MyMedR

Book Review: Handbook of International Geriatric Medicine

Ng PK

Family Physician, 1991;3:71-71.

Matched MeSH terms: Aged

Ng PK

Family Practitioner, 1982;5:67-70.

Matched MeSH terms: Aged

Systematic review on the contents and parameters of self-management education programs in older adults with knee osteoarthritis

Salwana Kamsan S, Kaur Ajit Singh D, Pin Tan M, Kumar S

Australas J Ageing, 2021 Mar;40(1):e1-e12.

PMID: 32881241 DOI: 10.1111/ajag.12844

OBJECTIVE: The aim of this review was to determine the contents and parameters of self-management education programs (SMEPs) for older adults with knee osteoarthritis (KOA).

METHODS: A systematic electronic literature search (Scopus, MEDLINE, ProQuest, CINAHL, Cochrane and a grey literature specific site through Google Scholar) was undertaken between March and May 2018 (search updated in June 2019). Studies were selected based on predetermined criteria. Data relating to the contents and parameters of the SMEP were extracted and collated.

RESULTS: A total of 11 experimental studies met the inclusion criteria. Overall quality of the selected studies was good. The contents used for SMEP in older adults with KOA were information and management of KOA, healthy lifestyle and additional management strategies for KOA. The parameters used were face-to-face sessions led by health professionals and were chiefly group-based.

CONCLUSION: This review comprehensively summarises the structure of multifaceted SMEP for people with KOA, which could be used to inform clinical practice and future research.

Matched MeSH terms: Aged

Fulltext Malaysia's ageing issues

Arokiasamy JT

Med J Malaysia, 1997 Sep;52(3):197-201.

PMID: 10968084

Matched MeSH terms: Aged; Health Services for the Aged*

Fulltext A woman presenting with dry cough, hoarseness of voice and significant weight loss

Khajotia R

Malays Fam Physician, 2008;3(2):107.

PMID: 25606129

Matched MeSH terms: Aged

Fulltext Social problems and care of the elderly

Arokiasamy JT

Med J Malaysia, 1997 Sep;52(3):231-7.

PMID: 10968091

Several countries of Asia, including Malaysia, have in recent years experienced spectacular economic growth and social change. This, together with declining fertility
rates and mortality rates, and accompanying increased
expectation of life at birth have resulted in rapid population ageing of these countries. However, relative
to the developed countries, where fertility and mortality declines, and improvements in social and economic conditions have evolved gradually over a period of a century, these phenomena in the developing countries of Southeast Asia are evolving in a much shorter time period aided by the availability of medical and technological advances and interventions that can prevent deaths and births and prolong the duration of disability free years of life. This poses a challenge to countries like Malaysia who have to cope with the ageing phenomenon with limited resources that are available. The elderly are a heterogeneous group who are affected by both health and non health factors. The latter are largely social factors related to health that contribute to social problems faced by the elderly. This paper addresses these before looking at the care of the elderly.

Matched MeSH terms: Aged*; Health Services for the Aged*

Fulltext Duodenal leiomyosarcoma: a report of a rare and aggressive tumour

Ho YN, Leong YP, Sakijan AS, Swaminathan M, Sarvananthan K

Singapore Med J, 1992 Jun;33(3):297-8.

PMID: 1631594

A 45-year-old Malay lady who presented with intermittent abdominal pain and a left hypochondrial mass was found to have a 10 x 8 x 5 cm duodenal tumour without local invasion at laparotomy. En bloc resection of the tumour with adequate margin of clearance was done and histopathological diagnosis of low grade leiomyosarcoma was made. Fourteen months later, she returned with multiple metastases in the liver and needed palliative chemotherapy for pain relief. Duodenal leiomyosarcomata are very rare tumour. Their prognostic indicators include biological grading, tumour size and presence of metastases. Recognition of its high malignant potential calls for close surveillance calls even after apparent curative surgery.

Matched MeSH terms: Middle Aged

Fulltext Oral speckled leukoplakia--report of two cases

Yaacob HB, Mahfuz Ali MA, Hamid JA

Med J Malaysia, 1983 Jun;38(2):118-20.

PMID: 6621440

Two cases of oral speckled leukoplakia with differing behaviour are presented. This precancerous lesion of unknown aetiology requires early diagnosis for proper management. Candida albicans are frequently found in these lesions. The significance of epithelial dysplasia in relation to treatment is discussed. Surgical removal is the treatment of choice.

Matched MeSH terms: Middle Aged

Fulltext Carotid body tumour--a case report

Mohamad AS, Rejab E, Said H

Med J Malaysia, 1989 Jun;44(2):174-7.

PMID: 2626128

A case of carotid body tumour is presented. Pathology, diagnostic investigations, modalities of treatment and prognosis are discussed. With greater awareness of this condition and improvement in diagnostic investigations and surgical techniques, the outlook in managing this condition should be better.

Matched MeSH terms: Middle Aged

Fulltext Faecaloma of the rectum: a case report

Krishnan MMS

Med J Malaysia, 1984 Dec;39(4):320-2.

PMID: 6544943

Matched MeSH terms: Middle Aged

Report of a rare case of tracheal foreign-body in an adult

Majeed AR

Med J Malaysia, 1978 Dec;33(2):146-8.

PMID: 755166

Matched MeSH terms: Middle Aged

Carotid body tumour -- a case report

Rajapaksa AC, Kwee NK

Med J Malaysia, 1976 Sep;31(1):73-4.

PMID: 1023018

Matched MeSH terms: Middle Aged

Musculoskeletal problems in the elderly

Yong SY

Family Practitioner, 1984;7:34-37.

