Browse publications by year: 2018

  1. See BT, Yip KX, Ang HL
    Paediatr Int Child Health, 2018 02;38(1):76-79.
    PMID: 28222654 DOI: 10.1080/20469047.2017.1289312
    Haemophagocytic lymphohistiocytosis (HLH) is rare. Although Kawasaki disease (KD) has been reported as a precursor to HLH, coronary arteritis occurring at the onset of secondary HLH, not in association with KD, has not been reported. An 8-year-old girl presented with virus-induced secondary HLH associated with a giant aneurysm and ectasia of the coronary arteries which was detected incidentally at onset of the disease. She did not fulfill the criteria for diagnosis of KD. The coronary lesions improved after 6 months of treatment with dexamethasone and etoposide. Echocardiography early in the course of HLH is a useful tool to detect the unusual finding of coronary arteritis which may carry significant clinical sequelae.
    MeSH terms: Anti-Inflammatory Agents/administration & dosage; Arteritis/diagnosis*; Arteritis/pathology*; Child; Coronary Artery Disease/diagnosis*; Coronary Artery Disease/pathology*; Dexamethasone/administration & dosage; Etoposide/administration & dosage; Female; Humans; Treatment Outcome; Lymphohistiocytosis, Hemophagocytic/complications*
  2. Koon CS, Sidi H, Kumar J, Xi OW, Das S, Hatta MH, et al.
    Curr Drug Targets, 2018;19(12):1366-1377.
    PMID: 28215172 DOI: 10.2174/1389450118666170215164747
    Erectile function (EF) is a prerequisite for satisfactory sexual intercourse (SI) and central to male sexual functioning. Satisfactory SI eventually initiates orgasm - a biopsychophysiological state of euphoria - leading to a sense of bliss, enjoyment and positive mental well being. For a psychiatrist, treating ED is self-propelled to harmonize these pleasurable experiences alongside with encouragement of physical wellness and sensuality. Hence, the role of PDE-5i is pivotal in this context and constitutes a therapeutic challenge. PDE-5i work via the dopaminergic-oxytocin-nitric oxide pathway by increasing the availability of endothelial's guanosine monophosphate (GMP), immediately causing relaxation of the penile smooth muscle and an erection. The PDE-5i, like sildenafil, vardenafil and tadalafil, are effective in the treatment of ED with some benefits/ flexibilities and disadvantages compared to other treatment modalities. Prescribed PDE-5i exclusively improve EF, fostering male's self-confidence and self-esteem. Treatment failures are associated with factors such as absent (or insufficient) sexual stimulation, psychosexual conflicts and the co-existence of medical disorders. Managing ED requires dealing with underlying medical diseases, addressing other co-morbid sexual dysfunctions like premature ejaculation (PE), and educating the patient on healthy life-styles. Furthermore, by dealing with interpersonal dynamics within the couple and embracing adequate lifestyles (managing stress and revising one's sexual scripts), PDE-5i treatment benefits may be enhanced. In this review, we propose a holistic conceptual framework approach for psychiatric management of patients with ED.
    MeSH terms: Humans; Erectile Dysfunction/drug therapy*; Erectile Dysfunction/psychology; Male; Psychotherapy; Sexuality; Phosphodiesterase 5 Inhibitors/adverse effects; Phosphodiesterase 5 Inhibitors/therapeutic use*
  3. Wong TH, Das Gupta E, Radhakrishnan AK, Gun SC, Chembalingam G, Yeap SS
    Int J Rheum Dis, 2018 May;21(5):992-1000.
    PMID: 28217867 DOI: 10.1111/1756-185X.13048
    AIM: Vitamin D3 [25(OH)D] has been shown to be important in bone health and can influence rheumatoid arthritis (RA) disease activity. Vitamin D-binding protein (VDBP) levels vary with race and may modulate 'bioavailable' levels of 25(OH)D. The aim of this study was to explore the relationships between 25(OH)D, VDBP and clinical factors on bone mineral density (BMD) in a group of multi-ethnic Malaysian RA patients and healthy controls.

