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Fulltext The Determinants of Undiagnosed Hypertension among Urban Community of Kuala Lumpur, Malaysia

Ibrahim AA, Manaf MRA, Ismail NH

Iran J Public Health, 2022 Jun;51(6):1323-1330.
PMID: 36447985 DOI: 10.18502/ijph.v51i6.9677

BACKGROUND: The prevalence of undiagnosed hypertension in Malaysia is 17.2%, which is higher compared to the known case of hypertension (13.1%) reported in 2015. For every two people diagnosed with hypertension, there will be three persons with undiagnosed hypertension; the trend has not changed since 2011. This study aimed to determine the determinants of undiagnosed hypertension among urban community of Kuala Lumpur, Malaysia.
METHODS: This was a cross-sectional study conducted among 206 participants in Kuala Lumpur, Malaysia from the ongoing Prospective Urban Rural Epidemiology (PURE) project. The samples with complete variable data were taken from the second year of follow-up, starting Jan 2014 till Dec 2015, through convenience sampling. Data were analyzed using descriptive analysis, simple logistic regression, and multivariable logistic regression.
RESULTS: Multivariable logistic regression showed that only four determinants were associated with undiagnosed hypertension which were the age group of 35 to 49 yr old (aOR: 5.9, 95% CI: 1.8; 19.1), secondary education level (aOR: 2.3, 95% CI: 1.1; 4.6), normal BMI (aOR: 5.1, 95% CI: 1.5; 16.6), and non-diabetes mellitus (aOR: 5.5, 95% CI: 2.5; 12.0).
CONCLUSION: The determinants of undiagnosed hypertension in this study showed that low-risk groups of hypertension were highly underdiagnosed. The low-risk group of hypertension was easily approached at their working place. Thus, routine health screening and awareness campaigns should be emphasized substantially at the working place to detect undiagnosed hypertension. Early detection will be beneficial as early management can be initiated to prevent further complications.
Compliance with the 24-hour movement behaviour guidelines among children and adolescents with disabilities: a systematic review and meta-analysis

Hao Y, Zhou X, Razman R, Peng S, Ahmad NS

BMC Public Health, 2024 Aug 30;24(1):2357.
PMID: 39215263 DOI: 10.1186/s12889-024-19842-7

BACKGROUND: Compliance with the 24-Hour Movement Guidelines (24-HMG: physical activity (PA), screen time (ST), and sleep) has been associated with numerous beneficial health outcomes among children and adolescents. However, there is a lack of consensus on the overall compliance with the 24-HMG specifically among children and adolescents with disabilities. Therefore, this systematic review and meta-analysis aimed to examine the extent to which children and adolescents with disabilities adhere to the 24-HMG globally.
METHOD: Quantitative studies published in English until May 2023 were sought by searching seven electronic databases: Web of Science, PubMed, SPORTDiscus, CINAHL, MEDLINE, Scopus, Psychology and Behavioural Sciences Collection. This review included studies that identified participants as individuals with disabilities and reported the overall (non) compliance with the 24-HMG among children and adolescents with disabilities.
RESULTS: A total of 13 studies, involving 21,101 individuals (65.95% males), aged 6 to 21 years from 9 countries, were included in the analysis. In general, 7% (95%CI: 0.05-0.09, p
Fulltext The Prevalence and Work-Related Factors of Burnout Among Public Health Workforce During the COVID-19 Pandemic

Ibrahim F, Samsudin EZ, Chen XW, Toha HR

J Occup Environ Med, 2022 Jan 01;64(1):e20-e27.
PMID: 34789681 DOI: 10.1097/JOM.0000000000002428

