MyMedR

Neurological disease and its management in malaysia. Belah otak

Richardson PM

Can J Neurol Sci, 1976 May;3(2):133-4.

Neurovirulence and host factors in flavivirus encephalitis--evidence from clinical epidemiology

Solomon T, Winter PM

Arch. Virol. Suppl., 2004.

PMID: 15119771

Japanese encephalitis virus (JEV) and West Nile virus (WNV) provide some of the most important examples of emerging zoonotic viral encephalitides. For these flaviviruses, only a small proportion of those infected develop clinical features, and these may range from a non-specific flu-like illness to a severe fatal meningoencephalitis, often with Parkinsonian features, or a poliomyelitis-like flaccid paralysis. The factors governing the clinical presentations, and outcome of flavivirus infections are poorly understood, but studies have looked at viral virulence determinants and the host immune response. Previous studies on JEV have suggested that the distribution of the four genotypes across Asia may relate to the differing clinical epidemiology (epidemic disease in the north, endemic disease in the south). However, new data based on the complete nucleotide sequence of a virus representing one of the oldest lineages, and phylogenetic analyses of all JEV strains for which genetic data are available, suggest that the distribution is best explained in terms of the virus' origin in the Indonesia-Malaysia region (where all genotypes have been found), and the spread of the more recent genotypes to new geographical areas. Clinical studies have shown that innate immunity, as manifested by interferon alpha levels, is important in JEV and other flaviviruses, but treatment with interferon alpha did not improve the outcome. A failure of the humoral immune response, is associated with death from encephalitis caused by JEV and WNV. Cellular immunity has been less well characterized, but CD8+ and CD4+ T cells are thought to be important.

Dental caries status of Chinese children in Johannesburg, South Africa

McInnes PM, Vieira E

Community Dent Oral Epidemiol, 1979 Jun;7(3):170-3.

PMID: 287589

The purpose of this study was to determine the dental health status of a representative sample of Johannesburg Chinese schoolchildren, all 250 attending the only Chinese school in the city. In 18 preschoolchildren, 3--5 years old, 16.7% were caries-free, mean dmft was 7.1 +/- 5.8 and labial caries was present in 33.3%. In 165 primary schoolchildren aged 5--16 years, the mean dmft was 590 +/- 3.2 with 20% of the primary dentition caries-free and the mean DMFT was 2.4 +/- 1.9 4.8% of the primary schoolchildren were caries-free. In 67 high school pupils of 11--17 years, 4.5% were caries-free and the mean DMFT score was 7.1 +/- 3.9. Caries prevalences among the Chinese were similar to corresponding groups of children of Chinese immigrants in the United Kingdom and Malaysia.

Changes to the 'Author Guidelines' for Case Reports and Randomized Trials submitted to the International Endodontic Journal

Nagendrababu V, Dummer PMH

Int Endod J, 2020 Jul;53(7):885-886.

PMID: 32533798 DOI: 10.1111/iej.13309

Hexamermis cathetospiculae n. sp. (Mermithidae: Nematoda), a Parasite of the Rice Stemborer, Tryporyza incertulas (Wlk.) (Pyralidae: Lepidoptera) in Malaysia

Poinar GO, Chang PM

J. Nematol., 1985 Jul;17(3):360-3.

PMID: 19294107

Hexamermis cathetospiculae n. sp. (Mermithidae: Nematoda), a parasite of the rice stemborer, Tryporyza incertulas (Wlk.), is described. This mermithid was observed to control the stemborer in Malaysia. It is distinguished from other members of the genus by the shape of the vagina, the nearly straight spicules, and the form of the amphids.

Competitive binding of gangliosides and glycophorin to wheat germ agglutinin

Lee PM, Lee KH

Biochem Biophys Res Commun, 1989 Apr 28;160(2):780-7.

PMID: 2719696

Gangliosides and glycophorin are receptors for wheat germ agglutinin. The competitive binding of these molecules to wheat germ agglutinin is studied by electron spin resonance spectroscopy with spin labels attached to the oligosaccharide chains of gangliosides. Evidence shows that glycophorin is more accessible to wheat germ agglutinin binding than gangliosides. The interactions of gangliosides and glycophorin in liposomes is disrupted on low level binding of WGA.

