Browse publications by year: 2015

  1. Fadieienko G, Gridniev O
    PMID: 26656546
    The purpose of research - to study the features of circadian profile of blood pressure (BP), the data of echocardiography, pH-monitoring, lipid spectrum, level of apelin and the state of the system "lipid peroxidation-antioxidant protection" in patients with a combination of arterial hypertension (AH) and gastroesophageal reflux disease (GERD) depending on the level of AH. It was examined 126 patients with combination of AH II stage, 2-3 degrees, and GERD, 70 (55.56%) men and 56 (44.44%) women, mean age 56.84 ± 1.17. The anthropometric indicators, a condition of "lipid peroxidation- antioxidant protection", the level of apelin, ambulatory blood pressure monitoring (ABPM), echocardiography, esophageal pH-monitoring were evaluated. Analysis of the results was performed using a computer program IBM SPSS Statistics 21.0 for Windows XP. According to the daily averages ABPM systolic BP/diastolic BP in the I group were 141.2 ± 0.8/90.4 ± 0.4 mm Hg., in II group - 163.3 ± 0.9/101.0 ± 0.5 mm Hg., in III group - 185.6 ± 0.8/112.1 ± 0.5 mm Hg., p = 0.001. There are only 25.39% of patients had normal indicators of the variability of BP among individuals with comorbidity. Transformation from mild AH to moderate was accompanied by a significant increase in the severity of left ventricular remodeling by type of concentric hypertrophy. The data of esophageal pH-monitoring allow us to classify the disorders as severe gastroesophageal reflux in patients with a combination of AH and GERD (DeMeester, 1993). In the group with first degree of AH the average rate of circulating apelin was 930.58 ± 56.27 pg/mL, for the patients with 2nd degree of AH - 880.56 ± 17.97 pg/ml, p>0.05, in patients with third degree of AH - 650.91 ± 12.87 pg/ml (p = 0.001). Assessment of lipid profile has allowed to establish the worse dyslipidemia in patients with 3rd degree of AH combined with GERD (atherogenic ratio - 3.11 ± 0.09). The deterioration of degree of AH combined with GERD accompanied by an increase of oxidative stress with increase of nitrites plasma and malondialdehyde concentration, and decrease of glutathione peroxidase and of SH-groups concentration. Increased degree of AH in patients with severe GERD accompanied by worsening of left ventricular remodeling, reduction of apelin levels, progression of dyslipidemia, and imbalances in the system of "lipid peroxidation-antioxidant protection."
    MeSH terms: Blood Pressure; Circadian Rhythm/physiology; Echocardiography; Esophagus/metabolism; Esophagus/physiopathology; Female; Gastroesophageal Reflux/blood; Gastroesophageal Reflux/complications; Gastroesophageal Reflux/diagnosis; Gastroesophageal Reflux/physiopathology*; Glutathione Peroxidase/blood; Humans; Hydrogen-Ion Concentration; Hypertension/blood; Hypertension/complications; Hypertension/diagnosis; Hypertension/physiopathology*; Male; Malondialdehyde/blood; Middle Aged; Nitrites/blood; Severity of Illness Index; Lipid Peroxidation; Case-Control Studies; Oxidative Stress; Blood Pressure Monitoring, Ambulatory; Ventricular Remodeling*; Dyslipidemias/blood; Dyslipidemias/complications; Dyslipidemias/diagnosis; Dyslipidemias/physiopathology*
  2. Velo P, Zakaria A
    J Med Imaging Radiat Sci, 2015 Sep;46(3S):S31-S36.
    PMID: 31052105 DOI: 10.1016/j.jmir.2015.06.002
    INTRODUCTION: The aim of this study was to assess the influence of background activity on the accuracy of volume estimation of target objects using an iterative thresholding method.

    METHODS: Single-photon-emission computed tomography studies were carried out for plastic bottles of various sizes as target objects containing Technetium-99m placed in a cylindrical water phantom. The phantoms were created to have varying ratios of target activity concentration to background activity concentration (T/B) ranging from 4.00 to 1.25. From the single-photon-emission computed tomography slices, the volume of the target object was estimated using an iterative thresholding method. A unique threshold that estimated the volume of the target object was determined and declared as ideal threshold for each level of background activity. Simple linear regression analysis was carried out to explore the relationship between the actual volume and estimated volume.

