Browse publications by year: 2013

  1. Bayat S, Tejo BA, Salleh AB, Abdmalek E, Normi YM, Abdul Rahman MB
    Chirality, 2013 Nov;25(11):726-34.
    PMID: 23966316 DOI: 10.1002/chir.22205
    A series of tripeptide organocatalysts containing a secondary amine group and two amino acids with polar side chain units were developed and evaluated in the direct asymmetric intermolecular aldol reaction of 4-nitrobenzaldehyde and cyclohexanone. The effectiveness of short polar peptides as asymmetric catalysts in aldol reactions to attain high yields of enantio- and diastereoselective isomers were investigated. In a comparison, glutamic acid and histidine produced higher % ee and yields when they were applied as the second amino acid in short trimeric peptides. These short polar peptides were found to be efficient organocatalysts for the asymmetric aldol addition reaction in aqueous media.
    MeSH terms: Aldehydes/chemistry*; Catalysis; Oligopeptides/chemistry*; Organic Chemicals/chemistry*; Solvents/chemistry; Water/chemistry*
  2. Hassali MA, Ahmadi K, Yong GC
    Am J Pharm Educ, 2013 Aug 12;77(6):112.
    PMID: 23966715 DOI: 10.5688/ajpe776112
    MeSH terms: Developing Countries; Education, Pharmacy/standards*; Humans; Patient Care Team; Students, Pharmacy*; Consensus*
  3. Munira Y, Zunaina E, Azhany Y
    Int Med Case Rep J, 2013;6:37-9.
    PMID: 23966803 DOI: 10.2147/IMCRJ.S47769
    A 15-year-old boy presented with painless progressive blurring of vision in the right eye for 1 year in duration. His visual acuity in the right eye was hand movement. The right fundus showed presence of extensive subretinal exudates at the posterior pole and a retinal macrocyst at the temporal periphery. It was associated with exudative retinal detachment at the inferior periphery of the retina. Fundus angiography revealed telangiectatic retinal vessels at the superotemporal retina. Based on clinical and angiographic findings, a diagnosis of Coats disease was made. He was treated with retinal laser photocoagulation. There was resolution of the exudative retinal detachment, reduction of subretinal exudates, and regression of the retinal macrocyst with improvement of visual acuity to 1/60 post-laser therapy.
    MeSH terms: Adolescent; Angiography; Fundus Oculi; Humans; Light Coagulation; Male; Retina; Retinal Detachment; Retinal Vessels; Visual Acuity; Laser Therapy; Retinal Telangiectasis
  4. Abdullah JM
    Malays J Med Sci, 2013 May;20(3):1-5.
    PMID: 23966818
    President Obama of the United States of America announced this April the Brain Research Through Advancing Innovative Neurotechnologies (BRAIN for short) investment, while Professor Henry Markram's team based in the European Union will spend over a billion euros on the Human Brain Project, breaking through the unknowns in the fifth science of the decade: Neuroscience. Malaysia's growth in the same field needs to be augmented, and thus the Universiti Sains Malaysia's vision is to excel in the field of clinical brain sciences, mind sciences and neurosciences. This will naturally bring up the level of research in the country simultaneously. Thus, a center was recently established to coordinate this venture. The four-year Integrated Neuroscience Program established recently will be a sustainable source of neuroscientists for the country. We hope to establish ourselves by 2020 as a global university with neurosciences research as an important flagship.
    MeSH terms: Brain; European Union; Humans; Investments; Malaysia; Neurosciences; Research; United States; Universities
  5. Ahmed S, Othman NH
    Malays J Med Sci, 2013 May;20(3):6-13.
