Shamsul Azhar Shah

Shamsul Azhar Shah
Hospital Universiti Kebangsaan Malaysia (HUKM) | HUKM · Department of Community Medicine

MD, MCommHealth, PhD

About

290
Publications
96,949
Reads
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3,288
Citations
Citations since 2016
123 Research Items
2582 Citations
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Introduction
Epidemiology of communicable and non-communicable diseases. Mental health issues. Cancer epidemiology. Medical GIS. Socio-epidemiology.
Additional affiliations
July 2004 - present
Hospital Universiti Kebangsaan Malaysia (HUKM)
Position
  • Professor (Full)

Publications

Publications (290)
Article
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Background With the increasing prevalence of obesity in youth, behavioural interventions to alter its modifiable risk factors such as physical activity can support the management of this epidemic. Digital behaviour changes interventions (DBCI) such as mobile applications, websites and wearables have the potential to reach many adolescents to promot...
Article
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Background: Venous thromboembolism (VTE) remains one of the leading causes of maternal morbidity and mortality, with postpartum period carrying the greatest risk. Perinatal thromboprophylaxis is often administered based on risk-factor assessment. Low molecular weight heparin has a proven safety profile in the obstetrics population, however, its por...
Article
Eating disorders are a growing problem amongst athletes. This systematic review looks at the new eating disorder screening tools validated amongst athletes between 2011 and 2021 and their respective features. This systematic review was conducted with an online search for articles. Relevant keywords and Medical Subject Heading terms were used in thr...
Article
INTRODUCTION: Ultrasound has been widely used to assess thyroid nodules. Although ultrasound elastography has been developed to improve detection of thyroid malignancy, it has received mixed responses. This study aimed to determine the efficacy of ultrasound elastography in detecting malignant thyroid nodules. MATERIALS AND METHODS: Patients with t...
Article
Introduction: Mastectomy with axillary clearance remains the hallmark of breast cancer treatment. The conventional use of electrocautery has been associated with the risk of post-operative complications. Hydrodissection may reduce surgery time and produce fewer wound complications with less post-operative pain. The aim of this study was to compare...
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At present, COVID-19 is spreading widely around the world. It causes many health problems, namely, respiratory failure and acute respiratory distress syndrome. Wearable devices have gained popularity by allowing remote COVID-19 detection, contact tracing, and monitoring. In this study, the correlation of photoplethysmogram (PPG) morphology between...
Article
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Background The cultural and genetic diversity of the Southeast Asian population has contributed to distinct cardiovascular disease risks, incidence, and prognosis compared to the Western population, thereby raising concerns about the accuracy of predicted risks of existing prognostic models. Objectives We aimed to evaluate the predictive performan...
Article
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Negative childbirth experience may cause adverse psychological effects in postpartum mothers. The Childbirth Experience Questionnaire (CEQ) is a multidimensional tool designed to assess women's perceptions of labour and birth. We aim to validate the Malay version of the CEQ (CEQ-My) and evaluate its psychometric properties. The previously published...
Article
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Introduction: Immunisations are one of the most effective public health interventions, reducing or eliminating the burden of many infectious diseases. This study aims to establish the construct validity of a newly developed adult immunisation perceptions questionnaire among Malaysians. Methods: The Adult Immunisation Perceptions-Questionnaire (AIP-...
Article
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Purpose: Handgrip strength (HGS) is indicative of overall physical health among older adults. A decrease in HGS may be associated with an increased risk of disease. The aim of this study is to determine the factors associated with HGS among older adults in Malaysia. Patients and methods: One thousand two hundred four (1204) participants from urb...
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Background: Older people with chronic kidney disease (CKD) may be anaemic due to various reasons, and they are vulnerable to various consequences. One of the most important causes of anaemia to be recognised in this population is gastrointestinal loss. The outcome can be improved by early detection, careful investigation, and suitable therapies. T...
