OBJECTIVES: This study aimed to determine the knowledge about asthma and the prevalence, disclosure and evaluation of the use of complementary and alternative medicine (CAM) among asthmatic patients.
METHODS: This cross-sectional study was conducted on 95 patients diagnosed with asthma in a primary healthcare centre in Kuala Lumpur, Malaysia using a self-administered questionnaire.
RESULTS: Ninety-five patients with a mean age of 47.06 years (±12.8) participated, the majority were female (66.7%), Malay (72.6%). The prevalence of ever-CAM use was 61.1%. The non-ever-CAM users' mean age was 51±13.9 years while the ever-CAM users' mean age was 44.5 ±11.5 years (P = 0.021). Sixty-three females (66.8%) used CAM compared to 14 males (43.8%) (P = 0.014). Thirty-six (62.1%) CAM users had not discussed use of CAM with their doctors. The main reason of non-disclosure was the doctor never asked (55.6%), and the main sources of information about CAM were family and relatives (46.6%). There was no significant difference between use of CAM and knowledge about asthma. The majority of asthmatic patients used rubs (39%), foods (16.9%) and herbs (16.9%). About 76% of asthmatic patients perceived CAM as good for their disease management. On linear multiple regression, Malay race (P = 0.026) and female gender (P = 0.006) were significant predictors of CAM use.
CONCLUSION: Use of CAM among asthmatic patients is relatively high, particularly among females. The majority of asthmatic patients valued the use of CAM. Non-disclosure was high in this study. Health education of asthmatic patients about CAM is highly recommended.
KEYWORDS: Asthma; Malaysia; complementary and alternative medicine; disclosure
Study site: Primary care clinic, Hospital Kuala Lumpur, Malaysia
Rhodamine B (RhB) is among the toxic dyes due to the carcinogenic, neurotoxic effects and ability to cause several diseases for humans. The adsorption with agricultural waste adsorbent recorded high performance for the RhB removal. The current review aimed to explore the efficiency of different adsorbents which have been used in the few last years for removing RhB dye from wastewater. The data of adsorption of RhB using agricultural wastes were collected from the Scopus database in the period between 2015 and 2021. The use of agricultural wastes and adsorbents as a replacement for the activated has received high attention among researchers. The RhB removal methods by microbial enzymes and biomass occurred between 76 and 90.1%. In comparison, the adsorption with agricultural wastes such as activated carbon white sugar reached 98% within 12 min. The adsorption process has a wide range of pH (3-10) due to the zwitterionic forms of RhB. Gmelina aborea leaf activated carbon is among the agriculture wastes absorbents that exhibited 1000 mg g-1 of the adsorption capacity. It appeared that the agricultural wastes adsorbents have a high potential for removing RhB from the wastewater.