Browse publications by year: 2012

  1. Mohamadpour M, Sharif ZM, Keysami MA
    J Health Popul Nutr, 2012 Sep;30(3):291-302.
    PMID: 23082631 DOI: 10.3329/jhpn.v30i3.12292
    Food insecurity is a worldwide problem and has been shown to contribute to poor health and nutritional outcomes. In Malaysia, poor dietary intake, overweight and obesity, diabetes mellitus, and hypercholesterolaemia have been reported to be more prevalent in females compared to males and in Indians compared to other ethnic groups. A cross-sectional study was designed to investigate the relationship between food insecurity and health and nutritional status among 169 Indian women (19-49 years old, non-pregnant, and non-lactating) from randomly-selected palm-plantation households in Negeri Sembilan, Malaysia. Subjects were interviewed for socioeconomic and demographic data, and information on household food security and dietary intake. They were examined for weight, height, waist-circumference, blood pressure and lipids, and plasma glucose levels. For analysis of data, descriptive statistics, ANOVA, and logistic regression were used. Majority (85.2%) of the households showed food insecurity as assessed using the Radimer/Cornell Hunger and Food Insecurity Instrument. The food-secure women had significantly higher mean years of education and lower mean number of children than food-insecure groups (p<0.05). There was a significant decrease in the mean household income and income per capita as food insecurity worsened (p<0.05). Women who reported food security had significantly higher mean diet diversity score (11.60±4.13) than child hunger (9.23±3.36). The group of subjects with higher intake of meat/fish/poultry/legumes (crude odds ratio [OR]=0.53, confidence interval [CI]=0.29-0.95) and higher diet diversity score (crude OR=0.87, CI=0.78-0.97) was more likely to have < 3 health risks. Diet diversity score remained a significant protective factor against heath risks even after adjusting for other variables. The present study showed that food insecurity is indirectly associated with poor health and nutritional status. Therefore, appropriate community-based interventions should be designed and implemented to address the problems of food insecurity and possible health and nutritional outcomes.
    MeSH terms: Adult; Agriculture; Female; Humans; Malaysia; Middle Aged; Socioeconomic Factors; Young Adult
  2. Pandy V, Narasingam M, Mohamed Z
    PMID: 23082808 DOI: 10.1186/1472-6882-12-186
    Noni fruit is widely consumed in tropical regions of Indonesia to the Hawaiian Islands. The noni plant has a long history of use as a medicinal plant to treat a wide variety of ailments including CNS disorders. The present investigation was designed to evaluate the antipsychotic effect of noni fruits (Morinda citrifolia Linn.) using mouse models of apomorphine-induced climbing behaviour and methamphetamine-induced stereotypy (licking, biting, gnawing and sniffing).
    MeSH terms: Animals; Behavior, Animal/drug effects; Fruit/chemistry; Humans; Indonesia; Male; Plant Extracts/administration & dosage*; Psychotic Disorders/drug therapy*; Psychotic Disorders/psychology; Antipsychotic Agents/administration & dosage*; Morinda/chemistry*; Mice
  3. Srinivasan V, Mohamed M, Zakaria R, Ahmad AH
    Infect Disord Drug Targets, 2012 Oct;12(5):371-9.
    PMID: 23082960
    Malaria, one of the most deadly diseases of our time affects more than 200 million people across the globe and is responsible for about one million deaths annually. Until recently Plasmodium falciparum has been the main cause for malarial infection in human beings but now Plasmodium knowlesi from Malaysia remains as one of the most virulent parasite spreading fast not only in Malaysia but in different parts of the world. Hence there is urgent need for the global fight to control malaria. Global malaria eradication program by use of insecticide spraying has resulted in good response in the past. Treatment of malaria infected patients with anti-malarial drugs has helped to eliminate malarial infections successfully but with increased resistance displayed by malarial parasites to these drugs there is resurgence of malaria caused both by drug resistance as well as by infection caused by new malarial species like Plasmodium knowlesi. With recent advances on molecular studies on malarial parasites it is now clear that the pineal hormone melatonin acts as a cue for growth and development of Plasmodium falciparum. Same may be true for Plasmodium knowlesi also. Hence treatment modalities that can effectively block the action of melatonin on Plasmodium species during night time by way of using either bright light therapy or use of melatonin receptor blocking can be considered as useful approaches for eliminating malarial infection in man.
