5.Implementation of MPOWER Approach for Tobacco Control in Malaysia: Findings from the Global Adult Tobacco Survey (GATs)
Malaysian Journal of Medicine and Health Sciences 2020;16(No.1):144-154
Tobacco induced illness remains a major contribution to premature death and global burden of diseases. The introduction of MPOWER policies by World Health Organization held the value to monitor the implementation of the anti-smoking measures in all signatory countries. This paper aimed to investigate the application of
the six MPOWER indicators among Malaysia population. Methods: We utilized the data of Global Adult Tobacco
Survey-Malaysia (GATS-M) which recruited 5112 nationally representative samples of Malaysians of 15 years old
and above. Descriptive statistical analysis was used to illustrate the social demographic characteristic of the respondents while cross tabulation was employed to describe all elements of the MPOWER indicators. Results: About one
quarter (23.1%) of Malaysian adults were current tobacco users. The SHS exposure at home (38.4%) and restaurant
(42.1%) were high. Approximately eight in ten (80.2%) of the smokers intended to quit, while for those attempted to
quit in past one year, 9.0% utilized pharmacotherapy and 4.4% attended counseling. The awareness about tobacco
related diseases was generally excellent. The overall tax make up of the cigarettes’ retail price ranging from 41.7% up
to 80%. Conclusion: Tobacco consumption remains prevalent and plateau among Malaysian adults over the last two
decades with substantial proportion of the population exposed to SHS. The inadequacy in the current anti-smoking
policies needs urgent improvement in order to reduce the smoking norms among Malaysians population besides to
achieve the ultimate goal of tobacco control end game by year 2045.
6.Recurrent abdomen pain and tympanic right upper quadrant.
Pei Yee ONN ; Norwani BASIR ; Vui Heng CHONG
Brunei International Medical Journal 2011;7(3):165-165
A young lady presented with recurrent abdominal distention and pain. Over the past few years,
she had been admitted several times with similar complaints. Each time the symptoms settled
with conservative management. Abdominal radiography (Panel) on admission is shown above.
What does the radiograph show and what is the syndrome ?
Answer: refer to page 187
Images of Interest Brunei Int Med J. 2011; 7 (3): 165
Correspondence
7.Recurrent abdomen pain and tympanic right upper quadrant - Answers.
Pei Yee ONN ; Norwani BASIR ; Vui Heng CHONG
Brunei International Medical Journal 2011;7(3):187-187
(Refer to page 165)
Answer: Chilaiditi’s sign and
Chilaiditi’s syndrome
Chilaiditi’s sign is defined by the asymptomatic
interposition of part of the intestine
(commonly the hepatic flexure of the colon)
between the right hemi-diaphragm and the
liver. It is usually an incidental finding. When
symptomatic, it is referred to as the Chilaiditi’s
syndrome. Presentations may range from
intermittent recurrent mild abdominal pain to
acute intestinal volvulus, though the symptoms
reported so far have been inconsistent
between different patients and can be nonspecific.
8.A patient with dysphagia and iron deficiency anaemia.
Pei Yee ONN ; Ian BICKLE ; Vui Heng CHONG
Brunei International Medical Journal 2011;7(4):208-208
A young lady was evaluated for chronic iron deficiency anaemia and a long history of intermittent
dysphagia especially to solids. The dysphagia had been more prominent in the previous few
months. There was no history of menorrhagia. Apart from pallor and mild koilonychias, physical
examination was unremarkable. She underwent a barium swallow (panel) and an abnormality
was detected.
What is the diagnosis?
Answer: refer to page 236
9.A patient with dysphagia and iron deficiency anaemia - Answers.
Pei Yee ONN ; Ian BICKLE ; Vui Heng CHONG
Brunei International Medical Journal 2011;7(4):236-236
(Refer to page 208)
Answer: Plummer-Vinson or
Patterson-Kelly-Brown Syndrome
Plummer-Vinson syndrome (PVS) is defined
as a triad of upper oesophageal web (or ring),
dysphagia and iron deficiency anaemia (IDA).
It was first reported in the early twentieth
century, and is also widely known as the Patterson-
Kelly-Brown syndrome (PKBS) or
sideropenic anaemia with epithelial lesions.
10.The New Idea about Early Intervention for Type 2 Diabetes Based on Gan Disease Transferring to Pi in Metabolic Diseases.
Xian-pei HENG ; Liu-qing YANG ; Liang LI
Chinese Journal of Integrated Traditional and Western Medicine 2015;35(6):746-751
Excess energy has become a main reason for increasingly serious human health hazards. Excess energy, mainly ectopically deposits in the liver, pancreas and other organs in the form of triglycerides, and produces chronic oxidative, nitrosative stress (ONS) , and fat toxicity, resulting in insulin resistance and impaired insulin secretion, and further impaired glucose regulation (Pidan). By combining Chinese medical pathogeneses and symptoms analyses, authors found this process has features of Gan disease transferring to Pi. Based on a number of related guidelines and clinical practice, we demonstrated treating sputum and stasis by the same method was one treatment method for intervening liver disease transferring to spleen in metabolic diseases. This idea helps to organic integrating prevention and treatment of major metabolic diseases including non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus, which can improve clinical effectiveness and efficiency of Chinese medicine.
Diabetes Mellitus, Type 2
;
therapy
;
Early Intervention (Education)
;
Humans
;
Insulin
;
Insulin Resistance
;
Metabolic Diseases
;
Non-alcoholic Fatty Liver Disease
;
Risk Factors
;
Triglycerides