Displaying publications 41 - 60 of 209 in total

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  1. Handling of drug-related inquiries by hospital nurses
    Ab Rahman AF, Budiarti LE
    J Clin Pharm Ther, 1998 Apr;23(2):127-31.
    PMID: 9786098
    To determine how nurses handled drug-related questions in the work environment of a teaching hospital in Malaysia and the type of information sources they used.
  2. Therapeutic drug monitoring of gentamicin: a 6-year follow-up audit
    Ismail R, Haq AH, Azman M, Rahman AF
    J Clin Pharm Ther, 1997 Feb;22(1):21-5.
    PMID: 9292398
    In 1984 a therapeutic drug monitoring (TDM) service was established in Hospital Universiti Sains Malaysia (HUSM) and gentamicin concentrations were measured and used to design optimal regimens for the antibiotic. In this study we report on a 6-year follow-up audit since our first assessment of the service.
  3. Fulltext Isolated Peroneus Longus Tear - Commonly Missed Diagnosis of Lateral Ankle Pain: A Case Report
    Abd-Rasid AF, Bajuri MY
    Malays Orthop J, 2020 Jul;14(2):130-133.
    PMID: 32983388 DOI: 10.5704/MOJ.2007.011
    Peroneal tendon tear is a relatively common cause of lateral ankle pain but often missed due to mixed presentation or low index of suspicion. Left untreated, peroneal injuries can lead to persistent ankle pain, instability and ultimately substantial functional disabilities. An isolated peroneus longus tear is rare with the lowest incidence rate compared to isolated peroneus brevis tear and mixed tear of both peroneal tendon. This is a case report of a 49-year-old lady with a chronic left ankle pain who ultimately underwent surgery for an isolated peroneus longus tear.
  4. Congenital cytomegalic inclusion disease with disseminated Herpes simplex infection
    Amidzic J, Vuckovic N, Capo I, Levakov AF
    Malays J Pathol, 2019 Apr;41(1):75-78.
    PMID: 31025643
    We report a case of congenital cytomegalovirus and Herpes simplex virus infection suspected via ultrasound indicated by the presence of fetal cerebral abnormalities. The pregnancy was electively terminated at 31 weeks of gestation. The postmortem examination of the foetus showed brain with lissencephaly. The histopathological examination revealed numerous enlarged cells containing cytomegalic inclusions and multinucleated giant cells in multiple fetal organs and placenta. Documented evidence of histopathological detection of cytomegalovirus inclusions in multiple organs are very sparse in literature. This case highlights the causal relationship of viral infections in early pregnancy and abnormalities of the central nervous system.
  5. Photocatalytic performance of TiO2/Clinoptilolite: Comparison study in suspension and hybrid photocatalytic membrane reactor
    Dzinun H, Othman MHD, Ismail AF
    Chemosphere, 2019 Aug;228:241-248.
    PMID: 31035161 DOI: 10.1016/j.chemosphere.2019.04.118
    Comparison studies in suspension and hybrid photocatalytic membrane reactor (HPMR) system was investigated by using Reactive Black 5 (RB5) as target pollutant under UVA light irradiation. To achieve this aim, hybrid TiO2/clinoptilolite (TCP) photocatalyst powder was prepared by solid-state dispersion (SSD) methods and embedded at the outer layer of dual layer hollow fiber (DLHF) membranes fabricated via single step co-spinning process. TiO2 and CP photocatalyst were also used as control samples. The samples were characterized by Scanning Electron Microscopy (SEM), Energy Dispersion of X-ray (EDX), X-ray diffraction (XRD) and Brunauer-Emmett-Teller (BET) analyses. The result shows that TCP was actively functioned as photocatalyst in suspension system and 86% of RB5 photocatalytic degradation achieved within 60 min; however the additional step is required to separate the catalyst with treated water. In the HPMR system, even though the RB5 photocatalytic degradation exhibits lower efficiency however the rejection of RB5 was achieved up to 95% under UV irradiation due to the properties of photocatalytic membranes. The well dispersed of TCP at the outer layer of DLHF membrane have improved the surface affinity of DL-TCP membrane towards water, exhibit the highest pure water flux of 41.72 L/m2.h compared to DL-TiO2 membrane. In general, CP can help on improving photocatalytic activity of TiO2 in suspension, increased the RB5 removal and the permeability of DLHF membrane in HPMR system as well.
