Browse publications by year: 2006

  1. Tok Ch, Bux S, Mohamed S, Lim B
    Biomed Imaging Interv J, 2006 Oct;2(4):e42.
    PMID: 21614328 MyJurnal DOI: 10.2349/biij.2.4.e42
    Fibroids are the commonest uterine neoplasms, occurring in 20% - 30% of women of reproductive age. In women who have pelvic masses of unknown cause, unusual manifestations of fibroids such as necrosis or degeneration may simulate a carcinoma or hydrometra resulting in problems with image interpretation. We report a case of an unsuspected large degenerated uterine fibroid in a lady mistakenly diagnosed as hydrometra on computed tomography scanning.
    MeSH terms: Carcinoma; Female; Humans; Leiomyoma; Tomography, X-Ray Computed; Uterine Diseases; Uterine Neoplasms
  2. Vijayananthan A, Tan L, Owen A, Bhat R, Edwards R, Robertson I, et al.
    Biomed Imaging Interv J, 2006 Oct;2(4):e55.
    PMID: 21614335 MyJurnal DOI: 10.2349/biij.2.4.e55
    There is a growing concern about the transmission of bloodborne pathogens during medical procedures among health care workers and patients. Over the last three decades, radiological services have undergone many changes with the introduction of new modalities. One of these new disciplines is interventional radiology (IR) which deals with procedures such as arteriography, image-guided biopsies, intravascular catheter insertions, angioplasty and stent placements. Despite these developments, the potential for accidental blood exposure and exposure to other infectious material continues to exist. Therefore, it is important for all radiologists who perform invasive procedures to observe specific recommendations for infection control. In this review, we look at the different policies for protection and universal standards on infection control.
  3. Sundram F
    Biomed Imaging Interv J, 2006 Oct;2(4):e56.
    PMID: 21614336 MyJurnal DOI: 10.2349/biij.2.4.e56
    The incidence of thyroid cancer is low, but when it occurs, it is mainly of the papillary histopathological type. Although PET/CT has a limited role in the diagnosis, it plays a significant role in the overall post-surgery management of a patient with thyroid cancer. This follow-up role is important, especially in patients with elevated serum thyroglobulin, but negative radioiodine whole body scans. There is increasing evidence that PET/CT should be a part of routine care in the Tg positive Radioiodine scan negative patient.
    MeSH terms: Follow-Up Studies; Humans; Iodine Radioisotopes; Radionuclide Imaging; Thyroglobulin; Thyroid Neoplasms; Incidence; Whole Body Imaging; Positron Emission Tomography Computed Tomography
  4. Tan S, Fairbairn K, Kirk J, Liong W
    Biomed Imaging Interv J, 2006 Oct;2(4):e58.
    PMID: 21614338 DOI: 10.2349/biij.2.4.e58
  5. Ahmad Sarji S
    Biomed Imaging Interv J, 2006 Oct;2(4):e59.
    PMID: 21614339 MyJurnal DOI: 10.2349/biij.2.4.e59
    Many potential pitfalls and artefacts have been described in PET imaging that uses F-18 fluorodeoxyglucose (FDG). Normal uptake of FDG occurs in many sites of the body and may cause confusion in interpretation particularly in oncology imaging. Clinical correlation, awareness of the areas of normal uptake of FDG in the body and knowledge of variation in uptake as well as benign processes that are FDG avid are necessary to avoid potential pitfalls in image interpretation. In this context, optimum preparation of patients for their scans can be instituted in an attempt to reduce the problem. Many of the problems and pitfalls associated with areas of normal uptake of FDG can be solved by using PET CT imaging. PET CT imaging has the ability to correctly attribute FDG activity to a structurally normal organ on CT. However, the development of combined PET CT scanners also comes with its own specific problems related to the combined PET CT technique. These include misregistration artefacts due to respiration and the presence of high density substances which may lead to artefactual overestimation of activity if CT data are used for attenuation correction.
