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Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Friday, June 27, 2025

Go easy on durian, say experts ; Time ripe to grow durian dynasty

 

(From left) Mohammad Taufik Saidon, Muhamad Hafiz Azizan and Mohd Iszuan Ismail from Alor Setar enjoying the King of Fruits at Anjung Indah in Balik Pulau, Penang. — ZHAFARAN NASIB/The Star

IT IS durian season again, but over-indulging in the King of Fruits can pose a serious risk to our health.

Universiti Sains Malaysia (USM) family medicine specialist Dr Mastura Mohd Sopian said those with diabetes, heart disease, kidney problems or high blood pressure should not binge eat.

“To enjoy the nutritional benefits of durian safely, limit intake to no more than two medium-sized pieces per day, or about 80g,” she said.

Eating too much durian could have a negative impact on blood sugar levels, she noted.

“Bingeing on durian may cause discomfort and disrupt normal metabolic functions.

“For those with chronic conditions, durian should only be consumed in small amounts, occasionally or not at all,” she added.

Dr Mastura said certain foods should be avoided when eating durian, which contains carbohydrates, vitamins and minerals.

“These include spicy dishes, caffeine, carbonated drinks, sweet fruits, desserts, soft drinks and sugar-sweetened beverages.

“Consuming these alongside durian can cause digestive discomfort and increase health risks,” she said.

“Durian also has a ‘heaty’ effect, though reactions may vary among individuals,” said Dr Mastura.

Penang Health Department nutritionist Zuhaida Harun said that like any other fruit, durian should be eaten according to the recommended serving size.

“One serving of durian is two to three pieces.

“It is high in calories and natural sugar.

“For people with diabetes, it can cause a dangerous spike in blood sugar,” she said.

Zuhaida said high consumption of durian could significantly increase a person’s overall calorie intake.

“Sometimes, bingeing can also lead to other health issues such as bloating, indigestion or feeling overheated,” she said, adding that moderation applied to all foods.

Penang health committee chairman Daniel Gooi reminded the public to practise moderation when enjoying durian, especially during the current peak season, to avoid potential health risks.

“Overindulgence, particularly in hot weather, can lead to discomfort such as a sore throat, dehydration or digestive problems,” he said.

“Drink plenty of water and exercise self-control to fully appreciate the fruit without experiencing adverse effects,” Gooi advised.

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Time ripe to grow durian dynasty

Smells like success: Durians on display at a stall in SS2, Petaling Jaya. — ART CHEN/The Star

PETALING JAYA: In the world of durians, Malaysia’s Musang King may reign supreme but a new wave of contenders is emerging.

From the creamy Black Thorn and Red Prawn to the sweet Hajah Hasmah, the government is championing lesser-known premium varieties to capture growing international demand.

Other established types like Sultan and Tekka are also seeing interest, offering the fruit at a more accessible price and broadening Malaysia’s footprint in the global durian market.

Agriculture Department director-­general Datuk Nor Sam Alwi said Musang King and Bukit Merah are the main varieties recommended for export due to their rich, creamy texture and strong flavour but efforts are under way to highlight other premium types such as Black Thorn, Red Prawn and Hajah Hasmah.

“These varieties are being evaluated for future certification and export readiness, based on their potential in terms of taste, texture, shelf life and suitability for long-distance shipping,” she told The Star.

Nor Sam said that Chinese nationals, in particular, are willing to pay premium prices for these varieties.

As such, she said the department is working towards registe­ring durian varieties grown in Malaysia, conduct agronomic assessments and ensure compliance with the phytosanitary requirements of importing countri

“This includes pest disinfestation methods such as vapour heat treatment, traceability systems and farm export certification schemes,” she said.

CLICK TO ENLARGECLICK TO ENLARGE

These efforts, she said, were in line with the department’s goal of diversifying Malaysia’s durian varieties in the global market, strengthening the competitiveness of the national durian industry and maximising its export value.

The Malaysian Agricultural Research and Development Institute (Mardi) has found that there is a growing appetite for a wider range of flavours among durian enthusiasts.

