Displaying publications 1 - 20 of 149 in total

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  1. Alex D, Khor HM, Chin AV, Hairi NN, Cumming RG, Othman S, et al.
    Front Public Health, 2020;8:506238.
    PMID: 33304870 DOI: 10.3389/fpubh.2020.506238
    Falls are major issues affecting the older population with potentially serious complications, including fractures, head injury, institutionalization, fear of falling and depression. While risk factors for falls have been established across Western Europe and North America, geographical differences in falls risk have not been well researched. We aim to examine the clinical and physical risk factors for falls in a middle-income South East Asian country. Cross-sectional data from the Malaysian Elders Longitudinal Research (MELoR) study involving 1,362 community dwelling individuals aged 55 years and above was utilized. Information on sociodemographic and medical history was obtained by computer-assisted questionnaires completed during home visits and hospital-based detailed health checks. Univariate and multivariate analyses compared non-fallers and fallers in the previous 12 months. Urinary incontinence, hearing impairment, depression, arthritis and cognitive impairment were risk factors for falls in the past 12 months after adjustment for age in our study population. Awareness about the risk factors in a population helps the design of fall prevention strategies that target specific or multiple risk factors.
    Matched MeSH terms: Fear*
  2. Goh HT, Nadarajah M, Hamzah NB, Varadan P, Tan MP
    PM R, 2016 12;8(12):1173-1180.
    PMID: 27268565 DOI: 10.1016/j.pmrj.2016.05.012
    BACKGROUND: Falls are common after stroke, with potentially serious consequences. Few investigations have included age-matched control participants to directly compare fall characteristics between older adults with and without stroke. Further, fear of falling, a significant psychological consequence of falls, has only been examined to a limited degree as a risk factor for future falls in a stroke population.

    OBJECTIVE: To compare the fall history between older adults with and without a previous stroke and to identify the determinants of falls and fear of falling in older stroke survivors.

    DESIGN: Case-control observational study.

    SETTING: Primary teaching hospital.

    PARTICIPANTS: Seventy-five patients with stroke (mean age ± standard deviation, 66 ± 7 years) and 50 age-matched control participants with no previous stroke were tested.

    METHODS: Fall history, fear of falling, and physical, cognitive, and psychological function were assessed. A χ2 test was performed to compare characteristics between groups, and logistic regression was performed to determine the risk factors for falls and fear of falling.

    MAIN OUTCOME MEASURES: Fall events in the past 12 months, Fall Efficacy Scale-International, Berg Balance Scale, Functional Ambulation Category, Fatigue Severity Scale, Montreal Cognitive Assessment, and Patient Healthy Questionnaire-9 were measured for all participants. Fugl-Meyer Motor Assessment was used to quantify severity of stroke motor impairments.

    RESULTS: Twenty-three patients and 13 control participants reported at least one fall in the past 12 months (P = .58). Nine participants with stroke had recurrent falls (≥2 falls) compared with none of the control participants (P < .01). Participants with stroke reported greater concern for falling than did nonstroke control participants (P < .01). Female gender was associated with falls in the nonstroke group, whereas falls in the stroke group were not significantly associated with any measured outcomes. Fear of falling in the stroke group was associated with functional ambulation level and balance. Functional ambulation level alone explained 22% of variance in fear of falling in the stroke group.

    CONCLUSIONS: Compared with persons without a stroke, patients with stroke were significantly more likely to experience recurrent falls and fear of falling. Falls in patients with stroke were not explained by any of the outcome measures used, whereas fear of falling was predicted by functional ambulation level. This study has identified potentially modifiable risk factors with which to devise future prevention strategies for falls in patients with stroke.

    LEVEL OF EVIDENCE: III.

