A5060432768- Osteoarthritis Treatment and Mechanisms
- Total Knee Arthroplasty Outcomes
- Stroke Rehabilitation and Recovery
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Medication Adherence and Compliance
- Hip disorders and treatments
- Cardiovascular Health and Disease Prevention
- Rheumatoid Arthritis Research and Therapies
- Traumatic Brain Injury and Neurovascular Disturbances
- Sepsis Diagnosis and Treatment
- Diabetes Management and Education
- Sports injuries and prevention
- Elbow and Forearm Trauma Treatment
- Traumatic Brain Injury Research
- Infectious Diseases and Tuberculosis
- Knee injuries and reconstruction techniques
- Fibroblast Growth Factor Research
- Orthopedic Infections and Treatments
- Eating Disorders and Behaviors
- Fibromyalgia and Chronic Fatigue Syndrome Research
- COVID-19 diagnosis using AI
- Bacterial Infections and Vaccines
- COVID-19 Clinical Research Studies
Woodlands Health Campus
2022-2025
Tan Tock Seng Hospital
2019-2024
Sarawak General Hospital
2018-2021
Philippine Medical Association
2020-2021
Ministry of Health
2018
Hospital Universiti Sains Malaysia
2018
Different study designs and population size may require different sample for logistic regression. This aims to propose guidelines regression based on observational studies with large population.We estimated the minimum required evaluation from real clinical data evaluate accuracy between statistics derived actual parameters. Nagelkerke r-squared coefficients were compared their respective parameters.With a of 500, results showed that differences estimates was sufficiently small. Based an...
Background: Chest radiography (CXR) is performed more widely and readily than CT for the management of coronavirus disease (COVID-19), but there remains little data on its clinical utility. This study aims to assess diagnostic performance CXR, with emphasis predictive value, severe COVID-19 disease. Methods: A retrospective cohort was conducted, 358 chest radiographs were 109 patients (median age 44.4 years, 58 males 30 comorbidities) admitted between 22 January 2020 15 March 2020. Each CXR...
Abstract Background Physical activity is a guideline-recommended first-line intervention for people with knee osteoarthritis. levels, and its potential correlates, underexplored in Asian populations Methods Participants enrolled longitudinal study Singapore self-reported physical (UCLA score), function (Knee Osteoarthritis Outcome Score [KOOS-12]), kinesiophobia (Brief fear of movement [BFOM]), self-efficacy (ASES-8), quality life (EQ-5D-5 L). One-Way ANOVA was used to test the difference...
Background . Diabetes quality of life (DQoL) instrument has been widely used to measure among diabetes patients. This study aimed develop a revised version DQoL that incorporated issues redundancies in the items and strengthen basis validity instrument. Methods was cross-sectional where patients were recruited from December 1, 2014, until end March 2015 at public health clinic Peninsular Malaysia. A questionnaire included patients’ information distributed Item selection conducted screen...
Knee osteoarthritis (OA) is a leading cause of global disability. The understanding the role psychosocial factors in knee OA outcomes still evolving particularly an Asian context. primary aim this study to explore that prognosticate short and long-term clinical outcomes, productivity, healthcare utilization patients with OA. Secondary aims are mediation directional relationships it plays predicting discordance between self-reported measures (SRM), physical-performance (PPMs) objective parameters.
Background: Improvements for knee osteoarthritis (OA) care models are carried out widely. Yet, patient attendance behaviours in present not fully understood, without the readily available localised evidence. Objective: Hence, we examined relationships of patient-specific factors with physiotherapy patients OA. Methods: A retrospective, cohort study was conducted. Primary data from a randomised controlled trial community-based, individualised, multidisciplinary programme OA analysed....
The aim of this study was to assess the self-reported quality care for people with knee osteoarthritis in Singapore and investigate associations between participant characteristics functional outcomes at 1 year relation reported care. Patients completed indicator (OA-QI) questionnaire, a validated patient-reported measure that assesses clinician's adherence evidence-based guidelines non-surgical education patient education. OA-QI includes 17 indicators, "achievement" defined as 'Yes'...
