Browse publications by year: 2013

  1. Jessie K, Jayapalan JJ, Ong KC, Abdul Rahim ZH, Zain RM, Wong KT, et al.
    Electrophoresis, 2013 Sep;34(17):2495-502.
    PMID: 23784731 DOI: 10.1002/elps.201300107
    Confirmation of oral squamous cell cancer (OSCC) currently relies on histological analysis, which does not provide clear indication of cancer development from precancerous lesions. In the present study, whole saliva proteins of patients with OSCC (n = 12) and healthy subjects (n = 12) were separated by 2DE to identify potential candidate biomarkers that are much needed to improve detection of the cancer. The OSCC patients' 2DE saliva protein profiles appeared unique and different from those obtained from the healthy subjects. The patients' saliva α1-antitrypsin (AAT) and haptoglobin (HAP) β chains were resolved into polypeptide spots with increased microheterogeneity, although these were not apparent in their sera. Their 2DE protein profiles also showed presence of hemopexin and α-1B glycoprotein, which were not detected in the profiles of the control saliva. When subjected to densitometry analysis, significant altered levels of AAT, complement C3, transferrin, transthyretin, and β chains of fibrinogen and HAP were detected. The increased levels of saliva AAT, HAP, complement C3, hemopexin, and transthyretin in the OSCC patients were validated by ELISA. The strong association of AAT and HAP with OSCC was further supported by immunohistochemical staining of cancer tissues. The differently expressed saliva proteins may be useful complementary biomarkers for the early detection and/or monitoring of OSCC, although this requires validation in clinically representative populations.
    MeSH terms: Adult; Aged; alpha 1-Antitrypsin/metabolism; alpha 1-Antitrypsin/chemistry; Carcinoma, Squamous Cell/metabolism*; Carcinoma, Squamous Cell/chemistry; Enzyme-Linked Immunosorbent Assay; Haptoglobins/metabolism; Haptoglobins/chemistry; Humans; Image Processing, Computer-Assisted; Immunohistochemistry; Middle Aged; Mouth Neoplasms/metabolism*; Mouth Neoplasms/chemistry; Saliva/metabolism*; Salivary Proteins and Peptides/metabolism*; Salivary Proteins and Peptides/chemistry; Tongue/metabolism; Tongue/pathology; Tongue/chemistry; Biomarkers, Tumor/metabolism*; Biomarkers, Tumor/chemistry; Electrophoresis, Gel, Two-Dimensional; Proteomics/methods
  2. Jalaluddin WM, Mat Jusoh N, Ali Basahai IA, Abdullah MS, Abdul Karim AH, Gazali AK
    Malays J Med Sci, 2013 Jan;20(1):31-8.
    PMID: 23785253 MyJurnal
    Magnetic resonance imaging (MRI) is a noninvasive method for determining brain morphology and volumetry. Hippocampal volume changes are observed in conjunction with several diseases. This study aimed to determine the normalised volume of the hippocampus in normal Malay children and adolescents.
    MeSH terms: Adolescent; Child; Hippocampus; Humans; Magnetic Resonance Imaging; Malaysia; Temporal Lobe
  3. Abidin NZ, Adam MB
    Malays J Med Sci, 2013 Jan;20(1):39-45.
    PMID: 23785254 MyJurnal
    BACKGROUND: Vertical jump is an index representing leg/kick power. The explosive movement of the kick is the key to scoring in martial arts competitions. It is important to determine factors that influence the vertical jump to help athletes improve their leg power. The objective of the present study is to identify anthropometric factors that influence vertical jump height for male and female martial arts athletes.

    METHODS: Twenty-nine male and 25 female athletes participated in this study. Participants were Malaysian undergraduate students whose ages ranged from 18 to 24 years old. Their heights were measured using a stadiometer. The subjects were weighted using digital scale. Body mass index was calculated by kg/m(2). Waist-hip ratio was measured from the ratio of waist to hip circumferences. Body fat % was obtained from the sum of four skinfold thickness using Harpenden callipers. The highest vertical jump from a stationary standing position was recorded. The maximum grip was recorded using a dynamometer. For standing back strength, the maximum pull upwards using a handle bar was recorded. Multiple linear regression was used to obtain the relationship between vertical jump height and explanatory variables with gender effect.

    RESULTS: Body fat % has a significant negative relationship with vertical jump height (P < 0.001). The effect of gender is significant (P < 0.001): on average, males jumped 26% higher than females did.

