Browse publications by year: 2017

  1. Buzayan, Muaiyed Mahmoud, Omar Tawfiq, Choudhary, Suchismita, Sivakumara, Indumathi, Norsiah Yunus, Elkezza, Aeman
    Archives of Orofacial Sciences, 2017;12(2):110-113.
    MyJurnal
    Prosthodontic rehabilitation and management of microstomia patient presents challenges at all stages
    during prosthesis fabrication; from making primary impressions to the prostheses insertion. These patients have
    reduced mouth opening, and hence it can be extremely challenging to make impressions and to fabricate
    dentures using the conventional methods. The present case report describes prosthodontic management of a
    partially dentate patient with microstomia that developed secondary to surgical resection and radiation therapy of
    head and neck cancer. A simplified novel approach has been advocated using the patient’s existing metal
    removable partial denture as a key in master cast preparation.
  2. Lim, Daniel, Wei, Cheong Ngeow
    Archives of Orofacial Sciences, 2017;12(2):105-109.
    MyJurnal
    Surgical ciliated cyst of the maxilla is a rare complication following surgical procedures or trauma
    involving the maxillary sinus. It can occur at any time after any procedures or trauma involving the maxillary
    sinus even though many years have lapsed. Clinically it may mimic other cysts of the maxillary sinus
    therefore a thorough history taking is necessary for diagnosis. Treatment is usually by enucleation or
    marsupialisation. This report highlighted a case of surgical ciliated cyst involving the right maxillary sinus
    probably secondary to maxillary sinus procedures, which were performed 30 years prior to presentation.
  3. Mohd Safwani Affan Alli Awang Talip, Ahmad Shuhud Irfani Zakaria, Sockalingam, S. Nagarajan M.P.
    Archives of Orofacial Sciences, 2017;12(2):95-104.
    MyJurnal
    The present study compared and evaluated the shear bond strength (SBS) of two types of glass
    ionomer cement (GIC), Riva Self Cure HVTM (SDI Ltd., Victoria, Australia) and GC Fuji IX GP EXTRATM (GC
    America Inc., Alsip, USA) with and without the use of Riva Bond LCTM (SDI Ltd., Victoria, Australia), a lighted
    cured resin-modified glass ionomer cement (RMGIC) universal adhesive. Sixty extracted sound premolars with
    prepared exposure of the dentine on the occlusal surface were randomly assigned into four groups according to
    the tested restorative materials. Shear bond strength (SBS) tests were performed by using the Shimadzu
    Universal Testing Machine at a crosshead speed of 0.5 mm/minute, and the values obtained were statistically
    analysed using one-way ANOVA and Tukey tests. The inter-group comparison showed statistically significant
    differences in the SBS values between all the test groups (p < 0.001). A stereomicroscope was used to assess
    the modes of failure. Adhesive failures were predominant in adhesive groups (>80%) compared to higher
    cohesive failures found in the non-adhesive groups (>86%). A Spearman's rho correlation test performed to
    determine the association between SBS values and mode of failures had indicated positive correlations between
    the adhesive failure and SBS values in the adhesive groups (rs=0.86, p
  4. Nor Azlida Mohd Nor
    MyJurnal
    Fluorosis is important to measure because it is a condition that can be used as biomarker for the level
    of fluoride exposure during enamel formation. Increased and decreased in fluorosis prevalence may also reflect
    to the different ways of measuring the disease. The choice of measuring fluorosis is depends on the objective of
    the assessment such as assessing public health significant of fluorosis in the population or assessing the detailed
    of biological effects of fluoride. These differences in requirement have led to the adoption of many indices and
    assessment methods of enamel fluorosis, which subsequently led to evaluation of examiner agreement between
    them. Several indices were developed to measure dental fluorosis in the 20th century. These include fluorosis
    specific indices such as Dean’s Index; the Thylstrup and Fejerskov Index; the Total Tooth Surface Index; and the
    Fluorosis Risk Index. Non-specific descriptive indices such as the Developmental Defects of Enamel index have
    also been used to record fluorosis. Fluorosis has most commonly been recorded using clinical examinations and
    photographs. Recent developments have seen the use of a Visual Analog Scale and automated grading systems
    such as Quantitative Light Fluorescence emerge as possible enhancements to fluorosis scoring. This article aims
    to review existing indices and new methods in measuring dental fluorosis, together with examiner reliability
    across different methods and indices.
  5. Engku Fatimah Syairah Engku Safruddin, Wan Zainira Wan Zain, Bhavaraju, Venkata Murali Krishna, Kannan, Thirumulu Ponnuraj
    MyJurnal
    Given that the germline mutations of BRCA1 and BRCA2 confer genetic susceptibility to cancer, the
    genetic variations, polymorphisms or mutations are widely analyzed in Western countries. However, in Asian
    population, the prevalence of BRCA1 and BRCA2 polymorphisms is very limited. In Asia, breast cancer occurs in
    women early with an age of onset under 50 years. This review comprises the incidence of BRCA1 and BRCA2
    polymorphisms in the Japanese, Korean and Malaysian population. Founder mutations of BRCA1 and BRCA2
    were also compared to mark the genetic difference in these populations. The mutational analysis performed to
    analyze the entire coding region of BRCA1 and BRCA2 include the next generation sequencing and full
    sequencing of all exons and intron-exon junctions. From the diagnosis of triple negative breast cancer (TNBC)
    patients, TNBC is associated with the lack of tailored therapies and the treatment option available for TNBC
    patients is mainly chemotherapy. The poor prognosis of TNBC leads to determine the predictive biomarkers in
    order to develop treatment efficacy. This review will address the current clinical therapies available to treat TNBC
    patients.
    MeSH terms: Asia; Exons; Female; Humans; Introns; Prognosis; Biomarkers; Incidence; Prevalence; Treatment Outcome; Germ-Line Mutation; BRCA1 Protein; Genetic Predisposition to Disease; BRCA2 Protein; High-Throughput Nucleotide Sequencing; Triple Negative Breast Neoplasms
  6. Uijtdewilligen L, Yin JD, van der Ploeg HP, Müller-Riemenschneider F
    Int J Behav Nutr Phys Act, 2017 Dec 13;14(1):169.
    PMID: 29237471 DOI: 10.1186/s12966-017-0626-4
    BACKGROUND: Evidence on the health risks of sitting is accumulating. However, research identifying factors influencing sitting time in adults is limited, especially in Asian populations. This study aimed to identify socio-demographic and lifestyle correlates of occupational, leisure and total sitting time in a sample of Singapore working adults.