    PMID: 23966819 MyJurnal
    Tualang honey (TH) is a Malaysian multifloral jungle honey. In recent years, there has been a marked increase in the number of studies published in medical databases regarding its potential health benefits. The honey is produced by the rock bee (Apis dorsata), which builds hives on branches of tall Tualang trees located mainly in the north-western region of Peninsular Malaysia. This review collates the results of the various studies of TH that range from research on tissue culture to randomised control clinical trials. Findings thus far show that, TH has antimicrobial, anti-inflammatory, antioxidant, antimutagenic, antitumor, and antidiabetic properties, in addition to wound-healing attributes. Some of its properties are similar to the well-researched Manuka honey (New Zealand and/or Australian monofloral honey). Distinct differences include higher phenolics, flavonoids, and 5-(hydroxymethyl) furfural (HMF). Compared with Manuka honey, TH is also more effective against some gram-negative bacterial strains in burn wounds.
    MeSH terms: Animals; Anti-Infective Agents; Anti-Inflammatory Agents; Anti-Bacterial Agents; Antioxidants; Australia; Bees; Burns; Flavonoids; Furaldehyde; Honey; Hypoglycemic Agents; Malaysia; New Zealand; Phenols; Trees; Urticaria
  6. Tissera S, Lee SM
    Malays J Med Sci, 2013 May;20(3):14-22.
    PMID: 23966820
    This was a preliminary study to test for the presence of multiple antibiotic-resistant extended spectrum β-lactamase (ESBL) producing bacteria in Malaysian urban surface waters. Although the literature review revealed several published papers on clinical ESBL isolates in Malaysia, none were found on ESBL isolates obtained from local surface waters.
    MeSH terms: Anti-Bacterial Agents; Bacteria; beta-Lactamases; Malaysia; Microbial Sensitivity Tests
  7. Abdul Aziz SA, Mohd Saparudin AK, Harun AZ
    Malays J Med Sci, 2013 May;20(3):23-30.
    PMID: 23966821 MyJurnal
    BACKGROUND: Different target-filter combinations in computed radiography have different impacts on the dose and image quality in digital radiography. This study aims to evaluate the mean glandular dose (MGD) and modulation transfer function (MTF) of various target-filter combinations by investigating the signal intensities of X-ray beams.

    METHODS: General Electric (GE) Senographe DMR Plus mammography unit was used for MGD and MTF evaluation. The measured MGD was compared with the dose reference level (DRL), whereas the MTF was evaluated using ImageJ 1.46o software. A modified Mammography Accreditation Phantom RMI 156 was exposed using different target-filter combinations of molybdenum-molybdenum (Mo-Mo), molybdenum-rhodium (Mo-Rh) and rhodium-rhodium (Rh-Rh) at two different tube voltages, 26 kV and 32 kV with 50 mAs.

    RESULTS: In the MGD evaluations, all target-filters gave an MGD value of < 1.5 mGy. The one-way ANOVA test showed a highly significant interaction between the MGD and the kilovoltage and target-filter material used (26 kV: F (2,12) = 49,234, P = 0.001;32 kV: F (2,12) = 89,972, P = 0.001). A Tukey post-hoc test revealed that the MGD for 26 kV and 32 kV was highly affected by the target-filter combinations. The test of homogeneity of variances indicates that the MGD varies significantly for 26 kV and 32 kV images (0.045 and 0.030 (P < 0.05), respectively). However, the one-way ANOVA for the MTF shows that no significant difference exists between the target-filter combinations used with 26 kV and 32 kV images either in parallel or perpendicular to the chest wall side F (2,189) = 0.26, P > 0.05).

    CONCLUSION: Higher tube voltage and atomic number target-filter yield higher MGD values. However, the MTF is independent of the X-ray energy and the type of target-filter combinations used.

  8. Dharmalingam TK, Ahmad Zainuddin NA
    Malays J Med Sci, 2013 May;20(3):51-4.
    PMID: 23966825 MyJurnal
    This study was undertaken to evaluate patient satisfaction after spinal anaesthesia, which is the most frequently administered anaesthesia in obstetric patients.
    MeSH terms: Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Female; Humans; Mortuary Practice; Pregnancy; Patient Satisfaction
  9. Musa M
    Malays J Med Sci, 2013 May;20(3):61-7.
