1.
Zain, Azhar Md; Rampal, Sanjay; Rampal, Lekhraj
A case control study on risk factors associated with drug addiction amongst Malaysian males Journal Article
In: Malaysian Journal of Medicine and Health Sciences, vol. 3, no. 2, pp. 17-27, 2007.
@article{RN781,
title = {A case control study on risk factors associated with drug addiction amongst Malaysian males},
author = {Azhar Md Zain and Sanjay Rampal and Lekhraj Rampal},
year = {2007},
date = {2007-01-01},
journal = {Malaysian Journal of Medicine and Health Sciences},
volume = {3},
number = {2},
pages = {17-27},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2.
Rampal, L; Rampal, S; Khor, G L; Zain, A M; Ooyub, S B; Rahmat, R B; Ghani, S N; Krishnan, J
A national study on the prevalence of obesity among 16,127 Malaysians Journal Article
In: Asia Pac J Clin Nutr, vol. 16, no. 3, pp. 561-6, 2007, ISSN: 0964-7058 (Print) 0964-7058.
@article{RN14651,
title = {A national study on the prevalence of obesity among 16,127 Malaysians},
author = {L Rampal and S Rampal and G L Khor and A M Zain and S B Ooyub and R B Rahmat and S N Ghani and J Krishnan},
issn = {0964-7058 (Print)
0964-7058},
year = {2007},
date = {2007-01-01},
journal = {Asia Pac J Clin Nutr},
volume = {16},
number = {3},
pages = {561-6},
abstract = {A population-based cross-sectional study was conducted in all states of Malaysia with the aim to determine the prevalence of obesity among Malaysians aged fifteen years and above and factors associated. A stratified two-stage cluster sampling design with proportional allocation was used. Trained interviewers using a standardized protocol obtained the weight and height measurements and other relevant information. Subjects with a body mass index \>= 30 kg/m2 were labelled as obese. The results show that the overall national prevalence of obesity among Malaysians aged 15 years old and above was 11.7% (95% CI = 11.1 - 12.4%). The prevalence of obesity was significantly higher in females (13.8%) as compared to 9.6% in males (p\< 0.0001). Prevalence of obesity was highest amongst the Malays (13.6%) and Indians (13.5%) followed by the indigenous group of "Sarawak Bumiputra" (10.8%) and the Chinese (8.5%). The indigenous group of "Sabah Bumiputra" had the lowest prevalence of 7.3%. These differences are statistically significant (p\< 0.0001). Logistic regression analysis results show that there was a significant association between obesity and age, gender, ethnicity urban/rural status and smoking status. The prevalence of obesity amongst those aged \>= 18 years old has markedly increased by 280% since the last National Health and Morbidity Survey in 1996. CONCLUSION: The overall prevalence of obesity in Malaysia is very high as compared to 1996. There is an urgent need for a comprehensive integrated population-based intervention program to ameliorate the growing problem of obesity in Malaysians.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
A population-based cross-sectional study was conducted in all states of Malaysia with the aim to determine the prevalence of obesity among Malaysians aged fifteen years and above and factors associated. A stratified two-stage cluster sampling design with proportional allocation was used. Trained interviewers using a standardized protocol obtained the weight and height measurements and other relevant information. Subjects with a body mass index >= 30 kg/m2 were labelled as obese. The results show that the overall national prevalence of obesity among Malaysians aged 15 years old and above was 11.7% (95% CI = 11.1 - 12.4%). The prevalence of obesity was significantly higher in females (13.8%) as compared to 9.6% in males (p< 0.0001). Prevalence of obesity was highest amongst the Malays (13.6%) and Indians (13.5%) followed by the indigenous group of "Sarawak Bumiputra" (10.8%) and the Chinese (8.5%). The indigenous group of "Sabah Bumiputra" had the lowest prevalence of 7.3%. These differences are statistically significant (p< 0.0001). Logistic regression analysis results show that there was a significant association between obesity and age, gender, ethnicity urban/rural status and smoking status. The prevalence of obesity amongst those aged >= 18 years old has markedly increased by 280% since the last National Health and Morbidity Survey in 1996. CONCLUSION: The overall prevalence of obesity in Malaysia is very high as compared to 1996. There is an urgent need for a comprehensive integrated population-based intervention program to ameliorate the growing problem of obesity in Malaysians.
3.
Al-Mekhlafi, M S; Atiya, A S; Lim, Y A; Mahdy, A K; Ariffin, W A; Abdullah, H C; Surin, J
An unceasing problem: soil-transmitted helminthiases in rural Malaysian communities Journal Article
In: Southeast Asian J Trop Med Public Health, vol. 38, no. 6, pp. 998-1007, 2007, ISSN: 0125-1562 (Print) 0125-1562.
