MyMedR

Sociobiological risk factors for spontaneous abortion in Malaysia

Tan NH, Yahya A, Adeeb N

J Obstet Gynaecol (Tokyo 1995), 1995 Aug;21(4):313-8.

OBJECTIVE: To evaluate the risk factors of spontaneous abortion.

METHODS: A case-control study was conducted by interviewing 350 women who were admitted to the university gynaecological unit for spontaneous abortion and 350 women who delivered normally at the university obstetric unit. Odds ratios, as the estimators of relative risks, were calculated.

RESULTS: The relative risk for spontaneous abortion among women in the age-group 30 to 39 years was 1.61 and among women above 40 years of age was 3.68 when compared to those below 30 years of age. In relation to career women, the relative risk of spontaneous abortion for housewives was 0.45. Ethnic group, parity, subfertility, previous induced abortion, ectopic pregnancy, contraception and menarcheal age did not influence the risk of spontaneous abortion.

CONCLUSION: Increasing age and a woman's career are significant risk factors of spontaneous abortion.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Racial differences in the fasting lipid profile of healthy Malaysians

Zaraihan S, Azman AB, Tariq AR

Med J Malaysia, 1994 Dec;49(4):355-63.

PMID: 7674971

The fasting lipid profile of a sample of Malays, Chinese and Indians in Peninsular Malaysia was studied to see whether these might explain differences in the rate of coronary heart disease mortality amongst the three ethnic groups. Fifty healthy subjects were studied from each of the three groups. They were matched for age, body mass index, gender and smoking habits, if any. The total cholesterol/HDL-cholesterol ratio and LDL-cholesterol/HDL-cholesterol ratio were found to be statistically higher in the Indians than in the Malays and the Chinese. The differences between the Indians and the Chinese were statistically more significant than the differences between the Indians and the Malays. Our findings may partially explain the higher predisposition of the Indian community in Malaysia to CHD mortality and are consistent with those of other studies performed on Indian communities living outside the Indian subcontinent.

Matched MeSH terms: Malaysia/ethnology

Fulltext The prevalence of endemic goitre in Kelantan, Malaysia

Mafauzy M, Wan Mohamad WB, Yasmin Anum MY, Musalmah M, Mustafa BE

Med J Malaysia, 1993 Mar;48(1):64-70.

PMID: 8341174

A large-scale study was undertaken in the state of Kelantan, to determine the prevalence of goitre. A total of 2,450 subjects above the age of 15 years were selected from 31 localities in the state and examination for goitre was done using the technique of Perez. The state was divided into 3 areas--coastal area (area 1), inland area (area 2) and the area in between the coast and the inland area (area 3). The overall prevalence of goitre was 36.8% and the prevalence in areas 1, 2 and 3 were 23.0%, 35.9% and 44.9% respectively and ranged from 6.9% in a locality in area 1 to 59.7% in a locality in area 3. In all areas, the prevalence was higher in females than in males. The prevalence of grades I, II and III goitres were 21.5%, 1.0% and 0.5% respectively in area 1, 33.6%, 1.5% and 0.7% respectively in area 2 and 41.7%, 2.2% and 1.0% respectively in area 3. Amongst age groups, goitre prevalence was highest in the 36 to 45 years age group in area 1 (33.9%), in the 15 to 25 years age group in area 2 (39.6%) and in the 26 to 35 years age group in area 3 (54.3%). In all the areas, goitre prevalence was lowest in the above 56 years age group. We concluded that the prevalence of goitre was high in Kelantan and there were regional differences in the prevalence rate within the state.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Cholera--still a major health problem

Lim VKE

Med J Malaysia, 1993 Mar;48(1):1-2.

PMID: 8341166

Matched MeSH terms: Malaysia/epidemiology

Undescended testes: incidence in 1,002 consecutive male infants and outcome at 1 year of age

Thong M, Lim C, Fatimah H

Pediatr Surg Int, 1998 Jan;13(1):37-41.

