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Aspiration Avoiding Tracheostomy in Neonatal Cystic Oral Lesion

Nasir MSNM, Ishak MN, Abd Wahid FH, Asif JA, Mohamad I

Medeni Med J, 2019;34(4):400-403.
PMID: 32821468 DOI: 10.5222/MMJ.2019.44977

Oral cyst is uncommon in the neonatal period. Depending on the size and site of occurrence, its symptoms may vary. If not diagnosed and managed expeditiously, these oral cysts may cause significant and potentially fatal morbidity and mortality. We report a successfully managed case of oral cyst in neonate that presented with huge tongue at birth and complaints of impending airway obstruction. She was referred for tracheostomy as intubation was impossible. We attempted needle aspiration and the airway successfully relieved without the need for tracheostomy.

Matched MeSH terms: Female
Fulltext Focus in your study and don't worry": exploring the roles of student mother in higher education institution in Malaysia

Siti Norzaimalina Abd Majid

Malaysian Journal of Social Sciences and Humanities, 2019;4(8):20-28.
MyJurnal

The role of a mother alone is very challenging. With an additional role as a student or a worker add more burden to them. It is undeniable that Malaysian women in the 21st century has more roles than women in the pre-independent era. Nowadays, women have equal opportunities to work and pursue higher education like men. The need to provide quality life to the children has also encouraged women to contribute more in the family income. Despite the multiple roles play by women, the household tasks are still managed by them. For this phenomenological research, in-depth interviews were conducted with two participants who studied in public university in Malaysia. By using thematic analysis, four themes were emerged from this study. The themes were challenges, role management, assistance/support and coping strategies. In this study, the major challenge was to balance the role of mother and student. But whatever challenges they faced; family was their priority. Furthermore, spousal support also helped the mothers in managing their multiple roles. From the findings, it is hoped that it gives some insights on the type of support that student mother needs and ways of coping in challenging situation.

Matched MeSH terms: Female
A myopathy associated with protozoan schizonts in chickens in commercial farms in peninsular Malaysia

Opitz HM, Jakob HJ, Wiensenhuetter E, Devi VV

Avian Pathol, 1982;11(3):527-34.
PMID: 18770216

A myopathy associated with elongated intramuscular protozoan schizonts of uncertain classification was observed in chickens in commercial farms. Of 152 affected fowls originating from 21 flocks in 12 farms, 149 were 24 weeks of age or older and 136 were broiler breeder birds. Both sexes were affected. The disease was only observed during the months of October, November and December, 1976 and 1977. The monthly mortality rate in affected adult flocks rose by 0.5% to 4% and the egg production declined by 5% to 15% during this period. Most affected birds were in good body condition or overweight. Gross lesions were usually present in all skeletal muscles and the cardiac muscle. They resembled nutritional myopathy, sarcosporidiosis, leucocytozoonosis or haemorrhagic syndrome. Microscopically visible elongated schizonts were demonstrated in skeletal muscles and the cardiac muscle in 49 of 55 birds examined histologically. The possible aetiology with respect to known parasites of muscles in fowls is discussed.

Matched MeSH terms: Female
Quantitative comparisons of lung structure of adult domestic fowl and red jungle fowl, with reference to broiler ascites

Vidyadaran MK, King AS, Kassim H

Avian Pathol, 1990 Jan;19(1):51-8.
PMID: 18679913

A stereological comparison has been made of the structure of the lungs of the adult female domestic fowl and its wild progenitor the Red Jungle Fowl. The volume of the lung per unit body weight of the domestic bird is between 20 and 33% smaller than that of the wild bird. The domestic fowl has partly compensated for this by increasing the surface area for gas exchange per unit volume of exchange tissue. However, the blood-gas tissue barrier is about 28% thicker in the domestic fowl than in the Red Jungle Fowl, and this has led to a 25% lower anatomical diffusing capacity for oxygen of the blood-gas tissue barrier per unit body weight in the domestic fowl. These structural characteristics may make the modern domestic fowl vulnerable to stress factors such as altitude, cold, heat or air pollution by predisposing to hypoxaemia and perhaps thence to ascites.