“Consumers are becoming more adventurous. They are seeking out unique taste profiles. We are also seeing renewed interest in older, established clones such as D24 and Tekka, which are more affordable and offer classic durian characteristics,” it said in a statement.

Mardi said regional favourites and specific kampung durians with distinctive traits are gaining popularity, too.

On the export front, Mardi said it is focusing on developing new hybrids for domestic and global markets.

Its MDUR series (a hybrid durian clone developed by Mardi), in particular, has shown promise.

“One of the main highlights is MDUR 88 (D190), a hybrid of D10 and D24.

“It is golden yellow, slightly sticky and creamy with a flavour that many compare favourably to Musang King.”

In view of its quality, Mardi said the Agriculture and Food Security Ministry is promoting MDUR 88 for export.

“MDUR 88 has recently been rebranded as ‘MARDI Super 88’ (MS88),” it said.

Mardi is also working on other hybrids, such as MDUR 78 (D188) and MDUR 79 (D189), which offer improved yields and greater resistance to diseases like root borers and stem canker.

The institute also highlighted its broader breeding initiatives, noting that its second hybridisation programme, launched in the late 1980s, involved crosses between 10 different varieties.

Several promising hybrids from this programme are now in the final stages of assessment and are expected to be introduced under the 13th Malaysia Plan.

Mardi’s third set of hybrids is undergoing evaluation and assessment.

The institute is optimistic about the potential of these new hybrids.

“While Musang King and Black Thorn continue to set the benchmark in terms of market presence and price, we believe that our own developed hybrids, particularly MDUR 88, have the characteristics and quality to compete in the international market,” it said.

Federal Agricultural Marketing Authority (Fama) director-general Abdul Rashid Bahri said that in addition to Musang King, premium varieties including D24, Black Thorn, IOI and D9 have been sent for assessments to ensure they meet phytosanitary and quality compliance for targeted export markets like China.

“Fama is also working to expand market access beyond China and Hong Kong to countries such as the United Kingdom, Canada, the United Arab Emirates, Australia and the Netherlands,” he said.

Abdul Rashid said that strategic initiatives include participation in trade fairs, digital marketplace partnerships, in-store promotions and collaborative awareness programmes with the Malaysian embassies.

“To strengthen Malaysia’s competitive edge and credibility in premium markets, the ministry is also enhancing the national branding of agricultural produce through Malaysia’s Best, a certification that assures quality and safety for both domestic and international standards,” he said.

In 2023, Malaysia exported 54,374 tonnes of durians, valued at RM1.51bil, with China accounting for more than 45.7% of the total export.

Abdul Rashid said the volume is expected to increase following China’s approval for fresh durian imports.

“Fama will continue to work with industry stakeholders to monitor market trends, optimise logistics, and scale up capacity to meet growing international demand,” he said.

Malaysia’s durian cultivation area has been steadily expanding in recent years, with data from the Agriculture Department showing an increase from 70,286ha in 2019 to a projected 92,129ha in 2024.

Durian production followed suit, rising from 390,635 tonnes in 2020 to a projected 568,852 tonnes this year, despite some fluctuations due to weather and cost challenges.

The increase has been driven largely by global demand especially for premium varieties.

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Monday, June 23, 2025

Twilight years of the trade

 

Chinese medical halls slowly vanishing due to costs and demand

Quieter days: Liew checking the herbs on display at his shop in Chulia Street, George Town. —KT GOH/The Star

GEORGE TOWN: Once a popular place for people to get traditional herbs, a century-old medical hall here now stands mostly quiet with the shelves lined with jars meant more for show than trade.

“We stopped selling Chinese herbs in 2014,” said Liew Kong Choy, who has run the shop in Chulia Street for decades.

“Too expensive. The stuff from China got too costly.”

These days, Liew sells balm, oil and a few home remedies to the elderly who still walk in.

But not many do these days.

“Young people go to pharmacies now,” he said. “They don’t believe in this like their parents did.”

Now, they are vanishing. It is partly due to the escalating cost.

“Red dates, wolfberries, ginseng and most Chinese herbs have gone up by 10% to 15% over the past six months,” said Teoh Hai Wei, 43, who still runs a hall nearby.

“Some of the prices vary and depend on the season, some just follow China.”

