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Fulltext Does the definition of multisite musculoskeletal pain influence its occurrence and the assessement of physical work exposures?

Hanizah M.Y., Nor Hassim I

Malaysian Journal of Public Health Medicine, 2015;15(2):40-48.
MyJurnal

Most people with musculoskeletal problem suffer pain at multiple body sites. The most frequent form of multisite pain studied is chronic widespread pain (CWP). Focusing solely on CWP may exclude the commoner form of multisite pain which is less wide spread. Therefore, studies on multisite pain which do not consider the spatial distribution of pain can be beneficial to tackle the overall problem of musculoskeletal pain. Nevertheless, multisite pain has been defined differently in the studies among workers. The absence of uniformed definition will jeopardize the understanding of this musculoskeletal problem. A review was thus carried out to identify how multisite pain were defined, how they influenced the reported occurrence of multisite pain and whether the definition determined the physical work exposures assessed in previous studies among worker. A systematic review was initiated by the search of electronic databases for multisite pain. Articles were included and excluded based on the selection criteria. A final of nine full text articles were reviewed. It was found that the difference in the definitions lies mainly in the body sites considered and the pain characteristics. The characteristics of pain influenced the multisite pain prevalence more than the sites.It wasdifficult to conclude whether the definition used determined the physical work exposures since only five studies were involved and three of them had similar research team which may explained the usage of similar exposures. The findings from this review, however, could not be inferred due to the small number of studies involved.

Matched MeSH terms: Patient Selection
Fulltext Two Stage Portfolio Selection and Optimization Model with the Hybrid Particle Swarm Optimization

Kashif Zaheer, Mohd Ismail Abd Aziz, Kashif, Amber Nehan, Syed Muhammad Murshid Raza

MATEMATIKA, 2018;34(1):125-141.
MyJurnal

The selection criteria play an important role in the portfolio optimization
using any ratio model. In this paper, the authors have considered the mean return as
profit and variance of return as risk on the asset return as selection criteria, as the first
stage to optimize the selected portfolio. Furthermore, the sharp ratio (SR) has been
considered to be the optimization ratio model. In this regard, the historical data taken
from Shanghai Stock Exchange (SSE) has been considered. A metaheuristic technique
has been developed, with financial tool box available in MATLAB and the particle swarm
optimization (PSO) algorithm. Hence, called as the hybrid particle swarm optimization
(HPSO) or can also be called as financial tool box particle swarm optimization (FTBPSO).
In this model, the budgets as constraint, where as two different models i.e. with
and without short sale, have been considered. The obtained results have been compared
with the existing literature and the proposed technique is found to be optimum and better
in terms of profit.

Matched MeSH terms: Patient Selection
Liver transplantation--patient selection and timing

McCormick A, Sultan J

Med J Malaysia, 2005 Jul;60 Suppl B:83-7.
PMID: 16108182

Liver transplantation has been successfully used in the treatment of a large number of liver diseases. The largest patient group comprises patients with end stage decompensated liver disease. Decompensation is defined as the presence of cirrhosis and one or more of the following: jaundice, ascites, hepatic encephalopathy, hepatorenal syndrome or bleeding oesophageal varices. In general patients in this category should be considered for liver transplantation, if available. Guidelines for liver transplant assessment have been published by both the British Society of Gastroenterology and the American Association for the Study of Liver Disease. These guidelines provide a good basis for patient selection. As new information becomes available the indications for individual diseases may change somewhat. One of the most important changes in recent years was the introduction of the MELD/PELD scoring system. This is the model for end stage liver disease which provides a reasonably robust estimate of prognosis for individual patients. Prior to this patient waiting time on the transplant list was one of the principal determinants of priority for liver allocation. The MELD scoring system has been widely adopted with the aim of allocating the available livers to patients in the greatest clinical need.

