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PADA Oktober tahun lalu, dunia dikejutkan dengan kemangkatan putera Sultan Brunei, Pengiran Muda Haji Abdul Azim yang sememangnya dikenali sebagai individu yang aktif dalam aktiviti kemasyarakatan dan sentiasa membantu golongan memerlukan.Iklan

Pelbagai soalan bertebaran melalui media sosial terhadap punca kemangkatannya.

Namun, beberapa hari selepas itu, Pengiran Muda Abdul Mateen telah memuat naik status menerusi Instagram mendedahkan punca sebenar pemergiaan kekandanya yang disebabkan oleh penyakit vaskulitis sistemik yang berkaitan dengan masalah autoimun.

Bagi memperincikan lebih lanjut mengenainya, SinarPlus mendapatkan pandangan Pakar Perunding Reumatik dan Sakit Kronik, Pusat Pakar Perubatan Sendi Urat dan Tulang, Seberang Jaya, Pulau Pinang, Dr Anwar Samhari Mat Arshad.

Memberi definisi ringkas, vaskulitis adalah penyakit saluran darah yang akan mengganggu peranan (darah) membekalkan oksigen kepada semua organ tubuh badan.

Dr Anwar Samhari menjelaskan, terdapat banyak jenis vaskulitis dan kebanyakannya jarang berlaku dalam kalangan manusia.

Di Malaysia, ia hanya melibatkan kira-kira 0.5 peratus penghidap.

“Vaskulitis bertindak seakan-akan barah kerana ia mungkin hanya mempengaruhi satu organ atau melibatkan beberapa organ lain yang mana boleh menjadi akut atau kronik. Terdapat juga sesetengah kes yang mana penyakit vaskulitis bermula apabila seseorang menghidap kanser darah,” katanya ketika dihubungi SinarPlus baru-baru ini.

Implikasi luar biasa

Dr Anwar Samhari meneruskan penjelasannya. Ujar beliau, vaskulitis boleh disebabkan oleh pelbagai faktor.

Antaranya jangkitan kuman, ubat-ubatan, kanser, penyakit darah atau penyakit autoimun seperti sistemik lupus eritematosus.

Secara asasnya, Dr Anwar Samhari berkata, vaskulitis boleh dibahagikan kepada tiga kategori utama iaitu:

i) Kecacatan besar pada pembuluh darah.

ii) Kecacatan sederhana pada pembuluh darah.

iii) Kecacatan kecil pada pembuluh darah.

“Biasanya, kecacatan besar pada pembuluh darah akan mudah menyerang kanak-kanak iaitu antara umur lima hingga 10 tahun.

“Sebaliknya, kecacatan sederhana pada pembuluh darah pula akan menyerang mereka yang lebih berusia iaitu antara 50 ke 60 tahun. Kecacatan kecil pula akan menyerang sesiapa sahaja tanpa mengira peringkat umur,” katanya.

Apakah simptom-simptom kepada penyakit tersebut?

Beritahu Dr Anwar Samhari, ia mirip dengan kanser darah seperti limfoma atau leukemia iaitu seseorang akan hilang selera makan dan berat badan turun dengan sangat drastik.

“Perlu saya tegaskan, simptom-simptomnya sama antara kanser darah dan vaskulitis, tetapi penyakitnya tidak serupa,” ujarnya.

Lazimnya, untuk mendiagnosis vaskulitis, pakar terlebih dahulu akan bertanya mengenai sejarah perubatan pesakit diikuti dengan pemeriksaan fizikal.

Sekiranya disyaki vaskulitis, pesakit akan dinasihatkan untuk menjalani beberapa ujian lanjut seperti:

i) Ujian darah dilakukan untuk mengenal pasti kemungkinan berlaku keradangan.

ii) Ujian air kencing dapat memberikan maklumat mengenai sama ada air kencing mengandungi sel darah merah atau terlalu tinggi protein.

iii) Ujian pengimejan seperti ultrasound, sinar-X, imbasan tomografi berkomputer (CT Scan), imbasan tomografi pelepasan positron (PET Scan) dan Magnetic Resonance Imaging (MRI) dapat membantu doktor menentukan saluran darah atau organ mana yang terkena vaskulitis dan juga untuk menentukan tindak balas pesakit terhadap rawatan.

iv) Angiografi iaitu melibatkan prosedur supaya doktor dapat melihat keadaan dinding saluran darah.

v) Biopsi iaitu satu prosedur pakar akan mengambil sampel tisu dari bahagian tubuh yang dijangkiti untuk memeriksa tanda-tanda vaskulitis.

