AIM:To survey irritable bowel syndrome(IBS) using Rome Ⅲ criteria among Malays from the north-eastern region of Peninsular Malaysia.METHODS:A previously validated Malay language Rome Ⅲ IBS diagnostic questionnaire w...AIM:To survey irritable bowel syndrome(IBS) using Rome Ⅲ criteria among Malays from the north-eastern region of Peninsular Malaysia.METHODS:A previously validated Malay language Rome Ⅲ IBS diagnostic questionnaire was used in the current study.A prospective sample of 232 Malay subjects(80% power) was initially screened.Using a stratified random sampling strategy,a total of 221 Malay subjects(112 subjects in a "full time job" and 109 subjects in "no full time job") were recruited.Subjects were visitors(friends and relatives) within the hospital compound and were representative of the local community.Red flags and psychosocial alarm symptoms were also assessed in the current study using previously translated and validated questionnaires.Subjects with IBS were sub-typed into constipation-predominant,diarrhea-predominant,mixed type and un-subtyped.Univariable and multivariable analyses were used to test for association between socioeconomic factors and presence of red flags and psychosocial alarm features among the Malays with IBS.RESULTS:IBS was present in 10.9%(24/221),red flags in 22.2%(49/221) and psychosocial alarm features in 9.0%(20/221).Red flags were more commonly reported in subjects with IBS(83.3%) than psychosocial alarm features(20.8%,P < 0.001).Subjects with IBS were older(mean age 41.4 years vs 36.9 years,P = 0.08),but no difference in gender was noted(P = 0.4).Using univariable analysis,IBS was significantly associated with a tertiary education,high individual income above RM1000,married status,exsmoker and the presence of red flags(all P < 0.05).In multiple logistic regression analysis,only the presence of red flags was significantly associated with IBS(odds ratio:0.02,95%CI:0.004-0.1,P < 0.001).The commonest IBS sub-type was mixed type(58.3%),followed by constipation-predominant(20.8%),diarrheapredominant(16.7%) and un-subtyped(4.2%).Four of 13 Malay females(30.8%) with IBS also had menstrual pain.Most subjects with IBS had at least one red flag(70.8%),12.5% had two red flags and 16.7% with no red flags.The commonest red flag was a bowel habit change in subjects > 50 years old and this was reported by 16.7% of subjects with IBS.CONCLUSION:Using the Rome Ⅲ criteria,IBS was common among ethnic Malays from the north-eastern region of Peninsular Malaysia.展开更多
As the most primitive and the highest-level media in ancient Chinese society, Gaomei God played a pivotal role in the social life of the Han Dynasty. The stone relief is a vivid portrayal of the Han Dynasty society, a...As the most primitive and the highest-level media in ancient Chinese society, Gaomei God played a pivotal role in the social life of the Han Dynasty. The stone relief is a vivid portrayal of the Han Dynasty society, and we can use the format routine method to fred out the image of Gaomei God in it. Starting from the Gaomei portrait, a research on typology is carried out before the portrait is divided into three types on the basis of its development and evolution, which is followed by a comprehensive analysis of its time, distribution area, configuration combination, carving techniques, image composition, development in a way to sum up the law of Gaomei portrait.展开更多
This research drew from social learning and international development literature. The purpose of this community research was to trace the spread and impact of sweetpotato flour in two rural communities in Papua New Gu...This research drew from social learning and international development literature. The purpose of this community research was to trace the spread and impact of sweetpotato flour in two rural communities in Papua New Guinea. Research strategy was participatory learning and action utilizing participatory mapping. The paper mapping process was documented using a video recorder and field notes. Geographic Information Systems technology was then used to incorporate local spatial knowledge on scale maps to show spread of knowledge. The main finding was the identification of social networks through tracking of sweetpotato knowledge： identifying who used the knowledge and whether there were any modifications, the location of those who used the knowledge and whether this was shared and with whom. Most significant was the enabling factors that strengthened existing and potential future networks. Community leadership styles determine success of development projects. Rural communities are diverse needing participatory multi-layered methodologies that are people oriented for agricultural technologies to be learnt and utilized for improved livelihood.展开更多