  6. Application of the linear interaction energy method (LIE) to estimate the binding free energy values of Escherichia coli wild-type and mutant arginine repressor C-terminal domain (ArgRc)-l-arginine and ArgRc-l-citrulline protein-ligand complexes
    Asi AM, Rahman NA, Merican AF
    J Mol Graph Model, 2004 Mar;22(4):249-62.
    PMID: 15177077
    Protein-ligand binding free energy values of wild-type and mutant C-terminal domain of Escherichia coli arginine repressor (ArgRc) protein systems bound to L-arginine or L-citrulline molecules were calculated using the linear interaction energy (LIE) method by molecular dynamics (MD) simulation. The binding behaviour predicted by the dissociation constant (K(d)) calculations from the binding free energy values showed preferences for binding of L-arginine to the wild-type ArgRc but not to the mutant ArgRc(D128N). On the other hand, L-citrulline do not favour binding to wild-type ArgRc but prefer binding to mutant ArgRc(D128N). The dissociation constant for the wild-type ArgRc-L-arginine complex obtained in this study is in agreement with reported experimental results. Our results also support the experimental data for the binding of L-citrulline to the mutant ArgRc(D128N). These showed that LIE method for protein-ligand binding free energy calculation could be applied to the wild-type and the mutant E. coli ArgRc-L-arginine and ArgRc-L-citrulline protein-ligand complexes and possibly to other transcriptional repressor-co-repressor systems as well.
  7. Fulltext A New Technique for Solving Tightrope Cutout during Acromioclavicular Joint Fixation: A Case Report
    Ng BW, Abdullah AF, Nadarajah S
    Malays Orthop J, 2017 Mar;11(1):57-59.
    PMID: 28435576 MyJurnal DOI: 10.5704/MOJ.1703.003
    Acromioclavicular joint (ACJ) dissociation is one of the common injuries affecting adults. The stability of ACJ largely depends on the integrity of acromioclavicular ligament, coracoclavicular ligament, capsule, trapezius muscle and deltoid muscle. The injury has been classified by Rockwood into six types and treatment options can be guided by the classification. TightRope fixation is one of the many surgical procedures available to address acromioclavicular joint separation. It consists of tensioning of a no. 5 Fibrewire suture secured at both ends to low-profile metallic buttons. Despite various advantages of using this technique, complications such as suture cut-out, clavicle fracture and suture failure have been documented. The author presents a case of a type III acromioclavicular joint dissociation treated with TightRope which suture cutout was noted intra-operatively. Decision to amend the fixation using a cut one-third tubular plate as an additional anchor for the metallic button on the clavicle was made. Patient's progress was evaluated using the University of California at Los Angeles Shoulder Score (UCLA Shoulder Score) and significant improvement was noted six months post operatively. We propose this technique as a solution to the encountered problem.
  8. Fulltext Lumbar Spinal Stenosis: The Reliability, Sensitivity and Specificity of the Nerve Root Sedimentation Sign
    Yusof MI, Azizan AF, Abdullah MS
    Malays Orthop J, 2018 Jul;12(2):1-6.
    PMID: 30112121 MyJurnal DOI: 10.5704/MOJ.1807.001
    Introduction: This study is to evaluate the reliability, sensitivity and specificity of nerve root sedimentation sign (NRS) in our populations. The NRS is a radiological sign to diagnose lumbar spinal stenosis (LSS). It is claimed to be reliable with high sensitivity and specificity. Materials and Methods: A total of 82 MRI images from 43 patients in Group A (LSS) and 39 patients in Group B (non LSS) were analysed and compared for the presence of the NRS sign. Two assessors were used to evaluate intra and inter-assessor reliability of this sign based on 56 (33 patients, Group A and 23 patients, Group B). The findings were statistically analysed using SPSS software. Results: There was a significant association between spinal claudication and leg numbness with LSS (p<0.001 and Kappa=0.857, p<0.001). The inter-assessor reliability was also good (Kappa of 0.786, p<0.001). Conclusion: The NRS sign has high sensitivity and specificity for diagnosing LSS. The sign also has good intra and inter-assessor reliability.