    MeSH terms: Humans; Radionuclide Imaging; Tomography Scanners, X-Ray Computed; Artifacts; Fluorodeoxyglucose F18; Positron-Emission Tomography; Positron Emission Tomography Computed Tomography
  6. Lachance MA, Bowles JM, Wiens F, Dobson J, Ewing CP
    Int J Syst Evol Microbiol, 2006 Oct;56(Pt 10):2489-2493.
    PMID: 17012584 DOI: 10.1099/ijs.0.64452-0
    A novel species, Metschnikowia orientalis sp. nov., is described for haploid, heterothallic yeasts isolated from nitidulid beetles sampled in flowers in Rarotonga in the Cook Islands, and the Cameron Highlands of Malaysia. As evidenced by analysis of D1/D2 large subunit rDNA sequences, the species is related to Candida hawaiiana, to which it is similar in growth responses. Cylindrical, conjugated asci and acicular ascospores of moderate size are formed. Rudimentary mating reactions were observed with Metschnikowia aberdeeniae and Metschnikowia continentalis, but not with C. hawaiiana. The type strain of M. orientalis is UWOPS 99-745.6(T) (h(+)) (=CBS 10331(T)=NRRL Y-27991(T)) and the designated allotype is UWOPS 05-269.1 (h(-)) (=CBS 10330=NRRL Y-27992).
    MeSH terms: Animals; Beetles/microbiology*; DNA, Fungal/analysis; DNA, Ribosomal/analysis; Saccharomycetales/classification*; Saccharomycetales/genetics; Saccharomycetales/isolation & purification; Saccharomycetales/physiology; Malaysia; Molecular Sequence Data; Phylogeny; Polynesia; Spores, Fungal/physiology; Mycological Typing Techniques; Sequence Analysis, DNA
  7. Rongnopaurt P, Rodpradit P, Kongsawadworakul P, Sithiprasasna R, Linthicum KJ
    J Am Mosq Control Assoc, 2006 Jun;22(2):192-7.
    PMID: 17014059
    Anopheles (Cellia) maculatus Theobald is a major malaria vector in southern Thailand and peninsular Malaysia, and previous population genetic studies suggested that mountain ranges act as barriers to gene flow. In this study, we examine the genetic variance among 12 collections of natural populations in southern Thailand by analyzing 7 microsatellite loci. Based on analysis of molecular variance (AMOVA), three geographic populations of An. maculatus are suggested. The southern population exists in western Thailand north of 12 degrees north latitude. Mosquitoes to the south fall into two genetic populations: 1) the middle southern collections located on the west side of the Phuket mountain range between 8 degrees and 10 degrees north latitude, and 2) the southern collections located on the east of the Phuket mountain range located between approximately 6.5 degrees and 11.5 degrees north latitude. AMOVA revealed significant genetic differentiation between northern and middle southern and southern populations. The middle southern population was moderately differentiated from the southern population. Furthermore, gene flow was restricted between proximal collections located on different sides of the Phuket mountain range. Collections separated by 50 km exhibited restriction of gene flow when separated by geographic barriers, whereas greater gene flow was evident among collections 650 km apart but without geographic barriers.
    MeSH terms: Animals; Anopheles/genetics*; DNA/genetics; Genetics, Population; Thailand; Polymerase Chain Reaction; Microsatellite Repeats/genetics
  8. Lan BL
    Chaos, 2006 Sep;16(3):033107.
    PMID: 17014212
    The dynamics of a periodically delta-kicked Hamiltonian system moving at low speed (i.e., at speed much less than the speed of light) is studied numerically. In particular, the trajectory of the system predicted by Newtonian mechanics is compared with the trajectory predicted by special relativistic mechanics for the same parameters and initial conditions. We find that the Newtonian trajectory, although close to the relativistic trajectory for some time, eventually disagrees completely with the relativistic trajectory, regardless of the nature (chaotic, nonchaotic) of each trajectory. However, the agreement breaks down very fast if either the Newtonian or relativistic trajectory is chaotic, but very much slower if both the Newtonian and relativistic trajectories are nonchaotic. In the former chaotic case, the difference between the Newtonian and relativistic values for both position and momentum grows, on average, exponentially. In the latter nonchaotic case, the difference grows much slower, for example, linearly on average.
