MyMedR

Fulltext Management of heatstroke in Malaysian pilgrims in Saudi Arabia

Merican MI

Med J Malaysia, 1989 Sep;44(3):183-8.

Heat stroke is hardly seen in Malaysia. However, it occurs commonly in Saudi Arabia during the Haj season. Many Malaysian pilgrims are affected every year and some die. Having faced this environmental hazard for eight years, the Malaysian Medical Mission, sent each year to look after our pilgrims, modified its treatment strategy in 1988 and successfully decreased the overall morbidity and mortality of affected patients without the use of sophisticated equipment. A brief account of the management of 17 cases seen in 1988 is given. Only one died following treatment. The rest recovered fully without any residual neurological deficit or other complications.

Matched MeSH terms: Malaysia/ethnology

Suicide trends in Singapore, 1975-84

Tan CT

Med Sci Law, 1986 Jul;26(3):238-42.

PMID: 3747771

Matched MeSH terms: Malaysia/ethnology

A Malay cultural explanation for epilepsy

Peng KL

Aust N Z J Psychiatry, 1983 Dec;17(4):397-9.

PMID: 6581801

The causal explanation given by a 24-year-old Malay woman from a low socioeconomic class for her epilepsy is described. This case illustrates how cultural explanations can protect an individual from the stigma of illness. The Malay concept of the supernatural and the causation of illness is discussed.

Matched MeSH terms: Malaysia/ethnology

[Progress in the epidemiologic study of Nipah viral encephalitis]

Lu XF, Wang ZG, Wang BY

Zhonghua Liu Xing Bing Xue Za Zhi, 2004 Jun;25(6):541-3.

PMID: 15231143

Matched MeSH terms: Malaysia/epidemiology

Fulltext Gastric cancer in Malaysia: the need for early diagnosis

Kandasami P, Tan WJ, Norain K

Med J Malaysia, 2003 Dec;58(5):758-62.

PMID: 15190664 MyJurnal

Gastric cancer is an important cause of death among patients with malignancies in Malaysia. Survival of patients with gastric cancer is dependent on the stage at which diagnosis is made. We report our experience in dealing with gastric cancer in a major Ministry of Health Hospitals in Malaysia. A retrospective review of two hundred and fifty consecutive histologically proven gastric adenocarcinoma at Hospital Ipoh for the period January 1988 to 1998 was performed. The study confirms that gastric cancer is a disease of the elderly and has a male preponderance. It is also identifies the Chinese and Indians to be at increased risk of gastric cancer when compared to the Malays. The most striking finding in this study was the very late stage of disease at time of presentation. Eighty-two percent of the patients presented with stage IV disease and curative surgery was offered only to a 16% of them. In a substantial number of patients not even a palliative procedure was offered. Early detection is the key to improving survival in gastric cancer patients. There is an urgent need for clinicians to change their approach to the management of the disease. Patients with dyspeptic symptoms should be investigated early rather then wait for classical symptoms of gastric cancer.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Significant morbidity associated with asthma: a need for increased doctor and patient education

Liam CK

Med J Malaysia, 2003 Oct;58(4):471-4.

PMID: 15190620

Matched MeSH terms: Malaysia/epidemiology

WHO/WPRO/SEARO meeting on DengueNet implementation in south-east Asia and the western Pacific, Kuala Lumpur, 11-13 December 2004

Wkly. Epidemiol. Rec., 2004 Feb 06;79(6):57-62.

PMID: 14986570

Matched MeSH terms: Malaysia/epidemiology

Fulltext Open-globe injuries: the experience at Hospital Sultanah Aminah, Johor Bahru

Hooi SH, Hooi ST

Med J Malaysia, 2003 Aug;58(3):405-12.

