Browse publications by year: 2012

  1. Ho WY, Yeap SK, Ho CL, Abdul Rahim R, Alitheen NB
    PMID: 22973401 DOI: 10.1155/2012/417953
    Elephantopus scaber has been traditionally used as liver tonic. However, the protective effect of E. scaber on ethanol-induced liver damage is still unclear. In this study, we have compared the in vivo hepatoprotective effect of E. scaber with Phyllanthus niruri on the ethanol-induced liver damage in mice. The total phenolic and total flavanoid content of E. scaber ethanol extract were determined in this study. Accelerating serum biochemical profiles (including AST, ALT, ALP, triglyceride, and total bilirubin) associated with fat drop and necrotic body in the liver section were observed in the mice treated with ethanol. Low concentration of E. scaber was able to reduce serum biochemical profiles and the fat accumulation in the liver. Furthermore, high concentration of E. scaber and positive control P. niruri were able to revert the liver damage, which is comparable to the normal control. Added to this, E. scaber did not possess any oral acute toxicity on mice. These results suggest the potential effect of this extract as a hepatoprotective agent towards-ethanol induced liver damage without any oral acute toxicity effect. These activities might be contributed, or at least in part, by its high total phenolic and flavonoid contents.
    MeSH terms: Ethanol; Animals; Bilirubin; Flavonoids; Liver Diseases; Triglycerides; Phyllanthus; Mice
  2. Shuid AN, Mohamed N, Mohamed IN, Othman F, Suhaimi F, Mohd Ramli ES, et al.
    PMID: 22973403 DOI: 10.1155/2012/696230
    Nigella sativa seeds (NS) has been used traditionally for various illnesses. The most abundant and active component of NS is thymoquinone (TQ). Animal studies have shown that NS and TQ may be used for the treatment of diabetes-induced osteoporosis and for the promotion of fracture healing. The mechanism involved is unclear, but it was postulated that the antioxidative, and anti-inflammatory activities may play some roles in the treatment of osteoporosis as this bone disease has been linked to oxidative stress and inflammation. This paper highlights studies on the antiosteoporotic effects of NS and TQ, the mechanisms behind these effects and their safety profiles. NS and TQ were shown to inhibit inflammatory cytokines such as interleukin-1 and 6 and the transcription factor, nuclear factor κB. NS and TQ were found to be safe at the current dosage for supplementation in human with precautions in children and pregnant women. Both NS and TQ have shown potential as antiosteoporotic agent but more animal and clinical studies are required to further assess their antiosteoporotic efficacies.
    MeSH terms: Animals; Anti-Inflammatory Agents; Antioxidants; Bone Diseases; Child; Diabetes Mellitus; Female; Humans; Inflammation; Interleukin-1; Osteoporosis; Pregnancy; Transcription Factors; Cytokines; Benzoquinones; NF-kappa B; Fracture Healing; Oxidative Stress; Nigella sativa
  3. Abd Jalil MA, Shuid AN, Muhammad N
    PMID: 22973405 DOI: 10.1155/2012/714512
    Popularly known as "the silent disease" since early symptoms are usually absent, osteoporosis causes progressive bone loss, which renders the bones susceptible to fractures. Bone fracture healing is a complex process consisting of four overlapping phases-hematoma formation, inflammation, repair, and remodeling. The traditional use of natural products in bone fractures means that phytochemicals can be developed as potential therapy for reducing fracture healing period. Located closely near the equator, Malaysia has one of the world's largest rainforests, which are homes to exotic herbs and medicinal plants. Eurycoma longifolia (Tongkat Ali), Labisia pumila (Kacip Fatimah), and Piper sarmentosum (Kaduk) are some examples of the popular ethnic herbs, which have been used in the Malay traditional medicine. This paper focuses on the use of natural products for treating fracture as a result of osteoporosis and expediting its healing.
