Browse publications by year: 2000

  1. Shekhar KC, Soh EBS, Jayalakshmi P
    Med J Malaysia, 2000 Sep;55(3):371-5.
    PMID: 11200720
    Schistosomiasis is a widely prevalent disease in the world and usually involves the gastro-intestinal and urinary tract. The involvement of the female genital tract has been well-established in S. haematobium infections and is rare with S. japonicum infections. This case involves a Filipino female who was admitted to the University Hospital Kuala Lumpur for right iliac fossa pain and was diagnosed initially as acute appendicitis. Ultrasound showed a multi-septated pelvic cyst leading to a provisional diagnosis of ovarian torsion. Intraoperatively a right parovarian cyst was detected and removed. Histology revealed a congested cyst wall with areas of haemorrhage with several viable and calcified eggs of S. japonicum measuring 85 microns x 62 microns. Within the cystic cavity blood admixed with eggs were seen. Confirmation was carried out by using the indirect haemagglutination (IHA) test. This is a first report of upper genital schistosomiasis mimicking an ovarian tumour.
    MeSH terms: Adult; Case Reports; Diagnosis, Differential; Female; Genital Diseases, Female/diagnosis*; Genital Diseases, Female/parasitology; Genital Diseases, Female/pathology; Humans; Ovarian Neoplasms/diagnosis*; Schistosomiasis/diagnosis*; Schistosomiasis/parasitology; Schistosomiasis/pathology; Schistosomiasis japonica*
  2. Kareem BA, Sofiyan M, Subramanian S
    Med J Malaysia, 2000 Sep;55(3):376-8.
    PMID: 11200721
    Dysphagia due to osteophytes in a young person is uncommon. We present a rare case of Forestier's disease causing dysphagia in a young lady without other bony involvement. The osteophytes were surgically removed and her symptoms resolved completely.
    MeSH terms: Adult; Deglutition Disorders/etiology*; Deglutition Disorders/radiography; Hyperostosis, Diffuse Idiopathic Skeletal/complications*; Hyperostosis, Diffuse Idiopathic Skeletal/radiography; Hyperostosis, Diffuse Idiopathic Skeletal/surgery; Female; Humans
  3. Suresh RL, Kulhalli V, Evans D, Guinane M, Ainley C
    Med J Malaysia, 2000 Sep;55(3):379-81.
    PMID: 11200722
    We report 2 cases where treatment of achalasia type symptoms due to severe non-specific oesophageal dysmotility have shown symptom resolution and manometric improvement to intrasphincteric botulinum injections either by itself or in combination with oesophageal dilatation.
    MeSH terms: Botulinum Toxins/therapeutic use*; Dilatation; Female; Humans; Injections; Manometry; Middle Aged; Esophageal Motility Disorders/drug therapy*; Esophageal Motility Disorders/physiopathology; Esophageal Motility Disorders/therapy; Anti-Dyskinesia Agents/therapeutic use*; Retreatment
  4. Puri MM, Arora VK
    Med J Malaysia, 2000 Sep;55(3):382-4.
    PMID: 11200723
    A 25 year old woman developed a right pleural effusion 6 weeks after commencement of short course chemotherapy for left sided tuberculous pleural effusion. Since the patient improved following continuation of the same treatment, it is presumed to be a case of paradoxical response to anti-tuberculosis treatment.
    MeSH terms: Adult; Antitubercular Agents/adverse effects*; Drug Therapy, Combination; Female; Humans; Isoniazid/adverse effects; Isoniazid/therapeutic use; Pleural Effusion/chemically induced*; Pleural Effusion/etiology*; Pleural Effusion/radiography; Pyrazinamide/adverse effects; Pyrazinamide/therapeutic use; Rifampin/adverse effects; Rifampin/therapeutic use; Radiography, Thoracic; Tuberculosis/complications*; Tuberculosis/drug therapy
  5. Srinivas P, Liam CK, Jayaram G
    Med J Malaysia, 2000 Sep;55(3):385-7.
    PMID: 11200724
    A 52 year old Chinese woman with a 25 year history of sicca syndrome (primary Sjogrens syndrome) was investigated for 3 episodes of haemoptysis. Clinical examination was unremarkable except for the presence of dry eyes and xerostomia. Computed tomography of the chest revealed a lobulated mass in the posterior basal segment of the left lower lobe. Histopathological examination of this resected nodule confirmed the diagnosis of nodular amyloidosis. The normal radiolabelled serum amyloid P component scintigraphy and the absence of monoclonal plasma cell dyscrasia in the bone marrow strongly support the diagnosis of localised nodular pulmonary AL amyloidosis in this patient. Nodular pulmonary amyloidosis can be associated with sicca syndrome and often simulates bronchogenic carcinoma, bronchiectasis or pulmonary tuberculosis.
    MeSH terms: Amyloidosis/complications*; Amyloidosis/pathology; Amyloidosis/radiography; Female; Humans; Lung Diseases/complications*; Lung Diseases/pathology; Lung Diseases/radiography; Malaysia; Middle Aged; Sjogren's Syndrome/complications*; Tomography, X-Ray Computed
  6. Wahab ZA, Yahaya H
    Med J Malaysia, 2000 Sep;55(3):388.
    PMID: 11200725
    MeSH terms: Humans; Neisseria meningitidis/immunology*; Serotyping*
  7. Lim VKE
    Med J Malaysia, 2000 Sep;55(3):389-97; quiz 398.
    PMID: 11200726
    Over the past two decades there has been numerous new associations between chronic diseases traditionally considered non-infectious with infectious agents. This list of diseases include peptic ulcer, coronary heart disease, neuropsychiatric disorders, haematological disorders and malignancies. These associations have been made possible through improvements in diagnostic tests based on molecular biology techniques. The discovery of these associations is important as it opens up exciting opportunities for the prevention and treatment of many diseases hitherto considered incurable.