    PMID: 23966827
    Immunology has now developed into an independent discipline in medicine which covers not only germ infection which is related to immunity solely but also covers a lot of non-infectious diseases such as autoimmune disease, allergies, and others. Therefore, "The Immune Mechanism: "A Double-Edged Sword" means that the immune mechanism (consisted of antibody mediated mechanism and T cell mediated mechanism), just like one edge playing the role of giving benefit (immunity) as it destroys the agent of infection, and another one can be detrimental as it will cause tissue/cell damages and then give rise to immune diseases (immunopathology). Now, the prevalence of these immune diseases is on the rise and has become a new challenge to our country towards developed country in 2020. Therefore, we have to make ample preparation (laboratory facilities/services, main power, and research) from now on in order to face the problems and challenges.
  10. Nguyen DV, Muda AS, Yaacob Y
    Malays J Med Sci, 2013 May;20(3):71-7.
    PMID: 23966829 MyJurnal
    Mesenchymal chondrosarcoma is a rare disease with poor prognosis. Treatment including wide or radical excision is very important. Radiotherapy and chemotherapy are additional treatment options, but no conclusive results for their efficacy have been shown until date. Imaging modalities can give important clues for diagnosis and management planning. Angioembolization before surgery could be useful as prophylaxis to control intraoperative bleeding, increasing the likelihood of complete resection.
    MeSH terms: Hemorrhage; Medicine; Probability; Prognosis; Chondrosarcoma, Mesenchymal; Rare Diseases
  11. Alhabshi SM, Rahmat K, Westerhout CJ, Md Latar NH, Chandran PA, Aziz S
    Malays J Med Sci, 2013 May;20(3):83-7.
    PMID: 23966831 MyJurnal
    Lymphocytic mastitis, or diabetic mastopathy, is an unusual finding in early-onset and long-standing diabetes. It can presents as a non-tender or tender palpable breast mass. Mammogram and ultrasound frequently demonstrate findings suspicious of malignancy, thus biopsy and histological confirmation is usually required. We reviewed two cases of lymphocytic mastitis with characteristics findings on mammogram, ultrasound, and histopathology. Diagnoses were confirmed with excision biopsy.
    MeSH terms: Biopsy; Breast; Female; Humans; Mammography; Mastitis; Neoplasms
  12. Sheikh Mohd Ghazali SA, Hussein MZ, Sarijo SH
    Nanoscale Res Lett, 2013;8(1):362.
    PMID: 23968197 DOI: 10.1186/1556-276X-8-362
    A new layered organic-inorganic nanohybrid material, zinc-aluminum-3,4-dicholorophenoxyacetate (N3,4-D) in which an agrochemical, 3,4-dichlorophenoxyacetic acid (3,4-D), is intercalated into zinc-aluminum-layered double hydroxide (ZAL), was synthesized by coprecipitation method. A well-ordered nanomaterial was formed with a percentage loading of 53.5% (w/w). Due to the inclusion of 3,4-D, basal spacing expanded from 8.9 Å in ZAL to 18.7 Å in N3,4-D. The Fourier transform infrared study shows that the absorption bands of the resulting nanohybrid composed of both the 3,4-D and ZAL further confirmed the intercalation episode. Thermal analysis shows that ZAL host enhances the thermal stability of 3,4-D. Controlled-release experiment shows that the release of 3,4-D in the aqueous media is in the order of phosphate > carbonate > sulfate > chloride. These studies demonstrate the successful intercalation of the 3,4-D and its controlled release property in various aqueous media.
  13. Ting SC, Ismail AR, Malek MA
    J Environ Manage, 2013 Nov 15;129:260-5.
