Browse publications by year: 2013

  1. Lee WC, Yusof MM, Lau FN, Phua VC
    Asian Pac J Cancer Prev, 2013;14(6):3941-4.
    PMID: 23886211
    BACKGROUND: The use of preoperative chemoirradiation is the commonest treatment strategy employed in Malaysia for locally advanced rectal cancer. We need to determine the local control and survival rates for comparison with established rates in the literature.

    MATERIALS AND METHODS: This retrospective study analyzed all newly diagnosed patients with rectal adenocarcinoma who underwent long course preoperative radiotherapy (RT) at the Department of Radiotherapy and Oncology, Kuala Lumpur Hospital (HKL) between 1st January 2004 and 31st December 2010. The aim of the study was to determine the radiological response post radiotherapy, pathological response including circumferential resection margin (CRM) status, 3 years local control, 3 years overall survival (OS) and 3 years disease free survival (DFS). Statistical analysis was performed using the SPSS software. Kaplan-Meier and log rank analysis were used to determine survival outcomes.

    RESULTS: A total of 507 patients with rectal cancer underwent RT at HKL. Sixty seven who underwent long course preoperative RT were eligible for this study. The median age at diagnosis was 60 years old with a range of 26-78 years. The median tumour location was 6 cm from the anal verge. Most patients had suspicion of mesorectum involvement (95.5%) while 28.4% of patients had enlarged pelvic nodes on staging CT scan. All patients underwent preoperative chemo-irradiation except for five who had preoperative RT alone. Only 38 patients underwent definitive surgery (56.7%). Five patients were deemed to be inoperable radiologically and 3 patients were found to have unresectable disease intraoperatively. The remaining 21 patients defaulted surgery (31.3%). The median time from completion of RT to surgery was 8 weeks (range 5.6 to 29.4 weeks). Fifteen patients (39.5%) had surgery more than 8 weeks after completion of RT. Complete pathological response was noted in 4 patients (10.5%). The pathological CRM positive rate after RT was 18.4%. With a median follow-up of 38.8 months, the 3 year local control rate was 67%. The 3 years rate for CRM positive (<2 mm), CRM clear (>2 mm) and pCR groups were 0%, 88.1% and 100% respectively (p-value of 0.007). The 3 year OS and DFS were 57.3% and 44.8% respectively.

    CONCLUSIONS: In conclusion, the approach of long course preoperative chemoirradiation for rectal cancer needs to be re-examined in our local setting. The high rate of local recurrence is worrying and is mainly due to patient defaulting post-preoperative chemoirradiation or delayed definitive surgery.
    MeSH terms: Adenocarcinoma/mortality; Adenocarcinoma/pathology; Adenocarcinoma/therapy*; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols/therapeutic use*; Leucovorin/administration & dosage; Developing Countries; Female; Fluorouracil/administration & dosage; Follow-Up Studies; Humans; Male; Middle Aged; Neoplasm Recurrence, Local/mortality; Neoplasm Recurrence, Local/pathology; Neoplasm Recurrence, Local/therapy*; Neoplasm Staging; Preoperative Care; Prognosis; Radiotherapy Dosage; Rectal Neoplasms/mortality; Rectal Neoplasms/pathology; Rectal Neoplasms/therapy*; Retrospective Studies; Survival Rate; Neoadjuvant Therapy; Chemoradiotherapy, Adjuvant*
  2. Sukeri S, Mirzaei M, Leeder SR
    Int J Cardiol, 2013 Oct;168(4):4512-3.
    PMID: 23886534 DOI: 10.1016/j.ijcard.2013.06.112
    MeSH terms: Adult; Attitude to Health*; Female; Humans; Islam*; Malaysia; Male; Middle Aged; Myocardial Infarction*; Caregivers*; Young Adult
  3. Ong CS, Cheah TE, Jasmin R, Yahya F, Sockalingam S, Ng CT
    Lupus, 2013 Oct;22(11):1174-7.
