Browse publications by year: 2017

  1. Abdelatti ZAS, Hartbauer M
    Hear Res, 2017 11;355:70-80.
    PMID: 28974384 DOI: 10.1016/j.heares.2017.09.011
    In forest clearings of the Malaysian rainforest, chirping and trilling Mecopoda species often live in sympatry. We investigated whether a phenomenon known as stochastic resonance (SR) improved the ability of individuals to detect a low-frequent signal component typical of chirps when members of the heterospecific trilling species were simultaneously active. This phenomenon may explain the fact that the chirping species upholds entrainment to the conspecific song in the presence of the trill. Therefore, we evaluated the response probability of an ascending auditory neuron (TN-1) in individuals of the chirping Mecopoda species to triple-pulsed 2, 8 and 20 kHz signals that were broadcast 1 dB below the hearing threshold while increasing the intensity of either white noise or a typical triller song. Our results demonstrate the existence of SR over a rather broad range of signal-to-noise ratios (SNRs) of input signals when periodic 2 kHz and 20 kHz signals were presented at the same time as white noise. Using the chirp-specific 2 kHz signal as a stimulus, the maximum TN-1 response probability frequently exceeded the 50% threshold if the trill was broadcast simultaneously. Playback of an 8 kHz signal, a common frequency band component of the trill, yielded a similar result. Nevertheless, using the trill as a masker, the signal-related TN-1 spiking probability was rather variable. The variability on an individual level resulted from correlations between the phase relationship of the signal and syllables of the trill. For the first time, these results demonstrate the existence of SR in acoustically-communicating insects and suggest that the calling song of heterospecifics may facilitate the detection of a subthreshold signal component in certain situations. The results of the simulation of sound propagation in a computer model suggest a wide range of sender-receiver distances in which the triller can help to improve the detection of subthreshold signals in the chirping species.
    MeSH terms: Acoustic Stimulation; Acoustics; Animals; Auditory Perception*; Auditory Threshold; Cochlear Nerve/physiology*; Computer Simulation; Female; Gryllidae/classification; Gryllidae/physiology*; Male; Models, Neurological; Sound Spectrography; Species Specificity; Stochastic Processes; Time Factors; Vocalization, Animal*; Signal Detection, Psychological*
  2. Murugesu K, Murugaiyah V, Saghir SAM, Asmawi MZ, Sadikun A
    Curr Pharm Biotechnol, 2017;18(14):1132-1140.
    PMID: 29564975 DOI: 10.2174/1389201019666180322111800
    BACKGROUND: Ethanolic extract of G. procumbens leaves has been previously shown to possess antihyperlipidemic effects.

    OBJECTIVE: This study was designed to prepare caffeoylquinic acids rich and poor fractions of the ethanolic extract using resin column technology and compare their antihyperlipidemic and antioxidant potentials.

    RESULTS: Among the treatment groups, caffeoylquinic acids rich fraction (F2) and chlorogenic acid (CA, one of the major caffeoylquinic acids) showed potent antihyperlipidemic effects, with significant reductions in total cholesterol (TC), triglycerides (TG), low-density lipoprotein-cholesterol (LDL-C), very low-density lipoprotein-cholesterol (VLDL-C), atherogenic index (AI) and coronary risk index (CRI) (p<0.01 or better) compared to the hyperlipidemic control at the 58 h. The effect was better than that of ethanolic extract. In addition, only F2 significantly increased the high-density lipoproteincholesterol (HDL-C) level (p<0.05). F2 showed better effect than CA alone (60 mg) despite the fact that it only contained 9.81 mg CA/1000 mg dose. The findings suggest that the di-caffeoylquinic acids (86.61 mg/g dose) may also in part be responsible for the potent antihyperlipidemic effect shown by the F2. Likewise, F2 showed the highest antioxidant activity. Thus, simple fractionation of ethanolic extract using the Amberlite XAD-2 resin technique had successfully enriched the caffeoylquinic acids into F2 with improved antihyperlipidemic and antioxidant capacities than that of the ethanolic extract.