    MeSH terms: Models, Theoretical; Motion; Particle Size; Physics/methods*; Research Design; Time Factors; Models, Statistical; Nonlinear Dynamics
  9. Ghani RA, Zainudin S, Ctkong N, Rahman AF, Wafa SR, Mohamad M, et al.
    Nephrology (Carlton), 2006 Oct;11(5):386-93.
    PMID: 17014550
    Sepsis is characterized by an uncontrolled release of pro-inflammatory and anti-inflammatory mediators leading to immunoparalysis, cellular and humoral dysfunction, multiorgan dysfunction and death. This study evaluated the efficacy of high-volume haemofiltration (HVHF) compared with continuous venovenous haemofiltration (CVVH) in removing these inflammatory mediators. Clinical responses were assessed with the sequential organ failure assessment (SOFA) score.
    MeSH terms: Adult; Aged; Female; Hemofiltration/methods*; Humans; Male; Middle Aged; Multiple Organ Failure/blood*; Multiple Organ Failure/mortality; Multiple Organ Failure/therapy*; Predictive Value of Tests; Prognosis; Severity of Illness Index; Cohort Studies; Biomarkers/blood; Interleukin-6/blood*; Survival Analysis; Treatment Outcome; Sepsis/blood*; Sepsis/mortality; Interleukin 1 Receptor Antagonist Protein/blood*
  10. Tuladhar BS, Haslindawaty N, Nada B, Panneerchelvam S, Norazmi MN
    J Forensic Sci, 2006 Sep;51(5):1205-6.
    PMID: 17018114
    MeSH terms: Ethnic Groups/genetics; Gene Frequency*; Genetics, Population*; Humans; Malaysia; Polymorphism, Genetic*; Polymerase Chain Reaction; DNA Fingerprinting; Tandem Repeat Sequences*
  11. Voglmayr H, Yule CM
    Mycol. Res., 2006 Oct;110(Pt 10):1242-52.
    PMID: 17018253
    During an investigation of submerged leaves and twigs sampled from tropical peat swamp forests located in Peninsular Malaysia, an anamorphic fungus not attributable to a described genus was detected and isolated in pure culture. Conidial ontogeny was thoroughly studied and illustrated using both light and SEM, which revealed a unique conidial morphology. Analysis of partial nuLSU rDNA and ITS data revealed a phylogenetic position within the Xylariales (Ascomycota), but family affiliation remained unclear.
    MeSH terms: Climate; DNA, Fungal/genetics; DNA, Fungal/isolation & purification; DNA, Ribosomal/genetics; DNA, Ribosomal/isolation & purification; Fungi/classification; Fungi/isolation & purification*; Malaysia; Phylogeny; Spores, Fungal/isolation & purification; Trees/microbiology*; Ecosystem
  12. Haron S, Ray AK
    Med Eng Phys, 2006 Dec;28(10):978-81.
    PMID: 17018258
    A three layer waveguiding silicon dioxide (SiO(2))/silicon nitride (Si(3)N(4))/SiO(2) structure on silicon substrate was proposed as an optically efficient biosensor for calibration of heavy metal ions in drinking water. The catalytic activities of urease and acetylcholine esterase (AchE) were inhibited by the presence of cadmium (Cd(2+)) and lead (Pb(2+)) ions. The detection limit as low as 1 ppb was achieved by employing the technique of total reflection at the interface between the Si(3)N(4) core and composite polyelectrolyte self-assembled (PESA) membranes containing cyclotetrachromotropylene (CTCT) as an indicator.
    MeSH terms: Cadmium/analysis*; Environmental Monitoring/methods*; Ions; Lead/analysis*; Photometry/methods*; Sensitivity and Specificity; Water/chemistry*; Water Pollutants, Chemical/analysis*; Reproducibility of Results; Biosensing Techniques/methods*; Optics and Photonics
  13. Yeo KK, Tai BC, Heng D, Lee JM, Ma S, Hughes K, et al.
    Diabetologia, 2006 Dec;49(12):2866-73.
