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  1. Tan, T.Y., Abdul Kadir, A.B.
    MyJurnal
    This article describes a case of Serotonin syndrome (SS), which developed in
    a patient with treatment resistant schizophrenia post-hemi colectomy. Patient
    was a 38-year-old, male with treatment resistant schizophrenia who
    developed septic shock secondary to ischemic sigmoid volvulus, complicated
    with nosocomial pneumonia and surgical site infection post-operation.
    Antipsychotics (haloperidol and amisulpiride) was reinitiated a week postoperation
    when his medical condition was stabilized as patient began to show
    symptoms of psychosis. Haloperidol was later switched to olanzapine as he
    was still agitated and disturbed. Fluvoxamine 50mg was added as he
    displayed hair-pulling behavior. Clopixol accuphase and parental sedation
    with midazolam and phenergen was given as adjunctive management for
    agitation. Several days after, he became more restless. Central nervous
    system examination revealed rigidity, tremors, hyperreflexia and clonus.
    Discontinuation of fluvoxamine and amisulpiride with reduction of
    olanzapine to 20mg ON resulted in full neurologic recovery within the first 24
    hours. It was not well understood how this patient developed serotonin
    syndrome despite him on low dose of fluvoxamine. Clinicians should be
    aware of risk of serotonin syndrome when adding serotonergic agents to
    antipsychotics especially in patients’ post-hemi colectomy.
  2. Bilal Yaseen, Tan Bee Hoon
    MyJurnal
    Language is essential for communication. People who are involved in cross cultural communication have to be bilingual in order to interact with people from a different language background (Blackwell. Woolard, K. (2005). Bilingualism opens up various new pathways of thoughts, expressions, and it helps to reduce misunderstanding in interactions (Hidayat, T. 2012). The purpose of this review is to find out how code-switching plays a vital role in language communication especially in the social media such as Facebook, Twitter, SMS and Chat. This study reviewed fifteen journal articles to examine the ways code-switching was used. The review was to discover social phenomena and authentic identities of social actors. The study discovered that code-switching has been used widely to unmask bilinguals’ cultural background and group identity during online communication via Facebook. Finally, code-switching can be used to obtain positive feelings to the interlocutor, which here was combined with introducing humour as an in-group marker, quoting, and to some extent topic specificity as well as possible vocabulary limitation in one language or the other, in the online conversation by bilinguals such as to express group solidarity.
  3. Thiruselvi Subramaniam, Ann Jee Tan
    MyJurnal
    Background: House-officers and medical officers are at
    the forefront during medical emergencies in the ward
    and casualty which impose cognitive, communication,
    social and system challenges and yet, training in this
    area is commonly lacking. A workshop was conducted
    using simulation to provide training on some acute
    medical emergencies like cord prolapse, post- partum
    haemorrhage with collapse, poly-trauma and acute
    exacerbation of asthma.

    Objective: To determine the effectiveness of simulation
    in developing competency in managing selected clinical
    emergencies.

    Methodology: There were 22 participants consisting
    of house-officers, junior medical officers and nursing
    clinical instructors. Only doctors were included in
    the study. Four medical emergencies were chosen viz.:
    Cord prolapse; post- partum haemorrhage with collapse;
    poly-trauma and acute exacerbation of asthma. The
    simulated sessions were conducted using high fidelity
    manikins and simulated patients. Simulated patients
    were trained and moulage was applied accordingly. The
    skills stations were on airway equipment and techniques
    of application, latest cardiac life support algorithm and
    hands on chest compression using manikins.

    Results: A 5 point Likert scale used to rate the
    sessions. The skills station had 65% (n=13) rating as
    excellent and 35% (n=7) good. The skills simulation
    was rated excellent by 75% (n=15) and good by 25%
    (n=5) of participants. Verbal feedback was that it was
    very refreshing, informative, and helpful in terms of
    improving their skills.