He said supply problems and shifting demand made the trade harder to manage.

Penang wholesaler Lai Ee Li compared the business to the stock market.

“Prices change every few months,” she said. “Before Chinese New Year, they go up. After that, they drop.

“Depends on the season, what illnesses are spreading and what people think will work.”

She said demand for tiger milk mushroom increases when there’s a spike in respiratory illness. That means the price jumps in tandem.

Other items that have recently gone up include chrysanthemum, lo han guo, barley and hei ko – all rising by between 5% and 15% in bulk.

Even so, Chinese patent medicine still sells, though the numbers have been volatile.

In 2022, China exported traditional Chinese medicine worth US$54.2mil (RM230.4mil) to Malaysia – a 138% jump over the previous year.

But in 2023, the figure fell to US$32.5mil (RM138.2mil), a 40% drop.

“2022 was a surge year because people turned to traditional Chinese medicine during the Covid-19 pandemic,” said Malay­sian Chinese Medical Association president Heng Aik Teng.

“2023 was more of a correction.”

He said rising costs in China also pushed up prices and made it harder for exporters.

Demand in the region, especially in price-sensitive countries, has dropped since the pandemic.

Back in Chulia Street, Liew doesn’t talk about global trade figures.

He just sees fewer people walk past his door.

“I’m still here. But it’s not like before,” he said.

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Sunday, June 22, 2025

Learn to protect your quiet

 

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LIFE is noisy.

And I don’t just mean the traffic jams or construction drills outside your office window. I mean the constant pinging of notifications. The flood of messages, e-mails, deadlines, expectations. Everyone – and everything – seems to want a piece of your attention.

We rarely realise it, but attention is a precious currency. Once spent, it doesn’t come back easily. And yet, we give it away so freely.

That’s why I’ve come to believe this: In a world full of noise, protecting your quiet is one of the most powerful things you can do.

I’m not talking about silence in the literal sense – although that’s a good start. I’m talking about those little pockets of time where your mind can simply breathe. A morning walk before the world wakes up. A cup of tea in the late afternoon, steam curling softly into the air. The solitude of a hot shower after a long day. Moments where you’re not doing anything for anyone, but simply being.

It’s in those moments, more often than not, that your best thoughts arrive.

I can’t count how many times an idea for an article, a teaching strategy, or a long-delayed solution to a lingering problem popped up, not during a meeting, or while staring at a screen but while tying my shoelaces before a slow run. Or while absentmindedly folding the laundry. Or during the quiet stretch of road between the city and home.

That quiet is not wasted time. It’s integrating time. It’s when all the loose threads of our thoughts

find ways to knot themselves into something useful, or at least something meaningful.

Rumi, the 13th-century Persian poet wrote, “There is a voice that doesn’t use words. Listen.” But how can we possibly hear it when our ears, eyes, and minds are constantly being pulled in a dozen directions?

We can’t. Not unless we make space for it.

The irony is that we tend to undervalue these gentle moments. We label them as idle or unproductive. We try to fill every pause with something – a scroll through social media, a podcast, a reply to a text message. But not every blank space needs to be filled. Some of them are sacred.

It reminds me of a lesson I learned (or rather, re-learned) during the height of the Covid-19 pandemic. Those years, 2020 and 2021, was a strange period of time – heavy, uncertain, and unusually quiet in all the right ways. With no meetings to rush to and no travel on the calendar, I found myself rediscovering the small joys: walking around my neighbourhood without a destination, sipping kopi while watching the rain, or just sitting still – doing nothing, really – and feeling OK with that.

Somewhere in that stillness, clarity returned. Not suddenly, not dramatically, but slowly. Thought by thought, breath by breath. And I realised how often I had traded away my quiet for noise disguised as urgency.

Even now, the temptation is always there to squeeze more into the day, to reply faster, to be perpetually available. But I’ve learned to put boundaries around those moments that keep me anchored.

A walk is a walk. A bath is a bath. A cup of tea is sacred. No phones, no multitasking, no performance. Just me, being human.

So here’s my gentle challenge to you: Find your quiet. Guard it like it’s something valuable – because it is. Whether it’s 10 minutes in the morning, or an hour on weekends, protect that time. Make it yours. Make it non-negotiable.