    Matched MeSH terms: Fear*
  3. Poi PJ, Chuah SY, Srinivas P, Liam CK
    Eur Respir J, 1998 May;11(5):1147-9.
    PMID: 9648970
    In the world of medical literature, little has been reported about the fears of patients undergoing bronchoscopy. The aim of this study was to identify the common fears of patients undergoing fibreoptic bronchoscopy and to determine whether any factors might contribute to reducing these fears. One hundred and four consecutive patients undergoing bronchoscopy were interviewed. Sixty one patients expressed fear about the procedure, as follows: afraid of pain (33); afraid of breathing difficulties (11); afraid of oropharyngeal irritation (5); afraid of the bronchoscopy findings (2); afraid of sedation, cross-infection and nasal lignocaine spray, respectively (3); and unable to be specific (7). There was no difference between the "no fear" and "fearful" groups in ethnicity, source of referral, education, previous endoscopy, doctors' explanation and the patients' understanding of the procedure and its indication. "Fearful" patients were significantly younger (t=2.082, p=0.037) and female (chi2=4.180, p=0.038). Doctors were more likely to explain the indication for bronchoscopy than how it would be performed (chi2=6.403; p=0.011), and patients were more likely to understand why they needed a bronchoscopy than how it would be performed (chi2=21.505; p<0.001). Fear preceding bronchoscopy is independent of patients' demographic features except for age and gender. Doctors tend to explain "why" but not "how" the procedure is performed. Provision of detailed information about sensations that are likely to be experienced in bronchoscopy could be used to allay some of these common fears.
    Matched MeSH terms: Fear*
  4. Lai WX, Chan AW, Matchar DB, Ansah JP, Lien CTC, Ismail NH, et al.
    BMC Geriatr, 2023 Sep 22;23(1):586.
    PMID: 37740182 DOI: 10.1186/s12877-023-04294-2
    BACKGROUND: Falls in older adults are the result of a complex web of interacting causes, that further results in other physical, emotional, and psychological sequelae. A conceptual framework that represents the reciprocal dynamics of these causal factors can enable clinicians, researchers, and policymakers to clarify goals in falls intervention in older adults.

    METHODS: A Group Model Building (GMB) exercise was conducted with researchers and clinicians from academic units and public healthcare institutes in Singapore. The aim of the exercise was to produce a shared visual representation of the causal structure for falls and engage in discussions on how current and future falls intervention programmes can address falls in the older adults, especially in the Asian context. It was conducted in four steps: 1) Outlining and prioritising desirable patient outcomes, 2) Conceptual model building, 3) Identifying key intervention elements of effective falls intervention programmes, 4) Mapping of interventions to outcomes. This causal loop diagram (CLD) was then used to generate insights into the current understanding of falls causal relationships, current efforts in falls intervention in Singapore, and used to identify gaps in falls research that could be further advanced in future intervention studies.

    RESULTS: Four patient outcomes were identified by the group as key in falls intervention: 1) Falls, 2) Injurious falls, 3) Fear of falling, and 4) Restricted mobility and life space. A CLD of the reciprocal relationships between risk factors and these outcomes are represented in four sub-models: 1) Fear of falling, 2) Injuries associated with falls, 3) Caregiver overprotectiveness, 4) Post-traumatic stress disorder and psychological resilience. Through this GMB exercise, the group gained the following insights: (1) Psychological sequelae of falls is an important falls intervention outcome. (2) The effects of family overprotectiveness, psychological resilience, and PTSD in exacerbating the consequences of falls are not well understood. (3) There is a need to develop multi-component falls interventions to address the multitude of falls and falls related sequelae.

    CONCLUSION: This work illustrates the potential of GMB to promote shared understanding of complex healthcare problems and to provide a roadmap for the development of more effective preventive actions.

    Matched MeSH terms: Fear*
  5. Vo MTH, Thonglor R, Moncatar TJR, Han TDT, Tejativaddhana P, Nakamura K
    Public Health, 2023 Sep;222:215-228.
    PMID: 36229238 DOI: 10.1016/j.puhe.2022.08.012
    OBJECTIVES: The aim of this study was to provide a comprehensive overview of the prevalence, measurement scales, related factors and interventions for fear of falling (FOF) among older adults in Southeast Asia.

    STUDY DESIGN: This was a systematic review.