Matched MeSH terms: Female
The carrying angle: racial differences and relevance to inter-epicondylar distance of the humerus

Allouh MZ, Abu Ghaida JH, Jarrar AA, Khasawneh RR, Mustafa AG, Bashaireh KM

Folia Morphol (Warsz), 2016 02 26;75(3):388-392.
PMID: 26916201 DOI: 10.5603/FM.a2016.0007

The human carrying angle (CA) is a measure of the lateral deflection of the forearm from the arm. The importance of this angle emerges from its functional and clinical relevance. Previous studies have correlated this angle with different parameters including age, gender, and handedness. However, no reports have focused on race-dependent variations in CA or its relation to various components of the elbow joint. This study aimed to investigate the variations in CA with respect to race and inter-epicondylar distance (IED) of the humerus. The study included 457 Jordanian and 345 Malaysian volunteers with an age range of 18-21 years. All participants were right-hand dominant with no previous medical history in their upper limbs. Both CA and IED were measured by well-trained medical practitioners according to a well-established protocol. Regardless of race, CA was greater on the dominant side and in females. Furthermore, CA was significantly greater in Malaysian males compared to Jordanian males, and significantly smaller in Malaysian females compared to their Jordanian counterparts. Finally, CA significantly decreased with increasing IED in both races. This study supports effects of gender and handedness on the CA independent of race. However, CA also varies with race, and this variation is independent of age, gender, and handedness. The evaluation also revealed an inverse relationship between CA and IED. These findings indicate that multiple factors including race and IED should be considered during the examination and management of elbow fractures and epicondylar diseases.

Matched MeSH terms: Female
Fulltext Attitudes Toward Patient Safety among Medical Students in Malaysia

Nadarajan SP, Karuthan SR, Rajasingam J, Chinna K

Int J Environ Res Public Health, 2020 10 22;17(21).
PMID: 33105745 DOI: 10.3390/ijerph17217721

The biggest challenge in moving toward a safer healthcare system is patient safety culture-that is, the prevention of harm to patients. Safe medical practices can prevent doing harm to the patients. For this, healthcare professionals must have good attitudes toward patient safety. Medical education plays an important role in promoting patient safety and patient safety attitudes. A study was conducted among medical students in Malaysia to assess their perceptions toward patient safety, using the 26-items Attitudes Toward Patient Safety Questionnaire (APSQ-III). In the analysis, the average percentage of positive responses (APPR) were computed for each domain, and APPR values of ≥75 were used as an indicator of positive perception. Out of the nine domains of APSQ, the students' attitude was positive in six-Safety Training (85.2%), Error Reporting (76.3%), Working Hours (89.5%), Error Inevitability (86.1%), Team Functioning (94.6%), and Patient Involvement (80.1%). The desired level of positive attitude was not met in Disclosure Responsibility (68.5%), Professional Incompetence (70.0%), and Safety Curriculum (71.1%). APRR for disclosure responsibility was high among the first-year students, but, generally, the effect wore off over the years of study. The results support the need to enhance perception on Disclosure Responsibility, Professional Incompetence, and Safety Curriculum among the medical students in Malaysia.

Matched MeSH terms: Female
How Common Is Medial and Lateral Shoulder Discordance in Lenke 1 and 2 Curves?: A Preoperative Analysis of Medial and Lateral Shoulder Balance Among 151 Lenke 1 and 2 Adolescent Idiopathic Scoliosis Patients

Chung WH, Chiu CK, Ng SJ, Goh SH, Chan CYW, Kwan MK

Spine (Phila Pa 1976), 2019 Apr 15;44(8):E480-E486.
PMID: 30299417 DOI: 10.1097/BRS.0000000000002890