    PMID: 23968912 DOI: 10.1016/j.jenvman.2013.07.022
    This study aims at developing a novel effluent removal management tool for septic sludge treatment plants (SSTP) using a clonal selection algorithm (CSA). The proposed CSA articulates the idea of utilizing an artificial immune system (AIS) to identify the behaviour of the SSTP, that is, using a sequence batch reactor (SBR) technology for treatment processes. The novelty of this study is the development of a predictive SSTP model for effluent discharge adopting the human immune system. Septic sludge from the individual septic tanks and package plants will be desuldged and treated in SSTP before discharging the wastewater into a waterway. The Borneo Island of Sarawak is selected as the case study. Currently, there are only two SSTPs in Sarawak, namely the Matang SSTP and the Sibu SSTP, and they are both using SBR technology. Monthly effluent discharges from 2007 to 2011 in the Matang SSTP are used in this study. Cross-validation is performed using data from the Sibu SSTP from April 2011 to July 2012. Both chemical oxygen demand (COD) and total suspended solids (TSS) in the effluent were analysed in this study. The model was validated and tested before forecasting the future effluent performance. The CSA-based SSTP model was simulated using MATLAB 7.10. The root mean square error (RMSE), mean absolute percentage error (MAPE), and correction coefficient (R) were used as performance indexes. In this study, it was found that the proposed prediction model was successful up to 84 months for the COD and 109 months for the TSS. In conclusion, the proposed CSA-based SSTP prediction model is indeed beneficial as an engineering tool to forecast the long-run performance of the SSTP and in turn, prevents infringement of future environmental balance in other towns in Sarawak.
    MeSH terms: Algorithms; Borneo; Environmental Monitoring/methods*; Malaysia; Models, Theoretical; Sewage/analysis*; Waste Disposal, Fluid/methods*; Water Pollutants, Chemical/analysis*; Bioreactors; Particulate Matter/analysis; Biological Oxygen Demand Analysis
  14. Ramachandram S, Keng WT, Ariffin R, Ganesan V
    J Genet, 2013;92(2):313-6.
    PMID: 23970090
    MeSH terms: Adult; Child; Female; Humans; Mosaicism; Nuclear Family*; Parent-Child Relations; Sex Chromosome Aberrations; Trisomy/genetics*; Turner Syndrome/genetics*; Child of Impaired Parents; Reproductive Techniques, Assisted; Chromosomes, Human, X/genetics; Sex Chromosome Disorders of Sex Development/genetics*
  15. Khandaker MM, Faruq G, Rahman MM, Sofian-Azirun M, Boyce AN
    ScientificWorldJournal, 2013;2013:308651.
    PMID: 23970832 DOI: 10.1155/2013/308651
    Selected physiological and biochemical parameters were monitored at the vegetative and reproductive growth stages in potted Bougainvillea plants treated with five different concentrations of TRIA. Advanced flowering, flower bud number, and blooming rate increased significantly with 0.5 and 1.0 mg/L TRIA treatments. Similarly, photosynthetic rate, pigment content, quantum yield, and stomatal conductance increased significantly with 2.5, 1.0, and 5.0 mg/L TRIA treatments. Higher levels of N, P, and K, as well as increased total soluble solids (TSS) and higher sugar and protein contents, were recorded in treated plants. Furthermore, 46% more flowers, a 1.5-fold increase in bract weight, increased longevity, and 40% less leaf abscission were recorded following 2.5 mg/L TRIA treatment. Phenol and flavonoid contents, sucrose phosphate synthase (SPS), and antioxidant activities were also markedly increased with 2.5 and 1.0 mg/L TRIA treatments. However, ethylene production was significantly lower in the treated plants. Positive correlations were observed between leaf TSS and flowering time and flower number, between leaf sugar content and bract weight, and between net photosynthesis and bract growth and dry matter production. It can be concluded that the foliar spray of TRIA stimulates growth, enhances flowering, and improves the quality of potted Bougainvillea plants.
