Browse publications by year: 2016

  1. Normah Ismail, Izaty Hasni Ismail
    Science Letters, 2016;10(1):18-23.
    MyJurnal
    Threadfin bream (Nemipterus japonicus) skin gelatin was enzymatically extracted for 6 or 12 hrs at 60°C, pH 8 in the presence of alcalase. The gelatin was analyzed for yield, gel strength, melting point, setting point, setting time, viscosity, solubility and molecular weight distribution. The gelatin was also compared with commercial gelatin. The 12 hrs extraction time yield 7.74% gelatin and the gelatin was more soluble while 6 hrs gelatin resulted in 5.69% yield. Gel strength of the extracted gelatin decrease with longer extraction time. The 6 hrs gelatin exhibited gel strength of 324.93g which was very close to the commercial gelatin (342.10g) while 12 hrs gelatin gel strength was 202.47g. Melting points of threadfin bream gelatin increased when the extraction time increased ranging from 25.53 to 29.42°C while commercial gelatin melted at 34.03°C. Threadfin bream gelatins set at lower temperature and longer time with increase in extraction time compared to commercial gelatin. The gelatin extracted for 6 hrs resulted in higher gel strength, viscosity, melting point, setting point and shorter setting time than the 12 hrs gelatin. This shows that the 6 hrs extracted gelatin is more suitable to be used in food production than the 12 hrs gelatin.
  2. Mohd Tajudin Mohd Ali, Nurhana Faujan
    Science Letters, 2016;10(1):14-17.
    MyJurnal
    Glycosylation of betulinic acid with
    -D-glucose-pentaacetate was successfully synthesized in the
    presence of boron trifluoro etherate (BF3
    .Et2O) in pyridine to
    give betulinic acid bisglucoside in 92.8% yield. Further
    treatment of bisglucosides with methanol and sodium metal
    produced high polarity betulinic acid glucoside with 45%
    yield. Evaluation of human myeloid leukemia cell (HL60) and
    human T4-lymphoblastoid cell (CEMSS) activities with both
    synthesized compounds revealed that both compounds were
    less potent compared to betulinic acid itself but their water
    solubility were slightly increase.
  3. Mohd Noor Zairi Mohd Sapri, Azizah Hanom Ahmad
    Science Letters, 2016;10(1):11-13.
    MyJurnal
    Solid polymer electrolytes electrolytes based Poly
    (ethylene oxide) (PEO) complexed with sodium
    trifluoromethanesulfonate (NaCF3SO3
    ) salt were prepared by
    using solution cast technique. Ion-polymer ionic conductivity
    and interaction studies have been reported by Electrical
    Impedance spectroscopy (EIS) and Fourier transform infrared
    spectroscopy (FTIR). FTIR studies suggested that there are
    stronger interaction between Na+
    ions and the polymer than
    interaction of anions cations of the salt. The temperature
    dependance electrical conductivity of polymer electrolytes films
    follow Arrhenius relation and the low activation energy 0.2993
    eV was observed for PEO-18 wt. % NaCF3SO3 below 323 K.
    MeSH terms: Anions; Cations; Electric Conductivity; Electrolytes; Ethylene Oxide; Fourier Analysis; Mesylates; Polymers; Sodium; Temperature; Spectroscopy, Fourier Transform Infrared; Dielectric Spectroscopy
  4. Liu Meng, Ding Gongtao, Roziah Bt. Kambol
    Science Letters, 2016;10(1):8-10.
    MyJurnal
    Cytogenetics studies in domestic animal are
    gaining importance because of their genetics and implication in
    breeding programmes. The present study describes the
    chromosome number and karyotypic characteristics of Ganjia
    sheep and comparison between males and females breeds. We
    adopt the method of cultivating somatic cells, and analyzed the
    chromosome karyotype of the Ganjia sheep. The result
    indicates the diploid chromosome of the Gangia sheep is 2n=54,
    in which 26 pairs of autosomes and a pair of sex chromosome
    were observed. Result indicates all autosomes are tip silk. The X
    chromosome was acrocentric and largest except the first three
    pairs that were metacentric. The Y chromosome was the
    smallest, biarmed and probably metacentric chromosome.
