1.Validation of ICD 10 on congenital anomalies in the state of Penang
Leela Anthony ; Nagarajah Lee ; Stephen Ambu ; Lokman Hakim
International e-Journal of Science, Medicine and Education 2011;5(2):12-17
Background: Database on hospital records like discharge
data, birth and death certificates are widely used for
epidemiological and research studies. However there are
a very few validation studies on these data. The aim of
this study was to validate and assess the accuracy of the
ICD 10 database on congenital anomalies in the state of
Penang. This study was carried out for three years, from
2002 to 2004.
Methods: The list of cases coded under the general coding
“Q” was extracted and approximately 30% of cases were
randomly selected from the list. Medical records for the
selected cases were checked and discrepancies for the
diagnoses between the medical records and the ICD 10
data base were recorded for three years. Verification was
done for basic demographic variables and the coding of
the diseases. Discrepancies, sensitivity and specificity
were calculated.
Results: The ICD 10 database for congenital anomalies
are classified into two types: Type 1 and Type 2.
Discrepancies on demographic information were found
among the age of patients (babies with congenital
anomalies). In Type 1, there was a discrepancy of about
0.02 % to 0.05% probability that a congenital anomaly
case can be recorded as non congenital anomaly in
the ICD 10. In Type 2 there was a discrepancy that a
non-congenital anomaly was classified as congenital
anomaly and this ranged from 26.7% to 50.0%. The
sensitivity ranged from 96.85% to 97.98%, thus it can
be concluded the ICD 10 database is highly sensitive
while the specificity ranged from 50.00% to 78.57 %. In
other words the ICD 10 is not accurate when classifying
the non- congenital anomaly cases. A fair percentage of
non-congenital anomaly cases were classified as CA in
the ICD 10 database.
Conclusion: Even though hospital databases are
used as a baseline data for a number of research and
epidemiological studies it cannot be used at face
value. Validation of these data is necessary before any
conclusions can be drawn or intervention measures are
undertaken.
2.Dietary changes in Vietnamese marriage immigrant women: The KoGES follow-up study.
Ji Yun HWANG ; Hakim LEE ; Ahra KO ; Chan Jung HAN ; Hye Won CHUNG ; Namsoo CHANG
Nutrition Research and Practice 2014;8(3):319-326
BACKGROUND/OBJECTIVES: The immigrant population has grown considerably in South Korea since the early 1990s due to international marriages. Dietary changes in immigrants are an important issue, because they are related to health and disease patterns. This study was conducted to compare changes in dietary intake between baseline and follow-up periods. SUBJECTS/METHODS: Two hundreds thirty three Vietnamese female married immigrants. Baseline data were collected during 2006-2009, and the follow-up data were collected during 2008 and 2010. Food consumption was assessed using a 1-day 24-hour recall. RESULTS: The amount of the total food consumed (P < 0.001) including that of cereals (P = 0.004), vegetables (P = 0.003), and fruits (P = 0.002) decreased at follow-up compared to that at baseline, whereas consumption of milk and dairy products increased (P = 0.004). Accordingly, the overall energy and nutrient intake decreased at follow-up, including carbohydrates (P = 0.012), protein (P = 0.021), fiber (P = 0.008), iron (P = 0.009), zinc (P = 0.006), and folate (P = 0.002). Among various anthropometric and biochemical variables, mean skeletal muscle mass decreased (P = 0.012), plasma high density lipoprotein-cholesterol increased, (P = 0.020) and high sensitivity C-reactive protein decreased at follow-up (P < 0.001). CONCLUSIONS: A long-term follow-up study is needed to investigate the association between changes in food and nutrient intake and anthropometric and biochemical variables in these Vietnamese female marriage immigrants.
Asian Continental Ancestry Group*
;
C-Reactive Protein
;
Carbohydrates
;
Edible Grain
;
Dairy Products
;
Emigrants and Immigrants*
;
Female
;
Folic Acid
;
Follow-Up Studies*
;
Fruit
;
Humans
;
Iron
;
Korea
;
Marriage*
;
Milk
;
Muscle, Skeletal
;
Plasma
;
Vegetables
;
Zinc
3.“Ulam-ulaman” Intake Among Adults from Various Ethnics in Selangor
Nurul Izzah Ahmad ; Aminah Abdullah ; Md. Pauzi Abdullah ; Lee Yook Heng ; Wan Rozita Wan Mahiyuddin ; Siti Fatimah Daud ; Lokman Hakim Sulaiman
Malaysian Journal of Health Sciences 2010;8(2):27-35
A survey was conducted to investigate the level of consumption of ‘ulam’ in Selangor State among 252 adults (> 17years) (male 28.6%, female 71.4%) of major ethnics (Malays-51.6%; Chinese-30.5%; Indians-17.5%) with the mean
age of 42.7 ± 13.9 years. Consumption data were collected using 24 hours duplicate samples together with questionnaire on perceptions of ‘ulam.’ Results showed that ‘ulam’ was preferred by majority of the subjects (82.1%), especially amongst Malays (92.3%). A total of 52% of the subjects consumed partially or boiled ‘ulam.’ Factors that affect their preferences on ‘ulam’ were the perception of therapeutic effects of the ‘ulam’ towards health, its good taste and unique aroma. The most consumed ‘ulam’ were cucumber (Cucumis sativus) (60.6%) ‘kacang botol’ (Psophocarpus
tetragonolobus) (33%), Indian pennywort (Hydrocotyle asiatica) (31.5%), lettuce (Lactuca sativa) (27.6%), ‘petai’ (Parkia speciosa) (29%) and ‘ulam raja’ (Cosmos caudatus) (21.9%). The most preferred partially or boiled ‘ulam’ were tapioca shoot (Manihot esculenta) (31.5%), ocra (Hibiscus esculentus) (12.5%) and ‘jantung pisang’ (Musa sapientum) (20.1%). There was no significant difference (P > 0.05) amongst the three different ethnic groups on the consumption of ‘ulam’ and the median for total intake per day was within the range of 30-39 g/day. Ulam is a potential source for increasing vegetable consumption to meet recommendation by World Health Organization (WHO), which is 400 g per day.