Leukosis and Marek's disease viruses of feral red jungle flow and domestic fowl in Malaya

Weiss RA, Biggs PM

J Natl Cancer Inst, 1972 Dec;49(6):1713-25.

PMID: 4119166

Unusual mating behavior of the Malaysian treefrogs, Polypedates leucomystax

Feng AS, Narins PM

Naturwissenschaften, 1992 Mar;79(3):138-9.

PMID: 1574131

Characteristics and prosthesis usage of amputees attending Medical Rehabilitation services in Malaysia

Karim HHA, Chern PM

Med J Malaysia, 2020 09;75(5):519-524.

PMID: 32918420

INTRODUCTION: Increasing numbers of limb amputation are performed globally and in Malaysia due to the rise of complications because of Diabetes Mellitus (DM). Limb amputation influences many aspects of an individual's life, and prosthesis restoration is one of the primary rehabilitation goals to help amputees resume daily activities. As limited information is available in Malaysia, this study aims to determine the socio-demographic, clinical characteristics and prosthesis usage among the amputees.

METHODS: A cross-sectional study using self-developed survey form was conducted at 13 Medical Rehabilitation Clinics in Malaysia among 541 upper and lower limb amputees of any duration and cause.

RESULTS: The study population had a mean age of 54 years. Majority were males, Malays, married and had completed secondary school. About 70% of amputations were performed due to DM complications and at transtibial level. Fifty-eight percent of unilateral lower limb amputees were using prosthesis with a mean (standard deviation) of 6.48 (±4.55) hours per day. Time since amputation was the true factor associated with prosthesis usage. Longer hours of prosthesis use per day was positively correlated with longer interval after prosthesis restoration (r=0.467).

CONCLUSION: Higher aetiology of DM and lower prosthesis usage among amputees may be because of high prevalence of DM in Malaysia. The prosthesis usage and hours of use per day were low compared to the international reports, which may be influenced by sampling location and time since amputation. Nevertheless, this is a novel multicentre study on the characteristics and prosthesis usage of amputees. Hopefully, this research will assist to support, facilitate and promote prosthesis rehabilitation in Malaysia.

Cerebral cryptococcosis in Malaysia

Richardson PM, Mohandas A, Arumugasamy N

J Neurol Neurosurg Psychiatry, 1976 Apr;39(4):330-7.

PMID: 932751

Cryptococcal infection of the brain as encountered in a tropical country is reviewed. The meningitic form is not uncommon and there has been, in the last decade, an apparent, if not real, rise in incidence in Malaysia as in Singapore. Only exceptionally was there overt evidence of immunological deficiency. Hydrocephalus was present in about three-quarters of the patients with meningitis and shunts were employed readily. The presence of multiple small intracerebral cysts could be suspected clinically but treatment for this complication was ineffective. The antifungal agent used most frequently was 5-fluorocytosine. Resistance to this drug developed in about one patient in four. There is a need for further epidemiological studies and for a continuing search for new antifungal agents.

P 066 - Outcomes of botulinum toxin injection and the feasibility of using ICF-CY in determining botulinum toxin injection therapy's goals in Malaysia

Chern PM, Leow ML

Gait Posture, 2018 Sep;65 Suppl 1:342-343.

PMID: 30017469 DOI: 10.1016/j.gaitpost.2018.06.218

Fulltext Is research related to a country's economic development? An analysis of biomedical publications from several GCC and ASEAN countries from 1994-2013

Tang CT, Wilkerson PM, Soon Y

Med J Malaysia, 2016 04;71(2):57-61.

PMID: 27326942

INTRODUCTION: Biomedical research has traditionally been the domain of developed countries. We aim to study the effects of the increased focus on biomedical and medical research on level 1-4 publications in several industrialised and newly industrialised countries endowed with petroleum and gas resources.

METHODS: We identified all level 1-4 publications from 01/01/1994 to 31/12/2013 via PubMed using advanced options. The population and GDP (current US$) data from 1994-2013 were obtained through data provided by the World Bank and the raw data was normalised based on these two indicators.

