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Fulltext Thirty-Day Morbidity and Mortality after Simultaneous Bilateral Total Knee Arthroplasty

Tai, C.C., Tan, S.H., Misnan, N.A., Nam, H.Y., Choon, S.K.

Malays Orthop J, 2008;2(1):38-43.
MyJurnal

The safety of simultaneous bilateral total knee arthroplasty (TKA) remains controversial. The objective of the current study was to investigate perioperative morbidity and mortality rates within 30 days of simultaneous bilateral TKA. A detailed analysis of medical, surgical and anaesthesia records of 183 consecutive patients who underwent total knee arthroplasty between 2002 and 2006 was performed. The mean age of the patients was 67.6 years old. More than 80% had one or more co-morbidities, but none of them had ASA score greater than class 2. The mean hospital stay was 10 days, and the mean surgical time 156 minutes. Less than half of the patients (42.6%) required blood transfusion. The rate of perimorbidity was 15.3 % and there was no mortality in this series. We believe that simultaneous bilateral total knee arthroplasty is a safe and cost effective option for our patients, provided that patients are selected and informed appropriately.

Matched MeSH terms: Morbidity; Comorbidity
Fulltext Approaches in methodology of a population-based study in Malaysia: the national health and morbidity survey 2011 (NHMS 2011)

Fadhli, Y., Azaadi, O., Noor Ani, A., Balkish, M.N., Ahmad Jessree, K., Tahir, A.

Malaysian Journal of Medicine and Health Sciences, 2013;9(2):25-33.
MyJurnal

The National Health and Morbidity Survey 2011 was a nationally representative household survey of non-institutionalized Malaysian population who were residing in Malaysia for at least 2 weeks prior to data collection. The aim of the survey was to provide health related community–based data and information to support Ministry of Health, Malaysia, in reviewing health priorities, programme strategies and activities, and planning for allocation of resources. There were twelve research scopes included in the survey. The sample size was calculated based on the requirement for each scope. A two-stage stratified sampling was adopted in the survey. The methods for data collection were via the questionnaire, clinical examination, and biochemical analysis. Quality controls were also instituted to ensure collection of high quality data. The National Health and Morbidity Survey 2011 (NHMS 2011) adopted an appropriate methodology for a population survey and all the necessary steps were taken to ensure valid and reliable findings.
Study name: National Health and Morbidity Survey (NHMS-2011)

Matched MeSH terms: Morbidity
Fulltext Greying Malaysians: strategies for promoting and supporting healthy and productive ageing

Phua KL

Malaysian Journal of Community Health, 2007;13(1):16-21.
MyJurnal

Population ageing is inevitable in Malaysia as a result of declining fertility rates. Steps can be taken to face this challenge. These include ways to promote “healthy ageing” and “compression of morbidity” and ways to promote “productive ageing”, i.e., keeping the elderly economically and socially engaged. This article, based on a review of the literature, argues that it is illogical to force people into compulsory retirement at an arbitrary age when they can continue to contribute actively to society. Instead, ways can be devised to promote healthy ageing, prolonging independence and encouraging productive ageing through gradual economic and social disengagement of the individual depending on the individual’s physical health, mental health, contribution to society and personal inclination and preferences. Public policy in general and public health policy in particular can be designed or redesigned to help achieve this.

Matched MeSH terms: Morbidity
Fulltext Psychological morbidity and sources of job stress among doctors in Yemen

Al-Dubai, Sami A.R., Rampal, Krishna G.

ASEAN Journal of Psychiatry, 2012;13(1):0-0.
MyJurnal

Objective: The objective of the present study was to determine the prevalence and factors contributing to psychological morbidity among doctors in Sana’a city, Yemen. Methods: A cross sectional study was conducted among 442 Yemeni doctors. The (GHQ12) was used as a measure of psychological morbidity. Sources of job stress were determined using a 37-item scale questionnaire. Results: The prevalence of psychological morbidity was 68.1 %. Gender, age range of 30 – 39 years old, chewing Khat, type of residence and income were significantly associated with psychological morbidity (p

Matched MeSH terms: Morbidity
Gender and risk of depression in Saudi Arabia, a systematic review and meta-analysis

Alibrahim OA, Al-Sadat N, Elawad NA

J Public Health Afr, 2010 Sep 01;1(1):e7.
PMID: 28299041 DOI: 10.4081/jphia.2010.e7