4.Management of Male Infertility with Coexisting Sexual Dysfunction: A Consensus Statement and Clinical Recommendations from the Asia-Pacific Society of Sexual Medicine (APSSM) and the Asian Society of Men’s Health and Aging (ASMHA)
Eric CHUNG ; Jiang HUI ; Zhong Cheng XIN ; Sae Woong KIM ; Du Geon MOON ; Yiming YUAN ; Koichi NAGAO ; Lukman HAKIM ; Hong-Chiang CHANG ; Siu King MAK ; Gede Wirya Kusuma DUARSA ; Yutian DAI ; Bing YAO ; Hwancheol SON ; William HUANG ; Haocheng LIN ; Quang NGUYEN ; Dung Ba Tien MAI ; Kwangsung PARK ; Joe LEE ; Kavirach TANTIWONGSE ; Yoshikazu SATO ; Bang-Ping JIANN ; Christopher HO ; Hyun Jun PARK
The World Journal of Men's Health 2024;42(3):471-486
Male infertility (MI) and male sexual dysfunction (MSD) can often coexist together due to various interplay factors such as psychosexual, sociocultural and relationship dynamics. The presence of each form of MSD can adversely impact male reproduction and treatment strategies will need to be individualized based on patients’ factors, local expertise, and geographical socioeconomic status. The Asia Pacific Society of Sexual Medicine (APSSM) and the Asian Society of Men’s Health and Aging (ASMHA) aim to provide a consensus statement and practical set of clinical recommendations based on current evidence to guide clinicians in the management of MI and MSD within the Asia-Pacific (AP) region. A comprehensive, narrative review of the literature was performed to identify the various forms of MSD and their association with MI. MEDLINE and EMBASE databases were searched for the following English language articles under the following terms: “low libido”, “erectile dysfunction”, “ejaculatory dysfunction”, “premature ejaculation”, “retrograde ejaculation”, “delayed ejaculation”, “anejaculation”, and “orgasmic dysfunction” between January 2001 to June 2022 with emphasis on published guidelines endorsed by various organizations. This APSSM consensus committee panel evaluated and provided evidence-based recommendations on MI and clinically relevant MSD areas using a modified Delphi method by the panel and specific emphasis on locoregional socioeconomic-cultural issues relevant to the AP region. While variations exist in treatment strategies for managing MI and MSD due to geographical expertise, locoregional resources, and sociocultural factors, the panel agreed that comprehensive fertility evaluation with a multidisciplinary management approach to each MSD domain is recommended. It is important to address individual MI issues with an emphasis on improving spermatogenesis and facilitating reproductive avenues while at the same time, managing various MSD conditions with evidence-based treatments. All therapeutic options should be discussed and implemented based on the patient’s individual needs, beliefs and preferences while incorporating locoregional expertise and available resources.
5.Exploring the norms of eating-out practice among adults in Malaysia
Lydiatul Shima Ashari ; Ainaa Almardhiyah Abd Rashid ; Mohd Razif Shahril ; Yeong Yeh Lee ; Yee Cheng Kueh ; Bibi Nabihah Abdul Hakim ; Nor Hamizah Shafiee ; Raja Affendi Raja Ali ; Hamid Jan Jan Mohamed
Malaysian Journal of Nutrition 2022;28(No.1):31-41
Introduction: Eating-out is common in almost all countries, including Malaysia,
but this frequent practice may affect human health. In Malaysia, data on eating-out
is limited. This study aimed to assess the proportion of eating-out, to assess the
association between socio-demographic factors and eating patterns, and to compare
energy and nutrient intakes between people eating-out and eating-in. Methods:
This cross-sectional study was conducted among 100 adults aged 30 to 70 years old.
Three-day food diaries were used to collect data on dietary intake. Eating-out was
defined as eating foods prepared outside the home. Respondents who ate outside for
at least one meal per day, for two or three days per week were considered as those
who frequently practised eating-out. Results: A total of 84% of respondents who
ate out had significantly higher sodium intake than those who ate at home (2934
mg/day vs. 2165 mg/day, p=0.025). Foods and drinks that were most commonly
consumed outside were nasi lemak, roti canai, rice, ayam masak kicap, vegetable
soup, tomyam, rice vermicelli soup (mee-hoon soup), hot teh-o, iced tea, and orange
juice. Occupation (p=0.004) and location type (p=0.001) were associated with eatingout. Government and semi-government workers (61%) and urban population (57%)
had higher percentage of eating-out compared to eating at home (19% and 12%,
respectively). Conclusion: More than two-thirds of our respondents ate out and this
habit was related to poor diet quality with excessive intake of sodium. Interventions
are needed to improve the diet quality of the overall eating-out behaviour among
targeted population.