    METHODS: A cross-sectional study of 77 female RA patients and 29 controls was performed. Serum 25(OH)D was measured using the Elecsys® Vitamin D total assay. Serum VDBP was measured using a Quantikine® enzyme-linked immunosorbent assay kit. BMD was assessed using dual-energy X-ray absorptiometry (DXA).

    RESULTS: Overall, mean 25(OH)D levels were 42.66 ± 21.75 nmol/L with no significant difference between RA patients and controls. 25(OH)D levels were significantly higher in Chinese, compared to Malay/Indian subjects. In RA patients, menopausal status and body mass index (BMI) were significantly associated with BMD but not 25(OH)D or RA Disease Activity Score of 28 joints (DAS28). There was no significant correlation between 25(OH)D and DAS28, even after correction for menopausal status and BMI. VDBP levels were not significantly different between the races and did not significantly correlate with BMD, 25(OH)D overall, or DAS28 in RA patients.

    CONCLUSIONS: In Malaysian RA patients, menopausal status and BMI were more important influences on BMD than 25(OH)D or RA disease activity. The utility of measuring VDBP levels in this population remains uncertain.
    Study site: Rheumatology clinic, Hospital Tuanku Jaafar, Seremban, Negeri Semblance; Klinik Pakar Puchong, Puchong, Kuala Lumpur, Malaysia
    MeSH terms: Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid/blood*; Arthritis, Rheumatoid/ethnology; Arthritis, Rheumatoid/pathology*; Cross-Sectional Studies; Enzyme-Linked Immunosorbent Assay; Female; Humans; Malaysia; Menopause/blood; Menopause/ethnology; Middle Aged; Severity of Illness Index; Vitamin D/analogs & derivatives*; Vitamin D/blood; Vitamin D-Binding Protein/blood*; Biomarkers/blood; Absorptiometry, Photon; Bone Density*; Body Mass Index; Case-Control Studies; Asian Continental Ancestry Group
  4. Chew WF, Leong PP, Yap SF, Yasmin AM, Choo KB, Low GK, et al.
    Singapore Med J, 2018 02;59(1):104-111.
    PMID: 28210748 DOI: 10.11622/smedj.2017013
    INTRODUCTION: We aimed to determine the risk factors associated with abdominal obesity (AO) in suburban adolescents.

    METHODS: This cross-sectional study included adolescents aged 15-17 years from five randomly selected secondary schools in the Hulu Langat district of Selangor state, Malaysia. Waist circumference (WC) was measured at the midpoint between the lower margin of the last palpable rib and the top of the iliac crest. Information on sociodemographic data, dietary habits, physical activity levels and duration of sleep was obtained via interviewer-administered questionnaires. Participants' habitual food intake was determined using a 73-item Food Frequency Questionnaire.

    RESULTS: Among 832 participants, 56.0% were girls; 48.4% were Malay, 40.5% Chinese, 10.2% Indian and 0.8% of other ethnic groups. Median age and WC were 16 (interquartile range [IQR] 15-16) years and 67.9 (IQR 63.0-74.6) cm, respectively. Overall prevalence of AO (> 90th percentile on the WC chart) was 11.3%. A higher proportion (22.4%) of Indian adolescents were found to have AO compared with Malay and Chinese adolescents. Logistic regression analysis showed that female gender (adjusted odds ratio [OR] 7.064, 95% confidence interval [CI] 2.087-23.913; p = 0.002), Indian ethnicity (adjusted OR 10.164, 95% CI 2.182-47.346; p = 0.003), irregular meals (adjusted OR 3.193, 95% CI 1.043-9.774; p = 0.042) and increasing body mass index (BMI) (adjusted OR 2.867, 95% CI 2.216-3.710; p < 0.001) were significantly associated with AO.

    CONCLUSION: AO was common among Malaysian adolescents. Female gender, Indian ethnicity, irregular meals and increasing BMI were significant risk factors.