    RESULTS: The analysis shows a statistically significant linear relationship (P < .01) between actual volume and estimated volume. For all ratios of target activity concentration to background activity concentration studied, the relative errors in estimated volumes of target objects are within ±7%. Thresholds that estimated volume of target objects vary depending on the level of background activity.

    CONCLUSIONS: It is clearly demonstrated that background activity highly influenced the volume estimation. Therefore, background activity of the target object needs to be considered when selecting the ideal thresholds to obtain accurate volume estimation of target objects.

  3. Hajli MN, Shanmugam M, Hajli A, Khani AH, Wang Y
    Inform Health Soc Care, 2015 Dec;40(4):334-344.
    PMID: 25068990 DOI: 10.3109/17538157.2014.924950
    The emergence of Web 2.0 technologies has already been influential in many industries, and Web 2.0 applications are now beginning to have an impact on health care. These new technologies offer a promising approach for shaping the future of modern health care, with the potential for opening up new opportunities for the health care industry as it struggles to deal with challenges including the need to cut costs, the increasing demand for health services and the increasing cost of medical technology. Social media such as social networking sites are attracting more individuals to online health communities, contributing to an increase in the productivity of modern health care and reducing transaction costs. This study therefore examines the potential effect of social technologies, particularly social media, on health care development by adopting a social support/transaction cost perspective. Viewed through the lens of Information Systems, social support and transaction cost theories indicate that social media, particularly online health communities, positively support health care development. The results show that individuals join online health communities to share and receive social support, and these social interactions provide both informational and emotional support.
    MeSH terms: Delivery of Health Care; Humans; Interpersonal Relations; Social Support; Health Care Sector; Social Networking; Social Media
  4. Ng CW
    Citation: Ng CW. Universal Health Coverage Assessment Malaysia. Kuala Lumpur: Global Network for Health Equity (GNHE); 2015
    MeSH terms: Malaysia; Universal Coverage*; Healthcare Financing
  5. Agarwal A, Vyas S, Kumar R
    Malays Fam Physician, 2015;10(3):35-7.
    PMID: 27570607
    Wellen's syndrome is a pre-infarction stage of coronary artery disease characterised by predefined clinical and electrocardiographic (ECG) criteria of a subgroup of patients with myocardial ischaemia. Early recognition and appropriate intervention of this syndrome carry significant diagnostic and prognostic value. We report this unusual syndrome in an elderly man who presented with recurrent angina and characteristic ECG changes as T-waves inversion in the precordial leads, especially in V2-V6 during pain-free periods and ECG obtained during episodes of pain demonstrating upright T-waves with possible elevated ST segments from V1-V4. Cardiac enzymes were positive and coronary angiography revealed critical stenosis in the proximal left anterior descending artery. It is important to timely identify this condition and intervene appropriately as these patients may develop extensive myocardial infarction that carries a significant morbidity and mortality.
    MeSH terms: Aged; Angina Pectoris; Arrhythmias, Cardiac; Arteries; Constriction, Pathologic; Coronary Artery Disease; Electrocardiography; Humans; Infarction; Male; Myocardial Infarction; Prognosis; Coronary Angiography
  6. Awaluddin A, Jali N, Bahari R, Jamil Z, Haron N
    Malays Fam Physician, 2015;10(3):38-9.
    PMID: 27570608
  7. Visuvanathan VV, Koh KC
    Malays Fam Physician, 2015;10(3):40-2.
    PMID: 27570609
  8. Misron K, Mohamad I, Nik Adilah NO, Johan KB
    Malays Fam Physician, 2015;10(3):43-4.
    PMID: 27570610
  9. Ahmad S, Devkota P, Mamman KG
    Malays Orthop J, 2015 Mar;9(1):30-31.
    PMID: 28435593 DOI: 10.5704/MOJ.1503.003
    Traumatic hip dislocation in children is relatively rare accounting for about 5% of all hip dislocations. Most of the hip dislocations seen in children are of the posterior type but the much rarer anterior and anterior-inferior (obturator) types have also been described. We present the case of an eight years old girl with an obturator type of hip dislocation following trivial trauma. She was treated with closed reduction and immobilisation in skin traction for three weeks. She was followed up closely for one year and did not develop any complications during that period.