OBJECTIVE: To examine the prevalence of burnout and its work-related factors among public health providers (PHP) during the COVID-19 pandemic.
METHODS: We surveyed 366 PHP in May 2021 on their burnout, demographic, and work-related characteristics. Logistic regression analyses were conducted to identify associated factors.
RESULTS: 45% PHP reported burnout. Higher PHP burnout was associated with younger age (AOR 0.96, 95% CI 0.93-0.99), prolonged COVID-19 involvement (AOR 2.35, 95% CI 1.16-4.72), as well as perceiving medium (AOR 2.10, 95% CI 1.27-3.48) and high emotional demand (AOR 4.45, 95% CI 1.67-11.77), low (AOR 2.10, 95% CI 1.27-3.48) and medium (AOR 4.18, 95% CI 1.64-10.59) role clarity, medium job satisfaction (AOR 3.21, 95% CI: 1.11-9.29), and low organisational justice (AOR 3.32, 95% CI 1.51-7.27).
CONCLUSIONS: Improving job content and organisational characteristics may be key to reducing PHP burnout.
Opportunistic Extraction of Quantitative CT Biomarkers: Turning the Incidental Into Prognostic Information

Md Shah MN, Azman RR, Chan WY, Ng KH

Can Assoc Radiol J, 2024 Feb;75(1):92-97.
PMID: 37075322 DOI: 10.1177/08465371231171700

The past two decades have seen a significant increase in the use of CT, with a corresponding rise in the mean population radiation dose. This rise in CT use has caused improved diagnostic certainty in conditions that were not previously routinely evaluated using CT, such as headaches, back pain, and chest pain. Unused data, unrelated to the primary diagnosis, embedded within these scans have the potential to provide organ-specific measurements that can be used to prognosticate or risk-profile patients for a wide variety of conditions. The recent increased availability of computing power, expertise and software for automated segmentation and measurements, assisted by artificial intelligence, provides a conducive environment for the deployment of these analyses into routine use. Data gathering from CT has the potential to add value to examinations and help offset the public perception of harm from radiation exposure. We review the potential for the collection of these data and propose the incorporation of this strategy into routine clinical practice.
Fulltext Antioxidant, Anti-Obesity, Nutritional and Other Beneficial Effects of Different Chili Pepper: A Review

Azlan A, Sultana S, Huei CS, Razman MR

Molecules, 2022 Jan 28;27(3).
PMID: 35164163 DOI: 10.3390/molecules27030898

Fruits and vegetables are important components of a healthy diet. They are rich sources of vitamins and minerals, dietary fibre and a host of beneficial non-nutrient substances including plant sterols, flavonoids and other antioxidants. It has been reported that reduced intake of fruits and vegetables may increase the risk of non-communicable diseases (NCDs). Chili pepper, is a common and important spice used to enhance taste and nutrition. Over the years, reports have shown its potential as antioxidant and an anti-obesity agent. Obesity is a serious health concern as it may initiate other common chronic diseases. Due to the side effects of synthetic antioxidants and anti-obesity drugs, scientists are now focusing on natural products which produce similar effects to synthetic chemicals. This up-to-date review addresses this research gap and presents, in an accessible format, the nutritional, antioxidant and anti-obesity properties of different chili peppers. This review article serves as a reference guide for use of chili peppers as anti-obesity agents.
Fulltext Polychlorinated biphenyl and heavy metal exposures among fishermen in the Straits of Malacca: neurobehavioural performance

Mohamad A, Azlan A, Adon MY, Khoo HE, Razman MR

Asia Pac J Clin Nutr, 2015;24(3):515-24.
PMID: 26420195 DOI: 10.6133/apjcn.2015.24.3.06