    MeSH terms: Mental Disorders/microbiology*; Mental Disorders/virology; Coronary Disease/microbiology*; Gastrointestinal Diseases/microbiology*; Humans; Infection/complications*; Kidney Diseases/microbiology*; Neoplasms/virology*; Neurodegenerative Diseases/microbiology*
  8. Razali SM, Najib MA
    Int J Soc Psychiatry, 2000;46(4):281-9.
    PMID: 11201349
    The aim of this study is to explore the help-seeking behaviour of Malay psychiatric patients. A semi-structured interview based on a standard proforma was conducted to assess help seeking process and delays for Malay psychiatric patients attending the psychiatric clinic for the first time. Help-seeking process and delays were defined. Among 134 patients evaluated in the study, 69% had visited traditional healers (bomoh) for the present illness before consulting psychiatrists. The second popular choice of treatment was medical practitioner and only a small percentage of them had consulted homeopathic practitioners and herbalists. Patients who had consulted bomohs were significantly delayed in getting psychiatric treatment compared with those who had not consulted them. Consultation of bomohs was significantly higher among married patients, those with major psychiatric illnesses and in family who believed in supernatural causes of mental illness. However, there was no significant difference in age, gender, educational status and occupation between patients who had consulted and not consulted bomoh. We concluded that majority of the Malay psychiatric patients had sought the traditional treatment prior to psychiatric consultation. The strength of social support and the belief of the patients, friends, and/or relatives in supernatural causes of mental illness were strongly associated with the rate of traditional treatment. Deep-seated cultural beliefs were major barrier to psychiatric treatment.
    MeSH terms: Adolescent; Adult; Aged; Complementary Therapies/utilization; Mental Disorders/ethnology*; Mental Disorders/epidemiology; Mental Disorders/psychology; Cross-Cultural Comparison*; Ethnic Groups/psychology*; Female; Health Services, Indigenous/utilization; Humans; Magic; Malaysia; Male; Middle Aged; Patient Acceptance of Health Care/statistics & numerical data*; Patient Care Team/utilization; Psychiatry/statistics & numerical data; Social Values
  9. Zulkifli I, Abdulllah N, Azrin NM, Ho YW
    Br Poult Sci, 2000 Dec;41(5):593-7.
    PMID: 11201439
    1. Hubbard x Hubbard (HH) and Shaver x Shaver (SS) chicks given a dietary supplement of either 50 mg/kg oxytetracycline (OTC) or 1 g/kg Lactobacillus culture (LC) were exposed to 36 +/- 1 degrees C for 3 h daily from day (d) 21 to 42. 2. Prior to heat treatment, body weight (d 21) and weight gain (d 1 to d 21) of OTC and LC birds were greater than those fed the control diet. Chicks given LC had the best food efficiency followed by OTC and control birds during d 1 to d 21. Body weight (d 1 and d 21) and weight gain (d 1 to d 21) were greater for HH tlhan SS chicks. 3. After 3 weeks of heat exposure, birds receiving the LC diet had greater body weight and weight gain, higher food intake and lower food efficiency than OTC and control chicks. 4. Antibody production against Newcastle discase vaccine on d 21 was not affected by strain or diet. On d 42, while diet had negligible effect on this variable among the SS broilers, HH birds fed LC had higher antibody production than those on the control diet. 5. Neither strain nor diet had a significant effect on mortality.
    MeSH terms: Animals; Animal Feed; Anti-Bacterial Agents/immunology; Anti-Bacterial Agents/pharmacology*; Antibodies, Viral/biosynthesis; Antibodies, Viral/blood; Body Weight/drug effects; Chickens/growth & development*; Chickens/immunology*; Chickens/physiology; Eating/drug effects; Enzyme-Linked Immunosorbent Assay/veterinary; Female; Lactobacillus/immunology*; Newcastle disease virus/immunology; Oxytetracycline/immunology; Oxytetracycline/pharmacology*; Viral Vaccines/immunology; Heat Stress Disorders/immunology*; Heat Stress Disorders/physiopathology; Heat Stress Disorders/prevention & control; Dietary Supplements; Probiotics/pharmacology*
  10. Tan HM
    Asian J Androl, 2000 Dec;2(4):304-6.
    PMID: 11202422
    Reconstruction surgery for a female to male transsexual usually involves mastectomy, hysterectomy and creating an aesthetically appealing neophallus. We have successfully inserted an inflatable prosthesis using the AMS CX prosthesis in a 45 year old transsexual, who had a large bulky neophallus constructed from the anterior abdominal subcutaneous fat, about 9 years ago. The single cylinder CX prosthesis was well anchored to the symphysis pubis using a dacron windsock tubing, the activation pump was placed in the dependent pouch of the right labium and the reservior in the usual perivesical space. The patient subsequently had debulking procedure using liposuction to create a more aesthetic and functional phallus. To date, the inflatable neophallus prosthesis is functioning well.
    MeSH terms: Female; Genitalia, Female/surgery*; Humans; Male; Postoperative Complications; Gynecologic Surgical Procedures/methods*; Transsexualism/surgery*; Treatment Outcome; Patient Satisfaction; Reconstructive Surgical Procedures/methods*; Penile Implantation*
  11. Peh KK, Lim CP, Quek SS, Khoh KH
    Pharm Res, 2000 Nov;17(11):1384-8.
    PMID: 11205731
    PURPOSE: To use artificial neural networks for predicting dissolution profiles of matrix-controlled release theophylline pellet preparation, and to evaluate the network performance by comparing the predicted dissolution profiles with those obtained from physical experiments using similarity factor.

