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  1. Azmawati Mohammed Nawi, Jonathan Lamit, Nor Farahana Razali, Ong, Li Chin, Naim Syahidah Zulkafli, Norfazilah Ahmad
    Int J Public Health Res, 2014;4(2):494-500.
    MyJurnal
    Introduction Sleep has played a very important role in maintaining our health with good
    living quality therefore the aim of this study is to determine the pattern of
    sleep duration, especially short sleep and its associated factors among
    workers in a tertiary institution.
    Methods A cross-sectional study was conducted from January until May 2012 among
    128 randomly selected Universiti Kebangsaan Malaysia Medical Centre
    (UKMMC) staffs. Data was collected using a guided standardized data sheet
    which consist of three sections; (1):sociodemographic &socioeconomic, (2):
    lifestyle and, (3): anthropometric measurement and sleep diary. Data entry
    and analysis were done using Statistical Package for Social Sciences (SPSS)
    version 20.0.
    Results Majority of the staffs had normal sleep duration (67.2%) followed by short
    sleep duration (26.6%) and long sleep duration (6.3%). Simple logistic
    regression analysis indicated that late night snacking was significantly related
    to short sleep (cOR=3.47, 95% CI: 1.12, 12.23, p=0.048).
    Conclusions Adequate sleep is important to maintain one’s health. Steps can be taken to
    limit late night snacking in order to improve the sleep pattern in this study
    population.
  2. Mohd Rohaizat Hassan, Mohd Hafiz Yahya, Normala Basiron, Zairizam Zakaria, Mohd Rizam Abdul Rahman, Hazlina Mohd Miskam, et al.
    Int J Public Health Res, 2017;7(2):836-844.
    MyJurnal
    Introduction A study was conducted to determine the level of mothers' perception on
    children with cleft deformity and its associated factors
    Methods This was a cross sectional study involving 110 mothers with children
    attending the Plastic And Reconstructive Surgery Clinic. Data was gathered
    from a face to face interview based on a questionnaire that assesses the level
    of perception and its associated factors. The level of perception was
    evaluated from a scoring method and divided into four domains namely
    psychosocial, care management, treatment and education.
    Results The level of perception was high in all four domains ranged from 62% for
    treatment and 80% for education. Factors that were significantly associated
    with the level of perception were ethnicity, religion, type of cleft deformity
    and level of information.
    Conclusions Information regarding cleft deformity must be tailored toward mothers’
    personal characteristics and type of cleft deformity to improve mothers'
    perception on this problem.
  3. Norfazilah Ahmad, Mohd Rohaizat Hassan, Incham Manggat, Mohd Rizam Abdul Rahman, Hazlina Mohd Miskam, Sazman Wahab, et al.
    Int J Public Health Res, 2018;8(1):913-923.
    MyJurnal
    Introduction The Acquired Immuno Deficiency Syndrome (AIDS) is caused by Human
    Immunodeficiency Virus (HIV) infection and a disease with high morbidity
    and mortality.Young mothers are sub-populations that are at high risk for HIV
    through sexual activity. In addition, information on the level of knowledge,
    attitude and practice among young mothers in Malaysia regarding HIV/AIDS
    prevention is still limited.Therefore, the objective of this study is to examine
    the level of knowledge, attitudes and practices towards the prevention of
    HIV/AIDS among young mothers and the factors that influence them.
    Methods A cross-sectional study was conducted at a tertiary hospital in a city center
    among 147 young mothers aged 18-30 years old at the Post Natal and
    Obstetrics and Gynecology Ward (O & G). Data collection was conducted in
    April-November 2014 and the respondents' selection was based on simple
    random sampling. A questionnaire containing validated instruments was used
    in this study. Approval for conducting research has been obtained from the
    UKM Research Ethics Committee before the data collection procedure is
    implemented.
    Results Majority of the young mothers have good knowledge (78.8%) and practice
    (71.2%) towards HIV/AIDS prevention. While more than half of them (56.7%)
    have positive attitude towards the prevention of HIV/AIDS. Living in the
    urban area and being married are significantly associated with having good
    knowledge and positive attitude towards HIV/AIDS prevention. While,
    mothers who are 5 years older compared to the younger ones and being
    married are significantly associated with having good practice towards
    HIV/AIDS prevention.
    Conclusions The level of knowledge, attitudes and practices as well as the associated
    factors could be the baseline to formulate health intervention to prevent
    HIV/AIDS among this vulnerable group.
  4. Norfazilah Ahmad, Siti Norbayah Yusof, Nurmawati Ahmad, Zaleha Md Nor, Juhaida Mohd Noor, Hasanain Faisal Ghazi, et al.
    Int J Public Health Res, 2018;8(1):924-932.
    MyJurnal
    Introduction Tuberculosis (TB) is a major global health challenge especially in low- and
    middle-income countries reflects improper, delayed or missed diagnosis.
    Contact screening should be utilized both as an efficient and effective
    targeted approach to intensify TB case finding.
    Methods Through a comprehensive systematic literature review of online database,
    this paper aims at providing an insight into the current practice of TB contact
    screening and to provide evidence based practice for formulation of
    appropriate policies in low- and middle-income countries. There are 24
    articles included in this review from studies published from 2005 to 2014.
    Results Findings in literature varies substantially. Generally, contact screening is
    better intensified with clear operational guidelines, adequate training, include
    close contact outside household as appropriate and follow up at least for 1
    year. Prioritizing high risk close contacts is helpful in resource limited
    setting. Tuberculin skin test is still of value as screening tool and intensified
    case finding must be accompanied with effective management protocol.