Memperincikan mengenai rawatan penyakit yang jarang dihidapi penduduk di dunia itu adalah, Dr Anwar Samhari memberitahu, ia biasanya bergantung kepada tahap penyakit dan organ-organ yang terlibat.

“Rawatan diperlukan untuk mengurangkan keradangan dan mengawal sistem imun yang menyebabkan vaskulitis yang merangkumi pemberian kortikosteroid seperti prednison atau metilprednisolon.

“Pada masa sama, perlu diingatkan bahawa penggunaan jangka panjang ubat berkenaan boleh menyebabkan pesakit mendapat kesan sampingan lain seperti diabetes dan osteoporosis.

Selain kortikosteroid, terdapat juga ubat lain yang berfungsi untuk ‘menekan’ tindak balas sistem imun yang mencetuskan kerosakan pada saluran darah seperti siklofosfamid atau azatioprin.

Bukan itu sahaja, terapi biologi dengan rituximab juga boleh diberikan kepada individu yang menderita penyakit itu.

Kepada SinarPlus, pakar perubatan itu memberitahu, berdasarkan beberapa kes, vaskulitis boleh menyebabkan aneurisma atau keradangan pada saluran darah, selain dapat membuatkan arteri seseorang menjadi sempit sehingga menyekat aliran darah.

Memang tidak dapat disangkal, mereka yang ditakdirkan menghidap vaskulitis sangat menderita sepanjang hayatnya.

“Selain berpotensi menyerang kerosakan organ utama seperti gangguan fungsi jantung dan otak, pesakit juga akan mengalami kebutaan dan kehilangan penglihatan akibat penyakit vaskulitis.

“Jika keadaan lebih serius, ia boleh mengancam nyawa akibat berlakunya keradangan paru-paru dan kegagalan buah pinggang,” katanya.

Pun demikian, Dr Anwar Samhari, hingga Februari tahun ini, Malaysia berjaya menawarkan rawatan yang berkesan bagi penyakit vaskulitis.

“Diharapkan, sedikit masa lagi iaitu antara satu atau dua dekad lagi, kita bakal menemui jalan penyelesaian kepada punca penyakit berkenaan,” tambah beliau.

Dalam pada itu, Pengamal Perubatan Am, Dr Zubaidi Ahmad berkata, terdapat satu kumpulan vaskulitis yang dikenali sebagai vaskulitis sistemik utama atau primary systemic vasculitis yang biasanya lebih serius dan boleh melibatkan pelbagai organ seperti kulit, buah pinggang, paru-paru, usus dan otak serta boleh menghasilkan pelbagai gejala bergantung kepada organ yang terlibat.

Ujar Dr Zubaidi, masalah kulit pada kaki atau tangan lazimnya merupakan tanda pertama penyakit vaskulitis berlaku.

“Kulit akan naik ruam merah yang tidak akan hilang apabila ditekan atau ruam seperti lebam pada kulit. Kadangkala, kesakitannya dirasakan pada tahap optimum,” katanya.

Selain itu, sekiranya saluran darah bersaiz sederhana yang terlibat, keadaan itu akan menyebabkan ulser kulit atau ruam bengkak yang besar terjadi.

Berikut adalah beberapa gejala vaskulitis yang dikenal pasti berkaitan jika berlaku gangguan aliran darah ke seluruh tubuh badan:

i. Demam.

ii. Loya.

iii. Muntah.

iv. Sakit sendi dan otot.

v. Kebas tangan atau kaki.

vi. Sesak nafas.

vii. Kencing berdarah.

viii. Sakit perut.

x) Najis berdarah.

Oleh itu, tegas Dr Zubaidi, jika seseorang sudah menunjukkan gejala awal penyakit berkenaan, segera dapatkan rawatan awal kerana pesakit yang didiagnos awal mampu sembuh sepenuhnya.

“Jangan ambil mudah, penyakit vaskulitis juga antara penyakit yang berbahaya kerana mampu mengganggu fungsi organ dalaman tubuh badan pesakit,” katanya.

ANEKDOT

PUNCA sebenar vaskulitis masih belum dapat dipastikan lagi secara terperinci, namuan ia mungkin berpunca daripada beberapa faktor. Antaranya:

i) Jangkitan seperti hepatitis B dan hepatitis C.

ii) Keluarga yang mempunyai sejarah kanser darah.

iii) Penyakit sistem imun seperti rheumatoid arthritis, lupus dan scleroderma.

iv) Reaksi terhadap ubat-ubatan yang diambil.

Sumber: Public Health Malaysia

JENIS-JENIS vaskulistis:

Menurut portal perubatan aladokter.com, terdapat jenis vaskulitis bergejala ringan dan tidak memerlukan rawatan menyeluruh.