    MeSH terms: Animals; Antimalarials/pharmacology*; Antimalarials/therapeutic use; Drug Resistance; Humans; Malaria/drug therapy*; Malaria/epidemiology; Malaria/parasitology; Melatonin/metabolism*; Plasmodium falciparum/drug effects; Plasmodium falciparum/isolation & purification; Time Factors; Global Health; Malaria, Falciparum/drug therapy; Malaria, Falciparum/epidemiology; Malaria, Falciparum/parasitology; Plasmodium knowlesi/drug effects; Plasmodium knowlesi/isolation & purification
  4. Shahar MA, Hussein H, Sidi H, Shah SA, Mohamed Said MS
    Int J Rheum Dis, 2012 Oct;15(5):468-77.
    PMID: 23083037 DOI: 10.1111/j.1756-185X.2012.01753.x
    AIM: To determine the prevalence of sexual dysfunction (FSD) among women with rheumatoid arthritis attending the Rheumatology Clinic in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) and Hospital Putrajaya, Malaysia, and to determine its associations with potential clinical and disease activity factors.
    METHOD: This was a cross-sectional study involving women with rheumatoid arthritis between the ages of 20 and 60 years. A validated Malay Version Female Sexual Function Index (MVFSFI) was administered to diagnose FSD. Sociodemographic and disease activity profiles were obtained and those who had and did not have FSD were compared.
    RESULTS: Among 63 respondents, 51 patients were included in the analysis for FSD. The prevalence of FSD in women with rheumatoid arthritis attending UKMMC and Hospital Putrajaya Rheumatology Clinic was 29.4%. Erythrocyte sedimentation rate (ESR) and Disease Activity Score in 28 joints (DAS28-ESR) correlates with MVFSFI score with r=-0.364 (P=0.009) and r=-0.268 (P=0.057), respectively. Sociodemographic factors that correlate with MVFSFI score were: patient's age (r=0.520, P<0.001); duration of marriage (r=-0.355, P=0.001); husband's age (r=-0.460, P=0.001); age of oldest child (r=-0.449, P=0.001); and age of youngest child (r=-0.627, P<0.001).
    CONCLUSION: We found in this study that the prevalence of FSD in rheumatoid arthritis in our centers was 29.4%. Age and family dynamics appear to be more important predictors compared to disease activity.
    Study site: Rheumatology Clinic, Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM) and Hospital Putrajaya, Malaysia
    MeSH terms: Adult; Aging/ethnology; Aging/physiology*; Arthritis, Rheumatoid/complications*; Arthritis, Rheumatoid/ethnology; Cross-Sectional Studies; Culture; Disability Evaluation; Family Relations/ethnology*; Female; Hospitals, University; Humans; Malaysia/epidemiology; Middle Aged; Outpatient Clinics, Hospital; Quality of Life; Severity of Illness Index; Sexual Dysfunction, Physiological/ethnology; Sexual Dysfunction, Physiological/epidemiology*; Sexual Dysfunction, Physiological/physiopathology*; Prevalence; Logistic Models
  5. Tang IP, Singh S, Krishnan G, Looi LM
    J Laryngol Otol, 2012 Dec;126(12):1284-6.
    PMID: 23084156 DOI: 10.1017/S0022215112002435
    We report a rare case of small cell neuroendocrine carcinoma of the nasal cavity and paranasal sinuses with intracranial extension, and discuss the management of this rare tumour.
