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Fulltext Attempted suicides in Penang--preliminary observations

Yeoh OH

Med J Malaysia, 1981 Mar;36(1):39-46.
PMID: 7321937

The characteristics of 74 patients who attempted suicide in Penang are described. Differences in the incidence and reasons for and methods of attempting were observed among the ethnic groups. There was a higher incidence in females and patients of single status. The majority of patients did not suffer from severe psychiatric disorders, but did encounter chronic inter-personal and intra-familial conflicts. Conflicts with elders were more frequent among female patients, and this finding suggested that young females were faced with a greater degree of role conflicts. Rural to urban shift among the Chinese patients was observed to be associated with a high incidence of attempts. Dwellers of high-rise flat complexes were not over-represented. In view of antecedent social factors, professionals and others besides psychiatrists have a role in the prevention and management of para-suicidal behaviours.

Matched MeSH terms: Ethnic Groups
Fulltext Intussusception among infants and children in Malaysia

Laidin AZ, Goon HK

Med J Malaysia, 1982 Jun;37(2):150-6.
PMID: 7132834

The results of a 10-year study of intussusception seen in the General Hospital Kuala Lumpur is presented. Incidence among Indians was found to be the lowest in comparison to the other two major racial groups. In 63.5 percent of infants there was no pain. A large number of patients presented with diarrhoea (21.8 percent), constipation (31 percent) and abdominal distension. (43.7 percent). Overall mortality rate was high (14.4 percent). This could be attributed to late presentation (only 30.8 percent) of cases were seen within 24 hours of onset of symptoms) which also accounted for a higher resection rate. A high incidence of lead points (28.7 percent) was also seen. The usefulness of barium enema reduction in this country is discussed. Mainstay of management in the majority of cases is operation with adequate pre and postoperative care.

Matched MeSH terms: Ethnic Groups
Fulltext Epidemiology of diabetes in Singapore

Cheah JS, Yeo PP, Lui KF, Tan BY, Tan YT, Ng YK

Med J Malaysia, 1982 Jun;37(2):141-9.
PMID: 7132833

A country-wide diabetic survey of the population (age 15 years and above) of Singapore shows that the prevalence of diabetes mellitus in Singapore is 1.99 percent. It is commoner in males (2.36 percent) than in females (1.64 percent). The prevalence of diabetes in the age group 15-39 years is only 0.40 percent and in the age group 40 years and older it is 5.08 percent. The prevalence of diabetes in Indians (6.07 percent) is significantly higher than that in Malays (2.43 percent) and Chinese (1.55 percent). Indian diabetics have an insignifi"cantly higher incidence of positive family of diabetes (12.7 percent) than Malays (10.9 percent) and Chinese (6.5 percent). Obesity was commoner in Malay diabetics (67.4 percent) than in Chinese diabetics (41.6 percent) and Indian diabetics (35.7 percent). The survey shows that 40.4 percent of the diabetics are known while 59.6 percent of the diabetics are newly diagnosed. The majority of the diabetics are treated with oral hypoglycaemic drugs (71.5 percent) and only 4.8 percent are receiving insulin injections. A mong the female diabetics, 63.0 percent have 4 or more pregnancies and large babies at birth are recorded in 12.3 percent. In the newly diagnosed diabetics, 64.3 percent have no symptoms. The complications of the diabetics are hypertension (26.8 percent), nephropathy (9.8 percent), retinopathy (8.5 percent), coronary heart disease (6.1 percent), skin infection (4.6 percent) and neuropathy (3.3 percent). The high prevalence of diabetes among the Indians is likely to be due to a genetic predisposition coupled with an environmental factor (obesity), although this hypothesis is not conclusively demonstrated by the present study.

