Countries: Malaysia Health
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Total 32 results found since Jan 2013.
The integrated care pathway for managing post stroke patients (iCaPPS ©) in public primary care Healthcentres in Malaysia: impact on quality adjusted life years (QALYs) and cost effectiveness analysis
The delivery of post stroke care is fragmented even in advanced public healthcare systems, globally. Primary care teams are entrusted to provide longer term care for stroke survivors in most developing countri...
Source: BMC Geriatrics - February 18, 2020 Category: Geriatrics Authors: Aznida Firzah Abdul Aziz, Nor Azlin Mohd Nordin, Amrizal Muhd Nur, Saperi Sulong and Syed Mohamed Aljunid Tags: Research article Source Type: research
Older age and duration of exposure to type 2 diabetes in selective screening of asymptomatic carotid artery stenosis for primary stroke prevention —A single institution experience
Carotid artery disease is a well-known cause of stroke. In Malaysia, stroke is the third most common cause of death . To our knowledge, there is still limited information regarding stroke and its associated risk factors. Strokes from ischemic infarction of the brain is due to narrowing or occlusion from local thrombosis or embolization of a proximal thrombus. The incidence of ischemic stroke from carotid artery stenosis in an asymptomatic western population is approximately 2.7% according to a report from Netherlands by Hartog et al.
Source: Primary Care Diabetes - November 17, 2019 Category: Primary Care Authors: Lenny Suryani Safri, Henry Tan Chor Lip, M. Iqbal Saripan, Tan Jih Huei, K. Krishna, Mohamad Azim Md Idris, Hanafiah Harunarashid Tags: Original research Source Type: research
Medtronic Gives Heart Docs Something to & #039;MARVEL & #039; At
Study results published this week in theÂ Journal of the American College of Cardiology: Clinical ElectrophysiologyÂ showÂ that an investigational set of algorithms in Medtronic's Micra transcatheter pacing system (TPS) significantly improves synchrony and cardiac function in patients with impaired electrical conduction between the chambers of the heart, a condition called atrioventricular (AV) block. The results from the MARVEL 2 study are expected to be presented Nov. 16 at the American Heart Association's annual scientific sessions. Medtronic said that based on positive results from both...
Source: MDDI - November 11, 2019 Category: Medical Devices Authors: Amanda Pedersen Tags: Implants Source Type: news
Development of questionnaire on awareness and action towards symptoms and risk factors of heart attack and stroke among a Malaysian population
The awareness of symptoms and action towards heart attack and stroke is important to reduce the morbidity and mortality in both developed and developing countries. The aim of this study was to develop a questi...
Source: BMC Public Health - October 16, 2019 Category: Consumer Health News Authors: Abdullah Abdulmajid Abdo Ahmed, Abdulkareem Mohammed AL-Shami, Shazia Jamshed and Abdul Rahman Fata Nahas Tags: Research article Source Type: research
Exploring stroke survivors & rsquo; self-efficacy in understanding and taking medication and determining associated factors: a cross-sectional study in a neurology clinic in Malaysia
Source: Patient Preference and Adherence - August 28, 2019 Category: International Medicine & Public Health Tags: Patient Preference and Adherence Source Type: research
Understandings stroke in rural Malaysia: ethnographic insights.
Conclusion: Lack of knowledge about stroke and its symptoms was evident in participants' account. Findings emphasize the importance of knowledge based health interventions, especially in health education strategies for stroke survivors to reduce delays to diagnosis and potentially improve health outcomes post-stroke. Implications for rehabilitation Stroke survivors often form explanatory models of stroke that draw from both biomedical and traditional explanations of stroke. Understanding how people derive lay understandings of stroke can contribute towards developing the goals and activities that facilitate recovery and re...
Source: Disability and Rehabilitation - June 6, 2019 Category: Rehabilitation Authors: Yap KH, Warren N, Allotey P, Reidpath DD Tags: Disabil Rehabil Source Type: research
Mesenchymal Stromal Cells (Cyto-MSC) are Well-tolerated and Associated with Renal Function Improvement in Patients with Chronic Kidney Disease: An Observational Retrospective Study
Conclusion MethodologyThere were 4 clinical trials approved at the National University Malaysia in collaboration with Cytopeutics (Cyberjaya, Malaysia) which provided the mesenchymal stromal cells (Cyto-MSC) for treatment of acute stroke, heart failure, diabetes with critical limb ischemia and severe deforming osteoarthritis. All patients received 65-130 × 106 Cyto-MSC intravenously. Severity of chronic kidney disease is based on baseline estimated glomerular filtration rate (eGFR) and serum creatinine which are markers of renal dysfunction. These and other blood tests including fasting blood sugar (FBS) and Hba1c (ma...