    Conclusion: The simulated skills training for the junior
    doctors was very well received and maybe beneficial for
    work preparedness and in the long run address patient
    safety.
  4. Tan, T.L., Mohd Fazrul, M.
    Medicine & Health, 2018;13(1):237-242.
    MyJurnal
    Hemichorea-hemiballismus (HC-HB) is a movement disorder characterized by involuntary movements involving limbs on one side of the body. Many etiological factors were identified and these included stroke, infection, and neoplasm. However, acute hyperglycemia-induced HC-HB is less well known. We present two cases of non-ketotic hyperglycemia-induced HC-HB. The cases depicted here Illustrate that HC-HB can be the sole presentation from among a variety of neurological manifestations of poorly controlled diabetes which can be easily reversed when hyperglycemia is corrected.
  5. Foong K, Tan YL
    Citation: Foong K, Tan YL. Smoking in Girls and Young Women in Malaysia. Bangkok: Southeast Asia Tobacco Control Alliance (SEATCA); 2008
  6. Baba Musta, Mohamad Md. Tan
    Highly weathered basaltic rock was exposed at PSK profile of Kuantan, Segamat Highway. The weathering profile from fresh rock soil can be observed at PKJ profile at Kg. Jabi Quarry. Twelve rock and soil samples from PSK profile and thirteen samples from PKJ profile have been collected for geochemical analysis. The objective of the analysis is to establish the behaviour of several major and trace elements in the weathering profile of the basaltic rock. The samples were analysed by XRF and XRD techniques. Petrographic study was done on fresh rock samples and concretions. The concentration of major elements (TiO2, Al2O3 and Fe2O3) appear to be increased with the increasing of the degree of weathering whereas the concentration of SiO2 and CaO are decreased. There is a clear correlation between Fe2O3 + Al2O3 with L.O.I as well as between Fe2O3 with Al2O3. Behaviour of the trace elements (Ni, Co, Cr and Zn) against the weathering process are totally different. The secondary minerals (kaolinite, nactire, geothite, hematite and gibbsite) appear to control the behaviour of the major and trace elements.
    Batuan basalt yang terluluhawa sepenuhnya telah dicerap di lokaliti PSK Lebuhraya Segamat-Kuantan. Profil luluhawa yang boleh dilihat perubahan daripada batuan segar hingga tanih didapati di lokaliti PKJ Kuari Kg. Jabi. Dua contoh profil dengan masing-masing 12 sampel dan 13 sample tanih telah dikaji untuk menentukan perlakuan beberapa unsur major dan unsur surih batuan basalt yang terluluhawa. Kaedah analisis yang digunakan ialah pendarflour sinar-X (XRF) dan pembelauan sinar-X (XRF). Kajian petrografi pula dibuat pada sampel batuan segar dan sampel konkresi. Nilai unsur major TiO2, Al2O3 dan Fe2O3 bertambah dengan bertambahnya darjah luluhawa manakala SiO2 dan CaO menyusut. Hubungan korelasi Fe2O3 + Al2O3 dengan L.O.I dan Fe2O3 denagn Al2O3 adalah jelas. Unsur surih nikel (Ni) kobalt (Co), kromium (Cr) dan zink (Zn) mempunyai perlakuan yang berbeza-beza dengan luluhawa. Perlakuan yang ditunjukkan oleh unsur major dan surih tersebut dikawal oleh mineral sekunder (koalinit, nakrit, geotit, hematit dan gibsit).
  7. Tan LL, Musa Ahmad
    Analisis kuantitatif telah dilakukan untuk menentukan kepekatan ion aluminium (Al3+) dalam larutan dengan menggunakan kaedah spektrofotometri UL-Nampak dan jaringan neural tiruan (ANN). Reagen morin telah digunakan untuk membentuk kompleks morin-Al(III). Pencirian terhadap reagen dalam larutan termasuk analisis kestabilan foto reagen, kesan pH, kesan kepekatan, masa rangsangan, julat kepekatan dinamik dan kebolehulangan telah dilakukan. Penggunaan ANN telah berupaya memanjangkan julat kepekatan dinamik ion Al3+ sehingga julat kepekatan 1-13 ppm.
  8. Komala T, Tan. C. Khun
    Sains Malaysiana, 2014;43:1149-1156.
    Bacillus pumilis was isolated and identified from limestone and the ability towards carbon dioxide (CO) sequestration was demonstrated. B . pumilus (S3 SC_1), isolated from Gua Tempurung, Gopeng, Perak was able to form calcite in the presence of calcium ions. B. pumilus was successfully characterized by using conventional biochemical characterization and 16s rDNA sequencing. Three types of experimental systems with B. pumilus, without B. pumilus and without continuous supply of CO2 with the presence of B. pumilus which could produce extracellular carbonic were studied to determine the effects of bacterially produced carbonic anhydrase (CA) by B. pumilus in removing CO2 as calcite. Through our current study, CO2 sequestration ability of B . pumilus was proven.
  9. Soon TK, Julian Ransangan
    Sains Malaysiana, 2016;45:865-877.
    Marudu Bay, north coast of Sabah is characterized with mesotrophic water body and typical environmental parameters
    throughout the year. The current study was undertaken to evaluate the effect of environmental parameters and nutrients
    in mesotrophic water on the occurrence and distribution of potentially harmful phytoplankton species. The samplings
    were conducted over a period of thirteen months, covering southwest monsoon (SWM), inter-monsoon (IM), and northeast
    monsoon (NEM), at ten stations throughout the bay. Physical parameters (temperature, salinity, pH, dissolved oxygen,
    current speed and secchi depth), biological parameters (cell densities of phytoplankton) and chemical parameters
    (phosphate, nitrate, silicate and ammonia) were examined. The results indicated at least eight potentially harmful
    phytoplankton species (Dinophysis caudata, D. miles, Ceratium furca, C. fursus, Prorocentrum micans, P. sigmoides, P.
    triestinum and Pseudo-nitzschia sp.) were detected in north coast of Sabah. However, the potentially harmful phytoplankton
    species contributed only about 1.3% of the total phytoplankton community. Under nutrient deprivation conditions, the
    potentially harmful phytoplankton species distribution was mainly influenced by the ability to utilize other nitrogen
    sources, cell mobility and toleration to low nutrients environments.
  10. Jive Kasturi, P, Tan, E.L.Y.
    MyJurnal