PMID: 14750381

Between 1st January 1999 and 31st December 2000, 152 patients (156 eyes) with open-globe injuries were treated in the Department of Ophthalmology, Hospital Sultanah Aminah, Johor Bahru. The majority were male (88.2%), Malay (63.2%), from the Johor Bahru district (51.3%) and aged between 21 and 30 years (23.7%). Most injuries were workplace-related (41.4%). Lens injury, retinal detachment, endophthalmitis, intraocular foreign bodies and phthisis occurred in 40.4%, 15.4%, 14.7%, 12.2% and 11.5% of eyes respectively. A favourable visual outcome occurred in 55.4% of eyes. Prognostic factors for visual outcome include presenting visual acuity, relative afferent pupillary defect, wound location, lens injury, retinal detachment and endophthalmitis.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Vulnerability of the lower limb in non-fatal motorcycle injuries

Pang TY, Radin Umar RS, Harwant S

Med J Malaysia, 2001 Dec;56 Suppl D:9-11.

PMID: 14569759 MyJurnal

Motorcyclists form the highest group of fatalities on Malaysian roads. This is a prospective study conducted at 3 major hospitals for a period of 12 months to determine the type of motorcyclist injuries that usually required hospitalization. Four hundred and twelve consecutively injured motorcyclists were available for study. One hundred and eighty six (45.15%) were fatally injured and 226 (54.85%) were seriously injured and surviving. The main cause of fatalities was head injury, while lower limb injuries accounted for majority of hospitalizations. This study highlights the vulnerability of the motorcyclist to lower limb injuries.

Matched MeSH terms: Malaysia/epidemiology

Distribution of ABO blood groups and of Rh factor in Singapore

Siong LY, Sing YC, Wan OY

Mod Med Asia, 1976 Nov;12(11):6-8.

PMID: 827682

Matched MeSH terms: Malaysia/ethnology

Phototherapy for neonatal jaundice in Chinese, Malay and Indian infants

Tan KL

Aust Paediatr J, 1976 Mar;12(1):43-6.

PMID: 962730

Matched MeSH terms: Malaysia/ethnology

Natural Plasmodium infection in wild macaques of three states in peninsular Malaysia

Amir A, Shahari S, Liew JWK, de Silva JR, Khan MB, Lai MY, et al.

Acta Trop, 2020 Nov;211:105596.

PMID: 32589995 DOI: 10.1016/j.actatropica.2020.105596

Zoonotic cases of Plasmodium knowlesi account for most malaria cases in Malaysia, and humans infected with P. cynomolgi, another parasite of macaques have recently been reported in Sarawak. To date the epidemiology of malaria in its natural Macaca reservoir hosts remains little investigated. In this study we surveyed the prevalence of simian malaria in wild macaques of three states in Peninsular Malaysia, namely Pahang, Perak and Johor using blood samples from 103 wild macaques (collected by the Department of Wildlife and National Parks Peninsular Malaysia) subjected to microscopic examination and nested PCR targeting the Plasmodium small subunit ribosomal RNA gene. As expected, PCR analysis yielded significantly higher prevalence (64/103) as compared to microscopic examination (27/103). No relationship between the age and/or sex of the macaques with the parasitaemia and the Plasmodium species infecting the macaques could be identified. Wild macaques in Pahang had the highest prevalence of Plasmodium parasites (89.7%), followed by those of Perak (69.2%) and Johor (28.9%). Plasmodium inui and P. cynomolgi were the two most prevalent species infecting the macaques from all three states. Half of the macaques (33/64) harboured two or more Plasmodium species. These data provide a baseline survey, which should be extended by further longitudinal investigations that should be associated with studies on the bionomics of the anopheline vectors. This information will allow an accurate evaluation of the risk of zoonotic transmission to humans, and to elaborate effective strategies to control simian malaria.

Matched MeSH terms: Malaysia/epidemiology

Oxidation phenotyping in Chinese and Malay populations

Lee EJ, Nam YP, Hee GN

Clin Exp Pharmacol Physiol, 1988 Nov;15(11):889-91.

PMID: 3229012

1. Debrisoquine hydroxylation phenotyping was carried out in 97 Chinese and 97 Malay healthy volunteers. 2. No poor metabolizer was found in the Chinese population. Using a metabolic ratio antimode of 10.0, two poor metabolizers were present amongst the Malays studied.

Matched MeSH terms: Malaysia/ethnology

Fulltext COVID-19 in the elderly: A Malaysian perspective

Mustaffa N, Lee SY, Mohd Nawi SN, Che Rahim MJ, Chee YC, Muhd Besari A, et al.

