Browse publications by year: 2003

  1. Tang PL, Lee CK, Low KS, Zainal Z
    Environ Technol, 2003 Oct;24(10):1243-51.
    PMID: 14669804
    The sorption characteristics of Cr(VI) and Cu(II) by ethylenediamine modified rice hull from single and binary metal ion solutions were evaluated under various experimental conditions. Optimal Cr(VI) and Cu(II) removal from single metal ion solutions occurred at pH 2.0 and 5.5, respectively. Simultaneous removal of Cr(VI) and Cu(II) occurred at pH greater than 3.0. The sorption kinetics of Cr(VI) and Cu(II) from single and binary metal ion solutions were studied with reference to metal concentration, agitation rate and particle size. Sorption of Cr(VI) was more rapid than Cu(II). The kinetics of metal ion sorption fitted a pseudo-second order expression. The variation in the initial uptake rates was very small at an agitation rate beyond 150 rpm and sorption was generally independent of particle size. Equilibrium sorption data could be fitted into the Langmuir isotherm equation. Maximum sorption capacities of ethylenediamine modified rice hull for Cr(VI) at pH 2 and Cu(II) at pH 4 in single metal solutions were 0.45 and 0.06 mmol g(-1), respectively. This corresponds to an enhancement factor of 2.6 and 3 fold for Cr(VI) and Cu(II), respectively, compared to natural rice hull. A synergistic effect was observed for sorption of these ions in binary metal solutions.
    MeSH terms: Adsorption; Biodegradation, Environmental; Carcinogens, Environmental/isolation & purification*; Carcinogens, Environmental/chemistry*; Chromium/isolation & purification*; Chromium/chemistry*; Copper/isolation & purification*; Copper/chemistry*; Ethylenediamines/chemistry*; Particle Size; Oryza; Water Pollutants/isolation & purification*
  2. Ng WK, Campbell PJ, Dick JR, Bell JG
    Lipids, 2003 Oct;38(10):1031-8.
    PMID: 14669967
    An experiment was conducted to evaluate the interactive effects of dietary crude palm oil (CPO) concentration and water temperature on lipid and FA digestibility in rainbow trout. Four isolipidic diets with 0, 5, 10, or 20% (w/w) CPO, at the expense of fish oil, were formulated and fed to groups of trout maintained at water temperatures of 7, 10, or 15 degrees C. The apparent digestibility (AD) of the FA, measured using yttrium oxide as an inert marker, decreased with increasing chain length and increased with increasing unsaturation within each temperature regimen irrespective of CPO level fed to the fish. PUFA of the n-3 series were preferentially absorbed compared to n-6 PUFA in all diet and temperature treatments. Except for a few minor FA, a significant (P < 0.05) interaction between diet and temperature effects on FA digestibility was found. Increasing dietary levels of CPO lead to significant reductions in the AD of saturates and, to a lesser extent, also of the other FA. Lowering water temperature reduced total saturated FA digestibility in trout regardless of CPO level. Based on the lipid class composition of trout feces, this reduction in AD of saturates was due in part to the increasing resistance of dietary TAG to digestion. Increasing CPO level and decreasing water temperature significantly increased TAG content in trout fecal lipids, with saturates constituting more than 60% of the FA composition. Total monoene and PUFA digestibilities were not significantly affected by water temperature in fish fed up to 10% CPO in their diet. The potential impact of reduced lipid and FA digestibility in cold-water fish fed diets supplemented with high levels of CPO on fish growth performance requires further research.
    MeSH terms: Animals; Dietary Fats, Unsaturated/pharmacology*; Digestion/drug effects; Digestion/physiology*; Lipids/analysis; Lipids/classification; Plant Oils/pharmacology*; Temperature*; Water*; Oncorhynchus mykiss
  3. Mohamad M
    Hosp Med, 2003 Nov;64(11):673-6.
    PMID: 14671880 DOI: 10.12968/hosp.2003.64.11.2350
    MeSH terms: Diabetic Retinopathy/etiology; Diabetic Retinopathy/pathology; Diabetic Retinopathy/therapy; Humans
  4. Leong CF, Cheong SK, Ng P, Amran AR
    Hosp Med, 2003 Nov;64(11):686-7.