The aim of this study was to determine the level of exposure to polychlorinated biphenyls (PCBs) and selected heavy metals among fishermen via dietary intake of fish and other seafood from the eastern coast along the Straits of Malacca. This study determined the neurobehavioural performances (based on neurobehavioural core test battery scores) of the fishermen and evaluated the correlations between scores of neurobehavioural core test battery and exposure factors. Ninety fishermen participated in the study. The total fish intakes of the fishermen were measured using a set of food frequency questionnaires. The PCBs contents in the seafood samples ranged between 0.2 and 0.6 pg/g fresh sample. The concentrations of mercury (Hg), arsenic (As), cadmium (Cd), and lead (Pb) in the seafood samples were 1.1-5.4, 0.3-4.4, 0.6-36.1, and 0.02-0.3 μg/g fresh sample, respectively. The PCBs, Hg, As, Cd, and Pb exposures of the fishermen was estimated to be 2.8, 0.02, 4.5, 0.09, and 0.5 pg/kg body weight/day, respectively. PCB and heavy metal exposures through dietary intake of fish and seafood were within the tolerable daily limits. The results of neurobehavioural core test battery revealed that the neurobehavioural performances of the fishermen were not affected due to PCB and heavy metal intoxication. No correlations were found between the exposure and neurobehavioural performance among the fishermen. These data are useful for policy makers to assure the safety and quality of seafood in relation to sea pollution. Although the levels of exposure were low, periodic assessment of the quality of fish and fish products is required due to the polluted seawater.
Fulltext Effects of Lifestyle Intervention towards Obesity and Blood Pressure among Housewives in Klang Valley: A Quasi-Experimental Study

Kassim MSA, Manaf MRA, Nor NSM, Ambak R

Malays J Med Sci, 2017 Dec;24(6):83-91.
PMID: 29379390 DOI: 10.21315/mjms2017.24.6.10

Background: The obesity rate in Malaysia is the highest in Asia. Half its population is obese or overweight. The present study aims to determine the effects of lifestyle intervention on weight loss and blood pressure among Malaysian overweight and obese housewives in Klang Valley.
Methods: A quasi-experimental study with 328 obese and overweight low socio- economic status housewives aged 18-59 years old who met the screening criteria participated in the study. They were recruited into an intervention group (N = 169) or control group (N = 159). The intervention group received a lifestyle intervention consisting of a diet, physical activity and self-monitoring behavior package. The control group (delayed intervention group) received a women's health seminar package. Both groups were followed up for six months. Weight, body mass index (BMI), and blood pressure were evaluated both pre- and post-intervention.
Results: A total of 124 participants from the intervention group and 93 participants from the control group completed the study. Mean weight loss was 1.13 ± 2.70 kg (P < 0.05) in the intervention group and 0.97 ± 2.60 kg (P < 0.05) in the control group. Systolic blood pressure (SBP) reductions in the intervention group were 5.84 ± 18.10 mmHg (P < 0.05). The control group showed reduction in SBP 6.04 ± 14.52 mmHg (P < 0.05). Both group had non-significant DBP reduction. Multivariate analysis via General Linear Model Repeated Measures observed no significant differences in terms of parameter changes with time in both groups for all parameters.
Conclusions: The results indicate that the lifestyle interventions in this study resulted in modest weight loss and thus decreased BMI and blood pressure (SBP) within six months of intervention.
Fulltext Characteristics of photo-luminescent (PL) powder applied with polyester resin as glow-in-the-dark emergency signage

Siti Khadijah Che Osm, Munikanan, Vikneswaran, Hapsa Husen, Zuliziana Suif, Maidiana Othman, Nordila Ahmad, et al.

ZULFAQAR International Journal of Defence Science, Engineering & Technology, 2020;3(1):32-38.
MyJurnal

During a disaster, the rescuer must reach the disaster area within the fastest time with the help of navigation tools. However, there might be some obstacles during the night time that make the evacuation of the victims difficult especially due to the bad weather. Hence, an attempt to produce glow-in-the-dark emergency signage to ease the evacuation process and to enhance visibility during night time is necessary. In this present study, particular emphasis is given to investigate the characteristic of photo-luminescent (PL)powder applied with polyester resin as glow-in-the-dark emergency signage. Five samples of signage were fabricated with different percentage of PL powder, i.e. 20%, 40%. 60%, 80% and 100% and mixed with 150g polyester resin. Three types of luminance test were performed to check the workability of the samples. The tests are physical appearance, one-hours illuminance test and afterglow duration tests. The result showed that the maximum lux meter reading was recorded in Sample 5 with 6 lux luminosity and provided the longest glow duration of the sample before completely off after 12-hours. Results proved that the highest percentage of the PL powder content, the longer the afterglow duration will be achieved. It also noted that the polyester resin could be a good binder of PL powder for producing the glow-in-the-dark emergency signage.
Fulltext Unraveling the Bioactive Profile, Antioxidant and DNA Damage Protection Potential of Rye (Secale cereale) Flour