Matched MeSH terms: Patient Selection*
Prioritisation in speech and language therapy departments in Scotland and Malaysia

Santiago C, Stansfield J

Int J Lang Commun Disord, 1998;33 Suppl:102-7.
PMID: 10343674

This study investigates how prioritisation in health services have influenced speech and language therapy (SLT) services in Scotland in prioritising their caseload. Additionally, it evaluates how current prioritisation systems may contribute towards the development of the SLT service in Malaysia. Health, education and social agencies in Malaysia were contacted and a literature review was conducted. Information on prioritisation systems used in Malaysia was unavailable. Prioritisation systems from seven SLT departments within Scotland were investigated, of which three SLT managers took part in semi-structured interviews. The findings show that prioritisation is influenced by a combination of factors and that the principles could only be applied to the Malaysian SLT service if consideration is given to the political, economical, social, geographical and cultural factors.

Matched MeSH terms: Patient Selection*
Research misconduct

Khalid BA

Med J Malaysia, 2000 Aug;55 Suppl B:14-6.
PMID: 11125514
Matched MeSH terms: Patient Selection
Fulltext Use of probiotics in clinical practice with special reference to diarrheal diseases: A position statement of the Malaysian Society of Gastroenterology and Hepatology

Lee YY, Leow AH, Chai PF, Raja Ali RA, Lee WS, Goh KL

JGH Open, 2021 Jan;5(1):11-19.
PMID: 33490608 DOI: 10.1002/jgh3.12469

Probiotics comprise a large group of microorganisms, which have different properties and thus confer different benefits. The use of probiotics has shown promising results in the management of diarrheal diseases. While the availability of probiotic products has flourished in the marketplace, there is limited guidance on the selection of probiotics for clinical use. This position paper is aimed at informing clinicians about the proper selection criteria of probiotics based on current evidence on strain-specific efficacy and safety for the management of diarrheal diseases. Members of the working group discussed issues on probiotic use in clinical practice, which were then drafted into statements. Literature to support or refute the statements were gathered through a search of medical literature from 2011 to 2020. Recommendations were formulated based on the drafted statements and evidence gathered, revised as necessary, and finalized upon agreement of all members. Twelve statements and recommendations were developed covering the areas of quality control in the manufacturing of probiotics, criteria for selection of probiotics, and established evidence for use of probiotics in diarrheal diseases in adults and children. Recommendations for the use of specific probiotic strains in clinical practice were categorized as proven and probable efficacy based on strength of evidence. Robust evidence is available to support the use of probiotics for diarrheal diseases in clinical practice. Based on the results obtained, we strongly advocate the careful evaluation of products, including manufacturing practices, strain-specific evidence, and contraindications for at-risk populations when choosing probiotics for use in clinical practice.

Matched MeSH terms: Patient Selection
Fulltext Latest recommendations for dental radiography in general dental practice

Purmal, Kathiravan, Nambiar, Phrabhakaran

Malaysian Dental Journal, 2008;29(2):104-112.
MyJurnal

Radiology is important in the diagnostic assessment, treatment and monitoring progress of patients having dental and maxillofacial diseases. The central question in dental radiology is whether there is any risk with regard to low doses of radiation and what are the necessary protection needed to prevent any hazardous outcome with X-raying. With the emergence of the new millennium, major changes are happening in the field of science and technology. More efficient equipments are being discovered and more researches are being conducted to elicit better understanding of the radiation process and its effect on the human health. This article will review the latest guidelines for proper radiographic practice from the USA and Europe. It will address topics like the risks from dental radiography, selection criteria, protection for patients and staff, improvement to X-ray equipments, room dimensions and lead lining requirements. We have limited our research to intraoral, panoramic and cephalometric radiographs because these are the radiographs or images that are commonly taken in the general practice setting. (Copied from article).

Matched MeSH terms: Patient Selection
Fulltext Ventricular dyssynchrony is common among heart failure patients with narrow QRS complex

Yaakob, Z.H., Syed Tamin, S., Nik Zainal, N.H., Chee, K.H., Chong, W.P., Hashim, N.E., et al.