  9. Imported Falciparum Malaria: A case series in a tertiary hospital
    Mohamed NA, Mansur FAF, Abdul Rahman N
    Malays J Pathol, 2020 Apr;42(1):107-110.
    PMID: 32342938
    INTRODUCTION: Malaysia declared its intent to eliminate malaria by 2020, with a phased goal of achieving zero local transmission. Nonetheless, Malaysia is highl susceptible to malaria importation due to geographical proximity to high-burden countries e.g. Thailand, Myanmar and high influx of foreign workers and students from Asia and Africa.

    CASE SERIES: We accumulated all malaria cases diagnosed in a tertiary hospital within a period of two years. Three cases were reported, where all of the patients were foreigners with recent travel history to African countries. All of them were infected by P. falciparum, responded to treatment and discharged well.

    DISCUSSION: This case series highlighted the importance of acquiring recent travel history during history taking and having a high index of suspicions on malaria when dealing with feverish patients originated particularly from African countries.

  10. Novel synergistic hydrous iron-nickel-manganese (HINM) trimetal oxide for hazardous arsenite removal
    Nasir AM, Goh PS, Ismail AF
    Chemosphere, 2018 Jun;200:504-512.
    PMID: 29501887 DOI: 10.1016/j.chemosphere.2018.02.126
    A novel hydrous iron-nickel-manganese (HINM) trimetal oxide was successfully fabricated using oxidation and coprecipitation method for metalloid arsenite removal. The atomic ratio of Fe:Ni:Mn for this adsorbent is 3:2:1. HINM adsorbent was identified as an amorphous nanosized adsorbent with particle size ranged from 30 nm to 60 nm meanwhile the total active surface area and pore diameter of HINM area of 195.78 m2/g and 2.43 nm, respectively. Experimental data of arsenite adsorption is best fitted into pseudo-second order and Freundlich isotherm model. The maximum adsorption capacity of arsenite onto HINM was 81.9 mg/g. Thermodynamic study showed that the adsorption of arsenite was a spontaneous and endothermic reaction with enthalpy change of 14.04 kJ/mol and Gibbs energy of -12 to -14 kJ/mol. Zeta potential, thermal gravimetric (TGA) and Fourier transform infrared (FTIR) analysis were applied to elucidate the mechanism of arsenite adsorption by HINM. Mechanism of arsenite adsorption by HINM involved both chemisorption and physisorption based on the electrostatic attraction between arsenite ions and surface charge of HINM. It also involved the hydroxyl substitution by arsenite ions through the formation of inner-sphere complex. Reusability of HINM trimetal oxide was up to 89% after three cycles of testing implied that HINM trimetal oxide is a promising and practical adsorbent for arsenite.
  11. Fulltext Diabetic eye screening in Malaysia: findings from the National Health and Morbidity Survey 2006
    Goh PP, Omar MA, Yusoff AF
    Singapore Med J, 2010 Aug;51(8):631-4.
    PMID: 20848059
    INTRODUCTION: Diabetic retinopathy (DR) is the commonest complication of diabetes mellitus (DM), and is the leading cause of blindness among working adults. Modification of the associated risk factors as well as early detection and treatment of sight-threatening DR can prevent blindness. Clinical practice guidelines recommend annual eye screening for patients with DM. The proportion of patients in Malaysia who adhere to this recommendation was initially unknown.
    METHODS: The Malaysian National Health and Morbidity Survey is a population-based survey conducted once every decade on the various aspects of health, behaviour and diseases. The DM questionnaire on eye screening was administered as face-to-face interviews with 2,373 patients with known DM who were aged 18 years and older.