    MeSH terms: Brain Neoplasms/pathology*; Humans; Male; Middle Aged; Nasal Cavity/pathology; Nasal Cavity/surgery*; Neoplasm Invasiveness/pathology; Neoplasm Recurrence, Local/pathology; Neoplasm Recurrence, Local/surgery; Nose Neoplasms/pathology; Nose Neoplasms/surgery; Paranasal Sinus Neoplasms/pathology; Paranasal Sinus Neoplasms/surgery*; Tomography, X-Ray Computed; Carcinoma, Neuroendocrine/pathology; Carcinoma, Neuroendocrine/surgery*; Carcinoma, Small Cell/pathology; Carcinoma, Small Cell/surgery*
  6. Allotey P, Amazigo U, Adjei S, Seddoh A, Lusamba-Dikassa PS
    Lancet, 2012 Oct 20;380(9851):1361-3.
    PMID: 23084441 DOI: 10.1016/S0140-6736(12)60723-5
    MeSH terms: Animals; Antinematodal Agents/therapeutic use; Humans; Insect Control; Insect Vectors; Ivermectin/therapeutic use; Onchocerciasis, Ocular/drug therapy; Onchocerciasis, Ocular/epidemiology; Onchocerciasis, Ocular/prevention & control*; Africa South of the Sahara/epidemiology
  7. Abdul Khaliq R, Kafafy R, Salleh HM, Faris WF
    Nanotechnology, 2012 Nov 16;23(45):455106.
    PMID: 23085573 DOI: 10.1088/0957-4484/23/45/455106
    The effect of the recently developed graphene nanoflakes (GNFs) on the polymerase chain reaction (PCR) has been investigated in this paper. The rationale behind the use of GNFs is their unique physical and thermal properties. Experiments show that GNFs can enhance the thermal conductivity of base fluids and results also revealed that GNFs are a potential enhancer of PCR efficiency; moreover, the PCR enhancements are strongly dependent on GNF concentration. It was found that GNFs yield DNA product equivalent to positive control with up to 65% reduction in the PCR cycles. It was also observed that the PCR yield is dependent on the GNF size, wherein the surface area increases and augments thermal conductivity. Computational fluid dynamics (CFD) simulations were performed to analyze the heat transfer through the PCR tube model in the presence and absence of GNFs. The results suggest that the superior thermal conductivity effect of GNFs may be the main cause of the PCR enhancement.
    MeSH terms: Computer Simulation; DNA/analysis; Graphite/chemistry*; Models, Chemical; Surface Properties; Thermal Conductivity; Polymerase Chain Reaction/economics; Polymerase Chain Reaction/methods*; Nanostructures/ultrastructure; Nanostructures/chemistry*; Hydrodynamics
  8. Saliem AM, Nimir AR, Abdul Kadir FA
    BMJ Case Rep, 2012;2012.
    PMID: 23087269 DOI: 10.1136/bcr-2012-006668
    Absence of the distal crease of the fingers is usually associated with a flexion deformity. A single crease of one or more fingers is found in many syndromes. We present this report as a rare case of absence of interphalangeal crease of the right ring finger with restriction of flexion but without any other anomaly.
    MeSH terms: Adult; Female; Finger Joint/abnormalities*; Fingers/abnormalities*; Humans; Students, Medical; Range of Motion, Articular*; Young Adult
  9. Han NS, Basri M, Abd Rahman MB, Abd Rahman RN, Salleh AB, Ismail Z
    J Cosmet Sci, 2012 Sep-Oct;63(5):333-44.