Depression is one of the leading causes of mortality and morbidity worldwide. In the year 2000 depression accounted for 4.4% of the global disability adjusted life years (DALYs). The Kingdom of Saudi Arabia (KSA) has a population of 28 million people and is one of the countries experiencing demographic transition in its population structure. Improvements in socioeconomic status have been shown to be associated with increased chronic diseases including chronic mental diseases like depression, but still there is no comprehensive review summarizing the various reports currently existing in the literature. Although individual studies within Saudi Arabia have reported prevalence rates and risks, the quality of such studies need to be subjected to rigorous assessment and their findings pooled to give combined weighted evidence that will provide basis for targeted intervention. Pooled risks have the advantage of adjusting inherent variations within sampled populations and therefore providing more reliable estimates even though there are concerns about possible magnification of smaller individual risks.

Matched MeSH terms: Morbidity
Fulltext Home injury in Malaysia: findings from the 1996 NHMS

Jamaiyah Haniff, Tahir Aris, Farizah Hairi

Malaysian Journal of Public Health Medicine, 2001;1(1):48-54.
MyJurnal

Injury Hncluding home injury} is an important contributor to the nations’ statistics on mortality and morbidity. However, statistics on injury is still lacking in Malaysia. In 1996, the National Health and Morbidity Survey was conducted nationwide that includes injury as one ofthe scope studied at the community level. It was found that the prevalence of sefreported home injury in Malaysia was 2.5%. The prevalence was higher among the 0-4 years and more than 80 years groups. There was no dwzrence in the prevalence of injury by urban/rural location, ethnicity, citizenship, religion, marital status, level of education, income group or type of occupation. Females however reported a slightht higher figure than males (2. 7% i· 95% CI and 2.3% i 95% CD. Recommendations made include planning and designing of preventive intervention strategies and sreas for future studies.
Study name: National Health and Morbidity Survey (NHMS-1996)

Matched MeSH terms: Morbidity
Fulltext The assessment of the quality of life questionnaires

Kamarul Imran, M., Ismail, A.A., Naing, L., Wan Moharnad, W.B.

Malaysian Journal of Public Health Medicine, 2005;5(1):51-55.
MyJurnal

Health traditionally has been compared using mortality and morbidity and in recent years health related instruments have been utilized along to complement those measures. Health related quality oflife instruments are important because they provide patient's opinion and decision of management and for monitoring and evaluating health status. The quality of life instruments such as health related quality of life questionnaires are increasingly being used and these questionnaires are classified into disease specific and generic questionnaires. They require proper assessment using psychometric analysis of reliability and validity, For reliability, the two common analyses are the test-retest and internal consistency and for validity, it requires the assessment of content validity and analyses of construct validity and criterion validity. Reliable and valid quality of lhfe questionnaires provide consistent and accurate information. The purpose of this paper is to provide crucial assessment and analyses of the reliability and validity of health related quality of life questionnaires.

Matched MeSH terms: Morbidity
Fulltext Prehospital care in traumatic brain injury: review of current perspectives

Palur, Ravikant

Medical Health Reviews, 2010;2010(1):5-22.
MyJurnal

Traumatic brain injury (TBI) is responsible for causing global deaths exceeding 1.27 million per year. Various aspects of traumatic brain injuries have been studied worldwide in order to reduce the mortality and morbidity statistics. One such strategy has been to manage these patients at the scene of the accident itself. This pre hospital strategy has been shown to reduce the mortality in severely head injured patients. The pre hospital “team” consists of paramedics, nursing personnel and occasionally clinicians who are trained in resuscitation as well as managing initially the traumatic brain injury. Though definitive treatment for TBI is started in the intensive care at the trauma unit, primary management of these patients at the accident site itself has its advantages. This article reviews the current practices, pros and cons and the future directions in pre hospital care for TBI.

Matched MeSH terms: Morbidity
Fulltext Bilateral Proximal Femur Fractures in a Patient with Renal Tubular Acidosis: A Case Report

Charl SS, Shahrul-Hisham S, Mohamad-Sha S

Malays Orthop J, 2018 Mar;12(1):42-44.
PMID: 29725512 MyJurnal DOI: 10.5704/MOJ.1803.009

The diagnosis of pathological fractures is on the rise. The morbidity involved does not only burden the patient and their families but it has a great toll on the healthcare system as well. Early identification of the patient at risk is an invaluable tool to cut cost and improve the patient's quality of life. Multiple renal pathologies have been highlighted in relation to the risk of pathological fractures; however, complications in renal tubular acidosis have been rarely documented. Nevertheless, prompt action with adequate and relevant patient education ultimately can reduce the associated morbidity. We present a case of poor control of the disease and its debilitating pathological fracture complications.