    METHODS: Data were collected between 2004 and 2010 from participants of the Singapore Multi Ethnic Cohort (MEC). Medical exclusion criteria for cohort participation were cancer, heart disease, stroke, renal failure and serious mental illness. Participants who were not working over the past 12 months and without data on sitting time were excluded from the analyses. Multivariable regression analyses were used to examine cross-sectional associations of self-reported age, gender, ethnicity, marital status, education, smoking, caloric intake and moderate-to-vigorous leisure time physical activity (LTPA) with self-reported occupational, leisure and total sitting time. Correlates were also studied separately for Chinese, Malays and Indians.

    RESULTS: The final sample comprised 9384 participants (54.8% male): 50.5% were Chinese, 24.0% Malay, and 25.5% Indian. For the total sample, mean occupational sitting time was 2.71 h/day, mean leisure sitting time was 2.77 h/day and mean total sitting time was 5.48 h/day. Sitting time in all domains was highest among Chinese. Age, gender, education, and caloric intake were associated with higher occupational sitting time, while ethnicity, marital status and smoking were associated with lower occupational sitting time. Marital status, smoking, caloric intake and LTPA were associated with higher leisure sitting time, while age, gender and ethnicity were associated with lower leisure sitting time. Gender, marital status, education, caloric intake and LTPA were associated with higher total sitting time, while ethnicity was associated with lower total sitting time. Stratified analyses revealed different associations within sitting domains for Indians compared to Chinese and Malays.