    PMID: 23089355
    Oil-in-water (O/W) nanoemulsions play an important key role in transporting bioactive compounds into a range of cosmeceutical products to the skin. Small droplet sizes have an inherent stability against creaming, sedimentation, flocculation, and coalescence. O/W emulsions varying in manufacturing process were prepared. The preparation and characterization of O/W nanoemulsions with average diameters of as low as 62.99 nm from palm oil esters were carried out. This was achieved using rotor-stator homogenizer and ultrasonic cavitation. Ultrasonic cell was utilized for the emulsification of palm oil esters and water in the presence of mixed surfactants, Tween 80 and Span 80 emulsions with a mean droplet size of 62.99 nm and zeta potential value at -37.8 mV. Results were comparable with emulsions prepared with rotor-stator homogenizer operated at 6000 rpm for 5 min. The stability of the emulsions was evaluated through rheology measurement properties. This included non-Newtonian viscosity, elastic modulus G', and loss modulus G″. A highly stable emulsion was prepared using ultrasonic cavitation comprising a very small particle size with higher zeta potential value and G' > G″ demonstrating gel-like behavior.
    MeSH terms: Cosmetics/chemistry*; Emulsions/chemistry*; Equipment and Supplies; Oils/chemistry; Particle Size; Water/chemistry
  10. Meka VS, Nali SR, Songa AS, Kolapalli VR
    AAPS PharmSciTech, 2012 Dec;13(4):1451-64.
    PMID: 23090110 DOI: 10.1208/s12249-012-9873-5
    The main objective of the present study is the physicochemical characterization of naturally available Terminalia catappa gum (Badam gum [BG]) as a novel pharmaceutical excipient and its suitability in the development of gastroretentive floating drug delivery systems (GRFDDS) to retard the drug for 12 h when the dosage form is exposed to gastrointestinal fluids in the gastric environment. As BG was being explored for the first time for its pharmaceutical application, physicochemical, microbiological, rheological, and stability studies were carried out on this gum. In the present investigation, the physicochemical properties, such as micromeritic, rheological, melting point, moisture content, pH, swelling index, water absorption, and volatile acidity, were evaluated. The gum was characterized by scanning electron microscopy, differential scanning calorimetry (DSC), powder X-ray diffraction studies (PXRD), and Fourier transform infrared spectroscopy (FTIR). Gastroretentive floating tablets of BG were prepared with the model drug propranolol HCl by direct compression methods. The prepared tablets were evaluated for all their physicochemical properties, in vitro buoyancy, in vitro drug release, and rate order kinetics. PBG 04 was selected as an optimized formulation based on its 12-h drug release and good buoyancy characteristics. The optimized formulation was characterized with FTIR, DSC, and PXRD studies, and no interaction between the drug and BG was found. Thus, the study confirmed that BG might be used in the gastroretentive drug delivery system as a release-retarding polymer.
    MeSH terms: Absorption; Chemistry, Pharmaceutical/methods; Drug Compounding/methods; Drug Stability; Excipients/chemistry*; Gastrointestinal Agents/chemistry; Gingiva/chemistry*; Hydrogen-Ion Concentration; Kinetics; Polymers/chemistry; Polysaccharides/chemistry*; Powders/chemistry; Propranolol/chemistry; Tablets/chemistry; Water/chemistry; Drug Delivery Systems/methods; Terminalia/chemistry*; Transition Temperature; Chemical Phenomena
  11. Yeap SK, Mohd Ali N, Mohd Yusof H, Alitheen NB, Beh BK, Ho WY, et al.
    J Biomed Biotechnol, 2012;2012:285430.
    PMID: 23091343 DOI: 10.1155/2012/285430
    Mung bean was reported as a potential antidiabetic agent while fermented food has been proposed as one of the major contributors that can reduce the risk of diabetes in Asian populations. In this study, we have compared the normoglycemic effect, glucose-induced hyperglycemic effect, and alloxan-induced hyperglycemic effect of fermented and nonfermented mung bean extracts. Our results showed that fermented mung bean extracts did not induce hypoglycemic effect on normal mice but significantly reduced the blood sugar levels of glucose- and alloxan-induced hyperglycemic mice. The serum levels of cholesterol, triglyceride (TG), and low-density lipoprotein (LDL) were also lowered while insulin secretion and antioxidant level as measured by malonaldehyde (MDA) assays were significantly improved in the plasma of the fermented mung bean-treated group in alloxan-induced hyperglycemic mouse. These results indicated that fermentation using Mardi Rhizopus sp. strain 5351 inoculums could enhance the antihyperglycemic and the antioxidant effects of mung bean in alloxan-treated mice. The improvement in the antihyperglycemic effect may also be contributed by the increased content of GABA and the free amino acid that are present in the fermented mung bean extracts.