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The high prevalence rate and ever-increasing incidence of tuberculosis (TB) worldwide remain a significant issue in healthcare. In Malaysia, the incidence and mortality rate of TB is increasing due to the delayed presentation of TB patients to healthcare facilities. However, there is a lack of local studies on the contributing factors of delayed pr...
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The combination of COVID-19 outbreaks and nationwide lockdown led to an increased prevalence of psychological distress among the population, especially women, as they have to cope with greater family and work demands. We aimed to identify the factors contributing to psychological distress among Malaysian women during the COVID-19 pandemic. A cross-...
Article
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Purpose We aimed to determine predictors of chronic kidney disease (CKD) prevention among patients with diabetes. Method A cross-sectional study was conducted on 1000 selected respondents based on socio-demographic, socio-economic, general CKD perception knowledge, self-monitoring advocacy, preventive behavior, treatment compliance, and psychosocia...
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Abstrak Kanser prostat merupakan ketiga tertinggi bagi golongan lelaki di Malaysia. Data 2018 melaporkan kanser prostat mencatatkan insiden 1,807 kes berbanding 1,186 kes pada tahun 2014 (Globocan 2018). Kanser prostat ini turut memberi kesan terhadap beban penyakit serta beban ekonomi kepada negara dan memberi kesan terhadap kualiti hidup pesakit...
Article
Introduction Gardnerella vaginalis (GV)-associated bacterial vaginosis is recognised for its detrimental effects on pregnancy resulting in poor obstetric and neonatal outcomes. There is limited knowledge of the effects on placental histomorphology following GV infection in pregnancy. We investigated the effects of GV infection on the placenta, part...
Article
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Dengue mortality remains high despite monitoring against warning signs (WS). The associations of WS at febrile phase (FP) and hemorrhage at defervescence with the levels and kinetics of ROTEM, platelet count, cortisol, and ferritin were analyzed. Patients with confirmed dengue serology and WS in two centers were screened (n = 275) and 62 eligible p...
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Postural measurement of blood pressure (BP) is performed to assess cardiac output with insufficient blood volume during orthostasis in dengue care and other disorders. Orthostatic diagnosis is practically obscure to differentiate the health state of individuals emphasizing the need for structural BP characterization. A semi-automated monitor was ut...
Article
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Background: Suicide remains an important cause of premature deaths and draws much media attention. However, unsafe reporting and portrayal of suicides by the media have been associated with increased risk of suicidal behavior. Current evidence suggests that media capacity-building could potentially prevent suicide. However, there are still knowledg...
Article
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Background: Oxidative stress markers are found to be linked with depression and suicide attempts in bipolar disorder (BD), although the role of DNA damage as a marker of suicidal ideation and attempt has yet to be determined. We aim to investigate the association between DNA damage and suicidal behaviour, i.e., suicidal ideation and suicide attempt...
Article
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Purpose: Older people often have chronic diseases which require a continuity of care over the long term. Countries undergoing population aging need to ensure that older people are receiving the care they need. This study assesses the prevalence of, reasons for, and factors associated with unmet healthcare needs among older people individuals in Ma...
Article
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Shah SA, Safian N, Ahmad S, et al. J Multidiscip Healthc. 2021;14:2931–2940. The authors have advised there was misuse of the word “elderly” in the title and some sentences within the main text. Additionally, the Ethics Approval and Funding sections have also been updated. The paper title should read from “Unmet Healthcare Needs Among Elderly Malay...
Article
INTRODUCTION: Increasing use of predictive genetic testing to address hereditary cancer risk has been commonly assessed by cost sharing practices. Little is known about how demographics, knowledge, attitude and practices may influence these individuals’ willingness to pay for cancer genetic testing. The objective of this research was to determine f...
Article
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Pregnant women are susceptible to COVID-19 complications due to gestation-related physiological changes. We aimed to evaluate the level of maternal knowledge, perception, and practice during the pandemic. A cross-sectional study was conducted during the Malaysian Movement Control Order (MCO) between April and June 2020. A self-administered electron...