    PMID: 23886639 DOI: 10.1177/0961203313498792
    Lupus associated protein loosing enteropathy (LUPLE) is a rare gastrointestinal manifestation of SLE. We presented a case of painless ascites from serve hypoalbuminaemia secondary to LUPLE. The patient responded to a course of intravenous cyclophosphamide. The remission was maintained by azathioprine and low dose prednisolone.
    MeSH terms: Ascites/etiology*; Azathioprine/therapeutic use; Cyclophosphamide/therapeutic use; Female; Hospitals, University; Humans; Lupus Erythematosus, Systemic/complications*; Malaysia; Middle Aged; Prednisolone/therapeutic use; Protein-Losing Enteropathies/diagnosis*; Protein-Losing Enteropathies/drug therapy; Protein-Losing Enteropathies/etiology; CA-125 Antigen/blood*
  4. Lim KS, Hills MD, Choo WY, Wong MH, Wu C, Tan CT
    Epilepsy Res, 2013 Oct;106(3):433-9.
    PMID: 23886655 DOI: 10.1016/j.eplepsyres.2013.06.014
    INTRODUCTION: There is a lack of study comparing the attitudes toward epilepsy between the teachers and general population, teachers and students, using a similar quantitative scale.
    METHODS: This study was performed in one primary and one secondary school in Kuala Lumpur, Malaysia, using the Public Attitudes Toward Epilepsy (PATE) scale.
    RESULTS: A total of 186 teachers aged 39.6±10.4 years completed the questionnaire. The mean scores in both personal and general domains of PATE scale were significantly better in the teachers, comparing to the scores in the secondary and college students reported in previous study (Lim et al., 2013; p<0.001 and <0.05, respectively). The mean scores in personal domain was significantly better in the teachers, comparing to the general population reported by Lim et al. (2012; p<0.001). This hold true when comparing teachers with general population with tertiary education, suggesting that the better attitude is specific to the job, rather than tertiary education generally. Subanalysis showed that the attitudes of teachers were significantly better than the general population and the students related to employment and social life, but were equally negative on issues directly related to education, such as placing children with epilepsy in regular classes.
    CONCLUSION: Teachers had more positive attitudes toward epilepsy as compared with the general population with tertiary education. Attitude to epilepsy may differ specific to types of work.
    MeSH terms: Adult; Attitude*; Data Interpretation, Statistical; Epilepsy/psychology*; Female; Humans; Malaysia/epidemiology; Male; Middle Aged; Psychometrics; Surveys and Questionnaires; Schools*; Socioeconomic Factors; Students; Young Adult; School Teachers
  5. Yoon YK, Ali MA, Wei AC, Choon TS, Khaw KY, Murugaiyah V, et al.
    Bioorg Chem, 2013 Aug;49:33-9.
    PMID: 23886696 DOI: 10.1016/j.bioorg.2013.06.008
    Two series of novel acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) inhibitors containing benzimidazole core structure were synthesized by a four-step reaction pathway starting from 4-fluoro-3-nitrobenzoic acid as the basic compound. The structure of the novel benzimidazoles was characterized and confirmed by the elemental and mass spectral analyses as well as (1)H NMR spectroscopic data. Of the 34 novel synthesized compounds, three benzimidazoles revealed AChE inhibition with IC50<10 μM. The highest inhibitory activity (IC50=5.12 μM for AChE and IC50=8.63 μM for BChE) corresponds to the compound 5IIc (ethyl 1-(3-(1H-imidazol-1-yl)propyl)-2-(4-nitrophenyl)-1H-benzo[d]imidazole-5-carboxylate). The relationship between lipophilicity and the chemical structures as well as their limited structure-activity relationship was discussed.
    MeSH terms: Benzimidazoles/chemical synthesis; Benzimidazoles/pharmacology*; Benzimidazoles/chemistry*; Cholinesterase Inhibitors/chemical synthesis*; Cholinesterase Inhibitors/pharmacology*; Cholinesterase Inhibitors/chemistry; Cholinesterases/metabolism*; Dose-Response Relationship, Drug; Structure-Activity Relationship; Molecular Structure; Molecular Docking Simulation*
  6. Chiam CW, Chan YF, Loong SK, Yong SS, Hooi PS, Sam IC
    Diagn Microbiol Infect Dis, 2013 Oct;77(2):133-7.
