Browse publications by year: 2014

  1. Gan HY, Gan HM, Savka MA, Triassi AJ, Wheatley MS, Smart LB, et al.
    Genome Announc, 2014;2(3).
    PMID: 24812212 DOI: 10.1128/genomeA.00288-14
    Shrub willow, Salix spp. and hybrids, is an important bioenergy crop. Here we report the whole-genome sequences and annotation of 13 endophytic bacteria from stem tissues of Salix purpurea grown in nature and from commercial cultivars and Salix viminalis × Salix miyabeana grown in bioenergy fields in Geneva, New York.
    MeSH terms: Bacteria; Biological Phenomena; New York; Salix
  2. Redzuan RA, Abu Bakar N, Rozano L, Badrun R, Mat Amin N, Mohd Raih MF
    Genome Announc, 2014;2(3).
    PMID: 24812220 DOI: 10.1128/genomeA.00375-14
    Erwinia mallotivora was isolated from papaya trees infected with dieback disease, which were planted at the Malaysian Agricultural Research and Development Institute (MARDI), Malaysia. Here, we report a draft genome sequence of E. mallotivora BT-MARDI, which offers an important source of information for understanding pathogen and host interaction during papaya dieback development.
    MeSH terms: Academies and Institutes; Agriculture; Chromosome Mapping; Erwinia; Malaysia; Research; Trees; Carica
  3. Chan KG, Chong TM
    Genome Announc, 2014;2(3).
    PMID: 24812226 DOI: 10.1128/genomeA.00419-14
    The metagenomes of marine prokaryotes from coastal seawaters in Malaysia are reported in this study. The investigation of the microbial communities using 16S rRNA gene amplicon metagenomic sequencing revealed that majority of the bacteria in the seawater samples remain unclassified.
    MeSH terms: Bacteria; Malaysia; Prokaryotic Cells; RNA, Ribosomal, 16S; Seawater; Metagenome; Microbiota
  4. Chan KG, Yin WF, Goh SY
    Genome Announc, 2014;2(3).
    PMID: 24812228 DOI: 10.1128/genomeA.00427-14
    Pandoraea pnomenusa strain 3kgm has been identified as a quorum-sensing strain isolated from soil. Here, we report the complete genome sequence of P. pnomenusa strain 3kgm by using the Pacific Biosciences single-molecule real-time (PacBio RS SMRT) sequencer high-resolution technology.
    MeSH terms: Base Sequence; Soil; Burkholderiaceae; Quorum Sensing
  5. Jones B, Howick J, Hopewell J, Liew SM
    J Med Ethics, 2014 Aug;40(8):576-7.
    PMID: 24812333 DOI: 10.1136/medethics-2014-102105
    In August 2011, a group of medical doctors, ethicists, academic and medical physicists were asked to debate and reach consensus on the potential need for randomised control trials to test charged particle radiation therapy (CPRT) for treating tumours. The outcome of the meeting was a paper recently published in the Journal of Medical Ethics entitled "Position statement on ethics, equipoise and research on charged particle therapy" by Sheehan et al. However 6 of the 30 meeting participants withdrew from authorship of the 'position statement' because their views were not adequately represented. The 'position statement' did not state our reasons for withdrawing from the statement, which is a considerable omission. We had two principal objections: (1) the case for the benefits to patients and society of randomized trials to test CPRT was not adequately represented, and (2) the complexities and potential harms of CPRT were not clearly stated. In this response we explain and justify our objections. Patients, doctors and policymakers seeking to make independent judgments about whether equipoise exists for the relative benefits of CPRT should therefore read this document alongside the 'position' statement.
    MeSH terms: Humans; Neoplasms/radiotherapy*; Radiotherapy, High-Energy/ethics*; Research Design*; Ethical Review*; Therapeutic Equipoise*
  6. De Luca C, Thai JC, Raskovic D, Cesareo E, Caccamo D, Trukhanov A, et al.
    Mediators Inflamm, 2014;2014:924184.
