MyMedR

Fulltext Isolated Peroneus Longus Tear - Commonly Missed Diagnosis of Lateral Ankle Pain: A Case Report

Abd-Rasid AF, Bajuri MY

Malays Orthop J, 2020 Jul;14(2):130-133.

PMID: 32983388 DOI: 10.5704/MOJ.2007.011

Peroneal tendon tear is a relatively common cause of lateral ankle pain but often missed due to mixed presentation or low index of suspicion. Left untreated, peroneal injuries can lead to persistent ankle pain, instability and ultimately substantial functional disabilities. An isolated peroneus longus tear is rare with the lowest incidence rate compared to isolated peroneus brevis tear and mixed tear of both peroneal tendon. This is a case report of a 49-year-old lady with a chronic left ankle pain who ultimately underwent surgery for an isolated peroneus longus tear.

Matched MeSH terms: Female

Fulltext The feasibility and acceptability of self-sampling and HPV testing using Cepheid Xpert® HPV in a busy primary care facility

Woo YL

Journal of virus eradication, 2019 Mar 04;5(Suppl 1):10-11.

PMID: 30997147

Malaysia's approach to reducing the burden of HPV-related disease has centred on adolescent vaccination and cervical screening with Pap smears. While the vaccination programme has been broadly successful, Pap smear screening has been less successful. In an effort to improve screening uptake, the ROSE 1.0 pilot aimed to create more efficient screening, with improved quality and lower total cost.

Matched MeSH terms: Female

Collapsed wall: destructive and reconstructive surgery of anterior abdominal wall tumour in a young girl

Che Ghazali K, Mazian HA, Keat KC, Kai MWP, Md Hashim MN, Zakaria AD, et al.

J Surg Case Rep, 2019 Feb;2019(2):rjy345.

PMID: 30788087 DOI: 10.1093/jscr/rjy345

Natural history of abdominal wall soft tissue sarcoma is still poorly understood due to its rarity. In unpublished data of our institution, only seven cases of abdominal wall soft sarcoma with ICD-10 coding of 49.4 were found for past 10 years. We illustrate a case of juvenile fibrosarcoma of anterior abdominal wall. This is a case of young girl with anterior abdominal wall tumour, underwent wide local excision with immediate reconstruction. There are few options of surgical treatment for this case, but which is the best. It is always a challenge in managing young patient with giant abdominal wall defect in view of long term effect namely weakened abdominal wall, pregnancy related issue and risk of herniation and surgical site recurrence as well.

Matched MeSH terms: Female

Intestinal obstruction due to ascaris infection

Ryrie GA

Malayan Medical Journal, 1928;3:166-7.

Matched MeSH terms: Female

A case of acute haemorrhagic pancreatitis following consumption of durians and alcohol

Singh P

Journal of the Malaya Branch of the British Medical Association, 1941;5:62-3.

Matched MeSH terms: Female

Surgical ascites

Nadarajah C

Journal of the Malaya Branch of the British Medical Association, 1940;3:423-4.

Matched MeSH terms: Female

Heterogenous beta-thalassaemia: Evaluation of the iron status

George-Kodiseri E, Faridah K, Mariam S

Family Physician, 1989;1:31-33.

Anaemia is present in 31.3% of male and 73.6% of female subjects heterogenous for beta thalassaemia. In males, none had serum ferritin (SF) levels less than 10 ng/ml. In contrast, female subjects with haemoglobins less than 12 gm/dl, had SF levels less than 20 ng/ml. Statistical differences in the Hb, RBC, MCV, MCH, MCHC abd HBA were found with the normal groups (p<0.001). Comparison of the SF levels in both the males and females show no difference from those in the normal groups (p<0.10). Iron loading was not a significant feature in both the males and females. Correlation of the SF with age shows a weak negative correlation. Married females with children showed that the SF levels fell significantly with increasing age, suggesting the possibility that repeated pregnancies may deplete iron stores as reflected by the SF levels. In countries where iron deficiency and thalassaemia are highly prevalent, assays of serum ferittin will indicate if there is a need for supplemental iron in subjects hetergenous for beta thalassaemia.

Matched MeSH terms: Female

Successful delayed-interval delivery in the presence of clinical chorioamnionitis in the leading twin: A report of two cases

Sukumaran S, Kanagalingam D

Med J Malaysia, 2019 02;74(1):85-86.