STUDY DESIGN: Retrospective study of prospectively collected data.
OBJECTIVE: To analyze the incidence and the patterns of medial and lateral shoulder discordance among Lenke 1 and 2 patients.
SUMMARY OF BACKGROUND DATA: Postoperative shoulder imbalance (PSI) is still common in Lenke 1 and 2 adolescent idiopathic scoliosis (AIS). This could be due to presence of medial dan lateral shoulder discordance.
METHODS: One hundred fifty-one Lenke 1 and 2 AIS patients were recruited. Lenke 1 curves were subclassified into Lenke 1-ve (flexible) (proximal thoracic side bending [PTSB] Cobb angle <15°) and 1+ve curves (stiff) (PTSB Cobb angle between 15° and 24.9°). T1 tilt represented "medial shoulder balance" and radiological shoulder height (RSH) represented "lateral shoulder balance." We categorized patients into three concordant shoulder pattern types (medial balanced/lateral balanced [MBLB], medial imbalanced+ve/lateral imbalanced+ve (MI+ve/LI+ve), medial imbalanced-ve/lateral Imbalanced-ve (MI-ve/LI-ve), and six discordant shoulder pattern types.
RESULTS: The mean age was 16.2 ± 5.7 years. Eighty-one patients (53.6%) had concordant pattern and 70 patients (46.4%) had discordant pattern. Lateral shoulder imbalance was noted in 35.1% of patients and medial shoulder imbalance in 43.7% of patients. In Lenke 1-ve curves, 35 patients (68.6%) had concordant shoulder imbalance with medial imbalanced-ve/lateral imbalanced-ve (MI-ve/LI-ve) being the commonest pattern (68.6%). In Lenke 1+ve curves, 33 patients (55.0%) had concordant shoulder pattern with medial balanced/lateral balanced (MB/LB) being the commonest type (57.6%). In Lenke 2 AIS, 27 patients (67.5%) had discordant pattern with medial imbalanced+ve/lateral balanced (MI+ve/LB) being the commonest pattern (44.4%) (P value = 0.002).
CONCLUSION: 46.4% Lenke 1 and 2 AIS patients had shoulder discordant pattern. This was more prevalent in Lenke 2 curves (67.5%). In Lenke 1-ve (flexible) curves, MI-ve/LI-ve pattern was the commonest pattern. In Lenke 1+ve curves (stiff), there were almost equal number of concordant and discordant shoulder pattern. In Lenke 2 patients, the most common pattern was MI+ve/LB.
LEVEL OF EVIDENCE: 4.

Matched MeSH terms: Female
Fulltext The reliability and validity of the Malay version 17-item Diabetes Distress Scale

Chew BH, Mukhtar F, Mohd Sidik S, Paimin F, Hassan NH, Jamaludin NK

Malays Fam Physician, 2015;10(2):22-35.
PMID: 27099658 MyJurnal

INTRODUCTION: Diabetes-related distress (DRD) refers to patient's concerns about diabetes mellitus, its management, need of support, emotional burden and access to healthcare. The aim of this study was to translate and examine the psychometric properties of the Malay version of the 17-item Diabetes Distress Scale (MDDS-17) in adult patients with type 2 diabetes mellitus (T2D).
METHODS: A standard procedure was used to translate the English 17-items Diabetes Distress Scale into Malay language. We used exploratory factor analysis (EFA) with principal axis factoring and promax rotation to investigate the factor structure. We explored reliability by internal consistency and 1-month test-retest reliability. Construct validity was examined using the World Health Organization quality of life-brief questionnaire, Morisky Medication Adherence Scale, Patient Health Questionnaire and disease-related clinical variables.
RESULTS: A total of 262 patients were included in the analysis with a response rate of 96.7%. A total of 66 patients completed the test-retest after 1 month. EFA supported a three-factor model resulting from the combination of the regimen distress (RD) and interpersonal distress (IPD) subscales; and with a swapping of an item between emotional burden (EB; item 7) and RD (item 3) subscales. Cronbach's α for MDDS-17 was 0.94, the combined RD and IPD subscale was 0.925, the EB subscale was 0.855 and the physician-related distress was 0.823. The test- retest reliability's correlation coefficient was r = 0.29 (n = 66; p = 0.009). There was a significant association between the mean MDDS-17 item score categories (<3 vs ≥3) and HbA1c categories (<7.0% vs ≥7.0%), and medication adherence (medium and high vs ≥low). The instrument discriminated between those having diabetes-related complication, low quality of life, poor medication adherence and depression.
CONCLUSION: The MDDS-17 has satisfactory psychometric properties. It can be used to map diabetes-related emotional distress for diagnostic or clinical use.