Kaur P, Sandhu KS, Bangar SP, Purewal SS, Kaur M, Ilyas RA, et al.

Antioxidants (Basel), 2021 Jul 28;10(8).
PMID: 34439463 DOI: 10.3390/antiox10081214

Six different solvents were used as extraction medium (water, methanol, ethanol, acidified methanol, benzene and acetone) to check their phenolics extraction efficacy from flour of two rye cultivars. Rye extracts with different solvents were further analyzed for the estimation of phytochemicals and antioxidant properties. Different tests (TPC, TAC, DPPH, FRAP, ABTS, RPA and CTC) were performed to check the antioxidant properties and tannin contents in extracts. A bioactive profile of a rye cultivar indicated the presence of total phenolic compounds (0.08-2.62 mg GAE/g), total antioxidant capacity (0.9-6.8 mg AAE/g) and condensed tannin content (4.24-9.28 mg CE/100 g). HPLC was done to check phenolics in rye extract with the best solvent (water), which indicated the presence of Catechol (91.1-120.4 mg/100 g), resorcinol (52-70.3 mg/100 g), vanillin (1.3-5.5 mg/100 g), ferulic acid (1.4-1.5 mg/100 g), quercetin (4.6-4.67 mg/100 g) and benzoic acid (5.3 mg/100 g) in rye extracts. The presence of DNA damage protection potential in rye extracts indicates its medicinal importance. Rye flour could be utilized in the preparation of antioxidant-rich health-benefiting food products.
Fulltext Heavy metals (mercury, arsenic, cadmium, plumbum) in selected marine fish and shellfish along the Straits of Malacca

Alina, M., Azrina, A., Mohd Yunus, A.S., Mohd Zakiuddin, S., Mohd Izuan Effendi, H., Muhammad Rizal, R.

International Food Research Journal, 2012;19(1):135-140.
MyJurnal

Level of heavy metals in marine ecosystem has been intensively studied during recent years as these hazardous substances could be accumulated in the biota. Generally, the presence of contaminants in fish is a result of human activities such as industrial and agricultural wastes. In this study, the marine fish and shellfish from the Straits of Malacca were analyzed using Inductively Coupled Plasma Optical Emission Spectrophotometer (ICP-OES) and Flow Injection Mercury System (FIMS) for Cd, As and Pb and Hg, respectively. The Straits of Malacca is one of the busiest shipping routes in the world that make the level of heavy metals potentially high besides the various industrial activities along the west region of Peninsular Malaysia. The range of heavy metals in samples were 1.0-3-6.5-3 µg/ g wet sample for Hg, 0.5-2-47-2 µg/ g wet sample for Cd, 0.01-0.39 µg/ g wet sample for Pb and 0.14-6.57 µg/ g wet sample for As. Most part of the values was below the permitted limit set by FAO/WHO 2004 as well as Food Act 1983 and Food Regulations 1985. Therefore it can be generalized that fish and shellfish from the Straits of Malacca are safe to consume in terms of these heavy metals concentrationand do not constitute a risk for human health.
Fulltext Effectiveness of cataract surgery with intraocular lens implantation: a comparative study between extracapsular cataract extraction and phacoemulsification

Rizal, A.M., Muhammad, M., Aljunid, S.M., Normalina, M., Faridah Hanom, A., Chuah, K.L., et al.

