Query: puan intan idiana hassan

title: Menopausal women's experiences of husband's support: A negative view.
abstract: This study explores how menopausal women perceived supports provided by their husbands.  Total of 13 menopausal women recruited using a combination of purposive and snowball techniques from two sources, tertiary hospital and local communities in the state of Kelantan, Malaysia. The in depth semi structured interview guided was used to explore how they perceived supports provided by their husbands. The data were then analysed using a thematic analysis.  Five (5) themes have emerged which comprises of emotional, instrumental, appraisal, guidance, and sexual supports. One of which was a new theme (sexual intimacy support) that had not been existed previously in other literature reviews.  Majority of menopausal women perceived the supports provided by their husband were negative, rather than positive supports that they had hoped. These findings suggest that an education program tool for husbands as a support person is much needed to ensure women walk through the menopause phase in a more meaningful life.

title: Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study
abstract: Women' sexuality becomes complex after breast cancer diagnosis and sexual health is highly neglected in the management of the illness.  To explore the coping and strategies to overcome sexuality problems and sexual dysfunction among women with breast cancer.  Using the in depth and photo elicitation interview methods, this qualitative study following phenomenological analysis was conducted on fourteen married female respondents with breast cancer and had the positive result for female sexual dysfunction (FSD) screened by Female Sexual Function Index (FSFI 6 items) from Kelantan, Malaysia. The interviews data were audio recorded, transcribed verbatim and managed in analytic computer software NVivo11 Pro. The transcriptions were analyzed using thematic analysis by referring to the meaning making theory.  We identified overlapping themes of coping and strategies among women with breast cancer to overcome sexual problems and sexual dysfunction which correspond with meaning making theory.  Three themes have emerged. Women with breast cancer that developed sexuality problem and sexual dysfunction strived to accept the illness using religious belief and conform by altering sexual practices. These individuals positively look for a solution by seeking formal healthcare advice, modify their physical appearance, active discussion with the husband and support from other survivors. A few of them passively struggle with the subject by averting the intimacy and receptive toward polygamy.  This study highlighted the various mechanisms that emphasized the pivotal role of religious belief and relationship context as key factors in the coping strategies among women with breast cancer in Malaysia. The finding may not be generalized to other countries. Che Ya SN, Muhamad R, Zain NM, et al. Coping Strategies for Sexual Problems and Sexual Dysfunction Amongst Malay Women With Breast Cancer. A Qualitative Study. Sex Med 2021;9:100336.

title: Long term effects of honey on cardiovascular parameters and anthropometric measurements of postmenopausal women.
abstract: To investigate the long term effects of Tualang Honey versus Honey Cocktail (mixture of honey, bee bread, and royal jelly) on cardiovascular markers and anthropometric measurements of postmenopausal women.  We conducted a randomised, double blinded, two armed parallel study comparing 20 g/day of Tualang Honey versus 20 g/day Honey Cocktail among postmenopausal women aged 45 65 years. The cardiovascular parameters and anthropometrics measurements were assessed at baseline, 6 months, and 12 months of the intervention.  100 subjects were successfully randomised into the groups. There was a significant decrease in the diastolic blood pressure from 77.92 mmHg at baseline to 73.45 mmHg at 12 months (F statistic 2.55, p value 0.047) in the Tualang Honey group compared to Honey Cocktail. There was also a significant decrease in the fasting blood sugar from 6.11 mmol/L at baseline to 5.71 mmol/L at 12 months (F statistic 4.03, p value 0.021) in the Tualang Honey group compared to the Honey Cocktail group. The body mass index remained unchanged at 27 kg/m2 (F statistic 1.60, p value 0.010) throughout 12 months of the intervention in the Honey Cocktail group.  Subjects who received Honey Cocktail showed remarkable effects on body mass index. However, Tualang Honey supplementation showed superior effect in lowering diastolic blood pressure and fasting blood sugar compared to Honey Cocktail. Further studies are required to ascertain the underlying mechanism(s) of Tualang Honey and Honey Cocktail on each observed parameter.

title: A Review of Spouse's Reactions to Menopausal Related Changes
abstract: Challenges faced by women during their menopausal phases do not only revolve around them, but also their respective spouse. Even though a considerable amount of literature has been published on menopausal context, to date, there is no published review paper regarding spouse's reaction toward menopausal related changes. Therefore, the purpose of this paper is to review literature and studies conducted that related to spouse's reaction to menopausal related changes. This review paper is based on multiple databases focusing on spouse's reactions and menopause. As a result, of the thoroughly reviewed literature, three classifications related to the context of spouse's reactions in menopausal phases have been found as the following; (i) types of reactions, (ii) internal and external factors and (iii) impacts on menopausal women and spouse. In conclusion, this review paper will provide useful information to develop effective health education module which involving spouses to ensure that menopausal women have a meaningful life throughout the menopausal phases.