    MeSH terms: Biological Products; Bone and Bones; Hematoma; Inflammation; Malaysia; Medicine, Traditional; Osteoporosis; Plants, Medicinal; Fracture Healing; Piper; Eurycoma; Fractures, Bone; Phytochemicals; Rainforest
  4. Mohd Effendy N, Mohamed N, Muhammad N, Mohamad IN, Shuid AN
    PMID: 22973408 DOI: 10.1155/2012/938574
    Osteoporosis which is characterized by low bone mass and microarchitectural deterioration with a consequent increase in bone fragility can be associated with various stimuli such as oxidative stress and inflammation. Postmenopausal women are more prone to osteoporosis due to reduction in estrogen which may further lead to elevation of oxidative stress and lipid accumulation which will promote osteoblasts apoptosis. Proinflammatory cytokines are elevated following estrogen deficiency. These cytokines are important determinants of osteoclasts differentiation and its bone resorption activity. The main treatment for postmenopausal osteoporosis is estrogen replacement therapy (ERT). Despite its effectiveness, ERT, however, can cause many adverse effects. Therefore, alternative treatment that is rich in antioxidant and can exert an anti-inflammatory effect can be given to replace the conventional ERT. Tualang honey is one of the best options available as it contains antioxidant as well as exerting anti-inflammatory effect which can act as a free radical scavenger, reducing the oxidative stress level as well as inhibiting proinflammatory cytokine. This will result in survival of osteoblasts, reduced osteoclastogenic activity, and consequently, reduce bone loss. Hence, Tualang honey can be used as an alternative treatment of postmenopausal osteoporosis with minimal side effects.
    MeSH terms: Antioxidants; Bone Resorption; Estrogens; Female; Honey; Humans; Inflammation; Lipids; Osteoblasts; Osteoclasts; Osteoporosis; Osteoporosis, Postmenopausal; Estrogen Replacement Therapy; Free Radical Scavengers; Cytokines; Apoptosis; Postmenopause; Oxidative Stress
  5. Kamal RM, Ward E, Cornwell P
    Int J Speech Lang Pathol, 2012 Dec;14(6):569-76.
    PMID: 22974073 DOI: 10.3109/17549507.2012.713394
    There are competency standards available in countries with established speech-language pathology services to guide basic dysphagia training with ongoing workplace mentoring for advanced skills development. Such training processes, however, are not as well established in countries where speech-language pathology training and practice is relatively new, such as Malaysia. The current study examines the extent of dysphagia training and workplace support available to speech-language pathologists (SLPs) in Malaysia and Queensland, Australia, and explores clinicians' perceptions of the training and support provided, and of their knowledge, skills, and confidence. Using a matched cohort cross-sectional design, a purpose-built survey was administered to 30 SLPs working in Malaysian government hospitals and 30 SLPs working in Queensland Health settings in Australia. Malaysian clinicians were found to have received significantly less university training, less mentoring in the workplace, and were lacking key infrastructure needed to support professional development in dysphagia management. Over 90% of Queensland clinicians were confident and felt they had adequate skills in dysphagia management; in contrast, significantly lower levels of knowledge, skills, and confidence were observed in the Malaysian cohort. The findings identify a need for improved university training and increased opportunities for workplace mentoring, training, and support for Malaysian SLPs.
    MeSH terms: Attitude of Health Personnel; Clinical Competence*; Cross-Sectional Studies; Curriculum; Deglutition Disorders/diagnosis; Deglutition Disorders/physiopathology; Deglutition Disorders/rehabilitation*; Education, Graduate/methods*; Education, Professional/economics; Education, Professional/methods*; Hospitals; Humans; Inservice Training/economics; Inservice Training/methods*; Malaysia; Mentors; Perception; Personal Satisfaction; Queensland; Surveys and Questionnaires; Social Support; Speech-Language Pathology/economics; Speech-Language Pathology/education*; Time Factors; Training Support; Chi-Square Distribution; Workplace
  6. Ng CY, Kamisah Y, Faizah O, Jaarin K
    Int J Exp Pathol, 2012 Oct;93(5):377-87.