    Only a handful of countries use earprints for forensic investigation and the practice of using earprints as an evidence in a court of law remains arguable. This study was conducted to determine if an earprint could be traced back to an individual and show significant difference when compared to an earprint from another and to identify the difference(s) between genders. The earprints of 50 males and 50 females between the ages of 18-40 were collected and analysed. The digital overlay method was employed and measurements (angles and lengths) were compared between prints. The overlay method as well as the measurements show clear difference(s) among individuals and prove that each ear is unique and that earprints can be used for individual identification. Although the measurements showed some differences in the tragus angle, helix-tragus length as well as antitragus-helix length between the genders, the differences were too small to bear any significance.
  11. Lai, M.H., Tan, Susan M.K.
    ASEAN Journal of Psychiatry, 2014;15(1):101-105.
    MyJurnal
    Objective: This case report highlights the complexity of eating disorder in schizophrenia and outlines the diagnostic dilemma and challenges associated with the treatment. Methods: We report a 13 years old female with early onset schizophrenia who developed anorexic symptoms and binge eating. Her eating disturbances worsened after olanzapine was commenced. Results: A combination of pharmacological and psychosocial intervention led to remission of schizophrenia co-morbid with eating disorder NOS. Conclusion: Co-morbid diagnosis of schizophrenia and eating disorder is not uncommon. Early diagnosis and evidence-based intervention are imperative as untreated illness greatly impacts the developmental trajectory of young people. Meeting family’s needs improves family functioning which in turn improves patient’s outcome. ASEAN Journal of Psychiatry, Vol. 15 (1): January - June 2014: 101-105.
  12. Tan, Kah Kee, Kaur, Pyar
    MyJurnal
    26 cases of congenital hypothyroidism were diagnosed at the Penang General Hospital from 1979 to 1993. Therewere 19 femalesand7males, thefemaletomaleratiowas2 .7 : 1. All three main ethnic groups were almost equally afflicted (10 Chinese,8Malays,8 Indians). The mean age at diagnosis was 15.8 months (range 21 days — 9 years) and only 11 (42.3%) patients were diagnosed within thefirst three months of life. 19 (73.7%) patients were diagnosed within thefirstyear and 7 (26.3%) after the firstyear. The correct referral diagnosis was made in less than half (n = 11) of the patients, with a mean of 2.3 doctors being consulted prior to the diagnosis. The five most common clinical features were coarse facies (n = 22), dry skin (n = 22), macroglossia (n = 21), lethargy (n = 20) and constipation (n = 19). The develop-ment quotient was appropriate for chronologi-cal age in less than one third (n = 8) of patients while the school performance was at least average in only less than one third (n = 5) of school-goers (n = 16). The mean (SD) T4 at diagnosis was 23.7 (12.2) nmollL while the mean (SD) TSH at diagnosis was 72.7 (37.0) mUIL. In the light of these clinical findings, screening for congenital hypothyroidism with a view to early diagnosis and prompt treatment are strongly recommended.
  13. Henna Lu, F.S., Tan, P.P
    MyJurnal
    This aim of this research is to investigate thermal stability of virgin coconut oil, (VCO) which was heated at 190°C upon 40 days storage as compared to extra virgin olive oil (EVOO). The changes in fatty acids composition through (GC), Fourier Transform Infrared (FTIR) spectra, iodine value (IV) and total phenolic content were determined throughout the period of study. Results from GC showed that there was significant changes (P
  14. Ng, W. L., Tan. S.G.
    ASM Science Journal, 2015;9(1):30-39.
    MyJurnal
    Inter-simple sequence repeats (ISSRs) are regions in the genome flanked by microsatellite sequences.
    PCR amplification of these regions using a single primer yields multiple amplification products that can
    be used as a dominant multilocus marker system for the study of genetic variation in various organisms.
    ISSR markers are easy to use, low-cost, and methodologically less demanding compared to other
    dominant markers, making it an ideal genetic marker for beginners and for organisms whose genetic
    information is lacking. Here, we comment upon some of the intricacies often overlooked in designing an
    ISSR experiment, clarify some misconceptions, and provide recommendations on using ISSR markers
    in genetic variation studies.
  15. Tan, Chin Xuan, Azrina Azlan
    MyJurnal
    Canarium odontophyllum Miq. fruit, popularly recognized as dabai fruit in Sarawak, is a
    seasonal fruit found in the tropical rainforest of East Malaysia. A dabai fruit can be divided into
    several anatomical parts, and different parts of the fruit have different valuable phytochemicals. Due
    to the lack of promotion, dabai fruit is viewed as nutritionally inferior fruit by the public. On the
    contrary, the fruit is rich in nutrients such as protein, fat, carbohydrates, sodium, calcium and iron.
    Many phytochemicals have been detected from different parts of dabai fruit, and these molecules have
    been linked to beneficial properties such as hypolipidemic, anti-atherosclerotic, anti-cholinesterase,
    antimicrobial and potentially anti-diabetic. The aim of this article is to review research studies on this
    fruit in order to provide adequate baseline information for commercial exploitation as well as for
    future studies.
  16. Tan HJR
    BMJ Case Rep, 2017 Sep 23;2017.
    PMID: 28942410 DOI: 10.1136/bcr-2017-221518
    This was about a case of a patient requiring admission to psychiatry ward twice a year for relapse schizophrenia due to medication non-compliance. Medication adherence was previously monitored by her husband. However, following the death of her husband, she stopped treatment. The lack of insight and poor family support further contributed to her relapse. She presented with positive and negative symptoms of schizophrenia during her relapse, neglecting her hygiene and oral intake. She was also found to have anaemia as a result of poor diet when she was in relapse. Community psychiatry services had attempted to ensure compliance with postdischarge plan but failed as patient was not present every home visits. Supervised treatment in outpatient for schizophrenia (STOPS) provided an alternative method to ensure compliance in this patient. Patient has remained in remission for 1 year since the use of STOPS.
  17. Tan SS, Adlin Nadia Z
    Med J Malaysia, 2017 06;72(3):165-174.
    PMID: 28733564 MyJurnal
    AIM: To describe the clinical characteristic of hepatitis C (HCV) patients and the results of pegylated interferon and ribavirin (PegIFN/RBV) therapy in a routine clinical practice.