    MeSH terms: Animals; Animals, Domestic; Breeding; Diploidy; Female; Karyotyping; Male; Sheep; Y Chromosome; Silk; Karyotype
  5. Mariyah Faizal, Normah Ismail
    Science Letters, 2016;10(1):4-7.
    MyJurnal
    This study was carried out to extract, partially
    purify and characterise protease from guava peel. The
    extracted protease was purified using 60% ammonium sulfate
    precipitation method followed by gel filtration
    chromatography. The obtained proteases were analysed for
    protein concentration, proteolytic activity, total proteolytic
    activity, specific activity, percent recovery, purification fold,
    molecular weight distribution, optimum temperature and pH.
    Guava peel contains 7.10% protein. The optimum temperature and pH of the protease was achieved within the range of 40 to
    60°C and pH 4 to 6, respectively, where maximum activity
    identified was 50°C and pH 5. Total activity decreased with the
    purification steps involving 60% ammonium sulfate
    precipitation and dialysis but subsequently increased after
    being subjected to gel filtration chromatography. This study
    suggested that further purification using gel filtration
    chromatography increases the proteolytic activity of guava peel
    protease.
  6. Ilomuanya MO, Nashiru B, Ifudu ND, Igwilo CI
    J Microsc Ultrastruct, 2016 05 12;5(1):32-38.
    PMID: 30023235 DOI: 10.1016/j.jmau.2016.05.001
    Agricultural waste obtained from Elaeis guineensis mid ribs can provide a veritable source of materials which can be used as precursor materials for the production of pharmaceutical grade activated charcoal. The pore size and surface morphology of activated charcoal defines the types of molecules that could be adsorbed unto it, as surface morphology plays a significant role in determining the surface availability and areas of adsorption. The activated charcoal samples prepared from Elaeis guineensis via either physical or chemical activation was characterized via surface area using the BET method and subsequently pore structure and size analyzed by scanning electron microscopy (SEM). Physically activated Elaeis guineensis fronds activated with nitrogen gas had wide spread microporosity with micropore volume of 0.232 cc/g compared to the chemically activated with 1M and 3M phosphoric acid respectively. The commercial activated charcoal/metronidazole combination in the in vitro-pharmacodynamic model reflected no re-growth after 4 hours, however for charcoal formulated from Elaeis guineensis via chemical activation with 3M phosphoric acid and metronidazole no regrowth was seen at the second hour and this was maintained throughout the duration of the experiment. Increased macroporosity enhanced bacterial adsorption and this was further facilitated by the presence of antibacterial metronidazole in the in vitro pharmacodynamic model. Activated charcoal produced from agricultural waste obtained from Elaeis guineensis dried mid ribs consisting of increased macroporosity with mixed meso/micro porosity and antibacterial metronidazole form the best model for bacterial adsorption and will be useful in the treatment of diarrhea caused by E. coli O157:H7.
    MeSH terms: Adsorption; Anti-Bacterial Agents; Biological Phenomena; Charcoal; Diarrhea; Pharmaceutical Preparations; Metronidazole; Microscopy, Electron, Scanning; Nitrogen; Phosphoric Acids; Ribs; Porosity; Escherichia coli O157
  7. Xulu KR, Hosie MJ
    J Microsc Ultrastruct, 2016 06 17;5(1):39-48.