Matched MeSH terms: Female
Fulltext Review of the prevalence of postnatal depression across cultures

Arifin SRM, Cheyne H, Maxwell M

AIMS Public Health, 2018;5(3):260-295.
PMID: 30280116 DOI: 10.3934/publichealth.2018.3.260

The purpose of this review was to examine articles related to recent epidemiological evidence of the prevalence of maternal postnatal depression (PND) across different countries and cultures and to identify specific epidemiological studies that have been carried out exclusively in Malaysia on the prevalence of maternal PND. The review was undertaken in two stages, an initial review and an updated review. At both stages systematic literature searches of online databases were performed to identify articles on the prevalence of maternal PND. A total of 124 articles concerning research conducted in more than 50 countries were included in the final analysis. There were wide variations in the screening instruments and diagnostic tools used although the Edinburgh Postnatal Depression Scale (EPDS) was the most common instrument applied to identify PND. The prevalence of maternal PND ranged from 4.0% to 63.9%, with Japan and America recording the lowest and highest rates, respectively. Within continents, a wide variation in reported prevalence was also found. The reported rates of maternal PND in Malaysia were much higher than that previously documented with a range of 6.8-27.3%. This review indicated that the widely cited prevalence of maternal PND of 10-15% underestimates rates of PND worldwide. The reasons for this variability may not be fully explained by review methods. Future studies should evaluate the nature of women's PND experiences across cultures to explain these wide variations.

Matched MeSH terms: Female
Fulltext Whole-Genome Shotgun Sequence of Streptococcus agalactiae Sequence Type 176 Strain 3966RFQB from a Dairy Herd in Selangor, Malaysia

Bashir A, Zunita Z, Jesse FFA, Ramanoon SZ

Microbiol Resour Announc, 2019 Feb;8(6).
PMID: 30746526 DOI: 10.1128/MRA.01618-18

Streptococcus agalactiae, commonly known as group B streptococcus (GBS), is among the most implicated pathogens in bovine mastitis worldwide. Proper control measures can curb both economic and public health effects it may cause. Here, we report the sequenced genome of S. agalactiae sequence type 167 (ST167) strain 3966RFQB obtained from a bovine mastitis case at a dairy herd in Banting, Selangor, Malaysia (longitude 2.8121°N, latitude 101.5026°E).

Matched MeSH terms: Female
Fulltext Interrogating the Whole-Genome Shotgun Sequence of Escherichia coli Sequence Type 127 Strain 1538RHQ, Which Harbors Virulent Antigenic Factors, Isolated from a Mastitic Cow

Bashir A, Zunita Z, Jesse FFA, Ramanoon SZ, Mohd-Azmi ML

Microbiol Resour Announc, 2019 Nov 27;8(48).
PMID: 31776215 DOI: 10.1128/MRA.01057-19

We report the whole-genome sequence of Escherichia coli sequence type 127 (ST127) strain 1538RHQ, recovered from a mastitic cow in a dairy herd in Selangor, Malaysia. The objective of this study was to identify the antigenic and virulence properties that can be used as suitable targets for vaccine development against bovine mastitis.

Matched MeSH terms: Female
Normative nasalance scores for the Malay language

Ibrahim HM, Reilly S, Kilpatrick N

Cleft Palate Craniofac J, 2012 Sep;49(5):e61-3.
PMID: 21787239 DOI: 10.1597/11-001

To establish normative nasalance scores for a set of newly developed stimuli in Malay.

Matched MeSH terms: Female
Ingested pins - A potential hazard for hijabis: A case report

Siti Soraya AR

Med J Malaysia, 2020 01;75(1):78-79.
PMID: 32008026

Accidental swallowing of objects commonly occurs among children and most of the objects pass through the gastrointestinal tract and out with the stool without any complications. However, recent reports have shown that there is an increasing occurrence of accidental ingestion of hijab pins among young hijab-wearing Muslim women or "hijabi". We highlight one such case, in which a young lady accidentally swallowed a pin that she was holding between her lips while she was styling her hijab. The pin was not successfully retrieved via endoscopy but was fortunately excreted spontaneously without any serious complications.