Namun, terdapat vaskulitis yang mendatangkan implikasi yang mendatangkan dampak yang buruk kepada kesihatan yang berlangsung dalam jangka masa pendek atau panjang. Antaranya:

i) Giant cell arteritis: Sakit pada kepala, kulit kepala, rahang dan gangguan penglihatan sehingga boleh menyebabkan kebutaan akibat pembengkakan pembuluh darah arteri pada kepala.

ii) Arteritis takayasu: Sakit sendi, hilang nafsu makan, demam, tekanan darah tinggi, berpeluh pada malam hari, gangguan penglihatan, denyut nadi lemah dan sakit kepala.

iii) Cryoglobulinemia: Ruam, sakit sendi, berasa lemas, kebas dan kesemutan kerana terdapat protein yang tidak normal di dalam aliran darah.

iv) Granulomatosis wegener: Hidung tersumbat dan berdarah, infeksi sinus dan batuk darah.

v) Henoch-Schonlein purpura: Sakit perut, darah pada urin, sakit sendi, dan ruam pada punggung atau kaki bahagian bawah akibat pembengkakan pembuluh darah kapilari pada di kulit, sendi, usus dan ginjal.

vi) Penyakit Buerger: Sakit pada bahagian tangan dan kaki akibat peradangan dan bekuan darah pada pembuluh darah di kawasan tersebut.

vii) Penyakit Kawasaki: Demam, ruam dan ruam pada mata.

viii) Poliangiitis mikroskopik: Sakit perut, ruam, demam, sakit otot dan berat badan turun.

vii) Poliarteritis nodosa: Ruam, sakit pada otot dan sendi, lelah, sakit perut setelah makan, tekanan darah tinggi dan gangguan ginjal.

viii) Sindrom Behcet: Radang pada mata, ulser pada mulut dan kelamin serta luka  mirip jerawat pada kulit akibat peradangan pada pembuluh darah arteri dan vena.

ix) Sindrom Churg-Strauss: Sakit pada saraf, perubahan warna kulit, dan gejala seperti asma dan rinitis alergi. Kondisi tersebut jarang terjadi.

x) Vaskulitis hipersensitif: Bintik merah pada kulit, biasanya muncul pada anggota bahagian bawah.

-SINARPLUS

Smoking regular cigarettes and vaping produces harmful health effects similar to just smoking cigarettes on their own, a study published Monday by the journal Circulation found.

Participants who smoked cigarettes and used both cigarettes and e-cigarettes had higher levels of inflammation and oxidative stress than those who did not use cigarettes or e-cigarettes, the researchers said.

People in the study who vaped exclusively also showed similar levels of inflammation and oxidative stress as those who did not smoke cigarettes or use e-cigarettes.

Inflammation and oxidative stress are key contributors to smoking-induced heart disease and have been shown to be predictors of heart attack and heart failure, among other health problems, the researchers said.

“[This study] has an important message for individuals who may believe using e-cigarettes while continuing to smoke some combustible cigarettes reduces their risk,” co-author Dr. Rose Marie Robertson said in a statement.

“This commonly-seen pattern of dual use was not associated with lower levels of inflammatory markers, and thus is not likely to offer a reduction in risk in this specific area,” said Robertson, deputy chief science and medical officer of the American Heart Association.

Cigarette smoking has long been linked with an increased risk for heart disease and death, although it appears to be on the decline, at least in the United States, according to the American Heart Association.

While use of e-cigarettes, or vaping, has grown in popularity, there has been limited research on its impact on health, the researchers said.

For this study, Robertson and her colleagues analyzed health data for more than 7,100 adults aged 18 years and older, focusing specifically on levels of inflammation and oxidative stress.

Oxidative stress is caused by increased production of free radicals — unstable atoms that can damage the body’s cells — and the inability of the body to counteract or detoxify their harmful effects, the researchers said.

It has been linked with Parkinson’s disease and Alzheimer’s disease, gene mutations and cancers, chronic fatigue syndrome and heart and blood vessel disorders, among others, according to researchers.

Inflammation occurs when the body’s immune system attempts to respond to a foreign pathogen.

Of the study participants, 59% did not use cigarettes or e-cigarettes, while nearly 2% vaped exclusively and 30% smoked cigarettes exclusively, the researchers said.

In addition, about 10% used both e-cigarettes and traditional cigarettes.

Compared to those who smoked cigarettes exclusively, people who vaped exclusively had significantly lower levels of inflammation and oxidative stress, the data showed.

However, participants who used cigarettes and e-cigarettes had levels of all inflammatory and oxidative stress biomarkers comparable to those who smoked exclusively.

