Browse publications by year: 2006

  1. Talib N
    Med Law, 2006 Sep;25(3):445-62.
    PMID: 17078519
    This paper sets out the practice of traditional, alternative and/or complementary medicine in Malaysia. It gives an overview of the types of alternative medicine available, and the legal regulation, or lack of it within the current setting. The relevant policies and governmental action in this area are highlighted. Relevant case law decisions in this area are also included. The practice of spiritual healing as one form of traditional medicine, and its role within the spectrum of alternative medicine is dealt with briefly. The significant question of integration of alternative medicine within the existing allopathic system is addressed. The paper concludes that as interest in, and usage of alternative medicine is not likely to decrease, certain measures must be taken by the relevant authorities to ensure among others, the safety and efficacy of these medicines.
    MeSH terms: Complementary Therapies/legislation & jurisprudence*; Humans; Malaysia; Government Regulation
  2. Sim X, Ali RA, Wedren S, Goh DL, Tan CS, Reilly M, et al.
    BMC Cancer, 2006;6:261.
    PMID: 17078893
    From 1968 to 2002, Singapore experienced an almost three-fold increase in breast cancer incidence. This increase appeared to be different across the three main ethnic groups: Chinese, Malays and Indians. This paper used age-period-cohort (APC) modelling, to determine the effects of age at diagnosis, calendar period, and birth cohort on breast cancer incidence for each ethnic group.
    MeSH terms: Adult; Aged; Breast Neoplasms/ethnology*; Breast Neoplasms/epidemiology*; China/ethnology; Female; Fertility; Humans; India/ethnology; Malaysia/ethnology; Middle Aged; Risk Factors; Singapore/epidemiology; Cohort Studies; Incidence; Age of Onset
  3. Abbott A, Cyranoski D, Masood E
    Nature, 2006 Nov 2;444(7115):20-1.
    PMID: 17080056
    MeSH terms: Indonesia; Iran; Islam*; Malaysia; Pakistan; Population Dynamics; Saudi Arabia; History, 20th Century; History, 21st Century
  4. Lim KL, Fam HB
    J Cataract Refract Surg, 2006 Nov;32(11):1814-9.
    PMID: 17081863
    To determine the values for the anterior best-fit sphere (BFS) and posterior BFS in an Asian population using the Orbscan II (Bausch & Lomb) slit-scanning Placido disk corneal topographer.
    MeSH terms: Adolescent; Adult; Anterior Eye Segment/anatomy & histology*; Cornea/anatomy & histology*; Female; Humans; Male; Middle Aged; Prospective Studies; Reference Values; Corneal Topography/methods*; Asian Continental Ancestry Group/ethnology*
  5. Nor MM, Yushar A, Razali M, Rahman RA, Ramli R
    Dentomaxillofac Radiol, 2006 Nov;35(6):473-4.
    PMID: 17082343
    Susuk, or charm needles, are inserted and worn subcutaneously in the face and other parts of the body, as they are believed to enhance beauty and youth, and for many other reasons such as treatment of headache, aches and pains in the joints, back or abdomen. The practice of inserting susuk is a traditional belief, genuinely cultural and superstitious, and common in the south-east Asian region. We present 13 cases of susuk, which was found incidentally on the radiographs as the patients came for various types of treatment at our centre.
    MeSH terms: Cosmetic Techniques; Foreign Bodies/radiography*; Humans; Malaysia; Medicine, Traditional; Needles; Radiography, Panoramic; Religion and Medicine
  6. Tan KH, Tan LT, Nishida R
    J Chem Ecol, 2006 Nov;32(11):2429-41.