    Prophylaxis treatment is recommended especially for children especially less
    than 5 years old, unvaccinated, malnourished, living with person having HIV
    and close contact with MDR-TB.
    Conclusions Policy recommendations in improving TB management must incorporate
    complementary strategies to enhance case finding, effective management
    protocol for follow up or prophylaxis treatment, training for public health
    capacity and concerted dedication from various stakeholders
  5. Azmawati MN, Najibah E, Hatta MD, Norfazilah A
    Asian Pac. J. Cancer Prev., 2014;15(13):5283-6.
    PMID: 25040989
    Stage of cervical cancer may adversely affect the quality of life (QOL) among patients. The objective of this study was to predict the QOL among cervical cancer patients by the stage of their cancer. A cross-sectional study from September 2012 until January 2013 was conducted among cervical cancer patients who completed treatment. All patients completed a interviewer-guided questionnaire comprising four sections: (A) socio- demographic data, (B) medical history, (C) QOL measured by general health status questionnaire (QLQ-30) and (D) cervical cancer specific module CX-24 (EORTC) was used to measured patient's functional, symptom scale and their global health status. Results showed that global health status, emotional functioning and pain score were higher in stage III cervical cancer patients while role functioning was higher in stage I cervical cancer patients. Patients with stage IV cancer have a lower mean score in global health status (adjusted b-22.0, 95 CI% -35.6, -8.49) and emotional functioning (adjusted b -22.5, 95 CI% -38.1, -6.69) while stage III had lower mean score in role functioning (adjusted b -14.3, 95 CI% -25.4, -3.21) but higher mean score in pain (adjusted b 22.1, 95 CI% 8.56, 35.7). In conclusion, stage III and IV cervical cancers mainly affect the QOL of cervical cancer patients. Focus should be given to these subgroups to help in improving the QOL.
  6. Zhe, Kang Law, Wan Nur Nafisah, Saathevan, Ramesh, Jee, Yong Hing, Mohd Firdaus Zakaria, Nurul Munirah Mohd Shuhairi, et al.
    Neurology Asia, 2015;20(2):121-127.
    MyJurnal
    Background & Objectives: The burden of stroke is increasing, in part due to increasing prevalence of diabetes mellitus. Given the high prevalence of diabetes in the Malaysian population (22.6%), we aimed to determine the prevalence of diabetes in our stroke population. We also aimed to study the stroke subtype associated with diabetes. We hypothesized that lacunar infarction would be more prevalent in diabetics. Methods: We retrospectively reviewed data of consecutive patients with acute ischaemic stroke admitted from October 2004 to December 2010 from our stroke registry. Demographic data, risk factors profile and stroke subtypes were reviewed and analyzed. Results: Eight hundred and fifty eight patients were identified from the registry. As high as 59.3% (n=509) of our patients were diabetics, of which 49.2% (n=422) had pre-existing diabetes and 10.1% (n=87) were newly diagnosed. Lacunar infarction was the commonest stroke subtype, comprising 60.6% (n=519) of all strokes. Diabetes was significantly associated with lacunar infarction (OR 1.5, CI 95% 1.16-2.01, p=0.003), particularly in those aged ≤ 55 years (OR 2.29, 95% CI 1.12-4.67) and HbA1C ≥ 6.5% (χ2=8.77, p=0.003). Conclusions: The prevalence of diabetes in our stroke patients is amongst the highest reported. Diabetes mellitus, particularly those with poor glycaemic control is strongly associated with lacunar infarction.
  7. Shahrul Azmin, Tan, Eng Liang, Law, Zhe Kang, Remli Rabani, Wan Yahya Nafisah, Sahathevan, Ramesh, et al.
    Neurology Asia, 2016;21(2):137-143.
    MyJurnal
    Background: Impulse control behaviours are repetitive and excessive activities that may be sub-syndromal and not fulfil the criteria for impulse control disorder. These activities have potential to negatively impact on the daily lives of sufferers. We conducted a study to investigate the prevalence of impulse control behaviours and its associated features in Parkinson’s disease in our population. Methods: We conducted a prospective cross-sectional study on consecutive patients attending neurology clinic. Inclusion criteria include idiopathic Parkinson’s disease patients with Hoehn & Yahr stage I-IV. Eighty patients were enrolled and screened for impulse control behaviours using the Questionnaire for Impulsive-Compulsive Disorder for Parkinson’s disease (QUIP). Results: Prevalence of impulse control behaviours among our cohort was 11.3%; the features significantly associated with it were higher level of education (p=0.02), advanced stage of disease (p=0.03) and higher levodopa dosage (p= 0.01). The commonest impulse control behaviour in our cohort was compulsive medication use (7.5%), followed by hobbyism (6.3%), hypersexuality (5%), compulsive buying (3.75%), punding (2.5%), walkabout (2.5%), compulsive eating (1.25%) and pathological gambling (1.3%).
    Conclusions: There is an association between impulse control behaviour and higher levodopa dosage in a study on patients with Parkinson’s disease in Malaysia. We also found a low prevalence of pathological gambling as compared to studies performed in the West.
  8. Norfazilah A, Samuel A, Law PT, Ainaa AA, Nurul Ain Z, Syahnaz MH, et al.
    Malays Fam Physician, 2013;8(3):19-25.
    PMID: 25893053 MyJurnal
    Hypertension is one of the chronic diseases with a rising trend globally, including Malaysia. Patients' own perception of their illness is a strong factor that determines their health-seeking behaviour. The objective of this study was to evaluate the illness perception of hypertensive patients and the associated factors.
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