    PMID: 22974219 DOI: 10.1111/j.1365-2613.2012.00839.x
    Thermally oxidized oil generates reactive oxygen species that have been implicated in several pathological processes including hypertension. This study was to ascertain the role of inflammation in the blood pressure raising effect of heated soybean oil in rats. Male Sprague-Dawley rats were divided into four groups and were fed with the following diets, respectively, for 6 months: basal diet (control); fresh soybean oil (FSO); five-time-heated soybean oil (5HSO); or 10-time-heated soybean oil (10HSO). Blood pressure was measured at baseline and monthly using tail-cuff method. Plasma prostacyclin (PGI(2) ) and thromboxane A(2) (TXA(2) ) were measured prior to treatment and at the end of the study. After six months, the rats were sacrificed, and the aortic arches were dissected for morphometric and immunohistochemical analyses. Blood pressure was increased significantly in the 5HSO and 10HSO groups. The blood pressure was maintained throughout the study in rats fed FSO. The aortae in the 5HSO and 10HSO groups showed significantly increased aortic wall thickness, area and circumferential wall tension. 5HSO and 10HSO diets significantly increased plasma TXA(2) /PGI(2) ratio. Endothelial VCAM-1 and ICAM-1 were significantly increased in 5HSO, as well as LOX-1 in 10HSO groups. In conclusion, prolonged consumption of repeatedly heated soybean oil causes blood pressure elevation, which may be attributed to inflammation.
    MeSH terms: Animals; Aorta, Thoracic/metabolism; Aorta, Thoracic/pathology*; Blood Pressure/drug effects*; Cooking; Heating/adverse effects*; Hypertension/etiology*; Hypertension/metabolism; Hypertension/pathology; Immunohistochemistry; Inflammation/etiology*; Inflammation/metabolism; Inflammation/pathology; Male; Soybean Oil/adverse effects*; Soybean Oil/chemistry; Rats, Sprague-Dawley; Reactive Oxygen Species/metabolism; Rats
  7. Tan CH, Tan NH, Sim SM, Fung SY, Jayalakshmi P, Gnanathasan CA
    Toxicon, 2012 Dec 1;60(7):1259-62.
    PMID: 22975088 DOI: 10.1016/j.toxicon.2012.08.012
    Mice experimentally envenomed with Hypnale hypnale venom (1× and 1.5×LD₅₀) developed acute kidney injury (AKI) principally characterized by raised blood urea and creatinine. Prolonged blood clotting time and hemorrhage in lungs implied bleeding tendency. Pallor noted in most renal cortices was suggestive of renal ischemia secondary to consumptive coagulopathy. Intravenous infusion of Hemato polyvalent antivenom following experimental envenoming effectively prevented death and AKI in all mice, supporting its potential therapeutic use in envenoming cases.
    MeSH terms: Animals; Antivenins/therapeutic use*; Crotalid Venoms/toxicity*; Lethal Dose 50; Mice, Inbred ICR; Mice; Acute Kidney Injury/prevention & control*
  8. Loh Q, Bahara NH, Choong YS, Lim TS
    Anal Biochem, 2012 Dec 1;431(1):54-6.
    PMID: 22975202 DOI: 10.1016/j.ab.2012.08.025
    The quality of a nucleotide-based library such as a synthetic antibody library is highly dependent on the diversity available. Diversity can be generated using degenerate oligonucleotides introduced during gene assembly. Conventional approaches to gene assembly are not efficient for oligonucleotides with long stretches of degeneracy. We propose an efficient alternative for simultaneous introduction of three randomized regions in a synthetic antibody gene via temperature cascading. The strategy takes advantage of DNA reannealing kinetics. The strategy can be adopted for generating diversity of gene inserts during the construction of nucleotide-based libraries.
    MeSH terms: Antibodies/genetics; Antibodies/metabolism; Electrophoresis, Agar Gel; Nucleic Acid Hybridization*; Oligonucleotides/metabolism; Oligonucleotides/chemistry*; Temperature; Polymerase Chain Reaction
  9. Chai CH, Yuki N, Nor HM, Goh KJ, Shahrizaila N
    Pract Neurol, 2012 Oct;12(5):328-31.
    PMID: 22976064 DOI: 10.1136/practneurol-2011-000205
    MeSH terms: Adult; Cauda Equina/pathology; Chronic Disease; Cough/complications*; Cough/diagnosis; Humans; Magnetic Resonance Imaging; Male; Paralysis/complications*; Paralysis/diagnosis; Spinal Cord/pathology
  10. Loh KB, Bux SI, Abdullah BJ, Raja Mokhtar RA, Mohamed R
    Korean J Radiol, 2012 Sep-Oct;13(5):643-7.
