Displaying publications 21 - 40 of 173 in total

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  1. Fulltext Challenges in imaging and histopathological assessment of a giant cell tumour with secondary aneurysmal cyst in the patella
    Low SF, Hanafiah M, Nurismah MI, Suraya A
    BMJ Case Rep, 2013;2013.
    PMID: 24057334 DOI: 10.1136/bcr-2013-200790
    The patella is an uncommon site for all primary and metastatic bone tumours and primary intra-osseous tumours of the patella are very rare. A majority of the patella tumours are benign. We report a patient with a sudden onset swelling and pain of the right knee following a staircase fall. The plain radiograph showed an expansile multiseptated patella lesion and it was further assessed with an MRI. The radiological findings and the initial histopathological features from a limited sample were suggestive of a primary aneurysmal bone cyst. However, the final histopathological diagnosis from a more adequate specimen was a giant cell tumour with a secondary aneurysmal bone cyst.
    Matched MeSH terms: Accidental Falls
  2. Fulltext Codonoboea personatiflora (Gesneriaceae), a new species from Peninsular Malaysia
    Kiew R, Sam YY
    PhytoKeys, 2012.
    PMID: 23717186 DOI: 10.3897/phytokeys.18.3487
    Codonoboea personatiflora Kiew & Y.Y.Sam, sp. nov., is described from lowland forest in the foothills in Terengganu, Peninsular Malaysia. It is unique in the genus in its personate flower. Its conservation status falls within the IUCN Endangered category.
    Matched MeSH terms: Accidental Falls
  3. Assessing global risk factors for non-fatal injuries from road traffic accidents and falls in adults aged 35-70 years in 17 countries: a cross-sectional analysis of the Prospective Urban Rural Epidemiological (PURE) study
    Raina P, Sohel N, Oremus M, Shannon H, Mony P, Kumar R, et al.
    Inj Prev, 2016 Apr;22(2):92-98.
    PMID: 26512093 DOI: 10.1136/injuryprev-2014-041476
    To assess risk factors associated with non-fatal injuries (NFIs) from road traffic accidents (RTAs) or falls.
    Matched MeSH terms: Accidental Falls
  4. Fulltext Occupational safety and health practice in school's classroom in Malaysia
    Noor Adilah Hamzah, Ahmad Rasdan Ismail, Nor Kamilah Makhtar, Khairul Azhar Mat Daud, Norhidayah Mat Sout
    Journal of Occupational Safety and Health, 2018;15(2):13-22.
    MyJurnal
    Today, more accidents reported in school, resulting not only minor injuries but also severe injuries such as fire in schools, mercury spills and falling from high places. The study was aimed at measuring the level of occupational safety and health practices in schools. The study was conducted at 205 schools in Kelantan, Malaysia. This study is a semi-quantitative study using observation method. Data collection is conducted based on Hazard Identification, Risk Assessment and Risk Control (HIRARC) Guidelines provided by the Department of Occupational Safety and Health, Malaysia. Hazard identification, risk assessment and risk control are determined using the HIRARC form. The findings were measured by determining the discrete data according to the number of low, medium and high-risk levels found. The study found that there were two dominant hazards namely physical hazard and ergonomic hazard. Therefore, the management should increase and improve classroom safety awareness to ensure safety and health of all occupants.
    Matched MeSH terms: Accidental Falls
  5. A study on body movement analysis by the foot slip pattern in a fall
    Kim SH, Kim DW
    Sains Malaysiana, 2015;44:1745-1750.
    A fracture, which mostly results from a fall, is fatal for the elderly. A fall occurred when a person cannot maintain the
    body position. Most falls occurred when a person walks on a slippery surface or trips over an object on the ground during
    a gait. Most people try to avoid falls instinctively and fall when their attempt fails. As such, this study investigated the
    difference between two movements- a movement to avoid falls and a forward-falling movement without a fall-avoiding
    movement- by analyzing the body movements of the subjects. A fast-moving fall-guiding device with a pneumatic actuator
    was used to guide falls. The movement of the device could simulate a foot slip that may happen during daily activities.
