Browse publications by year: 2012

  1. Jarmin R, Azman A, Rahim R, Kosai NR, Das S
    Acta Med Iran, 2012;50(11):782-4.
    PMID: 23292632
    Intussusception is common cause of bowel obstruction in the paediatric age group compared to the elderly population. Many times, the diagnosis may be difficult because of asymptomatic nature of this bowel disorder. We hereby describe the case of a 75-year-old male who presented with lethargy, weakness, loss of movement in the joints and was found to be anemic. The haemoglobin level was low so he was transfused with packed cells. On gastrointestinal (GI) endoscopy, upper GI bleed was observed. A mass was observed beyond ampulla at the 2nd and 3rd part of the duodenal junction. Computerized tomography (CT) scan also showed a mass at the head of pancreas and the lesion at the left lung. In view of persistent bleed, 'Whipple's procedure' was performed. Histopathological examination showed small cell carcinoma of the lungs with metastasis to the pancreas and the jejunum. We here discuss the case of intussusception with intestinal metastasis which presented with gastrointestinal bleeding.
    MeSH terms: Aged; Gastrointestinal Hemorrhage/complications; Gastrointestinal Hemorrhage/etiology*; Gastrointestinal Hemorrhage/surgery; Humans; Intussusception/etiology*; Intussusception/radiography; Intussusception/surgery; Jejunal Diseases/etiology; Jejunal Diseases/radiography; Jejunal Diseases/surgery; Jejunal Neoplasms/complications*; Jejunal Neoplasms/radiography; Jejunal Neoplasms/secondary; Jejunal Neoplasms/surgery; Lung Neoplasms/complications*; Lung Neoplasms/pathology; Lung Neoplasms/radiography; Lung Neoplasms/surgery; Male; Neoplasm Staging; Pancreatic Neoplasms/complications*; Pancreatic Neoplasms/radiography; Pancreatic Neoplasms/secondary; Pancreatic Neoplasms/surgery; Tomography, X-Ray Computed; Pancreaticoduodenectomy/methods; Treatment Outcome; Carcinoma, Small Cell/complications*; Carcinoma, Small Cell/radiography; Carcinoma, Small Cell/secondary; Carcinoma, Small Cell/surgery; Rare Diseases
  2. Adeshina AM, Hashim R, Khalid NE, Abidin SZ
    Interdiscip Sci, 2012 Sep;4(3):161-72.
    PMID: 23292689 DOI: 10.1007/s12539-012-0132-y
    CT and MRI scans are widely used in medical diagnosis procedures, but they only produce 2-D images. However, the human anatomical structure, the abnormalities, tumors, tissues and organs are in 3-D. 2-D images from these devices are difficult to interpret because they only show cross-sectional views of the human structure. Consequently, such circumstances require doctors to use their expert experiences in the interpretation of the possible location, size or shape of the abnormalities, even for large datasets of enormous amount of slices. Previously, the concept of reconstructing 2-D images to 3-D was introduced. However, such reconstruction model requires high performance computation, may either be time-consuming or costly. Furthermore, detecting the internal features of human anatomical structure, such as the imaging of the blood vessels, is still an open topic in the computer-aided diagnosis of disorders and pathologies. This paper proposes a volume visualization framework using Compute Unified Device Architecture (CUDA), augmenting the widely proven ray casting technique in terms of superior qualities of images but with slow speed. Considering the rapid development of technology in the medical community, our framework is implemented on Microsoft.NET environment for easy interoperability with other emerging revolutionary tools. The framework was evaluated with brain datasets from the department of Surgery, University of North Carolina, United States, containing around 109 MRA datasets. Uniquely, at a reasonably cheaper cost, our framework achieves immediate reconstruction and obvious mappings of the internal features of human brain, reliable enough for instantaneous locations of possible blockages in the brain blood vessels.
    MeSH terms: Blood Vessels/pathology*; Brain/blood supply*; Brain/pathology*; Humans; Image Processing, Computer-Assisted/methods*; Magnetic Resonance Imaging; Imaging, Three-Dimensional/methods*
  3. Abu Bakar A, Sulaiman S, Omar B, Mat Ali R
    J Arthropod Borne Dis, 2012;6(1):28-35.
    PMID: 23293776
    Melaleuca cajuputi essential oil in aerosol spray was evaluated against the dengue vectors Aedes aegypti and Ae. albopictus at low cost housing flats in Section 10, Setapak, Kuala Lumpur, Malaysia.
