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  1. Fulltext Variants of Monteggia Type Injury: Case Reports
    Kamudin N, Firdouse M, Han CS, M Yusof A
    Malays Orthop J, 2015 Mar;9(1):23-27.
    PMID: 28435591 MyJurnal DOI: 10.5704/MOJ.1503.001
    BACKGROUND: Monteggia fracture-dislocation is rare in children. Various reports attest to its rarity, while recording the many variant of this injury. It is, therefore, easy to miss the diagnosis in the absence of proper clinical examination and radiographs.

    CASE REPORT: This report highlights two rare variants of Monteggia fracture-dislocation seen in children. The first case was a 12-year old girl alleged to have fallen from a 15- feet tall tree and sustaining a combined type III Monteggia injury with ipsilateral Type II Salter-Harris injury of distal end radius with a metaphyseal fracture of the distal third of the ulna. The second case was a 13-year old who had sustained a closed fracture of atypical Type I Monteggia hybrid lesion, in a road traffic accident.

    CONCLUSION: This report highlights the rare variants of Monteggia fracture dislocation which could have been missed without proper clinical examinations and radiographs.

    Matched MeSH terms: Female
  2. Fulltext Anxiety and Depressive Symptoms among Communities in the East Coast of Peninsular Malaysia: A Rural Exploration
    Wong, S.Y., Lua, P.L.
    Malaysian Journal of Psychiatry, 2011;20(1):1-13.
    MyJurnal
    Objective: This study intended to determine the prevalence of anxiety and depressive symptoms and to compare their severities among rural residents based on their socio-demographic variables. Methods: A cross sectional study was conducted among 520 residents in East Coast Peninsular Malaysia who completed the Malay Hospital Anxiety and Depression Scale (HADS). Data were analyzed with SPSS 17.0, whereby descriptive statistics and nonparametric tests were utilised for scores comparison. Results: The prevalence of mild anxiety and depressive symptoms was at 12.90% and 11.30% respectively. Statistically significant associations between gender and monthly income with anxiety and depressive symptoms were observed (p < 0.01). Conclusion: Findings in our study indicated that the prevalence of anxiety and depressive symptoms among rural residents was low. Nevertheless, females and those with higher education (> PMR) background were comparatively more prone to these mood disorders. Healthcare professionals should be constantly alerted to these tendencies in the process of providing medical services especially in rural areas.
    Matched MeSH terms: Female
  3. Fulltext Masked rhinolith: The significance of unilateral symptom
    Mohamad I, Arul Arumugam P
    Malays Fam Physician, 2013;8(1):42-4.
    PMID: 25606268 MyJurnal
    This is a case report of an 11-year old child who was suffering from rhinorrhoea for five years. As there was no history of foreign body insertion into the nose, the diagnosis of a nasal problem was not suspected. Furthermore, the initial presentation of unilateral rhinorrhoea (nasal discharge) masked the suspicion of other pathologies. The child was treated for allergic rhinitis until she presented herself to our attention whereby a rhinoscopy was performed, showing a rhinolith.
    Matched MeSH terms: Female
  4. Fulltext Dissociative identity disorder: an attempt to understand the disorder in Malaysian context
    Jambunathan, Stephen T., Gill, Jesjeet Singh, Kanagasundram, Sharmilla, Koh, Ong Hui
    ASEAN Journal of Psychiatry, 2008;9(2):118-125.
    MyJurnal
    Dissociation, including multiple personality disorder, has long been a controversial topic. Patients with suggestive symptoms are often misdiagnosed as malingering or even having
    schizophrenia. The former as a result of the overlooking of a clinician on the fact that suggestibility itself plays a key role in the emergence and perpetuation of this illness and the latter due to the lack of knowledge of the whole dissociative disorder spectrum, often resembling that of a psychotic disorder. Another contributing factor to the small number of patients with this diagnosis is due to the reluctance of a psychiatrist to do so because of his/her lack of experience and also fear of humiliation of being accused of seeking fame from diagnosing this somewhat glamorous phenomenon. In Malaysia, various culture bound syndromes often present with similar symptoms too. This article will attempt to understand this dissociation on the local context using case studies as a reference point.
    Matched MeSH terms: Female
  5. Fulltext Spectroscopic studies of cow femurs and Porites species coral from Sabah
    Fadhlia Zafarina Zakaria, Fauziah Abdul Aziz, Thevarajah, Nahulan
    Journal of Nuclear and Related Technologies, 2007;2007(1):181-184.