@article{RN16042,
title = {An unceasing problem: soil-transmitted helminthiases in rural Malaysian communities},
author = {M S Al-Mekhlafi and A S Atiya and Y A Lim and A K Mahdy and W A Ariffin and H C Abdullah and J Surin},
issn = {0125-1562 (Print)
0125-1562},
year = {2007},
date = {2007-01-01},
journal = {Southeast Asian J Trop Med Public Health},
volume = {38},
number = {6},
pages = {998-1007},
abstract = {Despite great development in socioeconomic status throughout 50 years of independence, Malaysia is still plagued with soil-transmitted helminthiases (STH). STH continue to have a significant impact on public health particularly in rural communities. In order to determine the prevalence of STH among rural Orang Asli children and to investigate the possible risk factors affecting the pattern of this prevalence, fecal samples were collected from 292 Orang Asli primary schoolchildren (145 males and 147 females) age 7-12 years, from Pos Betau, Kuala Lipis, Pahang. The samples were examined by Kato-Katz and Harada Mori techniques. Socioeconomic data were collected using pre-tested questionnaires. The overall prevalence of ascariasis, trichuriasis, and hookworm infections were 67.8, 95.5 and 13.4%, respectively. Twenty-nine point eight percent of the children had heavy trichuriasis, while 22.3% had heavy ascariasis. Sixty-seven point seven percent of the children had mixed infections. Age \> 10 years (p = 0.016), no toilet in the house (p = 0.012), working mother (p = 0.040), low household income (p = 0.033), and large family size (p = 0.028) were identified as risk factors for ascariasis. Logistic regression confirmed low income, no toilet in the house and working mother as significant risk factors for ascariasis. The prevalence of STH is still very high in rural Malaysian communities. STH may also contribute to other health problems such as micronutrient deficiencies, protein-energy malnutrition and poor educational achievement. Public health personnel need to reassess current control measures and identify innovative and integrated ways in order to reduce STH significantly in rural communities.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Despite great development in socioeconomic status throughout 50 years of independence, Malaysia is still plagued with soil-transmitted helminthiases (STH). STH continue to have a significant impact on public health particularly in rural communities. In order to determine the prevalence of STH among rural Orang Asli children and to investigate the possible risk factors affecting the pattern of this prevalence, fecal samples were collected from 292 Orang Asli primary schoolchildren (145 males and 147 females) age 7-12 years, from Pos Betau, Kuala Lipis, Pahang. The samples were examined by Kato-Katz and Harada Mori techniques. Socioeconomic data were collected using pre-tested questionnaires. The overall prevalence of ascariasis, trichuriasis, and hookworm infections were 67.8, 95.5 and 13.4%, respectively. Twenty-nine point eight percent of the children had heavy trichuriasis, while 22.3% had heavy ascariasis. Sixty-seven point seven percent of the children had mixed infections. Age > 10 years (p = 0.016), no toilet in the house (p = 0.012), working mother (p = 0.040), low household income (p = 0.033), and large family size (p = 0.028) were identified as risk factors for ascariasis. Logistic regression confirmed low income, no toilet in the house and working mother as significant risk factors for ascariasis. The prevalence of STH is still very high in rural Malaysian communities. STH may also contribute to other health problems such as micronutrient deficiencies, protein-energy malnutrition and poor educational achievement. Public health personnel need to reassess current control measures and identify innovative and integrated ways in order to reduce STH significantly in rural communities.
4.
Haniff, J; Das, A; Onn, L T; Sun, C W; Nordin, N M; Rampal, S; Bahrin, S; Ganeslingam, M; Kularatnam, K I; Zaher, Z M
Anemia in pregnancy in Malaysia: a cross-sectional survey Journal Article
In: Asia Pac J Clin Nutr, vol. 16, no. 3, pp. 527-36, 2007, ISSN: 0964-7058 (Print) 0964-7058.
@article{RN782,
title = {Anemia in pregnancy in Malaysia: a cross-sectional survey},
author = {J Haniff and A Das and L T Onn and C W Sun and N M Nordin and S Rampal and S Bahrin and M Ganeslingam and K I Kularatnam and Z M Zaher},
issn = {0964-7058 (Print)
0964-7058},
year = {2007},
date = {2007-01-01},
journal = {Asia Pac J Clin Nutr},
volume = {16},
number = {3},
pages = {527-36},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
5.
Yong, S M; Saw, A; Sengupta, S; Bulgiba, A M
Bone Overgrowth after Fracture of the Femoral Shaft in Children Journal Article
In: Malaysian Orthopaedic Journal, vol. 1, no. 1, pp. 8-11, 2007.
@article{RN791,
title = {Bone Overgrowth after Fracture of the Femoral Shaft in Children},
author = {S M Yong and A Saw and S Sengupta and A M Bulgiba},
url = {http://morthoj.org/2007v1n1/bone_overgrowth.pdf},
year = {2007},
date = {2007-01-01},
journal = {Malaysian Orthopaedic Journal},
volume = {1},
number = {1},
pages = {8-11},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
6.
Doorslaer, E; O'Donnell, O; Rannan-Eliya, R P; Somanathan, A; Adhikari, S R; Garg, C C; Harbianto, D; Herrin, A N; Huq, M N; Ibragimova, S; Karan, A; Lee, T J; Leung, G M; Lu, J F; Ng, C W; Pande, B R; Racelis, R; Tao, S; Tin, K; Tisayaticom, K; Trisnantoro, L; Vasavid, C; Zhao, Y
Catastrophic payments for health care in Asia Journal Article
In: Health Econ, vol. 16, no. 11, pp. 1159-84, 2007, ISSN: 1057-9230 (Print) 1057-9230.