    CONCLUSION: Vertical jump height of martial arts athletes can be predicted by body fat %. The vertical jump for male is higher than for their female counterparts. Reducing body fat by proper dietary planning will help to improve leg power.

  4. Syazarina Sharis O, Zulkifli MZ, Hamzaini AH
    Malays J Med Sci, 2013 Jan;20(1):56-9.
    PMID: 23785255 MyJurnal
    Acute urinary retention (AUR) is one of the most serious complications of benign prostatic hypertrophy. This study was done to predict the outcome of trial of voiding without catheter (TWOC) in patients with AUR with intravesical prostatic protrusion (IPP) detected on transabdominal ultrasound. Other factors such as prostatic volume and patient's age were also assessed.
    MeSH terms: Humans; Male; Prostatic Hyperplasia; Urination; Urinary Retention
  5. Pei Lin L, Zakaria NS
    Malays J Med Sci, 2013 Jan;20(1):60-8.
    PMID: 23785256 MyJurnal
    Accurate medical information is essential among health care professionals to aid dissemination of information to the public. This study aimed to determine the level of knowledge about breast cancer and to identify related factors among undergraduate health sciences students in a public university in Terengganu, Malaysia.
    MeSH terms: Breast Neoplasms; Health Personnel; Humans; Malaysia; Students; Universities; Knowledge
  6. Sarriff A, Abdul Razzaq HA
    Malays J Med Sci, 2013 Jan;20(1):69-75.
    PMID: 23785257 MyJurnal
    Muslim consumers have special needs in medical treatment that differ from non-Muslim consumers. In particular, there is a growing demand among Muslim consumers for Halal medications. This descriptive exploratory study aims to determine the Halal status of selected cardiovascular, endocrine, and respiratory medications stored in an out-patient pharmacy in a Malaysian governmental hospital. Sources of active ingredients and excipients for each product were assessed for Halal status based on available information obtained from product leaflets, the Medical Information Management System (MIMS) website, or manufacturers. Halal status was based on the products' sources and categorized into Halal, Mushbooh, or Haram. The proportions of Halal, Mushbooh, and Haram products were at 19.1%, 57.1%, and 23.8%, respectively. The percentage of active ingredients for cardiovascular/endocrine products that were assessed as Haram was 5.3%; for respiratory medications, it was only 1.1%. For excipients, 1.7% and 4.8% fall under the category of Haram for cardiovascular/endocrine products and respiratory products, respectively. Ethanol and magnesium stearate were found to be the common substances that were categorized as Haram and Mushbooh.
    MeSH terms: Ethanol; Ambulatory Care; Excipients; Hospitals; Humans; Islam; Malaysia; Outpatient Clinics, Hospital; Outpatients; Pharmaceutical Services; Pharmacies; Pharmacy; Stearic Acids; Information Management
  7. George R, Donald PM, Nagraj SK, Idiculla JJ, Hj Ismail R
    Malays J Med Sci, 2013 Jan;20(1):76-80.
    PMID: 23785258 MyJurnal
    Sex determination is the most important step in personal identification in forensic investigations. DNA-based sex determination analysis is comparatively more reliable than the other conventional methods of sex determination analysis. Advanced technology like real-time polymerase chain reaction (PCR) offers accurate and reproducible results and is at the level of legal acceptance. But still there are situations like chimerism where an individual possess both male and female specific factors together in their body. Sex determination analysis in such cases can give erroneous results. This paper discusses the phenomenon of chimerism and its impact on sex determination analysis in forensic investigations.
    MeSH terms: DNA; Female; Male; Sex Determination Analysis; Chimerism; Real-Time Polymerase Chain Reaction
  8. Md Noh UK, Then KY
    Malays J Med Sci, 2013 Jan;20(1):84-7.
    PMID: 23785259
    A 42-year-old man from Ghana presented with bilateral painful corneal perforations following ingestion of a sulphur-based antibiotic. Emergency bilateral penetrating keratoplasty was performed, with restoration of globe integrity. However, surgical complications arose such as non-healing epithelial defect, secondary infection, graft dehiscence, and mounting intraocular pressure. This case illustrates the challenges faced in managing corneal grafts in patients with already compromised ocular surfaces.