    CONCLUSION: Our findings highlight the need to focus on separate domains of sitting (occupational, leisure or total) when identifying which factors determine this behavior, and that the content of intervention programs should be tailored to domain-specific sitting rather than to sitting in general. Finally, our study showed ethnic differences and therefore we recommend to culturally target interventions.

    MeSH terms: Adult; Aged; Cross-Sectional Studies; Ethnic Groups*; Female; Humans; Leisure Activities*; Malaysia; Male; Middle Aged; Posture*; Risk; Singapore; Socioeconomic Factors; Work*; Cohort Studies; Exercise*; Asian Continental Ancestry Group; Young Adult; Sedentary Lifestyle*; Self Report
  7. Schubert T, Rausch S, Fahmy O, Gakis G, Stenzl A
    Ther Adv Urol, 2017 Nov;9(11):251-260.
    PMID: 29662543 DOI: 10.1177/1756287217720401
    Background: For over 100 years white-light cystoscopy has remained the gold-standard technique for the detection of bladder cancer (BCa). Some limitations in the detection of flat lesions (CIS), the differentiation between inflammation and malignancy, the inaccurate determination of the tumor margin status as well as the tumor depth, have led to a variety of technological improvements. The aim of this review is to evaluate the impact of these improvements in the diagnosis of BCa and their effectiveness in clinical practice.

    Methods: A systematic literature search was conducted according to the PRISMA statement to identify studies reporting on imaging modalities in the diagnosis of NMIBC between 2000 and 2017. A two-stage selection process was utilized to determine eligible studies. A total of 74 studies were considered for final analysis.

    Results: Optical imaging technologies have emerged as an adjunct to white-light cystoscopy and can be classified according to their scope as macroscopic, microscopic and molecular. Macroscopic techniques including photodynamic diagnosis (PDD), narrow-band imaging (NBI) and the Storz Professional Image Enhancement System (IMAGE1 S, formerly known as SPIES) are similar to white-light cystoscopy, but are superior in the detection of bladder tumors by means of contrast enhancement. Especially the detection rate of very mute lesions in the bladder mucosa (CIS) could be significantly increased by the use of these methods. Microscopic imaging techniques like confocal laser endomicroscopy and optical coherence tomography permit a real-time high-resolution assessment of the bladder mucosa at a cellular and sub-cellular level with spatial resolutions similar to histology, enabling the surgeon to perform an 'optical biopsy'. Molecular techniques are based on the combination of optical imaging technologies with fluorescence labeling of cancer-specific molecular agents like antibodies. This labeling is intended to favor an optical distinction between benign and malignant tissue.

    Conclusions: Optical improvements of the standard white-light cystoscopy have proven their benefit in the detection of BCa and have found their way into clinical practice. Especially the combination of macroscopic and microscopic techniques may improve diagnostic accuracy. Nevertheless, HAL-PDD guided cystoscopy is the only approach approved for routine use in the diagnosis of BCa by most urological associations in the EU and USA to date.