JUMMEC, 2009;12(2):57-62.
MyJurnal

Current selection guideline for CRT uses broad QRS duration (>120 ms) as a marker for ventricular dyssynchrony. However, more recent data supports mechanical marker specifically measured by Tissue Doppler Imaging (TDI) as a better criterion to predict response to CRT. Sixty seven patients with significant left ventricular dysfunction (EF less than 40%) and narrow QRS complex were prospectively enrolled. They underwent Tissue Doppler Imaging (TDI) study to evaluate intraventricular mechanical dyssynchrony. Dyssynchrony index which is defined as standard deviation of time to peak systolic velocity in twelve ventricular segments was measured. A value greater than 32.6 is taken to reflect significant ventricular dyssynchrony. Overall 38 patients (56.7%) demonstrated significant dyssynchrony. There was no significant correlation between QRS duration and the Ts-SD-12 (r = 0.14, p = 0.11). Ventricular mechanical dyssynchrony is common in patients with normal QRS duration. Therefore, QRS duration alone will miss a substantial proportion of suitable patients for CRT and therefore deny them this adjunct therapy. We propose echocardiographic parameters, specifically TDI, to be included in patient selection criteria for CRT.

Matched MeSH terms: Patient Selection
Fulltext Combination of forecasts with an application to unemployment rate

Muniroh, M.F., Ismail, N., Lazim, M.A.

Pertanika Journal of Science & Technology, 2017;25(3):787-796.
MyJurnal

Combining forecast values based on simple univariate models may produce more favourable results than complex models. In this study, the results of combining the forecast values of Naïve model, Single Exponential Smoothing Model, The Autoregressive Moving Average (ARIMA) model, and Holt Method are shown to be superior to that of the Error Correction Model (ECM).Malaysia’s unemployment rates data are used in this study. The independent variable used in the ECM formulation is the industrial production index. Both data sets were collected for the months of January 2004 to December 2010. The selection criteria used to determine the best model, is the Mean Square Error (MSE), Root Mean Squared Error (RMSE) and Mean Absolute Percentage Error (MAPE). Initial findings showed that both time series data sets were not influenced by the seasonality effect.

Matched MeSH terms: Patient Selection
Fulltext Contemporary surgical management of advanced end stage emphysema: an evidence based review

Sachithanandan A, Badmanaban B

Med J Malaysia, 2012 Jun;67(3):253-8.
PMID: 23082412 MyJurnal

Emphysema is a progressive unrelenting component of chronic obstructive pulmonary disease and a major source of mortality and morbidity globally. The prevalence of moderate to severe emphysema is approximately 5% in Malaysia and likely to increase in the future. Hence advanced emphysema will emerge as a leading cause of hospital admission and a major consumer of healthcare resources in this country in the future. Patients with advanced disease have a poor quality of life and reduced survival. Medical therapy has been largely ineffective for many patients however certain subgroups have disease amenable to surgical palliation. Effective surgical therapies include lung volume reduction surgery, lung transplantation and bullectomy. This article is a comprehensive evidence based review of the literature evaluating the rationale, efficacy, safety and limitations of surgery for advanced emphysema highlighting the importance of meticulous patient selection and local factors relevant to Malaysia.

Matched MeSH terms: Patient Selection
Liver transplantation in children

Boey CC

Med J Malaysia, 2005 Jul;60 Suppl B:90-3.
PMID: 16108184
Matched MeSH terms: Patient Selection
Fulltext Intermaxillary tooth size discrepancy in a Pakistani population: A stereomicroscope versus digital caliper

Shahid F, Alam MK, Khamis MF

Eur J Dent, 2016 4 21;10(2):176-182.
PMID: 27095892 DOI: 10.4103/1305-7456.178299

OBJECTIVE: Comprehensive diagnosis and treatment planning are essential in a successful orthodontic practice. The purpose of this study is to determine and compare intermaxillary tooth size discrepancy (IMTSD) using traditional digital caliper (DC) measurement on plaster dental models and stereomicroscopic digital dental models (SM).
MATERIALS AND METHODS: The samples were randomly selected from different states of Pakistan. Total 7168 variables were measured on plaster dental casts (128) and SM digital dental models (128) according to the selection criteria. For IMTSD, the 6 variable measured as for anterior tooth size (maxilla, mandibular), overall tooth size (maxilla, mandibular), Bolton's anterior ratios (BAR), and Bolton's overall ratios (BOR). The independent t-test and ANOVA were used for statistical analyses.
RESULTS: Significant sexual disparities in the sum of anterior tooth size and overall tooth size via DC and SM methods. No significant sexual disparities for BAR and BOR. No statistically significant differences were found in BAR and BOR between DC and SM. No significant differences were found on IMTSD ratio among different arch length and arch perimeters groups.
CONCLUSIONS: Norms were developed based on DC and SM for IMTSD. Sexual disparities were observed in the sum of teeth size. However, no significant differences in BAR and BOR for IMTSD between the two methods.