    PMID: 23886793 DOI: 10.1016/j.diagmicrobio.2013.06.018
    Quantitative real-time polymerase chain reaction (qRT-PCR) is useful for diagnosis and studying virus replication. We developed positive- and negative-strand qRT-PCR assays to detect nsP3 of chikungunya virus (CHIKV), a positive-strand RNA alphavirus that causes epidemic fever, rash, and arthritis. The positive- and negative-strand qRT-PCR assays had limits of quantification of 1 and 3 log10 RNA copies/reaction, respectively. Compared to a published E1 diagnostic assay using 30 laboratory-confirmed clinical samples, the positive-strand nsP3 qRT-PCR assay had higher R(2) and efficiency and detected more positive samples. Peak viral load of 12.9 log(10) RNA copies/mL was reached on day 2 of illness, and RNA was detectable up to day 9, even in the presence of anti-CHIKV IgM. There was no correlation between viral load and persistent arthralgia. The positive-strand nsP3 assay is suitable for diagnosis, while the negative-strand nsP3 assay, which uses tagged primers to increase specificity, is useful for study of active viral replication kinetics.
    MeSH terms: Animals; Cercopithecus aethiops; Chikungunya virus/genetics; Chikungunya virus/isolation & purification*; Humans; RNA, Viral/blood; Sensitivity and Specificity; Vero Cells; Virology/methods; Alphavirus Infections/diagnosis*; Alphavirus Infections/virology; Statistics, Nonparametric; Arthralgia/virology; Viral Load; Real-Time Polymerase Chain Reaction/methods*
  7. Cheah SC, Lai SL, Lee ST, Hadi AH, Mustafa MR
    Molecules, 2013 Jul 24;18(8):8764-78.
    PMID: 23887718 DOI: 10.3390/molecules18088764
    In the present study, we investigated the effects of panduratin A (PA), isolated from Boesenbergia rotunda, on apoptosis and chemoinvasion in A549 human non-small cell lung cancer cells. Activation of the executioner procaspase-3 by PA was found to be dose-dependent. Caspase-3 activity was significantly elevated at the 5 µg/mL level of PA treatment and progressed to a maximal level. However, no significant elevated level was detected on procaspase-8. These findings suggest that PA activated caspase-3 but not caspase-8. Numerous nuclei of PA treated A549 cells stained brightly by anti-cleaved PARP antibody through High Content Screening. This result further confirmed that PA induced apoptotic cell death was mediated through activation of caspase-3 and eventually led to PARP cleavage. Treatment of A549 cells with PA resulted in a strong inhibition of NF-κB activation, which was consistent with a decrease in nuclear levels of NF-κB/p65 and NF-κB/p50 and the elevation of p53 and p21. Besides that, we also showed that PA significantly inhibited the invasion of A549 cells in a dose-dependent manner through reducing the secretion of MMP-2 of A549 cells gelatin zymography assay. Our findings not only provide the effects of PA, but may also be important in the design of therapeutic protocols that involve targeting of either p53 or NF-κB.
    MeSH terms: Carcinoma, Non-Small-Cell Lung/drug therapy*; Carcinoma, Non-Small-Cell Lung/pathology; Humans; Lung Neoplasms/drug therapy*; Lung Neoplasms/pathology; Poly(ADP-ribose) Polymerases; Signal Transduction/drug effects; NF-kappa B/antagonists & inhibitors*; NF-kappa B/metabolism; Apoptosis/drug effects; Matrix Metalloproteinase 2; Cell Line, Tumor; Chalcones/administration & dosage*; Chalcones/chemistry; Caspase 3; Poly (ADP-Ribose) Polymerase-1
  8. Carrasco LR
    Science, 2013 Jul 26;341(6144):342-3.
    PMID: 23888020 DOI: 10.1126/science.341.6144.342-b
    MeSH terms: Air Pollution*; Conservation of Natural Resources*; Fires; Indonesia; International Cooperation*; Malaysia; Singapore; Trees; Biodiversity*; Climate Change
  9. Lee Y, Wakabayashi M
    Global Health, 2013;9:34.
