- Dialysis and Renal Disease Management
- Renal Transplantation Outcomes and Treatments
- Organ Donation and Transplantation
- Healthcare Systems and Reforms
- Organ Transplantation Techniques and Outcomes
- Central Venous Catheters and Hemodialysis
- Acute Kidney Injury Research
- Parathyroid Disorders and Treatments
- COVID-19 Clinical Research Studies
- Magnesium in Health and Disease
- Colorectal Cancer Screening and Detection
- Chronic Kidney Disease and Diabetes
- COVID-19 and healthcare impacts
- Renal and Vascular Pathologies
- Global Maternal and Child Health
- Gastric Cancer Management and Outcomes
- Musculoskeletal pain and rehabilitation
- Adolescent and Pediatric Healthcare
- Medical Education and Admissions
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Restless Legs Syndrome Research
- Bone fractures and treatments
- Malaria Research and Control
- Abdominal vascular conditions and treatments
- Mosquito-borne diseases and control
Ministry of Health
2021-2025
Universiti Brunei Darussalam
2015-2025
Raja Isteri Pengiran Anak Saleha Hospital
2015-2024
Rumah Sakit Umum Haji Surabaya
2023
University of Washington Bothell
2022
Mount Elizabeth Novena Hospital
2022
Ng Teng Fong General Hospital
2021
KK Women's and Children's Hospital
2021
Ahmadu Bello University
2018
Creative Research Enterprises (United States)
2016
Dengue virus infection (DVI) is very common infection. There scarcity of data on factor associated with increased hospital stay and mortality in dengue (DVI). This study was done to know about factors patients admitted DVI.Out 532 patients, two third (72.6%) had ≤3 days while one (27.4%) greater than 3 days. The mean length 3.46 ± 3.45 Factors (>3 days) included AKI (acute kidney injury) (Odd ratio 2.98; 95% CI 1.66-5.34), prolonged prothrombin time 2.03; 1.07-3.84), activated partial...
This paper presents the level of colorectal cancer awareness among multi-ethnic rural population in Malaysia. A rural-based cross sectional survey was carried out Perak state Peninsular Malaysia March 2011. The recruited a population-representative sample using multistage sampling. Altogether 2379 participants were included this study. Validated bowel/colorectal measure questionnaire used to assess study population. Analysis variance (ANOVA) done identify socio-demographic knowledge score on...
Dengue is a growing public health problem in Pakistan and acute kidney injury (AKI) one of the least studied complications dengue virus infection (DVI). The aim this study was to determine frequency, severity predictors AKI patients with DVI impact on length hospital stay mortality.We retrospectively reviewed medical records aged ≥14 years hospitalized primary diagnosis at Aga Khan University Hospital Karachi between January 2008 December 2010. Binary logistic regression models were...
HLA-C, HLA-DP and HLA-DQ are thought to be benign due low expression few initial negative studies. Historically, most allocation programs used HLA-A, HLA-B HLA-DR antigens for matching. With the advent use of single-bead antigen assays, more was learned about donor-specific antibodies (DSAs) against these antigens. Interest in grew when cases acute antibody-mediated rejection (AMR), mixed rejections, chronic AMR, reduced graft survival were reported with DSAs Although deleterious effects...
Brunei Darussalam, a small Southeast Asian nation, faces unique healthcare challenge with one of the world's highest incidence and prevalence kidney replacement therapy. This report highlights remarkable success in increasing utilization peritoneal dialysis (PD) to address this challenge. As August 2023, Brunei's PD penetrance rate stands at 16%, significant leap from 9.7% just three years ago. is comparable many other high-income countries. The key lies series governmental support...
Thirty-one healthy men were tested for the effects of trunk-flexion positions (0 degrees, 15 and 35 degrees) in standing on triaxial torques electromyogram 10 trunk muscles during voluntary maximal submaximal isometric extension. At a more flexed position, both erector spinae latissimus dorsi showed significantly higher RMS-EMG. The abdominal obliques coactivated only 100% maximum exertion at each posture. In all tests, rectus abdomini quiet. Mean extension torque increased degrees flexion....
Objective: Coronavirus disease (COVID-19) vaccinations have been shown to prevent infection with efficacies ranging from 50% 95%. This study assesses the impact of vaccination on clinical severity COVID-19 during second wave in Brunei Darussalam 2021, which was due Delta variant. Methods: Patients included this were randomly selected those who admitted National Isolation Centre between 7 August and 6 October 2021. Cases categorized as asymptomatic, mild (symptomatic without pneumonia),...
Gastrointestinal (GI) symptoms are reported to be common among patients with chronic disorders including end-stage renal disease (ESRD). This questionnaire study assessed the prevalence of GI undergoing hemodialysis (HD) and correlate presence diabetes mellitus psychosomatic in Asian ESRD.A total 123 (male 47.2%) participated this study. (upper GI: anorexia, nausea, vomiting, odynophagia, dysphagia, early satiety, heartburn, dyspepsia lower abdominal bloating, non-epigastrium pain, bowel...
Deceased donor kidney transplantation (DDKT) is common in developed Western countries with high rates. However, the utilization of deceased organs suboptimal Asia, due to a multitude factors. Coherent policies are integral development DDKT programs and deterrence commercialization, but most still at an infancy formative stage Asia. This review article identifies glass ceiling effects social, cultural, religious, political, technical factors hampering progress Additionally, it reviews history...
Abstract We report a case series of seven patients with nonfermentative Gram‐negative bacteria infections in single dialysis center; four Ralstonia pickettii and three Stenotrophomonas maltophilia . Two the were admitted to hospital for intravenous antibiotic treatment, while rest treated oral antibiotics at home. Both had temporary vascular catheter from aforementioned pathogens. conclude that outbreak is due colonization reverse osmosis water, presumably through contamination via polluted...
Background . Acute kidney injury (AKI) is a common but least studied complication of lymphoma. Objective To determine the frequency and predictors AKI in lymphoma to study impact on hospital stay mortality. Methods Retrospective review medical records hospitalized patients aged ≥14 years between January 2008 December 2011 was done. Results Out 365 patients, present 31.8% (116/365). Multivariate logistic regression analysis showed that independent for included sepsis (odds ratio (OR) 3.76;...
Background: Colorectal cancer (CRC) is the most common gastrointestinal and incidence increasing in many developing countries. While it can be detected early even prevented through screening removal of premalignant lesions, there are barriers to which include low level knowledge awareness CRC. This study assessed CRC Brunei Darussalam. Materials Methods: A total 431 (262 male 161 female) subjects participated this questionnaire study. Subjects were scored on their signs/symptoms (maximum 10...
AIM:To determine epidemiology of Bruneian paediatric chronic kidney disease (CKD) patients and factors that affect growth progression disease. METHODS:A cross-sectional study conducted on all children below 18 years old who were diagnosed with CKD over a ten year period (2004 to 2013).The reference population was (< old) suffering from attending the tertiary nephrology clinic in Brunei Darussalam.Demographic (current age, age diagnosis, gender, ethnicity), anthropometric (weight height),...
The aim of this study was to share our experience percutaneous renal artery angioplasty and stenting (PTRAS) in patients with a solitary functioning kidney over 10-year period.The procedures were performed on 75 from 1995 2004. Data collected retrospectively case notes patients. definition for contralateral size <8 cm, complete occlusion or previous nephrectomy. Serum creatinine considered improved worse if the deviation baseline value >20%.For purpose halting deterioration (n=47), there...