Browse publications by year: 2004

  1. Mabruk MJ
    Expert Rev Mol Diagn, 2004 Sep;4(5):653-61.
    PMID: 15347259
    In situ hybridization is a method for detecting specific nucleic acid sequences within individual cells. This technique permits visualization of viral nucleic acid or gene expression in individual cells within their histologic context. In situ hybridization is based on the complementary binding of a labeled nucleic acid probe to complementary sequences in cells or tissue sections, followed by visualization of target sequences within the cells. It has been used widely for the detection of viral nucleic acid sequences within individual cells. This review will define the technical approaches of in situ hybridization and its current application to detect viral nucleic acids within formalin-fixed, paraffin-embedded tissue samples, with special reference to the Epstein-Barr virus.
    MeSH terms: DNA, Viral/analysis*; Herpesvirus 4, Human/genetics; Formaldehyde/chemistry*; Humans; RNA, Viral/analysis; Nucleic Acid Probes/analysis; Paraffin Embedding; Genome, Viral; In Situ Hybridization/methods*; In Situ Hybridization/trends
  2. Chan LL, Abdel-Latif ME, Ariffin WA, Ariffin H, Lin HP
    Br J Haematol, 2004 Sep;126(6):799-805.
    PMID: 15352983
    Treatment for childhood acute myeloid leukaemia (AML) consists of remission induction chemotherapy followed by postremission chemotherapy with or without bone marrow transplantation. The AML Berlin-Frankfurt-Munster (BFM)-83 protocol with induction-consolidation-maintenance chemotherapy for 2 years has been reported to result in a 6-year event-free survival (EFS) and event-free interval (EFI) of 49% and 61% respectively. A total of 174 Malaysian children were treated with this protocol between 1985 and 1999. The 5-year EFS and EFI was 30.7% and 48.0% respectively. The overall mortality from sepsis was 24%, which needs urgent address. The 5-year EFS for patients treated before 1993 and after 1993 was 18.6% and 41.3%, respectively (P = 0.04), while the EFI was 32% and 60.6% respectively (P = 0.034). The improvement seen after 1993 was related to a reduction in induction deaths for that period and probably reflected increased capability and familiarity to cope with the demands of the AML-BFM-83 protocol and accompanying complications in the treatment of AML.
    MeSH terms: Adolescent; Antineoplastic Combined Chemotherapy Protocols/administration & dosage; Antineoplastic Combined Chemotherapy Protocols/therapeutic use*; Child; Child, Preschool; Cytarabine/administration & dosage; Daunorubicin/administration & dosage; Developing Countries*; Etoposide/administration & dosage; Female; Humans; Infant; Infant, Newborn; Leukemia, Myeloid/drug therapy*; Malaysia; Male; Treatment Outcome; Disease-Free Survival
  3. Crabtree SA
    Health Care Women Int, 2004;25(6):581-95.
    PMID: 15354623 DOI: 10.1080/07399330490444849
    An ethnographic study of female psychiatric patients was undertaken in East Malaysia. Findings indicate that these service users were subject to a number of sexist and oppressive practices that militate against their freedom of movement on the wards as well as their social interaction in the wider context of the hospital. Stereotypic notions of female sexuality and morality act as forms of moral containment and are interpreted in the hospital context as requiring heavy custodial care by the hospital authorities.
    MeSH terms: Anecdotes as Topic; Mental Disorders/therapy; Commitment of Mentally Ill*; Female; Humans; Malaysia; Surveys and Questionnaires; Women's Rights; Women's Health*; Homosexuality, Female/psychology*; Battered Women/psychology*; Mentally Ill Persons/psychology*
  4. Boyle DB, Taylor T, Cardoso M
    Aust. Vet. J., 2004 Jul;82(7):421-5.
    PMID: 15354851
    OBJECTIVE: To evaluate and implement rapid molecular diagnostic techniques for the detection of foot and mouth disease virus (FMDV) suitable for use in Australia.

    DESIGN: Two PCR TaqMan assays targeted to the FMDV internal ribosome entry site or the 3D polymerase coding region for the rapid detection of FMDV were evaluated using non-infectious materials to determine the test most appropriate for implementation as part of Australia's national preparedness for the rapid detection and diagnosis of FMD outbreaks.

