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Tuesday, December 3, 2024

Best of both worlds

 

Holistic learning: The education system should strive for a good blend and balance of both the arts and the sciences. – 123rf.com

Two relatively recent movies, UFO (2020) and Arrival (2018), have got me wondering – if we do encounter aliens, who would become the hero or protagonist?

In UFO, it was a mathematician who deciphered the alien telecommunication signal and uncovered government attempts to keep the public ignorant.

In Arrival, it was a linguist who managed to learn the alien’s language and establish communication.

This got me thinking about the importance of both sciences (as represented by mathematics) and the arts (as represented by linguistics), although the latter is frequently given short shrift in our Malaysian education system.

In our current education system, the emphasis is on science, technology, engineering and mathematics (STEM). Non-STEM disciplines like social sciences, humanities, languages and fine arts are often perceived as less important, prestigious or “glamorous”.

The nationwide matriculation college system was specifically established to promote STEM disciplines. The naming of our public universities, such as Universiti Sains Malaysia and Universiti Teknologi Malaysia, pays tribute to the sciences.

While our education system does make it compulsory for everyone to take Bahasa Melayu and History in secondary school, General Studies for the Sijil Tinggi Persekolahan Malaysia, and several General Subjects in colleges or universities, many students take these subjects without much enthusiasm – just to pass them and “get it over with”.

Globally, North American, European and East Asian countries are currently powerhouses in science and technology.

The arts, however, are traditionally held in very high regard in China and Europe, and have arguably set the foundation for their subsequent progress and development.

In ancient China, steeped in Confucianism, government officials are required to excel in the “Six Arts” of etiquette, music, archery, chariot riding, calligraphy and literature, and mathematics.

Similarly, in medieval Europe, the aristocratic class was schooled in horsemanship, fencing, good manners, music, painting, mathematics, languages, literature and history.

In both settings, the emphasis was on a holistic education with art subjects given prominence. Thus, mastery of the arts was the mark of a learned Confucian scholar and an aristocratic European gentleman.

Back to these two movies – they provoke our thoughts and make us reflect on our assumptions. This contrasts with most movies, which tend to numb our brains, requiring us to suspend logic and cast aside our intellect to enjoy them.

Don’t get me wrong, I love Marvel and Star Wars movies for their great entertainment value – provided one does not overthink and assume that aliens generally speak English and are humanoid in appearance.

The storyline of Arrival is particularly captivating for me as it revolves around the real-life Sapir-Whorf hypothesis in anthropology, stunningly transformed from a dry textbook theory into a Hollywood movie.

In a nutshell, this hypothesis states that one’s world view and reality are shaped by one’s language. In other words, an English speaker will view and experience the world in a different light from a Malay, Chinese or Tamil speaker. For dramatic effect, the movie takes this hypothesis to the extreme when the protagonist learns the alien’s language. But of course, we don’t need an alien encounter to reflect on the Sapir-Whorf hypothesis. Language is used to communicate and describe both the physical and social worlds, and it undoubtedly influences our thinking and perceptions.

Learners of Chinese are drilled to always “write inside the box” and place great emphasis on conformity. Learners of English are drilled in past, present and perfect tenses, and they generally place a high value on timeliness. Speakers of multiple languages are thus able to access multiple perspectives and world views – a boon for a multiethnic society like Malaysia. The current phenomenon of artificial intelligence and machine learning has introduced an interesting new perspective: what world views, if any, do computer algorithms occupy, and are we able to access them?UFO and Arrival showcase the value of the film industry in engaging the public with academia.

In these movies, academic theories and mathematics are presented to a wide audience and applied in a realistic, albeit fictionalised, manner. In the process, these movies stimulate interest in learning and the pursuit of knowledge, both in the sciences and the arts.It is worth revisiting the earlier issue of the preference for the sciences in our Malaysian education system. Movies are a product of both the sciences and the arts.

The computer-generated imagery, sound engineering and cinematography are undoubtedly science-based. The storyline, music, acting and directing are undoubtedly arts-based.

A good blend and balance of all these elements create a good movie.

Our Malaysian education system should learn from the film industry. There should not be a lopsided focus on the sciences at the expense of the arts; rather, a good blend and balance of both should be what we strive for because only then can great education be produced.

Dr Wong Teik Aun, a principal lecturer at the Centre of Australian Degree Programmes at INTI International College Penang, enjoys writing on subjects close to his heart and has published On the Beaten Track Nepal: The Himalayas, Symphony and Synchrony: An Orchestra of Ideas and Tales of Animal Lovers. He has also contributed numerous academic articles to internationally ranked journals. The views expressed here are the writer’s own.

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Monday, December 2, 2024

Metabolic syndrome and men

 

While this syndrome can affect many parts of the body, men should watch out for its effects on their urinary system in particular.

Addressing men's health, particularly the management of metabolic syndrome (MetS), is becoming a critical public health priority. - SMCV

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MEN’S health issues often come to the forefront during this time of the year, spotlighting concerns like prostate cancer and mental health.