    PMID: 30023236 DOI: 10.1016/j.jmau.2016.06.001
    Apoptosis is a tightly programmed cell suicide which occurs in multiple physiologic and pathological conditions where it plays an important role in tissue development and homeostasis by eliminating unwanted and damaged cells. Appropriate apoptosis signalling is crucial in maintaining the fine balance between cell death and cell survival in cancer. In response to death stimuli the morphology of the cell undergoes unique changes. The aim of this study was to examine and compare the changes in the cell surface morphology using scanning electron microscopy in HCS-2 cells, following 24 hour treatment with components of highly active antiretroviral therapy (HAART) at their clinical plasma concentrations. The cells were fixed in 2.5% Glutaraldehyde and post-fixed in 1% osmium tetroxide. The cells were then dehydrated through a graded series of alcohol and treated with hexamethyl-disilazane, then coated with a double layer of carbon. The cells were viewed under a Zeiss Ultra FEG Scanning Electron Microscope and a one way ANOVA and Tukey Kramer Post Hoc test was conducted based on the scoring of surface morphology of the cells using JMP 11 statistical software. The drugs used in this study induced morphological features which are known to be characteristic of apoptotic cell death. The drug combinations (ATP and LPV/r) were seemingly more effective than individual treatments in inducing cell death because morphological features observed were more advanced than those observed in individual treatments. However, LPV/r was more potent than ATP. In conclusion, HAART showed anticancer properties by inducing cell death through apoptosis.
    MeSH terms: Adenosine Triphosphate; Analysis of Variance; Carbon; Cell Count; Cell Survival; Drug Combinations; Glutaral; Homeostasis; Maintenance; Microscopy, Electron, Scanning; Neoplasms; Osmium Tetroxide; Software; Suicide; Cell Death; Apoptosis; Antiretroviral Therapy, Highly Active
  8. Bakar NA, Tengku Ibrahim TA, Mohamad Shalan NA, Mohamed S
    J Microsc Ultrastruct, 2016 08 21;5(2):70-81.
    PMID: 30023239 DOI: 10.1016/j.jmau.2016.08.001
    The edible red seaweed Kappaphycus alvarezii or Eucheuma cottonii is commercially cultivated in the pristine tropical seas for carrageenan production. The systemic, cellular, and molecular effects of E. cottonii 50% alcohol extract [seaweed E. cottonii ethanol extract (SECE)] on breast cancer were investigated in a rat model. Mammary tumor was induced by subcutaneously injecting LA7 cells in female rat mammary pads. After 2 weeks of cancer growth, the rats received oral administration of either SECE [150 mg/kg body weight (BW) and 300 mg/kg BW] or tamoxifen. Electron microscopy imaging results confirmed macrophage activity and hematoxylin and eosin staining indicated that tumor histopathological alterations were restored toward normal structures by the seaweed extract. The extract suppressed tumor development and modulated the immune responses. This was evidenced by the microscopic observations, the increased spleen weight, size, spleen CD19 B cells, and blood immunoglobulin G (IgG) levels. The extract also increased the circulating total white blood cells, lymphocytes, segmented neutrophils count, T cells (CD3), T-helper cells (CD4), cytotoxic T cell (CD8), and nuclear factor-kappa beta expressions. The extract enhanced cancer cell death, by upregulating the Birc5, Chk1, and p53 levels and downregulating the tumor growth cellular Mdm2 (transformed mouse 3T3 cell double minute 2) messenger RNA (mRNA) expression. The extract showed no toxicity at 150 mg/kg BW in rats. The lectin-rich SECE showed tumor suppression by enhancing immune responses and upregulating the cancer cell apoptosis mRNA expressions.
    MeSH terms: Administration, Oral; Ethanol; Animals; B-Lymphocytes; Breast Neoplasms; Carrageenan; Eosine Yellowish-(YS); Female; T-Lymphocytes, Helper-Inducer; Hematoxylin; Humans; Immunoglobulin G; Lymphocytes; Macrophages; Microscopy, Electron; Neutrophils; RNA, Messenger; Seaweed; Spleen; Staining and Labeling; Tamoxifen; Tumor Suppressor Protein p53; 3T3 Cells; Cell Death; Apoptosis; Lectins; Mice; Rats
  9. Allouh MZ, Abu Ghaida JH, Jarrar AA, Khasawneh RR, Mustafa AG, Bashaireh KM
    Folia Morphol (Warsz), 2016 02 26;75(3):388-392.