    PMID: 17082990 DOI: 10.1007/s10886-006-9154-4
    It is widely believed that most orchid flowers attract insects by using deception or chemical rewards in the form of nectar. Flowers of Bulbophyllum vinaceum produce a large array of phenylpropanoids that lure tephritid fruit fly males and also act as floral reward, which the flies subsequently convert to pheromone components. The major floral volatile components identified are methyl eugenol (ME), trans-coniferyl alcohol (CF), 2-allyl-4,5-dimethoxphenol (DMP), and trans-3,4-dimethoxycinnamyl acetate, whereas the minor components are eugenol, euasarone, trans-3,4-dimethoxy cinnamyl alcohol, and cis-coniferyl alcohol. Among the various floral parts, the lip (which is held in a closed position up against the sexual organs) has the highest concentration of the major compounds. An attracted male fly normally lands on one of the petals before climbing up onto and forcing the "spring loaded" floral lip into the open position, hence exposing the floral sexual organs. The architecture and location of chemical attractants of the lip compel the fly to align itself along the lip's longitudinal axis in a precise manner. As the fly laps up the compounds and moves towards the base of the lip, it passes the point of imbalance causing the lip to spring back to its normal closed position. The fly is catapulted headfirst into the column cavity, and its dorsum strikes the protruding sticky base of the hamulus and adheres to it. The momentum of the fly and the structural morphology of the long stiff hamulus act to pry out the pollinia from its anther cover. Hence, the pollinarium (pollinia + hamulus) is detached from the flower and adhered to the fly's dorsum. In this unique mutualistic association, both species receive direct reproductive benefits--the flower's pollinarium is transported for cross pollination, and the fly is offered a bouquet of phenylpropanoids (synomone) that it consumes, converts, and/or sequesters as sex pheromonal components, thus enhancing sexual attraction and mating success.
    MeSH terms: Animals; Diptera/physiology*; Male; Gas Chromatography-Mass Spectrometry; Phenylpropionates/metabolism*; Plant Extracts; Pollen*; Sex Attractants/metabolism; Species Specificity; Volatilization; Orchidaceae/metabolism; Orchidaceae/physiology*
  7. Nor Saleha IT, Noor Hassim I
    Ind Health, 2006 Oct;44(4):584-91.
    PMID: 17085919
    Noise is one of the hazards faced by workers. A cross-sectional study was conducted among industries in Negeri Sembilan with the objective to assess their compliance to Hearing Conservation Programme (HCP). The other objectives of this study were to determine the factors influencing it and to show the industries' compliance to each element of the programme. It was also to identify the association between compliance to HCP and the prevalence of hearing impairment and standard threshold shift. Data for this study were collected using questionnaires sent by mail and also the results of the latest audiometric tests. A total of 167 industries were analysed for this study. It was found that 41.3% of these industries fully complied to the programme. It was also found that the industries preferred to provide hearing protection device (92.8%) and least complied to noise control (61.1%). There were significant associations (p<0.05) between compliance and number of employees, status of ownership and the presence of officer in charge of hearing conservation programme. Having at least 150 employees actually raised the compliance to HCP in two folds (beta = 0.717, OR = 2.048, C.I 95% = 1.063 to 3.944). The prevalences of hearing impairment and standard threshold shift were 23.9% and 5.2% respectively. There was no significant association between the prevalence for hearing impairment and compliance to HCP. The prevalence for standard threshold shift was inversely related to compliance. This study showed that compliance percentage need to be improved as an effort to prevent the hearing problems among workers exposed to noise.
    MeSH terms: Adult; Audiometry/statistics & numerical data; Cross-Sectional Studies; Hearing Loss, Noise-Induced/etiology; Hearing Loss, Noise-Induced/epidemiology; Hearing Loss, Noise-Induced/prevention & control*; Hearing Loss, Sensorineural/etiology; Hearing Loss, Sensorineural/epidemiology; Hearing Loss, Sensorineural/prevention & control*; Humans; Industry/classification; Industry/standards*; Malaysia/epidemiology; Middle Aged; Noise, Occupational/adverse effects*; Occupational Diseases/epidemiology; Occupational Diseases/prevention & control*; Surveys and Questionnaires; Program Evaluation; Prevalence; Occupational Health; Occupational Exposure/adverse effects; Occupational Exposure/prevention & control*; Risk Assessment; Guideline Adherence/statistics & numerical data*; Threshold Limit Values
  8. Schilthuizen M, van Til A, Salverda M, Liew TS, James SS, bin Elahan B, et al.
    Evolution, 2006 Sep;60(9):1851-8.
