Background: Having multiple kinds of health problems among metabolic syndrome patients may cause
them stress. Life events also may worsen their stress. Negative stress affects not only their physical but also
emotional health. Various coping styles are used in order to deal with their stress. However, not all coping
styles can overcome their stress.
Objectives: This study aims to explore the coping styles that have been employed by the stressed metabolic
syndrome patients in Hospital Universiti Sains Malaysia, Malaysia.
Method: Semi-structured interviews were conducted with the stressed metabolic syndrome patients in
Hospital Universiti Sains Malaysia. A purposive sampling was selected among stressed respondents, as
fifteen of them participated in this study after saturation data was reached. The qualitative data was analysed
using content analysis and was categorized into dysfunctional, problem-focused and emotion-focused
coping.
Results: The themes that emerged were; self-distraction, venting, behavioural disengagement, denial and
self-blame. These were categorized as dysfunctional coping; acceptance, religion and emotional support as
emotion-focused coping and active coping and instrumental support which were categorized as problemfocused
coping. Other new coping styles identified were physical intervention, avoidance and emotion
suppression.
Conclusion: Coping styles has direct influence on the feeling of stress. Stressed patients used many
dysfunctional coping styles rather than other categories of coping which lead them to remain in stress. These
data highlighted the need to educate patients about good coping styles to give them additional skills in
managing their stress thus improving their health.
MeSH terms: Adaptation, Psychological; Emotions; Hospitals, University; Humans; Malaysia; Mental Health; Surveys and Questionnaires; Religion; Metabolic Syndrome X*; Qualitative Research
The main objective of this study is to evaluate the nurses' level of burnout and identify the factors that influence it. Burnout, one such stress-related outcome, has been conceptualised as a multidimensional construct consisting of emotional exhaustion, depersonalisation and reduced personal accomplishment. Items adapted and translated from Maslach Burnout Inventory were used to collect data from 60 respondents. Among the respondents, 5.0% showed a high level of Emotional Exhaustion while 95.0% were at the moderate and mild level. Respondents with a high level of Depersonalization constitute 3.3% while 96.7% were at a moderate and mild level. Analysis show that 48.2% are at the high and moderate level for Personal Accomplishment while 51.7% is still at the lower level. Mean score for Personal Accomplishment 33.53 as oppose to Emotional Exhaustion 15.90 and Depersonalization 3.60 indicate a low level of burnout characteristic among the staff nurses. Correlation analysis suggest a significant but moderate relationship between Emotional Exhaustion and Depersonalization r = 0.62, p<0.05. A conducive working environment was suggested as a way of improving quality of health care and to hinder burnout. Keywords: Retirement, Readiness, Financial Capacity, Social Support, Preoccupation
Thyroid disorders could be broadly categorised into benign and malignant diseases. Approaches for the
management of benign and malignant thyroid disorders have been well documented including the treatment
using radioactive iodine (RAI). RAI has long been used to treat hyperthyroidism and well differentiated
thyroid cancer. Nevertheless, there are various factors that may influence the outcome of RAI treatment
including matters related to patient preparations. Thus, healthcare personnel play an important role in
assisting patients to make the necessary preparations. This article aims to give nurses and clinicians of
various specialities an insight into the overview of RAI treatment for thyroid disorders particularly in
Malaysia and further discusses the issues related to preparations of patients.
Resistance to anti-HER2 targeted therapy imposes a crucial limitation to the successful treatment of HER2 positive breast cancer. The expression of HER4 and its prognostic value is controversial in breast cancer. The role of HER4 in trastuzumab treatment and resistance in HER2-positive breast cancer has been recently studied. HER4 activation, cleavage and nuclear translocation have been demonstrated mediate trastuzumab resistance in HER2 positive breast cancer. In addition, nuclear HER4 is suggested could be a novel predictive and prognostic biomarker in HER2 positive breast cancer patients. Understanding the role of HER4 may offer useful insights to cancer treatment in HER2-positive breast cancer and other cancers.
MeSH terms: Trastuzumab; Breast Neoplasms; Humans; Prognosis; Receptor, ErbB-2
Telomerase has become important in molecular genetics since its discovery in 1984. The study of telomere in ciliate Tetrahymena thermophilia since 4 decades ago has led to the discovery of telomerase that was discovered by Elizabeth Blackburn and her postgraduate student, Carol Widney Greider in 1984. Later in 2009, Jack William Szostak together with Greider and Blackburn were awarded the Nobel Prize in Physiology or Medicine for their discovery. (Copied from article).