    PMID: 24812443 DOI: 10.1155/2014/924184
    Growing numbers of "electromagnetic hypersensitive" (EHS) people worldwide self-report severely disabling, multiorgan, non-specific symptoms when exposed to low-dose electromagnetic radiations, often associated with symptoms of multiple chemical sensitivity (MCS) and/or other environmental "sensitivity-related illnesses" (SRI). This cluster of chronic inflammatory disorders still lacks validated pathogenetic mechanism, diagnostic biomarkers, and management guidelines. We hypothesized that SRI, not being merely psychogenic, may share organic determinants of impaired detoxification of common physic-chemical stressors. Based on our previous MCS studies, we tested a panel of 12 metabolic blood redox-related parameters and of selected drug-metabolizing-enzyme gene polymorphisms, on 153 EHS, 147 MCS, and 132 control Italians, confirming MCS altered (P < 0.05-0.0001) glutathione-(GSH), GSH-peroxidase/S-transferase, and catalase erythrocyte activities. We first described comparable-though milder-metabolic pro-oxidant/proinflammatory alterations in EHS with distinctively increased plasma coenzyme-Q10 oxidation ratio. Severe depletion of erythrocyte membrane polyunsaturated fatty acids with increased ω 6/ ω 3 ratio was confirmed in MCS, but not in EHS. We also identified significantly (P = 0.003) altered distribution-versus-control of the CYP2C19∗1/∗2 SNP variants in EHS, and a 9.7-fold increased risk (OR: 95% C.I. = 1.3-74.5) of developing EHS for the haplotype (null)GSTT1 + (null)GSTM1 variants. Altogether, results on MCS and EHS strengthen our proposal to adopt this blood metabolic/genetic biomarkers' panel as suitable diagnostic tool for SRI.
    MeSH terms: Adolescent; Adult; Aged; Female; Genetic Markers/genetics; Genetic Testing/methods*; Humans; Male; Middle Aged; Oxidation-Reduction; Polymorphism, Genetic/genetics; Reactive Oxygen Species/metabolism; Multiple Chemical Sensitivity/metabolism*; Electromagnetic Phenomena; Young Adult
  7. Sirasanagandla SR, Ranganath Pai KS, Potu BK, Bhat KM
    J Ayurveda Integr Med, 2014 Jan;5(1):25-32.
    PMID: 24812472 DOI: 10.4103/0975-9476.128852
    Delayed fetal skeletal ossification is one of the known complications of maternal diabetes.
    MeSH terms: Female; Humans; Osteogenesis; Pregnancy; Pregnancy in Diabetics; Diabetes, Gestational
  8. Kumar D, Ganguly K, Hegde HV, Patil PA, Roy S, Kholkute SD
    J Ayurveda Integr Med, 2014 Jan;5(1):33-7.
    PMID: 24812473 DOI: 10.4103/0975-9476.128853
    The pastes prepared from roots of Plumbago zeylanica Linn. and barks of Holoptelea integrifolia Roxb. are widely used by traditional healers for the treatment of arthritis in rural northern Karnataka.
    MeSH terms: Arthritis; India; Wound Healing; Plant Roots; Plumbaginaceae; Ulmaceae
  9. Lee HV, Juan JC, Binti Abdullah NF, Nizah Mf R, Taufiq-Yap YH
    Chem Cent J, 2014;8:30.
    PMID: 24812574 DOI: 10.1186/1752-153X-8-30
    Transesterification catalyzed by solid base catalyst is a brilliant technology for the noble process featuring the fast reaction under mild reacting condition in biodiesel production. Heterogeneous base catalysts are generally more reactive than solid acid catalysts which require extreme operating condition for high conversion and biodiesel yield. In the present study, synthesis of biodiesel was studied by using edible (palm) or non-edible (Jatropha) feedstock catalyzed by heterogeneous base catalysts such as supported alkali metal (NaOH/Al2O3), alkaline-earth metal oxide (MgO, CaO and SrO) and mixed metal oxides catalysts (CaMgO and CaZnO).
  10. Nadarajah R, Quek YS, Kuppannan K, Woon SY, Jeganathan R
    PMID: 24813099 DOI: 10.1016/j.ejogrb.2014.02.021
    To show whether a clinically significant difference in success rates exists between expectant and surgical management of early pregnancy loss.