PMID: 30846669

We present two cases of diamniotic, dichorionic twin pregnancies in which after the loss of the first foetus in the setting of clinical chorioamnionitis, both pregnancies were successfully managed by delayed-interval delivery. A fourstage protocol including aspects of management in this specific setting is proposed. We consider the importance of a selection process when managing conservatively, measures to promote latency and decisions regarding delivery of the foetuses. Whilst we report successful case studies of conservative management with delayed-interval delivery, we support a cautious approach and understand that in the setting of clinical chorioamnionitis of the remaining foetus, delivery is necessary.

Matched MeSH terms: Female

Fulltext Teaching innovation to attract students’ interest in playing volleyball

Jamiaton Kusrin, Mohamad Nizam Mohamed Shapie, Sharifah Aliman, Faridah Mohamad Halil, Zarrul Hayat Mohd Yusof

Jurnal Inovasi Malaysia, 2018;2(1):105-116.

MyJurnal

Physical Education (PE) teachers in schools have difficulties in attracting students to participate in activities that cause students to feel bored to play during the PE class due to the short time of teaching and the number of games to be learned in various ways. This study aims to evaluate the effectiveness of teaching methods based on the TGfU model towardssports science students through the Volleyball Camp 2016 (KBT2016). KBT2016 involves the Faculty of Sports & Recreation Science (FSR), UiTM in collaboration with SMK Puncak Alam. The respondents were selected based on sampling involving 31 Sports Science students taking the Acquisition of Movement Skills (SPS465) subject. Respondents were divided into four groups: two male groups and two female groups. KBT2016 received positive feedbacks from respondents. All respondents were able to learn the basics skills of volleyball with the right techniques in exciting situations.

Matched MeSH terms: Female

Fulltext Knowledge and attitude of teachers in selected Malaysian primary school towards dental injuries

Syazwani Hassan, Nur Nabila Zulkifly, Venkiteswaran, Annapurny, Rohaida Abdul Halim

Scientific Research Journal, 2018;15(2):51-66.

MyJurnal

To ascertain the level of knowledge among primary school teachers towards the management of traumatic dental injuries (TDIs) in school and to determine the preference among teachers regarding the education tools that can be used to increase awareness and knowledge among them. A total of 150 teachers from primary schools in three different districts were included in the study and they were given self-administered questionnaires to be filled. The validated questionnaire was distributed randomly in the selected schools. The questionnaire included two scenarios comprising of tooth fracture and avulsion. Questions regarding awareness and management of these scenarios were asked. All 150 participants answered the questionnaire; of these 74% were females 26% were males. 64% of the participants had received tertiary education. Although 70% of teachers had obtained first aid training, only 9.3% of them had received training regrading dental injuries. About 53% of participants knew the correct answer for the appropriate response to fractured tooth and only 35.3% managed to correctly answer the question related to appropriate response to an avulsed tooth. Only 38.7% knew about appropriate rinsing solution and a mere 4.7% were familiar with proper storage media. Even though the teachers have poor knowledge regarding management of dental injuries, it is reassuring to know that 93% of them are keen on further training and awareness. More educational programmes need to be introduced to empower the teachers with the relevant knowledge required to deal with dental emergencies.

Matched MeSH terms: Female

Congenital cytomegalic inclusion disease with disseminated Herpes simplex infection

Amidzic J, Vuckovic N, Capo I, Levakov AF

Malays J Pathol, 2019 Apr;41(1):75-78.

PMID: 31025643

We report a case of congenital cytomegalovirus and Herpes simplex virus infection suspected via ultrasound indicated by the presence of fetal cerebral abnormalities. The pregnancy was electively terminated at 31 weeks of gestation. The postmortem examination of the foetus showed brain with lissencephaly. The histopathological examination revealed numerous enlarged cells containing cytomegalic inclusions and multinucleated giant cells in multiple fetal organs and placenta. Documented evidence of histopathological detection of cytomegalovirus inclusions in multiple organs are very sparse in literature. This case highlights the causal relationship of viral infections in early pregnancy and abnormalities of the central nervous system.

Matched MeSH terms: Female

Fulltext Dental students as smoking cessation counsellors: patients’ and providers’ perspective

Mohd Nor NA, Repen MC, Zakaria Z, Ab-Murat N, Saub R, Abdul Razak I

International Medical Journal Malaysia, 2018;17(1):23-30.