Matched MeSH terms: Patient Selection
Fulltext Botulinum Toxin Application in Facial Esthetics and Recent Treatment Indications (2013-2018)

Kattimani V, Tiwari RVC, Gufran K, Wasan B, Shilpa PH, Khader AA

J Int Soc Prev Community Dent, 2019 04 12;9(2):99-105.
PMID: 31058058 DOI: 10.4103/jispcd.JISPCD_430_18

Background: Ever-changing perception of beauty from childhood to old age is changing with the revolution in cosmeceuticals science. Esthetics is an individual's perception since time immemorial. Standards of beauty have changed through centuries with increased awareness about esthetics. The face remains main source of information for identification and discrimination. It constitutes a structural ground for many nonverbal messages including the emotional state of a person, so the proverb "Face is an index of mind" holds good. The wrinkles and laxity are considered to be one of the factors for aging. Hence, escalating demand for cosmetic treatment to reduce facial wrinkles and laxity has stimulated us to search for published literature for nonsurgical techniques for enhancement of facial beauty. The review analyzed the published data to provide narrative basic review in a concise way to the beginners, clinicians, and students.
Materials and Methods: We have adopted search criteria using keywords: Botox, Botulinum toxin, incobotulinumtoxinA, esthetics, face, uses of Botox, with various Boolean operators and or in title, and abstract using PubMed search engine. The database search limited to PubMed only from January 2013 to June 2018.
Results: Various search results have been appended as annexures at the end of the article for further reference for the readers. Finally, 17 references were selected to write narrative review to meet our objectives.
Conclusion: The advancing front in the use of toxins is an emerging science for the beautification of a face. Botox exploded in to market because of efficacy, tolerability, and minimally invasive nature. The present review gives brief about the history of Botulinum toxin, types, mechanism of action, clinical indications, preparations, storage, and technique for various uses with a brief note on patient selection, contraindications, and complications.

Matched MeSH terms: Patient Selection
Fulltext Treatment of intracerebral haemorrhage with tranexamic acid - A review of current evidence and ongoing trials

Law ZK, Meretoja A, Engelter ST, Christensen H, Muresan EM, Glad SB, et al.

Eur Stroke J, 2017 Mar;2(1):13-22.
PMID: 31008298 DOI: 10.1177/2396987316676610

Purpose: Haematoma expansion is a devastating complication of intracerebral haemorrhage (ICH) with no established treatment. Tranexamic acid had been an effective haemostatic agent in reducing post-operative and traumatic bleeding. We review current evidence examining the efficacy of tranexamic acid in improving clinical outcome after ICH.
Method: We searched MEDLINE, EMBASE, CENTRAL and clinical trial registers for studies using search strategies incorporating the terms 'intracerebral haemorrhage', 'tranexamic acid' and 'antifibrinolytic'. Authors of ongoing clinical trials were contacted for further details.
Findings: We screened 268 publications and retrieved 17 articles after screening. Unpublished information from three ongoing clinical trials was obtained. We found five completed studies. Of these, two randomised controlled trials (RCTs) comparing intravenous tranexamic acid to placebo (n = 54) reported no significant difference in death or dependency. Three observational studies (n = 281) suggested less haematoma growth with rapid tranexamic acid infusion. There are six ongoing RCTs (n = 3089) with different clinical exclusions, imaging selection criteria (spot sign and haematoma volume), time window for recruitment and dosing of tranexamic acid.
Discussion: Despite their heterogeneity, the ongoing trials will provide key evidence on the effects of tranexamic acid on ICH. There are uncertainties of whether patients with negative spot sign, large haematoma, intraventricular haemorrhage, or poor Glasgow Coma Scale should be recruited. The time window for optimal effect of haemostatic therapy in ICH is yet to be established.
Conclusion: Tranexamic acid is a promising haemostatic agent for ICH. We await the results of the trials before definite conclusions can be drawn.