Source: Cytotherapy - May 24, 2019 Category: Cytology Source Type: research
Predictors of Quality of Life among Older People with Mild Cognitive Impairment Attending Urban Primary Care Clinics.
CONCLUSIONS: MCI was prevalent among study participants and were associated with poorer QOL in all domains of QOL. A better understanding of predictors of QOL in older people with MCI is deemed important. CLINICAL IMPLICATION: Routine cognitive screening at primary care clinics will facilitate early recognition of MCI and facilitates referral to memory clinics for further assessment and treatment. PMID: 31107185 [PubMed - as supplied by publisher]
Source: Clinical Gerontologist - May 21, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research
Periodontal Disease Is Associated With Increased Risk of Hypertension: A Cross-Sectional Study
Conclusion: Periodontal disease is significantly and positively correlated with increased risk of hypertension in Chinese population, and exact mechanisms of this association should be explored in future. Introduction Periodontal disease is a complex polymicrobial inflammation, including gingivitis and periodontitis. According to the 2015 Global Burden of Disease (GBD) study, the prevalence of severe chronic periodontitis in 2015 has reached 616 million (Kassebaum et al., 2017). In China, the periodontal disease standardized DALYs rate has risen from 24.7 in 1990 to 25.7 in 2013 according to the data from 2013 GBD ...
Source: Frontiers in Physiology - April 25, 2019 Category: Physiology Source Type: research
Atrial Transcriptional Profiles of Molecular Targets Mediating Electrophysiological Function in Aging and Pgc-1 β Deficient Murine Hearts
Conclusion: These findings limit the possible roles of gene transcriptional changes in previously reported age-dependent pro-arrhythmic electrophysiologial changes observed in Pgc-1β-/- atria to an altered Ca2+-ATPase (Atp2a2) expression. This directly parallels previously reported arrhythmic mechanism associated with p21-activated kinase type 1 deficiency. This could add to contributions from the direct physiological outcomes of mitochondrial dysfunction, whether through reactive oxygen species (ROS) production or altered Ca2+ homeostasis. Introduction Atrial arrhythmias constitute a major public health pro...
Source: Frontiers in Physiology - April 24, 2019 Category: Physiology Source Type: research
Asymptomatic Carotid Stenosis Is Associated With Circadian and Other Variability in Embolus Detection
Conclusions: Embolism associated with asymptomatic carotid stenosis shows circadian variation with highest rates 4–6 h before midday. This corresponds with peak circadian incidence of stroke and other vascular complications. These and ASED Study results show that monitoring frequency, duration, and time of day are important in ES detection. Introduction Transcranial Doppler (TCD) detected microembolism in the ipsilateral middle cerebral artery (MCA) may help stratify the risk of stroke and other arterial disease complications in persons with advanced (≥60%) asymptomatic carotid stenosis. If so, this t...
Source: Frontiers in Neurology - April 16, 2019 Category: Neurology Source Type: research
Isolation of Antimicrobial Compounds From Cnestis ferruginea Vahl ex. DC (Connaraceae) Leaves Through Bioassay-Guided Fractionation
Conclusion In conclusion, aqueous extracts of C. ferruginea leaves showed antimicrobial activity due to the presence of hydroquinone and caffeic acid methyl ester. This supports its traditional use for infections and confirmed that the active molecules are water-soluble. Author Contributions KK, SP, LVP, and WL conceived and designed the experiments. SP, KK, M-RY, and J-GL performed the experiments. SP, LVP, WL, M-RY, J-GL, and Z-HJ analyzed the data. WL and Z-HJ contributed reagents, materials, and analysis tools. KK, SP, WL, M-RY, Z-HJ, and LVP contributed to the writing of the manuscript. All authors contributed to m...