    MyJurnal
    Some cortical bone specimens from the femurs of adult cows and sea coral of Porites species were studied by using Fourier Transform Infrared Spectroscopy, FTIR. Carbonate were shown to be present by indication of C-O stretch found between 1510-1410 cm -1 in both cortical bone and Porites. Based on the comparison of the relative intensity of CO3 2- bands with respect to the PO4 3- bands, peak intensity of Porites was found to be higher than peak intensity of cortical bone at carbonate band. This explains that Porites skeleton is made up of CaCO3 while bone consists of a mineral, hydroxyapatite Ca5(PO4)3OH with the present of carbonate ions, typically from 3 to 7 wt%.
    Matched MeSH terms: Female
  6. Fulltext What health management topic frequently appeared in the New England Medical Journal (NEMI)? : a systemic review
    Khalib, A.L., Nirmalini, R.
    Malaysian Journal of Community Health, 2008;14(2):31-35.
    MyJurnal
    Introduction : It is no doubt that the success of any health organization depends so closely on its managerial functions. To achieve this, the leader or manager as the core strategist of its organization must in all time be updated with the latest evidence-based information so that he or she can be easily operationalized his or her management function in more effective and sustainable manners. It depends largely on scientific literatures that published relevant articles within this scope. Unfortunately, management topics related to health care system is scattered published and this has indirectly affect manager to access the latest scientific documents.
    Methods : We examined the practice of well known international journal in health care namely New England Medical Journal (NEMJ) on its role in propagating latest health management topics to its prospective clients.
    Results : The result showed that a total of 31% health management topics were published throughout 2007 out of 1140 articles appeared. Of these, about 33% were confined to general health administration. The remaining articles were related to healthcare delivery practices (24%), medical ethics and legal matters (17% each), and manpower issues and training (9%).
    Conclusion : Focus on managerial related articles relatively low as compared to clinical and other evidence-based medicine that clearly dominated health management issues.
    Matched MeSH terms: Female
  7. Fulltext Relationship Between Breast-feeding & Bottle-feeding To Craniofacial & Dental Development
    Radzi, Z., Yahya, N.A.
    Ann Dent, 2005;12(1):-.
    MyJurnal
    Breast-feeding offers many benefits to the baby and the mother. For instance, breast milk provides the right balance of nutrients to help an infant grow into a strong and healthy toddler. Even though breastfeeding is a natural process, it is not always easy. In certain situations, some mothers are unable to breastfeed their babies or the babies are unable to adapt to breastfeeding. This will lead to the use of bottle-feeding. The effect of breast-feeding and bottle-feeding on physical growth has been well established but less has been concentrated on the craniofacial growth and dental development. This review reveals the effects of breast-feeding and bottle-feeding on craniofacial growth and dentoalveolar development based on the available literature.
    Matched MeSH terms: Female
  8. Fulltext A Review of 80 Supernumerary Teeth Removed Under General Anaesthesia
    Ngeow, W.C., Anuar, A.M.
    Ann Dent, 2004;11(1):-.
    MyJurnal
    A retrospective study was carried out to review the records of 47 patients who had had in total 80 supernumerary teeth (ST) removed under general anaesthesia between 1975 and 2002. Malays made up 38.30%, Chinese 51.06%, and Indians 10.64% of the patients. The predominant age group was 6-10 year-old. The mean age was 12.96 ± 9.49 years. The male and female ratio was 1.35:1. Most of the patients had either one ST (n=31; 65.96%) or two ST (n=11; 23.40%). Five cases of multiple supernumeraries were recorded. Two patients experienced late formation of subsequent ST after the first surgery, thus requiring a second surgery. The majority of ST were conical in shape (n=35; 43.75%). Most of the ST were located in the premaxilla (n=55; 68.8%). Almost a quarter (23.75%) of ST were inclined towards the oral cavity. Some of the effects on the dentition were diastema, cystic changes, rotation, displacement, and retention of the permanent teeth and these were the indications for removal of ST. The most common surgical approach for maxillary ST was from the labial, buccal or labio-buccal approach.
    Matched MeSH terms: Female
  9. Fulltext An abdominal mass: a case of Jekyll and Hyde?
    Gendeh, H.S., Kosai, N.R., Belani, L.K., Taher, M.M., Reynu, R., Ramzisham, A.R.
    Medicine & Health, 2015;10(2):156-158.