    MeSH terms: Abortion, Spontaneous/ultrasonography; Abortion, Incomplete/surgery*; Abortion, Incomplete/ultrasonography; Adult; Dilatation and Curettage; Female; Humans; Pregnancy; Pregnancy Trimester, First; Treatment Outcome; Watchful Waiting
  11. Kai T, Mak GL, Wada S, Nakazato T, Takanashi H, Uemura Y
    Bioresour Technol, 2014 Jul;163:360-3.
    PMID: 24813567 DOI: 10.1016/j.biortech.2014.04.030
    In this study, a novel method for the production of biodiesel under mild conditions using fine particles of sodium methoxide formed in dimethyl carbonate (DMC) is proposed. Biodiesel is generally produced from vegetable oils by the transesterification of triglycerides with methanol. However, this reaction produces glycerol as a byproduct, and raw materials are not effectively utilized. Transesterification with DMC has recently been studied because glycerol is not formed in the process. Although solid-state sodium methoxide has been reported to be inactive for this reaction, the catalytic activity dramatically increased with the preparation of fine catalyst powders by crystallization. The transesterification of canola oil with DMC was studied using this catalyst for the preparation of biodiesel. A conversion greater than 96% was obtained at 65°C for 2h with a 3:1M ratio of DMC and oil and 2.0 wt% catalyst.
    MeSH terms: Methanol/chemistry*; Catalysis; Crystallization; Fatty Acids, Monounsaturated/chemistry*; Formates/chemistry*; Temperature; Biofuels*
  12. Jamila N, Khairuddean M, Yaacob NS, Kamal NN, Osman H, Khan SN, et al.
    Bioorg Chem, 2014 Jun;54:60-7.
    PMID: 24813683 DOI: 10.1016/j.bioorg.2014.04.003
    Garcinia hombroniana (seashore mangosteen) in Malaysia is used to treat itching and as a protective medicine after child birth. This study was aimed to investigate the bioactive chemical constituents of the bark of G. hombroniana. Ethyl acetate and dichloromethane extracts of G. hombroniana yielded two new (1, 9) and thirteen known compounds which were characterized by the spectral techniques of NMR, UV, IR and EI/ESI-MS, and identified as; 2,3',4,5'-tetrahydroxy-6-methoxybenzophenone(1), 2,3',4,4'-tetrahydroxy-6-methoxybenzophenone (2), 2,3',4,6-tetrahydroxybenzophenone (3), 1,3,6,7-tetrahydroxyxanthone (4), 3,3',4',5,7-pentahydroxyflavone (5),3,3',5,5',7-pentahydroxyflavanone (6), 3,3',4',5,5',7-hexahydroxyflavone (7), 4',5,7-trihydroxyflavanone-7-rutinoside (8), 18(13→17)-abeo-3β-acetoxy-9α,13β-lanost-24E-en-26-oic acid (9), garcihombronane B (10), garcihombronane D (11), friedelan-3-one (12), lupeol (13), stigmasterol (14) and stigmasterol glucoside (15). In the in vitro cytotoxicity against MCF-7, DBTRG, U2OS and PC-3 cell lines, compounds 1 and 9 displayed good cytotoxic effects against DBTRG cancer cell lines. Compounds 1-8 were also found to possess significant antioxidant activities. Owing to these properties, this study can be further extended to explore more significant bioactive components of this plant.
    MeSH terms: Antineoplastic Agents, Phytogenic/chemical synthesis; Antineoplastic Agents, Phytogenic/pharmacology*; Antineoplastic Agents, Phytogenic/chemistry; Antioxidants/isolation & purification; Antioxidants/pharmacology*; Antioxidants/chemistry; Benzophenones/isolation & purification; Benzophenones/pharmacology*; Benzophenones/chemistry; Biphenyl Compounds/antagonists & inhibitors; Dose-Response Relationship, Drug; Drug Screening Assays, Antitumor; Free Radicals/antagonists & inhibitors; Humans; Picrates/antagonists & inhibitors; Structure-Activity Relationship; Sulfonic Acids/antagonists & inhibitors; Triterpenes/isolation & purification; Triterpenes/pharmacology*; Triterpenes/chemistry; Molecular Structure; Cell Death/drug effects; Garcinia/chemistry*; Cell Line, Tumor; Cell Proliferation/drug effects; Benzothiazoles/antagonists & inhibitors; MCF-7 Cells
  13. Agarwal A, Durairajanayagam D, Halabi J, Peng J, Vazquez-Levin M
    Reprod Biomed Online, 2014 Jul;29(1):32-58.