    PMID: 14671884
    MeSH terms: Adult; Diagnosis, Differential; Female; Humans; Lymphoma, Non-Hodgkin/pathology*; Ovarian Neoplasms/pathology*; Recurrence; Tomography, X-Ray Computed/methods; CA-125 Antigen/blood
  5. Raman IA, Suhaimi H, Tiddy GJ
    Adv Colloid Interface Sci, 2003 Dec 1;106:109-27.
    PMID: 14672844
    The phase behaviour of palm olein (PO) and its derivative oils (palm oil methyl esters and medium chain triglycerides) with Imbentin coco 6.9EO, an ethoxylated C12-14 alcohol, in water has been investigated to identify compositions where microemulsions occur. The techniques used were the optical microscope phase penetration scan and small angle X-ray diffraction (SAXS). Mixed surfactant/oil samples were prepared at wt. ratios of 0.1:1, 0.25:1, 0.5:1 and 1:1 for the phase penetration scan. For SAXS analysis, the initial concentration of surfactant in water (W) was fixed at 38% (w/w), which forms a hexagonal mesophase (H1). Palm oil methyl esters (POME) and medium chain triglycerides (MCT) were added to this at 0.04:1 (or 0.05:1 for MCT), 0.1:1, 0.2:1 (or 0.25:1 for MCT), 0.5:1 and 1:1 ratios of oil to surfactant. Schematic phase diagrams were constructed to document the changes of phase structures using both bulk samples and phase penetration scans techniques. The extent of microemulsion formation (or solubilisation) decreases in the sequence POME > MCT > PO, and increases substantially with temperature, particularly for POME and MCT. All of the oils destabilize the hexagonal phase; for POME and MCT there is an increase in the surfactant cloud point temperature by ca. 10 degrees C or more, but the temperature for the onset of the lamellar (Lalpha) phase dispersion region (W + Lalpha) is hardly affected. There was a pronounced tendency for the lamellar phase formed in the presence of high oil concentrations and low water levels to have a reduced melting point. With the highest MCT levels a bicontinuous cubic phase (probably V2) is present at 25 degrees C, although this phase is not present in the binary surfactant/water system. The X-ray diffraction results show that the average area per head group (ao) at the micelle surface is decreased by the addition of the oils, consistent with the observation of a V2 phase. Possible molecular mechanisms for this observation are discussed.
  6. Khor GL, Sharif ZM
    Asia Pac J Clin Nutr, 2003;12(4):427-37.
    PMID: 14672867
    This report is a part of a multi-centre study in Asia on the problem of dual forms of malnutrition in the same households. In Malaysia, the prevalence of underweight and stunting persist among young children from poor rural areas. Overweight in adults, especially women from poor rural areas has been reported in recent years. Thus, this study was undertaken in order to assess the presence of the dual burden of underweight child-overweight mother pairs in a poor rural community. Out of 140 Malay households identified to have at least one child aged 1-6 years and mother aged above 20 years, 52.1% of the mothers were overweight, 15.7% of the children were underweight, 27.1% stunted and 5% wasted. Socio-economic background and food intake frequency data were collected from 54 underweight child/overweight mother pairs (UW/OW) and 41 normal weight child/normal weight mother pairs (NW/NW). Compared with the overweight mothers, a higher percentage of the normal weight mothers had received secondary education, were employed and with a higher household monthly income, although these differences were not significant. Patterns of food intake of the mothers and children appeared to have more similarities than differences between the UW/OW and NW/NW groups. Quantitative dietary intakes for 2 days using 24-hr recall and physical activity energy expenditure over the same period were assessed in a sub-group of UW/OW and NW/NW mothers and children. The NW/NW children showed significantly higher intake of total calories, fat and riboflavin than the UW/OW counterparts. Mean energy and nutrient intake of mothers from both groups were not significantly different, although the NW/NW mothers showed higher intake adequacy for total calories and most nutrients. While most of the mothers from both groups reported having no chronic illnesses, about half of the children in both groups had infections, especially gastrointestinal infections, over a 2-week period. Energy expenditure from physical activity for both UW/OW and NW/NW mothers and children did not differ significantly. This study confirmed inadequate intake of total energy and nutrients as the major factor for underweight in Malay children from rural areas. However, assessing intake and physical activity by interview methods were not sensitive enough to overcome perceived problems of under-reporting of energy intake and over-estimation of energy expenditure, especially by overweight subjects. Further investigations on a larger sample are necessary to understand the family dynamics leading to the double burden of malnutrition within the same household.