    METHODS: A retrospective review of consecutive HCV patients treated with PegIFN/RBV in 2004 to 2012.

    RESULTS: A total of 273 patients received treatment. The mean age was 44.16 ± 10.5 years and 76% were male. The top 2 self-reported risks were blood or blood product transfusion before 1994 and injection drug use, found in 57.1% of patients. The predominant HCV genotype (GT) was 3 at 60.6%, second was GT1 at 36.1% and other GTs were uncommon at about 1% or less. About half of our patients have high baseline viral load (>800,000 iu/ml), 18.3% had liver cirrhosis and 22.3% had HIV co-infection. Co-morbid illness was found in 42.9%, hypertension and type 2 diabetes were the two most common. The overall sustained virological response (SVR) by intention-to-treat analysis were 54.9% (n=150/273), 41.2% (40/97) for GT1, 100% (5/5) for GT2 and 62% (101/163) for GT3. Subgroup analysis for HCV monoinfected, treatment naïve showed SVR of 49.2% (31/63) for GT1, 100% (5/5) for GT2 and 67% (69/103) for GT3. In HCV mono-infected and treatment experienced (n=29), the SVR was 28.6% (4/14) for GT1, 21.4% (69/103) for GT3. In the HIV/HCV co-infected, treatment naïve (n=56), the SVR was 28.6% (4/14) for GT1 and 64.3% (27/42) for GT3. Treatment naïve GT3 mono-infected patients had a statistically significant higher SVR compared to treatment experienced patients (P=0.001). In GT3 patients who achieved rapid virological response, the SVR was significantly higher at 85.2% (P< 0.001). The SVR for cirrhotics were low especially for GT1 at 21% (4/19) and 31% (4/13) based on all patients and treatment naïve HCV monoinfected respectively. In GT3 cirrhotics the corresponding SVR were 57.1% (16/28) and 60.9% (14/23). Premature discontinuation rate was 21.2% with the majority due to intolerable adverse events at 12.1%.

