MyMedR

Fulltext Malaysian adolescent students' needs for enhancing thinking skills, counteracting risk factors and demonstrating academic resilience

Kuldas S, Hashim S, Ismail HN

Int J Adolesc Youth, 2015 Jan 2;20(1):32-47.

PMID: 25663734

The adolescence period of life comes along with changes and challenges in terms of physical and cognitive development. In this hectic period, many adolescents may suffer more from various risk factors such as low socioeconomic status, substance abuse, sexual abuse and teenage pregnancy. Findings indicate that such disadvantaged backgrounds of Malaysian adolescent students lead to failure or underachievement in their academic performance. This narrative review scrutinises how some of these students are able to demonstrate academic resilience, which is satisfactory performance in cognitive or academic tasks in spite of their disadvantaged backgrounds. The review stresses the need for developing a caregiving relationship model for at-risk adolescent students in Malaysia. Such a model would allow educators to meet the students' needs for enhancing thinking skills, counteracting risk factors and demonstrating academic resilience.

Matched MeSH terms: Adolescent

Fulltext Subtalar coalition: a case report

Chua C, Yeap E, Yazid M

Malays Orthop J, 2013 Nov;7(3):27-9.

PMID: 25674305 MyJurnal DOI: 10.5704/MOJ.1311.011

Subtalar coalition is an uncommon condition that usually manifests in early adolescence(1). Frequently, this condition is missed. Delayed diagnosis may result in osteoarthritis requiring triple arthrodesis. Here, we report two patients with subtalar coalition. The first patient is a 12 year old boy who presented with right ankle pain for one year and was treated with excision of the coalition and bone wax insertion at the excision site. We followed up the patient for two years and the result was excellent with full range of movement of his right ankle and subtalar joint attained within two months. He returned to athletic activity by six months and was discharged with no complications after two years. The second patient is a 15 year old girl who presented with bilateral ankle pain and swelling for three years and was treated with excision of the coalition and subtalar interpositional arthroplasty bilaterally. She defaulted follow up after seven months as she was very satisfied with the result. We wish to highlight this condition which may be misdiagnosed as flexible flat foot or ankle sprain.

Matched MeSH terms: Adolescent

Fulltext Multiple atraumatic osteoporotic vertebral fractures in an adolescent with suprasellar germinoma: a case report

Wong C, Phang H, Cheong M, Ramiah R

Malays Orthop J, 2012 Nov;6(3):54-6.

PMID: 25279060 MyJurnal DOI: 10.5704/MOJ.1207.007

We present the case of a patient with multiple atraumatic osteoporotic vertebral fractures in an adolescent with suprasellar germinoma and also review of relevant literature. The patient suffered from a rare adolescent brain tumour with common complications which are often overlooked and give rise to significant morbidity. Suprasellar germinoma is an intracranial neoplasm, that in addition to its rarity, has variable clinical presentation. Despite appropriate treatment and good outcome, tumour related morbidity is still of concern for these patients.

Matched MeSH terms: Adolescent

Attitudes toward menstruation, menstrual-related symptoms, and premenstrual syndrome among adolescent girls: a rural school-based survey

Wong LP

Women Health, 2011 Jun 21;51(4):340-64.

PMID: 21707338 DOI: 10.1080/03630242.2011.574792

Folk culture surrounding menstrual-related matters has considerable implications for symptom expression and treatment-seeking behavior. A cross-sectional survey of 1,295 rural adolescent girls aged 13 to 19 years was conducted between February 4 and April 16, 2009 to examine these associations. With a higher score indicating a more positive attitude toward menstruation, the mean attitude score was 3.84 (SD ± 1.62) out of a maximum of six. No significant association was observed between the severity of menstrual symptoms and attitudes. Most (63.1%) of the participants identified themselves as having premenstrual symptoms, and 61.1% viewed premenstrual symptoms as a normal part of menstrual cycle. Participants with a higher severity of symptoms in the premenstrual (OR 1.05, 95% CI 1.01-1.10) and menstrual phase (OR 1.04, 95% CI 1.01-1.07), were more likely to consult a physician for premenstrual symptoms, and having a divorced/separated parents was associated with a reduced odds of consulting a physician compared to those having parents that were married (OR 0.19, 95% CI 0.05-0.83). The findings imply the need for education to help adolescent girls manage menstrual symptoms and increase awareness of the benefit of treating them. Given that menstrual-related information was widely available from mothers, family, and social culture are potentially important in shaping good menstrual attitudes.

