- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Birth, Development, and Health
- Neonatal and fetal brain pathology
- Obesity, Physical Activity, Diet
- Child Nutrition and Water Access
- Neonatal and Maternal Infections
- Congenital Heart Disease Studies
- Infant Nutrition and Health
- Assisted Reproductive Technology and Twin Pregnancy
- Nutritional Studies and Diet
- Neuroscience of respiration and sleep
- Neonatal Health and Biochemistry
- Cardiovascular Conditions and Treatments
- Public Health and Nutrition
- Congenital Diaphragmatic Hernia Studies
- Pregnancy and preeclampsia studies
- Physical Activity and Health
- Emergency and Acute Care Studies
- Preterm Birth and Chorioamnionitis
- Children's Physical and Motor Development
- Retinopathy of Prematurity Studies
- Global Maternal and Child Health
- Congenital Anomalies and Fetal Surgery
- Central Venous Catheters and Hemodialysis
National University of Malaysia
2013-2024
Management and Science University
2023-2024
Mount Sinai Hospital
2012-2023
University of Toronto
2013-2023
Mount Sinai Hospital
2020-2023
Mount Sinai Hospital
2023
RELX Group (United States)
2020-2021
Public Health Ontario
2016-2021
Universitätsmedizin Greifswald
2021
University of Gothenburg
2021
Even though red blood cells (RBCs) are lifesaving in neonatal intensive care, transfusing older RBCs may result higher rates of organ dysfunction, nosocomial infection, and length hospital stay.To determine if stored for 7 days or less compared with usual standards decreased major infection dysfunction care unit patients requiring at least 1 RBC transfusion.Double-blind, randomized controlled trial 377 premature infants birth weights than 1250 g admitted to 6 Canadian tertiary units between...
Background Neonatal databases worldwide have become a prominent tool for benchmarking, evaluation of outcomes, and quality improvement initiatives. We aimed to assess the precision Canadian Network (CNN) database by conducting an internal audit data extraction. Methods An was conducted in all 31 neonatal units participating CNN. Ninety-five items selected reabstraction were classified into categories (critical, important, less important) based on predefined agreement rates. Five records...
This study aims to identify the incidence, risk factors, and outcomes of late-onset sepsis in preterm neonates Canadian neonatal intensive care units (NICUs).This retrospective analysis included infants born at < 32 weeks' gestation admitted 29 NICUs Neonatal Network during years 2010 2011. Infants were classified into three groups: no infection, gram-positive gram-negative infection. Late-onset was defined as positive blood and/or spinal fluid cultures after 3 days birth. Risk factors...
The Multiple Courses of Antenatal Corticosteroids for Preterm Birth Study (MACS) showed no benefit in the reduction major neonatal mortality/morbidity or neurodevelopment at 2 and 5 years age. Using data from randomized controlled trial its follow-up, aim this study was to evaluate association between gestational ages birth children exposed single versus multiple courses antenatal corticosteroid (ACS) therapy utero outcomes A total 1719 children, with breakdown into groupings <30, 30–36, ≥...
Childhood obesity is related to low physical activity level and a sedentary lifestyle. The aim of this study was assess the behaviour Malaysian children aged 7 12 years examine their association with body mass index (BMI), BMI-for-age Z-score (BAZ), fatness (%BF) waist circumference (WC). A total 1736 children, representing all ethnic groups were recruited from six regions Malaysia. Anthropometric measurements included weight, height circumference. Body fat percentage assessed using...
<b>Objective</b> To assess trends in patent ductus arteriosus (PDA) management and examine concurrent changes neonatal mortality morbidities. <b>Methods</b> This retrospective observational study examined infants born at 23 to 32 weeks' gestational age with PDA admitted a unit during 2006 2012. Multivariable logistic regression assessed yearly treatment rates compared composite outcome of or any severe morbidity (bronchopulmonary dysplasia, intraventricular hemorrhage, periventricular...
Diabetes in pregnancy is associated with a 2-times to 3-times higher rate of very preterm birth than women without diabetes. Very infants are at high risk death and severe morbidity. The association maternal diabetes these risks unclear.To determine the associations between in-hospital mortality, as well neonatal morbidity weight less 1500 g.This retrospective cohort study was conducted 7 national networks high-income countries that part International Neonatal Network for Evaluating Outcomes...
Socioeconomic factors and nutritional status have been associated with childhood cognitive development. However, previous Malaysian studies had conducted small populations inconsistent results. Thus, this present study aims to determine the association between socioeconomic performance in a nationally representative sample of children.A total 2406 children aged 5 12 years, who participated South East Asian Nutrition Surveys (SEANUTS), were included study. Cognitive [non-verbal intelligence...