PMID: 9391202 DOI: 10.1007/s003830050239

In a study of 1,002 consecutive Malaysian male newborns, 48 (4.8%) were found to have undescended testes (UDT). The rate and laterality of the UDT were associated with lower birth weight (P < 0.001) and prematurity (P < 0.001). Boys with UDT were also more likely to have other congenital abnormalities of the external genitalia, the commonest being hydrocele. No correlation between UDT and maternal age, birth order, social class, or mode of delivery was demonstrated in this study. Although 26/34 (76.5%) of UDT achieved full spontaneous descent by 1 year of age, 1.1% of all infants whose testes remained undescended required regular long-term follow-up with surgical referral and correction at an appropriate time. A premature infant with UDT is more likely to achieve full testicular descent at 1 year of age than a term infant.
Study site: University Hospital, Kuala Lumpur, Malaysia (University Malaya Medical Centre)

Matched MeSH terms: Malaysia/epidemiology

First case of Acanthamoeba keratitis in Malaysia

Kamel AG, Norazah A

Trans R Soc Trop Med Hyg, 1995 11 1;89(6):652.

PMID: 8594684

Matched MeSH terms: Malaysia/epidemiology

Audit of imported and domestic malaria cases at Kuala Lumpur Hospital

Moore CS, Cheong I

Br J Clin Pract, 1995 Nov-Dec;49(6):304-7.

PMID: 8554954

The clinical, haematological and biochemical profiles of all domestic and imported malaria cases admitted to the Hospital Kuala Lumpur were analysed. The most common malaria types were Plasmodium falciparum (39.5%) and Plasmodium vivax (42%). The most common patient type was men aged 29-40 years (reflecting the high mobility of this group, many of whom were illegal immigrants). Misdiagnosis on admission was frequently due to the variable clinical presentation of the disease and the difficulties of obtaining an accurate history. Associated haematological abnormalities were common. Chloroquine resistance was diagnosed in four P. falciparum patients and in one P. falciparum/vivax patient. Overall, imported malaria did not seem more severe than domestic. The three patients with cerebral malaria survived. One patient died of acute liver failure. The large influx of illegal immigrants to Malaysia has resulted in a surge in malaria infection; illegal immigrants remain a source of chloroquine resistance.

Matched MeSH terms: Malaysia/epidemiology

Human muscular sarcocystosis in Malaysia

Wong KT, Pathmanathan R

Trop Geogr Med, 1993;45(4):191.

PMID: 8236476

Matched MeSH terms: Malaysia/epidemiology

Fulltext Leprosy in children

Jayalakshmi P, Tong M, Singh S, Ganesapillai T

Int. J. Lepr. Other Mycobact. Dis., 1997 Mar;65(1):95-7.

PMID: 9207759

Matched MeSH terms: Malaysia/epidemiology

Maternal mortality rate in the Obstetric Unit of University Kebangsaan Malaysia: 1981-1990

Abdullah A, Mahmood JH, Adeeb N

J Obstet Gynaecol (Tokyo 1995), 1995 Jun;21(3):299-303.

PMID: 8590370

This paper analyses maternal mortality as seen in the Obstetric Unit of the University Kebangsaan Malaysia. During the 10 year study period, the maternal mortality rate was 74/100,000 total births. Women who were non-booked, aged above 40 years, gradmultiparous and of India ethnicity were at the highest risk of maternal death. The commonest causes of death were hemorrhage, hypertension, embolism and sepsis. Post-mortem examinations were performed in only 8.2% of women who died.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Hepatitis delta virus in intravenous drug users in Kuala Lumpur

Duraisamy G, Zuridah H, Ariffin Y, Kek CS

Med J Malaysia, 1994 Sep;49(3):212-6.