MeSH terms: Awards and Prizes; Medicine; Nobel Prize; Students; Tetrahymena; Telomere; Ciliophora; Telomerase
Rheumatoid Arthritis (RA) is a chronic inflammatory polyarthritis disease predominantly involving synovial tissue of the joints and characterized by destructive and debilitating arthritis (Choy et al., 2012; Weyand, 2000; reviewed by Worthington, 2005; Gabriel et al., 1999). It can cause progressive and irreversible destruction of tendons, cartilage and bone, which leads to lack of ability to perform daily activities (Singh et al., 2015). Although the aetiology of RA remains unsolved, the strength of the genetic component in RA is estimated based on familial aggregation and information about epidemiology and population prevalence (reviewed by Gregersen, 1999, Choy et al., 2012). (Copied from article).
A 4-year-old, male local dog was referred to University Veterinary Hospital-Universiti Putra Malaysia (UVH-UPM) due to
dyspnoea and ascites. Full diagnostic investigations inclusive of blood haematology, serum biochemistry, blood smear examinations
for haemopathogens, heartworm antigen test, thoracic and abdominal radiography and echocardiography were conducted. A
diagnosis of severe heartworm disease was made from the positive heartworm antigen test, the presence of heartworms on
echocardiography and the accompanying advanced clinical findings. This was the first case of right-sided heart failure due to severe
heartworm disease with concurrent pulmonary hypertension diagnosed in UVH-UPM from which the moribund dog was
successfully stabilised during hospitalisation.
Melioidosis is a zoonotic disease as a result of infection by Burkholderia pseudomallei. It is of significant public health
concern due to its ubiquitous nature with high morbidity and mortality in humans and animals. In cats, the disease is usually reported
with abscess formation in lung, liver and spleen, however, isolated articular melioidosis is rare. A 1-year-old, a female Domestic
Shorthair cat was presented to University Veterinary Hospital, Universiti Putra Malaysia (UVH-UPM) with swollen right elbow and
non weight bearing lameness of the right forelimb. Physical examination revealed pyrexia, soft tissue swelling and pain upon
palpation of the right elbow joint. Radiographs of the right forelimb revealed osteolysis at the distal third of the humerus and
proximal radius and ulna, cortical thinning at the olecranon and soft tissue swelling around the elbow joint. Bacterial culture of the
joint fluid revealed positive growth for Burkholderia pseudomallei. Unfortunately, the owner opted to euthanise the cat citing
personal reasons. Upon necropsy, there was presence of multiple caseous nodules within the right elbow joint cavity only and none
of the other limbs, lung, spleen and liver was affected. It is important for veterinarian to be aware of septic arthritis and osteomyelitis
form of melioidosis.
A 6-year-old intact Persian cat was presented for the primary complaint of inappetence and weight loss. Irregular surface of
kidneys was palpated during physical examination. Abdominal radiograph findings were indicative of renomegaly. Ultrasonography
revealed multiple anaechoic structures within the renal parenchyma. The cortex, medulla and renal pelvis were unable to be
differentiated. Both radiographic and ultrasonographic findings were suggestive of polycystic kidney disease. Blood test revealed
normochromic, normocytic anaemia with azotaemia whereas urinalysis findings were hypostenuria and proteinuria, consistent of
chronic kidney disease due to polycystic kidney. Ultrasound is a useful antemortem diagnostic tool to diagnose polycystic kidney
disease in cats.
Old intact male dogs are often predisposed to benign prostatic hyperplasia. Both hypertrophy and hyperplasia of prostate
gland occur due to hormonal influences. Clinical signs such as haematuria, stranguria and tenesmus are often associated with benign
prostatic hyperplasia. A seven year-old local breed intact male dog was presented with a primary complaint of haematuria and
stranguria. Diagnostic work-up conducted inclusive of complete blood count, serum biochemistry, urinalysis, abdominal radiograph,
cystourethrography and abdominal ultrasonography. The dog was diagnosed with cystic benign prostatic hyperplasia. Prostatic
omentalisation and castration were performed in this case.