    METHODS: Published research studies on FOF among older adults were searched using the following databases: PubMed, Cochrane Library, Scopus, ASEAN Citation Index, Thai Journal Citation Index, Malaysian Journal Citation Report and Google Scholar. All observational and experimental studies investigating FOF among community-dwelling older adults in Southeast Asia were eligible. A narrative synthesis was used to describe the findings. The Joanna Briggs Institute checklist was used to assess the quality and risk of bias of the included studies.

    RESULTS: A total of 15 observational studies and three experimental studies were included after screening 2112 titles and abstracts. These studies, published between 2011 and 2021, were conducted in Malaysia, Singapore, Thailand and Vietnam. The FOF prevalence ranged from 21.6% to 88.2%. The most commonly used FOF assessment tool was the Falls Efficacy Scale-International. Well-reported related factors of FOF were female sex, advanced age, balance impairment and fall history. All experimental studies utilising single- or multi-component interventions comprised an exercise approach. Limited studies have considered environmental factors.

    CONCLUSIONS: Various related factors of FOF and the interventions implemented were revealed. Public health researchers and policymakers should consider the factors related to FOF in practical FOF intervention and prevention strategies. Further evidence on FOF issues is required to understand the multidimensional characteristics of FOF, specifically the environmental aspects of older adults in Southeast Asia.