    PMID: 23889997 DOI: 10.1186/1744-8603-9-34
    The World Health Organization (WHO) selected antimicrobial resistance (AMR) as the theme for World Health Day 2011. The slogan was "Combat Drug Resistance - No action today, no cure tomorrow" A six-point policy package was launched as a core product for World Health Day. It aimed to stimulate extensive and coherent action to overcome the many challenges presented by antimicrobial resistance.
    MeSH terms: Anniversaries and Special Events; Asia, Southeastern; Drug Resistance, Microbial*; Humans; Mongolia; Pacific Islands; Global Health*; World Health Organization; Qualitative Research
  10. Chinna K, Karupaiah T
    Nutr Metab (Lond), 2013;10(1):52.
    PMID: 23890489 DOI: 10.1186/1743-7075-10-52
    We examined the methodological approach to the assessment of monosodium glutamate intake. The high carbohydrate and low fat consumption characteristic of this study population would be conducive to the development of metabolic syndrome. However, anomalies in the assessment of dietary information limits conclusion to a causal link of monosodium glutamate to metabolic syndrome and overweight because the study lacks data on the main dietary patterns of consumption. Given the current paucity of data from human studies on monosodium glutamate intake and risk, more studies with robust methodology are required to assess causal links to disease.
  11. Yaseen SG, Ahmed SA, Johan MF, Kiron R, Daher AM
    Transfus Apher Sci, 2013 Dec;49(3):647-51.
    PMID: 23890575 DOI: 10.1016/j.transci.2013.07.003
    Transmission of infectious diseases is a recognized complication of blood transfusion and blood products. Nucleic acid testing (NAT) may contribute to improved efficiency of blood screening and thereby increase the safety margin for transfused blood.
    MeSH terms: Adult; Blood Donors*; Blood Transfusion/methods*; Cross-Sectional Studies; Female; Humans; Malaysia/epidemiology; Male; Prospective Studies; Random Allocation; Virus Diseases/blood*; Virus Diseases/epidemiology; Cohort Studies; Nucleic Acid Amplification Techniques/instrumentation; Nucleic Acid Amplification Techniques/methods*
  12. Al-Qershi OM, Khoo BE
    Forensic Sci Int, 2013 Sep 10;231(1-3):284-95.
    PMID: 23890651 DOI: 10.1016/j.forsciint.2013.05.027
    Currently, digital images and videos have high importance because they have become the main carriers of information. However, the relative ease of tampering with images and videos makes their authenticity untrustful. Digital image forensics addresses the problem of the authentication of images or their origins. One main branch of image forensics is passive image forgery detection. Images could be forged using different techniques, and the most common forgery is the copy-move, in which a region of an image is duplicated and placed elsewhere in the same image. Active techniques, such as watermarking, have been proposed to solve the image authenticity problem, but those techniques have limitations because they require human intervention or specially equipped cameras. To overcome these limitations, several passive authentication methods have been proposed. In contrast to active methods, passive methods do not require any previous information about the image, and they take advantage of specific detectable changes that forgeries can bring into the image. In this paper, we describe the current state-of-the-art of passive copy-move forgery detection methods. The key current issues in developing a robust copy-move forgery detector are then identified, and the trends of tackling those issues are addressed.
    MeSH terms: Forensic Medicine; Humans; Data Compression
  13. Amin YM, Khandaker MU, Shyen AK, Mahat RH, Nor RM, Bradley DA
    Appl Radiat Isot, 2013 Oct;80:109-16.
    PMID: 23891979 DOI: 10.1016/j.apradiso.2013.06.014
    Current study concerns measurement of radioactivity levels in areas surrounding a 2420 MW thermal power plant fueled predominantly by bituminous coal. The concentrations of (226)Ra, (232)Th and (40)K in onsite bottom-ash were found to be 139 Bq/kg, 108 Bq/kg and 291 Bq/kg, respectively, the levels for these radiolnuclides in soil decreasing with distance from the power plant. At the plant perimeter the respective radionuclide concentrations were 87 Bq/kg, 74 Bq/kg and 297 Bq/kg. In a nearby town, the corresponding concentrations were 104 Bq/kg, 52 Bq/kg and 358 Bq/kg, suggestive of use of TENORM affected soils. The mean radium equivalent activities (Raeq) in soil and ash sample in the town were 205 Bq/kg and 316 Bq/kg, respectively. The Kapar plant ash/slag appears to contain a higher level of TENORM than the world average. The degree of contamination is much higher inside the town where slag has been mixed with topsoil as landfill or as simple domestic waste. For the prevailing levels of exposure and a worst case senario, the predicted committed effective dose due to ingestion and inhalation for intake durations of 1- and 30 years would be 4.2 μSv and 220 μSv, respectively.