    A three-axis acceleration sensor and a Bluetooth module were used to avoid disturbing the body movement during a fall
    as a wire sensor or a movement analysis system does.
    Matched MeSH terms: Accidental Falls
  6. Fulltext Standing Up for Frailty: Blood Pressure Changes Do Matter
    Tan MP
    J Am Heart Assoc, 2020 04 07;9(7):e016222.
    PMID: 32223391 DOI: 10.1161/JAHA.120.016222
    Matched MeSH terms: Accidental Falls
  7. Fulltext Thismiadomei and T.terengganuensis (Thismiaceae), two new species, and T.javanica, a new record from Terengganu, Peninsular Malaysia
    Yunoh SM, Nikong D
    PhytoKeys, 2019;124:123-137.
    PMID: 31274980 DOI: 10.3897/phytokeys.124.34728
    Two new species of the mycoheterotrophic genus Thismia Griff. (Thismiaceae), Thismiadomei Siti-Munirah and T.terengganuensis Siti-Munirah from Peninsular Malaysia, are described and illustrated. Thismiadomei, characterized by its perianth lobes that are upright and curve inward, but are imperfectly connate, falls within sectionOdoardoa. Thismiaterengganuensis is characterized by its mitre with three appendages on its apex, so falls within sectionGeomitra. Both new species are unique and totally different from other described species, T.domei by the trichomes on its outer perianth tube surface and T.terengganuensis by its mitre with slender appendages. Thismiajavanica J.J.Sm, also from Terengganu, is a new record for Peninsular Malaysia.
    Matched MeSH terms: Accidental Falls
  8. Reply to the comments on "Higher levels of lead and aluminium are associated with increased risk of falls among community-dwelling older adults: An 18-month follow-up study"
    Ooi TC, Singh DKA, Shahar S, Rajab NF, Sharif R
    Geriatr Gerontol Int, 2022 02;22(2):183-185.
    PMID: 34984783 DOI: 10.1111/ggi.14337
    Matched MeSH terms: Accidental Falls
  9. Fulltext Design of High Impedance Electromagnetic Surfaces for Mutual Coupling Reduction in Patch Antenna Array
    Islam MT, Alam MS
    Materials (Basel), 2013 Jan 07;6(1):143-155.
    PMID: 28809299 DOI: 10.3390/ma6010143
    A compact planar meander-bridge high impedance electromagnetic structure (MBHIES) was designed and its bandgap characteristics, mutual coupling reduction abilities were studied and compared in detail. Several parametric analyses were performed to obtain optimized design values and the transmission responses were calculated through the suspended microstrip line and waveguide simulation methods. The achieved bandgap is 2.3 GHz (2.55-4.85 GHz) with -61 dB minimum transmission coefficient level at the center frequency of 3.6 GHz. To see the effectiveness, the proposed design was inserted between a microstrip patch antenna array which operates at 3.8 GHz and whose operating bandwidth falls within the MBHIES bandgap. The surface wave suppression phenomenon was analyzed and simulated results are verified by measuring the fabricated prototypes, both are in good agreement. The configuration reduced the mutual coupling by 20.69 dB in simulation and 19.18 dB in measurement, without affecting the radiation characteristics of the array but increasing the gain slightly.
    Matched MeSH terms: Accidental Falls
  10. Fulltext Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis
    Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WA
    PLoS One, 2014;9(3):e92270.