    Matched MeSH terms: Fear*
  6. Kannan S, Muthusamy S, Muthu K, Sidhu P
    Clin Cases Miner Bone Metab, 2015 12 29;12(3):260-1.
    PMID: 26811708 DOI: 10.11138/ccmbm/2015.12.3.260
    Tori and exostoses are benign bony protuberances that arise from bone surfaces in the oral cavity. The etiology of these growths has been implicated as multifactorial, but no consensus has been reached so far. These painless overgrowths seldom present as a complaint in the dental office unless functional or esthetic complications set in, and there is a fear for cancer. Here we discuss two rare cases where bony overgrowths present in the mouth were extensive and multiple.
    Matched MeSH terms: Fear
  7. Jothi N, Husain W, Rashid NA
    J Infect Public Health, 2021 Jan;14(1):103-108.
    PMID: 32273237 DOI: 10.1016/j.jiph.2020.02.042
    Mental illness is a set of health problems that affect the way individuals perceive themselves, relate to others, and interact with the world around them. Due to the myriad of underlying causes and subsequent effects of mental illness, these conditions often trigger fear and misunderstanding among the general population. Common mental illnesses such as depression and anxiety disorders often affect an individual's thoughts, feelings, abilities, and behaviours. Anxiety disorder is characterized by an irrational fear of certain things or events. It is often attributed as the feeling of worry about anticipated events and fear in response to current events. This work has identified several related research efforts on the general well-being and psychological distress using data mining. However, there is inadequate research done using a similar method on specific mental health issues, especially related to generalized anxiety disorder (GAD). In view of this gap, this study focuses on implementing a novel feature selection and data mining classifier system. Under the proposed method, Shapley value will be implemented as the feature selection of the data mining classifier on the mental health data. The approach is used to predict GAD among women. The methodology for this research is adapted from the process of Knowledge Discovery in Databases (KDD). This methodology consists of 5 main phases; namely data acquisition, data pre-processing, feature selection, classification prediction, and evaluation. Using this enhanced prediction algorithm, any women can get help if they are perceived to be suffering from GAD. By designing an effective way of identifying individuals who may be suffering from mental illnesses, we hope that our work would improve the awareness surrounding mental health issues especially among women and enable them to undertake autonomous decision in seeking mental health services.
    Matched MeSH terms: Fear
  8. Norshuhadah Hayat, Inayatullah Shah Sayed
    MyJurnal
    Bauxite mining in Kuantan district of Pahang has raised health concerns of communities residing near the mining areas. Bauxite mining and transportation activities have contributed a lot to the pollution of environment. There is a fear among the residents of the areas that whether the soil is free from naturally occurring radioactive substances or not. Therefore, the objective of this study was to detect the presence of natural radioactive elements in the soil of bauxite mining field at Bukit Goh, Kuantan.
    Matched MeSH terms: Fear
  9. Chong SC, Ang JK, Hashim H
    Asian J Psychiatr, 2020 Dec;54:102117.
    PMID: 32623189 DOI: 10.1016/j.ajp.2020.102117
    Pathological narcissism or narcissistic personality disorder is commonly characterized by an exaggerated sense of self-importance, condescending attitude, need for excessive admiration, diminished empathy and exploitativeness. In contrast to these overt attributes, there is a different presentation of pathological narcissism which is underrecognized, as one's preoccupation with hypervigilant, self-effacement and proneness to shame in the context of covert grandiose fantasies. This report illustrates a patient who had this subtype of vulnerable narcissism, and how his defence had been activated to preserve own self agency during a session with the doctor by revealing his paraphilic fantasy.
    Matched MeSH terms: Fear
  10. Nor Mariah Adam, Rosli Darmawan
    MyJurnal
    One of the most prevailing issues in the operation of Nuclear Reactor is the safety of the system. Worldwide publicity on a few nuclear accidents as well as the notorious Hiroshima and Nagasaki bombing have always brought about public fear on anything related to nuclear. Most findings on the nuclear reactor accidents are closely related to the reactor cooling system. Thus, the understanding of the behaviour of reactor cooling system is very important to ensure the development and improvement on safety can be continuously done. Throughout the development of nuclear reactor technology, investigation and analysis on reactor safety have gone through several phases. In the early days, analytical and experimental methods were employed. For the last three decades ID system level codes were widely used. The continuous development of nuclear reactor technology has brought about more complex system and processes of nuclear reactor operation. More detailed dimensional simulation codes are needed to assess these new reactors. This paper discusses the development of 3D CFD usage in nuclear reactor safety analysis worldwide. A brief review on the usage of CFD at Malaysia's Reactor TRIGA PUSPATI is also presented.
    Matched MeSH terms: Fear
  11. Hamed SK, Ab Aziz MJ, Yaakub MR
    Sensors (Basel), 2023 Feb 04;23(4).
    PMID: 36850346 DOI: 10.3390/s23041748