    PMID: 26916201 DOI: 10.5603/FM.a2016.0007
    The human carrying angle (CA) is a measure of the lateral deflection of the forearm from the arm. The importance of this angle emerges from its functional and clinical relevance. Previous studies have correlated this angle with different parameters including age, gender, and handedness. However, no reports have focused on race-dependent variations in CA or its relation to various components of the elbow joint. This study aimed to investigate the variations in CA with respect to race and inter-epicondylar distance (IED) of the humerus. The study included 457 Jordanian and 345 Malaysian volunteers with an age range of 18-21 years. All participants were right-hand dominant with no previous medical history in their upper limbs. Both CA and IED were measured by well-trained medical practitioners according to a well-established protocol. Regardless of race, CA was greater on the dominant side and in females. Furthermore, CA was significantly greater in Malaysian males compared to Jordanian males, and significantly smaller in Malaysian females compared to their Jordanian counterparts. Finally, CA significantly decreased with increasing IED in both races. This study supports effects of gender and handedness on the CA independent of race. However, CA also varies with race, and this variation is independent of age, gender, and handedness. The evaluation also revealed an inverse relationship between CA and IED. These findings indicate that multiple factors including race and IED should be considered during the examination and management of elbow fractures and epicondylar diseases.
    MeSH terms: Adolescent; Elbow Joint; Female; Forearm; Humans; Humerus*; Functional Laterality; Male; Young Adult
  10. Aftab RA, Khan AH, AbdulRazzaq HA, Adnan AS
    JNMA J Nepal Med Assoc, 2016 12 10;54(202):85-87.
    PMID: 27935930
    Ischemic stroke is due to either local thrombus formation or emboli that occlude a cerebral artery, together with chronic kidney disease represent major mortality and morbidity.Here we present a case of 53 years old Malay man, admitted to a hospital in Malaysia complaining of sudden on set of weakness on right sided upper and lower limb associated with slurred speech. Patient was also suffering from uncontrolled hypertension, hyperlipidemia, chronic kidney disease stage 4, and diabetes mellitus (uncontrolled). He was diagnosed with acute ischemic stroke with cranial nerve 7 palsy (with right hemiparesis), acute on chronic kidney disease precipitated by dehydration and ACE inhibitor, and hyperkalemia. Patients with ischemic disease and chronic kidney disaese require constant monitering and careful selected pharmacotherapy. Patient was placed under observation and was prescribed multiple pharamacotherpay to stabalise detoriating condition.
    MeSH terms: Acute Disease; Angiotensin-Converting Enzyme Inhibitors/adverse effects; Brain Ischemia/diagnosis; Dehydration/complications; Diabetes Mellitus/diagnosis; Humans; Hyperkalemia/complications; Hypertension/diagnosis; Male; Middle Aged; Bell Palsy/diagnosis; Stroke/diagnosis*; Renal Insufficiency, Chronic/diagnosis*; Renal Insufficiency, Chronic/etiology
  11. Patel FB, Newman SA, Norton SA
    Skinmed, 2016 02 01;14(1):53-4.
    PMID: 27072733
    A 20-year-old man of Indo-Malaysian ancestry presented with a complaint of increased facial pigmentation that he first noticed at age 13. He had congenital adrenal hyperplasia (21-hydroxylase deficiency, salt-wasting variant; OMIM 201910), diagnosed during infancy. Glucocorticoid and mineralocorticoid therapy was started at that time, but he had several episodes of salt craving during adolescence. During the past 7 years, the degree of facial pigmentation waxed and waned but never returned to baseline of early adolescence. Progressive skin darkening was also observed in annual family photos, which also showed a vast difference in skin tones between the patient and other members of his immediate family.
    MeSH terms: Adrenal Hyperplasia, Congenital/complications*; Adrenal Hyperplasia, Congenital/drug therapy; Facial Dermatoses/etiology*; Glucocorticoids/therapeutic use; Humans; Male; Hyperpigmentation/etiology*; Young Adult
  12. Ashley J, Shukor Y, Tothill IE
    Analyst, 2016 Nov 14;141(23):6463-6470.
