able to reduce the impact of the day microclimate on boulevards, and as an alternative strategy fulfilling tropical day and night climatic conditions. Asymmetrical streets are better than low symmetrical streets in enhancing wind flow and blocking solar radiation, when tall buildings confront winds direction or solar altitudes. Therefore, mitigating heat islands or improving microclimates in asymmetrical streets based on tall buildings position which captures wind or caste shades. In northeast to southwest direction, aspect ratios of 0.8-2 reduce the morning microclimate and night heat islands yet the negative effects during the day are greater than the positive effects in the night. An aspect ratio of 2-0.8 reduces the temperature of surfaces by 10 to 14 °C and the air by 4.7 °C, recommended for enhancing boulevard microclimates and mitigating tropical heat islands.

Matched MeSH terms: Environment Design
Risk-based decision-making framework for the selection of sediment dredging option

Manap N, Voulvoulis N

Sci Total Environ, 2014 Oct 15;496:607-623.
PMID: 25108801 DOI: 10.1016/j.scitotenv.2014.07.009

The aim of this study was to develop a risk-based decision-making framework for the selection of sediment dredging option. Descriptions using case studies of the newly integrated, holistic and staged framework were followed. The first stage utilized the historical dredging monitoring data and the contamination level in media data into Ecological Risk Assessment phases, which have been altered for benefits in cost, time and simplicity. How Multi-Criteria Decision Analysis (MCDA) can be used to analyze and prioritize dredging areas based on environmental, socio-economic and managerial criteria was described for the next stage. The results from MCDA will be integrated into Ecological Risk Assessment to characterize the degree of contamination in the prioritized areas. The last stage was later described using these findings and analyzed using MCDA, in order to identify the best sediment dredging option, accounting for the economic, environmental and technical aspects of dredging, which is beneficial for dredging and sediment management industries.

Matched MeSH terms: Environment; Environmental Monitoring*
Body image and personality among British men: associations between the Big Five personality domains, drive for muscularity, and body appreciation

Benford K, Swami V

Body Image, 2014 Sep;11(4):454-7.
PMID: 25113287 DOI: 10.1016/j.bodyim.2014.07.004

The present study examined associations between the Big Five personality domains and measures of men's body image. A total of 509 men from the community in London, UK, completed measures of drive for muscularity, body appreciation, the Big Five domains, and subjective social status, and provided their demographic details. The results of a hierarchical regression showed that, once the effects of participant body mass index (BMI) and subjective social status had been accounted for, men's drive for muscularity was significantly predicted by Neuroticism (β=.29). In addition, taking into account the effects of BMI and subjective social status, men's body appreciation was significantly predicted by Neuroticism (β=-.35) and Extraversion (β=.12). These findings highlight potential avenues for the development of intervention approaches based on the relationship between the Big Five personality traits and body image.

Matched MeSH terms: Social Environment
Corrosivity and leaching behavior of controlled low-strength material (CLSM) made using bottom ash and quarry dust

Naganathan S, Razak HA, Hamid SN

J Environ Manage, 2013 Oct 15;128:637-41.
PMID: 23845957 DOI: 10.1016/j.jenvman.2013.06.009

This paper reports the corrosivity and leaching behavior of CLSM made using two different industrial wastes i.e. bottom ash from an incineration facility and quarry dust. The leachate samples were derived from fresh and hardened CLSM mixtures, and studied for leaching and electrical resistivity. The release of various contaminants and the consequent environmental impact caused by the contaminants were studied by the measurement of contaminants in the bleed, in the leachate at 28 days, and on the leachate derived from crushed block and whole block leaching done over a period of 126 days. Results indicated that the CLSM mixtures are non corrosive; diffusion was the leaching mechanism; and the contaminants were found to be moderate to low mobility.

Matched MeSH terms: Environment; Environmental Pollutants/analysis
"Feeling unsafe": a photovoice analysis of factors influencing physical activity behavior among Malaysian adolescents

Saimon R, Choo WY, Bulgiba A

Asia Pac J Public Health, 2015 Mar;27(2):NP2079-92.
PMID: 23513006 DOI: 10.1177/1010539513480229

Understanding the factors influencing physical activity (PA) in the Asia-Pacific region is critical, given the high prevalence of inactivity in this area. The photovoice technique explores the types of PA and factors influencing PA among adolescents in Kuching, Sarawak. A total of 160 photographs were collected from participants (adolescents, n = 22, mean age = 14.27 ± 0.7 years, and parents, n = 8, mean age = 48 ± 6.8 years). Data analysis used constant comparison methods of a grounded theory. The Analysis Grid for Environments Linked to Obesity was used to categorize PA factors. Study findings were centered on the concept of safety, facilities, parental restriction, friends, cultural traits, media, community cohesiveness, and weather. The central theme was "feeling unsafe" when being outdoors. To promote PA behavior, provision of PA facilities needs to be supported by other programs that build on peer support, crime prevention, and traffic safety, together with other educational campaigns.

Matched MeSH terms: Environment
The experiences of suffering of palliative care patients in Malaysia: a thematic analysis

Beng TS, Guan NC, Seang LK, Pathmawathi S, Ming MF, Jane LE, et al.

Am J Hosp Palliat Care, 2014 Feb;31(1):45-56.
PMID: 22956340 DOI: 10.1177/1049909112458721

A qualitative study was conducted with semi-structured interviews to explore the experiences of suffering in 20 adult palliative care inpatients of University Malaya Medical Centre. The results were thematically analyzed. Ten basic themes were generated (1) loss and change → differential suffering, (2) care dependence → dependent suffering, (3) family stress → empathic suffering, (4) disease and dying → terminal suffering, (5) health care staff encounters → interactional suffering, (6) hospital environment → environmental suffering, (7) physical symptoms → sensory suffering, (8) emotional reactions → emotional suffering, (9) cognitive reactions → cognitive suffering, and (10) spiritual reactions → spiritual suffering. An existential-experiential model of suffering was conceptualized from the analysis. This model may inform the development of interventions in the prevention and management of suffering.

Matched MeSH terms: Environment

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links