    PMID: 17089969
    Genetic divergence in geographically isolated populations is a prerequisite for allopatric speciation, one of the most common modes of speciation. In ecologically equivalent populations existing within a small, environmentally homogeneous area, an important role for environmentally neutral divergence is often found or inferred. We studied a species complex of conspicuously shaped Opisthostoma land snails on scattered limestone outcrops within a small area of lowland rainforest in Borneo. We used shell morphometrics, mitochondrial and nuclear DNA sequences, and marks of predation to study the factors involved in allopatric divergence. We found that a striking geographic divergence exists in shell morphology, which is partly associated with neutral genetic divergence. We also found geographic differentiation in the behavior of the snails' invertebrate predator and evidence of an evolutionary interaction between aspects of shell shape and predator behavior. Our study shows that adaptation to biotic aspects of the environment may play a more important role in allopatric speciation than previously suspected, even on a geographically very small scale.
    MeSH terms: Adaptation, Physiological; Animals; Demography; Biological Evolution*; Predatory Behavior/physiology*; Genetic Variation; Gastropoda/anatomy & histology*; Gastropoda/genetics; Gastropoda/physiology*
  9. Wilting A, Fischer F, Abu Bakar S, Linsenmair KE
    BMC Ecol, 2006;6:16.
    PMID: 17092347
    The continued depletion of tropical rainforests and fragmentation of natural habitats has led to significant ecological changes which place most top carnivores under heavy pressure. Various methods have been used to determine the status of top carnivore populations in rainforest habitats, most of which are costly in terms of equipment and time. In this study we utilized, for the first time, a rigorous track classification method to estimate population size and density of clouded leopards (Neofelis nebulosa) in Tabin Wildlife Reserve in north-eastern Borneo (Sabah). Additionally, we extrapolated our local-scale results to the regional landscape level to estimate clouded leopard population size and density in all of Sabah's reserves, taking into account the reserves' conservation status (totally protected or commercial forest reserves), their size and presence or absence of clouded leopards.
    MeSH terms: Animals; Conservation of Natural Resources*; Ecology; Malaysia; Population Density; Trees; Panthera*
  10. Maeba S, Nemoto S, Hamdan L, Okada T, Azhari M
    Kyobu Geka, 2006 Nov;59(12):1075-8.
    PMID: 17094543
    From April 2002 to March 2005, 18 patients having undergone bidirectional Glenn shunt (BDG) without cardiopulmonary bypass (CPB) [off-pump BDG] were retrospectively reviewed. During BDG anastomosis, a temporary bypass was established between superior vena cava (15) or innominate vein (3) and main pulmonary artery (16) or right atrium (2). Hemodynamics and oxygenation were maintained well throughout the temporary bypass time. There was no emergent use of CPB. Mean transpulmonary pressure gradient immediately after and 24 hours after the BDG were 6.7 and 5.6 mmHg, respectively. Echocardiography showed mild flow turbulence at the anastomosis in 1 case. This simple and inexpensive technique provided good surgical view with stable hemodynamics enabling satisfactory BDG in selected cases. Furthermore, it could avoid adverse effects of CPB such as lung injury and possible blood transfusion. This experience would encourage off-pump BDG combined with more challenging procedures.
    MeSH terms: Anastomosis, Surgical/methods; Blood Pressure; Child; Child, Preschool; Female; Heart Defects, Congenital/physiopathology; Heart Defects, Congenital/surgery*; Cardiac Surgical Procedures/methods*; Humans; Male; Pulmonary Artery/surgery*; Retrospective Studies; Vena Cava, Superior/surgery*; Brachiocephalic Veins/surgery; Coronary Artery Bypass, Off-Pump*
  11. Pariatamby A, Subramaniam C, Mizutani S, Takatsuki H
    Environ Sci, 2006;13(5):289-96.