    PMID: 27813538
    The development of molecularly imprinted polymer nanoparticles (MIP-NPs), which specifically bind biomolecules, is of great interest in the area of biosensors, sample purification, therapeutic agents and biotechnology. Polymerisation techniques such as precipitation polymerisation, solid phase synthesis and core shell surface imprinting have allowed for significant improvements to be made in developing MIP-NPs which specifically recognise proteins. However, the development of MIP-NPs for protein templates (targets) still require lengthy optimisation and characterisation using different ratios of monomers in order to control their size, binding affinity and specificity. In this work we successfully demonstrated that differential scanning fluorimetry (DSF) can be used to rapidly determine the optimum imprinting conditions and monomer composition required for MIP-NP design and polymerisation. This is based on the stability of the protein template and shift in apparent melting points (Tm) upon interaction with different functional acrylic monomers. The method allows for the characterisation of molecularly imprinted nanoparticles (MIP-NPs) due to the observed differences in melting point profiles between, protein-MIP-NPs complexes, pre-polymerisation mixtures and non-imprinted nanoparticles (NIP-NPs) without the need for prior purification. The technique is simple, rapid and can be carried out on most quantitative polymerase chain reaction (qPCR) thermal cyclers which have the required filters for SYPRO
    MeSH terms: Biotechnology; Fluorometry; Polymers; Proteins; Sensitivity and Specificity; Biosensing Techniques; Polymerase Chain Reaction; Nanoparticles; Polymerization; Solid-Phase Synthesis Techniques
  13. Brodie JF, Mohd-Azlan J, Schnell JK
    Ecology, 2016 Jul;97(7):1658-1667.
    PMID: 27859156 DOI: 10.1890/15-1613.1
    Elucidating how dispersal and landscape connectivity influence metacommunity stability will shed light on natural processes structuring ecosystems and help prioritize conservation actions in an increasingly fragmented world. Much of the theoretical and mathematical development of the metacommunity concept has been based on simplified experimental systems or simulated data. We still have limited understanding of how variation in the habitat matrix and species-specific differences in dispersal ability contribute to metacommunity dynamics in heterogeneous landscapes. We model a metacommunity of rainforest mammals in Borneo, a tropical biodiversity hotspot, where protected areas are increasingly isolated by ongoing habitat disturbance and loss. We employ a combination of hierarchical models of local abundance, circuit-theory-based dispersal analysis, and metapopulation models. Our goal was to understand which landscape links were the most important to metapopulation persistence and metacommunity stability. Links were particularly important if they were short and connected two large patches. This was partly because only the very shortest links could be traversed by poorly dispersing species, including small herbivores such as chevrotains (Tragulus spp.) and porcupines. Links that join large patches into a "super-patch" may also promote island-mainland rather than Levins-type metapopulation dynamics for good dispersers, particularly large carnivores such as clouded leopards (Neofelis diardi) and sun bears (Helarctos malayanus), reducing metapopulation extinction risk and thereby enhancing metacommunity stability. Link importance to metacommunity stability was highly correlated between heterogeneous and homogeneous landscapes. But link importance to metapopulation capacity varied strongly across species, and the correlation between heterogeneous and homogeneous landscape matrix scenarios was low for poorly dispersing taxa. This suggests that the environmental conditions in the area between habitat patches, the landscape matrix, is important for assessing certain individual species but less so for understanding the stability of the entire metacommunity.
    MeSH terms: Animals; Ursidae; Borneo; Goals; Ecosystem; Biodiversity; Porcupines; Herbivory; Islands; Rainforest
  14. Hii KS, Lim PT, Kon NF, Takata Y, Usup G, Leaw CP
    Harmful Algae, 2016 06;56:9-21.