Matched MeSH terms: Ethnic Groups
Intrapartum death rates in hospitals

Dugdale AE, Puvan IS

Med J Malaya, 1971 Dec;26(2):98-101.
PMID: 4260868
Matched MeSH terms: Ethnic Groups
Breastfeeding in a rural area in Malaysia

Kee TS

Med J Malaysia, 1975 Mar;30(3):175-9.
PMID: 1160675
Matched MeSH terms: Ethnic Groups
The place of laparoscopic tubal sterilisation in Malaysia

Chan WF, Puvan IS

Med J Malaysia, 1974 Sep;29(1):57-9.
PMID: 4282632
Matched MeSH terms: Ethnic Groups
Poliomyelitis antibody studies in Kuala Lumpur children

Tan DS, Lim TW, Ahluwalia P, Lee GC

Med J Malaya, 1968 Jun;23(4):269-75.
PMID: 4235589
Matched MeSH terms: Ethnic Groups
Fulltext Process evaluation of student health promotion programmes in rural Sabah

Naing Oo Tha, Mohd Yusof Ibrahim, Patricia Sator, Rajesh Kumar, D. Kamarudin D. Mudin, Mohd Saffree Jeffree

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):52-52.
MyJurnal

Introduction: The Faculty of Medicine & health sciences, UMS has implemented a co-curricular programme which is aimed to be improving rural health and reducing inequalities of health in Sabah. Groups of medical students are formed and distributed in various areas of rural remote areas in Sabah. Based on the observation and interview find-ings, each student group conducted health promotion activities with the limited resources. Various health problems were explored in different areas and different ethnic groups of Sabah and students conducted their health promotion activities .There are some questions “Are they effective, how it works in implementation?” Poor implementation can lead to errors in outcome of the programmes. In this paper we focus on process evaluation for measuring the degree to which Health promotion programmes were implemented as designed by using determinant framework (active implementation framework) and process evaluation tools in yearly health promotion programmes from 2009-2018.Methods: The study measures the implementation of programmes with active implementation framework (Explo-ration, Installation, Initial implementation, Full implementation) and process evaluation tools such as validation of implementation integrity using specification of intervention areas, making guidelines and manual for intervention protocol, competency of students and supervisors and fidelity monitoring. We used 7 components of process eval-uation particularly in context( Environmental influences), reach (Target participation), dose delivered (Lectures), dose received (learned by students with assessment methods), fidelity (Adherence to intervention delivery protocol), implementation (rating of execution and receipt of intervention) and recruitment (participant engagement). Results:It was found that fidelity, implementation strategies and some lessons learned after outreach programmes are impor-tantly influence in implementing the programmes. Conclusion: The study shows process evaluation strategies is ideal tool for conducting the rural outreach health promotion programme to reduce the errors and obstacles in implement-ing the programmes to maintain the better quality of the projects.

Matched MeSH terms: Ethnic Groups
Fulltext Impulsivity, online disinhibition, and risk taking among digital millennials: challenges of e-safety in industry 4.0

Erfianti, Levina Gendis, Nor Diana Mohd Mahudin

Journal of Occupational Safety and Health, 2019;16(1):45-53.
MyJurnal

Digital Millennials (i.e., people born from 1980 to 2004) have often been portrayed as quick to embrace emerging technologies. The envisioned future of Industry 4.0 entails the blending of hardware, software, and people to complete work; and given their affinity for digital resources, technology, and social networking applications, the Millennials could be regarded as a much-needed asset in this future workforce. However, systematic research on how this cohort understands and reacts to safety issues surrounding the use of technologies has been lacking. In particular, behaviours such as impulsivity, online disinhibition, and risk-taking among them remain unclear. The present study investigated this gap with a sample of 203 Millennials of various nationality groups. Using the short version of the Urgency, Premeditation, Perseverance, Sensation Seeking, and Positive Urgency (Short UPPS-P) scale, the Revised Online Disinhibition Scale, and the Online Risky Behaviour scale, the results indicated that the most significant predictors of online risk-taking behaviours are lack of premeditation, positive urgency, and toxic disinhibition. Interestingly, though not hypothesised, was gender as a significant predictor of the outcome. The findings implied that these variables might be the most relevant target areas for interventions that could modify risky behaviours in cyberspace. The study’s findings are discussed in relation to the key challenges associated with e-safety where the future trends would be heading towards the gig economy and crowd-working.

