Could obesity be linked to falls in older adults?

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Factor influencing decision for eye screening among diabetes patients: a review

Introduction: Individuals with Diabetes Mellitus (DM) are at increased risk for developing diabetic ocular complications. Materials and Methods: A systematic approach was applied to find the relevant topic regarding the said issue. This literature review aimed to determine the system of eye screening, reasons for seeking eye screening and their treatment. Results: A total of 22 papers and one guideline were reviewed in this study. There were four main barriers found in this study regarding with factor influencing decision for eye screening among diabetes patients. Those were diabetic eye screening, management issues on diabetic eye screening and barriers to uptake diabetic eye screening. The details of these finding results were discussed further in the discussion section. Conclusion: The health care system, health care provider and patients itself could provide a clear explanation of factors influencing the decision for diabetic eye screening. A further study is recommended to validate these review finding

A Study of Factors Influencing Eye Screening: Descriptive Findings

Introduction: Individuals with Diabetes Mellitus (DM) are at increased risk for developing diabetic ocular complications. This study was carried out to determine factors influencing eye screening among Diabetes Mellitus patients. The descriptive findings of participants’ sociodemographic data will be discussed. Materials and method: A cross-sectional survey was conducted at the few selective Primary Health Centers and endocrine clinics, Hospital Tengku Ampuan Afzan (HTAA) in Kuantan, Pahang. A total number of 170 diabetic patients were recruited for the purpose of this study. Questionnaire for this survey was adapted and modified from Knowledge, Attitude and Practice (KAP 2008) with the overall Cronbach Alpha score was 0.5. Descriptive statistics was referred to evaluate the data. Results: Participants’ mean age was 55.5 years old (SD ± 11.22), with age range between 20 years and 79 years old. From 170 participants, 51 male (30%) and 119 female (70%) were involved in this study. Majority of 139 participants (81.8%) were Malay. For educational level, 74 participants (43.5%) have the secondary education, only 12 participants (7.1%) have tertiary education and the rest of 43 participants (25.3%) have no formal education. The majority of participants (71.2%) have the monthly income less than RM 1000 and only 7 (4.1%) have monthly income of RM 4000 and above. Almost all patients (168 participants or 98.8%) have type 2 Diabetes Mellitus (DM). The majority of 65 patients (38.2%) were first diagnosed to have diabetes between 1 to 5 years duration, and only 10 patients (5.9%) diagnosed to have diabetes of 15 years and above. Most of the participants (109 or 64.1%) have a family history of DM. As for current treatment, the majority of them are taking oral medication 136 (80.0%). Conclusion: The main background characteristics of DM patients in current study were female, Malay, low household income and family trait with DM

Blood pressure variability and cognitive function : A scoping review

Acknowledgements The Malaysian Elders Longitudinal Research (MELoR) study is now part of the Transforming Cognitive Frailty into Later Life Self-Sufficiency (AGELESS) longitudinal cohort study, currently funded by the Ministry of Higher Education Long Term Research Grant Scheme (LRGS/1/2019/UM/01/1). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.Peer reviewedPostprin

A cross sectional study on factors influencing attendance to eye screening

Introduction: Diabetes Mellitus (DM) is on a rising trend globally and the complications of DM particularly diabetic retinopathy are kept on escalating. However, the number of patients who underwent proper eye screening in Malaysia is still unsatisfactory. Methods: This cross-sectional survey was carried out among 170 DM patients using self-administered questionnaires. The data was analyzed by using SPSS in understanding the facilitators and barriers for eye screening among DM patients. Chi-square test was used for the relationship between sociodemographic data, the knowledge score, and the frequency of eye screening. Results: Majority of participants 45.9 % (n=78) highlighted that lack of information regarding diabetes and not understanding the significance of eye screening are the barriers to eye screening. Whereas, 10.6% (n=18) reported lack of access to healthcare facilities, 6.5% (n=11) experienced time limitation and 2.9% (n=5) suffered financial issues. However, more than half of participants (58.2%) have good knowledge related to diabetic eye complication. There was a significant difference between educational level with patients’ attendance in yearly eye screening; χ2 = 8.32, df = 2, p<0.05. Conclusion: Lack of information received by the patients on the importance of eye screening and communication issues seems to be prominent and become the reasons for patients not attending eye screening. For further research, the improvement of default tracking systems and the provision of eye-related educational material are important to enhance health literacy among diabetic patients and the population of Malaysia

FACTORS ASSOCIATED WITH ANXIETY LEVEL OF TRIMESTER III PRIMIGRAVIDA PREGNANT WOMEN IN MENUR HEALTH CENTER SURABAYA

Pregnancy and childbirth are normal things experienced by women, but this still has a high risk and burden women. The purpose of this study is to determine the associated factors of anxiety level among pregnant women in the early third trimester in  the Surabaya City Health Service Center Menu. This research is an observational study, which means that it is carried out by conducting field observations with a cross-sectional design and taking samples with a convenient sampling technique of 44 people. Our findings show that the anxiety level in pregnant women with mild levels of primigravida in the first 3 months was reported among 19 people (43.2%) and an average high anxiety level of up to 25 people (56.8%). The analysis was carried out in two dimensions using the Chi-Square test which showed a p value of 0.002. Thus the relationship between the husband's support and anxiety in the third trimester of pregnancy at the Surabaya City Health Service Center is closely related. Therefore, it is suggested that a husband  to provide full support to his wife in the third-trimester primigravida because this can reduce anxiety

Ethnic-specific Sociodemographic Factors as Determinants of Cognitive Performance : Cross-sectional Analysis of the Malaysian Elders Longitudinal Research (MELoR) Study Article

Acknowledgement We are grateful to Prof Dr Chin Ai Vyrn and Prof Dr Shahrul Bahyah Kamaruzzaman from Faculty of Medicine, University of Malaya for their help in MELoR study. We also thank members of the Ageing and Age-Associated Disorders Research Group for helping with patient recruitment and data collectionPeer reviewedPostprin

Increased beat-to-beat blood pressure variability is associated with impaired cognitive function

ACKNOWLEDGEMENTS We are grateful to Prof Dr Chin Ai Vyrn and Prof Dr Shahrul Bahyah Kamaruzzaman from Faculty of Medicine, University of Malaya for their help in MELoR study. Ageing and Age Associated Disorders Research Group for helping with patient recruitment and data collection. SOURCE OF FUNDING The Malaysian Elders Longitudinal Research (MELoR) study is now part of the Transforming Cognitive Frailty into Later Life Self-Sufficiency (AGELESS) longitudinal cohort study, currently funded by the Ministry of Higher Education Long Term Research Grant Scheme (LRGS/1/2019/UM/01/1).Peer reviewedPostprin

A Five-Year Prospective Evaluation of Anticholinergic Cognitive Burden and Falls in the Malaysian Elders Longitudinal Research (MELoR) study

Acknowledgements This third-wave follow-up interviews were funded by the Ministry of Higher Education Fundamental Research Grant Scheme (FRGS/1/2019/SKK02/UM/01/1). The Malaysian Elders Longitudinal Research study is now part of the Transforming Cognitive Frailty into Later-Life Self-Sufficiency (AGELESS) study which merges two existing longitudinal studies of ageing and is funded by the Ministry of Higher Education Long-Term Research Grant Scheme (LRGS/1/2019/UM/01/1/1). We would also like to acknowledge the hard work and dedication of the MELoR investigators and research team.Peer reviewedPostprin