  8. Suleiman M, Muhammad J, Jelip J, William T, Chua TH
    PMID: 29644840
    The horseshoe crab (Carcinoscorpius rotundicauda) is consumed by those
    residing near the coastal areas of Kota Marudu District in Malaysia, as it is considered
    a delicacy. During June to August, 2011 thirty cases of tetrodotoxin poisoning
    were reported from Kota Marudu District following ingestion of horseshoe
    crabs caught in Kota Marudu Bay. The purpose of this study is to describe this
    case series in order to determine risk factors to prevent further outbreaks. There
    were six confirmed and 24 probable cases of tetrodotoxin poisoning identified in
    the study area during the study period as diagnosed by clinical presentation and
    laboratory findings. Symptoms included dizziness (80%), circumoral and lingual
    numbness (80%), hand and feet numbness (63.3%), nausea and vomiting (30%)
    and weakness and difficulty in breathing (26.6%). Three cases (10%) died while 27
    cases recovered. Forty-seven percent of the cases had onset of symptoms within
    30 minutes of ingestion and 14% 31-60 minutes after ingestion of horseshoe crab
    meat. Urine samples were collected from the cases, while horseshoe crabs, cockles
    and sea water from the epidemic area were also taken for analysis. Tetrodotoxin
    was detected in the urine of six cases; the highest concentrations recorded were
    among the three cases who died. High tetrodotoxin concentrations were found
    in the hepatic cecum and eggs of the tested horseshoe crabs. Dinoflagellates were
    not detected in the sea water or cockle samples. Intensive health education was
    initiated quickly to stop other members of the Marudu Bay community from
    consuming the horseshoe crabs. This is the first documented epidemic of tetrodotoxin
    poisoning in Sabah.
    MeSH terms: Animals; Disease Outbreaks*; Foodborne Diseases*; Horseshoe Crabs*; Malaysia/epidemiology; Tetrodotoxin/poisoning*
  9. Elshereksi NW, Ghazali MJ, Muchtar A, Azhari CH
    J Dent, 2017 Jan;56:121-132.
    PMID: 27916635 DOI: 10.1016/j.jdent.2016.11.012
    OBJECTIVES: This study aimed to fabricate and characterise silanated and titanated nanobarium titanate (NBT) filled poly(methyl methacrylate) (PMMA) denture base composites and to evaluate the behaviour of a titanate coupling agent (TCA) as an alternative coupling agent to silane. The effect of filler surface modification on fracture toughness was also studied.

    METHODS: Silanated, titanated and pure NBT at 5% were incorporated in PMMA matrix. Neat PMMA matrix served as a control. NBT was sonicated in MMA prior to mixing with the PMMA. Curing was carried out using a water bath at 75°C for 1.5h and then at 100°C for 30min. NBT was characterised via Fourier transform-infrared spectroscopy (FTIR), Transmission Electron Microscopy (TEM) and Brunauer-Emmett-Teller (BET) analysis before and after surface modification. The porosity and fracture toughness of the PMMA nanocomposites (n=6, for each formulation and test) were also evaluated.

    RESULTS: NBT was successfully functionalised by the coupling agents. The TCA exhibited the lowest percentage of porosity (0.09%), whereas silane revealed 0.53% porosity. Statistically significant differences in fracture toughness were observed among the fracture toughness values of the tested samples (p<0.05). While the fracture toughness of untreated samples was reduced by 8%, an enhancement of 25% was achieved after titanation. In addition, the fracture toughness of the titanated samples was higher than the silanated ones by 10%.

    CONCLUSION: Formation of a monolayer on the surface of TCA enhanced the NBT dispersion, however agglomeration of silanated NBT was observed due to insufficient coverage of NBT surface. Such behaviour led to reducing the porosity level and improving fracture toughness of titanated NBT/PMMA composites. Thus, TCA seemed to be more effective than silane.

    CLINICAL SIGNIFICANCE: Minimising the porosity level could have the potential to reduce fungus growth on denture base resin to be hygienically accepTable Such enhancements obtained with Ti-NBT could lead to promotion of the composites' longevity.

    MeSH terms: Barium/chemistry*; Biocompatible Materials/chemistry*; Composite Resins/chemistry; Dental Materials/chemistry; Dental Stress Analysis; Denture Bases*; Hot Temperature; Materials Testing; Silanes/chemistry*; Stress, Mechanical; Surface Properties; Titanium/chemistry*; Porosity; Spectroscopy, Fourier Transform Infrared; Pliability; Polymethyl Methacrylate/chemistry*; Microscopy, Electron, Transmission; Nanocomposites/chemistry*; Mechanical Phenomena; Polymerization
  10. Ahmad AA, Ikram MA
    Trauma Case Rep, 2017 Dec;12:40-44.
    PMID: 29644283 DOI: 10.1016/j.tcr.2017.10.016
    Isolated fractures of shaft of ulna are common. Plate fixation with anatomic reduction is thought to produce the best functional results in closed or open fractures. Surgery can be done under general and various types of regional anaesthesia. We report a case of fracture shaft of ulna treated by plating under a combination of WALANT (wide awake, local anaesthesia, no tourniquet) using tumescent anaesthesia and periosteal nerve block as a day care procedure.
    MeSH terms: Anesthesia, Conduction; Anesthesia, Local; Bone Plates; Day Care, Medical; Fracture Fixation, Internal; Fractures, Open; Humans; Nerve Block; Ulna
  11. Jamil K, Zacharin M, Foster B, Donald G, Hassall T, Siafarikas A, et al.
    BMJ Paediatr Open, 2017;1(1):e000084.
    PMID: 29637122 DOI: 10.1136/bmjpo-2017-000084
    Introduction: Perthes disease (PD) is an idiopathic disorder presenting with avascular necrosis to the femoral head, which frequently results in flattening. Long-term function is directly related to the subsequent femoral head sphericity. Current treatment includes mechanical modalities and surgical procedures, which are therapeutic but are not uniformly able to prevent collapse. The use of the nitrogen-containing bisphosphonate zoledronic acid (ZA) to inhibit osteoclastic bone resorption is aimed at preserving femoral head strength, reducing collapse and thus maintaining shape. The proposed multicentre, prospective, randomised controlled trial intends to evaluate the efficacy of ZA treatment in PD.