@article{RN790,
title = {Catastrophic payments for health care in Asia},
author = {E Doorslaer and O O'Donnell and R P Rannan-Eliya and A Somanathan and S R Adhikari and C C Garg and D Harbianto and A N Herrin and M N Huq and S Ibragimova and A Karan and T J Lee and G M Leung and J F Lu and C W Ng and B R Pande and R Racelis and S Tao and K Tin and K Tisayaticom and L Trisnantoro and C Vasavid and Y Zhao},
url = {http://onlinelibrary.wiley.com/store/10.1002/hec.1209/asset/1209_ftp.pdf?v=1\&t=jdjyc576\&s=49759bf2817b25302d926b7f9ce89f87b10f0ae6},
doi = {10.1002/hec.1209},
issn = {1057-9230 (Print)
1057-9230},
year = {2007},
date = {2007-01-01},
journal = {Health Econ},
volume = {16},
number = {11},
pages = {1159-84},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
7.
Tee, G H; Noran, N H; Farizah, H; Azhana, N H
Changing habits and attitudes towards smoking among future physicians Journal Article
In: Med J Malaysia, vol. 62, no. 5, pp. 383-7, 2007, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN789,
title = {Changing habits and attitudes towards smoking among future physicians},
author = {G H Tee and N H Noran and H Farizah and N H Azhana},
issn = {0300-5283 (Print)
0300-5283},
year = {2007},
date = {2007-01-01},
journal = {Med J Malaysia},
volume = {62},
number = {5},
pages = {383-7},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
8.
Ross, H; Al-Sadat, N A
Demand analysis of tobacco consumption in Malaysia Journal Article
In: Nicotine Tob Res, vol. 9, no. 11, pp. 1163-9, 2007, ISSN: 1462-2203 (Print) 1462-2203.
@article{RN787,
title = {Demand analysis of tobacco consumption in Malaysia},
author = {H Ross and N A Al-Sadat},
doi = {10.1080/14622200701648433},
issn = {1462-2203 (Print)
1462-2203},
year = {2007},
date = {2007-01-01},
journal = {Nicotine Tob Res},
volume = {9},
number = {11},
pages = {1163-9},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
9.
Dahlui, Maznah; Ibrahim, Hishamshah; Rahman, A J A; Shamsuddin, Khadijah; Aljunid, Syed
Desferrioxamine treatment in thalassaemia: A cost utility analysis Journal Article
In: Malaysian Journal of Public Health Medicine, vol. 7, no. 2, pp. 4-9, 2007.
@article{RN813,
title = {Desferrioxamine treatment in thalassaemia: A cost utility analysis},
author = {Maznah Dahlui and Hishamshah Ibrahim and A J A Rahman and Khadijah Shamsuddin and Syed Aljunid},
year = {2007},
date = {2007-01-01},
journal = {Malaysian Journal of Public Health Medicine},
volume = {7},
number = {2},
pages = {4-9},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
10.
Noran, AM Bulgiba MMG. Izunna NH
Does Severity of Visual Impairment Predict Depression in Elderly Malaysians? Proceedings
University of Malaya, 2007.
@proceedings{spm-2007-a,
title = {Does Severity of Visual Impairment Predict Depression in Elderly Malaysians?},
author = {AM Bulgiba MMG. Izunna NH Noran},
year = {2007},
date = {2007-07-28},
publisher = {University of Malaya},
abstract = {Does Severity of Visual Impairment Predict Depression in Elderly Malaysians?
Author: NH Noran (1), MMG. Izunna (2), AM Bulgiba (1), Z. Mimiwati (3) Mas Ayu Said (1)
(1) Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya, (2) Ministry of Health, Malaysia, (3) University Malaya Medical Centre
Objective: To evaluate the relationship between severity of visual impairment and depression among elderly Malaysians attending an eye clinic.
Results: After adjusting for important confounders, the severity of visual impairment either having a low vision or blind were independent risk factors of depression. The odds of developing depression among elderly with low vision were two times more than those with normal vision (adjusted OR 2.64: 95 % CI: 1.27, 5.50), and elderly who were blind had almost five times the odds to be depressed (adjusted OR 4.99: 95 % CI: 1.90, 12.95).},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}
Does Severity of Visual Impairment Predict Depression in Elderly Malaysians?
Author: NH Noran (1), MMG. Izunna (2), AM Bulgiba (1), Z. Mimiwati (3) Mas Ayu Said (1)
(1) Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya, (2) Ministry of Health, Malaysia, (3) University Malaya Medical Centre
Objective: To evaluate the relationship between severity of visual impairment and depression among elderly Malaysians attending an eye clinic.