    MeSH terms: Adult; Body Weight; Energy Intake; Child; Child, Preschool; Eating*; Family Characteristics*; Female; Humans; Infant; Malaysia/epidemiology; Male; Middle Aged; Mothers/statistics & numerical data*; Risk Factors; Rural Population/statistics & numerical data*; Socioeconomic Factors; Multicenter Studies as Topic; Body Mass Index; Malnutrition/complications; Malnutrition/diagnosis; Malnutrition/epidemiology*; Overnutrition/complications; Overnutrition/diagnosis; Overnutrition/epidemiology*
  7. Tan YM, Goh KL, Muhidayah R, Ooi CL, Salem O
    J Gastroenterol Hepatol, 2003 Dec;18(12):1412-6.
    PMID: 14675271 DOI: 10.1046/j.1440-1746.2003.03212.x
    BACKGROUND AND AIMS: Irritable bowel syndrome (IBS) is a common functional bowel disease in the West. Information on the prevalence of IBS in the Asian population is relatively scanty. The aims of the present study were to determine the prevalence of IBS and to assess the symptom subgroups based on the predominant bowel habit in a young adult population of Asian origin.

    METHODS: Basic demographic data and symptoms of IBS using the Rome I criteria were sought using a questionnaire administered to all apparently healthy students in a medical school. Other questions asked related to alcohol intake, smoking, chili consumption, dietary fiber intake, and to psychological and psychosomatic symptoms of anxiety, depression, insomnia, headache, and backache. The health-care seeking behavior of the subjects was also analyzed.

    RESULTS: Of the 610 questionnaires administered, 533 complete responses were received (response rate of 87.4%). The responders comprised 229 men (43.0%) and 304 (57.0%) women with a mean age of 22 +/- 1.8 years. The ethnic distribution was Malays 278 (52.2%), Chinese 179 (33.6%), Indians 46 (8.6%), and others 30 (5.6%). Eighty-four (15.8%) reported symptoms consistent with the diagnosis of IBS, predominantly women. Sixty-five (77.4%) and six (7.1%) were of the constipation-predominant and diarrhea-predominant IBS subgroups, respectively. Thirteen (15.5%) subjects fell into the non-specific IBS subgroup. The self-reported psychological and psychosomatic symptoms of anxiety (P = 0.02), depression (P = 0.002), insomnia (P = 0.006), headache (P = 0.04), and backache (P = 0.006) were encountered more frequently in the subjects with IBS. Only 13.1% of the IBS group had consulted their health-care practitioner, and 20.2% reported self-medication.

    CONCLUSIONS: Symptoms supportive of the diagnosis of IBS were common among young Malaysians, with a prevalence rate of 15.8%. There were significantly more women with IBS than men. Within the IBS population, the majority (77.4%) was of the constipation-predominant IBS subgroup. A significantly higher prevalence of psychological and psychosomatic symptoms was found in individuals with IBS. Only a minority sought medical advice for their symptoms.
    MeSH terms: Adult; Constipation/etiology; Constipation/epidemiology; Defecation/physiology; Diarrhea/etiology; Diarrhea/epidemiology; Female; Health Surveys; Humans; Malaysia/epidemiology; Male; Students, Medical/statistics & numerical data; Abdominal Pain/etiology; Abdominal Pain/epidemiology; Prevalence; Irritable Bowel Syndrome/complications; Irritable Bowel Syndrome/diagnosis*; Irritable Bowel Syndrome/epidemiology*
  8. Saw A, Lau CP
    J Orthop Surg (Hong Kong), 2003 Dec;11(2):141-7.
    PMID: 14676338
    To evaluate outcome following supracondylar nailing for distal femur fractures.
    MeSH terms: Adolescent; Adult; Aged; Female; Femoral Fractures/surgery*; Fracture Fixation, Intramedullary/methods*; Humans; Male; Treatment Outcome; Fracture Healing/physiology
  9. Sivananthan S, Arif M, Choon DS
    J Orthop Surg (Hong Kong), 2003 Dec;11(2):148-53.
