MyMedR

Aggressive angiomyxoma of the vulva with an unusual vascular finding

Cheah PL, Looi LM, Sivanesaratnam V

Pathology, 1993 Jul;25(3):250-2.

We report the first documented Malaysian case of aggressive angiomyxoma (AAM) of the vulva. A 56-yr-old woman of Indian ethnic origin presented with a vulval lesion which was clinically mistaken for a Bartholin's cyst. The lesion was surgically excised and a diagnosis of AAM was made histologically. Of particular interest was the finding of foamy and mononuclear inflammatory cells and fibrin in the walls of most of the lesional blood vessels. The patient recovered uneventfully and remains without tumor recurrence at the time of writing 37 mths after initial presentation.

Matched MeSH terms: Myxoma/blood supply; Vulvar Neoplasms/blood supply

Fulltext Arterial fibrodysplasia in the hand

Ong EE, O'Dowd J

Med J Malaysia, 1998 Sep;53 Suppl A:131-2.

PMID: 10968195

Matched MeSH terms: Hand/blood supply*; Wrist/blood supply

Dependence of human forearm skin postocclusive reactive hyperemia on occlusion time

Tee GB, Rasool AH, Halim AS, Rahman AR

J Pharmacol Toxicol Methods, 2004 Jul-Aug;50(1):73-8.

PMID: 15233971 DOI: 10.1016/j.vascn.2004.02.002

Human postocclusive forearm skin reactive hyperemia is not only a potential means of identifying early signs of cardiovascular diseases, it can also be used in the assessment of local microvascular response to topically applied compounds on skin. The method is not fully characterized. In this study, we investigated the influence of occlusion time on postocclusive forearm skin reactive hyperemia using laser Doppler fluximetry (LDF).

Matched MeSH terms: Forearm/blood supply; Skin/blood supply*

Fulltext Rare and unusual case of polyarteritis nodosa involving the gastrointestinal tract leading to bowel gangrene

Jagwani AV, Fathi NQ, Jailani RF, Zakaria AD

BMJ Case Rep, 2017 Jan 06;2017.

PMID: 28062430 DOI: 10.1136/bcr-2016-217865

Polyarteritis nodosa (PAN) is a systemic necrotising vasculitis preferentially targeting medium-sized arteries and not related with glomerulonephritis or small vessel involvement. Clinical manifestations of PAN are multisystem. The gastrointestinal, renal, cardiac, musculoskeletal, skin and central nervous systems may be involved. The aetiology remains unknown, and the ensuing vasculitis may lead to aneurysm formation and thrombosis in any organs of the body with resultant ischaemia. PAN of the intestines is a relatively common manifestation of this disease but rarely causes bowel ischaemia resulting in necrosis. Here we report a case of a young Chinese patient who presented with an acute abdomen requiring surgery and made good recovery post operatively. He remains free of symptoms while on steroid therapy.

Matched MeSH terms: Cecum/blood supply; Colon/blood supply

Perineural Injection Therapy in the Management of Complex Regional Pain Syndrome: A Sweet Solution to Pain

Thor JA, Mohamed Hanapi NH, Halil H, Suhaimi A

Pain Med, 2017 10 01;18(10):2041-2045.

PMID: 28460075 DOI: 10.1093/pm/pnx063

Matched MeSH terms: Ankle/blood supply; Foot/blood supply

Dieulafoy's lesion of the rectum

Gul YA, Jabbar MF, Karim FA, Moissinac K

Acta Chir. Belg., 2002 Jun;102(3):199-200.

PMID: 12136541

Dieulafoy's lesion is an uncommon cause of gastrointestinal haemorrhage. It may present with massive and life threatening bleed and although more common in the upper gastrointestinal tract, it is being increasingly reported as affecting the lower gastrointestinal tract. Diagnosis is usually achieved during proctoscopic and endoscopic visualization. In cases where there is profuse and torrential hemorrhage, angiography may help to confirm the diagnosis. There are a few treatment options available, all of which have a varying degree of success. More commonly than not, a combination of treatment is warranted as illustrated by our case. Recurrent bleeding may occur just as in cases of Dieulafoy's lesion affecting the upper gastrointestinal tract. Even though endoscopic visualization of the lower gastrointestinal tract in the presence of profuse lower gastrointestinal haemorrhage may not be possible, this important procedure should not be omitted as the bleeding source may be lying in a low and accessible location for prompt interventional haemorrhage control.

Matched MeSH terms: Intestinal Mucosa/blood supply; Rectum/blood supply*

In human invasive breast ductal carcinoma, tumor stromal macrophages and tumor nest macrophages have distinct relationships with clinicopathological parameters and tumor angiogenesis

Ch'ng ES, Tuan Sharif SE, Jaafar H

Virchows Arch, 2013 Mar;462(3):257-67.