    MeSH terms: Fatty Alcohols/metabolism*; Flowers/growth & development*; Nyctaginaceae/growth & development; Nyctaginaceae/physiology*
  16. Nur Azlina MF, Kamisah Y, Chua KH, Qodriyah HM
    PMID: 23970937 DOI: 10.1155/2013/804796
    The present study aims to distinguish the effect of tocotrienol on an important gastric protective factor, prostaglandin E2 (PGE2), in stress-induced gastric injury. Twenty-eight Wistar rats were divided into four groups of seven rats each. Two control groups were fed commercial rat diet, and two treatment groups were fed the same diet but with additional dose of omeprazole (20 mg/kg) or tocotrienol (60 mg/kg). After 28 days, rats from one control group and both treated groups were subjected to water-immersion restraint stress for 3.5 hours once. The rats were then sacrificed, their stomach isolated and gastric juice collected, lesions examined, and gastric PGE2 content and cyclooxygenase (COX) mRNA expression were determined. Both the regimes significantly attenuated the total lesion area in the stomach compared to the control. Gastric acidity, which was increased in stress, was significantly reduced in rats supplemented with omeprazole and tocotrienol. The PGE2 content was also significantly higher in the rats given tocotrienol supplementation compared to the control followed by an increase in COX-1 mRNA expression. We conclude that tocotrienol supplementation protected rat gastric mucosa against stress-induced lesions possibly by reducing gastric acidity and preserving gastric PGE2 by increasing COX-1 mRNA.
  17. Ni H, Moe S, Myint KT, Htet A
    ISRN Rheumatol, 2013;2013:357904.
    PMID: 23970975 DOI: 10.1155/2013/357904
    Since the introduction of immune modulators in the treatment of rheumatoid arthritis (RA), there has been hope that orally effective biologic agents would be developed. Tofacitinib, a Janus kinase inhibitor, has become the first oral biologic to receive approval for use in active RA patients. This paper reviews the efficacy and safety profile of Tofacitinib at dosages of 5 mg and 10 mg twice daily. Remarkable improvement in terms of ACR 20 response and HAQ-DI score was noted at month 3 and month 6. DAS 28-4 ESR < 2.6 achievement was noticeably obvious at month 6 for both dosages. No significant serious adverse events, serious infections, neutropenia, or anaemia were observed compared to placebo. In fact, Tofacitinib 5 mg was even found to have significant protective effect of anaemia in the meta-analysis (P = 0.004). Tofacitinib has a noticeable efficacy in controlling disease activity in RA with a manageable safety profile. However, longer studies are needed for its long-term safety profile.
    MeSH terms: Arthritis, Rheumatoid*; Humans
  18. Khoramnia A, Ebrahimpour A, Ghanbari R, Ajdari Z, Lai OM
    Biomed Res Int, 2013;2013:954542.
    PMID: 23971051 DOI: 10.1155/2013/954542
    Coconut oil is a rich source of beneficial medium chain fatty acids (MCFAs) particularly lauric acid. In this study, the oil was modified into a value-added product using direct modification of substrate through fermentation (DIMOSFER) method. A coconut-based and coconut-oil-added solid-state cultivation using a Malaysian lipolytic Geotrichum candidum was used to convert the coconut oil into MCFAs-rich oil. Chemical characteristics of the modified coconut oils (MCOs) considering total medium chain glyceride esters were compared to those of the normal coconut oil using ELSD-RP-HPLC. Optimum amount of coconut oil hydrolysis was achieved at 29% moisture content and 10.14% oil content after 9 days of incubation, where the quantitative amounts of the modified coconut oil and MCFA were 0.330 mL/g of solid media (76.5% bioconversion) and 0.175 mL/g of solid media (53% of the MCO), respectively. MCOs demonstrated improved antibacterial activity mostly due to the presence of free lauric acid. The highest MCFAs-rich coconut oil revealed as much as 90% and 80% antibacterial activities against Staphylococcus aureus and Escherichia coli, respectively. The results of the study showed that DIMOSFER by a local lipolytic G. candidum can be used to produce MCFAs as natural, effective, and safe antimicrobial agent. The produced MCOs and MCFAs could be further applied in food and pharmaceutical industries.
    MeSH terms: Anti-Bacterial Agents/pharmacology; Anti-Bacterial Agents/chemistry; Cell Survival/drug effects; Fatty Acids/analysis; Fatty Acids/pharmacology*; Fatty Acids/chemistry*; Geotrichum/metabolism*; Molecular Weight; Plant Oils/metabolism*; Plant Oils/pharmacology*; Plant Oils/chemistry; Bacterial Physiological Phenomena/drug effects*
  19. Khajotia R, Somaweera N
    Aust Fam Physician, 2013 Aug;42(8):560-2.