    METHODS: The Multi-Layered Perceptron (MLP) neural network was used to predict the dissolution profiles of theophylline pellets containing different ratios of microcrystalline cellulose (MCC) and glyceryl monostearate (GMS). The concepts of leave-one-out as well as a time-point by time-point estimation basis were used to predict the rate of drug release for each matrix ratio. All the data were used for training, except for one set which was selected to compare with the predicted output. The closeness between the predicted and the reference dissolution profiles was investigated using similarity factor (f2).

    RESULTS: The f2 values were all above 60, indicating that the predicted dissolution profiles were closely similar to the dissolution profiles obtained from physical experiments.

    CONCLUSION: The MLP network could be used as a model for predicting the dissolution profiles of matrix-controlled release theophylline pellet preparation in product development.

    MeSH terms: Cellulose/chemistry; Chemistry, Pharmaceutical/methods*; Delayed-Action Preparations; Excipients/chemistry; Glycerides/chemistry; Kinetics; Models, Chemical*; Solubility; Theophylline/chemistry*; Neural Networks (Computer)*
  12. Tsai G
    Eat Weight Disord, 2000 Dec;5(4):183-97.
    PMID: 11216126
    OBJECTIVE: To investigate eating disorders (EDs) prevalence rates among Asian populations and identify characteristics that distinguish them from their Western counterparts.

    METHOD: Potential references were identified through an English-language literature search using Medline, Psychinfo, Dissertation Abstracts (1966 to 1999) and through extensive manual searching of textbooks, reviews and reference lists.