PMID: 23283409 DOI: 10.1007/s00428-012-1362-4

Tumor-associated macrophages play a crucial role in breast cancer progression and tumor angiogenesis. However, evaluation of tumor-associated macrophages incorporating their histological locations is lacking. The aim of this study was to clarify whether macrophages in tumor stroma and macrophages in tumor cell nests have distinctive properties in relation to pertinent breast cancer clinicopathological parameters and tumor angiogenesis. In 94 human invasive breast ductal carcinomas, tumor-associated macrophages were immunostained with anti-CD68 antibody and counted or graded according to these histological locations. Microvessels were immunostained with anti-CD34 antibody and counted for microvessel density. We found that the presence of tumor stromal and tumor nest macrophages was closely correlated (p = 0.001). Both tumor stromal and tumor nest macrophages were associated with mitotic count (p = 0.001 and p = 0.037, respectively). However, only higher tumor stromal macrophage grades were associated with higher tumor grades (p = 0.004) and negative estrogen receptor status (p = 0.007). Multivariate analysis showed that tumors with a high mitotic count score (score 3 vs. scores 1 and 2) had a higher tumor stromal macrophage density (Grades III and IV) when adjusted for tumor size, tubule formation, and estrogen receptor status (odds ratio 3.41, p = 0.010). The tumor nest macrophage count significantly correlated with the microvessel density (p

Matched MeSH terms: Breast Neoplasms/blood supply; Carcinoma, Ductal, Breast/blood supply

Fulltext Mason on a surgical mission

Utpal DE, Dhritiman M, Mukhopadhyay M

Med J Malaysia, 2012 Jun;67(3):331-2.

PMID: 23082429

Matched MeSH terms: Penis/blood supply; Scrotum/blood supply

Rare anatomical variant: arterial circle in palm and at the base of the thumb

Vollala VR, Nagabhooshana S, Bhat SM, Rodrigues V, Rao M, Pamidi N, et al.

Rom J Morphol Embryol, 2008;49(4):585-7.

PMID: 19050813

In this article, we describe anomalous formation, distribution of superficial palmar arch and an arterial circle at the base of the thumb found during routine dissection classes in the right hand of a 45-year-old male cadaver. These variations are unique and provide significant information to surgeons dissecting the hand region.

Matched MeSH terms: Hand/blood supply*; Thumb/blood supply*

A radiographic study on the visualization of the anterior loop in dentate subjects of different age groups

Ngeow WC, Dionysius DD, Ishak H, Nambiar P

J Oral Sci, 2009 Jun;51(2):231-7.

PMID: 19550091

The anterior loop is defined as where the mental neurovascular bundle crosses anterior to the mental foramen then doubles back to exit the mental foramen. It cannot be seen clinically but can be detected in 11-60% of panoramic radiographs. As this anatomical structure is important in determining the placement position of endosseous implants in the mandibular premolar region, a pilot study was undertaken to determine its visibility on dental panoramic radiographs in dentate subjects of various age groups. One or more anterior loops were visible in 39 (40.2%) radiographs encompassing 66 sites (34.4%). Interestingly, anterior loops were most commonly observed bilaterally, followed by on the right side of the mandible only. An anterior loop on the left side only was observed in just 1 radiograph. Visibility of anterior loops reduced as the age of subjects increased. More than half (58.1%) of subjects aged 20-29 years exhibited at least one anterior loop; this gradually reduced to only 15 percent of subjects aged 50 and older. There was no association between visualization of the anterior loop and subject gender.

Matched MeSH terms: Chin/blood supply; Mandible/blood supply*

Unusual origin of radial collateral artery noted in quadrangular space syndrome

Mohandas Rao KG, Bhat SM, Vollala VR

J Chin Med Assoc, 2006 Jun;69(6):276-7.

PMID: 16863014

In this paper, an unusual origin of the radial collateral artery of the arm is reported. The radial collateral artery in one of the cadavers dissected by us originated from the posterior circumflex humeral artery. The importance of this abnormal origin of the radial collateral artery from the posterior circumflex humeral artery in quadrangular space syndrome is discussed.

Matched MeSH terms: Arm/blood supply*; Humerus/blood supply

Histomorphometric changes in the vessel wall at the site of amputation in diabetic patients--do they influence healing of the stump?

Naidu SV, Sengupta S

J Orthop Surg (Hong Kong), 2005 Apr;13(1):3-7.

PMID: 15872394

To predict healing of the stump by assessing the microscopic vascular changes at the amputation site.

Matched MeSH terms: Amputation Stumps/blood supply*; Lower Extremity/blood supply*

Decoding of visual information from human brain activity: A review of fMRI and EEG studies

Zafar R, Malik AS, Kamel N, Dass SC, Abdullah JM, Reza F, et al.

J Integr Neurosci, 2015 Jun;14(2):155-68.