Matched MeSH terms: Adolescent; Adolescent Behavior/psychology*; Psychology, Adolescent

Fulltext Prevalence of smoking among secondary school students in Sarawak

Juslina O, Muthupalaniappen L, Khairani O, Iryani T

Malays Fam Physician, 2011;6(2-3):66-7.

PMID: 25606226

Adolescent smoking is an emerging health concern in the developing countries. A cross-sectional study is conducted to determine the prevalence and smoking behaviour of adolescents in Sarawak. The prevalence of smoking is 32.8% with mean age of initiation at 12.8±1.9 years. Most (67.2%) adolescents are experimental smokers and the majority (67.9%) did not smoke on a daily basis. Branded cigarettes are preferred (83.1%) and the cigarettes are obtained either from friends (49.1%) or self purchased (43.6%). Students prefer to smoke at their friend's house (31.0%) or at school (25.3%). Smoking prevalence among adolescents in Sarawak is high and begins early. Early intervention on smoking prevention and risk awareness is perhaps more effective if initiated before the age of 12 years.

Matched MeSH terms: Adolescent

Fulltext The management of an adolescent with conduct problems in a primary care clinic - a case report

Azimah M, Khairani O

Malays Fam Physician, 2009;4(2-3):88-90.

PMID: 25606170

PURPOSE: To describe the management of mild conduct problems in an adolescent at the primary care level.
CASE REPORT: A 16 year old girl presented with conduct problems with impending school suspension. The cause of her behavioural problems was mainly related to poor parenting skills of her parents and anger in herself. She was successfully managed with counselling and improvement of parenting styles in her parents.
CONCLUSION: This case report illustrates the opportunity for family physicians to manage simple conduct problems at primary care level.
KEYWORDS: Conduct problems; adolescents; anger management; parenting skills

Matched MeSH terms: Adolescent

Fulltext Surgical management of juvenile nasopharyngeal angiofibroma without angiographic embolization

Ahmad R, Ishlah W, Azilah N, Rahman JA

Asian J Surg, 2008 Oct;31(4):174-8.

PMID: 19010758 DOI: 10.1016/S1015-9584(08)60081-0

Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign neoplasm that occurs almost exclusively in the nasopharynx of adolescent males. Surgery remains the primary treatment of choice. JNA has always presented a management challenge to surgeons because of its vascular nature, site of occurrence, and local tissue destruction. The surgical approaches are either standard open method which include external or intraoral incisions, or the recent advanced approach, i.e. via using the endonasal endoscope. It is widely accepted that the use of preoperative angiographic embolization reduces the occurrence of intraoperative bleeding and facilitates tumour removal. However, angiographic embolization is not available at all centres. The purpose of this article is to present our experience with five patients diagnosed with JNA who were resected without embolization, using various surgical approaches. Two tumours were removed via endonasal endoscopic surgery. None of the tumours were embolized prior to surgery. We highlight the preoperative evaluation of tumour extent, using both computed tomography (CT) and magnetic resonance angiography, and the importance of temporary clamping of the external carotid artery intraoperatively. Our results suggest that the latter procedure is a safe and effective means of facilitating surgery and reducing intraoperative bleeding.

Matched MeSH terms: Adolescent

Fulltext Solid pseudopapillary tumor of the pancreas in a young Malay woman

Ngui NKT

Med J Malaysia, 2004 Oct;59(4):555-7.

PMID: 15779596

Solid pseudopapillary tumors of the pancreas are very rare, low-grade malignant potentially curable neoplasms. Despite having non-specific symptomatology, they have typical features such as being more common in young women, and classically presenting as large abdominal masses. Accurate diagnosis is important because long-term survival hinges on complete resection of the tumor.