Matched MeSH terms: Morbidity
Fulltext Pulmonary rehabilitation using mechanical insufflation-exsufflation therapy for spinal cord injury – two case studies in the University Malaya Medical Centre

Tan, J.H., Aishah A. Fauzi, Hasnan, N.

JUMMEC, 2017;20(2):31-33.
MyJurnal

There is a high incidence of 36% to 83% of respiratory dysfunction in patients with acute cervical spinal cord
injury. Complications arising from respiratory dysfunction remain one of the most common causes of morbidity
and mortality in the spinal cord injured population. Specialized pulmonary care and therapy can help individuals
with tetraplegia to maintain a stable respiratory status allowing active participation in active rehabilitation.
This would allow them to achieve rehabilitation goals of independent function and community reintegration.
Mechanical insufflation-exsufflation (MIE) therapy is an option for secretion management in individuals with
acute spinal cord injury. In this paper, we present our experience using MIE as an adjunct to management of
secretions in the spinal cord injured population at the University of Malaya Medical Centre.

Matched MeSH terms: Morbidity
Fulltext Statin Therapy Prescribing for Patients with Type 2 Diabetes Mellitus: A Review of Current Evidence and Challenges

Elnaem MH, Mohamed MHN, Huri HZ, Azarisman SM, Elkalmi RM

J Pharm Bioallied Sci, 2017 Apr-Jun;9(2):80-87.
PMID: 28717329 DOI: 10.4103/jpbs.JPBS_30_17

Use of statin therapy in patients with type 2 diabetes mellitus (T2DM) has been recommended by most clinical guidelines. Cardiovascular disease (CVD) is a leading cause of morbidity and mortality among T2DM patients. It has been proved that statins are effective for primary or secondary CVD prophylaxis. Reports have highlighted the underutilization of statins in clinical practice and the suboptimal adherence to guideline recommendations. This review article points to summarize the current evidence confirming the role of statins in T2DM patients and to provide an overview of factors that may affect statins' prescribing patterns and compliance in clinical practice. Initiatives to enhance statin therapy prescribing should recognize the comprehensive nature of the prescribing process. Attempts to assure proper statin prescribing and utilization can help in achieving better clinical outcomes of statin therapy.

Matched MeSH terms: Morbidity
Calcium supplementation to decrease the incidence of hypertensive disorders of pregnancy: a review

Manju K

Family Physician, 1994;6:6-8.

Hypertensive disorders of pregnancy is a major cause of fetal and maternal morbidity. Epidemiologic observations have shown an inverse association between calcium intake and incidence of eclampsia. Calcium supplementation has been reported to decrease blood pressure in pregnant women, although this remains controversial. The mechanism responsible for the effect of calcium on hypertinsion in pregnant women is unknown. This paper is a review of some of the recent calcium supplementation trials that have been carried out and their effectiveness in reducing systolic and diastolic blood pressure and decreasing the incidence of hypertensive disorders of pregnancy.

Matched MeSH terms: Morbidity
Fulltext Medical problems in an oil palm estate

Chua WT, Lim CH

Family Practitioner, 1982;5(3):49-53.

Oil palm estates and associated industries employ a fair proportion of workers. Good medical care benefits both the employers and the employees. The pattern of illness is not very different from that found in general practice. However, certain environmental factors, the nature of occupation and the water supply can influence the increased incidence of certain diseases. Upper respiratory tract infection, acute gastroenteritis, contact dermatitis (eczemas & rashes) eye, and ear diseases, injuries and musculoskeletal diseases are the commonest causes of morbidity. The resident doctor, who has a good knowledge of the environment of his patients is in the best position to practise preventive medicine or early intervention, thereby reducing illnesses and improving productivity of the workers.

Matched MeSH terms: Morbidity
Psychiatric morbidity of migrant workers in Malaysia - For IRPA study on health problems of foreign worker

Mohd Hussain H

JUMMEC, 2002;1:62-66.

