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  1. Farah Mohd, Muhammad Zubir Yuso, Nor Iziana Ismail, Nor Mulyani Musa
    MyJurnal
    Little is known about the association between actual and selfperceived oral health status among residents living in a care home. This study aimed to assess their oral health status and to determine its association with their selfperceived oral health satisfaction. Materials and method: A cross-sectional study was conducted from July to August 2018 among 75 residents of Rumah Ehsan, Terengganu (the largest care home in east coast Malaysia). The oral health status and oral hygiene of the participants were examined. Their sociodemographic profile and self-perceived oral health status were collected through structured interviews. Chi-square, Man-Whitney, and multiple logistic regression tests were used to test the factors associated with the self-perceived oral health satisfaction of the participants. Results: Unsurprisingly, the majority of the participants had poor oral health with high median DMF-T score of 29.0 (IQR=12) and majority (86.7%) had poor oral hygiene. It was intriguing to know that the majority of them (64%) perceived they have good oral health status with 68% satisfied with their current oral health status. There was no significant association between their actual oral health status and their perceived satisfaction. However, increasing age, Malay and those eating dependently were less likely to satisfy with their oral health status. Meanwhile, those who were dependent on the staff to brush their teeth were more likely satisfied with their oral health status. Conclusion: There was a wide discrepancy between the actual and self-perceived oral health status among residents in care homes. Hence, it is crucial to improving awareness and knowledge among them in order to improve their oral health. Factors contributed to their oral health satisfaction should be acknowledged by all dental practitioners.
  2. Yusof MZ, Cherrie JW, Samsuddin N, Semple S
    Ann Work Expo Health, 2022 10 11;66(8):1044-1055.
    PMID: 35661855 DOI: 10.1093/annweh/wxac038
    BACKGROUND: Use of pesticides has been linked to neurobehavioral deficits among exposed workers. In Malaysia, organophosphate and pyrethroid pesticides are commonly used to control mosquito-borne diseases.

    OBJECTIVES: This study aims to assess workers' lifetime occupational pesticide exposure and examine the relationship with neurobehavioral health.

    METHODS: A cross-sectional study was conducted on 158 pesticide-exposed and 176 non-exposed workers. To collect historical exposure and job tasks, a questionnaire and an occupational history interview were used. Pesticide exposure was measured in a subgroup of workers via inhalation and skin contact. The total pesticide intake of each worker was assessed using inhalation and dermal exposure models. CANTAB® computerised neurobehavioral performance assessments were used.

    RESULTS: The participants' mean age was 31 (8) years. Pirimiphos-methyl (median = 0.569 mg/m3, Interquartile range [IQR] = 0.151, 0.574) and permethrin (median = 0.136 mg/m3, IQR = 0.116, 0.157) had the highest measured personal inhalation concentrations during thermal spraying. The estimated total lifetime pesticide intake for exposed workers ranged from 0.006 g to 12800 g (median = 379 g and IQR = 131, 794 g). Dermal exposure was the predominant route of pesticide intake for all workers. Compared to controls, workers with high lifetime pesticide intake had lower Match to Sample Visual (adjusted B = -1.4, 95% Confidence Interval (CI) = -2.6, 0.1), Spatial Recognition Memory (adjusted B = -3.3, 95% CI = -5.8, 0.8), Spatial Span (SSP) (adjusted B = -0.6, 95% CI = -0.9, 0.3) scores. Workers with low pesticide intake performed worse than controls (adjusted B = -0.5, 95% CI = -0.8, -0.2) in the SSP test, but scored higher in the Motor Screening test (adjusted B = 0.9, 95% CI = 0.1, 1.6). Higher Paired Associates Learning test scores were observed among higher (adjusted B = 7.4, 95% CI = 2.3, 12.4) and lower (adjusted B = 8.1, 95% CI = 3, 13.2) pesticide intake groups. There was no significant difference between the Reaction Time and Pattern Recognition Memory tests with lifetime pesticide intake after adjusting for confounders.