    MeSH terms: Aedes; Aerosols; Animals; Dengue; Housing; Malaysia; Oils, Volatile; Melaleuca
  4. Dawal SZ, Zadry HR, Azmi SN, Rohim SR, Sartika SJ
    Int J Occup Saf Ergon, 2012;18(4):461-72.
    PMID: 23294660
    This paper presents an anthropometric database of high school and university students from Kuala Lumpur, Malaysia. Forty-one high school participants (21 males and 20 females), 13-17 years old, and 143 university students (74 males and 69 females) took part in the study. Twenty-one static body dimensions were measured. The greatest mean differences in the anthropometric data between male and female high school students were found in the sitting elbow height. In addition, a comparison of anthropometric data of male and female university students showed that data for males and females were significantly different, except for buttock-popliteal length, sitting elbow height and thigh clearance. The primary aim of this study was to develop an anthropometric database that could be used as a primary reference in designing products, devices and equipment for ergonomic learning environments.
    MeSH terms: Adolescent; Body Weights and Measures*; Female; Humans; Learning*; Malaysia; Male; Schools*; Socioeconomic Factors; Universities
  5. Subramaniam M, Baradaran A, Rosli MI, Rosfarizan M, Khatijah Y, Raha AR
    J. Mol. Microbiol. Biotechnol., 2012;22(6):361-72.
    PMID: 23295307 DOI: 10.1159/000343921
    Cyclodextrin glucanotransferase (CGTase) is an extracellular enzyme which catalyzes the formation of cyclodextrin from starch. The production of CGTase using lactic acid bacterium is an attractive alternative and safer strategy to produce CGTase. In this study, we report the construction of genetically modified Lactococcus lactis strains harboring plasmids that secrete the Bacillus sp. G1 β-CGTase, with the aid of the signal peptides (SPs) SPK1, USP45 and native SP (NSP). Three constructed vectors, pNZ:NSP:CGT, pNZ:USP:CGT and pNZ:SPK1:CGT, were developed in this study. Each vector harbored a different SP fused to the CGTase. The formation of halo zones on starch plates indicated the production and secretion of β-CGTase by the recombinants. The expression of this enzyme is shown by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and zymogram analysis. A band size of ∼75 kDa corresponding to β-CGTase is identified in the intracellular and the extracellular environments of the host after medium modification. The replacement of glucose by starch in the medium was shown to induce β-CGTase production in L. lactis. Although β-CGTase production is comparatively low in NZ:SPK1:CGT, the SP SPK1 was shown to have higher secretion efficiency compared to the other SPs used in this study.
    MeSH terms: Bacillus/enzymology; Bacillus/genetics; Electrophoresis; Genetic Vectors; Glucosyltransferases/genetics*; Glucosyltransferases/secretion*; Glucosyltransferases/chemistry; Molecular Weight; Plasmids; Recombinant Fusion Proteins/genetics; Recombinant Fusion Proteins/secretion; Recombinant Fusion Proteins/chemistry; Starch/metabolism; Lactococcus lactis/enzymology*; Lactococcus lactis/genetics*; Protein Sorting Signals*; Organisms, Genetically Modified; Metabolic Engineering
  6. Aliahmat NS, Noor MR, Yusof WJ, Makpol S, Ngah WZ, Yusof YA
    Clinics (Sao Paulo), 2012 Dec;67(12):1447-54.
    PMID: 23295600
    OBJECTIVE: The aim of this study was to determine the erythrocyte antioxidant enzyme activity and the superoxide dismutase, catalase, glutathione peroxidase, and plasma malondialdehyde levels in aging mice and to evaluate how these measures are modulated by potential antioxidants, including the tocotrienol-rich fraction, Piper betle, and Chlorella vulgaris.

    METHOD: One hundred and twenty male C57BL/6 inbred mice were divided into three age groups: young (6 months old), middle-aged (12 months old), and old (18 months old). Each age group consisted of two control groups (distilled water and olive oil) and three treatment groups: Piper betle (50 mg/kg body weight), tocotrienol-rich fraction (30 mg/kg), and Chlorella vulgaris (50 mg/kg). The duration of treatment for all three age groups was two months. Blood was withdrawn from the orbital sinus to determine the antioxidant enzyme activity and the malondialdehyde level.