    CONCLUSION: The resin separation technology may find application in caffeoylquinic acids enrichment of plant extracts for pre-clinical studies. The F2 has potential for development into phytopharmaceuticals as adjunct therapy for management of hyperlipidemia.

    MeSH terms: Ethanol/chemistry; Animals; Hypolipidemic Agents/isolation & purification; Hypolipidemic Agents/pharmacology*; Hypolipidemic Agents/therapeutic use; Antioxidants/isolation & purification; Antioxidants/pharmacology*; Disease Models, Animal; Hyperlipidemias/drug therapy*; Male; Plant Extracts/isolation & purification; Plant Extracts/pharmacology*; Plant Extracts/therapeutic use; Quinic Acid/analogs & derivatives*; Quinic Acid/isolation & purification; Quinic Acid/pharmacology; Quinic Acid/therapeutic use; Rats, Sprague-Dawley; Plant Leaves/chemistry; Asteraceae/chemistry*
  3. Nasir F., Zamzil Amin Asha’ari
    Malays Fam Physician, 2017;12(2):26-28.
    MyJurnal
    Otitis media is a common disease encountered in the primary practice. Most cases are successfully
    treated with antibiotics without any sequelae. Because of these, potential serious complications of otitis
    media may be overlooked.
    We report a rare case of Bezold’s abscess, as a complication of otitis media and discuss its
    pathophysiology and management.
    MeSH terms: Abscess; Acute Disease; Anti-Bacterial Agents; Mastoiditis; Otitis; Otitis Media
  4. Mohd Zefri A.A., Nukman A., Nambiar P.
    Ann Dent, 2017;24(1):33-40.
    MyJurnal
    This study aims to determine which age assessment data using the third molar development values
    (local or international) is suitable for estimating the age of Malays or Chinese in Malaysia. A sample of 60
    panoramic images of Malays and Chinese aged between 13.58 to 21.25 years were selected. Different
    assessment surveys which included the studies by Yusof et al. (2015), Wilson (2005), Johan et al. (2012),
    Mincer et al. (1993), AlQahtani et al. (2010) and Gunst et al. (2003) were employed to estimate the age
    from the developing third molar on the panoramic images studied. The estimated ages were compared
    to the chronological age of the selected Malaysians. All the datas were then recorded on Microsoft Excel
    sheet. The two observers were then subjected to the Intraclass Correlation Coeffecient (ICC) inter-observer
    reliability test.The highest number of correspondence (65%) between the chronological and estimated age
    (within one year) was for the survey conducted by Wilson. With regards to ethnicities, 70% of Chinese
    matched the mean estimated age by Wilson while Malays showed a high correspondence for the study
    by Mincer et al. (63.3%). Furthermore the ICC reliability test showed strong agreement between the two
    observers. There were similarities between the Malay and Chinese population in the correspondence of
    the estimated age to the chronological age employing the different dental estimation surveys; in addition
    the study by Wilson and Mincer et al. yielded best matching for these Malaysians.
  5. Rozali M.N., Wahid F.H., John J., Purmal K.
    Ann Dent, 2017;24(1):27-32.
    MyJurnal
    The objectives of the study were to determine the normal dental arch width of Malays, their correlation with
    the facial framework and the ideal size of orthodontic impression trays that fit the dental arch. Eighteen adult
    Malays with normal Class I occlusion were evaluated. Arch width was measured on each subject’s dental
    cast. Direct anthropometric measurements were taken for 8 facial landmarks. Orthodontic impression trays
    were tried on each subject’s dental cast to determine the best fitting tray. Correlations analysis was made
    between the arch widths and the best fitting impression trays used and also with various craniofacial
    anthropometric measurements. The eight measurements from the craniofacial region were compared
    with the maxillary and mandibular intercanine, interpremolar and intermolar widths. In the maxillary arch,
    there were significant correlation between the face width and the interpremolar and intermolar widths
    respectively, while in the mandibular arch, significant correlations were noted between the mandible depth
    and the interpremolar and intermolar widths respectively. The most common fitting impression tray was size
    6 for the upper jaw and size 5 for the lower jaw. There was a significant correlation between the maxillary
    intercanine width and the size of the impression trays. The significant correlation between upper and lower
    interpremolar and intermolar widths and the anthropometric measurements of this Malay population may
    assist in predicting arch expansion to achieve Class 1 occlusion during orthodontic or maxillofacial surgical
    treatment. The significant correlation between the upper intercanine width and the size of impression tray
    can be a useful parameter when determining the size of impression tray.
  6. Md Zuki N.F., Mohmed Noren N., Asma M.