    RESULTS: In all, 55 percent of patients with known DM had never undergone an eye examination. Among patients who had undergone eye examinations, 32.8 percent had the last examination within the last one year, 49.8 percent within the last one to two years, and 17.4 percent more than two years ago. A significantly lower proportion of younger patients and patients who received treatment for DM from non-government facilities had previously undergone eye examinations.
    CONCLUSION: The prevalence of DM observed among Malaysians aged 30 and above is 14.9 percent; thus, there is a significant number of people with potential blinding DR. Adherence to eye screening guidelines and the prompt referral of sight-threatening DR are essential in order to reduce the incidence of blindness among patients with DM.
    Study name: National Health and Morbidity Survey (NHMS-2006)
  12. Fulltext Characteristics and outcomes of paracetamol poisoning cases at a general hospital in Northern Malaysia
    Mohd Zain Z, Fathelrahman AI, Ab Rahman AF
    Singapore Med J, 2006 Feb;47(2):134-7.
    PMID: 16435055
    Paracetamol is available as an over-the-counter medication in many countries including Malaysia. This drug has been implicated in many poisoning cases admitted to hospitals throughout the country.
  13. Relation between prenatal maternal blood pressure and infant irritability
    Korner AF, Gabby T, Kraemer HC
    Early Hum Dev, 1980 Mar;4(1):35-9.
    PMID: 7389624
    Chisholm et al. [4], using samples of Navajo and Malaysian newborns, found a significant positive relation between maternal normotensive blood pressures during the second trimester of pregnancy and at delivery and infant irritability in response to the Brazelton Examination. Measuring spontaneous crying with an electronic activity monitor and using a white middle-class American population, this relation was replicated for mothers with normotensive blood pressures during the third trimester of pregnancy. The combined findings of the 3 studies seem to suggest that maternal blood pressure in the latter part of pregnancy, even when within normal limits, is a factor in how irritable normal newborn infants are.
  14. The relationship between adrenocortical function and Hsp70 expression in socially isolated Japanese quail
    Soleimani AF, Zulkifli I, Omar AR, Raha AR
    Comp Biochem Physiol A Mol Integr Physiol, 2012 Feb;161(2):140-4.
    PMID: 22036750 DOI: 10.1016/j.cbpa.2011.10.003
    Physiological responses to social isolation stress were compared in 56-day-old male Japanese quail. Birds were fed pretreated diets for 3 days as follows: (i) Basal diet (control); (ii) Basal diet+1500 mg/kg metyrapone (BM); (iii) Basal diet+30 mg/kg corticosterone (BCO); (iv) Basal diet+250 mg/kg ascorbic acid (BC); (v) Basal diet+250 mg/kg α-tocopherol (BE); (vi) Basal diet+250 mg/kg ascorbic acid and 250 mg/kg α-tocopherol (BCE). The birds were subsequently socially isolated in individual opaque brown paper box for 2 hours. Plasma corticosterone (CORT) concentration and heart and brain heat shock protein 70 (Hsp 70) expressions were determined before stress and immediately after stress. Two hours of isolation stress elevated CORT concentration significantly in the control and BE birds but not in the BC, BCE and BM birds. There was a significant reduction in CORT concentration after isolation stress in the BCO group. Isolation stress increased Hsp 70 expression in the brain and heart of control and BM birds. However, brain and heart Hsp 70 expressions were not significantly altered in the isolated BC, BCE and BE birds. Although, the CORT concentration of BM birds was not affected by isolation stress, Hsp70 expression in both brain and heart were significantly increased. Moreover, exogenous corticosterone supplementation did not result in elevation of Hsp 70 expression. It can be concluded that, although Hsp 70 induction had not been directly affected by CORT concentration, it may be modulated by the HPA axis function via activation of ACTH.
  15. Durability of induced heat tolerance by short-term heat challenge at broilers marketing age
    Soleimani AF, Kasim A, Alimon AR, Zulkifli I
    Pak J Biol Sci, 2008 Sep 01;11(17):2163-6.