    MeSH terms: Adolescent; Cross-Sectional Studies; Eating; Ethnic Groups; Feeding Behavior; Female; Humans; Ilium; Malaysia; Surveys and Questionnaires; Ribs; Risk Factors; Exercise; Body Mass Index; Prevalence; Logistic Models; Odds Ratio; Waist Circumference; Obesity, Abdominal; Meals
  5. Mehde AA, Mehdi WA, Yusof F, Raus RA, Zainal Abidin ZA, Ghazali H, et al.
    J Clin Lab Anal, 2018 Jan;32(1).
    PMID: 28205286 DOI: 10.1002/jcla.22173
    BACKGROUND: Nephrolithiasis is one of the causes which lead to chronic kidney disease (CKD). Matrix metalloproteinases (MMPs) are endopeptidases degrading extracellular matrix which correlate with the pathogenesis of atherosclerosis. The current study was designed to analyze the association of (R279Q, C1562T) polymorphism of MMP-9 with nephrolithiasis patients.

    METHODS: Genotyping of MMP-9/R279Q and of MMP-9/C1562T polymorphism were carried out by PCR-based restriction digestion method. Serum level of MMP-9, oxidative stress marker, MDA, and uric acid were measured in patients and control.

    RESULTS: Allele frequencies of the MMP-9/C1562T polymorphism for C and T allele were 71.25% and 28.75% in patients, 87.08% and 12.92% in control respectively. The homozygote TT was more frequent in the nephrolithiasis patients group, while T allele frequency was significantly higher in the nephrolithiasis patients group than in the control group. The patients with CT and TT genotype showed a significant increase in serum MMP-9, Total Oxidant Status (TOS), Oxidative Stress Index (OSI), Malondialdehyde (MDA), and uric acid when compared to CC genotype in patients with nephrolithiasis. The R279Q polymorphism site with regard to the relationship with nephrolithiasis was not significant.

    CONCLUSION: The result indicates that patients with TT genotype had an increased risk of stones. Also, the results demonstrate that TT allele of the C1562T polymorphism in the MMP-9gene is related with an increase of oxidative stress in nephrolithiasis patients and may possibly impose a risk for cardiovascular diseases in patients with TT genotype of MMP-9.