    MeSH terms: Coal; Power Plants; Radioactivity; Radioisotopes; Radium; Soil; Coal Ash; Waste Disposal Facilities
  14. Amornsudthiwat P, Mongkolnavin R, Kanokpanont S, Panpranot J, Wong CS, Damrongsakkul S
    Colloids Surf B Biointerfaces, 2013 Nov 1;111:579-86.
    PMID: 23893032 DOI: 10.1016/j.colsurfb.2013.07.009
    Low energy plasma has been introduced to treat the surface of Thai silk fibroin which should be enhanced for cell adhesion due to its native hydrophobic surface. Plasma surface treatment could introduce desirable hydrophilic functionalities on the surface without using any chemicals. In this work, nitrogen glow discharge plasma was generated by a low energy AC50Hz power supply system. The plasma operating conditions were optimized to reach the highest nitrogen active species by using optical emission spectroscopy. X-ray photoelectron spectroscopy (XPS) revealed that amine, hydroxyl, ether, and carboxyl groups were induced on Thai silk fibroin surface after plasma treatment. The results on Fourier transform infrared attenuated total reflection (FTIR-ATR) spectroscopy confirmed that the plasma treated effects were only on the outermost layer since there was no change in the bulk chemistry. The surface topography was insignificantly changed from the detection with atomic force microscopy (AFM). The plasma-treated effects were the improved surface wettability and cell adhesion. After a 90-s treatment, the water contact angle was at 20°, while the untreated surface was at 70°. The early cell adhesion of L929 mouse fibroblast was accelerated. L929 cells only took 3h to reach 100% cell adhesion on 90 s N2 plasma-treated surface, while there was less than 50% cell adhesion on the untreated Thai silk fibroin surface after 6h of culture. The cell adhesion results were in agreement with the cytoskeleton development. L929 F-actin was more evident on 90 s N2 plasma-treated surface than others. It could be concluded that a lower energy AC50Hz plasma system enhanced early L929 mouse fibroblast adhesion on Thai silk fibroin surface without any significant change in surface topography and bulk chemistry.
    MeSH terms: Actins/metabolism; Animals; Cell Adhesion/drug effects; Cytoskeleton/drug effects; Cytoskeleton/metabolism; Fibroblasts/cytology*; Fibroblasts/drug effects; Fibroins/pharmacology*; Surface Properties; Thailand; Thermodynamics; Water/chemistry; Wettability; Spectroscopy, Fourier Transform Infrared; Mice; Plasma Gases/pharmacology*
  15. Nagarajan M, Vijayakumar P
    J Back Musculoskelet Rehabil, 2013;26(3):227-42.
    PMID: 23893137 DOI: 10.3233/BMR-130373
    Recent evidences suggest functional thoracic hyperkyphosis (FTH) could be a different approach in the management of subacromial impingement syndrome (SIS). This case study aims firstly with the development of evidence informed FTH model for SIS. Secondly this study aimed to develop well defined multimodal physical therapy intervention for FTH and its related mechanical consequences in elderly patient with chronic SIS. As a result, Level IV positive evidence was found in both the short and long-term pain and disability of chronic SIS, using FTH model with 26 months of follow-up.
    MeSH terms: Female; Humans; Kyphosis/complications; Kyphosis/radiography; Kyphosis/therapy*; Magnetic Resonance Imaging; Middle Aged; Pain Measurement; Physical Examination; Shoulder Joint/pathology; Thoracic Vertebrae/radiography; Cognitive Therapy; Shoulder Impingement Syndrome/complications; Shoulder Impingement Syndrome/pathology; Shoulder Impingement Syndrome/therapy*; Physical Therapy Modalities
  16. Kazemi M, Bala Krishnan M, Aik Howe T
    Iran J Allergy Asthma Immunol, 2013 Sep;12(3):236-46.