PMID: 25939499 DOI: 10.1142/S0219635215500089

Brain is the command center for the body and contains a lot of information which can be extracted by using different non-invasive techniques. Electroencephalography (EEG), Magnetoencephalography (MEG) and functional magnetic resonance imaging (fMRI) are the most common neuroimaging techniques to elicit brain behavior. By using these techniques different activity patterns can be measured within the brain to decode the content of mental processes especially the visual and auditory content. This paper discusses the models and imaging techniques used in visual decoding to investigate the different conditions of brain along with recent advancements in brain decoding. This paper concludes that it's not possible to extract all the information from the brain, however careful experimentation, interpretation and powerful statistical tools can be used with the neuroimaging techniques for better results.

Matched MeSH terms: Brain/blood supply*; Visual Pathways/blood supply*

Fulltext Peripheral Intravenous Catheterisation in Obstetric Patients in the Hand or Forearm Vein: A Randomised Trial

Tan PC, Mackeen A, Khong SY, Omar SZ, Noor Azmi MA

Sci Rep, 2016 Mar 18;6:23223.

PMID: 26987593 DOI: 10.1038/srep23223

A peripheral intravenous catheter is often inserted as part of care during labour. The catheter is inserted into the back of the hand or lower forearm vein in usual practice. There is no trial data to guide the care provider on which is the better insertion site in any clinical setting. 307 women admitted to the labour ward who required insertion of intravenous catheter were randomised to back of hand or lower forearm vein catheter insertion. Catheter insertion is by junior to mid-grade providers. We evaluated insertion success at the first attempt, pain during insertion and catheter replacement due to malfunction as main outcomes. After catheter removal, we recorded patient satisfaction with site, future site preference and insertion site swelling, bruising, tenderness, vein thrombosis and pain. Insertion of a catheter into back of hand vein is more likely to be successful at the first attempt. Insertion pain score, catheter replacement rate, patient satisfaction, patient fidelity to site in a future insertion and insertion site complications rate are not different between trial arms. In conclusion, both insertion sites are suitable; the back of the hand vein maybe easier to cannulate and seems to be preferred by our frontline providers.

Matched MeSH terms: Forearm/blood supply*; Hand/blood supply*

Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population

Halim AS, Alwi AA

Ann Plast Surg, 2014 Aug;73(2):170-3.

PMID: 23528630 DOI: 10.1097/SAP.0b013e318270704b

The use of internal mammary perforators (IMPs) as recipient vessels in autologous free flap breast reconstruction has many additional benefits compared with the internal mammary or thoracodorsal vessels. Our goals were to analyze the characteristics of these vessels and to evaluate the reliability of using them in an Asian population.

Matched MeSH terms: Surgical Flaps/blood supply*; Rectus Abdominis/blood supply; Free Tissue Flaps/blood supply; Perforator Flap/blood supply; Myocutaneous Flap/blood supply

Fulltext Morphological and mechanical properties of flexible resilin joints on damselfly wings (Rhinocypha spp.)

Mamat-Noorhidayah, Yazawa K, Numata K, Norma-Rashid Y

PLoS One, 2018;13(3):e0193147.

PMID: 29513694 DOI: 10.1371/journal.pone.0193147

Resilin functions as an elastic spring that demonstrates extraordinary extensibility and elasticity. Here we use combined techniques, laser scanning confocal microscopy (LSCM) and scanning electron microscopy (SEM) to illuminate the structure and study the function of wing flexibility in damselflies, focusing on the genus Rhinocypha. Morphological studies using LSCM and SEM revealed that resilin patches and cuticular spikes were widespread along the longitudinal veins on both dorsal and ventral wing surfaces. Nanoindentation was performed by using atomic force microscopy (AFM), where the wing samples were divided into three sections (membrane of the wing, mobile and immobile joints). The resulting topographic images revealed the presence of various sizes of nanostructures for all sample sections. The elasticity range values were: membrane (0.04 to 0.16 GPa), mobile joint (1.1 to 2.0 GPa) and immobile joint (1.8 to 6.0 GPa). The elastomeric and glycine-rich biopolymer, resilin was shown to be an important protein responsible for the elasticity and wing flexibility.

Matched MeSH terms: Forelimb/blood supply; Wings, Animal/blood supply

Fulltext Warfarin--topical salicylate interactions: case reports

Ramanathan M

Med J Malaysia, 1995 Sep;50(3):278-9.

PMID: 8926909

This paper deals with two patients on warfarin in whom the use of topical methylsalicylate preparations led to clinically significant bleeding problems. The first patient required fresh frozen plasma to tide over the crisis while the second patient recovered spontaneously on stopping the warfarin temporarily. The possible mechanisms by which salicylates potentiate the anticoagulant effect of warfarin are briefly outlined.