    MeSH terms: Alloxan; Animals; Blood Glucose/analysis; Diabetes Mellitus, Experimental/chemically induced; Diabetes Mellitus, Experimental/drug therapy*; Fermentation; Hypoglycemic Agents/therapeutic use; Fabaceae/microbiology*; Fabaceae/chemistry*; Mice, Inbred BALB C; Plant Extracts/therapeutic use*; Treatment Outcome; Mice
  12. Lajis AF, Hamid M, Ariff AB
    J Biomed Biotechnol, 2012;2012:952452.
    PMID: 23091364 DOI: 10.1155/2012/952452
    The depigmenting effect of kojic acid esters synthesized by the esterification of kojic acid using Rhizomucor miehei immobilized lipase was investigated in B16F1 melanoma cells. The depigmenting effect of kojic acid and kojic acid esters was evaluated by the inhibitory effect of melanin formation and tyrosinase activity on alpha-stimulating hormone- (α-MSH-) induced melanin synthesis in B16F1 melanoma cells. The cellular tyrosinase inhibitory effect of kojic acid monooleate, kojic acid monolaurate, and kojic acid monopalmitate was found similar to kojic acid at nontoxic doses ranging from 1.95 to 62.5 μg/mL. However, kojic acid monopalmitate gave slightly higher inhibition to melanin formation compared to other inhibitors at doses ranging from 15.63 to 62.5 μg/mL. Kojic acid and kojic acid esters also show antioxidant activity that will enhance the depigmenting effect. The cytotoxicity of kojic acid esters in B16F1 melanoma cells was significantly lower than kojic acid at high doses, ranging from 125 and 500 μg/mL. Since kojic acid esters have lower cytotoxic effect than kojic acid, it is suggested that kojic acid esters can be used as alternatives for a safe skin whitening agent and potential depigmenting agents to treat hyperpigmentation.
    MeSH terms: Animals; Dose-Response Relationship, Drug; Esters/administration & dosage; Melanins/biosynthesis*; Melanoma, Experimental/metabolism*; Pyrones/administration & dosage*; Cell Line, Tumor; Mice; Skin Lightening Preparations/pharmacology*
  13. Saifullah B, Hussein MZ, Hussein Al Ali SH
    Int J Nanomedicine, 2012;7:5451-63.
    PMID: 23091386 DOI: 10.2147/IJN.S34996
    Tuberculosis (TB), caused by the bacteria Mycobacterium tuberculosis, is notorious for its lethality to humans. Despite technological advances, the tubercle bacillus continues to threaten humans. According to the World Health Organization's 2011 global report on TB, 8.8 million cases of TB were reported in 2010, with a loss of 1.7 million human lives. As drug-susceptible TB requires long-term treatment of between 6 and 9 months, patient noncompliance remains the most important reason for treatment failure. For multidrug-resistant TB, patients must take second-line anti-TB drugs for 18-24 months and many adverse effects are associated with these drugs. Drug-delivery systems (DDSs) seem to be the most promising option for advancement in the treatment of TB. DDSs reduce the adverse effects of drugs and their dosing frequency as well as shorten the treatment period, and hence improve patient compliance. Further advantages of these systems are that they target the disease area, release the drugs in a sustained manner, and are biocompatible. In addition, targeted delivery systems may be useful in dealing with extensively drug-resistant TB because many side effects are associated with the drugs used to cure the disease. In this paper, we discuss the DDSs developed for the targeted and slow delivery of anti-TB drugs and their possible advantages and disadvantages.