    PMID: 28073499 DOI: 10.1016/j.hal.2016.04.005
    Saxitoxins (STXs) constitute a family of potent sodium channel blocking toxins, causative agents of paralytic shellfish poisoning (PSP), and are produced by several species of marine dinoflagellates and cyanobacteria. Two STX-core genes, sxtA and sxtG, have been well elucidated in Alexandrium but the expression of these genes under various nutritional modes in tropical species remains unclear. This study investigates the physiological responses of a tropical Pacific strain of Alexandrium minutum growing with nitrate or ammonium, and with various nitrogen to phosphorus (N:P) supply ratios. The transcriptional responses of the sxt genes were observed. Likewise, a putative sxtI encoding O-carbamoyltransferase (herein designated as AmsxtI) was recovered from the transcriptomic data, and its expression was investigated. The results revealed that the cellular toxin quota (Qt) was higher in P-depleted, nitrate-grown cultures. With cultures at similar N:P (<16), cells grown with excess ammonium showed a higher Qt than those grown with nitrate. sxtA1 was not expressed under any culture conditions, suggesting that this gene might not be involved in STX biosynthesis by this strain. Conversely, sxtA4 and sxtG showed positive correlations with Qt, and were up-regulated in P-depleted, nitrate-grown cultures and with excess ambient ammonium. On the other hand, AmsxtI was expressed only when induced by P-depletion, suggesting that this gene may play an important role in P-recycling metabolism, while simultaneously enhancing toxin production.
    MeSH terms: Dinoflagellida/genetics; Dinoflagellida/physiology*; Nitrates/metabolism; Nitrogen/metabolism; Phosphorus/metabolism; Saxitoxin/biosynthesis*; Saxitoxin/genetics*; Tropical Climate; Transcriptome; Ammonium Compounds/metabolism
  15. Leaw CP, Tan TH, Lim HC, Teng ST, Yong HL, Smith KF, et al.
    Harmful Algae, 2016 05;55:137-149.
    PMID: 28073527 DOI: 10.1016/j.hal.2016.02.010
    In this study, inter- and intraspecific genetic diversity within the marine harmful dinoflagellate genus Coolia Meunier was evaluated using isolates obtained from the tropics to subtropics in both Pacific and Atlantic Ocean basins. The aim was to assess the phylogeographic history of the genus and to clarify the validity of established species including Coolia malayensis. Phylogenetic analysis of the D1-D2 LSU rDNA sequences identified six major lineages (L1-L6) corresponding to the morphospecies Coolia malayensis (L1), C. monotis (L2), C. santacroce (L3), C. palmyrensis (L4), C. tropicalis (L5), and C. canariensis (L6). A median joining network (MJN) of C. malayensis ITS2 rDNA sequences revealed a total of 16 haplotypes; however, no spatial genetic differentiation among populations was observed. These MJN results in conjunction with CBC analysis, rDNA phylogenies and geographical distribution analyses confirm C. malayensis as a distinct species which is globally distributed in the tropical to warm-temperate regions. A molecular clock analysis using ITS2 rDNA revealed the evolutionary history of Coolia dated back to the Mesozoic, and supports the hypothesis that historical vicariant events in the early Cenozoic drove the allopatric differentiation of C. malayensis and C. monotis.
    MeSH terms: Atlantic Ocean; Dinoflagellida; DNA, Ribosomal; Biological Evolution; Haplotypes; Phylogeny; Genetic Variation; Genetic Drift; Phylogeography
  16. Tan SN, Teng ST, Lim HC, Kotaki Y, Bates SS, Leaw CP, et al.
    Harmful Algae, 2016 12;60:139-149.
    PMID: 28073557 DOI: 10.1016/j.hal.2016.11.003
    The distribution of the toxic pennate diatom Nitzschia was investigated at four mangrove areas along the coastal brackish waters of Peninsular Malaysia. Eighty-two strains of N. navis-varingica were isolated and established, and their identity confirmed morphologically and molecularly. Frustule morphological characteristics of the strains examined are identical to previously identified N. navis-varingica, but with a sightly higher density of the number of areolae per 1μm (4-7 areolae). Both LSU and ITS rDNAs phylogenetic trees clustered all strains in the N. navis-varingica clade, with high sequence homogeneity in the LSU rDNA (0-0.3%), while the intraspecific divergences in the ITS2 data set reached up to 7.4%. Domoic acid (DA) and its geometrical isomers, isodomoic A (IA) and isodomoic B (IB), were detected in cultures of N. navis-varingica by FMOC-LC-FLD, and subsequently confirmed by LC-MS/MS, with selected ion monitoring (SIM) and multiple reaction monitoring (MRM) runs. DA contents ranged between 0.37 and 11.06pgcell-1. This study demonstrated that the toxigenic euryhaline diatom N. navis-varingica is widely distributed in Malaysian mangrove swamps, suggesting the risk of amnesic shellfish poisoning and the possibility of DA contamination in the mangrove-related fisheries products.