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Objective: The burden of suicidal behavior is anticipated to increase as a sequela of the COVID-19 pandemic. However, there is limited evidence on suicidal behavior among healthcare workers, an at-risk population. Our study aimed to investigate suicidal ideation in terms of the rate and associated factors in a sample of Malaysian healthcare workers...
Article
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Introduction The alteration of the gut microbiome in the gut-kidney axis has been associated with a pro-inflammatory state and chronic kidney disease (CKD). A small-scaled Italian study has shown an association between the gut microbiome and Immunoglobulin A Nephropathy (IgAN). However, there is no data on gut microbiota in IgAN in the Asian popula...
Article
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IntroductionIgA nephropathy (IgAN) has a heterogeneous presentation and the progression to end stage renal disease (ESRD) is often influenced by demographics, ethnicity, as well as choice of treatment regimen. In this study, we investigated the long term survival of IgAN patients in our center and the factors affecting it.Methods This study include...
Article
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Happiness is an essential component to experience healthy ageing. Hence, understanding the factors that contribute to happiness is important. This study aimed to determine the factors associated with happiness among the elderly population in Malaysia. In this study, 1204 respondents were recruited from urban and rural areas in Selangor. A face-to-f...
Article
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Urinary stone is a chronic disease with a lengthy clinical course. Many remains asymptomatic but some may experience pain or infection that may result in loss of working time, requiring hospitalization or surgical procedures. The aim of this study is to measure the quality of life among urinary stone patients in Malaysian population and to identify...
Article
Background: The International Academy of Cytology (IAC) Yokohama reporting system was recently proposed to serve as a standardized diagnostic platform for the cytological interpretation of breast fine needle aspiration biopsy (FNAB). Five cytological categories were suggested, linked to a certain risk of malignancy (ROM). The aim of this study was...
Article
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The need for assistance among the elderly is rising, which poses challenges for healthcare systems. Thus, this study aims to determine the factors associated with the need for assistance in the daily living activities of Malaysia′s elderly population. A total of 1204 elderly individuals, aged 60 years and above, were recruited. An interview was con...
Article
Background Around 15.0% of all strokes occurred in hospitalised patients and studies showed significant delay in the stroke recognition and lack of awareness on thrombolytic therapy for acute ischaemic stroke (AIS) which lead to higher mortality for in-hospital stroke. We aimed to develop and validate a new instrument known as acute stroke manageme...
Article
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Background: Cervical cancer (CC) is one of the most frequently occur cancers among female population around the world and thus a significant public health problem. Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections (STI) in both men and women globally and more than 100 HPV types are known. Persistent infection w...
Article
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Background: The recent data shows reduced uptake on cancer screening where the Perception towards cancer screening by the public is one of the favorable factor might influence the screening uptake. Therefore, this study aims to determine the predictors of poor cancer screening perceptions among the population in Johor, Malaysia. Methods: This was a...
Article
Introduction: Papillary thyroid carcinoma (PTC) is the ninth most common malignancy among women. Although the disease prognosis is good, less favourable outcomes are predicted in those with higher disease stages and nodal metastasis. Oestrogen- α (ER-α) expression has been associated with aggressive presentation and greater disease progression and...
Preprint
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Background: Happiness is an essential component for experience healthy ageing. Hence, understanding the factors that contribute to happiness is essential for a better quality of life. This study aimed to determine the factors associated with happiness among the elderly population in Malaysia. Methods: In this study, 1204 respondents were recruited...
Preprint
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Background: Handgrip strength (HGS) is indicative of overall physical health among older people. A reduction in HGS may be associated with an increased risk of disease. This study aims to assess the association between HGS and noncommunicable diseases (NCDs) and the related risk factors. Methods: One thousand two hundred four (1204) participants fr...
Article
Introduction: Internet addiction is becoming a global problem and has been associated with mental health issues such as depression and anxiety. There is a strong need for local research, given the recent rise of mental health issues amongst children and adolescents in Malaysia, as well as lack of research in this field locally. Methods: This study...
Article
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Introduction: The Health Belief Model has gained widespread popularity and acceptance in the community, yet little is known about its effectiveness as a basis for health behavior intervention. The purpose of this study is to systematically review the evidence on the use of the model in health behavior for Chronic Kidney Disease and the effectivenes...