PMID: 7845268

The hepatitis delta virus (HDV) is an RNA containing virus that requires hepatitis B virus (HBV) to supply the envelope proteins. HDV only infect man in the presence of HBV, either as a coinfection or as superinfection in HBV carriers. In the presence of hepatitis B infection, the HDV may cause more severe liver damage than that caused by the hepatitis B virus alone. HDV infection was studied in 44 HBsAg positive serum samples collected from male intravenous drug users sent for screening to the Blood Services Centre (BSC), Hospital Kuala Lumpur (HKL) between 1990 and 1992. The majority (39) were in the 20 to 39 age group. The youngest was 19 years old and the oldest was 61 years old. There were 25 Malays, 13 Chinese, five Indians and one Albanian. Anti hepatitis delta antibody (Anti-HDV) was detected in 15 out of 44 (34%) of the drug addicts. These results shows an increased in delta infection in HBsAg positive intravenous drug addicts compared to the surveillance results in 1985 when no delta antibodies were detected, and the 1986 and 1989 surveillance which showed 17.8% and 20% delta antibody positivity respectively.

Matched MeSH terms: Malaysia/epidemiology

Low incidence of hypercalcaemia in tuberculosis in Malaysia

Tan TT, Lee BC, Khalid BA

J Trop Med Hyg, 1993 Dec;96(6):349-51.

PMID: 8254712

In this study we examined the incidence of hypercalcaemia among patients with tuberculosis in Malaysia. Serum calcium concentration and other calcium metabolism parameters were studied in 43 newly diagnosed tuberculous patients from the Kuala Lumpur General Hospital and the National Tuberculosis Centre. Forty-four patients admitted to the medical wards of the General Hospital, Kuala Lumpur were recruited as controls. The incidence of hypercalcaemia was found to be only 1/43 (2.3%). There was no significant difference between the mean serum calcium and other calcium metabolism parameters between the patients and the controls. Despite earlier reported incidences of 30-50%, this study showed that hypercalcaemia in tuberculosis is uncommon in Malaysia.

Matched MeSH terms: Malaysia/epidemiology

Fulltext The prevalence of cryptosporidiosis in children and adults at University Hospital, Kuala Lumpur

Ng KP, Shekhar KC

Med J Malaysia, 1993 Sep;48(3):293-6.

PMID: 8183141

A total of 320 faecal specimens obtained from 295 patients (192 children and 103 adults) with diarrhoea and 47 faecal specimens from healthy adults were screened for Cryptosporidium oocysts. Faecal specimens were first screened by modified Ziehl Neelsen stain and specimens with oocysts were confirmed by direct immunofluorescence technique. Cryptosporidium oocysts were detected in 4 children but not in normal healthy adults or in diarrhoeic adults.

Matched MeSH terms: Malaysia/epidemiology

Fulltext A one year community-based study on the incidence of diarrhoea and rotavirus infection in urban and suburban Malaysian children

Yap KL, Yasmin AM, Wong YH, Ooi YE, Tan SC, Jegathesan M, et al.

Med J Malaysia, 1992 Dec;47(4):303-8.

PMID: 1303484

A 1 year longitudinal study of 156 Malaysian children from urban and suburban areas in the Klang Valley revealed that the incidence rate of diarrhoea was 23.6 per 100 person-year with abnormal faeces reported on 0.26% of the total days of observation. Diarrhoea cases were detected in children from all socioeconomic classes. Rotavirus was isolated from 12% of the diarrheic children and asymptomatic rotavirus infection occurred in 3.2% of the children. All rotaviruses isolated were group A rotaviruses with long electrophoretypic pattern.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Recurrent headaches in children--an analysis of 47 cases

Hussain IH

Med J Malaysia, 1995 Dec;50(4):365-9.

PMID: 8668058

In a retrospective analysis of paediatric referrals to a Neurology Outpatient Clinic, the largest single category of 47 patients (32%) presented with acute recurrent headache. There were 30 girls and 17 boys. Age of onset ranged from 4 to 11 years (8.35 +/- 1.98) and duration of headache from half month to 42 months (19.2 +/- 11.9). Only 6 children were unable to describe the quality of their pain. Using conventional criteria, 43 of the children could be classified as classical migraine (10), common migraine (20), basilar migraine (3), ophthalmoplegic migraine (1) and tension tension headache (9). None had any positive physical signs, and all responded to simple measures.
Study site: Paediatric Neurology Clinic, Neurology Institute, Hospital Kuala Lumpur, Malaysia

Matched MeSH terms: Malaysia/epidemiology

Absence of rotavirus in the neonatal special care nursery of a Malaysian maternity hospital

Yap KL, Boo NY, Surayah O

Malays J Pathol, 1994 Jun;16(1):89-91.