    Ann Dent, 2017;24(1):19-26.
    MyJurnal
    Patient satisfaction can be used as one of the indicator for measuring quality of dental care provided. The
    objective of this study was to assess patient experiences with dental service provided by undergraduate
    dental students in Faculty of Dentistry, University of Malaya. A cross sectional study was done by
    distributing a self-answered questionnaire to patients treated by undergraduate dental students. Patient
    level of satisfaction was assessed by using five point Likert-like scale (strongly disagree, disagree, neutral,
    agree and strongly agree), with a list of items divided into three domains, consist of interpersonal skills,
    dental treatment and services. The response rate was 71.3%. The mean satisfaction scores were 83.09%,
    78.62 and 74.16 for interpersonal skills, dental treatment and services domains respectively and the overall
    mean satisfaction score was highly satisfactory (78.62%). The percentage of satisfied patients was 82.4%,
    66.2% and 55.4% for interpersonal skills, dental treatment and services domains respectively. There
    was significant association between satisfaction score with age (p-value=
  7. Lee, A.T., Lai, L.W., Goh, Y.C., Chan, S.W., Siar, C.H.
    Ann Dent, 2017;24(1):10-18.
    MyJurnal
    Amalgam has been widely used in dentistry and its components may cause some oral mucosal changes (OMC), commonly presenting as oral lichenoid lesions (OLLs), acute or generalized sensitivity reaction or amalgam tattoo. Our objective was to determine the demographic and clinical profile of patients with and without OMC adjacent to their amalgam restorations (AR) and to evaluate the prevalence and types of AR-related OMC and associated clinical parameters. Materials and methods: In this retrospective crosssectional study, 83 outpatients attending the Primary Dental Care Unit at the Faculty of Dentistry, University Malaya were examined for the presence of AR-related OMC. The study period was from early to mid July 2016. Firstly, patients’ personal details (age, gender, medical status, social habits) were analyzed and history of AR (the age, condition and number of restorations) was determined. Clinical examination of patient’s oral cavity was carried out to detect any AR-related OMC. The data collected was analyzed using SPSS 12.0.1 Result: Approximately 14.6 % patients had OMC. OLLs and amalgam tattoo made up 1.2% and 13.4% respectively. Females (8.4%) had higher predilection and Chinese were more commonly affected (8.4%). Social habits were not associated with OMC. Certain systemic diseases, age (p=0.005) and duration of amalgam (p=0.007) in the oral cavity were significant risk factors for OMC. Conclusions: Present findings suggest that AR-related OMC is uncommon. Three key parameters namely systemic diseases, patient’s age and duration of AR were identified as significant risk factors predisposing to the development of OMCs.
    MeSH terms: Dental Clinics; Hospitals, University; Humans; Malaysia
  8. Mohd Jamil A., Md Kamal F., Kathreena Kadir
    Ann Dent, 2017;24(1):1-9.
    MyJurnal
    This study aimed to determine the incidence, aetiology, types of injury, management and the outcomes of
    the treatment of maxillofacial trauma among paediatric patients treated in Faculty of Dentistry, University of
    Malaya. A retrospective study (2005-2015) was carried out which involved retrieving past records (manual/
    electronic form) of paediatric patients (under 16 years old) who presented with maxillofacial trauma. Data
    collected was organized using descriptive statistics with SPSS version 12.0.1. The total number of patients
    was 120 but only 93 had complete records. The ratio of boys to girls was 2:1. The main cause of injury
    was falling (54%) followed by motor-vehicle accident (MVA) (42%), assault (3%), and sport (1%). The total
    count of soft tissue injury only was about 41% while 59% presented with maxillofacial fracture. Midface
    were the most common fracture occurred followed by mandibular fractures. Both fractures were mostly
    managed by open reduction and internal fixation (ORIF) using non-resorbable plates except for condylar
    fractures which were mostly managed conservatively. In conclusion, the incidence of maxillofacial trauma
    in children increased within the time frame of this study. The most common aetiology was fall. Hard tissue
    injury accounting for most of the cases whereby midface was the most common site involved. ORIF was the
    treatment of choice for most of the fracture cases except for condylar fractures (conservative management).
    All patients had achieved reasonable outcomes postoperatively in terms of form and functions.
  9. Benson MD, Khor CC, Gage PJ, Lehmann OJ
    Mol Vis, 2017;23:952-962.
    PMID: 29296075
    Purpose: To evaluate the ability of a targeted genome-wide association study (GWAS) to identify genes associated with central corneal thickness (CCT).