    PMID: 14676339
    To evaluate the clinical and radiological outcome in patients undergoing small stem Exeter total hip replacement.
    MeSH terms: Adult; Aged; Aged, 80 and over; Body Weights and Measures; Female; Femur/anatomy & histology; Follow-Up Studies; Hip Prosthesis; Humans; Malaysia/ethnology; Male; Middle Aged; Reoperation; Treatment Outcome; Arthroplasty, Replacement, Hip/instrumentation*
  10. Zairul-Nizam ZF, Gul YA
    J Orthop Surg (Hong Kong), 2003 Dec;11(2):178-83.
    PMID: 14676344
    To survey Malaysian orthopaedic surgeons' attitudes to and use of venous thromboembolic disease prophylaxis.
    MeSH terms: Anticoagulants/administration & dosage*; Attitude of Health Personnel/ethnology*; Bandages; Humans; Malaysia; Orthopedics*; Platelet Aggregation Inhibitors/administration & dosage*; Thromboembolism/prevention & control*; Health Care Surveys
  11. Darmawan J, Muirden KD
    J Rheumatol, 2003 Nov;30(11):2312-4.
    PMID: 14677169
    MeSH terms: Epidemiologic Methods*; Health Surveys*; Humans; Indonesia/epidemiology; Malaysia/epidemiology; Pilot Projects; Polynesia/epidemiology; Rheumatic Diseases/epidemiology*; World Health Organization; Prevalence
  12. Darmawan J, Rasker JJ, Nuralim H
    J Rheumatol, 2003 Nov;30(11):2437-43.
    PMID: 14677190
    OBJECTIVE: We describe a 10 year observation of the effect of control of hyperuricemia compared with self-medication alone in patients with chronic gout.
    METHODS: We studied 299 consecutively self-referred Malayo-Polynesian men with chronic gout, mean age 35 +/- 14.3 SD years. Subjects comprised 228 cases with chronic gout without tophi or urolithiasis (Group 1) and 71 with those complications (Group 2). Attacks of acute gouty arthritis were treated with nonsteroidal antiinflammatory drugs (NSAID) and/or corticosteroids. After acute arthritis had settled, urate-lowering drugs were instituted in both groups combined with low dose colchicine and/or low dose NSAID for at least 0.5-2 years. Urate levels were maintained longterm at a mean of < 5 mg/dl. After 10 years, the dropouts were traced and evaluated for comparison with baseline and those who remained in the study. In Group 2 the urate-lowering drugs were continued.
    RESULTS: Control of gout and hyperuricemia was achieved in all patients who remained under control: 91.6% of the 299 patients for at least 2 years (short-term), up to 5 years in 87.5% (medium term), and up to 10 years in 79.6% (longterm). In Group 1 (chronic gout without complication) only 36.8% had no attacks during 8 years, after they had tapered urate-lowering drug after the first 2 years of the study. In the 61 dropouts the intermittent symptomatic treatment and/or self-medication without longterm control of hyperuricemia resulted after 1 decade in chronic gout with more complications and associated conditions leading to increased morbidity, disability, and comorbidity, and 3 early mortalities.
    CONCLUSION: By controlling hyperuricemia, improvement of the prognosis of chronic gout, comorbidity, and early death was achieved compared with self-medication alone. Self-medication in a developing country if continued unchecked may become a public health problem in a population with a high prevalence rate of gout.
    MeSH terms: Adult; Chronic Disease; Developing Countries*; Gout/complications*; Gout/drug therapy*; Gout/ethnology; Gout/metabolism; Humans; Indonesia; Joints/metabolism*; Malaysia/ethnology; Male; Polynesia/ethnology; Self Medication*; Uric Acid/metabolism*; Urinary Calculi/etiology*; Treatment Outcome
  13. Wong PS, Vendargon SJ
    Asian Cardiovasc Thorac Ann, 2003 Dec;11(4):375.
    PMID: 14681107
    MeSH terms: Adult; Heart Diseases/etiology; Hernia, Diaphragmatic/complications*; Hernia, Diaphragmatic/surgery*; Humans; Intestinal Obstruction/etiology; Intestinal Obstruction/surgery; Male; Respiratory Insufficiency/etiology*; Surgical Procedures, Operative/methods
  14. Usmani S, Tan SG, Siraj SS, Yusoff K
    Anim. Genet., 2003 Dec;34(6):462-4.