    MeSH terms: Adult; Gene Frequency; Humans; Malondialdehyde/blood; Middle Aged; Polymorphism, Genetic; Case-Control Studies; Oxidative Stress; Genetic Predisposition to Disease; Matrix Metalloproteinase 9/blood; Matrix Metalloproteinase 9/genetics*; Nephrolithiasis/genetics*; Nephrolithiasis/epidemiology*
  6. Choudhary AK, Lee YY
    Nutr Neurosci, 2018 Jun;21(5):306-316.
    PMID: 28198207 DOI: 10.1080/1028415X.2017.1288340
    Aspartame (α-aspartyl-l-phenylalanine-o-methyl ester), an artificial sweetener, has been linked to behavioral and cognitive problems. Possible neurophysiological symptoms include learning problems, headache, seizure, migraines, irritable moods, anxiety, depression, and insomnia. The consumption of aspartame, unlike dietary protein, can elevate the levels of phenylalanine and aspartic acid in the brain. These compounds can inhibit the synthesis and release of neurotransmitters, dopamine, norepinephrine, and serotonin, which are known regulators of neurophysiological activity. Aspartame acts as a chemical stressor by elevating plasma cortisol levels and causing the production of excess free radicals. High cortisol levels and excess free radicals may increase the brains vulnerability to oxidative stress which may have adverse effects on neurobehavioral health. We reviewed studies linking neurophysiological symptoms to aspartame usage and conclude that aspartame may be responsible for adverse neurobehavioral health outcomes. Aspartame consumption needs to be approached with caution due to the possible effects on neurobehavioral health. Whether aspartame and its metabolites are safe for general consumption is still debatable due to a lack of consistent data. More research evaluating the neurobehavioral effects of aspartame are required.
    MeSH terms: Affect/drug effects; Animals; Aspartame/administration & dosage; Aspartame/adverse effects*; Aspartic Acid/metabolism; Brain/drug effects; Brain/metabolism; Disease Models, Animal; Dopamine/metabolism; Free Radicals/blood; Humans; Hydrocortisone/blood; Sleep Initiation and Maintenance Disorders/chemically induced; Sleep Initiation and Maintenance Disorders/diagnosis; Migraine Disorders/chemically induced; Migraine Disorders/diagnosis; Nervous System Diseases/chemically induced*; Nervous System Diseases/diagnosis; Norepinephrine/antagonists & inhibitors; Norepinephrine/metabolism; Phenylalanine/metabolism; Seizures/chemically induced; Seizures/diagnosis; Serotonin/metabolism; Neurotransmitter Agents/antagonists & inhibitors; Neurotransmitter Agents/metabolism; Oxidative Stress/drug effects; Mild Cognitive Impairment/chemically induced; Mild Cognitive Impairment/diagnosis; Non-Nutritive Sweeteners/administration & dosage; Non-Nutritive Sweeteners/adverse effects*
  7. Seghatoleslam T, Habil H, Hatim A, Ardakani A, Ishak K, Rashid R
    J Relig Health, 2018 Oct;57(5):1829-1841.
    PMID: 28188463 DOI: 10.1007/s10943-017-0362-8
    The aim of the study is to evaluate the psychometric properties of the Bahasa Melayu version of the Taqwa (piety) questionnaire, used for the measurement of behaviour of Drug Dependency Syndrome (DDS), in Malay patients. A sample of 98 males with a psychiatric diagnosis (DSM-IV-R) as the DDS was randomly selected from Kajang Khafidz Polyclinic Kuala Lumpur, Malaysia. After receiving their agreement to attend the study, they completed the Taqwa (piety) questionnaire. The reliability was assessed by determining the Cronbach's [Formula: see text] to measure the consistency of related questions for all four dimensions (subscales), including individual, social, cognitional, and emotional Taqwa behaviour. In the next step to evaluate the composite reliability, convergent, and discrimination validity, a measurement model was determined via Conformity Factor Analysis (CFA) based on Partial List Square method (Smart- PLS Ver: 2M3). The reliability of four dimensions of the questionnaire was acceptable ([Formula: see text] correlated to each other. However, according to the CFA method, the items with low loading factor (<0.5) were excluded from each dimension. Item 24 and 35 that were related to individual Taqwa, and item 35 that belonged to emotional Taqwa were excluded from the analysis. The composite reliability and convergent, and discrimination validity were satisfied in all conformity factor loading that exceeded 0/05. The psychometric properties of the Taqwa questionnaire are acceptable, and the scale is a good instrument for assessing the Islamic attitude, beliefs, and behaviour of the Bahasa Melayu DDS patients.