PMID: 16329583

The pattern of rotavirus infection in babies of the neonatal special care nursery (SCN) of the Kuala Lumpur Maternity Hospital was studied. The presence of rotavirus in the neonates' stools was ascertained using the method of polyacrylamide gel electrophoresis and silver staining. No rotavirus was detected in the 511 stools and rectal swabs collected from the 164 neonates over a 8-week period. Thus the babies admitted to the SCN from the labour rooms and the postnatal wards of the hospital were unlikely to be carriers of rotavirus or infected by rotavirus during their stay. It was concluded that rotavirus was not endemic in the nursery or the postnatal wards of this maternity hospital.

Matched MeSH terms: Malaysia/epidemiology

Fulltext A retrospective study of serum calcium levels in a hospital population in Malaysia

Aishah AB, Foo YN

Med J Malaysia, 1995 Sep;50(3):246-9.

PMID: 8926903

A retrospective six-month study of serum calcium and albumin in patients treated at the Kuala Lumpur Hospital was carried out. There were 19,291 subjects, of which the prevalences of hypocalcemia (corrected serum calcium of < or = 2.1 mmol/l) and hypercalcemia (corrected serum calcium of > 2.7 mmol/l) were 18.0% (3460 subjects) and 2.4% (468 subjects) respectively. Persistent hypocalcemia (a minimum of first two consecutive corrected serum calcium of < or = 2.1 mmol/l) was found in 408/19,291 subjects 2.1%). Serum calcium values of < 2.00 mmol/l were found in 98.5% of this group. Persistent hypercalcemia (a minimum of first two consecutive corrected serum calcium of > 2.7 mmol/l) was found in 108/19,291 subjects (0.5%) and 52/108 subjects (48.1%) had serum calcium values of > or = 3.0 mmol/l. 2902/3460 subjects (83.8%) and 313/468 subjects (66.9%) the hypocalcemia and hypercalcemia groups respectively failed to be retested (singletons). In the hypocalcemia group, 1115/2902 (38.4%) showed corrected serum calcium values of < 2.00 mmol/l), whilst 100/313 subjects (31.9%) of the hypercalcemia group had corrected serum calcium values of > or = 3.00 mmol/l. There were no significant differences between the mean corrected serum calcium between 3 age groups of the test population, namely in childhood ( < or = 65 years).

Matched MeSH terms: Malaysia/epidemiology

Fulltext Childhood burns at the Paediatric Institute Kuala Lumpur

Ibrahim SB, Omar MB, Gan EC, Rauf A, Johari NB, Yusof HB

Med J Malaysia, 1995 Sep;50(3):221-5.

PMID: 8926898

A prospective study of 94 burned children was carried out from January 1993 to October 1994. Scalding was the predominant cause of injury affecting mainly toddlers between 1 and 3 years old. Ninety-six per cent of the injuries occurred at home. There was 1 death following an 81% flame burns. An intense campaign to make parents aware of the hazards is required as almost all the injuries were preventable.

Matched MeSH terms: Malaysia/epidemiology

[AIDS in the world]

Sykepl Fag, 1993 Aug 31;81(4):38.

PMID: 8220535

Matched MeSH terms: Malaysia/epidemiology

Cerebro-costo-mandibular syndrome

Lim CT, Koh MT

Australas Radiol, 1992 May;36(2):158-9.

PMID: 1520180

Cerebro-costo-mandibular syndrome (CCM) is a very rare entity with oro-facial features closely resembling Pierre-Robin anomaly (1,2). We describe a patient with typical features: severe micrognathia, glossoptosis, central cleft soft palate and multiple posterior rib-gap defects seen on chest radiograph. Respiratory distress which was evident soon after birth was relieved by an oro-pharyngeal airway. He suffered from a cardiorespiratory arrest and succumbed, presumably secondary to aspiration of milk feeds, before a tracheostomy could be performed.

Matched MeSH terms: Malaysia/epidemiology

Displaying publications 2681 - 2700 of 24598 in total