    PMID: 17096003
    Fly ash samples from a mixed hazardous waste (MHW) incinerator were subjected to solidification and stabilization (S/S) studies using ordinary Portland cement (OPC) as the binder. Additives (i.e., activated carbon and rice husk) were also homogenized with the binder and waste to determine the effectiveness of the immobilization of heavy metals. The toxicity characteristics leaching procedure (TCLP), Japanese Leaching Test (JLT-13) and the American Nuclear Test 16.1 (modified) ANS 16.1 were used to gauge the leaching of heavy metals from the solidified matrixes. Compressibility strength of the solidified matrixes was also tested using the American Standard Testing Material (ASTM) test procedure for the compressive strength of hydraulic cement mortars.
    MeSH terms: Carbon/chemistry*; Construction Materials*; Hazardous Waste*; Refuse Disposal/methods*; Incineration; Metals, Heavy/analysis; Compressive Strength; Particulate Matter/chemistry*; Coal Ash
  12. Ariffin H, Ai CL, Lee CL, Abdullah WA
    J Paediatr Child Health, 2006 Dec;42(12):781-4.
    PMID: 17096713
    Empirical therapy for children with febrile neutropenia has traditionally consisted of combination antibiotics, usually a beta-lactam and an aminoglycoside. However, recent trends and international guidelines have now made monotherapy a feasible option in the management of this group of patients. We prospectively evaluated the efficacy and safety of cefepime monotherapy in our population of paediatric cancer patients with febrile neutropenia.
    MeSH terms: Adolescent; Anti-Bacterial Agents/therapeutic use*; Cephalosporins/therapeutic use*; Child; Child, Preschool; Female; Fever/drug therapy; Fever/etiology; Humans; Infant; Malaysia; Male; Neoplasms/complications; Neutropenia/drug therapy*; Neutropenia/etiology; Prospective Studies; Vancomycin/therapeutic use; Treatment Outcome
  13. Abdullah JM, Farizan A, Asmarina K, Zainuddin N, Ghazali MM, Jaafar H, et al.
    Asian J Surg, 2006 Oct;29(4):274-82.
    PMID: 17098662
    The pattern of allelic loss of heterozygosity (LOH) and PTEN mutations appear to be associated with the progression of gliomas leading to a decrement in the survival rate of patients. This present study was carried out to determine the LOH and PTEN mutational status in glioma patients and its association with patients' survival.
    MeSH terms: Adult; Brain/pathology; Brain Neoplasms/diagnosis; Brain Neoplasms/genetics*; Brain Neoplasms/mortality*; Brain Neoplasms/pathology; Data Interpretation, Statistical; Female; Glioma/diagnosis; Glioma/genetics*; Glioma/mortality*; Glioma/pathology; Heterozygote; Humans; Malaysia; Male; Mutation; Neoplasm Staging; Prognosis; Regression Analysis; Multivariate Analysis; Survival Analysis; Polymerase Chain Reaction; Polymorphism, Single-Stranded Conformational; PTEN Phosphohydrolase*
  14. Syed-Mohamad SM, Pardi KW, Zainal NA, Ismail Z
    PMID: 17102245
    The School of Health Sciences, Universiti Sains Malaysia (SHS) is planning to expand its contribution to produce more graduate nurses by offering a nursing degree through e-learning. After three years of using e-learning by four lecturers in seven nursing courses, we conducted a study to get the lecturers feedback and to compare the students' preference and their actual experiences in e-learning. Lecturers' feedback were collected based on six open-ended questions. Feedback from all the 36 final year nursing students were collected using Constructivist On-line Learning Environment Survey (COLLES)--the Student Experience/Preferred Form. Results show that lecturers and students have positive perception on e-learning. They perceive e-learning as a powerful and effective tool for expanding nursing education to meet the demand for a labour force that is knowledgeable, highly skilled and equipped with positive values. We believe blended learning is the most suitable approach to implement e-learning and social constructivism theory provides the dynamic view of learning. To increase success in e-learning implementation for the nursing programme, lecturers should be educated regarding proper instructional design so that their content delivery blends well with the technology and pedagogy.