    Methods: A targeted GWAS was used to investigate whether ten candidate genes with known roles in corneal development were associated with CCT in two Singaporean populations. The single nucleotide polymorphisms (SNPs) within a 500 kb interval encompassing each candidate were analyzed, and in light of the resulting data, members of the Wnt pathway were subsequently screened using similar methodology.

    Results: Variants within the 500 kb interval encompassing three candidate genes, DKK1 (rs1896368, p=1.32×10-3), DKK2 (rs17510449, p=7.34×10-4), and FOXO1 (rs7326616, p=1.56×10-4 and rs4943785, p=1.19×10-3), were statistically significantly associated with CCT in the Singapore Indian population. DKK2 was statistically significantly associated with CCT in a separate Singapore Malaysian population (rs10015200, p=2.26×10-3). Analysis of Wnt signaling pathway genes in each population demonstrated that TCF7L2 (rs3814573, p=1.18×10-3), RYK (rs6763231, p=1.12×10-3 and rs4854785, p=1.11×10-3), and FZD8 (rs640827, p=5.17×10-4) were statistically significantly associated with CCT.

    Conclusions: The targeted GWAS identified four genes (DKK1, DKK2, RYK, and FZD8) with novel associations with CCT and confirmed known associations with two genes, FOXO1 and TCF7L2. All six participate in the Wnt pathway, supporting a broader role for Wnt signaling in regulating the thickness of the cornea. In parallel, this study demonstrated that a hypothesis-driven candidate gene approach can identify associations in existing GWAS data sets.