Malaysia has been swamped by migrant workers from nearby countries like Indonesia, Phillipine and also Bangladesh since 1980's. The main pulling forces which motivated them to migrate to Malaysia are better economy, political stability and religious freedom in Malaysia. Another way of classifying migration pattern is to divide it into push and pull migration or a combination of the two. Pull migrants are those who migrate to obtain better economic opportunity while push migrants are those who try to run away from being prosecuted or due to fear of political and religious suppression. Whatever the push and the pull factors, they are bound to encounter some acculturation challenges. This will inevitably produce certain psychological sequelae. Therefore, the main aim of this study is to determine the point prevalence of psychiatric morbidity experienced by the migrant population. The psychological impact of push and pull migrations is fundamentally distinct. There were significant numbers of migrants admitted to University Hospital psychiatric units who suffered from psychological distress and para suicide. The reasons for these problems are multi-faceted. Hence, another purpose of this study was to investigate factors which make them to be at risk of developing psychiatric morbidity. The findings of this study can be used as a basis for making recommendations to the government of the rationale to include psychological assessment as one of the important components in the pre-employment selection criteria.

Matched MeSH terms: Morbidity
Fulltext The Malaysian National Health and Morbidity Survey (NHMS) 2018: Older Persons' Health in Malaysia

Sooryanarayana R, Sazlina SG

Geriatr Gerontol Int, 2020 Dec;20 Suppl 2:5-6.
PMID: 33370857 DOI: 10.1111/ggi.14112

Study name: National Health and Morbidity Survey (NHMS-2018)

Matched MeSH terms: Morbidity
Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

Chong CT, Lai WK, Zainuddin AA, Pardi M, Mohd Sallehuddin S, Ganapathy SS

Asia Pac J Public Health, 2022 Nov;34(8):786-792.
PMID: 36196901 DOI: 10.1177/10105395221129113

In 2016, World Health Organization (WHO) estimated more than 650 million obese adults, resulting in a country's health burden. This study aims to determine the prevalence of obesity and its associated factors among Malaysian adults. A total of 5820 respondents, aged 18 to 59 years, from the National Health and Morbidity Survey 2019, were included for the data analysis. The prevalence of obesity was described and multivariate analyses were conducted to determine the factors associated with obesity. The prevalence of obesity among Malaysian adults was 20.1%, based on the findings from this study. Multivariate analyses showed that women, being Malays, Indians, and other Bumiputeras, were significantly associated with a higher risk of obesity. Besides, those diagnosed with diabetes mellitus and hypertension were also significantly associated with greater risk of obesity. This information is crucial for policy makers in formulating effective strategies or targeted programs in preventing obesity among Malaysian adults.

Matched MeSH terms: Morbidity
Catching an ectopic caesarean scar pregnancy - Radiological perspective

Seah SC, Laili SAL, Hairiah A, Ab Rahim AG

Med J Malaysia, 2018 02;73(1):51-53.
PMID: 29531205

Caesarean scar implantation is one of the rarest form of ectopic pregnancies and most unwanted complication of caesarean scar. However, with the increasing numbers of caesarean section performed, caesarean scar pregnancy (CSP) may be on the rise. The diagnosis is often difficult, but establishing an accurate diagnosis of CSP in the early first trimester is utmost important to prevent its detrimental consequences of uterine rupture and fatal haemorrhage. Hence, we present a case to highlight the role of imaging in diagnosing and managing this condition to prevent its associated high morbidity and mortality.

Matched MeSH terms: Morbidity
Fulltext Determinants of community pharmacy utilisation among the adult population in Malaysia: findings from the National Health and Morbidity Survey 2019

Hamidi N, Tan YR, Jawahir S, Tan EH

BMC Health Serv Res, 2021 Jul 04;21(1):649.
PMID: 34217293 DOI: 10.1186/s12913-021-06656-1