Matched MeSH terms: Patient Selection
Fulltext Efficient model selection of collector efficiency in solar dryer using hybrid of LASSO and robust regression

Javaid, Anam, Mohd. Tahir Ismail, Ali, Majid Khan Majahar

Pertanika Journal of Science & Technology, 2020;28(1):193-210.
MyJurnal

There are many variables involved in the real life problem so it is difficult to choose an efficient model out of all possible models relating to analytical factors. Interaction terms affecting the model also need to be addressed because of its vital role in the actual dataset. The current study focused on efficient model selection for collector efficiency of solar dryer. For this purpose, collector efficiency of solar dryer was used as a dependent variable with time, inlet temperature, collector average temperature and solar radiation as independent variables. Hybrid of the least absolute shrinkage and selection operator (LASSO) and robust regression were proposed for the identification of efficient model selection. The comparison was made with the ordinary least square (OLS) after performing a multicollinearity and coefficient test and with a ridge regression analysis. The final selected model was obtained using eight selection criteria (8SC). To forecast the efficient model, the mean absolute percentage error (MAPE) was used. As compared to other methods, the proposed method provides a more efficient model with minimum MAPE.

Matched MeSH terms: Patient Selection
IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) Consensus Conference Statement on One-Anastomosis Gastric Bypass (OAGB-MGB): Results of a Modified Delphi Study

Ramos AC, Chevallier JM, Mahawar K, Brown W, Kow L, White KP, et al.

Obes Surg, 2020 May;30(5):1625-1634.
PMID: 32152841 DOI: 10.1007/s11695-020-04519-y

BACKGROUND: One-anastomosis gastric bypass (OAGB-MGB) is currently the third performed primary bariatric surgical procedure worldwide. However, the procedure is hampered by numerous controversies and there is considerable variability in surgical technique, patient selection, and pre- and postoperative care among the surgeons performing this procedure. This paper reports the results of a modified Delphi consensus study organized by the International Federation for Surgery of Obesity and Metabolic Disorders (IFSO).
METHODS: Fifty-two internationally recognized bariatric experts from 28 countries convened for voting on 90 consensus statements over two rounds to identify those on which consensus could be reached. Inter-voter agreement of ≥ 70% was considered consensus, with voting participation ≥ 80% considered a robust vote.
RESULTS: At least 70% consensus was achieved for 65 of the 90 questions (72.2% of the items), 61 during the first round of voting and an additional four in the second round. Where consensus was reached on a binary agree/disagree or yes/no item, there was agreement with the statement presented in 53 of 56 instances (94.6%). Where consensus was reached on a statement where options favorable versus unfavorable to OAGB-MGB were provided, including statements in which OAGB-MGB was compared to another procedure, the response option favorable to OAGB-MGB was selected in 13 of 23 instances (56.5%).
CONCLUSION: Although there is general agreement that the OAGB-MGB is an effective and usually safe option for the management of patients with obesity or severe obesity, numerous areas of non-consensus remain in its use. Further empirical data are needed.

Matched MeSH terms: Patient Selection
Significance of Nasal Septum Angulation and Its Association with Rhinosinusitis Symptom Scores

Lazim NM, Abdullah AM, Abdullah B, Ismail ZIM

Medeni Med J, 2019;34(4):333-339.
PMID: 32821458 DOI: 10.5222/MMJ.2019.25986

Objective: The aim of the study was to determine the association of angulation of nasal septum with the severity of rhinosinusitis as measured by symptom score and Visual Analog Score (VAS).
Method: The study was performed as a cross sectional study conducted at two different centres in Malaysia. Ninety-eight patients who were diagnosed with rhinosinusitis and fulfilled the selection criteria were assessed as for the symptom score and VAS and the measurement of angulation of nasal septum was performed through a coronal view of CT paranasal sinuses in bone window setting at osteomeatal complex level.
Results: The result obtained from one-way ANOVA test revealed a significant association between category of severity of septal angulation and the symptom score of rhinosinusitis (p=0.025). In addition, the result obtained from one-way ANOVA test also revealed a significant association between category of severity of septal angulation and the VAS of rhinosinusitis (p<0.05).
Conclusion: Severity of nasal septum angulation may be significantly associated with severity of rhinosinusitis based on symptom score and VAS. These findings could be used in tailored management of patient with rhinosinusitis especially during functional endoscopic sinus surgery.