Malaysian Journal of Community Health, 2007;13(1):32-37.
MyJurnal

Background: A randomised single blinded clinical trial comparing the effectiveness of two methods of cataract surgery with intraocular lens implantation: extracapsular cataract extraction (ECCE) and phacoemulsification (PEA) was carried out at Hospital Universiti Kebangsaan Malaysia (HUKM) between March 2000 and August 2001. Methods: The effectiveness of cataract surgery was assessed from the quality of life specifically for vision via Visual Function 14 (VF-14) preoperatively, one week, two months and six months after surgery. Results: The result showed that there was a significant increased in VF-14 scores after a week, two months and six months postoperation compared to the score before surgery for both techniques. However there was no significant difference in VF-14 scores when compared between ECCE and PEA. Conclusions: This study indicated that both techniques give equal benefit to cataract patients. Since effectiveness of cataract surgery with intraocular lens implantation is unrelated to operative procedures, less costly technique should be promoted.
Fulltext Kajian audit keselamatan dan kesihatan pekerjaan terhadap aspek fizikal di Kolej Kediaman Dato’ Onn, UKM

Kadir, A., Kadaruddin, A., Shaharuddin, A., Azahan, A., Muhammad Rizal, R., Lukman, Z.M., et al.

Malaysian Journal of Community Health, 2011;17(1):9-17.
MyJurnal

Background: Safety and health audit study is a part of occupational safety and health risk assesment. Thus, student’s residential audit is important in order tu ensure the safety rules which implemented by the management is appropriate and follow the standard set forth. Furthermore, it also important to determine places, area or situation that might lead to hazard risk so that prevention step could be plan and implement.

Objective: This study was to determine the safety level of students residential in physical aspects.

Methods: Safety inspection or audit conducted is in accordance with criteria and indicators listed in the checklists that have been formed based on the audit forms from the Department of Safety and Health (DOSH), National Institute of Safety and health (NIOSH) and the Occupational Safety and Health Committee of UKMs (JKKP). Several indicators are also included in the audit form as to ensure it covers all the technical aspect and suited with the college conditions. The safety level for each of the blocks in KDO is categorized using points and percentage score obtained.

Results: Based on the overall score, the average safety score in percentage for areas in KDO are preceded by general office with score 85.5% followed by residential blocks with 71.5%, facilities with score 71.2% and administration block with 70.9%. The results of the study show that most of the areas are at least in a safe level.

Conclusion: Roles of employer and college administration, significant OSH programme and safety audit are important factors as to ensure the safety of student's residential college.
Fulltext Arthroscopic mumford procedure utilizing the anteromedial and neviaser portals – a pilot cadaveric study on neurovascular structures at risk

Nasir Mohd Nizlan, Azfar Rizal Ahmad, Hisham Abdul Rashid, Paisal Hussin, Che Hamzah Fahrudin, Abdullah Arifaizad, et al.

Malaysian Journal of Medicine and Health Sciences, 2016;12(2):16-20.
MyJurnal

Introduction: Degenerative disorder involving the acromioclavicular
joint (ACJ) is quite common especially in the elderly.
One of the surgical modalities of treatment of this disorder is the
Mumford Procedure. Arthroscopic approach is preferred due to
its reduced morbidity and faster post-operative recovery. One
method utilizes the anteromedial and Neviaser portals, which
allow direct and better visualization of the ACJ from the
subacromial space. However, the dangers that may arise from
incision and insertion of instruments through these portals are
not fully understood. This cadaveric study was carried out to
investigate the dangers that can arise from utilization of these
portals and which structures are at risk during this procedure.
Methods: Arthroscopic Mumford procedures were performed
on 5 cadaver shoulders by a single surgeon utilizing the
anteromedial and Neviaser portals. After marking each portals
with methylene blue, dissection of nearby structures were
carried out immediately after each procedure was completed.
Important structures (subclavian artery as well as brachial plexus
and its branches) were identified and the nearest measurements
were made from each portal edges to these structures. Results:
The anteromedial portal was noted to be closest to the
suprascapular nerve (SSN) at 2.91 cm, while the Neviaser portal
was noted to be closest also to the SSN at 1.60 cm. The
suprascapular nerve was the structure most at risk during the
Mumford procedure. The anteromedial portal was noted to be
the most risky portal to utilize compared to the Neviaser portal.
Conclusion: Extra precaution needs to be given to the
anteromedial portal while performing an arthroscopic distal
clavicle resection in view of the risk of injuring the
suprascapular nerve of the affected limb.
Fulltext Malaysian construction industry: trends of occupational accidents from 2006 to 2015