    MeSH terms: Consumer Behavior; Education, Nursing/methods*; Humans; Malaysia; Surveys and Questionnaires; Organizational Case Studies; Education, Distance*; Internet*
  15. Zhou Q, Cheung YB, Jada SR, Lim WT, Kuo WL, Gray JW, et al.
    Cancer Biol Ther, 2006 Nov;5(11):1445-9.
    PMID: 17102595
    AIM: The purpose of this study was to test the hypothesis if longer CA dinucleotide repeats are more common in the Asian population and also to gain insights into the interplay between the CA dinucleotide repeats and the frequencies of EGFR gene expression and amplifications as this might have therapeutic implications with regards to treatment with tyrosine kinase inhibitors.

    MATERIALS AND METHODS: The EGFR intron 1 polymorphism was analysed in three distinct healthy Asian subjects, namely, Chinese (N = 96), Malays (N = 98) and Indians (N = 100). Comparative genomic hybridisation was performed to investigate for changes in DNA copy number in relation to the polymorphic CA dinucleotide repeats in breast tumor tissues (N = 22).

    RESULTS: The frequency of short alleles with 14 and 15 CA repeats were most common in the Asian populations and significantly higher than those reported for Caucasians. The frequency of 20 CA repeats was 5%, almost 13-fold lower than previous reports. EGFR amplifications were detected in 23% and 11% of breast tumor tissues harboring short and long CA repeats, respectively.

    CONCLUSION: Our results show that the frequency of alleles encoding for short CA dinucleotide repeats is common in Asian populations. EGFR expression and amplification levels were also higher in Asian breast tumor tissues with short CA dinucleotide repeats. These findings suggest that the EGFR intron 1 polymorphism may influence response to treatment with tyrosine kinase inhibitors in breast cancer patients and further studies are warranted.

    MeSH terms: Breast Neoplasms/drug therapy; Breast Neoplasms/genetics*; China; Enzyme Inhibitors/therapeutic use*; Female; Gene Amplification; Gene Frequency; Genotype; Humans; India; Introns*; Malaysia; Polymorphism, Genetic; Protein-Tyrosine Kinases/antagonists & inhibitors; Gene Expression Regulation, Neoplastic; Polymerase Chain Reaction; DNA Primers; Asian Continental Ancestry Group/genetics; ErbB Receptors/genetics*
  16. Mourougayan V
    Cleft Palate Craniofac J, 2006 Nov;43(6):656-8.
    PMID: 17105330
    To study the quality of scars following the use of butyl cyanoacrylate to close the skin during cleft lip repair.
    MeSH terms: Child, Preschool; Cicatrix/classification; Cicatrix/pathology; Cleft Lip/surgery*; Enbucrilate/therapeutic use*; Esthetics; Female; Follow-Up Studies; Humans; Infant; Lip/surgery; Male; Prospective Studies; Suture Techniques; Sutures; Tissue Adhesives/therapeutic use*; Absorbable Implants; Dermatologic Surgical Procedures
  17. Bänfer G, Moog U, Fiala B, Mohamed M, Weising K, Blattner FR
    Mol Ecol, 2006 Dec;15(14):4409-24.