    PMID: 24813754 DOI: 10.1016/j.rbmo.2014.02.013
    Oxidative stress has been established as one of the main causes of male infertility and has been implicated in many diseases associated with infertile men. It results from high concentrations of free radicals and suppressed antioxidant potential, which may alter protein expression in seminal plasma and/or spermatozoa. In recent years, proteomic analyses have been performed to characterize the protein profiles of seminal ejaculate from men with different clinical conditions, such as high oxidative stress. The aim of the present review is to summarize current findings on proteomic studies performed in men with high oxidative stress compared with those with physiological concentrations of free radicals, to better understand the aetiology of oxidative stress-induced male infertility. Each of these studies has suggested candidate biomarkers of oxidative stress, among them are DJ-1, PIP, lactotransferrin and peroxiredoxin. Changes in protein concentrations in seminal plasma samples with oxidative stress conditions were related to stress responses and to regulatory pathways, while alterations in sperm proteins were mostly associated to metabolic responses (carbohydrate metabolism) and stress responses. Future studies should include assessment of post-translational modifications in the spermatozoa as well as in seminal plasma proteomes of men diagnosed with idiopathic infertility. Oxidative stress, which occurs due to a state of imbalance between free radicals and antioxidants, has been implicated in most cases of male infertility. Cells that are in a state of oxidative stress are more likely to have altered protein expression. The aim of this review is to better understand the causes of oxidative stress-induced male infertility. To achieve this, we assessed proteomic studies performed on the seminal plasma and spermatozoa of men with high levels of oxidative stress due to various clinical conditions and compared them with men who had physiological concentrations of free radicals. A variety of sperm and seminal plasma proteins were found to be expressed either in abundance (over-expressed) or in a lesser amount (underexpressed), while other proteins were found to be unique either to men with oxidative stress or to men with a balanced ratio of antioxidants/free radicals. Each study included in this review suggested several proteins that could possibly act as biomarkers of oxidative stress-induced male infertility, such as protein DJ-1, PIP, lactotransferrin and peroxiredoxin. Pathway analysis performed in these studies revealed that the changes in seminal plasma proteins in men with oxidative stress could be attributed to stress responses and regulatory pathways, while changes in sperm proteins were linked to stress responses and metabolic responses. Subsequent studies could look into post-translational modifications in the protein profile of men with idiopathic infertility. We hope that the information in this review will contribute to a better understanding of the main causes of idiopathic male infertility.
    MeSH terms: Carrier Proteins/metabolism; Free Radicals/metabolism; Glycoproteins/metabolism; Humans; Infertility, Male/etiology*; Lactoferrin/metabolism; Male; Semen/metabolism; Spermatozoa/metabolism; Biomarkers/metabolism; Oncogene Proteins/metabolism; Oxidative Stress*; Proteomics/methods*; Intracellular Signaling Peptides and Proteins/metabolism; Peroxiredoxins/metabolism
  14. Hung TH, Chen CM, Tseng CP, Shen CJ, Wang HL, Choo KB, et al.
    Int J Biochem Cell Biol, 2014 Aug;53:55-65.