    PMID: 22977334 DOI: 10.3348/kjr.2012.13.5.643
    Local treatment for hepatocellular carcinoma (HCC) has been widely used in clinical practice due to its minimal invasiveness and high rate of cure. Percutaneous radiofrequency ablation (RFA) is widely used because its treatment effectiveness. However, some serious complications can arise from percutaneous RFA. We present here a rare case of hemorrhagic cardiac tamponade secondary to an anterior cardiac vein (right marginal vein) injury during RFA for treatment of HCC.
    MeSH terms: Cardiac Tamponade/etiology*; Hemorrhage/etiology*; Carcinoma, Hepatocellular/radiography; Carcinoma, Hepatocellular/surgery*; Humans; Iatrogenic Disease; Intraoperative Complications/etiology*; Liver Neoplasms/radiography; Liver Neoplasms/surgery*; Male; Middle Aged; Tomography, X-Ray Computed; Radiography, Interventional; Catheter Ablation*; Fatal Outcome
  11. Lua PL, Wan Putri Elena WD
    Malays J Med Sci, 2012 Jan;19(1):4-14.
    PMID: 22977369 MyJurnal
    The purpose of this review is to provide a summary of studies on the effectiveness nutrition education interventions used by college students. Electronic databases such as Medline, Science Direct, CINAHL (EBSCOhost), and Google Scholar were explored for articles that involved nutrition education interventions for college students and that were published between 1990 and 2011. Fourteen studies, which involved a total of 1668 college students as respondents, were identified and met the inclusion criteria. The results showed that there were 3 major forms of nutrition education interventions: web-based education, lectures, and supplement provisions. Dietary intake measures were used in almost all studies and were primarily collected with food records, recall, food frequency questionnaires, and dietary habit questionnaires. The outcome measures varied among the studies, with indicators such as consumption of food, nutrition knowledge, dietary habits, physical activity, and quality of life. Methodological issues were also identified. In general, college students experienced significant changes in their dietary habits after the interventions were employed. The highlighted methodological issues should be considered to improve the quality of similar research in future.
    MeSH terms: Feeding Behavior; Health Education; Quality of Life; Surveys and Questionnaires; Students; Exercise; Outcome Assessment (Health Care); Internet
  12. Leong XF, Salimon J, Mustafa MR, Jaarin K
    Malays J Med Sci, 2012 Jan;19(1):20-9.
    PMID: 22977371
    BACKGROUND: Oxidative stress is associated with the pathogenesis of cardiovascular diseases. The process of deep-fat frying in dietary cooking oil plays a role in the generation of free radicals. In this study, palm olein heated to 180 °C was tested for its effect on the activity of blood pressure-regulating enzymes and lipid peroxidation.

    METHODS: Forty-two adult male Sprague-Dawley rats were equally assigned into 6 groups.The first group was fed with normal rat chow as the control group, and the subsequent groups were fed with rat chow fortified with 15% weight/weight of the following: fresh palm olein, palm olein heated once, palm olein heated twice, palm olein heated 5 times, or palm olein heated 10 times. The duration of feeding was 6 months. Fatty acid analyses of oil were performed using gas chromatography. Peroxide values were determined using standard titration. Plasma was collected for biochemical analyses.

    RESULTS: Repeatedly heated palm olein increased the levels of peroxide, angiotensin-converting enzyme, and lipid peroxidation as well as reduced the level of heme oxygenase. Fresh palm olein and palm olein heated once had lesser effects on lipid peroxidation and a better effect on the activity of blood pressure-regulating enzymes than repeatedly heated palm olein.

    CONCLUSION: Repeatedly heated palm olein may negatively affect the activity of blood pressure-regulating enzymes and increase lipid peroxidation.

    MeSH terms: Animals; Blood Pressure; Blood Pressure Determination; Cardiovascular Diseases; Chromatography, Gas; Cooking; Dietary Fats, Unsaturated; Free Radicals; Heme Oxygenase (Decyclizing); Peptidyl-Dipeptidase A; Male; Peroxides; Lipid Peroxidation; Rats, Sprague-Dawley; Oxidative Stress; Control Groups; Rats
  13. Tengku Baharudin N, Jaafar H, Zainuddin Z
    Malays J Med Sci, 2012 Jan;19(1):36-42.