An adult male Malayan box turtle was diagnosed with foreign body obstruction of fishing hook. Upon presentation, the animal
had pale mucous membrane and fishing line protruding out from the oral cavity. Diagnosis of foreign body ingestion was based on
plain radiograph where the fishing hook was evidenced on the lateral and ventrodorsal radiographic view. Plastron osteotomy
surgical removal was performed after endoscopy guided forcep removal failed. Procedures were carried out under the injectable
anesthesia using a combination of ketamine and xylazine hydrochloride. Antibiotic, anti-inflammatory and parenteral fluid therapy
was given pre and post-surgically as medical treatment and stabilisation.
Reptiles, which included snakes, chelonians (turtles, tortoises), iguanas and lizards, have been reported as important reservoirs
for Salmonella. In Malaysia, reports on Salmonella in reptiles are not many. A search for works in Malaysia on salmonellae in
reptiles found 28.0% chelonians, 27.5 - 61.0% snakes, 26.5 – 36.0% lizards and 31.0% house geckos carried Salmonella. The
prevalence in some countries worldwide which included the United States of America, Brazil, Japan, Nigeria and few others were
shown. The public health risk of the presence of salmonellae particularly in pet reptiles are discussed.
Forty-eight canine mammary tumours (CMT) diagnosed at the Histopathology Laboratory, Faculty of Veterinary Medicine,
Universiti Putra Malaysia, were reviewed retrospectively. Two control groups, one comprising all other cases involving female dogs
and another group comprising only cases of neoplasia involving female dogs diagnosed in the laboratory over the same period of
time were used for comparisons in this study. Fisher’s exact test and logistic regression were used to determine association between
the factors and the risk of CMT. Thirty-nine (81.3%) of the tumours were diagnosed as adenocarcinoma, 8.3% (n=4) each, were the
diagnoses for squamous cell carcinoma and mixed cell tumour. Adenoma had 2.1% (n=1). The prevalence of canine mammary gland
tumours in this study is 39%. When CMT cases were compared with all other cases, significant association was observed with adult
dogs (p = 0.032, logistic regression 0.012) and intact dogs (p = 0.009, logistic regression, 0.003). When CMT cases were compared
with neoplasia cases, significant association was observed with pure breeds (p = 0.025) and intact dogs (p = 0.000034, logistic
regression 0.00042). This study found that pure breed dogs, intact dogs and older dogs ( > 5years) have higher odds of having CMT
in Malaysian dog population.
Objectives: This study was conducted with two objectives, i) to assess the prevalence of malnutrition among children and adolescents with learning disability (LD) in Kelantan, a rural state located at the north-eastern region of Peninsular Malaysia; and ii) to examine the associations of participants’ socioeconomic and feeding characteristics with their body mass index (BMI).
Methods: A total of 271 children and adolescents with LD aged between 4 to 19 years old were recruited from 32 community-based rehabilitation centres using purposive sampling method. Standing height and body weight of participants were measured. Socioeconomic and feeding information were obtained from their primary caregivers through interviews using structured questionnaire. Multiple linear regression analyses were performed to examine the associations of socioeconomic and feeding characteristics with participants’ BMI.
Results: The prevalence of underweight among children and adolescents with LD was 22.5%; while another 22.1% of them were overweight and obese. Multiple linear regression models showed that being Down’s syndrome (Adjusted regression coefficient β=2.63, p
Child abuse's trend has been on the rise in Malaysia. Despite strong legislative rules of Child Act 2001, the response of the community is believed to be inadequate. Various factors have been highlighted to ensure effective management of the issue. Child abuse is considered a social emergency due to its complexity and involvement of emotional, family dynamic and domestic instability. The success of the managing these cases largely depends on our urgency and collaborative partnership between multidisciplinary team members, to improve on the welfare of these children, albeit a slower outcome. The community as a whole has to be proactive in reporting hidden cases to avoid mortality or morbidity, as a result of the perpetrator's actions.
MeSH terms: Child; Child Abuse; Family Relations; Humans; Malaysia; Morbidity; Patient Care Team
WO3 particles were synthesized using sol-gel method. The WO3 particles was prepared using 0.4 M of sodium tungstate dehydrate for 21 h at 90 °C. The photocatalytic activity of WO3 particles in removal of RhB dye followed first order kinetics in both visible light and UV light irradiation. The investigation showed that WO3 particles degraded RhB dye more effectively under UV irradiation (43.2 %) than visible irradiation (2.6 %) in 75 min. The poor photodegradation efficiency was attributed to the narrow excitation band of visible light source. Besides, the scavenger tests indicated that the holes and hydroxyl radicals were the dominant reactive species in photocatalytic degradation of RhB dye. Based on these findings, the photodegradation mechanism of RhB dye by WO3 particles is proposed.