Results: After adjusting for important confounders, the severity of visual impairment either having a low vision or blind were independent risk factors of depression. The odds of developing depression among elderly with low vision were two times more than those with normal vision (adjusted OR 2.64: 95 % CI: 1.27, 5.50), and elderly who were blind had almost five times the odds to be depressed (adjusted OR 4.99: 95 % CI: 1.90, 12.95).
Author: NH Noran (1), MMG. Izunna (2), AM Bulgiba (1), Z. Mimiwati (3) Mas Ayu Said (1)
(1) Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya, (2) Ministry of Health, Malaysia, (3) University Malaya Medical Centre
Objective: To evaluate the relationship between severity of visual impairment and depression among elderly Malaysians attending an eye clinic.
Results: After adjusting for important confounders, the severity of visual impairment either having a low vision or blind were independent risk factors of depression. The odds of developing depression among elderly with low vision were two times more than those with normal vision (adjusted OR 2.64: 95 % CI: 1.27, 5.50), and elderly who were blind had almost five times the odds to be depressed (adjusted OR 4.99: 95 % CI: 1.90, 12.95).
11.
Tan, Kok Leong; Ghani, S N
Effectiveness of 18-hour lactation management course organised by District Health Office for Health staff Journal Article
In: JUMMEC: Journal of Health and Translational Medicine (Formerly known as Journal of the University of Malaya Medical Centre), vol. 10, no. 1, pp. 21-24, 2007.
@article{RN788,
title = {Effectiveness of 18-hour lactation management course organised by District Health Office for Health staff},
author = {Kok Leong Tan and S N Ghani},
year = {2007},
date = {2007-01-01},
journal = {JUMMEC: Journal of Health and Translational Medicine (Formerly known as Journal of the University of Malaya Medical Centre)},
volume = {10},
number = {1},
pages = {21-24},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
12.
Yogeetha, R; Raman, R; Quek, K F
Effects of temperature changes on nasal patency Journal Article
In: Singapore Med J, vol. 48, no. 4, pp. 304-6, 2007, ISSN: 0037-5675 (Print) 0037-5675.
@article{RN16052,
title = {Effects of temperature changes on nasal patency},
author = {R Yogeetha and R Raman and K F Quek},
issn = {0037-5675 (Print)
0037-5675},
year = {2007},
date = {2007-01-01},
journal = {Singapore Med J},
volume = {48},
number = {4},
pages = {304-6},
abstract = {INTRODUCTION: This study aims to assess the difference in nasal patency and resistance to temperature changes objectively and subjectively. METHODS: This cross-sectional study involved 50 subjects without nasal obstruction. All these subjects were given a questionnaire to determine nasal obstruction subjectively on a visual analogue scale. Acoustic rhinometry was performed in all these subjects for objective measurement of nasal obstruction. The study was conducted in two separate rooms in the departmental laboratory where the temperatures were maintained at 30-33 degrees Celsius and an air-conditioned room at 18-22 degrees Celsius, respectively. RESULTS: The objective measurement to two different temperature exposures showed differences in nasal patency and resistance. There was an increase in nasal resistance and a decrease in nasal patency to air-conditioned air compared to room temperature air. Subjective assessment also showed significant correlation to the two temperature exposures. However, independent sample test only showed significant difference in the subjective questionnaire (p-value equals 0.001). Objective acoustic rhinometry did not show significant difference. CONCLUSION: There is no significant difference in objective acoustic rhinometry with regard to nasal resistance and patency with environmental temperature changes in the tropics.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
INTRODUCTION: This study aims to assess the difference in nasal patency and resistance to temperature changes objectively and subjectively. METHODS: This cross-sectional study involved 50 subjects without nasal obstruction. All these subjects were given a questionnaire to determine nasal obstruction subjectively on a visual analogue scale. Acoustic rhinometry was performed in all these subjects for objective measurement of nasal obstruction. The study was conducted in two separate rooms in the departmental laboratory where the temperatures were maintained at 30-33 degrees Celsius and an air-conditioned room at 18-22 degrees Celsius, respectively. RESULTS: The objective measurement to two different temperature exposures showed differences in nasal patency and resistance. There was an increase in nasal resistance and a decrease in nasal patency to air-conditioned air compared to room temperature air. Subjective assessment also showed significant correlation to the two temperature exposures. However, independent sample test only showed significant difference in the subjective questionnaire (p-value equals 0.001). Objective acoustic rhinometry did not show significant difference. CONCLUSION: There is no significant difference in objective acoustic rhinometry with regard to nasal resistance and patency with environmental temperature changes in the tropics.
13.
Goh, K L; Cheah, P L; Md, N; Quek, K F; Parasakthi, N
Ethnicity and H. pylori as risk factors for gastric cancer in Malaysia: A prospective case control study Journal Article
In: Am J Gastroenterol, vol. 102, no. 1, pp. 40-5, 2007, ISSN: 0002-9270 (Print) 0002-9270.