    PMID: 17107473
    Macaranga (Euphorbiaceae) includes about 280 species with a palaeotropic distribution. The genus not only comprises some of the most prominent pioneer tree species in Southeast Asian lowland dipterocarp forests, it also exhibits a substantial radiation of ant-plants (myrmecophytes). Obligate ant-plant mutualisms are formed by about 30 Macaranga species and 13 ant species of the genera Crematogaster or Camponotus. To improve our understanding of the co-evolution of the ants and their host plants, we aim at reconstructing comparative organellar phylogeographies of both partners across their distributional range. Preliminary evidence indicated that chloroplast DNA introgression among closely related Macaranga species might occur. We therefore constructed a comprehensive chloroplast genealogy based on DNA sequence data from the noncoding ccmp2, ccmp6, and atpB-rbcL regions for 144 individuals from 41 Macaranga species, covering all major evolutionary lineages within the three sections that contain myrmecophytes. A total of 88 chloroplast haplotypes were identified, and grouped into a statistical parsimony network that clearly distinguished sections and well-defined subsectional groups. Within these groups, the arrangement of haplotypes followed geographical rather than taxonomical criteria. Thus, up to six chloroplast haplotypes were found within single species, and up to seven species shared a single haplotype. The spatial distribution of the chloroplast types revealed several dispersals between the Malay Peninsula and Borneo, and a deep split between Sabah and the remainder of Borneo. Our large-scale chloroplast genealogy highlights the complex history of migration, hybridization, and speciation in the myrmecophytes of the genus Macaranga. It will serve as a guideline for adequate sampling and data interpretation in phylogeographic studies of individual Macaranga species and species groups.
    MeSH terms: Animals; Ants/physiology*; Asia, Southeastern; Base Sequence; Chloroplasts/genetics*; Geography; Haplotypes/genetics; Hybridization, Genetic*; Genes, Plant/genetics; Euphorbiaceae/genetics*; Euphorbiaceae/physiology*; Genetic Speciation*
  18. Mohandas Rao KG
    Adv Physiol Educ, 2006 Dec;30(4):262-263.
    PMID: 17108258
    MeSH terms: Anatomy/education*; Education, Medical, Undergraduate*; Humans; Surveys and Questionnaires; Students, Medical; Problem-Based Learning*
  19. Teoh AB, Goh A, Ngo DC
    IEEE Trans Pattern Anal Mach Intell, 2006 Dec;28(12):1892-901.
    PMID: 17108365
    Biometric analysis for identity verification is becoming a widespread reality. Such implementations necessitate large-scale capture and storage of biometric data, which raises serious issues in terms of data privacy and (if such data is compromised) identity theft. These problems stem from the essential permanence of biometric data, which (unlike secret passwords or physical tokens) cannot be refreshed or reissued if compromised. Our previously presented biometric-hash framework prescribes the integration of external (password or token-derived) randomness with user-specific biometrics, resulting in bitstring outputs with security characteristics (i.e., noninvertibility) comparable to cryptographic ciphers or hashes. The resultant BioHashes are hence cancellable, i.e., straightforwardly revoked and reissued (via refreshed password or reissued token) if compromised. BioHashing furthermore enhances recognition effectiveness, which is explained in this paper as arising from the Random Multispace Quantization (RMQ) of biometric and external random inputs.
    MeSH terms: Artificial Intelligence*; Biometry/methods*; Data Interpretation, Statistical; Database Management Systems; Face/anatomy & histology*; Humans; Image Interpretation, Computer-Assisted/methods*; Pattern Recognition, Automated/methods*; Databases, Factual; Computer Security*; Data Compression/methods*
  20. Cheah YN, Chong YH, Neoh SL
    Stud Health Technol Inform, 2006;124:575-80.
    PMID: 17108579
    The mobilisation of cohesive and effective groups of healthcare human resource is important in ensuring the success of healthcare organisations. However, forming the right team or coalition in healthcare organisations is not always straightforward due to various human factors. Traditional coalition formation approaches have been perceived as 'materialistic' or focusing too much on competency or pay-off. Therefore, to put prominence on the human aspects of working together, we present a cohesiveness-focused healthcare coalition formation methodology and framework that explores the possibilities of social networks, i.e. the relationship between various healthcare human resources, and adaptive resonance theory.
    MeSH terms: Community Health Services/manpower*; Community Health Services/organization & administration; Cooperative Behavior*; Humans; Malaysia; Social Support; Models, Statistical; Models, Organizational*
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