    Nowadays, social media has become the main source of news around the world. The spread of fake news on social networks has become a serious global issue, damaging many aspects, such as political, economic, and social aspects, and negatively affecting the lives of citizens. Fake news often carries negative sentiments, and the public's response to it carries the emotions of surprise, fear, and disgust. In this article, we extracted features based on sentiment analysis of news articles and emotion analysis of users' comments regarding this news. These features were fed, along with the content feature of the news, to the proposed bidirectional long short-term memory model to detect fake news. We used the standard Fakeddit dataset that contains news titles and comments posted regarding them to train and test the proposed model. The suggested model, using extracted features, provided a high detection accuracy of 96.77% of the Area under the ROC Curve measure, which is higher than what other state-of-the-art studies offer. The results prove that the features extracted based on sentiment analysis of news, which represents the publisher's stance, and emotion analysis of comments, which represent the crowd's stance, contribute to raising the efficiency of the detection model.
    Matched MeSH terms: Fear
  12. Hu P, Bhuiyan MA, Rahman MK, Hossain MM, Akter S
    PLoS One, 2022;17(10):e0275541.
    PMID: 36260619 DOI: 10.1371/journal.pone.0275541
    This study examined the fear of COVID-19 pandemic and its impact on consumer behavioural intention to purchase green products. The data was collected from consumers of Malaysia in hypermarkets. A total of 491 respondents were analyzed using the partial least square technique. The results indicated that the fear of the COVID-19 epidemic has a significant impact on health concerns, social media information, intolerance of uncertainty, and personal relevance, which in turn affect consumers' behavioural intention to purchase green products. With a serial mediating effect the results identified that fear of COVID-19 epidemic is associated with behavioural intention to purchase the green product. The findings of this study are crucial for understanding the swings in the green product purchase behaviour due to the ongoing uncertainty of COVID-19 crisis.
    Matched MeSH terms: Fear
  13. Almansour A, Madkhali M, Alzhrani M, Alanazi A, Aldaihan MM, Alamri YH, et al.
    Medicine (Baltimore), 2023 Nov 03;102(44):e35645.
    PMID: 37933019 DOI: 10.1097/MD.0000000000035645
    The fear of re-injury may persist after anterior cruciate ligament (ACL) reconstruction (ACLR) in professional soccer players (PSPs) even after a successful return to sport (RTS). This study aimed to determine the extent of this fear of re-injury and the impact of demographic variables and this fear of re-injury on the lower extremity functional scale (LEFS) scores in PSPs who had completed a successful RTS following ACLR. A cross-sectional survey design was used. Sixty-seven PSPs who had successfully RTS after ACLR, completed a demographic information sheet, the Athlete Fear-Avoidance Questionnaire (AFAQ), and the LEFS. The average AFAQ scores indicated low fear (M = 10.2, SD = 6.7), while high LEFS scores were observed (M = 67.1, SD = 12.4). There were significant strong negative correlations between LEFS and body mass index (BMI; rs [65] = -0.501, P = .001) and AFAQ and BMI (rs [65] = -0.378, P = .001). A hierarchical linear regression analysis found AFAQ to be a significant predictor of LEFS (b = -0.92, s.e. = 0.19, P = .001), with a total variance (adjusted R2) of 32.9%. PSPs' fear of re-injury post-ACLR significantly reduced their perceived levels of lower limb functionality. This study highlights the need to further explore and develop strategies to manage PSP fear of re-injury to improve sports-related performance post-ACLR.
    Matched MeSH terms: Fear
  14. Jovanović V, Rudnev M, Abdelrahman M, Abdul Kadir NB, Adebayo DF, Akaliyski P, et al.
    Psychol Assess, 2024 Jan;36(1):14-29.
    PMID: 38010780 DOI: 10.1037/pas0001270
    Coronavirus Anxiety Scale (CAS) is a widely used measure that captures somatic symptoms of coronavirus-related anxiety. In a large-scale collaboration spanning 60 countries (Ntotal = 21,513), we examined the CAS's measurement invariance and assessed the convergent validity of CAS scores in relation to the fear of COVID-19 (FCV-19S) and the satisfaction with life (SWLS-3) scales. We utilized both conventional exact invariance tests and alignment procedures, with results revealing that the single-factor model fit the data well in almost all countries. Partial scalar invariance was supported in a subset of 56 countries. To ensure the robustness of results, given the unbalanced samples, we employed resampling techniques both with and without replacement and found the results were more stable in larger samples. The alignment procedure demonstrated a high degree of measurement invariance with 9% of the parameters exhibiting noninvariance. We also conducted simulations of alignment using the parameters estimated in the current model. Findings demonstrated reliability of the means but indicated challenges in estimating the latent variances. Strong positive correlations between CAS and FCV-19S estimated with all three different approaches were found in most countries. Correlations of CAS and SWLS-3 were weak and negative but significantly differed from zero in several countries. Overall, the study provided support for the measurement invariance of the CAS and offered evidence of its convergent validity while also highlighting issues with variance estimation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
    Matched MeSH terms: Fear
  15. Ng KH, Kemp R
    J Zhejiang Univ Sci B, 2020 9 8;21(9):752-754.
    PMID: 32893533 DOI: 10.1631/jzus.B2000228
    The world is now plagued by a pandemic of unprecedented nature caused by a novel, emerging, and still poorly understood infectious disease, coronavirus disease 2019 (COVID-19) (Wu and McGoogan, 2020). In addition to the rapidly growing body of scientific and medical literature that is being published, extensive public reports and stories in both the traditional media and social media have served to generate fear, panic, stigmatization, and instances of xenophobia (Zarocostas, 2020).