    PMID: 23971064
    MeSH terms: Adult; Marijuana Abuse/complications*; Humans; Male; Pulmonary Emphysema/etiology; Pulmonary Emphysema/radiography*; Smoking/adverse effects*
  20. Citalingam K, Zareen S, Shaari K, Ahmad S
    BMC Complement Altern Med, 2013 Aug 23;13:213.
    PMID: 23971790 DOI: 10.1186/1472-6882-13-213
    BACKGROUND: Hyaluronidases have been found as the target enzymes in the development of osteoarthritis (OA) disease. While there is still no curative treatment for this disease, recent studies on the treatment of OA were focused on the effectiveness of natural products which are expected to improve the symptoms with minimal side effects. The aim of this study was to screen selected Malaysian plants on their anti-hyaluronidase activity as well as to evaluate the active plant and its derived fractions on its potential anti-arthritic and antioxidant activities.

    METHODS: A total of 20 methanolic crude extracts (bark and leaf) from ten different plants were screened using a colorimetric hyaluronidase enzymatic assay. The active plant extract (Payena dasyphylla) was then studied for its hyaluronidase inhibitory activity in the interleukin-1β (IL-1β) stimulated human chondrocytes cell line (NHAC-kn) using zymography method. The Payena dasyphylla methanolic bark extract was then fractionated into several fractions in where the ethyl acetate (EA) fraction was evaluated for its inhibitory effects on the HYAL1 and HYAL2 gene expressions using reverse transcription-polymerase chain reaction (RT-PCR) technique. While the MMP-3 and MMP-13 protein expressions were evaluated using western blot method. The phenolic and flavonoid contents of the three fractions as well as the antioxidant property of the EA fraction were also evaluated.

    RESULTS: Bark extract of Payena dasyphylla (100 μg/ml) showed the highest inhibitory activity against bovine testicular hyaluronidase with 91.63%. The plant extract also inhibited hyaluronidase expression in the cultured human chondrocyte cells in response to IL-1β (100 ng/ml). Similarly, treatment with Payena dasyphylla ethyl acetate (EA) fraction (100 μg/ml) inhibited the HYAL1 and HYAL2 mRNA gene expressions as well as MMP-3 and MMP-13 protein expression in a dose dependent manner. Payena dasyphylla EA fraction has demonstrated the highest amount of phenolic and flavonoid content with 168.62 ± 10.93 mg GAE/g and 95.96 ± 2.96 mg RE/g respectively as compared to water and hexane fractions. In addition, the Payena dasyphylla EA fraction showed strong antioxidant activity with IC₅₀ value of 11.64 ± 1.69 μg/mL.

    CONCLUSION: These findings have shown that Payena dasyphylla might contained potential phenolic compounds that inhibiting the key enzyme in osteoarthritis development, which is the hyaluronidase enzyme through interruption of HYAL1 and HYAL1 gene expressions. The degradation of cartilage could also be inhibited by the plant through suppression of MMP-3 and MMP-13 protein expressions. We also reported that the inhibitory effect of Payena dasyphylla on hyaluronidase activity and expression might be due to its anti-oxidant property.

    MeSH terms: Acetates; Methanol; Antioxidants/pharmacology; Antioxidants/chemistry; Biphenyl Compounds; Cell Line; Cells, Cultured; Flavonoids/analysis; Flavonoids/chemistry; Humans; Hyaluronoglucosaminidase/analysis; Hyaluronoglucosaminidase/antagonists & inhibitors; Hyaluronoglucosaminidase/genetics; Hyaluronoglucosaminidase/metabolism*; Picrates; Plant Extracts/pharmacology*; Plant Extracts/chemistry; Chondrocytes/drug effects*; Chondrocytes/metabolism*; Chondrocytes/chemistry; Plant Bark/chemistry; Sapotaceae/chemistry*; Metalloproteases/analysis; Metalloproteases/metabolism*; Interleukin-1beta/pharmacology
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