    PMID: 24642715 DOI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC39584
    Balance is essential for mobility and performing activities of daily living. People with knee osteoarthritis display impairment in knee joint proprioception. Thus, the aim of this study was to evaluate balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. Sixty subjects aged between 50 and 70 years volunteered in this study. They were categorized into three groups which were healthy (n = 20), mild (n = 20) and moderate (n = 20) bilateral knee osteoarthritis groups. Dynamic and static balance and risk of fall were assessed using Biodex Stability System. In addition, Timed Up and Go test was used as a clinical test for balance. Results of this study illustrated that there were significant differences in balance (dynamic and static) and risk of fall between three groups. In addition, the main (most significant) difference was found to be between healthy group and moderate group. Furthermore, on clinical scoring of balance, the "Timed Up and Go" test, all three groups showed significant difference. In conclusion, bilateral knee osteoarthritis impaired the balance and increased the risk of fall, particularly in people with moderate knee osteoarthritis.
    Matched MeSH terms: Accidental Falls*
  11. Fulltext Prevalence of falls and its associated factors among elderly diabetes in a tertiary center, Malaysia
    Azidah AK, Hasniza H, Zunaina E
    Curr Gerontol Geriatr Res, 2012;2012:539073.
    PMID: 22693496 DOI: 10.1155/2012/539073
    The purpose of this study is to determine the prevalence of falls and its associated factors among elderly diabetes type 2 patients attending a tertiary center in Malaysia. We conducted a cross-sectional study among 288 elderly diabetes type 2. The data collected includes data on sociodemographic, diabetes history, comorbid diseases, drug use, and activity of daily living (Barthel's index). The patient also was examined physically, and balance and gait assessment was carried out. Prevalence of falls among elderly diabetes was 18.8%. Female gender (OR: 2.54, P < 0.05), age group more than 75 (OR: 2.97, P < 0.05), retinopathy (OR: 2.19, P < 0.05), and orthostatic hypotension (OR: 2.87, P < 0.05) were associated with higher risk for falls. High balance and gait score was associated with reduced risk of fall in elderly diabetes (OR: 0.89, P < 0.05). In conclusion, the factors that are associated with higher risk for falls among elderly diabetes were female sex, age group more than 75, presence of retinopathy, and orthostatic hypotension. Those who had higher balance and gait score were found to be less likely to fall compared with those with lower score.
    Study site: Hospital Universiti Sains Malaysia, Kelantan, Malaysia
    Questionnaires, Scales, Device: Tinetti Balance and Gait Assessment; 5.07 Semmes- Weinstein monofilament; Barthel’s index
    Study site: Diabetic clinic, Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia
    Matched MeSH terms: Accidental Falls*
  12. Fulltext Impact of Knee Pain on Fear of Falling, Changes in Instrumental Activities of Daily Living, and Falls Among Malaysians Age 55 Years and Above
    Mat S, Kamaruzzaman SB, Chin AV, Tan MP
    Front Public Health, 2020;8:571196.
    PMID: 33163471 DOI: 10.3389/fpubh.2020.571196
    Objectives: To determine the temporal relationship between the presence of knee pain and knee pain severity identified at baseline with fall risk, fear of falling and changes in instrumental activity of daily living at 12-months follow-up. Methods: This was a prospective study from the Malaysian Elders Longitudinal Research (MELoR) study involving community dwelling older persons aged 55 years and older. The presence of one fall in the preceding 12 months, knee pain, and functional capacity were determined at baseline (2013-2015) and follow-up (2015-2016). Function was determined as loss of at least one of seven instrumental activities of daily living (IADL). Physical performance was evaluated at baseline using the timed-up-and-go (TUG) test. Fear of falling (FoF) was determined using the single question "Are you afraid of falling?" Results: Data were available for 605 participants, mean (SD) age = 69.10 (7.24) years. Knee pain was present in 30.2% at baseline. Neither the presence of knee pain nor knee pain severity at baseline were associated with falls at 1-year follow-up. Knee pain was significantly associated with FoF at follow-up [aRR (95%CI) = 1.76 (1.02-3.04)] but not changes in IADL. Among individuals with no falls at baseline, the presence of knee pain was protective of falls at follow-up after adjustment for baseline physical performance [adjusted rate ratio, aRR (95% confidence interval, CI) = 0.35 (0.13-0.97)]. Conclusion: Knee pain is associated with increased FoF at 1.5 years' follow-up within a multi-ethnic population aged 55 years, residing in an urban location in a middle-income South East Asian nation. Interestingly, after differences in muscle strength was accounted for, knee pain was protective against falls at follow-up. Our findings challenge previous assumptions on joint pain and falls and highlights the importance of large prospective studies and further mechanistic research incorporating psychological factors in this area of increasing prominence.
