Background Limited health literacy among people with asthma is associated with poor adherence to self-management activities, thus poor clinical outcomes. This study aimed to determine the prevalence of health literacy level and its determinants among people with asthma in the Malaysian primary healthcare settings. Method A cross-sectional study was conducted among participants aged > 18 years with asthma who attended five primary health clinics in Malaysia. Systematic random sampling was employed with a final sample of 550 participants. The questionnaires included the validated Malay version of Health Literacy Scale (HLS) and asthma control questionnaire (ACQ). Statistical analysis was done using SPSS version 25. Multiple logistic regression was performed to determine the determinants for limited health literacy. Results The participants mean age of the participants was 48 (SD15.4) years. Most of the participants were women (64%) and of Malay ethnicity (51.1%). Nearly half had a secondary level of education, n = 112, (45.8%). Mean duration of asthma diagnosis is 20.6 (SD 15.9) years. More than half (62.5%) had a family history of asthma. About half (50.9%) had uncontrolled asthma, with 87.3% self-rated themselves as having controlled asthma. About a third (29.1%) received education on of asthma action plan, but only 7.1% of these owned a written version an asthma action plan. Limited health literacy accounts for 60.5% of the participants. The significant determinants for limited health literacy included lower educational attainment (p < 0.001), family history of asthma (p = 0.034), < 20 years duration of asthma diagnosis (p = 0.031) and not receiving asthma action plan education (p < 0.001). Conclusion In this study population, more than half of the people living with asthma were found to have limited health literacy, which was associated with not having received self-management education supported by an asthma action plan. Future interventions should include strategies that ensure they meet the needs of people with limited health literacy.

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Background Older persons are at high-risk of developing severe complications from influenza. This consensus statement was developed to provide guidance on appropriate influenza prevention strategies relevant to the Malaysian healthcare setting. Methods Under the initiative of the Malaysian Influenza Working Group (MIWG), a panel comprising 11 multi-speciality physicians was convened to develop a consensus statement. Using a modified Delphi process, the panellists reviewed published evidence on various influenza management interventions and synthesised 10 recommendations for the prevention of influenza among the aged population via group discussions and a blinded rating exercise. Results Overall, annual influenza vaccination is recommended for individuals aged ≥ 60 years, particularly those with specific medical conditions or residing in aged care facilities (ACFs). There is no preference for a particular vaccine type in this target population. Antiviral agents can be given for post-exposure chemoprophylaxis or when vaccine contraindication exists. Infection control measures should serve as adjuncts to prevent the spread of influenza, especially during Hajj. Conclusion This consensus statement presents 10 evidence-based recommendations that can be adopted by healthcare providers to prevent influenza among the aged population in Malaysia. It could also serve as a basis for health policy planning in other lower- and middle-income countries.

Objective: To assess the accuracy of NEORUBIN® NEO-2020, a transcutaneous bilirubinometer in the clinical evaluation of bilirubin levels, versus a competitor device (Dräger JM103) and conventional blood testing (gold standard comparator) in infants diagnosed with jaundice in Malaysia. Study design: Infants who were brought to a public primary care clinic for follow-up due to suspected jaundice were screened using Dräger JM103 to assess the level of total serum bilirubin (TsB). Newborn infants who were at least 1 day old and born after 35–44 weeks of gestation/pregnancy with a TsB between 6–13.4 mg/dL/day (103–229 μmol/L/day) at screening were included in the study. Bilirubin levels of the infants were measured using NEO-2020, Dräger JM103, and conventional blood testing and the readings compared to validate NEO-2020’s accuracy, robustness, and reliability in clinical settings against the competitor device and conventional blood testing. Results: Compared to Dräger JM103, NEO-2020 showed a sensitivity of 99.4% (95% CI 96.9, 100), specificity of 0% (as all subjects in the study had jaundice symptoms), positive predictive value of 96.7% (95% CI 96.9, 96.7), and negative predictive value of 0%. The NEO-2020 had a 96.2% (95% CI 92.3, 98.5) accuracy rate in clinically evaluating bilirubin levels. Conclusion(s): Serum bilirubin levels recorded by the non-invasive NEO-2020 bilirubinometer were comparable to the readings from Dräger JM103 and conventional blood testing. Further tweaking and tests may improve the accuracy of NEO-2020.

Dementia is a spectrum of diseases characterised by a progressive and irreversible decline in cognitive function. Appropriate tools and references are essential for evaluating individuals cognitive levels, especially hippocampal volume as it is the commonly used biomarker in detecting Alzheimers disease (AD). It is important to note that while there is no cure for dementia, early intervention and support can greatly improve the lives of those affected. Ongoing research is being conducted to develop new treatments and improve our understanding of the disease by using VBM to compare sensitivity and specificity with the HippoDeep toolbox.We were able to validate ADs hippocampal volume compared to age-matched healthy controls (HC) based on HippoDeep Model by comparing it with VBM as the reference standard. There are significant differences between hippocampal volume in AD and HC that have been detected using VBM and HippoDeep analysis.