Displaying publications 121 - 126 of 126 in total

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  1. Abd Kadir NA, Azzeri A, Mohd Noor MI, Kefeli Z, Abdullah MF, Ramlee MNA, et al.
    Medicine (Baltimore), 2023 Apr 25;102(17):e33590.
    PMID: 37115076 DOI: 10.1097/MD.0000000000033590
    BACKGROUND: Adequate health literacy is necessary for individuals as it enables them to readily acquire information, process it, and apply it to health-related decisions. Various factors including geographical area will determine the disparity in health literacy status. Communities living in protected areas have limited health literacy and health status owing to a lack of access to infrastructure and medical facilities. Existing studies have discussed health literacy among various populations disproportionately affected by certain diseases. However, research remains underdeveloped, and the causal factors are largely untested. This research aims to better understand how population living conditions especially those who are living in protected areas are affected and exposed to limited health literacy.

    METHOD: This study will comprehensively review full-text papers published between 2013 and 2023. We will search 3 databases, PubMed, SCOPUS, and Web of Science, using the keyword search strategy to find articles related to the issue. Preferred Reporting Items for Systematic Reviews and Meta-Analyses will be used to guide the selection of relevant studies. The results will then be assessed using the standard Cochrane Quality assessment method. The outcome is addressed in light of a narrative synthesis that utilizes a theme category and focuses on each component's main conclusions.

    RESULT: This protocol describes the planned scope and methodology for the systematic review and meta-analysis that will provide current evidence on; The status of health literacy among the community in protected areas and; The effect of Protected Areas on health literacy according to their types and characteristics.

    CONCLUSION: Meta-analysis of low-to-high health literacy status will benefit the development of policy recommendations for protected areas.

  2. Zafar R, Rehman IU, Shah Y, Ming LC, Hadi MA, Suleiman AK, et al.
    Medicine (Baltimore), 2024 Dec 20;103(51):e41004.
    PMID: 39705490 DOI: 10.1097/MD.0000000000041004
    Pharmacists, as an integral part of the healthcare team, can play a crucial role in preventing drug-related problems in patients with chronic kidney disease that arise due to inappropriate doses. This study aimed to develop and validate a new tool, the renal dosing questionnaire (RDQ-13), for pharmacists working across hospital, community, and retail pharmacy settings. A cross-sectional study was conducted from January to March 2023 among pharmacists working in different settings. The RDQ-13 scale consists of 3-sections, encompassing demographic details, a knowledge section with 6 domains, each having 4 questions with the choice of "yes/no," an attitude section featuring a Likert scale for 4 items, and a perception section featuring a Likert scale for 3 items. The assessment of construct and discriminative validity was performed along with testing for reliability. The average variance extracted value and the composite reliability value were used for convergent validity. A total of 65 pharmacists completed the RDQ-13, but at retest n = 2 participants were dropped (response rate at retest was 96.9%). Exploratory factor analysis revealed 3-factor loadings with 59.1% of the variance, whereas the Kaiser-Mayer-Olkin value was 0.60. The Cronbach alpha value of 0.700 indicates good internal consistency, whereas the intraclass correlation coefficient (ICC) for the test and retest showed that most domains/scores were statistically significant (P 
  3. Che S, Ismail NH, Wang W, Awang RA
    Medicine (Baltimore), 2025 Mar 14;104(11):e41922.
    PMID: 40101046 DOI: 10.1097/MD.0000000000041922
    RATIONALE: This case series explores dynamic navigation systems (DNS) in transmandibular nerve canal implantation for patients with limited jaw space due to the proximity of the inferior alveolar nerve (IAN). The aim is to demonstrate how DNS improves implant placement precision and safety in cases where traditional methods face challenges.

    PATIENT CONCERNS: The patients had limited bone height and proximity to the IAN, making traditional implant techniques challenging. Concerns included the risk of nerve damage and difficulties in achieving optimal implant placement due to anatomical constraints.

    DIAGNOSES: Both patients had severe bone resorption and insufficient bone height in the posterior mandible, with concerns about IAN positioning. The first patient had grade III mobility in tooth #46 with a periapical infection, while the second had bilateral posterior mandibular pain and grade III mobility in tooth #47.

    INTERVENTIONS: Implants were placed using DNS, allowing precise planning and real-time guidance during surgery. Based on cone beam computed tomography, preoperative planning assessed bone height and IAN proximity. DNS ensured accurate implant placement, avoiding nerve interference, while bone grafts and growth factors were applied for healing.

    OUTCOMES: Both cases showed successful implant placement without complications like nerve damage or implant misplacement. Follow-up cone beam computed tomography scans confirmed well-positioned implants, with minimal bone resorption in the first case over 2 years and stable conditions in the second case after 6 months.

    LESSONS: This series highlights DNS's effectiveness in improving implant accuracy and reducing nerve injury risks, suggesting its value in complex dental implant surgeries.