    Matched MeSH terms: Accidental Falls*
  13. Fulltext History of falls and its relationship with nutritional status among elderly patients. [Sejarah jatuh dan hubungannya dengan status pemakanan di kalangan pesakit warga tua]
    Cheng SH, Shahar S, Lee FS, Ramli A
    Sains Malaysiana, 2012;41:379-385.
    Rising risk of falls has been associated with injury and dysfunction among the elderly. Therefore, this study was conducted to determine the prevalence of falls and association with nutritional status among 143 elderly patients from medical ward and clinic in Hospital Kuala Lumpur. Anthropometric indicators and bone health status using quantitative ultrasound (QUS) were also assessed. History of falls, functional status and dietary intake based on dietary history was assessed
    through questionnaire which was administered by face-to-face interview with the subjects. Data were analyzed using SPSS software version 16.0 and Foodworks. The past-year prevalence of falls (falls at least once in the previous 12 months) in this study was 32.9%. The past year prevalence of falls in women (40.2%) was higher than in men (17.4%) (p<0.01). Women who had calcium intake less than 300 mg/d (adjusted OR = 3.07, 95% CI = 1.02-9.24) and protein intake < 1 g/kg body weight (adjusted OR = 3.68, 95% CI = 0.98-13.84) were more likely to have a higher risk of falls. In conclusion, one third of the subjects, especially women in this study had a history of falls. Elderly people should be assessed for calcium and protein intake and those with calcium intake less than 300 mg/day and protein intake less than 1 g/kg body weight should be given intervention to reduce falls risk factor and subsequent fall-related co-morbidity.
    Keywords: Elderly patients; falls; nutritional status
    Matched MeSH terms: Accidental Falls*
  14. Factors associated with home hazards: Findings from the Malaysian Elders Longitudinal Research study
    Romli MH, Tan MP, Mackenzie L, Lovarini M, Kamaruzzaman SB, Clemson L
    Geriatr Gerontol Int, 2018 Mar;18(3):387-395.
    PMID: 29139186 DOI: 10.1111/ggi.13189
    AIM: Previous studies have investigated home hazards as a risk factor for falls without considering factors associated with the presence of home hazards. The present study aimed to determine patterns of home hazards among urban community-dwelling older Malaysians, and to identify factors contributing to home hazards.

    METHODS: Cross-sectional data from the initial wave of the Malaysian Elders Longitudinal Research study were used. Basic demographics were obtained from the Global Questionnaire. Basic and instrumental activities of daily living were measured using the Katz and Lawton-Brody scales, and home hazards were identified using the Home Falls and Accidents Screening Tool. Participants were also asked if they had fallen in the previous 12 months.

    RESULTS: Data were analyzed from 1489 participants. Hazards were frequently identified (>30%) in the toilet and bathroom areas (no grab rail, no non-slip mat, distant toilet), slippery floors, no bedside light access and inappropriate footwear. Lower educational attainment, traditional housing, Chinese ethnicity, greater number of home occupants, lower monthly expenditure, poor vision and younger age were the factors independently associated with home hazards.

    CONCLUSIONS: This study provides evidence that home hazards are a product of the interaction of the individual's function within their home environment. Hazards are also influenced by local sociocultural and environmental factors. The relationship between home hazards and falls appears complex and deserves further evaluation. Geriatr Gerontol Int 2018; 18: 387-395.

    Matched MeSH terms: Accidental Falls*
  15. Fulltext Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation
    Ahmad Ainuddin H, Romli MH, Hamid TA, Salim MSF, Mackenzie L
    Front Public Health, 2021;9:611793.