J Glob Health, 2020 Dec;10(2):020370.

PMID: 33214887 DOI: 10.7189/jogh.10.020370

Matched MeSH terms: Malaysia/epidemiology

Synlophe of Batrachonema synaptospicula (Nematoda:Amphibiophilidae) collected from Malaysian frogs

Hasegawa H, Miyata A, Yong HS

J Parasitol, 1996 Jun;82(3):508-11.

PMID: 8636863

The synlophe of Batrachonema synaptospicula Yuen, 1965 collected from Rana limnocharis Boie, 1835 of peninsular Malaysia was found to be identical morphologically to that in the specimens from Rana narina Stejneger, 1901 of Okinawa, and R. limnocharis of Taiwan. In the midbody, 20-22 ridges are present, and the ridges increase gradually in size and are oriented from right to left in the dorsal and left ventral fields, whereas the right ventral ridges are small and almost perpendicular to the body wall. The orientation of ridges from right to left is considered to be a key characteristic of the genus Batrachonema. Because Amphibiophilus ranae Wang et al., 1978 and Amphibiophilus sp. from R. limnocharis of south China are regarded to be conspecific with B. synaptospicula, this nematode is surmised to be distributed widely in southeast and east Asia.

Matched MeSH terms: Malaysia/epidemiology

Fulltext Relationship between obstetric risk factors and postnatal depression in Malaysian women

Abdul Kadir A, Mohammad Daud MN, Yaacob MJ, Nik Hussain NH

International Medical Journal (Tokyo), 2009;16:101-6.

Objective: To determine the prevalence of depressive symptomatology in early postnatal period and its relationship with obstetric risk factors. Material and Methodology: This is a cross sectional study involving 293 women from postnatal ward Hospital Universiti Sains Malaysia (HUSM), Malaysia. They were screened for depression at day 1 to day 5 postpartum and 4 to 6 weeks postpartum using the Edinburgh Postnatal Depression Scale (EPDS). At the first visit, the women completed questionnaires on socio-demography and obstetric risk factors and Brief Patient Health Questionnaire (BPHQ-9). At the second visit which is 4-6 weeks postpartum, they only completed EPDS. Results: Two hundred and ninety-three women successfully completed the study (100% response rates). The prevalence of PND at 4-6 weeks postpartum using the EPDS score of 12 or more was 27.3%. Women with the history of abortion (p < 0.05) and early postnatal depression (p < 0.05) was significantly associated with PND. Conclusion: Postnatal depression among women in Hospital USM was more common compared to previously reported series in Malaysia. Women with the history of abortion and early postnatal depression were significantly associated with PND. © 2009 Japan International Cultural Exchange Foundation.

Matched MeSH terms: Malaysia; Malaysia/ethnology

Fulltext Elevated blood pressure and its predictors among secondary school students in Sarawak: a cross-sectional study

Grace Kho WF, Cheah WL, Hazmi H

Cent. Eur. J. Public Health, 2018 Mar;26(1):16-21.

PMID: 29684292 DOI: 10.21101/cejph.a5186

OBJECTIVES: Hypertension is a health issue affecting adolescents. Accumulating evidence affirms that elevated blood pressure begins in childhood and tracks into adulthood. This cross-sectional study was conducted to determine the prevalence of elevated blood pressure and its predictors among secondary school students in Sarawak, Malaysia.

METHODS: A total of 2,461 secondary school students aged 12-17 years from 19 schools in Sarawak participated in the study. Questionnaire was used to obtain socio-demographic data, parental history of hypertension, and self-reported physical activity. Anthropometric and blood pressure measurements were taken. Data was entered and analysed using SPSS version 23.0.

RESULTS: The prevalence of adolescents with elevated blood pressure, overweight, central obesity, and overfat were 30.1%, 24.3%, 13.5%, and 6.7%, respectively. Multivariate logistic regression demonstrated the predictors significantly associated with elevated blood pressure among respondents: overweight (adjusted odds ratio=3.144), being male (adjusted odds ratio=3.073), being Chinese (adjusted odds ratio=2.321) or Iban (adjusted odds ratio=1.578), central obesity (adjusted odds ratio=2.145), being overfat (adjusted odds ratio=1.885), and being an older adolescent (adjusted odds ratio=1.109). Parental history of hypertension, locality, and physical activity showed no significant associations.