    MeSH terms: Adult; Anti-Bacterial Agents; Eye; Ghana; Humans; Intraocular Pressure; Male; Pain; Sulfur; Tonometry, Ocular; Keratoplasty, Penetrating; Corneal Transplantation; Corneal Perforation; Coinfection
  9. Harano K, Harano T
    Rinsho Byori, 2013 Mar;61(3):217-23.
    PMID: 23785790
    This study was done to detect and diagnose beta-thalassemia (beta-Thal) gene quickly. We applied sequence specific Amplification (SSA) method to the analysis. 13 kinds of beta-Thal and two kinds of hemoglobin variants were able to detect under the same PCR condition. These mutations were found frequently in ten countries of Asian region (the southern part of China, Vietnam, Cambodia, Thailand, Myanmar, Malaysia, Singapore, Indonesia, Pakistan, India), and 15 kinds in total (-28CapA-->G, CD5-CT, CD8/9+-G, CD15G-->A, CD17A-->T, IVSI-1G-->T, CD41/42-4del, CD16-C, CD26G-->A(betaE), IVSI-5G-->C, CD35C-->A, CD71/72 +A, CD6A-->T (betaS), -619del, IVSII-654C-->T). More than 80% of patients are included in these mutations. To make the reagents a kit, the procedure became simple and rapid. DNA was extracted by salting out method. The PCR product was detected by polyacrylamide gel electrophoresis and silver staining. The confirmation of the variant was done by the PCR-direct sequencing method. It took approximately six hours for PCR reaction, electrophoresis and staining. This method made us to detect and diagnose beta-Thal in one day.
    MeSH terms: Gene Frequency/genetics*; Genetic Testing/methods; Humans; Mutation/genetics*; Time Factors; beta-Thalassemia/diagnosis*; beta-Thalassemia/genetics; Sequence Analysis, DNA
  10. Purmal K, Alam MK, Moganadass DD, Zakariat NN, Cheong NW
    Aust Orthod J, 2013 May;29(1):34-42.
    PMID: 23785936
    To assess the applicability of Pont's Index in a Malaysian population by obtaining baseline measurements of dental arch shape based on premolar arch width, molar arch width and the combined width of the maxillary incisors. A secondary aim was to determine whether a correlation exists between arch widths, Pont's Index and the facial framework.
    MeSH terms: Anthropometry; Bicuspid/anatomy & histology; Cephalometry/methods*; China/ethnology; Dental Arch/anatomy & histology*; Dental Models; Ethnic Groups*; Face/anatomy & histology*; Female; Humans; Incisor/anatomy & histology; India/ethnology; Malaysia/ethnology; Male; Mandible/anatomy & histology; Maxilla/anatomy & histology*; Molar/anatomy & histology; Mouth/anatomy & histology; Sex Factors; Vertical Dimension; Young Adult
  11. Othman SA, Ahmad R, Mericant AF, Jamaludin M
    Aust Orthod J, 2013 May;29(1):58-65.
    PMID: 23785939
    Fast and non-invasive systems of the three-dimensional (3D) technology are a recent trend in orthodontics. The reproducibility of facial landmarks is important so that 3D facial measurements are accurate and may-be applied clinically. The aim of this study is to evaluate the reproducibility of facial soft tissue landmarks using a non-invasive stereo-photogrammetry 3D camera.
    MeSH terms: Adult; Cephalometry/methods; Chin/anatomy & histology; Eyebrows/anatomy & histology; Eyelids/anatomy & histology; Face/anatomy & histology*; Female; Frontal Bone/anatomy & histology; Humans; Image Processing, Computer-Assisted/methods*; Lip/anatomy & histology; Male; Nose/anatomy & histology; Photogrammetry/instrumentation; Photogrammetry/methods*; Reproducibility of Results; Observer Variation; Nasal Cartilages/anatomy & histology; Young Adult; Anatomic Landmarks/anatomy & histology*
  12. Khalin I, Kocherga G
    Int J Radiat Biol, 2013 Dec;89(12):1108-15.
    PMID: 23786463 DOI: 10.3109/09553002.2013.817698
    The increase in the incidence of the radiation-induced skin injury cases and the absence of standard treatments escalate the interest in finding new and effective drugs for these lesions. We studied the effect of a 40% solution of arginine glutamate on the healing of radiation-induced skin ulcers in guinea pigs.