@article{RN16053,
title = {Ethnicity and H. pylori as risk factors for gastric cancer in Malaysia: A prospective case control study},
author = {K L Goh and P L Cheah and N Md and K F Quek and N Parasakthi},
doi = {10.1111/j.1572-0241.2006.00885.x},
issn = {0002-9270 (Print)
0002-9270},
year = {2007},
date = {2007-01-01},
journal = {Am J Gastroenterol},
volume = {102},
number = {1},
pages = {40-5},
abstract = {OBJECTIVE: To determine the risk factors for gastric cancer (GCA), with particular emphasis on ethnicity in our multiracial population. METHODS: A prospective case control study with ratio of cancer:controls of 1:2. Diagnosis of H. pylori was made by serology using the ELISA technique. Dietary intake was assessed by dietary recall over the preceding 6 months. RESULTS: Eighty-seven cases of GCA were enrolled. The cancers were predominantly distal in location and of the intestinal type. Risk factors identified following multiple logistic regression analysis were: Chinese race (OR 10.23 [2.87-36.47]), H. pylori (OR 2.54 [1.16-5.58]), low level of education (OR 9.81 [2.03-47.46]), smoking (OR 2.52 [1.23-5.15]), and high intake of salted fish and vegetables (OR 5.18 [1.35-20.00]) were identified as significant independent risk factors for GCA, while high intake of fresh fruits and vegetables was protective for GCA (OR 0.15 [0.04-0.64]). Chili intake was not a significant protective factor following multivariate analysis. CONCLUSIONS: Chinese race was a strong independent predictor of GCA. H. pylori was an important predictor of GCA with a 2.5-fold greater risk in our patients. Despite a high prevalence of H. pylori, the prevalence of GCA among Indians was low and this paradox can be appropriately called the "Indian enigma."},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
OBJECTIVE: To determine the risk factors for gastric cancer (GCA), with particular emphasis on ethnicity in our multiracial population. METHODS: A prospective case control study with ratio of cancer:controls of 1:2. Diagnosis of H. pylori was made by serology using the ELISA technique. Dietary intake was assessed by dietary recall over the preceding 6 months. RESULTS: Eighty-seven cases of GCA were enrolled. The cancers were predominantly distal in location and of the intestinal type. Risk factors identified following multiple logistic regression analysis were: Chinese race (OR 10.23 [2.87-36.47]), H. pylori (OR 2.54 [1.16-5.58]), low level of education (OR 9.81 [2.03-47.46]), smoking (OR 2.52 [1.23-5.15]), and high intake of salted fish and vegetables (OR 5.18 [1.35-20.00]) were identified as significant independent risk factors for GCA, while high intake of fresh fruits and vegetables was protective for GCA (OR 0.15 [0.04-0.64]). Chili intake was not a significant protective factor following multivariate analysis. CONCLUSIONS: Chinese race was a strong independent predictor of GCA. H. pylori was an important predictor of GCA with a 2.5-fold greater risk in our patients. Despite a high prevalence of H. pylori, the prevalence of GCA among Indians was low and this paradox can be appropriately called the "Indian enigma."
14.
Karunakaran, R; Raja, N S; Quek, K F; Hoe, V C; Navaratnam, P
Evaluation of the routine use of the anaerobic bottle when using the BACTEC blood culture system Journal Article
In: J Microbiol Immunol Infect, vol. 40, no. 5, pp. 445-9, 2007, ISSN: 1684-1182 (Print) 1684-1182.
@article{RN16048,
title = {Evaluation of the routine use of the anaerobic bottle when using the BACTEC blood culture system},
author = {R Karunakaran and N S Raja and K F Quek and V C Hoe and P Navaratnam},
issn = {1684-1182 (Print)
1684-1182},
year = {2007},
date = {2007-01-01},
journal = {J Microbiol Immunol Infect},
volume = {40},
number = {5},
pages = {445-9},
abstract = {The established practice of sending blood cultures in an aerobic-anaerobic pair of bottles has been questioned in recent years, and this study was conducted to evaluate the routine use of an anaerobic bottle in the BACTEC blood culture set at the University of Malaya Medical Centre, Kuala Lumpur, from January to December 2004. A total of 11,663 paired blood culture sets were received, of which 3326 were from pediatric patients and 8337 were from adult patients. The overall positive isolation rate was 15%; the positive isolation rate on excluding the anaerobic bottles was 13%. Overall, there were significantly more organisms isolated from the aerobic bottle (p\<0.05); however, the best yield was obtained on using the paired aerobic-anaerobic bottles. Among the positive blood culture sets, organisms were isolated from the anaerobic bottle alone in 15.2% of the pediatric sets and in 18.1% of the adult sets. Organisms that grew more frequently in the anaerobic bottle were anaerobes and some facultative anaerobes; however, the difference was not statistically significant except for anaerobes in the adult sets. We recommend that when culturing blood, an aerobic-anaerobic pair of bottles be used rather than an aerobic-aerobic pair, to optimize the recovery of a wider spectrum of organisms, including obligatory anaerobes.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The established practice of sending blood cultures in an aerobic-anaerobic pair of bottles has been questioned in recent years, and this study was conducted to evaluate the routine use of an anaerobic bottle in the BACTEC blood culture set at the University of Malaya Medical Centre, Kuala Lumpur, from January to December 2004. A total of 11,663 paired blood culture sets were received, of which 3326 were from pediatric patients and 8337 were from adult patients. The overall positive isolation rate was 15%; the positive isolation rate on excluding the anaerobic bottles was 13%. Overall, there were significantly more organisms isolated from the aerobic bottle (p<0.05); however, the best yield was obtained on using the paired aerobic-anaerobic bottles. Among the positive blood culture sets, organisms were isolated from the anaerobic bottle alone in 15.2% of the pediatric sets and in 18.1% of the adult sets. Organisms that grew more frequently in the anaerobic bottle were anaerobes and some facultative anaerobes; however, the difference was not statistically significant except for anaerobes in the adult sets. We recommend that when culturing blood, an aerobic-anaerobic pair of bottles be used rather than an aerobic-aerobic pair, to optimize the recovery of a wider spectrum of organisms, including obligatory anaerobes.