MyJurnal

This study assesses dental students’ and patients’ perceptions on the role of dental students as smoking cessation counsellors as well as the patient’s quit rate at the University of XX. Materials and methods: Self-administered questionnaires were distributed to all senior dental students (n=154) in XX University and telephone call interviews were conducted on their patients (n=169) who received smoking cessation counselling from September 2010 to June 2013. Results: Response rates for dental students and patients were 68.2% and 67.3% respectively. Most of the dental students in this study were females (72.3%) whereas the majority of patients were males (97.6%). An average of six months follow up indicated that 22.5% of patients had quit smoking, 65.3% reduced the number of cigarettes smoked and 6.5% had relapsed. About a third of patients surveyed (33.1%) believed that smoking cessation counselling was extremely helpful compared to what students perceived (5.7%, p

Matched MeSH terms: Female

Fulltext Late presentation of turner syndrome and its complications

Huzairi Sani, Nada Syazana Zulkufli

Journal of Clinical and Health Sciences, 2018;3(2):51-55.

MyJurnal

Turner syndrome is one of the most common sex chromosome abnormalities with an estimated true prevalence of 1 in 2,000 in newborns. This case report is of a girl who presented to the adult endocrinologist at 16 years of age and subsequently diagnosed with Turner syndrome. Despite frequenting clinics for unrelated ailments, her short stature was overlooked hence not investigated for a causative pathology. The aim of this report is to explore the diagnostics of Turner syndrome, hormone treatments available and the importance of starting treatment early.

Matched MeSH terms: Female

Fulltext Correction using Halo Gravity Traction for Severe Rigid Neuromuscular Scoliosis: A Report of Three Cases

Mejabi JO, Sergeenko OM, Ryabykh SO

Malays Orthop J, 2019 Mar;13(1):49-53.

PMID: 31001385 DOI: 10.5704/MOJ.1903.010

Severe rigid neuromuscular scoliosis is a major challenge to the spine surgeon due to the possibilities of neurological sequelae from acute correction of the deformity. Halo gravity traction has been considered as a way of reducing the deformity before correction to prevent neurological complications. Three female patients with severe neuromuscular scoliosis aged seven to 13 years with main coronal Cobb angle of 95°-128° and Kyphotic Cobb of 47°-118° having ≤35% flexibility on traction, had between 18 to 23 days of 16 hour/day of halo gravity traction and night time supine traction with 4kg weight for 7-8 hours. They had 28.9% and 18.5% of main coronal and kyphotic Cobb angle correction post-traction respectively. All had posterior instrumentation and post-operatively, they had correction of main coronal Cobb angle of 29°-58° and kyphotic Cobb angle of 30°-77° with no neurological complication. Halo gravity traction is therefore a viable option for reducing post-operative neurological complication in rigid severe scoliosis.

Matched MeSH terms: Female

Fulltext Glomus tympanicum

Appannan, V.R., Md Daud, M.K.

Malaysian Family Physician, 2018;13(1):45-48.

MyJurnal

Glomus tympanicum is a tumour classified under the group glomus tumours, and is also known
as paragangliomas. It is thought to commonly occur in women in the fifth to sixth decades of life.
Here, we report a case of a 77-year-old lady with multiple co-morbids and a diagnosis of glomus
tympanicum presenting to us. Her symptoms included pulsatile tinnitus, and reduced hearing,
and the management of the case was done with consideration for her underlying multiple comorbidities. This paper also describes the best modality of treatment for this patient with regard
to her background history. The treatment goal was to improve her quality of life and control the
disease.

Matched MeSH terms: Female

Fulltext Prevalence and Pattern of Musculoskeletal Injuries Among Malaysian Hockey League Players

Manaf H, Justine M, Hassan N

Malays Orthop J, 2021 Mar;15(1):21-26.

PMID: 33880144 DOI: 10.5704/MOJ.2103.004

Introduction: Hockey is a team sport that involves running, sprinting, and making sudden changes in directions of movement to control a ball against the opposing team. Therefore, due to its nature of fast movement, hockey players may be at risk of various musculoskeletal injuries. This study aimed to identify the prevalence and pattern of musculoskeletal injuries sustained among Malaysian Hockey League players.

Materials and Method: Data were collected from 84 field hockey players that participated in the Malaysian Hockey League competition from June 2016 until December 2016. All injuries were recorded by the participating medical team using a structured questionnaire. A descriptive statistical analysis and Chi-Square test were used to explore the prevalence of the injury.

Result: More than half of the players were reported to have lower limb injuries (51.6%). Sprain and strain were the most prevalent injuries (63%) and mostly affected the ankle (29%). Male players sustained more injuries (50.8%) compared to female players (49.2%).

Conclusion: This study suggests that a guideline is needed for injury prevention strategies that will benefit the hockey players in preventing injuries.