  4. Ong RYL, Thazhakkattu Vasu D, Jun LK, Yuet NJ, Isaac Fernandez M, Selvakumar K, et al.
    Medicine (Baltimore), 2025 Mar 21;104(12):e41905.
    PMID: 40128063 DOI: 10.1097/MD.0000000000041905
    BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a common spinal deformity that leads to impaired lumbopelvic stability, gait dysfunction, and associated pain and psychological distress. This study evaluates the effectiveness of dynamic neuromuscular stabilization (DNS) in improving lumbopelvic stability and gait in AIS patients, comparing it to core stability exercises (CSE). This study evaluates the effectiveness of DNS in improving lumbopelvic stability and gait in AIS patients, comparing it to CSE.

    METHODS: This randomized controlled trial involved participants aged 18 to 25 years with mild to moderate idiopathic scoliosis, who were randomly assigned to either the control or experimental group. Both groups received 12 sessions of supervised exercises over 6 weeks, with the experimental group also incorporating DNS exercises alongside CSE. Lumbopelvic stability was assessed using the single leg squat, while core stability was evaluated with the stabilizer pressure Biofeedback in combination with the Sahrmann core stability test. Additionally, gait spatiotemporal parameters and pelvic dynamics were analyzed using the BTS-G-WALK system.

    RESULTS: Of 30 participants, 28 completed the study, comprising 12 males and 16 females, with 26 having mild right-sided thoracic scoliosis. Both groups showed improvement in the left single leg squat, with the control group reaching 93.3% "Good" performance and the experimental group achieving 69.2%. Gait analysis showed a significant reduction in duration for both groups, with the control group improving from 112.98 to 71.41 seconds (P = .005) and the experimental group improving from 112.33 to 67.68 seconds (P = .021).

    CONCLUSION: This ongoing 12-week study shows that the combined DNS and CSE approach significantly improves lumbopelvic stability in individuals with idiopathic scoliosis. However, the impact on gait parameters was minimal, possibly due to the short duration of the intervention and the similar walking strategies of those with single-curve scoliosis and healthy individuals. These findings highlight the potential of integrating DNS into scoliosis rehabilitation and underscore the need for further research to optimize treatment duration and assess long-term functional outcomes.

  5. Tomeh A, Yusof Khan AHK, Abu Zaid Z, Ling KH, Inche Mat LN, Basri H, et al.
    Medicine (Baltimore), 2025 Mar 21;104(12):e41947.
    PMID: 40128024 DOI: 10.1097/MD.0000000000041947
    Collaboration among health and non-health professionals is growing exponentially as we approach the personalized medicine era, where the intervention plan is tailored according to the patient's needs. This collaboration aims to develop highly efficient, patient-centered, holistic approaches, rather than singular interventions. Interdisciplinary rehabilitation is a rising theme to coordinate the efforts of various professionals, with the ultimate goal of increasing rehabilitants' satisfaction and improving their overall quality of life. A typical rehabilitation team may comprise a rehabilitation physician, rehabilitation nurse, occupational therapist, physiotherapist, speech and language therapist, clinical psychologist, social worker, prosthetist, orthotist, rehabilitation engineer, and dietician. The need for inclusion of additional professions in the rehabilitation team is dynamic and varies depending on the population and health condition. Recently, various countries have begun incorporating interdisciplinary rehabilitation models into their healthcare frameworks. For example, the U.S. Veterans Affairs Polytrauma Rehabilitation Centers have set a precedent for integrating interdisciplinary approaches into neurological rehabilitation, while European nations such as Germany and Sweden have successfully implemented stroke and pain rehabilitation programs. Although interdisciplinary rehabilitation has demonstrated effectiveness in improving patient outcomes, further research is required to explore its long-term benefits, cost-effectiveness, and adaptability in resource-limited settings. In this mini-review, we summarize the current evidence on employing interdisciplinary rehabilitation in patients with neurological disorders and highlight the implications for future research and clinical practice.
  6. Li J, Beh WF, Wang IT, Wu Y
    Medicine (Baltimore), 2025 Jan 03;104(1):e41224.
    PMID: 40184117 DOI: 10.1097/MD.0000000000041224
    BACKGROUND: The prevalence rates of depression and anxiety are constantly increasing, and the aging population is growing in China. Music-based intervention is a nonpharmacological treatment that is used to treat depression and anxiety and that has very few side effects. The aim of this study was to explore the effect of Chinese 5-element music-based intervention (CFEMBI) based on the midnight-noon ebb-flow theory on depression and anxiety among older adults.

    METHODS: A total of 86 patients were divided into the control and experimental groups. The control group underwent a traditional CFEMBI, and the experimental group underwent a CFEMBI based on the midnight-noon ebb-flow theory. Outcomes were assessed at the 4th week, 8th week, and 12th week during the intervention.

    RESULTS: After the 12th week, there was a significant difference in scores on the Hamilton Depression Rating Scale (HAM-D) between the control and experimental groups (Z = -6.375, P value 

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