    MeSH terms: Animals; Cornea/anatomy & histology*; Female; Humans; India/ethnology; Malaysia/ethnology; Male; Mice, Inbred C57BL; Receptors, Cell Surface/genetics; Singapore/epidemiology; Quantitative Trait, Heritable*; Polymorphism, Single Nucleotide*; Intercellular Signaling Peptides and Proteins/genetics; Asian Continental Ancestry Group/genetics; Mice; Genome-Wide Association Study*; Transcription Factor 7-Like 2 Protein/genetics; Wnt Signaling Pathway/genetics*; Corneal Pachymetry; Forkhead Box Protein O1/genetics
  10. Chan SK, Rahumatullah A, Lai JY, Lim TS
    Adv Exp Med Biol, 2017;1053:35-59.
    PMID: 29549634 DOI: 10.1007/978-3-319-72077-7_3
    Many countries are facing an uphill battle in combating the spread of infectious diseases. The constant evolution of microorganisms magnifies the problem as it facilitates the re-emergence of old infectious diseases as well as promote the introduction of new and more deadly variants. Evidently, infectious diseases have contributed to an alarming rate of mortality worldwide making it a growing concern. Historically, antibodies have been used successfully to prevent and treat infectious diseases since the nineteenth century using antisera collected from immunized animals. The inherent ability of antibodies to trigger effector mechanisms aids the immune system to fight off pathogens that invades the host. Immune libraries have always been an important source of antibodies for infectious diseases due to the skewed repertoire generated post infection. Even so, the role and ability of naïve antibody libraries should not be underestimated. The naïve repertoire has its own unique advantages in generating antibodies against target antigens. This chapter will highlight the concept, advantages and application of human naïve libraries as a source to isolate antibodies against infectious disease target antigens.
    MeSH terms: Animals; Anti-Infective Agents/immunology; Anti-Infective Agents/therapeutic use*; Antibodies, Monoclonal/biosynthesis; Antibodies, Monoclonal/genetics*; Antibodies, Monoclonal/immunology; Antibodies, Monoclonal/therapeutic use; Communicable Diseases/drug therapy*; Communicable Diseases/immunology; Humans; Peptide Library*; Host-Pathogen Interactions; Cell Surface Display Techniques*
  11. Chan SK, Lim TS
    Adv Exp Med Biol, 2017;1053:61-78.
    PMID: 29549635 DOI: 10.1007/978-3-319-72077-7_4
    The incident of two children in Europe who died of diphtheria due to a shortage of anti-toxin drugs has highlighted the need for alternative anti-toxins. Historically, antiserum produced from immunised horses have been used to treat diphtheria. Despite the potential of antiserum, the economical and medial concerns associated with the use of animal antiserum has led to its slow market demise. Over the years, new and emerging infectious diseases have grown to be a major global health threat. The emergence of drug-resistant superbugs has also pushed the boundaries of available therapeutics to deal with new infectious diseases. Antibodies have emerged as a possible alternative to combat the continuous onslaught of various infectious agents. The isolation of antibodies against pathogens of infectious diseases isolated from immune libraries utilising phage display has yielded promising results in terms of affinities and neutralizing activities. This chapter focuses on the concept of immune antibody libraries and highlights the application of immune antibody libraries to generate antibodies for various infectious diseases.
    MeSH terms: Animals; Antibodies, Monoclonal/biosynthesis; Antibodies, Monoclonal/genetics*; Antibodies, Monoclonal/immunology; Antibodies, Monoclonal/therapeutic use; Communicable Diseases/drug therapy*; Communicable Diseases/immunology; Humans; Peptide Library*; Host-Pathogen Interactions; Cell Surface Display Techniques*
  12. Choong YS, Lee YV, Soong JX, Law CT, Lim YY
    Adv Exp Med Biol, 2017;1053:221-243.
    PMID: 29549642 DOI: 10.1007/978-3-319-72077-7_11
    The use of monoclonal antibody as the next generation protein therapeutics with remarkable success has surged the development of antibody engineering to design molecules for optimizing affinity, better efficacy, greater safety and therapeutic function. Therefore, computational methods have become increasingly important to generate hypotheses, interpret and guide experimental works. In this chapter, we discussed the overall antibody design by computational approches.
    MeSH terms: Animals; Antibodies, Monoclonal/adverse effects; Antibodies, Monoclonal/immunology; Antibodies, Monoclonal/therapeutic use*; Antibodies, Monoclonal/chemistry; Antibody Specificity; Binding Sites, Antibody; Humans; Protein Binding; Protein Conformation; Structure-Activity Relationship; Drug Design*; Computer-Aided Design*; Molecular Docking Simulation
  13. Arora S, Ramachandra SS, Squier C
    J Oral Biol Craniofac Res, 2017 12 05;8(1):35-39.
    PMID: 29556461 DOI: 10.1016/j.jobcr.2017.12.002
    Introduction: Scientific literature suggests that human papillomavirus (HPV) infection may be associated with oral squamous cell carcinoma (OSCC). However, knowledge regarding HPV-OSCC link among oral health professionals (OHP) has been insufficient. So, the aim of this study was to assess the knowledge about HPV associated OSCC among OHP working in dental faculties in Malaysia.