    RESULTS: Piper betle increased the activities of catalase, glutathione peroxidase, and superoxide dismutase in the young, middle, and old age groups, respectively, when compared to control. The tocotrienol-rich fraction decreased the superoxide dismutase activity in the middle and the old age groups but had no effect on catalase or glutathione peroxidase activity for all age groups. Chlorella vulgaris had no effect on superoxide dismutase activity for all age groups but increased glutathione peroxidase and decreased catalase activity in the middle and the young age groups, respectively. Chlorella vulgaris reduced lipid peroxidation (malondialdehyde levels) in all age groups, but no significant changes were observed with the tocotrienol-rich fraction and the Piper betle treatments.

    CONCLUSION: We found equivocal age-related changes in erythrocyte antioxidant enzyme activity when mice were treated with Piper betle, the tocotrienol-rich fraction, and Chlorella vulgaris. However, Piper betle treatment showed increased antioxidant enzymes activity during aging.

    MeSH terms: Age Factors; Animals; Antioxidants/pharmacology*; Catalase/blood; Erythrocytes/enzymology; Erythrocytes/metabolism*; Glutathione Peroxidase/blood; Male; Malondialdehyde/blood; Mice, Inbred C57BL; Plant Extracts/pharmacology*; Random Allocation; Superoxide Dismutase/blood; Lipid Peroxidation; Biomarkers/blood; Oxidative Stress/drug effects; Models, Animal; Tocotrienols/pharmacology*; Piper betle/chemistry*; Chlorella vulgaris/chemistry*; Mice
  7. Musa N, Zulkafli MI, Talib N, Mohamad N, Fauzi H, Ismail R
    J Postgrad Med, 2012 Oct-Dec;58(4):235-41.
    PMID: 23298916 DOI: 10.4103/0022-3859.105439
    Drugs with complex pharmacology are used in the management of drug use disorder (DUD) and HIV/AIDS in Malaysia and in parts of South-East Asia. Their multiethnic populations suggest complexity due to the genetic polymorphism, such as CYP2B6 that metabolizes methadone and anti-retroviral.
    MeSH terms: Adult; Algorithms; Aryl Hydrocarbon Hydroxylases/genetics*; Aryl Hydrocarbon Hydroxylases/metabolism; China; Female; Gene Frequency*; Haplotypes*; Heroin Dependence/drug therapy*; Humans; India; Malaysia/ethnology; Male; Methadone/therapeutic use*; Oxidoreductases, N-Demethylating/genetics*; Oxidoreductases, N-Demethylating/metabolism; Polymorphism, Genetic*; Polymerase Chain Reaction; Asian Continental Ancestry Group/genetics*; Opiate Substitution Treatment; Cytochrome P-450 CYP2B6
  8. Tey NP, Yew SY, Low WY, Su'ut L, Renjhen P, Huang MS, et al.
    PLoS One, 2012;7(12):e52116.
    PMID: 23300600 DOI: 10.1371/journal.pone.0052116
    Abortion is a serious public health issue, and it poses high risks to the health and life of women. Yet safe abortion services are not readily available because few doctors are trained to provide such services. Many doctors are unaware of laws pertaining to abortion. This article reports survey findings on Malaysian medical students' attitudes toward abortion education and presents a case for including abortion education in medical schools.
    MeSH terms: Abortion, Induced/education*; Adult; Attitude of Health Personnel*; Education, Medical/standards*; Female; Humans; Health Knowledge, Attitudes, Practice; Malaysia; Male; Surveys and Questionnaires; Students, Medical/psychology*; Students, Medical/statistics & numerical data; Young Adult
  9. Song AA, Abdullah JO, Abdullah MP, Shafee N, Othman R, Tan EF, et al.
    PLoS One, 2012;7(12):e52444.