But there’s a year-round need to address conditions like metabolic syndrome, which can greatly influence men’s quality of life and vitality.

By 2040, Malaysia’s demographic will include an almost equal share of young (18.6%) and older populations (14.5%), with the elderly population surpassing six million – a key milestone in the country’s transition to an ageing nation.

As this demographic shift unfolds, managing metabolic syndrome in men will be crucial to promoting healthy ageing and supporting men’s resilience throughout life’s stages.

What is this syndrome?

As shared by consultant nephrologist and internal medicine physician Dr Radzi Rodzlan, metabolic syndrome is characterised by at least three of the following five risk factors:

> Central obesity

> High serum triglycerides (having too much fats in your blood)

> Low high-density lipoprotein cholesterol (HDL-C, or when a person does not have enough “good” cholesterol in their blood)

> Raised blood pressure, and > Raised fasting blood sugar levels.

“Metabolic syndrome affects both men and women,” he says.

“Studies showed that the overall prevalence of metabolic syndrome among adults in Malaysia lies between 25% to 40%.

“Risk factors most closely tied to metabolic syndrome include age – you are more likely to have it the older you are.

“Personal or family history of diabetes where women who have had diabetes during pregnancy (gestational diabetes) or people who have a family member with type 2 diabetes are at greater risk for metabolic syndrome.

“Other risk factors include unhealthy eating habits, smoking, history of heavy drinking, stress, being past menopause, high-fat diet and sedentary lifestyle.”

He adds that having metabolic syndrome can increase one’s risk of developing type 2 diabetes, and can cause heart and blood vessel disease, eventually leading to heart attack or stroke.

Affecting the urinary system

Metabolic syndrome is also linked to several conditions involving the male urinary system, including kidney stones, benign prostatic hyperplasia (BPH) or enlarged prostate, lower urinary tract symptoms, erectile dysfunction, male infertility and prostate cancer.

“There has been increasing evidence that men with metabolic syndrome are at an increased risk of experiencing moderate to severe urinary symptoms as they age,” explains consultant urologist and robotic surgeon Datuk

Dr Selvalingam Sothilingam.

“Lower urinary tract symptoms, or collectively referred to as LUTS, are frequently caused by BPH.

“The symptoms include delay in initiating voiding (hesitancy), poor urinary flow, incomplete bladder emptying, urinary urgency or frequent urination, and disturbed sleep due to voiding (nocturia),” he explains.

Patients with these symptoms are urged to seek medical attention as soon as possible, especially those with an elevated prostate specific antigen (PSA) level.

If left untreated, BPH can lead to complications such as urinary tract infection, blood in the urine, acute urinary obstruction, urinary incontinence, renal impairment and bed-wetting.

BPH may also cause obstruction to the kidney, leading to kidney swelling (hydronephrosis), and in severe cases, kidney failure.

This condition is often referred to as chronic obstruction and men will typically experience hypertension (high blood pressure), bilateral leg swelling and often complain of bedwetting (nocturnal enuresis), he adds.

Dr Selvalingam stresses the importance of going for health screenings, as early detection is key in preventing further complications.

“Eighty percent of men with BPH can be successfully treated with medication.

“However, these medications need to be taken long term.

“Men with complications from BPH may require surgery such as TURP (transurethral resection of prostate), or minimally-invasive treatments such as Rezum (water vapour therapy for the prostate),” he says.

Taking care of the kidneys

Metabolic syndrome can result in significant changes to kidney structure and function.

Dr Radzi says: “These changes include decreased glomerular filtration rate (GFR), which is a calculation to measure how well a person’s kidneys are working in filtering out waste and extra fluid from their blood, and increased urinary microalbumin, which indicates protein leakage from the kidneys.”

Such alterations in kidney function can lead to chronic kidney disease (CKD), which may progress to severe health issues, including end-stage kidney disease that requires dialysis or kidney transplantation.

He adds that early symptoms and signs of kidney problems associated with metabolic syndrome can include leg swelling, frothy urine and abnormal results in blood and urine tests.

To prevent the progression of CKD, he notes the importance of regular health screenings, as early detection is vital for avoiding further complications related

to metabolic syndrome.

In additional, both doctors encourage lifestyle changes such as regular exercise to combat insulin resistance and adopting a heart-healthy diet by avoiding excessive amounts of carbohydrates that stimulate excess insulin production.

These proactive measures can significantly improve overall health and reduce the risk of developing kidney-related issues.

Take charge of your health

As Malaysia transitions into an ageing nation, understanding and addressing men’s health, particularly in the context of metabolic syndrome, becomes increasingly important.

With a significant portion of the population facing the challenges associated with metabolic syndrome, including the risk of urinary and chronic kidney problems, proactive health management is crucial to adopt now.

By fostering awareness and encouraging health screenings, as advocated by both Drs Selvalingam and Radzi, men can take charge of their health, facilitating early detection and intervention that can greatly improve health outcomes.

This will not only enhance the quality of life for individuals, but will also contribute to the overall well-being of Malaysia’s ageing population.


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