    MeSH terms: Antitubercular Agents/administration & dosage*; Antitubercular Agents/chemistry*; Delayed-Action Preparations/administration & dosage*; Delayed-Action Preparations/chemical synthesis*; Humans; Tuberculosis/drug therapy*; Drug Design; Nanocapsules/administration & dosage*; Nanocapsules/chemistry*
  14. Bostan H, Salim N, Hussein ZA, Klappa P, Shamsir MS
    Adv Bioinformatics, 2012;2012:849830.
    PMID: 23091487 DOI: 10.1155/2012/849830
    Computational approaches to the disulphide bonding state and its connectivity pattern prediction are based on various descriptors. One descriptor is the amino acid sequence motifs flanking the cysteine residue motifs. Despite the existence of disulphide bonding information in many databases and applications, there is no complete reference and motif query available at the moment. Cysteine motif database (CMD) is the first online resource that stores all cysteine residues, their flanking motifs with their secondary structure, and propensity values assignment derived from the laboratory data. We extracted more than 3 million cysteine motifs from PDB and UniProt data, annotated with secondary structure assignment, propensity value assignment, and frequency of occurrence and coefficiency of their bonding status. Removal of redundancies generated 15875 unique flanking motifs that are always bonded and 41577 unique patterns that are always nonbonded. Queries are based on the protein ID, FASTA sequence, sequence motif, and secondary structure individually or in batch format using the provided APIs that allow remote users to query our database via third party software and/or high throughput screening/querying. The CMD offers extensive information about the bonded, free cysteine residues, and their motifs that allows in-depth characterization of the sequence motif composition.
  15. Arbab IA, Looi CY, Abdul AB, Cheah FK, Wong WF, Sukari MA, et al.
    PMID: 23091559 DOI: 10.1155/2012/856029
    This study was set to investigate antiproliferative potential of dentatin (a natural coumarin isolated from Clausena excavata Burm. F) against prostate cancer and to delineate the underlying mechanism of action. Treatment with dentatin dose-dependently inhibited cell growth of PC-3 and LNCaP prostate cancer cell lines, whereas it showed less cytotoxic effects on normal prostate epithelial cell line (RWPE-1). The inhibitory effect of dentatin on prostate cancer cell growth was due to induction of apoptosis as evidenced by Annexin V staining and cell shrinkage. We found that dentatin-mediated accumulation of reactive oxygen species (ROS) and downregulated expression levels of antiapoptotic molecules (Bcl-2, Bcl-xL, and Survivin), leading to disruption of mitochondrial membrane potential (MMP), cell membrane permeability, and release of cytochrome c from the mitochondria into the cytosol. These effects were associated with induction of caspase-9, -3/7 activities, and subsequent DNA fragmentation. In addition, we found that dentatin inhibited TNF-α-induced nuclear translocation of p65, suggesting dentatin as a potential NF-κB inhibitor. Thus, we suggest that dentatin may have therapeutic value in prostate cancer treatment worthy of further development.
    MeSH terms: Cell Membrane Permeability; Cytosol; Heterocyclic Compounds, 3-Ring; Humans; Male; Tumor Necrosis Factor-alpha; Annexin A5; Reactive Oxygen Species; Cytochromes c; Membrane Potential, Mitochondrial; Caspase 9; DNA Fragmentation; Clausena
  16. Ong WD, Voo LY, Kumar VS
    PLoS One, 2012;7(10):e46937.
    PMID: 23091603 DOI: 10.1371/journal.pone.0046937
    BACKGROUND: Pineapple (Ananas comosus var. comosus), is an important tropical non-climacteric fruit with high commercial potential. Understanding the mechanism and processes underlying fruit ripening would enable scientists to enhance the improvement of quality traits such as, flavor, texture, appearance and fruit sweetness. Although, the pineapple is an important fruit, there is insufficient transcriptomic or genomic information that is available in public databases. Application of high throughput transcriptome sequencing to profile the pineapple fruit transcripts is therefore needed.