The chemical composition and anatomical characteristics on lignin distribution of rattan waste were analyzed to determine its suitability to be used in binderless board fabrication. The chemical composition was analyzed by using TAPPI methods. Observation and determination of lignin distribution and board structure were executed by using optical microscopy (OM) and scanning electron microscope (SEM). High amount of hemicellulose, cellulose and lignin content found in rattan waste chemical composition is seen to help in binderless board fabrication. The micrographs revealed that the rattan has fine structural construction that helps in producing good qualities of binderless boards with particular manufacturing parameters.
Accumulation of reactive oxygen species leads to oxidative stress condition that can accelerate ovarian aging. Ovarian aging caused a reduction in plasma estradiol levels, quality of embryo and eventually will lead to infertility. Tocotrienol has been proven to possess antioxidant properties by protecting the cellular membrane from free radicals damage. Therefore, the aim of this study was to determine the effect of tocotrienol supplementation on the plasma estradiol levels, quality and development of embryos in aging mice. Female mice (Mus musculus) used in this study were divided into six groups. Six weeks old mice (young group) were used as negative control while eight months old mice (aging group) were used as age-matched (positive control) group. Group 1 (6 months old mice) were given corn oil as control, group 2, 3 and 4 (6 months old mice) were supplemented orally for two months with tocotrienol (TCT) at the dose of 90, 120 and 150 mg/kg body weight (BW), respectively. Subsequently, after two months the mice were superovulated, euthanized and 2- cell stage embryos were harvested and cultured in vitro to monitor the embryonic development. Plasma was analysed using enzyme-like immunosorbent assay. The results of this study showed that there was no significant correlation between plasma estradiol levels and the quality of embryo between young and aging group. Similarly, no significant change on plasma estradiol levels were noted in all TCT supplemented groups as compared to its vehicle control. On the other hand, there was a significant reduction on the percentage of normal embryo in all aging groups including TCT supplemented groups as compared to young group. Conversely, TCT supplementation at the dose of 150 mg/kg BW was able to increase the percentage of embryos that developed to blastocyst stage as compared to control. This finding proposed that TCT supplementations for two months are not able to cause a significant change in plasma estradiol levels and quality of embryo but it can delay the consequence of aging in embryonic development.
Piezoelectric poly(vinyliden fluoride) (PVDF) is attractive because of their low cost, lightweight, biocompatibility and superior mechanical flexibility. Electrophoretic deposition (EPD) technique has the capability of conformally deposit PVDF film on uneven surface target. Nevertheless, knowledge of the role of dispersion formulating process is crucial for achieving an even and uniform PVDF film. Sedimentation test showed PVDF polymer dispersions are more stable and well-dispersed in DMF than in MEK media. For MEK-based dispersion, higher stirring temperature produced less stable and more agglomerated PVDF dispersion, whereas longer stirring time reduced the degree of the PVDF polymer agglomeration. More stable DMF-based dispersions produced lower PVDF depositions than the less stable MEK-based dispersions. PVDF dispersions with higher degree of agglomeration produced films with higher surface roughness and porosity feature.
Angiogenicity is one of the essential components to enable tissue function. It is important to develop a construct that would help in catering oxygen and nutrient to the engineered tissue area. Thus, this study aims to investigate the attachment, spreading and growth of stem cells from human exfoliated deciduous teeth (SHED) on human AM (HAM) with or without vascular endothelial growth factor (VEGF) using scanning electron microscope (SEM), and indirectly see the potential of the HAM as a scaffold to promote angiogenic micro-environment. Since day 1, there were continuous changes of the cell morphology until day 28, SHED treated with VEGF seemed to change its shape from fibroblast-like into a round-shape cell, similar structure as an endotheliallike cell. The structures of filopodia-like were also observed on the treated SHED. SHED without VEGF treatment showed only normal morphological growth on HAM. VEGF is a protein produced to stimulate angiogenesis, and is believed to contribute to the morphological changes of SHED seeded on HAM. This indicates that HAM could be used as a scaffold to allow SHED differentiation into endothelial-like cells with the induction of VEGF.