    Methods and analysis: An open-label randomised control trial recruiting 100 children (50 each treatment arm) 5 to 16 years old with unilateral PD. Subjects are randomly assigned to either (a) ZA and standard care or (b) Standard care. The primary outcome measure is deformity index (DI), a radiographic parameter of femoral head roundness assessed at 24 months, following 12 months of ZA treatment (3-monthly doses of ZA 0.025 mg/kg at baseline, 3, 6, 9 and 12 months) plus 12 months observation (group A) or 24 months of observation (group B). Secondary outcome measures are femoral head subluxation, Faces Pain scale, Harris hip score and quality of life. Assessments are made at baseline, 3 monthly during the first year of follow-up and then 6 monthly, until the 24th month.

    Ethics and dissemination: The study commenced following the written approval from the Human Research Ethics Committee. Safety considerations regarding the effects of ZA are monitored which include the subject's symptomatology, mineral status, bone mass and turnover activity, and metaphyseal modelling. Data handling plan requires that all documents, clinical information, biological samples and investigation results will be held in strict confidence by study investigators to preserve its safety and confidentiality.

    Trial registration number: Australian and New Zealand Clinical Trials ACTRN12610000407099, pre-results.

  12. Wameadesa N, Sae-lim A, Hayeebilan F, Rattanachuay P, Sukhumungoon P
    PMID: 29642296
    Local Thai and imported Malaysian beef in southern Thailand area carry
    several Shiga toxin-producing Escherichia coli (STEC) serotypes. STEC O104 is an
    important pathogen capable of causing outbreaks with considerable morbidity
    and mortality. This study investigated the presence of E. coli O104 from local Thai
    and imported Malaysian beef obtained from markets in Hat Yai City, Songkhla
    Province during August 2015 - February 2016. Thirty-one E. coli O104 strains
    were isolated from 12 beef samples (16% and 23% Thai and imported Malaysian,
    respectively). Thirty strains possessed aggA (coding for a major component of
    AAF/I fimbriae), a gene associated with enteroaggregative E. coli (EAEC) pathotype,
    and all strains carried fimH (encoding Type 1 fimbriae). Thirty strains
    belonged to phylogenetic group B1 and one strain (from Malaysian beef) to group
    A. Agglutination of yeast cells was observed among 29 E. coli O104 strains. Investigation
    of stx2 phage occupancy loci demonstrated that sbcB was occupied in 12
    strains. Antimicrobial susceptibility assay revealed that 7 strains were resistant
    to at least one antimicrobial agent and two were multi-drug resistant. One strain
    carried extended spectrum β-lactamase gene blaCTX-M and three carried blaTEM. PFGE-generated DNA profiling showed identical DNA pattern between that of
    one EAEC O104 strain from Thai beef and another from Malaysian beef, indicating
    that these two strains originated from the same clone. This is the first report
    in Thailand describing the presence of EAEC O104 from both Thai and imported
    Malaysian beef and their transfer between both countries. Thorough surveillance
    of this pathogen in fresh meats and vegetables should help to prevent any possible
    outbreak of E. coli O104.
    MeSH terms: Red Meat/microbiology*; Commerce; DNA, Bacterial/analysis; Escherichia coli Infections/microbiology; Escherichia coli Infections/epidemiology*; Food Microbiology*; Foodborne Diseases/microbiology; Foodborne Diseases/epidemiology*; Malaysia/epidemiology; Microbial Sensitivity Tests; Thailand/epidemiology; Virulence Factors/analysis; Raw Foods/microbiology*; Escherichia coli O104/isolation & purification*
  13. Razuin R, Nurquin F, Shahidan MN, Julina MN
    Egypt Heart J, 2017 Jun;69(2):157-160.
    PMID: 29622970 DOI: 10.1016/j.ehj.2017.02.001
    Sudden cardiac death in young adults may be associated with rare cardiomyopathies such as left ventricular noncompaction (LVNC) and arrhythmogenic right ventricular (ARVC) cardiomyopathies. LVNC is characterised by hypertrabeculations and deep recesses of the left ventricle. ARVC presents with thin myocardium as a result of extensive fibro-fatty infiltrations. In both conditions, death may be due to arrhythmia, thromboembolic events or heart failure. We report a case of a 21-year old athletic young man who collapsed at the futsal court right after the game. He was resuscitated but expired at the hospital after a brief admission. A week earlier, he had a similar episode of syncope and revived through cardio-pulmonary resuscitation at the site. Post