Matched MeSH terms: Female
Ornament size and colour as alternative strategies for effective communication in gliding lizards

Klomp DA, Ord TJ, Das I, Diesmos A, Ahmad N, Stuart-Fox D

J Evol Biol, 2016 Sep;29(9):1689-700.
PMID: 27234454 DOI: 10.1111/jeb.12908

Sexual ornamentation needs to be conspicuous to be effective in attracting potential mates and defending territories and indeed, a multitude of ways exists to achieve this. Two principal mechanisms for increasing conspicuousness are to increase the ornament's colour or brightness contrast against the background and to increase the size of the ornament. We assessed the relationship between the colour and size of the dewlap, a large extendible throat-fan, across a range of species of gliding lizards (Agamidae; genus Draco) from Malaysia and the Philippines. We found a negative relationship across species between colour contrast against the background and dewlap size in males, but not in females, suggesting that males of different species use increasing colour contrast and dewlap size as alternative strategies for effective communication. Male dewlap size also increases with increasing sexual size dimorphism, and dewlap colour and brightness contrast increase with increasing sexual dichromatism in colour and brightness, respectively, suggesting that sexual selection may act on both dewlap size and colour. We further found evidence that relative predation intensity, as measured from predator attacks on models placed in the field, may play a role in the choice of strategy (high chromatic contrast or large dewlap area) a species employs. More broadly, these results highlight that each component in a signal (such as colour or size) may be influenced by different selection pressures and that by assessing components individually, we can gain a greater understanding of the evolution of signal diversity.

Matched MeSH terms: Female
Fulltext How the three arches of the foot intercorrelate

Gwani AS, Asari MA, Mohd Ismail ZI

Folia Morphol (Warsz), 2017;76(4):682-688.
PMID: 28553850 DOI: 10.5603/FM.a2017.0049

BACKGROUND: The foot is composed of medial, lateral and transverse arches which, particularly the medial arch, provide it with the ability to function both as a flexible and rigid structure for proper locomotion. Arches of the foot, as well as their effect on lower extremity function, have been studied. However, quantitative data on the relationship between these arches still remain scanty. The purpose of this study was, therefore, to examine how the three arches of the foot intercorrelate.
MATERIALS AND METHODS: Seventy-six participants (58 males, 18 females) were recruited to participate in the study. Bilateral weight-bearing lateral radiographs of the right foot were taken from each participant. Navicular heights (NH), medial cuneiform height (MCH), calcaneal inclination angle (CIA) and calcaneal-first metatarsal angle (C1MA) were measured to represent the medial arch. The lateral arch was represented by cuboid height (CH) and calcaneal-fifth metatarsal angle (C5MA) whereas; MCH and CH represented the transverse arch. Mean difference of variables between males and females was compared using independent t-test while the correlation between the variables was determined using Pearson correlation.
RESULTS: All the variables were not significantly related to gender. Significant moderate to excellent linear correlations were observed between the variables. CIA showed the strongest correlation with C1MA (r = -0.90) and C5MA (r = -0.84) whereas, CH had the least correlation with other variables.
CONCLUSIONS: The moderate to excellent correlations between the variables indicate that deformation or elevation of the medial arch may consequently result in similar movements of the lateral and transverse arches and vice versa.