    PMID: 19266934
    A trial was conducted to determine the influence of short-term exposure to high ambient temperature at 28 and 35 days of age on deep body temperatures (Tb) and subsequent growth of birds until 42 days of age. A total of 90 day old chicks were reared in stainless steel battery cages and were assigned at random into 18 pens of 5 birds each, with 9 pens containing males and another 9 pens containing females. Three treatment groups, each represented by 3 male and 3 female pens, were represented by T1 without any heat exposure, T2 with heat exposure starting at day 28 and T3 with heat exposure starting at day 35. Heat stress was defined as 180 min exposure to 35 +/- 1 degrees C. Tb and body weights were measured at 35, 37 and 39 days of age immediately following heat exposure. Heat stress resulted in higher Tb and Onset of heat stress at 28 days resulted in significantly lower Tb than onset of heat stress at 35 days. Lower Tb in T2 than T3 permitted recovery in body weight at 42 days. Sexes responded similarly to heat stress.
  16. Isolation, purification and characterization of β-glucan from cereals - A review
    Sujithra S, Arthanareeswaran G, Ismail AF, Taweepreda W
    Int J Biol Macromol, 2024 Jan;256(Pt 1):128255.
    PMID: 37984576 DOI: 10.1016/j.ijbiomac.2023.128255
    β-glucans are soluble fibers found in cereal compounds, including barley, oats etc., as an active component. They are used as a dietary fiber to treat cholesterol, diabetes and cardiovascular diseases. These polysaccharides are important because they can provide many therapeutic benefits related to their biological activity in human like inhibiting tumour growth, anti-inflammatory action, etc. All these activities were usually attached to their molecular weight, structure and degree of branching. The present manuscript reviews the background of β-glucan, its characterization techniques, the possible ways to extract β-glucan and mainly focuses on membrane-based purification techniques. The β-glucan separation methods using polymeric membranes, their operational characteristics, purification methods which may yield pure or crude β-glucan and structural analysis methods were also discussed. Future direction in research and development related to β-glucan recovery from cereal were also offered.
  17. Fulltext Antibacterial activity of Boesenbergia rotunda (L.) Mansf. A. extract against Escherichia coli
    Zainin, N. S., Lau, K. Y., Zakaria, M., Son, R., Abdull Razis, A. F., Rukayadi, Y.
    International Food Research Journal, 2013;20(6):3319-3323.
    MyJurnal
    An awareness of Escherichia coli as a foodborne pathogen and illness causing bacterium has been increased among consumers. Moreover, there is demand for natural product in order to reduce synthetic product that can cause toxic to the human. In this study, antibacterial activity, in term of MIC, MBC and killing-time curve of methanolic extract of Boesenbergia rotunda have been tested against a standard E. coli ATCC 25922 and two E. coli isolated from milk products using Clinical and Laboratory Standard Institute (CLSI) methods. The results show that B. rotunda extract was susceptible to all E. coli strains. The MIC and MBC values of B. rotunda extract against E. coli ranged 0.019 mg/mL 2.5 mg/mL and 0.039 mg/mL – 5.0 µg/mL, respectively. Killing-time curves were constructed at concentrations of 0x MIC, 1/2x MIC, 1x MIC, and 2x MIC. All E. coli strains can be killed with concentration of 2x MIC after 2 hours. The results show that B. rotunda extract has potential antibacterial activity against E. coli.
  18. Fulltext Effect of storage conditions on the crystallisation behaviour of selected Malaysian honeys
    Nurul Zaizuliana, R. A., Anis Mastura, A. F., Abd Jamil, Z., Norshazila, S., Zarinah, Z.
    International Food Research Journal, 2017;24(101):0-0.
