9 research outputs found

    Quality of Life vs. Supportive Care Needs for Oral Cancer Caregivers: Are They Related?

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    Caregivers providing care for their family members with oral cancer usually endure the caregiving burden in silence, which affects their quality of life and necessitates the need for supportive care. The aim of this study is to determine the relationship between the quality of life (QOL) of oral cancer caregivers and their supportive care needs (SCN) in Malaysia. The Malaysian versions of the Caregiver Oncology Quality of Life Questionnaire (M-CarGOQoL) and the Comprehensive Needs Assessment Tool for Cancer Caregivers (M-CNAT-C) were self-administered by 56 family caregivers of oral cancer patients from five tertiary hospitals throughout Peninsular Malaysia and Sarawak between October and December 2021. Correlation and multiple regression analyses were employed, and the significance level was set at p r(54) = 0.58, p 3 h/day) on the combined dependent variables (QOL and SCN), F(2, 53) = 5.006, p η2 = 0.16. QOL and caregiving duration accounted for a significant 43% of SCN, R2 = 0.43, adjusted R2 = 0.41, F(2, 53) = 20.32, p < 0.01. In conclusion, oral cancer caregivers with poorer QOL have higher SCN. It is recommended that oral cancer caregivers be recognized by healthcare providers in order to deliver holistic patient care

    Oral healthcare seeking behavior of Malaysian adults in urban and rural areas: findings from the National Health and Morbidity Survey 2019

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    Abstract Background The development and implementation of appropriate strategies to enhance oral health in the community can be aided by an understanding of oral healthcare seeking behavior among urban and rural populations. The purpose of this study was to identify the factors associated with oral healthcare seeking behavior of the Malaysians in urban and rural locations who self-reported dental problems. Methods The National Health and Morbidity Survey 2019, a cross-sectional nationwide household survey that focused on non-institutionalised Malaysians, provided the data for this study on adults in Malaysia who were 18 years of age and older. A two-stage stratified random sampling technique was employed to ensure national representativeness. Data was collected using a multilingual (Malay and English), structured, and validated questionnaire via face-to-face interviews from July to October 2019. The dependent variable was oral healthcare seeking behavior (sought oral healthcare and self-medication). Independent variables were predisposing, enabling and health needs factor based on Andersen’s Behavioral Model. Descriptive statistics were used to describe the characteristics and oral healthcare seeking behavior of the respondents. The relationship between the independent and dependent variables were investigated using multivariable logistic regression analysis. Results The analysis comprised a total of 10,134 respondents, representing about 18.2 million Malaysian adults aged 18 and above. The overall prevalence of Malaysian adults who self-reported dental problems was low (5.5%) and was slightly higher in the rural than urban population. Almost half sought treatment from healthcare practitioners, and almost a quarter self-medicated. Ethnicity was associated with seeking healthcare and self-medication among urban dwellers. Among the rural population, income level was associated with seeking healthcare while education level was associated with self-medication. Conclusion Disparities in oral healthcare seeking behaviors exist between Malaysians living in urban and rural areas. Future policies should adopt focused strategies that concentrate on oral healthcare accessibility and health literacy of the vulnerable and rural populations to achieve the best oral healthcare for this population group

    Lactate Dehydrogenase Levels in the Saliva of Cigarette and E-Cigarette Smokers (Vapers):A Comparative Analysis

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    BACKGROUND: We examined the lactate dehydrogenase (LDH) enzyme levels in the saliva of vapers (e-cigarette users) and compared the data with cigarette smokers and a control group of non-smokers and non-vapers. METHODS: Subjects were recruited among those responding to a social media announcement or patients attending the SEGi Oral Health Care Centre between May and December 2019, and among some staff at the centre. Five ml of unstimulated whole saliva was collected and salivary LDH enzyme activity levels were measured with a LDH colorimetric assay kit. Salivary LDH activity level was determined for each group and compared statistically. RESULTS: Eighty-eight subjects were categorized into three groups (control n=30, smokers n=29, and vapers n=29). The mean ± standard deviation (SD) values for salivary LDH activity levels for vapers, smokers, and control groups were 35.15 ± 24.34 mU/ml, 30.82 ± 20.73 mU/ml, and 21.45 ± 15.30 mU/ml, respectively. The salivary LDH activity levels of smoker and vaper groups were significantly higher than in the control group (p = 0.031; 0.017). There was no significant difference of salivary LDH activity level in vapers when compared with smokers (p= 0.234). CONCLUSION: Our findings showed higher LDH levels in the saliva of vapers when compared with controls, confirming cytotoxic and harmful effects of e-cigarettes on the oral mucosa

    The Impact of Changes in Oral Functioning, Social Support and Spiritual Aspect on The Psychosocial Well-Being Among Oral Cancer Patients in Malaysia: Secondary Data Analysis