    PMID: 22977373 MyJurnal
    BACKGROUND: The mitochondrial DNA (mtDNA) 10398 polymorphism is hypothesised to alter a mitochondrial subunit of the electron transfer chain and is associated with several neurodegenerative disorders and cancers.

    METHODS: In this study, an mtDNA polymorphism at nucleotide position 10398 was screened in 101 Malay female patients with invasive breast cancer and 90 age-matched healthy female controls using minisequencing analysis.

    RESULTS: The Malay women with the 10398G variant showed a significantly increased risk of invasive breast cancer (OR = 2.29, 95% CI 1.25-4.20, P = 0.007). Immunohistochemistry analysis was conducted to investigate the effect of this polymorphism on the levels of apoptosis in breast cancer cells. The level of Bax (a pro-apoptotic protein) expression was significantly higher than that of Bcl-2 (an anti-apoptotic protein) in patients carrying the G allele (P = 0.016) but not in those carrying the A allele (P = 0.48).

    CONCLUSION: Based on these findings, we propose that the mtDNA 10398 polymorphism may be a potential risk marker for breast cancer susceptibility in the Malay population.

  14. Yeo L, Fan SH, Say YH
    Malays J Med Sci, 2012 Jan;19(1):43-51.
    PMID: 22977374 MyJurnal
    BACKGROUND: Cocaine- and amphetamine-regulated transcript (CART) is a hypothalamic anorectic neuropeptide that controls feeding behaviour and body weight. The study objective was to investigate the association of the CART prepropeptide gene (CARTPT) rs2239670 variant with obesity and its related anthropometric indicators among patients of a Malaysian health clinic in Kampar, Perak, Malaysia.
    METHODS: A total of 300 Malay/Peninsular Bumiputera, Chinese, and Indian subjects (115 males, 185 females; 163 non-obese, 137 obese) were recruited by convenience sampling, and anthropometric measurements, blood pressures, and pulse rate were taken. Genotyping was performed using AvaII polymerase chain reaction-restriction fragment length polymorphism.
    RESULTS: Genotyping revealed 203 (67.7%), 90 (30.0%), and 7 (2.3%) subjects with the GG, GA, and AA genotypes, respectively, with a minor allele (A) frequency of 0.17. No significant difference in the CARTPT rs2239670 genotype and allele distribution was found between obese and non-obese subjects, and logistic regression showed no association between the mutated genotypes (GA, AA) and allele (A) with obesity, even after adjusting for age, gender, and ethnicity. Furthermore, the measurements did not differ significantly between the genotypes and alleles. No significant difference in the genotype and allele distribution was found among genders, but they were significantly different among ethnicities (P = 0.030 and P = 0.019, respectively).
    CONCLUSION: CARTPT rs2239670 is not a predictor for obesity among the Malaysian subjects in this study.
    KEYWORDS: Malaysia; anthropometry; cocaine- and amphetamine-regulated transcript protein; genetic association study; obesity; single nucleotide polymorphism
    MeSH terms: Adult; Ambulatory Care Facilities; China/ethnology; Cross-Sectional Studies; Female; Humans; India/ethnology; Malaysia; Malaysia/ethnology; Male; Obesity*
  15. Thevi Rajendran P, Krishnapillai V, Tamanang S, Kumari Chelliah K
    Malays J Med Sci, 2012 Jan;19(1):52-9.
    PMID: 22977375 MyJurnal
    Digital mammography is slowly replacing screen film mammography. In digital mammography, 2 methods are available in acquiring images: digital storage phosphor plate and full-field digital mammography. The aim of this study was to compare the image quality acquired from the 2 methods of digital mammography in the detection of breast cancer.
    MeSH terms: Breast Neoplasms; Humans; Mammography
  16. Mohamed Ismail NA, Abd Rahman R, Abd Wahab N, Muhammad R, Nor Azmi K
    Malays J Med Sci, 2012 Jan;19(1):65-8.