    RESULTS: The majority of studies related to EDs were conducted in Japan and China and a few were conducted in Singapore, Malaysia, Taiwan, and Korea whereas there was none in the Philippines, Laos, Vietnam, Cambodia, Myanmar, Indonesia and Thailand. Prevalence rates in Japan range from 0.025 to 0.030% for anorexia nervosa (AN) and from 1.9 to 2.9% for bulimia nervosa (BN). Community studies in China have found the AN prevalence to be 0.01% and BN rates ranging from 0.5% to 1.3%. These rates are lower than ED rates in the West (particularly the U.S. and Britain). Body dissatisfaction (BD) and dieting rates, however, were similar to those in the West. BD rates ranged from 68% (Taiwan) to 81% (Korea) and dieting rates ranged from 34% (Taiwan) to 68% (Japan). Sociocultural and developmental risk factors were relevant to this population.

    CONCLUSIONS: EDs in Asian populations have received little attention because they have been predominantly viewed as associated with Western culture. Classified by many as a "culture-bound syndrome" of the West, they may really be a culture-change syndrome.

    MeSH terms: Feeding and Eating Disorders/ethnology; Feeding and Eating Disorders/epidemiology*; Feeding and Eating Disorders/psychology; Body Image*; China/epidemiology; Cultural Characteristics; Female; Humans; Japan/epidemiology; Male; Mother-Child Relations/ethnology; Risk Factors; Social Change*; Taiwan/epidemiology; Incidence; Prevalence; Age Distribution; Sex Distribution
  13. Lee CY, Lee LC
    J Vector Ecol, 2000 Dec;25(2):218-21.
    PMID: 11217220
    The role of sanitation in performance of insecticidal bait stations containing 0.5% chlorpyrifos against the American cockroach, Periplaneta americana (L.), was investigated in residential premises. Test sites were chosen from three locations in Penang Island, Malaysia, and clustered according to their sanitary conditions. Results indicated that at 1-week post-treatment, houses with good sanitary conditions showed a significantly faster reduction (P > 0.05) in the number of cockroaches trapped (> 95%) than those with moderate and poor conditions. At 6 weeks post-treatment, all houses treated with insecticidal baits showed no significant difference in terms of reduction rate of cockroach numbers (P > 0.05), irrespective of sanitary condition. However, the bait performance in houses with poor sanitary conditions could not be sustained up to 12-week post-treatment.
    MeSH terms: Animals; Chlorpyrifos*; Insect Control/methods*; Insecticides*; Malaysia; Sanitation*
  14. Jernigan DH
    Addiction, 2000 Dec;95 Suppl 4:S465-75.
    PMID: 11218345
    Development sociology has used global commodity chains as one way of analyzing the dynamics of power and profit-taking in globalized production networks made up of multiple firms and occurring in multiple national settings. A substantial portion of the alcohol supply in developing countries is now produced through such production networks. Particularly in the beer and spirits trade, a small number of transnational firms control networks of local producers, importers, advertisers and distributors. These networks serve to embed transnational or transnationally backed brands in the local culture, using the tools of market research, product design and marketing to influence local drinking practices. Case materials from Malaysia's beer industry help to illustrate how the transnational firms dominate in those links of the commodity chain in which monopoly or oligopoly control is most likely to be found: the design/recipe and marketing/advertising nodes. Their control of the commodity chains and extraction of monopoly or oligopoly profits from them places substantial resources and influence over drinking settings and practices in foreign hands. The impact of this influence on state efficacy and autonomy in setting alcohol policy is an important subject for future research on the creation and implementation of effective alcohol policies in developing societies.
    MeSH terms: Alcoholic Beverages/supply & distribution*; Beer/supply & distribution; Commerce; Developing Countries*; Humans; Malaysia; Models, Theoretical*
  15. Chai WL
    Dent Update, 2000 Dec;27(10):515.
    PMID: 11218617
    MeSH terms: China/ethnology; Humans; Malaysia; Superstitions/psychology*; Tooth Extraction/psychology*
  16. Ngeow WC
    Dent Update, 2000 Dec;27(10):515.
    PMID: 11218618
    MeSH terms: China/ethnology; Dental Care/psychology*; Humans; Malaysia; Superstitions/psychology*
  17. Yusoff K
    Med J Malaysia, 2000 Dec;55(4):399-401.
    PMID: 11221149
    MeSH terms: Coronary Disease/etiology*; Humans; Malaysia; Risk Factors
  18. Azhar MZ
    Med J Malaysia, 2000 Dec;55(4):402-8.
    PMID: 11221150
    This paper reports the result of a brief therapy attempt at treating panic in a busy outpatient psychiatric clinic. The patients were cases of panic referred from the various outpatient clinics within the hospital complex. The patients were divided into three groups at random using one of three modalities of treatment, i.e. cognitive behaviour therapy (CBT), CBT and Fluvoxamine (FVX), and FVX alone. The therapy was aimed for a maximum of nine sessions after which the patients were to be discharged. There were 14 patients in each group. The results show that all the groups were similar in the severity and scores pre treatment but after the different types of treatment there was a significant difference among them. The FVX alone group, showed significant improvement from the pretreatment levels but did not show as much improvement as the other groups and the mean score was only 9.07 after nine sessions. The best group was the CBT in combination with FVX. This indicates that the best way to treat panic is to combine drug treatment and psychological treatment. It is also shown from the study that the combination group requires less FVX than the FVX alone group. This finding has implications for the treatment of panic at the family physician clinic.