You don’t need to meditate or write a poem. You don’t need to come out of it with anything profound. Just let your mind wander. Let your shoulders drop. Let yourself be.

And if someone asks why you’re “doing nothing”, smile and say, “I’m protecting my quiet”. Because in that space, your sanity lives. Your clarity returns. Your soul exhales.

And honestly? The world can wait.

dr nahrizul Adib Kadri is a professor of biomedical engineering at the Faculty of Engineering, and the Principal of Ibnu Sina Residential College, Universiti Malaya.

Have something you feel strongly about? Get on your soapbox and preach to us at lifestyle@ thestar.com.my so that we can share your opinion with the world. The views expressed here are entirely the writer’s own. - By NAHRIZUL ADIB KADRI

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Start a quiet revolution of gratitude today

 

Friday, June 13, 2025

Pay attention to ministrokes

 

Since symptoms disappear quickly, people brush them off without seeking treatment, which puts them at high risk for a bigger stroke.

A transient ischemic attack occurs for a matter of minutes, temporarily obstructing blood flow to a part of the brain, the spinal cord and sometimes the back of the eye Credit: iStockphoto
KRISTIN Kramer woke up early on a Tuesday morning 10 years ago because one of her dogs needed to go out.

Then, a couple of odd things happened.

When she tried to call her other dog, “I couldn’t speak,” she said.

As she walked downstairs to let them into the yard, “I noticed that my right hand wasn’t working.”

But she went back to bed, “which was totally stupid,” said Kramer, now 54, an office manager in Muncie, Indiana, United States.

“It didn’t register that something major was happening,” especially because, reawakening an hour later, “I was perfectly fine.”

So she “just kind of blew it off” and went to work.

It’s a common response to the neurological symptoms that signal a TIA, a transient ischaemic attack or ministroke.

At least 240,000 Americans experience one each year, with the incidence increasing sharply with age.

Because the symptoms disappear quickly, usually within minutes, people don’t seek immediate treatment, putting them at high risk for a bigger stroke.

Kramer felt some arm tingling over the next couple of days and saw her doctor, who found nothing alarming on a computed tomography (CT) scan.

But then she started “jumbling” her words and finally had a relative drive her to an emergency room.

By then, she could not sign her name.

After an magnetic resonance imaging (MRI), she recalled, “my doctor came in and said, ‘You’ve had a small stroke.’”

Did those early-morning aberrations constitute a TIA? Might a 911 call and an earlier start on anticlotting drugs have prevented her stroke?

“We don’t know,” Kramer said.

She’s doing well now, but faced with such symptoms again, “I would seek medical attention.”

Cognitive decline

Now, a large epidemiological study by researchers at the University of Alabamabirmingham and the University of Cincinnati, published in JAMA Neurology, points to another reason to take TIAS seriously: Over five years, study participants’ performance on cognitive tests after a TIA drops as steeply as it does among victims of a full-on stroke.

“If you have one stroke or one TIA, with no other event over time and no other change in your medical status, the rate of cognitive decline is the same,” said Victor Del Bene, a neuropsychologist and lead author of the study.

An accompanying editorial by Eric Smith, a neurologist at the University of Calgary, was pointedly headlined “Transient Ischemic Attack – Not So Transient After All!”

The study showed that even if the symptoms resolve – typically within 15 minutes to an hour – TIAS set people on a different cognitive slope later in life, Smith said in an interview: “A longlasting change in people’s cognitive ability, possibly leading to dementia.”

The study, analysing findings from data on more than 30,000 participants, followed three groups of adults age 45 or older with no history of stroke or TIA.

“It’s been a hard group to study because you lack the baseline data of how they were functioning prior to the TIA or stroke,” Del Bene said.

With this longitudinal study, however, researchers could separate those who went on to have a TIA from a group who went on to suffer a stroke and also from an asymptomatic control group.

Brain altered

The team adjusted their findings for a host of demographic variables and health conditions.

Immediately after a TIA, “we don’t see an abrupt change in cognition,” as measured by cognitive tests administered every other year, Del Bene said.