    MeSH terms: Accidental Falls; Child; Female; Hip Dislocation; Humans; Pelvic Bones; Traction; Abdominal Wall
  10. Vaishya R, Vijay V, Ghogare P, Vaish A
    Malays Orthop J, 2015 Mar;9(1):35-37.
    PMID: 28435595 DOI: 10.5704/MOJ.1503.005
    The presence of lytic lesions in the bones of foot raises a number of diagnostic possibilities ranging from infection, inflammatory pathology to neoplastic conditions. Although the radiological picture is not pathognomonic of any pathology, clinical history and histopathological examination can help to clinch the diagnosis. We present a case of multiple lytic lesions of the foot and discuss possible differential diagnoses. The patient was diagnosed as a case of madura foot and the lesions responded to surgical debridement and anti-fungal treatment with a good functional outcome. Madura foot is an uncommon, chronic granulomatous fungal or bacterial infection with a predilection in people who walk barefoot. Although known for a specific geographical distribution, madura foot should be kept as a possible diagnosis in patients presenting with lytic lesions of the foot due to population emigration across the world.
    MeSH terms: Debridement; Diagnosis, Differential; Emigration and Immigration; Foot; Foot Bones; Humans; Mycetoma; Radiography; Radiology; Walking
  11. Singhvi A, Joshi A
    Malays J Med Sci, 2015 Sep;22(5):89-92.
    PMID: 28239273
    Melanoma of the sinonasal cavity has a high incidence of amelanotic presentation. Its diagnosis is difficult for clinicians and pathologists because of its hidden location and lack of pigmentation at the microscopic level. We reported a case of amelanotic melanoma of the maxillary sinus that showed aggressive extension to the oral cavity after extraction of the maxillary tooth. Histologically, the lesion resembled a plasmacytoid tumour. Diagnosis was made through the positive immunohistochemical staining for S100 and HMB-45.
    MeSH terms: Maxillary Sinus; Mouth; Pigmentation; Skin Neoplasms; Staining and Labeling; Incidence; Melanoma, Amelanotic; Pathologists
  12. Raveendran S, Sarojam S, Vijay S, Prem S, Sreedharan H
    Malays J Med Sci, 2015 Sep;22(5):93-97.
    PMID: 28239274
    Acute myeloid leukaemia (AML) is one of the fatal haematological malignancies as a consequence of its genetic heterogeneity. At present, the prediction of the clinical response to treatment for AML is based not only on detection of cytogenetic aberrations but also by analysing certain molecular genetic alterations. There are limited in sights into the contribution, disease progression, treatment outcome, and characterisation with respect to the uncommon chromosomal abnormalities leading to AML. Here, we describe the clinical, morphological, cytogenetic, and mutational findings of a 52-year-old female patient with AML without maturation (AML-M1). Conventional karyotyping and spectral karyotyping (SKY) were done on metaphase chromosomes from bone marrow cells at the time of diagnosis. A mutation analysis was performed on the hotspot regions of various genes, including FLT3, CEBPA, NPM1, RAS, c-KIT, IDH1 and IDH2. Cytogenetic and mutation analyses revealed a novel translocation, t(X;2)(q28;p22), with both NPM1 and IDH1 mutations. To the best of our knowledge, the presence of both NPM1 and IDH1 mutations in t(X;2)(q28;p22) is a novel finding in AML.
    MeSH terms: Bone Marrow Cells; Chromosome Aberrations; Chromosomes; Cytogenetics; Female; Humans; Karyotyping; Metaphase; Middle Aged; Mutation; Leukemia, Myeloid, Acute; Treatment Outcome; Disease Progression; Genetic Heterogeneity; Hematologic Neoplasms; Spectral Karyotyping
  13. Kumar SK, Oon OK, Horgan P, Leen E
    Malays J Med Sci, 2015 Nov;22(6):58-62.