    PMID: 24814288 DOI: 10.1016/j.biocel.2014.04.011
    Multidrug-resistant (MDR) cancer is a major clinical problem in chemotherapy of cancer patients. We have noted inappropriate PKCδ hypomethylation and overexpression of genes in the PKCδ/AP-1 pathway in the human uterus sarcoma drug-resistant cell line, MES-SA/Dx5 cells, which also overexpress p-glycoprotein (ABCB1). Recent studies have indicated that FZD1 is overexpressed in both multidrug-resistant cancer cell lines and in clinical tumor samples. These data have led us to hypothesize that the FZD1-mediated PKCδ signal-transduction pathway may play an important role in drug resistance in MES-SA/Dx5 cells. In this work, the PKCδ inhibitor Rottlerin was found to reduce ABCB1 expression and to inhibit the MDR drug pumping ability in the MES-SA/Dx5 cells when compared with the doxorubicin-sensitive parental cell line, MES-SA. PKCδ was up-regulated with concurrent up-regulation of the mRNA levels of the AP-1-related factors, c-JUN and c-FOS. Activation of AP-1 also correlated with up-regulation of the AP-1 downstream genes HGF and EGR1. Furthermore, AP-1 activities were reduced and the AP-1 downstream genes were down-regulated in Rottlerin-treated or PKCδ shRNA-transfected cells. MES-SA/Dx5 cells were resensitized to doxorubicin-induced toxicity by co-treatment with doxorubicin and Rottlerin or PKCδ shRNA. In addition, cell viability and drug pump-out ability were significantly reduced in the FZD1 inhibitor curcumin-treated and FZD1 shRNA-knockdown MES-SA/Dx5 cells, indicating involvement of PKCδ in FZD1-modulated ABCB1 expression pathway. Taken together, our data demonstrate that FZD1 regulates PKCδ, and the PKCδ/AP-1 signalling transduction pathway plays an important role in drug resistance in MES-SA/Dx5 cells.
    MeSH terms: Doxorubicin/administration & dosage; Female; Humans; Sarcoma/drug therapy; Sarcoma/genetics*; Sarcoma/pathology; Uterine Neoplasms/drug therapy; Uterine Neoplasms/genetics*; Uterine Neoplasms/pathology; Signal Transduction; Gene Expression Regulation, Neoplastic; Apoptosis/drug effects; P-Glycoproteins/biosynthesis; P-Glycoproteins/genetics; Drug Resistance, Neoplasm/genetics; Cell Line, Tumor; Frizzled Receptors/genetics*; Frizzled Receptors/metabolism; Protein Kinase C-delta/biosynthesis*
  15. Andrew Tan KK
    Med J Malaysia, 2014 Feb;69(1):1.
    PMID: 24814619
    No abstract available.
    MeSH terms: Humans
  16. Lim BK, Ng KY, Omar J, Omar SZ, Gunapalaiah B, Teoh YL, et al.
    Med J Malaysia, 2014 Feb;69(1):2-8.
    PMID: 24814620
    INTRODUCTION: Cervical cancer is the third most common cancer in women worldwide. The HPV-16/18 AS04- adjuvanted vaccine (Cervarix©) has previously been shown to be highly immunogenic with a clinically acceptable safety profile. This phase IIIb, double-blind, randomized (1:1) and placebo controlled trial (NCT00345878) was designed to evaluate the vaccine immunogenicity against HPV-16 and HPV-18 as well as its safety and reactogenicity in Malaysian women.

    METHODS: Healthy women aged 18-35 years received intramuscularly three doses of either the vaccine (HPV group) or aluminium hydroxide (ALU group) at 0, 1, and 6 months. Antibody titers were measured by an enzyme-linked immunosorbent assay (ELISA).

    RESULTS: A total of 271 eligible subjects were enrolled and 266 subjects completed the study. Initially seronegative subjects in the HPV group showed 100% seroconversion one month post-dose-3 for anti HPV-16 and anti-HPV-18 antibodies with geometric mean titers of 11107.5 (95% CI: 9727.3-12683.4) EL.U/mL and 4273.5 (95% CI: 3771.8-4841.9) EL.U/mL, respectively. Over 96% of subjects in both groups received all three vaccine doses. Solicited local (pain) and general symptoms (myalgia, fatigue, arthralgia and headache) were commonly reported in both HPV and ALU groups. Eight serious adverse events were reported throughout the study (five in the HPV group; three in the ALU group), all considered by investigators to be unrelated to vaccination.

    CONCLUSION: The HPV-16/18 AS04-adjuvanted vaccine was immunogenic and generally well tolerated in Malaysian women aged 18-35 years.