Nur Nadia Adila Abdul Halim, Mohd Hafiidz Jaafar, Kadir Arifin, Kadaruddin Aiyub, Muhammad Rizal Razman, Mohd Haizzan Yahaya

Journal of Occupational Safety and Health, 2016;13(2):35-54.
MyJurnal

The construction industry is one of the largest sectors in Malaysia. This industry has become one of the main contributors
for national economic development and consistently contributes 3% to 5% to the national Gross Domestic Product (GDP). This
sector has also opened up job opportunities for various levels of employment. High demands and rapid urbanization offer huge
opportunities for registered contractors. Despite contributing in enhancing national economics, this sector has been regarded as one
of the most dangerous and hazardous workplaces due to the type of nature and the job activities at construction sites. According to
the International Labour Organization (ILO), 2.3 million fatalities related to occupational accidents and illnesses are estimated to
occur each year. Furthermore, 4 percent of world GDP is estimated to be lost due to occupational accidents and illnesses. The number
of fatality accidents in the construction industry was the highest with 652 cases of non-permanent disability (NPD) and permanent
disability (PD) accidents in the period 2007 to 2015, equivalent to 72.44 cases per year and representing 48.77% of the construction
industry. The huge gap between the number of accidents reported to SOCSO and DOSH becomes a major concern due to a rising
number of underreported cases of fatalities and injury in the construction sector, especially those involving foreign labour. The margin
between accidents reported to SOCSO and DOSH is 97.49%. Regards to rapid developments, safety measures to improve performance
management of OSH should be emphasized to reduce losses of life, property and productivity.
Fulltext Cholesterol and alpha-tocopherol contents of fish and other seafood from the Straits of Malacca

Azrina, A., Abd Aziz, N., Khoo, H. E., Amin, I., Al-Sheraji, S. H., Muhammad Rizal, R.

International Food Research Journal, 2015;22(4):1494-1500.
MyJurnal

This study was conducted to determine the cholesterol and alpha-tocopherol contents of 20 marine fish and four other seafood from the Straits of Malacca. Cholesterol and alphatocopherol contents of the fish and other seafood were determined using high-performance liquid chromatography. The results showed that most of the fish contained low amounts of cholesterol, except sixbar grouper (Epinephelus fasciatus), long-tailed butterfly ray (Gymnura sp.), yellowstripe scad (Selaroides leptolepis), cuttlefish (Sepia officinalis), large-scale tongue sole (Cynoglossus arel), and longtail shad (Hilsa macrura) that contained high amounts of cholesterol (119.39-353.97 mg/100 g wet samples). Indian mackerel (Rastrelliger kanagurta), giant seaperch (Lates calcarifer), prawn (Metapenaeus affinis), and moonfish (Trachinotus blochii) had high alpha-tocopherol contents (462-989 μg/100 g wet sample). Regular consumption of fish and other seafood is highly recommended partly due to the high alphatocopherol content. Due to the high cholesterol in certain types of fish, consumption of the fish fillets of sixbar grouper, long-tailed butterfly ray, yellowstripe scad, cuttlefish, and large scale tongue sole should be < 100 g per day and < 50 per day for longtail shad. Validation of the analytical method also showed a high accuracy and reproducibility of the HPLC method.
Fulltext Effects of whole-body electromyostimulation on strength and batting velocity of female collegiate softball players