Matched MeSH terms: Adolescent

Requirement for specific gravity and creatinine adjustments for urinary steroids and luteinizing hormone concentrations in adolescents

Singh GK, Balzer BW, Desai R, Jimenez M, Steinbeck KS, Handelsman DJ

Ann. Clin. Biochem., 2015 Nov;52(Pt 6):665-71.

PMID: 25780247 DOI: 10.1177/0004563215580385

Urinary hormone concentrations are often adjusted to correct for hydration status. We aimed to determine whether first morning void urine hormones in growing adolescents require adjustments and, if so, whether urinary creatinine or specific gravity are better adjustments.

Matched MeSH terms: Adolescent

Strychnine poisoning: a case report

Sarvesvaran R

Malays J Pathol, 1992 Jun;14(1):35-9.

PMID: 1469916

A teenage male was admitted to a hospital in the United Kingdom following the ingestion of strychnine. The typical spasms of strychnine poisoning were observed and he died during the fourth convulsion. The post mortem findings are presented, and strychnine poisoning is discussed.

Matched MeSH terms: Adolescent

Fulltext Porokeratosis: a report of three clinical variants

Singh R, Ghazali W, Nor M

Med J Malaysia, 1991 Mar;46(1):99-103.

PMID: 1836046

Three patients presenting with distinct clinical variants of porokeratosis are reported. This article discusses the etiology, classification and response to different modalities of treatment.

Matched MeSH terms: Adolescent

Subdural spinal lipoma with posterior fossa extension

Fan CJ, Veerapen RJ, Tan CT

Clin Radiol, 1989 Jan;40(1):91-4.

PMID: 2646063

A case is described of subdural spinal lipoma with posterior fossa extension and the world literature is reviewed. A high proportion of high cervical lipomas extend into the posterior cranial fossa. Many cases were probably missed in the pre-computed tomography era. Those cases with posterior fossa growth are more likely to be found in infants or those cases with symptoms dating from birth; most present with quadriparesis. All cases of high cervical lipoma demonstrated by myelography should be submitted to brain computed tomography in order to exclude posterior fossa extension and demonstrate the presence of hydrocephalus.

Matched MeSH terms: Adolescent

Disgerminoma: a case report

Menon R

Med J Malaya, 1971 Mar;25(3):226-8.

PMID: 4253254

Matched MeSH terms: Adolescent

Personal and Family Factors Associated With High-risk Behaviours Among Adolescents in Malaysia

Cheah YK, Lim HK, Kee CC

J Pediatr Nurs, 2019 07 29;48:92-97.

PMID: 31369963 DOI: 10.1016/j.pedn.2019.07.012

PURPOSE: The objective of this study was to investigate the relationships between high-risk behaviours and personal and family factors among adolescents in Malaysia.

METHODS: A nationwide data set was examined for this secondary data analysis. The dependent variable was the degree of risk, which was measured based on the number of high-risk behaviours in which adolescents participated. Age, gender, ethnicity, self-rated academic performance, family size, parental marital status and parental academic attainment were included as independent variables. Analyses stratified by educational level were conducted. Odds ratios (ORs) were calculated using ordered logit.

RESULTS: The most common high-risk behaviour among Malaysian adolescents was physical inactivity (35.97%), followed by smoking (13.27%) and alcohol consumption (4.45%). The majority of adolescents had low risks (52.93%), while only a small proportion had high risks (6.08%). Older age was associated with increased odds of having high risks (OR: 1.26). Male adolescents had higher odds of being in a high-risk category compared to female adolescents (OR: 1.28). Compared to Malays, Chinese adolescents had higher odds of being in a high-risk category (OR: 1.71), whereas Indian adolescents had lower odds (OR: 0.65). Excellent academic performance was associated with reduced odds of participating in high-risk behaviours (OR: 0.41).

CONCLUSION: Personal factors are important determinants of high-risk behaviours. This study provides a better understanding of those adolescent groups that are at greater risk.