    RESULTS: Two published tests (PCR TaqMan assays targeted to the FMDV IRES region or the FMDV 3D polymerase coding region) were evaluated for their ability to detect FMDV genetic material in non-infectious FMDV ELISA antigen stocks held at Australian Animal Health Laboratory. Both tests were able to detect FMDV genetic material from strains O1 Manisa, O-3039, A22, A24, A Malaysia, C, Asia 1 and SAT 1, 2 and 3. With the exception of Asia 1, the TaqMan assay targeted to the FMD 3D polymerase coding region had Ct values equal to or lower than for the TaqMan assay targeted to the IRES region suggesting that this test may provide broader serotype detection and sensitivity. However, the TaqMan assay directed to the FMDV IRES is the only one to date to have undergone substantial evaluation using clinical samples collected during an outbreak. The greatest differences observed were for O-3039, SAT 1, and 3.

    CONCLUSION: Given the ease of setting up both tests, AAHL currently runs both tests on highly suspect FMD investigations to provide independent confirmation of the absence of FMDV because the tests are focused on two independent regions of the FMDV genome. These tests add substantially to Australia's preparedness for FMD diagnosis complementing the already well-established virus isolation and antigen capture ELISA tests for index case diagnosis of FMD in Australia.

    MeSH terms: Animals; Antigens, Viral/genetics; Australia/epidemiology; Foot-and-Mouth Disease/diagnosis*; Foot-and-Mouth Disease/epidemiology; Foot-and-Mouth Disease/prevention & control; Predictive Value of Tests; RNA, Viral/analysis*; DNA Primers; Reverse Transcriptase Polymerase Chain Reaction/methods; Reverse Transcriptase Polymerase Chain Reaction/veterinary*; Foot-and-Mouth Disease Virus/genetics; Foot-and-Mouth Disease Virus/isolation & purification*
  5. Teo J, Abbass HA
    Evol Comput, 2004;12(3):355-94.
    PMID: 15355605
    In this paper, we investigate the use of a self-adaptive Pareto evolutionary multi-objective optimization (EMO) approach for evolving the controllers of virtual embodied organisms. The objective of this paper is to demonstrate the trade-off between quality of solutions and computational cost. We show empirically that evolving controllers using the proposed algorithm incurs significantly less computational cost when compared to a self-adaptive weighted sum EMO algorithm, a self-adaptive single-objective evolutionary algorithm (EA) and a hand-tuned Pareto EMO algorithm. The main contribution of the self-adaptive Pareto EMO approach is its ability to produce sufficiently good controllers with different locomotion capabilities in a single run, thereby reducing the evolutionary computational cost and allowing the designer to explore the space of good solutions simultaneously. Our results also show that self-adaptation was found to be highly beneficial in reducing redundancy when compared against the other algorithms. Moreover, it was also shown that genetic diversity was being maintained naturally by virtue of the system's inherent multi-objectivity.
    MeSH terms: Algorithms*; Computer Simulation; Biological Evolution*; Mathematical Computing*; Models, Biological*; Models, Genetic*; Robotics
  6. Yeang HY, Arif SA, Raulf-Heimsoth M, Loke YH, Sander I, Sulong SH, et al.
    J Allergy Clin Immunol, 2004 Sep;114(3):593-8.
    PMID: 15356563 DOI: 10.1016/j.jaci.2004.05.039
    BACKGROUND:
    Sensitization to natural rubber latex has been linked to proteins from medical latex gloves. Various assays to estimate the amount of residual allergenic proteins extractable from latex gloves to assess their potential exposure hazard have inherent weaknesses.

    OBJECTIVE:
    This investigation was aimed at developing 2-site immunoenzymetric assays and identifying appropriate protein markers to assess the allergenic potential of latex gloves.

    METHODS:
    The presence of 6 latex allergens--Hev b 1, 2, 3, 5, 6, and 13--was measured in a cross-section of commercial latex medical gloves by using monoclonal and polyclonal antibody-based 2-site immunoenzymetric assays. The overall allergenic potential of these gloves was assessed by IgE-inhibition assay. Stepwise multiple regression analyses were performed to identify marker allergens that best explained the variation in latex glove allergenicity.

    RESULTS:
    All 6 latex allergens were detected in at least some of the glove samples. Hev b 5 and Hev b 13 were identified as the marker allergens that combined best to explain the variation in the glove allergenicity. The significant multiple correlation (R=0.855) between these 2 markers and glove allergenic potency forms the basis of an assay to gauge latex glove allergenicity.