RESULTS: From 1994-2013, Saudi Arabia and Malaysia were responsible for the highest absolute number of level 1 to 4 biomedical and medical research publications with 2551 and 1951 publications respectively. When normalised to population, Kuwait and Qatar had the highest publication rates, with 7.84 and 3.99 publications per 100,000 inhabitants respectively in a five yearly average. Kuwait produced the largest number of publications per billion (current US$) of GDP, at 2.92 publications, followed by Malaysia at 2.82 publications in a five yearly average.

CONCLUSION: The population size of a country as well as GDP can influence the number of level 1-4 publications in some countries. More importantly, effective government policy which stimulates research as well as a culture which actively promotes research as shown by Malaysia have proven to have a larger influence on the amount of level 1-4 biomedical and medical publications.

Fulltext Use of intramuscular botulinum toxin in Malaysian children with cerebral palsy

Khoo TB, Yusniza MY, Chern PM

Med J Malaysia, 2007 Mar;62(1):3-5.

PMID: 17682560 MyJurnal

A study was carried out to determine the clinical effectiveness of intramuscular botulinum toxin type A (BTX) in the treatment of spasticity or dystonia in 58 consecutive children with cerebral palsy (CP). The effectiveness of the treatment was determined by the reduction of spasticity and global parental perception scale. The mean age of treatment was six years and the most frequent aim of treatment (91.1%) was functional improvement. The median reduction of spasticity as measured by modified Ashworth scale was 1. The short term outcome was graded as excellent or good by 44.6% and satisfactory by 38.4% of parents. Patients with dyskinetic Cerebral Palsy had the best response. Adverse effects were minimal. BTX treatment is modestly effective in the majority of our patients with spastic and dyskinetic cerebral palsy.

Fulltext Chronic rupture of the extensor apparatus of the knee joint

Poonnoose PM, Korula RJ, Oommen AT

Med J Malaysia, 2005 Oct;60(4):511-3.

PMID: 16570720

Chronic ruptures of the extensor mechanism of the knee are uncommon injuries, and previously reported literature assumes the presence of an intact patella for repair. We present a case of chronic rupture following patellectomy done twelve years previously. The defect in the extensor apparatus was extensive (18cm), and this was bridged using a large fascia lata graft from the opposite thigh, with reasonably successful results.

MRI of the wrist is not recommended for age determination in female football players of U-16/U-17 competitions

Tscholl PM, Junge A, Dvorak J, Zubler V

Scand J Med Sci Sports, 2016 Mar;26(3):324-8.

PMID: 25880786 DOI: 10.1111/sms.12461

Age determination on magnetic resonance imaging (MRI) of the wrist is a reliable method in male football players to evaluate their eligibility to participate in Under 17 tournaments. MRI of the wrist was performed in 487 female volunteers aged 13-19 years from Brazil, Germany, Malaysia, and Tanzania, and in 139 female football players participating in Under-16 and Under-17 football tournaments. A previously validated method for grading fusion of the distal radial epiphysis in male adolescent was used. Moderate correlation of chronological age and epiphyseal fusion was found in the normative control group (r = .59) and weak correlation in female football players (r = .27). Complete fusion of the distal radial epiphysis was observed in two 15-year-old volunteers of the control group (1.7%) and in 17.6% (3 of 17) of 14-year-old football players. Up to 10.8% (47 of 437) in the control group and 14.4% (20 of 139) of the football players 17 years or younger had complete fused epiphysis. Because of earlier osseous maturity in female adolescents, the grade of fusion of the distal radial epiphysis on MRI is not recommended for pretournament age determination for the age of 17 and younger in female.

Fulltext Fetal supraventricular tachycardia--a case report

Soh EBS, Raman S, Chia PMK

Med J Malaysia, 1998 Sep;53(3):280-3.

PMID: 10968167

A gravid patient with fetal supraventricular tachycardia is presented. A review of this rare condition and the present recommended mode of therapy are discussed.