    Methodology: Ethical committee of the University approved this study. A validated, pre-tested questionnaire was sent electronically to 224 OHP. Questionnaire collected information regarding demography, knowledge about HPV-OSCC link, HPV vaccine, and willingness to educate patients about HPV OSCC link among the participants of this cross-sectional study. Data collected was analysed using "Stata/IC-13" and was summarised using descriptive statistics like frequency, percentage, mean and standard deviation.

    Results: Out of 179 participants, around 39% of the participant's opined virus was not a causative factor for OSCC. Around, 44% replied posterior portion of the tongue/oro-pharynx was the commonest site for HPV related OSCC, whereas 29% replied that lateral border of the tongue was the common site for HPV related OSCC. Forty one percent educated patients regarding HPV infection being a causative factor for OSCC. HPV vaccine can prevent OSCC was stated by 70% OHP. Only 12% were aware of the availability of HPV vaccine in Malaysia. Majority (99%), agreed that there is a need to offer continuing education programmes to dentists highlighting advances and preventive strategies in the fight against OSCC.

    Conclusion: Substantial increase in awareness is required among OHP regarding HPV-OSCC link.

    MeSH terms: Carcinoma, Squamous Cell; Cross-Sectional Studies; Demography; Dentists; Education, Continuing; Faculty, Dental; Humans; Malaysia; Mouth Neoplasms; Oral Health; Pharynx; Surveys and Questionnaires; Universities; Papillomaviridae; Papillomavirus Infections; Papillomavirus Vaccines
  14. Yusof MFH, Zahari W, Hashim SNM, Osman ZF, Chandra H, Kannan TP, et al.
    J Oral Biol Craniofac Res, 2017 10 19;8(1):48-53.
    PMID: 29556464 DOI: 10.1016/j.jobcr.2017.10.003
    Manipulation of dental stem cells (DSCs) using current technologies in tissue engineering unveil promising prospect in regenerative medicine. DSCs have shown to possess angiogenic and osteogenic potential in both in vivo and in vitro. Neural crest derived DSCs can successfully be isolated from various dental tissues, exploiting their intrinsic great differentiation potential. In this article, researcher team intent to review the characteristics of DSCs, with focus on their angiogenic and osteogenic differentiation lineage. Clinical data on DSCs are still lacking to prove their restorative abilities despite extensive contemporary literature, warranting research to further validate their application for bone tissue engineering.
    MeSH terms: Bone and Bones; Cell Differentiation; Engineering; Neural Crest; Osteogenesis; Stem Cells; Tissue Engineering; Regenerative Medicine
  15. Seah CS, Kasim S, Fudzee MFM, Law Tze Ping JM, Mohamad MS, Saedudin RR, et al.
    Saudi J Biol Sci, 2017 Dec;24(8):1828-1841.
    PMID: 29551932 DOI: 10.1016/j.sjbs.2017.11.024
    Microarray technology has become one of the elementary tools for researchers to study the genome of organisms. As the complexity and heterogeneity of cancer is being increasingly appreciated through genomic analysis, cancerous classification is an emerging important trend. Significant directed random walk is proposed as one of the cancerous classification approach which have higher sensitivity of risk gene prediction and higher accuracy of cancer classification. In this paper, the methodology and material used for the experiment are presented. Tuning parameter selection method and weight as parameter are applied in proposed approach. Gene expression dataset is used as the input datasets while pathway dataset is used to build a directed graph, as reference datasets, to complete the bias process in random walk approach. In addition, we demonstrate that our approach can improve sensitive predictions with higher accuracy and biological meaningful classification result. Comparison result takes place between significant directed random walk and directed random walk to show the improvement in term of sensitivity of prediction and accuracy of cancer classification.
    MeSH terms: Neoplasms; Genomics; Microarray Analysis
  16. Roslan S., Mohamad Mohsin M.N., Wan Othman W.N.
    Ann Dent, 2017;23(2):9-18.
    MyJurnal
    To explore the phenomenon of tongue piercing in Klang Valley. Semi-structured in-depth interviews were
    conducted with piercers and those who had their tongue pierced (“piercees”) in Klang Valley. Five piercers
    and eight piercees were interviewed. Piercees had their tongue pierced at age 16-25 years. Three main
    reasons for tongue piercing were to enhance appearance, express their individuality, and out of curiosity.
    They reported that they experienced various immediate and late complications. However, most were aware
    of and expected the complications. The majority of piercers reported adequate infection control procedures
    and enquired about the client’s health prior to piercing. Although some clients reported problems, such
    reports were rare. Tongue piercing is an invasive procedure with some risks, but precautions such as
    proper infection control procedures minimize the likelihood of encountering serious problems. The reasons
    for tongue piercing varied between individuals. Although the majority of the interviewed piercers reported
    cross-infection control, their knowledge of the medical risks associated with tongue piercing varied widely.
  17. Madhwani KP, Nag PK
    Indian J Occup Environ Med, 2017 May-Aug;21(2):77-83.
    PMID: 29540968 DOI: 10.4103/ijoem.IJOEM_151_17
    Background: Use of laptops and hand-held devices increase the risk of musculoskeletal disorders (MSDs). More time spent on this activity adopting faulty postures, higher the risk of developing such injuries. This study addresses training on office ergonomics with emphasis on sustainable behavior change among employees to work in safe postures, as this is a top priority in the corporate environment, today.