The findings highlight the importance of continued public education regarding the risks of cigarette smoking and the failure of dual use to reduce risk, the researchers said.

“Some people who smoke cigarettes pick up e-cigarette use to reduce the frequency with which they smoke cigarettes, [and] they often become dual users of both products rather than switching entirely from one to the other,” study co-author Andrew C. Stokes said.

“If e-cigarettes are used as a means to quit smoking, cigarette smoking should be completely replaced and a plan to ultimately attain freedom from all tobacco products should be advised,” said Stokes, an assistant professor of global health at Boston University School of Public Health.

-upi

Education and awareness on vaccines should be ramped up to prevent anti-vaxxer ideologies from taking root in society, urged Malaysian paediatricians.

This comes in light of the transition to a hexavalent vaccine for babies under the Health Ministry’s National Immunisation Programme (NIP).

Also known as a six-in-one vaccine, the hexavalent vaccine protects against six life-threatening and infectious diseases, namely diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, Haemophilus influenzae type B, and hepatitis B.

It’s a step up from the NIP’s previous five-in-one vaccine which did not include protection against hepatitis B.

While the hexavalent vaccine is nothing new on the market and has been used in Malaysian private practices since 2013, Ara Damansara Medical Centre’s department of paediatrics head Dr Rakhee Yadav said that more awareness is needed so parents will not be swayed by misinformation from anti-vaxxers.

Convincing parents who are “on-the-fence” when it comes to vaccinating their children is especially important to ensure successful implementation of the hexavalent vaccine in Malaysia.

“One anti-vaxxer could spark a cluster of misinformation involving all their peers and we don’t want that to happen.

“We need to educate parents and encourage them to seek information from the right people, whether it’s their general practitioner or their paediatrician, and not someone on the internet or a dodgy website.

“Once we cater to them, they will most likely convert to the pro-vaccine side,” said Dr Rakhee.

Concerns over anti-vaccine sentiments flared up after a three-month-old boy in Sabah fell ill with polio in December 2019, causing Malaysia to lose its status as a polio-free country.

As of October 16 this year, the Health Ministry has recorded four polio cases in Sabah and three of these cases involve children who had never received a polio vaccine in their lives.

Malaysian Medical Association president-elect Dr Koh Kar Chai said that parents cannot afford to become complacent with vaccinating their children just because deadly diseases like polio are no longer common.

Vocal fear-mongering by anti-vaxxers could also reduce vaccine compliance and threaten public health at large.

“The Malaysian public generally looks at vaccination in a favourable light except for the odd anti-vaxxer who puts a spanner in the works, so overall education is really the way to go.

“We tend to let our guard down when things get easy and the reason why we don’t see any of these deadly diseases anymore is that we’ve had our NIP in place since the 1950s.

“The programme not only helped to reduce the number of people with these diseases but it also eradicated some of these diseases,” said Dr Koh.

Child immunisation is not mandatory in Malaysia but Dr Rakhee said that making vaccines compulsory by law will not be a clean-cut solution for combating anti-vaccine sentiments.

Following the example of countries like Germany, where unvaccinated children are not allowed to attend school, would spark concerns on the rights of children when it comes to education.

“We’ve seen a huge reduction in vaccine-preventable diseases because of vaccine programmes throughout the world but making them compulsory brings up a whole host of legal issues to deal with.

“For example, stopping unvaccinated children from attending school touches on the rights of education for a child.

“We cannot withdraw one right (education) for the sake of another right (health) and there’s a lot of debatable issues in regards to making vaccines compulsory, so education and awareness is the way to go,” said Dr Rakhee.

What are the benefits of the hexavalent vaccine?

Statistics from the World Health Organisation (WHO) show that as of October 20 this year, 49 countries have added the hexavalent vaccine to their respective NIPs.

Malaysia’s Health Ministry also stated that large-scale clinical trials and studies have proven the efficacy and safety of the hexavalent vaccine with no adverse side effects being reported.

It also brings several benefits to parents and their babies as it reduces the number of injections needed to protect children against six diseases.

The hexavalent vaccine is administered to babies with three primary doses at the age of two, three, and five months and one booster dose at the age of 18 months.

Along with a separate hepatitis B vaccine given after birth, children will only need five injections in total for protection against six diseases compared to the seven doses needed for the five-in-one vaccine.

“The inclusion of hepatitis B in the hexavalent vaccine means fewer injections and fewer reasons to come to the clinic.

“Fewer injections means fewer crying episodes for the child and parents won’t have to take as many days off work to bring their child to the clinic,” said Dr Rakhee.

The hexavalent vaccine is aimed at reducing the likelihood of missed injections, thus keeping children up-to-date with their vaccinations and safeguarding public health.