Covalent immobilization of aminoacylase to alginate for L-phenylalanine production

Lee PM, Lee KH, Siaw YS

J Chem Technol Biotechnol, 1993;58(1):65-70.

PMID: 7763937

Aminoacylase I (EC. 3.5.1.14) was immobilized by covalent crosslinking to alginate molecules with 1-ethyl-3-(3-dimethyl-aminopropyl)-carbodiimide HCl followed by calcium alginate bead formation for the production of L-phenylalanine from the racemic mixtures of N-acetyl-DL-phenylalanine. Different concentrations of the coupling reagent were tested and the coupling process was optimized. The immobilized and the partially purified aminoacylase were characterized in terms of the activity, operational stability, thermal stability, pH and temperature optima and kinetic constants, Km and Vmax. The activity of the enzyme covalently immobilized in calcium alginate beads was enhanced by about 75% compared to that of free enzyme. The beads showed stable activity under operational conditions, they lost about 40% of their activity after four reaction cycles. The immobilized aminoacylase was more stable over a broader pH range. Thus this simple method provides irreversible immobilization of aminoacylase to give a biocatalyst with good operational stability and enhanced activity.

Immobilization of aminoacylase by encapsulation in poly-L-lysine-stabilized calcium alginate beads

Lee KH, Lee PM, Siaw YS

J Chem Technol Biotechnol, 1993;57(1):27-32.

PMID: 7763683

Aminoacylase I (EC 3.5.1.14) encapsulated in calcium alginate beads stabilized with poly-L-lysine was used for the production of L-phenylalanine by the hydrolysis of a racemic mixture of N-acetyl-DL-phenylalanine. The immobilized aminoacylase was studied with respect to operational stability, thermal stability, effects of pH and temperature and kinetic constants. The leakage of enzyme from the stabilized beads was eliminated. The immobilized enzyme retained high biological activity. The Km and Vmax values for the stabilized beads were 11.11 mmol dm-3 and 0.076 mumol min-1 respectively. The optimum pH and temperature for the hydrolysis were 6.5 and 55 degrees C respectively. Scanning electron micrographs revealed crosslinked structures on the surface of the beads. The operational performances of the beads in a batch reaction and a packed-bed bioreactor for continuous reaction were investigated. With batch reaction, only about 5% of enzyme activity was lost within ten reaction cycles and there was no significant loss of activity over 600 h of continuous operation after equilibrium was reached, and a conversion yield of about 80% was obtained.

Immobilization of aminoacylase in polyethyleneimine stabilized calcium alginate beads for L-phenylalanine production

Lee PM, Lee KH, Siaw YS

Biomater Artif Cells Immobilization Biotechnol, 1993;21(4):563-70.

PMID: 8260581

Aminoacylase I (E.C.3.5.1.14) was immobilized by entrapment in calcium alginate beads coated with polyethyleneimine for the production of L-phenylalanine by the hydrolysis of a racemic mixture of N-acetyl-DL-phenylalanine. The operational stability in terms of batch operation and continuous reaction in packed-bed bioreactor were studied. Kinetic constants, Km and Vmax values of free and immobilized enzymes were studied. Polyethyleneimine treatment was found to enhance the operational stability of the enzyme though its activity was substantially reduced. When polyethyleneimine-coated calcium alginate beads were packed into packed bed bioreactor, it was stable for at least 25 days under continuous operation without appreciable loss of activity.

Fulltext No association of peptide tyrosine-tyrosine (PYY) gene R72T variant with obesity in the Kampar Health Clinic cohort, Malaysia

Chan PM, Fan SH, Say YH

Malays J Nutr, 2011 Aug;17(2):201-12.

PMID: 22303574 MyJurnal

Peptide Tyrosine-Tyrosine (PYY) is a 36-amino acid peptide hormone released post-prandially from the endocrine cells in the intestinal tract to suppress pancreatic secretions and eventually reduce appetite. The R72T variant in the PYY gene (rs1058046) has been associated with increased susceptibility to obesity. Therefore, the objective of this study was to investigate the association of this variant with obesity and its related anthropometric measurements among the Kampar Health Clinic cohort, Malaysia.

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