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Prevalence of falls in elderly men with diabetes in Diabetic Clinic Universiti Sains Malaysia Hospital, Malaysia

Azidah, Abdul Kadir Hasniza, Hasim
Journal of Men's Health. 2011; 8(): S91-S93

Background. Falls are a common health problem in the elderly. Diabetes mellitus (DM), highly prevalent in older people, is associated with an increased risk of falling and greater risks of disabilities related to mobility and daily tasks among elderly people. Objectives. The objectives of this study are to determine the prevalence of fall and its associated factors among elderly diabetes type 2 male in Diabetic Clinic Universiti Sains Malaysia Hospital. Methodology. This is a cross sectional study conducted from April 2007 till March 2008. A total of 131 elderly male were interviewed with a structured questionnaire which consisted of baseline data and medical history. Patients were physically examined for balance and gait assessment. We also reviewed patient's medical record for laboratory investigations result, medication and concomitant illness. In this study, we defined falls as "having at least one history of falls"ù in the past one year from the interview date. Results. The mean age of the respondents was 67.5±5.6 years and the mean HBA1c and fasting blood sugar were is 8.2% and 7.7 mmol/L respectively. The prevalence of fall was 12.9% (n = 17) and eleven males had history of recurrent falls. (64.7%) Age (p < 0.05), balance and gait score (p < 0.05), postural hypotension (p < 0.05) and peripheral neuropathy (p < 0.05) were significantly associated with fall. Conclusions. The prevalence of falls in elderly diabetic males was 12.9%. The associated factors of fall were age, balance and gait score, orthostatic hypotension, and peripheral neuropathy.


A Cross-Sectional Study of Childhood Injuries in Kedah, Malaysia.

Mohd Riji H., M. J. Sopian, and K. J. Pataki-Schweizer.
Malaysian Journal of Paediatrics and Child Health. 2000; 12( N/A): 60-67

A community-based study of childhood injuries in Kedah was undertaken in January-March 1996. The aims were to determine the types and frequencies of injuries reported; to assess the association between injury and selected variables (age, sex, place, number of children in the family, presence of care-givers and treatment); and to recommend further research and policy for childhood injury prevention. A total of 448 injuries were recorded from 1089 children in 451 randomly selected households. The incidence was 411.4/1000. There appeared to be a decrease in risk of injury as the number of children per household increased. The effect of lower age on injury was significant (p>0.05). Male children were 1.5 times more likely to injure themselves than female children when data were controlled for number of children in the household. Falls accounted for 53.3% of all injuries sustained, and occurred more frequently when the child was with non-family members. Different injury categories were associated with different caregiver categories. It is concluded that child injury prevention programmes require more data on injury situations and collaborative efforts between clinical, health and and behavioural professionals.


Impact, Distress and Hrqol among Malaysian Men and Women with a Mobility Impairment.

Misajon RoseAnne, Lenore Manderson, Julie F. Pallant, Omar Zaliha, Elizabeth Bennett, and Abdul Rahim Rameezan Begam.
Health and quality of life outcomes. 2006; 4( N/A): 95

BACKGROUND: Although non-communicable and chronic disease now accounts for 47% of the global burden of disease, little is known of the everyday experiences and social aspects of disability and disablement in middle and low income countries. This article aims to address this gap by exploring the subjective experience of mobility impairment in Malaysia. Specifically, it examines health-related quality of life and the impact and distress related to impaired mobility, and investigates any gender differences in relation to the experience of disability. METHODS: The data were collected as part of an interdisciplinary, multi-country study known as RESILIENCE (Research into Social Inclusion, Locomotive Impairment and Empowerment through Networking, Collaboration and Education). Cluster sampling was used to administer the EQ-5D and the Perceived Impact of Problems Profile (PIPP) to 210 adults from Selangor state, west coast Peninsular Malaysia. RESULTS: The participants consisted of 94 males and 116 females, aged between 18-90 years (mean 60 years), with the majority being Malay. The majority of participants were also married, from rural areas and had primary education only. Very few participants lived alone. In addition, males were more likely to attribute their impaired mobility to an accident. The majority of participants with mobility impairment experienced a moderate to high level of pain/discomfort (79%) and anxiety/depression (72%), and at least some problems with performing usual activities (71%), as measured by the EQ-5D. In addition, using the Perceived Impact of Problems Profile (PIPP), participants also reported high levels of impact and distress related to participation in community life. In general, males reported higher impact and distress across several items, most significantly in regard to participation in community activities, moving around the neighbourhood, ability to live independently, and ability to assist their family members. CONCLUSION: This paper provides preliminary data regarding the health-related quality of life among Malaysians with impaired mobility, and highlights the multifaceted impact of disability and the importance of acknowledging the diverse cultural contexts in which disability can occur. It also raises questions regarding gender differences in the subjective experience of disability in Malaysia.