Article
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Violence among adolescents is a significant public health issue. The focus was on school-going adolescents because of the lifelong negative impact at an individual level both for the perpetrator and victim. Besides, it increases the costs to provide health, welfare, and criminal justice as well as decreases general productivity at the community lev...
Article
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Background: Chronic kidney disease has become a major health problem around the world. It displays no symptoms until the later stages. Therefore, its early detection is crucial, and a suitable intervention is necessary to halt its development. The aim of this study was to develop and validate a recently formulated Chronic Kidney Disease Perception...
Article
Objectives To evaluate the impact of a microbial cell preparation (MCP®) (Hexbio®; comprising MCP® BCMC® strains) on stool frequency, consistency, and constipation-related symptoms in elderly patients with multiple chronic medical conditions.DesignRandomised control trial.SettingMedical outpatient and medical/surgical in-patient unit in single tert...
Article
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Gestational diabetes mellitus (GDM) is associated with maternal and neonatal complications. We aimed to evaluate the relationship between the abnormalities of the oral glucose tolerance test (OGTT) and adverse pregnancy outcomes. This was a retrospective study of GDM patients over a five-year period in a Malaysian tertiary center. The diagnosis of...
Article
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Feedback on exhaled carbon monoxide (CO) levels may potentially improve smokers' motivation to quit. However, evidence to support its use is still lacking. This study aimed to examine how providing feedback on exhaled CO measurement affected smokers' intention to quit and cigarette consumption short term. This non-randomised controlled trial was co...
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Objective: The spread of COVID-19 disease which had been declared as pandemic on 11th March 2020 currently already affected 212 countries around the world. Thus, the prevention and control measures are being established at national level thru the combined action of containment and mitigation. The aim of this study, to summarize on the rapid respons...
Article
Background: Since December 2019, COVID-19 pandemic has continued to grow it spread and has currently affected more than 200 countries and for the last four months, healthcare workers (HCW) has worked performed their duties endlessly, more than the norms at their respective health care facility. Therefore this review paper aims to describe healthcar...
Article
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Diabetic Nephropathy (DN) is the most common cause of End-stage renal disease (ESRD). Although various treatments and diagnosis applications are available, DN remains a clinical and economic burden. Recent findings showed that noncoding RNAs (ncRNAs) play an important role in DN progression, potentially can be used as biomarkers and therapeutic tar...
Article
Aim To examine the possible gene‐environment interactions between 32 single nucleotide polymorphisms and environmental factors that could modify the probability of chronic kidney disease. Methods A case‐control study was conducted involving 600 people with type 2 diabetes (300 chronic kidney disease cases, 300 controls) who participated in The Mal...
Article
Introduction: Primary aldosteronism (PA) contributed to the cardiovascular disease and metabolic alterations independent of the blood pressure level. Evidence exist that aldosterone excess also affect calcium and mineral homeostasis. PA subjects have been shown to have greater prevalence of vitamin D deficiency. However the impact of vitamin D tre...
Article
Background: Vaccine hesitancy is a complex behaviour which involves various degrees of indecision about specific vaccines or vaccination uptake. Access to antenatal care had been associated with positive vaccine behavior. Objective: To determine the prevalence of vaccine hesitancy towards childhood immunisation amongst urban pregnant mothers and...
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Kidney dysfunction, a deleterious effect of obesity, is now recognized as a relevant health risk. Chemokine (C-C Motif) Ligand 2 (CCL2) is one of the critical chemokines that play a vital role in the development of obesity-related metabolic disease. We aim to measure the changes in urinary CCL2 in our patients before and after their bariatric proce...
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Food and waterborne disease (FWBD) epidemic can produce devastating public health outcomes. From 1990 to 2006, the annual notifications for FWBDs in Malaysia ranged from 2,000 to about 10,000 cases. The purpose of this study was to describe the spatial epidemiology of FWBDs in four districts of Sabah from the year 2011 to 2014. This study was a ret...