    Matched MeSH terms: Fear*
  16. Rafizan Abdul Razak, Eley Suzana Kasim, Dalila Daud
    ESTEEM Academic Journal, 2019;15(2):1-10.
    MyJurnal
    Cost and management accounting courses are incorporated in the accounting syllabus for both accounting and non-accounting students. One of the challenges in teaching cost and management accounting to the nonaccounting students is the general fear of accounting subject. Notwithstanding, most of the students still viewed accounting as an interesting subject. Hence, the learning problem faced by students needs to be addressed in a fun yet beneficial way. As such, the objective of this study is to assess the effectiveness of using the “Smart Costing Game” as a learning method to overcome this problem. The Smart Costing Game Kit was developed as a learning tool to enable students to correctly classify costs according to certain criteria and subsequently used the cost figures to compute total costs, profit and selling price. Four business settings are chosen consisting of bakery, restaurant, laundry and clinic. At the end of the game activities, the students are required to complete an online survey. Results from the survey demonstrated that the majority of the students agreed that the games were found to be more effective, motivating and engaging than traditional teaching. This implies that students have strong
    preferences in the use of educational games that added value to the costing subject. These results support the inclusion of Smart Costing Game as a successful learning strategy in cost and management accounting courses for the non-accounting students.
    Matched MeSH terms: Fear
  17. Alam Sher Malik, Rukhsana Hussain Malik
    MyJurnal
    Although the transformation towards adopting an Outcome-based Education (OBE) is gathering momentum globally, several medical schools are finding it hard to implement the change. Based and built on authors’ experience and cues from the literature, the tips – relating to the process of identification, description and dissemination of learning outcomes (LOs); usage of LOs to ascertain the curricular contents, the teaching/learning and assessment methods; implementing, monitoring and reviewing the curriculum – are the actions that the institutions of higher learning need to perform to transform the existing curriculum or to develop an altogether a new curriculum according to OBE approach. The development of the faculty through dialogues, discussions and training sessions should be an initial and essential step in this process. It is hoped that these tips will alley some of the fears and facilitate the adoption of OBE curriculum in new as well as in existing established institutions.
    Matched MeSH terms: Fear
  18. Muhamad Saiful Bahri Yusoff, Tan, Ying Jie, Ab Rahman Esa
    MyJurnal
    Objective: Medical housemanship training has always been regarded as a highly stressful environment to doctors. This article described findings on stress, stressors and coping strategies among house officers in a Malaysian hospital. Methods: A cross-sectional study was conducted on house officers in a Malaysian hospital. The 12 items General Health Questionnaire (GHQ-12), General Stressors Questionnaire (GSQ) and Brief COPE inventory were administered to measure perceived stress, sources of stress and coping strategies among house officers respectively. Data was analysed using SPSS version 12. Results: Forty two house officers participated in this study. This study found that approximately 31% of the house officers were in distress. The top five stressors were fears of making mistakes that can lead to serious consequences, work overload, working with uncooperative colleagues, doing
    work that mentally straining and feeling of being underpaid. The most frequent coping strategies used by house officers were religion, acceptance and self-distraction. Conclusion: This study found that there was a high percentage of distressed house officers. It also found that major stressors were related to performance pressure. The main coping strategy used by house officer was emotion-focused coping.
    Matched MeSH terms: Fear
  19. S.L. Tan
    ASM Science Journal, 2013;7(2):129-138.
    MyJurnal
    The paper seeks to assuage the fears and worries over living modified organisms (LMOs). It describes how any research carried out on LMOs as well as any release activity on LMOs for public use in Malaysia is controlled by the Biosafety Act 2007. Stringent risk assessment of the LMO and its product/s is carried out to eradicate or minimize the negative effects of these on animal and human health, and to biological diversity and the environment. In contrast, no such risk assessment is carried out on introduced exotic species, or on the products of other types of technology, with the exception of pharmaceuticals. Examples are given comparing risk assessment on LMOs and exotic species.
    Matched MeSH terms: Fear
  20. Seed, H.F., Thong, K.S., Siti-Nor Aizah, A.
    MyJurnal
    Although disturbance of consciousness in delirium patients have been well
    established, but sudden drop of Glasgow Coma Scale (GCS) level to three is
    frightening and mysterious. We are reporting a case of a delirious elderly
    man with multiple medical illnesses presented with acute precipitous
    decrement of GCS with pin point pupils bilaterally after given a course of
    benzodiazepines and regained full consciousness spontaneously 32 hours
    later. We discussed the use of deliriogenic medications in the context of
    delirious elderly gentleman with multiple medical illnesses. We also looked
    into the possible differentials of sudden drop of conscious level with bilateral
    pin point pupils.
    Matched MeSH terms: Fear
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