Matched MeSH terms: Ethnic Groups
Comparison between Personality, Emotional, and Educational Outcomes of Multiple Mini Interviews and Personal Interview

Yusoff MSB

Oman Med J, 2020 Nov;35(6):e199.
PMID: 33214913 DOI: 10.5001/omj.2020.90

Objectives: This study investigated the outcomes of multiple mini interviews and personal interview on personality traits, emotional intelligence, perceived educational environment, and stressors.
Methods: This is a comparative cross-sectional study on two cohorts of pre-clinical medical students who were selected by multiple mini interviews and personal interview, respectively. Their personality traits, emotional intelligence, perceived educational environment, and perceived stressors were measured using different measurement tools.
Results: Multiple mini interviews and personal interview demonstrated a similar ability to recruit medical students with a high level of emotional intelligence. The main advantage of personal interviews over multiple mini interviews in terms of personality traits is that it recruited candidates who had a higher level of conscientiousness trait. The main advantage of multiple mini interviews over personal interview on the educational environment is that medical students chosen by multiple mini interviews had a higher level of satisfaction with social aspects of medical training. Regardless of admission processes, the medical students were equally vulnerable to psychological distress due to various stressful events throughout medical training particularly related to academic loads.
Conclusions: This study provided evidence to support the outcomes that multiple mini interviews and personal interview have on medical students' emotional intelligence, personality traits, perceived educational environment, and perceived stressors during the pre-clinical medical training. Interestingly, personal interview had a better outcome on conscientiousness while multiple mini interviews had a better outcome on the social aspect.

Matched MeSH terms: Ethnic Groups
Fulltext Demographics characteristics and analysis of malocclusions of orthodontic patients seen at IIUM Dental Specialist Clinic, Kuantan, Pahang

Ismail, K., Ghazali@Suhaimi, S.S., Abu Bakar, N., Mokhtar, K.I., Kharuddin, A.F.

International Medical Journal Malaysia, 2017;16(2):107-111.
MyJurnal

Introduction: Malocclusion is one of the most common dental problems observed. Limited data is currently
available regarding the demographics of malocclusion observed locally.

Materials And Methods: This is a
retrospective study where 770 patients were recruited from May 2009 till December 2014. 560 orthodontic
study models that met the inclusion criteria were examined and the malocclusions were classified according
to the British Standard Institute (BSI) incisor classification. Demographic pattern and their relationship were
analysed by structural equation modelling using SPSS (version 23.0).

Results: From 560 study models
analysed, 72% were female. The age of the patients ranges from 7-12 years old (17.1%), 13-17 years old
(55.9%) and >18 years old (27.0%). Majority of the patients were Malay followed by Chinese (5.7%), Indian
(1.8%) and other races (1.8%) Treatments received were fixed appliances (FA) (60.0%), removable appliances
(RA) (12.5%), functional appliances (FnA) (1.1%), combination of RA and FA (16.1%), combination of FnA and
FA (2.1%) and consultation (8.2%). Types of malocclusions observed were Class I (25.7%), Class II/1(32.7%),
Class II/2 (7.5%) and Class III (34.1%). There was significant association (p

Matched MeSH terms: Ethnic Groups
Complexity in financial asset returns: Evidence from the compass rose

Batten JA, Lucey BM, Peat M

Chaos, 2018 Dec;28(12):123109.
PMID: 30599539 DOI: 10.1063/1.5029226

The compass rose pattern in financial data may indicate the presence of a nonlinear, possibly chaotic, data generating mechanism. The analysis of three key financial asset and denoised returns, gold, the Great British Pound/US dollar spot exchange rate, and the Standard & Poor's 500 stock index, reveals that over four equivalent subperiods, from 1996 to 2015, the compass rose pattern changes. This finding provides an opportunity to establish how noise affects financial time series. We conclude that the compass rose pattern is unlikely the product of an underlying nonlinear structure, since there is evidence of nonlinearity in all time periods, even those where the compass rose pattern is not evident. Therefore, the compass rose patterns, seen in the denoised data, suggest that the presence of noise masks the underlying dynamics of the asset returns.