Matched MeSH terms: Female

Fulltext Fall awareness behaviour and its associated factors among community dwelling older adults

Goh JW, Singh DKA, Mesbah N, Hanafi AAM, Azwan AF

BMC Geriatr, 2021 04 06;21(1):226.

PMID: 33823808 DOI: 10.1186/s12877-021-02122-z

BACKGROUND: Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors among Malaysian community dwelling older adults.

METHODS: A total of 144 community dwelling older adults (mean age of 70.69 ± 4.3 years) participated in this study. Physical performance were assessed using timed up and go (TUG), gait speed (GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviour and fall prevention knowledge respectively.

RESULTS: Stepwise linear regression analysis showed that the practice of fall awareness behaviour (R2 = 0.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p

Matched MeSH terms: Female

Fulltext A dual genetic alteration (mitochondrial and nuclear DNA): first case in Malaysia detected in glioblastoma multiforme

Abdul Aziz Mohamed Yusoff, Wan Salihah Wan Abdullah, Alarmelu Nithya Ramanathan, Jafri Malin Abdullah, Zamzuri Idris

Malaysian Journal of Medicine and Health Sciences, 2020;16(2):332-335.

MyJurnal

Although the precise etiology of Glioblastoma multiforme (GBM, WHO grade IV) remains unknown, its progression
is believed to be driven by the accumulation of multiple genetic alterations. Here, we report a case of a patient who
developed GBM, and associated with dual alterations, particularly 4977-bp deletion in mtDNA (mtDNA4977) and
p.Arg132His (R132H) mutation in IDH1. A 35-year old Malaysian woman patient who primary diagnosed with astrocytoma WHO grade I and subsequently after four years developed a GBM, was detected with a mtDNA4977. This
deletion appears to be a sporadic mutation. Additionally, analysis of patient’s tumor tissue also found to harbor a heterozygous IDH1 R132H mutation. This represents the first case report of coexisting mtDNA4977 together with IDH1
R132H mutation in a Malaysian patient of GBM. The findings of dual alterations could be of therapeutic benefit if
these alterations were justified to be contributing to GBM growth and aggressiveness.

Matched MeSH terms: Female

Parental Experiences While Waiting For Children Undergoing Surgery in Singapore

Hui WJ, Pikkarainen M, Nah SA, Nah SNJ, Pölkki T, Wang W, et al.

J Pediatr Nurs, 2020 01 24;52:e42-e50.

PMID: 31983480 DOI: 10.1016/j.pedn.2020.01.004

PURPOSE: To explore the experiences and needs of parents while waiting for their children undergoing surgery.

DESIGNS AND METHODS: A descriptive qualitative study was conducted. A purposive sample of 11 parents who went through their first waiting experiences during their children's surgeries in a Singapore public hospital was recruited. Children younger than or equal to 16 years of age were included. A semi-structured interview guide facilitated the individual face-to-face interviews. Thematic analysis was used.

RESULTS: Four themes were identified: "Care and care provision affecting waiting experiences", "Parental concerns and surgery affecting waiting experiences", "Coping strategies used during waiting periods" and "Recommendations to improve waiting experiences". Pre-operative instructions, the professionalism of medical teams, and a lack of timely updates affected parental experiences. Parents expressed their worries. The complexities and types of surgery influenced how they felt. Their concerns included potential complications, surgical outcomes, anesthesia-related side effects, and post-operative care including pain. They spent their waiting times eating, resting, using their smart devices, and coping with a support system. Environmental improvements, more updates, and mobile applications were recommended by the participants.

CONCLUSION: For a parent, the wait during his/her child's surgery can be unsettling. Our results give insights into parental waiting experiences and needs during their children's surgeries.

PRACTICE IMPLICATIONS: These findings can guide the improvement of the current practise based on our evidence or the implementation of newer technology to provide better waiting experiences for parents during their children's surgeries and to enhance the quality of clients' experiences in the hospital.

Matched MeSH terms: Female

Biliary cystadenoma: A rare occurrence

Peh KH, Eugene Chan BT

Med J Malaysia, 2020 05;75(3):307-308.

PMID: 32467552

Biliary cystadenoma is a rare benign tumour with the potential to transform into malignant carcinoma of the biliary ductal system. There is difficulty in differentiating a benign one from a malignant biliary cystadenoma, and therefore these lesions should always be completely resected. We report a case of biliary cystadenoma which underwent a complete resection.

Matched MeSH terms: Female

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