Matched MeSH terms: Aged

Fulltext Idiopathic CD4 lymphopenia in a case of disseminated cryptococcosis with brain, vertebral spine and reproductive organ involvement

Sim BNH, Hui LY, Krishnan D, Joseph JP

Clin Med (Lond), 2019 03;19(2):133-134.

PMID: 30872296 DOI: 10.7861/clinmedicine.19-2-133

Cryptococcosis is an opportunistic fungal infection commonly seen in HIV cases. We present a case of disseminated cryptococcosis with multiple non-continuous infective foci in a non-HIV, non-transplant case.

Matched MeSH terms: Middle Aged

Falls in the elderly

Thanalingam K

Family Physician, 1996;8:29-30.

Matched MeSH terms: Aged

The elderly patient

Fadzrizal BI

Family Physician, 1989;1:58-61.

Matched MeSH terms: Aged

Basaloid Nasopharyngeal Carcinoma: An Entity That Remains Oblivious

Ganeson SK, Saniasiaya J, Mohamad I, Abdul Gani N

Gulf J Oncolog, 2020 Sep;1(34):83-86.

PMID: 33431368

INTRODUCTION: Basaloid squamous cell carcinoma of the nasopharynx is a rare entity with only scarce cases reported in the English Literature. It is a histological variant of squamous cell carcinoma with aggressive nature and comprises of both basal cell carcinoma and squamous cell carcinoma.

CASE PRESENTATION: Herein, we report on a middleaged male who presented with left-sided spontaneous epistaxis and aural fullness with no neck node which turned out to be basaloid cell carcinoma of nasopharynx.

DISCUSSION AND CONCLUSION: We highlight high clinical suspicion of rare variant of nasopharyngeal carcinoma although no palpable node was evident upon presentation.

Matched MeSH terms: Middle Aged

The Effectiveness of Educational Intervention in Improving Primary Health-Care Service Providers' Knowledge, Identification, and Management of Elder Abuse and Neglect: A Systematic Review

Mydin FHM, Yuen CW, Othman S

Trauma Violence Abuse, 2021 10;22(4):944-960.

PMID: 31823685 DOI: 10.1177/1524838019889359

Elder abuse and neglect (EAN) occurrence is expected to increase in many countries due to rapidly aging populations, yet it is still unrecognized and underreported. Gaps were identified in the knowledge and skills to intervene EAN among health-care service providers. It is still unclear whether educating health-care service providers on EAN improve the identification and management of EAN cases. A systematic review was conducted on the effectiveness of educational intervention designed to improve primary health-care service providers' (PHSPs) knowledge, attitude, and practice in managing EAN cases. We performed a comprehensive and systematic search for original studies in the following major electronic databases (ScienceDirect, PubMed, EMBASE, and CINAHL) and specialist registers (Cochrane Central Controlled Trials Register) with a set of search terms. Studies included were randomized controlled trials (RCTs) and observational studies on EAN education intervention that aimed to improve knowledge, attitude, and management skills of the PHSPs. There were no publication period restrictions until June 2018 and written in English. Overall, three RCTs and 10 observational studies were selected. These studies were grouped based on the type of the study, methodological quality (six moderate risk of bias and seven serious risk of bias), and the type of educational intervention (seven face-to-face educational intervention, two educational videos, two simulation-based training, and two online educational training). The education programs in the selected studies range from brief didactic to experiential learning. EAN educational intervention among primary care service providers potentially result in increasing awareness and knowledge on EAN. However, there is a lack of evidence on the changes of attitude and practice.

Matched MeSH terms: Aged

Fulltext Effects of a behavioral program on exercise adherence and exercise self-efficacy in community-dwelling older persons

Azizan A, Justine M, Kuan CS

Curr Gerontol Geriatr Res, 2013;2013:282315.

PMID: 24489539 DOI: 10.1155/2013/282315

Background. This study determines the effects of a behavioral program on exercise adherence (step counts) and level of exercise self-efficacy (ESE) in community-dwelling older persons. Methods. Sixty-three participants (age = 63.8 ± 4.5 years) were enrolled in this controlled quasi-experimental study. They were divided into 3 groups: (1) EBG performed a 6-week exercise intervention followed by a 5-week behavioral program, (2) EG performed exercise intervention similar to EBG, and (3) control group (CG) did not receive any interventions. Step counts were measured based on the scores recorded by a pedometer while ESE was measured by a self-reported ESE scale. Results. Data analysis showed significant differences due to time effect (F(1,2) = 39.884, P < 0.01, and η = .399); time and group interactions (F(2,60) = 112.683, P < 0.01, and η = .790); and between-group effect (F(2,60) = 12.524, P < 0.01, and η = .295) for step counts. As for ESE, significant differences were also found for time effect (F(2,4) = 66.628, P < 0.05, and η = .526); time and group interactions (F(2,60) = 4.562, P = 0.014, and η = .132); and between-group effect (F(2,60) = 13.632, P < 0.05, and η = .312). EBG presented with significantly higher mean changes for both step counts and ESE compared to other groups (all P < 0.05). Conclusion. This study suggests that the addition of a behavioral program is superior as compared to exercising alone on increasing exercise adherence and level of self-efficacy in older persons.

Matched MeSH terms: Aged*

Fulltext Experience with primary myelodysplastic syndromes in a university haematology unit: report of five cases

Cheong SK, Ainoon O

Med J Malaysia, 1987 Dec;42(4):272-5.

PMID: 3454399

Myelodysplastic syndromes appear to be a rare group of blood disorders in Malaysia. It usually affects the elderly and some of the cases were reported to evolve into acute leukemia. We describe our experience with five cases, seen and managed by us over a 5-year period. All patients receiving supportive therapy died with one of them definitely known to transform to acute leukemia. The patient who survives till the time of writing received low dose continuous cytosine arabinoside infusion.

Matched MeSH terms: Aged; Middle Aged

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