    MeSH terms: Health Status*; Humans; Malaysia; Male; Mental Health*; Psychometrics/statistics & numerical data*; Surveys and Questionnaires/standards*; Reproducibility of Results
  8. Sorooshian S
    Sci Eng Ethics, 2018 02;24(1):333-334.
    PMID: 28155092 DOI: 10.1007/s11948-017-9878-2
    The letter is highlighting a case of Business Ethics for Mobile Network Operators based on the recent news.
    MeSH terms: Commerce*; Humans; Industry/economics; Industry/ethics*; Telecommunications/economics; Telecommunications/ethics*; Cell Phones/economics*; Ethics, Business*
  9. Yahaghi J
    Sci Eng Ethics, 2018 02;24(1):331-332.
    PMID: 28155096 DOI: 10.1007/s11948-017-9871-9
    The durability of buildings which depends on the nature of the supervisory system used in their construction is an important feature of the construction industry. This article tries to draw the readers' attention to the effect of untrained and unprofessional building supervisors and their unethical performance on the durability of buildings.
    MeSH terms: Professionalism*; Humans; Occupations*; Safety*; Construction Industry/education; Construction Industry/ethics*
  10. Casas PAS, Sing KW, Lee PS, Nuñeza OM, Villanueva RJT, Wilson JJ
    PMID: 28155593 DOI: 10.1080/24701394.2016.1267157
    Reliable species identification provides a sounder basis for use of species in the order Odonata as biological indicators and for their conservation, an urgent concern as many species are threatened with imminent extinction. We generated 134 COI barcodes from 36 morphologically identified species of Odonata collected from Mindanao Island, representing 10 families and 19 genera. Intraspecific sequence divergences ranged from 0 to 6.7% with four species showing more than 2%, while interspecific sequence divergences ranged from 0.5 to 23.3% with seven species showing less than 2%. Consequently, no distinct gap was observed between intraspecific and interspecific DNA barcode divergences. The numerous islands of the Philippine archipelago may have facilitated rapid speciation in the Odonata and resulted in low interspecific sequence divergences among closely related groups of species. This study contributes DNA barcodes for 36 morphologically identified species of Odonata reported from Mindanao including 31 species with no previous DNA barcode records.
    MeSH terms: Animals; Philippines; Phylogeny; Species Specificity; Sequence Analysis, DNA/methods*; Evolution, Molecular; Genetic Speciation; DNA Barcoding, Taxonomic/methods*; Odonata/classification*; Odonata/genetics
  11. Rahimnejad Yazdi A, Torkan L, Stone W, Towler MR
    J Biomed Mater Res B Appl Biomater, 2018 Jan;106(1):367-376.
    PMID: 28152268 DOI: 10.1002/jbm.b.33856
    Zinc borate glasses with increasing gallium content (0, 2.5, 5, 10, and 15 Wt % Ga) were synthesized and their degradation, bioactivity in simulated body fluid (SBF), and antibacterial properties were investigated. ICP measurements showed that increased gallium content in the glass resulted in increased gallium ion release and decreased release of other ions. Degradability declined with the addition of gallium, indicating the formation of more symmetric BO3 units with three bridging oxygens and asymmetric BO3 units with two bridging oxygens in the glass network as the gallium content in the series increased. The formation of amorphous CaP on the glass surface after 24 h of incubation in SBF was confirmed by SEM, XRD, and FTIR analyses. Finally, antibacterial evaluation of the glasses using the agar disc-diffusion method demonstrated that the addition of gallium increased the antibacterial potency of the glasses against P. aeruginosa (Gram-negative) while decreasing it against S. epidermidis (Gram-positive); considering the ion release trends, this indicates that the gallium ion is responsible for the glasses' antibacterial behavior against P. aeruginosa while the zinc ion controls the antibacterial activity against S. epidermidis. The statistical significance of the observed trends in the measurements were confirmed by applying the Kruskal-Wallis H Test. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 367-376, 2018.