    PMID: 23300671 DOI: 10.1371/journal.pone.0052444
    Isoprenoids are a large and diverse group of metabolites with interesting properties such as flavour, fragrance and therapeutic properties. They are produced via two pathways, the mevalonate pathway or the 2-C-methyl-D-erythritol-4-phosphate (MEP) pathway. While plants are the richest source of isoprenoids, they are not the most efficient producers. Escherichia coli and yeasts have been extensively studied as heterologous hosts for plant isoprenoids production. In the current study, we describe the usage of the food grade Lactococcus lactis as a potential heterologous host for the production of sesquiterpenes from a local herbaceous Malaysian plant, Persicaria minor (synonym Polygonum minus). A sesquiterpene synthase gene from P. minor was successfully cloned and expressed in L. lactis. The expressed protein was identified to be a β-sesquiphellandrene synthase as it was demonstrated to be functional in producing β-sesquiphellandrene at 85.4% of the total sesquiterpenes produced based on in vitro enzymatic assays. The recombinant L. lactis strain developed in this study was also capable of producing β-sesquiphellandrene in vivo without exogenous substrates supplementation. In addition, overexpression of the strain's endogenous 3-hydroxy-3-methylglutaryl coenzyme-A reductase (HMGR), an established rate-limiting enzyme in the eukaryotic mevalonate pathway, increased the production level of β-sesquiphellandrene by 1.25-1.60 fold. The highest amount achieved was 33 nM at 2 h post-induction.
    MeSH terms: Cloning, Molecular; Hydroxymethylglutaryl CoA Reductases/biosynthesis; Hydroxymethylglutaryl CoA Reductases/genetics*; Mevalonic Acid/metabolism*; Plasmids/genetics; Recombinant Proteins/biosynthesis; Recombinant Proteins/genetics; Sesquiterpenes/metabolism*; Lactococcus lactis/genetics*; Lactococcus lactis/metabolism*; Gene Expression; Polygonaceae/enzymology; Polygonaceae/genetics*; Alkyl and Aryl Transferases/biosynthesis; Alkyl and Aryl Transferases/genetics; Metabolic Engineering/methods*
  10. Hasima N, Aggarwal BB
    Int J Biochem Mol Biol, 2012;3(4):328-51.
    PMID: 23301199
    In spite of major advances in oncology, the World Health Organization predicts that cancer incidence will double within the next two decades. Although it is well understood that cancer is a hyperproliferative disorder mediated through dysregulation of multiple cell signaling pathways, most cancer drug development remains focused on modulation of specific targets, mostly one at a time, with agents referred to as "targeted therapies," "smart drugs," or "magic bullets." How many cancer targets there are is not known, and how many targets must be attacked to control cancer growth is not well understood. Although more than 90% of cancer-linked deaths are due to metastasis of the tumor to vital organs, most drug targeting is focused on killing the primary tumor. Besides lacking specificity, the targeted drugs induce toxicity and side effects that sometimes are greater problems than the disease itself. Furthermore, the cost of some of these drugs is so high that most people cannot afford them. The present report describes the potential anticancer properties of curcumin, a component of the Indian spice turmeric (Curcuma longa), known for its safety and low cost. Curcumin can selectively modulate multiple cell signaling pathways linked to inflammation and to survival, growth, invasion, angiogenesis, and metastasis of cancer cells. More clinical trials of curcumin are needed to prove its usefulness in the cancer setting.
  11. Mosleh MA, Manssor H, Malek S, Milow P, Salleh A
    BMC Bioinformatics, 2012;13 Suppl 17:S25.
    PMID: 23282059 DOI: 10.1186/1471-2105-13-S17-S25
    Freshwater algae can be used as indicators to monitor freshwater ecosystem condition. Algae react quickly and predictably to a broad range of pollutants. Thus they provide early signals of worsening environment. This study was carried out to develop a computer-based image processing technique to automatically detect, recognize, and identify algae genera from the divisions Bacillariophyta, Chlorophyta and Cyanobacteria in Putrajaya Lake. Literature shows that most automated analyses and identification of algae images were limited to only one type of algae. Automated identification system for tropical freshwater algae is even non-existent and this study is partly to fill this gap.
    MeSH terms: Cyanobacteria/classification*; Cyanobacteria/cytology*; Algorithms; Environmental Monitoring/methods*; Fresh Water; Image Processing, Computer-Assisted/methods*; Diatoms/classification*; Diatoms/cytology*; Principal Component Analysis; Chrysophyta/classification*; Chrysophyta/cytology*; Support Vector Machine
  12. Teo CY, Shave S, Chor AL, Salleh AB, Rahman MB, Walkinshaw MD, et al.
    BMC Bioinformatics, 2012;13 Suppl 17:S4.
