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Fulltext Knowledge, attitude and practices towards lifestyle-related non-communicable diseases (ncds): a cross-sectional study among indigenous orang asli adults innegeri sembilan, Malaysia.

Ithnin M, Nor NAUM, Juliana N, Effendy NM, Sahar MA, Abdullah KHA, et al.

IIUM Medical Journal Malaysia, 2020;19(2):75-82.
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An increase in the prevalence of non-communicable diseases (NCDs) among Orang Asli in Malaysia was reported to be associated with their lifestyle changes. This study aimed to determine the level of knowledge, attitude, and practice (KAP) on NCDs among the Orang Asli community and its association with demographic factors of gender, age, and education level.MATERIAL AND METHODS:A cross-sectional study among consented adult Orang Asli in Jelebu, Negeri Sembilan, was conducted by a face-to-face interview using a validated questionnaire. Their knowledge, attitude, and practice on selected NCD risk factors, complications, and treatment was recorded. Bivariate analysis was performed to test the association between their demographic profile and KAP score.RESULTS:A total of 325 respondents with a mean age of 39.9 (±13.2) ranged from 18 to 83 years old participated in this study. Majority of the participants (72.3%) had inadequate knowledge. Despite the inadequacy, they have a good attitude (72.3%) and a moderate practice level (63.4%). Respondents with higher education backgrounds had significantly better knowledge scores compared to lower education background (p
Validation of electrical impedance tomography qualitative and quantitative values and comparison of the numeric pain distress score against mammography

Juliana N, Shahar S, Chelliah KK, Ghazali AR, Osman F, Sahar MA

Asian Pac J Cancer Prev, 2014;15(14):5759-65.
PMID: 25081698

Electrical impedance tomography (EIT) is a potential supplement for mammogram screening. This study aimed to evaluate and feasibility of EIT as opposed to mammography and to determine pain perception with both imaging methods. Women undergoing screening mammography at the Radiology Department of National University of Malaysia Medical Centre were randomly selected for EIT imaging. All women were requested to give a pain score after each imaging session. Two independent raters were chosen to define the image findings of EIT. A total of 164 women in the age range from 40 to 65-year-old participated and were divided into two groups; normal and abnormal. EIT sensitivity and specificity for rater 1 were 69.4% and 63.3, whereas for rater 2 they were 55.3% and 57.0% respectively. The reliability for each rater ranged between good to very good (p<0.05). Quantitative values of EIT showed there were significant differences in all values between groups (ANCOVA, p<0.05). Interestingly, EIT scored a median pain score of 1.51±0.75 whereas mammography scored 4.15±0.87 (Mann Whitney U test, p<0.05). From these quantitative values, EIT has the potential as a health discriminating index. Its ability to replace image findings from mammography needs further investigation.
Fulltext 'Her shape' intervention programme for obese women with high breast adiposity

Juliana N, Shahar S, Sahar MA, Ghazali AR, Manaf ZA, Noah RM

Asia Pac J Clin Nutr, 2017 Mar;26(2):278-286.
PMID: 28244706 DOI: 10.6133/apjcn.122015.05

BACKGROUND AND OBJECTIVES: Nutrition and physical activity interventions is beneficial in reversing obesity. However far too little attention has been paid to the effect of these interventions on breast tissues. Thus, the aim of this study was to explore the effect of a home-based dietary and physical activity intervention (the Her Shape Program) on metabolic parameters, blood biomarkers and adiposity at the breast.
METHODS AND STUDY DESIGN: A randomized controlled study was conducted on obese women with high breast adiposity (<0.1 Sm-1), aged 40-60 years in Klang Valley, Malaysia. Subjects were assigned to intervention (n=16) and control group (n=15). Intervention group received a home based health education package with close monitoring weekly, personal diet consultation and physical training in group. Assessment was ascertained at three time points; baseline, weeks 8 and 16. Outcome measures were the energy intake, physical activity, body composition, blood tests, blood biomarkers and electrical impedance tomography (EIT) quantitative values. Analyses were done using 2-way repeated measures ANOVA.
RESULTS AND CONCLUSIONS: All subjects completed the program without any drop-out. The HSI group had 100% compliance towards the intervention program; their energy intake was reduced for approximately 35% and their activity score was increased for approximately 11%. A significant interaction effect was found in body weight, body mass index (BMI), total cholesterol/HDL, vitamin C intake and matrix metallopeptidase 9 (MMP-9) (p<0.05). Interestingly, their EIT extremum values were also significantly increased indicating a reduction of breast adiposity. The intervention program was successful in improving body composition, physical activities, MMP9 and breast adipose tissue composition.
Fulltext Readiness of Bystander Cardiopulmonary Resuscitation (BCPR) during the COVID-19 Pandemic: A Review

Fazel MF, Mohamad MHN, Sahar MA, Juliana N, Abu IF, Das S

Int J Environ Res Public Health, 2022 Sep 02;19(17).
PMID: 36078684 DOI: 10.3390/ijerph191710968

Early cardiopulmonary resuscitation (CPR) is a strong link in the of survival for sudden cardiac arrest. Hence, bystander CPR (BPCR) plays an important role in curbing mortality and morbidity from out-of-hospital sudden cardiac arrest. However, the recent global Coronavirus disease 2019 (COVID-19) pandemic has impacted both public training and confidence in performing out-of-hospital CPR. This paper reviews detailed information from databases including Google Scholar, Scopus, PubMed and Web of Science on the readiness of BCPR during the pandemic. We also discussed the challenges bystanders encountered during the COVID-19 pandemic and the precautions to follow. Finally, we also highlighted the limitations which would benefit future endeavours in establishing well-planned and sustainable CPR training programs for the public. Therefore, regardless of the existing COVID-19 pandemic, BCPR must be emphasised to curb out-of-hospital cardiac arrest (OHCA) mortality.