PRACTICAL IMPLICATIONS: An intervention directed towards reducing participation in high-risk behaviours among adolescents who have both poor academic performance and less-educated parents may yield promising outcomes.

Matched MeSH terms: Adolescent; Adolescent Behavior/psychology*; Psychology, Adolescent

Letters about Published Papers

Chiu CK, Chan CYW, Chandren JR, Ong JY, Loo SF, Hasan MS, et al.

J Orthop Surg (Hong Kong), 2019 8 1;27(3):2309499019861233.

PMID: 31362584 DOI: 10.1177/2309499019861233

Matched MeSH terms: Adolescent

A Single Posterolateral Scapular Approach to Drain Post-Traumatic Intramuscular Scapular and Axillary Abscess in an Adolescent: A Case Report

Khaw YC, Faisham WI

Malays Orthop J, 2019 Jul;13(2):56-58.

PMID: 31467655 DOI: 10.5704/MOJ.1907.012

Scapular abscess is a rare clinical diagnosis. This is a report of an atypical case of extensive intramuscular scapular abscess involving the anterior and posterior aspects of the scapula with extension into the axillary region following minor trauma in a young healthy adolescent, describing a single posterolateral approach to the scapula to evacuate the abscess. Following surgical drainage and antibiotic treatment, patient recovered without any complication.

Matched MeSH terms: Adolescent

Fulltext Isolated sphenoid sinusitis: A big headache

Ishak NL, Subha ST, Abu Bakar S

Malays Fam Physician, 2019;14(1):29-30.

PMID: 31289629

Matched MeSH terms: Adolescent

Fulltext Effects of a school-based substance use prevention program on students in Malaysia

Tan, Renee H.J., Yee, Anne, Ahmad Hatim Sulaiman, Mas Ayu Said, Mahmoud Danaee, Chang, Lua Ahai

JUMMEC, 2018;21(1):40-46.

MyJurnal

Background: The rise in substance-use-related problems among Malaysian adolescents called for a study to
assess the efficacy of an anti-drug educational program to improve the knowledge, attitude and perception
(KAP) of Malaysian students regarding substance use.
Methods: This study involved 573 students from four Malaysian Chinese schools in Malacca. Each student
filled out a Likert-scale mandarin translated questionnaire (KAP-C) on substance use ( Pre-test). Following an
educational program on substance use, the KAP-C questionnaire was given again to the students, immediately
following the program (PT 1), and after a month (PT 2) and two months (PT3) of the programme.
Results: The students showed improvement in knowledge of the types of substance use in PT 1 (p

Matched MeSH terms: Adolescent

Fulltext Early experience in surgical treatment of adolescence idiopathic scoliosis: a report of four cases

Muhammad Wafiuddin Ahmad, Ed Simor Khan, Rajandra Kumar, Zamzuri Zakaria, Ahmad Faiza, Haidar Nusuruddin, et al.

Borneo Journal of Medical Sciences, 2020;14(1):39-47.

MyJurnal

Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmetic can be expected. In this case report, there is the management of four patients surgically using the posterior spinal instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. A thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using the same surgical technique. Neuromonitoring was used throughout the whole surgery until skin closure. All patients were hospitalized around one week. Post-operatively patients were followed up at two weeks, six weeks, three months, and every six months thereafter. It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.

Matched MeSH terms: Adolescent

A case of Takayasu Arteritis presenting with young stroke

Cheo SW, Mohd Zamin H, Low QJ, Tan YA, Chia YK

Med J Malaysia, 2020 11;75(6):745-747.

PMID: 33219190

Stroke is a debilitating disease as it carries significant morbidity especially when it affects the younger population. There are various etiologies of young stroke, namely arterial dissection, cardioembolism, thrombophilia, inherited genetic disorder and vasculitis. Young patient with stroke should undergo complete evaluation to identify the underlying etiology in order to prevent recurrence of stroke. Here, we would like to illustrate a case of Takayasu arteritis presenting as young stroke in a 17-years-old lady with no known medical illness.

Matched MeSH terms: Adolescent

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