    MyJurnal
    Right iliac fossa pain can often be misdiagnosed as something sinister or benevolent despite assistance with state of the art imaging techniques. This is particularly more challenging in the female gender whereby the error of managing a right iliac fossa pain may approach forty percent. A 66-year-old lady, ten years post-menopause, presented with a week history of progressively worsening right iliac fossa pain. Malignancy was suspected with a palpable abdominal mass. Computed tomography was suggestive of an abscess collection, but a needle aspirate produced brown faecal material suggestive of a diverticulitis. An exploratory appendisectomy revealed a non malignant appendicular abscess. In conclusion, when clinical and imaging assessments are inconclusive, an exploratory laparotomy for a surgical excision is warranted primarily if malignancy is suspected.
    Matched MeSH terms: Female
  10. Fulltext Granular cells in a benign parotid gland tumour: an attempt to understand its probable histogenesis
    George, T., Zain, R.B., Abraham, M.T.
    Ann Dent, 2011;18(1):30-35.
    MyJurnal
    Tumours that occur in the oral cavity may contain granular cells as a component of their pathology. A more common granular cell lesion occurring in the head and neck region is the granular cell tumour (GCT) that usually arises in the tongue or the buccal mucosa. Granular cell tumours are very rare in the parotid gland with only 11 cases previously reported in the English literature. We report a case of a benign tumour involving the parotid gland of a young female patient. The case was diagnostically challenging due to the large proportion of granular cells masking the underlying pathology. Histopathological features and immunohistochemical analysis favoured a diagnosis of a benign GCT. The present report provides an insight into the differential diagnosis and attempts to characterise the granular cells with the use of the wellestablished immunohistochemical markers and conventional histopathological techniques.
    Matched MeSH terms: Female
  11. Comparative evaluation of cytotoxic effects of milk from various species on leukemia cell lines
    Asmah Rahmat, Rozita Rosli, Tan, Mui Hoon, Nasir Umar-Tsafe, Abdul Manaf Ali, Mohd Fadzelly Abu Bakar
    Malaysian Journal of Medicine and Health Sciences, 2006;2(1):1-10.
    MyJurnal
    Objective: Previous studies have shown milk to contain cancer inhibitors. In this context, this study was conducted to screen the potential cytotoxic properties of four different types of milk, namely cow's milk, goat's milk, mare's milk and human milk.
    Methods: In evaluating the cytotoxic properties of milk, two different human leukemia cell lines namely, Raji and CEM-SS were used. The treated and untreated cells of milk were cultured at 37°C in 5% CO2 for 5 days according to standard guidelines. The CellTiter 96® Aqueous (MTS) assay was carried out on the first, third and fifth days to measure cell viability. The percentage of cell viability was determined by comparing the optical density of the treated cells against the untreated controls. One-way ANOYA at p
    Matched MeSH terms: Female
  12. A cross-sectional study of childhood injuries in Kedah, Malaysia
    Mohd Riji, H., Sopian, M.J., Pataki-Schweizer, K.J.
    Malaysian Journal of Paediatrics and Child Health, 2000;12(1):60-67.
    MyJurnal
    A community-based study of childhood injuries in Kedah was undertaken in January-March 1996. The aims were to determine the types and frequencies of injuries reported; to assess the association between injury and selected variables (age, sex, place, number of children in the family, presence of care-givers and treatment); and to recommend further research and policy for childhood injury prevention. A total of 448 injuries were recorded from 1089 children in 451 randomly selected households. The incidence was 411.4/1000. There appeared to be a decrease in risk of injury as the number of children per household increased. The effect of lower age on injury was significant (p>0.05). Male children were 1.5 times more likely to injure themselves than female children when data were controlled for number of children in the household. Falls accounted for 53.3% of all injuries sustained, and occurred more frequently when the child was with non-family members. Different injury categories were associated with different caregiver categories. It is concluded that child injury prevention programmes require more data on injury situations and collaborative efforts between clinical, health and and behavioural professionals.
    Matched MeSH terms: Female
  13. Fulltext Post traumatic stress disorder (PTSD) symptoms, coping styles and social support among survivors of the december 26th 2004 Malaysian tsunami disaster
    Subramaniam, Ponnusamy, Shazli Ezzat Ghazali, Mahadevan, Raynuha, Chin, Hak Ying, Sinniah, Aishvarya
    ASEAN Journal of Psychiatry, 2009;10(1):32-42.