    Aim: To explore training intervention methods that ensure wider coverage of awareness on office ergonomics, thereby promoting safer working and suggesting sustainable programs for behavior change and job enrichment.

    Materials and Methods: A cross-sectional study was conducted (2012 - 2017), encompassing corporate office employees of multinational corporations selected from India, Dubai (U.A.E), Nairobi (East Africa), Durban (South Africa), South East Asian countries (Philippines, Vietnam, Indonesia, Singapore, Malaysia, Thailand and Sri Lanka).Participant employees (n= 3503) were divided into two groups to study the effect of interventions'; i.e., (a) deep training: 40 minute lecture by the investigator with a power point presentation (n= 1765) using a mock workstation and (b) quick training: live demonstrations of 10 minutes (n= 1738) using a live workstation.

    Results: While deep training enhanced awareness in 95.51% and quick training in 96.59% globally, the latterwas much appreciated and educated maximum employees. From statistical analysis, quick training was found superior in providing comprehensive training and influencing behavior modification in India, but all over the world it was found highly superior in knowledge enlargement, skills enrichment in addition to providing comprehensive training (P< 0.05). In countries, located to West of India, it significantly influenced behavior modification.

    Conclusion: As because few employees attend deep training lectures, the quick 10-minute program is highly promising as it is practical, replicable, yields increased awareness with wider employee coverage in a much shorter time, instilling a feeling of caring and confidence amongst them towards a robust office ergonomics program. This could lead to propose as a best practice for corporate offices globally.
    MeSH terms: Africa, Eastern; Behavior Therapy; Cross-Sectional Studies; Emotions; Empathy; India; Indonesia; Kenya; Malaysia; Musculoskeletal Diseases; Philippines; Posture; Research Personnel; Singapore; South Africa; Sri Lanka; Thailand; Vietnam
  18. Huei Phing C, Abu Saad H, Barakatun Nisak MY, Mohd Nasir MT
    J Exerc Sci Fit, 2017 Dec;15(2):55-62.
    PMID: 29541133 DOI: 10.1016/j.jesf.2017.07.003
    Background/Objective: Our study aimed to assess the effects of physical activity interventions via standing banners (point-of-decision prompt) and aerobics classes to promote physical activity among individuals with metabolic syndrome.

    Methods: We conducted a cluster randomized controlled intervention trial (16-week intervention and 8-week follow-up). Malaysian government employees in Putrajaya, Malaysia, with metabolic syndrome were randomly assigned by cluster to a point-of-decision prompt group (n = 44), an aerobics group (n = 42) or a control group (n = 103) based on sample size calculation formula. Step counts were evaluated by Lifecorder e-STEP accelerometers for all participants. Metabolic syndrome was defined according to the 'harmonizing' definition, in which individuals who have at least three of the five metabolic risk factors (waist circumference, high-density lipoprotein cholesterol, triglycerides, fasting glucose levels, systolic and diastolic blood pressure) will be classified as having metabolic syndrome. A total of 80% of the enrolled government employees with metabolic syndrome completed the programme. Data were analyzed using SPSS for Windows (version 20, SPSS, Chicago, IL).