    CONCLUSION:
    The overall allergenic potential of latex gloves can be estimated by using Hev b 5 and Hev b 13 as indicator allergens. The correlation between glove allergenicity and the level of these allergens was maintained for low-protein gloves (<200 microg/g). This estimation of glove allergenicity was superior to that obtained by using total protein readings.
    MeSH terms: Allergens/adverse effects; Allergens/analysis*; Immunoassay/methods; Latex/adverse effects; Latex/chemistry; Plant Proteins/adverse effects; Plant Proteins/chemistry; Regression Analysis; Biomarkers/analysis; Gloves, Protective/adverse effects*; Latex Hypersensitivity/prevention & control; Antigens, Plant
  7. Lim KP, Li H, Nathan S
    J Microbiol, 2004 Jun;42(2):126-32.
    PMID: 15357306
    A single chain variable fragment (scFv) specific towards B. pseudomallei exotoxin had previously been generated from an existing hybridoma cell line (6E6AF83B) and cloned into the phage display vector pComb3H. In this study, the scFv was subcloned into the pComb3X vector to facilitate the detection and purification of expressed antibodies. Detection was facilitated by the presence of a hemagglutinin (HA) tag, and purification was facilitated by the presence of a histidine tag. The culture was grown at 30 degrees C until log phase was achieved and then induced with 1 mM IPTG in the absence of any additional carbon source. Induction was continued at 30 degrees C for five h. The scFv was discerned by dual processes-direct enzyme-linked immunosorbent assays (ELISA), and Western blotting. When compared to E. coli strains ER2537 and HB2151, scFv expression was observed to be highest in the E. coli strain Top10F'. The expressed scFv protein was purified via nickel-mediated affinity chromatography and results indicated that two proteins a 52 kDa protein, and a 30 kDa protein were co-purified. These antibodies, when blotted against immobilized exotoxin, exhibited significant specificity towards the exotoxin, compared to other B. pseudomallei antigens. Thus, these antibodies should serve as suitable reagents for future affinity purification of the exotoxin.
    MeSH terms: Antibodies, Bacterial/analysis; Antibodies, Bacterial/genetics*; Antibodies, Bacterial/immunology*; Antibodies, Bacterial/isolation & purification; Antibodies, Bacterial/chemistry; Bacteriophages/genetics; Bacteriophages/growth & development; Bacteriophages/metabolism; Chromatography, Affinity; Cloning, Molecular; Enzyme-Linked Immunosorbent Assay; Escherichia coli/virology; Exotoxins/immunology*; Immunoglobulin Variable Region/analysis; Immunoglobulin Variable Region/genetics*; Immunoglobulin Variable Region/immunology*; Immunoglobulin Variable Region/isolation & purification; Immunoglobulin Variable Region/chemistry; Molecular Weight; Viral Proteins/genetics; Viral Proteins/isolation & purification; Viral Proteins/metabolism; Blotting, Western; Burkholderia pseudomallei/immunology*; Burkholderia pseudomallei/metabolism
  8. Kam TS, Sim KM, Pang HS, Koyano T, Hayashi M, Komiyama K
    Bioorg Med Chem Lett, 2004 Sep 6;14(17):4487-9.
    PMID: 15357977
    A series of indole alkaloids of the ibogan-type was assessed for their cytotoxic effects as well as their potential in reversing MDR in vincristine-resistant KB cells. Of a total of 25 compounds tested, 3(S)-cyanocoronaridine, 3(S)-cyanoisovoacangine, 3(S)-cyanovoacangine, and 10,11-demethoxychippiine were found to show appreciable cytotoxicity toward KB cells, while coronaridine, heyneanine, 19-epi-heyneanine, dippinine B, and dippinine C, were found to reverse MDR in vincristine-resistant KB cells.
    MeSH terms: Humans; Ibogaine/analogs & derivatives*; Ibogaine/toxicity*; Drug Resistance, Multiple/drug effects*; Drug Resistance, Multiple/physiology; Indole Alkaloids/toxicity*; Cell Line, Tumor
  9. Thong KL, Ling GY, Kong LW, Theam LC, Ngeow YF
    J Med Microbiol, 2004 Oct;53(Pt 10):991-997.