Parents can direct any questions on the hexavalent vaccine to the Health Ministry by calling 03-88834042/ 03-88834504 from Monday to Friday, 9am to 5pm, or visit the nearest public health clinic for more information.

-malaymail

KUALA LUMPUR, Oct 9 — Flu may be seasonal in the American and European continents but not so in countries like Malaysia.

Universiti Kebangsaan Malaysia Medical Centre infectious disease unit head Dr Petrick Periyasamy said even though there were spikes during the monsoon season in the northern and southern areas of Malaysia, it was best to stay vigilant all year round.

“It is technically all year round because of the weather,” he said in advising people to remain vigilant for the illness.

“I think a lot of people do not realise the impact of the flu actually. Most of them might confuse the flu with the common cold where you only get a stuffy nose, sneezing and sore throat and they would usually wait it out.”

“But the flu or Influenza is more serious because aside from getting fever, cough and experiencing fatigue, those in the high risk group can actually develop complications.”

He said this included being prone to seizures or getting meningitis, lung pneumonia, severe muscle pain and heart failure.

High risk groups were usually children less than five years old and patients above the age of 65.

Apart from that, people with medical conditions such as heart, liver or lungs problems as well as people who take steroids and pregnant ladies are also categorised as high risk.

Those in this group have a higher chance of developing other serious symptoms if they were to be infected by the flu.

A report by the World Health Organisation states that the Influenza virus or commonly known as the flu has a whopping five million severe cases and results in 650,000 deaths yearly. Dr Petrick also highlighted that the flu was constantly misinterpreted with the common cold and it was important to recognise the symptoms.

“Once recognised, it is best for them to see a doctor immediately because the Influenza virus is best treated in the first 48 hours.”

“That is the best time to take the medication because the medication will work very well in the next two or three days,” he said.

In Malaysia, the amount of seasonal flu injections given is around 1.5 per cent of the general population, which is very low.

Dr Petrick and his team conducted a surveillance study on Influenza rate around the Klang Valley and Selangor and found that the Influenza rate for outpatients was 25 percent.

It is 15 per cent for hospitalised patients but this was based on surveillance with the actual numbers might be higher.

“The reason we’re not very sure is probably because the test itself is not thoroughly done.”

“Because it’s just like a Covid test where you have to go through swab test and not many people want to do it

“Plus it cost a bit of money to pay for the test, so people would rather just treat you with something rather than to test you, so we really don’t have any accurate numbers of our Influenza rate,” Dr Petrick told Malay Mail.

Most of the people who took flu shots were usually avid travellers or those who worked overseas and high risk groups.

Another recurring problem about the flu in the country was that most Malaysians did not want to bear the cost of vaccination while there were also the anti-vaxxers.

Dr Petrick also said the current Influenza antiviral being used in hospitals are only 40 to 60 per cent effective compared to medication like the Roche Malaysia Sdn Bhd’s newly-launched Xofluza (baloxavir marboxil).

The medication can reduce virus detection up to 50 per cent of the time whereas the normal antiviral can still detect the virus 90 per cent of the time after one day of being taken.

Xofluza, which needs to be taken only once, is also designed to attack the source of the virus which reduces the production of the virus within 24 hours.

“In a way what it means for us doctors is that we can probably reduce the chance of transmission of the virus to other people much faster.

“Because if you get influenza, you can pass the virus for seven days or even one day before the symptoms.”

“So, I can be well today, but I can still transmit the virus and only get the symptoms the next day.”

-malaymail

How to build a better, healthier breakfast bowl

October 9, 2020 | News | No Comments

KUALA LUMPUR, Sept 27 — It’s the weekend. Finally we have time for ourselves. To do what we haven’t the chance to even attempt during the work week. It’s a blessing if we don’t waste it.

Finally we have time to head to the gym. No longer will we neglect our barbell squats and our bench presses. So how do we reward ourselves?

With a gargantuan platter of greasy breakfast foods, perhaps? Sunny-side-up eggs, crispy bacon and grilled sausages, hot buttered toast, all drenched with copious amounts of syrup.

Why not? Surely we deserve the calories after such a hard workout.

But the weekend also means more time to spend on breakfast. Why not use the opportunity to build a better breakfast bowl, one designed to provide your hungry body with the nutrition it needs?

And no, we don’t have to drop by a smoothie bowl kiosk. Times like these, let us save where we can. We may investigate the contents of our fridge and our pantry; our larder isn’t as bare as we imagine it to be.

Begin with something creamy as the foundation. Greek yoghurt offers more protein than normal yoghurt as it has been strained. For those who exercise frequently, a scoop or two of whey protein powder here makes for an interesting change from the usual post-workout shake.