“The stroke group showed a steep decline, but the TIA and control group participants “were more or less neck and neck.”

Five years later, the picture was different.

People who had experienced TIAS were cognitively better off than those who had suffered strokes.

But both groups were experiencing cognitive decline, and at equally steep rates.

After accounting for various possible causes, the researchers concluded that the cognitive drop reflected not demographic factors, chronic illnesses, or normal ageing, but the TIA itself.

“It’s not dementia,” Del Bene said of the decline after a TIA.

“It may not even be mild cognitive impairment.

“But it’s an altered trajectory.” Of course, most older adults do have other illnesses and risk factors, like heart disease, diabetes or smoking.

“These things together work synergistically to increase the risk for cognitive decline and dementia over time,” he said.

The findings reinforce longstanding concerns that people experiencing TIAS don’t respond

quickly enough to the incident. “These events are serious, acute and dangerous,” said Claiborne Johnston, a neurologist and chief medical officer of Harbor Health in Austin, Texas.

After a TIA, neurologists put the risk of a subsequent stroke within 90 days at 5% to 20%, with half that risk occurring in the first 48 hours.

“Feeling back to normal doesn’t mean you can ignore this, or delay and discuss it with your primary care doctor at your next visit,” Johnston said.

The symptoms should prompt a 911 call and an emergency room evaluation.

How to recognise a TIA?

Tracy Madsen, an epidemiologist and emergency medicine specialist at the University of Vermont, promotes the BE FAST acronym: balance loss, eyesight changes, facial drooping, arm weakness, speech problems.

The “T” is for time, as in don’t waste any.

“We know a lot more about how to prevent a stroke, as long as people get to a hospital,” said Madsen, vice-chair of an American Heart Association committee that, in 2023, revised recommendations for TIAS.

The statement called for more comprehensive and aggressive testing and treatment, including imaging, risk assessment, anticlotting and other drugs, and counselling about lifestyle changes that reduce stroke risk.

Unlike other urgent conditions, a TIA may not look dramatic or even be visible; patients themselves have to figure out how to respond.

Karen Howze, 74, a retired lawyer and journalist in Reno, Nevada, didn’t realise that she’d had several TIAS until after a doctor noticed weakness on her right side and ordered an MRI.

Years later, she still notices some effect on “my ability to recall words.”

Perhaps “transient ischaemic attack” is too reassuring a label, Johnston and a co-author argued in a 2022 editorial in JAMA.

They suggested that giving a TIA a scarier name, like “minor ischaemic stroke,” would more likely prompt a 911 call.

The experts interviewed for this column all endorsed the idea of a name that includes the word “stroke.”

Changing medical practice is “frustratingly slow,” Johnston acknowledged.

Get help immediately

But whatever the nomenclature, keeping BE FAST in mind could lead to more examples like Wanda Mercer, who shared her experience in a previous column.

In 2018, she donated at the bloodmobile outside her office in Austin, where she was a systems administrator for the University of Texas, then walked two blocks to a restaurant for lunch.

“Waiting in line, I remember feeling a little lightheaded,” she said. “I woke up on the floor.”

Reviving, she assured the worried restaurant manager that she had merely fainted after giving blood.

But the manager had already called an ambulance – this was smart move No. 1.

The emergency doctors ran tests, saw no problems, gave Mercer intravenous fluids and discharged her.

“I began to tell my colleagues, ‘Guess what happened to me at lunch!’” she recalled. But, she said, she had lost her words: “I couldn’t articulate what I wanted to say.”

Smart move No. 2: Co-workers, suspecting a stroke, called the ambulance for the second time.

“I was reluctant to go,” Mercer said. “But they were right.”

This time, emergency room doctors diagnosed a minor stroke.

Mercer has had no recurrences.

She takes a statin and a baby aspirin daily, and sees her primary care doctor annually.

Otherwise, at 73, she has retired to an active life of travel, pickleball, running, weightlifting and book groups.

“I’m very grateful,” she said, “that I have a happy story to tell.” – KFF Health News/ Tribune News Service

Experiencing a mini stroke (or TIA) is a significant warning sign that you are at risk of a major stroke. Here's everything you need to know.

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