    PMID: 15358821 DOI: 10.1099/jmm.0.05384-0
    Streptococcus agalactiae or group B streptococci (GBS) often colonize the gastrointestinal and urogenital tracts of women, who may transmit these organisms to their offspring during the birth process. Using PFGE analysis, the genetic diversity of GBS was studied for strains isolated from pregnant women and their newborn infants in a teaching hospital. A total of 48 different PFGE profiles were obtained from 123 strains, with one profile (S1) appearing to be predominant among both groups studied. There was good overall correlation between the profiles obtained for strains from mother-infant pairs and for strains isolated from different body sites in the same individual. Occasional discrepancies seen in related body sites and among mother-infant pairs suggest concurrent carriage of different strains in the same individual as well as the possibility of an environmental source of organism for the neonate. The overall results demonstrated that many variants of GBS strains occur in Malaysia.
    MeSH terms: Female; Humans; Infant, Newborn; Pregnancy; Streptococcus agalactiae/classification; Streptococcus agalactiae/genetics*; Genetic Variation; Electrophoresis, Gel, Pulsed-Field
  10. Idrose AM
    Eur J Emerg Med, 2004 Oct;11(5):280-4.
    PMID: 15359202
    MeSH terms: Developing Countries; Health Services Needs and Demand*; Humans; International Cooperation; Iran; Medical Missions, Official*; Medically Underserved Area
  11. Loh LC, Khoo SK, Quah SY, Visvalingam V, Radhakrishnan A, Vijayasingham P, et al.
    Respirology, 2004 Aug;9(3):379-86.
    PMID: 15363012
    Prediction of mortality in patients with community-acquired pneumonia (CAP) can be assessed using clinical severity scores on admission to hospital. The clinical benefit of such tools is untested in Asian countries. The aim of this study was to determine the early adverse prognostic factors in patients hospitalized with CAP in Malaysia and to assess the usefulness of the British Thoracic Society (BTS) severity criteria.
    MeSH terms: Adult; Female; Hospitalization*; Humans; Malaysia/epidemiology; Male; Oxygen/blood; Pneumonia/classification; Pneumonia/microbiology; Pneumonia/mortality*; Prognosis; Prospective Studies; Severity of Illness Index*; Comorbidity; Multivariate Analysis; Logistic Models; Hospital Mortality; Community-Acquired Infections/classification; Community-Acquired Infections/mortality*; Risk Assessment/methods*
  12. Tan MY
    Diabetes Res Clin Pract, 2004 Oct;66(1):71-7.
    PMID: 15364164 DOI: 10.1016/j.diabres.2004.02.021
    This study aimed to identify the relationship of health beliefs and complication prevention behaviors among Chinese individuals with Type 2 Diabetes Mellitus in Malaysia. A correlation study using the Health Belief Model (HBM) framework was undertaken with 128 Chinese subjects with Type 2 Diabetes of both gender, mean age 60.5 +/- 8.42 years from one urban hospital and four rural health centers. Research tool was a 60-item questionnaire with responses recorded on 5-point Likert scale. Data was analyzed with descriptive statistics, Spearmen correlation and Mann-Whitney U-test. The majority of the subjects had less than 6 years of education. Seventy-two percent of them were aware of diabetes complications and its risk factors. However, few subjects practiced complication preventive measures because of lack of perceived seriousness of diabetes and lack of perceived susceptibility to diabetes complications. There were significant correlations between complication prevention behaviors and perceived severity (P < 0.05), perceived susceptibility (P < 0.05 ) and perceived barrier (P < 0.05 ); subjects' education level and perceived severity (P < 0.05), perceived susceptibility (P < 0.05) and complication prevention behavior (P < 0.05). There was no significant correlation between health beliefs and settings; genders; disease duration and treatment mode. In conclusion, poor complication preventive behavior among the subjects was associated with lack of perceived seriousness of diabetes and lack of perceived susceptibility to diabetes complications.
    MeSH terms: Ambulatory Care Facilities; Attitude to Health*; China; Cross-Sectional Studies; Diabetes Mellitus, Type 2/psychology*; Female; Hospitals; Humans; Malaysia; Male; Middle Aged; Socioeconomic Factors; Health Behavior/ethnology*; Diabetes Complications/prevention & control*; Diabetes Complications/psychology
  13. Tai YC, Tan JA, Peh SC
    Virchows Arch, 2004 Nov;445(5):506-14.