    MeSH terms: Glass/chemistry*; Pseudomonas aeruginosa/growth & development*; Staphylococcus epidermidis/growth & development*
  12. Sharma G, Vasanth Kumar S, Wahab HA
    J Biomol Struct Dyn, 2018 01;36(1):233-242.
    PMID: 28013578 DOI: 10.1080/07391102.2016.1274271
    A series of dimeric naphthoquinones containing natural 2-hydroxy-1-4-naphthoquinone moiety was designed, synthesized, and evaluated against neuraminidase of H5N1 virus. p-hydroxy derivatives showed higher inhibition when compared to p-halogenated compounds. Molecular docking studies conducted with H5N1 neuraminidase clearly demonstrated different binding modes of the most active compound onto the open and closed conformations of loop 150. The results thus provide not only evidences of a novel scaffold evaluated as inhibitor, but also a rational explanation involving molecular modeling and the role of loop 150 in the binding.
    MeSH terms: Binding Sites; Enzyme Inhibitors/metabolism; Enzyme Inhibitors/pharmacology; Enzyme Inhibitors/chemistry; Humans; Naphthoquinones/metabolism; Naphthoquinones/pharmacology; Naphthoquinones/chemistry*; Neuraminidase/antagonists & inhibitors; Neuraminidase/metabolism; Neuraminidase/chemistry*; Molecular Structure; Influenza A Virus, H5N1 Subtype/enzymology*; Molecular Docking Simulation*; Protein Domains
  13. Abd Rahman R, DeKoninck P, Murthi P, Wallace EM
    J Matern Fetal Neonatal Med, 2018 Feb;31(4):525-529.
    PMID: 28142291 DOI: 10.1080/14767058.2017.1289511
    In this review, we discuss the potential use of antimalarial drugs as an adjuvant therapy for preeclampsia, focusing on the mechanisms of action of this class of drugs in the context of preeclampsia. In particular, hydroxychloroquine has been shown to have various beneficial effects on patients with systemic lupus erythematosus. There are several pathways targeted by the antimalarial drugs that are similar to the pathophysiology of preeclampsia and hence offering opportunities to develop novel therapies to treat the disease. Given the safety profile of hydroxychloroquine in pregnancy, there is merit in exploring the efficacy of this drug as an adjuvant therapy in women with early onset preeclampsia.
    MeSH terms: Adjuvants, Pharmaceutic/pharmacology; Adjuvants, Pharmaceutic/therapeutic use; Antimalarials/therapeutic use; Female; Humans; Hydroxychloroquine/pharmacology; Hydroxychloroquine/therapeutic use*; Lupus Erythematosus, Systemic/drug therapy; Pre-Eclampsia/drug therapy*; Pre-Eclampsia/physiopathology; Pregnancy
  14. Lee YK, Lee PY, Ng CJ, Teo CH, Abu Bakar AI, Abdullah KL, et al.
    Inform Health Soc Care, 2018 Jan;43(1):73-83.
    PMID: 28139158 DOI: 10.1080/17538157.2016.1269108
    This study aimed to evaluate the usability (ease of use) and utility (impact on user's decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout.
    Study site: urban tertiary teaching hospital outpatient clinic in Malaysia (primary care clinic, University Malaya Medical Centre, UMMC, Kuala Lumpur, Malaysia)
    MeSH terms: Aged; Ambulatory Care Facilities; Decision Support Techniques*; Diabetes Mellitus, Type 2/drug therapy*; Female; Hospitals, University; Humans; Hypoglycemic Agents/administration & dosage*; Hypoglycemic Agents/therapeutic use; Insulin/administration & dosage*; Insulin/therapeutic use; Interviews as Topic; Malaysia; Male; Middle Aged; Outpatient Clinics, Hospital; Patient Education as Topic/methods; User-Computer Interface*; Qualitative Research; Tertiary Care Centers
  15. Ab Malik N, Mohamad Yatim S, Lam OLT, Jin L, McGrath C
    Disabil Rehabil, 2018 04;40(8):889-893.
    PMID: 28129510 DOI: 10.1080/09638288.2016.1277397
    OBJECTIVES: This study aimed to examine "intention to" and "performance of" oral hygiene care to stroke patients using the Theory of Planned Behavior.