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    Background: There is growing concern regarding the psychosocial needs among oral cancer patients with restricted oral-functioning due to cancer and its treatment. The current management strategies focus mainly on providing clinical care; with little emphasis given to other aspects of care. Aim: The aim of this research project is to determine the relationship between the changes in oral functioning (OF), social support (SS) and spiritual aspect (SA) with the psychosocial well-being (PSWB) among oral cancer patients in Malaysia. Methods: This is a secondary data analysis on the individual-level HRQoL dataset among cohort patients diagnosed with oral cancer between 2008 till 2015, collected from the Malaysian Oral Cancer Database and Tissue Bank System (MOCDTBS) to examine potential association between HRQoL sub-scales of OF, SS, SA and PSWB across three different visits namely; at baseline (pre-treatment), 1 month; and 3 months-post treatments. Descriptive analysis of HRQoL sub-scales, including correlation and linear regression were undertaken for overall and by the disease-treatment characteristics. This was followed by hierarchical multiple regression analysis in exploring the combined role of SS and SA in explaining the relationship of interest between OF and PSWB. Results: There was a significant deterioration in OF and improvement in PWSB among a cohort group of Malaysian oral cancer patients at their first review visit. At subsequent visits, the PSWB sub-scale continued to demonstrate significant improvement, including the OF and SS sub-scales. In multivariate analyses, SS was the most important predictor for PSWB across all cancer staging or treatment modalities; also mediating the enhancement of OF among the late-stage group at baseline. Nevertheless, SA less likely contributed to OF enhancement except at baseline and second review visit among those treated with combined treatment. Conclusion: The findings provide some insights on how both SS and SA can contribute to improve PSWB among oral cancer patients presenting with compromised oral function. An integrative approach comprising a combination of social and spiritual supportive care with treatment modalities including the repair of oral function could be one model of holistic patient care for oral cancer patients in Malaysia

    Response to the Letter

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    [No abstract available

    Mini-implant supported canine retraction with micro-osteoperforation: A split-mouth randomized clinical trial

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    Objectives: To investigate, using a split-mouth randomized clinical design, the effect of micro-osteoperforation (MOP) on mini-implant supported canine retraction using fixed appliances. Materials and Methods: Thirty subjects (seven males and 23 females) with a mean age of 22.2 (3.72) years were randomized into three canine retraction groups: Group 1 (MOP 4-weekly maxilla/ 8-weekly mandible; n = 10); Group 2 (MOP 8-weekly maxilla/12-weekly mandible; n = 10) and Group 3 (MOP 12-weekly maxilla/4-weekly mandible; n = 10) measured at 4-week intervals over 16 weeks. Subjects also completed pain (5-point Likert scale) and pain impact (Visual Analogue Scale) questionnaires. The primary outcome was the amount of canine retraction over 16 weeks at MOP (experimental) and non-MOP (control) sites. Results: Mean overall canine retraction was 4.16 (1.62) mm with MOP and 3.06 (1.64) mm without. After adjusting for differences between jaws, all MOP groups exhibited significantly higher canine distalization than the control group: 0.89 mm more (95% confidence interval [CI] = 0.19 to 1.59 mm; P =.01) in the MOP-4 group, 1.08 mm more (95% CI = 0.49 to 1.68 mm; P =.001) in the MOP-8 group and 1.33 mm more (95% CI = 0.55 to 2.10 mm; P =.002) in the MOP-12 group. All subjects reported pain associated with MOP with 60% classifying it as moderate and 15% severe. The main impact of this reported pain was related to chewing and speech. Conclusions: MOP can increase overall mini-implant supported canine retraction over a 16-week period of observation but this difference is unlikely to be clinically significant. © 2019 by The EH Angle Education and Research Foundation, Inc

    Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model

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    Background: The aim of this study was to explore reasons for delayed health-seeking for late stage oral cancer patients. Methods: Semi-structured in-depth interviews were conducted with 35 oral cancer patients with TNM stage III to IV disease, who were treated at six tertiary regional centres managing oral cancer throughout Malaysia. Interviews were audio-recorded, transcribed verbatim, coded using NVivo (version 10.0) qualitative software and analysed using framework analysis. Results: Participants interpreted their early symptoms as a minor condition and did not consider it as requiring immediate attention. Four types of coping strategies causing delayed help-seeking emerged: 1) self-remedy 2) self-medication 3) seeking traditional healers and 4) consulting general medical practitioners (GPs) instead of dentists. Socio-economic factors, cultural beliefs and religious practices have some influence on diagnostic delay. Conclusion: Low levels of public knowledge and awareness regarding early signs and symptoms of oral cancer as well as GPs' misdiagnosis of early lesions results in delayed diagnosis

    The oral health of people with chronic schizophrenia: a neglected public health burden

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    Objective: People with chronic schizophrenia have high rates of physical ill-health such as heart disease. However, there has been less attention to the issue of poor oral health including dental caries (tooth decay) and periodontal (gum) disease, although both have consequences for quality of life and systemic physical health. We therefore measured tooth decay and gum disease in Malaysians with schizophrenia

    Validity of the FACT-H&N (v 4.0) among Malaysian oral cancer patients

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    To assess the cross-sectional construct validity of the Malay-translated and cross-culturally adapted FACT-H&N (v 4.0) for discriminative use in a sample of Malaysian oral cancer patients. A cross-sectional study of adults newly diagnosed with oral cancer. HRQOL data were collected using the FACT-H&N (v 4.0), a global question and a supplementary set of eight questions (‘MAQ’) obtained earlier in pilot work. Of the 76 participants (61.8% female; 23.7% younger than 50), most (96.1%) had oral squamous cell carcinoma; two-thirds were in Stages III or IV. At baseline, patients’ mean FACT summary (FACT-G, FACT-H&N, FACT-H&N TOI, and FHNSI) and subscale (pwb, swb, ewb, fwb, and hnsc) scores were towards the higher end of the range. Equal proportions (36.8%) rated their overall HRQOL as ‘good’ or ‘average’; fewer than one-quarter rated it as ‘poor’, and only two as ‘very good’. All six FACT summary and most subscales had moderate-to-good internal consistency. For all summary scales, those with ‘very poor/poor’ self-rated HRQOL differed significantly from the ‘good/very good’ group. All FACT summary scales correlated strongly (r > 0.75). Summary scales showed convergent validity (r > 0.90) but little discriminant validity. The discriminant validity of the FHNSI improved with the addition of the MAQ. The FACT-H&N summary scales and most subscales demonstrated acceptable cross-sectional construct validity, reliability and discriminative ability, and thus appear appropriate for further use among Malaysian oral cancer patients
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