    PMID: 15365830
    t(11;18)(q21;q21) Translocation and trisomy 3 are the most common chromosomal aberrations reported in low-grade mucosa-associated lymphoid tissue (MALT) lymphoma. The current study aims to investigate the frequency of these chromosomal aberrations in a series of 52 extranodal B-cell lymphomas. The tumours were categorised into three histological grades: grade 1 (low-grade lymphoma of MALT type), grade 2 [diffuse large B-cell lymphoma (DLBCL) with MALT component] and grade 3 (DLBCL without MALT component). Fluorescence in situ hybridisation analyses on paraffin tissue sections were performed using a locus-specific probe for the 18q21 region and a centromeric probe for chromosome 3. The 18q21 rearrangement was detected in 9 of 40 (23%) cases, including 7 of 23 (30%) grade-1 and 2 of 11 (18%) grade-3 tumours. Amplification of the 18q21 region was detected in 10 of 40 (25%) cases, and trisomy 3 was detected in 9 of 34 (26%) cases. Amplification of the 18q21 region may be an important alternative pathogenetic pathway in MALT lymphoma and was found almost exclusively in tumours without 18q21 rearrangement. Our study showed that tumours with 18q21 rearrangement and 18q21 amplification develop along two distinct pathways, and the latter was more likely to transform into high-grade tumours upon acquisition of additional genetic alterations, such as trisomy 3. Trisomy 3 was more frequently found in coexistence with 18q21 abnormalities, suggesting that it was more likely to be a secondary aberration.
    MeSH terms: Chromosome Aberrations*; Chromosomes, Human, Pair 18*; Chromosomes, Human, Pair 3*; Humans; Neoplasm Proteins/genetics; Trisomy*; Immunophenotyping; Lymphoma, B-Cell/genetics*; Lymphoma, B-Cell/immunology; Lymphoma, B-Cell/pathology; In Situ Hybridization, Fluorescence; Lymphoma, B-Cell, Marginal Zone/genetics; Caspases
  14. Gopinath VK, Al-Salihi KA, Yean CY, Ann MC, Ravichandran M
    J Clin Pediatr Dent, 2004;28(4):319-22.
    PMID: 15366620
    Amelogenesis imperfecta (AI) is a hereditary disorder resulting in generalized defects in the enamel. The case reported here is of a seven-year-old male child with yellow color of all his teeth. Two of his primary molars were extracted due to dental abscess with advanced root resorption. Histologically hypoplastic enamel layer, positively birefringent, generalized pitting, roughness with irregular general cracked borders were observed. Scanning electron microscope, revealed extensive irregular, disorganized rough superficial enamel layer. The enamel was irregularly decussate with filamentous prisms accompanied by small rounded formations. The morphological and histological examination of the tooth revealed that this patient has the features of AI. For genetic study blood sample were collected from the patient and PCR analysis revealed that there is no mutation in exons 1-7 of AMELX gene on the X chromosome of the patient. Hence, it is probable that the AI of this patient is not X-linked. It is more likely to be an autosomal mutation.
    MeSH terms: Amelogenesis Imperfecta/genetics; Amelogenesis Imperfecta/pathology*; Child; Dental Enamel/ultrastructure*; Dental Enamel Hypoplasia/pathology; Exons/genetics; Humans; Male; Microscopy, Electron, Scanning; Molar/ultrastructure; Mutation/genetics; Tooth, Deciduous/ultrastructure; Chromosomes, Human, X/genetics
  15. Loh LC, Eg KP, Puspanathan P, Tang SP, Yip KS, Vijayasingham P, et al.
    Asian Pac J Allergy Immunol, 2004 Mar;22(1):11-7.
    PMID: 15366653
    Airway inflammation can be demonstrated by the modem method of sputum induction using ultrasonic nebulizer and hypertonic saline. We studied whether compressed-air nebulizer and isotonic saline which are commonly available and cost less, are as effective in inducing sputum in normal adult subjects as the above mentioned tools. Sixteen subjects underwent weekly sputum induction in the following manner: ultrasonic nebulizer (Medix Sonix 2000, Clement Clarke, UK) using hypertonic saline, ultrasonic nebulizer using isotonic saline, compressed-air nebulizer (BestNeb, Taiwan) using hypertonic saline, and compressed-air nebulizer using isotonic saline. Overall, the use of an ultrasonic nebulizer and hypertonic saline yielded significantly higher total sputum cell counts and a higher percentage of cell viability than compressed-air nebulizers and isotonic saline. With the latter, there was a trend towards squamous cell contaminations. The proportion of various sputum cell types was not significantly different between the groups, and the reproducibility in sputum macrophages and neutrophils was high (Intraclass correlation coefficient, r [95%CI]: 0.65 [0.30-0.91] and 0.58 [0.22-0.89], p < 0.001). Overall changes in median FEV, were small and comparable between all groups. Induction using ultrasonic nebulizers together with hypertonic saline was generally less well tolerated than compressed-air nebulizers and isotonic saline. We conclude that in normal subjects, although both nebulizers and saline types can induce sputum with reproducible cellular profile, ultrasonic nebulizers and hypertonic saline are more effective but less well tolerated.