Matched MeSH terms: Ethnic Groups
Fulltext The incidence of hip fracture in Malaysians above 50 years of age: Variation in different ethnic groups

Lee JK, Amir Sharifuddin MK

APLAR Journal of Rheumatology, 2007;10:300-305.
DOI: 10.1111/j.1479-8077.2007.00314.x

Aims: Hip fracture is frequently studied to reflect osteoporosis related fractures. The aim of this study was to look at ethnic differences in the incidence of hip fractures between the three races in Malaysia. Methods: This was a retrospective study performed for the years 1996 and 1997. Data from hospitals treating hip fractures in elderly patients were collected throughout the whole country. Result: The overall incidence of hip fractures was 90 per 100 000 individuals. Sixty-three percent of patients presenting with hip fractures were Chinese. This was followed by Malays at 20% and Indians, 13%. Race-specific incidence data showed that the fracture rates are highest among the Chinese (160 per 100 000) followed by Indians (150 per 100 000) and Malays (30 per 100 000). Females were twice as commonly affected compared to males. Race and sex-specific incidence data showed that the incidence was highest among Chinese females (220 per 100 000), followed by Indian females (200 per 100 000). The age-specific incidence was 500 per 100 000 for patients above 75 years, compared to 10 per 100 000 in those between 50 and 54 years. Conclusion: Hip fractures arecommon in Malaysia. There are differences in hip fracture incidence depending upon ethnicity. © 2007 Asia Pacific League of Associations for Rheumatology.

Matched MeSH terms: Ethnic Groups
Fulltext Sociodemographic factors as determinants of fruit and vegetable consumption in Malaysia

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

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

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

Matched MeSH terms: Ethnic Groups
The Malayan Medical Journal as the official organ of the British Medical Association Malaya branch

McAlister GH

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

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

Matched MeSH terms: Ethnic Groups
Racial and age-group incidence of common intestinal helminths in the Straits Settlements

Russell RF

Malayan Medical Journal, 1934;9:17-22.

Matched MeSH terms: Ethnic Groups
Promoting Inter-Ethnic Understanding and Empathy Using a Round Table Cinema Activity with Malaysian Malay and Chinese Students

Swami V, Zahari HS, Mohd Khatib NA, Toh EKL, Barron D

Integr Psychol Behav Sci, 2020 06;54(2):416-437.
PMID: 31950435 DOI: 10.1007/s12124-020-09514-7

The Round Table Cinema Activity (RTCA) is an intervention designed to promote improved multicultural understanding by having different social identity groups watch a carefully-selected film and take part in repeated dialogic exchanges. Here, we examined the efficacy of the RTCA paradigm at improving inter-ethnic understanding and empathy among members of different social identity groups from the same country (i.e., Malaysian Malays and Chinese). A total of 87 participants completed a measure of ethnocultural empathy before and after the RTCA paradigm, which involved watching the film Sepet, taking part in group discussions, and answering open-ended question about their experiences. Analyses of written responses suggested that the RTCA was successful at promoting intergroup dialogue and exchange of ideas. Analyses of quantitative data suggested significant and large improvements in ethnocultural empathy at post-intervention. Our findings suggest that the RTCA paradigm may be a useful tool for promoting inter-ethnic harmony in the Malaysian context.

Matched MeSH terms: Ethnic Groups
Erectile dysfunction management: a critical appraisal of clinical practice guidelines with the AGREE II instrument

Hazir B, Haberal HB, Asci A, Muneer A, Gudeloglu A

Int J Impot Res, 2021 May 03.
PMID: 33941879 DOI: 10.1038/s41443-021-00442-7

Our study aimed to assess the methodological strengths and weaknesses of erectile dysfunction clinical practice guidelines (CPGs) for individuals using the AGREE II tool. Erectile dysfunction related CPGs were identified from three databases: the National Guideline Clearinghouse, the Guidelines International Network, and PubMed between 2000 and 2020. We designed an independent assessment for each of the erectile dysfunction related CPGs using the AGREE II tool. Four appraisers performed these assessments. The literature search identified 8 CPGs that met our inclusion criteria. The evaluation of the AGREE II domains of each individual revealed that the median scores of domains related to applicability were quite low (39%). Also, the median scores of domains related to the rigour of development and the stakeholder involvement were relatively low (53% and 63%). We determined the highest median scores in three AGREE II domains: clarity of presentation (80.5%), editorial independence (77%), and scope and purpose (89.5%). We found that the European Association of Urology (EAU), the American Urological Association (AUA), and the British Society for Sexual Medicine (BSSM) guidelines had >60% in >4 domains and that their average AGREE II scores were over 70%. In the Canadian Diabetic Association (CDA) and the Japanese Society for Sexual Medicine (JSSM) guidelines, we found that >4 domains were >60%, but their average AGREE II scores were below 70%. The British Medical Journal (BMJ), the Canadian Urologic Association (CUA), and the Malaysian Urologic Association (MUA) guidelines had >60% in <3 domains. We highly recommended EAU, AUA and BSSM guidelines, while we moderately recommended CDA and JSSM guidelines. BMJ, CUA and MUA guidelines were weakly recommended. The quality of the guidelines for erectile dysfunction was variable according to AGREE II. We noted significant deficiencies in the methodological quality of the CPGs developed by different organisations in the areas of applicability and rigour of development.