    MeSH terms: Seroconversion; Aluminum Hydroxide; Uterine Cervical Neoplasms; Double-Blind Method; Enzyme-Linked Immunosorbent Assay; Female; Headache; Humans; Research Personnel; Vaccination; Arthralgia; Human papillomavirus 18; Human papillomavirus 16; Papillomavirus Vaccines; Myalgia; Immunogenicity, Vaccine
  17. Kong MH, Goh BS, Hamidah A, Zarina AL
    Med J Malaysia, 2014 Feb;69(1):9-12.
    PMID: 24814621 MyJurnal
    OBJECTIVE: This study aimed to evaluate the prevalence of sensorineural hearing loss (SNHL) in β-thalassaemia patients treated with Desferrioxamine (DFO) and determine the correlation of SNHL with average daily DFO dosage, serum ferritin level and Therapeutic index (T.I).

    METHODS: This is a cross sectional descriptive study carried out for a period of 14 months and 54 patients were recruited. The recruited patients are transfusion dependant β- thalassaemia patient aged 3 years and above treated with DFO. An interview, clinical examination and hearing assessment, which included tympanogram, and Pure Tone Audiometry (PTA) or behaviour alaudiometry were performed. The data on age started on DFO, average daily DFO, duration of DFO intake, serum ferritin past 1 year and Therapeutic Index (T.I) were obtained from patients' case notes.

    RESULTS: The prevalence of SNHL was 57.4% and majority has mild hearing loss (93.6%). Fourteen patients (25.9%) have bilateral ear involvement and as many as 17 patients (31.5%) have SNHL in either ear. A total of 23 patients (42.6%) have normal hearing level. Although the prevalence of SNHL was 57.4%, only a small percentage of the patient noticed and complained of hearing loss (11.1%). There is no association between age started on DFO, average daily DFO and duration of DFO intake with normal hearing group and those patients with SNHL. Positive correlation was seen between average daily DFO with 2000 and 4000Hz on PTA in the left ear and between serum ferritin level past 1 year with 4000 and 8000Hz in the right ear and 8000Hz in the left ear. No significant correlation was seen between T.I on PTA.

    CONCLUSION: The prevalence of SNHL from hearing assessment is high in β-thalassaemia patients in this study. However, it is manifested clinically in a smaller percentage. We suggest a baseline hearing assessment should be carried on all β-thalassaemia patients prior to DFO chelation therapy.
    MeSH terms: Audiometry, Pure-Tone; Cross-Sectional Studies; Deafness; Deferoxamine; Ferritins; Hearing Loss, Sensorineural; Humans; Chelation Therapy; Prevalence; beta-Thalassemia; Hearing Loss
  18. Goh BS, Roopesh S, Marina MB, Abdullah SM
    Med J Malaysia, 2014 Feb;69(1):13-5.
    PMID: 24814622
    This is a retrospective study examining the outcome of paediatric patients with subglottic stenosis who underwent partial cricotracheal resection (PCTR) as a primary open procedure from 2004 to 2012. There were 5 patients identified aged from 3 to 18 years old. All the subglottic stenosis were acquired type. All of them were secondary to prolonged intubation. Three patients were classified as Myer-Cotton grade III and the other two were Myer-Cotton grade IV. Two of the patients had concomitant bilateral vocal cord immobility. All patients underwent two staged PCTR . All patients underwent two staged PCTR, and one patient underwent posterior cordectomy apart from partial CTR at different setting. All patients were successfully decannulated at various durations postoperatively. Although this is an early experience in our institution, PCTR has shown to be effective and safe procedure in patients with subglottic stenosis especially those with Myer-Cotton grade III and IV.
    MeSH terms: Child; Constriction, Pathologic; Cricoid Cartilage; Humans; Intubation; Laryngostenosis; Postoperative Period; Retrospective Studies; Vocal Cords
  19. Punithavathi N, Ong LM, Irfhan Ali HA, Mohd Izmi IA, Dharminy T, Ang AH, et al.
    Med J Malaysia, 2014 Feb;69(1):16-20.