To compare the rates of catheter-associated bloodstream infection (CABSI) in preterm infants born at <30 weeks' gestation who received a peripherally inserted central catheter (PICC) versus an umbilical venous (UVC) immediately after birth as their primary access.This retrospective matched cohort study examined data from and admitted between January 2010 December 2013 to neonatal units Canadian Neonatal Network. Eligible PICC on first day (day 1) were with 2 additional groups infants, those...
<b>Objective</b> Derive and validate a practical assessment of infant illness severity at admission to neonatal intensive care units (NICUs). <b>Study Design</b> Prospective study involving 17,075 infants admitted 15 NICUs in 2006 2008. Logistic regression was used derive prediction model for mortality comprising four empirically weighted items (temperature, blood pressure, respiratory status, response noxious stimuli). This Transport Risk Index Physiologic Stability, version II (TRIPS-II)...
Background Very preterm infants are at high risk of death or severe morbidity. The objective was to determine the significance congenital heart defects (CHDs) for these risks. Methods and Results This cohort study included from 10 countries born 2007-2015 24 31 weeks' gestation with birth weights <1500 g. Severe CHDs were defined by International Classification Diseases, Ninth Revision (ICD-9) Tenth (ICD-10) codes categorized as those compromising systemic output, causing sustained cyanosis,...
Background: The main cause of malnutrition in Indonesia is insufficient nutrient intake, necessitating efforts to supplement nutrients through supplementary feeding. Conversely, possesses a variety local food ingredients that remain underutilized, thus requiring processing enrich the content snacks for combating malnutrition.malnourished Wistar rats. Methods: Employing randomized control group pretest-posttest design, male rats divided into four groups, each comprising 6 samples. These...
Objective The objective is to evaluate the association between antibiotic utilization and neurodevelopmental outcomes at 18 21 months' corrected age among extremely low gestational neonates without culture-proven sepsis or necrotizing enterocolitis (NEC). Study Design We conducted a retrospective cohort study of infants born April 2009 September 2011 <29 weeks' gestation admitted neonatal intensive care units contributing data Canadian Neonatal Network. Multivariable analysis was...
Abstract Objective: This paper aims to report South East Asian Nutrition Surveys (SEANUTS) II Malaysia data on nutritional status, dietary intake and biomarkers of children aged 6 months 12 years. Design: Cross-sectional survey conducted in 2019–2020. Setting: Multistage cluster sampling Central, Northern, Southern Coast regions Peninsular Malaysia. Participants: 2989 0·5–12·9 Results: Prevalences stunting, thinness, overweight obesity among years were 8·9 %, 6·7 9·2 % 8·8 respectively....
<b>Objective</b> To compare neonatal outcomes between infants who received inotropes and those did not, identify variation in inotrope use. <b>Study Design</b> Retrospective review of data from neonates < 29 weeks gestation collected by the Canadian Neonatal Network during 2003 to 2010. After controlling for confounders maternal/infant characteristics, rates mortality major morbidity were compared on days 1 3 admission not. Rate use was sites. <b>Results</b> Inotropes administered 772 (10%)...
Objective: To determine the specific Score of Neonatal Acute Physiology (SNAP-II) cut-off scores associated with outcomes in extremely preterm infants, and to examine its contribution predictive models that include nonmodifiable birth predictors.Study design: Retrospective observational study 9240 infants born at 22–28 weeks' gestation admitted Canadian Network from 2010 2015. Outcomes included early hospital mortality, composite mortality/morbidity individual morbidities. The SNAP-II...
Children's physical activity has been correlated with child characteristics and social or environment. This study aimed to compare preschoolers' among various sociodemographic determine barriers, motivators, environmental factors for active play. A total of 835 preschoolers were included in this analysis. Time spent on play, quiet screen time was reported by parents. Boys significantly more play than girls. highest East Coast Peninsular Malaysia lowest Sarawak. Some 40% children achieved...
<b>Objective</b> The aim of this study is to compare patent ductus arteriosus (PDA) management strategies and outcomes between the Neonatal Research Network Japan (NRNJ) with proactive functional echocardiography Canadian (CNN) selective conventional practice. <b>Study Design</b> Retrospective analyses examined very low-birth-weight infants admitted NRNJ or CNN in 2006 2008. Multivariable logistic regression compared a composite outcome indicating mortality major morbidity (severe...
This study aimed to assess fruit and vegetable intake patterns their associations with sociodemographic characteristics, anthropometric status nutrient profiles among Malaysian children aged 1–6 years. Using the dataset of South East Asian Nutrition Surveys (SEANUTS Malaysia), a total 1307 years complete datasets were included in this analysis. Dietary was assessed using age-specific, validated food frequency questionnaires. On average, consumed 0.91 1.07 servings fruits vegetables per day,...