Matched MeSH terms: Patient Selection
Fulltext Content analysis of mobile health applications on diabetes mellitus

Izahar S, Lean QY, Hameed MA, Murugiah MK, Patel RP, Al-Worafi YM, et al.

Front Endocrinol (Lausanne), 2017;8:318.
PMID: 29230195 DOI: 10.3389/fendo.2017.00318

Diabetes self-management offers an opportunity to patients to be actively involved in managing their conditions and modifying lifestyle behaviors to attain positive health outcomes. With the unprecedented growth of mobile technology, smartphone plays a role in supporting diabetes self-management. Nonetheless, selecting appropriate mobile applications (apps) is challenging for patients. Thus, this study aimed to evaluate and compare the contents and features of mobile medical apps for diabetes self-management. Of 346 commercial apps, 16 (16%) and 19 (7.72%) of the diabetes apps found in Apple and Google Play stores, respectively, were included based on the selection criteria and individually scored for the availability of 8 main features of diabetes self-management. The apps supported self-management by offering features such as free installation, less than 50 MB space used, offline use, automated data entry, data export and sharing, educational tool, and advice. Of the 8 evaluated features, only 11 (31.4%) apps had a score of 5 whereas 7 (20%) apps scored the lowest, with a score of 3. The majority of apps were free, required no Internet connectivity to use and were less than 50 MB in size. Our findings showed that the design of diabetes mobile apps focused on reporting and setting reminders, rather than providing personalized education or therapeutic support. In the future, the design of apps could be improved to integrate patients' needs, usability for disease management, and lifestyle modifications.

Matched MeSH terms: Patient Selection
Fulltext A review on criteria and decision-making techniques in solving landfill site selection problems

Nur Azriati Mat, Aida Mauziah Benjamin, Syariza Abdul-Rahman

Journal of Advanced Review on Scientific Research, 2017;37(1):14-32.
MyJurnal

The selection of landfill, which happens to be an environmental issue, has attracted
the attention of many researchers from the fields of waste management and
environmental sciences worldwide. Hence, in the attempt to overcome this problem,
some decision-making techniques, including Geographic Information Systems (GIS)
and Multi-Criteria Decision Analysis (MCDA), have been widely utilized in prior studies,
where multiple criteria, particularly in site selection process, have been employed.
With that, this article identifies the selection criteria for landfill selection and presents
a review concerning decision-making techniques that have been used in past studies
for two important phases involved during the process of site selection, namely, (1)
preliminary site screening, and (2) assessment of site suitability. As such, some 82
articles chosen from 34 peer-reviewed journals had been investigated in detail. The
results showed that 42.68% of the selected articles integrated GIS and MCDA
techniques to solve the problem of landfill site selection, and this is followed by
integrating GIS and fuzzy MCDA technique (18.29%). Both these techniques are indeed
powerful tools that can guide decision-makers to solve problems in making decisions
on the basis of various criteria under certainty and uncertainty results, mainly involving
environmental issues.

Matched MeSH terms: Patient Selection
Fulltext A dilemma in management of intrauterine death in mother with major placenta previa

Rima Anggrena, D., Yulianty, A., Nor Azlin, M.I.

Journal of Surgical Academia, 2017;7(2):43-45.
MyJurnal

Placenta previa is a condition when the placental tissue extends over the internal cervical os. It is associated with
maternal and fetal morbidity and mortality. With intrauterine death, the mode of delivery will be more difficult to
decide. Here, we report a case of 30 years old G3P2 with placenta previa major diagnosed with intrauterine death at
29 weeks gestation who was managed conservatively and delivered vaginally with minimal complication. A good
patient selection and thorough counseling, patient with placenta previa major and intrauterine death still can be safely
delivered vaginally.

Matched MeSH terms: Patient Selection

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