1.Preliminary Results of Instantaneous Centre of Rotation Change after Thoracic Instrumentation in Adolescent Idiopathic Scoliosis Patients
Asma A ; Onal C ; Eroglu ON ; Berk RH
Malaysian Orthopaedic Journal 2022;16(No.3):120-127
Introduction: The instantaneous centre of rotation (ICR) is
the centre of motion with zero velocity where a rigid body
moves in a particular plane. ICR, as a dynamic measurement,
gives more accurate results in terms of quality and quantity
of the vertebral motions compared to range of motion
(ROM). We aimed to determine the effect of thoracic
instrumentation on cervical movement of adolescent
idiopathic scoliosis (AIS) patients who had undergone
thoracic level instrumentation by measuring pre-operative
and post-operative ICR change in a pilot study
Materials and methods: A total of 25 AIS patients were
included in this study. C4-C5 and C6-C7 segmental ICR
were determined by pre-operative and post-operative
cervical flexion-extension radiographs. In addition, cervical
sagittal parameters and global sagittal parameters were
investigated.
Results: There was no statistically significant change in ICR
location post-operatively in both x and y coordinates at C4-
C5 segment (p: 0.326 and p: 0.946, respectively) and C6-C7
segment (p: 0.209, p: 0.086, respectively). There was a
positive correlation between LCL and C4-C5 ICR y
coordinate (r: 0.481), but not with C6-C7 ICR y coordinate
(r: -0.2, p: 0.398). T5-T12 kyphosis decreased (p: 0.002) and
T1 pelvic angle (0.003), SVA (0.02) and sacral slope (0.049)
increased significantly post-operatively. T1S was correlated
with LCL (r: 0.595, p: 0.002), T5-T12 kyphosis (r: 0.423, p:
0.035), SVA (r: 0.658, p<0.001) and C2-C7 SVA (r: 0.416, p:
0.039).
Conclusion: The ICR for cervical region was not changed
post-operatively in AIS patients with thoracic
instrumentation. There was no relationship found between
the development of post-operative cervical kyphosis or
lordosis and ICR, which represents the quality and quantity
of intervertebral motion. The T1 vertebra plays a key role for
cervical, thoracic, and global parameters interaction.
2.Dietary Intake, Nutritional Status And Cognitive Performance Among Fishermen’s Children: A Review
Atiah Munirah Meli ; Asma' ; Ali
Malaysian Journal of Public Health Medicine 2021;21(1):148-159
This paper highlights the dietary intake of fishermen39;s children, their nutritional status and cognitive performance. It will help to have a reasonable perspective of their dietary intake and their relationship with nutritional status and how it inevitably influences cognitive performance. This is relevant as it can provide the government and health authorities with insights into the execution of an action plan to improve the nutritional status of fishing communities, especially in Malaysia, where possible. A systematic search of the English scholarly papers on this subject was undertaken between 1997 and 2020. A total of 20 studies have been systematically chosen and reviewed. Studies are divided into two groups, based on the type of research conducted. Ten of the retrieved studies looked at dietary intake and nutritional status in fisherman39;s children, while another ten studies looked at cognitive performance in children and adolescents and the factors that contributed to it. In terms of dietary intake, three studies reported low energy consumption and low carbohydrate intake, one study reported high carbohydrate intake, four studies reported high protein intake, one study reported low fat intake, five studies reported low micronutrient intake (calcium, iron, vitamin A and vitamin C) and two studies reported a high intake of niacin. As far as nutritional status is concerned, six studies recorded that children are stunted/underweight and three studies reported that children are obese/overweight. In comparison, one study recorded high cognitive performance, three studies reported average cognitive performance, and three studies reported poor cognitive performance. In the studies reviewed, it has been shown that there is a positive association between socio-economic status, dietary intake/nutritional status and cognitive performance among children in fishing communities in different regions. There is a need for nutrition education and intervention in these disadvantaged communities.
3.Feasibility and Acceptability of MyWarung©: A Food Poisoning Prevention Smartphone-Apps During Dining Out
Nur Afifah Mursyida Zaujan ; Asma' ; Ali ; Norashiqin Misni ; Malina Osman ; Hui Yee Chee ; Nur Raihana Ithnin ; Surianti Sukeri ; Christie Pei-Yee Chin
Malaysian Journal of Medicine and Health Sciences 2021;17(No.3):170-176
Introduction: Eating out has always been associated with increasing cases of food poisoning. These problems can
be minimized through mobile applications and technology development. A mobile application called MyWarung©
was developed to provide an alternative, improved tool for improving food poisoning knowledge and preventive
behaviour. Methods: This cross-sectional study aims to assess the feasibility and acceptance of the MyWarung©
application for consumers in Terengganu. The 50 consumers were selected based on the inclusion and exclusion
criteria using convenience non-probability sampling. The data were collected through a questionnaire that included
three components: socio-demographic, feasible (6 components) and acceptable (7 components). The scoring above
80.0% indicates an acceptable, while lower than 80.0% show unacceptable for both feasibility and acceptability
sections. SPSS 22.0 has analyzed the data. Results: The results showed excellent feasibility with a median score
of 27.5 (IQR 6.0) out of 30.0, and acceptance with 32.0 (IQR 7.0) out of 35.0. Majority of the respondents agreed
that the app is easy to use (94.0%), easy to understand (88.0%), attractive (84.0%), catchy (88.0%), provides more
information (96.0%), efficient (96.0%), knowledge improvement (96.0%), beneficial (100.0%), useful application
(88.0%), and recommend to the other people (84.0%). The overall result showed that most respondents agreed that
MyWarung© application was feasible and acceptable with 90.0% and 86.0% feasibility and acceptability rate. Conclusion: The MyWarung© application among consumers can be highly feasible and acceptable in preventing food
poisoning during dining out.


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