    CONCLUSIONS: In our routine clinical practice, the HCV patients we treated were young, predominantly of GT3 and many had difficult-to-treat clinical characteristics. The SVR of our patients were below those reported in Asian clinical trials but in keeping with some "real world" data.

  18. Tan KA, Fernandez A
    Psychiatr Rehabil J, 2018 Dec;41(4):336-340.
    PMID: 29939040 DOI: 10.1037/prj0000308
    OBJECTIVE: Without a reliable and valid tool, it is neither possible to gauge recovery orientation of persons with serious mental illness nor to evaluate whether existing mental health system encourages recovery in both its policies and current practice in Malaysia. Therefore, the aim of this study was to examine the reliability and factor structure of the Malay version of the Recovery Self-Assessment (RSA-PIRV-M) in a psychiatric sample.

    METHOD: Psychiatric patients were eligible for recruitment to the study, when they fulfilled the following criteria: a diagnosis of schizophrenia, were aged between 18- and 65-years-old, and were able to give consent themselves. We recruited 118 individuals with schizophrenia. They were selected via systematic random sampling technique. All RSA-PIRV-M items were derived from the parent scale. These items were translated based on established procedures. The reliability estimates of the RSA-PIRV-M were based on Cronbach's alpha. We performed confirmatory factor analyses to examine the factor structure of the RSA-PIRV-M.

    RESULTS: All Cronbach's alphas for the RSA-PIRV-M subscales were at least .70. With respect to the factor structure of the RSA-PIRV-M, our structural equation modeling findings suggest a five-factor model encompassing life goals, involvement, diversity of treatment options, choice, and individually-tailored services.

    CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The interpretation of our findings is limited by small sample size, unique sample characteristics, and lack of further evidence for convergent validity. Notwithstanding these limitations, the RSA-PIRV-M is a promising tool in bridging gaps between our knowledge on recovery orientation and existing mental health service provision in Malaysia. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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