15.
Moy, F M; Lim, C H; Tan, C J A; Tay, S Y
Factors influencing the uptake of pap smear screening among malay women in a public university in Kuala Lumpur - a pilot study Journal Article
In: Malaysian Journal of Public Health Medicine, vol. 7, no. 2, pp. 23-28, 2007.
@article{RN815,
title = {Factors influencing the uptake of pap smear screening among malay women in a public university in Kuala Lumpur - a pilot study},
author = {F M Moy and C H Lim and C J A Tan and S Y Tay},
url = {http://www.myjurnal.my/public/article-view.php?id=62282},
year = {2007},
date = {2007-01-01},
journal = {Malaysian Journal of Public Health Medicine},
volume = {7},
number = {2},
pages = {23-28},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
16.
Tan, P C; Jacob, R; Quek, K F; Omar, S Z
Pregnancy outcome in hyperemesis gravidarum and the effect of laboratory clinical indicators of hyperemesis severity Journal Article
In: J Obstet Gynaecol Res, vol. 33, no. 4, pp. 457-64, 2007, ISSN: 1341-8076 (Print) 1341-8076.
@article{RN16049,
title = {Pregnancy outcome in hyperemesis gravidarum and the effect of laboratory clinical indicators of hyperemesis severity},
author = {P C Tan and R Jacob and K F Quek and S Z Omar},
doi = {10.1111/j.1447-0756.2007.00552.x},
issn = {1341-8076 (Print)
1341-8076},
year = {2007},
date = {2007-01-01},
journal = {J Obstet Gynaecol Res},
volume = {33},
number = {4},
pages = {457-64},
abstract = {OBJECTIVE: To determine pregnancy outcome in hyperemesis gravidarum and the effect of metabolic, biochemical, hematological and clinical indicators of disease severity on outcome. STUDY DESIGN: A retrospective study based on 166 women hospitalized for confirmed hyperemesis gravidarum from January 2004 to January 2005. For each woman, three controls matched for age, parity and ethnicity were obtained from our 2004 birth register. The effects of laboratory indicators of hyperemesis severity were separately analyzed within the hyperemesis gravidarum study group. Outcome measures include stillbirths, Apgar score, mode of delivery, low birthweight, preterm delivery, labor induction, pregnancy induced hypertension and gestational diabetes. Analysis was by t-test, Fisher's exact test and multivariable logistic regression analysis. RESULTS: Women with hyperemesis had similar pregnancy outcome compared to controls. In the analysis of laboratory indicators of hyperemesis severity and pregnancy outcomes, hypokalemia (adjusted odds ratio [AOR] 2.7: 95% confidence interval [CI] 1.0-6.8) was associated with emergency operative delivery, high creatinine (odds ratio 4.4: 95% CI 1.3-15) with labor induction and raised gamma glutamyltransferase (AOR 7.5: 95% CI 1.2-46) with the development of gestational diabetes. CONCLUSIONS: Hyperemesis gravidarum per se was not associated adverse pregnancy outcome. Hypokalemia, high creatinine and raised gamma glutamyltransferase in women with hyperemesis gravidarum were associated with adverse pregnancy outcome.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
OBJECTIVE: To determine pregnancy outcome in hyperemesis gravidarum and the effect of metabolic, biochemical, hematological and clinical indicators of disease severity on outcome. STUDY DESIGN: A retrospective study based on 166 women hospitalized for confirmed hyperemesis gravidarum from January 2004 to January 2005. For each woman, three controls matched for age, parity and ethnicity were obtained from our 2004 birth register. The effects of laboratory indicators of hyperemesis severity were separately analyzed within the hyperemesis gravidarum study group. Outcome measures include stillbirths, Apgar score, mode of delivery, low birthweight, preterm delivery, labor induction, pregnancy induced hypertension and gestational diabetes. Analysis was by t-test, Fisher's exact test and multivariable logistic regression analysis. RESULTS: Women with hyperemesis had similar pregnancy outcome compared to controls. In the analysis of laboratory indicators of hyperemesis severity and pregnancy outcomes, hypokalemia (adjusted odds ratio [AOR] 2.7: 95% confidence interval [CI] 1.0-6.8) was associated with emergency operative delivery, high creatinine (odds ratio 4.4: 95% CI 1.3-15) with labor induction and raised gamma glutamyltransferase (AOR 7.5: 95% CI 1.2-46) with the development of gestational diabetes. CONCLUSIONS: Hyperemesis gravidarum per se was not associated adverse pregnancy outcome. Hypokalemia, high creatinine and raised gamma glutamyltransferase in women with hyperemesis gravidarum were associated with adverse pregnancy outcome.