    CONCLUSION: Pesticide exposure has been linked to poorer neurobehavioral performance. As dermal exposure accounts for a major fraction of total intake, pesticide prevention should focus on limiting dermal exposure.

  3. Niza Samsuddin, Nor Azlina A Rahman, Ailin Razali, Muhammad Zubir Yusof, Ahmad Fitri Abdullah Hair, Manivasagam, Dayanath, et al.
    MyJurnal
    A guideline on Basic Occupational Health Services (BOHS) has been established jointly by ILO/WHO/ICOH in response to poor achievements of the Occupational Health Services (OHS), especially among workers in small and medium enterprises at the global level. Malaysia. The international guideline describes competent and skilled human resources as an essential strategy for BOHS implementation. This commentary will discuss the challenges faced by current occupational health personnel providing OHS in Malaysia and proposes improvements of human resource development for future BOHS in Malaysia to ensure fair and better OHS coverage for Malaysian workers.
  4. Rawahah Husna Ramli, Artika Hassan, Jamalludin Abd Rahman,, Razman Mohd Rus, Hafizah Pasi, Hashima E. Nasreen, et al.
    IIUM Medical Journal Malaysia, 2019;18(102):18-0.
    MyJurnal
    Obstructive sleep apnea (OSA) is an insidious sleep breathing disorder, with cardinal manifestations of snoring, witnessed breathing pause during sleep and excessive daytime sleepiness. The aim of the study was to estimate the prevalence of OSA and its associated factors among adult population in Taman Dato’ Rashid Salleh, Kuantan. Materials and method: A cross-sectional study was carried out among 157 participants who lived in Taman Dato’ Rashid Salleh from May 2018 to June 2018. Obstructive sleep apnea was quantified using the self-administered Malaynvalidated Berlin questionnaire which apart from the demographic data included three categories (10 questions) designed to elicit information regarding snoring (category 1), daytime somnolence (category 2) and the presence of obesity and/or hypertension (category 3). The respondents were considered as high risk of OSA if two or more categories were positive. Weight, height and neck circumference were measured by using Secca© weight scales, Secca© stadiometer and non-elastic plastic tape, respectively. Descriptive statistics was used to measure the prevalence, while chi-square test was used to explore the association of OSA and its background variables. Results: Out of 157 respondents, female and Malay were dominant with the 56.7% and 91.0 %, respectively. The mean age of the respondents was 36.7 (12.2) years old. The prevalence of high risk of OSA in was 18.5%. There was no association between gender, age, race, smoking and neck circumference with risk of OSA while Body Mass Index (BMI) and hypertension were significantly related to an increased risk for developing OSA (p-value < 0.001 and p=0.001, respectively). Conclusions: Two in every 10 adults in Taman Dato’ Rashid Salleh, Kuantan were at high risk of OSA. It is recommended that appropriate health promotion should be targeted to this community to instill awareness and increase the level of understanding of the public on OSA.
  5. Mohammed Isa NA, Ramli MZ, Che Othman SF, Yusof MZ
    Nat Hazards (Dordr), 2021;107(1):873-887.
    PMID: 33612968 DOI: 10.1007/s11069-021-04613-z
    Rip currents are one of the coastal hazards that put Malaysian beachgoers in a risky position. Most of the drowning accidents that occur at beaches worldwide are closely associated with this phenomenon. Research on rip currents is needed to build an effective measuring tool to overcome these issues. However, to date, research on rip currents is mainly focused on its physical aspects, commonly concentrating on the processes that influence and relate to the rips' generation. As an effort to minimize the negative consequences exerted by the rips, there is an urgent need to enhance the rip-related research in the social sciences field. Comprehensive research that includes all fields might produce more beneficial and reliable information. Therefore, this study intends to examine the level of public understanding of rip currents and beach safety knowledge of the Teluk Cempedak Beach. A questionnaire comprising 5 sections and 31 questions was developed as the primary tool in this study. A total of 60 beachgoers have been surveyed for this preliminary study through a questionnaire to investigate their demographic profile, frequency of visiting the beach, swimming ability, and their knowledge of rip currents and beach safety. The results show that the beachgoers have poor knowledge of rip currents. Conversely, they are observed to have higher beach safety knowledge. Also, the findings help in filling the research gaps of this study in terms of the instrument used for the data collection procedure. Above all, an extension of this study may contribute to the development of beneficial tools in assessing public knowledge on beach safety and rip currents throughout Malaysian beaches.