Matched MeSH terms: Female
Fulltext Pathway of continuous professional development among physiotherapists: a qualitative study

Marzzatul Farhana Maslan, Ayiesah Ramli

Pertanika Journal of Science & Technology, 2015;23(2):271-285.
MyJurnal

Continuous professional development (CPD) has gained prominence in the last decade to meet improved self-development and health care services among health professionals. Being practitioners serving clients in health care, therefore, necessitates the importance of the physiotherapist’s participation in activities of CPD. This paper aims to identify how physiotherapists view CPD, barriers to its progress and its impact on healthcare practice. This is a qualitative study with one-to-one interview sessions involving open-ended questions to facilitate free flow of idea that are rich with information. Twentytwo physiotherapist (17 females and 5 males) participated. Four main themes were generated following analysis: (i) comprehension of what is CPD (ii) outcome of CPD (iii) barriers to undertaking CPD and (iv) strategies to improve participation in CPD. Further sub-themes were generated from the themes suggestive of physiotherapists’ awareness and concerns related to CPD activities and problems encountered when embarking on CPD participation. In conclusion, physiotherapists should recognise the importance of participation in CPD activities either for self-development or to provide effective health care services. The main barrier to CPD activities that was identified was a support system that facilitates enhancement in such activities. This has major implication such as mandatory participation in CPD among staff and for managers to ensure that an effective mechanism is in place such as funding, schedule events and moral support.

Matched MeSH terms: Female
Fulltext Primary thyroid lymphoma: A rare malignancy in the head and neck

Mohd Shaiful Nizam Mamat Nasir, Bathma Dhevi Susibalan, Muhammad Nasri Abu Bakar, Suhaimi Yusof, Arfahiza Selimin, Kahairi Abdullah, et al.

Archives of Orofacial Sciences, 2018;13(2):1-4.
MyJurnal

Primary thyroid lymphoma is a relatively uncommon pathology of the thyroid gland that mainly occurs in elderly females. We describe a rare case of B-cell thyroid lymphoma in a young healthy male. It is an important diagnosis to be considered in patients presenting with a rapidly enlarging neck mass as its management is different from other differentiated thyroid carcinoma which require total thyroidectomy plus adjuvant radioactive iodine ablation. Our report emphasizes the need for clinical awareness leading to early detection, followed by early multidisciplinary management.

Matched MeSH terms: Female
Data on the relationship of emotional intelligence and stages of change among Malaysian prison inmates

Ahmed Tharbe IH, Kamaruddin MKA, Sumari M, Chong IM

Data Brief, 2021 Apr;35:106804.
PMID: 33604426 DOI: 10.1016/j.dib.2021.106804

The data presented in this article examine the relationship between the subcomponents of emotional intelligence (emotional perception and expression, emotional facilitation of thinking, emotional understanding and emotional management) and the stages of change (pre-contemplation, contemplation, action and maintenance). The final data were obtained from 429 Malaysian inmates (374 male and 55 female) recruited from eight Malaysian prisons in four different zones. The two instruments used were the Self-Rated Malaysian Emotional Intelligence Scale (SRMEIS) and the University Rhodes Island Change Assessment Scale (URICA). Both instruments underwent expert validation through construct and test-retest validity. The researcher randomly distributed a total of 550 questionnaires, of which 429 were accepted and 121 were rejected due to missing data and outliers, resulting in 78% of participants providing data that could be used in the analyses. All participants were informed of the confidentiality of their data, and their participation was voluntary. SPSS and Excel files are provided as supplementary material.

Matched MeSH terms: Female
Surgical management of a rare case of inverted intranasal mesiodens

Mathew M, Sasikumar P, Vivek VJ, Kala R

BMJ Case Rep, 2020 Oct 30;13(10).
PMID: 33127709 DOI: 10.1136/bcr-2020-237982
Matched MeSH terms: Female
Cavernous hemangioma arising from the gastro-splenic ligament: a case report

Chin KF, Khair G, Babu PS, Morgan DR

World J Gastroenterol, 2009 Aug 14;15(30):3831-3.
PMID: 19673030

We present a rare case of a 45-year-old woman who presented with epigastric pain associated with early satiety and weight loss. Imaging revealed a large intra-abdominal mass in the epigastrium. Despite intensive investigations, including ultrasound scanning, computed tomography, upper gastrointestinal endoscopy, and percutaneous biopsy, a diagnosis could not be obtained. A histological diagnosis of cavernous hemangioma arising from the gastro-splenic ligament was confirmed after laparoscopic excision and histological examination of the intra-abdominal epigastric mass.

Matched MeSH terms: Female

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