    PMID: 23282142 DOI: 10.1186/1471-2105-13-S17-S4
    BACKGROUND: Rheumatoid arthritis (RA) is an autoimmune disease with unknown etiology. Anticitrullinated protein autoantibody has been documented as a highly specific autoantibody associated with RA. Protein arginine deiminase type 4 (PAD4) is the enzyme responsible for catalyzing the conversion of peptidylarginine into peptidylcitrulline. PAD4 is a new therapeutic target for RA treatment. In order to search for inhibitors of PAD4, structure-based virtual screening was performed using LIDAEUS (Ligand discovery at Edinburgh university). Potential inhibitors were screened experimentally by inhibition assays.

    RESULTS: Twenty two of the top-ranked water-soluble compounds were selected for inhibitory screening against PAD4. Three compounds showed significant inhibition of PAD4 and their IC50 values were investigated. The structures of the three compounds show no resemblance with previously discovered PAD4 inhibitors, nor with existing drugs for RA treatment.

    CONCLUSION: Three compounds were discovered as potential inhibitors of PAD4 by virtual screening. The compounds are commercially available and can be used as scaffolds to design more potent inhibitors against PAD4.

    MeSH terms: Arthritis, Rheumatoid/enzymology*; Enzyme Inhibitors/isolation & purification; Enzyme Inhibitors/pharmacology; Enzyme Inhibitors/chemistry*; Escherichia coli/genetics; Escherichia coli/metabolism; Humans; Hydrolases/antagonists & inhibitors*; Hydrolases/biosynthesis; Hydrolases/chemistry; Ligands; Protein Conformation; Structure-Activity Relationship; Antirheumatic Agents/isolation & purification; Antirheumatic Agents/pharmacology; Antirheumatic Agents/chemistry*; Computational Biology/methods*; Drug Discovery/methods*
  13. Khoo JS, Chai SF, Mohamed R, Nathan S, Firdaus-Raih M
    BMC Genomics, 2012;13 Suppl 7:S13.
    PMID: 23282220 DOI: 10.1186/1471-2164-13-S7-S13
    The sRNAs of bacterial pathogens are known to be involved in various cellular roles including environmental adaptation as well as regulation of virulence and pathogenicity. It is expected that sRNAs may also have similar functions for Burkholderia pseudomallei, a soil bacterium that can adapt to diverse environmental conditions, which causes the disease melioidosis and is also able to infect a wide variety of hosts.
    MeSH terms: Base Sequence; Molecular Sequence Data; Nucleic Acid Conformation; RNA, Bacterial/metabolism; RNA, Bacterial/chemistry; Software; User-Computer Interface; Genome, Bacterial; Burkholderia pseudomallei/genetics*; Burkholderia/genetics*; Computational Biology; Reverse Transcriptase Polymerase Chain Reaction; Internet; Databases, Genetic
  14. Azwa I, Khong SY
    Ann Acad Med Singap, 2012 Dec;41(12):587-94.
    PMID: 23303117
    Mother-to-child transmission (MTCT) of human immunodefi ciency virus (HIV) is a devastating consequence of HIV infection during pregnancy and is largely preventable. Evidence-based interventions such as universal antenatal screening, provision of antiretroviral therapy, delivery by elective caesarean section and avoidance of breastfeeding have ensured that the rates of MTCT remain low in Malaysia. This review discusses the most recent advances in the management of HIV infection in pregnancy with emphasis on antiretroviral treatment strategies and obstetric care in a middle income country.
    MeSH terms: Breast Feeding; Cesarean Section; Child; Female; Humans; Malaysia; Pregnancy; HIV Infections/drug therapy; HIV Infections/transmission*; Practice Guidelines as Topic*; Infectious Disease Transmission, Vertical/prevention & control*; Evidence-Based Medicine; Anti-HIV Agents/therapeutic use; Antiretroviral Therapy, Highly Active
  15. Mohd-Tahir F, Norhayati A, Siti-Raihan I, Ibrahim M
    PMID: 23304138 DOI: 10.1155/2012/851563
    Background. Corneal blindness from healed infected keratitis is one of the most preventable causes of monocular blindness in developing countries, including Malaysia. Our objectives were to identify the causative fungi, predisposing risk factors, the proportion of correct clinical diagnosis, and visual outcome of patients treated in our hospital. Methods. A retrospective review of medical and microbiology records was conducted for all patients who were treated for fungal keratitis at Hospital Universiti Sains Malaysia from January 2007 until December 2011. Results. Forty-seven patients (47/186, 25.27%) were treated for fungal keratitis during the study period. This demonstrated that the incidence of fungal keratitis has increased each year from 2007 to 2011 by 12.50%, 17.65%, 21.21%, 26.83%, and 28.57%, respectively. The most common predisposing factors were injury to the eye followed by use of topical steroid, and preexisting ocular surface disease. Fusarium species were the most common fungal isolated, followed by Candida species. Clinical diagnosis of fungal keratitis was made in 26 of the 41 (63.41%) cases of positive isolates. Of these, in eleven cases (23.40%) patients required surgical intervention. Clinical outcome of healed scar was achieved in 34 (72.34%) cases. Conclusions. The percentage of positive fungal isolated has steadily increased and the trend of common fungal isolated has changed. The latest review regarding fungal keratitis is important for us to improve patients' outcome in the future.