    PMID: 23893807
    In this paper, the method of differentiating asthmatic and non-asthmatic patients using the frequency analysis of capnogram signals is presented. Previously, manual study on capnogram signal has been conducted by several researchers. All past researches showed significant correlation between capnogram signals and asthmatic patients. However all of them are just manual study conducted through the conventional time domain method. In this study, the power spectral density (PSD) of capnogram signals is estimated by using Fast Fourier Transform (FFT) and Autoregressive (AR) modelling. The results show the non-asthmatic capnograms have one component in their PSD estimation, in contrast to asthmatic capnograms that have two components. Furthermore, there is a significant difference between the magnitude of the first component for both asthmatic and non-asthmatic capnograms. The effectiveness and performance of manipulating the characteristics of the first frequency component, mainly its magnitude and bandwidth, to differentiate between asthmatic and non-asthmatic conditions by means of receiver operating characteristic (ROC) curve analysis and radial basis function (RBF) neural network were shown. The output of this network is an integer prognostic index from 1 to 10 (depends on the severity of asthma) with an average good detection rate of 95.65% and an error rate of 4.34%. This developed algorithm is aspired to provide a fast and low-cost diagnostic system to help healthcare professional involved in respiratory care as it would be possible to monitor severity of asthma automatically and instantaneously.
    MeSH terms: Asthma/diagnosis; Asthma/physiopathology*; Fourier Analysis*; Humans; ROC Curve; Neural Networks (Computer)*; Capnography*
  17. Lim CY, Mat Junit S, Abdulla MA, Abdul Aziz A
    PLoS One, 2013;8(7):e70058.
    PMID: 23894592 DOI: 10.1371/journal.pone.0070058
    BACKGROUND: Tamarindus indica (T. indica) is a medicinal plant with many biological activities including anti-diabetic, hypolipidaemic and anti-bacterial activities. A recent study demonstrated the hypolipidaemic effect of T. indica fruit pulp in hamsters. However, the biochemical and molecular mechanisms responsible for these effects have not been fully elucidated. Hence, the aims of this study were to evaluate the antioxidant activities and potential hypocholesterolaemic properties of T. indica, using in vitro and in vivo approaches.

    METHODOLOGY/PRINCIPAL FINDINGS: The in vitro study demonstrated that T. indica fruit pulp had significant amount of phenolic (244.9 ± 10.1 mg GAE/extract) and flavonoid (93.9 ± 2.6 mg RE/g extract) content and possessed antioxidant activities. In the in vivo study, hamsters fed with high-cholesterol diet for ten weeks showed elevated serum triglyceride, total cholesterol, HDL-C and LDL-C levels. Administration of T. indica fruit pulp to hypercholesterolaemic hamsters significantly lowered serum triglyceride, total cholesterol and LDL-C levels but had no effect on the HDL-C level. The lipid-lowering effect was accompanied with significant increase in the expression of Apo A1, Abcg5 and LDL receptor genes and significant decrease in the expression of HMG-CoA reductase and Mtp genes. Administration of T. indica fruit pulp to hypercholesterolaemic hamsters also protected against oxidative damage by increasing hepatic antioxidant enzymes, antioxidant activities and preventing hepatic lipid peroxidation.

    CONCLUSION/SIGNIFICANCE: It is postulated that tamarind fruit pulp exerts its hypocholesterolaemic effect by increasing cholesterol efflux, enhancing LDL-C uptake and clearance, suppressing triglyceride accumulation and inhibiting cholesterol biosynthesis. T. indica fruit pulp has potential antioxidative effects and is potentially protective against diet-induced hypercholesterolaemia.