title: Effect of Health Education Program on Cardiovascular Risk Factors among Menopausal Women in Malaysia

title: Adaptation and Validation of the Malay Version of the Osteoarthritis Knee and Hip Quality of Life Questionnaire among Knee Osteoarthritis Patients
abstract: To adapt and validate the Malay version of Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) questionnaire.  The OAKHQOL was adapted into Malay version using forward backward translation methodology. It was then validated in a cross sectional study of 191 patients with knee osteoarthritis (OA) Patients completed the OAKHQOL and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Confirmatory analysis, reliability analysis, and Pearson correlation test were performed.  The new five factor model of 28 items demonstrated an acceptable level of goodness of fit (comparative fit index 0.915, Tucker Lewis index 0.905, incremental fit index 0.916, chi squared/degree of freedom 1.953, and root mean square error of approximation 0.071) signifying a fit model. The Cronbach's alpha value and the composite reliability of each construct ranged from 0.865 to 0.933 and 0.819 to 0.921, respectively. The Pearson correlation coefficient between the OAKHQOL and the WOMAC showed adequate criterion validity. Known groups validity showed statistical difference in body mass index in physical activity, mental health, and pain construct. The pain domain was statistically different between the age groups.  The Malay version OAKHQOL questionnaire is a valid and reliable instrument to assess health related quality of life in knee OA patients.

title: Complementary and alternative medicine (CAM) A comparative study between nursing and medical students
abstract: In recent years, the popularity of using complementary and alternative medicine (CAM) as a health care option has increased dramatically all over the world especially in developing countries. As Malaysian statistics showed an increased in chronic diseases among our population, the demand to consume CAM for healing process as well as in pursuit of health and well being also has increased. Thus it increased patient's interest to request more information from medical practitioners and nurses who are front health care providers. The objective of this study is to compare the knowledge, attitudes, and practice (KAP) of CAM among final year nursing and medical students in Universiti Sains Malaysia (USM) A cross sectional comparative study was conducted among final year medical and nursing students using self administered questionnaire. This study utilized the Knowledge Attitude Practice (KAP) model to explain how level of knowledge may reflect nursing and medical students' attitudes and practice of CAMs. There were 74 students participated where 33 of them were nursing students, and 41 were medical students. Independent t test was used to compare the KAP of CAM between both groups of students and there was a significant different. As a conclusion, this study revealed that nursing students were more knowledgeable about CAM, possessed positive attitudes, and more willing to practice CAM compared to medical students.

title: The Effect of Channa striatus (Haruan) Extract on Pain and Wound Healing of Post Lower Segment Caesarean Section Women
abstract: Channa striatus has been consumed for decades as a remedy to promote wound healing by women during postpartum period. The objectives of this study were to compare postoperative pain, wound healing based on wound evaluation scale (WES) wound cosmetic appearance based on visual analogue scale (VAS) scores and patient satisfaction score (PSS) and safety profiles between C. striatus group and placebo group after six weeks of lower segment caesarean section (LSCS) delivery. A randomised, double blind, placebo controlled study was conducted. Subjects were randomised in a ratio of 1 1 into either the C. striatus group (500 mg daily) or placebo group (500 mg of maltodextrin daily) 76 subjects were successfully randomised, with 38 in the C. striatus group and 35 in the placebo group. There were no significant differences in postoperative pain (p 0.814) and WES (p 0.160) between the C. striatus and placebo groups. However, VAS and PSS in the C. striatus group were significantly better compared with the placebo group (p 0.014 and p 0.001, resp. The safety profiles showed no significant differences between the groups. In conclusion, six week supplementation of 500 mg of C. striatus extract showed marked differences in wound cosmetic appearance and patient's satisfaction and is safe for human consumption.

title: The Effect of Labisia pumila var. alata on Postmenopausal Women: A Pilot Study
abstract: This is a randomized, double blind, placebo controlled study comparing the effects of a water extract of Labisia pumila var. alata at 280 mg/day with placebo, given for 6 months in postmenopausal Malay women. There were 29 patients treated with Labisia pumila and 34 patients in the placebo group. Menopausal symptoms were assessed at baseline and at 6 months. The blood pressure, body mass index, waist circumference, fasting blood sugar, lipid profile, and hormonal profile (follicle stimulating hormone/luteinizing hormone/estradiol) were measured during visits every two months. ANCOVA model analysis showed significantly lower triglycerides levels in LP subjects at 6 months after treatment as compared to placebo (1.4 versus 1.9 mmol/L; adj. mean difference 0.5, 95% CI: 0.02, 0.89 after adjusted for the baseline values, age, BMI, and duration of menopause placebo) Other parameters in both groups did not differ significantly. In conclusion, daily intake of Labisia pumila at 280 mg/day for six months was found to provide benefit in reducing the triglyceride (TG) values.

title: Complementary Alternative Medicines
abstract: This comparative study aims to identify and compare nursing and medical student's knowledge, attitudes, and practice (KAP) of complementary and alternative medicines (CAMs) in Universiti Sains Malaysia (USM) There were 74 students (33 nursing students and 41 medical students) randomly selected to participate in this study and a self administered questionnaire was given and collected at the same time. Independent t test was used and p value 0.05 was accepted statistically significant. The finding from this study revealed that overall, nursing students were more knowledgeable about CAMs, possessed positive attitudes, and more willing to practice CAMs in clinical area compared to medical students. Null hypothesis was rejected at 5% significant level. It is suggested that the inclusion of CAM in nursing curriculum will prepare nursing student as a good future nurses who is knowledgeable to respond patient's questions related to CAM therapies.