    MyJurnal
    Objective: This study examined the symptoms of PTSD among survivors of the December 26th 2004 Malaysian tsunami disaster, as well as differences among sexes in terms of coping styles and availability of social support. Methods: A total of 64 (28 males and 36 females) respondents from several affected districts of Kuala Muda and Langkawi in Kedah and Batu Maung, Pulau Pinang were recruited through purposive sampling. The Detailed Assessment of Posttraumatic Stress (DAPS) was used to measure the posttraumatic stress disorder/symptoms, while the Social Support Questionnaire and Significant Others Scale (Form A) were used to measure the quality and quantity of social support. The COPE Questionnaire was used to measure two coping styles; adaptive and maladaptive coping. Results: Fifty two (81%) respondents did not fulfill the DAPS-PTSD criteria while only 12 (19%) fulfilled the criteria. There was no significant difference between men and women in terms of posttraumatic stresstotal, and the quantity and quality of social support. However, there is a significant difference in adaptive and maladaptive coping styles among victims who fulfill the PTSD diagnosis and those who did not. It was also found that there is no relationship between PTSD symptoms and emotional support, whereas there is a significant
    relationship between PTSD symptoms and practical support. Conclusion: This research showed that only a small number of respondents fulfilled the diagnosis of PTSD following their experience of a disaster. There were no difference between genders in terms of PTSD symptoms and social support. Among victims who fulfill the PTSD diagnosis and those who do not, there is a significant difference in the adaptive and maladaptive coping styles. As for the relationship between PTSD symptoms and social support, there is a significant
    relationship between PTSD symptoms and practical support but not with emotional support.
    Matched MeSH terms: Female
  14. Fulltext 3D immersive environment as a psychological training tool to enhance self-confidence and reduce competitive anxiety for Malaysian volleyball athletes
    Tan M.J., Omar, A.H., Dayang Tiawa Awang Hamid
    Movement Health & Exercise, 2015;4(1):1-14.
    MyJurnal
    Currently, great emphasis is placed on the development and intervention of psychology in sports in order to address the problem of athletes’ failure to achieve peak performance in actual competitions. This problem is primarily due to internal factors, such as anxieties, as well as external factors, such as the high pressure of the competitive environments athletes encounter. In this study, the cognitive anxiety, somatic anxiety and self confidence levels amongst elite and sub-elite Malaysian volleyball players are defined (male sample n = 50; female sample n = 35; age range between 17 to 25 years). These parameters were measured using the Competitive State Anxiety Inventory (CSAI-2), in which the questionnaires were completed by all respondents 30 minutes prior to the start of a competition. The findings indicated that there was a significant difference (p < 0.005) in cognitive anxiety, somatic anxiety and self-confidence among elite and sub-elite Malaysian (male and female) volleyball athletes. According to the findings, the competitive anxiety levels of the sub-elite athletes were higher than the elite, mainly due to the inability of the sub-elite athletes to control their emotions using psychological skills. In order to minimize this problem, a novel approach that involves using virtual reality to reduce the athletes’ competitive anxiety was proposed. This approach utilizes a 3D immersive environment that was developed based on the challenging real-world situations encountered during a volleyball match. The design and development of this approach is predicted to enhance athletes’ psychological skills, and in turn ensure that they can achieve peak performance under high pressure conditions.
    Matched MeSH terms: Female
  15. Fulltext Primary angiitis of the central nervous system with myelopathy as initial clinical presentation
    Cheng, Yin Tan, Lingam, Ganeshwara, Suhailah Abdullah, Ai, Huey Tan, Tai, Sharon Mei-Ling, Norlisah Ramli, et al.
    Neurology Asia, 2015;20(1):79-84.
    MyJurnal
    Primary angiitis of the central nervous system (PACNS) is a rare vasculitis restricted to the central nervous system without systemic involvement. Delay in diagnosis and treatment is common due to its non-specific symptoms and lack of non-invasive diagnostic tests. Myelopathy can occur in PACNS, during the clinical course of the illness, with or without cerebral symptoms. We describe here a 51 year-old ethnic Chinese woman who presented initially with paraparesis without cerebral symptoms. The diagnosis of PACNS was eventually made from brain biopsy when she subsequently developed cerebral involvement. Despite aggressive treatment, the patient developed progressive neurological deterioration and died. This patient demonstrates the rare occurrence of myelopathy as the sole initial presentation of PACNS.
    Matched MeSH terms: Female
  16. Fulltext Dose optimisation of 18f-flurodeoxyglucose for whole body PET oncology examination in CDNI of UPM
    Hishar, H., Salasiah, M., Fathinul Fikri, A. S., Nordin, A. J.