Rather than instant oats (too starchy) or rolled oats (cooking required), why not try some overnight steel cut oats? Made at home, these are nutty, chewy and toothsome. Full of fibre, particularly beta glucan, it’s a heart healthy choice.

Some fresh fruits wouldn’t go amiss. Use whatever you enjoy best. My usual go-to are blueberries, a veritable superfruit.

I’ve run out of these, however. But bananas (high in potassium, which may help lower blood pressure) and kiwi fruit (full of vitamin C, which boosts the immune system) are nutrition powerhouses in their own right and delicious to boot.

Those of us who spend too much time staring at the screens of our various devices will surely benefit from a sprinkling of goji berries, rich in antioxidants such as zeaxanthin that protect our eyes.

Everyone knows that matcha is good for us but most of us would balk at the intricate ceremony required to whisk this vibrant powdered green tea into a bowl of frothy brew. Why not just include a dusting of it over your breakfast bowl, now a veritable nutritional dynamo?

One final thing: Let’s not forget the almost requisite addition of honey or maple syrup, if only for that gooey, oozing factor?

Why not drizzle some extra virgin olive oil to complete your breakfast bowl instead? Yes, you’ve heard it right — some spicy, sometimes grassy flavoured extra virgin olive oil. We have enough sugars from the fruits; it’s time for some healthy fats.

The weekend is a blessing, as is our first meal of the day. Let’s not waste it.

BREAKFAST BOWLS FOR BEGINNERS

Perhaps the only tip we’d require to build a breakfast bowl — more preparation and assembly than anything else since no cooking is required – is to take it slow. Build every layer, every constituent part, one at a time.

Note also that whey protein powder tends to be flavoured — whether vanilla, strawberry, chocolate, espresso or even cookies & cream. So there could be a danger of it clashing with the other ingredients.

Safest, then, to choose a flavour you’d enjoy drinking as a protein shake. If all else fails, go with vanilla or even the dreaded unflavoured whey protein powder – horrible mixed with water alone in a post-workout shake but the sweetness of the fruits will prevent that same fate here.

Speaking of fruits, I have used golden kiwi as it is higher in vitamin C and folate, though admittedly the deep green of the classic kiwi is utterly appealing especially when contrasted with the other colours in the breakfast bowl.

Given the plethora of other ingredients, the ripeness of your bananas aren’t really an issue: if overripe, your breakfast bowl will lean towards the sweeter end of the spectrum; if unripe, well, that’s lots of resistant starch to aid your digestion.

It’s win/win either way. As a matter of fact, a breakfast bowl like this ought to win-win-win all the way!

Ingredients

Unlike my other recipes, here I will only list the ingredients. The quantities used are entirely up to your personal preference. I use rather generous glugs of extra virgin olive oil, for instance, that might scare away a newbie to adding something rarely associated with fresh, sweet fruits. Use as much or as little as you like.

• Greek yoghurt

• Whey protein powder

• Overnight steel cut oats (for the recipe, click here)

• Bananas, sliced into coins

• Kiwi fruit, sliced into coins

• Goji berries

• Matcha powder

• Extra virgin olive oil

Method

Begin with a bowl large enough for all your ingredients or, quite honestly, your appetite. Spoon Greek yoghurt into the bowl to form the foundation. Add a scoop or two of your favourite whey protein powder. Stir until the protein powder is well incorporated into the yoghurt.

Next add a few spoonfuls of your overnight steel cut oats. If you’ve forgotten to prepare them the night before, don’t worry. You may skip this step; you’d certainly be getting plenty of fibre from the fruits.

Add a layer of sliced bananas, followed by your sliced kiwi fruit. Sprinkle goji berries over everything, followed by a generous dusting of matcha powder and a drizzle of extra virgin olive oil. Serve immediately.

-MALAYMAIL

Front-line healthcare workers, children and older adults should receive priority if or when a COVID-19 vaccine is available, according to the result of a survey of U.S. adults published Tuesday by JAMA Network Open.

Ninety-two percent of respondents indicated that front-line clinicians treating patients infected with the new coronavirus should be vaccinated first, while 81% said younger people and seniors need to be at or near the top of the list, the data showed.

Since the start of the pandemic, health workers and older adults have been at increased risk for infection compared to other demographic groups.

Although children generally have lower risk, youngsters who are infected face the possibility serious complications, including Kawasaki-like disease.

“Our findings demonstrate that Americans do perceive that high risk of death is an important criterion for vaccine allocation,” study co-author Sarah Gollust, an associate professor of health policy and management at the University of Minnesota, told UPI.