基金Supported by Malaysian Society of Gastroenterology and Hepatology Research Award 2008
文摘AIM:To survey irritable bowel syndrome(IBS) using Rome Ⅲ criteria among Malays from the north-eastern region of Peninsular Malaysia.METHODS:A previously validated Malay language Rome Ⅲ IBS diagnostic questionnaire was used in the current study.A prospective sample of 232 Malay subjects(80% power) was initially screened.Using a stratified random sampling strategy,a total of 221 Malay subjects(112 subjects in a "full time job" and 109 subjects in "no full time job") were recruited.Subjects were visitors(friends and relatives) within the hospital compound and were representative of the local community.Red flags and psychosocial alarm symptoms were also assessed in the current study using previously translated and validated questionnaires.Subjects with IBS were sub-typed into constipation-predominant,diarrhea-predominant,mixed type and un-subtyped.Univariable and multivariable analyses were used to test for association between socioeconomic factors and presence of red flags and psychosocial alarm features among the Malays with IBS.RESULTS:IBS was present in 10.9%(24/221),red flags in 22.2%(49/221) and psychosocial alarm features in 9.0%(20/221).Red flags were more commonly reported in subjects with IBS(83.3%) than psychosocial alarm features(20.8%,P < 0.001).Subjects with IBS were older(mean age 41.4 years vs 36.9 years,P = 0.08),but no difference in gender was noted(P = 0.4).Using univariable analysis,IBS was significantly associated with a tertiary education,high individual income above RM1000,married status,exsmoker and the presence of red flags(all P < 0.05).In multiple logistic regression analysis,only the presence of red flags was significantly associated with IBS(odds ratio:0.02,95%CI:0.004-0.1,P < 0.001).The commonest IBS sub-type was mixed type(58.3%),followed by constipation-predominant(20.8%),diarrheapredominant(16.7%) and un-subtyped(4.2%).Four of 13 Malay females(30.8%) with IBS also had menstrual pain.Most subjects with IBS had at least one red flag(70.8%),12.5% had two red flags and 16.7% with no red flags.The commonest red flag was a bowel habit change in subjects > 50 years old and this was reported by 16.7% of subjects with IBS.CONCLUSION:Using the Rome Ⅲ criteria,IBS was common among ethnic Malays from the north-eastern region of Peninsular Malaysia.
文摘As the most primitive and the highest-level media in ancient Chinese society, Gaomei God played a pivotal role in the social life of the Han Dynasty. The stone relief is a vivid portrayal of the Han Dynasty society, and we can use the format routine method to fred out the image of Gaomei God in it. Starting from the Gaomei portrait, a research on typology is carried out before the portrait is divided into three types on the basis of its development and evolution, which is followed by a comprehensive analysis of its time, distribution area, configuration combination, carving techniques, image composition, development in a way to sum up the law of Gaomei portrait.
文摘This research drew from social learning and international development literature. The purpose of this community research was to trace the spread and impact of sweetpotato flour in two rural communities in Papua New Guinea. Research strategy was participatory learning and action utilizing participatory mapping. The paper mapping process was documented using a video recorder and field notes. Geographic Information Systems technology was then used to incorporate local spatial knowledge on scale maps to show spread of knowledge. The main finding was the identification of social networks through tracking of sweetpotato knowledge： identifying who used the knowledge and whether there were any modifications, the location of those who used the knowledge and whether this was shared and with whom. Most significant was the enabling factors that strengthened existing and potential future networks. Community leadership styles determine success of development projects. Rural communities are diverse needing participatory multi-layered methodologies that are people oriented for agricultural technologies to be learnt and utilized for improved livelihood.