    PMID: 14687079
    A total of 143 microsatellites were isolated from Mystus nemurus using a 5' anchored polymerase chain reaction technique or the random amplified hybridization microsatellite method, the first set of microsatellite markers developed for the Southeast Asian river catfish. Twenty polymorphic microsatellite loci were used as markers for population characterization of M. nemurus from six different geographical locations in Malaysia (Perak, Kedah, Johor, UPM, Sarawak and Terengganu). The number of alleles per locus ranged from 2 to 11 with 6.3 as the average number of alleles per locus. Characterization of the populations showed relatively high levels of genetic variation compared with previous studies using allozyme markers. The highest genetic similarity was found between Perak and Kedah, while the highest genetic distance was found between Terengganu and Kedah. The majority of clustering was in accordance with geographical locations and the histories of the populations. Microsatellite analysis indicated that the Sarawak population might be genetically closer to the Peninsular Malaysian populations than has been previously shown by other molecular marker studies.
    MeSH terms: Animals; Asia, Southeastern; Fisheries; Fishes/classification; Fishes/genetics*; Heterozygote; Molecular Sequence Data; Phylogeny; Microsatellite Repeats/genetics*
  15. Zaidi ST, Hassan Y, Postma MJ, Ng SH
    Pharm World Sci, 2003 Dec;25(6):299-302.
    PMID: 14689820
    To analyse clinical pharmacists interventions in the ICU of the Penang General Hospital (Penang, Malaysia) and to assess the pharmaco-economic impact of these interventions.
    MeSH terms: Humans; Intensive Care Units/economics*; Malaysia; Pharmacists*; Pharmacy Service, Hospital/economics; Cost Savings/economics; Drug Utilization Review/economics*; Professional Role*
  16. Ganapathy K, Sharma RS
    Vet Rec, 2003 Dec 6;153(23):716-7.
    PMID: 14690078
    MeSH terms: Animals; Animal Husbandry; Chickens*; England/epidemiology; Gizzard/parasitology; Housing, Animal; Nematoda/isolation & purification; Nematode Infections/epidemiology; Nematode Infections/veterinary*; Poultry Diseases/etiology; Poultry Diseases/epidemiology*; Poultry Diseases/pathology
  17. Med J Malaysia, 2003 Mar;58 Suppl A:1-150.
    PMID: 14692413
    MeSH terms: Abortion, Induced/legislation & jurisprudence; Abortion, Induced/ethics; Delivery of Health Care/methods; Delivery of Health Care/ethics; Humans; Legislation, Medical*; Malaysia; Medical Errors/legislation & jurisprudence; Patient Rights
  18. Rasool AH, Rehman A, Wan Yusuf WN, Rahman AR
    Int J Clin Pharmacol Ther, 2003 Dec;41(12):587-92.
    PMID: 14692708
    INTRODUCTION: Arterial stiffness is emerging as a useful index of vascular health. Postmenopausal women have been shown to have stiffer arteries. Hormone replacement therapy and soy isoflavones improve arterial stiffness in these women. The aim of this study is to establish whether vitamin E improves arterial stiffness in postmenopausal women after 10 weeks of supplementation.

    METHODS: Twenty postmenopausal women with a mean age of 54.59 +/- 1.22 years participated in this randomized, crossover, double-blind, placebo-controlled clinical trial. All women received 400 IU of tocopherol daily for 10 weeks or a placebo capsule, before being crossed over for treatment. At intervals of 5 weeks, subjects attended sessions where measurements of arterial stiffness, blood pressure and plasma vitamin E level were taken. Pulse wave velocity measurement, using the automated Complior machine, was used as an index of arterial stiffness.

    RESULTS: Plasma vitamin E level was 30.38 +/- 1.56 micromol/l at baseline, after treatment it was 59.01 +/- 3.30 micromol/l and 31.17 +/- 1.37 micromol/l with vitamin E and placebo, respectively (p < 0.001). There was no significant difference in pulse wave velocity after 10-week treatment with placebo and vitamin E (9.14 +/- 0.29 versus 9.04 +/- 0.29 m/s, respectively). Similarly, no difference in systolic and diastolic blood pressure was seen between placebo and vitamin E at the end of 10 weeks.