  16. Thent ZC, Seong Lin T, Das S, Zakaria Z
    PMID: 23304208 DOI: 10.1155/2012/628750
    Although Piper sarmentosum (PS) is known to possess the antidiabetic properties, its efficacy towards diabetic cardiovascular tissues is still obscured. The present study aimed to observe the electron microscopic changes on the cardiac tissue and proximal aorta of experimental rats treated with PS extract. Thirty-two male Sprague-Dawley rats were divided into four groups: untreated control group (C), PS-treated control group (CTx), untreated diabetic group (D), and PS-treated diabetic group (DTx). Intramuscular injection of streptozotocin (STZ, 50 mg/kg body weight) was given to induce diabetes. Following 28 days of diabetes induction, PS extract (0.125 g/kg body weight) was administered orally for 28 days. Body weight, fasting blood glucose, and urine glucose levels were measured at 4-week interval. At the end of the study, cardiac tissues and the aorta were viewed under transmission electron microscope (TEM). DTx group showed increase in body weight and decrease in fasting blood glucose and urine glucose level compared to the D group. Under TEM study, DTx group showed lesser ultrastructural degenerative changes in the cardiac tissues and the proximal aorta compared to the D group. The results indicate that PS restores ultrastructural integrity in the diabetic cardiovascular tissues.
    MeSH terms: Animals; Aorta; Blood Glucose; Body Weight; Electrons; Fasting; Glucose; Glycosuria; Hypoglycemic Agents; Injections, Intramuscular; Male; Microscopy, Electron; Streptozocin; Rats, Sprague-Dawley; Piper; Control Groups; Microscopy, Electron, Transmission; Rats
  17. Borhanuddin B, Mohd Fozi NF, Naina Mohamed I
    PMID: 23304211 DOI: 10.1155/2012/684510
    Background. The effect of vitamin E on health-related conditions has been extensively researched, with varied results. However, to date, there was no published review of the effect of vitamin E on bone fracture healing. Purpose. This paper systematically audited past studies of the effect of vitamin E on bone fracture healing. Methods. Related articles were identified from Medline, CINAHL, and Scopus databases. Screenings were performed based on the criteria that the study must be an original study that investigated the independent effect of vitamin E on bone fracture healing. Data were extracted using standardised forms, followed by evaluation of quality of reporting using ARRIVE Guidelines, plus recalculation procedure for the effect size and statistical power of the results. Results. Six animal studies fulfilled the selection criteria. The study methods were heterogeneous with mediocre reporting quality and focused on the antioxidant-related mechanism of vitamin E. The metasynthesis showed α-tocopherol may have a significant effect on bone formation during the normal bone remodeling phase of secondary bone healing. Conclusion. In general, the effect of vitamin E on bone fracture healing remained inconclusive due to the small number of heterogeneous and mediocre studies included in this paper.
    MeSH terms: Animals; Antioxidants; Bone and Bones; Fractures, Closed; Osteogenesis; Vitamin E; Bibliometrics; MEDLINE; Bone Remodeling; Fracture Healing; Patient Selection; alpha-Tocopherol
  18. Imam MU, Azmi NH, Bhanger MI, Ismail N, Ismail M
    PMID: 23304216 DOI: 10.1155/2012/816501
    Diet is an important variable in the course of type 2 diabetes, which has generated interest in dietary options like germinated brown rice (GBR) for effective management of the disease among rice-consuming populations. In vitro data and animal experiments show that GBR has potentials as a functional diet for managing this disease, and short-term clinical studies indicate encouraging results. Mechanisms for antidiabetic effects of GBR due to bioactive compounds like γ-aminobutyric acid (GABA), γ-oryzanol, dietary fibre, phenolics, vitamins, acylated steryl β-glucoside, and minerals include antihyperglycemia, low insulin index, antioxidative effect, antithrombosis, antihypertensive effect, hypocholesterolemia, and neuroprotective effects. The evidence so far suggests that there may be enormous benefits for diabetics in rice-consuming populations if white rice is replaced with GBR. However, long-term clinical studies are still needed to verify these findings on antidiabetic effects of GBR. Thus, we present a review on the antidiabetic properties of GBR from relevant preclinical and clinical studies, in order to provide detailed information on this subject for researchers to review the potential of GBR in combating this disease.