    MeSH terms: Animals; DNA, Ribosomal/genetics; Kainic Acid/analogs & derivatives*; Kainic Acid/metabolism; Malaysia; Phylogeny; Species Specificity; Diatoms/metabolism*
  17. Aminuddin, I., Lotfi, H.A.
    MyJurnal
    The sight of clustered holes can bring about uneasiness in people, and the disgust response towards it is called trypophobia. Reactions in humans vary from nausea to severe depression. We explore the possible causes of this unique phenomenon, such as evolutionary adaptation and spectral features. We also uncover the clinical features and its relationship to other psychological conditions for example, obsessive-compulsive disorder.
    MeSH terms: Acclimatization; Adaptation, Physiological; Depressive Disorder, Major; Humans; Nausea; Obsessive-Compulsive Disorder
  18. Zaini, S., Ng, C.G., Sulaiman, A.H., Huri, N.Z., Shamsudin, S.H.
    MyJurnal
    Introduction: Cancer patients often have concurrent physical and psychological symptoms. These problems may become barriers towards the healing process. Antidepressants seem to be beneficial for the purpose of palliative care in this type of patients. One of the useful medications is mirtazapine, which is known as noradrenergic and specific serotonergic antidepressant (NaSSA). This paper examines the use of mirtazapine in physical and psychological symptoms of cancer patients. Methods: Literature search was done on PubMed (from inception to January 2017) by matching the key terms: ‘noradrenergic and specific serotonergic antidepressants’ or ‘NaSSA’ ‘mirtazapine’ AND ‘cancer’ or ‘oncol*’ or ‘malignancy’ or ‘carcinoma’. Eligible papers were screened at the title and abstract level. Various types of study included in this review, according to certain criteria. Additional papers were also identified by screening of reference lists. Results: A total of twelve papers were reviewed and summarized. Positive findings obtained for the use of mirtazapine in cancer patients associated with various symptoms, including depression, anxiety, cachexia, nausea, hot flashes, and pruritus. Some rare side effects are reported, including constipation, myalgia sedation, dry mouth, stimulation of appetite and weight gain. Conclusion: Mirtazapine has the potential to be beneficial for cancer patients suffering from these physical and psychological symptoms. However, more research studies with sufficient power are warranted to validate the findings.
  19. Saifuddin, T.M., Amilin, N., Zafri, A.
    MyJurnal
    Huntington disease (HD) is a neurodegenerative disorder with psychiatric, cognitive, and motor symptoms. Psychiatric symptoms often manifest years before neurologic signs in HD patients. The present of psychiatric symptoms might increase risk of suicide in HD patient. We presented a case of HD who admitted to Psychiatry ward due to suicidal attempt and shows improvement with low dose of Olanzapine.
    MeSH terms: Benzodiazepines; Cognition; Humans; Huntington Disease; Psychiatry; Suicide; Suicide, Attempted
  20. Saifuddin, T.M., Amilin, N., Zafri, A.
    MyJurnal
    Dissociative identity disorder (DID) previously known as multiple personality disorder is associated with depression and traumatic childhood which can be either physically or sexually abuse. It is hard to establish diagnosis of DID because of the complexity and controversies that surrounding it. We report a case of a young man who has DID and Major Depressive Disorder in the background of traumatic childhood experience who was recently admitted to our inpatient psychiatric unit and demonstrated transitions to other distinct personality state.
    MeSH terms: Child; Child Abuse; Depression; Depressive Disorder, Major; Humans; Inpatients; Male; Multiple Personality Disorder; Personality; Personality Disorders
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