    PMID: 17021918 DOI: 10.1007/s00125-006-0469-z
    AIMS/HYPOTHESIS: The aim of the study was to determine whether the risk of ischaemic heart disease (IHD) associated with diabetes mellitus differs between ethnic groups.

    METHODS: Registry linkage was used to identify IHD events in 5707 Chinese, Malay and Asian Indian participants from three cross-sectional studies conducted in Singapore between the years 1984 and 1995. The study provided a median of 10.2 years of follow-up with 240 IHD events experienced. We assessed the interaction between diabetes mellitus and ethnicity in relation to the risk of IHD events using Cox proportional hazards regression.

    RESULTS: Diabetes mellitus was more common in Asian Indians. Furthermore, diabetes mellitus was associated with a greater risk of IHD in Asian Indians. The hazard ratio when comparing diabetes mellitus with non-diabetes mellitus was 6.41 (95% CI 5.77-7.12) in Asian Indians and 3.07 (95% CI 1.86-5.06) in Chinese (p = 0.009 for interaction). Differences in the levels of established IHD risk factors among diabetics from the three ethnic groups did not appear to explain the differences in IHD risk.

    CONCLUSIONS/INTERPRETATION: Asian Indians are more susceptible to the development of diabetes mellitus than Chinese and Malays. When Asian Indians do develop diabetes mellitus, the risk of IHD is higher than for Chinese and Malays. Consequently, the prevention of diabetes mellitus amongst this ethnic group is particularly important for the prevention of IHD in Asia, especially given the size of the population at risk. Elucidation of the reasons for these ethnic differences may help us understand the pathogenesis of IHD in those with diabetes mellitus.
    MeSH terms: Adult; Blood Pressure; China/ethnology; Cross-Sectional Studies; Diabetes Mellitus/mortality; Diabetes Mellitus/epidemiology*; Diabetes Mellitus/physiopathology; Diabetic Angiopathies/mortality; Diabetic Angiopathies/epidemiology*; Diabetic Angiopathies/physiopathology; Ethnic Groups*; Female; Humans; Hypertension/epidemiology; India/ethnology; Malaysia/ethnology; Male; Middle Aged; Risk Factors; Singapore/epidemiology; Cohort Studies; Survival Analysis; Myocardial Ischemia/mortality; Myocardial Ischemia/epidemiology*; Myocardial Ischemia/physiopathology; Asian Continental Ancestry Group/statistics & numerical data
  14. Bulgiba AM, Fisher MH
    Health Informatics J, 2006 Sep;12(3):213-25.
    PMID: 17023409 DOI: 10.1177/1460458206066665
    The study investigated the effect of different input selections on the performance of artificial neural networks in screening for acute myocardial infarction (AMI) in Malaysian patients complaining of chest pain. We used hospital data to create neural networks with four input selections and used these to diagnose AMI. A 10-fold cross-validation and committee approach was used. All the neural networks using various input selections outperformed a multiple logistic regression model, although the difference was not statistically significant. The neural networks achieved an area under the ROC curve of 0.792 using nine inputs, whereas multiple logistic regression achieved 0.739 using 64 inputs. Sensitivity levels of over 90 per cent were achieved using low output threshold levels. Specificity levels of over 90 per cent were achieved using threshold levels of 0.4-0.5. Thus neural networks can perform as well as multiple logistic regression models even when using far fewer inputs.
    MeSH terms: Acute Disease; Humans; Malaysia; Myocardial Infarction/diagnosis*; Patient Participation*; ROC Curve; Neural Networks (Computer)*
  15. Fairus S, Nor RM, Cheng HM, Sundram K
    Am J Clin Nutr, 2006 Oct;84(4):835-42.
    PMID: 17023711
    BACKGROUND: The detection of tocotrienols in human plasma has proven elusive, and it is hypothesized that they are rapidly assimilated and redistributed in various mammalian tissues.

    OBJECTIVE: The primary study objective was to evaluate the postprandial fate of tocotrienols and alpha-tocopherol in human plasma and lipoproteins.