mortem examination showed extensive acute myocardial infarction (AMI) involving the papillary muscles and the left ventricular wall. Features of LVNC were also observed. On top of that, the right ventricle showed patchy thin myocardium as the wall was largely comprised of fat. Histology examination confirmed the presence of AMI and massive fibro-fatty infiltrations of the right ventricle. This unfortunate young man had co-existing cardiomyopathies which is rare indeed. As he succumbed to AMI, this mechanism of death is also uncommonly associated with neither LVNC nor ARVC. In conclusion, young and physically active individuals may not be spared of sudden cardiac death. Mild and non-specific symptoms should not be taken lightly as it may be the subtle signs of cardiomyopathies.
  14. Liew KF, Hanapi NA, Chan KL, Yusof SR, Lee CY
    J Pharm Sci, 2017 02;106(2):502-510.
    PMID: 27855959 DOI: 10.1016/j.xphs.2016.10.006
    Previously, several aurone derivatives were identified with promising neuroprotective activities. In developing these compounds to target the central nervous system (CNS), an assessment of their blood-brain barrier (BBB) permeability was performed using in vitro BBB models: parallel artificial membrane permeability assay-BBB which measures passive permeability and primary porcine brain endothelial cell model which enables determination of the involvement of active transport mechanism. Parallel artificial membrane permeability assay-BBB identified most compounds with high passive permeability, with 3 aurones having exceptional Pevalues highlighting the importance of basic amine moieties and optimal lipophilicity for good passive permeability. Bidirectional permeability assays with porcine brain endothelial cell showed a significant net influx permeation of the aurones indicating a facilitated uptake mechanism in contrast to donepezil, a CNS drug included in the evaluation which only displayed passive permeation. From pH-dependent permeability assay coupled with data analysis using pCEL-X software, intrinsic transcellular permeability (Po) of a representative aurone 4-3 was determined, considering factors such as the aqueous boundary layer that may hinder accurate in vitro to in vivo correlation. The Po value determined supported the in vivo feasibility of the aurone as a CNS-active compound.
    MeSH terms: Animals; Benzofurans/pharmacokinetics*; Benzofurans/chemistry*; Blood-Brain Barrier/metabolism*; Brain/metabolism; Capillary Permeability*; Cell Line; Membranes, Artificial; Swine; Neuroprotective Agents/pharmacokinetics*; Neuroprotective Agents/chemistry*; Endothelial Cells/metabolism
  15. Yoshida N, Naito Y, Yasuda R, Murakami T, Ogiso K, Hirose R, et al.
    Endosc Int Open, 2017 12;5(12):C6.
    PMID: 29620079 DOI: 10.1055/a-0587-5955
    [This corrects the article DOI: 10.1055/s-0043-120659.].
  16. Saokaew S, Wilairat P, Raktanyakan P, Dilokthornsakul P, Dhippayom T, Kongkaew C, et al.
    PMID: 27694558 DOI: 10.1177/2156587216669628
    Kaempferia parviflora (Krachaidum) is a medicinal plant in the family Zingiberaceae. Its rhizome has been used as folk medicine for many centuries. A number of pharmacological studies of Krachaidum had claimed benefits for various ailments. Therefore, this study aimed to systematically search and summarize the clinical evidences of Krachaidum in all identified indications. Of 683 records identified, 7 studies were included. From current clinical trials, Krachaidum showed positive benefits but remained inconclusive since small studies were included. Even though results found that Krachaidum significantly increased hand grip strength and enhanced sexual erotic stimuli, these were based on only 2 studies and 1 study, respectively. With regard to harmful effects, we found no adverse events reported even when Krachaidum 1.35 g/day was used. Therefore, future studies of Krachaidum are needed with regards to both safety and efficacy outcomes.
    MeSH terms: Clinical Trials as Topic; Energy Metabolism/drug effects; Humans; Penile Erection/drug effects; Plant Extracts/pharmacology*; Exercise; Hand Strength; Zingiberaceae*
  17. Tan SK, Leung WK, Tang ATH, Tse ECM, Zwahlen RA
    Plast Reconstr Surg Glob Open, 2017 Dec;5(12):e1608.
    PMID: 29610716 DOI: 10.1097/GOX.0000000000001608
    Background: A validated questionnaire is needed to study a more holistic outcome assessment including postsurgical aesthetic satisfaction and psychosocial changes in orthognathic patients. The aim of this study was to determine the reliability and validity of 9 orthognathically relevant translated FACE-Q scales among Hong Kong Chinese orthognathic patients.