    Supplementary information: The online version contains supplementary material available at (10.1007/s11069-021-04613-z).

  6. Said AH, Mohd FN, Yusof MZ, Mohd Win NAN, Mazlan AN, Shaharudin AS
    Malays Fam Physician, 2022 Nov 30;17(3):64-73.
    PMID: 36606166 DOI: 10.51866/oa.75
    INTRODUCTION: Smartphone addiction is becoming a global concern affecting every part of society, including healthcare professionals. This study aimed to identify the prevalence of risk of smartphone addiction and its associated factors among medical and dental students in a public university in Malaysia.

    METHOD: This cross-sectional study was conducted among pre-clinical medical and dental students using convenience sampling. Questions regarding sociodemographic profile and responses to the Smartphone Addiction Scale Short Version (SAS-SV) and Depression, Anxiety and Stress Score questionnaire (DASS-21) were collected. Multiple logistic regression testing was used to analyse the factors associated with smartphone addiction.

    RESULTS: We invited 409 pre-clinical medical and dental students to participate voluntarily, resulting in a response rate of 80.2%. The prevalence of high-risk smartphone addiction among the participants was 47.9%. Male participants, participants who used smartphones mainly for social media, and participants with depressive symptoms were more likely to have a high risk of smartphone addiction. Medical students, participants who spent less than 3 hours per day on a smartphone, and participants who used smartphones for education-related activities were less likely to have a high risk of smartphone addiction.

    CONCLUSION: Smartphone addiction prevalence among pre-clinical medical and dental students was high. Therefore, the authorities should overcome this problem by implementing early measures.

  7. Yusof MZ, Fadzil NFZ, Kamaruzi NNNA, Ayazi MSS
    PLoS One, 2024;19(8):e0303031.
    PMID: 39190710 DOI: 10.1371/journal.pone.0303031
    INTRODUCTION: Since the emergence of COVID-19, the Malaysian government has made wearing a face mask in public mandatory since August 1, 2020, as an effort by the government to control the transmission of COVID-19. However, Malaysians' willingness to wear face masks in public is unknown.

    OBJECTIVE: Thus, this study aimed to evaluate their perception of face mask wearing during COVID-19 and its contributing factors.

    METHODOLOGY: A total of 1024 respondents, aged ≥ 18 years, participated in this online cross-sectional survey from October 2021 to December 2021. The Face Mask Perception Scale (FMPS) was used to measure their perceptions.

    RESULTS: Most of the respondents perceived wearing a face mask as uncomfortable. Our findings also revealed statistically significant differences and a small effect (f2 = 0.04) in which respondents who were concerned about being infected by the virus perceived face mask wearing appearance positively (B = - 0.09 units of log-transformed, 95% CI = - 0.15, - 0.04), whereas married respondents perceived it negatively (B = 0.07 units of log-transformed, 95% CI = 0.03, 0.09). There were no statistically significant differences in other domains of FMPS.

    CONCLUSION: In conclusion, discomfort was a major complaint. Marital status and fear of COVID-19 infection affected their perceptions. The public health implications of these findings highlight the importance of addressing discomfort and societal perceptions, particularly those influenced by factors such as marital status and COVID-19 experience, to promote widespread acceptance and consistent usage of face masks, which is crucial in mitigating the spread of COVID-19.