    PMID: 33748063 DOI: 10.3389/fpubh.2021.611793
    Background: Research on rehabilitation for falls after stroke is warranted. However, published evidence on fall interventions with stroke survivors is limited and these are mainly international studies that may be less relevant for Southeast Asia. Objective: This review aims to systematically identify literature related to stroke rehabilitation for falls and risk of falls in Southeast Asia. Methods: A scoping review with stakeholders' consultation was implemented. An electronic search was conducted up to December 2020 on 4 databases (Medline, CINAHL, Scopus, ASEAN Citation Index). Only original studies conducted in Southeast Asia were selected. Results: The initial search yielded 3,112 articles, however, only 26 were selected in the final analysis. Most of the articles focused on physical rehabilitation and implemented conventional therapies. While the literature may reflect practice in Southeast Asia, stakeholders perceived that the literature was inadequate to show true practice, was not informative and missed several aspects such as functional, cognitive, and psychological interventions in managing falls. Individual-centric interventions dominated the review while community-based and environmental-focused studies were limited. Majority of the articles were written by physiotherapists while others were from physicians, occupational therapists, and an engineer but few from other healthcare practitioners (i.e., speech therapists, psychologists) or disciplines interested in falls. Conclusions: Falls prevention among stroke survivors has received a lack of attention and is perceived as an indirect goal in stroke rehabilitation in Southeast Asia. More innovative research adopted from falls research with older people is needed to advance falls prevention and intervention practice with stroke survivors.
    Matched MeSH terms: Accidental Falls/prevention & control
  16. Are the spatio-temporal parameters of gait capable of distinguishing a faller from a non-faller elderly?
    Mortaza N, Abu Osman NA, Mehdikhani N
    Eur J Phys Rehabil Med, 2014 Dec;50(6):677-91.
    PMID: 24831570
    Fall is a common and a major cause of injuries. It is important to find elderlies who are prone to falls. The majority of serious falls occur during walking among the older adults. Analyzing the spatio-temporal parameters of walking is an easy way of assessment in the clinical setting, but is it capable of distinguishing a faller from a non-faller elderly? Through a systematic review of the literature, the objective of this systematic review was to identify and summarize the differences in the spatio-temporal parameters of walking in elderly fallers and non-fallers and to find out if these parameters are capable of distinguishing a faller from a non-faller. All original research articles which compared any special or temporal walking parameters in faller and non-faller elderlies were systematically searched within the Scopus and Embase databases. Effect size analysis was also done to standardize findings and compare the gait parameters of fallers and non-fallers across the selected studies. The electronic search led to 5381 articles. After title and abstract screening 30 articles were chosen; further assessment of the full texts led to 17 eligible articles for inclusion in the review. It seems that temporal measurements are more sensitive to the detection of risk of fall in elderly people. The results of the 17 selected studies showed that fallers have a tendency toward a slower walking speed and cadence, longer stride time, and double support duration. Also, fallers showed shorter stride and step length, wider step width and more variability in spatio-temporal parameters of gait. According to the effect size analysis, step length, gait speed, stride length and stance time variability were respectively more capable of differentiating faller from non-faller elderlies. However, because of the difference of methodology and number of studies which investigated each parameter, these results are prone to imprecision. Spatio-temporal analysis of level walking is not sufficient and cannot act as a reliable predictor of falls in elderly individuals.
    Matched MeSH terms: Accidental Falls/economics; Accidental Falls/prevention & control; Accidental Falls/statistics & numerical data*
  17. Orbital fractures in children: 10 years' experience from a tertiary centre
    Sirichai P, Anderson PJ
    Br J Oral Maxillofac Surg, 2015 Dec;53(10):938-42.