    MeSH terms: Administration, Inhalation; Adult; Bronchial Provocation Tests/methods*; Female; Humans; Isotonic Solutions/administration & dosage; Male; Nebulizers and Vaporizers*; Saline Solution, Hypertonic/administration & dosage; Sodium Chloride/administration & dosage; Sputum/drug effects*; Sputum/immunology; Ultrasonic Therapy/methods*; Treatment Outcome
  16. Maraina CH, Kamaliah MD, Ishak M
    Asian Pac J Allergy Immunol, 2004 Mar;22(1):33-7.
    PMID: 15366656
    A cross sectional study was conducted to determine the auto-antibody profile of Malay SLE patients in Kelantan, North East Malaysia and to correlate them with clinical presentations. Eighty-two Malay SLE patients who fulfilled the ARA criteria underwent the following tests: ANA, anti-dsDNA antibody, anti-ENA antibody and RF. The results revealed that ANA was positive in 91.5% of the patients, anti-dsDNA antibody in 53.7%, however, anti-ENA antibodies were positive in only 9.8% of the cases at the time of the study and none had a positive RF. The profile of autoantibodies was similar to other studies except for a lower incidence of anti-ENA antibodies. Sixty three percent of patients had lupus nephritis. The pattern of clinical presentations were noted to be more similar to those found among Chinese and Indian SLE populations than compared to the Caucasians. There was a significant association between anti-dsDNA antibody and lupus nephritis and between anti-ENA antibody and thrombocytopenia.
    MeSH terms: Adolescent; Adult; Autoantibodies/immunology*; Cross-Sectional Studies; Female; Humans; Lupus Erythematosus, Systemic/immunology*; Malaysia; Male
  17. Nepomnaschy PA, Welch K, McConnell D, Strassmann BI, England BG
    Am J Hum Biol, 2004 Sep-Oct;16(5):523-32.
    PMID: 15368600 DOI: 10.1002/ajhb.20057
    We report here on a longitudinal study of stress and women's reproduction in a small Kaqchikel Mayan community in rural Guatemala. Current understanding of the effects of stress on the reproductive axis in women is mostly derived from clinical studies of individual stressors. Little is known, however, about the cumulative effects of "real life" stress. Cortisol increases in response to a broad variety of individual stressors (Tilbrook et al., 2002). In this article, we evaluate the association between daily fluctuations in women's urinary cortisol and reproductive hormones: estrone conjugates (E(1)C), pregnandiol glucuronide (PdG), luteinizing hormone (LH), and follicle stimulating hormone (FSH). To assess the association between daily changes in cortisol levels and changes in the profiles of the reproductive hormones, we used a random coefficients model based on polynomial regression. The sample includes 92 menstrual cycles provided by 24 participants over a year-long prospective study. Increases in urinary cortisol levels were associated with significant increases in gonadotrophin and progestin levels during the follicular phase. Also, in a time window between days 4 and 10 after ovulation, increased cortisol levels were associated with significantly lower progestin levels. These results are significant because untimely increases in gonadotrophins and low midluteal progesterone levels have previously been reported to impinge on the ovulatory and luteinization processes and to reduce the chances of successful implantation (Ferin, 1999; Baird et al., 1999). Future research should consider the possibility that stress may affect fecundability and implantation without necessarily causing amenorrhoea or oligomenorrhoea.
    MeSH terms: Adolescent; Adult; Circadian Rhythm; Developing Countries; Female; Gonadotropins/analysis; Gonadotropins/metabolism*; Humans; Hydrocortisone/analysis; Hydrocortisone/metabolism*; Longitudinal Studies; Malaysia; Menstrual Cycle/physiology*; Probability; Prospective Studies; Rural Population; Stress, Psychological*; Reproductive History*; Risk Assessment; Ovulation Prediction
  18. Onishi H, Yoshida I
    Med Teach, 2004 Aug;26(5):403-8.