    MATERIALS AND METHODS: A large scale survey of 13 centers in Malaysia was conducted involving 806 nurses in relation to oral hygiene care intentions and practices. In addition, information on personal and environmental factors was collected.

    RESULTS: The response rate was 95.6% (778/806). The domains of the Theory of Planned Behavior were significantly associated with general intention to perform oral hygiene care: attitudes (β = 0.21, p 

    MeSH terms: Clinical Competence; Cross-Sectional Studies; Female; Hospitals, Public; Humans; Malaysia; Male; Oral Hygiene*; Psychological Theory; Surveys and Questionnaires; Practice Guidelines as Topic; Stroke/nursing*; Practice Patterns, Nurses'*; Stroke Rehabilitation
  16. Daneshvar C, William T, Davis TME
    Parasitology, 2018 01;145(1):18-31.
    PMID: 28122651 DOI: 10.1017/S0031182016002638
    Plasmodium knowlesi is a simian malaria of primarily the macaque species of South East Asia. While it was known that human infections could be induced during the years of malariotherapy, naturally occurring P. knowlesi human infections were thought to be rare. However, in 2004, knowlesi infections became recognized as an important infection amongst human populations in Sarawak, Malaysian Borneo. Since then, it has become recognized as a disease affecting people living and visiting endemic areas across South East Asia. Over the last 12 years, clinical studies have improved our understanding of this potentially fatal disease. In this review article the current literature is reviewed to give a comprehensive description of the disease and treatment.
    MeSH terms: Asia, Southeastern/epidemiology; Humans; Risk Factors; Prevalence; Plasmodium knowlesi/physiology*
  17. Rajadurai P, Fatt HK, Ching FY
    J Gastrointest Cancer, 2018 Jun;49(2):150-157.
    PMID: 28124769 DOI: 10.1007/s12029-017-9921-1
    PURPOSE: Human epidermal growth factor receptor 2 (Erbb2/HER2) overexpression, which was previously detected in invasive breast cancer, has now been implicated in advanced gastric cancer (GC) and gastroesophageal junction cancer (GEC). A study was conducted to determine the rate of HER2 positivity in patients with locally advanced or metastatic GC and GEC in Malaysia and to assess the impact of various demographic and clinical parameters on HER2 positivity.

    METHODS: A total of 228 adult patients with GC or GEC were enrolled from Subang Jaya Medical Centre, Malaysia, for retrospective (210) and prospective study. All patients were subjected to the HER2 immunohistochemistry test using an FDA-approved, standardized test kit. Carcinomas scoring 2+ on immunohistochemistry were further tested with HER2 in situ hybridization (ISH) using an FDA-approved test kit.

    RESULTS: The overall rate of HER2 positivity in the population studied was 24.6% (n = 56). The rate was significantly higher in men than in women (29.6 vs. 16.3%; p = 0.024). HER2 overexpression was significantly more common in diffuse type than in intestinal type of tumors (39.8 vs. 14.9%; p 

    MeSH terms: Adult; Aged; Aged, 80 and over; Female; Humans; Immunohistochemistry; Malaysia/epidemiology; Male; Middle Aged; Neoplasm Metastasis; Stomach Neoplasms/enzymology*; Stomach Neoplasms/genetics*; Stomach Neoplasms/epidemiology; Prevalence; Receptor, ErbB-2/biosynthesis*; Receptor, ErbB-2/genetics; Receptor, ErbB-2/metabolism
  18. Elaina NS, Malik AS, Shams WK, Badruddin N, Abdullah JM, Reza MF
    Clin Neuroradiol, 2018 Jun;28(2):267-281.
    PMID: 28116447 DOI: 10.1007/s00062-017-0557-0
    PURPOSE: To localize sensorimotor cortical activation in 10 patients with frontoparietal tumors using quantitative magnetoencephalography (MEG) with noise-normalized approaches.

    MATERIAL AND METHODS: Somatosensory evoked magnetic fields (SEFs) were elicited in 10 patients with somatosensory tumors and in 10 control participants using electrical stimulation of the median nerve via the right and left wrists. We localized the N20m component of the SEFs using dynamic statistical parametric mapping (dSPM) and standardized low-resolution brain electromagnetic tomography (sLORETA) combined with 3D magnetic resonance imaging (MRI). The obtained coordinates were compared between groups. Finally, we statistically evaluated the N20m parameters across hemispheres using non-parametric statistical tests.

    RESULTS: The N20m sources were accurately localized to Brodmann area 3b in all members of the control group and in seven of the patients; however, the sources were shifted in three patients relative to locations outside the primary somatosensory cortex (SI). Compared with the affected (tumor) hemispheres in the patient group, N20m amplitudes and the strengths of the current sources were significantly lower in the unaffected hemispheres and in both hemispheres of the control group. These results were consistent for both dSPM and sLORETA approaches.

    CONCLUSION: Tumors in the sensorimotor cortex lead to cortical functional reorganization and an increase in N20m amplitude and current-source strengths. Noise-normalized approaches for MEG analysis that are integrated with MRI show accurate and reliable localization of sensorimotor function.