    Pertanika Journal of Science & Technology, 2015;23(2):187-192.
    MyJurnal
    A shift to administration of optimal dose of 18F-FDG between 4 and 5 MBq/kg from the current practice of higher doses potentially yields a reasonable-to-excellent PET image. For this purpose, whole-body MIP images of 32 patients (23 men, 9 women, age 51.9 ± 13.7 years), administered with 18F-FDG (activity 5.3 ± 0.5 MBq/kg, 45 minutes uptake time) for whole-body PET/CT examinations, were evaluated. Image quality was assessed visually by two radiologists using a three-point scoring scale: poor, reasonable and excellent. The interobserver agreement revealed a kappa value higher than 0.7. Therefore, the utilisation of 18F-FDG dose between 4 and 5MBq/kg is considered an optimum dose for whole-body PET/CT examination.
    Matched MeSH terms: Female
  17. Fulltext The feasibility of Index of Orthodontic Treatment Need (IOTN) in labial segment malocclusion among 8-10 years old
    Alizae Marny Mohamed, Wan Fariza Mohd Ariffin, Tanti Irawati Rosli, Alida Mahyuddin
    Archives of Orofacial Sciences, 2014;9(2):76-84.
    MyJurnal
    The purpose of this study was to assess the feasibility of the use of Index of Orthodontic Treatment Need (IOTN) on labial segment malocclusion in determining the need for orthodontic treatment among 8 to 10- year old children. Convenient sample of one hundred and six (106) children (54 boys and 52 girls) were examined extra and intra-orally. Their skeletal and dental discrepancies were assessed in all three dimension planes. Any presence of mandibular displacement was identified. The IOTN score was determined for each child. Respectively it was found that 39.6%, 49.1% and 11.3% of the children presented with skeletal Class I, Class II and Class III malocclusion(p
    Matched MeSH terms: Female
  18. Fulltext Sublingual epidermoid cyst resembling sublingual ranula: a case report
    Nee, Tan Shi, Roszalina Ramli, Athar, Primuharsa Putra Sabir Husin
    Archives of Orofacial Sciences, 2015;10(1):46-51.
    MyJurnal
    Dermoid cysts are anatomic embryonic abnormalities that are rarely seen in the oral cavity. Histologically, they are further classified as epidermoid, dermoid or teratoid. We report a case in which an 18- year-old girl who developed an epidermoid cyst presenting as a large sublingual swelling occupying the entire floor of the mouth causing snoring and speech difficulty. We emphasized on the clinical steps in achieving an accurate diagnosis, possible differential diagnosis, necessary imaging techniques and management of epidermoid cyst.
    Matched MeSH terms: Female
  19. Fulltext A rare case of recurrent orbital solitary fibrous tumour with intracranial extension
    Ainal Adlin N, Umi Kalthum MN, Amizatul Aini S, Reena Rahayu MZ
    Journal of Surgical Academia, 2016;6(1):59-61.
    MyJurnal
    A 47-year-old lady, presented with progressive proptosis of left eye with deterioration of vision. She had a history of left solitary fibrous tumour and had undergone left frontal craniotomy and orbitotomy in 2004. Surveillance Magnetic resonance imaging (MRI) six years later showed tumour recurrence with intracranial extension. However, she did not follow-up and only presented again 3 years, later. Tumour resection and left exenteration was performed. Histology showed ‘patternless’ pattern of neoplastic cells, and CD34 staining was diffusely positive. Diagnosis of recurrent solitary fibrous tumour with intracranial extension was made.
    Matched MeSH terms: Female
  20. Fulltext Inferior canaliculi punctal granuloma of the lacrimal system: a case report
    Nur Aqilah S, Farizal A, Othmaliza O
    Journal of Surgical Academia, 2016;6(1):39-42.
    MyJurnal
    Pyogenic granuloma of the eyes usually occurs after ocular surgery or inflammation related to the eyes, itself. This lesion is commonly related to procedures associated with chalazia, strabismus, or even enucleation. However, the incidence of pyogenic granuloma that arises directly from the lower canaliculi of the nasolacrimal system is rare and not being extensively reported. We report a case of an elderly lady who presented with pyogenic granuloma post EDCR with silicone stenting for left nasolacrimal duct obstruction. She presented with persistent left eye epiphora following procedure. The unusual site for pyogenic granuloma and it occurrence after EDCR raise the possibility that the condition is related to previous procedure and the material being used.
    Matched MeSH terms: Female
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