Source: Frontiers in Microbiology - April 11, 2019 Category: Microbiology Source Type: research
Trends in stroke outcomes at hospital discharge in first-ever stroke patients: Observations from the Malaysia National Stroke Registry (2009 –2017)
Stroke outcomes could be a quality indicator across the continuum of care and inform stroke management policymaking. However, this topic has rarely to date been studied directly.
Source: Journal of the Neurological Sciences - April 10, 2019 Category: Neurology Authors: Xin Wee Chen, Mohd Nazri Shafei, Zariah Abdul Aziz, Norsima Nazifah Sidek, Kamarul Imran Musa Source Type: research
Contextual factors that shape recovery after stroke in Malaysia.
CONCLUSION: The identification of factors that facilitate the recovery process provides a background in which health care providers can utilise to improve their understanding of the stroke experience. Such understanding could be instrumental in aiding health professionals to offer the most effective help to their clients. Implications for rehabilitation Identification of contextual factors provides a background for the understanding of the stroke experience. Incorporation of religion into rehabilitation could support and maintain hope in recovery for the survivors and aid acceptance. A collaboration of healthcare professio...
Source: Disability and Rehabilitation - April 5, 2019 Category: Rehabilitation Authors: Mairami FF, Warren N, Allotey PA, Reidpath DD Tags: Disabil Rehabil Source Type: research
Ekso Bionics Steps Up to Develop Exoskeleton Market in Asia
China is expected to have 30 million stroke patients by 2030, and many of those patients will have some degree of disability. And yet, the stroke and spinal cord rehabilitation industry in China is not as developed as it is in the United States. A new joint venture between Ekso Bionics,Â Zhejiang Youchuang Venture Capital Investment (ZYVC) and Zhejiang Silicon Paradise Asset Management Group could change that. "This joint venture is a transformative opportunity both for Ekso Bionics and for the millions of Chinese stroke and spinal cord injury patients who currently have limited access to advanced rehabilitation...
Source: MDDI - January 30, 2019 Category: Medical Devices Authors: MDDI Staff Tags: Orthopedics Source Type: news
Chronic disease profiles of subjective memory complaints: a latent class analysis of older people in a rural Malaysian community.
CONCLUSION: Adapting a combination of analytical approaches allows a better understanding in the assessment of SMC's relationship with chronic diseases and the patterns of distribution of these health conditions. PMID: 30588848 [PubMed - as supplied by publisher]
Source: Aging and Mental Health - December 27, 2018 Category: Geriatrics Authors: Yap KH, Warren N, Allotey P, Reidpath DD Tags: Aging Ment Health Source Type: research
Predictors of functional outcome in patients with stroke thrombolysis in a tertiary hospital in Malaysia.
CONCLUSION: Our newly developed Malaysian IV rt-PA service is safe, with similar outcomes to the published literature. Functional outcome after thrombolysis was associated with baseline NIHSS scores and DM. PMID: 30488077 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - November 29, 2018 Category: General Medicine Authors: Tai MS, Goh KJ, Kadir KAA, Zakaria MI, Yap JF, Tan KS Tags: Singapore Med J Source Type: research
Validation of the caregiving knowledge questionnaire-my: Measuring knowledge regarding positioning and feeding among Malaysian informal caregivers of stroke patients
Conclusions: CKQ-My has good internal consistency and construct validity for the subscales measuring stroke caregivers' knowledge about positioning and feeding of stroke patients. It has potential as an assessment of effectiveness of caregiver training and for future studies on long-term stroke outcomes in Malaysia.
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Chai-Eng Tan Aznida F Abdul Aziz May-Yin Hi Nur Sarah A Azmi Nur Khairina Ishak Fathin Alyaa Mohamad Farid Mohammad Nazri Zulkafli Source Type: research
Documenting the impact of stroke in a middle-income country: a Malaysian case study.
CONCLUSION: In LMIC, recovery can be shaped by the family unit and through active coping strategies especially those in relation to spirituality. Implications for rehabilitation The impact of stroke on survivors and lack of specialized stroke care compromise the recovery process and quality of life for stroke survivors in low and middle-income countries. Support from the family and reinforcement of religious coping were judged to successfully aid recovery. Physical and emotional impairments as well as psychosocial wellbeing of survivors in the context of environmental factors need to be addressed. PMID: 30183424 [PubM...