Raja Nurul Jannat Raja Hussain, Kee, Kang Mea, Rizal Razman, Shariman Ismadi Ismail, Maisarah Shari, Norizzati Mohd Idris

Movement Health & Exercise, 2019;8(1):175-184.
MyJurnal

Batting velocity is an important component for successful hitting. Previous research has shown that batting velocity is influenced by increased muscular strength. Resistance training is broadly applied by strength and conditioning coaches to increase strength. However, recently, Whole-Body Electromyostimulation (WB-EMS) has been proven to be able to increase muscular strength in high performance athletes. This study aimed to examine the effects of eight weeks of dynamic WB-EMS training on muscular strength and batting velocity among female collegiate softball players. Forty softball players were randomly assigned to two groups: DS-EMS (n = 20) and DS (n = 20). Both groups performed 100 basic dry swings per session using a standard bat. Additionally, DS-EMS group performed whole body electromyostimulation after the dry swing training. The training program was conducted three times a week and all participants were tested before (baseline) and after (week-8) the training programs. Both groups showed statistically significant increases in predicted 1RM torso rotational strength (p ≤ 0.01) and batting velocity (p ≤ 0.01) after 8 weeks of training. The WB-EMS group showed significant increase in predicted 1RM bench press, and predicted 1RM squat (p ≤ 0.01). The WB-EMS group showed greater increases (p ≤ 0.01) in batting velocity compared to control group. These data indicate that an 8-week of dry swing training supplemented by dynamic WB-EMS sessions may significantly increase strength and batting velocity among female collegiate softball players.
Fulltext The risk and associated factors of female sexual dysfunction (FSD) in women with psoriasis

Adawiyah J, Moonyza AAK, Mohd Rizal AM, Hatta S, Nik Ruzyanei NJ, Marhani M, et al.

International Medical Journal Malaysia, 2017;16(1):107-114.
MyJurnal

Introduction: Psoriasis is a chronic, immune mediated, hyperproliferative skin disease that has substantial impact on the sexual functions. This study aimed to determine the prevalence and associated factors of female sexual dysfunction (FSD) in patients with psoriasis.
Methods: A cross-sectional study involving 79 women with psoriasis attending two Dermatology Outpatient Clinics were interviewed and assessed for female sexual dysfunction and severity of psoriasis. The socio-demographic and clinical characteristics of the subjects were compared between the women with and without sexual dysfunction. The subjects were interviewed using Mini International Neuropsychiatric Interview (M.I.N.I.) to exclude any existing psychiatric illness. Sexual dysfunction was assessed using a validated questionnaire on sexual function and the severity of psoriasis was assessed using Psoriasis Area and Severity Index (PASI).
Results: The prevalence of FSD in the patients with psoriasis was 20.3%, with hypoactive sexual desire being the most prevalent problem (44.3%). Sexual dysfunction was associated with older age, menopause, low body mass index, longer duration of marriage and presence of psoriasis in the genital area. Female sexual dysfunction was highly prevalent in patients with psoriasis.
Conclusion: Management of psoriasis should include assessment in patients’ sexual health. Genital area involvement with psoriasis should not be overlooked as it can cause significant psychosexual distress.
Keywords: Psoriasis, female, sexual dysfunction, prevalence, risk factor, Malaysia
Study site: Dermatology clinic, Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM), Kuala Lumpur, Malaysia
Fulltext Creep Properties and Analysis of Cross Arms' Materials and Structures in Latticed Transmission Towers: Current Progress and Future Perspectives

Asyraf MRM, Rafidah M, Madenci E, Özkılıç YO, Aksoylu C, Razman MR, et al.