    PMID: 24814623 MyJurnal
    INTRODUCTION: Conventional Chest Physiotherapy (CCPT) remains the mainstay of treatment for sputum mobilization in patients with productive cough such as bronchiectasis and "Chronic Obstructive Airway Disease" (COPD). However CCPT is time consuming requires the assistance of a physiotherapist and limits the independence of the patient. Mechanical percussors which are electrical devices used to provide percussion to the external chest wall might provide autonomy and greater compliance. We compared safety and efficacy of a mechanical chest percusser devised by Formedic Technology with conventional chest percussion.
    METHODS: Twenty patients (mean age 64years) were randomly assigned to receive either CCPT or mechanical percussor on the first day and crossed over by "Latin square randomisation" to alternative treatment for 6 consecutive days and the amount of sputum expectorated was compared by dry and wet weight. Adverse events and willingness to use was assessed by a home diary and a questionnaire.
    RESULTS: There were 13 males and 7 females, eight diagnosed as bronchiectasis and 12 COPD. The mean dry weight of sputum induced by CCPT (0.54g ± 0.32) was significantly more compared with MP (0.40g + 0.11); p-value = 0.002. The mean wet weight of sputum with CCPT (10.71g ± 8.70) was also significantly more compared with MP (5.99g ± 4.5); p-value < 0.001. There were no significant difference in adverse events and majority of patients were willing to use the device by themselves.
    CONCLUSION: The mechanical percussor although produces less sputum is well tolerated and can be a useful adjunct to CCPT.
    MeSH terms: Adult; Hospitals, General; Humans; Malaysia; Cross-Over Studies; Physical Therapy Modalities*; Pulmonary Disease, Chronic Obstructive*
  20. Liza-Sharmini AT, Sharina YN, Dolaboladi AJ, Zaid NA, Azhany Y, Zunaina E
    Med J Malaysia, 2014 Feb;69(1):21-6.
    PMID: 24814624 MyJurnal
    INTRODUCTION: There is limited knowledge on primary angle closure (PAC) in Malays. Understanding the clinical presentation and progression of PAC in Malays is important for prevention of blindness in Southeast Asia.

    MATERIAL AND METHODS: A retrospective record review study was conducted on Malay patients seen in the eye clinic of two tertiary hospitals in Kelantan, Malaysia. Based on the available data, Malay patients re-diagnosed as primary angle closure suspect (PACS), primary angle closure (PAC), and primary angle closure glaucoma (PACG) based on the International Society Geographical Epidemiological classification. Clinical data was collected from initial presentation including the presence of acute primary angle closure until at least 5 years follow up. Progression was defined based on gonioscopic changes, vertical cup to disc ratio (VCDR), intraocular pressure (IOP) and Humphrey visual field (HVF) analysis. Progression and severity of PACG was defined based Hodapp-Parrish-Anderson classification on reliable HVF central 24-2 or 30-2 analysis.

    RESULTS: A total of 100 patients (200 eyes) with at least 5 years follow up were included. 94 eyes (47%) presented with APAC. During initial presentation, 135 eyes (67.5%) were diagnosed with glaucomatous changes with 91 eyes already blind. After 5 years of follow up, 155 eyes (77.5%) progressed. There was 4 times risk of progression in eyes with PAC (p=0.071) and 16 times risk of progression in PACG (p=0.001). Absence of laser peripheral iridotomy was associated with 10 times the risk of progression.

    CONCLUSION: Angle closure is common in Malays. Majority presented with optic neuropathy at the initial presentation and progressed further. Preventive measures including promoting public awareness among Malay population is important to prevent blindness.

    Study site: Eye clinic, Hospital Universiti Sains Malaysia and Hospital
    Raja Perempuan Zainab II
    MeSH terms: Eye; Follow-Up Studies; Glaucoma; Gonioscopy; Hospitals, General; Hospitals, University; Humans; Intraocular Pressure; Malaysia; Optic Nerve Diseases; Outpatient Clinics, Hospital; Retrospective Studies; Tonometry, Ocular; Visual Fields; Glaucoma, Angle-Closure; Tertiary Care Centers
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