    MeSH terms: Animals; Antioxidants/metabolism; Arginase/metabolism; Dipeptides/therapeutic use*; Guinea Pigs; Nitric Oxide/metabolism; Radiation Injuries/drug therapy*; Radiation Injuries/metabolism*; Skin/radiation effects; Skin Ulcer/drug therapy*; Skin Ulcer/etiology; Uracil/analogs & derivatives; Uracil/therapeutic use; Wound Healing; Lipid Peroxidation; Cytokines/metabolism; Nitric Oxide Synthase Type II/metabolism
  13. Saddki N, Mohamad H, Mohd Yusof NI, Mohamad D, Mokhtar N, Wan Bakar WZ
    Health Qual Life Outcomes, 2013 Jun 20;11:100.
    PMID: 23786866 DOI: 10.1186/1477-7525-11-100
    BACKGROUND: The objective of this study was to determine the validity and reliability of the Malay translated Sleep Apnea Quality of Life Index (SAQLI) in patients with obstructive sleep apnea (OSA).

    METHODS: In this cross sectional study, the Malay version of SAQLI was administered to 82 OSA patients seen at the OSA Clinic, Hospital Universiti Sains Malaysia prior to their treatment. Additionally, the patients were asked to complete the Malay version of Medical Outcomes Study Short Form (SF-36). Twenty-three patients completed the Malay version of SAQLI again after 1-2 weeks to assess its reliability.

    RESULTS: Initial factor analysis of the 40-item Malay version of SAQLI resulted in four factors with eigenvalues >1. All items had factor loadings >0.5 but one of the factors was unstable with only two items. However, both items were maintained due to their high communalities and the analysis was repeated with a forced three factor solution. Variance accounted by the three factors was 78.17% with 9-18 items per factor. All items had primary loadings over 0.5 although the loadings were inconsistent with the proposed construct. The Cronbach's alpha values were very high for all domains, >0.90. The instrument was able to discriminate between patients with mild or moderate and severe OSA. The Malay version of SAQLI correlated positively with the SF-36. The intraclass correlation coefficients for all domains were >0.90.

    CONCLUSIONS: In light of these preliminary observations, we concluded that the Malay version of SAQLI has a high degree of internal consistency and concurrent validity albeit demonstrating a slightly different construct than the original version. The responsiveness of the questionnaire to changes in health-related quality of life following OSA treatment is yet to be determined.

    MeSH terms: Adult; Cross-Sectional Studies; Factor Analysis, Statistical; Female; Health Status Indicators*; Hospitals, University; Humans; Interviews as Topic; Malaysia; Male; Middle Aged; Psychometrics/standards*; Quality of Life/psychology*; Surveys and Questionnaires; Self-Assessment; Severity of Illness Index; Translating; Reproducibility of Results; Body Mass Index; Outcome Assessment (Health Care)/methods; Polysomnography; Sleep Apnea, Obstructive/diagnosis*; Sleep Apnea, Obstructive/ethnology; Sleep Apnea, Obstructive/therapy; Young Adult
  14. Lim SH, Bazazi AR, Sim C, Choo M, Altice FL, Kamarulzaman A
    Sex Transm Infect, 2013 Dec;89(8):642-9.
    PMID: 23787168 DOI: 10.1136/sextrans-2012-050995
    OBJECTIVE: To assess the prevalence of unprotected anal intercourse (UAI) and its correlates among ethnic Malay men who have sex with men (MSM).
    METHODS: In 2010, a convenience sample of 350 MSM in Penang were recruited to participate in an anonymous, computerised survey with rapid HIV testing. Participants who were not of Malay ethnicity (n=44) or who did not report sex with another man in the previous 12 months (n=22) were excluded, resulting in 284 participants in the final analysis. Correlates of UAI were examined separately for regular and casual partnerships using bivariate and multivariate logistic regression.
    RESULTS: Four men (1.9%) tested HIV positive. In the past 12 months, 64.7% of participants had regular sexual partners, 77.1% had casual sexual partners and 41.9% had both. Most participants (83.1%) reported UAI, which was more common in regular partnerships. Over two-thirds of participants had never been tested for HIV. In multivariate analysis, agreement about sexual risk reduction practices was associated with a reduction in UAI with regular partners (adjusted OR (AOR)=0.14, 95% CI 0.05 to 0.40). Reporting difficulty in using condoms was associated with an increase in UAI with casual partners (AOR=9.07, 95% CI 3.35 to 24.5), and any exposure to HIV prevention was associated with a decrease in UAI with casual partners (AOR=0.22, 95% CI 0.09 to 0.54).