    Study site: Psychiatric clinic, Hospital Universiti Sains Malaysia
    MeSH terms: Adult; Family Practice; Female; Hospitals, University; Humans; Malaysia; Male; Middle Aged; Outpatient Clinics, Hospital; Cognitive Therapy*; Clinical Trial; Panic Disorder/therapy*; Fluvoxamine/therapeutic use*; Serotonin Uptake Inhibitors/therapeutic use*
  19. Khoo KL, Van Acker P, Tan H, Deslypere JP
    Med J Malaysia, 2000 Dec;55(4):409-18.
    PMID: 11221151
    A total of 86 unrelated Malaysian patients with familial hypercholesterolaemia (FH) were studied for mutations in their low-density lipoprotein receptor (LDL-R) gene. Amongst them, 23 had a LDL-R gene mutation, while none having an Apolipoprotein B-3500 (Apo B-3500) mutation. Patients with the LDL-R gene defect appeared to have a higher level of low-density lipoprotein cholesterol (LDL-C), an increased incidence of xanthomas and coronary heart disease (CHD), but no relationships were found between the type of LDL-R gene mutations and their lipid levels or clinical signs of CHD. In contrast to Western data, our findings seemed to indicate a predominance of mutations in the ligand binding domain and an absence of Apo B-3500 gene mutation. The latter finding may offer a genetic basis as to why Asian patients with familial hypercholesterolaemia have lower LDL-C levels and less premature CHD than their Western counterparts.
    MeSH terms: Adult; Aged; Apolipoproteins B/genetics; Coronary Disease/etiology; Coronary Disease/epidemiology; Female; Humans; Hyperlipoproteinemia Type II/blood; Hyperlipoproteinemia Type II/genetics*; Cholesterol, LDL/blood; Malaysia; Male; Middle Aged; Mutation; Receptors, LDL/genetics; Xanthomatosis/etiology; Xanthomatosis/epidemiology; Incidence
  20. Ling SG
    Med J Malaysia, 2000 Dec;55(4):419-23.
    PMID: 11221152
    A questionnaire survey was conducted on parents of 58 patients admitted with febrile convulsion (FC) over a 4 month period to the University of Malaya Medical Centre, Kuala Lumpur to determine parental response towards febrile convulsion in their child and their understanding of home management of FC.
    Results: The majority of parents (93%) were frightened or were in a panic state of witnessing FC in their child. Most (77.6%) of them were able to bring their child to medical attention within 30 minutes, with delays attributed to transport problems. Parental understanding on FC was deficient, particularly with regard to home management of acute seizures. The parents’ main source of information was friends and relatives.
    Conclusions: Urgent intervention to counsel and allay fears of parents who have just witnessed an acute FC in their child is required. More effort must be made to educate parents about FC, with particular reference to home management of seizures.
    MeSH terms: Adult; Seizures, Febrile/therapy*; Female; Humans; Interviews as Topic; Health Knowledge, Attitudes, Practice*; Male; Middle Aged; Parents/psychology*; Patient Acceptance of Health Care
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