    CONCLUSION: Supplementary vitamin E for 10 weeks at 400 IU daily has no effect on arterial stiffness in healthy postmenopausal women.

    MeSH terms: Antioxidants/analysis; Antioxidants/pharmacology*; Arteries/physiology*; Blood Pressure; Double-Blind Method; Female; Humans; Middle Aged; Placebos; Vascular Resistance/drug effects*; Vitamin E/blood; Vitamin E/pharmacology*; Treatment Outcome; Postmenopause; Cross-Over Studies; Dietary Supplements
  19. Morrow M, Barraclough S
    Health Promot Int, 2003 Dec;18(4):373-80.
    PMID: 14695368
    In the World Health Organization's Western Pacific Region, being born male is the single greatest risk marker for tobacco use. While the literature demonstrates that risks associated with tobacco use may vary according to sex, gender refers to the socially determined roles and responsibilities of men and women, who initiate, continue and quit using tobacco for complex and often different reasons. Cigarette advertising frequently appeals to gender roles. Yet tobacco control policy tends to be gender-blind. Using a broad, gender-sensitivity framework, this contradiction is explored in four Western Pacific countries. Part I of the study presented the rationale, methodology and design of the study, discussed issues surrounding gender and tobacco, and analysed developments in Malaysia and the Philippines (see the previous issue of this journal). Part II deals with Singapore and Vietnam. In all four countries gender was salient for the initiation and maintenance of smoking. Yet, with a few exceptions, gender was largely unrecognized in control policy. Suggestions for overcoming this weakness in order to enhance tobacco control are made.
    MeSH terms: Adolescent; Adult; Advertising as Topic; Cultural Characteristics; Female; Humans; Male; Middle Aged; Social Control Policies*; Product Labeling/legislation & jurisprudence; Sex Factors; Singapore/epidemiology; Smoking/ethnology*; Social Behavior; Vietnam/epidemiology; Prevalence; Smoking Cessation/ethnology; Tobacco Industry/legislation & jurisprudence*; Social Marketing
  20. Nissapatorn V, Lee C, Quek KF, Abdullah KA
    Jpn J Infect Dis, 2003 Oct-Dec;56(5-6):187-92.
    PMID: 14695428
    We retrospectively reviewed 419 HIV/AIDS patients in Hospital Kuala Lumpur from 1994 to 2001. In the male group, the age range was 20-74, with a mean age 37 years, while in the female group it was 17-63, with a mean age of 33 years. With regard to age group, it was found that the preponderant age group was 25-34 years. The majority of male subjects were Chinese (52.5%), single (56.3%), and unemployed (55.1%), whereas the females were Malay (42.3%), married (79.5%), and non-laborer (64.1%). Also, both groups resided in Kuala Lumpur and had heterosexual contact as the leading cause of HIV transmission. More than half of the patients had CD4 cell counts of <200 cells/cumm. We found that the acquisition of HIV infection via intravenous drug use (IDU) was directly related to the incidence of tuberculosis infection (P < 0.05). Further analysis showed HIV-related tuberculosis with IDU was also dependently correlated with occupational status (unemployed) (P < 0.05). The four main AIDS-defining diseases include tuberculosis (48%), Pneumocystis carinii pneumonia (13%), toxoplasmic encephalitis (11%), and cryptococcal meningitis (7%); in addition, 53% of these patients were found to have CD4 cell counts of less than 200 cells/cumm at the time of diagnosis.
    MeSH terms: Adolescent; Adult; Encephalitis/epidemiology; Encephalitis/parasitology; Female; Hospitals*; Humans; Malaysia/epidemiology; Male; Middle Aged; Pneumonia, Pneumocystis/epidemiology; Retrospective Studies; Risk Factors; Tuberculosis, Pulmonary/epidemiology; HIV Infections/complications*; Incidence; Toxoplasmosis, Cerebral/epidemiology; Meningitis, Cryptococcal/epidemiology; AIDS-Related Opportunistic Infections/etiology*; AIDS-Related Opportunistic Infections/epidemiology*
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