    Results: There were significantly higher step counts on average in the aerobics group compared to the control group over assessments. Assessments at baseline, post-intervention and follow-up showed a significant difference in step counts between the intervention and control groups. The greatest reductions in the proportions of individuals with metabolic syndrome were observed in the aerobics group with a reduction of 79.4% in the post-intervention assessment compared to the assessment at baseline.

    Conclusion: The findings of this study suggest that physical activity intervention via aerobics classes is an effective strategy for improving step counts and reducing the prevalence of metabolic syndrome.

  19. Ibrahim NS, Chen CK, Ayub A, Muhamad AS
    J Exerc Sci Fit, 2017 Dec;15(2):63-69.
    PMID: 29541134 DOI: 10.1016/j.jesf.2017.08.002
    Introduction: Lysozyme is one of the salivary antimicrobial proteins which act as the "first line of defence" at the mucosal surface. The effects of prolonged exercise in the hot and cool environments among recreational athletes on salivary lysozyme responses are very limited in the literature, especially in the Asian countries.

    Objective: To determine the effects of prolonged running in the hot and cool environments on selected physiological parameters and salivary lysozyme responses among recreational athletes.

    Methods: Randomised and cross-over study design. Thirteen male recreational athletes (age: 20.9 ± 1.3 years old) from Universiti Sains Malaysia participated in this study. They performed two separate running trials; 90 min running at 60% of their respective maximum oxygen uptake [Formula: see text] One running trial was performed in the hot (31ºC) while the other was in the cool (18ºC) environment and this sequence was randomised. Each running trial was started with a 5 min warm-up at 50% of participant's respective [Formula: see text] Recovery period between these two trials was one week. In the both trials, saliva samples, blood samples, heart rate, ratings of perceived exertion, skin and tympanic temperatures, oxygen consumption, nude body weight, room temperature, and relative humidity were collected.

    Results: Participants' skin temperature, tympanic temperature, body weight changes, heart rate, ratings of perceived exertion, and plasma volume changes were significantly higher (p 

  20. Alaga A, Yew YX, Razul MK
    J R Coll Physicians Edinb, 2017 Dec;47(4):353-355.
    PMID: 29537407 DOI: 10.4997/JRCPE.2017.410
    A 47-year-old female, with multiple comorbidities, presented with a cough of two months, loss of weight and appetite. She was treated for pneumonia. A chest X-ray showed bilateral reticulonodular opacities. She was noted to have a vague central abdominal mass and a systolic murmur over the mitral region. Ultrasonography and computed tomography of the abdomen showed an omental mass and loculated ascites. Oesophagoduedenoscopy showed antral gastritis and during colonoscopy the surgical team was unable to advance the scope beyond 40 cm due to external compression. An echocardiogram showed a right atrial mass and a pericardial effusion over the posterior wall. A possible diagnosis of atrial myxoma was made. Sputum acid-fast bacillus was negative. The patient was treated empirically for disseminated tuberculosis and scheduled for bronchoscopy by the pulmonology team. The patient showed remarkable improvement after day 7 of anti-tuberculosis medication. GeneXpert study came back as positive. CT abdomen and echocardiogram repeated after 2 weeks of treatment showed reduction in the mass.
    MeSH terms: Antitubercular Agents/therapeutic use; Diagnosis, Differential; Echocardiography; Female; Heart Atria; Humans; Middle Aged; Peritoneal Diseases/drug therapy; Peritoneal Diseases/microbiology; Tomography, X-Ray Computed; Tuberculoma/drug therapy; Tuberculosis, Cardiovascular/drug therapy
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