Background Knee osteoarthritis (OA) is a common and disabling condition that often carries severe psychosocial implications. Chronic illness–related shame has emerged as substantial factor affecting individuals with knee OA, but it unclear how chronic associated the long-term clinical outcomes in OA. Questions/purposes (1) Does higher level of correlate worse at baseline among OA? (2) Is 4-month 12-month follow-up (3) Are sociodemographic characteristics correlated levels Methods Between...
Vitamin E (Vit-E) may preferentially improve cardiovascular risk in haptoglobin 2-2 (Hp2-2) genotype diabetes individuals. We studied the impact of Vit-E supplementation on vascular function individuals stratified by Singapore.In this 24-week, double blind, placebo-controlled RCT, we recruited 187 subjects (101 Hp2-2, 86 non-Hp2-2).alpha-tocopherol-400 IU.Change EndoPAT-derived reactive-hyperaemia index (RHI) and augmentation (AIx); Secondary Outcomes: Pulse-Wave velocity (Sphygmocor-PWV),...
The aims of this study were to compare inpatient rehabilitation outcomes between acute stroke subtypes Cerebral Infarction (CI) and Intracerebral Hemorrhage (ICH), determine the predictors discharge outcomes. A retrospective inpatients was carried out using Functional Independence Measure (FIM) as primary outcome measure. Relationships subtype, impairments, medical complications on FIM -gain analyzed. Altogether, 280 datasets including 211 (75.4%) CI 69 (24.6%) ICH patients significantly...
Proximal humerus fractures (PHFs) are common especially in the elderly, with most being managed nonoperatively. Traditional biomedical factors such as radiological alignment have not been able to meaningfully predict comfort and capability after PHFs. Conversely, recent literature has increasingly recognized role of psychological determining Nonetheless, less is known about impact social factors. Additional study these potentially modifiable targets for enhancing recovery from injury...
Background Beyond knee pain itself, the fear of movement, also known as kinesiophobia, recently has been proposed a potential factor contributing to disability and functional limitation in patients with osteoarthritis (OA). Nevertheless, available evidence on association kinesiophobia patient-reported outcome measures (PROMs) OA remains limited. Questions/purposes Among nonoperatively treated OA, we asked: (1) Is associated decreased quality life (QoL), outcomes, physical activity? (2) What...
BackgroundProximal humerus fractures are common osteoporotic fractures. Post-injury outcome measures include objective clinician-measured range of motion (ROM), and subjective patient-reported (PROM), but the relationship between both has not been established. This study aimed to determine shoulder ROM PROMs, establish which ROMs that correlated most with PROMs.MethodsA prospective cohort was conducted on patients acute proximal Surgical intervention, open or pathological fractures,...
Amidst the high disease burden, non-adherence to medications among patients with type 2 diabetes mellitus (T2DM) has been reported be common and devastating. Sarawak Pharmaceutical Services Division formulated a pharmacist-led, multiple-theoretical-grounding, culturally sensitive structured group-based program, namely “Know Your Medicine – Take if for Health” (MEDIHEALTH), improve medication adherence Malay T2DM. However, date, little is known about effectiveness sustainability of Program....
Impairments in walking speed, capacity, and endurance are commonly seen after stroke. Treadmill training improves gait speed. However, the lack of variable speed automated progression increases risk backward displacement falling. An automated, speed-sensing treadmill prototype with partial body weight support, Variable Automated Speed Sensing II (VASST II), was tested an outpatient rehabilitation setting. Eleven subacute or chronic hemiplegics who could ambulate at > 0.2 m/s for >50 m...
Past studies pay little attention to the intention donate hematopoietic stem cells (HSC) among blood donors. This study investigated level of and influence socio-demographic characteristics, knowledge, attitude, subjective norm self-efficacy on HSC donors.This cross-sectional recruited donors at selected public hospitals in Malaysian State Sarawak 2019. A structured questionnaire was developed based review relevant literature. It gathered information HSC. Variables with a p value <0.200...
Objectives 3D-printed (3DP) customized temporary cranial protection solutions following decompressive craniectomy (DC) are currently not widely practiced. A pilot trial of a 3DP head prototype device (HPPD) on 10 subjects was conducted during the subacute rehabilitation phase. Materials and methods Subjects > 30 days post-DC with stable flaps healed wounds were enrolled. HPPD uniquely designed based individuals’ CT scan, where base conformed to surface individual’s skin covering defect,...