Matched MeSH terms: Ethnic Groups
Fulltext The roles and challenges of the national language in uniting the various ethnic groups in Sabah

Sharifah Darmia Sharif Adam

Malaysian Journal of Social Sciences and Humanities, 2019;4(4):1-11.
MyJurnal

This paper discusses the roles and challenges of the national language, which is Malay as a language in
uniting the various ethnic groups in Sabah. On September 16, 1963, the Federation of Malaysia was
officially declared which comprised of the Malay States, Singapore, Sabah and Sarawak. In line with
that, the special provisions on the national language in Sabah are contained in Article 161 of the
national constitution. Although the provision of the constitution clarify that Sabah was given a 10-year
period to use Malay and English as the official languages but later on September 16, 1973 the Malay language was declared the sole official language for the state of Sabah. Hence, various efforts have
been made by the government to ensure the national language can play its role as a language that can
unite the various ethnic groups in Sabah. However, ethnic diversity with their own ethnic mother
tongue languages has resulted in the Malay language as a national language as well as the language of
unity to face many challenges. Therefore, the discussion in this paper is focused on policies undertaken
by the government to strengthen the national language in various fields in Sabah and the challenges
faced by the national language to foster unity among the various ethnic communities in the state. This
study was conducted using a qualitative analysis approach and used archive study methods as well as
library study to obtain research information sources. This study will produce an analysis that can be
used as a reference to improve or formulate policies particularly in matters that benefit in strengthening
the multi-ethnic communities in Sabah.

Matched MeSH terms: Ethnic Groups
Fulltext Pre-tertiary education, ethnicity, and attitudes of Asian medical undergraduates towards communication skills

Foong AL, Sow CF, Ramasamy S, Yap PS

Int J Med Educ, 2019 Jan 25;10:1-8.
PMID: 30685752 DOI: 10.5116/ijme.5c30.988d

Objectives: This study was aimed at determining whether the pre-tertiary education system and ethnicity have any association with the attitudes of medical undergraduates towards communication skills. It also sought to determine if attitudes should have any relationship with communication skills assessment outcomes.
Methods: A cross-section survey design was performed with 323 participants from two cohorts of medical undergraduates, i.e., first-year (n = 153) and second-year students (n = 170) who completed the Communication Skills Attitude Scale. Participants comprised of the main ethnic groups in Malaysia, i.e., Malays, Chinese and Indians, from different language medium pre-tertiary education backgrounds. Attitude measurements were compared with OSCE outcomes.
Results: There was a significant difference in Negative Attitude Scale between pre-tertiary education system with attitudes towards communication skills (F (3, 319) = 7.79, p = .001), but no significant difference with Positive Attitude Scale (F (3, 319) = 0.43, p = .649). There was no significant difference between ethnicity and attitudes towards communication skills with PAS (F (2, 320) = 0.66, p = .519) and NAS (F (2, 320) = 1.24, p = .291). Students from Chinese medium education system had stronger negative attitudes with a mean score of 14.7 (n = 56, SD = 3.6) for primary school levels and 15.9 (n = 17, SD = 3.0) for secondary school levels, compared with others. There was no significant prediction of student's attitudes towards assessments outcomes.
Conclusions: Preliminary findings from the small data pool suggest indicative relationships requiring further studies with more participants and proportionate pre-tertiary education system backgrounds.

Matched MeSH terms: Ethnic Groups

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