Several potential vaccines against COVID-19 are in clinical trials in the United States and around the world. Earlier this month, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, predicted that a viable vaccine would be available to “all Americans” by April.

For their research, Gollust and her colleagues surveyed 1,007 American adults between April 23 and 27, when the COVID-19 outbreak in the United States still was in its early stages.

Other groups identified by respondents as warranting priority for available vaccines included “middle-aged” adults at high risk, for 75% of respondents, and non-medical “essential” workers, for 72% of respondents. Sixty-four percent of respondents also said pregnant women should be considered a priority for the vaccine.

“Unfortunately, it’s hard to judge the public’s understanding of vaccine limitations from this study,” Gollust said.

“In the survey, we told all respondents that ‘at least at first, there may not be enough to go around,’ so all respondents who answered the survey would have read this, but we can’t assess from this study whether they were already aware of this idea, though.

-upi

Eighth cluster detected in Sabah – Health DG

September 24, 2020 | News | No Comments

The Health Ministry (MOH) has reported another new Covid-19 cluster in Sabah, the eighth in the state, Health director-general Tan Sri Dr Noor Hisham Abdullah (pix) said.

The new cluster, named the Udin cluster was detected in Tawau, with its index case (case 9894) involving a 72-year-old local woman, this after she underwent screening at the Merotai Health Clinic in Tawau on Sept 12.

Following this, close contact tracing was done and two more positive cases were detected yesterday, both involving Filipinos who were asymptomatic and who are now being treated at the Tawau hospital.

“To date, 128 people have been screened, with three testing positive, 71 negative while 54 more are awaiting results. The source of infection is being investigated,” he said in a statement.

On active clusters, he said four more clusters in Sabah recorded an increase in new cases, namely the Benteng LD, Bangau-Bangau, Laut and Pulau clusters while in Kedah, the Sungai cluster also saw an increase in new cases.

The Benteng LD cluster reported another 105 cases, taking its total to 729 cases so far; while eight new cases were recorded for Bangau Bangau (total 13 cases) and Laut (total 12 cases), two for Pulau (total 37 cases) and four more for Sungai (total 87 cases).

Following the surge in Covid-19 cases in Sabah, Dr Noor Hisham said the ministry will strengthen preparedness efforts through 23 hospital laboratories and 22 MOH health clinic laboratories that carry out Rapid Test Kit-Antigen (RTK-Ag) testing.

It will also increase real-time Reverse-Transcription Polymerase Chain Reaction (rRT-PCR) laboratory capacity in the state to 2,500 tests a day.

“If the number (Covid-19 testing) surpasses 2,500 a day, the surplus samples will be sent to the Institute of Medical Research (IMR) via Royal Malaysian Air Force flights and courier services.

He said the MOH was now working on developing a molecular laboratory at the Tawau Hospital, in addition to waiting for the delivery of GeneXpert Covid-19 cassettes from the World Health Organisation (WHO) for use at the Tawau, Sandakan Hospital and Lahad Datu hospitals.

-thesundaily

MASIH ramai individu beranggapan untuk mempercepatkan proses menurunkan berat badan perkara utama perlu dilakukan adalah menghabiskan masa berjam-jam di gimnasium.

Jika tidak berkesempatan ke gimnasium, maka berjoging atau berzumba menjadi pilihan.

Pun begitu, tanpa disedari untuk mendapatkan berat badan ideal senaman memerlukan 20 peratus sahaja, manakala baki 80 peratus pula bergantung pada pemakanan.

Tiada gunanya, korang bersenam sehingga sakit badan, walhal mengamalkan corak pemakanan tidak sepatutnya dan makan pula secara berlebihan.

Justeru, bagaimana cara untuk mengelakkan diri daripada overeat?

Jangan gusar, segmen Sihat Cantik kali ini berkongsi 3 cara terbaik. Jika ia diamalkan secara sistematik kita dapat menurunkan berat badan dengan mudah dan sihat.

1- Makan secara perlahan
Ketika menikmati apa sahaja hidangan, cuba belajar mengunyah perlahan-lahan sebanyak 30 kali atau 12 minit sehingga lumat.

Cara tersebut membolehkan otak menerima isyarat kenyang yang mana kita akan berhenti sebelum kekenyangan.

2- Bijirin penuh
Elak menu bergoreng, berminyak dan makanan ringan sebaliknya, pilih makanan bijirin penuh seperti roti mil penuh dan bijirin serta buah epal, avokado atau strawberi.

Kategori makanan berkenaan bukan sahaja baik untuk sistem pelawasan, bahkan membantu membuatkan perut kenyang dalam tempoh lama.