17.
Rampal, G R Lekhraj; Sidik, S Mohd; Rampal, S; Wong, Y J Daniel; Chow, P L; Liew, J S; Shum, Y S
Prevalence of Overweight among Secondary School Students in Klang District, Selangor Journal Article
In: Malays J Nutr, vol. 13, no. 1, pp. 1-8, 2007, ISSN: 1394-035X (Print) 1394-035x.
@article{RN786,
title = {Prevalence of Overweight among Secondary School Students in Klang District, Selangor},
author = {G R Lekhraj Rampal and S Mohd Sidik and S Rampal and Y J Daniel Wong and P L Chow and J S Liew and Y S Shum},
issn = {1394-035X (Print)
1394-035x},
year = {2007},
date = {2007-01-01},
journal = {Malays J Nutr},
volume = {13},
number = {1},
pages = {1-8},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
18.
Noran, N H; Salleh, N; Zahari, M
Relationship between reproductive exposures and age-related cataract in women Journal Article
In: Asia Pac J Public Health, vol. 19, no. 2, pp. 23-8, 2007, ISSN: 1010-5395 (Print) 1010-5395.
@article{RN784,
title = {Relationship between reproductive exposures and age-related cataract in women},
author = {N H Noran and N Salleh and M Zahari},
doi = {10.1177/10105395070190020501},
issn = {1010-5395 (Print)
1010-5395},
year = {2007},
date = {2007-01-01},
journal = {Asia Pac J Public Health},
volume = {19},
number = {2},
pages = {23-8},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
19.
Noran, N H; Nooriah, S; Mimiwati, Z
The association between body mass index and age related cataract Journal Article
In: Med J Malaysia, vol. 62, no. 1, pp. 49-52, 2007, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN783,
title = {The association between body mass index and age related cataract},
author = {N H Noran and S Nooriah and Z Mimiwati},
issn = {0300-5283 (Print)
0300-5283},
year = {2007},
date = {2007-01-01},
journal = {Med J Malaysia},
volume = {62},
number = {1},
pages = {49-52},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
20.
Noran, N H; Nooriah, S; Mimiwati, Z
The association between body mass index and age related cataract Journal Article
In: Med J Malaysia, vol. 62, no. 1, pp. 49-52, 2007, ISSN: 0300-5283 (Print) 0300-5283.
@article{RN14551,
title = {The association between body mass index and age related cataract},
author = {N H Noran and S Nooriah and Z Mimiwati},
issn = {0300-5283 (Print)
0300-5283},
year = {2007},
date = {2007-01-01},
journal = {Med J Malaysia},
volume = {62},
number = {1},
pages = {49-52},
abstract = {This study was carried out to determine the association between body mass index and age related cataract among patients attending eye clinic. We conducted a case control study. The outcome of clinical eye assessment determined the patient's status. Mean body mass index among the cases was shown to be higher (25.4 +/- 4.5) than the control group (24.4 +/- 3.9) (p \< 0.01). Crude analysis showed that only obese respondents were 2.4 times more likely to develop age related cataract, however this association was not seen in the multivariate analysis after adjusting for other determinants (aOR 1.81; 95% CI 0.91 - 3.62). We conclude that there is no association between body mass index and age related cataract.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
This study was carried out to determine the association between body mass index and age related cataract among patients attending eye clinic. We conducted a case control study. The outcome of clinical eye assessment determined the patient's status. Mean body mass index among the cases was shown to be higher (25.4 +/- 4.5) than the control group (24.4 +/- 3.9) (p < 0.01). Crude analysis showed that only obese respondents were 2.4 times more likely to develop age related cataract, however this association was not seen in the multivariate analysis after adjusting for other determinants (aOR 1.81; 95% CI 0.91 - 3.62). We conclude that there is no association between body mass index and age related cataract.
21.
Doorslaer, Eddy; O'Donnell, Owen; Rannan-Eliya, Ravi P.; Somanathan, Aparnaa; Adhikari, Shiva; Harbianto, Deni; Garg, Charu; Hanvoravongchai, Piya; Huq, Mohammed N.; Karan, Anup; Leung, Gabriel M.; Ng, Chiu Wan; Pande, Badri Raj; Tin, Keith; Tisayatikom, Kanjana; Trisnantoro, Laksono; Zhang, Yuhui; Zhao, Yuxin
The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia Journal Article
In: The World Bank Economic Review, vol. 21, no. 1, pp. 93-123, 2007.