Matched MeSH terms: Gingiva/blood supply; Leg/blood supply

Endothelial nitric oxide synthase G894T gene polymorphism and response to skin reactive hyperemia

Rasool AH, Ghazali DM, Abdullah H, Halim AS, Wong AR

Microvasc Res, 2009 Sep;78(2):230-4.

PMID: 19481100 DOI: 10.1016/j.mvr.2009.05.005

Post occlusive skin reactive hyperemia (PORH) is a tool used to assess microcirculation. Endothelial nitric oxide synthase (eNOS) mediates nitric oxide (NO) production; polymorphism of the eNOS gene may affect response to the PORH process. This study aims to determine whether eNOS G894T gene polymorphism affects response to skin PORH. 230 normotensive male and females between 18 and 40 years participated in this cross-sectional study. 170 subjects were of the homozygous GG genotype, whereas 60 were of the GT genotype. Skin PORH was performed by occlusion of the upper arm at 200 mm Hg for 3 min. Skin perfusion and temperature were monitored before, during and after occlusion release using the laser Doppler fluximetry. There were no significant differences between genotypes in their baseline blood pressure, serum cholesterol, BMI and age. Maximum change in perfusion after occlusion release (PORHmax) for the GG and GT genotypes were not significantly different at 50.15+/-1.29 vs. 47.92+/-2.17 AU; ANCOVA, p=0.351. Peak perfusion (PORHpeak) were also not significantly different between the two genotypes (61.23+/-1.36 vs. 57.72+/-2.32 AU; p=0.169). Minimum baseline perfusion were however higher in the GG compared to the GT genotype (10.83+/-0.29 vs. 9.61+/-0.50, p=0.029). We conclude that microvascular reactivity, assessed by change in perfusion after temporary ischemia was not significantly different between the GG and GT genotypes of the eNOS G894T gene. eNOS 894T allele carriers however, have lower baseline perfusion compared to the homozygous G894 allele carrier.

Matched MeSH terms: Forearm/blood supply; Skin/blood supply*

Reproducibility of different laser Doppler fluximetry parameters of postocclusive reactive hyperemia in human forearm skin

Yvonne-Tee GB, Rasool AH, Halim AS, Rahman AR

J Pharmacol Toxicol Methods, 2005 Sep-Oct;52(2):286-92.

PMID: 16125628

Postocclusive reactive hyperemia in forearm skin is a commonly used model for studying microvascular reactivity function, particularly in the assessment of vascular effect of topically applied pharmacological substances. In this study, we investigated the reproducibility of several different laser-Doppler-derived parameters in the measurement of postocclusive reactive hyperemia at forearm skin in healthy subjects.

Matched MeSH terms: Forearm/blood supply; Skin/blood supply

Angiogenic squamous dysplasia-like phenomenon in oral epithelial precursor lesions

Siar CH, Oo VP, Nagatsuka H, Nakano K, Ng KH, Kawakami T

Eur J Med Res, 2009 Jul 22;14(7):315-9.

PMID: 19661015

STATEMENT OF THE PROBLEM: Dysplasia, the morphological yardstick of epithelial precursor lesions, is the collective term for a variety of architectural and cytological changes within the altered oral epithelium. Angiogenic squamous dysplasia (ASD), a distinct morphological characteristic in pre-invasive bronchial lesions, describes the presence of capillary tufts that are closely juxtaposed to and projecting into the dysplastic bronchial epithelium.

OBJECTIVE: To determine whether ASD-like phenomenon occurs in oral epithelial precursor lesions, and to speculate on its relevance.

METHODS: Twenty cases each of mild, moderate and severe oral dysplasia (inclusive of carcinoma-in-situ), and 10 normal oral mucosa (normal controls) were serial sectioned for H and E staining, and for microvessel density (MVD) scoring with CD31, CD34 and CD105. Microcapillary pattern images were digitally captured for 3-D reconstruction.

RESULTS: Oral ASD foci consisting of CD31- and CD34-positive capillary loops abutting onto the overlying dysplastic oral epithelium (and causing it to assume an irregular or papillary surface configuration) were identified in moderate (3/20; 15%) and severe dysplasia (13/20; 65%), but not in normal oral mucosa and mild dysplasia. MVD score demonstrated increasing vascularity as epithelium progressed from normal to severe dysplasia (p<0.05). CD105 demonstrated increase neovascularization in all dysplasia grades (p<0.05).

CONCLUSIONS: These preliminary findings taken together suggest that: 1. ASD-like phenomenon may be an important intermediary biomarker in oral precursor lesions; and 2. architectural alterations of the entire disturbed mucosa may be a more useful pre-malignancy index.

Matched MeSH terms: Carcinoma, Squamous Cell/blood supply*; Mouth Mucosa/blood supply*; Precancerous Conditions/blood supply*

Displaying publications 41 - 60 of 253 in total