    MyJurnal
    Honey is a sweet liquid food of high nutritional value and it provides immense health benefits. It is highly concentrated with sugar and contains mostly glucose and fructose, which will crystallize over a period of time. Crystallisation of honey will affect its quality, as well as consumers’ acceptability. Storage condition is one of the factors that influence the crystallisation of honey. Different types of honey may need different storage conditions to retain the quality. This research was conducted with the aims to study the crystallisation behaviour of the selected Malaysian honeys and to determine the storage conditions that influence the formation of crystal. The crystallisation of Malaysian honeys (Hutan, Kelulut, Acacia, Gelam) stored at 25, 4 and -20oC for different storage times of 0, 5, 14, 30, 60 and 180 days was analyzed by a differential scanning calorimeter (DSC), and sugar composition was analyzed using a high performance liquid chromatography (HPLC). The results showed that Hutan honey had the greatest crystal formation at the storage temperature of 4oC even after 14 days of storage. Glucose compositions in Hutan and Gelam honeys were also high which were 33.49 ± 0.53% and 33.93 ± 0.15 %, respectively. The enthalpy value for the storage temperature of 25oC, which represents the amount of heat needed to melt crystals present in honey, was the lowest (0.37 ± 0.1 – 2.56 ± 0.5 J/g) compared to other storage temperatures, which showed only a small amount of crystals was formed at this temperature. Thus, this study suggested that the crystallisation behaviour of Malaysian honeys is influenced by the storage condition and will be different for each type of honey.
  19. Fulltext Anomalous third head of biceps brachii muscle and its variant insertion compresses surrounding neurovascular structure: a rare case report
    Zar Chi, T., Ahmad Ruzain, S., Mohammad Johari, I., Syed Baharom S. A. F.
    Medicine & Health, 2017;12(2):368-374.
    MyJurnal
    Bisep brachii (BB) adalah salah satu otot yang mempunyai pelbagai variasi.
    Terkini, kebanyakan maklumat adalah berkenaan variasi asal otot, namun terdapat
    beberapa kes yang melaporkan variasi dalam sisipan BB. Dibentangkan di sini
    kes BB otot yang mempunyai kedua-dua varian asal dan sisipan dalam otot yang
    sama. Varian asal BB adalah panjang dan besar di kepala ketiga (10.2 cm lebar
    dan 4.9 cm tebal) yang timbul dari pertengahan badan humerus. Lebih signifikan
    lagi, bahagian tengah kepala meliputi dan menyembunyikan bahagian bawah
    saraf median dan arteri brachial sebagai gerbang yang berterusan medially untuk
    disisipkan ke epicondyle medial humerus. Dalam laporan ini, kami membincangkan
    mekanisma yang mungkin untuk pemampatan neurovaskular oleh kepala ketiga
    otot BB yang tidak normal dan perubahan BB dari asal dan sisipan. Memahami
    perubahan ini adalah sangat penting dalam prosedur pembedahan di sekeliling
    sendi siku dan lengan atas dan ia juga memberi ruang untuk diagnosis pembezaan
    sindrom perangkap saraf
  20. Fulltext External marker in bisecting-angle-technique: a new approach to minimize dental radiographic error
    Azizah, A. F., Muhamad Aqil, A. A, Mohd Amirul, Z., Atika, A.
    Medicine & Health, 2017;12(2):304-311.
    MyJurnal
    Bisecting-angle-technique is a method used to improve patient comfort during periapical radiography. This technique is usually performed without X-ray beam aiming device and has been commonly associated with dental radiographic error. The use of external marker as a beam aiming device in bisecting-angle-technique is potentially effective to reduce the number of errors occurring during periapical radiography. In this study, 240 periapical radiographs were taken by undergraduate dental students. Periapical radiographs were taken using traditional method of bisecting-angle-technique (BAT), bisecting-angle-technique with the use of external marker (BAT-M) and the standard method in periapical radiography; paralleling technique (PT). All radiographic images were evaluated and errors were classified and tabled according to the type and number of errors. Chi-square test was used to compare the total number of radiographic errors made using these three techniques. One of the most common errors with BAT was cone cut error (13.8%). This error had been markedly reduced to 1.3% and 2.5% by implementation of BAT-M and PT, respectively. The total number of errors was also found to be significantly lesser for BAT-M compared to BAT, p< 0.05.
    Keywords: errors, dental, radiography
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