  8. Samsuddin N, Razali A, Rahman NAA, Yusof MZ, Mahmood NAKN, Hair AFA
    Malays J Med Sci, 2019 Mar;26(2):131-137.
    PMID: 31447616 MyJurnal DOI: 10.21315/mjms2019.26.2.14
    The objectives of occupational health services (OHS) are to create a healthy and safe working environment, prevent work-related diseases, optimise employees' functional capacity and promote health. According to the literature, global accessibility to OHS has not shown much improvement and even worsened in certain countries. The main challenges come from the small and medium enterprises (SMEs). To respond to these global challenges, the basic occupational health services (BOHS) guideline was published under the purview of the World Health Organization and the International Labour Organization. The guideline describes BOHS as part of the infrastructure called the occupational safety and health system, an essential element that ensures the high service coverage and sustainability of the programme. The BOHS guideline was introduced in Malaysia by the Department of Occupational Safety and Health with a focus on SMEs, but its accessibility is low. A gap analysis was conducted between the current BOHS in Malaysia and the published international guideline. The important challenges identified that contributes to the low BOHS accessibility in Malaysia is the weakness in the BOHS infrastructure and OHS system provision. The proposed BOHS infrastructure model is meant to increase accessibility and to provide fair and equitable health services for Malaysians.
  9. Muhammad Zubir Yusof, Nik Ahmad Kamal Nik Mahmod, Nor Azlina A. Rahman, Ailin Razali, Niza Samsuddin, Nik Mohamed Nizan Nik Mohamed, et al.
    MyJurnal
    Occupational diseases are one of the major health problems related to workplace hazards.
    However, the epidemiological data for this problem is scarce especially among Small and
    Medium Industry (SMI) workers. These workers are vulnerable to occupational health problem
    due to lack of knowledge and implementation of health and safety in the workplace. In Malaysia,
    most of the SMI workers have limited coverage for basic occupational health services which
    may worsen their health. Thus, this article aims to provide a review on the burden of
    occupational health problems among them. The electronic and library searches were used to
    extract the information from both published and unpublished articles that were not limited to any
    year of publication until 2017. One hundred and ninety-six published articles and 198
    unpublished articles were retrieved from the database. Only 19 published articles and 25
    unpublished articles met the eligibility criteria. Prevalence data of occupational
    diseases/poisoning, including overall and body specific (musculoskeletal disorders) was
    extracted in raw data from the eligible studies. Prevalent statistics on occupational
    musculoskeletal diseases (1.3% - 97.6%), noise-induced hearing loss (29.4% - 73.3%),
    occupational skin diseases (10.5% - 84.3%), respiratory (1.9% - 92.2%) and occupational
    poisoning (14.9% - 17.7%) among the working population is different within published papers
    compared to unpublished ones. In Malaysia, there are no specific statistic that give a true picture
    of the burden of occupational diseases in the SMI. However, this review concludes that
    musculoskeletal diseases are significant occupational problems among SMI workers.
  10. Yusof MZ, Zahaba M, Mohd Aris MS, Shafiee S', Abdul Hadi H, Maghpor MN, et al.
    Toxicol Ind Health, 2024 Aug 20.
    PMID: 39163360 DOI: 10.1177/07482337241273755
    This study aimed to estimate workers' occupational lifetime exposure to chrysotile and examine the respiratory symptoms and lung cancer risk. A total of 112 workers were interviewed about their occupational histories. Exposure modeling using information on the determinants of exposure was used to estimate chrysotile emissions. The cumulative lifetime exposure was then assessed for each worker. Respiratory symptoms were obtained using a validated questionnaire. Lung cancer mortality rate was also predicted using a model. Almost all the workers were male and young (mean age = 30 years, SD = 7). The estimated lifetime occupational chrysotile inhalation exposure ranged from 0.0001 to 0.0486 f/mL.years (median = 0.0018 f/mL.years, IQR = 0.486). A high prevalence of cough symptom (11.7%), and low estimated cancer risk (<1%) were reported. In conclusion, the lung cancer risk among our cohort of workers was at a low level because of lower cumulative lifetime occupational chrysotile exposure.
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