    CONCLUSIONS: Despite highly prevalent HIV risk behaviours, HIV seropositivity and prior HIV testing were low. Increasing sexual negotiation skills and access to HIV testing and other prevention services may improve future prevention efforts.
    KEYWORDS: HIV; Homosexuality; Prevention; Sexual Behaviour
    MeSH terms: Adult; Cross-Sectional Studies; Humans; Health Knowledge, Attitudes, Practice; Malaysia/epidemiology; Male; Risk Factors; Sexual Behavior/psychology; Sexual Behavior/statistics & numerical data*; Sexual Partners*; HIV Infections/epidemiology; HIV Infections/prevention & control*; HIV Infections/psychology; Prevalence; Risk Reduction Behavior*; Unsafe Sex/prevention & control; Unsafe Sex/psychology; Unsafe Sex/statistics & numerical data*
  15. Sng CC, Wong WL, Cheung CY, Lee J, Tai ES, Wong TY
    J Hypertens, 2013 Oct;31(10):2036-42.
    PMID: 23787404 DOI: 10.1097/HJH.0b013e328362c201
    OBJECTIVE(S): To examine the effect of blood pressure (BP) on retinal vascular fractal dimension (Df), a measure of microvascular network complexity and density in a multiethnic cohort.
    METHODS: A population-based study of 3876 Chinese, Malay and Indian participants in Singapore. Retinal Df was measured using a computer-based program from digital retinal photographs. Associations between retinal Df and mean arterial BP (MABP) in the whole cohort and in each racial group were analysed using linear regression analysis. Logistic regression was used to examine the association between retinal Df and hypertension status.
    RESULTS: The mean retinal Df of the study population was 1.45 (standard deviation 0.03). After adjustment for age, sex, race, diabetes, BMI, cholesterol and creatinine levels, persons with smaller Df had higher MABP (mean difference MABP was 6.18 mmHg comparing lowest to highest Df quartiles, P<0.001). This was similar in Chinese, Malay and Indian persons [mean difference 6.40 (P<0.001), 4.72 (P=0.011) and 6.62 (P<0.001)mmHg, respectively]. Persons with smaller retinal Df were more likely to have uncontrolled treated or untreated hypertension [odds ratio 1.79 (P=0.003) and 2.60 (P=0.003), respectively, comparing lowest to highest Df quartiles] than those with no hypertension; this relationship was not seen comparing persons with controlled treated hypertension with no hypertension (odds ratio 1.01, P=0.972).
    CONCLUSION: Hypertension was associated with a sparser retinal vascular network, which was similar across different racial/ethnic groups and most apparent in those with uncontrolled or untreated hypertension. These data suggest that microvascular remodelling can be quantified by measuring retinal vasculature.
    MeSH terms: Adult; Aged; Aged, 80 and over; Blood Pressure*; China; China/ethnology; Ethnic Groups; Female; Fundus Oculi; Humans; Hypertension/diagnosis; Hypertension/pathology*; India; India/ethnology; Malaysia/ethnology; Male; Microcirculation*; Middle Aged; Prospective Studies; Retina/pathology; Retina/physiopathology; Retinal Diseases/ethnology*; Retinal Diseases/pathology*; Retinal Vessels/pathology*; Singapore; Odds Ratio
  16. Amjad RJ, Sahar MR, Dousti MR, Ghoshal SK, Jamaludin MN
    Opt Express, 2013 Jun 17;21(12):14282-90.
    PMID: 23787617 DOI: 10.1364/OE.21.014282
    We report significant enhancements in Er(3+) luminescence as well as in Raman intensity in silver nanoparticles embedded zinc-tellurite glass. Surface enhanced Raman scattering effect is highlighted for the first time in tellurite glass containing silver NPs resulting in an enhanced Raman signal (~10 times). SAED manifest the growth of Ag(0) nanoparticles along the (111) and (200) crystallographic planes having average diameter in the range 14-36 nm. Surface plasmon resonance bands are observed in the range 484-551 nm. Furthermore, four prominent photoluminescence bands undergo significant enhancements up to 3 times. The enhancement is majorly attributed to the local field effect of silver NPs.