Obstructive Sleep Apnea among Express Bus Drivers in Malaysia: Important Indicators for Screening.

Yusoff M. F., M. M. Baki, N. Mohamed, A. S. Mohamed, M. R. Yunus, M. Ami, I. Othman, and A. I. Ishak.
Traffic Injury Prevention. 2010; 11(6): 594-99

OBJECTIVES: Obstructive sleep apnea (OSA) has been identified as one of the significant risk factors for motor vehicle crashes (MVCs). In the interest of public safety, this study was conducted to determine the prevalence of OSA and its associated factors among express bus drivers in Malaysia. Identifying factors or conditions related with OSA is very important because they can be used as indicators to subject a person to a confirmatory diagnosis using polysomnography testing. METHODS: Two hundred eighty-nine randomly selected express bus drivers from 5 express bus companies participated in the study. Information on demography, medical history, clinical symptoms, and signs of OSA were collected by a designated medical officer and the diagnosis of OSA was done based on the Apnea Hypopnoea Index (AHI) from polysomnography testing. RESULTS: Based on AHI, 128 (44.3%) subjects were diagnosed as having OSA with 83 (28.7%), 26 (9.0%), and 26 (6.6%) classified as mild, moderate, and severe OSA, respectively. Multiple logistic regression analysis results showed that age (odds ratio [OR] = 1.05, 95% confidence interval [CI] 1.01-1.09), snoring (OR = 3.54, 95% CI 1.91-6.57), body mass index (BMI; OR = 1.17, 95% CI 1.09-1.25), hypertension (OR = 1.87, 95% CI 1.02-3.40), and neck circumference (OR = 1.31, 95% CI 1.18-1.46) were significantly associated with OSA status. CONCLUSIONS: The results supported the need for identifying the risk group for OSA among express bus drivers and the need to diagnose them early for an early intervention.


Pattern of Ocular Trauma in Kuching, Malaysia.

Mallika P., A. Tan, T. Asok, H. Faisal, S. Aziz, and G. Intan.
Malays Fam Physician. 2008; 3(3): 140-5

OBJECTIVES: To analyze the causes and characteristics of ocular injuries presenting to Sarawak General Hospital (SGH), Kuching. DESIGN: It is a prospective hospital-based study done for a period of 1 year. SETTING: Department of Ophthalmology, Sarawak General Hospital, Malaysia. PARTICIPANTS: All ocular injury patients seen for the first time in the Eye Department during the period January 2006 to December 2006 were included in the study. Eye injury patients on follow-up and treated elsewhere were excluded. RESULTS: A total of 233 patients, and 257 eyes, were studied. Men had six-fold higher rates of injury than women. The average age of presentation was 30 years. The predominant age group was between 21-30 years, 26.2 % (n=61). Eye injuries related to work were seen in 36.9% of patients. There was a gross negligence in the use of personal protective devices in the work-related group. The common settings in which the injuries occurred included home 34.3% (n=80) and industrial premises 31.8% (n=74). Assault-related injuries 7.7% (n=18) were seen mostly among young men in the age between 20-30 years. The initial presenting visual acuity of the patients with blunt ocular trauma was better than penetrating injury. CONCLUSION: Ocular injuries were common in young males. Work related eye injuries were noted in a significant number of cases. Health education and preventive strategies both in the working place and at home will help to decrease the occurrence of ocular injuries.


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