    PMID: 26130591 DOI: 10.1016/j.bjoms.2015.06.007
    Our aim was to examine the relations between type and site of the fracture, age of the patient, and the management and outcomes, among children diagnosed with orbital fractures at the Women's and Children's Hospital, Adelaide, during a 10-year period from 1 January 2003 to 31 December 2012. The records of 41 children whose ages ranged from 8 months to 15 years were analysed. There was a male predominance (n=33). Two most common fractures were orbital floor and multiwalled fractures, with medial wall as the second most common site. The most common cause of injury was sport, more often with increasing age. In contrast, falls were more common among young children. Fractures of the orbital roof were more common among young children, all of ours being in children 10 years old or less. Lateral wall fractures were also more common among young children and declined in frequency with increasing age. In contrast, fractures of the orbital floor and medial wall can occur at any age, though those of the medial wall were more common among older children. As children grow their behaviour and activities change, and the mechanism by which they become injured also changes. Growth and development of the craniofacial skeleton lead to differences in the patterns of fractures with age. Fractures of the orbital roof and lateral wall are more common among young children, while those of the orbital floor and medial wall can occur at any age.
    Matched MeSH terms: Accidental Falls
  18. Fulltext COVID-19 Pandemic Recession and Recovery
    Jomo KS, Chowdhury A
    Development (Rome), 2020 Nov 16.
    PMID: 33223764 DOI: 10.1057/s41301-020-00262-0
    This review draws pragmatic lessons for developing countries to address COVID-19-induced recessions and to sustain a developmental recovery. These recessions are unique, caused initially by supply disruptions, largely due to government-imposed 'stay-in-shelter lockdowns'. These have interacted with falling incomes and demand, declining exports (and imports), collapsing commodity prices, shrinking travel and tourism, decreasing remittances and foreign exchange shortages. Highlighting implications for employment, wellbeing and development, it argues that governments need to design comprehensive relief measures and recovery policies to address short-term problems. These should prevent cash-flow predicaments from becoming full-blown solvency crises. Instead of returning to the status quo ante, developing countries' capacities and capabilities need to be enhanced to address long-term sustainable development challenges. Multilateral financial institutions should intermediate with financial sources at low cost to supplement the International Monetary Fund's Special Drawing Rights to lower borrowing costs for relief and recovery.
    Matched MeSH terms: Accidental Falls
  19. Fulltext Inertial Sensor-Based Instrumented Cane for Real-Time Walking Cane Kinematics Estimation
    Fernandez IG, Ahmad SA, Wada C
    Sensors (Basel), 2020 Aug 19;20(17).
    PMID: 32825029 DOI: 10.3390/s20174675
    Falls are among the main causes of injuries in elderly individuals. Balance and mobility impairment are major indicators of fall risk in this group. The objective of this research was to develop a fall risk feedback system that operates in real time using an inertial sensor-based instrumented cane. Based on inertial sensor data, the proposed system estimates the kinematics (contact phase and orientation) of the cane. First, the contact phase of the cane was estimated by a convolutional neural network. Next, various algorithms for the cane orientation estimation were compared and validated using an optical motion capture system. The proposed cane contact phase prediction model achieved higher accuracy than the previous models. In the cane orientation estimation, the Madgwick filter yielded the best results overall. Finally, the proposed system was able to estimate both the contact phase and orientation in real time in a single-board computer.
    Matched MeSH terms: Accidental Falls
  20. Fulltext The Effectiveness of a Wireless Modular Bed Absence Sensor Device for Fall Prevention among Older Inpatients
    Subermaniam K, Welfred R, Subramanian P, Chinna K, Ibrahim F, Mohktar MS, et al.
    Front Public Health, 2016;4:292.
    PMID: 28119908 DOI: 10.3389/fpubh.2016.00292
    Falls and fall-related injuries are increasingly serious issues among elderly inpatients due to population aging. The bed-exit alarm has only previously been evaluated in a handful of studies with mixed results. Therefore, we evaluated the effectiveness of a modular bed absence sensor device (M-BAS) in detecting bed exits among older inpatients in a middle income nation in East Asia.
    Matched MeSH terms: Accidental Falls
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