    METHODOLOGY/PRINCIPAL FINDINGS: To facilitate this, we have performed transcriptome sequencing of ripe yellow pineapple fruit flesh using Illumina technology. About 4.7 millions Illumina paired-end reads were generated and assembled using the Velvet de novo assembler. The assembly produced 28,728 unique transcripts with a mean length of approximately 200 bp. Sequence similarity search against non-redundant NCBI database identified a total of 16,932 unique transcripts (58.93%) with significant hits. Out of these, 15,507 unique transcripts were assigned to gene ontology terms. Functional annotation against Kyoto Encyclopedia of Genes and Genomes pathway database identified 13,598 unique transcripts (47.33%) which were mapped to 126 pathways. The assembly revealed many transcripts that were previously unknown.

    CONCLUSIONS: The unique transcripts derived from this work have rapidly increased of the number of the pineapple fruit mRNA transcripts as it is now available in public databases. This information can be further utilized in gene expression, genomics and other functional genomics studies in pineapple.

    MeSH terms: Fruit/genetics*; Fruit/metabolism; Molecular Sequence Data; Computational Biology/methods; Quantitative Trait, Heritable; Ananas/genetics*; Ananas/metabolism; Biosynthetic Pathways; Molecular Sequence Annotation*; High-Throughput Nucleotide Sequencing*; Transcriptome*
  17. Rahman RA, Ahmad S, Ismail NA, Mahdy ZA
    J Reprod Med, 2012 Sep-Oct;57(9-10):456-8.
    PMID: 23091998
    The incidence of a coexistent normal fetus is quoted in literature as 1 in 22,000 to 100,000 pregnancies and may be associated with multiple complications including persistent trophoblastic neoplasia.
    MeSH terms: Adult; Female; Humans; Hydatidiform Mole/diagnosis*; Infant, Newborn; Pre-Eclampsia/diagnosis; Pregnancy; Uterine Neoplasms/diagnosis*; Chorionic Gonadotropin, beta Subunit, Human/blood; Live Birth
  18. Bastion ML, Mustapha M, Ho I
    BMJ Case Rep, 2012;2012.
    PMID: 23093508 DOI: 10.1136/bcr-2012-007260
    To report a unique case of crystallisation in the anterior chamber and subretinal space in a Malay lady following inadvertent subretinal injection of ranibizumab prior to vitrectomy for proliferative diabetic retinopathy.
    MeSH terms: Ranibizumab; Adult; Anterior Chamber*; Crystallization*; Diabetic Retinopathy/drug therapy*; Equipment Contamination; Female; Humans; Needles; Retina; Visual Acuity; Vitrectomy; Vitreous Body/surgery; Posterior Eye Segment*; Antibodies, Monoclonal, Humanized/administration & dosage*; Antibodies, Monoclonal, Humanized/therapeutic use
  19. Thongkhamcharoen R, Breaden K, Agar M, Hamzah E
    Indian J Palliat Care, 2012 May;18(2):128-33.
    PMID: 23093829 DOI: 10.4103/0973-1075.100835
    Managing dyspnea at home is a challenging task. Although a competent palliative home care team can assist a patient to live at home with better pain control, dyspnea is usually not as well managed. In the Asian context, there are few research studies in dyspnea management in palliative home care. This paper aims to illustrate the cultural context that has an impact on dyspnea management at home and the assessment and management of dyspnea in a community palliative care setting in Malaysia. This paper reports on a study of 5 dyspneic patients suffering from both cancer-related and non-cancer-related dyspnea. Its focus is on a unique Asian cultural belief system that affects communication about prognosis and the role of family in palliative home care. In addition, this paper also describes dyspnea assessment, the barriers to morphine use, benzodiazepine prescription, oxygen therapy, and nonpharmacologic intervention in this center.
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