    DESIGN: Seven healthy volunteers (4 males, 3 females) were administered a single dose of vitamin E [1011 mg palm tocotrienol-rich fraction (TRF) or 1074 mg alpha-tocopherol] after a 7-d conditioning period with a tocotrienol-free diet. Blood was sampled at baseline (fasted) and 2, 4, 5, 6, 8, and 24 h after supplementation. Concentrations of tocopherol and tocotrienol isomers in plasma, triacylglycerol-rich particles (TRPs), LDLs, and HDLs were measured at each interval.

    RESULTS: After intervention with TRF, plasma tocotrienols peaked at 4 h (4.79 +/- 1.2 microg/mL), whereas alpha-tocopherol peaked at 6 h (13.46 +/- 1.68 microg/mL). Although tocotrienols were similarly detected in TRPs, LDLs, and HDLs, tocotrienol concentrations were significantly lower than alpha-tocopherol concentrations. In comparison, plasma alpha-tocopherol peaked at 8 h (24.3 +/- 5.22 microg/mL) during the alpha-tocopherol treatment and emerged as the major vitamin E isomer detected in plasma and lipoproteins during both the TRF and the alpha-tocopherol treatments.

    CONCLUSIONS: Tocotrienols are detected in postprandial plasma, albeit in significantly lower concentrations than is alpha-tocopherol. This finding confirms previous observations that, in the fasted state, tocotrienols are not detected in plasma. Tocotrienol transport in lipoproteins appears to follow complex biochemically mediated pathways within the lipoprotein cascade.

    MeSH terms: Adult; Antioxidants/metabolism; Female; Humans; Lipoproteins/blood*; Cholesterol, HDL/blood; Cholesterol, LDL/blood; Male; Reference Values; Time Factors; Triglycerides/blood; Vitamin E/metabolism*; Postprandial Period*; alpha-Tocopherol/blood*; Tocotrienols/blood*
  16. Rahim ZH, Khan HB
    J Oral Sci, 2006 Sep;48(3):117-23.
    PMID: 17023743
    A study was conducted to compare the efficiency of crude aqueous (CA) and solvent extracts (CM) of clove on the caries-inducing properties of Streptococcus mutans. The cariogenic properties investigated included the cell adhesion, cell-surface hydrophobicity and glucan synthesis activities of S. mutans. There was a significant difference between the effect of the CA and CM extracts on the adhesion of S. mutans (P < 0.05) within a concentration range of 5-15 mg/ml, the CM extract demonstrating a slightly higher inhibitory effect. However, the effect of the CM extract on the cell-surface hydrophobicity of S. mutans was weaker than that of the CA extract. The two extracts were found to reduce the synthesis of water-insoluble glucan (WIG) by almost 50% at a concentration as low as 0.5 mg/ml and the CM extract exhibited a significantly higher inhibitory effect than the CA extract (P < 0.05). The present findings indicate that both the CA and CM extracts exert inhibitory effects on the cariogenic properties of S. mutans and that the CA extract is as equally effective as the CM extract.
    MeSH terms: Bacterial Adhesion/drug effects; Cariostatic Agents/pharmacology*; Cariostatic Agents/chemistry; Chemistry, Pharmaceutical; Glucans/biosynthesis; Glucosyltransferases/antagonists & inhibitors; Plant Extracts/pharmacology*; Plant Extracts/chemistry; Streptococcus mutans/drug effects*; Streptococcus mutans/metabolism; Syzygium*; Hydrophobic and Hydrophilic Interactions
  17. Chew MT
    Angle Orthod, 2006 Sep;76(5):806-9.
    PMID: 17029514
    The aim of this retrospective study is to investigate the spectrum and management of dentofacial deformities in a multiethnic Asian community.