Source: Disability and Rehabilitation - September 5, 2018 Category: Rehabilitation Authors: Mairami FF, Warren N, Allotey PA, Mak JS, Reidpath DD Tags: Disabil Rehabil Source Type: research
Economic burden of stroke: a systematic review on post-stroke care
ConclusionThe highest PSC costs were observed in the USA, with rehabilitation services being the main cost driver. Due to diversity in reporting, it was not possible to conduct a detailed cost analysis addressing different segments of services. Further approaches should benefit from the advantages of administrative and claims data, focusing on inpatient/outpatient PSC cost and its predictors, assuring appropriate resource allocation.
Source: The European Journal of Health Economics - June 16, 2018 Category: Health Management Source Type: research
The effectiveness of culturally tailored video narratives on medication understanding and use self-efficacy among stroke patients: A randomized controlled trial study protocol
Discussion and conclusion: The study should be able to determine if video narrative can induce a positive behavioral change towards stroke risk factor control via enhanced medication understanding and use self-efficacy. This intervention is innovative as it combines health belief, motivation, and role model concept to trigger self-efficacy in maintaining healthy behaviors and better disease management. Trial registration: ACTRN (12618000174280).
Source: Medicine - June 1, 2018 Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research
Oral hygiene practices and knowledge among stroke ‐care nurses: a multi‐center cross‐sectional study
ConclusionsThe clinical practice of providing oral hygiene care is less than ideal and there are deficiencies in oral health knowledge for stroke care. Oral health knowledge was associated with clinical practice of providing oral hygiene care. This has implications for training and integrating oral hygiene care within stroke rehabilitation.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - December 21, 2017 Category: Nursing Authors: Normaliza Ab. Malik, Saari Mohamad Yatim, Norhayati Hussein, Hanita Mohamad, Colman McGrath Tags: Original Article Source Type: research
A multi ‐centre randomised clinical trial of oral hygiene interventions following stroke—A 6‐month trial
This study aimed to evaluate the effectiveness of two oral health promotion (OHP) programmes to reduce dental plaque levels following stroke. A multi‐centre randomised clinical control trial was conducted among patients hospitalised following stroke in Malaysia. Patients were randomly allocated to two OHP groups: (i) control group who received the conventional method for plaque control—daily manual tooth brushing with a standardised commercial toothpaste, (ii) test group—who received an intense method for plaque control—daily powered tooth brushing with 1% Chlorhexidine gel. Oral health assessments were performed a...
Source: Journal of Oral Rehabilitation - November 23, 2017 Category: Dentistry Authors: N. Ab Malik, S. Mohamad Yatim, F. Abdul Razak, O. L. T. Lam, L. Jin, L. S. W. Li, C. McGrath Tags: ORIGINAL ARTICLE Source Type: research
Prescription of secondary preventive drugs after ischemic stroke: results from the Malaysian National Stroke Registry
This study assessed the prescription of secondary preventive drugs among ischemic stroke patients upon hospital dis...
Source: BMC Neurology - November 23, 2017 Category: Neurology Authors: Wen Yea Hwong, Zariah Abdul Aziz, Norsima Nazifah Sidek, Michiel L. Bots, Sharmini Selvarajah, L. Jaap Kappelle, Sheamini Sivasampu and Ilonca Vaartjes Tags: Research article Source Type: research
A multi ‐centre randomized clinical trial of oral hygiene interventions following stroke – a 6‐months trial
ConclusionBoth, ‘Conventional’ and ‘Intense’ oral health promotion programmes may successfully reduce dental plaque during stroke rehabilitation and are of comparable effectiveness. Baseline dental plaque levels and functional dependency level were key factors associated with dental plaque levels at follow‐up at 6‐months.This article is protected by copyright. All rights reserved.
Source: Journal of Oral Rehabilitation - November 1, 2017 Category: Dentistry Authors: Normaliza Ab Malik, Saari Mohamad Yatim, Fathilah Abdul Razak, Otto Lok Tao Lam, Lijian Jin, Leonard. S. W. Li, Colman McGrath Tags: Original Article Source Type: research
Any type of physical exercise is good for the heart
Conclusion This study shows that all physical activity, in any form, is good for us. This includes both recreational and non-recreational activities. Don't be misled by some of the media: non-recreational activities like housework are not "better" than recreational activities like playing sports or going to the gym. The fact that reduced risk was seen with non-recreational activity across all countries, but only seen with recreational activity in high-income countries was probably just because fewer people in lower-income countries play sports or go to the gym. The researchers estimate that 8% of all deaths and...