    PMID: 22977377 MyJurnal
    Pheochromocytoma during pregnancy is potentially disastrous to the mother and fetus. Its ambiguous presentation is often mistaken for pre-eclampsia, although it may imitate other problems during pregnancy. Early diagnosis and timely, appropriate management reduces possible maternal and fetal complications. We identified a case of pheochromocytoma during pregnancy; the condition was initially diagnosed as pre-eclampsia complicated with gestational diabetes. Surgical intervention via left adrenalectomy was successfully performed in the second trimester. After surgery, all of the patient's medical problems nearly subsided and she did not require further treatment. However, her fetus displayed restricted intrauterine growth, and the patient eventually had premature delivery via a caesarean section. A multidisciplinary team to identify and treat pheochromocytoma is mandatory to ensure optimal conditions for tumour removal and to anticipate any possible catastrophic events.
    MeSH terms: Adrenalectomy; Cesarean Section; Female; Fetal Growth Retardation; Fetus; Humans; Mothers; Patient Care Team; Pheochromocytoma; Pre-Eclampsia; Pregnancy; Pregnancy Trimester, Second; Prenatal Care; Diabetes, Gestational; Early Diagnosis
  17. Sze Li S, Kenneth Kher Ti V
    Malays J Med Sci, 2012 Jan;19(1):69-72.
    PMID: 22977378 MyJurnal
    Obturator hernia is a rare condition that may present in an acute or subacute setting in correlation with the degree of small-bowel obstruction. Pre-operative diagnosis is difficult, as symptoms are often non-specific. A high index of suspicion should be maintained for emaciated elderly women with small-bowel obstruction without a previous abdominal operation and a positive Howship-Romberg sign. When diagnosis is in doubt, computed tomography scan of the abdomen and the pelvis (if available) or laparotomy should be performed immediately, as high mortality rate is related to the perforation of gangrenous bowels. We present 2 cases of strangulated obturator hernia, managed differently with both open and laparoscopic approaches. The diagnostic accuracy of computed tomography scan is highlighted followed by a brief literature review with an emphasis placed on surgical management.
    MeSH terms: Abdomen; Aged; Female; Hernia, Obturator; Humans; Intestinal Obstruction; Laparotomy; Pelvis; Laparoscopy; Tomography; Abdominal Cavity
  18. G KK
    Malays J Med Sci, 2012 Jan;19(1):76-8.
    PMID: 22977380 MyJurnal
    In an infant presenting with a mass in the abdomen and non-bilious vomiting, duplication cyst needs to be considered in the list of differential diagnoses. Gastric duplication cyst is an uncommon occurrence in children. Diagnosis is based on clinical findings and imaging features. Surgical excision is safe and offers a complete cure. The literature recommends excision even in asymptomatic cases due to isolated reports of malignancy arising in the duplication cyst in later life.
    MeSH terms: Abdomen; Child; Cysts; Diagnosis, Differential; Digestive System Abnormalities; Humans; Infant; Vomiting; Abdominal Cavity
  19. Har LW, Shaari K, Boon LH, Kamarulzaman FA, Ismail IS
    Nat Prod Commun, 2012 Aug;7(8):1033-6.
    PMID: 22978223
    Two new phloroglucinol derivatives, identified as anthuminoate (1) and anthuminone (2), were isolated from the ichthyotoxic ethyl acetate fraction of Syzygium polyanthum leaves. In addition, bioassay-guided fractionation followed by dereplication of the photocytotoxic fraction of this plant part has resulted in the identification of five known pheophorbides as the bioactive constituents. The compounds were identified as pheophorbide-a, methyl pheophorbide-a, methyl hydroxypheophorbide-a, pheophorbide-b and hydroxypheophorbide-b. Inhibition of cell viability shown by the compounds ranged from 83.3 to 86.1% at a test concentration of 5 microg/mL. This shows that Syzygium polyanthum leaves are a potential new source in the studies of photocytotoxicity for photodynamic therapy.
    MeSH terms: Chlorophyll/analogs & derivatives*; Chlorophyll/chemistry; Phloroglucinol/analogs & derivatives*; Phloroglucinol/chemistry; Molecular Structure; Plant Leaves/chemistry*; Syzygium/chemistry*
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