    MeSH terms: Equipment Design; Glass/chemistry*; Silver/radiation effects; Silver/chemistry*; Spectrometry, Fluorescence/instrumentation*; Spectrum Analysis, Raman/instrumentation*; Tellurium/chemistry*; Zinc/chemistry*; Equipment Failure Analysis; Metal Nanoparticles/chemistry*
  17. Yang HZ, Lim KS, Qiao XG, Chong WY, Cheong YK, Lim WH, et al.
    Opt Express, 2013 Jun 17;21(12):14808-15.
    PMID: 23787668 DOI: 10.1364/OE.21.014808
    We present a new theoretical model for the broadband reflection spectra of etched FBGs which includes the effects of axial contraction and stress-induced index change. The reflection spectra of the etched FBGs with several different taper profiles are simulated based on the proposed model. In our observation, decaying exponential profile produces a broadband reflection spectrum with good uniformity over the range of 1540-1560 nm. An etched FBG with similar taper profile is fabricated and the experimental result shows good agreement with the theoretical model.
    MeSH terms: Computer Simulation; Equipment Design; Fiber Optic Technology/instrumentation*; Light; Models, Theoretical*; Refractometry/instrumentation*; Scattering, Radiation; Computer-Aided Design*; Equipment Failure Analysis; Elastic Modulus
  18. Ehsan MA, Peiris TA, Wijayantha KG, Olmstead MM, Arifin Z, Mazhar M, et al.
    Dalton Trans, 2013 Aug 14;42(30):10919-28.
    PMID: 23787951 DOI: 10.1039/c3dt50781e
    Symmetrical and unsymmetrical dithiocarbamato pyridine solvated and non-solvated complexes of indium(III) with the general formula [In(S2CNRR')3]·n(py) [where py = pyridine; R,R' = Cy, n = 2 (1); R,R' = (i)Pr, n = 1.5 (2); NRR' = Pip, n = 0.5 (3) and R = Bz, R' = Me, n = 0 (4)] have been synthesized. The compositions, structures and properties of these complexes have been studied by means of microanalysis, IR and (1)H-NMR spectroscopy, X-ray single crystal and thermogravimetric (TG/DTG) analyses. The applicability of these complexes as single source precursors (SSPs) for the deposition of β-In2S3 thin films on fluorine-doped SnO2 (FTO) coated conducting glass substrates by aerosol-assisted chemical vapour deposition (AACVD) at temperatures of 300, 350 and 400 °C is studied. All films have been characterized by powder X-ray diffraction (PXRD) and energy dispersive X-ray analysis (EDX) for the detection of phase and stoichiometry of the deposit. Scanning electron microscopy (SEM) studies reveal that precursors (1)-(4), irrespective of different metal ligand design, generate comparable morphologies of β-In2S3 thin films at different temperatures. Direct band gap energies of 2.2 eV have been estimated from the UV-vis spectroscopy for the β-In2S3 films fabricated from precursors (1) and (4). The photoelectrochemical (PEC) properties of β-In2S3 were confirmed by recording the current-voltage plots under light and dark conditions. The plots showed anodic photocurrent densities of 1.25 and 0.65 mA cm(-2) at 0.23 V vs. Ag/AgCl for the β-In2S3 films made at 400 and 350 °C from the precursors (1) and (4), respectively. The photoelectrochemical performance indicates that the newly synthesised precursors are highly useful in fabricating β-In2S3 electrodes for solar energy harvesting and optoelectronic application.
  19. Ismail A, Teh LK, Ngeow YF, Norazmi MN, Zainul ZF, Tang TH, et al.
    Genome Announc, 2013;1(3).
    PMID: 23788553 DOI: 10.1128/genomeA.00397-13
    We report the annotated genome sequence of a clinical isolate, Mycobacterium tuberculosis strain PR05, which was isolated from the human cerebrospinal fluid of a patient diagnosed with tuberculosis.
    MeSH terms: Base Sequence; Chromosome Mapping; Diagnostic Tests, Routine; Humans; Mycobacterium tuberculosis; Tuberculosis
  20. Al-lela OQ, Elkalmi RM, Jamshed SQ
    Am J Pharm Educ, 2013 Jun 12;77(5):106.
    PMID: 23788817 DOI: 10.5688/ajpe775106
    MeSH terms: Curriculum; Education, Pharmacy/methods*; Humans; Malaysia; Time Factors; Universities*; Program Development; Adverse Drug Reaction Reporting Systems*; Pharmacovigilance*
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