    MeSH terms: Adult; Brain Mapping; Evoked Potentials, Somatosensory*; Female; Humans; Male; Middle Aged; Somatosensory Cortex; Magnetoencephalography*; Young Adult; Magnetic Fields
  19. Kardia E, Ch'ng ES, Yahaya BH
    J Tissue Eng Regen Med, 2018 02;12(2):e995-e1007.
    PMID: 28105760 DOI: 10.1002/term.2421
    Aerosol-based cell therapy has emerged as a novel and promising therapeutic strategy for treating lung diseases. The goal of this study was to determine the safety and efficacy of aerosol-based airway epithelial cell (AEC) delivery in the setting of acute lung injury induced by tracheal brushing in rabbit. Twenty-four hours following injury, exogenous rabbit AECs were labelled with bromodeoxyuridine and aerosolized using the MicroSprayer® Aerosolizer into the injured airway. Histopathological assessments of the injury in the trachea and lungs were quantitatively scored (1 and 5 days after cell delivery). The aerosol-based AEC delivery appeared to be a safe procedure, as cellular rejection and complications in the liver and spleen were not detected. Airway injury initiated by tracheal brushing resulted in disruption of the tracheal epithelium as well as morphological damage in the lungs that is consistent with acute lung injury. Lung injury scores were reduced following 5 days after AEC delivery (AEC-treated, 0.25  ±  0.06 vs. untreated, 0.53  ±  0.05, P  
    MeSH terms: Aerosols/pharmacology*; Animals; Cell Survival/drug effects; Epithelial Cells/cytology; Epithelial Cells/transplantation*; Female; Lung/pathology*; Lung/physiopathology*; Male; Rabbits; Trachea/drug effects; Trachea/injuries; Trachea/pathology; Trachea/physiopathology; Acute Lung Injury/pathology; Acute Lung Injury/physiopathology
  20. Chher T, Hak S, Kallarakkal TG, Durward C, Ramanathan A, Ghani WMN, et al.
    Ethn Health, 2018 Jan;23(1):1-15.
    PMID: 27781495 DOI: 10.1080/13557858.2016.1246431
    OBJECTIVES: To obtain data on the prevalence of oral mucosal lesions (OMLs) among Cambodians, and to assess the relationship between known risk habits of oral diseases with prevalence of oral potentially malignant disorders (OPMDs).

    DESIGN: This was a population-based, cross-sectional study whereby subjects were adults aged 18 years old and above. A workshop on the identification of OML was held to train and calibrate dental officers prior to data collection in the field. Sociodemographic and risk habits data were collected via face-to-face interview, whilst presence of OML and clinical details of lesions such as type and site were collected following clinical oral examination by the examiners. Data analysis was carried out using the Statistical Package for Social Science (SPSS) version 12.0. The association between risk habits and risk of OPMD was explored using logistic regression analysis.

    RESULTS: A total of 1634 subjects were recruited. Prevalence of OML for this population was 54.1%. Linea alba was the most common lesion seen (28.7%). This study showed an overall OPMD prevalence of 5.6%. The most common type of OPMD was leukoplakia (64.8%), followed by lichen planus (30.8%). Subjects who only smoked were found to have an increased risk for OPMD of almost four-fold (RR 3.74, 95%CI 1.89-7.41). The highest risk was found for betel quid chewers, where the increased risk observed was more than six times (RR 6.75, 95%CI 3.32-13.72). Alcohol consumption on its own did not seem to confer an increased risk for OPMD, however when practiced concurrently with smoking, a significant risk of more than five times was noted (RR 5.69 95%CI 3.14-10.29).

    CONCLUSION: The prevalence of OML was 54.1%, with linea alba being the most commonly occurring lesion. Smoking, alcohol consumption and betel quid chewing were found to be associated with the prevalence of OPMD, which was 5.6%.

    MeSH terms: Adult; Alcohol Drinking; Areca/adverse effects; Cambodia/epidemiology; Cross-Sectional Studies; Female; Humans; Leukoplakia, Oral; Male; Middle Aged; Mouth Mucosa/physiopathology*; Mouth Neoplasms/epidemiology*; Precancerous Conditions/classification*; Surveys and Questionnaires; Risk Factors; Sex Factors; Smoking/epidemiology; Prevalence; Lichen Planus, Oral
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