    PMID: 28223887
    Radiofrequency ablation is one of the more established forms of local treatment in patients with unresectable tumours, including colorectal hepatic metastases. Complications associated with this method of intervention include thermal and mechanical injuries, including vascular insults resulting in haemorrhage or pseudoaneurysm formation. This is the first case demonstrating the detection of post-ablation acute pseudoaneurysm formation identified on the table using contrast-enhanced ultrasound (CEUS) and the subsequent successful management.
    MeSH terms: Contrast Media; Hemorrhage; Humans; Liver Neoplasms; Colorectal Neoplasms; Catheter Ablation; Aneurysm, False
  14. Nayak MT, Nayak A
    Malays J Med Sci, 2015 Nov;22(6):63-66.
    PMID: 28223888
    External root resorption (ERR) is an irreversible loss of external tooth structure. Its etiology is multifactorial, but in many aspects remain unclear. Periapical inflammation sustained by infection can cause apical root resorption in permanent teeth. The infection may be asymptomatic for many years, although it is rarely misdiagnosed. Treatment of such lesions should include use of intracanal medicaments for complete debridement of the microbes. Here, we present a case of 21-year-old male patient who presented with external inflammatory root resorption.
    MeSH terms: Adult; Debridement; Humans; Inflammation; Male; Root Resorption; Tooth Resorption; Dentition, Permanent; Young Adult
  15. Tadipi S, Sadashiv R, Muralidharan S, Pimid M
    Malays J Med Sci, 2015 Nov;22(6):67-70.
    PMID: 28223889
    Variations in the urogenital vascular anomalies in the abdomen are very common. However, they warrant attention due to their importance in operative, diagnostic, and endovascular procedures. During routine dissection of abdomen in a male cadaver, unique urogenital vascular anomalies were observed. On the right side, the right renal artery was found to be originated from the abdominal aorta at the level of L2 and divided into five branches; the right testicular artery and inferior suprarenal artery originated from the lower branch. We also observed, accessory renal artery arising from abdominal aorta at the level of L3 and double renal veins on right side. On the left side, we found left renal artery originating from the abdominal aorta at the level of L2 and divided into two branches. Double testicular (medial and lateral) arteries were also observed. In addition to these vascular variations, bilateral kinking of ureter at the pelviureteric junction was also observed. Although the variations in the origin of urogenital vessels in the abdomen are common, deeper understanding of the urogenital vascular variations and their relations to adjacent structures is significant during surgical and radiological procedures.
    MeSH terms: Aorta, Abdominal; Attention; Cadaver; Male; Renal Artery; Renal Veins; Ureter; Urogenital Abnormalities; Abdominal Cavity; Endovascular Procedures
  16. Sinha RK, Mukherjee S, Mitra N, Saha B, Kumar J
    Malays J Med Sci, 2015 Nov;22(6):71-73.
    PMID: 28223890
    Cyst formation in the parameatal area is a relatively rare entity and not many cases have been reported in the literature. Two such cases are reported here. First patient was a 46 year old sexually active male who developed a spherical, cystic swelling of 1 cm in size on right lip of external urethral meatus. The second case was a 4 year old boy who presented with asymptomatic recurrent left parameatal swelling. In both the cases, cysts were completely excised and defects were sutured. Histologically, the cyst walls were lined by tall squamous and columnar epithelium. Good cosmetic results were obtained in these two cases without any recurrence at 2 two months follow up.
    MeSH terms: Carcinoma, Squamous Cell; Child, Preschool; Cysts; Female; Follow-Up Studies; Humans; Lip; Male; Neoplasm Recurrence, Local; Urethra; Urethral Diseases; Vulva
  17. Baloch N, Atif M, Rashid RH, Hashmi PM
    Malays Orthop J, 2015 Nov;9(3):55-57.
    PMID: 28611912 DOI: 10.5704/MOJ.1511.008
    Toe-tourniquet syndrome is a rare and commonly misdiagnosed condition caused by a hair or a fiber wrapped around digits (fingers and toes). A four months baby girl who was crying and presented with redness and swelling at her 2nd and 3rd toes of right foot. Child had red and swollen 2nd and 3rd toes of right foot with hair end protruding through wounds. Constricting hairs were cut and removed. Toetourniquet syndrome is a rare entity which is caused by hair wrapped around a toe or a digit. Diagnosis is mostly clinical. In order to prevent this condition to happen, education of parents and clinicians is a cornerstone.