@article{RN785,
title = {The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia},
author = {Eddy Doorslaer and Owen O'Donnell and Ravi P. Rannan-Eliya and Aparnaa Somanathan and Shiva Adhikari and Deni Harbianto and Charu Garg and Piya Hanvoravongchai and Mohammed N. Huq and Anup Karan and Gabriel M. Leung and Chiu Wan Ng and Badri Raj Pande and Keith Tin and Kanjana Tisayatikom and Laksono Trisnantoro and Yuhui Zhang and Yuxin Zhao},
doi = {10.1093/wber/lhl009},
year = {2007},
date = {2007-01-01},
journal = {The World Bank Economic Review},
volume = {21},
number = {1},
pages = {93-123},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
22.
Tan, P C; Vallikkannu, N; Suguna, S; Quek, K F; Hassan, J
In: Ultrasound Obstet Gynecol, vol. 29, no. 5, pp. 568-73, 2007, ISSN: 0960-7692 (Print) 0960-7692.
@article{RN16051,
title = {Transvaginal sonographic measurement of cervical length vs. Bishop score in labor induction at term: tolerability and prediction of Cesarean delivery},
author = {P C Tan and N Vallikkannu and S Suguna and K F Quek and J Hassan},
doi = {10.1002/uog.4018},
issn = {0960-7692 (Print)
0960-7692},
year = {2007},
date = {2007-01-01},
journal = {Ultrasound Obstet Gynecol},
volume = {29},
number = {5},
pages = {568-73},
abstract = {OBJECTIVES: To compare transvaginal sonography for cervical length measurement and digital examination for Bishop score assessment in women undergoing labor induction at term, to assess their tolerability (in terms of pain) and ability to predict need for Cesarean delivery. METHODS: A prospective study was performed on 249 women admitted for labor induction. Cervical length was measured using transvaginal ultrasound examination. A 10-point visual analog scale (VAS) for procedure-related pain was obtained. Bishop score was determined just before labor induction and another pain score was obtained. Delivery outcome was recorded. Analyses were by t-test, Fisher's exact test, receiver-operating characteristics (ROC) curves and multivariate logistic regression. RESULTS: Transvaginal sonography was significantly less painful than digital examination for Bishop score assessment (mean difference in VAS score 3.46; P\<0.001). Analyses of the ROC curves for cervical length and Bishop score indicated that both were predictors of Cesarean delivery (area under the curve 0.611 vs. 0.607; P=0.012 vs. P=0.015, respectively) with optimal cut-offs for predicting Cesarean delivery of \>20 mm for cervical length and Bishop score\<or=5. Cervical length had superior sensitivity (80% vs. 64%) and marginally better positive (30% vs. 27%) and negative (89% vs. 83%) predictive values. Multivariate logistic regression analysis revealed that only nulliparity (adjusted odds ratio (AOR) 4.1; 95% CI, 2.1-8.1; P\<0.001) and transvaginal sonographic cervical length\>20 mm (AOR 3.4; 95% CI, 1.4-8.1; P=0.006) were independent predictors of Cesarean delivery. CONCLUSIONS: Transvaginal sonography for cervical length measurement is better tolerated than digital examination for Bishop score assessment. Both cervical length and Bishop score are useful predictors of the need for Cesarean delivery following labor induction. A cervical length\>20 mm at labor induction at term is an independent predictor of Cesarean delivery.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
OBJECTIVES: To compare transvaginal sonography for cervical length measurement and digital examination for Bishop score assessment in women undergoing labor induction at term, to assess their tolerability (in terms of pain) and ability to predict need for Cesarean delivery. METHODS: A prospective study was performed on 249 women admitted for labor induction. Cervical length was measured using transvaginal ultrasound examination. A 10-point visual analog scale (VAS) for procedure-related pain was obtained. Bishop score was determined just before labor induction and another pain score was obtained. Delivery outcome was recorded. Analyses were by t-test, Fisher's exact test, receiver-operating characteristics (ROC) curves and multivariate logistic regression. RESULTS: Transvaginal sonography was significantly less painful than digital examination for Bishop score assessment (mean difference in VAS score 3.46; P<0.001). Analyses of the ROC curves for cervical length and Bishop score indicated that both were predictors of Cesarean delivery (area under the curve 0.611 vs. 0.607; P=0.012 vs. P=0.015, respectively) with optimal cut-offs for predicting Cesarean delivery of >20 mm for cervical length and Bishop score<or=5. Cervical length had superior sensitivity (80% vs. 64%) and marginally better positive (30% vs. 27%) and negative (89% vs. 83%) predictive values. Multivariate logistic regression analysis revealed that only nulliparity (adjusted odds ratio (AOR) 4.1; 95% CI, 2.1-8.1; P<0.001) and transvaginal sonographic cervical length>20 mm (AOR 3.4; 95% CI, 1.4-8.1; P=0.006) were independent predictors of Cesarean delivery. CONCLUSIONS: Transvaginal sonography for cervical length measurement is better tolerated than digital examination for Bishop score assessment. Both cervical length and Bishop score are useful predictors of the need for Cesarean delivery following labor induction. A cervical length>20 mm at labor induction at term is an independent predictor of Cesarean delivery.