BACKGROUND: Community pharmacies provide alternatives for medication procurement and other basic and minor health-related services in addition to mainstream hospitals and primary healthcare services. This study aimed to determine the characteristics of community pharmacy users and associated factors for community pharmacy utilisation in Malaysia.
METHODS: Secondary data analysis was performed using data from the National Health and Morbidity Survey 2019, a nationwide cross-sectional household survey that used a two-stage stratified random sampling design. Adults aged 18 years and over were included in the analysis. Respondents who reported visiting the community pharmacy for health purposes two weeks prior to the study were considered as users. Complex sample descriptive statistics were used to describe the respondents' characteristics. Logistic regression analyses were employed to determine factors associated with community pharmacy utilisation.
RESULTS: Of the 11,155 respondents interviewed, 10.3 % reported community pharmacy utilisation for health purposes. Females (OR = 1.41, 95 % CI = 1.14, 1.73), those with tertiary education (OR = 2.03, 95 % CI = 1.26, 3.29), urban dwellers (OR = 1.42, 95 % CI = 1.13, 1.79), and those with self-reported health problems (OR = 7.62, 95 % CI = 6.05, 9.59) were more likely to utilise the community pharmacy.
CONCLUSIONS: Demographic and socioeconomic factors were important determinants of community pharmacy utilisation in Malaysia with sex, age, education level, locality, and self-reported health problems as the associated factors. These findings serve as evidence for policy interventions, crucial for improvements in accessibility to healthcare services.

Matched MeSH terms: Morbidity
Fulltext Ten-year trend of care practices, morbidities and survival of very preterm neonates in the Malaysian National Neonatal Registry: a retrospective cohort study

Boo NY, Chee SC, Neoh SH, Ang EB, Ang EL, Choo P, et al.

BMJ Paediatr Open, 2021;5(1):e001149.
PMID: 34595358 DOI: 10.1136/bmjpo-2021-001149

OBJECTIVES: To determine a 10-year trend of survival, morbidities and care practices, and predictors of in-hospital mortality in very preterm neonates (VPTN, gestation 22 to <32 weeks) in the Malaysian National Neonatal Registry.
DESIGN: Retrospective cohort study.
SETTING: 43 Malaysian neonatal intensive care units.
PATIENTS: 29 010 VPTN (without major malformations) admitted between 1 January 2009 and 31 December 2018.
MAIN OUTCOME MEASURES: Care practices, survival, admission hypothermia (AH, <36.5°C), late-onset sepsis (LOS), pneumothorax, necrotising enterocolitis grade 2 or 3 (NEC), severe intraventricular haemorrhage (sIVH, grade 3 or 4) and bronchopulmonary dysplasia (BPD).
RESULTS: During this 10-year period, there was increased use of antenatal steroid (ANS), lower segment caesarean section (LSCS) and early continuous positive airway pressure (eCPAP); but decreased use of surfactant therapy. Survival had increased from 72% to -83.9%. The following morbidities had decreased: LOS (from 27.9% to 7.1%), pneumothorax (from 6.0% to 2.7%), NEC (from 8.1% to 4.7%) and sIVH (from 12.2% to 7.5%). However, moderately severe AH (32.0°C-35.9°C) and BPD had increased. Multiple logistic regression analyses showed that lower birth weight, no ANS, no LSCS, admission to neonatal intensive care unit with <100 VPTN admissions/year, no surfactant therapy, no eCPAP, moderate and severe AH, LOS, pneumothorax, NEC and sIVH were significant predictors of mortality.
CONCLUSION: Survival and major morbidities had improved modestly. Failure to use ANS, LSCS, eCPAP and surfactant therapy, and failure to prevent AH and LOS increased risk of mortality.

Matched MeSH terms: Morbidity
Fulltext Provision of Prosthetic Services Following Lower Limb Amputation in Malaysia

Arifin N, Hasbollah HR, Hanafi MH, Ibrahim AH, Rahman WAWA, Aziz RC

Malays J Med Sci, 2017 Oct;24(5):106-111.
PMID: 29386978 MyJurnal DOI: 10.21315/mjms2017.24.5.12

The incidence of lower limb amputation is high across the globe and continues to be a major threat to morbidity and mortality. Consequently, the provision of high quality and effective prosthetics services have been known as an essential component for a successful rehabilitation outcome. In Malaysia, amputation prevalence has been increasing in which several main components of service delivering aspects (such as service intervention, prosthetic personnel) should be anticipated to accommodate for the increasing demand. This article highlights the hurdles experienced in providing prosthetic services in Malaysia from multiple aspects such as financial burden to acquire the prosthesis and lack of expertise to produce quality prosthesis. This paramount issues consequently justify for the urgency to carry out national level survey on the current statistics of lower limb amputation and to ascertain the available workforce to provide a quality prosthetics services. Only with accurate and current information from the national survey, strategies and policies aimed at enhancing the outcome from prosthetics services can be achieved.

Matched MeSH terms: Morbidity

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