    MeSH terms: Animals; Anticholesteremic Agents/isolation & purification; Anticholesteremic Agents/pharmacology*; Anticholesteremic Agents/chemistry; Antioxidants/isolation & purification; Antioxidants/pharmacology*; Body Weight/drug effects; Flavonoids/analysis; Fruit/chemistry*; Cricetinae; Liver/anatomy & histology; Liver/drug effects; Liver/metabolism; Male; Organ Size/drug effects; Plant Extracts/isolation & purification; Plant Extracts/pharmacology*; Plant Extracts/chemistry; Free Radical Scavengers/isolation & purification; Free Radical Scavengers/pharmacology; Free Radical Scavengers/chemistry; Thiobarbituric Acid Reactive Substances/metabolism; Oxidative Stress/drug effects; Tamarindus/chemistry*; Lipid Metabolism/drug effects; Polyphenols/analysis
  18. Crous PW, Groenewald JZ
    IMA Fungus, 2013 Jul;4(1):133-54.
    PMID: 23898419 DOI: 10.5598/imafungus.2013.04.01.13
    Although the genus Arthrinium (sexual morph Apiospora) is commonly isolated as an endophyte from a range of substrates, and is extremely interesting for the pharmaceutical industry, its molecular phylogeny has never been resolved. Based on morphology and DNA sequence data of the large subunit nuclear ribosomal RNA gene (LSU, 28S) and the internal transcribed spacers (ITS) and 5.8S rRNA gene of the nrDNA operon, the genus Arthrinium is shown to belong to Apiosporaceae in Xylariales. Arthrinium is morphologically and phylogenetically circumscribed, and the sexual genus Apiospora treated as synonym on the basis that Arthinium is older, more commonly encountered, and more frequently used in literature. An epitype is designated for Arthrinium pterospermum, and several well-known species are redefined based on their morphology and sequence data of the translation elongation factor 1-alpha (TEF), beta-tubulin (TUB) and internal transcribed spacer (ITS1, 5.8S, ITS2) gene regions. Newly described are A. hydei on Bambusa tuldoides from Hong Kong, A. kogelbergense on dead culms of Restionaceae from South Africa, A. malaysianum on Macaranga hullettii from Malaysia, A. ovatum on Arundinaria hindsii from Hong Kong, A. phragmites on Phragmites australis from Italy, A. pseudospegazzinii on Macaranga hullettii from Malaysia, A. pseudosinense on bamboo from The Netherlands, and A. xenocordella from soil in Zimbabwe. Furthermore, the genera Pteroconium and Cordella are also reduced to synonymy, rejecting spore shape and the presence of setae as characters of generic significance separating them from Arthrinium.
  19. Sarwar A
    Iran J Public Health, 2013 Aug;42(8):795-805.
    PMID: 26056632
    Tourism, combined with the phrase medical, seems to be a new form of tourism which has gained huge popularity in recent decades. Though, a number of literatures available with regard to the tourism industry and the competitiveness of the destination, however, the major aspects which determine the satisfaction of medical tourists are hardly focused specifically on Malaysia. There is a lack of empirical evidence in this area of study which needs to be bridged. Hence, this study aimed at investigating the various factors contributing towards the development of medical tourism in Malaysia.
    MeSH terms: Industry; Malaysia; Personal Satisfaction; Medical Tourism
  20. Muslim A, Fong MY, Mahmud R, Lau YL, Sivanandam S
    Parasit Vectors, 2013;6:219.
    PMID: 23898840 DOI: 10.1186/1756-3305-6-219
    In 2011, we reported occurrence of natural human infections with Brugia pahangi, a filarial worm of dogs and cats, in a surburb of Kuala Lumpur, the capital city of Malaysia. Our preliminary entomological survey at that time suggested the mosquito species Armigeres subalbatus as the vector of the zoonotic infections. In this present report, we provide biological evidence to confirm our preliminary finding.
    MeSH terms: Animals; Cat Diseases/epidemiology*; Cat Diseases/parasitology; Cats; Dog Diseases/epidemiology*; Dog Diseases/parasitology; Dogs; Female; Filariasis/epidemiology*; Filariasis/parasitology; Gerbillinae; Humans; Insect Vectors/parasitology*; Larva; Malaysia/epidemiology; Male; Culicidae/parasitology*; Zoonoses; Brugia pahangi/isolation & purification*
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