    MeSH terms: Adolescent; Adult; Chin/surgery; China/ethnology; Ethnic Groups*; Facial Asymmetry/ethnology; Facial Asymmetry/surgery; Female; Humans; India/ethnology; Malaysia/ethnology; Male; Malocclusion/ethnology*; Malocclusion/surgery; Malocclusion, Angle Class II/ethnology; Malocclusion, Angle Class II/surgery; Malocclusion, Angle Class III/ethnology; Malocclusion, Angle Class III/surgery; Maxilla/abnormalities; Maxilla/surgery; Middle Aged; Osteotomy/methods; Retrospective Studies; Singapore; Osteotomy, Le Fort; Craniofacial Abnormalities/ethnology*; Craniofacial Abnormalities/surgery
  18. Saw JT, Bahari MB, Ang HH, Lim YH
    Complement Ther Clin Pract, 2006 Nov;12(4):236-41.
    PMID: 17030294
    This is a cross-sectional survey evaluating the use of herbal medicines in medical wards patients that may interfere with the effect of antiplatelet or anticoagulant therapy. Among the 250 patients participated, 42.4% (n=106) were taking herbs with 76 patients (71.7%) using herbs for the past 12 months. Overall, almost 31% (n=23, N=76) of patients were taking one or more of the specified herbal medicines [ginseng (Panax ginseng), garlic (Allium sativum), ginkgo (Gingko biloba) thought to interact with antiplatelet or anticoagulant therapy. The study showed that 21% (n=16, N=76) of patients co-ingested specified herbs with antiplatelet or anticoagulant therapy, of which half of them were at risk of potential drug-herb interactions. A large proportion of respondents involved in potential drug-herb interaction were elderly people (62.5%, n=5). However, more than 90% of herbal users did not disclose the use of herbal medicine to their health professionals. It is thus prudent for all care givers to be aware of the possibility of drug-herb interaction and inquire about herbal use from patients.
    MeSH terms: Adult; Aged; Aged, 80 and over; Anticoagulants/administration & dosage*; Cross-Sectional Studies; Female; Garlic/adverse effects; Panax/adverse effects; Humans; Health Knowledge, Attitudes, Practice; Malaysia; Male; Phytotherapy/adverse effects*; Middle Aged; Plants, Medicinal/adverse effects; Platelet Aggregation Inhibitors/administration & dosage*; Surveys and Questionnaires; Ginkgo biloba/adverse effects; Herb-Drug Interactions*
  19. Tee KK, Li XJ, Nohtomi K, Ng KP, Kamarulzaman A, Takebe Y
    J Acquir Immune Defic Syndr, 2006 Dec 15;43(5):523-9.
    PMID: 17031320
    A molecular epidemiological investigation was conducted among various risk populations (n = 184) in Kuala Lumpur, Malaysia, in 2003 to 2005, on the basis of nucleotide sequences of protease and reverse transcriptase regions. In addition to circulating HIV-1 strains, including CRF01_AE (57.1%), subtype B (20.1%), and subtype C (0.5%), we detected a candidate with a new circulating recombinant form (CRF). We determined four near-full-length nucleotide sequences with identical subtype structure from epidemiologically unlinked individuals of different risk and ethnic groups. In this chimera, two short subtype B segments were inserted into the gag-RT region in a backbone of CRF01_AE. The recombinant structure was distinct from previously identified CRF15_01B in Thailand. In agreement with the current HIV nomenclature system, this constitutes a novel CRF (CRF33_01B). The overall prevalence of CRF33_01B is 19.0% (35/184). Although the prevalence of CRF33_01B is particularly high among injecting drug users (42.0%, 21/50), it is also detected in a substantial proportion of homo-/bisexual males (18.8%, 3/16) and heterosexuals (9.8%, 9/92). Moreover, unique recombinant forms composed of CRF01_AE and subtype B that have a significant structural relationship with CRF33_01B were detected in 1.6% (3/184) of study subjects, suggesting an ongoing recombination process in Malaysia. This new CRF seems to be bridging viral transmission between different risk populations in this country.
    MeSH terms: Adult; Aged; Base Sequence; Child; Child, Preschool; Female; Genotype; Humans; Malaysia/epidemiology; Male; Middle Aged; Molecular Sequence Data; Phylogeny; HIV-1/classification*; HIV-1/genetics; HIV Infections/epidemiology*; HIV Infections/virology*; Molecular Epidemiology
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