    MeSH terms: Child; Crying; Erythema; Female; Fingers; Hair; Humans; Infant; Parents; Toes; Tourniquets
  18. Tan T, Ho W
    Malays Orthop J, 2015 Nov;9(3):65-67.
    PMID: 28611915 DOI: 10.5704/MOJ.1511.010
    Stress fractures of the proximal tibia metaphysis are rare in the elderly. We present a case of a 65-year old male who developed sequential proximal tibia stress fractures associated with prolonged usage of methotrexate and prednisolone within a span of 18 months. Magnetic Resonance Imaging revealed an incomplete stress fracture involving the medial proximal tibial region. The patient was treated with stemmed total knee arthroplasty (TKA) bilaterally. Stress fractures should be considered in patients with atypical knee pain who have a history of methotrexate and prednisolone usage. TKA is an effective treatment in stress fractures of the proximal tibia.
    MeSH terms: Aged; Humans; Knee Joint; Magnetic Resonance Imaging; Male; Methotrexate; Pain; Prednisolone; Tibia; Fractures, Stress; Treatment Outcome; Arthroplasty, Replacement, Knee; Osteoarthritis, Knee
  19. Yeoh C, Lim G, Sathappan SS
    Malays Orthop J, 2015 Nov;9(3):68-70.
    PMID: 28611916 DOI: 10.5704/MOJ.1511.011
    We present the case of a 56-year old gentleman who presented with recalcitrant iliotibial band (ITB) friction syndrome which did not improve with various modalities of conservative treatment. Magnetic Resonance Imaging (MRI) of the affected knee did not show pathology typical of ITB friction syndrome. However, open exploration revealed a synovial cyst deep to the iliotibial band, abutting against the anterolateral capsule. The presence of distinctive clinical signs on physical examination should alert clinicians to consider knee synovial cyst as a differential diagnosis when dealing with recalcitrant ITB syndrome.
    MeSH terms: Diagnosis, Differential; Knee Joint; Magnetic Resonance Imaging; Physical Examination; Synovial Cyst; Friction; Iliotibial Band Syndrome; Conservative Treatment
  20. Alias F, Muhammad M, Kassim PNJ
    Med Law, 2015 Sep;34(1):509-532.
    PMID: 30759949
    The subject of euthanasia has generated many controversial debates, particularly on its legality. This has been primarily due to the doctrine of sanctity of life which is a predominant principle in many religions and is embedded in moral values. The underlying precept is that human life is sacred and demands respect, as all life comes from God and life can only be taken away intentionally through due process of law. Thus, ending a person's life, even upon his or her request, is considered in many jurisdictions as a criminal offence. Irrespective of humanitarian motives, a doctor who aids a patient in this act will be in breach of his unequivocal duty as a doctor and considered to have committed an unlawful act, which will subject him to legal sanctions. Countries such as the United Kingdom, Australia, New Zealand and Turkey have explicit legal provisions banning, in particular, active euthanasia, while countries such as the Netherlands, Belgium, Switzerland and certain states in the U.S have taken positive steps to legalise euthanasia in certain aspects. The ethical codes and laws in Malaysia have yet to develop to the fullest extent in dealing with these issues. Although Malaysian statutory legislation contains provisions banning active euthanasia, the legal position on passive euthanasia remains implicit. In the absence of indicative legal provisions and judicial precedents governing certain matters arising, it has been the practice of the Malaysian courts to refer to relevant legal principles inherent in English cases. As Islam is proclaimed as the country's official religion, the Islamic perspective is also an important and influential factor in the development of the legal framework in Malaysia as a whole. Thus, there is a need for the existence of a clear and comprehensive regulatory framework governing the legality of euthanasia in Malaysia.
    MeSH terms: Australia; Belgium; Civil Rights; Euthanasia; Euthanasia, Passive; Humans; Islam; Malaysia; Male; Morals; Netherlands; New Zealand; Switzerland; Turkey; Value of Life; Euthanasia, Active; Codes of Ethics; Criminals
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