CONCLUSION: The obesity epidemic must be tackled at community and school levels by health education and regulation of school canteen foods.

Matched MeSH terms: Malaysia/epidemiology

Fulltext The Temerloh Hospital cataract complications study: factors associated with, types and outcomes of cataract surgery complications

Thevi T, Reddy SC, Chinna K

International Eye Science, 2014;14(8):1367-1372.

DOI: 10.3980/j.issn.1672-5123.2014.08.01

AIM: To study the prevalence of complications of cataract surgery and any association between the occurrence of complications and experience of surgeon, type of surgery, type of anaesthesia and visual outcome.
METHODS: This was a retrospective study of patients who underwent cataract surgery over a period of two years in a district hospital in Malaysia. The demographic details of patients, type of surgery done, as well as type of anaesthesia used and experience of the surgeon were noted. The types of intraoperative and postoperative complications were recorded. The final best corrected visual outcome was recorded.
RESULTS: Complications occurred in 11.1% of the total 1007 patients operated. Posterior capsule rupture (3.6%) was the most common complication. The experience of the surgeon and the type of anaesthesia used did not affect complications during surgery. Intracapsular cataract extraction (ICCE) and phacoemulsification converted to extracapsular cataract extraction (ECCE) were significantly associated with more complications (P<0.001). The visual outcome was significantly poor in patients with complications (P<0.001).
CONCLUSION: The occurrence of complications during cataract surgery significantly affected the visual outcome. The type of surgery done was associated by the occurrence of complications. However, the experience of the surgeon and the type of anaesthesia used did not affect the occurrence of complications. We recommend that particular attention be given to ICCE and phacoemulsification converted to ECCE to minimise the complications and thereby reducing the chances of poor vision postoperatively.

Matched MeSH terms: Malaysia/ethnology

Fulltext Laryngopharyngeal tuberculosis mimicking hypopharyngeal carcinoma

Adam, M., Irfan, M., Muhammad Nasri AB, Arfahiza S.

Journal of Biomedical and Clinical Sciences, 2018;3(1):8-10.

MyJurnal

Laryngopharyngeal tuberculosis (TB) is a rare disease and usually associated with pulmonary tuberculosis. Mostly, it occurs in adults without BCG vaccination or in immuno-compromised patients (such as AIDS patients). A 34-year-old gentleman with odynophagia and poor oral intake was referred to us to rule out malignancy. Direct laryngoscopy examination revealed ulcerative lesion involving right tonsillar fossa extending downward till right pyriform sinus. Panendoscopy and biopsy was performed. Laryngopharyngeal TB was diagnosed based on the histopathological examination and Ziehl-Neelsen staining.

Matched MeSH terms: Malaysia/ethnology

Association of HLA class II antigens with clinical manifestations in malays with systemic lupus erythematosus

Yahya NK, Afzal N, Daud KM

International Medical Journal (Tokyo), 2009;16(1):3-7.

Objectives: To evaluate the frequency of HLA Class II antigens in Malays with SLE in order to determine their role in disease susceptibility and association with clinical manifestations.
Design: Cross-sectional study
Methods: Fifty-four SLE patients from Malay ethnic attending Physician Clinic at Hospital Universiti Sains Malaysia were enrolled into the study. Demographic and clinical findings were obtained from medical records. HLA typing of class II antigens were carried out using MicroSSP Class II generic (DRB/ DQB) from One Lambda Inc. Controls were from ethnically matched healthy individuals.
Results: A univariate analysis confirmed the association between HLA-DR15 with SLE compared to healthy control group; and was maintained using multiple logistic regression model (P corr = 0.002, adjusted OR = 5.513). There was a weak decrease of HLA-DR4 which was not significant after corrections for multiple comparisons made. DR7 was found to be significantly increased in patients with malar rash. There was positive association of DR15 with arthritis in patients compare to those without.
Conclusion: Our data support the role of HLA Class II genes in conferring SLE susceptibility.
Study site: Physician Clinic, Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia

Matched MeSH terms: Malaysia; Malaysia/ethnology

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