    PMID: 15369878
    Change in Japanese medical education has been accelerating over the last 10 years. Historically, clinical departments in each medical school played a crucial role, but reports in the mass media tried to refute the feudal 'ikyoku-koza' system with a number of malpractice cases, inappropriate patient-doctor communication, etc. At that time policies by the Ministries of Education and Health (rationalized in 2001) independently became more influential in medical education. In particular the network of governmental medical schools has been restructured, merged and privatized since 2001. In the 1990s several private medical schools developed distinctive curricula including problem-based learning (PBL), the objective structured clinical examination (OSCE) and introduction to clinical medicine (ICM). The curriculum for clinical medicine is still a critical issue and will be a major challenge for the management of each medical school. The effectiveness of the National Model Curriculum consisting of more than 1200 objectives might be questionable but the National Common Achievement Test (CAT) will make a strong impact on the preclinical curriculum. In the future each medical school should adopt an outcome-based education system to close the loop of curriculum development. An evaluation system based on the entire medical school or curriculum will be the key to successful education.
    MeSH terms: Clinical Clerkship; Curriculum; Education, Medical, Undergraduate/organization & administration*; Japan; Organizational Innovation*; Problem-Based Learning
  19. Ang HH, Lee KL, Kiyoshi M
    Int J Environ Health Res, 2004 Aug;14(4):261-72.
    PMID: 15369991
    The DCA (Drug Control Authority), Malaysia implemented the phase 3 registration of traditional medicines on 1 January 1992 with special emphasis on the quality, efficacy and safety (including the presence of heavy metals) in all pharmaceutical dosage forms of traditional medicinal preparations. As such, a total of 100 traditional medicinal preparations, containing Smilax myosotiflora, in various pharmaceutical dosage forms, which were bought in the Malaysian market, were analysed for lead content using atomic absorption spectrophotometry. Results showed that 15% of the products analysed possessed 10.23-23.05 ppm of lead, and therefore, do not comply with the quality requirement for traditional medicines in Malaysia. The quality requirement for traditional medicines in Malaysia is that they should not exceed 10 ppm of lead. Out of these 15 products, five products exhibited 10.23-23.05 ppm of lead, in fact they have already been registered with the DCA Malaysia. However, the rest of the products, which possessed 12.24-20.72 ppm of lead, have still not been registered with the DCA Malaysia. Although this study successfully showed that only 85% of the products complied with the quality requirement for traditional medicines in Malaysia pertaining to lead, they cannot, however, be assumed to be safe from lead contamination because of batch-to-batch inconsistency.
    MeSH terms: Drug Contamination*; Lead/analysis*; Malaysia; Quality Control; Safety; Reproducibility of Results; Guideline Adherence*; Plant Preparations/standards*; Plant Preparations/chemistry*; Herbal Medicine/standards; Smilax/chemistry*
  20. Cha PC, Yamada R, Sekine A, Nakamura Y, Koh CL
    J Hum Genet, 2004;49(10):558-572.
    PMID: 15372322 DOI: 10.1007/s10038-004-0190-z
    The extensive nucleotide diversity in drug-related genes predisposes individuals to different drug responses and is a major problem in current clinical practice and drug development. Striking allelic frequency differences exist in these genes between populations. In this study, we genotyped 240 sites known to be polymorphic in the Japanese population in each of 270 unrelated healthy individuals comprising 90 each of Malaysian Malays, Indians, and Chinese. These sites are distributed in 109 genes that are drug related, such as genes encoding drug-metabolizing enzymes and drug transporters. Allele frequency and linkage disequilibrium distributions of these sites were determined and compared. They were also compared with similar data of 752 Japanese. Extensive similarities in allele frequency and linkage disequilibrium distributions were observed among Japanese, Malaysian Chinese, and Malays. However, significant differences were observed between Japanese and Malaysian Chinese with Malaysian Indians. These four populations were grouped into two genetic clusters of different ancestries. However, a higher correlation was found between Malaysian Malays and Indians, indicating the existence of extensive admixture between them. The results also imply the possible and rational use of existing single nucleotide polymorphism databases as references to assist future pharmacogenetic studies involving populations of similar ancestry.
    MeSH terms: Alleles*; Gene Frequency*; Genetic Markers; Humans; Pharmacogenetics*; Linkage Disequilibrium*; Polymorphism, Single Nucleotide*
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