    MeSH terms: Animals; Antihypertensive Agents; Antioxidants; Diabetes Mellitus, Type 2; Diet; Dietary Fiber; Glucosides; Hypoglycemic Agents; Minerals; Phenylpropionates; Oryza; Vitamins; Germination; Neuroprotective Agents; Animal Experimentation
  19. Zamri Z, Razman J
    Clin Ter, 2012 Nov;163(6):467-71.
    PMID: 23306739
    Acute pancreatitis is one of the common reasons for surgical admission. It is a potentially lethal disease that is increasing in its incidence. The most common causes of acute pancreatitis is from gallstones and alcohol. Other causes of acute pancreatitis include hypertriglyceridaemia, hyperparathyroidism, pancreatic malignancy, Endoscopic retrograde cholangiopancreatography (ERCP), trauma, infectious agents, drugs, autoimmunity, and hereditary. The treatment of acute pancreatitis is mainly supportive. The complication of ERCP in acute pancreatitis can be divided into local complication (pancreatic abscess, pseudocyst), systemic complications (renal failure, respiratory failure, cardiogenic shock) and biliary sepsis (acute cholangitis and acute cholecystitis). However, early ERCP and possible sphincterotomy should be kept in mind for patients with severe disease and biliary obstruction who are not improving with medical therapy. This study is done to compare the complication rate of ERCP and conservative management in acute pancreatitis for past 6 years in Pusat Perubatan UKM.
    MeSH terms: Acute Disease; Cholangiopancreatography, Endoscopic Retrograde/adverse effects*; Female; Hospitals, University; Humans; Male; Middle Aged; Pancreatitis/complications*; Postoperative Complications/etiology; Postoperative Complications/epidemiology; Postoperative Complications/therapy; Retrospective Studies; Time Factors
  20. Hamidah H, Santhna LP, Ruth Packiavathy RD, Suraya AM, Yap WC, Samsiah M, et al.
    Clin Ter, 2012 Nov;163(6):473-8.
    PMID: 23306740
    BACKGROUND AND AIMS:
    Diabetic foot ulcer is one of the major health problems that accounts for increased morbidity among the diabetic patients. Having good knowledge, good attitude and practice of managing the foot prevents the impending chronic co-morbidities of the disease.

    MATERIALS AND METHODS:
    This cross-sectional study was performed to assess the knowledge, attitude and practice on foot care among the newly diagnosed diabetic type 2 patients with low education and socio economic background. This study was conducted in one of the out patient clinics in a tertiary hospital. A set of questionnaire adopted from The Michigan Diabetes Research and Training Center (MDRTC), was used to assess 109 respondents based on their knowledge of diabetes mellitus, practice and attitude towards the condition and care of the feet.

    RESULTS:
    The overall finding on knowledge, practice and attitude had shown unsatisfactory result. There was no relationship between the knowledge, practice and attitude with care of the feet. Only 20 (18.3%) respondents had a high score on knowledge, 31 (28.4%) had practiced good habits and 5 (4.6%) showed positive attitude towards care of the feet. However, there was significant finding on the level of education and the knowledge of foot care (p=0.01);

    CONCLUSION:
    Strategies should be developed to overcome the longterm complications. As for the Muslim patients, ablution, the ritual practice of washing and cleaning both feet prior to the prayers may be a possible means of checking the feet for any diabetic foot complication.
    MeSH terms: Cross-Sectional Studies; Diabetes Mellitus, Type 2/complications*; Educational Status; Female; Humans; Health Knowledge, Attitudes, Practice*; Male; Surveys and Questionnaires; Socioeconomic Factors; Diabetic Foot/etiology*; Diabetic Foot/therapy*
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