Materials (Basel), 2023 Feb 20;16(4).
PMID: 36837376 DOI: 10.3390/ma16041747

Fibre-reinforced polymer (FRP) composites have been selected as an alternative to conventional wooden timber cross arms. The advantages of FRP composites include a high strength-to-weight ratio, lightweight, ease of production, as well as optimal mechanical performance. Since a non-conductive cross arm structure is exposed to constant loading for a very long time, creep is one of the main factors that cause structural failure. In this state, the structure experiences creep deformation, which can result in serviceability problems, stress redistribution, pre-stress loss, and the failure of structural elements. These issues can be resolved by assessing the creep trends and properties of the structure, which can forecast its serviceability and long-term mechanical performance. Hence, the principles, approaches, and characteristics of creep are used to comprehend and analyse the behaviour of wood and composite cantilever structures under long-term loads. The development of appropriate creep methods and approaches to non-conductive cross arm construction is given particular attention in this literature review, including suitable mitigation strategies such as sleeve installation, the addition of bracing systems, and the inclusion of cross arm beams in the core structure. Thus, this article delivers a state-of-the-art review of creep properties, as well as an analysis of non-conductive cross arm structures using experimental approaches. Additionally, this review highlights future developments and progress in cross arm studies.
Fulltext How Socio-economic Inequalities Cluster People with Diabetes in Malaysia: Geographic Evaluation of Area Disparities Using a Non-parameterized Unsupervised Learning Method

Ganasegeran K, Abdul Manaf MR, Safian N, Waller LA, Mustapha FI, Abdul Maulud KN, et al.

J Epidemiol Glob Health, 2024 Mar;14(1):169-183.
PMID: 38315406 DOI: 10.1007/s44197-023-00185-2

Accurate assessments of epidemiological associations between health outcomes and routinely observed proximal and distal determinants of health are fundamental for the execution of effective public health interventions and policies. Methods to couple big public health data with modern statistical techniques offer greater granularity for describing and understanding data quality, disease distributions, and potential predictive connections between population-level indicators with areal-based health outcomes. This study applied clustering techniques to explore patterns of diabetes burden correlated with local socio-economic inequalities in Malaysia, with a goal of better understanding the factors influencing the collation of these clusters. Through multi-modal secondary data sources, district-wise diabetes crude rates from 271,553 individuals with diabetes sampled from 914 primary care clinics throughout Malaysia were computed. Unsupervised machine learning methods using hierarchical clustering to a set of 144 administrative districts was applied. Differences in characteristics of the areas were evaluated using multivariate non-parametric test statistics. Five statistically significant clusters were identified, each reflecting different levels of diabetes burden at the local level, each with contrasting patterns observed under the influence of population-level characteristics. The hierarchical clustering analysis that grouped local diabetes areas with varying socio-economic, demographic, and geographic characteristics offer opportunities to local public health to implement targeted interventions in an attempt to control the local diabetes burden.
A new species of lowland skink (genus Lipinia Gray, 1845) from northeastern Peninsular Malaysia

Grismer LL, Ismail LH, Awang MT, Rizal SA, Ahmad AB

Zootaxa, 2014;3821(4):457-64.
PMID: 24989758 DOI: 10.11646/zootaxa.3821.4.4

A new species of scincid lizard, Lipinia sekayuensis sp. nov. from Hutan Lipur Sekayu, Terengganu State in northeastern Peninsular Malaysia is most similar to L. surda (Boulenger) but differentiated from it and all other species of Lipinia by having the combination of an adult SVL of 42.3 mm; six supralabials; five infralabials; four supraoculars; prefrontals widely separated; two loreals; fused frontoparietals; lower eyelids bearing a large, transparent disc; 21 midbody scale rows; 56 paravertertebral scale rows; 65 ventral scale rows; enlarged, precloacal scales; 10 subdigital lamellae on the third finger; 11, 15, and seven lamellae on the third, fourth, and fifth toes, respectively; distal subdigital lamellae keeled; a median row of slightly enlarged, subcaudal scales present; a generally unicolor, dark-brown dorsum bearing nine very faint, diffuse, darker stripes; and an external ear opening replaced by a scaly, auditory depression.

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