Source: NHS News Feed - September 22, 2017 Category: Consumer Health News Tags: Lifestyle/exercise Source Type: news
The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study
We examined whether different amounts and types of physical activity are associated with lower mortality and CVD in countries at different economic levels. Methods In this prospective cohort study, we recruited participants from 17 countries (Canada, Sweden, United Arab Emirates, Argentina, Brazil, Chile, Poland, Turkey, Malaysia, South Africa, China, Colombia, Iran, Bangladesh, India, Pakistan, and Zimbabwe). Within each country, urban and rural areas in and around selected cities and towns were identified to reflect the geographical diversity. Within these communities, we invited individuals aged between 35 and 70 years ...
Source: The Lancet - September 22, 2017 Category: General Medicine Source Type: research
Results of global fats and carbs study not very relevant for UK
Conclusion The results of the study have been presented in the media as if they overturn all current dietary guidelines. In the UK at least, that is completely misleading. The study results support the UK guidelines, having found that people who get around 50% of their calories from carbohydrates and 35% from fat, as recommended by Public Health England, were likely to live the longest. There are some limitations to the study, not least that observational studies cannot prove cause and effect. For example, the very low fat and high carbohydrate levels of diets found among some participants in the study might simply repres...
Source: NHS News Feed - August 30, 2017 Category: Consumer Health News Tags: Food/diet Source Type: news
Adaptive invention: independence and mobility through modifications.
CONCLUSIONS: Stroke recovery involves adapting to new limitations and discovering the support necessary to live life. These changes are influenced by a range of environmental factors. Healthcare professionals need to support stroke patients in identifying challenges and work to find innovative ways to address them. Stroke survivors may benefit from the use of an assistive device beyond its clinical function to participate purposefully in activities of daily living. Implications for Rehabilitation Stroke is a cause of disability that limits everyday activities and reduces social participation. Assistive devices help achieve...
Source: Disability and Rehabilitation. Assistive Technology. - August 24, 2017 Category: Rehabilitation Authors: Mairami FF, Allotey P, Warren N, Mak JS, Reidpath DD Tags: Disabil Rehabil Assist Technol Source Type: research
Prevalence of atrial fibrillation in the Malaysian communities
Conclusions The prevalence of AF in the Malaysian population was low at 0.54% compared to the global average of 1%. We found that AF was associated with older age, male sex, hypertension, and ischaemic heart disease.
Source: Heart Asia - November 18, 2016 Category: Cardiology Authors: Lim, C. W., Kasim, S., Ismail, J. R., Chua, N. Y. C., Najme Khir, R., Zainal Abidin, H. A., Abdul Rahman, E., Mohd Arshad, M. K., Ibrahim Othman, Z., Yusoff, K. Tags: Original research Source Type: research
Factors associated with abrupt discontinuation of dabigatran therapy in patients with atrial fibrillation in Malaysia
Conclusion Abrupt dabigatran discontinuation without an alternative oral anticoagulant increases the risk of thromboembolic events. As adverse drug events and renal impairment contribute substantially to the premature discontinuation of dabigatran, it is important to identify and monitor patients at risk to reduce dabigatran discontinuation rate especially during the first six months of dabigatran therapy.
Source: International Journal of Clinical Pharmacy - September 22, 2016 Category: Drugs & Pharmacology Source Type: research
Gender disparities and thrombolysis use among patient with first-ever ischemic stroke in Malaysia.
DISCUSSION: First-ever ischemic stroke incidence increased by 24.3 and 11.2% among female and male annually. There were distinct symptoms at hospital presentation between genders. All our patients discharged home regardless of genders. In summary, Malaysian female first-ever ischemic stroke was older, present with severe stroke, greater number of risk factors and poorer functional outcome and 30-day in-hospital mortality compared to male. PMID: 27142804 [PubMed - as supplied by publisher]
Source: Neurological Research - May 6, 2016 Category: Neurology Tags: Neurol Res Source Type: research