    Methods: Two hundred fifty adult Cantonese-speaking patients of 18 years or older who underwent orthognathic treatment were recruited in the Prince Philip Dental Hospital of Hong Kong. Nine of an overall of 40 independent FACE-Q scales were selected and translated into Hong Kong Chinese. The reliability, validity, and test-retest reliability were examined using Cronbach's alpha, paired t test and Pearson's correlation coefficients.

    Results: The Hong Kong Chinese version of the 9 FACE-Q scales was obtained by forward-backward translation. One hundred eight male (mean age, 25.57 ± 4.49) and 142 female (mean age, 24.61 ± 4.54) patients were recruited for the reliability and validation process. The internal consistency (0.89-0.97) and the test-retest reliability (0.73-0.90) were found to be high. The validity of the translated questionnaires was comparable with that of the original FACE-Q.

    Conclusion: The results presented here prove that the 9 translated FACE-Q scales are reliable and valid instruments for research and clinical purposes in Hong Kong Chinese orthognathic patients.

  18. Suppiah S, Zakaria MH, Khalid B, Mohamad Saini S, Othman N
    MyJurnal
    Reactive arthritis can be an elusive diagnosis especially in the elderly. A 77-year-old lady, presented with recent history of hip pain. She had been treated for urinary tract infection caused by Chlamydia sp. and had associated weight loss. She was also investigated for possible tuberculosis and occult malignancy. CT scan abdomen/pelvis and MRI revealed peri-articular muscle inflammation. Biopsy of her hip joint failed to find the causative factor. Whole body 18F-FDG PET/CT scan revealed increased FDG uptake at bilateral hip and shoulder joints. She recovered after an intensive course of antibiotics. Thus, she was diagnosed with reactive arthritis. Reactive arthritis is usually a diagnosis of exclusion made by a high index of suspicion and positive serology test. Molecular imaging can be an alternative investigation for joint pains in the elderly, which enables excellent anatomical and functional information to exclude more sinister conditions such as malignancy.
    MeSH terms: Adult; Aged; Female; Humans; Malaysia; Arthritis, Reactive
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