3- Senaman
Selain pemakanan, bersenam juga solusi terbaik untuk mengelakkan kita makan secara berlebihan. Ini disebabkan menerusi aktiviti sedemikian ia akan mengeluarkan hormon yang meningkatkan mood gembira, sekali gus mengurangkan rasa lapar.

-sinarplus

During the Ministry of Health’s press conference today (12 May), Health director-general Datuk Dr Noor Hisham Abdullah addressed concerns about a second wave that could hit Malaysia during the conditional movement control order (CMCO).

“Indeed many countries are worried about the second wave and we are equally worried,” he said.

“But more importantly we have implemented the movement control order (MCO) one, two, three and four, and today we have seen the success of the MCO.”

“Which means that we managed to flatten the curve and managed to bring down the figures from three digits to two digits.”

Dr Noor Hisham then acknowledged the recent update of 16 new cases which is the lowest increase since the MCO started. Of that number, three are imported cases, which means that only 13 cases are locally transmitted – nine foreign workers and four locals.

“We hope we can continue to have a low figure and hopefully we are able to bring down local transmission as fast as possible,” he said.

He then reiterated that the CMCO is not an exit strategy but an ease of movement order, and went on to explain the six criteria for an exit strategy.

“The utilisation of the ICU is becoming less and our Covid-19 wards are almost empty now,” he said.

“This is because of the success and implementation of the policies we have from the public health aspect.”

This is certainly good news for all of us. Let’s cooperate with the SOP so that there will not be second wave in our country. 

-worldofbuzz

As we are trying to make our days count during the Movement Control Order (MCO) period, the Malaysian government has recently developed a mobile application — MySejahtera — to assist the citizens in monitoring the Covid-19 outbreak in the country. According to MySejahtera’s website, this application also provides necessary information for the Ministry of Health to plan for early and effective countermeasures.

Apparently, this app allows users to perform self-assessments on themselves and their family members. Users are also allowed to monitor their health progress throughout the Covid-19 outbreak. If needed, the app will also be able to locate the nearest hospitals and clinics for Covid-19 screening and treatment.

This app was developed through strategic cooperation between the National Security Council (NSC), the Ministry of Health (MOH), the Malaysian Administrative Modernisation and Management Planning Unit (MAMPU) and Malaysian Communications and Multimedia Commission (MCMC).

How do we use the app? Here are six steps provided by MySejahtera on its website.

Step 1: Scan the QR Code or click “Daftar” on the https://mysejahtera.malaysia.gov.my

Step 2: Enter your mobile phone number or email address

Step 3: Click the ‘Submit’ button. You will receive a One Time Pin (OTP) via SMS from MySMS 63839 (if you registered using phone number) or email (if you registered using email)

Step 4: Enter the OTP and click ‘Send’

Step 5: Fill in your registration details and click ‘Send’. You will receive a ‘Successful Registration’ message

Step 6: Download the MySejahtera application

The app is available on Apple App Store, Google Play Store as well as Huawei AppGallery. It is supported by all Android smartphone users running version 4.4 and above, as well as iPhone users running iOS 11 and above.

Admin tried registering and installing the app, it is absolutely easy to get through. I have also done the health self-assessment by answering the questions given, the app then classified me under the “Low Risk” group. There is also a total of six classifications, namely Low Risk, Casual Contact, Close Contact, Person Under Surveillance (PUS), Person Under Investigation (PUI), and Confirmed Case.

Here’s a list of description for the classifications:

  1. Low Risk: Individuals with low risk of Covid-19 infection.
  2. Casual Contact: Individuals who were likely exposed to another person infected with Covid-19.
  3. Close Contact: Individuals who have been exposed to individuals infected with Covid-19. This covers:
    • Healthcare-associated exposure, including providing direct care for Covid-19 patients without using appropriate PPE, working with health care workers infected with Covid-19, visiting patients or staying in the same close environment of a Covid-19 patient.
    • Working together in close proximity or sharing the same classroom environment with a with Covid-19 patient
    • Travelling together with Covid-19 patient in any kind of conveyance
    • Living in the same household as a Covid-19 patient
  4. Person Under Surveillance (PUS): Individuals who are at risk of being infected with Covid-19, for example, individuals with a history of travelling abroad within 14 days.
  5. Person Under Investigation (PUI): Individuals who are at risk of being infected with Covid-19, for example, individuals with a history of travelling abroad within 14 days before the onset of symptoms or who have attended mass gatherings.
  6. Confirmed Case: Individuals tested positive for Covid-19.

Other than the classification on the app, it also provides the latest information on Covid-19. If you switch over to the Dashboard, you can choose to look at local or international Covid-19 data. You can even see how many recorded cases there are according to each state in Malaysia.

W.O.B

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